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0040 WIDGEON LANE
G/ x C / . I V U � f �I 1'vA/V/f � _ . �� 4 I; I sf S f, 1 I l cc T N! O M� V- ° T i, f O ® Z, �Y f yyLU� bb t� LU i 4 e t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Permit# Health Division ��(> � � G� •;_, Date Issued C3 Conservation Division A LooL OK Fee��`� '�0 Ll� SEPTIC SYSTEM MUST BE�� F86 ` Tax Collector , 5_. _ ©a, INSTALLED IN COMPLIANC Treasurer WITH TITLE 5 'b Planning Dept. rf :EWROHMENTAL CODE AND TOYM REGULATIONS Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address a y Village Owner Tko.Y,.,�—s lA ti r, 13 e-f Address Telephone Cs b6) 3(6 - - ! 7 Permit Request cloti J-)" k_ I ►o d rCi. IiGAG�� �Qh % Square feet: 1st floor: existing f D 3 9- proposed t 32. 2nd floor: existing -�l 0 proposed 0 Total new � 32 Valuation j Z, U 00. Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size I C1 Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family UY/ Two Family ❑ Multi-Family(#units) a- Age of Existing Structure r Historic House: ❑Yes X No On Old King's Highway: ❑Yes UXNo Basement Type: ❑ Full X Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new 0 Half:existing b new 0 Number of Bedrooms: existing new Total Room Count(not including baths): existing co new I First Floor Room Count 3 Heat Type and Fuel: ❑Gas a'Oil ❑Electric ❑Other Central Air: ❑Yes 6r<o Fireplaces: Existing i New 0 Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing Cl new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name 140 n.e_ Telephone Number CS y`6 Address License# C. S 6 O S l+y a ;a M A a 16 0 Home Improvement Contractor# 1 O S S, Worker's Compensation# .7 P y V 13— 90 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1 yw,. o -F l?c(r„S0C 1e �IrL SIGNATURE ' DATE/ )7�0 i ♦ FOR OFFICIAL USE ONLY • `ti o PERMIT NO. DATE ISSUED- x. MAP/PARCEL NO. ADDRESS VILLAGE ' OWNER DATE OF INSPECTION: '1 FOUNDATION FRAME INSULATION _ FIREPLACto E ` ELECTRICAL:. ROB FINAL m Wu — iK PLUMBING: ROC7:Gla m t FINAL r Via• �„� '"'[ j]]]� GAS: ROU..GIP. FINAL FINAL BUILDING DATE CLOSED OUT _ ASSOCIATION PLAN NO. f. L a � 730 CMR AppeidQ J Table JS21b(coadaaed) Prescriptive Paeks`es for One and TwaFsmitr Resldeadal Buddinp Reseed with Fold Fseb M=MUM huNI NUM Glazing Glazing Ceiling Well Floor Basement Slab Heating/Cooling A '('/o) U-value= R value, R values R values Wall Pd�er E�Pme� F.fFci�cy� rea Package R value' R value' 5"1 to 6500 Headas Degree Dade' Q 12% 0.40 38 13 19 1 10 6 Normal R 1 12% 0.52' 30 19 19 10 6 Normal S 12% 6.50 38 13 19 10. 6 95 AFUE T 15% 036 38 13 25 WA Wa Normal U 15% 0.46 38 119 19 10 6 Normal V 15% 0.44 38 13 25 1. WA WA 85 AFUE W 15% 0.52 30 19 19 10. 6 83 AFUE X 19% 0.32 38 13 25 WA WA Normal Y 19% 0.42 38 19 25 WA WA Normal Z 19% 0.42 38 13 19 10 6 90 AFTJE AA 189% OJO 30 19 19 10 6 90 AME 1. ADDRESS OF PROPERTY: l C) ✓ 9 66 (,✓es� � a,-rn C, 6�t 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: $ 4. %GLAZING AREA(#3 DIVIDED BY#2): 3�� 5. SELECT PACKAGE(Q—AA-see chart above): f NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f9803O3a 780 CMR Appendix J Footnotes to Table A2.1b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement 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 ft'of glazing area. Z 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-38 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-fratne or mass(concrete,masonry,log)wall constructions,but do not.apply to metal-frame 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. '71 a entire opaque portion of any individual basement wall with an average depth less than 50%below grade must mez, the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned bp..,ements must be included with the other glazing. Basement doors must meet the door U-value requirement d.-scribed 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.la NOTES: 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 manufacturer 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(i.e.,may have a U-value greater than 0.35). c) If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall 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(0.35 for doors). - 43 The Commonwealth of Massachusetts —......- he Department of Industrial Accidents office of/fivestfaatlnos 600 Washington Street Boston,Mass. 02111 Workers' Co ensation Insurance Affidavitsawwr name ►cl.o Eck N.a S ke0 � �a ��a t�f� �� ,,n �„.0��✓�.,..�.f location Po r� S a r�� �,•v L cityrA /% f-l' o I phone# �s��-77 ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one workiz in anv opacity /// fI am an 1 rovidin workers' compensation for mp employees working on this job. : :::::?<}:.}>}}:.:;::;::;;::::::;:;:;;:<:::;:::::::::; ..... employer prow g.......................... ... .. .:::::::.::................................:.......:...:. l� :..:::::.::.::..............:.:.:::.:::.:::::::::..............:.:.:.::.:.::::::._::::::................::::::::::.:::::._._:::.:.:::::::::::::......:::.::........::::::.:....::.::::::......:.::::::::::...........:::._::.: p g re as :ii'isii+4%i{:�i}:•:: }1:.:Y is�i:::�}:::}v!ti!.:^:�:� ::. ?:.....tiii:: .::.v::'::":,:?:::i:::i�::i:::,':i i}:{:>:s�::::':::.::;::!i: :::i:.:::}:i:::�'� :;i:i:::Yi::•. :.'v:;:�::;:,. >;> . ...... . ... . >< :�X. • ��; ;}„><.:?::}: :�.:<: >;:::�:»:;;:<;?.}: oli�cu:# . z :.�.:�...:.. .:. 13.�3..:':"� ❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who have followin workers' compt;nsation polices: the ......................................... g • dress ••::._:..:.; :.::.;......................................... .;':>�:�"JiiiiS::::::;:iii::i::jiS ; 'ii:�i i:;i'':':'iii'i nh `a ..................................................................................................... :.:...................::::........................:................................::::..:............................................. ::...:......?............... ::.?.::::..:.::. ....::..........:.::. .................. ......................:... .........:.::.::::::::..:.:.:?.}: any nam "diItes a xx ............................:.............. %:::.:..::::::........ ::::::::::::.::.:}}::.: .. city' :.... ::::::::.:.:.:::::::::::::•.:.:::::.::::::::.. ::::.:::::........................... . ........... ............ ............................ oiiev Faitme to secoze coverage as required under Section 25A of MGI.152 can lead to the imposition of crbdnai penalties of a me up to 31,90.00 and/or one yam,imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a line of 5100.00 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 trw and coned Signature 2AO Jt �1..L� Date Print name y� fZ �� phone#�2 , official use only do not write in this area to be completed by city or town official city or town: Permit/license ❑Buffding Department Qlicensing Board ❑checkif lmmediate response is required ❑Selectmen's Office (:]Health Department contact person: phone#; ❑Other (tevuad 9195 PIA) 4� . Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' othercompensation under anytheco r employees. As quoted from the "law", an employee is defined as every person inthe service of an of hire, express or implied, oral or written. An emplover is defined as an individual, partnership, association, corporation or other legal entity, or any,o o or more of the receiver a the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, trustee of in 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 or another who employs persons to do maintenance , construction or repair work on such to bean dwelling house-or on the grounds building appurtenant thereto shall not because of such employment MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewe rmit 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 of this. r have been presented to the contracting acceptable evidence of compliance with the insurance �P� authority' xXXXXXXX Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situa tim and supplying company names,address and phone numbers along with a certificate of insurance as all affidavits maybe submitted to the Departzneat of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and e is date the affidavit. The affidavit should be returned to the city or town that the application for the permit°law�r if you being requested, not the Department of Industrial Accidents. Should you have any questions regarding 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 libottom o�e f the affidavit for you.to fill out in the event the Office of Investigations has to contact you regarding the app be retaa�s t^ be sure to fill in the permi tense number which will be used as a reference number. The affidavits may the Department by mail or FAX unless other arrangements have been made. you in advance for you cooperation and should you have any questions. The Office of Investigations would like to thank 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 of Imlesduadons 600 Washington Street, Boston, Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4.900 eat. 406, 409 or 375 RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET LIVING SPACE i 3�L square feet x$96/sq.foot x .0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x .0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq..ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x .0031= STAND ALONE PERMITS m Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee projcost try ram, The Town of Barnstable MMSTABM KAMM �0� Regulatory Services 59. rEo Thomas F. Geiler, Director Building Division Peter F. DiMatteo, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: 1/X 12� -Mv Ct''ool u(;+�O Estimated Costf_71 000, Address of Work: Y U �✓r �,eo y, t✓ -/ �✓ IS u /'^ ��� �' Owner's Name: T)N 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: o S S-z 1 Date .4--��/� Contractor Name Registration No. OR Date Owner's Name . q:forms:Affidav:rev-070601 SH&z,T Z. of Z Z5,q 3-.yto Pi �oo�o i /So / � �• tft,Zo•'¢ l / lo0�i I LoT �. 4o Aces -e XL-/B.l Jvp T� �T4,9r� �1 peop.1" ° '�°• �So I Ak ez .o i oq .51 T6- PLC LOCATION WEs7,B1Vv57;9dzc- iys�ss SCALE . .�. �'-� DATE PLAN REFERENCE . e--7- c 4T Z'9 . . . . .. . . .. . . IVoTZr— &ZL-VA?10,V.S •BAatrD c N S,y6wNQO� d io EDT AR n� I CERTIFY THAT THE ... .. . .. E. N SHOWN ON THIS PLAN IS LOCATED ON THE GROUND ELLEY AS SHOWN HEREON AND THAT IT CONFORMS TO THE No.25100 Z SETBACK REQUIREMENTS OF THE TOWN OF O 9�%TOLe WHEN CONSTRUCTED. a u e v E;o=r`. DATE REGISTERED LAND SURVEYOR . ..' . .. :• ": ..�a`' —�. r�' S�i+-( 2!4Y'� ,y rd.Y z"aw-•5.�4.,,:�J•'!i'z. v`^�'3?:+C �"�'�'�"'�._ _ - :: ' i �II " Ili` NS �, ,;Restricted To 00 :- � � • ,I�' RICHARD B HA3KEWA`- _ _ 71 PORTSIDE DR 601WN dmlmstra ' 67 �osnoxo�eraealOi o�/C�auaa l4 NONE IMPROVEMENT CONTRACTOR '.. Registration: 105511 Ez iratiov ' '7/Il/ Type: 08A HASKEII NONE IMPROVEMENT' ~ ' RICHARD HASKEII 7 Portside Or. ADMINISTRATOR Hyannis MA 01601 :; - .... him, I1 I II---- I i i , jI ----- T i � I - - I : I L Ili I i! j II f I ! 41! t4 nJ T. -FTG /�T/P� •9'M/A), I w&H FuL� POur� • }-+ Li I C p-lbrW PACs AU rye t -r v-Eo i PE2 c00 - AfJCNn2. .LO LT*Pi2 c0DT- DA(L4 P PILOOF P5.' -E G(LAV L000 a"C0n'(. Dust CAP k i ax 8 )?77L-ED[>t9.. PT-..,&Gx ATip. 1 /0"S0;OA 777113e� u' GOUjJDA-f Q0 PLA&)- 4CAc.E. Vif f U ' a o F02 CTR. 5oLaP-ED C L6. OP7. VAOL"T PORCN CA, 1 voJ I 1 � ./T. 70�'t _ I /xI/ P.T. D-L C. /NC>- dxio�¢./�•. J r X.h /-'T. iO.�c '`i .K F P'T. :{ 11T0 ' It?" 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DU>r CA /G L.L 1 .. ......- - ----.. .__.i DR ht P P fcO DI= L OW [F -n-Ai- 1. / G/G•i D �7yF� U cB 8`lONC. cu:ttLy °x.,g I 3tL0U) GD-A0f-� - PT. --(o" C C-A-LO L Acc,r�yq 4-'V•ErN i ,/2e(2 CODE /A NC.Fl o 2-..t30.L.-T-P� G O Df- -r GrM=i.) A fr . T)Am P PROOF $E Low G rZ.Ac a"LQNC.• D.U5 i G•ft P Q RAi5 i Ay 5NoLA A3 P L A 4 a.x's I � s J\ %;tccry Gnfry (iyP. PAR-AA Pnac'H : it i /D TeP C.cNTiao�g ,�-ax8.I+DR' A-M \-noo io LA&I SCALE �Y"=l 'C�' -� POsrf • w>U� w� P/N t BE AD d Ak D cLl�• laallOP7. VAULT/BCOPCD A3 PHA L- (20Dr !2-* r&CT 5 Duf K �a"cD r P�f,. /x7 "7Y-7 k)Atc PcA:N- Sc.At .�y'• = / _�,, f JF', o�(v! w' Il0'' 1 ni r>c,L+ COn:r.joFF/7 llfA)T. F02 GTl2. SLoP-EO �. I ALUM . lsvT"T�r�[� y- SPptiTjr 4'a+- cL6. % L.V,L• CS-r--E L0/u0r-P- y.42D SPrC' a.xio rv4FT-AFT e. P,30 GAG /Z;3 w,At-'cat { =4'(C'c l! ,.' 'Tic !Z 30 FLOG e. 5G, ,x10 / I �grAJCiA -t'- - � •� ...u2L..i - I X 5 �'oT�7 T �•- /N..4'TCH .eE'�� � . `, tea rp�6zf.•t- I x V 7a/I /0 A-'rEf a x vy e 16,o-... _ $ ! .S'x y PT. I 4 4u r-LA'F/3o>tRD '�-T-7 - .5��•v,5 UcB FZ r�n 2 /-xs Ix(o c'8 D�y � , i i I j - i 1 I I I I I I I j : . . . . . 1 I I I I i i . � i - -- 4 1_4 4 1 -H�- -- - ►-- -,1 ---- ' I --- I - i I : - � : � �_i � � HHt : I I I : I , ; I I i If1 I I I I I t I I I j • ! -- T I +�., i I I ; I� I A PIM I � . . - -_ ��- . . � �6. pp Ica Ion to ;!I ®Cb Ringo Agfgbbiap Regional �*torfc ;Di2;tri-ct,C-0MM ttee In the Town of Barnstable CERTIFICATE OF APPROPRIATENESS Application is hereby made, with four complete sets, for the issuance of a Certificate of Appropriateness under 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 U Addition ❑ Alteration Indicate type of building: aHouse ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting: [� 3. Signs or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 4. Structure: El Fence ❑ Wall El Flagpole ❑ Other TYPE OR PRINT LEGIBLY: DATE i17- o i ADDRESS OF PROPOSED WORK Lq w. ,d. ASSESSOR'S MAP NO. /3e2 OWNER / ;o1f'WA . Zr—'A—,��,�/,Q L ASSESSOR'S LOT NO. o 8 HOME ADDRESS -!o WebAEeA, ✓164 TELEPHONE NO. sob 34 Z 77/7 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any public street or way. (Attach additional sheet if necessary.) GEo 44 A- G•A - /D LyiAZ oN /.t v - 33 w, vl oas 6 J - E E 8 s,er —Z.-Z//E.c WE ar 'd-4eA'c�,r/r k olldo 8 AGENT OR CONTRACTOR ,ay,,*,,,A TELEPHONE NO. 508- 778- S.2S3 ADDRESS '7' 7:.�10di lAle 74141Vn.1 2 *A O ZL o i DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please include locations of proposed signs. ,/ / 2 'x !D ���/�t N Aid" �l oN W/T"`i ��KfE�S 4AA4. i Signed _ Owner-Contractor-Agent For Committee Use Only This Certificate is hereby nvF: Date J1 prove enied JAN 10 2QN' Committee'Members' Signatures: Town of Barnstable j Old King's Highway Historic District Committee SPEC SHEET 2002 , 032 FOUNDATION C oN e e-c7 - SIDING TYPE 1%14Lx c4 COLOR 1,vzc E red CHIMNEY TYPE — COLOR — ROOF MATERIAL Zs, kg LT COLOR �%,ePo.rL PITCH 112 / y �� a e .FXi s�i .t16- I WINDOWS �pgl,� _ of COLOR R reAL SIZE y- TRIM COLOR DOORS p. 8LT" 1Sp e,4_ COLORS 144AT 4.4 SHUTTERS COLORS —' GUTTERS A/� �,�,� ,�/ COLORS G,e S.tf DECKS /fir 5! jdr MATERIALS 0 GARAGE DOORS — COLORS SKYLIGHTS SIZE — COLORS — SIGNS — COLORS JAN 10 2002 FENCE �( .� COLOR_ pDwnix 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. CONC BOUND "R"Q FOUND Sg�o3 '4340e�L' STAKE/TACK SET STAKE/TACK SET LOT 2A S87*04'46"E 1.4t ACRES 98.13' i CONC HOUND FOUND L O TOM AND LEE ANN BERGAL y WEST BARNSTABLE �V TALL STAKE SET CA C1 MAY 6, 2001 SCALE: 1" = 30' a w CL to UXAnON CONC BOUND FOUND `�® STAKE/TACK SET STAKE/TACK SET A STAKE/TACK SET Oe, CONC. BOUNDS m h y� FOUND 5n' 1 4` y TALL STAKE SET � �•p� CONC. HOUND FOUND (TOP BROKEN) STAKE/TACK SET c TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION, 2 SEPTIC S�° r'' -.. � Map 13 Parcel � INSTALLE® IN Ct� , .Permit# Health Division ' -- ' �'°����— ENVIRONMENTAL CO WITH TITLE SDateIssued Conservation Division G TOWN REGULA3"I�Fee Tax Collector Treasurer LA Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 0 Wl.k, r cy, to " Village �)e c+ g 0.r r►sI�L b(C Owner _�o n,.x s 't- L e u n n 1 n✓"q c-t I Address 4i y Telephone 77! -7 Permit Request rl Q d•-t �.�9 I?c a�, �� K) Square feet: 1st floor: existing proposed 2nd floor:existing proposed 120 Total new 20 Estimated Project Cost Wil allS`o 0 Zoning District Flood Plain Groundwater Overlay Construction Type tk s o d Lot Size ' I. LL vxc.v-,_S Grandfathered: ❑Yes UtNo If yes, attach supporting documentation. Dwelling Type: Single Family E�' Two Family ❑ Multi-Family(#units) Age of Existing Structure QuJf s 11S1 NY Historic House: ❑Yes ❑ No On Old King's Highway: 5 Yes ❑No Basement Type: 51'Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new• Half:existing new Number of Bedrooms: existing_ new Total Room Count(not including baths): existing new I First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: Ides ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑hjo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes R(No If yes,site plan review# Current Use Proposed Use I-)as kc_11 14-o - T ",ef-J WILDER INFORMATION Name (� c`.__aff,Y,L e e 14�.5 Let f Telephone Number Address -7 Po A-S i cr c b r� v e- License# C S 0 ® OS' 14 02(. 0 i Home Improvement Contractor# 1 0-5-S- � Worker's Compensation# W C S� " 07 J T9,Q,0 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1 ranS S�u�O✓1 SIGNATURE G �-�2J� DATE _ S�I��&( t. FOR OFFICIAL USE ONLY — PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE s OWNER DATE OF INSPECTION: I FOUNDATION FRAME` INSULATION FIREPLACE- - ELECTRICAL,: :"ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT , ASSOCIATION PLAN NO. MCURAPPEoluxi ° Tabla.lsZ,ib(eoada�nadl - lresKiptt►a fAda for Oaa and Two4Faodlq i��1 Boildtop Haftd with Fossr2 Faeb a MAXI&II1M tYIlTHlNIIM (> 8 Ceiling WAR Floor 8aaem:at 9Vb 8 g kB( UW"3 1 R.valr� R vet� 1Gvdo� Wit[ pwom ft°P== ==Cyy Padre Rr"we 5"1 to 6500 Head"Deaeee DSW Q 12% GAO 38 13 19 10 6 Normal 12% am 30 19 19 --to1 6 " Normal 1 129A 0.50 39 13 19 to . 6 U AFUE T 13% 036 39 o 23 WA -WA Normal u 13% CA 3f 19 19 10 6 Normal ii IS'b" -0.44 �e I9.0 ds &a WA WA >6AFM W 13% 032 30 19 19 to . 6 >N AFL1E x IV/. 032 38 13 2s WA WA Normal Y 1>i'is 0.42 3t< 19 2S WA WA Normal I 18% OL42 32 13 19 10 6 90AEUE AA IVA WO 30 19 19 t0 6 1 90 AFtJE 1. ADDRESS OF PROPERTY: y t�a-[ o n ��•y &arnsfaWf- NA 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS.- 3. SQUARE FOOTAGE OF ALL GLAZING. L/ U 4. %GLAZING AREA(#3 DIVIDED BY#2): r0 S. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS i ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUMMING INSPECTOR APPROVAL: YES: NO: q-forms-t980303a -iau pen Footnotes to Table J5.11b: Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement 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 fl of decorative glass may be excluded from a building design with 300 ft of glazing area. =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 JI.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 spat:=d 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-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-same construction. The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawispaces,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 walls. 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 J5.2.1 a NOTES: a)Glazing areas and U-values are maximum acceptable levels.Insulation R-values are minimum acceptable levels. It-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 manufacturer 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(i.e.,may have a U-value greater than 035). c)If a ceiling,wall,floor,basement wail,slab-edge,or crawl space wall 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 • -LARMMLL • � MAM - 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 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: 'Q 0-r rr.e r' a j r`fi'b, Estimated Cost #� S-0 v Address of Work: Y 0 � -e_0 Owner's Name: Dho na-s 4- L Date of Application: S 5-1 0 0 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded bylaw ❑Job Under$1,000 Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that:a 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: �I t-,5-10U &,9-11 Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav The Commonwealth of Massachusetts Department of Industrial Accidents _= Office 6118yesdoo fops - 600 Washington Street - cs' Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name: I �"'�h. c�S '� Lc cA-h r\-r- location• Ho city u.n ,e. l hone# ❑ I am a homeowner performing all work myself. ❑ I am a sole PTc rietor and have no one workin capacity ®'I am an employer providing workers' compensation for my employees working,on this job... :.::.:.::::::. :.:::: . .:iiiiiiii:4ii:: ••.•.. .:v:::::.:::: :"'::':.:.i::.: i .:. is ii::v:.�:?.�::•:;>:ii+i?:i i:!ii:iii ii:i si iiiii:>S::Si:h:is is iJiiiiiJ:i i}:::ii;i s>,iJ.:i:viiijii:{ comnanv'name.::.:::.: x.S:. . ...:::::::. .:. AT: P.:W. .>.'rv1�. t...........................:...................................................................................:.. XX ::......................................... XX qty:•.:.:.;:.;;;:. « '. •.: F.:.S:::.,':::::::. ... �1. .... shone#..........L.................. .. ...........................,..,.:;:: >::>:: ..... ..... � ❑ I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: a `I18111C'` >> > << >> ?? <<< > > ><> ':'i..... ?i> < > < iai < >< »< <> >«< »<> >«<?» <:>;>>«<»« ><> >'«<<< <>> :»<: :? coma nv '':J:4ii':i'.4::•''i'Jrri: ii: ........................................... :i�4. ..}..�............ ..c..i.t..y.....>.::.>.::.;.:.»..::.»..::.»..::.:<.:..s.»..::.>::<•:v>::<::>:::»::>:::;:;;v;:::;:.>..::>:<.:>:::::::>:::::::>.:�:>.::::;:::::: ::: ::::.�:::>::::::.>�::::::::::.�:::::.�:.�:::::.:%hii..t...i.n..i: .s.i.}.i.i.+.i::: ::: :>:><::>:'z«:«:::: : ............... ..i.i>.::•.«>.i.:::•.:i>.i:.:};.::�.<'.:::�.::>�.::�.:i>.Y:.:.::.::•.:i%.:•.D:�..:•.i.i.Oi.:v.r.:.�.?.i.s' :< « <.... .... �.:�.i.:i.•.i.:•.:.:v.�.:3..:•.i.$.i.:>.�.:v.v.i..i.:�.i.i.i.i.:•.i.:'.::.•.:•.:.:•.i.i.>.:'.:•.:.i.:'.'r.:.>.:i.�.:'{.';.::?.;:.;.•i.:v..i.>.:•.:.:�.:i.C..{•.:.:.:M.vv z.. ................................ ;> ..................................... ..> .....: ............................... %.... .. cault sans <` `<i'fii JD 7 v.:........................................... ii::iiiii:Ji::isi::y:>i:iiiiii::i+nisi?nisi:!:i}ii:isi::::isi::i::::iii:•istiviiiii:Jiiii:i`i:•i:.ii>':i:.i?i:.i:.ii?:�iiiiiiii:'`:i:i iii:Jiii: i'? y5:jiii:;} i:i::::i;}:i:v:Litiii ii: 4: Oli # :» Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a Sue 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$100.00 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 penalti es of erjury that the inform adon provided above is true nand coned signature j / Date Print name r L.�l 6 l I5 t Ida S k,r/ Phone# IS 075J 7 7 $"S-2,-3 official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department (JLicensing Board ❑check if immediate response is requited ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other Uevind 9/95 PIA) Information and Instructions ' f Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a . dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. O//O/�//O/�0���/�O/��/��0�/�O/°�///�i,�00///��O/ 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 'i 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 pe jimit/licease number which will be used as a reference mimbei r. The affidavits may be rcin a to the Departmenrt 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 Me of Imtestloadons 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 ... V ------------ ---- - sue. 5 R s ` I i J 1 i 3 -------- ----- -- -.. .......... -._.-.. I BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR t Number. CS 000605 Birthdate: 05/21/1946 Expires 05/21/2002 Tr.no: 23921 Restricted TO =1 f RICHARD B HASKELL;' .. 7 PORTSIDE DR '` Ems. � !�✓s- HYANNIS, MA 02601 Administrator ✓4�O7!!m lL (/L p�✓/,�pLGLU4CC(p HOME.IMPROVEMENT CONTRACTORI'< -`! Registration 105521 ype--``DBA ,. Expiration.91 OfGi'7/00 sKi I HASKELL HOME IMPROVEMENT.. HARD B: HASKELL,; ortside Dr ,`1 ADMINISTRATOR i Hyannis W02601 Sr/ L of Z Sfa�Ts - -�E i7•¢ "z Ze2;0ZvAF Zo,o 1 'I �7•l �y l l� I� / I �• ta.Zo•¢ I LoT Z �,,�.o Utz¢ �80A �z2` b �a. �. 40 AdzdF5 f 'O• c° c WFu. . POOP k� PIZ' d�� � z-7,9/ ohs'/i LDCATION .W ?�.BsnisTsJB�` iyyss \ .� SCALE . .�. �'-��. . . DATE PLAN REFERENCE . . . . .. . . . . . . N°TZr— 6Z4-VA-770.vS :S�sbw�v OF" PGg,.� 800/G 3/B fY.55'liHG� Di�tti.7 � /�AGfy 9'T. ED�IAR I CERTIFY THAT THE ....... .. ...... 2 E. N SHOWN ON THIS PLAN IS LACATED ON THE GROUND ELLEY AS SHOWN HEREON AND THAT IT CONFORMS TO THE Na.251owo y SETBACK REQUIREMENTS OF THE TOWN OF O 9�G�sTEa�e WHEN CONSTRUCTED. '"o s u e v E 14 -0 DATE �t9&'72T ' 3��72�y�}�v — R&77710A-1 7Z- REGISTERED LAND SURVEYOR _ - Ll I Li Ll ^tiluut EIrVATIOtiI LEr7 �«v�nnwl I _ i _./ir8"IF i Fri�t.e i � I / -- P-f-P- .At DGr,mn rz Ann ri n.J •% OA"tJ MA/A -J7riu,L9�tJ 77Y-667y e ' I - jI � i 1 7i`t-•:,__ I .ASPHALT r.AOF_./i f/FELT — _ ).12Lon P.4I RI D6E♦LOtir. OF-FIT Vtr.1J : - ���} $ {♦ ALV M. UUT'T'E IL L 4--DO Ilk - GL6• ..yew 23o IWA`LAnGN ' % _cxr�r. 211 3 n�T� L /a,.J i'.-n IWvM d O � WIT4 E -rrJL I%�,T 1/�!C-JJA�- MAT-CH D CA- k4- r.Lt.. - I X IS_<j0 r- -r♦-MATCH W IXP_ttiI EZE t• MATCH 0 3:.XA Y 7D.r'-_.PIAI,.r ' 'a0 aAvy e/��oL. �•. T -a rj TVO A Wu_ vEK_OV!E12.Y.Z 4,OX PL1/ AIkW 3, AD IV��VDnJ O Ncw /AlL, 4 Ybtl)T , r GlAyy ADrV r rO FIY' DE Ain HAy OE 2EQU10.E 1,� IK$ .T. 4/�.-.1 .. 13kLOW jver.riy WMG DAINFD� .- fxs Ike. C" E r��r. GITCHG�I n ' •� TDb LOW dX.Y SHDE. f�8"SGO rL i Et•7r �D'Srf Erg T /'/II erc"o/. FJ t I�rJFJ -'.— LA..", CikAM AATOI WHeo OF4,04iy �• i �.� •-) �i WHAT 6xlyrs �- la'�•�+- NkW DUC ut RI �j A' I I. 5 �� (- I _ - i<I _JIII C"'c i i-1;.1Gr/NG �clrCrJ- Lr Al.c�4'=/-r•�_ - . 61iP.G-A L a ord- 9 �1 F G.raywood a t \�. .� \_ � �` _ _ , � �� �-. ,. �r=,—F _ ���� .i,- n - �s .'• - s -pni--,A, -,� � ,, =' ' � _� _ _ �. -�. ,. e� -yam_� ��-� ��— __.— - ... _. ,� � � _�4, I ;�II, ?is, ■ ■ i ,w • �_P Application to • � 000 073 Old King's Highway Regional Historic District Committee in the Town of Barnstable for a CERTI FICATE 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 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. Stricture: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements): TYPE OR PRINT LEGIBLY DATE ADDRESS OF PROPOSED WORK - 140 Wih6 tew WAV WEn-.Qody. ASSESSORS MAP NO. Ill OWNER T.�•�r.as iCt F ,,Q.w�, ,(3E.eb.�1 ASSESSORS LOT NO. 10 J/ HOME ADDRESS 140 kki�Afoev 01,16, �. WP37- d'ctv-1 if TEL NO. FULL, NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public sire/et or way. (Attach additional sheet if necessary). W/A6�'dti W..; M/Es r ,d&v A1,%2 c 14 wA• o Zbb S - /3,? - O a 8 '4Ay L-t -I!E 33 w%6ArEQC,s WAa Wb?T -J,4,,4oVJ 4ZI• /V,d O u/.(i 941 T /G/ S) WEST XNA. 076G& O 8 AGENT OR CONTRACTOR red .d,//- .rs,�,// .�,uE S • TEL NO. -428- '77S' S Zs3 ADDRESS 'y oa ka s I ems - *A OZ401 DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done(see No.S.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). APPROVED Sigma, -contr.cto.-AVM space blow line for Committee use. O D . Date a ficate is,hereby Date i ag ► eA Vc-��zT BRRF1NNOFA N - Approved ❑ IMPORTANT: If Certificate is approved,approval is subject to the 10 day appeal period provided in the Act. Town of Barnstable. ' Old King's Highway Historic District Committee SPEC SHEET FOUNDATION & SIDING TYPE W&Oa ��184-AAV COLOR /f,�: /o oj� CHIMNEY TYPE 1,4 COLOR ROOF MATERIAL s�rn.6,�r 1 i�Q�,o(,e/J�. COLOR el< PITCH 3�iot WINDOWS 0..4/. COLOR woes SIZE o2 K3 TRIM COLOR �,Qsr �a �c eGu,,e a !) DOORS 14 COLORS SHUTTERS /y/� COLORS GUTTERS ..,o./nr v.ril COLORS DECKS MATERIALS GARAGE DOORS A.,1,4 COLORS SKYLIGHTS /V SIZE COLORS SIGNS IV /4 COLORS Ra On- FENCE /V /¢ COLOR jr=s: 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 plane, when applicable. SPECSNT Revised 11/98 . STAN DARD LEGEND ' NOTE:not all symbols will appear an a map Y== =? GOLF COURSE FAIRWAY { EDGE OF DECIDUOUS TREES EDGE OF BRUSH ORCHARD OR NURSERY ..... ...:,.... : EDG E OF CONIFEROUS TREES L MARSH AREA \ \ / / Y•. EDGE OF WATER + DIRT ROAD DRIVEWAY PARKING LOT PAVED ROAD — — DRAINAGE DITCH .� PATH/TRAIL 1, \.. ...................................... PARCEL LINE .� MAP 132 — k, '� 4 �' MAPito-<— MAP# / \ 21 PARCEL NUMBER #40 ate6a _ HOUSE NUMBER : MAP 132 2 FOOT CONTOUR LINE i ` /�•.\^ 10......._.. 10 FOOT CONTOUR LINE # 7._.—— Elevation based on NGV029 4.9 SPOT ELEVATION i /i , ' �. 1 132 a_•:- STONE WALL — — — — ' # bl �� �..............y.... FENCE , , RETAINING WALL RAIL ROAD TRACK MAP 132 14 9 \\ / / _....__-_.._. STONE JETTY `•� #33 MAP 132 J P0° SWIMMING POOL PORCH/DECK MAP 132 \ #�' ; \`� L� BUILDING STRUCTURE 36 1 I 4. #51 \ �� .^ i...�..r. DOCK/PIER �\ �\ ;' �.\ i•� " HYDRANT �� �•� a: �`�� 6 VALVE O MANHOLE O POST p p FLAG POLE T O W N O F B A R N S T A B L E G E O G R A P H 1 C I N F O R M A T 1 N ®PRINTED SCALE:IN FEET v SIGN STORM DRAIN *NOTE: Planimelrics,topography,and **NOTE: The parcel lines are only graphic representations DATA SOURCES: Planimelrics(man-made features)were interpreted from 1995 aerial photographs by The James W:Al E - vegetation were mapped to meet National of property boundaries. They are not true locations,and W.Sewall Company. Topography and vegetation were interpreted from 1989 aerial photographs by GEOD 0 UTILITY POLE o TOWER ,K 0 50 100 Map Accuracy Standards at a scale of do not represent actual relationships to physical objects Corporation. Planimehics,topography,and vegetation were mapped to meet National Map Accuracy Standards s 1 INCH=100 FEET I"=100'. on the mop. at a scale of I-100'. Parcel lines were digitized from 2000 Town of Barnstable Assessor's tax mops. O'LIGHT POLE O ELECTRIC BOX TOWN OF BARNSTABLE 2662? Permit No. ------------------------- Building Inspector i "usaan cash ------- ------— - �elw OCCUPANCY PERMIT Bond _ ----------- Issued to RobCrt ShLr=n Address lot f2A 40 Tlidgeom Lenn, [peat Barnstable Wiring Inspector Inspection date Plumbing Inspector/��"..f\ Tl 1 Inspection date Gas Inspector /� /. Inspection date,- Engineering Department Inspection date Board of Health -+ . � .� Inspection date l 7 /12/ THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0.OF THE MASSACHUSETTS STATE BUILDING CODE. ` ............. ............................. . .........................................._. .................f ..._......_._...� ._... ........ Buildha r'Inspecto FROM ti TOWN OF BARNSTABLE " Mr. Francis Iahteine BUILDING DEPARTMENT Town Clerk ,R ~� -367 MAIN gTREEt HYANNIS, MA 028M �Bf+II K:Y.M 1b_T-A•?'M'•'1•`W Y..Y Y. a Phone: 775-1120 I SUBJECT: FOLD HERE DATE - Dec6nber 18 1984 ,� MESSAGE Work has ,beenycaTieted under; 6621' {i2i�ber�tySheman}.- w--_.._. Please release.Bpndi----- -- -�fa�`•p 9rWOiNe+Y O*'P ri stgn®"94 i . - SIGNED • ,� .. Y DATE - REPLY ` 11J✓ SIGNED Ne7'RMI** k RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY .. • + r d PRINTED IN U.S.A. SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. i¢3•IWO A nn 0 V LOT 9g, /3 - - N t*/fIS>NG O �L W O 10 'O CERTI O U SLOT PLAN LOCATION We�sr 8� „!sr��c. Msiss WINSCAL =So '. . : DATE T•v 8 //�8¢ P(AN RE�E(tEryCE . .c3E7.v6 loT. .Z 9. . . S,110 wAl O A/ AL IlZr- Fo ED WARD �'yG 0 CERTIFY THAT THE S, ON THIS PLAN ►S LOCATED ON THE GROUND FG/STEP ae AS SHOWN HEREON At,10 THAT IT CONFORMS TO THE �b�sun�Er SE SACK REQUIREMENTS OF TIIE TOWN OF ' RR-V-5T�..$«:. ... . . . . . WHEN CONSTRUCTED. DATA '?086?zr S1/4—&'471910v — Pe7777&A14-1Z REGISTERED LAND SURV.POR ^ SEPTIC SYSTEM MUST TOWN - OF BARN9r-3,, B U I LD I NG.Y;.1 NSPECTO R TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: SUBJECT TO APPROVAL OF BOARD OF HEALTH rso OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS ' / hereby agree to conform to all the Rubs and Regulations mf the Tovvnof8o �o6| regardingthe above construction. mome .0 ------------~ ^y - Construction Supervisor's License .. ......................... . �� SHERMAN, RDBERT �* ' 26621. Permit for ... Story............ ................. Sin ............... ........................... Location Jpt..?A(.....40 Wid eon Lane......... West Barnstable ............................................................................... Owner .......Robert Sherman ........................................................... Type of Construction Frame...................I............ ............ F. ................................................................................ Plot .......................... Lot ................................ 5 , Permit Granted ...Jtme............2......,...................19 84 Date of lnspectioJ."7,.-eR..904/ 19 Date Completed 1�7-,�- ..............19. Assessor's map and lot number ....../ (�? *THEt Sewage Permit number ............ � SAMSTAILE, i House number ..........................� .......`�..�"......................... 9pO Mb 9 00 3 �0 mxt TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .................................. " : .�aF ..... ......... ......... ......... ... ..... ... ...................... TYPEOF CONSTRUCTION .................................. :.:.................................................................................................. :�. ..: .:��.�: +.....�..�..19..:..: TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: H r ;. v gar ✓r 6 I Location .:�... � � a i � �. c b ................................. ProposedUse .................. :..".:;%.. �'.:..F ....................................................................................................................................... Zoning District J.�T �� -�y t�r�- �' y� �......................... .........................................Fire District ....................................................... Name of Owner f`��� MA. X.bA..!....::.�...........................Address ...: a ?' ..: . .�.......`�...:.. 1.':'....:.: :: : :..... :.. ..:....... , Name of Builder ... ......... ...............Address ......... ......... Nameof Architect ..................................................................Address .................................................................................... f Numberof Rooms ,....................................................Foundation ....:............:................... ° '.................................................. Exterior d a c ...Roofing ......... r f P a ....Sr ��,�R: .......................................... ..... ..... .. ... .r...................................... Floors .......a. ' k.................................................................Interior . `ti 9 : i c'���C ., Heating ......... ... . .........Plumbing ........ .a.. r Y ��.. ?,! yb �d . ✓ _.... ......... Fireplace ..... . :.:l ,/�........' ..:.:: .:.:. ................................Approximate. Cost..... .. ..:'. :.... r. ...................................r Definitive Plan Approved by Planning Board ---------_________-----------19_______. Area ........................ II Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH �a i I OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . . ........ ................................................... Construction Supervisor's License .................................... SHERMAN,I ROBERT A=13./2-48 21,621- 13-2 StO, No ................. Permit for .................................... Single Family Dwelling .................... .......................................................... Location ....Lot.2AS.....4.0...Widgem..Lme....... ................... .......................... Owner ................................ Type of Construction' ..Fram.............................. ................................................................................ Plot ............................ Lot ................................ Permit Granted .....June...25.4.................19 84 ......... .... Date of Inspection ....................................19 Date Completed ......................................19 I I i _ ti •h` R � _ Y 1 .', - yy\,� � ``_mot - � - •; ..r..,-w� - 1 , , . f •t i s t 7 i 111 . . i f G z �. • } , i t . r . 1 -- .y- i 1 { 1 1 1 i I r 1 j 111 1 r � a j p f • i • - _. t _ TOWN OF BARNSTABLE l # M/b;4Y 7 ICiN (il , SCAL-E: APARQYF1)@Y DRAWN By ; DATE REWSED DRAWING NUMBER — I , , -t ,; . , s — r • . . f : . , , . ,. �#, s . ..., r, ,. .. - _ < a , ; - , , , , , , _— < . I , , , . . , -�� d , : :. - _- - 4 _ x - -. - - ,, > n i '- C - , : : r.. , .7 r q1 - _ +� i -+ f , t art- i i i . I E r _ .a , : i 1 -` -.__. _ < Jj ! , ,/ 1 - - - # {.�, III ., ., r{ - y. _ _ yf.. tom' : i .:rw rtr :. 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