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HomeMy WebLinkAbout0043 STONEWALL DRIVE u Lo `ram I f� Imo® eAsttaa�r en .�..:- _...HJ-Y"�e§'2a,:el..f=� �• - —__ S:�iissana'a1z3,1.;:•.:va:S-.L.. .,.. � ,. - - - r-- - i o C� d o � -!►•`+,} �'�7.-..-'�w•--�--..�+""'",-;s�'.r'.-.'�....:"`:�Y 1...._r.-. .,,w7. •,---•----�- S�'t''��-o�-..�,-.r,-"r�'"'y;. _�......�.....r.L- ...,.-�.....,.J E,u.. r�"✓^Ts." !�a+'ti.,,,.. ,.,.,,,�•-.....v-..^..•..e t.c.-+:-c-�:•� . .�..:^�c_yL:+,..;,.•.:w�„-�_.�.-�v�-, �'�...�.,.�..._..`.,��...z,_:. �_.___� ._..:,,.err__.__,.�,_, t �...,:.,__„t,.�.—";�_�-._�.�_. ..:...._,..._,..�W�.,.,.,.. _ .�.._-,. .�_..�......_Wc..�._.,......e.,.x���s=��.!s.._.v_,�..c_a- ,.�..._.__ __,__,. ....__.._. „_ -..._�_._ _.._..,-..,._-..T,'._� I t>►� Application number.E. Q 1. xMPRIES�� q°'ERI) Fee .................:............................................ ............� s � e_. MAR 2 2 2019 Building Inspectors Initials. TOWNOF BNRNS i� L Date Issued....�:1. 0... ................................. 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TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDO WS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: �t J y��e 1 jzk- .t , NUMBER STREET VILLAGE Owner's Name: 4 Phone Number Email Address: Cell Phone Number Project cost$ 02�, dU a Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK © Siding 0 Windows (no header change)# Insulation/Weatherization E-1 Doors(no header change)# Commercial Doors require an inspector's review ?Roof(not applying more than 1 layer of shingles) Construction Debris will be going to 9CONTRACTOR'S INFORMATION Contractor's name Fly` �� Z (few Home Improvement Contractors Registration(if applicable)# 6 Q —) (attach copy) Construction Supervisor's License# 16 o 3 c O (attach copy) ell Email of Contractor 2 Ca-UCa-la)"'Ptne number 77 ALL PROPERTIES THAT HAVE STRUCTURES 01/ry 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER............................................................ *For Tents Only* t j Date Tent(s)will be erected Removed on number of tents total Does the tent have sides? Yes No ' (If yes please attach floor plan with exits marked) Dimension's of each Tent'-' X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent Fuel source being used LP tank 20 lbs. or>Yes No , if yes, a gas permit is required. Natural Gas Yes No , if yes,a gas permit is required. If food is being served at.your event please obtain a Health Department approval between the hours of 8:00am-9.30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures, specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date PLICANT9S SIGNATURE Signature Date ' ✓G 2� �Cj All permit applications 01re subject to a building official's approval prior to issuance. I The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address: l �v City/State/Zip: l 5` 1 U e 0-�-C W-C Phone#: Are you an employer?Check the appropriate box: Type of project(required): LEI❑ I am a employer with 4.MI am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp.it=ance.t required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof rep insurance required.]t c. 152, §1(4),and we have no 13.❑ Others 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. =Contractors 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. l am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins,Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify unde a pains and pena 'es ojperjury that the information provided above is true and rrect Signature: � G Date: AV Phone#: C-/�X0 J3�-6 �— 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. , Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)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,MGL chapter 152, §25C(7)states"Neither the commonwealth'nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit 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. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www.mass.gov/dia PROPOSAL Proposal No. 19-2319 February 23,2019 To: Nakata Residence Work to be performed at 43 Stonewall Drive West Barnstable MA We hereby propose to furnish the materials and perform the labor necessary for the completion of: NEW ROOF 1. Remove existing shingle roof 2. Install new aluminum drip edge 3. Ice& Water first 3 ft 4. Cover roof with Rhino Paper 5. Re-roof with GAF HD ULTRA Lifetime architectural shingle 6. Install ridge vent 7. Flash all pipes and penetrations 8. Remove all rubbish from project Labor and Materials $23,000 All material is guaranteed to be as specified,and the above work to be performed in accordance with the specifications and completed in a substantial workmanlike manner for the sum of Twenty Three Thousand Dollars $23,000 with payment as follows: Eleven Thousand and Five Hundred Dolla�11500_with-acceptance of proposal and Eleven Thousand and Five Hundred Dollars $11,500 due upon Completion Respectfully submitted, --------------------------------- Richard P. Cazeault,Jr. HIC# 168607 CSL#100393 198 Five Corners Road Workmans Comp and Liability with Centerville,MA 02632 Leonard Ins of Ost (508) 420-5482 Acceptance of Proposal No. 19-2319 The above prices, specifications and conditions are satisfactory and are hereby accepted. You are auth -ze to do the work as specified. Payment is outlined above. I Signatu Date =-7-1- ----- AC®® DJYYYY) CERTIFICATE ®F LIABILITY INSURANCE DATE 4(M(MMIWDFR 018 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 pol(cy((es)must have ADDITIONAL INSURED provisions or 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 NAME: Maria DeOlivcira Help-U-Insure ArC No Eut: (508)998-0321 INC.No AA Insurance Agency,Inc. ADDRESS: maria@helpyouinsum.net 2148 Acushnet Avenue INSURER(S)AFFORDING COVERAGE NAIC# New Bedford MA 02745 INSURERA: Travelers INSURED INSURER B: Father&Son Enterprises,Robert DeMello DBA INSURER C: 160 Sconticut Neck Road INSURER 0: INSURER E- Fairhaven MA 02719 1 INSURERF. COVERAGES CERTIFICATE NUMBER: 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. Ilm LTR TYPE OF INSURANCE INSD;WVDI POLICY NUMBER MWO MOUC LIMITS COMMERCIAL GENERAL UAB1UlY EACH OCCURRENCE $ CLAIMS-MADE OCCUR PREMISES(Ea ocewrance) S MED EXP(Any one person) S PERSONAL&ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S OTHER: POLICY ❑JECOT �LOC PRODUCTS-COMPlOP AGG $ S AUTOMOBILE LIABILITY ANY AUTO (Eaaceident) S OWNED SCHEDULED BODILY INJURY(Per person) S AUTOS ONLY AUTOS BODILY INJURY(Per accident) S HIRED NON-OWNED AUTOS ONLY AUTOS ONLY (Per aa5denl) MAlih S S UMBRELLA UAS OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS•MADE AGGREGATE $ DED RETENTION S TN KERS COMPENSATION $ EMPLOYERS'LIABILITY x STATUTE ER PROPRIETORIPARTNERlEXECUTIVE Y/N ERIMEMBER EXCLUDED? N/A 8H01971 04/05/18 04/05/19EL EACH ACCIDENT g 100,000 atory In NH) describe under EL DISEASE-EA EMPLOYEE S 500,000 RIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT S 100,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101.Additional Remarks Schedule,maybe attached Nmore space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE R Cazeault Roofing and Repairs THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 198 Five Comers Road AUTHORIZED REPRESENTATIVE Centerville,MA 02632 Mari a.'r. Dp pLi.v�o, Commonwealth of Massachusetts i Division of Professional Licensu/e 4® Board of Building R:egrilations and Standards Constroleti'bn Supervisor CS-100393 J• i=spires 02/03/2020 RICHARD P&ZEAULT " 198 FIVE CORNERS Rot/ S� CENTERVILLE MA 026321 ��ISS"T}O• Commissioner Office of Consumer�a�l��✓� , Affairs 8,B HOME IMPROVEMENT CONTRACTOR Regulation NTRACTOR Reaist�tlo�ndiwdual r68 0 Ex iration RICHARD P CE9lJL 03/07/2021 CAZEAIJL-ROOtF=1'NG g REPAIRS RICHARD P. t ' 198 FIVE CORN RgURc , CENTERVILLE,Mq 026 2 Undersecretary i• TOWN OF BARNSTABLE BUILDIN , ERMIT PARCEL ID 217 050 002 GEQBASE ID 31996 ADDRESS 43 STONEWALL DRIVE. :.��t,}�;�;,:�. ; .: �t:•��,.=� PHONE W BARNSTABLE ZIP _ LOT 2 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT WB PERMT TYPE �ITEEIPTION SUIdINGOPERMI�UPOOLOOL CONTRACTORS: PROPERTY OWNER Department of Health,Safety' ARCHITECTS: and Environmental Services ,TOTAL FEES: . . BOND $25.00 CONSTRUCTION COSTS .00 pir $8,000,00 329 STRUCTURE OTHER THAN BLDG 1 PRIVATE P C*F E_" ; • •ARNU BLF, • MASS. 1639. ` BUILDI GAD V S 0 BY DATE ISSUED 04/20/2000 EXPIRATION DATE TOWN OFj3ARNSTABLE BUILDINrPERMIT ,PARCEL, ID 217 050 002 GEOBASE iD 31998 ADDRESS 43 STONEVALD DRIVE �. ; -.A PHONE W •BARNSTABL'E •-ZIP J + ' ;i A LOT � 2 BLOCK, � LOT SIZE DBA DEVELOPMENT DISTRICT 'WB MET 'YPE . AMU �I�LEIPT1oN SU�L�I�G°P��MI°�UP$oV oozy 'CONTRACTORS: PROPERTY OWNER Department of Health, Safety � ARCHITECTS: „', and Environmental Services a' F to.. TOTAL FEES: $25.00 BOND $_0° t (CONSTRUCTION COSTS $8,000.00 329. STRUCTURE OTHER THAN• BLDG 1 w '" PRIVATE Pf C*i`Bnruvsr�Bi.E, *' I BUILDING rV SION BY .. DATE ISSUED 04/20/2000 EXBIRATION'D4TE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR. ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT IS FROM STREET i BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA-' TION. NOTED ABOVE. TION. _ �_ _ �; . �. �:�, �,. .� ,. . + .._ � \ -. '. -' . . � ' C .. � 1 1 l � � f 1 Town of Barnstable Regulatory Services �^ Thomas F.Geiler,Director Q BARNSTABIA Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERMIT#c�20 1 1.(Di FEE: $ SHED REGISTRATION 120 square feet or less Location of shed(address) Village Property owner's name Telephone number 10 x IZ ^ 00 Z , 'Size of Shed Map/Parcel# a Signatur Date L — �— o- M Hyannis Main Street Waterfront Historic District? p Old King's Highway Historic District Commission jurisdiction? e��`�`'� An, "� � �` Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:042506 r ���c�• �� Town of Barnstable Old King's Highway Historic District Committee BAMIMA818' • 200 Main Street,Hyannis,Massachusetts 02601 ,6. (508) 862-4787 Fax(508) 862-4784 CERTIFICATE OF EXEMPTION Application is hereby made,with four(4)complete sets,for the issuance of a Certificate of Exemption under Section 6 and 7 of Chapter 470,Acts and Resolves of Massachusetts, 1973,as amended,for proposed work as described below and on plans,drawings,or photographs accompanying this application: Date `t Address of Proposed work, Assessor's Map and lot At a 0 5 d 66 2 House# Street STD K'eW aG( D y- Village: w�_ S k 6 This application is for an exemption of the proposed construction on the grounds that work: ❑ Will not be visible from anyway or public place ❑ Is within a category declared exempt by the Old Kings Highway Regional Historic District Commission ❑ Other Description of Proposed Work: C e,Vre vdr o' x I Z G t A_S S t C S�e wJ k1,6,-a,Q wood s►1iv«,1�� �I�c� S �� erS wln��c a<oo AK IS 201' t.� c � _* Town of Barnstable i n Old King's Highway _ - Commi ee Agent or contractor(please print): '��Q s r p Tel.no. Address P O 6 OA 2LI 3 a t (00 2 0 1` k-- 2Ff , Yv\�k S h p2Q. H A 0 2 (o Ll rI Owner(please print): \���� ✓ N Gl F-u�T� Tel no. ���'-4 q`l— 0 t( Owners mailing address: �3 5 c�Ll ✓ ea�r�. U'LZo L�� 1M �- fo Signed,Owner/Contractor/Agent For Committee Use Only This Certificate is hereb Approve*Denied Date: Committee Members Si RECEIVE APR 1 1 2011 Z�2 TOWN OF BARNSTAB HISTORIC PRESERVAT ON Any diti s o pp C:IDocuments and SettingsldecolliklLocal SettingslTemporwy Internet Files101 KIIOKH Exemption Form 07.doc w Q - Town of harnstable Geographic Information System New Search Home I Help I Parcel Viewer 11Custom Map 7F Abutters Map Si-- . Zoom Out®®11111'1In — ® �=JPG Map: 217 Parcel: 050 002 FulPropertyp>t R Ir L Iv 217037 217047 Location: 43 STONEWALL DRNE Info 217038 N 69 217050003 N 05 055 goo Owner: NAKATA,GORDON K&JENNIFERS TRS 217049 217050004 847 Location information 069 Map St Parcel 217050002 Location 43 STONEWALL DRIVE \✓� `� 1P 21M6000I Acreage 1.21 acres �7 A 48 Z Current owner 217017' Mailing Address NAKATA,GORDON K&JENNIFERS 029 TRS 217050002 GORDON KENJI NAKATA TRUST ®43 y 43 STONEWALL DRIVE E W BARNSTABLE,MA 02668 i 17013 1960 9 N 1960 217015 Appraised Value(FY 2011) 01990 217010 bra Features $40,000 51990 Out Buildings $26,200 Land $170,000 217012 Buildings $504,400 N 1894 Total Appraised $740,600 217014 91070 Assessed Value(FY 2011) Extra Features $40,000 216035 Out Buildings $26,200 218034 r 218039002 218038� Land $170,000 N IT a1999 Buildings $504,400 Q Total Assessed $740,600 Set scale 1" 150 I Aerial Photos_ }; I MAP DISCLAIMER v Copyright 2005-2010 Town of Barnstable,MA All rights reserved.Send questions or comments to GIS BamstableMA v1.2.4113[Production] ppPR — c a_s� L R 13 2011 � Ap - Kq,�-vt.� {Barnstable Town 0 'S H,,h*aV Old�lomrnittee C-V— �(A- 9 97.9 7.5 W 10 L S 87.1240 4 R �� 135.21x 100.7 tv box �O�Qt 98.2 98.6 �9 9 TELFPHONE O PK FND ELEC TRANSFORMER EL = 100-00' TREES & B R U SH 100.0 99.9. x {01:5 100-2 x.100.3 X 1 .2 1 6. 101.2 CB�OH FND 10 1 EL 98.97' x 1a0.4 102 x 1 5.e 10 x 107.1 X 102.7 car -% , 103.6. C L E A RED 104 "Ice. ..�•-t„ N_ �: \� x 105.3 AREA x 3. rn ado _X .7 -106 1 \ 105.9 106 'p 11 x 106•. �,n r�Tu x 06.E 108 30 ' 3 108 MAPLE 110 X 109.3 v!r QQ o x 111.3. T R� E B�ReU S H S0� 112 \omi^ ...:.,„s• 112.6 1` o nca - � 9 114� •� x 114.3 0116br�� 118 t x 1 9 19!� +' LA 119.4 2 � cO 0= x 119.0 12 x 1 2.4 T E E S & B R U S H 122 124 - x 125.0 . / 126 x 126.3 N ,Sp pO I 01" G; P� i f 06/22/2007 08:53 5084205553 YANKEE SURVEY PAGE 03/03 MO R TG A G H I1VSPI-E 'TIO N PL.A IV APPLICANT: NAKATA TOWN: WEST BARNSTABLE L LOT 2—A I poop �� a AS/LOT 13 N5E �3 � g \ f w LOT p`2 w 'I No 150,00 w 1 l � LOT A-1 l 30,64 r ` 1 y W 1 � � 1 1 I �Dc 7.73� FLOOD. PANEL: 250001 0003 D FLOOD ZONE: "C DATE MAP REVISED: 7/2/92 I HEREBY CERTIFY THAT"MORTCACE INSPECTION PLAN HAS BEEN PREPARED FOR. DATE: 6/14/07 SCALE: 1" 80' AMERICA'S WHOLESALE LENDER DEED REF: 20728-295 PLAN REF: 603-90 TNF, LOCATION OF THE 13WEWNC SHOWN DOES NOT FALL WITHIN A SPECIAL FLOOD HAZARO ZONE. PER TAPED INSPECTION THK OWEI.UNC ApmARS TO CONFORM TO THE LOCAL ZONING BYLANS IN EFFECT THE STRUCTUM PON ON 7NIS MORTGAGE INSPECTION PLAN ARE LOCATED BY TAPE SURVEY AT THE TIME OF CONSTRUCTION WITH RESPECT TO HORIZONTAL DIMEN90NAL SMACK REONREMENTS ONLY.NO INSTRUMENT SURVEY WAS PERFORMED AND LOCATIONS SHOW ARE APPRMUMAIE, OR IS EXEMPT FROM VIOLATION ENFORCEMENT ACTION UNDER MA CENERAL LAWS CHAPTER 40A AN INSTRUMENT SURVEY IS NECCESARY FOR PRECISE OETERMtNATION OF BUftMNG LOCATIONS SECTION 7. REFERENCE OECD SUBJECT TO AND WITH THE BENEM OF ALL RIGHTS,RIOHRS OF WAY, AND ENCROACHMENTS rF ANY EXIW,EITHER WAY ACROSS PROPERTY LINES. YANKEE LAND EASEMENTS, RESERVATIONS AND RESTRICTIONS OF RECORD, IF ANY THERE SHALL BE,AND INSOFAR SURVEY COMPANY INC. 94AU NOT BE HELD LIABLE FOR OAMACES RESULTING FROM ANY USE AS THE:SAME ARE OF LOCAL FORCE AND EFFECT. OF THIS PLAN FOR PURPOSES OTHER THAN MORTCACE INSPECTION. TELEPHONE: 508-428-0055 YANKEE .SAND SURVEY COMPANY, INC FAX: 508-420-5553 40 Industr Rood, Morstons Mills, MA 02648 yonkeesurvey@comcost.net I www,yankeesurvey.com 1 39000 JS TOWN OF BARNSTABLE BUILDING PERMIT PARCEL ID 217 050 002 GEOBASE ID 31996 "- ADDRESS 43 STONEWALL DRIVE PHONE W BARNSTABLE ZIP - LOT 2 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT WB PERMIT 39936 DESCRIPTION SINGLE FAM. DWELLING SEPTIC NO.99-350 PERMIT TYPE BUILD TITLE NEW RESIDENTIAL BLDG PMT CONTRACTORS: PROPERTY OWNER ARCHITECTS: Department of Health, Safety TOTAL FEES: $701.22 and Environmental Services BOND $.00 �r CONSTRUCTION COSTS $226,200.00 101 SINGLE FAM HOME DETACHED 1 PRIVATE P Q + �MASS. 1639. h Qq Fp� BUILD Sl BY DATE ISSUED 07/23/1999 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EW 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 MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARDKEPT 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 gNICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS 1 SO IT IS VISIBLE BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS a6 F r 0.ss b. l � ood 3 I r-•S c-` 2 20�ro 1 ATING INSPECTION APPROVALS ENGINEERING DEPARTMENT O s-# &"/-r y .�o dove 1 20 1 2--fOA-6FO BOARD OF HEALTH r'Y OTHER: ��5� hT Qi SITz --" "'e..,AoP2OVAL ced— 'q44l Z -Z"L- -a 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=Z . VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. Ay S ? �� , i BIKE Town of Barnstable do Building Department - 200 Main Street * RARI ► � � • Hyannis, MA 02601 MAC. (508 i639. ) 862-4038 9� Certificate of Occupancy Application Number: 39936 CO Number: 20110040 Parcel ID: 217050002 CO Issue Date: 04/12111 Location: 43 STONEWALL DRIVE Zoning Classification: RESIDENCE F DISTRICT Proposed Use: SINGLE FAMILY HOME Village: WEST BARNSTABLE Gen Contractor: PROPERTY OWNER Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES i Comments: I Building Department Signature Date Signed y TOWN OF BARNSTABLE BUILDING`PERMIT APPLICATION Map f q Parcel y�V e p�Qo2. • , Permit# Health Division _ Date Issued Conservation Division a //V/o Fee CJ;) y Tax Collector r ' `�=' SEPTICSYSTE6t" I MUST BE Treasurer ,�c�fj 411�Z�C�U . INSTALLED IN COMPLIANCE WITH TRLE 5 Planning Dept. ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board OWN REGULATIONS Historic-OKH Preservation/Hyannis ' �- 3 5 1 ON€C,�S A L,_ �'OZ %Q f r ` F Project Street Address Village CA%EYr A Q S i Owner QQ cS c\V- Address 3 by�.Pti;� ly,�� �• yAN�•J�afi Telephone ~o Permit Request `-r,\, S`T A L L Square feet: 1 st floor: existing proposed 2nd floor:existing proposed Total new T Estimated Project Cost D Zoning District Flood Plain Groundwater Overlay Gipnstruction Type Cc iC_9 ETE VJAL0 Lot Size le - Pfc Ze- Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. <. Dwelling Type: Single Family > Two Family ❑ Multi-Family(#units) Age of Existing Structure C Historic House: ❑Yes R No On Old King's Highway: WYes ❑No Basement Type: A Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) ► Basement Unfinished Area(sq.ft) Number of Baths: Full: existing., new Half: existing 1 new Number of Bedrooms: existing new _(r Total Room Count(not including baths): existing 01. new First Floor Room Count Heat Type and Fuel: 10 Gas ❑Oil ❑Electric Jj Other Central Air: ❑Yes 0 No Fireplaces: Existing �_ New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:V existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name 4 � Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE J fA4 DATE _ A�14 J U'd _ FOR OFFICIAL USE ONLY r Lr PERMIT-NO. p DATE ISSUED, I ' MAP/PARCEL NO. , ADDRESS _' VILLAGE OWNER DATE OF INSPECT N: ' FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: RO6G�I� w �" 5 FINAL a cc GAS: FINAL 'GAS: '•ROU�Iy[; � � � _ FINAL BUILDING , _ ... 4C71f DATE CLOSED OUT ASSOCIATION PLAN NO. F t Application to 2000 Old Kings Highway Regional Historic District Committee �. in the Town of Barnstable for a ' L� 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 phot69raphs 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 ADDRESS OF PROPOSED WORK 7 5��� l� �l 'U ASSESSORS MAP NO. OWNER 'k6zlei �` u/B.�CI� ASSESSORS LOT NO. HOME ADDRESS 1-R1lc r Zl TEL NO. �p-zz V/ FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). SEC AGENT OR CONTRACTOR ��� / WOJ TEL. NO. 790- 21 ADDRESS �� ��h/.v ` 9 p7� D7OT.(oQ/ 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). �/10 •�� �-�- - A 0 D signed er Cmitractor-Agent Space below line for Committee use. D Date The Certi i ate is hereby ate T OF 131 , �� Approved ❑ IMPOR ANT: If Certificate is approved,approval is subject to the 10 day appeal period provided in the Act. r)kannrnvorl M I I I 1 1 i I { i i ` � i � � j i f I i i i ! � i j !�f '�j I I i ( I � I � � � � i I' i I i o! , 'INN Q4, ks" Ilk ! Q' r � I \! � �! �i � � I 1 � C,� of �. � � ' � V ti! � 4 ° �I � 0 � � � � � �� of �'i �; ` `til �; ° � . � ; IVY DI � I I I �I �� , i ` � � of �, I + i a •� � i ; �,' O �� � Q2 D � � � i �r I � a 9,4�,kg; - i i 0 � o v ILI a _) 1 Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET FOUNDATION 4 HT. 1 ��► W A L L 6 2 O) SIDING TYPE COLOR CHIMNEY TYPE COLOR ROOF MATERIAL COLOR PITCH WINDOWS COLOR SIZE TRIM COLOR DOORS COLORS SHUTTERS COLORS GUTTERS COLORS 5E� DECKS COA C R CV-)l E} �2 E�qTE MATERIALS �Sa� Rou.��►�+O Poo � GARAGE DOORS COLORS SKYLIGHTS . SIZE COLORS J slGxs now coroRB FENCE I I 6� (L�IQ I 1�� / VQ y COLOR �/�/ /i I 0 NOTES Fill out completely, including measurements and materials/colors to be used. Your copies of this form are required for submittal of an application, along with Four copies of the plot plan, landscape plan and elevation plane, when applicable. SPECSRT Revised 11/98 _V T v �U w 1 h 41 (Xi0 � z o h trj Q 7Z N o a ! Z 3 k * o ac GL 0 W (17 t� _ � CIO oa O0 Op 11 V) N p v q 3 S7 o N E WA L � Sc.RR +e �ZA wc� � cv� / EDGE OF PAVEMENT N//F \ WITH BERM ARMAND J. AUCLAIR, 1 ET UX. 6.7 98 CTRIC 7.4 90.9 ETER 98 _ 1 97.5 97.9 S 87'1248� W 135.21' x 100.7 98.6 tv box 0 ,�c� 98 2 �9.9 TELEPHONE 00 PK FNO T R E E S do B R U S H ELEC TRANSFORMER EL - 100.00' -fiD1.5 99.9. 100.0 • x100.3 x1 •2 100.2 1 6. 101.2 x 1a0.4 C8/0H.FNQ 10 1 EL - 99.97' N _ o x 1 5.If 10 102 ,f 1 v` x 107.1 c0, 103.6 x 102.7 CLEARED 104 04-►� ` � 7 `x 105.3 1 ` 106 Fk Nc 106 t 1 �� S� 1` E x 104.3 105.9 I I x y1 6. 108 108 I 8 q` 08.3 1 1 GON�tl,�18 MAPLE 10. 110 11 1 x 109.3 b6L� ' r'P p«►� � 112 x 111.3, T R� E R U S H 112.1 112 �....•.. -L'� x 112.6 1. x 114.3 S;`r x 1 .6 114 O N` 118 tO 115.4 ' x 119.0 119.4 �119. x 192' f� X l 9 116 12 D �16� 2 lJ u `n 1J x122.4 122 T E E S do BRU SH 124 x 125.0 • z ET /�--~ � -may'��"L+•$.�_�^3.,SZY^; v TJ tf�_�§�Rn1� L r�,.,r••M -. 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YS.� ' � l;t �'f.J�'(; ��k'/5�{I•� � b� �����Lf I' �, 1 r��,rrr• � y , � � 4! F I r � '"' i �1, 1 ,Y iTV �� ♦�� , ' }} 1 I ! 4'T s;';���� # .� j��s off! 4. ., ,� ;: . � , ! � � � fir; ; t s >. �• . ]�.y 41 y ss '1r(' X�.rtr 1 yy..�r��aR N1`1j�i'4" •f' � .r z+ ....Kai, ,ct��•'Yr�� ... t i T - `j�1'`r �., ; :ir) lli� ti '7! •� s .r 1 .r + % ;; f, � 4 � � , 4 dr ! k { ii�1 �'f j•'\ I r t 1 r� � •>I{.r '♦ .!!' 4v j, � i t € �4 � 1 �t� .y 1 �.{�';1 v .�,I s '„ • .�, � 1 F { N..y:�.�¢ ',fin .��.¢ .. ,..�({� '` • rl. �• r 4..+'� .,�.•,5�,,�-;'� dot�,�r" r-' r�y,I 1 +4 � �1..�.�A'Y •�I�•r -��'rL�r ..�.*.�„ ..+*i'.. ' . �~�ti p.•1"'3'r�r�'iL 'V t- , The Town of Barnstable aAMSTABL& MAS& Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner I 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: c�cW 1 M h/A/C P Wt- 2©X 'I'd Estimated Cost 000 Address of Work: l S� IN C (J A i_` IJQ► 06 LC)CS 7 94W"i S 74CC Owner's Name: Date of 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 o , Date Owner's Fine q:forms:Affidav The ommonweaattoJzvra33u��ju��j ��a Department of Industrial Accidents k, Olf�ce allanestlgatdoas 600 Washington Street Boston,Mass. 02111. Workers' Compensation Insurance AM davit io�•r�ii� ai iiiiiaiiii of �� ���������� 0111, F-MOMM name: t: e h i✓ 6 �'Q`3 c\� location' city L� e r- h fW N S—A 9 yhone# 2] I am a homeowner performing all work myself: ❑ I am a sole proprietor and have no one workingin anv =tv i�.a.��/ �i��ia �,��.���i,� �,�///��a��ii/�/i/�i/�/��,a�/,�aa�/� workers' compensation for my emPloyees working on this job. «:::<::>:;;<:> employerroviding cow.... ...... :..:.:..:::. >::::.::::..:.::....:....:.:..:::.: ::.::: :::::::.:::::::::::::::. ... I am anP ::::: .;::.:: X. ❑ :..::............:.:..:..........:.:.::...........::. ....................................... .......::..........:.:::.....:.:::........ _.. tom 13 anv n ��are s a a dw.... :::::.:::..:::............... insurance co:. ...: // ❑ I am a sole proprietor,general contractor, or homeowner(circle oxe)and have hired the contractors Ors below who have followingthe workers corapensatiOu po ..............:.... .::.:::..:.:::.:...::::::;.;:.>::.::<.;;;:;.:;:<;:;:: tb m an v n am .e,- X. ire ...::::• ...................;;;.. a .:::•.:::..............:.:::::::::::....::.,::::•:::::.::::::::::. y.::. :..:...............:::.:............:...:::<...........,..:.::..................::............:::.:::::::::::... <.�r ....:..... :.. ...................:... insurance n ......,.......:...:.:.:.:.•:.:.:............-: : :: : .: address- ...:. . .:. .-......... ...:.:..:.. : .. .. :.......:.:: : ...................................................................... ........:...:...:...... :.. ..:....:.........:.......,....:...:...:...:.......::...:...:...:.:.......;:..;:;.<.. : e: 3'i3► ........:........ tv- et .... .......... .....::. . ..,-..:..::.:::::::..:.:.,.... . .. insurance:'co::::;.;:::.:::.�:;:.;:.::::<>::.;:<;.:.:;:::.:=:�•:;.;:.;... gapnre to secure coverage as required under Section 25A of MGL 152 can lead to the impusuzon of aiffinai penalties of a Sae aP W n1erstand and/or one years'imprisonment as wen as dvfi penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against sew I mudarstand that a copy of this statement may be forwarded to the Once of Investigations of the DIA for coverage verification, under the ai=andnalties of perjurythat the information provided above is true and correct1 do hereby certify \ l Date A signature �# Print name CSo 7q6 -2� of tidal we only do not write in this area to be completed by city or town official petsedlNcense# a�sgg Bo� ent city or town: Oseieetmen'a Ofnee ❑check if immediate response is required ❑Health Department contact k: Other person: "&wed 9195 P1Al Building Division 367 Main Street,Hyannis MA 02601 �prEO rtAA� Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Corrim!s_ HOMEOWNER LICENSE EXEMPTION Please Print a� l DATE: iy QQ JOB LOCATION: 2' . �(` 1 bu 6 j% /pi,15 number street village "HOMEOWNER": 6, 3 U6[,P,g1-V L,4,c- "11,t <500 7L76 ZG!/ name home phone# work phone# CURRENT MAILING ADDRESS: 3 6 f N r►N 1—A.Y c W N ,s Pit A city/town state up code The current exemption for"homeowners'was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner'certifies that he/she understands the Town of Barnstable Building Department minimum inspection proc dures and requirements and that he/she will comply with said procedures and requirements. \V 0 bVqV Signatur J weer Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger wiil be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION . The Code states that "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors):provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shad act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor t see Appendix Q,Rules&Regulations for licensing Construction Supervisors.Section 2.15) This lack of awareness often results in serious problems.particularly when the homeowner hires unlicensed persons. In-this case.our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities.many communities require.as part of the perrrut application.that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. -you may care to amend and adopt such a forrn/certification for use in your community. Q:FORMS:EX EN9 MIN skimmer CD 6'0" 40'0" 0 0 0 N o /3"PVC pipe . `° r tt I N f _ f 40'0" f 101 two rows of double#4 bar 0 N 12'6.0" I' 10'0" 13'6.0" is h e1 Q LA l �•—�fir— a-�'f o Town of Barnstable *Permit# 1?1 � S ' p* Expires 6 months from issue date ? lazilisTM : Regulatory Services Fee -3 Geller Thomas F. i Director . Building Division mP PERM! Tom Perry, Building Commissioner e- 200 Main Sheet,.Hyannis,MA 02601 Office: 508-862-4038 NOV 1.7 2004 Fax: 508-790-6230 TOWN Or BARNS TABLE EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X Press Imprint /iapiparcelNumber 17 oSRO 'roperty Address 3 �/ h,0�yJ �1 �('i�-�• lNr Qt'J}�� ��, � 66?? Residential Value of Work f Minimum fee of-$25.00 for work under$6000.00 )wner's Name&Address .^,ontractor_s_Name �rn�'Tab12 � c>—Z= Telephone Number U, - —_. Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one-' am a•sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance r Insurance Company Name S-eflicv Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers-of roof) PWJ &Ct 7� ever er r 4s'eo� (] Replacement Windows. U=Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic.Conservation,etc. ***Note:' Property Owner must sign Property Owner Letter of Permission. =Contractors License is required. Signature / QForms:expmtrg Revise063004 IMPORTANT MESSAGE For Day ?/ t- A.M. J Time P.M. M � Of Phone w FAX Area Code Number Extension MOBILE Area Code Number Extension Telephoned Returned your call RUSH Came to see you Please call Special attention Wants to see you Will call again Caller on hold Me ge S Signed universal 48023 /O �� LITHO IN U.S.A. TOWN OF BARNSTABLE 30 DAY TEMPORARY OCCUPANCY PERMIT E PARCEL ID 217 050 002 GEOBASE ID 31996 ADDRESS 43 STONEWALL DRIVE PHONE W BARNSTABLE ZIP . - LOT 2 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT WB PERMIT 45796 DESCRIPTION 30 DAY TEMPORARY CERTIFICATE OF OCCUPANCY PERMIT TYPE BTC00 TITLE TEMP. OCCUPANCY PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: THE BOND $.00 CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE P Ef ; * BARNgrABM MASS. FD MA'S BUILDI IVIS BY DATE ISSUED 05/02/2000 EXPIRATION DATE 06/02/2000 TOWN OF ARNSTABLPi 30 DAY TEMPORARY,_ CUPANCY PERMIT J. PARCEL ID 217 050 .002 GEOBASE ID 31966 ADDRESS 43 STONEWALL DRIVE .; PHONE W BARNSTABLE ZIP - LOT 2 BLOCK' ` LOT SIZE DBA 3 'DEVELOPMENT DISTRICT WB PERMIT 46796 DESCRIPTION 30 ,DAY TEMPORARY CERTIFICATE OF OCCUPANCY PERMIT TYPE BTC00 TITLE TEMP. OCCUPANCY PERMIT o CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: � .. 80ND $.00 , CONSTRUCTION COSTS $.00 i 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE PI *-EjBARN31'ABLE, ; MASS. s6g9. � BUILDIN D IS 01P - .'} By ' DATE ISSUED 05/02/2000 -EXPIRATION DATE 0 /02/2000 TOWN, OF BARNSTABLE 30 DAY TEMPORARY,. 00CUPANCY PERMIT 'PARCRL; ID 217 050 002 G£OBASE ID' 3199671 - - ADDRESS 43 STONEWALL DRIVE � PRONE W BARNSTABLE ZIP LOT `L BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT WI3 PERMIT 45796 DESCRIPTION 30 DAY TEMPORARY CERTIFICATE OF OCCUPANCY `PERMIT TYPE BTCOOT.ITLE TEMP.. OCCUPANCY PERMIT CONTRACTORS. Department of Health, Safety ARCHITECTS: and Environmental Services I TOTAL FEES: CIE BOND - $.00 CONSTRUCTION COSTS $.00 . I 756 CERTIFICATE OF OCCUPANCY 9. PRIVATE PRE*r FBU►ItN3PABI.E. •' MASS. �► 1639. �0 BUILDING NISI • BY - M' DATE ISSUED 05/02/2000 EXPIRATION DATE 0 /02/2000 THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THEAPPLICANT 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 (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS I VISIBLE BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 I I I I 2 2 2 I I 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT I I 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL I 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. • I i i ��' I .. � : .. . . . . �,, � � � : . . , � ; �. • � i � � - U, Application to Old Kin 's Hi hlY wa R Historic District Con, It&O 8 g Regional in the Town of Barnstable for a 4 • r CERTIFICATE OF APPROPRIATENESS Application Is hereby made, id triplicate, for the issuance of a Certificate bf Appropriateness under Section 6 of Chapter 470. Acts. and Resolves of 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: IN New building' ❑ Addition ❑ Alteration Indicate type of building: ❑ House D Garage ' ❑ Commercial ❑ Other- Z. Exterior Painting: ❑ 3 Signs or Billboards: .0 New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall E3 Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE 43 STO N�y�IA�� -`�• R�%14ite —ADDRESS OF PROPOSED WORK ti Rlue ASSESSORS MAP NO. OWNER (TA A, w o 3 c k ASSESSORS LOT NO. oso-z HOME ADDRESS. �0 3 y�aL-P H,N LANE w•aYMWrSAcAT TEL NO. C O 90 `26 4% FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners acroWany public street or way; -(Attach additional sheet'if necessary). `a' See c-O e d .5.leeNJ M lA .1CQ ohle J: oSckk 16 9`41- 4� AGENT OR CONTRACTOR W .TEL NO. �SO 7' D;-2 1 ADDRESS (j> 3 lNe i.Arimi LA"E, W. RVAAAV�U P OJe7 DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done(see No.B,other side),including materials to be used, if specifications do not accompany plans. In the case of signs,give locations of existing signs and proposed locations of new signs. (Attach additional sheet.if necessary). ED� . Signed nu•Contractor-Agent ce below line for Committee use. n e iv l — U Date Th ificate is hereby Date Time Wad eL W1,Q4AQ MOWN OF BARNSiABLE � A" *f ® Town of Barnstable Old King's Highway Historic District Committee +' SPEC SHRBT r� FOUNMTION 11 Pok2Cd CONC.R E7E PoRtc K — FeoA/r a AOE C of SIDIm TYP&,,N&T IAA,9a C ea 4 U (o C6 COLOR' B ig T-44 e Q'o CHIIrffiSY TY COLOR G()p es Cob 312 i c k ROOF MATERIAL R G b1 I t(et,YaRAc- b bil AI&CCCOLOR 13 R i F T w o q) PITCR ANaER�:dN W33M0ws fee,,NT COLOR W ,TE slz8 GI.Aas S ee Z 06 x5Z TRIM COLOR LAJ 4 4 e t E D00RS ' Z- J x' COLOIia SHUTTERS N��} COLORS GUTTERS of lA COLORS . v 121,x 2.8' DECKS_ ►3ACY-- of �tOLtbE MATERIALS PR ES. Tie 6AYE4 GARAGE DOORS gh k She }7AAJ C i. 9'x d(�' COLORS W K T(e SKYLIGHTS N'IA SrzB COLORS M . }� SIGNS /V I f3- COLO +g§. il3 PENCE MIA COLOR lWMt fill out eosplatelr. including measurements and satarials/colors to be used. lour copies of this foss are required for submittal of an application, along ritL your copies of the plot plan, landscape plan and elevation plans, rhea applicable. Sp8C3Er TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Zl 1 Parcel S� ` 2- � '� Permit# Health Division ' 9 P�1 V 1Date Issued Conservation Division Jlt4 i 1 Fee ZZ Tax Collector ` SEPTIC SYSTEM MUST BE' Treasurer (IN INSTALLED IN GOMPLIANC WITH TITLE S Planning Dept. e—P, Lot—ale ,5 ea 2/�P oA ENVIRONMENTAL CODE A :g Date Definitive Plan Approved by Planning Board 3A) CLey DM TOWN REGULATIONS , t Historic-OKH Preservation/Hyannis Project Street Address 41 , S T d ry E W A t�.�, S'-- 91919 Village LA-) CSl i3P'gAJ S-TnISLE o Iaaq 0 • ` Aid Q%X, hV-j Owner — �� oNt E J. t2 �-rA �• Wo 3 c i kc Address CP 3 J)o� AHiN LA Ve LU. Hy�t,vN�sPoe7 •Telephone Cs o 9 9 1 9 Permit Request lees-; ,d <w 1,9c_ Square feet: 1st floor: existing proposed 2 00 2nd floor: existing I R00 proposed Total newS�� Estimated Project Cost,$ 2 2 G, 2 DD Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size ),2 Act 6s Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family PO Two Family O Multi-Family(#units) Age of Existing Structure W111@ Historic House: ❑Yes 0 No On Old King's Highway: W Yes ❑ No Basement Type: ;R Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 2, OOp Number of Baths: Full:existing new 2 Half:existing new Y2 Number of Bedrooms: existing new _4 Total Room Count(not including baths): existing new g First Floor Room Count ' Heat Type and Fuel: 0 Gas O Oil ❑Electric ❑Other Central Air: ®Yes ❑No • Fireplaces: Existing New 0_ Existing wood/coal stove: 0 Yes ®No Detached garage:0 existing ❑new size Pool:0 existing ❑new size Barn:❑existing 0 new size Attached garage:❑existing 0 new size Shed:❑existing 0 new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded 0 Commercial 0 Yes ❑No If yes,site plan review# ' Current Use Proposed Use BUILDER INFORMATION Name alnlien tom— Telephone Number Address - License# Home Improvement Contractor# Worker's Compensation# j ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO I SIGNATURE w DATE _ Z 2 FOR OFFICIAL USE ONLY Y�PERMIT NO. - ' DATE ISSUED 12 �4 MAP/PARCEL NO. ' ADDRESS ' r VILLAGE , OWNER .,. r DATE OF INSPECTION: FOUNDATION • D ("J �• �' FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL' PLUMBING: ROUGH FINAL GAS: ROUGH-i FINAL ' FINAL BUILDING DATE CLOSED OUT '-i tY W 0 Oct ASSOCIATION PLAN NO,., :. M l i . 3 � .'STyo N cciA'c: u c: \ '' 'a �11 �r�j c• � ' i t�• a+� r 4, ry r j ,fy .33 jz Yit J• t i { iax v �- �- r'___----I .i. ;.I rtt. ,i3 lie+ j'✓i f'. ; � f yf. --1 _____________________ ir-------------------� L------------ *-- ;1----=-------1 --- r-------------------� iy ----------------------------- --N---------- y i -- - - S W / v y iwiox�r x/0" !z'-0" �T 1Z' heop II COAL- Ft.oo: 1 L------------------ r. S �� ; -------------------� i______________________1 L___________________________________t�__________� j' i-------- ------________J L------------------------•----------------------------� '� �L/)N FYI`.• ''�+�, �' wH ?ER PEn►dI'tycA 2,K/0 QAf76C."t A it l 2 X 6 SPF STUDSCl t . � a•--.?.�. ..� r<< ,{sr• .�$r�,r f •,.r;c• eta ,q. f Trr. C 5/8"TY iX GYPSUM BOTAR r. 2 X 6 P.T. SILL PLATES /4 CONIC. SLAB f+� • i c x R d N 8T1248" E c� 135.21 0 LOT 2 N �� 52,632 Square Feet f 1.20 Acres t Z lk per record plan N 41* .0' Z LINE TABLE z N 0 to LINE LENGTH BEARING tO 10-12 99 L1 7.73 S74'29'12'W 00 N� T o (A —s r co O CP N r W 1 CURVE TABLE 7�2912 m o1 CURVE LENGTH RADIUS 5 150�0 0 oo t C1 57.10 40.00 L' o v C2 44.76 30.00 NIF z rn 0 N cO to k t,+ E la- i3 -�t9 CERTIRED PLOT PLAN ASSESSORS MAP 217 PARCEL 50-2 LOCATION: LOT 2 - 43 STONEWALL DRIVE WEST BARNSTABLE, MASS. I CERTIFY THAT THE EXISTING SCALE: 1 100' DATE: 10-13-1999 FOUNDATION SHOWN HEREON COMPLIES WITH THE SIDELINE AND SETBACK REQUIREMENTS OF THE TOWN OF PLAN REFERENCE: PL. BK 382 PG 36 BARNSTABLE AND IS NOT LOCATED IN THE FLO DPLAIN. BAXTER & NYE, INC. DATE: 1O"'3"`'`' REGISTERED LAND SURVEYORS & CIVIL ENGINEERS THIS PLAN I"OTASED ON AN 812 MAIN STREET INSTRUMENT SURVEY AND THE OFFSETS OSTERVILLE, MASS., 02655 SHOWN HEREON SHOULD NOT BE USED TO DETERMINE PROPERTY-LINES. APPLICANT: JEROME WOJCIK 99026(CPP0I.DWG) ' Tabta.lS2.Ih(aead$aad) Prmeriprt►e Paduqu for One and Tws4Famm*ReidmtW Bottdlap Heated with F02mn3 FoeL MAXIMUM M1N1MUM Qlaaag (HaffiB Ccdmg Wall I Flow gaam.,w Stab Artz'(%) U-valuer &value R-valuer• P vaiud Wall pgrinaw PhAudimac &Vwulo Brvl�' S'!OI to 6509 Hewing Degeea Dare' Q 12Y. 0.40 38 _ ._ 13 19 l0 6 Normal Bm/ 12% 0.32 30 19 19 -10 6 Normal 9 I29A 0.50 38 13 19 10 6 U AF'UE T 13% 0.36 3E 13 25 WA WA Normal U 13% 0.46 3E 19 19 10 6 Normal V 13% 0.44 38 13 2s WA WA 85 AFUE W 15% 0.52 30 19 19 10 6 85 AFUE R 13% 0.32 38 13 25 WA WA Normal Y 18.1E 0.42 3E 19 23 WA WA Normal Z 18.1E 0.42 3E 13 19 10 6 90 AFVE AA18•/. 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: 3 S7oAj E W oi-t- L e I y c 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: S Q 6 FT 2 3. SQUARE FOOTAGE OF ALL GLAZING: C1 :--T Z 4. %GLAZING AREA(#3 DIVIDED BY#2): Z 7 S. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: T� NO: q-forms-f980303 a Footnotes to Table J5.11b: r Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skyiigl::ts;an windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 Rs of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness-over the exterior walls without compression, R-30 insulation may be substituted for R-3 8 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R values represent the sum of cavity insulation plus insulating sheathing(if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. `Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding,structural sheathing,and interior drywall.For example,an R 19'requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-fiame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-fiame construction: The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade wails. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements•are for unheated slabs.Add an additional R-2 for heated slabs. • If the building utilizes electric resistance heating use compliance approach 3,4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1a ROTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 035. Door U-values must be tested and documented by the manufacnuer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available,include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(Le.,may have a U-value greater than 035). e)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wail component includes two or more areas with different insulation levels,the component complies if the area-weighted average R value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(035 for doors). 43 • The Town of Barnstable T°Y'aS Department of Health Safety and Environmental Services "' Building Division 367 Main Street,Hyannis MA 02601 tAss. Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION / G Please Print DATE: 7! 2 2 17 JOB LOCATION: 3 'STO N c.J A t R L U 6 W• )3 A Ie &S_T A e L 6 number yet village "HOMEOWNER": J C-P_0 0V C— ~/�D - Z6 41 �//- H S02 nape / 'hhome phone# work phone# CURRENT MAILING ADDRESS: l0 3 L-P/V i AJ L jW ,�✓ /V n//s city/to state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,Provided that the owner acts as sulle DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be - responsible for all such work performed under the building"permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requires ents. ` Si omeowne Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, dim the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a foma/certification for use in your community. QTORMSIXEMPT - The Commonwealth of Massachusetts P=E Department of Industrial Accidents ..... ... 1.� t=•-� Office oflnlyestigatfoos `74 600 Washington Street Boston,Mass. 02111 Workers' CoTyensation Insurance Affidavit T1iiClnt rTifllClIt�t2Qtfy: 0�%%%%%/%%� %/ rr�rirrir ,rr r r // name: ��� O ft 6 location S�t o N E C.A3 A L t- 1 U� city A Q Ns-i A act phone# CS0:?� 770 —2( � I am a homeowner performing all work myself. ❑ 1 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. comonnv name: address: citt`: phone#: insurance cn. pnficv# ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have _.._. the folloning workers' compensation polices: comoanv name: :.... address: dtv phone#: . :.:. :i>;:.::.:: tnjurnnce cn. oitev#.. ::....:..:.;:..::.::::.:.:... :::.:...::... . :.;... comnanv name: address: ntti- phone M inuuranceco. : ...:.::.:.... .....;:..::::... .. 011cv# :.....:.::::::.;;•.;•:.:::::.:.: . . xxx Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a tine up to S1.500.00 and/or one years'imprisonment as 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 may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is truce and correct Signattlre Date _ Print name Phone# official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑ check if immediate response is required ❑Selectmen's Office []Health Department contact person: phone#; ❑Other ..............; (mwca 9,95 PJAI Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for the.r employees. As quoted from the "law", an employee is defined as every person in the service of another under any cone:,- of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the rec.,ve trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or.the occupant of the dwelling house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or reneRL' 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 comracting_ authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the "law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be retxuaed io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents 0mce OI Invesugaucas 600 Washington Street Boston; Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 eat 406, 409 or 375 SMOKE DETECTORS O.K. R tTABLE BUILDING EPT. 12 112 12 112 I 1 - 12 Null IT 00 11-LU = -5 1 1 Him HIE mH 0 HE I=110 - Grade Line o 18 -� 40 FRONT ELEVATION 14 3 S110,VF, c.Ji4LL • � i s 1122�- 112 i 7 i' S I 12 12 I'2 4 8"Max. F 3'6" — Grade Une 3-2 X 10 P.T. 11'6" o 4"X4"P.T./ A 4'-O" 12"CONCRETE SONOTUBE/ ,MIN' — 30 LEFT SIDE ELEVATION i I i 12 '2 12 �12 ®� 4 [URI 111111 T 9'g" I Il 12 -h2 12 8 t 12 - 2 12 ---- 12 1P �t5 - 15 rm rm "o rm EH H FM -EM 1 j Grade Line �oc� --- — WALL ao J 1e J . BACK ELEVATION ' 43 STONEWALL DRIVE,W. BARNSTABLE. J.WOJCIK 790-2641 I I I . . I . . I --- .. heetl. BEAM SIZES AND COLUMN SUPPORT SPACING No.Living fl INo.sleeping fl. Itrib.span beam height beam width Section modulus loadlf_t_ allowable stress calculated spacing Location dimensional lumber I 1.00 2.00 15.00 9.50 6.00 90.25 1950.00 950.00 64.97 main house use no.2 lumber 1.00 2.00 15.00 9.50 6.00 90.25 1950.00 1075.00 69.11 main house use no.1 lumber 1.00 2.00 15.00 11.50 4.50 99.19 1950.00 950.00 68.11 main house use no.2 lumber 1.00 1.00 15.00 9.50 6.00 90.25 1350.00 950.00 78.08 ends no attic use no.2 lumber 1.00 1,001. 15.00 11.50 4.50 99.19 1350.00 950.00 81.86 ends no attic use no.2 lumber GANG-LAM LVL(2950 Fb,2.0E) 1.00 2.00 15.00 11.25 3.50 73.83 1950.00 2950.00 103.55 main house 1.00 2.00 15.00 9.25 5.25 74.87 1950.00 2950.00 104.27 main house 1.00 2.00 15.00 11.25 5.25 110.7'4 1950.00 2950.00 126.82 main house 1.00 2.00 15.00 14.00 3.50 114.33 1950.00 2950.00 128.86 main house 1.00 1.00 15.00 9.25 5.25 74.87 1350.00 2950.00 125.32 ends no attic 1.00 1.00 15.00 11.25 5.25 110.74 1350.00 2950.00 152.42 ends no attic J.bbj 1.00 15.001 14.00 3.501 114.33 1350.001 2950.001 154.871 lends no attic Page 1 Z LAyEAs OF PER PBNJ/C444 2.X8_J.QISTS 2 X 10 QAF764 R-30 -LUSNI, 2X10JOISTS 2 X 6 SPF STUDS \ R - I Ck IN t4 L. R.►q SNbUc. 5/8"TYP X GYPSUM BOAR C�A�AG E ARcA) 4"CONC. SLAB 2 X 6 P.T. SILL PLATES I IQ , i3 L -f 0'-1 -2' -3' -7' 2'-6. 7'- 21-6' -3' '-6' -7' -9' 2'-S• 1' I I I I I I I I *�'IVt A) ; 1'-6' ie 21'-6' I I O I I I I 7'-6' 3 - y-6• 00 SHELVES 1 ' 12'-9' L.-t o( /V I N 4'-9' 3'-6' w 4'-6' 17'-3 3'-3' 1B' i sI [LOOP, Z) 3 .ST ©iv 61 (-�J L C 18'-6• 6' 2'-6' 7• e'-6• 1 B'-6• IS' 3-3' f0'-6• Lk f P C It :0 1 O u 2 . 2'-6• CANTILEVER 9,� 3'-6• �' g�� 4' } S S 1•-e. �7 g� r-6.7•-6• v 7 2-6' (�13' B'-6' 6' -9• 16•-3• -6• -6' 91 91 -6 -6. g• p 1 Ziv-6 Fl oo,e 3 5 U L L Cj . BARN s7 CC- ---- ----------------- I 1 L------ -r ------ I -------------------————— I I I I I I II I ---------------------------------------It-------� I I I I I 1 � I I I I I I 1 I I I 1 I t I 1�Ty�Ex I I I I 9~wpm I I I I I 1 I mu.Pom rwe,w vrd r-s l i �'/�Scer11 I I 1 I I I rmnm WWK■srcv 11 1 I I I 1 I I I I I I 1 I (T�r 31�COAk.I I I I 1 1 I i 1► y,eo� i 5� I I 1 1 +---�—'g L-------------------J I —---------------- L-------------------� � . I ---------�`----- 1 �--------------------L= ------ �' i -------------� 1 I r-------------------� I I T------ I I -----------------------� 11 I j 1 1 I I I r r-----------------lt-------' I I I I 1 1 L-------- I 1 1 I I I I I I 1 I I I 11 I 1 I 1 1 1 I I II I I I I I 1 IL----- ------------- --------- �-- --------� 1 I 1 1 1 I ------ ---------------------------------------;� ------� -----� ----------------� �---------------- I L-----------------------------------------------------J I f Application to Old Kings i4ay Regional Historic District Committee( 9 9 25 a in the Town of Barnstable for a " 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: HECK CATEGORIES THAT APPLY: 1. Exterior Building Construction New Building ❑ Addition ❑ Alteration Indicate type of buil ng: House ❑ Garage ❑ Commercial. [1 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 �.��1� =S`SiSS_ORSMAP NO.ADDRESS OF PROPOSED WORK � OWNER f` �/z ASSESSORS LOT NO:..LSD-DOL HOME:ADORESS G -3j��/�✓ Ll�: } �� %�i-fi/jZ/�'• TEL: NO. �90—:?GS�� FULL NAMES AND ADDRESSES'OF. ABUTTING OWNERS. Include.name of..adjacent property owner; across:any public street or way. (Attach additional sheet-if necessary). .5e e t1�z G/ s AGENT OR CONTRACTOR D/JZpJ—�� GULLTC/�w! TEL. NO. eSDY) 79O_26 W ADDRESS 3 ✓�/id�/N g — ljt//`7'�2/!/li:f/O, 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). ZrI aza,� Iran �qleX /�:O4 7e;,re- — vV r-Contractor-Agent � Space below line for Committee us . U IL!' LLLJJJ 6 e Recejyed•_by..H,D-C _ r� OCer ' cafe is hereby Date 620 a4d im Cl Impi N OF BARN STABLE Approve PORTANT: If Certificate is app ved,appr al Is subject to the 10 day appeal period provided in the Act. !p Town of Barnstable — Old King's highway Historic District Committee (r J n� SPEC SHEET U� v FOUNDATION SIDING TYPE N,41u/d �C�il� COLOR . CHIMNEY TYPE COLOR COd C/C- ♦ LL / ROOF MATERIAL Ad/T!044?'d-,1 �4tOLOR PITCH 1L//Z WINDOWS : �G�Pa.dT ZVSe2 ' COLOR ��iT SIZE d S2� Z�ySL TRIM COLOR DOORS 07- 3�o X l0 .� COLORS SHUTTERS COLORS GUTTERS COLORS / n DECKS Z3&cic d,J/A4a� J MATERIALS C ea, GARAGE DOORS ��1 GI 9 �X COLORS SKYLIGHTS N/14 SIZE COLORS i SIGNS �/� COLORS FENCE COLOR 1 NOTES: Fill out completely, including measurements and materials/colors to be used. Four copies of this form are required for submittal of an application, along with Four copies of the plot plan, landscape plan and elevation plans, when applicable. SPECSHT Revised 11/98 ................................:: : ;:.;:.;:::.;::.......:......... .. ►..... — �___. �--, <::;:«««::<:>::>::>::>::>::>::>::»::>::»>::»::»:<:>««««:::>:<:::»::>::>::;:.;;;:.::.;;;:•;:;:;;:.;:.;:.::.;:.;:.;:.;:.::;..;:.;:.;:.;:.;:.;:.;:.;;:.;:.; ::.::.;;:.>:.;;;;:;.;:.;:.;:.;:.;:.:: <I.<:»::>:::»:>:,-.-.-> --->::<::<: ................ `>>> �7 '.. ... . I. V...:.. ......VQ.....................................::.:.:::::::::::::::::::::::.—.-.::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::..... 1. ::;::>: ;:.;:;.;::.;;;;:....:o:o;;:... ... nessccuan 111a<>>»> .............. :..: ....:...................................................:::::::::::::::::::::::......::::::::::::::::::::::::::::::::::::::::::::::;;::::.....:::::::::::::::::::::::::::::::;::::::::::::::: . >i Ym . >:>;,*,""- >::>::>::>::>::::i�i»> .... " Y lu P:.:::::::::::::::::::::::::::::.;:.;:.;>;>;::; ;::.;:.;:.::.;:.;:.:;::.;:.;;;;:.;:.;:.;:.;:.;;:.>:.;::.;;:.;:.;:.;:.;:.;:.;:.;:.;:.;:.;:.;:.;:.;;;;;;:.:................................................ :«<. 11 A n e W.<<€ 11 :eCri . New house on Stonewa ve u :::..�;:;:;:;::. ......................... :»»::::::::::::::............: : : 4 ri hi h Ca n ><> Barnstable is almost sto es g 11 - 11 r ill fo ow u ::.you check it out Ca e w P >< next week. 1*1111, UIX �.:....,:::::::::::::::::::::: .a 1. ,�u- ::>::»»»»»> lU »< - J 0�� G � �' � �� >> J -� - 8' 9 :::::::: ::>::»:::>:<::>:<::::>::::::::::::::::::>:::::::>::::::::::::::::::::::>:>::::::::>:::>::»......::>:>:::»>:::::::::::::.%-.%>::::::::::><:.I ::::::::::>::»>::::::::>::»::»»»:::::::::::::<::::: �� 6 . . I : y P ? 77 y TABLi= LINE LENGTH---LINE- BEARING L1 7.73 S74.29'12'W o • ` DEEP.:OBSER� •,t _.: ,: - � ATYdN ' c Depth from Soil Horizon � Sod Texture Soil Color . Soil Other �- -• _ � I o 0 0 O - - - - - Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulder es_ o-.o" A, s/,j tea' /oye 317 f �l- 5 •. /O-36° 13 s,/ryLe�.., /o y2 S/� a ° LOCUS .S YAZ 4ie. S•.� Sao•-icy ,` `J - \ ° 0 c t o .., r CZ 2 . FINISH GRADE � ,C• 32 oil D • y' MAY BE REPLACED • ° e o o ° o - n COMPACTED FILL 3 MAXIMUM o 0 VdTH INSITU MATERIALJ.0p o - - . - PEASroNE DEEP:OBSEItVATION HQhE LOG:' Hole# a;o < Depth from Soil Horizon Soil Texture Soil Color Soil Other IF ENCOUNTERED REM 'a a �. • - Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones•Boulderes. UNSUITABLE MATERIAL TO INSURE THE .. 3/4• - 1 1/2- REMOVE UNSUITABLE MATERIAL LOCATION t'1Jr LEANSIDEW M AREA OF SYSTEM IS IN oT ,• n LOCATION FOR 5-FEET IF APPLICABLE : ,i S,/ �.ec.n Q.yK 3� CLEAN MEDIUM SANG OR FILL PER `� o /o '�` / z - HYANNIS QUADRANGLE 310 CMR 15.201 - 15.293 a a - . CULTEC 330 STONE oo" Iro SCALE: 1:25,000 sr 5'46 yp so t-/q•►' c ; aK�y �/< IS yw 7// ASSESSORS 46• ,r ' sMAP -217PARCEL 50-2 22' W CROSS-SECTION OF CHAMBER -,re--Sr Pi is .c�or dir9/fLt ZONES: .NOT TO SCALE. .. a N AQUIFER PROTECTION OVERLAY DISTRICT w M DEEP;OBSERVATION HOLE LOG "'.' no, Depthtrom Soil Horizon Soil Texture Soil Color Soil Other- :ZONING .DISTRICT: RF - -Q Surface(m.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes- - - o T .. MINIMUMS �ot'n lz 3 AREA = 43,560 S. F. - z` 16 q 2- 5 40a" /o V- s/6 - l�r� ,/'�Y -a FRONTAGE = 150'qG� D.hse Sa-J /6 `7251 �1[i,iG icoEr ce1 bl4! DTH = N/A - I ° Iz . rl FRONT SETBACK = 30' SIDE SETBACK 15' REAR SETBACK = 15' FLOOD ZONE C FIRM COMMUNITY PANEL" PE-RC _RAT-Ir T 3 ,' to min/inc.tn No. 250001 0003 D REVISED: JULY 2, 1992 DATUM FOR THIS PLAN IS ASSUMED N/F TH OMAS A. GUSTAFSON ET UX. , jJeslC.t".1 �r-�-T-1�: :� I_'cc�ro�,�, I-�ocJsc. ' (�a Gau-t7� �; �r,'r,clu.c•v-- .y 4 3,Ar,r,, ?C 1 l fi� ��7 P C) � i3 d r,-n ',-! -1-0 fo J S'pil-,C lark t A4d x 20t"1 ._ l�s c t S O O G o 11 c� T�,,Fc,� •- i beat., S s)cw� �40 i- _ 7 - a gyp o, s� 5 I- J I - I- � #�' oho. S,�}zn cock, Chaw.ta�rs • 12 X -a/4 �4 - (�o4 a S7,- cl e to 4- f-a -. CB/DH'FND EL = 96.63' PK FND 96.6 . 96.0 1 FT. 1-�e G. EDGE OF PAVEMENT �a U _ WITH BERM wV SCvsG-vas �.,{ricct 1� �7rnxl,r,t,J-c Gllriv��t�n o. �'�r�t. Is . N/F � 4- « � ,>1 IR \ EDGE WETLANDS Eli �o .�,�o Fra;-�� L✓C_ F( <nv�vuntQurGle...� Cc���ur /i'to• 14 2 ARMAND J. , AUCLA C 5 ) ET UX. G.U)i rRa.v -. ; rruyvn Z1 2-0 Zs. 6.7 98AL CTRIC 7.4 90.9 ETER 98 31tc -- 10 97.5 97.9 S 87-12'48• H1 �gAL 135.21' J 9$.4 rQ x 100.7 tv box OO�C 98 2 9$.6 L .0 T 2 �9.9 TELEPHONE O PK FND 90:9 ELEC TRANSFORMER TREES & BRUSH EL = 100.00' 52,632 Square Feet t X 99.9. 100.0 _gyp of r�� iz1,o 1.20 Acres f 001.5 ff per record plan I x 100.3 x 1 2 100_2 101 2 1 6. CB/DH FNG - r x 1a0.4 1 EL:__99.97] - 102 N x1 ad, 10 I J 1 1 ll 103.E x 102.7 2caskan� F ra z' tc rr l -- Faoh CSVcrcllq N r,eeo�e{u, .ce. '_:J,+6 n? CA C _ 1 L E A k G }04 ; d - I c 5cch.0 15.2 55 (5) r*, // x 105.3 4 - -x .7 , A R E 4 x 3- 0 8 i 5t�0 C�a i t o�+ 0 2 I --- 1 E Q14sh4 l�icd„ny 0;3 D-! Icxi,p N Tar,k - - ` 106 105.9 106 3 Io2,o \ Z x r / 2� - 104.1 + , jCr X'106.6 108 (s' rSirone 13u5G � � c ,0 1301.1o.r a� T1�"3 10. 18 MAPLE ` 110 x 109.3 J S�'STI:1�'I S�i�2UlrIl.G 112 x 111.3, T R E �rRP U S H : _� 112.1 112 to'MtA � ,. �„;-;:x_•.�"�».�4 $agree•,,, x '112.6 1P t Q 1i EDGE OF PAVEMENT � 114 Pre • ,e\I� ``� C �fo�. WITH BERM x 114.3 114 w N 116 O to W Ni o e 119.4119. x q x 119.0 _ .�- x 1 9 116115.4 ' r' 12 w' 12 - x122.4 T E E S _ & BRUSH 122 124 x 125.0 N Z � 126 26.3 11 150 Op mot 0 it o Z w_ o • r r P`gER Cyr}i�� T PrrirosePJ Dweilint 5howr, Hcrcotn G. _ Comrly5. Write Tln.c- Sty{(nC t rri-.vrcS< aca-t5 12C. U1Yt� F JpNN d� -rk� -rows of 13a. i6k-- l ► E � N/ 1 S 1 T E P L A N Ln AT o m to to r't 43 STONEWALL DRIVE ILA PC. WEST BARNSTABLE, MASS. FOR c _ to JEROME WOJCIK _ SCALE: 1' 30 APRIL 16, 1999 BAXTER & NYE, INC: 812 MAIN STREET OSTERVILLE, MASS., 02655 (508)-428-9131 GRAPHIC SCALE 'i 40.0 30 30 30 30 30Pt s AI3s. o T,fi_ ey eyyPsiL'j`r�OF G="jqs DO US d/�O� STErHEN S'• ( IN FEET ) � 29874 ri I inch 30 ft �EGtSiE�`� No NA 420216 s/ � R Q U `T E 99026 (SIT EOi.DWG)