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1951 MAIN ST./RTE 6A(W.BARN.)
J a I I e 5Z® �J� crct��o2^ UPC 12543 ��' NN O® �-O T cor Cape Save Inc. 7-D Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fax: 508-398-0399 1/16/15 Thomas Perry CBO Town of Barnstable Building Division 200 Main St. Hyannis,MA 02601 RE: Insulation Permit 201407881 Dear Mr. Perry This affidavit is to certify that all work completed for 1951 Main Street(6A),Barnstable has been inspected by a third party Certified Building Performance Institute(BPI)Inspector. All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey NOISIA10 i; �i �y'� G Z PJj�► �1�?l 31gb1S�b�� JO NN,0 . - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION I_ Map a d l7 Parcel � Applicatio 61 9� Health Division Date Issued Z 1I LA Conservation Division Application Fee A ` Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 1 7 ai n Village Qacns f,6 h Owner Q if Address 64 Telephone 5 $ pp ,� 6 y AIR Permit Request dd _ WK�a'�tDIL N r 144 7� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total rev hJ Zoning District Flood Plain Groundwater Overlay co co �.1 r Project Valuation 3TO Q Construction Type �^r Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic'House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ 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 First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 0 No 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 oVNo If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 11 ,�Q �a �ti�e e Telephone Number u 3 Address +_� Aire, License # S6 YF_r1A6'1&49 Home Improvement Contractor# 0-138b Email Worker's Compensation # Vwc 3085633 (t� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �p� Q OUP SIGNATURE DATE l< < Y' FOR OFFICIAL USE ONLY APPLICATION# a DATE ISSUED MAP/PARCEL NO. t' _ ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME i is INSULATION k FIREPLACE ti ELECTRICAL: ROUGH FINAL r., PLUMBING: ROUGH FINAL t F e GAS: ROUGH FINAL ` FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. y �•'� Building Permit Authorization I, : Blair,-Patty , as owner - hereby give my permission to Cape Save, Inc. 7-D Huntington Avenue South Yarmouth, MA 02664 Office:508-398-0398 to take all necessary P g steps to obtain a building permit to perform work at my property located at 1951 Main Street (6A) Barnstable, MA 02668 Signed P'� Date ( � . I ' The Commonwealth of Massachusetts M, Department of Industrial Accidents Office of Investigations I Congress Street,Suite 100 Boston,MA 02114-2017 ' www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibl Name (Business/Organization/individual): Cape Save Inc. Address: 7D Huntington Ave City/State/Zip: South Yarmouth, MA 02664 Phone#: 508-398-0398 Are you an employer?Check the appropriate box: Type of project(required): 1. ✓D 1.am a employer with ;�Q 4. 1 am a general contractor and 1 6. Q New construction employees(full and/or part-time).- have hired the sub-contractors 2.El I am.a sole proprietor or partner,- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. []Demolition working for me in any capacity. employees and have workers' 9. [].Building addition [No workers'comp.insurance comp.insurance required.] 5. We are a corporation and its 10.[]Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152,§1(4),and we have no employees.[No workers' 1�•�✓ Outer Insulation comp. insurance required.] *Any applicant-that checks box#1 must also fill out the section below showing their workers'compensation policy information. r Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors mustsubmit 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. 1 ant air employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Wesco Insurance Company — Policy#or Self-ins.Lic.#: WWC3085633 Expiration-Date: 04/09/2015 Job Site Address: 4q I 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 S 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DiA for insurance coverage verification. I do hereb v certi under the pains and penalties ofperim6 that the information provided above is true and correct. Sian ture: Date Phone#: 508-399-039$ 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#: DATE(MMI)DfffM CERTIFICATE 4F LIABILITY .INSURANCE 11/10/2014 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 pollcy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in Ileu of such endorsemen s. PRODUCER CONTACT NAME: Colleen Crowley Risk Strategies Coanpany PHONE (781)986-4400 FAX qA No:f7e1)963-4420 15 Patella ParkDrive .ccrowley@risk-strategies.com Suite 240 r INSURERS AFFORDING COVERAGE _ NAICf Randolph >I 02368 INSURERA:selective Ins. of America - IfaUREO INSURER BAllmerica Financial Alliance 10212 Cape Save, Inc INSURERc.Wesco Insurance Conpany 7 D'HuntingtomiAve INSURERD i INSURERE: South Yarmouth bM 02664 INSURERF: COVERAGES CERTIFICATE NUMBER:CL14111085532 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. ILA TYPE OF INSURANCE _POLICY NUMBER POLICYEF POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X RENTED COMMERCIAL GENERAL LIABILITY P REMISES Ea occurrence) $ 100,000 A CLAIMS-MADE ExI OCCUR 51994480 0/16/2014 0/16/2015 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 k GENI AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 2,000,000 POLICY 'X PRO X LOC $ AUTOMOBILE LABILITY COMBREUTUTarEur Ea accident) 1,000,000 ANY AUTO BODILY INJURY(Per person) $ BIx ALL OWNED SCHEDULED 6796600 1/6/2014 1/6/2015 AUTOS X AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS X OJT S � PerecdGen[ � $ $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 t A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED RETENTION a111 1994480 0/16/2014 0/16/2015 C WORKERS COMPENSATION _ fficers Included foi X VCSTATU OTH- ! AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIFECUTIVE N/A YIN Coverage.• E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? 3085633 /9/20I4 /9/2015 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 IIyes desaibe under DESCRIPTION OF OPERATIONS bel6w E.L.DISEASE-POLICY LIMIT $ 500,000 i DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,it more space Is required) Issued as evidence of insurance. Issued as evidence of insurance. Thielsch Engineering, Inca is listed as additional insured as respects General.'Liability as required by written'contract. CERTIFICATE HOLDER CANCELLATION msong@capelightcompact.org SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Cape Light Compact ACCORDANCE WITH THE POLICY PROVISIONS. Attni •Margaret song PO Sox 427/SCH. AUTHORIZED REPRESENTATIVE 3195 Main Street` - { Barnstable, MA 02630 � Pdichael Christian/CLC ACORD 25(2010/05) O 1988-2010 ACORD CORPORATION. All rights reserved. INS025(2oiom).oi The ACORD name and logo are registered marks of ACORD � C��re• �pana-�n�>2Gf1ea��� ��C>r2�z.11C�'�C%J2LU1e� Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 171380 _ Type: Corporation r Expiration: 3/14/2016 Tr# 249649 CAPE SAVE INC. WILLIAM McCLUSKEY 7-D HUNTINGTON AVENUE SOUTH YARMOUTH, MA 02664 -- -- -- - Update Address and return card.Mark reason for change. SCA t G 20M-05/71 Address Renewal 0 Employment ❑ Lost Card O//rP lrnariieriau+eCrl.C�r�,�(�hiJJur•�rtJB//-- --- Office of Consumer Affairs&Business Regulation License or registration valid for individul use only Uxpi OME IMPROVEMENT CONTRACTOR before the expiration date. if found return to: egistration: jj1380 Type: Office of Consumer Affairs and Business Regulation Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 CAPE SAVE INC. WILLIAM McCLUSKEY 7-D HUNTINGTON AVENUE SOUTH YARMOUTH,MA 02664 Undersecretary Not vali rthout signature r v Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor Specialty License: CSSL-102776 WILLIAM J MC C-LUSIJEY ' 37 NAUSET ROAD �i West Yarmouth MA 02 �3� 95 " Expiration Commissioner 06/28/2015 F+ M.H.B. FND, #34 1 ,0 IMUS ri • � V33 74 /75 76 77 789 LOCATION MAP B � �Z g 4p ASSESSORS MAP 216 PARCEL 40 �¢e ZONING DISTRICT: RF YARD SETBACKS: ` ���, FRONT = 30' � SIDE = 15' ti REAR = 15' FLOOD ZONE. C A ED D IV�WAY REFERENCE SEWAGE PERMIT # 97-620 FOR ter, EXISTING 3 BR TITLE 5 SEPTIC SYSTEM G l �CS I, 1ST. , v58 1 '� SHED 67 W (RE—LOCATED) o ~o QO � �o LO0 1 i -DRIVEW,4 Y_ = (RE-LOCATE) f EASEMENT 2� �21 .� g�ohs o EXIST. o Si DWELL \ TF = 92.3' , 41,�1 S,W PROP. ADD'N. PROP. DEC 573019'3 APPROX. EXIST. SEPTIC TANK (AS LOCATION LOCATED) D'BOX MOVE (OR REPLACE) 1500 GAL. SEPTIC TANK SO AS TO BE MIN. 10' FROM ADDITION CO OD CO of '\ co °, Cr\ rn n JO o 0 0 ' 2 l CO C.B. ,o� ~ ✓ �</ o FND. 91,258 sq.F t. 2.09 acres SITE PLAN OF 1951 MAIN STREET IN THE TOWN OF: (WEST) BARNSTABLE 1 °S PREPARED FOR: R O B E R T R A TH B U N 101, 3� �\ ��va OF MAJJ' ARNE 9�ti H. G � � OJALA 0 30 60 90 30 9 No.26346 ae down cape engineering, inc. - o'F�s�9fGt$TER��)JQa� CIVM ENGINEERS SCALE: 1' — 30' DATE: APRIL 8, 2002 D4At l.AtiOs LAND SURVEYORS ARNE H. OJALA, P.E.. P.L.S. DATE 939 main st yarmculk ma 0E875 01-033 r I if I n L 1 M11 III ! I I I!77 sMO��0 erecTORS L-Ir �� iou � � 0•K B RNSTA �.. EPT cL u I 'L Ill` lift I d • � V P&,to.4 Vt"I 10 U Pru�oSnr- AI�DLTtoi� -T4i- I`f:5t_ .-12ourrz�a. C DONALD I.MEYER lo6$ 2. Professional 03ng Designer P.O.Bo.512 _ So.Yarmouth,MA 02664 (508)394-5296 —. � NLH'LNGI.pBfiNOS`.AIVINY`B Su^n YEtp.e a` g!.g• ,2'-d'_ .p���`r ate- G•o• Q431o.. e O10'• � 4io Lu0 _'J�lpE@ i � r lOopo-� V7 I h - € ' �7 1 ' _ 2 1 C irn Do 4�' 1". I' y I s_ 1 ! I Q 1 I- °'I m -° � 7y en o. I 4\ T % - o r /�' 11 y yrvo �. •4 2 fi a i ky rT NN ',�•: � s am Zoe t--oG l �xweicuso ema°eec4aett:x+ ' I� r G � � f _ I � �• I �. � (C y C � S1 �6 � S CA 1 ;e 1E Ns P i I I o o. v 'A o; mJ �C S Fm a a g r t O :N ' - I �7 a to m uecqu( I ✓nuo�o_:ue.r�jHr n C :F S > 1ee qC lR 0 ° e rrJ o L a r i I ° 3 s, A I � .� CSi � '•�S' N W �' A Zcbl—o414 21� -U4o I9 s ,�`� t Aisessor's mpp and lot-.number ..:.....11 /.ODv. `�v o .. ... ...... FTHEt Sewage Permit numbeF .....:.�3 6� N; :• N�+��1 Z B6HH3TADLS i House number ....:.....��. YVI� I �'�'�[. 9 rose ENVIRONMENTAL C TOWN OF BAR N �T�` 'NU ' E` ��.: BUILDING I N S P E C T(OG IVAOLMcIV 01 L33rui is APPLICATIONFOR PERMIT TO ....... ... .. ................................................................................................ TYPEOF CONSTRUCTION ........ .. . ,. . .......................................................................................................... ...ra...V N a...............19..�3 TO THE INSPECTOR OF BUILDINGS: The undersign hereby applies fo�r� a�permit according to the following.information: Location .............1.C...(.gg..... .. ........z... ..... 1- /"t�.................................... ......................................................................... o � ; ProposedUse .... ......�`:�................................................................................................... Zoning District 2�6 .........................Fire District .............................................................................. Name of Owner l i........... ..... ..........Address ..F .:}'� ... .... 4` �� ... !► . Name of Builder' . Red....!'..`•`....-............................................Address .........zor-yl Y.^-4.................................................... � �'`- Nameof Architect ..... ...........................................................Address ....... .-..................................................... Number of Rooms ��....................................................Foundation ....... r.@1-,r ............................................. Exterior .... .... � ..........................................................Roofing .. .�?- ..... ,- ......................... Floors ...Li ................................................................Interior ....... ........................................................ ..Plumbing " Heating .............. .... ................................................... .................................................................................. 1 Fireplace ............. ...................................................................Approximate Cost ..........,.. . ....................................... Definitive Plan Approved by Planning Board _____________—______._______19 . Area. ........... ....... ...................... Diagram of Lot and Building with Dimensions . �( Fee ......�......5�............................ I SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of th n of Barnsta21ergarding the above construction. Name ...... ...... . ............... .... RATHBUN, ROBERT L. 'No". 24 7 95 Permit for ..One S toAy....................... ...... ... S i ag.�f�...TF�Mi ly..Dwelling ..... ..... ..... ............ Lcrcafj;�61F�j Route..14.9.......(T.-K.Qw;...zarm) on .................. ..... West Barnstable ............................................................................... Robert L Rathbun Owner .................................;................................. Type of Construction ......Kra ....................... .. .....m...e.. ............................................................................... Plot ............................ Lot ................................ Permit Granted .......................February 16,.................19 83 Date of Inspection ....................................19 Date Completed ....... ..............192a t a k 24795 s'`�sTMr�ee TOWN OF BARNSTABLE Permit No. ---------—_---------------------- Y w Building Inspector cash ..,4 ------------- —— �`°" OCCUPANCY PERMIT Bona J _ Issued to Robert Raw m Address�l' �. �7Z1 Rr�+tS-ca 1CQ t�Qcf- R��nrtYA��� Wiring Inspector , �i� ./' Inspection date v ✓ �. Plumbing Inspector/Ax -��� Inspection date Gas Inspector lvloq ( ,T Inspection date ry%Engineering Department ./� f4 Inspection date s `Board of Health ' �3 �- fl, Inspection date, -Z v r / 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. .. 19r., .....�I r�•.�. �.. �� /Buildin,, Inspect`orr 1 May 12, 1983 Y Mr. Robert Rathbun Main Street P. 0. Box 194 West Barnstable, MA 02668 Dear Mr. Rathbun,- Since Mr. MacSwan is on vacation I spoke with the Historical Commission secretary, Ellie Kenney, concerning your much discussed project. She advised me that since the Conservation.Comission lifted the "request for complainee" it was o.k. to continue. a I_wish to thank you for your cooperation wring these series of i events. Good luck dI ! Peace, Joseph D. Daluz Building Camnissioner ` r JDD/gr c�, �FTMEtO` ' 3AHISTAIM �O 039 of l�/Tt'/(/.{'L"/"!/`C�r l�/Q • • O s63q. 367 MAIN STREET HYANNIS, MASSACHUSETTS 02601 May 11, 1983 Mr. Robert Rathbun ' Main Street �v w• Barnstable, Mass. oa6-" 6Q Re: SE 3-921 - Construction off Route 149, West Barnstable Request for Compliance. Dear Mr. Rathbun; Confirming your discussion with the Conservation Commission at the meeting- on-May loth as to what may be done at the above-captioned site to_bring_the project into compliance, the Commission voted- unanimously to: 1. Accept the change in orientation of the foundation which differs from the referenced plan; 2. The area beyond 10' from the foundation is to be planted with native shrubs; 3. Rye grass seed -is to be spread around for quick-growing cover. A motion was made and approved by unanimous vote to lift the "Request for Compliance" and allow the work to go forward. Sincerely. e I i Gilbert Newton Chairman GN/dm cc:t/Building Commissioner Old King's Highway Historic District TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel ® // Permit# (G 1 / Health Division 4m n5 h 2 Date Issued,I� Conservation Division/i Fee oc/ 7- ea Tax Collector vZ,S—_ P F=� � �D p�`Z Treasurer SEPTIC SYSTEM MUST EC INSTALLED IN COMPI.RKCZ; Planning Dept. WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL C E TOWM REGfm LA V Historic-OKH Preservation/Hyannis Project Street Address �� , �✓k Village AQ f13 S -A Owner 8 O /8PP R 7 V 13 A.J Address J,:JU � , ,e j 0V I A Al-. Telephone 21L 'J 3 NAB 1p"5 -Permit Request r �r .���--�v�-.0 �1�-� V�.�i e--�—� �� �ytA-�, cam--.cn Ir-•i tA��c� ��J-((� Square feet: 1 st floor: existing proposed 3,3& 2nd floor: existing A proposed Total new -331 Valuation a®d . Zoning District Flood Plain Groundwater Overlay Construction Type WOO Lot Size y �. �� Grandfatliered: ❑Yes ❑No If yes, attach supporting doc entatiota5 a Dwelling Type: Single Family W Two Family ❑ Multi-Family(#units) Ei mj Age of Existing Structure Historic House: ❑Yes ❑No On ;1dpKing's Hi ay: O Yes No YPBasement T e: YFull ❑Crawl ❑Walkout ❑Other D AJ s ca Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new ' ® Half:existing G new Aid Number of Bedrooms: existing new Total Room Count(not including baths): existing - new First Floor Room Count 14 Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing ❑new size Pool:❑existing Cl 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 d��(JJ e AX _ n +� Telephone Number JJ pLf— 7 7� 3, ' ' 0� Address v/ License# ®0- 6 PHOL, IV HA d Z 73 Home Improvement Contractor Worker's Compensation Re'AgWC W C 0ALL CONSTRUCTION D BRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 42— 5 Yc � SIGNAT DATE �� q 3 � FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED17 - _.� MAP/PARCEL NO. � ; !. ,� - � tip,,, � + -/ •� ,-�r .�^ ADDRESS ' `< <%- VILLAGE OWNER „ i M / All lk DATE OF INSPECTION: FOUNDATION- 6 — �"� � � ✓ FRAME '- -� _49 Z ' INSULATION FIREPLACE J ELECTRICAL: ROUGH !.FINAL I , ' - PLUMBING: ROUGHS .FINAL et! ie GAS: ROUGH''! = -FINAL � .� n FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. j / v U .A• /f7 '"t +. 1 .Y Ar Application to Riillg'S �Ngbb�ap R61[OnAl J�igtoric Migtrict E0jnmittee " In the Town of Barnstable 4--. L. CERTIFICATE OF APPROPRIATENESS -2 00 2 , 07 9 4 Appl catlon is hereby made, With tour complete sets, for the issuancB of a Certificate o,A;)prop,"latcrjzs5 under ;>ection 6 of Ci-apter 470 Acts and Resc, es of Massacf1lusetts, 1973, for proposed arork as descrin=d beiarr and on plans, dra:,rlrgs o,phctcgraphs accompanv:ng this app'�B,iorl for CHECK CATEGORIES Ti.iAT PP=.Y: 1 Exter cr ?uiding construction � Rddi ton Alteration - Ind,cate type of baildina: f NI House 0 Garage ❑ Commercial - ❑ Other cA_°'' 2 Extenor Painiing: i.� k,,-- 3. Signs or Billboards ❑ �� g �-.©�•r Sign ❑ Existing Sign ❑ Repainting E}:ISfina Sign 4 Structure: ❑ Fence ❑ wall `❑ Flagpole ❑ Other_ TYPE OR PRIVT '.EGIBLY: DATE 1 .✓ _ y ADDRESS OF PROPOSED WORK_ .y41PASSESS0R'S i i P t!G OVVfVER_ p / ASSESSOR'S 1.0 i' N,,O. HOME ADDRESS " G' 13 i 1 G A TELE PNOf:E FULL NAME$ AND ADDRESSES OF ABUTTING Ov'VNERS, including thoss of adlacent property ov!,I ;,s across any pubiic street or way. (Attach additional sheet if nece�sary.) AGENT OR CONTRACTOR TELEPHONE NO. ADDRESS ;CS C> /. l/' ' . DESCRfPT10N OF PROPOSED WORK Give particulars of%0r{ to be dons, including materials to be used. Please I include locations of proposed signs. �� �� .• V Sig �,, _ O:vner-Contractor-Agent F6r Committee Use Only --"-- - i L} 71HR Car i Icate is hereby Date lo-o �. 'i _�. � Apptored.`n ' MAR 2 01 2002;04 ; Mernbers'`Stgratures: 1 - ITOWNIO OLD itiiVG'S '� =},ti.;�'! � � . � .. • r � Toticn of T3arr.stable Old K1r4's tlielrn:i, ilistvr., I+- tsitt('omc»itleL. i ll-NEY TYPE /VD -,e--.. - - - co"UrZ COT.O . i:CH. . OLOR SIZE :RIM CC I,OR ,klIORS GJT T EFi3� ��rG141w.� *- CCICR3 J C _ LECKS ��C"C` _ �:�_-__-.--- MATERII:I.^ GARAGE DOORS _ �U d -- SKYLIGRTS No o !>r/ Lc -- I MAR 2 U 2002 ' SIG'75W-Y— — � C GUI°N -- I q. The Town of Barnstable Regulatory Services Thomas F. Geiler, Director -Building Division Peter F. DiMatteo, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the`reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing.at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with.certain exceptions,along with other requirements. ^, Type of Work: R'ua'f e%V `�u'•' 1. Estimated Cost 0 0 0, Address of WorkJ 41SI V y_A 3 N J5' T 1.,U 8,g r lu s ti /J Owner's Name: �O Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 OBuilding 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 pply for a permit as the agent of the owner: '�'� l �! � � W� � � erL /f �J✓New �0 /�' �'� Datw or Registration No. . g1orms:Affidav :rev-122001 f F THE Tp� Town of Barnstable r Regulatory Services BMWa r v S& E� Thomas F. Geiler,Director �p i63q. ♦0 tFO,,,pr a Building Division Peter F. DiMatteo Building Commissioner 367 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 September 26, 2001 Mr. &Mrs. Robert Rathbun 1951 Route 6A West Barnstable, MA 02668 Re: Building Cap Dear Mr. and Mrs. Rathbun: In response to your question last week, if building a new single family as a replacement home is subject to the cap waiting list, let me offer the following: Procedurally, you would have to get approval from the Old Kings Highway Historic District Commission for approval of the new home design. You would also need their approval for any changes of the existing home and conversion to a shed. Then, you could apply for a building permit for the new structure. But, the permit application material would have to include a signed affidavit that the existing home would be abandoned as a residence and would never be rented as a dwelling unit. Sincerely,: Peter F. DiMatteo . .Building Commissioner PDM/ek Q/Rathbun92601:doc IMPORTANT MESSAGE r For Day ? / / $ Time P.M. M a1h-r _ f a - L[1� 00 Of 195,1 , tog 0 2 b//Q PhoneFAX Area Code Number Extension MOBILE Area Code Number Extension Telephoned Returned your call RUSH Came to see you Please call pecial attention Wants to see you Will call again Caller on hold Message a s ew Z a 'Z , � 22 Signed a Nv2�521-4 8 0 2 3 LITHO IN U.S.A. U.. L� /►I " I 1, Loa t� - e • 1=211 ; i e , � r 1 i J-1 ff as i i MIN ( 2 7G SLOPE) \_6' CRUSHED STONE OR MECHANICAL k } COMPACTION. (15.221 (21) r 4, 7 7 SLOPE) DEPTH OF FLOW = ( <' TEE SIZES: M.H.B. INLET DEPTH = 10" FN- � 34 OUTLET DEPTH z 14 FOUNDATION— 1 1� SEPTIC TANK / QP / 77677 / 7s 19 1,4 8 A __ } b 01 _ /,. % q XISriNG G DWE�-�jN a ED D IV war � L I rn I v I 0 P lit, ,G r t�I S, M 3.2 0 V N6 100.0V EXISTAGE DRIVE W - CA r \ 2� 2A' \ EASEMENT EASE �o' h� � ✓ � �. 0 o S 6 0 ` ai �136#W 573�19 PR 1— a < ^ ^ ao Coa M v z °° cn cn w o Co a OR, m u� rn rn o o ^ 0 0 1 4.5 C.B. PROP DWELL. TF = 105.5 10 5 FND, GAR ems. jot c) 7 Ica d 6 n N a Da, r6 �6 �6 s TH 1 'D t''� N S► .9 �� � � � in ? �� O "'k THE f - Table 1S Z1b( Preseripthe Paeicagd for One mad Twe Family 11mide:dal BaiWap A+aeed w,&FoeaJ Fnrh MAJaMUM ficumQM GIa�sg Glm dng ceiling Wall Floor 8seemeat Slab F�d� Men'(•h) u-value' R-vilud R-valua' Rrvaiud Wall • R.vah+a� B.vdaa� pack= MI to 6S00 Keeda;Deg 02W Na:� Q 121.11 0.40 31 13 19 10 1 6 19 10 6 Normal R 12% 0.52, 30 19 6 �ACE S 12% 0.50 31 13 19 10 T 15% 0.36. 38 13 2S WA Wf Nmmai 15% 0.46 38 6 Normal U 19 19 !0 l WA �Norma v 1 SY. 0.44 31 13 23 WA 25 AFUE W 15•/. 042 30 19 19 10 6 WA Normal X 18% 0.32 38 13 ZS WA Nr>::� Y 18•/. 0.42 31- 19 25 WA 6 �6 AFiJE Z 12% OA2 31 13 19 10 90 AFUE AA 18% 0J0 .30 19 19 10 6 I'. ADDRESS OF PROPERTY: I�/ A 1 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: I �� 3. SQUARE FOOTAGE OF ALL GLAZING: ? 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q—AA-see chart above):" NOTE: OTHER MORE INVOLVED METHODS OF DETERNIINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION- BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-080303a Footnotes to Table J5.2.Ib: ass doors. skylights, and ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass - ss wall basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gro 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 fl of glazing area. 2 After January 1, 1999, glazing U-values must be tested documented e 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. Do not include 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (d used). 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-flame 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. Tl:e entire opaque portion of any individual basement wall with an average depth less than 50%below grade must nte_t the same R-value requirement as above-grade walls. Windows and sliding glass.doors of conditioned b...,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 J5.2.1a 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 tin o Door frnm es us.t be tested and documented by the manufacturer in accordance with the NFRC test pro 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 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). 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ZLlat'BILC''L:rO:;•:iy::::.;<;...;;.,.:,}.?.:;.<$;;.,{{:.r...:::::::•:.�:::..cr...r.,.;.:.,....,r.:-:•..::•::• ..:-r•:•.::....:.:.:.:�•::•:... ......n{..::�.}-::::�:.:..;:::::::Y:•}Y:.,<:?:•Y:.::.:::... / Fai>nre to scants coverage as req�tsd mider.Section 25A of MGL iS2 can lead to the 1mposifinn of penalti"of a fine up to S1,soom and/or one]ears+impriiomamt as weII as dvII penaltln is the form of a STOP.WORK ORDER and a fine of S100.00 a day against me. I mnderstmd eat a copy of thb statement may be forwarded to the OlIIee of Investlgaflons of the DIA for coverage verification jr do hereby certify we pains and penalties o p 'ury �•the information provided above is t� carte Date o Signs Print name �GC.d.v ' ['� !/ t Phone# oluc al we only do not write in this area to be completed by city or town official city or town: peradt/llcwe# ❑Budding Department ❑Licensing Board ❑check if immediste response is regmred ❑Selectmen's Otnce _ DHealthDepartment contact person: phone#; ❑emu ([cured 9195 PJA) i r Application tojq Old Kings Highway Regional Historic District Committee G. in the Town of Barnstable for CERTIFICATION OF EXEMPTION Application is hereby made, in triplicate,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 photo- graphs accompanying this application. TYPE OR PRINT LEGIBLY DATE ADDRESS OF PROPOSED WORK _19S1 XN) 57, W. ,6A'�/l/ST��jf�ASSESSORS MAP NO. OWNER _11-TOU ) J •af -61fJA L YlIV&5 � �J / .. ASSESSORS LOT NO. HOME ADDRESS 19�5 P7,f)/V 1�- Lam/ r daKV5><,44le— TEL. NO. AGENT OR CONTRACTOR S, La4 ADDRESS TEL.N0. / A/A)CvkN jaq� H N i s M� o a col 77 g- Oo This application is for exemption of propo d exterior c6nstruction on the ground that: ICJ (1) It will not be visible from any way or public place. ❑ (2) It is within a category declared entitled to exemption by Old King's Highway Regional Historic District Commission. (Check applicable box) PROPOSED WORK: Describe and furnish plan of proposed work,showing location on lot,and, if an addition is involved,show• ing location of existing building. 6 0 SIGNED Space below line for Committee use. Owner•Co ctor•Agent 6 e Certificate is hereb JJJ Im ;:TOWN OF BARNSTABLE Date 1 7 3 Approved The categories of work entitled to exemption are listed on Disapproved ❑ the back of this form. r Form "A-1"' a3 �0 . I OLD KING'S HIGHWAY HISTORIC DISTRICT S p e c S h e e t Foundation Type Sidine Tune Chimney Type Color Roof Material s 0 f S Color S W o,-- �IC,nts+ EPiitch Windows Size Trim Color Doors Color Shutters Gutters Deck Garage Doors Color t completely, including measurements and materials/colors to be used. 0 r copies of this form are required for su¢mittal of an application, al with three copies each of the plot plan; landscape plan and elevation 19 opl when applicable. �g9 P1 t Ian need not be "Certified", but should show all structures on the lot to scale. rTOWN OF BARNSTABLE 12LD KINGI.UIGHWLAY i D JAN 191993 TOLD KINGS HIGHWA� y. 2=G 0 J � s O V • I —— 0 O ♦yr v, � N eanMstaert w[st El- •` ,� E _ a ♦ a A S� is °o$. i ' as IL ,so ♦� 8 VV 7b F ~ • O N '� Ny ,• s�:ar t E Q � n yy '� • +i 2 yc � I '� `� r•i�j i - TOWN OF, BAI-VISTAB'LE BUILDING PrN MIT PARCEL ID 216� 040 GEOBASE I 13336 ADDRESS 195-1 MAIN STREET/RTE 6A ( ^ T PHONE W BARNSTABLE t+ ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT WB PERMIT 61049 DESCRIPTION ADDITION, NEW KITCHEN, BATH, BDRM, LIVING AI PERMIT TYPE BADDI TITLE BUILDING PERMIT ADDITION CONTRACTORS: KENNEY, LAWRENCE K. Department of Health, Safety ARCHITECTS: and Environmental,Services TOTAL FEES: $267.00 BOND $.00 Ox tt1E CONSTRUCTION COSTS $70,000.00 434 RESID ADD/ALT/CONV 1 PRIVATE I P • + BARNSTABLE, s MASS. BUILDING•D V�ISIO ' BY o / DATE ISSUED 05/13/2002. EXPIRATION DATE `---�' 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 BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS �e,rN `w�'� --ez�.r2M o< 601 - iIt.- o2 v""A 'We WR[Oz— m 3�r� a o� 1 HE ING I SPECTION ROVALS ENGINEERING DEPARTMENT a L �0,2 D 2� Y I BO RD OF HEALTH J01- 17-126 I. OTHER: SITE PLAN REVIEW APPROVAL- RI ALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS T I PECTOR HAS APPROVED THE STRUCTION WORK #NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE ME PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. j n y , 1 s TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 2— Parcel 4 0 , I Application# Health Division , Conservation Division �a v` Permit# t Tax Collector Date Issued _ - —6 Treasurer Application Fee 5_0. &' Planning Dept. EXFG 51 Date Definitive Plan Appr la ning Board LIMITED TO #OF BEDROOMS Historic-OKH 0 reservation/Hyannis Project Street Address Village nW - ��'-,4 Owner 1 LE La, t9N Address . 1 (<n Telephone 8 'zsr�� 23 i -- Llq-3 r j Permit Request r��� ►� <Y ��� _ - Square feet: 1 st floor:existing proposed I q o 2nd floor:existing proposed Total ne4l c� r- Zoning District Flood Plain Groundwater Overlay r Project Valuation Construction Type L D-c� Lot Size 2— + !'�c�1C S Grandfathered: ❑Yes CY6o If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Sin-P—J:D Age of Existing Structure -- Historic House: ❑Yes ©1 Igo On Old King's Highway: & es ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other N)�e_ Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) -- Number of Baths: Full:existing new -- Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new / First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing -- New Existing wood/coal stove: ❑Yes Detached garage:❑existing ❑new size Pool:❑existing Cl new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size — Shed:❑existing &-new size IvX Lq Other: Zoning Board of Appeals Authorization El Appeal# Recorded❑ Cl Commercial Yes No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION '''Name Telephone Number Address 4 �( 2� �` License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 3 " 2 4_` �� Z . FOR OFFICIAL USE ONLY u ERMIT NO. DATE ISSUED J - k MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL d PLUMBING: ROUGH X O FINAL p GAS: ROUGH FINAL �< co FINAL BUILDING O (� �' tr t' E: n O cotr m DATE CLOSED OUT o O ASSOCIATION PLAN-NO. ' The Commonwealth of Massachusetts Department of Industrial flccidents Office.of Investigations j a 600 Washington Street Boston,MA 02111' www.massgov/dia Workers' Compensation Insurance!Afridavit: Builders/Contractors/Electricians/Plul��ers kpplicant Information Please Print Le 'bl ;ame (Business/Organization/Individual): �� 1 l 6 - kddress: t S 1 V` A -City/State/Zip: '4 �A to Phone#: L 2 `(�S'� ►re you an employer? Check the-appropriate box:. Type of project(required): ❑ I am a employer with 4. ❑ I am a general contractor and I 6 ❑ New construction employees (full and/or part-time).* have hired the sub-contractors ❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in an cap aci workers' comp. insurance. Y P tY• 9. ❑ Building addition [No workers" comp. insurance 5. ❑ We.are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or.additions I am a homeowner doing all work° - right of exemption perMGL .1Y.0 Plumbing repairs or additions myself. o workers' co c. 152, §1(4),and we have no Y [I`T comp. 12.❑ R frepairs insurance required.] t employees.[No workers' 13. Other S g.0 comp.insurance required.] ny applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: 1 [omeowners who submit this affidavit-indicating they:are doing.all work and then hire.outside contractors must submit anew affidavit indicating such mtractors that check this box.must attached an�additional sheet showing the name of the sub-contractors and their workers'comp,policy information. rm an employer that is providing workers compensation insurance for my employees. Below is the policy and job site formation. surance Company Name: dicy#or Self-ins. Lie. #: Expiration Date: b.Site Address: City/State/Zip: each a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). ilure to.secure coverage as required under Section 25A.of MGL c. 152 can lead to the imposition of criminal penalties'of a re 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 up to$250.00 a day against the violator. Be advised that a copy of-this statement may forwarded to the Office of vestigations of the DIA for insurance coverage verification to hereby c under the pains d penalties of perjury that the information provided above is true and correct: ature: o�ett� �� ,, t Date:'. _ � � ate: 3 23 Co Lone#: rig 3 2 2 S� Official use only. Do not write in this area,to be completed by city.or town officiak . a City or Town: Permit/License# Issuing Authority(circle one): I.Board of Health 2..Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information an..d Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. 'ursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, :xpress or implied,oral or written." kn employer is defined as`_`an?ndividual,:partpership,,association, corporation or other legal entity,or any two or more )f the foregoing.engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the eceiver or trustee of an individual,partnership, association or other legal entity, employing employees. How.eyer:the- )wner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the swelling house of another who employs persons to do maintenance, construction or repair woik•on such dwelling house X 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`(L LP)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 pr 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 atthe 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 perrnit/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:fixture perms or-lic'enses..A new affidavit mast 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 (ie.a dog license or permit to burn 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 1, ..Office of Investigations 60Q Washington Street4 . Boston, MA 0211 L. Tel. #617-727-4900 ext 40.6 or-1-877-MASSAFE Fax#617-727-7749 tevised 5-26-05 wwwmass.gov/dia °FWE t Town of Barnstable Regulatory Services B1S'A13M Thomas F.Geiler,Director 9�A MASS Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-862-4038 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: l�sL U e p Estimated Cost 3 f� Address of Work: ►�� L 14 410 65— Owner's Name: L Date of Application: -_3 3 " 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 n6vner 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. Date' Owner's Name Q:fomslomeaffidav °FTMET°�o The Town of Barnstable 9A MASS.1.E. � Department of Health Safety and Environmental Services MASS o Mpg' Building Division 367 Main Street,Hyannis,MA 02601 508.862-4038 508.790-6230 PLAN EEEVIEw Owner: T— Ma /Parcel: ' -6 04 Project Address: Builder: The following items were noted on reviewing: C() 5 0 A 0.. c .S f �C Pf Ae7c TrD 411 OF T-U 5 ��► 0 0� ©.v Reviewed by: Date: �' 7 e i ww f i P� 0 i i � J/ I Town of Barnstable t)F THE 1p� Regulatory Services S Thomas F.Geiler,Director + BARNVABLE. MASS. 039• .0 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 HOMEOWNER LICENSE EXEMPTION Please Print DATE: r G�� 0 JOB LOCATION: l '\ nu 7ber street village 2- "HOMEOWNER": �� /l�l (3�(J J o 3 2-�(2 - 2 301 , `1 `f.�(3 2 name home phone# work phone# CURRENT MAILING ADDRESS: c ty/town state zip code .The current exemption.for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family-dwelling,attached or detached structures accessory to such use and/or farm structures. A person who'constructs more than one-home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1). The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other . applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and req G ' ents. - CC L Signature of Homeowner i 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, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt ...... FRAMING: (FWIDimensi• Pine) • @.2'oricenters ROM l for '. widths) ! • • ' • i �I / / i Ix 4"Loftjbists @ 41' 'on centers (2x6for iY shedwidths) P port Posts CornerPosts •vr 'x Corner Braces Door and Window frames r �Et • CDX plywood flooring PI, (Pressure Treated is optional) :z�}' ©r,��" q}�11 y V f �• ��'r `� Lp#��"�.s„ r7.n. f v� St��` r � 2rry��, •�.� .sw� °>i'.�`'+ v 5 � '` Y t� y ifii.�'"'S_i� f '74'3�„ '1'"•r � Y�cr'!s �'�J��k�}7 • for "• widths) • •• e • pine or red cedar is o' tional) 114� T' I ai rn7 r t a^."a SI ,} �e`�ix �-• 'f�� ' � �F '!'�' �e�"� z °�r• ` `J �' a .y tt k t { sR r _n Sa £z' rtg2l,— >sjc�., ( v ? k« 5 kty� it r'� n-ror✓ �� r k e r �, fi� ,; ` i�T��' �2 �3°k^;„z•,� k y P� q�.Eu r}}w,d�.�Set'" 3 k✓.s'`<j -E' �I .Y. Ra �' • • rIt •.Aluminum• ••. • • •. Siding �Z � �a .>�` :• `' � �.rt �r.r'�y�`m `ki�8 Y�a+� .� u I E„�,�' �$� �. .Ey t s• • i '� �� Jx ,ti �¢ a Jat �,`i� •��Y-�"•,+}x F� t,� z.�z� > ��.i �'�z ¢ �r!��+�a �' �, • e o. • • -•. g - w+- 1 k t �i ' Its S+r h` ti i. ; v C o.,y i t q .•?.. Y E,x. �t {•� La} :�r � ti f � I ItYErgdr #� e• • haL �r.S ROOFING: C r E a4i} bR P r" �i wk �� v/ni " ' �A j ✓c @ t ASttJ.F'lS "�>,r :+'. Y� ..a 'axW aJ. • . •• N F. }E• F54t .� R.Iu ' �• vf +Y 4 srt E%,N� e a,r�, d y� ;'t . 7'i x -� sheathing�;.� t i y.' o v- b R r.�it k 'ems aad(I.}.•i i (a W b '" n • • • • • •� b Pressure afy `17 is u ' • I�e • .F`„t� -�-•r r;c p ii `"'( :d. tt' xs -�' 1 a f k 5 ppn -5 a Y'.{ a• y'?_ tY" '4 x -fit. X M ,a Er4y's�« ;, 'h �n a ti+ 7� j t 3c7 �ti� 'i• tb �. E. it a '�, k} - n [t t qa J c C ...? 1r'' C,. -i'4 f r .a r r:•Ys� t 1 I'r'S fi' r ,4' .. }>.."• �. , ,R Jt at' i i., l { Stock • • doors and DO windows are available Concrete Block or optional Sonotube footingsavailable • PINE ' � OR 1 , W.-OO.D P•RODU CTS Its all about.fbe wood--"" CHi4TN�4M .LOFT Sf fFD - 10 x I4' (Elevations - Scale: 114 -LEFT REAR 1D • LIL, O FRONT . FLOOR FRA�MINO.SPECIFICr4TIONS ( 16" off) 2.x 8 Pressure Treated @ . ..:;�IOffT • . �'-.. 7 I , : . � �� � ; lei► is I'• I� � � � i "�i i ' `�.t 4Z�Ir�� 1�u11�11i1�'• U��i l/�VI�L .`. •.. . I•:�ir'�i��al . !' (��'''��•��' cif"�,i�`I•tJl I (�: 'a" .� _ : y��y�sTra.L..uta.�.F��"'.7 r '��r '"'"�'-*� •'_...,_w ,r.+ �---� `.t__-r-.a a.r�•1 •� :rr..r�� ,t ^_ .+�R��^�: la.. ��-�r.i - -_ r �.,.<� 1 -✓ ��•� - �k I•1���-_� -. . .[ ♦ .w��.. ���� v�-\,�4 • k.�`�...s�r Isw l < I tI Y r' l ltlW C- I'�<ts.tu<hu3etir r r r BOARD Of BUIDING REGUI.At10NS License: cOHS�RUCTI4N SUPERVISOR Number: CS 005609 ; , Expires.031012004 Tr.no: 18200 i in"tricted: 37 LAVIRENCE K KENNEY 100 SULLIVAN RD ' W YARMOOTt t• MA 04447(1 I 1 r - - ---- - ---- - - 70P FNDN= 105.5' 1 STEM PROFILE _ ____ _- ____ • TEST HOLE LOGS LEQEND ACCESS COVER TO WITHIN 6" OF FIN. GRADE } ( 10T TO SCALE) OJALAA.H. . . 100.0 PROPOSED SPOT ELEVATION /103 �;'c4ss covER (WATERTIGHT) ro ENGINEER:Q MINfMUM .75' OF COVER OVER PRECAST !'n iN 6" OF FIN. GRADE 29; SLOPE REQUIRED OVER SYSTEM WITNESS: GLENN HARRINGTON, RS o 100x0 EXISTING SPOT ELEVATION 99.0 - 2" DOUBLE WASHED PEAS7gNE 3/29/01 -I p RUN PIPE LEVEL DATE: �.- ROB 102.0' 00 _ , FOR FIRST 2' 96.0' PERC. RATE _ 5 MINE INCH Locus 100 PROPOSED CONTOUR PROPOSED - 1()0 - - EXISTING CONTOUR 100.25 GALLON SEPTIC 100.0� f CLASS II_____. SOILS P# CA TANK' (H- 10 ) GAS , a 9r5.5' `� 2' ® SIDES w ' BAFFLE 95,77' tNICAL� 6MIN22 ' SLOPE) 6' CRUSHED STONE OR ME _ 4' COMPACTION. (15.221 (2]) `� `� 14 `� a 93.5' ELEV. Q 96.6' DEPTH OF FLOW 9$.O' Q'� ( 7 % SLOPE) �- TEE SIZES: 3/4" TO 1 1/2" DOUBLE WASHED STONE O M,H.B. _ 1 Q' p INLET DEPTH = 2„ P FND. #34 14" OUTLET DEPTH 2 LOCATION MAP i A A S SL FOUNDATION 11 SEPTIC TANK - 61 ' ' D' BOX 3' _ FACILITY �� 7�� 1OYR2 1 7" 1QYR 2/1 / ASSESSORS MAP 216 PARCEL 40 6 ZONING DISTRICT: RF LS LS 1 YARD SETBACKS: s 36" 10YR 4/4 10YR 4/4 95.0' 36" 93.6' FRONT = 30' j BOTTOM TH 1 EL. 84.5' Cl SIDE =#33 �� � ® LS y REAR = 1 5' SEPTIC DESIGN: (GARBAGE DISPOSER IS NOT ALLOWED ) 108 10YR 5f 6 Cl PLAN REF. - • � a / DESIGN FLOW: BEDROOMS ( 110 GPD)'. = 330 GPD LS �• 7 / ( FLOOD ZONE: C Q 767 / USE A 330 GPD DESIGN FLOW C2 10YR 5/6 MED/COS -_7gg y�EPTIC TANK: 330 GPD ( ) = 660 JSE q 1500 GALLON SEPTIC TANK 10YR 7/4 Q C'B. 88 BEACHING: - FN.D, t a� 2(37.25 + 9,83) 2 (.60) 113 SIDES: ---�-- 219.7 " " 37.25 x 9.83 �.60) �' 162 84.5' 144 84.6' BOTTOM: GN 554.5 TOTAL: S.F. 332.7 GPD NO WATER ENCOUNTERED ti US (5) HIGH CAPACITY INFILTRATORS WITH 3.5' TINS �=TONE AT SIDES AND 3' A7 ENDS NOTES: � v EXIS ING ( �2 DELL / 1 . DATUM IS A ED D IU WAY c> APPROXIMATED FROM QUAD MAP °j 2. MUNICIPAL WATER IS AVAILABLE p 3. MINIMUM PIPE PITCH 70 BE 1/8" PER FOOT. J4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- 10 5. PIPE JOINTS TO BE MADE WATERTIGHT, MPR��N G o f 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. o ENVIRONMENTAL CODE TITLE V. ��"f 3'S ~d 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE � I I f USED FOR LOT LINE STAKING. 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC, C) S a 9. COMPONENTS NOT TO BE BACKFILLE_D ClR CONCFAI.ED W.IT} - ►l_IT NAl T . , : .. _ _ . 0 1 CJ a -. . _. n,"'.:. ..... d Li,, L• 1 DU .Ll iJ, I'lLi',L T'1 f-i1V,IJ L.. �I':,i'.1.1•J��li'� Uli I f-�a.l�f_l..l E FROM BOARD OF HEALTH. . � .. , DPI,VEVAY' �� 10, CONTRACTOR SHALL BE RESPONSIBLE FOR VERIFYING THE EASEMENT 2� 2� LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR Rio'' ��, -� TO COMMENCEMENT OF WORK. BO ARD OF HEALTH •� V o S3� APPROVED DATE a 4 19 -w TITLE 5 SITE PLAN ,3S •lq S�3 ' �y �O PROP. STONE; RETAINING WALLS OF g MAIN STREET F!y IN THE TOWN OF: (WEST) BARNSTABLE as }' D ~ co PREPARED FOR: < cc �, , �, ROBERT RATHBUN co co Co co w " U 2F, 30 0 30 60 90 " o co �. 1 4.5 C,B. PROP DWELL. FND, TF = 105.5 10 .5 SCALE: 1 " - 30' DATE: MAY 10, 2001 GAR AIA OF ARNE I S Lf1 •r •� H. �:. . CIVIL U -OJALA a.30792 ENO.2' 8 , A . JA.GA, P. " . .S, DATE i .....-._._._. 3ENC,HMARK: CONC. BOUND AT ELEVATION 107.4' '..'` TH2 Z. cGi� ZSg kS j r 5 G� vl / �,\SCE fox 508%2-9880 �^ 9 ,25 , Ft' �PSSP� ��6E � 'o9 acr s OF co� down cape engineering, Inc. ��P�-�� 0\31� CIVIL ENGINEERS oollo COS C� LAND SURVEYORS C CPPE 939 main st. yarmouth, ma 02675 a D H o -033 ----- - - -- _ -- - EGEND TOP FNDN= 105.5' SYSTE I PROFILE TEIZT HOLE LOGS ACCESS COVER TO WITHIN 6" OF FIN. GRADE (NC to SCALE) A.H. OJALA, PE o 100.0 PROPOSED SPOT ELEVATION r ACCES� COVER (WATERTIGHT) TO ENGINEER: y�4 jj wrHIN 6" OF FIN. GRADE G'�ENN HARRINGTON, RS 103.0 MINIMUM .75' OF COVER OVER PRECAST � 2% SLOPE REQUIRED OVER SYSTE'�+ 9� O' WITNESS: - o 100x0 EXISTING SPOT ELEVATION y+ 2" DOUBLE WASHED PEAS70NE 3/29/01 I �' 100 T Rul PIPE LEVEL DATE:96 0' PERC. RATE = 5 MIN/INCH iRo�� PROPOSED CONTOUR 102.0 1500 Fof FIRST 2' PROPOSED "-"v . Q:J LOCUS - - 100 - - EXISTING CONTOUR 100.25' GALLON SEPTIC 100.0' r-� i�- ' - � II TANK (H- 10 ) GAS ��� 95.5' _ -� = �i i- "�. SIDES CLASS SOILS P �. N BAFFLE 95.77' o0 95.6 _ „-- MIN ( 2 9: SLOPE) 6' CRUSHED STONE OR MECHANICAL 2' o g ! _,j ELEV. ELEV, 4, COMPACTION. (15.221 [2]) 8g of? 1 4" o 0 0 DEPTH OF FLOW e 7 cow$ SLOPE) 0" 98.0' p" 96.6 �/...(, R TEE SIZES: M./ /.1!• 3/4" TO 1 1/2" DOUBLE WASHED STONE 0 FND• #,34 INLET DEPTH = 10' O I / 14.E 2„ 2„ OUTLET DEPTH LOCATION MAP A A FOUNDATION--- 1 1 SEPTIC TANK 61 ' - D' BOX 3' LEACHING 9, 7„ SL i SL FACi�1,Y 10YR B2 1 7" 10YR B/1 ASSESSORS MAP 216 PARCEL 40 I ZONING DISTRICT: RF 1 LS YARD SETBACKS: H{ `� 36" 10YR 4/4 95 p1 36"; 10YR 4/4 193.6' FRONT = 30' �g 1 5 / Cl BOTTOM TH1 EL. 84.5' I SIDE = 15' T Ls i y 08.' �OYR 5 6 i REAR = 15' r N O ALL 'r"r',�D 1 / - / -PT IC DESIGN: (GARBAGE D�sPosER ;s ) C 1 PLAN REF. \I� 1 4 / ESIGN FLC>W: 3 BEDROOMS ( 1 C'G�'J) = 330 GPD I LS C �• P - j Q / �75 / 330 C2 10YR 5/6 FLOOD ZONE. 77 l SE A GPD DESIGN FLOW �g9 SEPTIC TANK: 330 GPD ( 2 ) = 660 i 6 N _. _- i MED/COS i [!SE A 1500 GALL ON SEPTIC TANK $g A i F-ACHING: - 10YR 7/4 FND• A SIDES: 2(37.25 + 9.83) 2 (.60) 113 b ?OTTOM: 37.25 x 9.83 (60) = 21°.7 162" 84.5' 1 44" , 84.6' )TAL: 554.5 S.F. 332.7 GPD NO WATER ENCOUNTERED ti L `>E (5) HIGH CAPACITY INFILTRATORS W!-, H 3.5' ISTING / / y� S. tONE AT SIDES AND 3' AlENDS EX NG 1 �2 _- NOTES: DWELLI i A ED D IU WAY o 1 . DATUM IS APPROXIMATED FROM QUAD MAP 2. MUNICIPAL WATER IS AVAILABLE 0 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. J4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H-10 f 5. PIPE JOINTS TO BE MADE WATERTIGHT. MARTIN G � ' 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. o ENVIRONMENTAL CODE TITLE V. ROtM� S. 3'2 ~off 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE DQ I 1 C, USED FOR LOT LINE STAKING. ,.E o 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. LO 6�°58 4 ,� 9• COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITH❑UT N 0 N o INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED \ 1�0 0 ' \ ` FROM BOARD OF HEALTH. DRIVEWAY EASEMENT �,2 LOCATION OF ALL UNDE:RG OUND & OVERHEAD UTILITIES> rRIUR BOARD OF HEALTH ��j� ✓ TO COMMENCEMENT OF WORK. MA o S� APPROVED DATE o 4111 13136,E TITLE 5 SITE PLAN S PROP, STONE ftETAIN!NG WALLS OF 1951 MAIN STREET w F�L y IN THE TOWN OF: (WEST) BARNSTABLE co D ^ PREPARED FOR: z j Co CO QD OD Co COD"' P w ems, ROBERT RATHBUN oZ 30 0 30 60 90 1 4.5 C,B. P OP DWEL ..._ FND• os. 10 .5 1 ' = 30' MAY 10, 2001 �F SCALE: DATE: GAR 'uq�y r AR j ARNE 'c. � H. Y H. NE 1 \ I`� C7.1AL.A ,^. H. v e. C90782 " t � O2�A N b �/0� �o� A .A .LA, P. ;^�P. .S. DA TE O 40I `�01 BrNCHMARK: ,ON�'.'- BOUND AT EVATION 107.A TH 1 G � rju 7- . � n - S C o - 268 Q5 �� S off 508-362-454 t fox 508 362-9880 C'\` v 9 ,25 • f t, � SP� � 9 acr s � Mp,S ��EG MAR ? 2G02 down cape engineering, Inc. o co � 0\30I�� CIVIL ENGINEERS Cok,,A C�� C� LAND SURVEYORS CPP� 939 main st. yarmouth, ma 02675