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Home My WebLink About0075 NORTH WINDS LANE 754PV) MODS OxfordNO. 152 1/3 ORA 0 d� t- i �:iu� �,.::.w..�u.-.�`�._.x,..... ,..`.,..,• .-. «..mow PROJECT NAME: .) sr ADDRESS: Z� W d PERMIT# PERMIT DATE: LARGE ROLLED PANS ARE IN: BOX SLOT Data entered in MAPS program on: a z BY: �i� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel f`J Application # Health Division Date IssuediA- �� 3 Conservation Division 05 Application Fee -,v Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address `� ��C� ' �k Village Owner Address I/ycTH/A LA)iJ S [u.n:e Telephone S"O S� ~' 2-0 69,_-4- Permit Request 11r1 , �` eVl, W A (ay',-In Square feet: 1 st floor: existing Oproposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 1(o46Q Construction Type Lot Size ?U42- 4 Grandfathered: ❑ Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 9' Two Family ❑ Multi-Family(# units) Age of Existing Structure L�� Historic House: O Yes � On Old King's Highway: ❑Yes �- Basement Type: Dull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) i 2 D Basement Unfinished Area (sq.ft) l, %00 Number of Baths: Full: existing new "O Half: existing —new Number of Bedrooms: �' existingO new `Total Room Count (not inclu�di g baths): existing �_new�_First Floor Room Count Heat Type and Fuel: ®'Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes o Fireplaces: Existing 2 New 0 Existing god/coal stove:Skl Yes �o — W4Betached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Bar. :`Ll existing ❑ new size_ Attached garage: fisting ❑ new siz4e2" hed: ®existing ❑ new size/& Other s._ N Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ -- Commercial ❑Yes L9-P�o If yes, site plan review # '� Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Oam-s AA Telephone Number Address dQ (� 2 CI S 01-vv dlgtOl4rd License # Home Improvement Contractor# o �/L( Worker's Compensation # W IM Ga ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Q41 �� SIGNATURE n DATE tE FOR OFFICIAL USE ONLY APPLICATION# � 3 'DATE ISSUED MAP/PARCEL N0: ` r ADDRESS ��" VILLAGE ' -OWNER +! DATE OF INSPECTION: FOUNDATION FRAMES i INSULATION l FIREPLACE I T ELECTRICAL: ROUGH FINAL , PLUMBING: ROUGH FINAL t , GAS: ROUGH FINAL , J FINAL BUILDING al DATE CLOSED OUT r ASSOCIATION PLAN NO: x r ,per The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,M4 02111 UV www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information PIease Print Leebly. Name(Business/Organizadon/Individual):. (IM Address: �^�X 3G4 42 � .4_21n�_�.I A Are,{ ✓ail 9 - v City/State/Zip: Phone.#: �D c6--Z�-�-1 —Gl Z� Ar en employer? Check the appropriate box: Type of project-(required):. 1. employer with�_ 4. ❑ I am a general contractor and I * have hired the sub-contractors 6. ❑New construction . employees (full and/or part-time). . 2.❑ I am a sole proprietor or partner- listed on the-attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have 'g, ❑Demolition workingfor me in an capacity. employees and have workers' Y P tY• -9. ❑Building addition - [No workers' comp.insurance comp.insurance.$• required_] 5. ❑ We are a corporation-and its 10.❑Electrical repairs or additions officers have exercised their 11. 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. xContractors that check this box must attached an additional sheet showing the name of the sub-contractois and state whether or not those entities have employees. If the sub-contractors have employees,they must providt;their workers'comp.policy number. 'I am an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.M ` t Expiration Date: Job Site Address:_T ✓y0.6cTVA (., IV City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi u r the pains•and p allies of perjury that the information provided above is true and correct: Signafore: Date: Phone#: 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): A.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Pearson: Phone#: . RightFax C1-2 7/20/2012 5 : 51 : 21 AM PAGE 2/002 Fax Server " 'CERTIFICATE OF LIABILITY INSURANCE DATE 712noniq Y) IFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to he terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to he certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: PAUL PETERS AGENCY INC PHUNh FAX (A/C,No,Ext): A/C .No1w 680 FALMOUTH ROAD PRODUCER MASHPEE,MA 02649 CUSTOMER ID#: 28LBR INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: ACE ANIERICAN INSURANCE COMPANY CMD BUILDING&REMODELING INC INSURER B: INSURER C: INSURER D: P O BOX 398 INSURER E: CUMMAQUID,MA 02637 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIESOF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD SUB POLICY EFF DATE POLICY EXP DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (MMMD%YYYY) (MM1DDWYYY) LIMITS GENERAL LIABILITY ACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR. :'REMISES (DAMAGE ( occurrence) $ Ea occuence) ED EXP(Any one person) $ BERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: ENERALAGGREGATE $ POLICY [—]PROJECT LOC RODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT(Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS (Per person) HIRED AUTOS BODILY INJURY $ (Per accident) NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKER'S COMPENSATION AND X WC STATUTORY OTHER EMPLOYER'S LIABILITY Y/N UB-4718P881-11 08/072011 08/07/2012 LIMITS ANY PROPER ITOR/PARTNER/F_XECUrIVE E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500.000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS TIES REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. CERTIFICATE HOLDER CANCELLATION TOWN OF BARNSTA13LE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 200 MAIN ST BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL B DELNE$ED IN ACCORDANCE WITH THE POLICY PROM _ / AUTHORIZED REPRESENTATIVE HYANNIS,MA 02601 --------------- ACORD 25(2009/09) 1988-2009 ACORD CORPO rlghtsYeserved. - E►°'�ti Town of Barnstable Regulatory Services • BMWS"LE. 9 hass,. Thomas F. Geiler,Director �A i63q. ♦� lE1639. ° 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 as Owner of the subject property hereby authorize S to act on my behalf, in all matters relative to work authorized by this building permit. A�v ?I(Al &b5 &a- 6(4 (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspectio are erformed and accepted. 311 Sign e of O er i of Applicant Print Name Print Name Date Q:FORM&OWNERPERMISSIONPOOLS 6/2012 Town of Barnstable Op THE Tp� ' Regulatory Services anxrtsznac a Thomas F.Geiler,Director y Muss. 1639- .�� Building Division rFD MP'I A 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: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow 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 log.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 requirements. _ I Signature of Homeowner 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 forrrdeertification for use in your community. Q:forms:homeexempt Ocense' CS 83689 TV BETA/V ` r E SPNDINlM MA 02537 Expsabon-. i7fm +Dt2 .(Ham�ix�auter Tr#: i -72 0 ME OIWROVBI�g�iTCONTRACii')R _ fndhidual °. 4 FREES UdVE r I � 1,0 ti S SO°47'16"W 164.601 LOT 25 45,767.8± SQ. FT. NOTE: EXISTINGHLEAFMSTI NG SEPTIC SYSTEM CHAMBERS WAS PLOTTED FROM TIES N FOUND ON THE AS BUILT ° CARD FOUND FILED AT EXISTING THE TOWN OF BARNmmE °D-sox BOARD OF HEALTH. EXISTING W PROPOSED TANK o w o N Cb PATIO 24.1±, Z EXISTING00. DWELLING 44.5-±'' #75----_ PROPOSED ADDITION kn N 39045'42"E 160.00' NORTH WINDS THE DWELLING SHOWN ON LANE THIS PLAN WAS LOCATED BY AN ASSESSORS MAP 109 PARCEL 013/005 INSTR�UIIENT.SURVEY ON-07/28/10 AND EXISTS ON THE GROUND As PLOT PLAN SHOWN. LAN SHOWING A PROPOSED ADDITION 75 NORTH WINDS LANE WEST BARNSTABLE, MA CANAL LAND SURVEYING&PERMI1'ITNG INC. 306 OLD PLYMOUTH ROAD,SAGAMORE BEACH,MA !�2RLs ►off-- (508)-888-5955 DATE PR IONAL LAND SURVEYOR Scale:l"=50' Date:07/29/10 DWG:N.WIND Drawn:P.D.R. Checked:R.J.H Job No. 10-ws Barnstable Old Kings Highway Historic District Committee 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,or photographs accompanying this application for: Check categories that apply, 1. Building construction: ❑ New Addition ❑ Alteration N a 2. Type of Building: ❑ House ❑ Garage/barn ❑ Shed ❑ Commercial ED-Others z Z 3. Exterior Painting, roof ❑ new roof ❑ color/material change, of trim, siding, window, door t j —, 4 4. Si 00 � �: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 5. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retaining wall ❑ Tennis court ❑ Other 6. Pool El swimming ❑ Other man-made pool ❑ Solar panels ❑ Oth�oer Type or Print Legibly: Date �� `�i o1 °7 NOTE All applications must be signed by the current owner Owner(print): L-t51�_ � at�6- fJ nA c�So�� Telephone#:__ .JoB - �� 5 -7 O (o f Address of Proposed Work: -7 5 W.a.;Z!�6 Village_ ,�A��.� ��t- lap Lot# t O 5 d t 00 Mailing Address(if diffe nt) Owner's Signature Description of Prop sed Work: Give particulars work to be done: �t±r2-C,+—� 3 l d- 1 4-k Z 6 f#o 4-yc ( '�—�;2►.t�, L= xt Agent or Contractor(print): e.tasL G",v t L v-"GZ_ Telephone#: $O S .3&Z- Address: vu IL Contractor/Agent' signature: i For committee use only. T ertificate is hereby APPROVED/DENIED Date , l 3 -)---Members signatures f A APPROVE® 0gowrt JUN 13 2012 Town of Barnstable W.Committee 1 Q:\Boardv and Conunissions\Old Kings Highway\OKH Applications\OKH DRAFT 2011 Cert Appropriateness DRAFT dor r CERTIFICATE OF APPROPRIATENESS SPEC SHEET Please submit 5 Copies Foundation Type: (Max. 12"exposed)(material-brick/cement, other) Siding Type: Clapboard_ shingle�ther 11.1 Material: red cedar white cedar t/ other Color: Chimney Material: 1 Color: Roof Material: (make&style) t�s ptt- _t A+(--aL-05 Color: T'-A),.-e-0 L K t.5 8 1,- Roof Piteh(s): (7/12 minimum) 4' �-- (specify on plans for new buildings, major additional)Window and door trim material: wood other material, specify Size of cornerboards size of casings(1 X 4 min.) color it . J U N 1.3 2012 Rakes Ist member k y f� 2'*d member ( X 4 Depth of overhang g Town of Barnstable hway Window: (make/model) _ material — color Old Qo miftee (Provide window schedule on plan for new buildings, nuijor additions) Window grills(please check all that apply_: _ true divided lights_ exterior glued grills_ grills between glass_removable interior_ None Door style and make: S e 2-Qfv i %:>v,oZZ material VVI o07 Color: N,4 g z-E Garage Door,Style Size of opening Material 1 Color Shutter Type/Style/Material: Color: Gutter Type/Material: Color: L4 T� Deck material: wood other material, specify Color: z Skylight,type/make/model/: material Color: Size: j Sign size: Type/Materials: Color: Fence Type(max 6' ) Style material: Color: RECEMD Retaining wall: Material: MAY p 8 2012 Lighting,freestanding on building illu C'TFMENT OTHER INFORMATION: THE ATTACHED CHECK LIST MUST BE COMPLETED AND SUBMITTED Please provide samples of paint colors,manufacturers brochure of windows,doors,garage door,fences,lamp posts etc Signed: (plan preparer) 4!� Print Name ��*' M M c M�� w(2 2 Q.\Boards and CoimnissionAOld Kings Highwa)AOKll Applications\OKII DRAFT 2011 Cert Appropriateness DRAFT.doc I 1 . �Ii i;j i• _ • '1' 14�.._' III"i • Illull IIIIIIIII II;IIIIIII , =;�=�'I I I E�',1 � i�.a�o -- i ( ��i�■■I■ � 'III:#�ti`. , � ar �11111111 _ Wll■�ia IR ap� I■�I� _— !'I, ' ('�II�'1 Ittttttttt�I s■ 1�• i I It 1 II!!IIIIIIIIII IIIIIIIIUIII ! 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I I � L 'N '`i?JM PS mN 6GLO,NAt.F-P-11lG .j Ci Ib"'O.C. �* � ...1PIST HA Ny613 ' JIcy C3)�.�.I�6Eax..1 IC_`�P'coucP>ETG PIe� ' Z'-I O" 2 .�14 OP uty '.�6"x.i 4"CP, FOCTT IQ C � I I-'•5 m.CpAl� "''L xl2 �oISTS @ I�'OC CT I:ON . a • .FRAMINCi' PLAN - 5CP-IEEN PpPSCH • SGA VE 14"• 1-p _ $HIUG LES uATCI-1 Ex15 1N 1 6�veo ,m^.F lewd-�L 3 IMP l0 14 a.5 Cj12.6 e_.oM J r -2x6 F:T.L I-Pf,_ `°'ICz)vrm Cr �II;•b.c• 4 4 el�luCgJOIST°f ,f 4xIn A B TP?JIN Ilao•5 _ - 7,n_(s ELK�JO1115T5 P.T . J L C3)2,<1 13EAu1� . �N �IMP50 6L li ''•, A.L. PO CONGfj ETL- 00�E . - L.:CB�"Cx•lo 0EA'M EPo w DO's'bo*R 14'oP _ O OTI N G �O o GON C PIET•e 12' -or 11 Igo,�o°,.a'DP N 6 FGOfryl: .. 1a.r 'JOIq.T.q- .. .4 9GAI F-I/4°•110" 3 • -NaTE4.__ PROPO',�EQ AMC> TI ON S TO THE • 1. A'L-C._'CON bTP+I]C.TION SuAti OE 111 • �GOIJF.."OAK•IAU GET wI,TLIE L-Im-n�tf G� tMPSOwI ?�E SIp EN GE F R:A'N11.N PLAN - r-•AFiNAEP,L i . H 'TAh T l71 Cd OES E A 1C0 A 7S hJOP�T41,W1 lOS LANE G .. ) P�F7C O'WC�',. WEST bAR1J.5T A7�y.!1A9hAG�lu hC3'� M l >w 51 "7 9+-+au..aE�ve.nIFI�J.7 1=P$A111,J C�PL A1.1 SE G.TI ONS 'b•1 T716 OvJxJ PP.�) 4 T[IE, E NEHAI-Gpl- Ty.AcTOP+ PA IOP, TT7 TN �7 TA qT OF L"ola ST+'JUGTION oviA u By OvJ C�wo 4 A.MIGJ-Iwlie wlc-L w / C> AL Woo P�tacl •P , (L, _ ILA c.v .a o f�i...� t Co''O "lti t_ at. • o g Aw►•� by D A ZC' Town of Barnstable FZME tpt,. Regulatory Services Thomas F.Geiler,Director • sAaiasrABM • MASS. Building Division � •9 %�a3 �0 Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-8624038 Fax: 508-790-6230 PERMIT# 6 FEE: $ SHED REGISTRATION 120 square feet or less A/ S4"-sw tL Location of shed(address) Village Property owner's name Telephone number /o X. t2— o 0 3 Size of Shed Map/Paz el# r, 1 P e_ Date c_ cL Hyann,�s_l4ain Street Waterfront Historic District? 4,6ld K ng's Highway Historic District Commission jurisdiction? -� v� a Conservation Commission(signature required) 2 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:121901 Application:to: O ° Old Kings Highway Regionaf.j4is ocic District Committee in the Town of Barnstable for a 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 o1 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 .3 Zt f o b ADDRESS OF PROPOSED WORK N 1VbAMNIMn S t N� ASSESSORS MAP NO. I D13 OWNER _ 9,04" f- 64-S,k J 1wl PSUA ASSESSORS LOT NO. Q O`? HOME ADDRESS ti�� W,'k:�)s C44-tit- �V' f3ALV$SCE- TEL. NO. �340 AGENT OR CONTRACTOR 4?fAit (L W 17.T— 0337 ADDRESS`�� >�1� T V -GJ�C�-�' ZgO� TEL. N0, This application is for exemption of proposed exterior construction on the ground that: ❑ (1) It will not be visible from any way or public place. ❑ (2) It is within a category declared entitled to exemption by Old King's Highway Regional Historic District Commission. (Check applicable box) PROPOSED WORK: Describe and furnish plan of proposed work,showing location on lot, and, if an addition is involved, show: ing location of existing building. (rU 5 i o X Z S D I N �a-rL y ,rLp, ' r SIGNED :.`•" «R, , Owner•Contractor•A en Space below line for Committee use. . 9 :. W .cu+ ------------ Received by H.D.C. The Certificate is hereby D eC 15 id1R in - - dA :. IN MO Date HISTORIC PRESS TION Approve The categories of work entitled to exem re listed on Disapproved ❑ the back of this form. E Q > d w O w L o W m >> o W c � cD c " a z s ooZ o- G a G'f � LL. l.L S LL OC Z CW'1 \ �..1 d Z Z Z Z W Z Z Q W Z L o V O O Z v1 O ?y tOu Q S O OV o W Z �y Z O Z S \ Y o G O c oc e[ Z V J V oe �••� CD V Y CD o CDo G .� d 9 0 17 W V O C � Vf o m 4 m O E mo� ij �o o a O J P oZ E IA N / c N E�P � ,E'P f. to o$y P ti d Q E 2 oeEL 0 O_ � H LL o3� i i j ❑ Z �_ e o 42 c V 0 0 — I / d a �•e m�m ❑ og`' E � IMI W iF W o E a W Ez-� ae Q E—a of o II cm � ( � O ( 7 a ( iF V � o LL H ;• N II J _ , 0 r s TOWN OF BARNSTABLE BUILDING PERMIT PARCEL ID 109 013 005 GEOBASE ID 41440 ADDRESS 75 NORTH WINDS LANE PHONE W BARNSTABLE ZIP - LOT 2. BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT WB J PERMIT 55306 DESCRIPTION ADD 2 CAR GARAGE/MAST.BDRM.ABOVE PERMIT TYPE BADDI TITLE BUILDING PERMIT ADDITION CONTRACTORS: MARC N CASOLI Department,of Health, Safety ARCHITECTS: and Environ`rnental Services TOTAL FEES: $354_45 BOND $.00 Ox CONSTRUCTION COSTS $1.00,000.00 434 RESID ADD/ALT/CONV 1 PRIVATE P?i M * BARMABLE, • MASS. Ep�l BUILDING DIVISION t BY DATE ISSUED 08/21/200J. EXPIRATION DATE �` APPROVED TOWN OF BARNSTABLE � G �q--BUILDING TOWN OF BARNSTA13LE °tip BUILDING PERMIT PARCEL ID 109 013 005 GEOBA$E ID 41440' ADDRESS 75 NORTH WINDS LANE. �. _ PHONE W BARNSTABLE ZIP ` LOT 25 BLOCK -LOT SIZE _ �zDBA r _�DEVELOPMENT .DISTRICT WB 'PERMIT 55306 DESCRIPTION ADD 2 CAR GARAGE/MAST.BDRM.ABOVE PERMIT TYPE BADDI TITLE f ) BUILDING PERMIT ADDITION, _ CONTRACTORS: MARC N CASOLI Department of Health, Safety ` ARCHITECTS: V'm 2 872 and Environmental Services ; TOTAL FEES: $354-45 BOND $.00 CONSTRUCTION COSTS $100,000.00 434 . RESID ADD/ALT/CONV 1 PRIVAT.E P. +►`TE_ . r * BARNSTABLE, s I ` . 1MA83. BUILDING DIVISIO' L BY DATE ISSUED . 08/21/2001 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 FDR 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. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 2 2 2 "(L - m� 3 C. 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT i // y�r� 2 BOARD OF HEALTH 't, L ' v -Y� OTHER: �oma g6w SITE PLAN REVIEW APPROVAL A o WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. t r y 1 � /OF BARNSTABLE, MASSACHUSETTS a U-ILDING"PERA411 0 Qi 3-0 0 5 PA rE 19 PC RMI Ij ('10- ----F 93 45 PLICANT RMXY- Baysidt,- Build APPLICANT ADDRESS I NO.) (STREET) (CONTR-% ICE.SLI PERMIT TO Build dwelling singie d w=.1 11.-.-w NUMBER OF —(—Li) STORY - DWELLING UNI-.S__._ (TYPE OF IMPROVEMENT) NO. (PROROSEU USE; AT (LOCATION) lot #25 75 NOrth Winds Lar-l" West 3nrnstable ZONING — "ST (NO.� 4STREET) R ICT----- BETWEEN ANO� (CPOSS STREET) ET) SUBDIVISION LCT LOT BLOCK SIZE BUILDING IS TO CE FT, WIDE By FT. LONG 9Y F T.. IN HEIGHT AND SHALL CONFORM IN (;ONSTPII(.TI,O TO TYPE USE GROUP BASEMENT IN.ALLS OR t:OUNDATION (TYFE) REMARKS: Sewage J93, AREA OR 1416 sq. f t. 104. VOLUME -- [:STIMATCD COS; $ PERMIT FEE ICU8iC/S(.UARE FEET) OWNER _ ADDRESS BUILDING DEPT. BY T.H.IS PERMIT CON-EYS N,-, HIGH? TO OCCUFY ANY STREEY, ALLEY OR SIDEWALK OR ANY PART THEREOF, Z17HER TEMPORARILY O. PFRMANENTI-Y. ENCRO/ -.HMENTS UN PUBLIC: PROPERTY, NOT SPECIFICALLY PERMITTED UNDFI'l THE BUILDING DUDE, MUST -F AP PROVED BY THE jUR!SL)ICTII)N. STREET OR ALLEY URADES AS WELL AS CEPTH AND LOCA1 ION OF PUBLIC SEWERS MAYBE OBI'AINEU FROM THE DEPARIMUN7 0.- PUFLIC WORKS. THE ISSUAINLF' OF THIS PE.!R.mi,r DOES NOT PELEASiz. THE APPLICA IT WHOM THE COND T OF'ANY APPLICAGLE SUBDIVISION RESTRICTIONS, I WINIIAUM OF THREE C417— APPROVED ROVED PLA:,IG MUST BE RETAINv.0 ON JOB 01.N7 T S INSPECTIONS REOI.IfRED FOR P P D '-'E WHERE APPLICABLE SEPARATE R KEPT PER -r -A PERMITS ARE ;qE(�ijirL, FOR AL!- CONSTRUCTION WOPK: D KEPT POSTFO UNTIL FINAL INSPECTION H,�!; BE[PI FOUNDATIONS OR I-GOTINGS. MADE. WHE.Rr- A CEFIT F.LFCTRICAL, PL.L-IJIDING AND Ir--;C.C.TE 0!= OCCUPANCY IS RE- MECH ANI CA L-jr,;s rA LLAT ION$. 2. PRIOR TO COVCRIN6 SIRUCTURALIQUIRED,SUCIj gUILDING SHALL NOT BE OCCUPIED L;N MEMBERS!REArY TC,'LA rh) F 3. FINAL INSP7CTION EIE�OPY INSPECTION HAS BEEN MADE. OCCU-ANCY'. "D SO ;T IS* VISIBLE M99vt POST Ij 115 CA'm STREET".. BUILDING INSPECTION APPROVALS PLUMBING I.NkPECTION APPROVALS Eil-TRICAL INSPECI:CNR?P OVA(S way 00c I IIIV I 2 ,A<, 2 0,00000000 HEATING INSPECTION APPROVAL ENGINEERNG DcR5.R- AFNT 2 OTHER —ITE PLAN REVIEW APPROVALL WORK SHALL NOT PROCEED UNTIL FHE INSPE-7. PERMIT WILLBECOME NUIL AND VOID IF Cot.STRUCTION INSPCCj'I0.NS. INDICATED ON IHiS CARD CA�J Hf TOR HAS APPROVED THE VARIOUUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR V-1RI(TEI, CONSTRUCTION. PERMIT IS iSSUED A-; N07ED ABOVE. NOTIFICATION. D'TN[)� TOWN OF BARNSTABLE Permit No. .34 BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash •67V I,.. v 9�o■►y� HYANNIS.MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to George Simpson Address Lot #25, 75 North Winds Lane 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. January . ...... 19.....9?........ Building nspector 1W� i v o yry > .y ,; Cik*. —r r:a. v „!•�.. xe.M �yyja,r5j� n¢y, c s., +i �r+ �• r ,,TMr TOWN OF BARNSTABLE Permit No. 34670 BUILDING DEPARTMENT I """ I TOWN OFFICE BUILDING Cash .... O7V XI ,.J (/e.►*� HYANNIS,MASS.02601 Bond ...... j CERTIFICATE OF USE AND OCCUPANCY Issued to George Simpson Address Lot #25, 75 North Winds Lane 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. Januar 29 92 F Building nspector., 1 �,..�•.w TOWN OF BARNSTABLE BUILDING DEPARTMENT TOWN OFFICE BUILDING rua HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized by I BuildingPermit #�..^.._ __ . .__.. ._._.__............_........................... ....__..__...w......... issued to Please release the performance bond. .a-.......:�sc-�. c. .,s..J..a�c.... .A+M. .:...�i.w_ ...: r.w..�...�. w....,1�..•�...;._..�..n...4[.�.......I.u.A t...r. .._).. -t_ .l_,5. ' BUILDING PEMiIT NO. 3 6r,70 1q/) l Q 5 ASSESSORS PARCrT No. f G 0/3 —DOSr { CONTINUATION OF- ROAD BOW . The undersigned ovae:/contractor hereby agree to maintzin their road bond in force unt=? the following work itet:s are completed to the satisfact=on of th Engize_r g Section of the -DeParrent of Public wor.cs:. Ioa� and seed shoulders as soon as weather per--its: —71L),4j �ao�-r�/f� �� •yS , LOCATTO": (print naWe ) q E.''Gi:iE ;G. ACTHOR :ON O `> TOWN OF BARNSTABLE, MASSACHUSETTS _ p�lU�-Ui3-Gii� ()cLob r 31 91 DATE 19 FIZZ / C IJ ,4 APPLICANT �� Bayside Bu:id1iig u- J ! �l ADDRESS (NO.) (STREET) ICONTR•S .10ENS0 4 PERMIT TO wild dwelling 1} Sln• le fandly dwcll1.ng NUMBER OF 1• (--) STORY ' DWELLING UNITS— _ (TYPE OF IMPROVEMENT) NO. (PROPOSEU USE: A7 (LOCATION) lot #-)5 75 North Winds Lan,-, West Batnst,sble ZONING <. -DISTRICT_-- i (NO.i (STREET) BETWEEN — AND (CROSS STREET) R6E71(CROSSyLST LOT I SUBDIVISION _LOT BLOCK SIZE --_ BUILDING IS TO 6E —FT. WIDE BY FT. I-ONG 9Y..,•.-- .FT.. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION I TO TYPE USE GROUP � _BASEMENT WALLS OR r'0UN.DATION —_ (TYFE) REMARKS: Sewab' > 91.=(62 3ONi' y AREA OR 1416 sq. I C. 1103,500 !04. P RMIT C VOLLI.ME _—EST IMATEO COST'� FEE (CUBIC/SQUARE FEET) - OWNER G%:orge Simpso ! . 3'-IUi n SClee.L� �_:. lb� i- 'ETr— BdILOIKG DEFT. ADDRESS BY �T i THIS PERMIT CON"EYS IJ,-, RICH'! TO OCCUFY ANY ST9EE'7, ALLEY OR SIDEWALK OR ANY PART THEREOF, ZI-HER TEMPORAR''..Y 0.: PERMANENT--Y. ENCRO! -HMENTS ON PUBLIt: PRCPF-RTY, NOT SPECIFICALLY PERMITTED UNDEF1 THE BUILDING CUOE, MAST ^E AP- PROVED BY THE JURESUICTION. STREET OR ALLEY ti P.ADES AS WELL AS CEPTH AND LOCAL 10N OF PUBLIC SEWERS MAYBE OBI AIMED FROM THE DEPARIMENT 01 PUELIC WORKS. THE I`;5UANLF OF THI5 PERMIT DOE: NOT ?ELE.AS'',. THE APPLICA IT FH.OM THE CO`IGI71JrIS OF'ANY APPLICAGLE SUBDIVISION RESTRICTIONS. MI NIIAUM OF THREE C4'.L APPROVED PLANS MUST BE RETAINr:D ON JOB C.N7 T;(IS WF.ERE APf'LICABLF SEPARATE AL!_ C INSPECTIONS CONSREQIjTRUCTION 'n ED FOR rARD KEPT FOSTFD UNTIL FINAL INSPECTION HAS BE .1 PEER ARE .IECIJIRLG FOR AL!_ CONSTRUCTION WORK: FLF.CTRICA,, PL.L'Me.ING AND I. FOUNDATIONS OR 1-OOTINGS. [MADE. WHF_Rr- A CF_RTIF;CATE OF OCCUPANCY IS RE-1 MECHANICAL•IriSrALLATIONS. 2. PRiOR TO CO',ICRING STRU(-TURALIQLIiREO,SUC iA "BUILOING SHALL NOT B.E OC.C.UPIED UN I I.- MEMBF.RS;REAr:Y TO LArh). I'FiNAL INSPECTION HAS BEE14 MACIE, .3. FINAL INSP=CTION BE. OR= OCCU-ANCY. ' STREET - BUILDING INSPECTION APPROVAi,S -'•` -- PLUMBING INSPECTION APPFAVALS _ �r _ELE iR!GaL INSPECTtCN:_'PROv.1; 2 .. . .l — HEATING INSPECTION APPROVALS' )v'G- �!GINEEH:FN;DEPI.R- AFNT i S �N �2 CORE EAI.TH I _ CTHER —_ RE PLAN REV",EW APPROVAL -- —_— WORK SHALL NOT PROCEED UNTIL rHE INSPE, PERMIT W!LL BECOME NULL AND VOID IF COrSTRUCTiO,r INSPECTIONS INDICATED ON IHiS CARD CA" HE TOR HAS APPROVED THE VARIODUS STAGES OF WORK 15 NOT STARTED WITHIN SIX MONTHS OF DATE THE I ARRANGED FOR.BY TELEPHONE OR V 811TEN COAST.RUCTION. �PERMIT IS iSSI•.ED AS NCTED ABOVE. _ ' NOTIFICA1,10N. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 2,Map Parcel �,Application # Health Division Date Issued Conservation Division�� `.Application Fee Planning Dept. Permit Fee ?i l Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address u V Ur k U h vl a Village � F, nu w-P Owner S - is CA �!d L-yin 05�v=, Address Sw�fG Telephone r! � - - Permit Request G:,6c Q 0�nA._4 Q'I t 9„� Add Square feet: 1 st floor: existing proposed 2nd floor: existing 2 proposed . Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: O'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 12_ l�o Basement Type: VFull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) A144— Basement Unfinished Area (sq.ft) 6i L Number of Baths: Full: existing 2•S new A.11 Half: existing new Number of Bedrooms: 05 existing D new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas 216il ❑ Electric ❑ Other Central Air: ❑Yes Fireplaces: Existing New Existing wood/coal stove: U-'Yre-s ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: 0"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 APPLICANT INFORMATION o� ® (BUILDER OR HOMEOWNER) _Name.--_ Telephone Number 21�1 r-�22,6/ O JC License# 6� -Address - - >r -- Ck Home Improvement Contractor' # ��O Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ri �,� ,>�✓ r Ll Dui t� s 1212 d �� <,r7 -J4 h?-t-k SIGNATURE DATE ' - FOR OFFICIAL USE ONLY P APPLICATION:# ; DATE ISSUED MAID/PARCEL NO., - l ADDRESS VILLAGE OWNER DATE OF INSPECTION: 7 FOUNDATIONS FRAME� AK do�i is R � 9 Z'! �o 0.4 c°m Fe -INSULATION 1 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL �• :{GAS 4 ? ROUGH A FINAL neFINALBUILDINGi3:V.�'MCI ` DATE CLOSED OUT . 1 • ASSOCIATION PLAN NO.- Y`'�+ i � r Town of Bar stable ' Regulatory Services Thomas F.,Geiler, Director � 6:194 : .�� Building Division Thomas Perry, CBO, Building coj missioner 200 Main Street, Hyannis,MA 02601 ' �sytip.town.barr�table.ma.us Fax: 508-790-6230 'Office( 508-862-4038 PLAN REVIEW A,40 .Map/Parcel: ./a 9 0/ 3 o d.S" Owner: /iy►IOSO/t1 s �- Builder: � ou GN�� ry Project Address '7 y'Rr� I A$ The fallowing iterns were noted:on reviewing: • D /�rcovl5loNr OF L' o t, s iR>cT /7 /�a u AAAD Fr t 6 S Roex r I�E�T u/KEr?�E�VYs Reviewed by: :pate: slit•X/O u. C r 1 , 1 v it 4 y f t l 4 µ�fA.°....�`P„ •.W .,.n ? T 1 yti 1 t ... `�C..., cy.,• � �,., a..... .. ,... .ty ..w• J�1 � x C'�4 41 �1 /. �� J....:� / .arw� The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street t Boston, MA 02I11 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organizatio`n/I_ndividual): (-VD 2al"', \_, Q,44�C4 Address: 1—o City/State/ 1p: S� Cxy�J1c�J�� Phone #: ��dil AVarn mployer?-Check the appropriate box: Type of project(required): 1. mployer with 4. ❑ I am a general contractor and I 6 ❑ New construction * have'hired the sub-contractors•. . ees(full and/or'paft-time). - -- -•------.. _......_ . . 2. ole proprietor.or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for mein any capacity. employees and have workers' 9 ❑ Building addition No workers' comp. insurance comp. insurance.1 required.) 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 LE] Plumbing repairs or additions 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 tl l must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors-must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. (� ` Insurance Company Name: Ye,�"` P -��C, Policy# or Self-ins. Lic. #: t.�l N X Expiration Date: Job.Site Address: O ILJ 1 Yl City/State/Zip: o '� Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required uoder 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 1250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify r der the pains an enalties ofperjury that the information provided above is trice and correct. Signature: --e� _2 Phone#: 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 b. Other Contact Person: Phone#: Information and fnstructzoxls , Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an einplo),ee is defined as ".,.every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. Hollvevcr the owner of a dwelling house-haying not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, constniclion or repair work on such dwelling house or on the grounds or building appurtenant tharelo 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 tYho has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7) states "Neither the conunonweallh nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the ins�uance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out.tbe workers' compensation affidavit completely, by checking the boxes that apply to your siRjation and, if necessary,supply sub-contractor(s) name(s), address(es)and phone number(s)along with their certificate(s) of insurance, Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,'a policy is required. Be advised that this affidavit may be submitted to the Department of lndustrial Accidents for confirmation ofinsurance coverage. Also be sure to sign and date th•e affidavit, The affidavit should be returned to the city or town that-the application for the permit or License is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a,workers' compenti saon policy,please call the Department at the number listed below..Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the penniUlicense 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 maybe provided to the applicant as proof that a valid affidavit is on file for future permi is or licenses. A.new affidavi lust be filled �,v t each year. Where a home owner or citizen is obtaining a license or permit not related to any busines s.ot commerei a 1 venture (i.e. a dog license of permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigal�ons woii ijceTo-lhi ymriiradva -f �`0+ ration and shou➢d have any questions, please do not hesitate to give us a call, i The Department's address, telephone and fax number: The.Cornmonwea)th of Massachusetts Department of lndustrial Accidents Office of InYestigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406'or 1-877-MASSAFE Fax # 617-727-7749 Revised 4-24-07 www.mass.gov/dia | / ° . , . . A WC Gid'de to 1,11b0d Colisli'tictioxi1i Hi�h PKI-id A/xas.' //0111kNVind Zoue MChecklist ��3S8C�D88f� � � � l8C '�f � �OID- ��'8DC8 (0 �D ��8 OC .i|)/ � � Chck Compliance | � 11 SCOPE ` Wind Speed (3-sec, guoU---------------------- ........ ....................................... 11D m ph Wind Exposure Category`-----_-_-____________. .......:............_____________� _8 _�z oeh Required Entire � C VV�d Exposure Category---��--E�g�Engineering Roq r Project ------------- --_- 1 2 APPL|CA8/L[TY � �� . � ' � � �� hoo 2 �oh � ' -�, �� _^�� noo/ntu/ v 'y ^/ 12 -^~- Nominal g penin g : � 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)-----------------..---. � 2.1 FOUNDATION Foundation Walls meeting requirements of 780CMR54041 Conoa|e--------....------_-----__-__-_-__----------.' � Concrete Masonry---------------..-------. .....................- ...................... ................ � 2.2 ANCHORAGE TO FOUNDATION 1,3 5./8"Anchor Bolts:imbedded or prietary Mechanical Anchors ble4) in. ^- UcU(opacmg from end/joint cxplate -----,----(Fig o).................. ................._---_"'. ~" - '~ ' Bolt Embodment-oonnr bs---'..---------'(Fig 5)--....... ........ ..............:........ �`�_in. u 7^ � � 15^ Bolt Embedment-maoonq/------,-------(�g 5)----�---------' � � Plate YVonhoc-.-------------------(Fig 5)......-- .................................-5- 3^x3^x 3] FLOORS � Floor-framing member spans checked ..................... ...........(Per 780 C/NR Chapter 55)................................... , 0e12 Maximum F�o/Opon�g Dknenx�n-'----------(qg O)------,---------'. -�� Az# � Full Height Wall Studs at Floor Openings less than 2' from Exterior Wall (Fig O)....... ................................ Mgxknum Floor Joist Setbacks � � �d Supporting Loadbeadn0 Walls orSheonvaU-----.(Fig7)-------------.----�� Maximum Cantilevered Floor Joists � � M � d Supporting Loadbeahng VYaUo Vr3heanvaU-,---'(Fig O)-----------'/-----. -_ Floo�B ' at End*a|�----'.',----_-----'(Rg 8)----------------------. 7O0 C��fCho 5 � RoorSh��U��g Type '-,----------------.Uper o/-----� � - � Floor Sheathing Thickness .................................................(per 78D CIVIR Chophur55 in. ` It fl1C Griide /0 If%od Co/1V1'1i Clio u iii. Hi�lk J ird Ai-err..s•: I101liplr. kl'ind Zoire xJ � [ZSS"1CIlIISCtt,S .ClIeC.ICIiSf f61- COI111311i.RI1Ce (780C�iVIR-5361.2.1.1)� Loadbearing Wall Connections Lateral(no.of 16d common nails)................................(Tables 7)...........I...... ...............................74 _ Non-Loadbearing Wall Connections Lateral (no. of 16d common nails).................................(Table 8)....................................................... Load Bearing(Nall Openings (record largest opening but check all openings for compliance to Table 9) Header Spans .........................................................(Table 9)..................•............... ft ID in. s IV Sill Plate Spans ........................................................(Table 9)..................................5 ft:*in. 5 11' Full Height Studs (no. of studs).....................................(Table 9)........................................................a Non-Load Bearing Wall Openings (record largest opening but check all openings for compliance to Table 9) Header Spans.............................................................(Table 9).................................. ft_in. 5 12' L Sill Plate Spans....:......................................................(Table 9)................................... ft_in. s 12" Full Height Studs (no.of studs)....................................(Table 9).................................... ...... ..... Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously Minimum Building Dimension, W Nominal Height of Tallest Opening2 ...............•.......................•...................................... 6'8" f� SheathingType..............................................(note 4)..................................................... Edge Nail Spacing.........................................(Table 10 or note 4 if less)................. inn.. Field Nail Spacing...................................:......(Table 10)....................... in. Shear Connection (no. of 16d common nails)(Table 10).............:...............1.e.. ... Percent Full-Height Sheathiri ) �^� �° / 5%Additional Sheathing for Wall with Opening > 6'8"(Design Concepts).................... sG Maximum Building Dimension, L Nominal Height of Tallest Opening?......................................................................... s 6'8 SheathingType..............................................(note 4)....:........................................,.. c7 Edge Nail Spacing.........................................(Table 11 or note 4 if le'ss).......I...... in. Field Nail Spacing P g.......................................:..(Table i1)...................................... .........�In. Shear Connection (no, of 16d common nails)(Table 11).....•....................... . ................ ►�/ Percent Full-Height Sheathing ..... Table 11 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 s smaller of 2'or U3 Truss or Rafter Connections at Loadbearing Walls Proprietary.Connectors / Uplift................................................(Table 12)......:...............I.....................U= plf Lateral.............................................(Table 12).............................................L= plf 4 Shear...............................................(Table 12)............................................S= plf . Ridge Strap Connections, if collar ties not used per page 21... (Table 13)..................••........... T= pif /Y Gable Rake Outlooker...........................................(Figure 20) ............._ft s smaller of 2'or U2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietay Connectors Uplift....................:................... .......(Table 14)•...........................................U= lb. �. Lateral(no. of 16d common nails)..,(Table 14)........:.............................. = . Roof Sheathing Type................:.:................................(per 780 CMR Chapters 58 and 59) ............ Roof Sheathing Thickness.....................................:..... .............................................�n. — 7/16"WSP Roof-Sfheal-hang-Fas-"iflg............................................ abler.....................:..................................._ = Dotes: 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 1 i c. Uplift Straps per Figure 14 d. All Straps per Figure 17 " e. Corner Stud Hold Downs per Figure 18a and Figure 18b 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. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2-grade.. h THE Town of Barnstable fAItN6TABL.E, Regulatory Services • ' p Huss �. Thomas F. Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barustable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign.This Section If Using A Builder C-✓►'Le- 5;�n , as Owner of the subject property hereby authorize C to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) Signa of Owner 4Date Pnnt Name If Property Owner is applying for permit please complete.the Homeowners License Exemption Form:on the reverse side. Q:FORMS:O WNERPERMISSION J ' of Y�ram, Town of Barnstable do Regulatory Services ` RARNsr.,BLF_ Thomas F. Geiler, Director 16.59. �� Building Division Tom Perry,Building Commissioner 200 Mairi•StreetHyannis, MA.02601, www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 ETONEOV NER LICENSE EXEMPTION Pleare Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a'license,provided that the owner acts as supervisor. DEFINITION OF BONIEOWIVER 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 constrgcts more than one home in a two-year period shall not be considered a bomeowner. Such "homeowner"shall submit to the Building Ofcial 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) Th,e undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,Hiles and regulations. The undersigned "homeowner"certifies that.he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/sbe will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to c mply 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 pcmvt is required shall be cxcmpt from the provisions of this scc6on.(Sectian 109.1.1 -Licensing of construction Supervisors);provided that if the bomeovvner rngages a pc son(s)for bin:to do such work, that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they an assuming the responsibilities of a supervisor(see Appendix Q, Ru)cs&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 Mould with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responnbi]itics,many communities require,as part of the permit application,, that the homeowner certify that he/she understands the rrsponsbilitics 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:fomu:homccacmpt S 50047'16"W 164.60, LOT 25 45,767.8± SQ. Fr. NOTE: EXMMG EXISTING SEPTIC SYSTEM LEACH WAS PLOTTED FROM TIES CHAMBERS N FOUND ON THE AS BUILT o M CARD FOUND FILED AT O E)USM ~ THE TOWN OF BARNSTABLE n o -BOX BOARD OF HEALTH -Box EXISTING SEPTIC rp PROPOSED TANK � wo DECK us -� oN o_ PATIO'' tA EXISTING DWELLING can 44.5-1- #75 PROPOSED ADDITION :+1 O: .7 N 39045142"E 160.00' NORTH WINDS LANE_ THE DWELLING SHOWN ON THIS PLAN WAS LOCATED BY AN ASSESSORS MAP 109 PARCEL 013/005 INSTRUMENT SURVEY ON-07/28/10 PLOT PLAN AND EXISTS ON THE GROUND AS SHOWN. SHOWING A PROPOSED.ADDITION 75 NORTH WINDS LANE WEST BARNSTABLE, MA CANAL LAND SURVEYING&PERMITTING INC. 306 OLD PLYMOUTH ROAD,SAGAMORE BEACH,MA (508)-888-5955 C�2Rt,►�io DATE PR IONAL LAND SURVEYOR Scale:l"=50' Date:07/29/10 DWG:N.WIND Drawn:P.D.R. Checked:R.J.H Job No. 10-025 Massachusetts- ucltu-tntcnt of rtlDl►c •atct% Board of Buildi.o, Rc�-ulatinw, .►nd Standards uonsttuction Supervisor ? icense License: CS 83689 Restricted to: 00 CHRISTOPHER M DOUGHERT # PO BOX 70 E SANDWICH, MA 02537 F --�— —� Ezpiiatiori: 12/20f2010 ('mm�i,c�„��i•i• Tim: 11663 ✓lie T�anvnw�ruue� o�✓�iaaaacltuGe�a Office of Consumer Affairs& Business Rebulation HOME IMPROVEMENT CONTRACTOR Registration;- 140441 Expiration:==:1011512011 Tr# 293577 Type:.- `_IhdividUal'" CHRIS DOUGHERTY CHRISTOPHER`DOUGHERTY 4 PAULS LANE - FORESTDALE,MA 02644 Undersecretary 1 '10 ja 30 All :43 °F'HEr°``y Barnstable Old Kings Highway Historic District Committee 200 Main Street, Hyannis,MA 02601;TEL: 508-862-4787 Fax 508-862-4784 a �p 16jq• `gym rF0""`j s APPLICATION, CERTIFICATE OF APPROPRIATENESS - Application is hereby made,with four(4)complete sets,for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470,Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans,drawings,or photographs accompanying this application for. a Check all categories that apply; 1. Building construction: ❑ New Addition ❑ Alteration 2. Type of Building: 50 House ❑ Garage/bam ❑ Shed ❑ Commercial ❑ Other 3. Exterior Painting,roof ❑ new roof ❑ c_olor/material change, of trim, siding, window, door 4. Sign : ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 5. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retaining wall ❑ tennis court- ❑ Other 6. Pool ❑ swimming ❑ Other man-made pool Type or Print Legibly: Date: Address of proposed work House# Street:YQQ jAj"' ,j �j{�}'.t t' Village 6VA Assessors Map Lot# 1 b61 01 CD J5 Descriptio f Projpo§ed Work- Gil particulars of work to be done: �!✓�/tib Mndow5 CCU : l' AV r- 14 ZM Agent or Contractor(print): Telephone#: B,,rnstable low" Old King's Hignwa Address: ittee Contractor/Agent' signature: NOTE All applicaVoRwnust i ned ky t re owne Owner(print): Telephone M. O 7 Owners mailing address: XZ Owner's signature: r� For col unu ee use only. This Certificate is he APPRO /DENIED D �Ii Date 'Z mbers signatures 20i0 JUN 17 : 9 TOWN OF BARNSTABLE HISTORIC PRESERVATION i ns of approval: 1►Jl,��s �v Y�v� 9��. Q:IGMD-GroupslOfd Kings KighwaylOKNNewAppIOKHCeRAppropriateness 07.doe � � 1 2 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) Caklc/4r4 51oN C'Mrs Siding Type material: Color -*?i9f1 /�- Chimney Material: /�Q/�J� Color: v n Roof Material: (make&style •-1� x , ce/3/7 A- Color: c7C�7 Color: ,Trim material lily Roof Pitch: (7/12 minimum) D ( ) / y� material V1 AlY� �A�Window: make/model fT7�/ �NrqX color Size(s): LC S 2 y" (-17 2 ' 2' Door style and make: ��Z C' � SL�terial Color: tAjj r 7 Garage Door, Style Size Material Color Shutter Type/Matenal: VV k/Lit- Color: Gutter Type/Material: l-yw�/i!�/�y'1 CA#" Awjri Lf- Color: Alll?,;?—. Decks: material U/e ? Size i x I�/ Color: /t/�1^� L' Skylight,type/make/model/: /V N" material Color: Size: Sign size: IJIA- Type/Materials: Fence Type(max 6') Style ,/v A material: Color. �D)r[E-C P W E I i A— JUN 1 7. - Retaining wall: Material: y � Lighting, freestanding �" on building ill eating G "gNSTABLE I I IU 9U. _ vHIIl I Please provide samples of paint colors and manufacturers brochure of style of windows,doors,garage door, fences,lamp posts etc ADDITIONAL INFORMATION: �. 5 S UV t:Lj Jill Signed: (plan preparer) print name Town of Barnstable tel.no. Location of application: Street no. committee. Street Village 2 .QAG1dD-Groups161d Kings HighwajA0KHNew AppIOKH CeH Approprialeness 07.doc . I `oF1ME t � Town of B arnstable o� _ BARNSTABLE. Regulatory Services _ MASS. 039 �0r Building Division 'DfFo rM�" 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Location /Jr koRr� k1 wju Lkuc Permit Number Zo ( V 6 Owner 51 Ir —f- ec .� Builder One notice to remain on job site, one notice on file in Building Department. The fol owing items need correcting: --------------------- C x Please call: 508-862-4@3--8 for're-in fection. 09;)E PfrC-)�E-vG6 Inspected b G�N�-'""' S�I�1�5OkdV1✓N 1P�6 5 P Y Date � 2�j /O 4 1 o Ct*e, 5&03. �C( SIMPSON-75 NORTHWIND-DOOR HEADER MA Botello Lumber Company 2010.3 Allowabte Stress Design MSI': 0.50 NOTE: LOAD TABLE 2 PLIES 1.760 X 9.600 LP LVL2960Fb-2.0E DESIGN CRITERIA VSI: 0.43 1.THIS COMPONENT IS DESIGNED TO SUPPORT ONLY DESIGN CONSISTS OF 2 - PLIES FASTENED RSI: 0.89 THE VERTICAL LOADS SHOWN VERIFICATION OF NOTE: LOADS SHOWN ARE FOR INPUT LOAD CASE(1). OTHER LOAD CASES TOGETHER (REFER TO NOTES). FOR PATTERN LIVE LOADING ARE CHECKED AS REQUIRED. LOADING. LIMITATIONS,FRAMING FLOOR LIVE LOAD 30 PSF METHODS,,WIND IND AND SEISMIC BRACING,AND OTHER (DIMENSIONS MEASURED FROM LEFT END OF SPAN OR CANTILEVER.) FLOOR DEAD LOAD -10 PSF j LATERAL BRACING THAT IS ALWAYS REQUIRED IS DISTRIBUTION SOURCE TYPE TOP/SIDE LOAD FROM TO LOAD LDF FLOOR TOTAL LOAD - 40 PSF' THE RESPONSIBILITY OF THE PROJECT ENGINEER FT—IN—SX UT-339—SX OR ARCHITECT. UNIFORM ROOF LIVE SIDE 330 PLF 00-00-00 09-00-00 1.2s ROOF LIVE .LOAD 30 PSF 2.PROVIDE RESTRAINT AT SUPPORTS TO ENSURE UNIFORM FLOOR LIVE TOP 330 PLF 00-00-00 09-00-00 1.00 ROOF DEAD LOAD 15 PSF LATERAL STABILITY. UNIFORM ROOF DEAD SIDE 165 PLP 00-00-00 09-00-00 0.90 ROOF TOTAL LOAD 45 PSF 3.DO NOT CUT,NOTCH OR DRILL LP LVL. UNIFORM FLOOR DEAD TOP 110 PLY 00-00-00 09-00-00 0.90 4.SHIM ALL BEARINGS FOR FULL CONTACT. UNIFORM BEAM WEIGHT 10 PLY 00-00-00 09-00-00 0.90 FLR LEFT SPAN CARR. 22.00 FT 5.VERIFY DIMENSIONS BEFORE CUTTING LP LVL FM RIGHT SPAN CARR. 0.00 FT TO SIZE. WARNING NOTES: ROOF LEFT SPAN CARR. 22.00 FT 6.THIS LP LVL IS TO BE USED AS A ROOF RIGHT SPAN CARR. 0.00 FT COMBINATION ROOF AND FLOOR BEAM ONLY. THIS COMPONENT DESIGN IS SPECIFICALLY FOR L-P ENGINEERED WOOD PRODUCTS. FLOOR LIVE LOAD LESS THAN 40 PSF SUITABLE USE OF THIS DESIGN FOR ANYTHING OTHER THAN LP LVL OR LP LSL OR LP IJOISTS IS DEFLECTION CRITERIA R SECOND FLOOR SLEEPING ROOMS ONLY STRICTLY PROHIBITED.ANY MODIFICATION OF THIS DOCUMENT REQUIRES REVIEW LI LOAD DEFL: L / 360 7.COMPRESSION EDGE BRACING REQUIRED AT BY LIVE LOAD A DESIGN PROFESSIONAL TOTAL LOAD DEFL: L / 240 EACH END OF COMPONENT, MINIMUM BEARING SIZES ARE SUFFICIENT TO PREVENT CRUSHING OF THE LP LVL CODE COMPLIANCE$ ATTACH THE TWO PLIES WITH 2 ROWS OF 16d BEAM AS DESIGNED.IT IS THE RESPONSIBILITY OF THE PROJECT ENGINEER, REPORT 0 (3-1/2'1 NAILS AT 10"OC.STAGGER ROWS. ARCHITECT OR DESIGNER TO VERIFY THAT THE SUPPORT STRUCTURE FOR THIS ICC-ES EBR-2403 NAILS CAN BE DRIVEN FROM ONE FACE OR HALF BEAM IS CAPABLE OF SUPPORTING THE REACTIONS. L.A. City RR-25167 FROM EACH FACE. NAILS MAY BE COMMON OR HUD 1214f BOX NAILS WITH A MINIMUM SHANK DIAMETER ANCHOR LP LVL ROOF/FLOOR BEAM SECURELY TO BEARINGS OR HANGERS. CCMC 11518-R OF 0.131". 16d SINKERS(3-1/4'1 MAYBE USED,BUT HALF MUST BE DRIVEN FROM NO WALL LOAD WAS USED. EACH FACE. nollllllllllllll'IIIIIIIIIIIIIIIIIIIIIIIIIIIII�III �IIIIIIIIIIIIII) xxo "° Illlllllllllllllllllllllirllilliilllllllllllflllllllllllllllllll 10 SUPPORT REACTIONS (LBS): 9.500 MAXIMt1MBEAR ING NUMBER 1 2 1.750 DOWN 3508 3508 3.500 UPLIFT --- --- CROSS SECTION MIN BEARING SIZES (IN—SX) 1— 6 1— B b9X'SMUM DEFLECTIONS CALCULATED 'ALLOWABLE LIVE LOAD 0.141' 0.301, *DEAD LOAD 0.12" 41 9— 0— 0 TOTAL LOAD 0.221r 0.44" •••THIS DRAWING IS NOT TO SCALE'•• Handling 8 Erection Miscellaneous Information LP LVL,LP LSL and CTR,LP IJoist Specifications Software Provided By: 08/31/10 IBC Temporary and permanent bracing for holding component The use of this component shall be specified by the designer of the 'Supports and connections for LP LVL,LP LSL,CTR and LPI to be specific applications. LP Engineered Wood Products plumb and for resisting lateral forces shall be designed and complete structure.Obtain all the necessary code compliance approval and'Common nails driven parallel to glue lines shall be spaced a minimum of 4"for 10d 414 Union Street,Suite 2000 installed by others.No loads are to be applied to the Instructions from the designers of the complete structure before using this end 3"for ed. Nashville, 7 component until after all the framing and fastening are component.If the design criteria listed above does not meet local building 'Do not cut,notch,drill or after LP LVL,LP LSL and CTR,LP IJoists except as shown phone e TN 219 Thl 3 3 219 5.7570 completed.At no time shall loads greater than design loads code requirements,do not use this design.When this drawing Is signed in published material from LP any use of LP LVL,LSL and CTR,LP IJoista contrary be applied to the component. and sealed,the structural design Is approved as shown In this dravAng to the 0ndts set forth hereon,negates any express warranty of the product and LP Fax 866.753.4369 Design Criteria based on data provided by the customer.LP LVL,LP LSL and CTR,LP disdalms all Implied warranties including the implied vrarrenties of merchantability I4oists are made without comber and vAll defied under load.Wood In direct and fitness for a particular use. The design and material specified are in substantial contact vAth concrete must be protected as required by code.Continuous DWG # conformity vAth the latest revisions of NUS.'Dead load lateral support is assumed(wall,floor beam,etc.).LP does not provide deflection indudes adjustment factor for creep.Total load ondte inspection.This dravAng must have an Architect's or Inglneels seal'A COPY OF THIS DRAWING IS TO BE GIVEN TO THE INSTALLING CONTRACTOR SHEET # deflection la Instantaneous. afixed to be considered an Engineering document. LP is a registered trademark of LoWstana?ecl0c Corporation. File:C:1Documents and SetbngsldgreenlaAADesktop%WOODE.SPX ' DOUGHERTY GABLE BEAM MA Botello Lumber Company 2010.3 Allowable Stress Design MSI': 0.55 NOTE: LOAD TABLE 3 PLIES 1.760 X 9.600 LP LVL2960Fb-2.OE DESIGN CRITERIA VSI: 0.28 1. THIS COMPONENT IS DESIGNED TO SUPPORT ONLY DESIGN CONSISTS OF 3 - PLIES FASTENED RSI: 0.24 THE VERTICAL LOADS SHOWN VERIFICATION OF NOTE: LOADS SHOWN ARE FOR INPUT LOAD CASE(1�. OTHER LOAD CASES TOGETHER (REFER TO NOTES). LOADING,DEFLECTION LIMITATIONS,FRAMING FOR PATTERN LIVE LOADING ARE CHECKED AS REQUU RED. e METHODS,WIND AND SEISMIC BRACING,AND OTHER (DIMENSIONS MEASURED FROM LEFT END OF SPAN OR CANTILEVER.) 30 PSI? LIVE LOAD a 10 PSs LATERAL BRACING THAT IS ALWAYS REQUIRED IS DISTRIBUTION SOURCE TYPE TOP/SIDE LOAD FROM TO LOAD LDP TOTAL LOAD 40 PSI? THE RESPONSIBILITY OF THE PROJECT ENGINEER FT-IN-SX FT-IN-SX OR ARCHITECT. UNIFORM FLOOR LIVE SIDE 195 PLF 00-00-00 16-00-00 1.00 2.PROVIDE RESTRAINT AT SUPPORTS TO ENSURE UNIFORM WALL DEAD TOP 80 PLF 00-00-00 16-00-00 0.90 FLR LEFT SPAN CARR. 13.00 FT LATERAL STABILITY. UNIFORM FLOOR DEAD SIDE 65 PLF 00-00-00 16-00-00 0.90 FLR RIGHT SPAN CARR. 0.00 FT 3.DO NOT CUT,NOTCH OR DRILL LP LVL. UNIFORM BEAM WEIGHT 14 PLF 00-00-00 16-00-00 0.90 4.SHIM ALL BEARINGS FOR FULL CONTACT. DEFLECTION CRITERIA 5.VERIFY DIMENSIONS BEFORE CUTTING LP LVL WARNING NOTES: LIVE LOAD DEFL: L / 360 TO SIZE. TOTAL LOAD DEFL: L / 240 6.THIS LP LVL IS TO BE USED AS A FLOOR BEAM ONLY. THIS COMPONENT DESIGN IS SPECIFICALLY FOR L-P ENGINEERED WOOD PRODUCTS. FLOOR LIVE LOAD LESS THAN 40 PSF SUITABLE USE OF THIS DESIGN FOR ANYTHING OTHER THAN LP LVL OR LP LSL OR LP WOISTS IS CODE COMPLIANCES FO SECOND FLOOR SLEEPING ROOMS ONLY STRICTLY PROHIBITED.ANY MODIFICATION OF THIS DOCUMENT REQUIRES REVIEW REPORT p 7.COMPRESSION EDGE BRACING REQUIRED AT BY A DESIGN PROFESSIONAL ICC-ES EBR-2403 EACH END OF COMPONENT, I L.A. City RR-25167 MINIMUM BEARING SIZES ARE SUFFICIENT TO PREVENT CRUSHING OF THE LP LVL HUD 1214P ATTACH TWO PLIES WITH 2 ROWS OF 16d BEAM AS DESIGNED.IT IS THE RESPONSIBILITY OF THE PROJECT ENGINEER, CCMC 11518-R (3-1121 NAILS AT 12"OC.FROM ARCHITECT OR DESIGNER TO VERIFY THAT THE SUPPORT STRUCTURE FOR THIS ONE FACE ONLY. STAGGER ROWS.FLIP BEAM IS CAPABLE OF SUPPORTING THE REACTIONS. BEAM AND ATTACH THE THIRD PLY WITH 2 ROWS OF 16d(3.12'1 NAILS AT 12" ANCHOR LP LVL FLOOR BEAM SECURELY TO BEARINGS OR HANGERS. OC TO THE UN-NAILED SIDE OF THE FIRST TWO PLIES. STAGGER ROWS.NAILS MAY BE LP COMPONENTS ARE MANUFACTURED WITHOUT CAMBER,THEREFORE IN COMMON OR BOX NAILS WITH A MINIMUM ADDITION TO COMPLYING WITH BUILDING CODE DEFLECTION LIMITS SNK DIAMETER OF 0.131".16d SINKERS OTHER DEFLECTION CONSIDERATIONS SHOULD BE EVALUATED BY PROJECT IHA USED. DESIGNER,SUCH AS VIBRATION,BOUNCE,AND AESTHETICS. THIS FLOOR FRAMING COMPONENT HAS BEEN DESIGNED WITH AN INPUT TOTAL LOAD DEFLECTION LIMIT OF L240.(PROVIDED BY THE LP CUSTOMER). THIS COMPONENT CANNOT BE USED TO SUPPORT CERAMIC TILE FLOORS. 180 I i l l l I"I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I IIII III I I IIII III I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1190 BB IIIIIIIIIIIIIIIIIIIiIIiIIII11111111111111111i11111111111111111111111111111111111111198 SUPPORT REACTIONS (LBS): 9.500 MAXIMUM BE AR I NG NUMBER 1 2 1.750 DOWN 2834 2834 3.500 UPLIFT --- --- 5.250 CROSS SECTION MIN BEARING SI2EB 3- 0 3- 0 MXIEIMUM DEFLECTIONS CALCULATED ALL LIVE LOAD 0.36 0.53" DEAD LOAD 0.44" 16— 0— 0 TOTAL LOAD 0. 5" 0.79" "•THIS DRAWING IS NOT TO SCALE Handling 8 Erection Miscellaneous Information LP LVL,LP LSL and CTR,LP IJoist Spedficalions Software Provided By: 09n7/10 IBC Temporary and permanent bracing for holding component The use of this component shall be specified by the designer of the 'Supports and connections for LP LVL,LP LSL,CTR and LPI to be specific applications. LP Engineered Wood Products plumb and for resisting lateral forces shall be designed and complete structure.Obtain all the necessary code compliance approval and•Common nails driven parallel to glue lines shall be spaced a minimum of 4'for IOd 414 Union Street,Suite 2000 Installed by others.No loads are to be applied to the Instructions from the designers of the complete structure before using this and 3"for So. 414UnioSt 37,Su component until after all the framing and fastening are component If the design criteria listed above does not meet local building 'Do not cut,notch,drill or attar LP LVL,LP LSL and CTR,LP IJoists except as shown Phone Nashville,TN 37219 completed.At no time shag loads greater then design loads code requirements,do not use this design.When this drawing Is signed in published material from LP any use of LP LVL LSL and CTR,LP Wolsts contrary be applied to the component, and sealed,the structural design Is approved as shown In this drawing to the limits set forth hareon,negates any express wananly of the product and LP Fax 866.753.4369 Design Criteria based on date provided by the customer.LP LVL,LP LSL and CTR,LP disclaims all Implied warranties Including the Implied warranties of merchantability I-Joists are made without camber and will deflect under bad.Wood In direct and fitness for a particular use. The design and material specified are In substantial contact with concrete must be protected as required by code.Confinuous DWG # confonniy with the latest revisions of NOS'Dead load . lateral support Is assumed(wall,floor beam,etc.).LP does not provide deflection Includes adjustment factor for creep.Total Toed ondte Inspection.Thla drawing must have en Architect's or Engineer's seal'A COPY OF THIS DRAWING IS TO BE GIVEN TO THE INSTAW NG CONTRACTOR SHEET # deflection Is Instantaneous. :fixed to be considered an Engineering document. LP ls a registered trademark of Louisiena�ecifle Corporation. File:1Vs11usersWgreenlawALP\Beam CeIcs1WOODE.SPX . 10"cn1N. T P C.TP 4 5TEP� ti W Q / 3 NEIJ aT" n�c� I � a q J S pPT, Dip-4-:cT UEoi r P• W ' 9 � Li FL41 FmAlk, O coM O-ED grit LtUN� M ti1£.J AREA IN v t 3 y R Z �` �0 Gt avKav I�/I� I 4, j I i1 I `pDot2 ' 9 o ' 1 4 4 n t(-ooR. -PI AK) _ tE I ' ro' ax io pr• Oo,c 'L �TDP 0."SOoUA5 Y fAW, AELow Lim £ (?� • Z V n A 6 . 51 AxwAT! Lo w;Q y B�LD/19C. 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( T,��A��. ,J l Y i S .. t: t Q, i i d. ✓ 54 'I`f J 1• '� J 8�.i 1�o a , f �2 a3.�p-I Fn, 44,�°. �.: ,, �.. n r a'S•� I'�,��htiakii�r •,xi t c x 1 t. a e2Z r1ll` f{{,, , '�'ir ''I F z it 1•p. ..j�,• a.7`> t� i c 'Itt W�' r 1 s.,� r ,r� sri. .A!&�a•�' T'r c t i o- .f, � ip '✓s,lx.n 1 {n49.r� I y.r1 ..- �: .,1' c i t✓ !l. i.y;�•t ..F'.�y,s•]'K� s �!' .t J'i,r t ti•¢ ';pi ,, I+s; wk._ y-x� a�'sr,ir. _....r.. .fir ?e x...�dP"YuS+N..41�s'-c..o-.sr..,,.. ... ...�....• ._.,..._,yni:.9�4:. .!-x.l'�.a:!•�i�4,af•n.4ta... .r, c ...nt±t:..ir.<`>;u.....,_.r�? ,:__.I.;,fi..,.� a.:.tri•1�$.Ss_ ..(t.).��,.�.lr.r_n_r..�?. -I N O '1 �j r _I I rd IU� i 1�I i i I• i I I I I I I ! i y1m, I : I III III _I � I I I I 77== u Ruff f � I I r� I _ i -- l I IMPORTANT ANY CONSTRUCTION THAT INCREASES LIVING SPACE' BEYOND 1200 SO.FT.PER LEVEL MAY REQUIRE THE \� INSTALLATION OF ADDITIONAL SMOKE DETECTORS. \NOTE: A SEPARATE PERMIT IS REQUIRED FOR THE TALLATION OF SMOKE DETECTORS-THE ELECTRICAL sf PEE♦�ZMITJDOES NOT SATISFY THIS REQUIREMENT. I � � - ( I /ct -_ I_...._ I r - i f SCALE: , _�•_O ii APPROVED BY: .. .[,DRAWN13V /1+ DATE: REVISED Oy Sil htoa .M.1Lr( .c`-.•. hlNf ON 7 .. DNAWING NUMBEA _........... ............_. . .. ..... - 1. I , . IL T 1--j - - - '•I: i� '� !I 'oil •I � •i;l, r V - Lj 1 r-,, - 'rl = - L ti TOWN OF BARNSTABL-E-BUILDING PERMIT APPLICATION` -AAap /0 /� Parcel 6 J 3- 4 Celi_ Permit# 30 Health Division Date Issued 2 Conservation Division 8/16171 Fee `a Tax Collector ` - 51 SEPTIC SYSTEM MUST BE Treasurer INSTALLED IN COMPLIANCE I� WITH TITLE 5 Planning Dept. ENVIRrUN RENTAL CODE AND Date Definitive Plan Approved by Planning Board TO ARvI REGULATIONS Historic-OKH Preservation/Hyannis - Project Street Address 7 / k2 4" 1A� o. Village G n! I Owner 6Q o q9_ + l��, 61 W Dr Address 7 NU 2+ W 4k 5 Telephone 113 H i Permit Request tiv A god 2 cco arcxqew+ i-k BIZ 2GR0 a $ �X+� ADO Square feet: 1st floor: existing i QS proposed 1'75 2nd floor: existing S%q proposed 6,80 Total new $SS Valuation 106 000 ^ Zoning District Flood Plain Groundwater Overlay 11 Construction Type Lot Size el 769 5� Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 15b Two Family ❑ Multi-Family(#units) Age of Existing Structure /U yFb.QS Historic House: ❑Yes VNo On Old King's Highway: I Yes ❑No Basement Type: l0 Full ❑Crawl ❑Walkout ❑Other 'Basement Finished Area(sq.ft.) A Basement Unfinished Area(sq.ft) Number of Baths: Full: existing Z new Half: existing new C7 Number of Bedrooms: existing 3 new I Total Room Count(not including baths): existing 7 new Z First Floor Room Count Heat Type and Fuel: -Gas ❑Oil ❑ Electric ❑Other 1�0 Central Air: ❑Yes Colo Fireplaces: Existing ` New D Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing Cl new size NO Pool:❑existing ❑new size g0 Barn:❑existing ❑new size PO Attached garage:'Ilexisting new size NI +z2_ Shed:❑existing ❑new sized Other: -Deamo i+gnu ,,(L New vaoou-, MCM97m] Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ . AUG 14 2001 Commercial ❑Yes No If yes,site plan review# Current Use Proposed Use t.�'�'�ireees>raeraeaaaaPaaa�_ ,� r / BUILDER INFORMATION l Name VA P V(LL / . C./SoL 1 Telephone Number SM— L4 ZQ' 3 Z Z- Address 5r5 L n 6 R3 r fn R oAp License# CS 0 7 Z L E3 (/In A g:5I&INS k I r 1 t-5 ✓IA uq Home Improvement Contractor# 12 7 Worker's Compensation# \A/G 5 -04i Z. 6 7 g 8 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO H!qe,) A N , SIGNATURE DATE -lo —U I FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED 4-Y MAP/PARCEL-NO. VC1'' ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME AO INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL i r PLUMBING: ROUGH FINAL GAS: ROUGH- FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO.�V ' r RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE JNew Buildings,Additions $50.00S� Alterations/Renovations . $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET LIVING SPACE a L� SS _square feet x$96/sq.foot= O Z 093 x .0031= Z plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x .0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.ft. i >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1-500 sf 1001.00 >1560 sf-Same as new building permit: ► / 5Z$ square feet x$96/sq.foot= x .0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck �x$30.00= (number). Fireplace/Chimney - x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee projcost Application to 2001 13b Old Kings Highway Regional Historic DistricrCommittee%''�+� CLE BARNS!ARI_E, K4ASS. b in the Town of Barnstable for a 200; Ift 25 P. !2 3 3 f' 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. �7 TYPE OR PRINT LEGIBLY DATE / 4,/y ADDRESS OF PROPOSED WORK �� ASSESSORS MAP N0. OWNER �7Yoi✓ , Cs'� �(,� fS' '" ASSESSORS LOT NO. HOME ADDRESS I" ' Al2A,05 TEL NO. � � ��3 NAMES AND ADDRESSES OF ABUTTING OWNERS: Include names of adjacent property owners across any public street or way. (Attach additional sheet, if necessary). AGENT OR CONTRACTOR 16) )56' 4799M 1" 0 TEL NO. ADDRESS 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). . � ld Gr Cam-- i Note: If approval is granted for relocation, a separate Certificate of Ap ateness ' required for new location if within f the Old King's Highway Regional Historic District. t SIGNED ' ' • Space below line for Committee use. Owner•Contractor•Apnt nrrm Receive-,l y M-D. r—The ificate is hereby e 1-21 D e0 W �`/�• ' Date r' . L12 . 441�a/� 1T1 I I pJUN 20 2001 I �' t e+ TOWN OF �3ARNSTA E ly _ OLD KING'S NIGH -" Approved ❑ IMPORTANT: If Certificate is approved. approval is subject to the 10 day appeal period provided in the Act. Disapproved ❑ r � :i A 2:. a.,o Application to 1 3 b _ ®Yb Ring'g 3bigbwap Regional Pigtoric Migtrict Committee In the Town of Barnstable , BABNS pl-E,�i"MASS, CERTIFICATE OF APPROPRIATENESSE101 All. 25 Pil 12: 33 Application is hereby made, with four complete sets, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings, or photographs accompanying this application for. CHECK CATEGORIES THAT APPLY: 1. Exterior building construction: ❑ New K Addition ❑ Alteration Indicate type of building: ❑ House Garage ❑ Commercial El Other 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New Sign ❑ Existing Sign . ❑ Repainting Existing Sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other TYPE OR PRINT LEGIBLY: DATE G"/1F 0�. . ADDRESS OF PROPOSED WORK 75- AVOQTPW i k2s 6AI, ASSESSOR'S MAP NO. /O 3F _ OWNER 90Q O U-SA JI Al/7,�ON ASSESSOR'S LOT NO. el3-eys" HOME ADDRESS 95� N..W IN 0 g UJ W, pAtd,57,- 6 TELEPHONE NO. �2./13 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any public street or way. (Attach additional sheet if necessary.) AGENT OR CONTRACTOR 0 TELEPHONE NO. ADDRESS DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please include locations of proposed signs. a� Cam' t An Signed Own r-Contractor-Agent For Committee Use Only D D LLLS wFn�' ertificate is hereby Date 'l J 09 D pprove /D Hied i tee mbers' Sign res: JUN 2 0 20 1 -, TOWN OF BARNS TABLE WA r 0 0-- 1 3 6 Tpwn of Barnstable Old King's Highway Historic District Committee SPEC SHEET FOUNDATION N SIDING TYPE CAt, COLOR /O CHIMNEY TYPE No�J COLOR ROOF MATERIAL A 1 �/� COLOR i PITCH WINDOWS D'v COLOR Jri SIZE?O IV)VZ, f TRIM COLOR DOORS COLORS /0 SHUTTERS f N L 1'Iy�� ;WtOLORS GUTTERS Am ( N V m COLORS 6V T4/ DECKS NIU MATERIALS A�O ' GARAGE DOORS,;2 COLORS SKYLIGHTSQi SIZE COLORS lvQ SIGNS COLORS ins U O FENCE I`t `v COLOR NOTES: Fill out completely, including measurements and materials/colors to be used. Four copies of this form are required for submittal of an application, along with Four copies of the plot plait, landscape plan and elevation plane, when applicable. SPECSHT Revised 11/98 i Board of hc:;liar ;:eka!aticns an::Stand-c ds HOME:;h-RT'Z. ZMENT CMITRACTOR nsgistraftn 127214 tXG�ie:i0u: UG;22i2W2. MARC N. CASOU :,S:SST'N. MU S,fin 011" j ' ,; "� , �1ze �omvmzoarzusea/,b�.a��.czaaac/uWetGi�;:1 d DEPARTMENT OF'Pa 'IC. SAFETY CONS:TRUC.ILOM,SUPERVISOR`LICENSE, .. J t CNSumbr Expires: C r . MARC'AN=CASOII ' 55-1OWPOND RO _. 'MARSTONS MILLS, MA y02648 —. - t • Regulatory Services s01¢ �e Thomas F. Geiler,Director • Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date U' d 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. qq ` Type of Work: Z Cd,R + M A R-o o,,�. U�U� Lot J Estimated Cost /O K Address of Work: 75 NOa_r VVi r�� Owner's Name: c5goag4,p -F Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law CJob Under$1,000 []Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. a - 2? 21 q Date Contractor Name Registration No. OR Date Owner's Name q:fomis:Affidav The Commonwealth of Massachusetts ............. —_— Department'of Industrial Accidents . `_�'�, � .—�_ : 011IcEa1laeestlaalloos ' b _ 600 Washington Sheet Boston,Mass. 02111 Workers' Com ensation L=Emnce Affidavit name: M R Al. 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IY. 1• V•Il/✓. • l Is as •w01111 rw, IIISII •w of MI I •• 1 ��• �IIw �•1 r also•@ •w • of • 1♦ •1 • saes•v�• • • • •l. • •la • • e • 1 .11 • set-to .16 r • • • of ••1 .. • I•• .•• • ry a an •.� 1 1 11 11 1 1 1 1 tll ' 1 1 1 1 1 1 1 11 1 I 1 1 I I 1 1 1 1 � :Af2CHI-TECH _ 6 School Street cotuit, ma 02635 ASSOCIATES tel: (508) 420-5335 Inc. fax: (508) 420-5304 architectural design ata.cotuitgaol.com .� JtJE �7 L,�J 1z x -3C> STf=ta-L. 1��.M (E>�L-a") I I nn Q - � _ T1, �j X . , No.7396 o COTUIT � MASS. *��`qC N FMPS ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(M 30/0M/DDNY) 0 01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION H]+�d A C�aaul htla>r�1rs� ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P,Q gx 337 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. mill'St MR. 02M INSURERS A�F'FORDING COVERAGE INSURED INSURER A: �� C � b4D n m3m 019�1 INSURER B: UC-11 iC Q$ter IrISIL E111M (bTPM1Y 5 Iaq Rzd jtgj INSURER C: I ;millst m 02M INSURER D: 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 EFFECTIVE TYPE OF INSURANCE POLICY NUMBER POLICY FECTIVE POLICY EXPIRATION LIMITS DATE D D M DD GENERAL LIABILITY EACH OCCURRENCE $ OMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ CLAIMS MADE *1 OCCUR MED EX_P(Any one person) $ 10,000 PERSONAL&ADV INJURY $ SOW GENERAL AGGREGATE- $ 6WFOW A GEN'L AGGREGATE LIMIT APPLIES PER: SCP -31 09-23-M 09--23-M PRODUCTS-COMP/OP AGG $ 6W,= POLICY PRO- LOC jECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE g RETENTION $ $ WC STATU- H- WORKERS COMPENSATION AND OT TORY_LIMITS ER EMPLOYERS'LIABILITY E.L_EA_CH ACCIDENT $ 100,000 E.L.DISEASE-EA EMPLOYE $ JOO,QW B WC 187MV 03--16-M 03-1E-02 E.L.DISEASE-POLICY LIMIT $ _rW Wo OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Job Located: 75 Northwinds Lane, W Barnstable CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town Of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 0 DAYS WRITTEN Building Inspector NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 367 Main Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGjNTS OR Hyannis,MA 02601 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25-S(7/97) ©ACORD CORPORATION 1988 Aug-09-01 07 :08 P.01. rtAsrheck ('0MP1-TPNCE kh;FORT Massa,.!huset'-3 Enp.l-qy Cocle VASc.heck .software Vct'.Iion 2.01 Release .1 TITLE: -Sencvakdon 4 Add.iLions c,ITY: Barnsli.able.. STATE: Ivass:1chuscr.t.s HDD: 6137 C0NSTRUr'.`j'j0N- TYPE: I or 2 Fam.ily, Do .ached HrATING :'STEM TYPE: Other (Non-F,'Iectri(.l Resistance) DATE: 8. 9-2001 DATE OP 2 - 1.2-95j PROJECT INFORKATIONI S—impson RoFiderice "15 Ncrthwindr Latle West Barnstable, 14A COMPANY INFORMATION: Ar,:hil -T(.!(:h Associate::, Inc. , 6 School S"--eet Cotujr., MA 02(35 CO11PT,T,q4CF:: PaSSeF..S Maximum VA 224 Youc Homo = 294 Area or Cavity Cant. ' Glazi.og/Doo!: Perimeter R.-Value R-V-6. kze , ti-Valuf! UA ------ -- ------ CE.I'Ll I N G,5 210 30.n 0.0 7 CE'(UNGS; Raiscd Truss 568 30.0 0.0 is WALLS- Wood Frame, 16" O.C. 1262 13.0 0.0 103 G:AZI1-.'G; Window.-, or 110 0. 320 35 DOC,RS 20 (1,290 6 FUOQR�-'! Over Uaconditionk-.d 748 19.0 0.0 35 ------ ------ COMPLIANCE 3TATEMENT: The pzoposed building desigti des(-..t,ibed here j,-5 consistent with The. building plans, specifications, and other C,A 1-11 o L ions submitted witli the perrfLjt-- appli;cation. The proposed bui'dirtU has' been designed T-o meot. the requirements of the Massachu.-<etts Rnergy co-le. ThN lo4cj heating �I . for r.h* '014.11dirig, and the cQ0!iT', '9 load if appropriate, has been determino'i U sit the! aPPlic--able 15t.andard Do.sign Condirions found in the Code. The I.,V''�C uipment seJocted to hvaL. or (:!c.)Ol the building -all oe :10 grear.er t a 125� of the design load as specified in S(--cv.ions 780(:M1i Jjjln DatE:- 1� _ I ►'JIaS{-ems ..... .. ._ � RpdM � i -------------------- --_A `v v- I ' A400 ETET® Co . � �.._.._.._.._...:......._.: S BARNSTA E B a�/ P ILDING DEPT �u S 5�1oK E iri A 4-l;c.. �i ,N1D5b� VV. Ib U � k t SMOKE DETECTORS O.K. -7i D- BARNSTA LE B LDIIyG D PT. D��'� I , ! / �s T FLoo a 7 S 5 vho�<e q+ o��-l-,),M o f 1 17 i i S- 5MOKF /r/ 4-1 i( e Zoo �y�d � 1 " - n 0 e tu g o � a �1 FMai 1 i FR I . .. -n x � FN �w aa w,•.v' • ? �13 . � .µ�',,n � .✓\k �deo4 VN~2m .N 3 � � ��L, °ve� 16 .� d *tl ao Q 3 3 '° x n•�LL �.?f ,a °o z Z�1 o s +�h�` %CvQo'9 i M I i i 1 I - r•.� J V� - 1 F�I I I 1 i - I Jl � - '�»tin v/I••O:o �� - o 'I.I I _ W I r �rya 2..< Mjlel'o Alw - i -----__i � _ 1 � I 1 o i p ax Z pEl a '•a I' o ?;{ s• r • 3o ru „N.,r ire.»�_r�f.a3 ._. — - - p0 3fvl,; ,+al ianil "•II - ! fafoc Nqq Z! •3fMfi' i ,y9 Y3no o.{t )7/7 i i I1 i ii I I —.— .• i • i n pe I Imo' Q� i I F I -_ -- i can �Bxr n iv �n0 Ire i - --------- Y Tji i � • I - ;ry • � ,. � i' •: it - • u Application to ,/fy U' I1r 0 DN�C�±P N`S`EP�GN 1 � 0T �E•E�S�pP,EPtE'�, -(�f/{•., Of S`�P,� Old Kings Highway Regional Hisioric District Committee 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: 1. Exterior Building Construction: ® New Building ❑ Addition ❑ Alteration Indicate type of building: ❑ House ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE ADDRESS OF PROPOSED WORK Lot 25 North Winds Lane ASSESSORS MAP NO. 109 OWNER George F. Simpson ASSESSORS;L•OT NO. 13-5 HOME ADDRESS 1 South Street Hyannis, MA 02601 TEL. NO. 775-0357 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). AGENT OR CONTRACTOR Bayside Building Co. , Inc. TEL. NO. 771-1040 ADDRESS P.O. Box 95 Centerville, MA , 02632 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). OKRAVED 1FW-JpC s Signed O er•Contractor-Agent Space belo a w line for Commit use. Recq*QeF_b .C. E Date SFp 1991' The Certificate is hereby Date Ti HIGHWAY �By Approved IMPORTANT: If Certificate is approved,approval is subject to the 10 day appeal period provided in the Act. nlc LlnnrnVPr1 n - ;1 CS,•::.,'':;: TA?t'.' :{`�: q� 'd\t� ~-7�` '1.01�''�r ivr �C1nt. 16 19A n36 c o IA. 4. '.:i?l.i:�`r,.• 1 Opp�G � l� �• 13-2 � �' �.oq ^' .et�.e•... °.. bo 1'' ... •I'' •'I_.4: �\' Qom '° �a�,• 90 lot { I.l8AC- 0 tol !i a I.0 2.A.C. 15-7 1.63 AG ® as 1041 :r 19-7 2-1 1.0A� 9�iht. O I 4 a'��G i:o1i►z. qp� ^ . ' �\ Jam.® ® ® � � .`;, �:� CL 1� i' 1.14 AG M 3,0 .01Ar,. '9 cl irr i 1.01 AG- a°ql 9 �� ^,•I. /'\ ar` Jam ..?, Lot.PIC . — -^•`�rf' tU u�,,l Form "A-1" OLD KING'S HIGHWAY HISTORIC DISTRICT S p e c S h a e t Foundation Type Poured Concrete Siding Type Sides & Back: white cedar shingles Front: red cedar clapboard Chimney Type Brick Color Red Roof Material AsUhalt Color Slate Pitch 7" Windows 12 over 12 double hung Size 30" x 57" Trim Color White Doors Six panel with sunburst pediment & double side Color Covington Blue HC-138 lites Shutters White - front only Gutters White Aluminum APPROVEt3 Deck 16' x 12' Pressure Treated 0'(NR8JDc Garage Doors Flush Thermalwave Color White Notes: . Fill.out completely, inc luding,measurements and materials/colors to be used. R E C E I T copies of this ,form are required for submittal of an application, 1 with three copies each of the certified plot plan, landscape plan and FQ 113 ation plan, when applicable. OtD Kri4G'S H IUG HNAY . . . .IAEET: . 1 :of:'L, �t�� >~tAw• } _><..rr�:3�30- :GPI ` .. . . . . . ...:....,., 3 ..j;.; IEa4C►'. Pi•> vsE. j SGG ?(,A 14 0 - .�. . .. Wig'' �.P�: l�a�•rc4•' 1�(fn�Ds..- L.A-. - 5z—. ' L .'O E.SZGtJ `p ' ; Q.&i:. 6. 'ivl Z'Q L Ft.�ow ttZCOI.�'Rot.l CZbTb , �clrJ OP '4t!•u:oti.�Y,,. ' dv�itsOF, ��. VED •S t P .1 / 1991, �ia•�9� . r ,- : fG 177 i FG =raj or. �'ud i /76 lr4i7t, �. . 6. ._..___._ .__gin.-..__...._. .--- - --- _.,.,..__..-•-�:---,-- :�.—. , Wiz. . .. ._..... �6, Z�L .!j 'P 'b}5.r _ w• :GAL. 771 DE/lfE;'SToJy . I �BoX. j /73 SEgftC C A S44IAy r/c[. tu�c ! TnttK PROVFD �_. ��i_. : r Gat... i � �' .<?3.�• . . . . . ,. �_ :. a., � HRHDC ' - . Ft wawcn 'SroN� NL,��5 f' � -J--{ — PrLO F"l Lam. :_ �D P LC)IT A vo TI-1`E Pbt�,oI>Ario►� au>j:.S� L��cK 4ZGQ v t�•E�t�t c uTS aF -tT N LoT ZS i 'oW1.1';OF �'.�Q►�SrA13C.�. -Ak 15 OT �� r3�C; ;dG2.:. P6 • :�33 _•-r-.1-115 }. .�A til 1��. �OT' '-E.l�, � � �.. S•�A. IED • 1.,.��:!G ' �SU`�JE�(v�S 0STE9-VII•_l.G: Ie�IST'2Vti��t,lT Sc�¢`/EY 4•Tl{E OFF'SET'S Suo�lt.p �T -8E'USE-D To ' ES1'ZT40SU' 1 --r- r 1. 1�J APPLi OF 5 61E�T 'L yhOF 2/ Rrauao PETER c�� , S w - ,f- - �xre� U WW .�� ScAL.E � �o ta.24WO 110- 2�9733 °0 ss d sf 7tift . .''ice oo opool /I,;,:`4 ! roc•�_ ...,, /:/. , / _ � �. 00 _ �RE EIVE ® MASrE)L PLA.a o�' ;moo StP 1 1991 orJ `� �'w� ;\^�`(loo u^`� `�� ►Y��a �, ', JAL I. 0T 2s . 1 ' S i4(6 �� =jam.. ` ' - I✓�� L�f, � 1r �—q 41 TEAT Tti�r-oca;�/G:. S�/OWiV,yE�C EO.(/ CO�,oL yS G//Ty S'C,4 L" 4C,4 T�p � /Thy/iC/" Zz 5 7"/�/S O.L9.v/S �C/e��- ,8.4 X T,E.2 6�t/YE ///C. • �NST,2U�1�it/r �2E6/STE�E1� C /p .SUeI/� ZE A�.�L/C�i✓T = Ao Arc$c��:: vtZI ; `.4EET: . 1 of �t��!:'�'trow• : 3:�alo�:3.30_:GP17 i .� . :• :. • . : � : . .. ! : : . . . 7 •POSl�;L.� PiT .. �u�s�+•• .,�--•(�.p ..' •� � { c= 1�1,r41� Qi�- �. NF�?.F��=' _. 154;s>r . �• :2...�.::• ! - Wig': G.P;�: 'r"' � ra' s ._ A. '•TcyP,AL:'flt�tG1J • :�4•.3G_G:�•t�.�:� _ .,. 5, _ .. • vErzcof.oTtoU CZeTE : cU-1�.ktr.t.l�ocz. iS:. El__D_21.D6-E_£�W46�h162 pikk . `.. . ; ��• . tea, � •'� :BULLitt�lly � :•' • ,77. -777 ,•f i : . Yar two !78 Z i..•. � IOoo � pPb 91N i 'a4 ttsn' IVY: GAL'. 71 • .... ;r . DEld;E; SToiJy j. • I /' �SoX: { .�7� Sc•�nc I 0 � � :• . SAdpy T/LC. i t►1�L l/ TAttK { �• ;'2 f�G�'Z/SE. .... _W I• M. _. 5 I ._• F -� .. �--'i /. i 44 `.Nth :�/At+'l[D I ..••� ... _.. ----- ?---....._ .... jib. 5�'oat� Ll 13' EL=/5$' �s GCztZ'I't��{ Tt4AT TR'GG Po NtjAno _ •4I -SuowtiJ . -- PL: At�t. R>=�•��El.lc� ..•. q uz*,t aut�:::SC' LCtC• SZGQv4R-E�t�tc:l.i-�'S oF. 's OT;-�.µ{� . . LoT Zc: :.. . ... . . . 'owtJ� of `P�+¢►�ISTA?�C,�:. .� � •- .. �; 76 AND t- PL r3r< . :�Z P6 . .• 33 ta�AIM? ace z NE,a JJ Tt-ll5 o'r-. I_,A t- wa SuwEYozs f , 5C0 vJ _ A�;J, : oSTE�VILI:G o ter ' ' t�ST'¢Utit�uT • S•c.�¢`/�EY•�•�{-{E �oFFSETS Silo�l:Lp I j ' '. art� � •r•••� : . •SE uSED To : e Rusu` 1 "D. t CP OF 5 kLT �� 2 r$A,/S Ike . RtCA. PETER Cn 1 BAXTER '^ SULLIVM Scams No 2ixs Poo. 733 r \ ,lam I v,%,?- thy. xt'SQ 2T ` AN .. .:: J./�• //�^ i;•� mod,+}rs,;�- :�»a '.1--- / I� � 10/ro / 1��460AJ� PE €kr i No,er,4/ I,c�i as L 4V46 o lQ e �S� W 1/ j°.� Assessor's office(1st Floor):, s �J S� EN f � IF FAA�'Ce Assessor's map and=lot number �� ?+� ��^ Board of,Health(3rd floor): Sewage"Permit number ! i Engineering Department(3r8 floor;: 7S f f-, k' i sssMAS& L6 � rus House number 1 + �- i fi; ' �O�1639.6`�� Definitive Plan.ApproOed b&lanning Board = 19. am J P A 0 E D r�Y APPLICATIONS PROCESSED 8:30-9:30 A.M.,and 1:00- :00 P.M.only tio+ Y t i TOWN ; O F ' BAR .>>'°° : BUILDING INSPECTO APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION 1 1 19 19 47 { TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: 1 Location A� a S Proposed Use Zoning District ` F Fire District0-14 �/ L Name of Owner./ 1 � � Address J j6r� 11* - Name of Builder / 44 Address Name of Architect / Address Number of Rooms t0 Foundation / alzLe�l Exterior b` /lli.0 Roofing / Floors Interior Heating Plumbing Fireplace Approximate Cost A�3 5 Area S , Diagram of Lot and Building with Dimensions Fee Q 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 /�5�� Construction Supervisor's License e:M �S 'f SIMPSON v GEORGE NO 34670' Permit For 12 Story - r,.. Single Family Dwelling Location Lot #25 , 75 North Winds Lane , West: Barnstable : F `^ Ow %` uGeor`ge- Simpson) , -� ;, S:' '' %1 i^: `'`• ner 1 - Ty a of Construction, 'Frame G Plot Lot Q t •October 3� 91 Permit Granted _t9 Date of Inspection 19 f_ D mp ete t s "�G/Q 19 • u, j J r s. ,' - ` f^ +' !� r�3,• a �= �_ �: ? !.Lr /�) ,� f Al rl, t TEST HOLE LOG c-� 0 9� DATE: AUGUST 31, 2000 P- S�- SOIL EVALUATOR: M. O'LOUGHLIN, CSE WITNESS: DONNA MIORANDI PERC RATE: 5 MIN. / INCH n� 0" 177.5 0" 176.5 fD/^ ORGANIC ORGANIC J' E! 3" 177.3 3" 177.3 X r/4!i APLOAMY SAND AP-LOAMY SAND 10YR6/2 I0YR6/2 5.. 177.1 5" 177.1 / Ba=LOAMY SAND B.--LOAMY SAND 10YR6/8 10YR6/8 24" 175.5 24" 175.5 �( Q Cl=FINE SAND ClEAND T75 'JIB 36" 2.5Y7/6 174.5 38" 174.3 C2=LOAMY SAND C2SAND� 2.SY6/4 -�� A- 55" 172.9 60" 172.5 Q C3=M3D. SAND C3=6=. SAND 2.5Y6/4 2.SY6/4 "e 120" 167.5 132" 165.5 ..9 NO WATER ENCOUNTERED DESIGN DATA DAILY FLOW: (4) BDRMS. x 110 GPD =440 GPD SEPTIC TANK: 440 GPD x 200% =880 GPD USE: EXISTING 1000 GALLON PRECAST SEPTIC TANK LEACHING FACILITY: USE: (3) 500 GAL. DRYWELLS LmED w/4, OF WASHED STONE CAPACITY: i SIDEWALL: 93 x 2 x 0.74 = 137.6 BOTTOM: 13 x 33.5 x 0.74 = 322.3 TOTAL: 459.9 GPD 0 OF Af 1 p� DANIR L yG BRA MAN N 1 Q.0.! ~ V No.326 w r9�� S �� S �f$$/ON AI NOTES: 1. ALL PIPE TO BE 4" DIA. SCH 40 PVC. 2. PIPE TO BE LAID LEVEL FOR 2' OUT OF DISTRIBUTION -- - -- BOX. __ . ia2 -T_a i.5/S_5�-L GAS off/o•$ 3. RAISE ALL APPLICABLE MANHOLE COVERS TO WITHIN 7E S.9S, � C.�(JA7G A� AGf� 6".OF FINISH GRADE. 4. SEPTIC SYSTEM IS NOT DESIGNED FOR THE USE OF A GARBAGE DISPOSAL. 5. SEPTIC TANK AND DISTRIBUTION BOX TO BE INSTALLED - le7 C/E'.0 $Yiil� Q�S�cq� ON A 6" LAYER OF STONE. 49;'A-15v^1 rae e 6. INSTALL GAS BAFFLE IN OUTLET TEE. 2" LAYER OF 3/8" PEASTONE OVER DOUBLE w1SHED STONE ------------------- I N---------_--- ALL AROUND TOP OF FOUND. @ ELEV. 178.0 EAST. 1000 \ GAL. SEPTIC 0iac* \17Z.G3 TANK 33 l7Z' 3-3 SEPTIC) SYSTEM PROFILE SITE -w SEWAGE PLAN GENERAL NOTES FOR 75 NORTH WINDS LN. , WEST BARNSTABLE, MA 1. CONTRACTOR TO BE RESPONSIBLE FOR THE LOCATION LOT 25 'r PLAN BOOR 462 PAGE 33 OF ALL UTILITIES, ABOVE AND UNDO, PRIOR. TO ANY EXCAVATION OR CONSTRUCTION. !'F' PREPARED FOR 2. SEPTIC SYSTEM TO BE INSTALLED IN COMPLIANCE WITH 310 CMR 15. 00: TITLE V. ' I - GEORGE & LISA SIMPSON 3. THIS PLAN IS NOT To BE USED FOR PROPERTY LING DETERMINATION. _ DATE: SEPTEMBER 13, 2000 SCALE: AS NOTED 4. ALL DISTURBED AREAS TO LOANED AND SSBDBD. 5. CONTRACTOR TO PROVIDE 24 HOUR NOTICE FOR ANY REQUIRED INSPECTIONS. WELLER & ASSOCIATES 1645 FALMOUTH RD. SUITE 4C P.O. BOX 417 CENTERVILLE , MA 02632 TEL: (508)775-0735 FAX: (508)775-0754 APPROVED BY: - - /72 Nb I � I A(O L 16a IN zo- ti . o o lC� - i ,r ;