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Home My WebLink About0173 PERCIVAL DRIVE v� ��. ?a �, _ e � � v i t 1� 1 I �� I j l r !1 O _.. � �� tji _- a �)� ti� -I.�, fl i, T GC'1�-! .r�_�_.._ h_.�ia-;ar.�.� _c 4 s. .. 4 1.� .- �_, .."1` .,f __ .� _ vr.. .. _ �. _. abl _.____ •.�'�.•�_••�ab..:ST'4=a.ie 'h-n.a-.. �. ti:. � .._ti _r. '174ii`PS ter`^ may`^'4':n2iiYl :. _ L 4G- :_, � — �siL fI i' I UPC 12534 � No.2153LOR HASTINGS. MN ti TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION C S� oil Vb pplicat Map Parcel" Application # Health Division Date Issued Conservation Division Application Fee 50 Planning Dept, ..::Perm t Fee. Date Definitive'Plan Approved by Planning Board Historic - OKH Preservation Hyannis Project Street Address p R CZ Vil L D P,_1�tlw�57 jA-PK5-J1)SLE N4 Village WE5-F BKK5T"LLL TTT—TIFV�f�s VAL- D P_ Owner D PY Address W05-r- M'Nfit"L.4F A,4 02 6 60 Telephone 50 3 (0 7b f PT ST-A Q_ 5- 0 L*__ +f-7)-j-b V C_ Permit Request 7b-TI)Z- S- 5-1 Ze or- Square feet: 1 st floor: existing—proposed 2nd floor: existing proposed Total new Z6n* ing District Flood-Plain Groundwater Overlay -0 L V 0 V -T71-1-C Project aluation Construction Type LQ' t Size ' Grandfathered: U Yes L3 No If yes, attach supporting documentation. Dwelling Type: Single Family U Two Family U Multi-Family (# units) Age of Existing Structure Historic House: 0 Yes 0 No On Old King's Highway: U Yes Q No Basement Type: U Full Q Crawl U Walkout Q Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) P . Number of Baths: Full: existing. new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count J Heat Type and Fuel: Q Gas 0 Oil Ll Electric U Other Central Air: Ll Yes U No Fireplaces: Existing New Existing wood/coal stove: Q Yes Ll No Detached garage: L3 existing Q new size_Pool: Q existing Ll new size Barn: Ll existing Q new size Attached garage: Ll existing Q new size —Shed: Ell existing L1 new size Other: Zoning Board of Appeals Authorization El Appeal # Recorded El Commercial Ll Yes L1 No If yes, site plan review # 21 _n Current Use Proposed Use Gi APPLICANT INFORMATION (BUILDER(f0Y HOMEOWNER) 1� -La'v Name W 1-n-rn U 41v- Telephone Number Address 90x / Z[ D License #-C'5 - 0 05 g 13 0240 C�Home Improvement Contractor# \AAC 5— Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIIGNATURE�� DATE 1 -2, 015 FOR OFFICIAL USE ONLY j APPLICATION# s DATE ISSUED Ei MAP/PARCEL NO. c ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION a 5 FRAME r P • 4 INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL -_PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING Y Pa r- t 2, DATE CLOSED OUT ASSOCIATION PLAN.NO. ` q. t 1 ' Blue. Selenium Solar, Inc® Go Green with Blue'"" . August 13, 2015 I Town of Barnstable Building Division 200 Main St. Barnstable, MA 02601 Building Inspector: Patrick Franey Ph: 508-862-4035 Dear Mr. Franey: Attached please find supporting documentation for Blue Selenium Solar, LLC's application for a building permit to install solar roof mount photovoltaic panels at the residence.of Randall E. Hebditch, 173 Percival Drive, West Barnstable, MA 02668.We would appreciate if it you could call Carolyn Viles at 508- 833-9500 x 101,or email to cviles@bluesel.com ,to advise us when the Building Permit has been approved,so that we can confirm our installation schedule.Thank you very much. On the following page is a table of the contents of the attached literature. We hope we have included all the items you need. Please call me at 774-368-0019, if additional information is required. i Thank you. Sincerely, Michael Tanghe Blue Selenium Solar, LLC 17 Jan Sebastian Drive,Suite 12 Tel: 508-833-9500 Sandwich, MA 02563 Fax: 508-888-2966 E-mail: info@bluesel.com www.bluesel.com Blue Selenium Solar, Inc® 4 Go Green with Blue'" TABLE OF CONTENTS: Page 1 Town of Barnstable Building Permit Application signed (carbon copy legal size form) Page 2 Workers'Compensation Insurance Affidavit Page 3 Certificate of Liability&Workers Comp. Insurance Page 4 Builder Construction License Page 5 Home Improvement Contractor Registration Page 6 A-9 Assessors Card Page 7 Property Owner Sign Form to Blue Selenium Solar Page 8 Google Aerial Map Page 9 A- D P. E Stamped Layout Drawings&Structural Letter Page 10 A—F SunModo EZ Roof Mount Kit for Shingle Roofs Page 11 A—D Datasheet for InvisiMount Residential Mounting System, & Massachusetts Structural Code Compliance Letter Page 12 A& B Solar panel manufacturer's literature, Mfg'r: SunPower X-20 250w Solar Panel 17 Jan Sebastian Drive, Suite 12 Tel: 508-833-9500 Sandwich, MA 02563 Fax: 508-888-2966 E-mail: info@bluesel.com www.bluesel.com STID Massilchusetts-Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-005813 WILLIAM M SULAV PO BOX 1210 WCHneet MA 02C67 Expiration Commissioner 01/03/2016 Ll - _ Office of Consumer Affairs d Business Regulation - 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 166151 Type: Supplement Card BLUE SELENIUM SOLAR LLC Expiration: 4/29/2016 WILLIAM SULLIVAN 17 JAN SEBASTIAN DRIVE SUITE 12 SANDWICH, MA 02563 Update Address and return card.Mark reason for change. SCA 1 0 2OM-05/11 ❑ Address Renewal [? Employment Lost Card •^ -` C�1iA�i»n inoittuecrll�n�'C?/tfa�.urc�us�� -- - �y Mee of Consumer Affairs&Business Regulation License or registration valid for individul use only tg1E IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation stration: 166151 Type: 10 Park Plaza-Suite 5170 Expiration: 4/29/2016 Supplement Card Boston,MA 02116 BLUE SELENIUM SOLAR LLC WILLIAM SULLIVAN 17 JAN SEBASTIAN DRIVE SUITE �/�G✓��`�' ANDWICH,MA 02563 Undersecretary Not valid without signature I (MMIDD TE ACOO "® E!= _0_F_/LIAI3ILITY INSURANCE DA6/3/201�5) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Me MacLeod NAME: Ax g C.L. HOLLIS INSURANCE PHONE (508)295-9500 AIC No:(508)295-9898 140 Marion Rd E-MAIL ADDRESS: g me @insurehollis.com INSURERS AFFORDING COVERAGE NAIC# Wareham MA 02571 INSURERA:Hanover Insurance Group 22292 INSURED INSURERB:Safety Insurance 39454 BLUE SELENIUM SOLAR INC INSURER C:Liberty Mutual 23035 INSURER D: 17 JAN SEBASTIAN DR UNIT 12 INSURER E: SANDWICH MA 02563 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1552702325 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MMIDD MM/DD X COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE $ A CLAIMS-MADE aX OCCUR DAMAGE TO RENTED 1,000,000 PREMISES Ea occurrence $ OHN9478699 3/9/2015 3/9/2016 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 qPOLICY❑PRO- LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: Nan-owned $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ B ALL OWNED SCHEDULED AUTOS Ix AUTOS 6225811 10/28/2014 10/28/2015 BODILY INJURY(Peraccdent) $ NON-OWNED PROPERTYDAMAGEX HIRED AUTOS AUTOS Per accident $ $ A X UMBRELLA LIAB OCCUR OHN9478699 3/9/2015 3/9/2016 EACH OCCURRENCE $ 1,000 000 EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY OFFICE OPRIETER EXCLUDED?ECUTIVE � N/A E.L.EACH ACCIDENT $ 1,000,000 C (Mandatory In NH) WCS-31S378547-015 6/15/2015 6/15/2016 E.L.DISEASE-EA EMPLOYEA$ 1,000,000 If yes,desuibe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1 $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE RANDALL E. HEBDITCH THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 113 PERCIVAL DRIVE ACCORDANCE WITH THE POLICY PROVISIONS. WEST BARNSTABLE, MA 02668 AUTHORIZED REPRESENTATIVE Meg MacLeod/MEG ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025 nntam% �\ The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual):Blue Selenium Solar, LLC Address: 17 Jan Sebastian Drive, Suite 12 City/State/Zip:Sandwich, MA 02563 Phone#:508-833-9500 Are you an employer?Check the appropriate box: Type of project(required): 1.M I am a employer with 12 employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.❑I am a homeowner doing all work myself[No workers'comp.insurance required.]t 10❑Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance. 14.❑✓ Other Solar PV System 6.❑We are a corporation and its officers have exercised their right of exemption per MGL'c. 152,§1(4),and we have no employees.[No workers'comp.insurance required.] 'Any applicant that checks box#1 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. tContractors 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:Liberty Mutual Insurance Corporation - Policy#or Self-ins.Lic.#:WC5-31 S-378547-015 Expiration Date:6//15/2016 { /� Job Site Address: I _�+3 r A E-P C2 y 4 L J K-1 VE City/State/Zip: . G`<-T Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). 2 �� Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cer r tli ai 2penies of perjury that the information provided above is true and correct. Si ature: ' Date: Phone#:508-833-9500 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: oF�� r + BARNSTABM 9 ,m� Town of Barnstable 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 Property Owner Must Complete and Sign This Section If Using A Builder op, Sb"Xg- l CH,as Owner of the subject property hereby authorize V L u C 5 EL e VT rn `s0 LA-g to act on my behalf, in all matters relative to work authorized by this building permit application for: 11-3 peg,c.T vh-L- D gz ve- WEPT (Address of Job) rA b 2 (o g ✓ ✓ /�^� � Signature of Owner 1 Date PW b #L,L- Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. T:UCEVIN D\Building Changes\EkMESS PERMMEXPRESS.doc Revised 061313 REVISIONS: K • D IBnu!prior pppent o} NO.I DATE BY ECN f! 8Ar SbnNm Solar,L1G b PrMOYbtl 34'-7" 15'-8" RESIDENTIAL SOLAR PHOTOVOLTAIC INSTALLATION: HEBDITCH, RANDY 173 PERCIVAL DR., W BARNSTABLE, MA 02668 MODULES: SUNPOWER SPR-X20-250-BLK-B-AC SOUTH EAST FACING ROOF: ROOF TILT=30 DEG �tN FAta�_ AZIMUTH = 158 DEGCY TOTAL SYSTEM SIZE: 5 20 MODULE x 250W=5.0 KW A TOTAL EST PROD= 5,776 KWH/YR James A.Clancy,PE (PV SIM 19% SHADE) 601 Asbury Avenue National Park,NJ 08063 Massachusetts PE Lic#46775 AVERAGE TSRF=79% W BARNSTABLE, MA RECORD LOW=-25 DEG C BLUE SELENIUM SOLAR, LLC AVERAGE HIGH =26 DEG C 17 JAN SEBAS7IAN DRIVE,SUITE 12.SANDWICH,MA 02563 RECORD HIGH =38 DEG C PHONE(508)833-9500,WWW.BLUESEL.COM WIND SPEED = 115 MPH DRAWN BY:OC I DATE OS-08-15 SCALE:WA SHEET:1 OF 3 BORDER:C SNOW LOAD=25 PSF NAME: DWG NUMBER-REV HEBDITCH - 173 PERCIVAL DR. 02556-01 y pp,bray° DonBesnu°I wwmauo. REVISIONS: �b Db° O ' P ppf1°°�°t NO. DATE BY ECN# BW Sbnfum Sobr,LLC b pM0i40' 34'-7" �I 2x6 RAFTERS, 16"O.0 FrI RESIDENTIAL SOLAR 10 1 1 PHOTOVOLTAIC INSTALLATION: HEBDITCH, RANDY 173 PERCIVAL DR., W BARNSTABLE, MA 02668 I I I I I I I I I I I I I I I MODULES: SUNPOWER SPR-X20-250-BLK-B-AC SOUTH EAST FACING ROOF: ROOF TILT= 30 DEG F AZIMUTH = 158 DEG J SA. G TOTAL SYSTEM SIZE: C e y 20 MODULE x 250W=5.0 KW TOTAL EST PROD= 5,776 KWHNR (PV SIM 19% SHADE) 60 �Asbury Avenue E National Park,NJ 08063 AVERAGE TSRF=79% Massachusetts PE Lic#46775 W BARNSTABLE, MA RECORD LOW=-25 DEG C BLUE SELENIUM SOLAR, LLC AVERAGE HIGH =26 DEG C 17 JAN SEBASTU\N DRIVE,SUITE Q.SANDWICH,MA 02563 RECORD HIGH =38 DEG C PHONE(508)833.8500,WWW.BLUESEL.COM WIND SPEED= 115 MPH SNOW LOAD=25 PSF DRAWN BY:OC DATE:OS•O6.15 SCALE:WA SHEET:20F3 BORDER:C NAME: I I DWG NUMBER-REV HEBDITCH - 173 PERCIVAL DR. 02556-01 '(C eft.-d � ,,, REVISIONS: �i D Itlnot pri" b ��. NO. DATE BY ECN k etas S.WIUM Soar,LLD 2X10 RIDGE BEAM SOLAR PANELS 2X6 COLLAR TIES 15'-8" 2X6 RAFTERS, 16"O.0 30° RESIDENTIAL SOLAR PHOTOVOLTAIC INSTALLATION: 12'-62" HEBDITCH, RANDY 173 PERCIVAL DR., SECOND STORY W BARNSTABLE, MA 02668 PANEL AND MOUNTING INFORMATION: ROOF TILT: 7/12 PITCH (30 DEG) AZIMUTH - 158 DEG RAFTERS: 2 x 6, 16"OC, SPAN = 12 FT 6.5 INCHES MODULES: SUNPOWER SPR-X20-250-BLK-B-AC ��ySH Fcy 20 MODULE x 250W=5.0 KW-DC � J SA. G� CY RACK/RAILS: SUNPOWER SOLARMOUNT 5 °f (UNIRAC SOLARMOUNT)OR EQUIVALENT James A.Clancy,PE q 9Fv Ap, _ FLASHING: PV QUICK MOUNT W/5/16"x 3-1/2"SS LAG 601 Asbury Avenues EN�� National Park, NJ 08063 OR EQUIVALENT Massachusetts PE Lic#46775 NOTES: 4 FT. MAX SPACING BETWEEN "L-BRACKETS" ALL BRACKETS ARE SECURED TO ROOF RAFTERS BLUE SELENIUM SOLAR, LLC 17 JAN SEBASTIAN DRIVE.SUITE 12.SANDWICH.MA 02563 W BARNSTABLE, MA PHONE(508)833.8500.WWW.BLUESEL.COM WIND SPEED= 115 MPH SNOW LOAD —25 PSF DRAWN BY:oc DATE:OS-0615 SCALE:WA SHEET:30F3 BORDER:C NAME: DWG NUMBER-REV HEBDITCH - 173 PERCIVAL DR. 02556-01 L LEO D _T-_C2 I-I J ,DAMES A . CLANCY PROFESSIONAL ENGINEER 601 ASIBURY AVENUE NATIONAL PARK, NJ 08063 4856) 3 8-1125 FAX: (856) 358-1511 Date: August 5, 2015 Re: Structural Roof Certification Subj: Randy Hebditch Residence, 173 Percival Drive,West Barnstable, MA 02668 We have provided a review of the house roof construction of the above named property in regards to verifying the capacity of the existing roof for installation of a new Solar Panel Array. We have found the residence to be of wood frame construction bearing walls with a rafter framed roof system. The Roof 1 is of 2x6 @ 16"o.c. rafter framed construction with 2x6 collar ties and is sheathed with 1/2"ext-ply sheathing and a single layer of composite shingles. The existing roof structure bears directly upon the exterior stud framed wall system. The existing rafters as installed meet the required load/span ratings with sufficient capacity to carry the minor additional load of 4#/sf imposed by the proposed solar array per the details below. Installation of solar rack systems shall be as follows: Each panel row shall be supported upon 2 mounting rails. Rails shall be screw anchored through roof and directly to rafters or purlins below. Rail attachment points to rafters shall be staggered each row with exception to the first fastener row from the gable end which is attached to two adjacent rafters/trusses with Stainless Steel fasteners. Rail attachment to roof shall be fastened 16-32"o.c. at corners and 48"o.c. through the field. Rails are to be placed at 24-48"o.c. on the roof. When installed per the above specifications the system shall meet the required 115 MPH wind load and 25 PSF ground snow load requirements. Should you have any further question or comment please feel free to contact our office. Respectfully, �p OF AMES A. CLAN Y � 0.46775 y James A. Clancy 'O9oc.�4, a p Professional Engineer wS .y.. MA License#46775 I STRUCTURAL ENGINEERS November 24, 2014 SunPower Corporation 1414 Harbour Way South Richmond, CA 94804 TEL: (510) 540-0550 Attn.: Engineering Department, Re: Engineering Certification for the SunPower Corporation Invisimount Design Tool This letter is to document that PZSE, Inc.-Structural Engineers has reviewed SunPower's Invisimount Design Tool, an online tool that: • Evaluates structural design loads on SunPower Invisimount solar arrays • Evaluates the maximum allowable spacing of attachments of the system to the roof to resist design loads • Estimates the bill of materials for specific projects to assist with ordering parts from SunPower SCOPE OF THE TOOL: Invisimount by SunPower is a solar panel support system for installing solar photovoltaic arrays on sloped roofs of buildings. Typically such buildings are residential with shingle or tile roofs. Each row or column of modules is supported by two rails,which are attached to the roof structure. The number and spacing of attachments to the roof structure can vary depending on, for example, structural loads at a particular site,the type of attachment hardware used, and spacing of the supporting roof structural members. SCOPE OF OUR REVIEW: PZSE, Inc.—Structural Engineers provided a review of the following • Invisimount online Design Tool algorithm and design methodology and has determined that the Invisimount Design Tool is a rational approach and is in compliance with the structural requirements of the following Reference Documents: 1. Minimum Design Loads for Buildings and other Structures,ASCE/SEI 7-05 2. International Building Code,2009 Edition, by International Code Council, Inc. 3. Aluminum Design Manual, 2005 Edition, by The Aluminum Association 4. AC428, Acceptance Criteria for Modular Framing Systems Used to support Photovoltaic(PV)Panels, November 1,2012 by ICC-ES This letter certifies that the Invisimount online Design Tool is in compliance with the above Reference Documents. 8150 Sierra College Boulevard,Suite 150 • Roseville,CA 95661 • 916.961.3960 P • 916.961.3965 • www.pzse.com Page 1 of 2 C ��If"tC STRUCTURAL ENGINEERS DESIGN RESPONSIBILITY: The Invisimount Design Tool is intended to be used under the responsible charge of a registered design professional where required by the authority having jurisdiction. In all cases,the tool should be used under the direction of a design professional with sufficient structural engineering knowledge and experience to be able to: • Evaluate whether the tool is applicable to the project, based on the"Engineering Basis of Calculations"document and the characteristics of the project, and • Understand and determine the appropriate values for all input parameters of the tool. Results of the tool should be checked against the design professional's judgment.Excerpts from standards such as ASCE 7-10 are presented in the tool as pointers to the standard and are not intended to diminish the user's responsibility to consult the applicable figures and sections of the standard directly. The user or design professional in responsible charge assumes full design responsibility. The tool does not check the capacity of the building structure to support the loads imposed on the building by the array, such as bending strength of roof rafters spanning between supports. This requires additional knowledge of the building and is outside the scope of the design tool and our review. Please feel free to contact me at your convenience if you have any questions. Sincerely, Paul Zacher, SE-President �I"OFA4q 9 PAUL K. G ZACHER TRUCTURAL ti 50100 /STERN �SS/pNAL�G� EKP.6/30/16 8150 Sierra College Boulevard,Suite 150 • Roseville,CA 95661 • 916.961.3960 P • 916.961.3965 • www.pzse.com Page 2 of 2 1 Barnstable Old Kings Highway Historic District Committee ? 200 Main Street,Hyannis,MA 02601,TEL 508-862-4787 Fax 508-862-4784 +esa APPLICATION, CERTIFICATE OF APPROPRIATENESS Application is hereby made,with four(4)complete sets,for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470,Acts and Resolves of Massachusetts,1973,for proposed work as described below and on plans,drawings,or photographs accompanying this application for. Check all categories that apply, 1. Building construction: ❑ New ❑ Addition Alteration 2. Type of Building•. Q House ❑ Garage/barn ❑ Shed ❑ Commercial ❑ Other 3. Exterior Painting,tnof ❑ new roof ❑ color/material change,of trim;siding,window,door 4. Siett : ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 5. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retaining wall ❑ Tennis court ❑ Other 6. Pool ❑ Swimming ❑ Other man-made pool ® :Solar panels ❑ Other Type or Print Legibly: Date U�n,--- S cP 1 S NOTE Aff apptilcationr nw be Agwd by the torrent owns Owner(print):'- tAA&�S 15 14 c-6 c� Telephone#• Address of Proposed Work: 1"3 7RT-C 1V a-k br- VC. Village WI-St 8--v'l66JOl lap Lot#J it)100-110 11 Mailing Address(if different) Owner's Signature Sr-c A-t6A-C� — Description of Proposed Work: Give particulars of work to be done: ice.^-CA:, CT-M (-00-0- Agent or Contractor(print): 8,v- is• rucn phone#: Jb?.814. Address: re,.-i VV e art o sue. ��1 Contractor/Agent'signature: Z,U��'�`�,,(1 For committee use o y. This Certificate'is hereby APPROVED/DENIED Date G �- 1 Members slgnatures 1 a l 1� A PROVED . JUN 2 4 2015 Town of Barnstable Old King's Highway g:\&,ardswdCm=WiaLW1dK&gsHighway\OKHAppUradm&AOKIIDRAFT2011 f:errApyroprlakneuDROT.doc Committee l CERTIFICATE OF APPROPRIATENESS SPEC SHEET Please submit$Copies Foundation Type:(Max. IT'exposed)(material-brick/cement,other) Siding Type: Clapboard— shingle— other Material: red cedar white cedar other Color. Chimney Material: Color. Roof Material: (make&style) ( rsvv. Color. Roof Pitch(s): (7/12 minimum) 1 /A (specify on plans for'ttew Landings,major additions) Window and door trim material: wood other material,specify Size of comerboards size of casings(1 X 4 min.) color Rakes Ist member Vd member Depth of overhang Window: (make/model) material color (Provide window schednde on plan for ne►v buildings,nuijor additions) Window grills(please clieck all that apply_: we divided lights exterior glued grills— grills between glass—removable interior_.. None Door style and make: material Color: Garage Door,Style Size of opening Material• Color Shutter Type/Style/Material: Color. - APPROVED Gutter Type/Material: Color. J U N 24 2015 Deck material: wood other material, i Color. Town of Barnstable. specify � "NIA 14iro�:sNighwa3` t�i;�!}+; V(!,1,.' Committee Skylight,type/makelmodel/: material Color. Size: i1UNN 0 4 2,015 Sign Size: Type/Materials: - Color. Fence Type(max 6' )Style mot wld'I`l f6l,, Retaining wall: Material: Lighting,freestanding on.building illuminating sign OTHER INFORMATION: THE ATTACHED CHECK LIST MUST BE COMPLETED AND SUBMITTED Please provide samples of paint colors,manufacturers brochure of windows,doors,garage door,fences,lamp posts etc Signed: (plan preparer. �� -,. Print Name•��n4 l X._(')r?-4r"5•FGf_fI 2 Q.\Bwrds cud ComndulenAOU KbWv HighwayADKft Appikuda WKlt DRAFT 2011 Cert Appmpri wneu DRAFT.dw i Eng eering Dept.(3rd floor) Map j/U Parcel ©D/ 0//,�r1x,it# a.a y y O .r z House# Z79 Date Iss ed B and of Health(3rd floor)(8:15 -9:30/ 1:00-4:30) 7ZR Fee Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) SEPTIC$y Pi +flog u,,,� INSTALLE S 19 MUST BE LIANCE ENVIRON ' D a k� TOWN OF BARNSTABLE TORN E AND Rol f Building.Permit Application Project Street Address _t 13 t-R C"V R L Village W. ZA W S l,kd I F Owner R Rt-ln A,LLL ftlw i 1 oA Address ► -7 3 F_9_(_t V A L b a . Telephone O 7(0`S Permit Request 181 A a`-I Q)J A IT A L11 E A,0- i First Floor 3 o square feet Second Floor square feet Construction Type W 00 0 F►2 P,M(� `Estimated Project Cost $ ®®O Zoning District R F Flood Plain /`1 6 Water Protection AI O Lot Size Grandfathered ❑Yes &(No Dwelling Type: Single Family El Two Family ❑ Multi-Family(#units) Age of Existing Structure / y1( .istoric House ❑Yes No On Old King's Highway )Q Yes ❑No Basement Type: d�Full ❑Crawl alkout ❑Other Basement Finished Area(sq.ft.)U) — Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing c;2— New Half: Existing _� New No.of Bedrooms: Existing 3 New Total Room Count(not incl 11ng baths): Existing �'. New First Floor Room Count_ Heat Type and Fuel: Gas ❑Oil ❑Electric ❑O,ther Central Air ❑Yes Fireplaces: Existing / New Existing wood/coal stove ❑Yes 240 Garage:*Detached(size) /A.e )_Ll A Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name Li e2� Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# 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 DATE BUILDING PERMI ENIED FOR THE FOLLOWING REASON(S) •w FOR OFFICIAL USE ONLY PERMIT NO. C DATE ISSUED • c � r MAP/PARCEL NO ADDRESS VILLAGE- OWNER ' DATE OF INSPECTION: FOUNDATION 23 `C-1 f 1 FRAME INSULATION FIREPLACE t ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH- FINAL GAS: '° R61 bH FINAL FINAL BUIDI DATE CLOSSam I� .. ASSOCIATIOJ N in A �n x Cil i The Town of Barnstable. 9� �0� Department of Health Safety. and Environmental Services A'Eo►r+p�A Building Division ` 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only 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. / Type of Work: Est. Cost !/,00 p Address of Work: Owner's Name Date of Permit Application: 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. OR �. Date Ow 's Name The Commonwealth of Massachusetts 14:1r '` - `:==°=i::r Department of Industrial Accidents OfliceollnyesligaUons • 600 J1'ashirr,,,tun Street ��. • .'� Boston, A1uss. (12111 Workers' Compensation Insurance Affidavit qP Plc�se PRINT le�tb , nlic to ntormatitin� _ d0.Y_ r/namcoI�aN��-�- 1�E13D► i�j� fl�locition• 3 PC-2L% r} �. Zc �c�rZ>Js�� jr � � odt�� - � 3��-0�t, 3 I am a homeowner performing all work myself. 1 am a sole proprietor and have no one working_ in any capacity17 i ._ ..v..� .+..-�w�....7�__�....f!.!'.^Toea�rr..rw1[7•K`s•^L*�c,^'.p�'P'T;.r.T.`r _ .w�..��ww..�.w.n!..�."r^•�N}T!..+!`!rr...'.'r'.�+Ti!"„"• _ 1 am an employer providing workers' compensation for my employees working on this job. nm •tt name: addrest• �I cih•• phone f!• intunince co n�lic� I am a sole proprietor. general contrac r, or homeowner rcle one) and have hired the contractors listed below who haN the following workers' compensation polices: •• coo any name I� �=t'� OrJ - fbu"OAi O)N 5 / Iz•1 0k s 1A r_ - aa�3� •tddress• cit.: A nhonc i!• lag - $9 _ 5 ncurnnee co W Ay SA /nnlicy tt '.. ... .*..--_ �w,._c _ _--t.-t.., — --'<—_ -- —ram—r-.�r—.��••i-+:..s�!r..-_ ... _.TC�• _ ` -•c-—.�� Lm me �J� 1�0.�r� Clgw-e (?ai phonett� QKe / q�� •� olic tt v �) `� _ AHac_h additional sheet if tiecess ::.:r=777 1.`^1rr�� '. i. i�'��:.�3-.' c`�F'.i._•� �! a.b `." :'� _. "z'� Failure to secure coverage as required under Section 25A of IN1GL 152 can Icad to the imposition of criminal penalties of a fine up to S1.500.00 and/or one years'imprisonment as.wc11 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 cope of this statement may be forwarded to the Once of investigations of the DIA for coverage verification. 1 do Irerehc Icern S _nature ndcr the pains red�Jcaaltics ojperjun•that the information provided above is True are tfrrcct. i (� Print name QAN QN L L-- A E R n j t L ll Phone 9 S-0 7 63 �r Y got 621 use unly do not write in this area to be completed by city or town official city or town: permitAicense N nliuilding Department oLiccnsing Board check if immediate response is required psciectmen's Office Qltcalth Department contact person: phone; MOther _ f Ire,ned 3:115 P1A) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' ccmtpensation for tile; employees. As quoted from the "law". an emplome is defined as every person in the service of*another under any contract of liire, express or implied. oral or written. I An emplorer is defined as an individual, partnership, association, corporation or other legal entity•, or any two or more the forc`_oin�, engaucd 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 d\\clling house of another who employs persons to do maintenance , construction or repair work on such dwelling ho: or on the `rounds or building appurtenant thereto shall not because of such employment be deemed to be an employe: MGL chapter 152 section 25 also states that every state or local licensing agency small %vitlihold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commoirwealth for any applicant who leas 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 1. been presented to die contracting authority. 777 F. Applicants letely, by checking box that applies to your situation and Please fill in the workers* compensation affidavit comp supplyme company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance covera`e. Also be sure to sign and date the affidavit. The affidavit should be returned to the cit.., 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 require,,- to obtain a workers* compensation policy• please call the Department at the number listed below. .. ......... Ciry or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom c the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding tite applicant. Pie be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned 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 questio. please do not hesitate to give us a call. The Department's address. telephone and fax number: The Commonwealth Of Massachusetts .Department of Industrial Accidents " Office of Investigations 600 Washington Street . Boston, Ma. 02111 fax #: (617) 727-7749 phone #: (617) 7- -'100 ext. 406, 409 or 375 • TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE A hRol R I a 1 JOB LOCATION 1?3 L b 2, W .6A R�J S j� T ' Number Street address Section of town "HOMEOWNER" R ANIJ/�t.L �� lC, -2 '- 67 :.'... Name Home phone Work phone-• . PRESENT MAILING ADDRESS 7 3 1'r L-A J A L Q R 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 such homeowners to engage an in- dividual 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 re- side, 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 acQaptAble 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 Stat Building Code and other applicable codes, by-laws, 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 compl with said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for which a building permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that if .� Home Owner engages a person(s) for hire to do such work, that such Home Owner shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for licensing Construction. Supervisors, Section 2. 15) . This lack of awarenes often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed. Supervisor. The Home"dwner''actin as supervisor' is ultimately responsible. J. To ensure that the Home Owner is fully aware of his/her responsibilities',, man communities require, as part of the permit application, that the Home Owner 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 to amend and adopt such a form/certification for use in your community. W �r ,) I 1' �? IxG RAKE BD. "J� 1 x3 MoLI>. w,l 38 C R. HEAP red cedar clapboard -- I x 5 LoRNE R 8D, T.w, RI �4 D . JA L PROPOSED GARAGE - R.li.11lsl3bl'fCll STD• 6 PAN E I^ D 2 • I I 173 PERCIM,DR.,W.BARNSTABLE FRONT ELEVATION- 9 x7 PA p..9 E l_ --..._._...--- .. -- —._...-NU.. GAFF• DR. 1>ATIt URAwNDY: SCAI.14 URAWIN(1N: 1/4^- F-U° 10/26/96 P.P.C. ASNU7TD Al ASPHALT Roo F // Ix5 Go�I.IF� 6n. WHITE CEDA SHINGLES-5"T.W. Z 416 D.W. 2't I to D,0. PROPOSED GARAGE R.E.HEBDITCH �Sy��ppprr��... p� L'T, 173 PERCIVAL DR.,W.BARNSTABLE LEFT SIDE ELEVATION- 1/4"=F-0" � 1� �{+ DATE IDRAWNBY: SCALE: DRA,WINNGM RIGHT SIDE SIMILAR 10/26/96 P.F.C. AS NOTED [yam ASPHALT Roof I I WHITE CEDAR_./ ~� SHINGLES-S"T.W. ----- - \ i� 241to OH. 2gi6 D.N. i d � i I — U, _ ____ PROPOSED GARAGE -- -- ------- ---------- ------- � R.E.IIEI3DITCII 173 PERCIVAL DR.,W.BARNSTABI-E RIGHT SIDE ELEVATION- 1/4"=P-0" DATE' DRAWN BY: SCa@ DRAWING N: 10/26/96 r.r.c. ns No rzD A2 6 I- . V I x6 RAKE ED, w/ l x3 M6LD WHITE CEDAR SHINGLES-5"T.W. �x5 Go12NE12 gD. PROPOSED GARAGE R.E.HEBDITCH 173 PERCIVAL DR.,W.BARNSTABLE REAR ELEVATION- DATE DRAWN BY: SCALE DRAWING N: Ii411= I'-o° A6 10/26/96 P.F.C. AS NOTED c+ 181-011 J 1- 2 416 Du. 0 = q - 3-(, �b-`� 6 PNNEt_ 2 4 1 i Es 24'-0to m 9'x,, GAF,. o- i I -1 . 9 -9 r I •z9n:Ruca)-I= PROPOSED GARAGE 1 Ir 1. r! , r R.E.IIEBDITCII -7 —� (o "f i 173 PERCIVA.L DR.,W.BARNSTABLE ----- - — -------------- _.-_-__-._ 1)RAWNIIY: rl'AI.IC DRAWIN"M: PLAN- 1/4"=1'-0" IORGl9G 1�.r.c. S NOTED A3 i i - - - - - - - - - - - - - - - - - - - - - - - - - = 1 1 ' I - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - I 1 1 I 1 ' S'POUREDCONCRETE 1 I a 1 ' WALL ON 1678"FOOTMO 1 , I 1 ' ' 1 1 I 1 1 1 1 1 1 I 1 1 1 24'-°" FOUNDATION PLAN- 1 1/411=1 1_011 1 1 , - I 1 1 ' I I 1 I DROP WALL 12' i 1 PROPOSED GARAGE 1 I ' - - - - - - - - - - - - - - - - - - - - - - - - R.E.IIEDDITCII 173 PERCIVAL DR.,W.DARNSTADI-E 1'40" - 3'-R" - 9'-6" - 1'-10" — DATE: DRAWN BY: SCALE IDRAWINOO: 10/26/96 P.F.C. S Nn7TD A4 t,. 1 2�� ---ZX6i C01171r IlC tip% 6'-7 3/4" i 3'-6" M 12 FLOOR JOISTS 5.P F. 164 j ( - � 2xl 1X4 WAI.1.WITH IMPLYWOOD M UTATIIINO AND WHITHOWAR 9111NOLKS x 6 R►B13(,ti' \� 8'-03/4" \ Zxy FIRE DL. 2)(6 RT.SILL 4•CONCRHfH FI.00R ad,re.xmBm1 4'-1 3/4" PROPOSED GARAGE R.Ii.111311D1'fC1I 173 PERCIVAL DR.,W.BARNSTABLE -� SECTION- 1/4"=I'-O" I--� ---- DATH' DRAWN BY: SCALc DPAWIN0/1: 10/26/96 1 VF.C. %S NQ7TD A5 i Application to , PPEG��E tM llaa7 053 • •� Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, iri triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts,-1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: HECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: New Buildin ❑ Addition ❑ Alteration Indicate type of buildin ❑ House Garage ❑ Commercial ❑ Other 2. Exterior Painting: 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall -❑ Flagpole ❑ Other (Please read other side for explanation and requirements). 1 TYPE OR PRINT LEGIBLY DATE m� '� ry0 ADDRESS OF PROPOSED WORK AlbASSESSORS MAP NO. OWNER ASSESSORS LOT NO. HOME ADDRESS f - 1 '��f1V�— TEL. NO. yyA FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). I� �►^cr�m� �� --� - � L to� �-�-'�� . �ro 1-a I!� 6- �o S rq fit-- ►---� \ i� `��- ��-` f t-Ott AGENT OR CONTRACTOR �"� `� �"' �r C ��CJ� TEL. N0. ADDRESS DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8,other side), including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). ~}�� a,-� \, �;�� C�l -,lck 14 LN-A S\�S C ��^f. �—jj v / Cc� ��L ti ��r �bCi V/l Signed Owner-Contractor-Agent Space below line for Committee use. t-7Received•by.H.D.C. JJ D ') r9 '7 ; 7[2)) IfQ Date The Certifi to is hereby Da ` 1419WTime L CX14-4 C� /I r&OaAd Approved ❑ IMPORTANT: If Certificate is approved, approval is subject to the 10 day appeal period provided in the Act. Disaoproved 71 • Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET FOUNDATION �C �� a V%- SIDING TYPE c,( y- COLOR O�� CHIMNEY TYPE Y1dy\ ,- COLOR ROOF MATERIAL a-S COLOR W-c� ✓vim PITCH WINDOW SIZE TRIM COLOR \ DOORS 71— C1 L, ��, COLOR SHUTTERS _ COLOR GUTTERS DECK � 1 GARAGE DOORS v` �C _ COLOR Vyy-1 r s SIGNS _ Q �j COLORS . D � FENCE 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 a.y July 27, 2015 Town of Barnstable _ ATTENTION: BOLDING DEPARTMENT ' j C) 200 Main Street Hyannis, MA 02601 V} RE: 173 Percival Drive, West Barnstable Permit Application Filed: July 7, 2015 cep, Our Job No.: JB-026920 v; NOTICE OF CANCELLATION This letter is to certify our proposal to install Solar(PV)at the above-referenced property has been moved into a cancellation status. SolarCity Corporation and Randall Hebditch will not be moving forward with the proposed installation at this time. We would greatly appreciate reimbursement for the permitting fees paid, but understand that the town will not refund any fees. „ If you have any questions or concerns, please don't hesitate to contact me. Thank you for your attention to this matter. Sincerely, CheryCGruenstern Cheryl Gruenstern Jr. Permit Coordinator SolarCity Corporation cgruenstern@solarcity.com Telephone: (508) 640-5397 Cell: (508)314-1581 i TOWN OF BARNSTABLE Buildin Ig : 201504273 1 BAMSTABLE, + Issue Date: 07/21/15 Permi t MASS. ArFG 3.61 Applicant: SOLARCITY CORPORATION Permit Number: B 20151946 Proposed Use: SINGLE FAMILY HOME Expiration Date: 01/18/16 Location 173 PERCIVAL DRIVE Zoning District RF Permit Type: RES SOLAR PANELS Map Parcel 110001011 Permit Fee$ 71.40 Contractor SOLARCITY CORPORATION Village WEST BARNSTABLE App Fee$ 50.00 License Num 168572 Est Construction Cost$ 14,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND INSTALL SOLAR PANELS ON EXISTING ROOF. 5.67 KW 21 PANELS THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: MASSACHUSETTS,COMMONWEALTH OF BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: TRANSPORTATION&CONSTRUCTION INSPECTION HAS BEEN MADE. 10 PARK PLAZA-SUITE 3170 BOSTON,MA 02116 Application Entered by: RM Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY,NO 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 FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: I.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT WE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE-COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL_, EMBERS(FRAME INSPECTION). 6.INSULATION. )) 7.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). POST THIS CA" 1 THAT IS VISIBLE BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health TnWN OF BARNSTABLE BUILDING PERMIT APPLICATION I � Map \10 Parcel 011 Application # Health Division Date Issued Conservation Division Application Feet 1 I: Planning Dept. Permit Fee J o 'Q Date Definitive Plan Approved by Planning Board ,, / Historic - OKH - _ Preservation/ Hyannis Project Street Address 1`� PC'1rc,+v a1 lbf-k y e- Village Weser— �S IC_ Owner k-6-,,A\ E. Address 1 ru ye, 1 ve- Telephone Sd°� .5 W1."(�6- M14-- Permit Request .\\ 5a wr A r\ 6R- Mx15'�AK t W\Y.., O.n r ir C.7 Square feet: 1 st floor: existing — proposed —2nd floor: existing proposed Total new Zoning District ��' Flood Plain Groundwater Overlay Project Valuation 4t 1 y,15bo0 Construction Type R YJ Lot Size '-' Grandfathered: ❑Yes W No If yes, attach supporting documentation. Dwelling Type: Single Family 0 Two Family ❑ Multi-Family (# units) Age of Existing Structure R C'5- Historic House: ❑Yes I No On Old King's Highway: ❑Yes 21.NO Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other N�- Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new �- First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ""��❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing iV�New Existing wood/coal stove: ❑Yes ❑ NNo- Detached garage: ❑ existing ❑ new sized*ool: ❑ existing ❑ new size Aarn: ❑ existing ❑ new si/0y Attached garage: ❑ existing ❑ new sizhed: ❑ existing ❑ new size 00ther: e� 'Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial Yeses J6 No If yes, site plan review # Current Use ��5�dcd1�•�:Q Proposed Use n c. APPLICANT INFORMATION (� (►BUILDER OR HOMEOWNER) Name 6- } cn c-crr w'�ar Telephone Number s� Ll 0 39 Address I1 a-� �J�J •R License # C�J- Home Improvement Contractor# Email r1.k n 50 anG% Cvw— Worker's Compensation # \NA")L.& �u� ALL CON RUCTION DEBRIS RESULTIN FROM THIS PROJECT WILL BE TAKEN TO 0.. d(k^ SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# 'DATE ISSUED - _MAP/PARCEL N0. - ADDRESS - VILLAGE. OWNER- _ ti DATE OF INSPECTION: = FOUNDATION FRAME INSULATION FIREPLACE ° . ELECTRICAL: ROUGH FINAL . PLUMBING: ROUGH FINAL GAS: ROUGH FINAL Y FINAL BUILDING - DATE CLOSED OUT ASSOCIATION PLAN NO. t Barnstable Old Kings Highway Historic District Committee £ 200 Main Street,Hyannis,MA 02601,TEL: 508-862-4787 Fax 508-862-4784 7619. APPLICATION, CERTIFICATE OF APPROPRIATENESS Application is hereby made,with four(4)complete sets,for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470,Acts and Resolves of Massachusetts, 1973,for proposed work as described below and on plans,drawings,or photographs accompanying this application for: Check all categories that apply; 1. Building,construction: ❑ New ❑ Addition Alteration 2. Type of Building: House ❑ Garage/barn ❑ Shed ❑ Commercial ❑ Other 3. Exterior Painting_roof ❑ new roof ❑ color/material change,of trim,siding,window,door 4. Sign_: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 5. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retaining wall ❑ Tennis court ❑ Other 6. Pool ❑ Swimming ❑ Other man-made pool ® Solar panels ❑ Other Type or Print Legibly: Date Jame. 3. d 0 L S NOTE AA applications must be signed by the 11cu��rrent owner Owner(print):�h A&k, 6. rT G 6& t_CN%- Telephone#: Address of Proposed Work: A-J 2,�r+C.1V,,k bk yc, Village We-St &,+rn S1xb1tMap Lot# l In /b01 IO// Mailing Address(if different) sc_vh r— Owner's Signature Se c A-414-C� Description of Proposed Work: Give particulars of work to be done: "C- zVr ^C_LS Cs ( -60g Agent or Contractor(print):c J ru en 6Mphone#: 5bl,ai Lt.K? I Address: rCw� 1 c ✓� v c�. Contractor/Agent'signature: For committee use only. This Certificate is hereby yAPPROVED/DENIED RE'CE'WED Date �- 5 Members signatures 10 GROWTH IVIANAOrN1.FN APPROVED JUN 2 4 2015 Town o Old King's Highway Committee 1 QAftoards mid Cownissions\Old Kings Highway\OKH Applications\OKH DRAFT 2011 Cert Appropriateness DRAFT.doc y� r ",oil SolarCity. OWNER AUTHORIZATION Job ID: D2( ©l D-O Location: f-73 I �C� �� `�'�-' as Owner of the subject property J P P Y hereby authorize SolarCity Corp—HIC 168572/ MA Lic 1136 MR to act on my behalf, in all matters relative to work authorized by this building permit application and signed contract. � lsr Signathrlof Owner: ate: ' I 24 St Martin Drive.Building 2 Unit.11 Marlborough,MA 01752 T(888)SOL-CITY F(508)460-0318 SOL ARC ITY.COM A2 ROC 243771.CA CSLR 888104,CO EC 8041.CT HIC 0632778,DC HIC 71101486,DC HIS 71101488.141 CT-29770, MA HIC 158572,MD MHIC 128948,NJ 13VH06160600,NY WG24624•18 11,OR OCR 180498,PA 077343,TX TDLR 27006,WA SOLARC-91901 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permissiib r pera e. Business Certificates are available at the Town Clerk's Office, V,FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) fl :i ,.�y,�p DATE: -� /7 Fill irl a e: ` 1f li? 'L APPLICANT'S YOUR NAME/S: 2AYJ hx LL- OL +R, BUSINESS YOUR HOME ADD ESS: Crl L. HE TELEPHONE # Ho Se Telephone Number NAME OF CORPORATION: 55 NAME OF NEW BUSINESS PI TYPE OF BUSINESS r lam(ce ) 1 IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS r 1 L - `1- i AP/PARCEL NUMBER ll0 OD/ all (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you-may need. You MUST GO TO 20011dain-9t. corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO M4hae R'S OFFICE This individ ali of permi requirements that pertain to this type of business. MUST COMPLY WITH HOME OCCUP X ignatu RULES AND REGULATIONS. FAILUHF'i CB OMMENT c' • COMP o i A2. BOARD OF ALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: ,y i Town of Barnstable Regulatory.Serviceso!*? ; er f 0f1He rod . .. P� ti Thomas F. Geiler, Director el ` Building Division r2 t;` 9 • BARNSTABLE, y MASS. $ Tom Perry, Building Commissioner r639• m °rfotnata 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us,`,.- Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: — Permit#: tt 6 > HOME OCCUPATION REGISTRATION 51otZtNv V-Aoce�u�!~iw l Date: -�rs `1 "Nn>APr-_rL boc).c to j Name: eP,,J()A-L L- t4 F 5 1 1 L 1 Phone #: S 08-3 O a Address: t�3 ��=`2L�V L \JR. Village: &j\U(Z' Name of liusiness:__ �� _ Type of Business: 1-10MIC�_ RE t: /)0 INTENT: It is the intent of this section to allow[lie residents of the"1Toivn of Barnstable to openrte a home oc•c•upatiori ciithiu single Family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance, provided that the aakity sliall not be discernible from outside the dwelling: there shall be no iucre.ise in noise or odor;no VisWd altenrtion to the premises wliich vvould suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or grouudevater pollution. After registration with the Building Inspector, a customary home occupation shall be permitted as of i-44,rt subject to the follolving conditions: • The activity is carried on by(lie pernianenf resident of a single funny residential chvelling unit, located Witlaici that dwelling unit.. • .Such use occupies uo more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be geaieintecd in excess of nornial residential vohinres. • The use does not.involve the production of offensive noise, 6bnition,snrolce, dust or other partic•ufar matter, odors,electrical disturbance, heat,gl�Lre, humidity or other objectionable effects, • There is no storage or use of toxic or hwlydpus rirateri,ds, or fbunmable or explosive materials, in excess of normal household qu;uitities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Honre Occupation,Md not within the required font yard. • There is no exterior s[onage oi•display of materials or equipment. • "There are no commercial vehicles related to [lie Customary Home Occupation, other than one tan or one pick-up truck not to exceed one toll capacity, and one trailer not to exceed 20 feet in length and not to exceed =4 tires,parked on the same lot containing the Customary Honre Occ•upatiou. • No sigh shall be displayed indicating the Customary Honie Occupation. • If the.Custoni;uy Home occupation is listed or adveoised as a business,the street address shall not be included. • No person shall be eniplo_yed in the Custonruy Home Occupa[ion who is'not a penrrauent resident of'file dwelling unit. I, the undersigned, hav read and agio qith the above restrictions for Illy home occupation f am registering. Applicant: bate: Lr��6r I YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates-(cost$40.00 for 4 years).' A business certificate ONLY REGISTERS YOUR NAME in town [which you must do by M.G.L.-it.does not give you permission to operate.) Business Certificates are available at the Town Cleric's Office, 1"FL., 357 Main Street, Hyannis, MA 02601 [Town (Hall) I 1 ry DATE: H'AO-I I1 Fill in please: ;dy:t° ;�i'.+.➢�i�.�'';,F` ilP F,g�Sa�f+r'rx �i I`� Yi� APPLICANT'S YOUR NAME/S: Ar.�OA �D1 IL1f BUS YOUR HOME ADDRESS' 1")3 f= f� -(Qq+- Ia y Ire ;:pp1 INESS i kl'„T�, rc4.1�c�c;_y1 �'rfiSfgi E�wai TELEPHONE # Home Telephone Number Sa4')-'517- 076"5 „6r 't'31L5!'f'SIIiue��`,il�:Y<`�drii NAME OF CORPORATION: NAME OF NEW BUSINESS L4NODV RXpJri,-fTYPE OF BUSINESS FNEw1�.t_f-�m teav ►:e�T' IS..THIS A HOME OCCUPATION? YES NO'_ ADDRESS OF BUSINESS VJ cA4ZQc jAhlr Wa- MAP/PARCEL NUMBER I tO^00 t— t I (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - [corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has be formed of . permit requirements that pertain to this type of bum&' COMPLY WITH HOME OCCUPATION RULES AND REGULATIONS. FAILURE TO Auth lied Sigure** COMPLY MAY RESULT IN FINES. COMMENTS: ��U u�nat 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: y Application to 1996 5 Old King's Highway Regional Historic District Committee in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, iri triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: ❑ New Building ❑ Addition ❑ Alteration Indicate type of.building: ❑ House ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting: 3. Signs or Billboards New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE_ /t ADDRESS OF PROPOSED WORK I,-05?rCtVCL =�hi�ei Q3�,ns+ ' ASSESSORS MAP NO. OWNER rS�e '� �16k#�erlci5 c �e �c�d .Lys. ASSESSORS LOT NO. HOME ADDRESS 70• —t--,�ox lG&6 . tk12r.+�-er�n�-�� "� TEL. NO. —"` - 30!?jD Ozcr�o FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). � ��t.r. -4-r,c.l �a.w�-0-�� ebLhSo.►� _ O .-E x 11981 lb�• CSV44hO-MN �iA az(o(0 � �. _11US-ge s 00ty oO� (% .- 1 I.L.&a t k �.� S�% t A- �I , 6V o r•ttil e-I� I �Yl� QZa�1 i t'1a t'tC2r rJZZ3 Fat nWZ Z.l1 5 Pv.Id kl.7:aKr s lei w1 0 AGENT OR CONTRACTOR O 32oic I" S- .L - a n✓1tS_ 1-{ dZta�� TEL NO. ;ADDRESS 'R>0 L 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 elocations of new signs. (Attach additional sheet, if necessary . T�'�-v-�o r o.�►-�'� ct`c�c( r'oo� C�(o d`c �...tZ �pw� c�c�X y c✓�.Q�• 0.�(`0�f�� no, Signed Owner-Co ntraRor- gent Space below line for Committee use. ">-'Received�by-H:D:C �7/ Date The Cer ' i ate is ereb Date :JAN t � yc- T�me Y Approved ❑ IMPOR ANT: If Certificate is approved, approval is subject to the 10 day appeal period provided in the Act. Disapproved ❑ ADDITIONAL INFORMATION FOR MAKING AND FILING AN APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS The four categories for which a Certificate of Appropriateness is required are: (application for demolition or removal is a separate form). 1. EXTERIOR BUILDING CONSTRUCTION. (new or existing buildings): An application is required for any exterior of a building to be erected or altered including windows, doors, siding, roof, light etc., that will be visible from any public street, way or public place. The following scale drawings are required in duplicate with application: plot plan (if addition — show existing buildings in outline), floor plan and elevations. Also required are snap shots of existing buildings, where additions or alterations are to be made. No plot plan is required for addition or alteration which does not touch the ground. 2. EXTERIOR PAINTING: An application is required for any portion of a building, structure or sign to be painted that is visible from a public street, way or public place. Color samples must be attached to these applications. An application is not required when repainting existing colors; changing to white, or using colors approved by the Town Historic District Committee. 3. SIGNS OR BILLBOARDS: An application is required for any sign or billboard to be erected within the District, with the following exceptions: a. Existing signs or billboards on November 27, 1974 shall have until November 27, 1977 to secure an approved Certificate of Appropriateness. b. Temporary signs for use in connection with any official celebration or parade or any charitable drive as long as they are removed within three days of the event. Certain other temporary signs that the Committee feels does not detract from the Act may be allowed with the prior permission of the Committee. c. Real Estate signs of not more than 3 square feet in area advertising the sale or rental of the premises on which they are erected or displayed. d. A single sign of not more than 1 square foot in area showing the name, occupation or address of the occupant of the premises on which they are erected or displayed in a residential zone. 4. STRUCTURE: An application is required to build or alter any structure within the District which is defined by the Act as a combination of materials other than a building, sign or billboard, but including stone walls, flagpoles, hedges, gates, fences, etc. GENERAL REQUIREMENTS 5. Work on projects requiring approval shall not be started until the Certificate of Appropriateness has been filed with the Town Clerk by the Committee. Approval is subject to the 10 day appeal period provided in the Act. 6. No changes shall be made from the original approved specifications without advance approval of the Commission on an amended application filed with the Committee. 7. A separate application must be filed with each project requiring a Certificate of Appropriateness. 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. r 1 i �c �� . U� � I �� i c I r Town of Barnstable — ;� Old King's Highway Historic District mA\Svh SPEC SHEET FOUNDATION - SIDING TYPE CLp" bra, COLOR CHIMNEY TYPE COLOR ROOF MATERIAL r� - COLOR ke_0,__ t r_ o PITCH WINDOW SIZE TRIM COLOR V_ �5 l DOORS COLOR C,�% SHUTTERS GUTTERS DECK GARAGE DOORS COLOR c�ILrQc-►� 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, ?�IQLEIbut landscape plan and elevation plans, whenapplicable. Plot plan need not be "Certified" , should s how all structures on the lot to scale. Application to 9 9 6 V 2,5 • Old King's Highway Regional Historic District Committee in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, iri triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: ❑ New Building ❑ Addition ❑ Alteration Indicate type of.building: ❑ House ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting: 3. Signs or Billboards: New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE�t ADDRESS OF PROPOSED WORK )�� rCtyct-� . •IVQF�• rri ASSESSORS MAP N0. OWNER 'T�n*4L40.0+ -45L FIAQ5 ".cam e CJ , -L-Y�. ASSESSORS LOT NO. HOME ADDRESS � x W ��y1r1t�� TEL. NO. 02�Co'�o FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). nl�IV,500 _moo .max ►9a �1• c v -h)O-m rAA e2c co�. &V-0 I NL- 1-a-&a t k: �J �J4•,r t�A_ 6VA r-W,e I i K} �ZOCo 1 Y'+1cLh��! � tia��tC.2. SZz3 Fgi tt,+.n•Z. ct�vtsv i� � Zl'1S �VIA 9 � LL).7 2)Kr 5 IE�l^i1 . O 14 AGENT OR CONTRACTOR S •^moo,- lg` .U - ZV\✓\L& 1�ct� aZ4��n TEL NO. � �� 30 4a C'ADD R ESS '-•'ram LZ • R50 4 L 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 necessaryL N"r' a-V,,C( rop-� Cc�(o I`c �I �otn� drX�t J�$ r.zw cn,,b- -r�..c+-t c ti. . Q 0 Signed Owner-Contractor-A nt Space below line for Committee use. Received:by-H.D.C. 1 Date 'The �F ',,ca is here tiDate Time .� .cf ._.,. By g,,1.11 fnl+ ?ta�i�-'; _ t IN ,i i.ii,i Hitil ftllAY Approved ❑ IMPORTAN If Cert/icate 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. f - V _. r i r Town of Barnstable Qrp,1 Old King's Highway Historic District SPEC SHEET FOUNDATION SIDING TYPE CLP"t4 (Fraz}1COLOR CHIMNEY TYPE COLOR ROOF MATERIAL PITCH WINDOW SIZE TRIM COLOR DOORS COLOR ,, SHUTTERS GUTTERS DECK GARAGE DOORS COLOR r\ �I�c- 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, I landscape plan and elevation plans, when ,r` applicable. Plot plan need not be "Certified", I but should show all structures on the lot to vo �� scale. I -- s � I ��--- � � � � �i:,i:tir•JNe�'wM$+-'ik,`'4�;y'M�''Y'll��ri•�''�f,..�`j+3'�"`E'f�1"*T�'.f7-"+tiYd'"."rya-'w"d._�•-'�r�f✓-r.-.r`'`"r"'-`:'---wr-�`_"ar.-.`'`""f'+..:`".:.s.a;�irwir—jC. ' �r-.J The Town of. Barnstable; '• 6AaMASS Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection N'4 lu Location IT 'V0(-A> (t I U 4 Permit Number" ("" ti Owner 1 , 4V tl&-�+ Builder ,--�• One notice to remain on jobsite, one notice.on file in Building Department. The following items need correcting: s' CJ ii ' 1 fSl In r .!-��.a -t/t , Ft t)nY iv-, I Please call: 508-790-6227 for re-inspection. . Inspected by Date '� MAR 25 '% 09-02PJI REEF REOLTY LTD P.1 �wnnra,� ntrign• EEF pis - :_= SALTY LTD. ' n�,Ayy yq REALTORS-BUILDERS REEF REALTY LTD. FACSIMILE CONTROL SHEET DATE: ,3 - 9 � TIME: RECIPIENT: ATTENTION•:i FAX #: SENDER: FAX #o 508-760-1406 TEL. #: 508-394-109/0/ TOTAL PAGES: 11\CLUDLNG THIS COVER SHEET MESSAGE:�i�E 24 School Street P.O. box 186 West Dennis. Massachusetts 02670 1\508)394-3090 MAR 25 '96 09:02RM REEF REALTY LTD -P 2 461 P01 MAR e.i •96 1®:19 Castlegate Ent Doors ?fie"CAULNGAiT INMYDOOR"offers quality construction at traditional value.Our door provides superior thermal performance by using a solid foam filled polyurethane core.The steel skins used with the Castlegaft Door have been galvanized on all surfaces,which virtually eliminates corrosion,and rust-#bro:rglr. To these unique features,add a completely weathereMpped 4-9116 Jamb,aluminum aiIJusM,ble threshold, 2 x 5 primed casing;insulated glass,or any of our optional features,and you will have an Entry Door with high energy efficiency,Iong casting performance, traditional elegance, and five Eve year warranty. Shepley . wed product# 218 Thomton Drive,Hyannis,Massachusab oasol (800)227-7060-(500)"1.7H9 Fax(608)778.2798 Available Options Dead Bolt Bare �— 6-9/16 primed Jamb Hydro Sill Threshold CasirgpCibns.. 1 x 5 Primed Flat Casing 5/4 x 4 Printed Flat Casing Brickmold Casing oil all fl � it call Dal NITI M72 MT8 MT4 L��j MY6 MT7 KD9 MT40 Available in Premium Steel Door Blank with 20 Year Warrant/ and in Fiberglass Door Blank with 80 Year Warranty 6/93 MAR 25 196 09.03AM REEF REALTY LTD -P.3 461 P02 MAR'2.. 36 1®:19 • I STAMARD SPZrCYFICAW)NS 9 Door awful • Smoolb,Pre-primed-pamtable • 24 to 26•gauge steel Door Caastlttc6en •Galvanized inmmr aad cUw awfaous • Iburmal break edge Iosuiatloa • Foaored•in-place polyurethane s Ingolathn Value • It•13 without liter Fire Rating • 20 minute Class C label for doors '�"'� without fifes Pace sore • 2.118"diameter lodkset bore ' • Oplioeel dead bolt bora UP Preparation •TW*11 x 2-Ild•sadlug evtner,leek A dead bolt eutouti,S-US•on eepter, V diameter W&c berg • Cover provided for dead bolt cutout Frame • 4•9/15"WJ wood frame standard •Optiettta alas!frame available WISWI strip •Magnetic or oemPesalos Casing •3ricltmold Awdard • Flat casing optiond 8aoltset •2-3l8"or 1-314'backset Sweep •THPIe t ontaa wed IMP Fin on bottom sweep amembly.pwvides a 6gbt ftW againsttemperatcav sad mobwe pette�etlos Hinges •Three 4"a 4"pin-typo •Other types available TbWhold • Adjustable aluminum with ask nosing •Fixed aluminum with vinyl cap Warranty •S years on door panel TOWN OF BARNSTABLE .f CERTIFICATE OF OCCUPANCY PARCEL ID 110 001 011 GEOBASE ID 36846 ADDRESS 173 PERCIVAL DRIVE PHONE W. Barnstable ,:l ZIP - LOT 30 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT WB PERMIT 13983 DESCRIPTION SINGLE FAMILY DWELLING PERMIT TYPE BC00 TITLE, CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services i TOTAL FEES: BOND $.00 CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY t HARNSTABLE, MASS. OWNER HORSEFOOT, HOLDINGS C 1639.Ep�& ADDRESS 24 SCHOOL ST PO BOX 186 BUILDING DIVISION W DENNIS MA BY 0 DATE ISSUED 03/26/1996 EXPIRATION DATE ' - TOWN- OF BARNSTABLE 8UTLDING PERMIT PARCEL ID 110 001 011 GEOBASE ID . 36846 ADDRESS 173 PERCIVAL DRIVE PHONE W. Barnstable ZIP - LOT 30 BLOCK LOT SIZE DBA DEVELOPMEY DIS`.1'RICT WB PERMIT 10759 DESCRIPTION CONSTR.SING.FAM.DWELLING W/GARAGE & DECK PERMIT TYPE BUILD TITLE NEW RES/COMM BLDGMfAl hient of Health, Safet3 CONTRACTORS: BOY, EVERETT W. JR. and Environmental Services ARCHITECTS.- TOTAL FEES: $187.83. �1NE BOND $.00 CONSTRUCTION COSTS $110,000.00 . 101 SINGLE FAM HOME DETACHED 1 PRIVATE P g.ABLE., ; MAS& 039• OWNER HORSEFOOT, HOLDINGS C E��b ADDRESS 24 SCHOOL ST PO BOX 186 W DENNIS MA BUIi,DINC�, MSION DATE ISSUED 10/05/1995 EXPIRATION DATE By / � 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 OFTHIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. SOo i 0 BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2. 2. 2Tlp 2 �iw►A/ c�"/1�'� 3 1 HEATING INSPECTION APPROVALS, ENGINEERING DEPARTMENT )LA4 2 Ajolf6 Ci OTHER: ►+ SITE Pbo REVIEW APPROVAL -77 WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX. CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. 508-790-6227 - - _C' 7 °FTHE A The Town of Barnstable • RAMS M • ' Department of Health Safety and Environmental Services pTEDMA'�A Building Division 367 Main Street,Hyannis MA.02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner June 28, 1996 Enclosed is the bond for 173 Percival Drive. The building inspector tells me that 257 and 259 Percival still need loam and seed at the street. If you have any questions,please contact Richard Stevens at this office, 8:00-9:30 a.m.or 3:00-4:30 p.m. Si nc rely, Kathy Maloney Office Assistant PERCI VAL D.RI VE R=189. 75 A=40. 00 n� N ;u �k s F0�7D9 `ado T•F- Lo co o. m LOT 30 36,412 + S.F. (0.84 ± AC) s JOB # 94-039-30 CERTIFIED PL 0 T PLAN PREPARED FOR LOCATION : ASES MAP 110 PAR 1-11 PERCIVAL DRIVE W. BARNSTABLE SCALE : 1" - 60' REEF REALTY REFERENCE : LOT 30 PLAN BOOK 413 PACE 99 OF IASS9 I HEREBY CERTIFY THAT THE STRUCTURE �� JOHN cyG SHOWN ON THIS PLAN IS LOCATED ON THE o D�gpEST.JR. � GROUND AS SHOWN HEREON. N&36859 y DEMAREST - McLELLAN ENGINEERING 24 SCHOOL STREET P. 0. BOX 463 DECEMBER 12,1995 WEST DENNIS, MA 02670 (508) 398-7710 . DATE JOF#ONAL LAND EYOR The Town of Barnstable BARNSTABLE.$ Department of Health Safety and Environmental Services MASS �Eo►u Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection _ t �.� Location q�c l U n _ Permit Number Owner BuilderL�L One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: I r/ QJvna /0- e- CCU OF u Please call: ' 508-790--6227 for reeinspection. Inspected by Date s - .. ..,,+-w.1.• o _ . .•w-r�w.�i,. ar. .-rt`'+„y'' wr .-4t�J• -. . +. .,y - ..e. � - A— ` ,:..C�.rrw...'Sv;��#..+^ "}�.: _ ,,,,..,y. +e FINE The Town of Barnstable RARE.p Department of Health Safety'and Environmental Services MASS. 0 �Eo►9.y Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection Location t� 3 �r)�C t U Permit Number Owner Q 4�!A— Builder �(f� One notice to remain on jobsite, one notice on file in Building Department. The following items needcorrecting: r v on I Z/ Please call: 508-790-6227 for reems ection. Inspected by V, Date 1 - C-} To Oate Time WHILE YOU WERE OUT M of , C 7x!� Phone %U Area Code N Aber Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT RETURNED YOUR CALL Message �j �y0 Operator AMPAD 23-021-200 SETS EFFICIENCY® 23-421-400 SETS CARBONLESS To S� J Oate Time W !LWYOU WFERM r4UT tvl of Phone Area Code Number Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT RETURNED YOUR CALL Message 7,0 <. Operator AMPAD 23-021-200 SETS �j EFFICIENCY® 23-421 -400SETS CARBONLESS Tom,\ The Commonwealth of Massachusetts � 14(.. �r'1• ,iij to- f!, =__ Department of Industrial Accidents Olflce ofloresilgations w -" j 600 Washington Street Boston, Mass. 02111 "~ Workers' Compensation Insurance Affidavit Applicant information• �'T�eas""� •; eQtb v.:��. �i��,-��'.:::-�-=. :�� _ '"� '::•��••��-_ name: location: City phone# I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity �( I am an employer providing workers' compensation for my employees working on this job. ` company name address Po �61L ��0 1 Sc Hn d e_ ��'•_ _ city l� lV lei LS I d✓_'1aK phone# �� insur•nce co ACT—� policy# 0Vlo-�= I am a sole proprietor, general contractor,or homeowner(circle one) and have hired the contractors listed below who have the followincy workers' compensation polices: company name: address: phone# .: policy insurance co #" company name: address: city phone# ranee co policy#nsu . . Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to 51,500.00 and/or one years'imprisonment well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement y b forwarded to t Office of Investigations of the DIA for coverage verification. l do hereby certify u r tl a pains an p n/altieess o erjury that the information provided above is true and correct. Signature `'l/ ate Print name tL3 Phone# a official use only do not write in this area to be completed by city or town official city or town: - permit/license# riBuilding Department oLicensing Board O check if immediate response is required C3Selectmen's Office Health Department contact person: phone#; —Other (rc,iscd 3/11;P1A1 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", ad 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 fore,,oing engaged in ajoint enterprise,'and including the legal representatives of a deceased employer, or the receiver or trustee of an individual , partriership, 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 acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. r- , r z,:..�-"-��._.,?? 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. 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 permitAicense number which will be used as a reference number. The affjdavits may be returned 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. 1 , 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) 727-4900 ext. 406, 409 or 375 i COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY •' ••�•,e••'a cr.rrsnt OF ONE ASHBORTON PLACE Gcce: o;;;_F.i;rynD MASSACHUSETTS BOSTON,MA 02108 �''"`L�'�;'so for rc voc6 f/on L I C E N S E CAUTION EXPIRATION DATE C G'd S T k S LV E R V I S 0 R EX /11/19 9 6 EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINST R S RICTIONS THEFT,PUT RIGHT THUMB NONE o ' 30/199.3 .�032809 o PRINT IN APPROPRIATE i BOX ON LICENSE. 55 z H O X 186 BLASTING OPERATORS SS >� ._033-42-4928 m W DENVIS MAC 02610 m MUST INCLUDE PHOTO. . PHOTO OILASTWGOPRONLY) FEE: 100.0/n0 ,I ' ��1 NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY L . '� HEIGHT: PED-OR•SIGNATURE OF THE COMMISSIONER V .. '�. DOB: 03/11 /1s14 JUN 9 1993 THIS DOCUMENT MUST BE « SIGN NAME W FULL ABOVE SIGNATURE LINE .. -":•'fi4'l:{,}�11�{']\:;.:>�.j(u l/i�If��1`1\y• CARRIEDONTHEPERSONOF "/�./�� ONATURE OF LICENSEE THE HOLDER WHEN EN- �• GAGEDWTHISOCCUPATION. LSSIONER �.S• . r • P1�µ Tz �1e+ev, �.•a Rlgwr a��1gr w.a sF.lerc¢�e I? I la wl ills Allfw-.T F*"qi- - t�� w.G.c. DO+TIL t'Ia�N1 0,3 O.M.MW6. M�ftM(!(f 0c(Drw NI+++ :• Nn �T.aM�S{,LVwa{e) 9 ,'Gae�oa . �►tT �L•�v�.TtoN ML M.G.C. (af.! � a -w•rtTa+Nk. WA •— vat") L-rT' [�Xy^c I-114 48'-o x 2r.=o 4 rev. cc��N�a L � 'j'151Q f 3�LQ G�•fe. _ - swn o �o �wMa•o o - eM..w n v an. 1 11 pe%epAFr-p foF f-r� "-A-- ExTc�ioF. • P1-ar° pc . 14Ait,ar. LdOr•o pp,Kuv.. U.OAF—VAIN— g!I° ►rye Ilb ° T 7!8♦4x A! tl r D I d N ITc1t�/J L L.w. I ►1•x12' _I i Q _ , r u aO �P6 a S • �I 1�%S x25� ® f d N� _�_I P �c—� . 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F�-..�•ys>•t•�bW I.�o.= SEA�A �•to u•,os ;j i ►UyJ ,�3P�Y �11U ?040 s.f• e4�•.vR:P(+O.• 40•Afi u..44 .. 1MG.VOL A.(tfp,• meT 1AA"-Al cp 19�1*.F U•.09 _ u�..►n 1a29C.oe�*ss(•tslr4 ")f-Ix(4-) �� 2040 Ito i mS'fe/a15C ... llxtal.Tes..a�2°o.C. � �sIFS�.SZ�J71G � .� ;.7 �•1°x4°TAaI�°ab � �E°�'pi>rtbQb!O,G L•iM.IW�LiAs. K-so Y oarr.v�e+els eeo 1•1 L ►d �FK• ' �ttR _1wi Hn I wF"4N CN Ibl'90 TJ 4% 9"J" '� i II,a7 R'll r-�/ 64�Ie.c.a�rf, v slVaa • tlIX4°P•�T w.RN. rJ i tp•{ t tlx4°411a� ' 1 I I �a J M111.�6�S.+Ort-. 4°I0e"OF. j aouor..+ul.i 21wN�4OY. r .f'/• -2x1z`s NO ART. ?.v.Kam-dL. A pM uP�uP 0M. V�=e1P.-.[fl�P 1 o IIJAI�'i>- :,,j rns I"o to r . I .ate..*... `�`- Ib°x9°Geese.Pty. �'�� 'j �f.!�yfi°YI2°Co'lG.�l1. w��wA`i `1; ""7�L'fX__ '.Se�TION ��►C31d::=�.'SeG7►eN . . .. � . . t,RT. fSM.SP4T1b�1 '• 1 � �.s�WeW¢v F�M R14df _. 1priu 1.eeotlord 1 V+SofL • �jGw1�j nei•10e►L''clz�aj. ,� : �uJ�1w_StEGT1o1.i5 � . .uu. O MwoYo a • 9 1---- —I Z4. r. N.a►f++g;j � II �ebdrao� e{�r,K. I 2p�WWOMLL..t 1 10dA vpo�ry�v.+.-•sn..s e.wlae. ' .ve�va u►rox�4.�: x i r exn ewv 4 Ar-KaA n.�dlf�.K i :2-exxb�M1.riN pi. o- 11b%1D'o WD.oM•D`ti K� i . Failv4 I4 PY r�r�, ovep DR.N'J17. Nti a) � e,N wl•L wws+w .' I °rt°�n'rpH.-emu.► V a MI'aC. O I 7f�Y 1r-rlrr reuRuD Ca+t.�wl �N m or/ q•come.F%.ulNnefw.Y ' � 4M1..fM..�.r 9 4�ri4 � � ,�• � Jr der x to V qq i � RME N I lo7 �F...K N I •�l r ! -}ID2:.Z11L1LII W 1 W rJ6 A r.K✓t.l( —---- _•— -- ——_— �f�lxav oh�r of,„e}�ounvvno►1 g L i rteyze.0orrvr+pr.-.ere h"D lb - • o re�vG rD4e o�►T�t fDr1.Se tN�+r .��' � ZF1Y IAu.Y �4 6UpGU �N..Z1h-FIRST"• ?�i-OJi -0�4W.Ge1.ONN4� .UNC!'JG• _ F6 pC1Y��olt Mn��.. aru: �o rwn.m�. o..� •O►�a �� r Application to Old King's Highway Regional Historic District Committee in the Town of Barnstable for a 170 CERTIFICATE OF APPROPRIATENESS Application is hereby made, id 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 Constructi n• New ❑ Addition Q Alteration Build' Indicate type of buildin House Garage ❑ Commercial ❑ Other 2. Exterior Painting: 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY _ DATE ADDRESS OF PROPOSED WORKL;t so 4ef'C�� r`�U ASSESSORS MAP N0. 116 OWNER 1��Oo+ IW ILag oj� ASSESSORS LOT NO. HOME ADDRESS 702- )uc lk(a kk -&UASAS. 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). 41O \ ��• f �� ,K Ir`Q l — �05_ c�k�! �I — . l\ f`1.��9I IOLA 49 `� �t- � �2S--4 . AGENT OR CONTRACTOR TEL. NO. ADDRESST-Lc'� �V, �f e �.�cn�� VI/\� 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 addi ional sheet, if necess ry). 'r x 2co`�i(n�c� ra�Iv1 ev vv�.ic��. � . �wc—(ctiy Gat` " Signed " 00 PmRIt ( - Owner-Contract -Agent Space below line for Committee use. Ri:ceived-by=H.D.•C. . -iff ,JI11i>I d �Sb SNatl9 dO, tAOJ JD a t e The, Certifi is hereby �T�J `"�'� Da 'Tim� r �L r �615 d3S B- �+ U I Y Approved ❑ IMPORTANT: If Certificate is approved,approval Is subject to a 10 day/ppeal period provided in the Act. Disapproved ❑ ADDITIONAL INFORMATION FOR MAKING AND FILING AN APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS The four categories for which a Certificate of Appropriateness is required are: (application for demolition or removal is a separate form). 1. EXTERIOR BUILDING CONSTRUCTION (new or existing buildings): An application is required for any exterior of a building to be erected or altered including windows, doors, siding, roof, light etc., that will be visible from any public street, way or public place. The following scale drawings are required in duplicate with application: plot plan (if addition — show existing buildings in outline), floor plan and elevations. Also required are snap shots of existing buildings, where additions or alterations are to be made. No plot plan is required for addition or alteration which does not touch the ground. 2. EXTERIOR PAINTING: An application is required for any portion of a building, structure or sign to be painted that is visible from a public street, way or public place. Color samples must be attached to these applications. An application is not required when repainting existing colors, changing to white, or.using colors approved by the Town Historic District Committee. 3. SIGNS OR BILLBOARDS: An application is required for any sign or billboard to be erected within the District, with the following exceptions: a. Existing signs or billboards on November 27, 1974 shall have until November 27, 1977 to secure an approved Certificate of Appropriateness. b. Temporary signs for use in connection with any official celebration or parade or any charitable drive as long as they are removed within three days of the event. Certain other temporary signs that the Committee feels does not detract from the Act may be allowed with the prior permission of the Committee. c. Real Estate signs of not more than 3 square feet in area advertising the sale or rental of the premises on which they are erected or displayed. d. A single sign of not more than 1 square foot in area showing the name, occupation or address of the occupant of the premises on which they are erected or displayed in a residential zone. 4. STRUCTURE: An application is required to build or alter any structure within the District which is defined by the Act as a combination of materials other than a building, sign or billboard, but including stone walls, flagpoles,hedges,gates, fences, etc. GENERAL REQUIREMENTS 5. Work on projects requiring'approval shall not be started until the Certificate of Appropriateness has been filed with the Town Clerk by the Committee. Approval is subject to the 10 day appeal period provided in the Act. 6. No changes shall be made from the original approved specifications without advance approval of the Commission on an amended application filed with the Committee. 7. A separate application must be filed with each project requiring a Certificate of Appropriateness. _8. Under he of "Detailed Description of Proposed Work" giveAetailed data on such architectural features as: foundation, chimney, siding, roofing', roof pitch and doo, sash. ... rs, 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. • � o N Town of Barnstable 4- ;d Old King's Highway Historic District Commiss.*.r. d` SPECSHEET 1i �, FOUNDATIONH►`�� Cmv� � SIDING TYPE CLAD COLOR tz CHIMNEY TYPE � COLOR e-�c '�>aaL �Iq ROOF MATERIAL ��,nQ, 5 COLOR - PITCH WINDOW �Jr� t,( - Qo b� +�q 'W �ry,L5 SIZE 2,f /,-4 TRIM COLOR DOORS Yot,n ` COLOR SHUTTERS GUTTERS S2a+K�k.SS NC�,cti Lr%AA_,N� DECK p n GARAGE DOORS c� n,1—M�o� � ,` COLOR U)kAe— 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. F Assessor's Office 1st floor Map jJ0 Lot Da/. 0 Permit# 0 i5 (':onscrvation Office 4th floor �c�� Date Issued Board of Health Ord floor) Engineering Dept. Ord floor) House# 17 PlanningDept. 1st floor/School Admin.Bldg. : �� : SWIFrAPM r Definitive Plan Approved by Planning Board6r -41- S►O -' Ig f�, " �� V �'^;. (Applications processed 8:30-9:30 a.m.`&` 1�:/0l0�-,2:00 p.m.) Ok� C S L� U►��R !'�1 f UNj 1(� �tr Of( � >� ? TOWN OF BARNSTABLE Building Permit Application Proiect Street res Pr=rz-C-I V 4 L l 9 Z L oC--- I Villa e 3 Fire District (hvncr -�O L�(h1 g S Address �� -30 k��. U�1 _ 1.�I� LS, Telephone 4 -3Gq o Permit Request C--t-I A-4 C>'r 9-jt_L'c l ZoningDistrict Flood Plain C_ Water Protection Lot Size 2. t 4+IZ S`q= Grandfathered Zoning Board of Appeals Authorization Recorded Current Use �/►4 E(q�N-(- L-�t t.L I`� Proposed Use �� n Cr-t lA Construction Type LUGC1 Eaistinz Information Dwelling Type: Single Family Two family Multi-family Age of structure �� Basement type POIA1Z�C�' � �--�E�- Historic House KiU Finished Old Kin 's Highway ct -Zt� 19 Unfinished Number 2.. u ber of Baths No.of Bedrooms Total Room Count(not including baths) / -7 First Floor Heat Type and Fuel IAA-S Central Air N Z-) Fireplaces Garage: Detached. \ Other Detached Structures: Pool Attached C�tC- C pf(�l Barn None / Sheds Other lox 114 Builder Information ` Name Telephone number Address P 0_-(?::,6 [�(�, ��`t�c�Fap C . t" License# © Z$Oq y3c=- f.,N Le,IM,A Home Improvement Contractor# 0 ' Worker's Compensation # 60(o r-4-v-t��]['o�S 1 C PICA 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 Proiect Cost Fee 0 0 3 SIGNATURE d4 DATE I Or Z�'Z� BUILDING PERMIT DENIED FOR THE FOLL NG REASON(S) BPERM T FOR OFFICE USE ONLY "T ADDRESS VILLAGE OWNER DATE OF INSPECTION: ° T FOUNDATION FRAME I m INSULATION - FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING: DATE CLOSED OUT: - ASSOCIATE PLAN NO. - q��tNE ipy_ The Town of Barnstable BARNSTABLE. • Department of Health Safety and Environmental Services MASS. 1639. �0 6 Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection Location oc/� Permit Number ` 0 � a Owner \tL Builder �'t One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: 0 Lv _R111A :!!� SB rtr'13 Ca Le -tD Z� Please call: 508-790-6227 for reeinspection. �y INS , Inspected by S Date / N ASSESSORS MAP: 110 T PARCEL: 1-11 BENCHMARK AT 1 - CATCH BASIN ELEV.- 76.7 b! �� CURRENT ZONING: RF ENGIl� / a,! BUILDING SETBACKS: WITNE 8�c F:l30 S: 15' R: 15' ® , „d DATE:- �' PERCC FLOOD ZONE: C \o� ELECTRIC MANHOLE T- rot o�,f,N LOCUS UTILITY CLUSTER y�� 'Y� 36" SU.Ml r, >s \ d 60" SA LOCATION MAP �,� �s , , 0 �� 7e' CL. PROPOSED WELL I ► ► �B `y �� MF LOT 30 f77' TO LEACH PIT ► SA 36,412 f S.F. (157" TO LEACH ► ► 9 q4'►► ; � � WI PIT, LOT 31) \ g0" CL: (0.84 ± AC.) ► \ ` Ml SA l so. ► ► ► \ NO Of PROPOSED LEACHING ' / ► , 1 ` AREA, LOT 31 ► 1 / 1 i 1 I C j 1J E 99 oV FLOW 0 O \ .4- SEPj -44 LEAC 6`,r \ ` ' , \ ` \ U� Oc .b61 T �� ` � SEJ s9 `r6 \ I 1 1 i 1 , 1 I�SJ J \ `\ ► O I 1 TH-1 - s, 1 FINAL DRAFT ► I I I I 1 Lp 1 i' 1 \\ OWNERS)SIGNATURES) • ss. 1 ► I , I I I 1 1 1 � 1 1 I ► 1 ► ► I I I 1 1 s , 1 DATE ► 1 ► ► , I � I I I 1 , 1 1 ► ► ► ► � I I I I i 1 1 I ► 1 I ► i , ► DATE ► ► ► TH-2 ► ► ► 1 , 1 ' 8 E S SIG URE , ► ► 1 11 ►1 11 ►1 ►1 ►1 1 1► ► ►1 � �� 5.� 1 t _ sa, 1 1 1 1 1 ► ► , 1 ► ► ► DATE E E ..,� s� 1 1 1 1 1 ► 1 ► 1 ► , s9 � 1 1 1 1 1 ► 1 ► a'9 s 1 ► KEY: 0 s' 1' ►1 11 11 1 1, EXISTING CONTOUR: �� , 1 1 11 ► 11 PROPOSED CONTOUR: ••.......•.........' EXISTING SPOT ELEVATION: 25.5 s� 11 1 ►, PROPOSED SPOT ELEVATION: 25 ' 61 TEST HOLE: UTILITY POLE: -0-- FENCE LINE: — HYDRANT: o RETAINING WALL: ' 0 13Z 52` DM DEMAREST-McLELLAN ENGINEERING 24 SCHOOL STREET P.O. BOX 463 WEST DENNIS. MASSACHUSETTS 02670 `)N # 9 39-30 ASSESSORS MAP. 110 � . PARCEL. 1-11 BENCHMARK AT TEST HOLE LOGS NOTES: CATCELEV,-- 76.7 CURRENT ZONING: RF/ 1. VERTICAL DATUM:�SSU�fED FROAf QUAD (NGVD ENGINEER: DOYLE ENGINEERING 2, MUNICAPAL WATER IS NOT AVAILABLE. .9 BUILDING SETBACKS: WITNESS: N. LEITNER F: �O_ S:_15' R: 15, ®V4 ,,,d DATE: 3-17-87 ' 3. SCHEDULE 40 - 4" PVC PIPE TO BE USED THROUGHOUT SEPTIC SYSTEM. % PERCOLATION RATE: < 2 MIN/IN 4. ALL PRECAST UNITS TO CONFORM WITH AASHTO H-10 & H-20 FLOOD ZONE: C LOADING SPECIFICATIONS. ELECTRIC MANHOLE \ �CZ TH-1 S. PIPE PITCH = 1 f 4„ PER FOOT ,(UNLESS NOTED OTHERWISE). 67.5 62.0 6. FIRST 2' OF PIPE OUT OF D-BOX TO BE LAID LEVEL. Locus y `a+ ,y TOP ELEV TOP ELEV 7. THE SEPTIC SYSTEM HAS NOT BEEN DESIGNED TO ACCOMODATE THE UTILITY CLUSTER ;> 36" SUBSOIL 64.5 30. SUBSOIL 159S USE OF A GARBAGE DISPOSAL. MEDISAND CLAY B. ALL CONSTRUCTION DETAILS ARE TO BE IN CONFORMANCE WITH THE LOCATION MAP yA ys ys\ `` d so' CLAY szs ss" sss STATE OF MASS. ENVIRONMENTAL CODE (TITLE FIVE) AND LOCAL PROPOSED WELL -f y� CLAY 61.0 MEDIUM LOT 30 rf"r TO LEACH PIT I ► \ .� 1 �' ye G MEDIUM w�H HEALTH REGULATIONS. 36,412 S.F. (157' TO LEACH I + 74'+ I �► m� SAND PIT, LOT 31 WITH FINES 9. CONTRACTOR TO VERIFY LOCATIONS OF ALL UTILITIES PRIOR (0.84 ± AC.) `\ \ s0" CLAY60.o TO CONSTRUCTION. 1 \ MEDIUM MEDIUM SAND COARSE 10. PROPOSED SEPTIC SYSTEM LOCATION IS IN ACCORDANCE WITH MASTER WITH SAND PLAN ON FILE WITH BARNSTABLE HEALTH DEPT. PROPOSED WELL SME FINES LOCATION HAS BEEN REVISED FROM MASTER PLAN BUT STILL MEETS ALL 144" 55.5 17 / \ 47.8 SETBACK REQUIREMENTS. I \ No cRovxrnrATER ENCOUNTERED 11. D-BOX TO BE WATER TESTED TO ENSURE LEVELNESS AND EQUAL FLOW. PROPOSED LEACHING AREA, LOT � 490 SEPTIC SYSTEM DESIGN y9 \ yp \\ \\ \�2 \ \\ FLOW ESTIMATE: -4-- BEDROOMS AT 110 GAL/DAY/BEDROOM = 440 GAL DAY 34 l �� \ ' •\ `� \\ ` - SEPTIC TANK. ` 440 'GAL/DAY * 1.5 DAYS = 660 GAL AQ o PROPOSED 4 BEDROOM USE 1500 GALLON SEPTIC TANK zs' S DUELLING ss\ \ \ \•.'.• .• \ \ LEACHING AREA: DECK � ` \ a � \ \ ` ` ` "\ USE TWO LEACH PITS (6' x 4') WITH 2' OF STONE ys �� (10' EFFECTIVE DIAMETER x 4' DEEP) �l��b� ;s yr SIDE AREA: 10 x 4 x PI = 126 SF (2.5) 314 GAL/DAY PROPOSED DWELLING = \:,ro. ` BOTTOM AREA: 5 x 5 x PI = 78 SF (1.0) = 78 GAL/DAY TOTAL CAPACITY = 392 CAL/DAY s 6.� \\ gti0 ' ' \\ T ` c�. �y� x 2 PITS = 786 GAL/DAY A SYSTEM sp' SEPTIC SECTION-41\ z" PEASTONE s� ` COVERS WITHIN 12" OF 3/4" - 1 1/2" I 1 1 / ► �'S ` ` 74.0 OF FINISHED GRADE I 1 1 1 1 i ► ' , ` ` I TOP OF FOUNDATION WASHED STONE TH-1 i \ 1 I I I I I ► 1 S6. 1 I i I I I i 1 1 1 1 1 1 yp I I 1 + 1 1 1 + N64.41 I I 1 1 1 + + 11 1 1 ► i 1 64.66 1500 GAL ELEV. D-BOX 4 I I I 64.18 , TH-2 1 I ; 1 II + ELEV. SEPTIC TANK 64.35 EL"T 53.0 TEE SIZES: ELEV. 57.0 z-' .z, - ELEV. aa' sy ► +1 ++ ++ +` ++ ++ +, +I I II , ELEV. INLET: 6" UP, 10" DOWN ELEV. •--- 10' =r OUTLET: 6" UP, 19" DOWN TWO LEACH PITS (6' x 4') WITH + + + + ► �. 2' OF STONE (10' EFF. DIAM. x 4' DEEP) (H-20, KEY: BREAKOUT CALC.: (57.5 - 56) / 97 x 150 = 2' EXISTING CONTOUR: 6119 PROPOSED,', ++ +I +' ..VIP EXISTING SPOT ELEVATION: .... zs.5 SITE AND SEWAGE PLAN PROPOSED SPOT ELEVATION: 25 s�, sy TEST HOLE: -1 LOCATION•' s UTILITY POLE: -p- FENCE LINE: .;'i ,fir LOT 30 PERCIVAL DRIVE •• •• •• ��•.. `. HYDRANT: WEST BARNSTABLE, MA o'C RETAINING WALL: 2 52' .- s PREPARED FOR ME REEF REALTY DEMAREST-McLELLAN ENGINEERING SCALE: 1" = 30' DATE: 3-7-95 24 SCHOOL STREET P.D. BODY 463 � r'6 REV9-s-95 to non .on HEST DENNIS, MASSACHUSETTS 02670 REFERENCE: PLAN BOOK 413 PAGE 99 THOMAS McLELLAN, P.E. JOHN Z. DEMAREST JR., P.L.S.