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0070 MOCO ROAD
7� It 4 4 UPC 12543 No. HASTiNra IAN Bk 25569 P's265 -36176 07-1E-201 1 a'b 03 = 46c3, Deed RestrtctIMI 1tWHER 'AS, Peter Johnson of 70 Moco Road,West Barnstable, MA 02668 is the owner of 70 Moco Road located at West Barnstable, NIA, hereinafter referred to as Owner of 70: loco Road,West Barnstable and being shown on a plan entitled `Subdivision of Land in Barnstable, MA, Propert1•of Peter Johnson duly recorded in Barnstable C011nCt' Registn•of Deeds in Plan Book q3 Page L-OT 1 Or on Land Court Plan Number WHEREAS, Peter Johnson as the owner of said lot has agreed with the Tow n of Barnstable Board of Health to a restriction as to the number of bedrooms which can be included in am home built on said lot as a pre-condition to obtaining a disposal works construction permit in compliance with 310 C-NIR 15.000 State Environmental Code,Tide V, \iirimum Requirements for tine Subsurface Disposal of Sanitan•Sewage; XX'HERFAS, the Town of Barnstable Board of I Iealth,as a pre-condition to granting a disposal t-��- works constriction permit for a septic system.in compliance,,v7dn 310 CNIR 15.200 State Environmental Code,Title V, Minimum Requirements for the Subsurface Disposal of Sanirary Sewage'and authorizing the issuance of a building permit for the construction of a single fatnih- home on this propcmy,is requiring that the agreement for the restriction of the number of bedrooms in any house constructed on the lot be pur on record with the Barnstable Count. Re gistn of Deeds be recording this document, NNOW,THEREFORE,Peter Johnson does lhcrcbr place the following restriction on this above- referenced land in accordance with his agreement with the Town of Barnstable Board of Health, Which restricdon shall run with the land and be binding upon all successors in tide: 0 0 �1 1. 70 Moro Road,)Vest Barnstable, NL1 02668 may have constructed upon the lot a house containing no more than two (2) bedrooms. Peter Johnson agrees that this shall be permanent deed restriction affecting 70 Moco Road located on West.Barnstable, NIA,and being shown on plan recorded in Plan Book ti � ,Paged 'l L4r' Or on Land Court Certificate of'Title Number In the event of relevant changes in Board of Health requirements, this deed restriction of two (2) bedrooms shall be revisited and revised. Deed Restriction—Peter Johnson,70 Moro Road,West Iiamstablc,,AA 02668 PaGc 1 of 2 ,_. ) i Bk 25569 Pg 266 #36176 I • F''XCCUted as a scaled instrument r L� day of Jule, 2011. Ovyner's Signature CONINIO ::1LTH OF'\I.\SS:1CIItSL"I"1'S Then personally appeared the above-named kno\y to me "ttr 'rhe Ii— n who executed the fo�cl c instrument and acknowged the same to be �,S• "eca n I Notary Public. ;\f)• commission expires: g� CAROL ANN 7bo YNotary PucCOMMONWEALTH OF MCHUSETTSMYomAp'mZBi 1 fires lots };,','i'y QLU Deal Restriction—I'crcr \oco Road,West$amsrahle,MA 02668 �Page 2 o�f ohnson, U BARNSTABLE REGISTRY OF DEEDS r_ a File Edit Tools Insert 'He}p Denied due to the fact that itis on a well on a 112 acre lot already with 3 bedrooms(2 plus O a den with pocket doors). Now they want to add a'bonus room`over the garage that wouldn't be able to do a five foot cased opening. Per Tom McKean the owner has to do a � 2 bedroom deed restriction. �Epvy Check Spelling =j�Display as HTML � I I Lam_ 'file Edit Tools Help - I JLevel JPrerequisite Action I+Dept I Needed by I Approved I By Status Idsp Comment Comment Audit History I0 CONSERV APPROVAL 6701 07/12/2011 FSTE APPR SE34938-plan 4/29/11 t I 11 07/26/2011 D1 1 Mass Approval ! 0 HIST OKH APPROVAL 4203 07/26/2011 JE:NK APPR Coverage for exposed four 0 TAX APPROVAL 6300 07/26/2011 JENG APPR 0 WO'RKCOMP SUBMISSION 6300 07/26/201.1 JE:NG APPR i I . --Prerequisite Prerequisite HLTH HEALTtiDEPARTMENT Action type APPROVAL T Active Needed by jl Responsible dept 6500-HEALTH DEPARTMENT `T ' inspector ;DES DESMARAIS,DONALD reference 90-31 Inspection type AppUkant resp F Status APPR-APPROVED Level 0:' date 07I1312011 K i Permit type I,� Approved =26J2011 d i 08:33 Workflow approved Comment code 12B - PROP LIMITED TO 2 BEDROOMS MAX 2 bedroom deed rreesbiction 23 Text LJ Workflow - f � Approve Reject J; Forward Hold Approvers � .J i Parcel Detail Page 2 of 3 Living 1971 I hoof Asph/F GIs/Cmp I AC None Area Cover Type Style I Log House I wall Drywall _I Roomd I sIn, Bath Model lResidential I Floor Pine/Soft Wood I Rooms 0 Full �I WDK Type Total Grade JAverage IHot Water Rooms I�2 I Stories 11.75 I Heat Gas �I Found poured Conc. I 7 2 Fuel ation f 6 Gross Area 4698 Permit History Issue Date Purpose Permit# Amount Insp Date Comments 3/5/2012 24X22 ATT GAR W 2ND FLR 8/11/2011 Addition 201103656 $125,000 12:00:00 AM BONUS RM-10X17 ENTRY CONNECTOR W 4' FOP 6/1/1992 B35111 $0 1/15/1994 WB BOAT H 12:00:00 AM 6/1/1991 B34389 $91,000 1/15/1993 Wg 11/2 S 12:00:00 AM • Visit History Date Who Purpose 8/13/2012 12:00:00 AM Nancy Finch In Office Review 5/11/2012 12:00:00 AM Robin Benjamin In Office Review 13/19/2012 12:00:00 AM Robin Benjamin In Office Review 11/22/2009 12:00:00 AM Paul Talbot Cyclical Inspection 5/30/2000 12:00:00 AM Paul Talbot Meas/Listed-Interior Access 1/15/1992 12:00:00 AM IML 1W Sales History Line Sale Date Owner Book/Page Sale Price 1 12/15/1984 IJOHNSON, PETER F 13677/345 $43,300 1W Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parcel Value 1 2012 $84,300 $20,900 $28,000 $371,600 $504,800 2 2011 $117,400 $3,900 $21,400 $371,600 $514,300 3 2010 $117,100 $3,900 $27,800 $371,600 $520,400 4 2009 $120,000 $2,800 $64,200 $372,900 $559,900 5 2008 $124,700 $2,800 $53,000 $388,600 $569,100 7 2007 $124,000 $2,800 $53,000 $388,600 $568,400 8 2006 $118,700 $2,800 $56,800 $399,300 $577,600 9 2005 $114,700 $2,800 $87,500 $332,700 $537,700 10 2004 $98,100 $2,800 $88,500 $295,800 $485,200 11 2003 $83,300 $2,800 $3,200 $69,300 $158,600 12 2002 $83,300 $2,800 $3,200 $69,300 $158,600 13 2001 $83,300 $3,000 $3,200 $69,300 $158,800 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=15334 9/26/2012 Parcel Detail Page 3 of 3 14 2000 $68,200 $3,000 $600 $52,500 $124,300 15 1999 $68,200 $3,000 $600 $52,500 $124,300 16 1998 $68,200 $3,000 $600 $52,500 $124,300 17 1997 $69,600 $0 $0 $40,500 $111,200 18 1996 $69,600 $0 $0 $40,500 $111,200 19 1995 $69,600 $0 $0 $40,500 $111,200 20 1994 $105,200 $0 $0 $57,300 $163,200 21 1993 $59,500 $0 $0 $57,300 $116,800 22 1992 $35,300 $0 $0 $63,700 $99,000 23 1991 $30,200 $0 $0 $92,700 $122,900 24 1990 $30,200 $0 $0 $92,700 $122,900 25 1989 $30,200 $0 $0 $92,700 $122,900 26 1988 $29,100 $0 $0 $28,400 $57,500 27 1987 $29,100 $0 $0 $28,400 $57,500 28 1 1986 1 $29,100 $0 $0 $28,4001 $57,500 Photos C http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=15334 9/26/2012 Parcel Detail Page 1 of 3 07 - BARNSTAAAE, • i MASS, Epp 1634. QED M Aa Logged In As: Parcel Detail Wednesday,September 26 2012 Parcel Lookup Parcel Info Parcel ID 215-006 I Developer LOT 7 Location 170 MOCO ROAD I Pri Frontage 1125 Sec Sec Road Frontage Village IWEST BARNSTABLE I Fire District JW BARNSTABLE Town sewer exists at this address NO Road Index 1035 Asbuilt Septic Scan: Interactive 215006 1 Map Owner Info Owner IJOHNSON, PETER F I Co-Owner I Streets 170 MOCO RD I Street2 City IWEST BARNSTABLE I State HAD zip 02668 I Country Land Info Acres 10.54 Use ISingle Fam MDL-01 I zoning IRF _J Nghbd 0111 Topography Below Street ( Road Unpaved Utilities lGas,Well,Septic I Location Lake/Pond Front Construction Info Building 1 of 1 Year 1991 �I Roof[Gable/Hip Ext Logs I Built Struct Wall Living Roof -- AC Area 1971 �ICover AspWF GIs/Cmp I Type None Bed Style Log House-I wall Drywall I Rooms 2 Bedrooms �I 2r, Model Residential Pine/Soft Wood 2 Full EMTit (� Bath Floor 6I Rooms� I �, S _. I Rooms Grade Average I Type Hot Water Total—I ggFtAA�TSS Heat - Found- 5 BMk 1 Stories 1.5I Fuel Gas I ation Poured Conc. I Gross 4 �I Area698 Building 1 of 1 Year r2011 R00f GablelHip Ext Logs Built Struct Wall http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=l 5334 9/26/2012 TOWN OF BARNSTABLE Permit Ivo. ..34389 ` •f BUILDING DEPARTMENT Cash „($.500. 00) TOWN OFFICE BUILDING .Y� HYANNIS,MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to Peter Johnson Address 70 MOCo Road West Barnstable, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD 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. , April 21 93 Building Inspector I *M�> TOWN OF BARNSTABLE Permit No. .....31I.:....389 ..... q. BUILDING DEPARTMENT cash . (.$500..00) TOWN OFFICE BUILDING ,67C• \ HYANNIS.MASS.02601 Bond ................ CERTIFICATE OF USE AND OCCUPANCY Issued to Peter Johnson Address 70 MOCo Road ' West Barnstable, Mass. l' USE GROUP FIRE GRADING OCCUPANCY LOAD. 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. �� Aril 21, 19 93 ..... ..................... l Building Inspector ' t }y .y.��rr �^2 •ems.V I *° TOWN OF BARNSTABL L R4zn�� , • BUILDING E Permlt No..,34389J t t ? DEPARTMENT '• ' rpx7 !�• TOWN OFFICE BUILDING Cash �,Y5010 •0'.0� I .• fit j� HYANNIS.MASS.02601 Bond CERTIFICATE OF U SE AND OCCUPANCY � + ',,14✓nfia�.li>!�' Issued to r'. Peter Johnson 3• Address 70 Moco Road �.. ' 4 1 5 •t t #F'e. +M1'•zybr�r. West Barristablc, Mas' , r,�t irk GROUP FIRE GRADING OCCUPANCY:LOAD r + *THIS PERMIT WILL NOT BE VALID. AND THE BUILDING SHALL NOT BE OCCUPIED E BUILDING INSPECTOR UP UNT Lk � {* '�cnSIGN.ED BY:,THON SATISFACTORY �COMPLIANCE::WITHETUWI, ' tREQUIREMENTS AND IN ACCORDANCE. WITH SECTION 119.0 OF THE MASSACHUETTS STA'1` ik, } BUILDING CODE. S • t„ ;, iF a, p ` April 21, (t 9 3 t 1.... ... r I7 ................. .... ................ ....• x .. Building Inspector ,. ,u, t•1�.t glr'7 s S }0 r PAYABLE TO: �N Peter F. J. Johnson P. 0. 'Box 621 I West Barnstable, .MA 02668 , TOWN OF BARNSTABLE ark , BUIL-:NG COMMISSIONERS OFFICE DATE 4�/031Q3 I t e r r ACCT rt, . tit- VENDU9 4 `.11 :'' A �OO (11�,`t MIT �t�M� ' APPROVED BY t r ti,• r t. ! ra J rjr • �r .. r tt ru k '��t� d�. f x f lit t'Yrtfu„, t: .:.. - _ . __ - -- TOWN CIF BARNSTABLE, MASSACHUSETTS BUILDIIVG �.: - sRw�- . T A=215-006 n _ + T, DATE `�l.i,j'i'•.:: 12 , t 9 9 1 �Y! A.enneti'1 JCjlI1.Si0I1 y4: —T PERMIT NO. APPLICANT _ .^j. i•ic11T1 St, W. Barnstan a t0' 575: E ADD.ESS •- INO.) (STREET) I - PERMIT TO Build DweiiinCf .L J• (�.� a ICONT q'S LIEENSEI 1 STORY_ / J�'yIF?i�•] fl NUMBER OF( d J_:i )..l.E: t'�:;.In�_._`y �DWELI_ING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) -AT (LOCATION) 7L) j'1000 KOc7.C1� t':�E_:;;t +�;ir'nst -i:; ZONING + (NO.) (STREET) 0ISTRICT— . I. BETWEEN (CROSS STREET) _ AND I- (CROSS STREET) SUBDIVISION LOT- LOT - SIZE BUILDING IS TO BE FT. WIDE 8Y - . LONG : ---_-- FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION I TO TYPE i USE GROUP W I i .l5 OR FOUNDATION I j I REMARKS: �7Lbv'C).f �" ff C'L)—'.J.. (TYPE) l ($500 , 00) Peter F. J f' Johnson ' 'AREA OR !� ..'. '� VOLUME 720 Ssq. _i' ESTIMATED COST S 91 � 000 . 00 PERMIT 57. 75 ICUSIC/SQUARE FEET) FEE OWNER Peter johiison 70 i111UCCU P ^�ADDRESS goad, West li[�2'i::iiT it.11_(: BUILDING DE PT. BY ) OF ANY APPLI C A 13 L f Ski BDIV ISION RE S 7 RI C:_TiON S. _ .•... . ' MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE'' INSPECTIONS REQUIRED FOR ' ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ELECTRPERMITS ARE REQUIRED FOR I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALS IATIONS.NG A D 2. PRIOR TO COVERING STRUCTURAL QUIRED•S,JCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). 3. FINAL INSPECTION BEFORE FINAL INSPE+_TIOr: HAS BEEtj MADE. • OCCUPANCY. POST THIS CARD SO_ IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVAIS ELECTRICAL INSPECTION APPROVALS • t t ,�>L a.�i t 2 y T. z—/ i HE,fIN(�INSPECTION APPROVALS /l NGINE iNG DEPARTMENT' L OTHER _~I --�—}.J — Y - C) BOARD OF HEALTH y - -73 NUTP!Ui:i:hi)U:`I. °H� r,;•;P: i 'E7:nIT . . .,:.';OvE NULL :.•:n VOID IF CONSTRUCTION iOR H.lti hPPv)VED !W V•a°>I(-;.l.a: < .. I �,Rh: -:,F•; I INSPECTIONS INDICATED ON THIS CARD CAN LIE i YI:1 SI '. :.•.ONTHS OF DATE THE ARRANGED FOR Y CONSIRUC lOt I PE HIT`.j I-SL:ED AS N 8 TELEPHONE OR WRITTEN O T E D a 3U E. NOTIFICATION. F' �Q/Gl4-E� f s c ^S }(/ C C�207" po�jz) oT G3� 3��� o l2C2 „« +\� :TS / C'.--.2T/,cy .T.UAT T�/E Tlv,� 4T/O / .0 �� ��l�=•<!Srp n C S.�/OWN yE,2EO.f�CO�'l dL YS w/z;v, SCA L G— / '` �O • ZDA TE 7`.�/E S/OE.0///� A�/O SETBA C/.-- BA,eNSTA/3 4 t� r 0,4TE• 9AXT•E.eE//YE / BASSO tic/.4if/ i2EG/S7-E2E1� L.�gc�p JcU,eY6y�a� /NST.eUi`/Eit/T S!/.21_- Tye �STE,21�/,C.C�a AJ/_ISS. O'��SETS SyaL✓.1/S.�vL� ,t/p7- 8� .•,- bI (v� -. ----- �-...._ _....,-.s-r �x-••-•----ate:--• - ---- --,..,'—'3 C Z , 1 r � 1 r' li Ljk ,{ i„+la,� � �ffll 11'ji�, �:i , , I Q. � � iI;1: I j•'1 i �,, /� � � 1� I � /)ti I�t`i'11ii}�1)1ti'#li ) tisi. I, '''"� •r— 't'�i j fF F.�� �, i�=�ij,r��'I'li� ��j f � ,;' I ' f , ':Ji � 3A', �CN ' k CC b d nBti 1 B�ii , !•I i., f� ` If It ,o it z668 I _ }4 c x zi y� � 4 O a .. m — `^1d R .d.c0 ? - LL -71 Ul Cy 1r s j - .F � t 1) .� �3 � ,� 1. a ' }.• 1 t ����` t , Y/ I�' � i. �°, L}(w 1 �-vy 1 ro ~g I lot IL y t 5 a rt lit I i 1 ' I',I,•I I!��!(1;t _ � Yil�i { r 'Will, I' ' r , j f �I L.—L. # j ;� _ {1�i "� 1 ,:� I �I._.{ . '•j it � � � I � - . - x s s � . i . i gp4V 9!+h.. -=Ir.___: � 1 1 CODE- -7 91 Il,t 3f�"� P U a rs j 6i� _ . ' N � O ��rTtNCI-1/•i.)I_J„1Cc ,F�•��`. i -��'• •� ' 01; I .I._._....._.._ ._ lYV�•5 �,J\Oh,H Ay,�lvJ�Z� I �i 1 i ' APPROVED OKHRHDC RECEIVED F'1•'����-, - OCT 1 81998 OV) friGG uv IiAA'I 11 i xatakdim 3oeeet Viodacti Goo. BOX 145 O"FIEEO.MAIMC.1.1 1.11181-I- g ENEBT 3 pf t t - 1 1 i �' � k>,r ,, t '�t rr 3 . IIII � �• -- :. t ` i �' Fir , .� 1 si���i •;� � i�. �f �`- r #, W �' Itl .I�:�-� �'. t[.. ' I Vt P } Ci . •I `-Si+"�k . v '.J rl•�II �1 i 4 { I . i r The Town of Barnstable Conservation Department a 367 Main Street; Hyannis, MA 02601 r Office 508-790-6245 Robert W. Gatewood FAX 508-775-3344 Conservation Administrator T0: Joseph Daluz, Building Commissioner FROM: Robert Gatewood RE: Occupancy/Permit/Final inspection DATE: 3 �- T ( � The following project has been granted an Order' of Conditions by the Conservation- Commission. Applicant: Project: Location: 7� Map/Parcel: Our Permit #: SE 3- f We would kindly ask that no Occupancy Permit or Final Inspection (as may apply) H be ranted b g y your departmer.vt until a Certificate of Compliance for the project has issued from the Conservation Commission. Your assistance is very much appreciated. y Old Kin `s Highway Re lonal Historic t DistrlCommittee g g � g c in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, in 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: e 1. Exterior Building Construction: W New Building ❑ Addition 0 Alteration Indicate type of building: ❑ House ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY- DATE q 170 ADDRESS OF PROPOSED WORK 70 Moco R,) L► -Ryy5ma[t.M/) ASSESSORS MAP NO. 2 j s OWNER �C-`Tr`YZ F J OHA15Q1\ ASSESSORS LOT NO. HOME ADDRESS 7U �'16cu )Z�3 W- !3/t2N5f/j/3tc- /l')✓� c�26Gg TEL. �So�) '362 w6t 6 FULL NAMES AND 'ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). SEE A l l/1t•NL7) SNI-Z-T3 Fl?() v� C0N'-(_ 2 uAiiuA/ F11-IN l - RED M/)/1Y 7N�rC�4r1=5 fj $f�T7 AGENT OR CONTRACTOR 3OHlYS014 TEL. NO.CSO$) ADDRESS 22c{ MA/u '51PE-1- W- 8A2t0577984,6-' M-A DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8,other side), including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). C0&51?2U(1 Nuxv SfA) //6Mi SCE A 7/71CHL-7� SPCZ • S/�C-2-C ANC FLANS Signed Owner on tractor-Agent Space below line for Committee US . C3 K H R,HDC Hecie ved betoC.E T C� Date V n�Z 1 A 190 The Certi ' ,s hereby Date V`U r�lld v W . . By Approved ❑ IMPORTANT: If Certificate is approved, approval is subject to the 10 day appeal period provided in the Act. Disapproved ❑ OLD KING'S HIGHWAY HISTORIC DISTRICT Spec Sheet v Foundation Type ��UR i7 �OvC/2L Siding Type PLCLL=D fjoRTNC--ZN Wkl1Z CCDAR LOG Chimney Type /-/CAD STUN& QUC1L (fC-M `nir /.3LOCN Color cr kE iy Roof Material F16tNC[R55 SH/nUE (d//RD. WL--A-rH rZCQ kkkb Color Gr C �— Pitch ,, Windows A/VD&-1Z5FN :5a 14TTACNGD 121-11 /5 Size �\ Trim Color /Vgnt2qc.- woOD 00L 82owx/ (AnvrJE/tSC),J TCR(thToNC Doors 00C 2 - IV A- QA(_ 51yz-2 Deo25 - G/1/3YColor Shutters A Gutters A) ATu2f_vL wooD Deck 02ESSARC PINE POSTS Aly,# :jol5TS - CE-"DA,,( D&Zkln/G 4A10 HIV[S Garage Doors A✓J/A Color /V/0 — Notes: Fill out completely, including measurements and materials/colors to be used. Three copies of this form are required for.-.submittal of arl application, along with three copies each of the certified�p�lo�pllan, landscape plan and Ielevation plan, when applicable. OCT 1 8 19901 also Assessor's offbe(1st Floor): �� SEPTIC SYSTEM !W �`�EE � T Assessor's reap and lot number W°moo f"c C�o Board of Health(3rd floor): INSTALLED IN COM LIANCE Sewage Permit number — - t WITH TITLE 5 g ' ENVIRONMENTAL CODE AND = Dead9TaDLL Engineering Department(3rd floor): - House number �O TOWN REGULATIONS rya Definitive Plan Approved by,Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.'and 1:00-2:00 P.M.only s A P P:R o ,; pF ` BARfNSTABLE 7Bnattabt le Conser tion o is o PUILDINGINSPECTOR i yQ�gd(� DD 4 AO CATION FOR PERMINC? '(J TYPE OF CONSTRUCTION (y— 19 t TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 70 Moe )ZoAo W&3-T 61MA157481-r IZ14 016IC9 Proposed Use St u6z-e F-An L Y iZesiawe e Zoning District Fire District gA9#vS rxi 13e r Name of Owner PL 1Z� J o I-inas 0 n► Address 7 U Moc o 12 il w. 8/1,?AJYT AJ B L L Name of Builder �(EN N C-PN JnW)USo h/ Address 22CI W �f of (,J- 8ARA,5JA C Name of Architect K)FMlIllnl FORL-3T I /Zat)K( S. Address 607, f -5 OArFit-21) /flA14C O y7G 3 Number of Rooms LI Foundation I Uu2o) CP)n1C11[Tt Exterior PEr-«-? AJcxy-t4cn,1 WHri2= C6©n2 Luc, Roofing ]-13[R6:LI155 SNi,vGLi Floors wnoo Interior l c,i�gcL Heating ig 6:095 k!v•r- W 11TZ 2 Plumbing /w7ZfR«R Fireplace }r r-L o 5"'o Our, Cunlc t Tr Approximate Cost o1 ] , O O U 0. Area -17 C �� iagram of Lot and Building with Dimensions Fee ✓ / 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 J � / �JOHNSON, PETER No 34389 Permit Fc;._ii Stor - ' -o Single Fama<l`V Dw lincr o , Location 70 MocotrRgad West B%r—: st le Owner Peter J 2 h so Type of Construction Fume 14 s o Plot Lot Permit Granted June 12, 19 91 Date of Inspection �2 -�� 19 �'o�`-- . �E?affCCorrqted 19 M � ~, M '�\ iu C - -- M M 9 e F A/"-�• DATE(MM/DD/YYYY) ll...• CERTIFICATE OF LIABILITY INSURANCE 03/21/2011 PRODUCER Phone: (978)562-5652 Fax:978-562-7120 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION WELSH&PARKER INSURANCE AGENCY,INC. ONLY AND CONFERS NO RIGHTS UPON THE-CERTIFICATE 131 COOLIDGE STREET,SUITE 100 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR HUDSON MA 01749 ALTER THE COVERAGE AFFORDELLX.IULC"IES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Merchants Mutual 23329 OHC INC INSURER B: Merchants Mutual 23329 DBA THE HOUSE COMPANY INSURER C: Merchants Preferred 12901 -P.O.BOX 1166 BARNSTABLE MA 02630 INSURER D: Merchants Mutual 23329 - INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADOIJ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMBS LTR INSR DATE MMIDD DATE MMND GENERAL LIABILITY BOP9100228 03/21/11 03/21/12 EACH OCCURRENCE $ 1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ PREMISES Eaoca,rence 12,000,000 CLAIMS MADE OCCUR MED.EXP(Any one person) $ -Aif-- PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S POLICY PRO LOC AUTOMOBILE LIABILITY MCA7015386 03/21/11 03/21/12 COMBINED SINGLE LIMIT ANY AUTO - (Ea accident) $ ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per pe/SOn) $ 1,000,000 B X HIRED AUTOS BODILY INJURY $ 0 X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ 5,000 (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ _ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY CUP9143538 03/21/11 03/21/12 EACH OCCURRENCE $ 1,000,000 OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 D $ DEDUCTIBLE $ RETENTION$ $ WORKERS COMPENSATION AND WCA9097759. 03/21/11 03/21/12 TORYWCST IMTS OTHER EMPLOYERS'LIABILITY YIN E.L.EACH ACCIDENT $ 500,000 c ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 500,000 (Mandatory In NH) II yes,descdbe under SPECIAL PROVISIONS below I I E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/EXCLUSIONS ADDED-BY ENDORSEMENT/SPECIAL PROVISIONS RE: Building Permit#B 20102730 Map/Parcel 306135 Kazanowski,Ed-11 Cumner Street,MA 02601 CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS _ Building"Department- -WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO 200 Main Street DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS Hyannis,MA 02601 AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Attention: ACORD 25(2009/01) Certificate# 43732 ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD M.issachusetts- Department of Public Safety Board of Buildin, Regulations and Standards Construction Supervisor License License: CS 42406 Restricted to: 00 JEFFREY GOLDSTEIN PO BOX 1166 BARNSTABLE, MA 02630 expiration: 3/18/2012 I ('unmiissiuncr 'Tr#: 17f :. g1W eammowaieaa 04'/� , Office of-Consumer Affairs and.1fusiness Regulation 10 Park Plaza Suite 5170 Boston, Massac setts 02116 Home.Improvement : tor Registration Registration: 100932 Type: Private Corporation Expiration: 6/24/2012 Tr# 296738' OHC INC. E)BA/THE HOUSE CO Jeffrey Goldstein a a P.O. BOX 11-66 w BARNSTABLE, MA 02630 Af 5N:0 Update Address and return card.Mark reason for change. Ej Address F1 Renewal Employment ❑ Lost Card PS-CAI 0 5OM-04/04-G101218 ........ ........................................._.............. .............................._............ �ie �°°"""t°""'ec�!/ o�✓�a°°ac�uae�2 . License or registration valid for individul use only Office of Consumer Affairs&Bdsiness Regulation g Y VHOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: . Registration: 00932 Type: Office of Consumer Affairs and Business Regulation Expiration: <6k2462012 Private Corporation 10 Park Plaza-Suite 5170 — Boston,MA 02116 0 INC.DBA/ S) j�iNY Jeffrey Goldstein — 30 PERSEVERAN0 �I Oyannis,MA 02601 Undersecretary ot0ift"I without signature i • � I i t P 2-06-19 14:56 THE HOUSE COMPANY 5087710384» P 1/4 b Fax Transmission Date: 19 June 2012 To: Bob McKechnie Barnstable Building Department 508 790 6230 oiiipatiy From: The House Company Renee Ross, Production Coordinator PO Box 1166, Barnstable, MA 02630 Phone: (508) 771-0303 Fax: (508) 771-0384 Pages: 4 Re: 70 Moco Road, West Barnstable Log Home Final Inspection Bob, Mike Rockwell, our.Project Manager, has asked that I forward the following photos and receipt to you to verify that two doors ha&1been o replaced with fire rated doors. Photo and rating tag are showri�here. If you would like to view the doors in person, please let us know- Thank you for your time. 1 Renee Ross, Production Coordinator `-0 �'' THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA + +. 5087710384 k s. � ' - 15TCD FIRE nC�OF; ,a; -` ��tIPJt►'1 E FiATIN(� .♦ .yy,,, _`' r . FfT :N 5 ' 4 i- - sr �,...:��...� � ^� f2�: YSS �Y;Sl�fr fi�`•J 4. i:t�.5 'lS �`� '+ - y t+:.• _ tier Yr'%n�p`�;wris,f •,�.. ti~, ii 1 i�,yc�'Y�y" ", jf - ~' TINwIMIR-7m,OEM `�''����\�- �����ii�.!'.. .�. ... 2012-06-19 14.57 THE HOUSE COMPANY 5087710384» P 4/4 � r✓ � Y � INVOICE 00344602A01 Hyanrus Shepley Invoice Date: 06/12/12 216 Thornton Drive Account: HOUCOM 0078 Hyannis,MA 02601• USA Branch: HYA Phone;(508)-B62.6200 Phone: (508)•771-0303 II I I II I IIII'I I II IIIII III I III U I I II III II I IIII III TeX: 0034(508)-771-0384 01 Delivery: 00344602.00t / BILL T0; Reprinted:06/12/12 06:18:19 IP To: v/ Jeff Goldstein Johnson The House Company 70 Moco ad Po Box 1166 a r. ed Invoices Barnstable MA 02630 West Barnstable Ma - Page 1 of 1 PO: —REV 10 Mln Fire Doors JOB: Johnson ORDER DATE: 06/04/12 SALES Team Winner ORDER TYPE:WH SHIP VIA: Box Truck FRT TERM: SHIP DATE: 06/11/12 AGENTSM Hersey ORDERED BY.Mike/Renee Trim Taylor ENTERED BY:Fsaluti AUTH CHG: .:.. ............. ........... ::.:>: Q ::::::::::::::..:....:...:...:. .................... ....... . �f�lp:7.. ........... :.,.:.....•:::..:::::::::::::QTS�•. ,, • :�:>�RIG£iIUE)ilA;�:��>:41.�.W NOT ASSIGNED GROUP" 1 1 EA D 1.00/EA 0.00/EA 0.00 Please Deliver 6.12 AM-Thank You! (mh1 10:57 6.11) -'Please against garage door"" BASEMENT LHIS GROUP" 1 1 EA NS0000185810 1.00/EA 263.89/EA 263.89 3-Ox6-8 LHIS SSF160-6 Panel -20 Min -Therma T►u Smooth Star-Fiberglass Fire Door - Machined For Standard Hinges—Single Bore GARAGE 1.0 HOME•-LHIS GROUP•• 1 1 EA NS0000185809 ' " " """"' ' 1.00/EA 312.38/EA 312.38 3.Ox6-6 LHISSS5F160.6 Panel -20 Min-Therma.Tru Smooth Star-Fiberglass.Fve poor Machined for Standard.Hinges;Single Bore SUB:TOTAL."'•" ... .. ....... 576.27 MA 6.2.S% 36.02 Received in good condition, subject to the tern is below by: X Conditions of Sale: Stock items returned in ark linal condition within 30 days of purchase are subject to a minimum handling charge of 5% and must be accompanied by a copy of this bill, Non-stock items rr sy not be returned without special approval. Claims of shortage,damt ge, or unsatisfactory condition must be made within 48 hours. Balance S612.28 _ a Old Kings Highway RE- tonal Histlxlc D ,•.irict Committee in the Town of Barnstable for a CERTIFICATE FOR DEMOLITION. OR REMOVAL Application is hereby made, in triplicate, for the issuance of a Permit for Demolition or Removal of•a building or;a structure or part thereof, 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. "• `; . <'..: TYPE OR PRINT LEGIBLY DATE OCT /S, i990 • ADDRESS OF PROPOSED WORK 72 /hoGo R A W, /VA)S MRZ - .04 ASSESSORS MAP N0. 2 OWNER CC z'rz F. ) OHN on/ ASSESSORS LOT N0. G HOME ADDRESS 70 Moto 126 1- )- 8n1z v5M,3 /Vq 02 TEL NO. S 5Os 3612 86 yG NAMES AND ADDRESSES OF ABUTTING OWNERS: Include names of adjacent property.owners,across any public street or way. (Attach additional sheet, if necessary): SEC 77AtFl6-0 Si/C n )TOM CON5fn vA•noAv IA16 2C0 /l 4I ?A- IA DICAI�T `4814 176 AGENT OR CONTRACTOR KE�V .)0HN,oN TEL. No.�SoB.� 3G2-.'86S�p ADDRESS __2 2� �f71N T7ZL-Z' �/ 13/9R/vSI�)3LG" jI9/� Q2CC fi I DESCRIPTION OF PROPOSED WORK: If building is to be removed, give new location. Snap shots showing all views of building must accompany application. (Attach additional sheet, if necessary). • 1�C--n�o�rtivn� dF [-'XS�Sri�iG curn9Gr ON LOT !1g I3F2 0Q0E-7Z OF Cc-�iTioHs OF $l9/Zil/STJ4�Lr •CoaS�2v�4To�l Cps DE'aG FILE- #f SE3-�.1yZ I $CcrruE Cor-01-C-G Gv-I Quid iN rtro 19SOS A+✓D Gc- 0CMotiEl4F4 WITH rN S"f A-OwT*s OF 2e-c-orr or OCCIAPAucr PF►Zn.,r Fob »Its tlo,�, Note: If approval is granted for relocation, a separate Certificate of Appropriateness is required for new location if within the Old King's Highway Regional Historic District. / SIGNED Space below line for Committee use. Own -Contractor-Agent :Recei.ved by H.D.C. Th Certificate is hereby��/� �� Y (D tq Date €« Time" I.! '! '" 1990 �. t By_ iii � alV `Approved ❑ IMIORTANT: If Certificate is approved, a `pp pproval is subject to the 10 day appeal period provided in the Act. Disapproved ❑ Assessor's office(1st Floor): n Assessor's map and lot•number f A ec-l r i ti WQ�O T N 0`. Consenoatlon 4 16,--7L� Board of Health(3rd flo r): a `. • Sewage Permit number 1; DAt STULN J � rua I Engineering Department( rd floor): House number e% Ito rrar / Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only r TOWN OF ' BARNSTABLE BUILDING INSPECTOR I APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION �/y :� U.n>r S, i s �I 2 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location loco 2-D l.J. i3"4n/sM131f Ad r26G� Proposed Use Zoning District Fire District Name of Owner I�� � �C�Yiw3a�/ Address Name of Builder ✓ s<I�+'�� Address Name of Architect Address Number of Rooms Foundation Exterior Roofing Floors`,', Interior Heating Plumbing Fireplace Approximate Cost 1 Area �Q S Diagram of Lot and Building with Dimensions Fee W 0U D �IQI3K^C �TT�rrC Ap zzoA `t 5D 51 A- �n�a� Gc> ck d JM y Sept' w t rti %z T'oW Lvo WoR K 4z. T Lo 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 L - T JOHNSON, PETER J No 35111 Permit For DEMOLISH :BOAT HOUSE Boat House Location 70 Moco Road W. Barnstable Owner Peter Johnson Type of Construction Frame Plot Lot .e s Permit Granted June 8, 19„ 92 . " Date of Inspection 19 Date Completed 19 s i ` RECEIPT Printed:07-18-2011 ® 15:48:08 BARNSTABLE COUNTY REGISTRY OF DEEDS JOHN F. MEADE, REGISTER Trans#: 149236 Oper:TRACIE Book: 25569 Page 265 Inst# 36176 Ctl#: 1209 Rec:7-18-2011 ® 3:46:03P BARN 70 MOCO RD DOC DESCRIPTION TRANS AMT -- ----------- --------- 1 BARNSTABLE TOWN OF RESTRICTION ` County Fee $ 10.00 10.00 Surcharge CPA $20.00 20.00 State Fee $40.00 40.00 Surcharge Tech.$5.00 ----5_00 Total fees: 75.00 Ctl#: 1210 Rec:7-18-2011 ® 3:46:03p DOC DESCRIPTION TRANS AMT POSTAGE FEE County Postage Fee 1.00 ** Total charges: .76.00 CHECK PM 416 - 76.00 � � � ' �i . F j Bk 25567 Psi 26S 036176 07-18--.20'11 a1 p3 : 46p Deed Restriction Vi'HERE.kS, Peter Johnson of 70 ,N1oco Road,West Barnstable, NIA 02668 is the owner of 701N1oco Road located at West Barnstable, MA, hereinafter referred to as Owner of 70 lfoco Road,.West Barnstable.and being shown on a plan entitled 'Subdivision of Land in Barnstable �I,. �' Peter Johnson duly recorded in Barnstable County�Rcgistry of Deeds in Plan Book Property of i 1'1 Page I . 6 LOT' 1 ; Or on Land Court Plan Number ----------------- WHEREAS, Peter Johnson as the owner of said lot has agreed with the Town of Barnstable' Board of I Iealth to a restriction as to the number of bedrooms which can be included in any liorue biult on said lotus a pre-condition'to obtaining a disposal works construction permit in compliance ivitli 310 ' QMR 15.000 State Environmental Code, Title V, !1linimum Requirements for the Subsdrface .Disposal of Sanitary Sewage; WHEIt.EAS, the Tenon of Barnstable Board of Health, as apre-condition to granting a disposal 4- works constnuction permit for a septic system in compliance with 310 CMR 15.200 Stat' Environmental Code,Title.V,.Minimum Requirements for the Subsurface Dis os t1� p al of Shnitar%- i Sewage,and authorizing the issuance of a building permit for the construction of a single family 0 home oil this property, is requiring that the agreement for the restriction of the number of bedrooms.in any house constructed on the lot be put on record with.the Barnstable Count- Reg6stry of Deeds by recording this document, r NOW, THf-.;RF1=C.).RF, Peter. Johnson•does hereby place the fcilloNving restriction on'thi.� above- referenced land in accordance with his agreement with the Town of Barnstable Board..of IIealth, which restriction shall run with the land and be binding upon all successors in title: o 1 �1 1. 'U loco Road West Barnstable, M 1 021G$ may have constructed upon the lot a house containing no more than two (2) bedrooms. Peter Johnson agrees that this shall be permanent deed restriction affecting. b 70;tifoco Road located on West I;arnsCable, �t.�, and being shown on plan recorded in Plan Book 3 l. . paged c� _ 7 Or-on Land Court Certificate of`Title Number �-"'-' In the Brent of relevant changes in Board of Health requirements, this deed restriction of two 2 r bedrooms shalf be revisited and revised. � ) I j Deed'Restriction—Peter Johnson,70,Nfoco Road,\Vest Barnstable,,NLA 02668 Pa 1 f Page o2 Executed as a sealed instrument L� daV of July 20l1. Owner's Signature CC)MMo ' 'ALTH OF MASSACH'USEI I'S ; 2011 Then Personally appeared the above-named know to me to-1"�die p'ePtcT� who executed the foreg4�' instrument and acknow �;ed the same t� be •`�' cc a t n I 'otart•Public. f My commission expires: J. =B . CAROL NotarCOMMONWEAITMy CommApril , Y I i r t Deed Restriction—Peter Johnson,"'o\loco Road,West Bamstahle,A 02668 page 2 of 2 - Me y �ta�don i\ ST% Ca LOT a n.ri4ARD a �4 AAl 6.47-/Oi-/ . -AIAT T/-/E c>v,cA)AT1o,j syOWN yE,2E0.�/CO�'!OL YS Gr//Tf/ SCE,L G— 4� 0�1 TE �!��.;t /. •; ;; ,�EQU/.2EME�/T.S Ors 7- 7`aw�l/aF _ wo /S J/4T B,q,eA)s r.4 5 4 c -� ,-o cA 7;ea? Ls�iTy/�! Tye �LoaaPG4/�i! OATS- i99i L -r �,.;-(ti� .23A xTE,e E �vyE i uc. Tiy/S 4:,Y,4 U/S i(/aT BASE�O GN ,4it/ �2EG/STE•eE� LAB/O SU.eY6}�ot O.c�45'ETS Sh�ali✓iY S,ypUGD �c/OT_ 8� r4P�,L /C,Q/�T '� r 1' v-! a~ LL l/.SE� T� OETEP�'I/NE•,l!�T�/it/ES I C-.:i �.:;c.. ..;Z. ,1, s� Imo. ' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations a' d 600 Washington Street Boston,MA 02111 www.mass.gov/dia ' Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le:�ibly Name(Business/Organization/Individual): C)1•lL U-t, •Address: Po bu-t \\ e City/State/Zip: oa(,t� Phone.#: ea�)& -7 o� Are you an employer?Check the*appropriate bog: -Type of project(required):• with �j 4. ❑ I am a general contra 1. I am a employer and I . have hired the stab-contractors 6. El New construction . employees(full and/or patt,time).* 2.❑ I am a'sole proprietor or partner- ship listed on the'aitached sheet. 7. El Remodeling ship and have no employees These sub-contractors have g, ❑Demolition workingfor me in an capacity. employees and have workers' Y P tY• #. 9.�3uilding addition [No workers' comp.insurance comp•insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions officers have exercised their l 1. Plumbing repairs or additions ' '3.❑ I am a homeowner doing all work . . g p myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tbontractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below ls.the policy and job site Information. . Insurance Company Name: ! k%E—kv4�T% M UTy N l_.. Policy#or Self-ins.Lic.#: W Expiration Date: 3 21 Zv I �- Job Site Address: o MoCo City/State/Zip: \N)_ �-!. '�f>�1.` �-��,• Attach a copy of the workers' compensation policy declaration page,(showing the policy number and expiration date). Failure,to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office.of Investigations of the DIA for insurance coverage verification. 'do hereby certify under he p nand penalties of perjury that the information provided above is true and correct. Si afore: Date l 1 Pho:eO:: FS 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): J.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: I �TM�r To ?m of Barnstable . Regulatory Sery4ces Thomas F. Geiler, Director kc SSI t6s� wilding Division .ran Thomas Perry,-CB O,•Building Coirnmissioner 200 Main Stroet, Hyannis,MA 02601' j mow.town.b arnsta b l e.m a.us r Offices 508-852--4038 Fax: 508-790-6230 ' PLANRLVMW � o1c a� 6S� Owner: - Map/Pa-cel. .Project Address 70Wveo jeO/ W Builder. 414so- The foUowing items were noted-on reviewing: 0. NA �/e� ��--- �oa ets /Poo.�t �R iv.yo T �� (�"S� Ted Se;c elI06 A,d / h4l!¢c. jw,(rs I)eGL e& .)&4Q' c/.eend Fv:� � K Z Gl�k 141t-fir�rrt 7O/e -*X4--rs Opt,,c y. 14AO DT sc— (1749N Reviewed by: i Date: Town of Barnstable Regulatory services Thomas F.Geller,Director 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 Property-Owner Must Complete and Sign This Section If Using A Builder I, Peter Johnson , as Owner of the subject property hereby authorize OHC, Inc dba The House Company to act on my behalf, in all matters relative to work authorized by this building permit application for: 70 Moco Road,West Barnstable;MA 02668 .(Address of Job) I Signature of Owner Date ' Peter Johnson Print Name 7th Edition Massachusetts Building Code Mass. Version of the WFCM 110 MPH Exposure B Checklist V,' E M c { N ZIE Summary of Construction Requirements ENGINEERING CONSULTANTS Project: The House Co. - Johnson, 70 Moco, W. Barnstable structural civil environmental ' • Per review of location, site is Exposure B O The Mass Checklist has been satisfied except for the following items requiring an engineering solution: o The garage wall with the doors does not minimum % sheathing. APA portal walls have been designed. Refer to the attached APA TT-100 portal wall technical guide. o The Joist Setbacks for the dormer above the garage exceed the maximum dimension(d). See notes on plan for requirements. r o The stairs leading to above the garage are closer than the 2' minimum to an exterior wall. See notes on plan for requirements. Standard framing,connection requirements: Table 2 from WFCM manual. Anchor Bolt Requirements: wt. ✓.sxEekr,> 5/8"bolts spaced 38" o/c with minimum embedment of 7" into concrete. Additionally, a bolt must be placed between 6" and 12"of each corner. All sill plates to be connected using 3"x3"xl/4" square plate washers. For wall segments requiring APA portal walls on the garage, install Simpson STHD 14 hold downs into the stem wall at the corners and adjacent to the doors for hold down connection. ' Floor Construction Requirements: First two joist bays of the floor framing to be blocked with 2x lumber or TJI sections 4' on center for the length of the joist. Sheathing to be nailed in accordance with Table 2 (8d nails, 6" spacing at the edges and 12 inch spacing in the field). Exterior Wall Requirements: All exterior wall studs to be 2x4, 16"on center minimum. The double top plates on the exterior walls to have a minimum splice length of 4 feet and splices to be nailed with 13-16 d nails in accordance with Table 6 in the WFCM 110/B booklet. Nailing of plates to studs to be with 2- 16d nails. The bottom plate to floor box nailing is 3- 16d nails per foot for walls on all elevations. 1279 Millstone Road ~ Brewster,.MA 02631 t 774.353.2144 f 774.353.2142 www.mckengineers.com I For all door and window openings, multiple king studs are required. For openings up to 4 feet wide, 2 king studs are required, for opening 5 feet to 9 feet wide, 3 kings studs are required, and for openings 10-12 feet wide, 4 king studs are required. For shear and uplift connection of the sheathing, the sheathing is to be nailed as shown on the First and Second Floor Plans. All nails are to be 8d or equivalent gun nails (.131 x 2 '/2"). In order to eliminate the need for steel strap ties and hold downs per the WFCM manual, sheathing must be installed and nailed in accordance with Note 4 on the Mass Checklist. This includes using full sheets of sheathing running from the PT plate at the foundation up to at least 2 inches into the second floor box and from the floor box to the top plate of second story walls (Note 4 Sheet attached). The garage door elevation does not meet the minimum% full height sheathing requirements. APA Portal Walls are required to be installed on the two (2) end stem wall sections at the corners of the doors; refer to the APA TT-IOOC Document attached to this letter and the First Floor Plan for additional details. Roof Framing Requirements: Rafter connection to the top plate requires Simpson H2.5A hurricane clips with 2x blocking between joist bays toe nailed to the rafter with 4- 1Od nails per side. If blocking is not desired, Simpson H-10 or H-14 hurricane clips can be substituted and installed on every rafter. All clips to be install in accordance with Simpson requirements. Collar ties are required within the upper third of the roof height on every rafter connection or use Simpson LSTA 18 straps over top of roof sheathing across ridge on every rafter nailed in accordance with Simpson requirements. Roof sheathing to be nailed using 8d or equivalent nails 6" on center at the edges, 6" on center in the field. The first two bays between rafters are required to be blocked 4 feet on center at all gable ends per the WFCM. Limitations and Contractor Responsibilities The contractor must refer to the Tables and Figures within the WFCM 110 MPH Exposure B booklet for illustrations and requirements discussed within this summary. All connections and nailing must meet the requirements herein and as illustrated in the booklet in order to be in compliance with the building code. The contractor is responsible to ensure all connections, nailing, and anchor bolts are visible to the inspector at the time of the framing inspection/foundation inspection. The contractor must reference the Simpson Strong Tie C-2011 catalogue for all strap, hangar, and tie installation requirements and limitations. This document and the attachments as well as a copy of the WFCM booklet must accompany all sets of plans submitted to the building department and issued to the contractor/subcontractors unless the plans are updated with notes and details that reflect the requirements stated in this document and attachments. This review was completed on plans submitted by The House Co. dated 12-8-10 and was based on the floor plans and elevations provided. Any changes to these plans or field changes made may render the requirements his docuRypnt null and void and could result in non-compliance with H of f the 'nd design. MARK A. y�N U ' N s068 k P s., c a ng Consultants, Inc. aNAI Attachments: Mass Checklist TT-100 AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance (780 CMR 5301.2.1.1)i Check Compliance 1.1 SCOPE WindSpeed(3-sec.gust).................................................................. ................................................ 110 mph WindExposure Category.................................................................. .............................................................B 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) �- stories <_2 stories Roof Pitch ...........................................................................(Fig 2) ...........................................IZ:12 <_ 12:12 17 MeanRoof Height ..............................................................(Fig 2).................................................1:1,' ft <_33' 7 Building Width,W ...............................................................(Fig 3)................................................21�jm ft <_80' J BuildingLength, L ..............................................................(Fig 3).................................................3 'ft <_80' Building Aspect Ratio (L/W) .........Z....................................(Fig 4).................................................15:\ <_3:1 Nominal Height of Tallest Opening ...................................(Fig 4).......(�!Ei.(7...QvQ.R... '.......�!<_6'8" 1.3 FRAMING CONNECTIONS J General compliance with framing connections....................(Table 2)............................................................... 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete.............................................................................................................................. ConcreteMasonry .................................................................... ............................................................... -bqg 2.2 ANCHORAGE TO FOUNDATION''' 5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only.,,, u Bolt Spacing-general ..........................................(Table 4)........................................d...... in. Bolt Spacing from end/joint of plate ............................(Fig 5)....................................S_in.<_6"-12" Bolt Embedment-concrete.........................................(Fig 5)........................... in. >_7" �C Bolt Embedment-masonry.........................................(Fig 5)............................................ in. >_ 15" PlateWasher...............................................................(Fig 5)..............................................>3"x 3"x'/4' 3.1 FLOORS Floor framing member spans checked ...............................(per 780 CMR Chapter 55)................................... ✓ Maximum Floor Opening Dimension...................................(Fig 6).................................................1L.5 ft:5 12' Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall (Fig 6)... .bRSx.S?A1.Ft9...$eG.t1dLow. Maximum Floor Joist Setbacks t Supporting Loadbearing Walls or Shearwall................(Fig 7).................................................��_ft <_d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................(Fig 8)....................................................-0 ft <_d FloorBracing at Endwalls....................................................(Fig 9)................................................................... Floor Sheathing Type ........................................................(per 780 CMR Chapter 55).ADy..ANT.. C.lt.. .� Floor Sheathing Thickness .................................................(per 780 CMR Chapter 55)....................., -'��in. Floor Sheathing Fastening..................................................(Table 2) �d.. nails at (0 in edge V 12. in field 4.1 WALLS Wall Height Loadbearing walls........................................................(Fig 10 and Table 5)............... .......... ft <_ 10' Non-Loadbearing walls................................................(Fig 10 and Table 5)........................ .. ft <_20' Wall Stud Spacing ........................................................(Fig 10 and Table 5)....................V in. <_24"o.c. Wall Story Offsets ........................................................(Figs 7&8)....................................#.... 'ft <_d 4.2 EXTERIOR WALLS3 Wood Studs Loadbearing walls........................................................(Table 5)..............................2x - ft 9 in. Non-Loadbearing walls................................................(Table 5)..............................2xIA, -3-ft-C in. Gable End Wall Bracing' FullHeight Endwall Studs..............:.............................(Fig 10)................................................................. WSP Attic Floor Length................................................(Fig 11)............................................. ft>_W/3 w�l (fir Gypsum Ceiling Length(if WSP not used)...................(Fig 11)............................................�>_0.9W and 2 x 4 Continuous Lateral Brace @ 6 ft. o.c. .. (Fig 11)............................................................. � or 1 x 3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft. spacing in end joist or truss bays�� Double Top Plate Splice Length ........................................................(Fig 13 and Table 6).................................... Splice Connection (no. of 16d common nails)............. (Table 6)......................................................... -9 WEIED TO ADDRESS IN LETTER AWC Guide to Wood Construction in.High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance (780 CMR 5301.2.1.1)1 Loadbearing Wall Connections ,t Lateral(no. of 16d common nails)......W........I.. .......(Tables 7)..................................................... 2 Non-Loadbearing Wall Connections I Lateral (no.of 16d common nails)...... ..�.� .......(Table 8)....................................................... Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) J Header Spans ........................................................(Table 9).................................. g ft 0 in. <_11' Sill Plate Spans .......... . .. ........................................(Table 9).................................. ft Q in. <_ 11' ✓ Full Height Studs (no. of studs) ...................................(Table 9)....................................................... 3 Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans.............................................................(Table 9).................................. 3 ft O in. <_ 12' Sill Plate Spans...........................................................(Table 9).................................._-,a_ft 0 in. <_ 12" Full Height Studs(no. of studs)....................................(Table 9)....................................................... 2- Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension,W , Nominal Height of Tallest Opening2 ..................................... W. ........... <_6'8" ✓ SheathingType..............................................(note 4)..................................................... 00� -711 ✓ Edge Nail Spacing.........................................(Table 10 or note 4 if less)........................'_in. Field Nail Spacing..........................................(Table 10)................................................... 2_in. _�✓ Shear Connection(no.of 16d common nails)(Table 10)....................................................... 3 ✓ Percent Full-Height Sheathing.......................(Table 10)....................................................7% v 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts).................... a A Maximum Building Dimension, L Nominal Height of Tallest Opening 2.......................................YO.9"r.p —*(4.t'.L.........$ I<_6'8" SheathingType..............................................(note 4)....................................................WODD 71t('V Edge Nail Spacing.........................................(Table 11 or note 4 if less)........................ (Q in. Field Nail Spacing..........................................(Table 11).................................................min. �G Shear Connection (no. of 16d common nails)(Table 11)....................................................... 3 ✓ Percent Full-Height Sheathing.......................(Table 11)....................................................b% V11 5%Additional Sheathing for Wall with Opening >6'8"(Design Concepts).................... Wall Cladding / Ratedfor Wind Speed?.............................................................. ............................................................... ✓ 5.1 ROOFS / Roof framing member spans checked?........................(For Rafters use AWC Span Tool, see BBRS Website) ►/ Roof Overhang ....................................................(Figure 19).............._L ft<_smaller of 2' or L/3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12)............................................U= 253pif ✓ Lateral .............................................(Table 12).............................................L=17L9plf .� Shear...............................................(Table 12)............................................S=__j T plf ✓ Ridge Strap Connections, if collar ties not used per page 21... (Table 13)...............................T=11&plf Gable Rake Outlooker..........................................(Figure 20).............._JL ft<_smaller of 2'or L/2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift................................................(Table 14)............................................U=917lb. Lateral (no. of 16d common nails)...(Table 14).......................................L=17LIb. Roof Sheathing Type...................................................(per 780 CMR Chapters 58 and 59) ............ Roof Sheathing Thickness........................................... ............................................. /2 in. >_7/16"WSP �- Roof Sheathing Fastening............................................(Table 2).........................................................&qaF Notes: 1. This checklist shall be met in its entirety, excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Corner Stud Hold Downs per Figure 18a and Figure 18b 2. Exception:, Opening heights of up to 8 ft. shall be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2-grade. i I AWC Guide to Wood Construction in.High Wind Areas: I10 mph Wind Zone Massachusetts Checklist for Compliance (780 CMR 5301.2.1.1)1 4. a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio, determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows: i. Panels shall be installed with strength axis parallel to studs. ii. All horizontal joints shall occur over and be nailed to framing. iii. On single story construction, panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction, upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates, band joists, and girders shall be a double row of 8d staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment -WHEN THIS EDGE RESM ON NAIL FRAMING MEW S AT 6b.e. --..fl--'--IT--_-_ -__ 11 11 11 11 11 11 1 Y 1.1 it 11 1 11 11 11 11 It 11 11 71 11 11 1 N 1•I II 11 I � 1 1 11 11 • 11 Il - 1 1 I[ 11 11 ^ I to n YI Q M1 Ir 1 II Ea ;1 1 II r 13 l I f 1 W =' 1,1 ii 11 1t .Z ii 1� p 1 e 4 fl 1 W I I I d I I I r W 1 O u 1I H II II 11 7 r i T II rl li tl JJ 1 11 III ••••__- t DOUTALEEtxE `__ MAIL SPACWG 11 J PANEL 1 V� See Detail on Next Page Vertical and Horizontal Nailing for Panel Attachment AWC Guide to Wood Construction in.High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance (7so CMR 5301.2.1.1)' w� 3I a :3 ' i I `ZQ r a r ' r r ti r � ci ' ; a a I I 11 ' FRAMINGMEMSERS r ' i EDGE WI ERMEDIAT£ V-1 "MLN-- ....—a. .1—.. STAGGERED 3"MMJ ML PATTERN � PANEL PAWL EDGE DOUBLE MAIL EDGE SPAQNG DMIL Detail Vertical and Horizontal Nailing for Panel Attachment a i, LTechni -Toptc ' S A Portal Frame with Hold Downs for Engineered Applications ENGINEERED ®ESION USE While the APA portal-frame design, as shown in Figure 1, was envisioned primarily for use as bracing in conven- tional light-frame construction, it can also be used in engineered applications. The portal frame is not actually a narrow shear wall because it transfers shear by means of a semi-rigid, moment-resisting frame. The extended header is integral in the function of the portal frame,thus,the effective frame width is more than just the wall segment,but includes the header length that extends beyond the watt segment. For this shear transfer mechanism, the wall aspect ratio requirements of the code do not technically apply to the wall segment of the APA portal frame. Monotonic and cyclic testing has been conducted on the APA portal-frame design (APA, 2002, 2003a and 2003b). Recommended design values for engineered use of the portal frames are provided in Table 1. Design values are derived from the cyclic test data using a rational procedure that considers both strength and stiffness. The design. value derivation procedure ensures that the code (IBC) drift limit and an adequate safety factor are maintained. For seismic design,APA recommends using the design coefficients and factors for light-frame walls with shear panels— wood structural panels.See APA Report T2004-59 for more details on this justification. Since design values are based on testing conducted with the portal frame attached to a rigid test frame using embed- ded strap-type hold downs,design values should be limited to portal frames constructed on similar rigid-base foun- dations,such as a concrete foundation,stem wall or slab,and which use a similar embedded strap-type hold down. REFERENCES APA,2002,Cyclic Evaluation of APA Sturd-I-Frame®for Engineered Design,APA Report T2002-46,APA—The Engineered Wood Association,Tacoma,WA APA, 2003a, Cyclic Evaluation of APA Sturd-I-Frame® as Wall Bracing, APA Report T2002-70, APA — The Engineered Wood Association,Tacoma,WA APA,2003b, Cyclic Evaluation e f APA Sturd-l-Frame®with 10 ft Height and Lumber Header,APA Report T2003-11,APA— The Engineered Wood Association,Tacoma,WA APA,2004,Confirmation of Seismic Design Coefficients for the APA Portal Frame,APA Report T2004-59,APA—The Engineered Wood Association,Tacoma,WA (D 2010 A PA—The.Engineered Wand Assnciutinn Table 1.Recommended allowable design values for APA portal frame used on a rigid-base foundation for wind or seismic loading(l�"c") ASD Allowable Design Values Minimum Maximum Ultimate per Frame Segment Load Width(inches) Height(feet) Load(pounds) Shear(^)(pounds) Deflection(inch) Factor 8 2,780 1,000 0.32 2.8 16 10 2,180 600 0.40 3.6 24 8 4,720 1,700 0.32 2.8 10 3,630 1,000 0.34 3.6 (a)Design values are based on use of Douglas-fir or southern pine framing.For other species of framing,use the specific gravity adjustment factor=(1—(0.5—SG)),where SG=specific gravity of the actual framing.This adjustment shall not be greater than 1. (b)For construction as shown in Figure 1, (c)Values are for a single portal frame segment(one vertical leg and a portion of the header).For multiple portal frame segments,allowable design values can be multiplied by number of frame segments(e.g.,two=2x,three=3x,etc.). (d)Interpolation of design values for heights between 8 and 10 feet,and for portal widths between 16 and 24 inches,is permitted. (e)The allowable shear value is permitted to be increased by 40 percent for wind design. Figure 1.Construction details for APA portal-frame design with hold downs EXTENT OF HEADER ' .............................................. .......... .......... ......................... ....... ......... .............. .... a DOUBLE PORTAL FRAME(TWO BRACED WALL PANELS) ty EXTENT OF HEADER SHEATHING FILLER y SINGLE PORTAL FRAME(ONE BRACED WALL PANEL) AI IF NEEDED _7 1 •1 _ • PdIN.3'X 11.25"NET HEADER r r, }�jy', •'FASTEN TOP PLATE TO HEADER WITH TWO 1000 LB TYPICAL PORTAL I I I 16D `1000 LB •I•'�� Ln ROWS OF 160 SINKER NAILS AT 3'D.C.TYP, FRAME ' `!i SINKERS HEADER STRAP REF, (I i :; `•�•� STRAP I' \``•;• �\ STRAP(REF " I •� 2 ROWS •i� O NO.LSTA241 li: 1 1000 LS STRAP oPPOSrTE SHEATHING `+ (REF.NO. �- :I• I; I'I„ t;Y 3"O.C. FASTEN SHEATHING TO HEADER WITH 8D COMMON OR )` FOR A PANEL. '71 .I? GALVANIZED BOX NAILS IN 3'GRID PATTERN AS SHOWN AND s':€, SPLICE(1F j•;; •;7 + NEEDED).PANEL Y, •;•! PAIN.2X4 MAX, '.- 3"O.C.IN ALL FRAMING(STUDS,BLOCKING.AND SILLS)TYP. I I i y I FRAMING EDGES SHALL ; HEIGHT ?' °i•. OCCUR OVER AND 1'i �•�•j TYP. t WIDTH(SEE TABLE 1) , 10• .! / 1`'' BE NAILED TO .. 4 j COMMON BLOCK- ING AND OCCUR iir .� 4200 LB, I (, )• ( WITHIN MIDDLE 24 TIE --"MIN,(2)2X4 PdIN.(2)2X4� f:` OFWALLHEIGH7 II AWN ONE ROW OF 3 I; •3 J. 3t8'MIN,THICKNESS WOOD '`s'i STRUCTURAL PANEL SHEATHING t O.C.NAILING IS i..' DEVICE REQUIRED IN EACH I (REF.NO. 'y �..•it. ? PANEL EDGE. STHD14) MIN.4200 LB STRAP TYPE TIE-DOWN DEVICE(EMBEDDED INTO CONCRETE AND NAILED INTO FRAMING).INSTALLED PER MANUFACTURER.(REF.NO.STHD14.) j i'MIN.1000 LB TIE DOWN •- -._,-,., -'1. ;' '-MIN.2"XYX3I16"PLATE WASHER DEVICE(REF. tI -- ) NO.STHD6) 1 •I ONE SW DIA.ANCHOR BOLT WITH r MIN.EMBEDMENT f T✓B�.__....._...__.-...____. _ ( i _ ( f_..,,FOUNDATION i •I ,...... I 1 ......................._......................._.................... , IPER CODE ) FRONT ELEVATION — A SECTION A-ASIDE ELEVATION (ONE PORTAL FRAME SEGMENT) 2 0 2010 APA—Thr.Engineered Wand As.wciution r We have field representatives in many major U.S.cities and in Canada who can help answer questions involving APA trademarked products.For additional assistance in specifying engineered wood products,contact us: APA HEADQUARTERS:7011 So.19th St.•Tacoma,Washington 98466•(253)565-6600•Fax:(253)565-7265 APA PRODUCT SUPPORT HELP DESK: 253 620-7400•E-mail:hel Form No.TT-100D ( ) p@apawood.arg Revised September 2010 DISCLAIMER:The information contained herein is based on APA-The Engineered Wood Association's continuing programs of laboratory testing,product research,and comprehensive field experience.Neither APA nor its members make any warranty, expressed or implied, or assume any legal liability or responsibility for the use, application �� of, and/or reference to opinions, findings,conclusions,or recommendations included in this publication. Consult your local jurisdiction or design professional to assure compliance with code, construction, and performance requirements. Because APA has no control over quality of workmanship or the conditions under which engineered wood products are used,it cannot accept responsibility of product performance or designs as actually constructed. 3 O 2010 APA-7hr.Engineered Wood Association `1 Barnstable Old Kings Highway Historic District Committee T 200 Main Street, Hyannis, MA 02601,TEL: 508-862-4787 Fax 508-862-4784 APPLICATION, CERTIFICATE OF APPROPRIATENESS Application is hereby made,with four(4)complete sets,for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470,Acts and Resolves of Massachusetts, 1973,for proposed work as described below and on plans,drawings,_zr photographs accompanying this application for: _ Check all categories that apply; 1. Building;construction: ❑ New 15 Addition ❑ Alteration 2. Type of Building: House ❑ Garage/barn ❑ Shed ❑ Commercial ❑ Other 3. Exterior Painting_roof ❑ new roof ❑ color/material change, of trim, siding, window, door ;rn 4. Sign : ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign o 5. Structure: ❑ Fence ❑ Wall . ❑ Flagpole ❑ Retaining wall '❑ tennis court ❑ Other 6. Pool ❑ swimming ❑ Other man-made pool Type or Print Legibly: Date: A/�1aoI i Address of proposed work: House# 7U Street: Moc o ROAR Assessors Map Lot# alp Flo o to Description of Proposed Work: Give particulars of work to be done: &0NiSrU C. t►Ew .2+ x as h.-R 1 Et�. UNu&L,�.=_ w mK auc FL. T-!:)cr►ys R coo►-i L1AR6kCi�c �1.���- AAjt: STypts. i`. b Lov.) Loris rRa u' T1�V.> to x l� ��crR� C oNN���,t� W%I-A 4� DAP cc),j PpRCIk. t�l�W �D�T�c�^� -rt., � t)d WMA �2Xlo GEDAR S,��nICZ . INbD,'noNi �Sr.10 W -,,k 50I'L 1SRCJA NLC,1,�5 Agent or Contractor(print): o,Lac wL ptbe. -VlkE 1-Di1s`. C ►tpa97elephone#: 5D 11( obo'� Address: P Pt)o>; Contractor/Agent' signature: c. NOTE All applications must be s' ed by the ur ent owner Owner(print): Telephone#: Sods • bto•i_• 8� k�, Owners mailing address: WOK Owner's signature: �TCY�ct'cG� For committee use only. This Certificate is hereby APP VED/DENIED Date 3 �3 11 / Members signatures RECENED . MAR 0 2 2011 AA 0a TOWN OF BARNSTABLE Any c ons of a prov : G HIS n -rTORIC PRESERVATION fco,GV rf ye- 2u-k 'rrol- 'a 04,ar-� �v aJ Gcaws Nod MAR 2 3 201 I��-��'• ��� 1 94 e m wok W k_ OC aWkc0i'Dn &_t Town of Barnsibble C:(Documents and SeltingsIdecollikkLocal Se n Temporary Internet Filesl0 KI IOKH Cert Appro r teness 07.doc Old King's Highway ,�p 1 1`k Committee Voo V� & vkuk �G Qu Y"'_"Q m c � 0�t Town of Barnstable Old King's Highway Regional Historic District Committee CERTIFICATE OF APPROPRIATENESS SPEC SHEET Please submit 4 copies Foundation Type:(Max. 18"exposed)(material-brick/cement,other) tor�cy, Siding Type Ay.b l_c)(A material: L6Dtaa. Color: t4Wr-41Lr-A_ Chimney Material: N I N Color: Roof Material: (make&style) ( tmw t�DD►�sR�. Color: W ca�uc Wacofl Trim material .Z x 4 ax Lo 4,1p41P. Color: Roof Pitch: (7/12 minimum) 1xi N 61a"4c 4 I t ti r=cz01,LT DoRMq, Window: (make/model) NAtEa_.L.-.+ t+oo material \J,NgL color Wekcr�_= Size(s): \.4\N►aow 4 t:-vpR_ Sc.�zDa� l Prt�c�o� Door style and make:TVkt ILmN-TRJ GC-A, 'ota U material E=\PxctG�Ss Color: G`-0AR I�Qun� pooR 'lr�pV�cit��=S I % Garage Door,Style1 aiE4- ( so Pews Siz�� 9 X b" Material WDOD Color W_�A tTe KID• Shutter Type/Material: Color: Gutter Type/Material: 5 AW ti%Ny H " k2' Color: W N LTe t.,jq Decks: material Size Color: NIA Skylight,type/make/modeU: material Color: Size: AppROVED Nit, Sign size: Type/Materials: Color: MAR 2 3 ZO�I NIP, Fence Type(max 6' )Style material: Color: Town of Barnstable Committee N I A Retaining wall: Material: NJA Lighting, freestanding on building illuminating sign Please provide samples of paint colors and manufacturers brochure of style of window ECEI E® fences,lamp posts etc ADDITIONAL INFORMATION: BAR 0 TOWN OF-BARNSWLE HISTORIC PRESERVAI ION Signed: (plan preparer) S El print name J� �, asl l 56F6- "j I-o'6o'� Location of appJ�ion- tel.no. t — � Street no. Mow R0A. > Street iV 11age W��sr 13aRl.L 2 C.-Documents and SettingsldecolliklLocal SettingslTemporary Internet FilesIOLK110KHCert Appropriateness 07.doc TOWN OF BARNSTABLE OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE STATEMENT OF UNDERSTANDING As property owner/contractor/agent for the construction at: 1^I I. No. Street Village Map Parcel no. �I /00 Only minor changes may be approved by the Committee without a new application and a hearing. Minor changes include things like moving a single window or door or a minor change of color. All changes by amendment require the Committee's written approval. A request for.change must be submitted to the Committee in writing. Approval must be obtained before incorporating the change into the project. For more than one revision to approved plans, a new application for a Certificate of Appropriateness must be applied for. Failure to comply with approved plans may result in the Building Department issuing a stop work order or denying an Occupancy Permit. I HAVE READ AND UNDERSTAND THE ABOVE STATEMENTS. 6 23., &1/ I Signed: Date Owner Contra for/Agent t Signed: o ing's Frig ay C:(Documents and Settings ldecolliklLocol Settings I Temporary Internet Files I OLKI I OKH Stolen?ent of Understanding �pF tHE 1p�� Town of Barnstable BARNSTABLE. Regulatory Services MASS � 639 ,0s Building Division p�FO MPS a, 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice T i Type of Inspection 3 �6 Location 7(0 W. �n i� o � / Permit Number. Z�G� � Owner W& Builder /f*-e__ I One notice to remain on job site, one notice on file in Building Department. { The fol owingitems need correcting: g tt /u c / )f4 /u y — C- � J64 C-G rtl_5 7;Q u C 7/01U Au i 6-IJ Please call:. 508-862493-8 for re-inspection. Inspected by Date S `pFiME Tp Town of Barnstable RARMAgl;- E, ' Regulatory Services MASS. 7 1639 6' Building Division pTEO MP'� 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Location 7o Ako 4Vb . Gyig Permit Number Owner Builder 5 One notice to remain on job site, one notice on file in Building Department. The following items need correcting: o 0 � a 'o /y A) S ®3� Please call: 508-862-4938 for re-inspection. Inspected by � `161111L�-� Date A'�-';-'��/7 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 'oZ S Parcel oo.(o . . Application # 211l ®�36 S 0 Health Division Date Issued Conservation-Division Application Fee Planning Dept. Z. Permit Fee Date Definitive Plan Approved by Planning Board - Historic - OKH Preservation/ Hyannis Project Street Address o M oc-o R o rab Village �n1 SST F�ARNsr��l.� Owner Fir ,oAN,_orl Address 70 I 1, r,D . �oiNst�a�6 . ►--IA Telephone so ri 3��, • 8 tP `�-� o�et�g Permit Request Gor %-rPw CT A NSW a x �a' A.-1.1't�cel�D 1�a3eocir-- �*J Mk 2"�Ft p- P»r4uS . New to X 11 .�nrrR'r C.or�ract�oR ` Wes! `� c��P c�lt_!1-`./� PORuI Square feet: 1 st floor: existing tid proposed A.0 2nd floor: existing `FDo proposed ` / Total new ((/3 Zoning District '4;�F Flood Plain Groundwater Overlay Project Valuation tig cxN. _ Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure I q 9 ► Historic House: ❑Yes )(No On Old King's Highway: , Yes ❑ No Basement Type: 0 Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) o ,3i L Number of Baths: Full: existing d new 0 Half: existing — new Number of Bedrooms: A existing 0 new Total Room Count (not including baths): existing new oZ First Floor Room Count 3 Ll Heat Type and Fuel: A Gas ❑.Oil ❑ Electric ❑ Other Central Air: ❑Yes )6 No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing '4 new size _Shed: ❑ existing ❑ new size _ Other: , - Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes . 2k No If yes, site plan review# Current Use Proposed Use M\N1 NATL gi��� '4� IDS A t•��� ace APPLICANT INFORMATION w a� 1 (BUILDER OR HOMEOWNER) Name otkc \r, A-\v%1sG CovA- N)`p Telephone Number Se o� "` a��b Address PO License # q 1-A. o J.1,_j>o Home Improvement Contractor# Worker's Compensation # W L 3 " , ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE f ll �2ull FOR OFFICIAL USE ONLY APPLICATION# !' DATE ISSUED ; MAP/PARCEL NO. ADDRESS VILLAGE OWNER _ DATE OF INSPECTION: cr k FOUNDATION dfo� �t•s�r `�`- f; FRAME .r�Er����i�y� sue!o /ram �9fieh►� Z.�ey���� INSULATION AdW-5 12y It R-W FIREPLACE r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH -FINAL. FINAL BUILDING F SG Y/�r� /�h�� . ire�6or ��cvxce,•t F . DATE CLOSED OUT ASSOCIATION PLAN NO. i S PROJE NAME: ADDRESS �S D 0 UV PERMIT# PERMIT DATE:�� LARGE ROLLED PLANS ARE E: BOX � SLOT Data entered in MAPS program on: ?-3- i/ BY. Town of Barnstable Geographic Information System September 26, 2012 195014 #104 215009 #26 195015 #88 195016 215006 476 #70 215030 #58 215008 215007 #38 #50 195020 - #89 195019 #75 215005 #63 215004 215033 #45 #33 DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:215 Parcel:006 boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner JOHNSON,PETER F Total Assessed Value:$504800 Selected Parcel : 1"=100'may not meet established map accuracy standards. The parcel lines on this map - W- --E are only graphic representations of Assessor's tax parcels.They are not true property Co-Owner Acreage:0.54 acres Abutters boundaries and do not represent accurate relationships to physical features on the map Location:70 MOCO ROAD such as building locations. Buffer Aerial Photos Taken April 19,2008 T J D[61Gn\ DA7H �— PERC IE�T DnTA:.r'-71,2a ' g 1a•e...•n,no yoa..a.. y.,d..,>,.eyi�{....q. t rrm:N.,a.—/Y$'Y °j r L y Glou! is.110 •ZLO GPC TcST Ll'I�1e.e 41i1G' I ' h.ThK 19.7JOt CLO iaO a.U.n• WIT1.Ip.C: id '2n.�! •� L,o h 9 G°°oi/iyle Z. Z.'.54'7--A, rf.✓ ... .. P.. . �A 4 5.d•u.l!a 2(5o'a 2' a—S spd/Sf 270 Gpd - L 64'x c K aca f✓�st ca Gp6pd a>:4a. � 33Bd Ls.o el 1:6— _��� d �• � 4.y PI/ I 4 w.}vresn. ?."p<osf°oe I ✓ X y JeNe /:i0ooa CA. .360 (B-a I-Bt) M.M- jl•.12. Nptl fff Z' R I 1 4 ~m r r wk" g 10` • d!�J.✓</ ,r LKNLN/N6 TRc,ACN.�Or7MIL t 1/�t 71 � fG•6o•o ___ 1.._fir �•+�S��Y ,I I y e, rrL•r, e/l,.l Nl�t•• to•._ -rB•Z' low Gw.w.t T r<.tu..\Crlc .._.._. ..... -,I .I? - i.•�, °.dr.nJ T c% . "'- p616o•co•<56'mlii-pn..ldv>0 :CA, m 14. -_. •.�,,-0W7 d .r�'fiya,vkJb1"' s �t DECEIVED O...e..� ...✓.. a..a..doe.t._. - 7--- �,4��. ,'�r, r� �, '�'✓• - si� �slliy�� yp w MAR 0 2 2011 I. I 0. S' r oLo ROAD ��Ao.y TOWN OF BARNSTABL.E HISTORIC PRESERVATION 1 I 1 'SITE PLANT eNv 70 Moeo ROAD I WF* W.e,ndc FI.931^9 eau.\m.'w.11 _..._... WEST' P3ARN5TABL.E I p wll.y 7.1. PETER JOHNSON !su.....NOTES: "nl 1 , _.... .. .. _.................. ...... - .. DATE. Ncv 4 19a9 Gy .5.,�6.J e°%y.e,//iasoe/,Ies .. .. . o.. A"—d 'y,/929 SCALE: 1°�2ot e Lee,/.e.. .�°n.,I c.r// •nd.rph< +b.., .6s,c0 .. ... .. .. ... IOr. ._.. ...5�..!S.'!S. ... .. �.: &aid,/ t✓,IM rrea.d! r..J �./.�I.ter..,I%aJ - �_. ... ... ._ .-.._. .. _ .... ... ........................._-. _ .. .. "N a l ' . :: •rtQswune•F,@ BAXTERi 4 Nye,TNC. .. I .. •. _ NN R'40e d.NOIKE SNOGMI//CRCOd/...-.. .... .... •.. .. d�'IJ.nA Su rvsyol-�.. ... .I._. ...._: '....- ..:. __._...... ___._......_... .. ... .. ..._... ____ .. ... _ .._... .__...._.. .. _.. %N S/D6./NB AND J6YDNLK - a Cull fihy'.heers .. ._-_. ._.-__. ......... .. _ .. Le .. rHo L✓//AI/N A�0100P4AN _ 9 Olt '... 92 ' �if'41�0\IB _.._ 9 I Dts1GN DATEy HE RC_ IE�T D/�T-A beeiroore, no -act r•ba-Ie. 9rincicr / slay/e Y4�ri// DATE=_ ;Vu•,. Z, /98 2 Da�►y i=law L x 11:C� Z2 o GAO (ciST e)' 7 �� e•.,c. le)i Septic T� �1K ISO"/0 X L'Z6 " 2L30 Gc.11enS , usc- 1000 gc.11on �cach/n9 F��i/��f ZitZ/x54 / 7r•crrc% rf- h :. �, :,.: t,ZS �Sjpo(/Lf Z70 Gpd C3o+4om 54'K Z. X 0.63�Po/�s� T 68 Gpd 3 ZA S p 33 8 Gpc1 '?'ol :;al f : e7.5 ""Oil �oS�.O /!o /ore sGite� or ' l�crisC I I f,r• G/u y �i// „ 12` min. covcr In of 2 Pcas+on� HO rpo,O ' Ihl ti' De -Sc ..t I� III • f//tl�i�ir� e Wast,ccP �. Z� f«�vc LE q 1PelaM I Ibz �q,o �•f�t•-1:•--'�:-._�,��: ci. ._. III�AIW11=11�11�•,�ti L��GN/NG .�Re�NCN. .�c Tlt/L A.;/,/..at /r�/cf Gouty to vnc 'f9DG+- �GIOW 'flvl�:.tr1 �Y`OJIC rr A'(; r �✓! a m0(lL Stles� .•. AlST .5= ,c,o� G ,b r Box. 1000 GA�(:oN y a Tr e.�GLi G o,c5 Pi-tc. 7Ap a k I 5cp+tC. Tank i ' L_c*c.V%i„5 TrchctA a, �.y APPROVED MAR 2 3 2011 Town of Barnsta e Old King's Highwa Committee SITEPLAK 70 Moco ROAD WE5r Bz)RNSTABLE- PETER. 10HNSON DATE : .Novempc-.;;z 1404ta . S C ALE : 1"= 7-0, 3c)-IS.-Is- RECEIVED STEPHEN MAR 0 2 2011 ALLYN VALSON TOWN OF BARNSTABLE aGa 3ous�p BAXTER.* t 1.V y E, tN C . HISTORIC PRESERVATION iEr. rHA r. rve• P./1or.�.asc-o .�Ovsc �f,rawa! /1�l,2�:Q/!/_:_. .. .._. 'b 1 ��� : .. . .. . :S. bJ/Ty THE SI,9%IF ia/E' /9JVD .SET,Q,y.Gi� _. 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