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0019 OCEAN AVENUE
I �1 ,1 r Mive rsa."o ice products No. 12115 l •. ��� � � ./ ._ . _ __ �. t d � �Z��- �� r �� ������ �� � � , ��� � �. t ���� , , i _�_ � �� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �''1 -I a Parcel ()01 Applications ®� v Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board p(c P(z Historic - OKH Preservation / Hyannis Project Street Address q �(�,Pt(1 Ave , . Village 14UCLi1i'11 sir-{- . yy)A-• Owner C +yo Address 54 131uP kit I Telephone Q l 3 -- Hermit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District -Flood Plain Groundwater Overlay Project Valuation g" 0.00 Construction Type Lot Size 1, ®din au= Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Cd' Two Family 0 Multi-Family(# units) Age of E isting Structure 4.oZ3 Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full WICrawl ❑Walkout ❑ Other " C o Basement Finished Area (sq.ft.) Basement Unfinished Area (Sft) �c Number of Baths: Full: existing (P new Half: existing . Q,�v 09 Pa Number of Bedrooms: lam_ existing _new an Total Room Count (not including baths): existing new First Floor Room Count -/ 1 -� M Heat Type and Fuel: 3 Gas ❑ Oil ❑ Electric ❑ Other Central Air: CKYes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: Weisting ❑ new size — Barn: liYexisting ❑ new size_ Attached garage: 5Ye"xisting ❑ new size _Shed: ❑ existing ❑ new size — Other: i9AAh1hk5_ Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes Ulo If yes, site plan review # Current Use - - = Proposed Use = - -- APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name OlAbara& Telephone Number snK 41 3a- L�3I.o Address a 3`7 M W 10 S . -!Ri License# 0 to cb/31 aZ n/i y1 Home Improvement Contractor# Worker's Compensation # e)a(*YSI /4 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE Z I FOR OFFICIAL USE ONLY APPLICATION# .---DATE ISSUED_ E - MAP/.PARCEL NO. ADDRESS ? VILLAGE OWNER ' 1 DATE OF INSPECTION: - 1 ' 1 .. .FRAME -,;,JNSU_LATION ,n FIREPLACE '. ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ' GAS: ROUGH FINAL ' FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 401%e4-0 L, The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations vj" 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): A `Y1 Address: - City/State/Zip: Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.�am a employer with '4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ 1 am a sole proprietor or partner-' listed on the attached sheet. ❑ Remodeling ship and have no employees". These sub-contractors have g• ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers',comp.insurance 1 comp. insurance.: required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.El am a homeowner doing all work officers have exercised their I L❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12: oof 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#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: (,Z- Policy#'or Self-ins.Lic.#: 0.1(. ZM 1,* J y Expiration Date: , Job Site Address: I� (kea AvP_ rui T_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$1,50.0.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify d the pa'is and penalties of perjury that the information provided above is true and correct Si ature: Date: lc Phone#: `3 (6 D Official use on o not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person:. Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant-to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance,coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASWE Revised 4-24-07 Fax# 617-727-7749 www.mass.gov/dia '(J Mk�� P �l, ''` ik ', Yd�h V' A f�., ,n, t yy g Y� f „°.<ys aixArr"z,' q {.,� 'o. '„ § adf. r a .tr'�° �� n On ��k ��-- -. ....... ...�. _ _....,_ � � d��tr�'✓�s#'.'..�7 t `F'��I Hiw� *� i��n � u,,, i � � WORKERS COMPENSATION AND. EMPLOYERS LIABILITY INS-IJ;RANCE POLICY s -WC 00 00 01:A 07 11 Issuing Company:Acadia.lnsurance Company 290 Donald J. Lynch Blvd, P.O. Box 9168 Marlborough, MA 01752-9168 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY RENEWAL INFORMATION PAGE, NCCh Carrier Code No.: 33391 Policy No.:'WCA 0268516 14 Previous Policy No.: 0268516=13 ;- 1: Name.lnsured and Address a Agency Name and Address 07401 LaBarge Engineering and Contracting,.Inc -(508),791-2241 " 237 Main Street Sullivan InsuranceGroup; Inc,t Route 28 Ten,Chestnut,Street,:`Suite 1010 WestHarwich, MA 02671 _. " Worcester., MA 01608'2804.. dl Other workplaces s not show. a P n above: ' 4 jk Refer to Name and°�ocatioh Schedule t FEIN: 043552990 Risk lb No.: 0262586, Bureau File.No:: Entity of Insured: Corporation y POLICY PERIOD 2 ' The Policy Period is from 09/26/2012 tot09/26/2013'12:01,AM St r x 3 y , andard Time at the insured's'mafli,ng address . r ` . . [COVE GE ,.. i 3 A: :Workers Compensation Insurance: Part One of the policy applies4to the.V17orkers Compensation Law of 1. the states listed here: MA ;..,. B. Employers Liability Insurance: Part Two of the policy applies to work in each-state listed in item 3.A.' The'- ; limits of our liability under Part two are: Bodily Injury by_Accident$ 500,000 each'accidentt Bodily Injury by Disease $ ,::500,000 policy.limit Bodily Injury by Disease $ 500,000 eac `employee C. Other States.lnsurance: Part Three of the policy applies fo;the states if any,listed here:,.. ALL STATES EXCEPT ND, OH, WA, WY AND STATES DESIGNATED IN ITEM3A`OF THE INFORMATION PAGE: u D. This policy includes these endorsements and schedules: See "Schedule Of Endorsements" WC 0.0 00-01 A 07 11 Includes copyrighted material of The National Council on Compensation Page 1_of 4 Insurance, with their permission: i i i � J�1 I�r IaS_Il.n- SCiLo L)e� uSi7i@ilt��f ;'U l.Jltt, �^< C$u.iri� vl bi1i1J1.n t� }�LaJ.UI.:ITIi7fia dna sla!)iy irds C'unsti•uctiun Super�'i.+ur / LicertsL CS-068313 TODD A LABARCL 237 MAIN STD RT 2$ W HARWICJ'I MA 02¢71 : — r 02/07/2014 I' Unrestricted-f3uildings of any use group which contain less than 35,000 cubic feet(991in)of enclosed space. i Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For DOS Licensing information visit: www.Mass.Gov/DPS is j tl I i � w s i 1 I I . i I i I f Office o/ ons'mer A air+sBissiuesR egu` i one License.or registration valid for mdividul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to. ' Registration -149496 Type: Office of Consumer Affairs and Business Regulation s Expiration 1%z1312014 Private Corporation 10 Park Plaza-Suite 5170 F = Boston,MA 02116 GE ENGINEERING&CONTRACTING INC TODD LABARGE �-f ; 237 MAIN ST-RT 28 W HARWICH,MA 02671 Undersecretary of alid without signature' s. ` fi Oct 16"09 11:11a Shea 973-441-2019 p.1 UU 4-1 O-euu-i 1 e-e e• Hb111'ur: cnu 1 ri. ana t ui�i r:. ar�o •+ac o �c r.uc 'down of Barnstable. _ o Regulatory Services{ ►"" °XX• ' Thomas F. Geiter,IDirector Fo ' Building ]Divisio❑ Tom Yerry,Building Commisi ianer 200 Main Sticet,Hyannis, MA 0260, WWW tuwn.barvstubU.mn:us 0Mcc: 508-862-4038 Fax: 508-740-6230 Propegy Owner Must Complete and Sign This Section If Using A Bulildei [ f-,- J_ ;as Owner of the subject properry hereby aut�lurize � A to act on my behalf, in all rr,atterS relative to work auehorized by this building pemm application for: ". (Address of Job) Sigz Lure of Owner Date Print-Name If Property Omer is applying for permit please complete the . Homeowners License.F.xernption Form on the revelSe side. I ; Q:Fo P-%lS:O%'NERPERIM1581LN TOTAL P..02 Co wn pT i ti Town of Barnstable rmit b ices n e omtSsue date. RegulatoryServices fee • anxrtSr. BLE, • - v� MASS. Thomas F. Geiler,Director. - AIED MA't A ,m Building Division T SPERMIT Tom Perry,CBO, Building Commissioner 's 200 Main Street,Hyannis,MA 02601 OCT t 6 2009 www.town.bamstable.ma.us KFax: 508-790-6230 �iU10A PERMIT APPLICATION* - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number o2?'7//.Z,2/00/ Property Address ( � 1. Residential Value of Work QCn Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address T( L + ,I ,eAA ;Vl eA SDI 311le hilt Loud ' M()Yyl's-lUt y Contractor's Name �:�Odd. /4, La.(30Y-ge . -P4 �C Telephone Number Sad•• Y3 2 63 6 Home Improvement Contractor License#(if applicable) i- 1 ( % V 94 EV p,. ///3 1.2616 Construction Supervisor's Licensee#(if applicable) C5 (D M/ 3 G�c�/? QW-Orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner [9I have Worker's Compensation Insurance Insurance Company Name eddl ,njs u{�ae , Workman's Comp.Policy# (( CA0 o? (,zVZ - Copy of Insurance Compliance Certificate.must accompany each permit. Permit Request(check box) D`Rke-roof(stripping old_shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) [4Re-side #of doors ❑ Replacement Windows/doors/sliders..U-Value (maximum.44)#of,windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is equire SIGNATURE: Q:\WPFILES\FORMS\b •Iding permit" s\EXPRESS.doc Revised 090809 Flee fro nvrreoauuea�le o�/Glaaaac/zuaetY Board of Building Regulations a�d Standards HOME IMPROVEMENT CON RACTOR Registration 149496 Expgation 1%13/2010 Tr# 269404 ''•f Type Private Corporation LABARGE ENGINEERING&CONTRACTING INC . TODD LABARGE; 237 MAIN ST-RT 2$ W HARWICH,MA 02671- Administrator i Bii� of suird 'Ve g.,gio Ah?z Art Construction Supervisor License T� License: CS ' 68313 Expiration;;2/7I2010 Tr# 16732 R�estnctiQn; ti TODD A LABARGE _ 237 MAIN ST/RT W HARWICH,MA 0267t Commissioner 00-35,000 of enclosed space 1A-Masonry only r 1G-1 .2 Family Homes Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. iIN RENEWAL WORKERS COMPENSATION AND' EMPLO YERS LIABILITY INSURANCE POLICY ' INFORMATION -PAGE NCCI Carrier Code #33391 3 olicy No. WCA 0268516-11 Issued By Acadia Insurance Company revious Policy WCA 0268516 - 10 290 Donald 'i. Lynch Boulevard Marlborough; Massachusetts 01752 1. NAMED INSURED AND ADDRESS AGENCY NAME AND ADDRESS 07401 LaBarge Engineering and Contracting, (508) 791-2241 Inc. Sullivan Insurance Group, Inc. 237 Main Street Ten Chestnut Street, Suite 1010 Route 28 Worcester MA 01608-2804 West Harwich, MA 02671 , F.E.I.N. 043552990 U.I.A.N. Bureau File No: 0262586 t State: MA Entity of Insured: Corporation z _ LOCATIONS': - See Attached Schedule of Locations ,POLICX PERIOD 2. The Policy Period is from 09/26/20 9 to 09/26/2010 12:01 AM Standard Time at the= insured' s mailing address. „ VERAGES 13. A. Workers Compensation Insurance: Part One of the ' Policy applies to the Workers Compensation Law of the states -listed here: MA 1 B. Employers Liability' Insurance: Part Two of the policy applies to work in each state listed in item 3.A. The. limits of our liability under Part Two are: Bodily. Injury by Accident $ , 500,000 each accident Bodily Injury by Disease $ 500,000 policy limit Bodily Injury by Disease $ 500,000 each employee' C. Other States Insurance: Part Three of the policy applies to the states, if any, listed i here: ALL STATES EXCEPT ND, OH, WA, WY AND STATES. . DESIGNATED IN ITEM 3A OF THE INFORMATION PAGE. D. This policy includes these endorsements and schedules: SEE SCHEDULE OF. ENDORSEMENTS This policy is: X Direct Bill 9 Pay Plan Agent Billed 41C 00 00 01A Page 1 Original i AMIM 1 WORKERS COMPENSATION AND EMPLOYERS `. LIABILITY .INSURANCE POLICY NAMED INSURED EXTENSION Policy No. WCA 0268516-11 Issued ByAcadia Insurance Company Policy Period 09/26/2009 to 09/26/2010 3y NAMED INSURED AND ADDRESS AGENCY NAME AND ADDRESS 07401 (508) 791-2241 '* LaBarge Engineering and Contracting; Inc. Sullivan Insurance Group, Inca 237 Main Street Ten Chestnut Street, Suite 1010 Route 28 Worcester MA 01 West Harwich, MA 02671 608-2804 F.E.I.N. Name 043552990 LaBarge Engineering and Contracting, Inc. C 00 00 01 A Page 1 Original The Commonwealth of Massachusetts Department of Indttstrial Accidents Office of Investigations ►' 600 Washington Street t Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibly Name (Business/Organization/Individual): I (', Address: C,23 7 M,41;9 City/State/Zip: AdKA)l . Phone Are you_an employer? Check the appropriate box: - Type of project(required): 1.[ I/am a employer with 4. [] I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. F'I7Cerriodeling ship and have no employees These sub-contractors have g. 0 Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.1 required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.E] 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 41 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. ff the sub-contractors have employees,they must provide their workers'comp.policy number. lam an employer that is providing workers'.compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: ��S Policy# or Self-ins. Lic.M 0oU PsZk 1J Expiration Date: Job Site Address: / QC'e&A Ale, City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy num r and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of .Investigations of the DIA for insurance coverage verification. I do hereby certify and the ins and penalties of perjury that the information provided above is true and correct. Signature: Date: D Phone#: .74 Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an empluee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership, association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license,or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall compliance with the.insurance com evidence of table enter into any contract for the performance of public work until acceptable p requirements of this chapter have been resented to the contracting authority." q P P Appl icants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation 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 Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has'provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a.reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate-to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 4-24-07 www.mass.gov/dia Oct 16 09 11;11a Shea 973=441-2019 p.1 J. Ul.I-1G-euuv 14-4f t-mvmmVC r-rit71IV, ana %-urIIm. ;V0 ' JC 087G r.UG �TME Town.of Barnstable Regulatory Scrvxees RA egg°LE' _ Thomas F. Geiler,Director FOM11�A Building DivisionTom)'erry,Building Cornmiosioner 200 Main 5trcet.Hyaiuus, MA 0260, www.tuwn.b am stable.mn.us Officc: 508-862403$ Fax: 508-M-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize :: to act on my behalf, in A snattcrs relative to work authorized by this building permit application for. (Address of Job) Sig+ t=of Owner-Elc*�q—I Tr M Datc Print Name If Property Owner is applying for pennit please complete the .Homeowners License Exemption Form on the reverse side. 0:F0RId S:0%T4 F.R PL-R 1Y1 IS51U N TOTAL P.02 i i��. �� �fTHE7 ` own of Barnstable *Permit# Expires 6 months from issue date 11, , AB Regulatory Services Pee MASS ,�$ Thomas F. Geiler, Director s 'pTfo,�aY" Building Division Tom Perry,CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma..us Office: 508-862-4038 Fax: 508-790-62 0 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Numbero�'7 z z io Property Address / ! Oa q-V Avc— i. Residential Value of Work � Minimum fee �f$25.00 for work wider$6000.00 Owner's Name&Address CA s Contractor's Name 2A 8A LQe--- (76.7� Telep one Number Home Improvement Contractor License#(if applicable) �f4 Construction Supervisor's License#(if applicable) l i ❑Workman's Compensation Insurance -PRESS PERMIT Check one: ❑ I am a sole proprietor SEP 2009 ❑. I am the Homeowner I have Worker's Compensation Insurance 1/�/h� �— BARNS f ABLE® Insurance Company Name �� _►�/� Workman's Comp. Policy# we a Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to �/�$ "G f 1 (.� �Y G•-' ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value • (maximum .44) *Where required: Issuance of this_s permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. me I rovement Contractors License& Construct Supervisors License is required.' SIGNATURE: Q:\WPFILES\FORMS\F SP .MIT.DOC Revise060409 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations + a 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual)' d11e. e)"C70 i" 9 Address: 23 7 /'?n /4Aaw i c. �,, r..• `� City/State/Zip: 0` 24 7 ) Phone.#: r a-k) 4(3 2- 4o Z4 6 AA�y, n employer? Check the appropriate box: Type of project(required): a employer with V 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or partfirne).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. T. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition workingfor me in an capacity. employees and have workers' Y $ 9. ❑Building addition [No workers' comp. insurance comp. insurance. required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12. oof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant.thatchecks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. (Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: A CA DMA Policy#or Self-ins.Lic. o a 5 f Expiration Date: Job Site Address: C) C w1,.,4 NYC CiWState/Zip: `f" ►9"w)A�a► Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure fo 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 DIAfor insurance coverage verification. I do hereby certify rind the t and penalties of perjury that the information provided abov is/rue and correct. Signature: Date: _ Phone#: v Offccial use.only. Do not write in this area, to be completed by city or town officiat .City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: 1 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in.the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7) states"Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for,the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority.' Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-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 require .d Be advised that this affidavit may be submitted to the Department of Industrial, Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be.sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current Policy information(if necessary) and under"Job Site Address" the.applicant should write"all locations in__(city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like.to-thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number: The Commonwealth ofMassachuseits Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617--727-4900 ext 406 or 1-877-MASSAFE Fax 4 617-72777749 Revised 11-22-06 www.mass.gov/dia t S T Town of Barnstable Regulatory Services Thomas F. Geiler,Director E16 L 16 Building Division 0 Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town_barnstable.ma.us Office: 509-862-4038 Fax: 509-790-6230 Properly Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize �.,�, { to act on my behalf, in all matters relative to work authorized by this building permit application for. (Addre f Job) 4 6- Signature of Owner Date Print ame If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. THE Town of Barnstable y�`P�04 Tp��� Regulatory Services Thomas F. Geiler,Director Building Division prfD a Tom Perry,Building Commissioner Q 200 Maiii Street;Hyannis;MA 02601 www.town.b arnstable_ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEO L SE EXEMPTION ea 'nt DATE: JOB IACATION: / / �°S a AV'Ir-Ntt 6�n 1 number street village "HOMEOWNER": ?)G I 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. DEFINMON OF HOMEOWNER Persons)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"horneowner"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 Barpstable,Building Department minimum inspection procedures and requiremcnts and that he/she will comply with said procedures and requirements. Signatim of Homeawna 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 homcowncr.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 an 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 e u In this case,our Board cannot proceed against thnlicensed person'as it would with a licensed Supervisor. The homeowner acting as supervisor is ultimatc)y responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that he/she understands the om'bilitics of a Supervisor. On the last page of this issue is a form currently used by that the homeowner comfy � r community.towns. You may care t amend and adopt such a form/ccrtification.for use in you Gfle -�aminw�u,�'e`� n�`/�,cxaaac�ua� _ Board of But Regulatiohs and Standards HOME IMPROVEMENT CONTRACTOR Registration: 149496 Tr# 269404 lug Expiration -_1113/2010 := Type private Corporation LABARGE ENGINEERING&CONTRP`CTING INC ��t r TODD IABARGE., 237 MAIN ST-RT 28 ;' Administrator W HARWICH,MA 02671 B ar AN�in io s n anc arcfs__ Construction Supervisor License License: CS 68313 Expiration 2/7/2010 Tr# 16732 TODD A LABARGE U'f ' +-t 237 MAIN ST/RT 28 W HARWICH,MA 02671- Commissioner ti License or registration valid for individul use only before the expiration date. If found return to: Board of Building Regulations and Standards One Ashburton Place Rm 1301 Boston,Ma.02108 7iNo va'd without signature 00 35,000 cf enclosed space IA-Masonry only 1G-1 2 Family Homes Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. SEP-01-2009 TUE 02.47 PM u: _.. FAX N0, P. 01102 Client#:24014 LABE .F ACORD. CERTIFICATE OF LIABILITY,INSURANCE 0DATE(MWDDrfY 9101(2009 rn PRODUCCR THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Sullivan Insurance Group,Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE One Chestnut Place HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 10 Chestnut Street Worcester,MA 01608.2804 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Acadia Insurance Company LaBarge Engineering S Contracting,Inc INSURER B: 237 Main St. INSURER.C: - Route 28 West Harwich,MA 02671 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 1.0 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. P E E N LIMITS L TYPE OF INSURANCE POLICY NUM F BER RATEIMMIEYPOPMi - A GENERAL LIABILITY CPA0216261 06/22/09 06122/10, EACH OCCURRENCE $1 6 0 000 X COMMERCIAL GENERAL LIABILITY DAM E TO RENTED $250 0 Q CLAIMS MADE E-Z OCCUR MED EXP(Any one person) $5 000 PERSONAL$AOV INJURY $1 000 000 GENERAL AGGREGATE s2.000.000 GEN'L AGGREGATE LIMIT APPLIES PER; PRODUCTS-COMPIOPAGG. s2,000,000 POLICY PRO- LOC - - A AUTOMOBILE WABILITY MAA0216262 06/22/09 06/22110 COMBINED SINGLE LIMIT ANY AUTO (Ea acddonl) $1,000.000 AL,OWNED AUTOS BODILY INJURY $ X; SCHEDULED AUTOS (Per person) X: HIRED AUTOS BODILY INJURY $ X N-64 wNED AUTOS (Per accldeni) PROPERTY DAMAGE 6 (Peraeddonq GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC S OTHER THAN AUTO ONLY: AGG S A EXCESSIUNBRELIA LIABILITY CUA0216264 06/22119 06/22110 EACH OCCURRENCE $5 000 000 X OCCUR EI CLAIMS MADE AGGREGATE $5 00O 000 RDEDUCTIBLE $ X RETENTION S 10000 S A WORKERS COMPENSATION AND WCA026851610 09126108 09126/09 X warty e I-im FT R EMPLOYERS'LULBILITY ANY PROPRIETOR/PARTNERIEXECUTIVE E,L.EACH ACCIDENT $500 000 ceFICERmEMBER EXCLUDED? Ifyea.deec+lbe under: E.L.DISEASE-EA EMPLOYEE ESOO,000 SPEC A PROv 6IONS De)a- E.L,DISEASE-POLICY LIMIT $SDO 0DD OTHER DESCRIP,noN OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Evidence of Liability Insurance CERTIFICATE HOLDER 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 --%L DAYS WRITTEN Main St NOTICE TO THE CERTIFOATE HOLDER NAMED To THE LEFT,BUT FAILURE TO DO SO SHALL Barnstable Ma IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES, AUYHORRED REPREJSENTATIVE ACORD 26(20011DS)1 of 2 #S1086341M108833 JJ3 a ACORD CORPORATION 1088 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION , Map Applicat arce Conservation Division Apo ation Fee Planning,Dept;' Permit Fee; Date Definitive'Plan Approved by Planning Board Historic - OKH: Preservation Hyannis Village Telephone Permit Request /J(F uare feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Z6ning District Flood Plain Groundwater'.Overlay Prpject,ValuatioLooj Construction Type Lot Size Grandfathered: Ll Yes Ll No If yes,4attacF upportirkj-)docoentation. r7 'up Dwelling Type: Single Family Two Family LJ Multi-Family(# units) Age of Existing Structure Historic House: U Yes LJ No On Old King' Highw�� J Ws LJ'No co Basement Type: D Full LJ Crawl LJ Walkout Ll Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existin& new Half: existing —new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: LJ Gas L3 Oil L3 Electric Ll Other Central Air: Ll Yes LJ No Fireplaces: Existing New Existing wood/coal stove: Q Yes LJ No Detached garage: Ll existing Unew size—Pool: L3 existing LJnew size Barn: LJexisting Unew size Attached garage: Ll existing Unew size —Shed: Q existing Unew size Other: Zoning Board of Appeals Authorization LJ Appeal # Recorded Ll Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Home Improvement Contractor# ' Worker's COmp8nG8UOO # i ALL CONSTRUCTIONDEBRIS R . L7U�� THIS� �- - -- � � r w FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED ` MAP/PARCEL NO. ADDRESS VILLAGE OWNER .DATE OF INSPECTION: FOUNDATION FRAME INSULATION r FIREPLACE r ELECTRICAL: ROUGH FINAL } PLUMBING: ROUGH M FINAL a GAS: ROUGH FINAL a. FINAL BUILDING DATE CLOSED OUT r ASSOCIATION PLAN NO. ` Barnstable Assessing Search Results Page i of 2 tr )` IEEE Home:Departments:Assessors Division:Property Assessment Search Results New Search r j New Interactive Maps>> Owner: 2009 Assessed Values: SHEA,RICHARD W&KAREN L JR 19 OCEAN AVENUE Appraised Value Assessed Value MapfParceUParcei Extension Building Value: $1,930,300 $1,930,300 287 /122/001 Extra Features: $18,600 $18,600 Outbuildings: $26,600 $26,600 Mailing Address Land Value: $1,145.800 $1,145,800 SHEA.RICHARD W&KAREN L JR 54 BLUE MILL ROAD Totals $3,121.300 $3,121,300 MORRISTOWN,NJ.07960 2009 REAL ESTATE Tax information: Tax Rates:(per$1,000 of valuation) Community Preservation Act Tax $646.11 Fire District Rates Town Residential Barnstable FD-All Classes $2.37 $6.90 C.O.M.W-A8 Classes $1.08 Town Commercial Hyannis FD Tax(Residential) $5,555.91 Cotuit FD-All Classes $1.43 $6.12 Hyannis-Residential $1.78 Town Tax(Residential) $21,536.97 Hyannis-Commercial $277 W Barnstable-All Classes $2.11 Community Preservation Act 36/6 of Town Tax Total: S 27,738.99 Construction Details Building ,� Property Sketch & ASBUILT Cards Building value $1.930,300 Interior Floors Pine/Softwood( Property Sketch Legend This property contains multiple sketches. Style Conventional Interior Walls Plastered Please use the navigation below the sketch to browse sketches. Model Residential Heat Fuel Gas Grade Exceptional Heat Type Hot Air 6g1 Stories 2 Stories AC Type Central Exterior Walls Wood Shingle Bedrooms 5 Bedrooms Roof Structure Gable/Hip Bathrooms 3 Full Roof Cover Wood Shingle living area 5815 5 Replacement Cost $1915699 Year Built 1790 Depreciation 5 Total Rooms 7 Rooms Additional Sketches 1 121 Land Click Here for print version that displays all sketches at once http://www.town.bamstable.ma.us/assessing/2009/displayparce]09m'ap.asp?mappai=287122... 9/1/2009 '1 Board of Building Regulatiohs and Standards HOME IMPROVEMENT CONTRACTOR Registration: 149496 Tr# 269404 Expiration 1113/2010 s,luge Pivate Corporation LABARGE ENGINEERING&-CONTRACTING INC TODD LABARGE�r 237 MAIN ST-RT Administrator W HARWICH,MA02671— _ B�a"ri�"o uffii g e�io�s and"Wan ar s Construction Supervisor License License: CS 68313 Expiration 2R/2010 Trk 16732 -_ Rest coon 00:::r �TODD A LABARGE ; ' 237 MAIN ST/RT 28 W HARWICH,MA 02671':, Commissioner i License or registration valid for individul use only before the expiration date. If found return to Board of Building Regulations and Standards One Ashburton Place Rm 1301 Boston,Ma..02108 No va" without signature 00-35,000 cf enclosed space 1A-Masonry only 1G-1 2 Family Homes Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. The Commonwealth of Massachusetts ,Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 :. www.mass.gov/dia Workers' Compensation Insurance Affidavit: B uilders/Con tractors/Electricians/Plumb erg Applicant Information Please Print Le i bly Name (Business/Organization/Individual):A16,a, F- Address: fZ 3 ? City/State/Zip: i�lra Qe.,t��. �i C52� "�) phone.#: Are you an employer? Check the appropriate box: Type of project(required): 1.[ I am a employer with 4. Q 1 am a general contractor and I • employees (full and/or part-tim.e).* have hired the svb-contractors 6. ❑New construcfion 2.Q I am as old proprietor or'partr<er-: listed on the•attached sheet. T. Q Remodeling ship and have no employees These sub-contractors have g_'Q Demolition working for me in any capacity. employees and have workers' 9 Q Building.addition [No workers'•comp.•insurance comp. insurance.t required) 5. Q We are a corporation and its 10.❑ Electrical repairs or additions 3.El I am a homeowner doing all work officers have exercised their 1 I.❑Plumbing repairs or additions myself.[No workers' comp. right of exemption per MGL 12 j�oof repairs insurance d re uire t c. 152, §1(4), and we have no q 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. lContractors 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. X am an employer I tat is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: A C A 1N 3 Policy#or Self-ins. Lic.#: ?ff y_l In ' Expiration Dater Job Site Address: J 1 OCR ` ��� City/State/Zip: }14A rll�t���l Y�IA 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 crimiri4l 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 statemerit may be forwarded to the'Office of Investigations of the DIA for insurance coverage Verification. X do hereby cert unde the p ' nand [ties ofperjury that the information provided above is true and correct. Si afore: Date: — Phone#: Offu ial use only. Do not write in this area, to be completed by city or town offtciaL City or Town: Perinit/License Issuing Authority(circle one):t. I.Board of Health '2.Building Department 3. City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6. Other Phone#: Information and. Instr�ct�®ems Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "..:every person in.the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or ster,of an individual,partnership,association or other legal entity,employing employees. However the Bu owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house o'r on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or Iocal licensing agency shall withhold the issuance or renewal of a•license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." commonwealth nor any of its political subdivisions shall Additionally,MGL chapter 152, §25C(7) states`Neither the . enter into any contract for,the performance of public work until acceptable evidence of compliance,%zth the insurance requirements of this chapter have been presented to the contracting authority.' Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-con&actor(s)name(s),-addresses)and.phone numbers) along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom u to fill out in the event the Office of Investigations has to contact you regarding the applica nt. of the affidavit for 3`0 Please be sure to fill in the pemutllicense number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address" the applicant should write"all locations in (city or town).".A copy of the affidavit.that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to.thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone•and fax number: The Commonwealth of Massachusetts Bepsrtment of Industrial Accidents Office of IayestigatiGns. 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MA.SSAFE Fax # 617-72777749 Revised 11-22-06 www.mass.gov/dia JOB_j o SHEET NO.— AveOF- PYANJ"'� DESIGN BUILD MAINTAIN CALCULATED BY DATE 237 MAIN ST ;T,28 WEST HARWICH,MA 02671 (508)432-6360 Fax(508)432-6792 CHECKED BY DATE SCALE ............... ---------- .......... .................................... ................ ........... .............-K L ------------ -.v ............. ....... --- ..................... ........... ................. ............ ............ .................... :AA ........... ........... ......................... ... ...- I......... 4V ........... ......................— .......... ............ ............... ..............- .............- ............ L 1 IL .......... ................ .......... ........ ........... ........... .......... ............. ............ .................................. .............. .... ... ....... ................ .......... .............. ............ .......... .......................... .......... .......... ............ .. ............. ........... .......... --------- ------- ............... ... ................. ........... ............ .......... ....... .... ........................ .......... ............ .......... ...... ............... .......... .... ........................ ......... .... ------- ---------- ................ ----------............ ........................ ............ .......... ........... ............ ............ ........... ........ .......... .......... ........... .......... ............. .......................-........... ........... T7 ............. ------------ . .......................... LABARGE HOWES SHEET No. dc�ra.1 I�y<- DES16N - BuiLD - MAINTAIN CALCULATED8Y DATE {.3 237 MAIN ST.-RT.28 WEST HARWICH,MA 02671(508)432.6360 fax(508)432-6792 CHECKED BY DATE SCALE _. .. �c _ . �.. < _ .� N! _ ... .. A„ .... 999ggga _.._. ^� ........ ............. -._... e ........ .. ... .,..... � it . ..... . _ ........ - _ .. ......... .. _...._. - .._.:._ i c .. ..._. : ------------ .................. ........... ........... ....... ?N��F2Qlb(Ss�S�sV�1€�Afi - - Town of Barnstabl e Regulatory Services r BAMSTABLE, Thomas F. Geiler,Director 16.39. p,,,A�� Building Division Tom Perry,Building Commissioner, 200 Main Street,Hyannis,MA 02601 www,town.b arnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder T, �F f� as Owner of the subject property hereby authorize Q a to act on my behalf, in all matters relative to work authorized by this building permit application for, IT Address ofjob) Signature.of Owner Date a► e Print Name If Propea Owner is applying for permit please complete the .t- omeowners License Exemption Form on the reverse side. Q:FO RMS:O WNERPERIvIIS SION ri � r Town of Barnstable HE Regulatory Services + Thomas F. Geiler,Director r + =A3iN6TABI.E, 0.39. Building Division pTED 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: village number street "HOMEOWNER": work hone 4 name home phone# p 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 no t be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. _(Section 109.1.1) rr compliance with the State Building Code and other sibili for The undersigned homeowner assumes responsibility 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. 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 form/certification for use in your community. Q:\WPFILES\FO RMS\homeexempt.DOC SEP-01-2009 TUE 02:47 PM . .. . _.... .. _ FAX NO Client#-94D14 tABEN P. 01102 ACORD- CERTIFICATE OF LIABILITY INSURANCE DATE(IyMIDD/YYYY) PRODUCER 0910112009 Sullivan Insurance Group,Inc, THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE One Chestnut Place HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 10 Chestnut Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Worcester,MA 01608.2804 INSURED INSURERS AFFORDING COVERAGE NAIC# LaBarge Engineering A Contracting,Inc INSURER A; Acadia Insurance Cam ny 237 Main St. INSURER S, Route 28 INSURER C: West Harwich,MA 02671 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 1'0 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR 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. LIR TYPE OF INSURANCE POLICY NUMBER 722JI) P EXPIRq N A GENERAL LIABILITY LIMITS CPA0216261 06/22/10 EACH OCCURRENCE $1 0 0 000 X COMMERCIAL GENERAL LIABILITv DAM E TO RENTED $2S0 O O CLAIMS MADE Q OCCUR MED EXP(Any one parwp PERSONAL aADV INJURY $1 000 000 GFNERALAGOnGATE $2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO. LOC PRODUCTS-COMPIOP AGO $2 000 000 A AUTOM081LE IABILITY IWAA0216262 06/22109 06/2TJ10 ANY AUTO COMBINED SINGLE LIMIT (Eaaccldant) $1,000,000 ALL OWNEOAUTOS X, SCHEDULED AUTOS BDDILY INJURY $ (Pru perem) X HIRED,AOT08 SODILYINJURY S X NpIJWNED AUTOS (Par ecddeni) PROPERTY DAMAGE (Peraccloant) $ OARAGE LIABILITY AUTO ONLY-EAACCIOENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY; AGG $ A EXCESSIUMBRELLA LIABILITY CU40 116264. 06/22MO OW22110 EACH OCCURRENCE $S 000 000 LXRETENTION UR E CLAIMS MADE AGOREGATE $5 000 000 UCTIBLE S 10000 A WORKERS COMPENSATION AND WCA026851610 09126108 09/26/09 X wC 6TATU- OTH- $ EMPLOYERS L"ILITY ANY PROPRIETORIPARTNER/EXECUTIVE El.EACH ACCIDENT $600 000 OFPICERIMEMBER EXCLUDEDT If yyen.doscAbe undw: E.L.DISEASE-EA EMPLOYEE $600 ON OPEC A PROV&ON3 6eIDti OTHER E.L.DISEASE•POLICY LIMIT $SOD OOO DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES I EXCLUSIONS ADDGO DY ENDORSEMENT 1 SPECIAL PROVISIONS Evidence of Liability Insurance CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DEBCRISED POLICIES BE CANCELLED BEPDRE THE EXPIRATION Town Of Barnstable DATE THEREOF,THE 188UING INSURER WILL ENDEAVOR TO MAIL . DAYS WRITTEN Main St NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE t0 DO SO SHALL Barnstable Ma IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES, AUTHORM REPRVAUNTATIVE ,'f Qwt�r41G,•. . ACORD 25(2001108)1 of 2 OSIOBS34IM108833 JJS A ACORO CORPORATION 1088 of BAR�s CAPE COD COMMISSION 7� - 3225 MAIN STREET P.O. BOX 226 c, BARNSTABLE, MA 02630 �r-9ssA us��`S (508)362-3828 CH FAX(508)362-3136 E-mail:frontdesk0capecodcommission.org HEARING NOTICE CAPE COD COMMISSION A hearing officer for the Cape Cod Commission will close a pro-forma hearing for procedural purposes on Monday, February 1, 1999 at 10 a.m. -at the Cape Cod Commission, 3225 Main Street, Barnstable, MA. The following Development of Regional Impact (DRI) has been referred to the Cape Cod Commission under Section 3 of the DRI Enabling Regulations. This notice is being published as required by Section 5 of the Cape Cod Commission Act. Project Name: The Willows/Warren Hinckley House Project Applicant: Brian O'Neil Project Location: 19 Ocean Avenue, Hyannis Port, MA Project Description: Substantial alteration to a National Register Building NOTE:The purpose of this hearing will be to close a DRI hearing for procedural purposes. No presentations will be made, no testimony will be taken and no substantive action will be taken regarding this project at this hearing. At a future date the hearing process will resume. Subsequent notice will be provided. The application, plans and relevant documents may be viewed at the Cape Cod Commission office at 3225 Main Street, Barnstable, MA 02630 between the hours of 8:30 a.m. and 4:30 p.m. For further information please contact the Commission office at (508) 362-3828. - I � s OF BA,�,�� CAPE COD COMMISSION O 3225 MAIN STREET U ® to P.O. BOX 226 BARNSTABLE, MA 02630 9SS 8 ACHIJ FAX(508)362-3136 E-mail:frontdesk®capecodcommission.org Development of Regional Impact Referral Notification Form September 22, 1998 Brian O'Neill 443 South Gulph Road King of Prussia, PA 19406 RE: The Willows/Warren Hinckley House Alteration,Hyannis Port Dear Mr.O'Neill, O The purpose of this letter is to notify you that the Barnstable Building Commissioner has referred the proposed Willows/Warren Hinckley House Alteration to the Cape Cod Commission as a Development of Regional Impact(DRI) under the Cape Cod Commission Act (Act), Chapter 716 of the Acts of 1989, as amended. The proposed project exceeds our regional development threshold of substantial alteration of an historic structure listed with the National Register of Historic Places. The referral:was received by the Commission on September 16, 1998. Enclosed is a DRI application and a Guide to the DRI Review Process for your information. As project proponent,you are required to file an application,with the Commission for this project. Because this project trips only the review threshold for historic structure alteration,the Commission will review,the project for consistency with the Heritage Preservation section of the Regional Policy Plan. While not required,I suggest that we arrange a pre-application meeting to discuss your project,the application requirements, and any questions you may have relative to the review process. Under the Act,the Commission is required to schedule a public hearing within sixty(60) days of the date the Commission received the referral. A public hearing has been tentatively scheduled for Thursday. November 11998 at 7 pm in the Assembly of Delegates Chamber,First District Courthouse,Barnstable Village. In order for the public hearing to go forward, the completed application and all required attachments must be received by Friday, October 16, 1998. If you are able to submit the application earlier, we can reschedule the hearing for an earlier date. A certified abutters list is required as part of the DRI application. Please note that the Cape Cod Commission Act defines abutters as "owners of land located with three hundred feet of any boundary of the proposed development." Please also note that a copy of the application must be filed with the Barnstable Town Clerk, Historical Commission,and Building Commissioner. No municipal permits may be issued unless the Commission comp etes i s review and issues a Regional Development permit. Ca - If you have questions or would like to schedule a pre-application meeting,please contact me at 362-3828. Sincerely, Sarah Korjeff Planner CC. Ralph Crossen,Barnstable Building Commissioner/DRI Liaison Pat Anderson,Historic Preservation Division Barbara Flinn,Chair,Historical Commission Linda Hutchenrider,Town Clerk . Patrick Butler, attorney for the applicant Sumner Kaufman,Barnstable representative to CCC t The Town of Barnstable • .ssrsrneit� - 9� � Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commission: For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL a 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 require ts. /d O Type of Work: C040 0 D(J� Address of Work: ,ter , , f!P•�...TT— �/� Owner's Name Date of Permit Application: 1 `t I Isereby certify that: / Registration is not required for the following reason(s): Work excluded by law Job under S1,000. 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: y Date Contractor Name Registration No. OR I Date Owner's Name The Commonwealth of Massachusetts Dep arture en of strl Indu 'al Accidents � ;`:::_ � Olf�ce o1/oYestigatio�s 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit / ��„ �%��/////�%���%� / /////////////Z/%!,7 name: location: city phone# C3,I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any capacity I am an emplover providing workers' compensation for my employees working on this job. / p comaanv name � , address cityTi J1T'P�,! V insurnnce co. alley# ///%//%//i ❑ I am a sole proprietor,'general contractor, or homeowner(circle one) and have hired the contractors listed below who have I the following workers' compensation polices: t company name: address: dtv phone#: insarnnce co. W. olicv /// cam any name: address: city- phone#. insurance co. olicv# Failure to secure coverage as required under Section 15A of MGL 152 can lead to the imposition otcriminal penalties of a tine up to S1490.00--wlor one years'Imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification I do hereby certify under-the pains and penalties of perjury that the information provided above is trap d correct Date .Signs � - Print name Phone# oflldal use only do not write in this area to be completed by city or town official city or town: permittlicense Fs ❑Building Department ❑Licensing Board (:Icheck if immediate response is required ❑S ealth e De a Office ❑Halth epartment contact person: phone ft• ❑Others_ (mvaw 9i95 P1A) r 4 Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority: Applicants ` Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pi number which will be used as a reference'number. The affidavits may be rednmed to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents ` 081ce of Investigations :,..,.. 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 j 71. r . DEPARTMENT OF PUBLIC'SAFETYt CONSTRUCTIOMUPERVISOR LICENSE _ L _ Yue�et = '�xpires� eirt�date E ;�•�,.., CS _ 1999" 09/OS/1950 &¢L d, i •. z t HYANNIS,a MA 02601 n,.��- "` ✓1e i�omnanawald o�✓�amac/ruaetfa .` HOME IMPROVEMENT CONTRACTOR ° = Registration 126142 Type - INDIVIDUAL - Expiration 04/27/00 WAYNE J. PACHECO 45A RIDGEWOOD AVE/PO BOX 174 G� &14i VNIS MA 02601 ADMINISTRATOR 1 I, . Assessor's map and. lot'numbier ... ....:. �••:�.... :I'.fl:� INSTALLED IN COMPLIANCE c - ,WiTFI ARTICLE 11 STATE Sewaget;Permit:number ..:....... . :P...r`e �E[i(� �. �. 1 - , SANITARY CODE AND TOWN bpi THE E TQ 7 AbIWN OF BARTN"ST 13LE Z H9H&9TADL i "�`� HELDIHG INSPECTOR 1639• 'F�:, sk.pr r; > s APPLICATIONS FOR PERMIT TO ... ..''.i ..... '.....:........................ ...........:................................ TYPE OF CONSTRUCTION ...........w. .. :7..............................................I.......................... ................ _ P-to-p- :. .?.............19.y.� f� TO THE INSPECTOR OF.BUILDINGS: The undersigned hereby applies for a permit according to the followin formation: Location ......../...9......44ms......( . 4. ..... ......................................................... : Proposed Use ....(.t '� )' ...�.... . . ...... ,�'��% ...................... ZoningDistrict ........................................................................Fire District ........................................................................ .... Name of Owner ..�`�,� r..:.1 � ...Addressiwro%-v Name of Builder Address ........ . ... �... .. ... Name of Architect ddress ............ _................................. .. ..... .......... Numberof Rooms .....0,ef4`.400*..........................................Foundation ........... ...::...:............... ..... ................ .................. Exierior ........ ......Roofing X40 .. ........................................... Floors ...................Interior .. ... .... .. .. .. Heating Icto.....(!ir( n .. ....................Plumbing .......�..:........ Fireplace .............................................. Approximate Cost 47 Definitive Plan Approved by Planning Board -----------------_-------------19_._____. Area �. ........... Diagram of Lot and Building with Dimensions Fee ....................................`....... SU$JECT TO APPROVAL OF BOARD OF HEALTH .��. � � I a e 2, I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ^^// Name �.....l.�! ° ............. �m�b M. Jacques, /\ 19908 ' ' ' add to � No .................. Permit fbr��-----.------ .single family� dm�'llin- � --.. . —.- . ---. / � . — —...—� --...��^..��--..---.. —. 19 Ocwamm Ave. ioco�o6 ---..-_—. ....................................... .� '. . Hyafinisport ----^------^-----'-----''—^--'' '. �m�bD& Winer --..------..�..�~���=�=------. ' frame ^� Type of Construction .......................................... � —.----.-------.—._.-------.--- - \ � ' Plot -----....—.. �� -------.--.. . . +^ January .........PermitGranted ' r . / Doto'bf1nspnchon ---...�-------..lV . \ ' . ` Date Completed - ................. -.|—.—.]Q ~7�� — ' ' PERMIT REFUSED ' lA^----�--'—~^'^^~--'—'—'----`` ---.—..—.-__.----._.--.—..--_—~. ''—~-^~'~'~—'.~-^^'~'~^'---'—'~'---'—^'— r----`'~^^^^^^^—^,''^----^- � . ~ .----.~—...'.'.---..-,-..--.^..-.,....~. Approved / ~ ................................................ l9 . . . . . . ----------'--.--.-----.-----.. . ~ -------'---.----.----....—.....- ^ ~~_ Assessor's map and lot number ...................... apSewage,Permit number �oFTNETo�� TOWN OF BARNSTABLE i BARNSTABLE, i 1639. BUILDING INSPECTOR ` fT APPLICATIONFOR PERMIT TO ............................. ........'....................................................................................... I TYPEOF CONSTRUCTION ...........4........:.........:...................................................................................................... ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....................................................................................................................................................................................... ProposedUse ............................. .........................`. ...................................................I...................... ZoningDistrict ........................................................................Fire District .............................................................................. Nameof Owner .................:..................... .......:...........:'.-.......Address ...................:................................................................ Nameof Builder ...................................................... ..........Address ........: ..................................................................... Nameof Architect ...................................................................Address .................................................................................... i Number of Rooms t c-° s!•`` �'- / - _.Foundation .::.......:. Exierior ..................................................................:.........:.......Roofing ............................. ..................................................... , A Floors ................................................................. .Interior ......::'•'ao r.t-'�- ...... Heating ..........................Plumbing Fireplace ..................................................................................Approximate Cost .................................................................... Definitive Plan Approved b PP Y Planning Board --------------------------------19- -- . Area ....... Diagram Diagram of Lot and Building with Dimensions Fee ..... �!.2 . ................... ........ SUBJECT TO APPROVAL OF BOARD OF HEALTH I t r Z r. I hereby agree to conform to all the.Rules and Regulations of the Town of Barnstable regarding the above construction. Name /.� /............................................................................� ....... -7� Jacques, Ruth M. 19008 add to No ................. Permit for ......... .......................... single family Awe 11 ing ............................................................................... 19 Ocean Ave. Location ................................................................ Hyannisport . ............................................................................... Rut� M. Jacques Owner .................................................................. /frame Type of Construction ....... ................................. ........................................... Plot .......................Z. Lot ................................ J-auuar--y--ig 78 Permit ............... ....1.9 19 Date of Inspection .........................Z.... Date Completed ..................... ...........19 PERMIT REFUSED ................................................................ 19 ................ 1-0. ........ -3- zo 101�A<r55 40 .. . �K. - ..0 .... .................. 1.4 ...j. Approved ... f.............................. 19 ... ..... .... Assessor's map and lot number ... P. ..................... x , , ' - SEPTIC SYSTEM MUST BE " -INS T E Sewage Permit number ,. ALI_ D IN COMPLIANCE TH ARTICLE 11 STATE FtNETn ~' iTAnY TOWNI -; TOWN OF BARINS" '��0�"B `' s j BAH1 STADLE, BUILDING �o.MpYa. • <:; �.• G ; INSPECTOR ri c; ARPLICATION FOR PERMIT TO ....... ...".... .......................................... TYPEOF CONSTRUCTION ...............1 . .: ..........................,...................... ............................................... ...........i 9.2.7 TO THE INSPECTOR OF,BUILDINGS: The undersigned hereby applies for a permit according to the following information: A&4.44-41...... Location{/.q..... .• / ...... .................................................. r�l�'Proposed Use .. .A ............................. .............................6 ... ."0..................................:.................... Zoning District ....4ke.......................................................Fire District / !809130 e9........ ........................... . Name of Owner .� ' • Address ..U'(,�. a .. /lf�. ,�F.:4 .. .. Nameof Builder ►.. .. .... ........................:.Address .................................................................................... Name of Architect (/"42040.. •!• Address Numberof Rooms ..................................................................Foundation .............................................................................. Exterior ....................................................................................Roofing ..................................................................................... Floors ......................................................................................Interior .................................................................................... Heating ..................................................................................Plumbing .................................................................................. Fireplace ..................................................................................Approximate. Cost ........... ................................................ Definitive Plan Approved by Plannirig Board ________________________________19--------. Area ....... ..1..'. . ................ Diagram of Lot and Building with Dimensions Fee .... &:.................. SUBJECT TO APPROVAL OF BOARD OF HEALTH (DeA 1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . , ............... �w�� M. + ` Jacques, - No - B20Parm for . -- ---- ' � ' � @well��o ' ----.,.---.--.--.-._-----.-----. ��~~ ` Location -1�. ^.. ..... | _ . . . ` ----.------.--.-~--------.--.. ^ . Owner - .............................. . � . | Type of Construction --.J��um�--------. ` / . ^ -----.-......---.-------------. ' ' . Plot ............................ Lot ................................ - ` . . . Permit Granted .....Recember...�5____lg 77 ' Date of Inspection ---------..--.l9 ° � Date Completed ----. ---.]g ` - ^, � ~ - - ' PERMIT REFUSED - ,----_-.--....-----.-.-- lV ^ � ---^'-'--'~'~^------^--~^'--~--- ' \� . -''~-~-^--'-''--^^^~~^^------^-^--' ,----...-..-.--.----_.-.-.~.._..,- ~ _ /> ^ 'r � - ..,.--.--.----..........~..-.-.-^.... Approved --- _'_ ---------------- YA ----.~--------.-...----~......-, ` . ----^--------^^^---^~-^-^-`^^'` ' Assessor's map and lot number ......................................... Sewage Permit number .......................................................... b`y�FTHET��yw TOWN , OF BARNSTABLE Z BARNSTABLE, i Me BUILDING INSPECTOR p,MpY a' APPLICATIONFOR PERMIT TO ............................................................................................................................. TYPEOF CONSTRUCTION ..................................................................................................................................... ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .................................................................................................................................................................................. 1 ProposedUse ..................................................................................................... ......... ..j...................................................... ZoningDistrict ........................................................................Fire District .............................................................................. Nameof Owner ......................................................................Address .................................................................................... 'Name of Builder ....................................................................Address .................................................................................... Name of Architect Address .................................................................. .................................................................................... i Numberof Rooms ..................................................................Foundation .............................................................................. Exierior ....................................................................................Roofing ....................a............................................................... Floors ......................................................................................Interior .................................................................................... .. Heating ..................................................................................Plumbing ....................................... .......................................... Fireplace ..................................................................................Approximate Cost .......tz!,5-o....,---............................... Definitive Plan Approved by Planning Board ________________________________19________. Area ....... ?. ............ .... .. Diagram of Lot and Building with Dimensions Fee $74 �..!.................. .......... .SUBJECT TO APPROVAL OF BOARD OF HEALTH y � I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. F Name .................................................................................. / Jacques, Ruth`M. 982 Addin :'* No .1 .....9..... Permit for ................tio.... s............ ...............................Dwe 11 in$.............................. . Location 19 Ocean Ave. H annis ort ................................. ............. ............. ............................................................................... Owner ..............Ruth M. Jacques .. ................ Type of Construction ...Wood ................................................................................ Plot ............................ Lot ..............!.)............... Permit Granted ...,,December 15 19 77 .... Date of Inspection .............19 ....................... I Date Completed .......................................19 PERMIT REFUSED ..................................... ............. 19/..... ' 1..�.�..... ..... ............. .. .................................. ... .. ..... ...... . . Approved ......:......................................... 19 ............................................................................... TOWN OF BARNSTABLE CERTIFICAT9 OF OCCUPANCY PARCEL ID 287 122 001 CEOBASE ID 32680 } ADDRESS 19 OCEAN AVENUE PHONE + HYANNISPORT ZIP - I LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 43371 DESCRIPTION WORK COMPLETED ON BLDG PMT #31384 PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: INK BOND $.00 Ox CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE Pf(*I'E:.:._ ; * BAIZNSPABLE, 16 MA83. Ep M►tl BUILD7� DATE ISSUED 01/04/2000 EXPIRATION DATE _ 3 TOWN, OF BARNSTABLE BUI```LDING PERMIT PARCEL ID 287 122 001 GEOBASE ID 32680 ADDRESS 19 OCEAN AVENUE PHONE HYANNISPORT ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 31384 DESCRIPTION WORK IN CONFORMANCE W/C.C.COMMISSION DECIE ' PERMIT TYPE BREMOD TITLE RESIDENTIAL ALT/CONV & PLANS REVIS1EDTHR9O CONTRACTORS: WAYNE J. PACHECO Department of Health;15 ,9 balet; ARCHITECTS: and Environmental Services TOTAL FEES: $737.80 V BOND $.00 CONSTRUCTION COSTS $238,000.00 Q� 434 RESID ADD/ALT/CONV 1 PRIVATE Age MA83. IN1r►I BUILD IVIS BY DATE ISSUED 06/04/1998 EXPIRATION DATE T IS 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 WELLAS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND M FOR (READY TO LATH). PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. CH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. A BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS l� rs' ( qF L 3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT Cl 2 oZ B OAR D OF HEAL/TH� i/(i OTHER: 1 l rQ �A �u SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVEDTHE 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. ' TOWN OF BARNSTABLE 'AUIIIING PERMIT PARCEL ID 287 122 001 GEOBASE ID 32680 ADDRESS 19 OCEAN AVENUE PHONE HYANNISPORT ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 31384 DESCRIPTION WORK IN CONFORMANCE W/C.C.COMMISSION DECISI ' PERMIT TYPE BREMOD TITLE RESIDENTIAL ALT/CONV & PLANS REVISIED THROU( CONTRACTORS: WAYNE J. PACHECO Department of Healtri9 � y ARCHITECTS: and Environmental Services TOTAL FEES: $737.80 Im BOND $.00 CONSTRUCTION COSTS $238,000.00 434 RESID ADD/ALT/CONV 1 PRIVATE it MA83. Mlr►I BUILDIVIS BY DATE ISSUED 06/04/1998 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 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND M FOR (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. CH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 2 O X �du cu i 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT . 2 a ': q B ARD OF HEALTH n _ G OTHER: LAT6 tS SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR.HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. of BAJ CAPE COD COMMISSION 3225 MAIN-STREET fi * P O BOX 226 ; BARNSTABLE, MA 02630 '(508)3f2-3828' SACHUS JAX.(508)362-3136 _r{ E-mail:frontdesk@capecodcommission org- _ December 22, 1999 Ralph Crossen (BY FAX 790-6230 and MAIL) Barnstable Building Commissioner 367 Main Street Hvannis, MA 02601 Re: 19 Ocean Avenue-"The Willows," Hyannisport Dear Mr. Crossen, As you recall, Commission staff reviewed the proposed plans for this project to ensure that the work would not have a substantial impact on the historic structure and result in removal of the building from the National Register of Historic Places. I visited the 19 Ocean Avenue site late last week to confirm that the,exterior work was completed in accordance with the plans approved by Commission staff and several minor changes which we discussed during the construction process and determined would not threaten the building's listing on the National Register. Based on my site visit, I believe that the work on the building was constructed in accordance with the agreed-upon plans. Your department should feel free to act at this time. I appreciate your coordinating with me on this project. If you have any questions, please feel free to contact me. Sincerely, Sarah Korjeff Preservation Planner CC. Steve O'Neill (by fax 862-0463) t~� Map Parcel oQ Permit# . 0 �Q House# - � ,o A h ���,VNate Issued appm r Board of Health(3rd floor)(8:15 -9:30/1:00- 36) - K,.r FeeJ1.6 !7 Conservation Office 4th floor 8:30- 9:30/ 1:00*2:00 --W2-KV rmk Planning Dept.(1st floor/School Admin. Bldg.) Definitive PaikApproved by Planning Board 19 •q BARNSTABLE. MASS. ` TOWN OF BARNSTABLE "F°"" �� ^5``J + Building Permit Application Project Street Address I 9 /?C 4e, n _ //e f l Village 4 A a-a /5 ALP -Owner Zli_ :5Z &-r-S '13rA Q A Address Telephone ISO $ Per it Request a 22 C2 144 ' 23 7,17 �. First Floor �,�Qry sq ` e eet econd Floor 3,�Q`® � � Cl e feet Construction Type -IL zI�6-aZ3 Estimated Project Cost $ p Zoning District Flood Plain Water Protection Lot Size ,/� V 2 Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ ---Two Family ❑ Multi-Family(#units) l�. Age of Existing Structure \.Historic House ❑Yes ❑No On Old King's Highway ❑Yes LSO Basement Type: ❑Full rawl p alkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New g Half: Existing _New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing / New First Floor Room Count f Heat Type and Fuel: M/Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) - ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No/ 'Ifyecs, site plan review# Current Use Proposed Use Builder Information Name IV�j�P_ �� f.9C o C(f CC) Telephone Number1�"ry Address � �- a ?21' rj P 1,114 _ License# j�2-2� y Q /� Home Improvement Contractor# / �� � 2 O Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Z " SIGNATURE L DATE BUILDING PERMI NIED FOR THE FOLLOWING REASON(S) 2 FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED ; MAP/PARCEL NO. - P ✓ 1 - Ss ADDRESS i VILLAGE% OWNER DATE OF INSPECTION: FOUNDATION- FRAME INSULATION ` FIREPLACE ELECTRICAL: ROUGH FINAL J ? r PLUMBING: ROUGH - FINAL GAS: -ROUGH FINAL - FINAL BUILDING' r DATE CLOSED.OUT ASSOCIATION PLAN NO. Jul-14-99 03:25pm To-7906230 From- T-004 P.02/02 F-097 <f /�N CAPE CO® CO Ni1SSION J' — err! 3P25 MAIN STREET 1 I P.Q. BOX 226 BARNSTABLE,MAo2$30 (508)362.3828 ~� FAX(508)362-3136 E-mail.frontdesk 8lcapecodcommission.org Ralph Crossen, Building Commissioner July 74, 1999 Barnstable Town Hall 367 Main Street Hyannis, MA 02601 RE, 19 Ocean Avenue, Hyannisport BY FAX 5()$-790-6�30 Dear Mr. Crossen, As you may recall, work on the historic building at 19 Ocean Avenue was initially referred to the Cape Cod Commission for review as a Development of Regional Impact in September 1998. After several greetings with the applicant, comments from the Massachusetts Historical Commission, and changes to the proposed plans, Commission staff determined in January 1999.that the revised project could go forward without causing substantial alteration to the National .Register building. Based on several site visits I have made over the past few months, the project is Proceeding as shown on the revised plans, On July 12, 1999, Steve O'Neill, project manager, asked, for Commission staff comments regarding the proposed construction of a new poolhouse on the site. Based on a site plan and elevation drawings submitted on July 12, the proposed pool house would be located approximately 60 feet from the existing building and would be designed with a gable roof and traditional building materials to keep it roughly consistent with the existing historic buildings on site. It is my opinion that construction of a new outbuilding on this property would not directly impact the u historic bildings on site and thus does not constitute a substantial alteration as defined by Cape Cod Commission guidelines. Consequently, no further review of the proposal is required by the Cape Cod Commission. Please note that this opinion does not address whether the.proposed project is in compliance with local bylaws and regulations. If you have any questions, please feel free to contact me. Sincerel •, arah Korjef Preservation Planner cc, Steven O'Neill (by Tax 308-862-0463) Pat Anderson, Historic Preservation Division o� r (46 <y:r °F-BAs� CAPE COD COMMISSION ' O .3225 MAIN STREET V to � * P.O. BOX 226 BARNSTABLE, MA 02630 �sSACHUSti�S FAX(508)36283836 E-mail:frontdesk®capecodcommission.org January 26, 1999 Ralph Crossen, Building Commissioner 367 Main Street Hyannis, MA 02601 RE: "Willows"/Warren Hinckley House, 19 Ocean Avenue, Hyannisport Dear Mr. Crossen, As you are aware, I have met with representatives of Mr. Brian O'Neill regarding work on the historic property located at 19 Ocean Avenue in Hyannisport. This project was referred to the Cape Cod Commission by your office on September 14, 1998 based on a determination by the Barnstable Historical Commission that the proposed project constituted a substantial alteration to a property listed on the National Register of Historic Places. Based on comments from Cape Cod Commission staff and the Massachusetts Historical Commission, the applicant agreed to alter the proposed plans and substantially reduce the project's impact on the integrity of the historic property. Final revised plans were submitted for Cape Cod Commission review on Friday, January 22, 1999. These plans reflect the preservation and rehabilitation of most of the existing significant historic features of the house and barn, including details , such as the existing crown molding, cornerboards, and window surrounds on the historic house. The plans also include restoration of the primary character-defining features on the partially demolished side ell, including replication of the simple eave trim. The plans limit most of the proposed alterations to previously altered portions of the building. As such, these plans should not jeopardize the building's status as a contributing structure in the Hyannisport National Register Historic District. After review of the submitted plans, Commission staff have determined that they Y do not constitute a substantial alteration to the historic property. The project thus no longer requires DRI review and may proceed with local permitting, provided that the plans remain consistent with those entitled "O'Neill Residence: Barn House - Sheets Al to A7," dated 5/10/98, final revision 1/15/99. A copy of these plans, stamped received by the Cape Cod Commission on January 22, 1999, is attached to this letter. It is my understanding that the site plan does not include the relocation of another r� historic structure, the Hyannisport school building, to this property. If such relocation is proposed in the future, its impact on the historic property should be considered. If you have any questions, please feel free to contact me. Sincerely, Sarah Korjeff Preservation Planner enc. CC. Steve O'Neill, applicant's representative Patrick Butler, Esq. Barbara Flinn, Chair, Barnstable Historical Commission f The Town of Barnstable Department of Health, Safety and Environmental Services Building Division 0 rFp N � 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph M. Crossen Fax: 508-790-6230 Building Commissioner September 14, 1998 Cape Cod Commission PO Box 226 3225 Main Street Barnstable, MA 02630 attn. Dorr Fox Re: The Willows"/Warren Hinckley House 19 Ocean Avenue, Hyannis Port' Proposal: Alteration to a National Register Building. Dear Commissioners, The Town of Barnstable hereby submits the above case as a DRI under Section 12(c) of the Cape Cod Commission Act. Enclosed please find the minutes of the Historic Commission meeting whereby they voted to send the case to you as a referral. Thank you for your assistance. 4 II Sincerely yours, Ralph M. Crossen Building Commissioner Development of Regional Impact (DRI) Referral Form Please attach a copy of the original municipal development permit application or site plan review, subdivision, or other application showing the date on which it was received by the Municipal Agency. Receipt of this information via mail or delivered in person to the Cape Cod Commission constitutes a referral for purposes of Chapter 716 of the Acts of 1989, as amended. Referred By: Town and Agency: Barnstable Town Manager& Barnstable Building Department Officials: James Tinsley, Town Manager, Ralph M. Crossen, Building Commissioner Referred under Section 12(c)of the Cape Cod Commission Act. Project Name: "The Willows"/Warren Hinckley House Project Proponent Name: Brian O'Neil 19 Ocean Avenue Hyannis Port, MA 02601 Telephone: Project: "The Willows"/Warren Hinckley House Project Address: 19 Ocean Avenue, Hyannis Port Proponent Attorney is Patrick Butler (508) 790-5407. Brief description of the project including, where applicable, gross floor area, lots, units, acres and specific uses: Substantial alteration to a National Register Building. Project Location: 19 Ocean Avenue, Hyannis Port List municipal agency(ies) before which a municipal development permit is pending: James Tinsley, Town Manger c UP -ras 1pcf Print Name of Authorized. Signature Date Referring Representative Ralph M. CroAssen,.Building Commissioner g g Z�04,(rx� Print&ame of Authorized Signaffire Date Referring Representative Anderson Pat From: Anderson Pat To: Crossen Ralph Cc: Smith Robert; Schernig Bob; Weil Ruth Subject: 10 Ocean Ave Hy. Pt. Date: Wednesday, September 02, 1998 8:09AM Ralph-Last evening at a Public Hearing held by the Historical Commission on the above referenced property,the Commission voted to refer this property to the Cape Cod Commission as a DRI due to what the Commission believes is substantial alteration to National Registered Buildings. The property owner then stated that he would be filing for a demolition permit for this locus. Please be advised that the Commission believes that constitutes immediate referral to the CCC. As the Town official delegated to officially refer projects to the CCC, please advise us if you need any further information from the Commission. Ms. Korjeff was in attendance as last nights public hearing and is aware that the applicants attorney, Patrick Butler, will be filing for a jurisdictional determination forthwith. There was also concern raised about the potential damage to the buildings from hurricane or high winds, the Commission would like to know if you have ordered additional shoring and cross-bracing of the buildings. Thanks. Page 1 o�TME ,, Historical Commission Town of Barnstable 230 South Street 1 �� Hyannis,Massachusetts 02601 TO: RALPH CROSSEN, BUILDING COMMISSIONER FROM: HISTORICAL COMMISSION RE: "THE WILLOWS"/WARREN HINCKLEY HOUSE 19 Ocean Ave. Hyannis Port, MA DATE: September 8, 1998 As per your request attached are the Historical Commission's minutes of the Public Hearing held on September 1, 1998 regarding the above referenced property. Pursuant to Section 12(c)(1) of the Cape Cod Commission Act a local historical commission can refer a property to the Commission as a DRI if a proposed demolition or alteration is greater than 25% of the gross floor area of a single family home which is an historic structure listed in the State and National Registers of Historic Places, a determination must be made as to whether the alteration constitutes a"substantial alteration". BARNSTABLE HISTORICAL COMMISSION MONTHLY MEETING 1 Sept. 1998 PRESENT: Anderson, Crosby, Flinn (chairing) , Gould, Hill, Sirch. Blacksmith Shop. Ned Handy, President of Town of Barnstable Historical Society, requested status of three projects: 1) moving millstone from Sturgis-Library, 2) income of blacksmith, 3) replacing iron fence. He was assured that the Commission strongly favored implementation of these projects, and invited him to return to our next meeting with info on cost of the fence and moving the stone, and on his discussions with Jim Ellis about income. PUBLIC HEARING on "The Willows: , 19 Ocean Av. , Hyannis Port. The applicant presented revised plans acceding Ipartially to Comanission' s recommendations, but without making changes on widow' s walk, grand staircase window, and the overall fenestration, including the barn. Commissioners expressed the view that the applicant had been given the opportunity he requested to make changes, but they were insufficient to prevent the removal of the property from the National Register. The Commission voted unanimously to refer the case as a DRI to the Cape Cod Commission as a substantial alteration to a National Register Building to the Cape Cod Commission. Pat Butler, representing the owner Brian O'Neil, gave notice of intent to file determination of jurisdiction. Present at the meeting were Town Attorney Smith and Historic Resources officer of Cape Cod Commission Korjeff.. MINUTES of 4 August were approved. Comprehensive Plan Implementation: 1) Tax Credit for Historic Preservation. No reply received to our letter to the Town Assessor. 2) Private Roadways. The Council had not yet set a date for discussion. REPORTS TO THE COMMISSION: Burgess- House (c. 1823) . Fund-raiser will be held 5-7pm Thurs . Sept. 3 aboard the "Larinda" in Onset. Structural problem in front is repaired and clapboards removed. Hyannis Waterfront Historic District. Staff has prepared design guidelines for meeting of 9 Sept. 2 Santuit Historic Business District. A local architect is considering service on the Study Committee, but is not a registered voter. Inventory is nearly done. SITES OF CONCERN: Two New Sites : Baxter Grange Hall (1913) , Santuit. Major external changes have been made' on structure elegible for NHR - - without ZBA approval . Hyannis Port School (1843) , 543 Scudder Av. Application for demolition made. Commissioners should visit and make recommendation for action. James Parker (Aunt Tempy' s) House (c.1779) , Osterville, Conservation Commission meeting 18 August approved demolition. No news on the following: Sandy Neck Conservation Cottage, Coleman House (c.1690) , Hyannis. Ca&t. Allan Brown Complex (c. 1860) , Hyannis . NyMpMs Hinckley House (c.1795) , Osterville. Campground Cottage, South St . , Hyannis. East Bay Lodge (c.1875-80) , Osterville. Alert to two new sites: Melvina Bush House, 139 West Bay, Osterville. Isaiah Crocker House, 8 West Bay, Osterville. OTHER OLD BUSINESS : Gould submitted two inventories of Cotuit properties and one Grand Island property. NEW BUSINESS: us Beach replenishment threatens MHC registered archaeological site. Staff was asked to contact MHC for guidance to assure site it protected. 3 Ancient Ways A member of the Conservation Commission has proposed joint meeting to discuss protection of Ancient Ways which are being lost. One example is permit to wipe Hinckley Way south of Church St. off the map for a new house. Staff was requested to set up such a meeting and to distribute list of Ancient Ways . Gould will try to find map in Plans Dept. at Registry. . Hinckley House South Country Road, Osterville has NHR plaque but is not registered. Preservation Award nominations should be made at next meeting. We require at least one more. Ryser Christmas Festival is scheduled for 6. Dec. ; Awards ceremony at 6 pm. Osterville Inventory of historic sites : 107 new or revised forms B were submitted by Barbara Crosby, a major step forward in protection of historic sites. NEXT MEETING: Tuesday, 6 Oct. 1998, 7 :30 pm at School Administration Building conference room. ames"WGoud, Secretary. t - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel O Permit# Health Division -qr-3a Date Issued .� Conservation Division ` J—►��$ 1`� Fee �6 •G� Tax Collec Treasurer Planning Dept 5IALLED IN COMPLIANCE I WITH MILE s Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND Historic-OKH Preservation/Hyannis TOWN REGULATIONS Project Street'Address - 'Village Owner fy�- �/Yl--_�' �; 'Q,�JEi ll AddressQ Telephone ' :Permit Request L� > .Square feet: 1st floor:existing proposed grid floor:.existing proposed Total new Estimated Project Cost dap 60a °B Zoning District Mrs' Flood Plain Groundwater Overlay Construction Type , Lot Size Grandfathered:. ❑Yes; O No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units Age of Existing Structure Historic House: ❑Yes` ❑No On Old King's Highway: ❑Yes . ❑No Basement Type: ❑Full ❑Crawl ❑Walkout,. ❑Other Basement Finished Area(sq.ft.) r Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil O Electric 0 Other Central Air: ❑Yes ❑No Fireplaces: Existing < New Existing wood/coal stove: ❑Yes ❑No F Detached garage:0 existing ❑new size Pool:❑,existing 2(new .size At 0 Barn:❑existing ❑new size Attached garage:❑existing O new size Shed:0 existing 0 new size Other: Zoning Board of Appeals(Authorization ❑ Appeal# Recorded❑ Commercial 0 Yes No If yes;site plan review# Current Use Proposed Use " BUILDER INFORMATION NameW)Ai4tics Haso t/mU Telephone Number Address 7 7 l W O P O Ai 6 34 License# n 6 U-T14 < 0 Home Improvement Contractor# I) f 5 3 3 Worker's Compensation# USA ()i' 5,4 J ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO lJ12 n 5 v'Te SIGNATURE ' Y✓ DATE FOR OFFICIAL USE ONLY } - + y 1 y b - y ..- t r•i PERMIT NO. ` • • r y. DATE ISSUED',` ', - �. 3 r Cy . = - � -.Y� - '+ --� • Tj r MAP/PARCEL NO. b b - }• t r '"- - µs ADDRESS ' jVIL'LAGE OWNER° C4 .. = may,"x .�� - - k # n� • ` ", ♦ _:_ f � !. - s ,° - - -b t. a ` r • ,` • .r .r ter+• 64.r r i`. +. _ .' .. ' _ t � s' - • _ DATE OF INSPECT: <.. ,• ± �' r + ' FOUNDATION FRAME (or INSULATION FIREPLACE ELECTRICAL: ROUGH , FINAL PLUMBING: ROUGH ' FINAL b• GAS: ROUGH .—i FINALM CC ' r FINAL BUILDING• m ► • .. Wit, �' !dr } . .' k i - : .. ,- - - PF DATE CLOSED OUT ASSOCIATION PLAN NO. - , °F THE tpy� The Town of Barnstable T1�A °M ���� Department of Health Safety and Environmental Services, rEo Mo't Building Division ' 367 Main Street,Hyannis MA 02601 Office: 508-8624038 ' Ralph Crossen Fax: 508-790-6230 ( Building Commissioner Permit no. Date a 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. 116 Type of Work: ✓V 'b #,A 4m` t Estimated Cost Address of Work: Owner's Name: Re, if 5 , 6Al Date of Application: Q9 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job Under$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY 1 hereby apply for a permit as the agent of the owner: v'1't Date Contractor Name Registration No. OR Date Owner's Name q:fbrms:Affidav r c == Department of Industrial Accidents - - - Ofles 011H0e5992/oos .. 600 Washington Street - " � Boston,Mass. 02111 1. — Workers' Co m ensation Insurance Affidavit name: location:. city Dhone# ❑ I am a homeowner performing all work myself.. ty '///❑////%//////%%%/ % %/%%%/rietor a///////%nd%%%%%0%%/%%%///no one r/////////%%//%!1ddn in%/G%%%ya %///%/%%%%%%%��%%%%%%%/////%//%/%//%%%%////%//G%%%/%%/�%�//%///%//%//l//%%/%//%%///l Qf I am an employer providing workers'compensation for my employees working on this job. comaanv:name.:.:.;:1t .s... . _.... .� .. ... ... ....: ... :,. .: :......::. ..?,,.:.::::.::...:::::::::::::::::::::. ::: ss: . ... > sJ >: r< :::: ; .'^.:;::`r .., ... a: ";': ':=-'i 2>}asi:'2 s?''i:.:C<:>%-:?%:Si:i'i: 2.. ......... ..: :;:::«::i::S::;S:2;;:::;::;;::;::';:>::::::::;::;:::;>::i: ::-< aadre .:..:.:::-:.:;.:.:.::.:.::.:... ....:...;. ;: ,::::::::... :: : ::::::::.:. .::::.:.:. . : .:..,.. .. ::::.:::::::::: ::::.:::...::: .:::::::::::: iji city . shone#.. . . .. . : ,:.. ,,. ;:;»...:::;:..::: .:: ..::. ... ;::;:.;;:::::::.:::::..;.::::.. ..... ................................................................:.::. .... ....:::::::::::.;;::.:............................. :..,.::..............:.:.::.::::::............ ..................... ....... ::::.,:.....: :.:. .. ...........:.............................................. insurance D1tcv# i ...... .. i. ...,%W. %/ ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have . the following workers' compensation polices: ........................................................... ....................::.;:::::::::::::::;..:::::::::.:. : ..:.:::::.:::::.:::::::::::::::,::::::::::::::. :::::::::.::::::......::::::::::::::::::::.. . wm Danvtiarat niddr :::::: :::::::::-'.:::-':` : .:::.:::::::: ................................. :::::.::..:..:..:::::.�:.�:::.:�::.�:.:::...�:.,..�:::..a.�:.:.::::::.:....... :::: ::::::........... ................... ........................................`--:.......................................................-.........................................................................................:::...:....-........................... ::::.:.::..:.. .:... :-....:::::.::.... .................. ................ ::::::: :;;•aa:: ::<:r:'+.'.....:::i:::::i i:;:;::::::::?::: ::::::%:<":'<:i':ii::ii::i i:::.':::':i:::::::i::is�ir:`:::::::::::::::::: :::::::: :::%�::i::: <:<;`.%;`.':;:�:�:;:%`;i i :: 3':::i::::: .. ...*"::i`::: ::2:::i:::::{: ::'::':fi:i :::�ti>':: `..........`. : ....:..:::.::::•:::::::::::::-. ....................:::................ % lnsnran1.Ce.CQ,.............,.,..._.:...:...:..............:..........._...........:..:.: ........_._...._................ olicv#;.,:.>;:;:,:>.;;>:r::<::.;;;:,;?.:;;<:;:::;;:::?:;:::>.::SR:::•'»:;St;:::.;::;::;;:;:, y^r':�:v:.;;;;>;;:,. ... _ ... . ....._...... ... . ,........ . ..:. /1//////%/// camannv name:::.::::;:::>::>::>:<::::... «:>:::<:>:.>::>:;>;:;<:::;:::»;::;:;:; .... ..:. ............... ....:.:.... ...... ... . ....... .. .... .. ::.::::.:::•;:;• ..: ::.. g. address. .....:::..:..:;;.:::...::. ........................ ... ; :::;;: <::;: ...,. hone#. <'<>'?>> >>`zs<»`:>r;;, city . . p ..::. ...:::..... ............ . ......:..: .........:..... ...:- >:: ::::: 20: . ::s-....:::. in5nrance'co...... :... olicv#::::. :.;::; :::% .;.::::....<-.;> . :::.::.:::::;::::. ... Fsfimre to,secure coverage as required under Section 25A of MGL 152 can had to the imposition of criminal penalties of a fine up to$1,500.00 and/or . one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Oiflce of Investigations of the DIA for coverage verification. I do hereby cerrdffy under the pains and penalties of perjury that the information provided above is trso and correct Signature �/'�- " 1 /,v`� Date �,,A ( � _ Print name Phone# official we only do not write in this area to be completed by city or town oincisl • city or town: perndt/IIcense# . ❑Building Department ❑check if immediate response is required OSele tine Board ❑Selectmen's Office ' _ OHealth Department contact person: phone#; ❑Other (Orevised 9/95 P1A) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law",an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,-,,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. i Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pei rit Iicense number which will be used as a reference number. The affidavits may be returi d to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Me of Imiesdoguons 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 ! V p triomveaft of 1€?ussi�uae� s ��.' '� k y 3- 1 W0.1 tYOM I • ���1tP �nrirritoiunPri�/�. �f�/fj � I� BOARD OF BUILDING REGULATIONS !' License: CONSTRUCTION SUPERVISOR Number: CS 064504g Birthdate: 10/12/1935 Expires: 10/12/2000 Tr.no: 3695 ; Restricted To: 00 "� ff RICHARD A JACKMAN I 4.3 STEVENS RD j' LEXINGTON, MA 02173 Administrator f` • 4� f C r) Map Parcel O G Permit# House# Date Issued 8:15 -9:30/1:00-44f rr Fee Ih (8:30-9:30/1:00-2:00) .Bldg.) gap Board 19 URNSTAB . MASM �TO INF !A'RNSTABLE '�° Building Permit Application Project Street Address /Q 0 (,' eAnl Village 1 S Owner Address Telephone Permit Request iV �n a b o 0 Gv,4//f A Aj PIA r q �e W 2 w LU1AJQc1 4-s ndo rt /?a a /()o nPna off' 2-4ee,,or GA,,AJ First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces:Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use U " �- I V� ' NUTTER, McCLENNEN & FISH, LLP ATTORNEYS AT LAW ` ROUTE 132-1513 IYANNOUGH ROAD P.O.BOX 1630 HYANNIS,MASSACHUSETTS 02601-1630 TELEPHONE:508 790-5400 FACSIMILE:508 771-8079 DIRECT DIAL NUMBER (508) 790-5407 January 12, 1999 #18828-6 By Hand Ralph Crossen, Building Commissioner Town of Barnstable I 367 Main Street Hyannis, MA 02601 Re: 19'Ocean Avenue, Hyannisport -'Cape Cod Commission Dear Ralph: This correspondence will serve to confirm our discussions last week regarding the above matter. As I indicated, the Project Manager, Steven O'Neil, and I met with Sarah Korjeff in early December as a result of the Cape Cod Commission's receipt of correspondence from the Massachusetts Historical Commission reviewing the above project. The Massachusetts Historical Commission requested copies of the proposed building plans as well as photographs, which were submitted. Based upon the MHC comments and our meeting with Ms. Korjeff, Ms. Korjeff and the Project Manager conducted a site visit on December 21, 1998, which resulted in the Cape Cod Commission Staff drafting written.comments to address the integrity of the historic building. Those comments, dated December 29, 1998, are enclosed for your information and review. On December 30, 1998, Mr. O'Neil (no relation to the owner) and I met with Ms. Korjeff to review her comments. It was agreed that the architect would revise and modify the architectural drawings and building plans to provide responses to the information requested and to address the concerns regarding preservation of existing character defining features on the main house block and on the barn. We anticipate submitting those revisions to the Cape Cod Commission within the next week. It is our hope that based upon those revisions the Staff at the Cape Cod Commission can issue a letter to your office confirming that in light of the changes that the historical integrity and character defining features will be NUTTER. MCCLENNEN & FISH. LLP Ralph Crossen, Building Commissioner January 12, 1999 Page 2 preserved and that the project can now proceed. It is my understanding that upon your receipt of such correspondence and receipt of an amended building application with accompanying plans that, subject to your office's review, a building permit may issue and the project may proceed. We would appreciate your acknowledging your receipt of the enclosed comments and our understanding that we may proceed directly to a building permit by your signing and returning the enclosed copy of this correspondence. Very truly you s, Patrick M. Butler PMB/cam Acknowledged and agreed: Ralph Crossen, Building Commissioner 563483 1.WP6 Willows/Warren Hinckley House 19 Ocean Avenue, Hyannisport Commission Staff Comments to address integrity of historic building — 12-29-98 1. Provide information that the building as it stands is adequately secured. (ie. letter from Bob Hayden) 2. Provide more detailed architectural drawings and section drawings to evidence that original historic details are being salvaged and repaired when possible, and replaced "in kind" when repair is not possible. Drawings should indicate the form of existing corner boards, cornices, window surrounds, doors, siding, and all other exterior features or trim details. The drawing should indicate where existing materials will be retained, and where replacement materials will be used as detailed in the drawings. 3. Focus on preservation of the existing character-defining features on the main house block and on the barn. Rear Elevation/North Elevation/Street Elevation: •retain original front door at corner of main house; •retain existing location of windows on main house; •reconfigure large stair hall window to better reflect historic window design - this element dominates the historic facade perhaps echo eave windows; •reconfigure windows on studio ell to better complement historic structure and to make a transition from the historic building to the modern addition. Front Elevation/South Elevation/Water Elevation: •redesign porch detailing to make it less heavy and a less-dominant scale, bring it within the outline of the existing building, and more closely resemble historic porch details from old photograph - remove balcony/railings or , redesign with hipped roof (as in old photo) and small balcony for standing on; •retain distinctive deep eave/overhang between house and barn; oretain existing window configuration on first floor of barn; •reduce length of deck to avoid altering this elevation of the barn. West Elevation: •r un y a i ow rn arn. East Elevation: redesign door openings to relate more closely to existing barn elevation. Widow's Walk: -reduce the length to minimize scale and impact on the main house. •show how the walk is accessed. 4. Consider the proposed location of the schoolhouse on the site and how it might affect the character of the site. The large scale of the schoolhouse may have a detrimental impact on the overall setting. oFTMe . . °: The Town of Barnstable Department of Health Safety and Environmental Services .erEp ►,tp Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner July 23, 1998 Mr.Parick M.Butler,Esq. Nutter,McClennen&Fish,LLP 1513Iyannough Road P.O.Box 1630 Hyannis MA 02601 - 1630 RE: 19 Ocean Avenue.Hyannis,Mass. Dear Att.Butler: As you know,Permit#31384 of June 4, 1998 to work on the above referenced house is under a"Stop Work Order"for exceeding the scope of the Permit. The permit issued was for the renovation of the interior and a roof job. We recently noticed a reference on the plans for a second kitchen over the garage. This will have to be removed from the plan so that your client is not constructing a two-family home. After the Historic District Commission has completed action on this application,a modification of the floor plan will be required before the permit can be reissued. Thank you. Sincerely, Ralph rossen BUILDING COMMISSIONER RC/kl g980723.a e .ire ouR Crossen r Brian O'Neal , inn e�� 19" �g / Ocean Avenue z flE 6ae Anonymous WE > f Exceeding scope of building permit#31384. Lifting barn in order to put 6 car garage under it Replacing windows and doors, etc. s O 3 {f � c Area Form no. t " ` BUILDING � �kv ���)� FORIM B y A 40 MASSACHUSETTS HISTORICAL COMMISSION 294 Washington Street. Boston. MA 021nR r. ,; •l '� i'.• j/ -�55, Barnstable (.:ya.r_nis Port) •� . _ Town 7 f 9 r 1 Ocean Ave . , ::y�;nnis Port Address '� The ;lillows" �• - "4 - ;Historic Name Wai re_ 'Use: Original Homestead Present R�ise:ic;t .., Ruth Z. Jacques `J"it'_ Ownership_ :(��- Private individual ! Private organization Public Original owner Nprrn vinckle�r e r Draw map showing property' s DESCRIPTION: location in relation to nearest C.1825-35 cross streets and other buildings Date or geographical features. Indicate north. Source Reistry of Deeds-Earn. Ctv Style Greek Revival (mnri i Pi odT- Architect Exterior wall fabric Painted good shin 13 (3 Outbuildings Barn, Shed O . O 1 O 0 t7 D y Major alterations (with dates) fl d0 � Add! tions ZQ / Moved Date Approx. acreage 1 .47a Recorded by Laurie P. Snowden Setting =rivate residential area Organisation „ arnstable Historical Date June , 1981 y� � Photo �36-22.A4.0 _'�_ __ona_ s-ee__ here) ARCHITECTURAL SIGNIFICANCE (describe important architectural features and evaluate in terms of other buildings within community) This house is a fine example of a Greek Revival. home. The house has a, lgrrre central chimney. The windows are 6/9, 12/12 and 6/6 . The exterior of the house is comprised of painted wood clapboards . The house has ? fully pedimented gable facing the street as is customary of the Greek Revival style. The house has a small porch at the front entrance which is supported by deli_cstely turned cnl»*rns _ Tha d_nnr which �GPrvPq aG the rr.� in antranr.e Is all--r_ed by side lights . The CI;`:�� ling still maintains its original doors ?nd hard.ware as when constructed . Its wide floor boards , some 16-18 inches wide still exist. Small dentil moldings are located just below the ceilings . HISTORICAL SIGNIFICANCE (explain the role owners played in local or state history and how the building relates to the development of the community) Warren Hinckley was born on April 23, 1805. He was the son of David Hinckley and Hannah (iYla.rchant) Hinckley. He married Caroline who was born In 1803 and died in 1830 at the age of 27. Mr. Hinckley was a farmer by trade , and along with David and Leander Hinckley was involved in the family salt works . He owned massive land tracts in the Hyannis Port area. He also owned a large farmhouse , known as "The Willows" . In 1871 he divided his vast homestead and sold large portions to the Hyannis Lard Company. He was a Baptist , a very religious man, and is buried in Pauper 's (Sherman Square) Cemetery. BIBLIOGRAPHY and/or REFERENCES Registry of Deeds-Barnstable County Barnstable County Atlas 1858, 1880 ,1907 Herrick, raul & Newman, Larry , Cl.d Hi• nnis Port , 1968. 20M-2/80 X-r �3? - /2-Z,M/ The Town of Barnstable Inspection Department �I�►y'' 367 Main Street, Hyannis, MA 02601 508-790-6227 Joseph D. DaLuz Building Commissioner January 8, 1993 Mrs. Ruth M. Jacques P. 0. Box 331 Hyannisport, MA 02647 RE: A=287-122 . 001, 19 Ocean Avenue, Hyannisport Dear Mrs. Jacques: I have had several lengthy discussions with the personnel in the Engineering Division of the Department of Public Works and further with Building Commissioner Joseph DaLuz re your deeded rights for the use of Newton Avenue and the extension of Newton Avenue. We are all of the opinion that this is a civil matter over which the Town of Barnstable has no control. In addition, from a review of the correspondence you furnished me it appears that Attorney T. S. Cantwell concurs with this decision. Please accept my apologies for the tardiness of my reply. Enclosed please find the documents you left with this office. Very truly yours, /Ricar ' R. Bearse Building Inspector RRB/gr cc: Town Manager enc. y k� TOWMDF BARNSTABLE BUILDING PERMIT APPLICATION Map a 7;el �o� �{ - , , Permit#Health Division o�00 q OS-1 :4 a " ` 31.E Date Issued 9 .?Al 7 Conservation Division 1 ; ® j 1 Application Fee v i Tax Collector �03 (� Iy --`-C D Permit (lee r/ SYSTEMMUSTBE Treasurer Q /0q -F' '� r`— "—=TA�I,Ep IN COMPLIANCE Planning Dept. WITH TITLE 5 EN1flRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board TOWN REGULATIONS / Historic-OKH Preservation/Hyannis �dt- t /lle� va�hwj(: Project Street Address Q CQ.Ct n %,e Vl V..e Village I I a n n i - ( Port) J Owner It- o Nw Fi H e. Address Iq OCeaVlAle- , A Telephone (616)7r) I-44-99 0' Permit Request LCI J h Al CW POD L t ?ya,5 E' C3 to X a0 �. xcleam / 1 8ATmom Square feet: 1 st floor: existing proposed qd�(J 2nd floor: existing proposed �� Total new 7ay Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type WCo D RECEEo �— Lot Size Grandfathered: ❑Yes ❑No If yes, attach sup orting docume FEB 1 Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) TOWN OF B SALT Age of Existing Structure Historic House: ❑Yes B I�lo On Old Kin ' Basement Type: O Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new f -Total Room Count(not including baths): existing new o2 First Floor Room Count Heat Type and Fuel: CN"Gas ❑Oil Cl Electric ❑Other l Central Air: ❑Yes GAo Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No "Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑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 RPSJ /1 J7`Q/� I "BUILDER'INFORMATION l Name E� c ,4y-L1 e r, d 4'kelr, Lt?C- Telephone Number Address /1 D.sQ at 4ane _ License# Oa 3 oZ-5-' ' z<-ua n l 5 , M q 04001 Home Improvement Contractor# I 002 Worker's Compensation# S 000( 7a 014 004- ALL CONSTRUCTION DEB IS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY 1 •� 'IrERMIT NO. Y :t Wn ISSUED i MAP/PARCEUNO. ADDRESS VILLAGE OWNER - DATE OF INSPECTION: A 7`h` f0 V N t9�TiG 7✓S FOUNDATION A00 3 FRAME lSfRh1 %Z a 0 h/ V �/�� 0� v - �/ INSULATION Q /AISa .4ZzaAl' LA✓8�,���rr,�/ FIREPLACE r' ELECTRICAL: ROUGH FINAL PLUMBING: R FINAL f O GAS: RO FINAL - - ... FINAL BUILDING $ DATE CLOSED OUT/ fn - ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents o ce oiinyestigations 600 Washington Street - Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name: J �J ��T� bya Ee-. I U c . i location: DcoA i city phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole r rietor and have no one working in any capacity ❑ I am an emplover providing workers' compensation for my employees working on this job. j comnany name. J A address. city r i�1 shone# l_� ?5 } 1 "1 —9 insurance co. _� , olicv# V1111711111711711711111, I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: comyanv name: address. ' . phone#. -.: . Insurance cm.: .. . ohcv# cdtnnany>name: _.. address. cltvc- :: phone#. insurance co. olicv# Fafiure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify es of perjury that the information provided above is true and correct Signature Date Print name J ., C ' C��� Phone# D 7 official use only do not write in this area to be completed by city or town official city or town: permit/license# �❑Building Department ❑Licensing Board Q check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (revised 9/95 PIA) I I MAScheck COMPLIANCE REPORT Massachusetts Energy Code I Permit# MAScheck Software Version 2.01 Release 2 I Checked by/Date CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other(Non-Electric Resistance) DATE: 1-21-2004 DATE OF PLANS: 1/19/04 TITLE: The Figge Residence PROJECT INFORMATION: New Poolhouse COMPANY INFORMATION: Northside Design Associates COMPLIANCE: PASSES Required UA= 143 Your Home= 86 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA i I CEILINGS 600 32.0 32.0 10 f' WALLS: Wood Frame, 16"O.C. 937 13.0 13.0 45 GLAZING: Windows or Doors 98 0.320 31 ----------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load'as specified in Sections 780CMR 1310 an 4.4. - Builder/Designer L Date o� ,/'Wssachusetts Energy Code MAScheck Software Version 2.01 Release 2 The Figge Residence DATE: 1-21-2004 Blds.1 Dept.1 Use I CEILINGS: O 11. R-32 + R-32 Comments/Location I WALLS: [] 11. Wood Frame, 16"O.C., R-13+ R-13 Comments/Location I I WINDOWS AND GLASS DOORS: [) 11. U-value: 0.32 For windows without labeled U-values, describe features: #Panes Frame Type Thermal Break?[]Yes [] No Comments/Location AIR LEAKAGE: (] I Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. When installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: 1. Type IC rated, manufactured with no penetrations between the I inside of the recessed fixture and ceiling cavity and sealed or I gasketed to prevent air leakage into the unconditioned space. 12. Type IC rated, in accordance with Standard ASTM E 283, with no I more than 2.0 cfm (0.944 Us)air movement from the the conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 Ibs/ft2 pressure difference and shall be labeled. VAPOR RETARDER: [] I Required on the warm-in-winter side of all non-vented framed I ceilings, walls, and floors. i I MATERIALS IDENTIFICATION: [] I Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications. DUCT INSULATION: .[] I Ducts shall be insulated per Table J4.4.7.1. I DUCT CONSTRUCTION: [] I All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the rM manufacturer's installation instructions. Mesh tape may be 1 omitted where gaps are less than 1/8 inch. Duct tape is not 1 permitted. The HVAC system must provide a means for balancing 1 air and water systems. TEMPERATURE CONTROLS: [) I Thermostats are required for each separate HVAC system. A manual 1 or automatic means to partially restrict or shut off the heating 1 and/or cooling input to each zone or floor shall be provided. 1 HVAC EQUIPMENT SIZING: [] I Rated output capacity of the heating/cooling system is 1 not greater than 125%of the design load as specified 1 in Sections 780CMR 1310 and J4.4. SWIMMING POOLS:. [] I All heated swimming pools must have an on/off heater switch and 1 require a cover unless over 20%of the heating energy is from 1 non-depletable sources. Pool pumps require a time clock. HVAC PIPING INSULATION: [) I HVAC piping conveying fluids above 120 F or chilled fluids 1 below 55 F must be insulated to the following levels (in.): 1 PIPE SIZES(in.) HEATING SYSTEMS: TEMP(F) 2" RUNOUTS 0-1" 1.25-2" 2.54" Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 Low temperature 120-200 0.5 1.0 1.0 1.5 Steam condensate any 1.0 1.0 1.5 2.0 COOLING SYSTEMS: Chilled water or 40-55 .0.5 0.5 0.75 1.0 1 refrigerant below 40 1.0 1.0 1.5 1.5 CIRCULATING HOT WATER SYSTEMS: [] I Insulate circulating hot water pipes to the following levels(in.): i PIPE SIZES(in.) NON-CIRCULATING I CIRCULATING MAINS& RUNOUTS HEATED WATER TEMP(F): RUNOUTS 0-1" 1 0-1.25" 1.5-2.0" 2.0+" 170-180 0.5 1 1.0 1.5 2.0 1 140-160 0.5 0.5 1.0 1.5 ] 100-130 0.5 1 0.5 0.5 1.0 ----NOTES TO FIELD(Building Department Use Only)-_______________________ a • I. Town of Barnstable ti NAP Regulatory Services sAax"U, ' Thomas F.Geller,Director XAM 9�DrEo3.la � Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type.of Work: AletV l lxd fTVM PVM�Jt Estimated Cost 47s, DD()_ Address of Work: I a ctQ h ftzAe., Alzpa;finis Pert Owner's Name: Me Jobw Date of Application: a/&La y I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. GNED UNDER PENALTIES OF PERJURY I hereby apply for a pe t o the owner: a oV mho , Date Contractor Name Registration No. OR Date Owner's Name Board of Building egulations One Ashburton Pace, Nrn 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE _ Birthdate: 01/14/1956 Number: CS 003251 Expires:01/14/2004 Restricted To: 00 ERNEST J JAXTIMER 48 ROSARY LANE HYANNIS, MA 02601 ti Tr:no: 14213 Keep top for receipt and change of address notification. ' I� ✓die �omvn2a�ru�so� a�/t�aavac�uael� Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: _ Board of Building Regulations and Standards Registration: 110609 One Ashburton Place Rm 1301 `Expiration: 11/3/2004 Boston,Nla.02108 Type: Private Corporation E J JAXTIMER, BUILDER,,INC. - ERNEST JAXTIMER, 48 ROSARY LN HYANNIS.MA 02601 m , u.cr — Not va.11A without.s.>gDatnre JOB 1 C1 Ca L��� / TAYLOR DESIGN ASSOC., INC. SHEET NO. OF Z 28 Barnstable Road Hyannis, MA 02601 CALCULATED BY CZ DATE , PHONE/FAX: (508) 790-4686 i CHECKED BY t\cl OGc5 ) A.yE (-LA--- , SCALE_ � s f _.. '... .. 1 TAYL�i N0.12C�77?p! v' �6C-LC� Z. .. .. . _. BIZ+ ._ ti l ... ....... ... .............. ... .......... . . . ..... . .... ... _. ...... /z .. .... � ( 3oz� 74P. .__ ;_- ..... .. .......... s 4 C_� o© _ .+ 3 _0 t . . z ZX Lb S.. Z�C ��. .. . 'ROOUCT 204-1(Single Sheets)205-1(PaAeedl r = JOB Y L C-,cs C- 12 ; �a2zr€ TAYLOR DESIGN ASSOC., INC. 28 Barnstable Road SHEET NO. of > Jam. Hyannis, MA 02601 CALCULATED BY CZ ( DATE PHONE/FAX: (508) 790-4686 CHECKED BY DATE SCALE YT1,57 v ' . o .. -... ...... .. :. ... .... -.... .. l .. _.... .. ........ ........ . 1 ... s; . i co . CZCoI f a ... ..... ..__..... _........ .. ........... ..._.._. ..._.... .. ..__. .......... _,-. .. ...� ..:.... r ._ ._.. ...- .. d ....... .... ,....... .. .._..__. ........_ : ........ _.,. ... 5 PNOOOCT 204-1(Single Sheds)205-1(Padded( , •, .. RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 �( 0, 0 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE lL � � Ua d square feet x$96/sq.foot= t x.0031= / plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft. ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf-1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS 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 02/10/2004 08: 20 5086620463 STEVE ONEIL PAGE 01 FPOM TKF I GGE PHONFZ r,10. 301 9`51 4789 09 2004 07:IOPM P 1 Yl4l Zvi tU4Jw iu.: ,row, of�a�r�►twblo pe`u3,atory 9ervcoe maww 7,(k9js.pM14�►s Buudtag' lAdoa ,Qwvwf7, fatam ca � ' aao u zs er.� ,XA 01 �: �•?9Q-0SRU ( r Must cm-glees nand Sim rVdi 9ectlost I Uria�� P�pe�Y ��1dle rA ocx est beba:E. y s'�stbo. 'jr yt a��per�t+�? 'otioa for I&xsaa s °slue taArsasic ut� °0 ,.��, „!1!!: fit•//N//I[.l/ltil?1�i{/� f�.5 I'1/I,1,1/•Yr'llll r-(l'f((� , �y)K Board or Building Rquintimo awt stariJurd9 License or registration vali(l for indiVi(lol Use only HOME IMPROVEMENT CONTRACTOR before the expiratio)a data. If found return to: Registration: 110609 Boar(i of Building Regulations and Standards Expiration: 11J3/20U1 Otte Ashburton Place Rio 1301 ttnctou,:tta.02109 Type, Private Corporation E.J JAXTIMER,BUILDER,INC, ERNEST JAXTIMER 43 ROSARY LN HYANNIS.MA 02601 Nnr vvji i withnut O.w1fillr Ix Board of Buaidin �pulation8 One Ashburton Pace, rn 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 01/14/1956 Number: CS 003251 Expires!01114/2006 Restricted To: 00 . ERNEST J JAXTIMER —' 48 ROSARY LANE HYANNIS, MA 02601 Tr.no: 13327 Keen top.for receipt and change of address notification. . t; I, ��t�owafinorulkrrs�!/�f'✓ ddlac�r BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR 'a• Number: CS 003<°5t. Bi rthdate: 0 1/1 411 9 5 6 FOres: 01/14/2006 Tr.no: 13327 Restricted: 00 ERNEST J JAXTIMER 48 ROSARY LANE .»-ab HYANNIS, MA 02601 Administrator TO 3E)Vd 6O6b9Zz8O9 LZ:9T VOOZ/6T/Za r 02/19/2094 15:53 5087754909 PAGE 01 l3k 18261 F'92 7 -�14248 Town Of Barnstable- Regulatory Services s z r+,sr,►IBM Thorrtas F.Geiler,Director w� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-403 8 Fax: 508-790-6230 AGREEMENT FOR ACCESSORY U S, OF W111ENTIAL BUILDINGS ASSQC ATED WITH PIESIDENCE S (We),the undersigned,being the owners)o£property situated at�.�___ in o ,MA„holding le.under a deed recorded with the Barnstable County Regis of Deeds or Hamstable County District Registry of the Land Court in Book �{ , Page�'�_>or as Document No. .'being shown on Assessors' Map as a�tcel/Z Z—o I hereby agree, certify, warrant and represent to the'Town of Barnstable that the accessory building to he residence 1 ated on the sae parcel as above-described, and shown on plans drawn by V.�,rAl, dated / Q which contains living quarters, is not intended for and shall not be used as a permanent, separate ap ent for year-round or summer occupancy, for rent in any fashion. The intended and authorized use is for the occasional guests associated with the residential use on the same premises. This separate unit shall not.be used for a "Family Apartment" (as defined in Zoning Ordinances)which would require application and approval of a special permit and compliariee with the Family Apartment Rules and Regulations. This separate uzait shall not,be rented as an apartment or as a single room, or in any fashion, which rental would be a violation of the Town of Barnstable's rules,regulations,and zorning ordinances. �. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated,Which shall ruts with the land and binding future owners. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. 7�WITNESS our hands and seals this + `7 ft day ay of 7�- b�ZC� 200�. TOWN OF BARNSTABLE OWNER(S) By, -Building THE COMMONWEALTH OF MASSACHUSETT BAR,NS'TABLF COL NTY,SS Date ..-�a& Then personally appeared the above-named (owner), _ -1 DNAl x Y�/&C E and made oath as to the txuth of the foregoing instrument,before me. e� Wit_ �_ �c_ � ;,,a 44, ,. --- Notary Public r y •' !, ''•.; js`•, My Commission Expires: i I Zy a a 1 f ; 3 • '/ :3� w BARNSTABLE COUNTY I REGISTRY OF DEEDS > �� �•••.• Q:word�accessor)�frreement I A TRUE COpY,ATTEST , `'���rrrrurravr��� JOHN F.MEADE,REGISTER 61N- BLE REGISTRY OF DEED f ., 1 1 i - : Af I I sl - BA Q. IwS.� ATM'' Il',1 I ' 1 A f9 >M7 �ll.tl`1 As f f�A�l ; t�1f q C IN i. 1. , a+ Al1` GABS-'♦�71 �?q: , HOT UlA"f'' "!� ;-{ i4 V. r, I1 ( F Ul>_l_ CAR CONTRAC D. 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HAS 3 1/2." tdNC F:ILLF.D $11,. 4" c "l arc l I ':1 RA A 1 (T. ,JT DN�f��l`E �L,AC3 "C�°9fi' 1� uJALL Ark7UNt : w TQ ' C);F w�l Fl.t ?Cltk AL [10,0R wIN OW & C�7`Nlt 4:0 ��>�,LAPt'1` CaNCkJZ F©G2TH G i1xAi..t.: a =Nii~1±.� " ri1 A 'lax t:A' aE;X ,��,,,;xr , cx 6/4 wlu Jg�tllrll I!�I �_w,u1F 4x6: 4/4. TCJP Ira 0>~ SL-AB SL ;. ., c. ,a .. NC 1 i3 CS C.aMF'ATC� T n CT,�¢`� Y L"�;�MR�c��al�Itrl� I� r�rL>. wl Ol �1 r � �qq 'q- 7a _-..........;..._.._—. .,:6�'��t-ItV(,:i u o s I 77 � 1 k lsaI Ili. � '!!I��►l -� lll ! I}Ii , I _ {I z .f�1 �_ +,I��� - �, �_ j ►�.�. � I I� 1�.1:�� . I,��:� LIh( , L!:II � .Iki ,;► _ , _II_I� I�_1 L.I�,; ,.__ �. III IIII LI41_I-+f :.�., l�I� �t IIIi , �,1II �IL� , III IIIi I _;►� �:�__ _ �._ _� _:� ,�I� u� . I � --� I � 1 � _(Iah ,:L!!1 �..�1 ►� __4,.I1I� + �_,�. IILI- ILII , ,LIIi, ,��_ !Cl'iE f ik)1Wr �I IALI REA QM RR I .. NAfi RAf�UNg1 U�f��t) ciltAN N_ UTA .Ftr 1A'TUIdAI UP1C115TUft9LI3 I' k qqA�, g 7 �` -. _ y: K. ek.s, LpAM V OEIA ICE Q ANNIICn�nni3���ar.:eN 1Nt NFn G� °PIKE Town of Barnstable Regulatory Services BAMSTABM ' Thomas F.Geiler,Director MAM Building Division Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 November 14,2000 Steven O'Neal A&E Construction Co. P O 370 Drexel Hill,PA 19026 Re: Building Permit application for r pool house at 19 Ocean Avenue,Hyannisport,MA. Dear Mr.O'Neal: An application for a building permit shall be deemed abandoned six months after the date of filing,unless such application shall have been diligently prosecuted and a permit issued. Your application,dated 7/14/99,is now void and,therefore,is considered abandoned. If for some reason you have begun work,you have done so without benefit of a permit and are herewith so notified that it is a violation of Section 110.1 of the Massachusetts building code. If you wish to proceed under either of the above conditions,a new application is required and a permit issued prior to starting and/or continuing work. Enclosed,you will find your check in the amount of$40.92. Sincerely, Kathy Maloney EXPLANATION AM UNT 13 816 . A & E CONSTRUCTION CO. r� ' P.O.BOX 370 DREXEL HILL,PA 19026 3 5 310 (610)449-3152 q y LLARS CHECK NT n�. AMOUNT CHECK j TE TO THE ORDER OF DESCRIPTION NUMBER !I S 0W1V $BGmly IBBNra9 PNC BANK,N.A. PHILADELPHIA,PA 020 u'0 L 38 L 611'-I 1:03 L0000 5 31: 8 5 4 5 30 7 48011' Steven O'Neal A&E Construction Co. P0370 Drexel Hill, PA 19026 r 41 19 OCEAN AVENUE,HYANNISPORT 7/16/99 7/19/99-KM SPOKE WITH STEVEN O'NEAL. TOLD HIM A SEPARATE PERMIT IS NEEDED FOR THE POOL HOUSE. HE WILL COME IN TO PICK UP THE PAPERWORK. RETURN CHECK TO HIM TO HOLD. CHECK IS CORRECT AMOUNT IF TOTAL PROJECT COST IS$13,200. �� S i :u1-14-99 03:25pm To-790E230 From- T-004 P.02/02 F-W CAPE COD COMMISSION (V' •�+ 61 3225 MAIN STREET P.O. 5OX 226 BARNSTABLE,MA02630 (508)362.3828 \sRCI�L FAX(508)362.3136 E-mail:frontdesk-OCapecodeommission.org July 14, 1999 Ralph Crossen, Building Commissioner Barnstable Town Hall 367 Main Street Hyannis, MA 02601 RE: 19 Ocean Avenue, Hyannisport BY FAX 508-790-6230 Dear Mr. Crossen, As you may recall, work on the historic building at 19 Ocean Avenue was initially referred to the Cape Cod Commission for review as a Development of Regional , Impact in September 1998. After several meetings with the applicant, comments from the Massachusetts historical Commission, and changes to the proposed plans, Commission staff determined in January 1999 that the revised project could go forward without causing substantial alteration to the National Register building. Based on several site visits I have made over the past few months, the project is proceeding as shown on the revised plans, On July 12, 1999, Steve O'Neill, project manager, asked for Commission staff comments regarding the proposed construction of a new poolhouse on the site. Based on a site plan and elevation drawings submitted on July 12, the proposed pool house would be located approximately 60 feet from the existing building and would be designed with a gable roof and traditional building materials to keep it roughly consistent with the existing historic buildings on site. It is ray opinion that construction of a new outbuilding on this property would not directly impact the historic buildings on site and thus does not constitute a substantial alteration as defined by Cape Cod Commission guidelines. Consequently, no further review of the proposal is required by the Cape Cod Commission. Please note that this opinion does not address whether the proposed project is in compliance with local bylaws and regulations. If you have any questions, please feel free to contact me. Sincerely, arch Korjef Preservation Planner CC. Steven O'Neill (by Pax 505-862-0463) Pat Anderson, Historic Preservation Division I Y � 9 g a g I c 4 Y � � 1 1 . l Oi 0 1 i�o N i N • � � P 0 n 0 Ot ' O ' 1 1 i I c I I ti0 'd 0�309�5 uI9 t '0`� Xd3 '0NI 'S36EISS1:3'1 ' 9:;0I ('E 68-80-1 f i 23-,C•t 3" 2 4'-0• VN -TIC a 41 o � I � 23 i f �. z �C 'a Oc60SZ91 0I9 l ON KV� 'Ohl f KDNI SS!B I 'I St;OI n� 66-80-1uf i i I �M e t !'-4' 4 �4'6 � � I !� i mom 46 T-e' '-ems '-e' T-W i 2J6fill i Li1G 'd �J£6C9�9 a19 1 'ON xdi 'CNI ''HONISSI3 "l '� bI;Cl f;H , 65-80-11f '. o N �E ;ILL: R E fk°F COD COMMISSION Architect ,ura `l Desi n O'Neill Pro erties T E R 0 KT S BARN HOUSE °1�a°'�""'a Om -.m. xaea.a taea..Via; •.x tr�..ae rd RENOVATION P m ou®.d n.am�an - •om.ran. as..o mw...a nm..a aea.n t, 7-mws .ema a erase_wU.nww .eo-ttn-ex maw�® um xua r.ire Y•aaxa xtea s e...r.e.ia.oe am....xm_om.:.oa o.e.�o.�r®ee �' • �nal mF�o� ID..s.at-tM.a-.« MASTER INDEX OF DRAWINGS . xa�mnmmt�xxsxxx�axan GENERAL NOTES xaar tuamas m am.wmaaepc ABBREVIATIONS _ ��� s as-t nxar Ham a-i xamrao wtmmaxe a�`m.:a mr'°' .. ..v ,x-a xrranana ...A..,•... ..� - � wa:r. �"•••i°•�` m� m mtaunan mncmt r.rxaroa-esmc a >� e - ERR: ro.n.�.-s.ia.. n-i rmar Hoax r-i x�an remos •. n-a axca ncoa s-x atxnnm rxvroa �-.ate.. N � r . ® , - � x1Y®ml L•ax®Talellt 011a0Jf P.nB1aV(t]Alft Offial1 IIITLIT) .. � u.. � .m s M Mt roallalnax I-1 PHa169 � � s ran ® a-a nxar nxmt °u"•-�"� ORIGINAL : 5/10/98 a REVISION 1: 9/10/98 REVISION 2: 7/9/99 a-a ac®x.vxuxa a.� ....m .. FINAL : 1/15/9e .,.�. ^--------------I - r---------------------------------- , I L_ _---____- 1 I I Ir-- --: ------------- - ' I I L_-----, I I --------------------------------, ___-_______-� __ ___________________ __________ e 8 m ' HOUSE FOUNDATION: I I PATCH OR REPLACE-EXISTING"FOUNDATION AS PER ENGINEER'S DRAH7NG5 I ----� i————— ———— -- ---- - ----� i ►�L:G a - ------T I I --- ----- ---- --- ------- - - C L-------------------------------J a 1 �1 FOUNDATION PLAN ------------=----------- U __________l 1. 9 .3 1 6 I , 1 BARN FOUNDATION, 1 - - PATCH OR REPLACE DOSTING I I' I FOUNDATION AS PER I - ENGINEER'S DRAWINGS O I I I O ITU.PF --D ---------------------- COMMISSION Al NEW CONSTRUCTION 1 OF 8 ' ,Bo-la7-Be A., NO "� �r 8 P' r-0 10 JL—_-_— --_- off ° gig �$ II .IR fit �ao' I I s x • q� � �� �s a � �� 4o JL aelLt— �t$_JL _ $ •o��� � w ��� �� � � { o I ga II II; • JL----- -J 95lgpowl �� ®�� .•-Y .P.IAll +y , I All IN .12 E ►—JCIS Aa E� O r-r -,1 I MR u� � I C7 �� a qz '•c , - t,o ro n oil! 11. a e o rn IF co -3 `t • - Ro i JI I I gD 4 F�� RENOVATION O'Neill Properties T E Rc KT S P-J-t,o N�mc i 8 o (i/ ne ate,om. s.wn ar.o .e. BARNo HOUSE cn u 3 s- feiol geaw _ - �,C PW1M�1pW H�.Wryer�Ya aNf 9 (0!)CM-NIO Architectu al Design , y� i �S Z LJ n 0 0 {A1 n �o N ® � ulC T a0 y 0 0 02 I mo. A o4 o I o W RENOVAnON O'NeW Propertles T E Rc KT S Pwjeal Nema: 9 0 '+ � �i]• ey..;:�mee, ��rp�°v.�r�rr�.ati,,,,e ''� BARN HOUSE 1EW41rhI�,A.lelel IU�Ter1 W eielf V Architectu al Design e me A aS m ®®®® CYI REAR ELEVATION tw ■ ■ � as MOND M Mi ZI a . of i m R - @ FRONT ELEVATION ° A4 �22mg NEW CONSTRUCTION 4 or 8 mo-fm-sa °F D Oil _ U • .. as LEFT ELEVATION z ELEVATION ION F BCAIE:1/4'-1'-�• G b Q L, L z 0 III ® ® all 0D 0 D s RIGHT ELEVATION .BARN ELEVATION A-b SCALE:1/4'=1•-0' A-b 9CAf.E 1/4'-1'-b' Uuti MF D A5 NEW CONSTRUCTION 5 aF 8 BYmT-aa CA°F CAD M!AIwION t EEO l cr4d r • i µ r Fao - z 0 - - - - p 0 RENOVATION O'Neill Properties T E Rc KT S ar.l..t tram.: • , n r u o....ml.. ad.rt♦am..uBAR - - . 8 / C Ip,,,y„I s,ooa9 m..0 MWwv1 N HOUSE /� m1 el 9nu4•P.Ill.a f CO V\I i � IIIPt RF1N1 b LY9+W W M P0.`uYy Illfl We.1.Pat W.PMr1� .1 E.F.t10 Architectu al Design x o 1.10 AND 51 CROWN ' F ROOF TRIM _ 1x6 CORNERBOARDS m 1 CROSS SECTION THRU EAVE z TRIM DETAIL s TRIM DETAIL m -� SCALE:1/a•al'-°' -1 SCALE:9'=l'-°• V ' ' N . 'NOTE. ALL TRIMS TO - - �, MATCH EXISTING' _ LUMBER DIMENSIONS. a� a P4 ilia - _ 0 4 isti WiaK X C ( a all 1x8 EAVE - _ - z s r TRIM DETAIL TRIM DETAII ®a SCALE:S'-I'-a of f 1A F cou A 7 COM Ie lON NEW CONSTRUCTION r • r� NUTTER, McCLENNEN & FISH, LIT ATTORNEYS AT LAW Y�• ROUTE 132-1513 IYANNOUGH ROAD P.O.BOX 1630 HYANNIS,MASSACHUSETTS 02601-1630 TELEPHONE:308 790-5400 FACSIMILE:508 771-8079 DIRECT DIAL NUMBER July 13, 1998 By Hand Ms. Barbara Flinn, Historical Commission Town of Barnstable Barnstable Town Hall Hyannis, MA 02601 RE: 19 Ocean Avenue, Hyannisport, MA Dear Madam Chairman: Please be advised that this firm represents Mr. & Mrs. J. Brian O'Neill, owners of ,o the above-referenced property. Mr. & Mrs. O'Neill received on June 4, 1998, a building permit to allow for renovation of the single family home located at 19 Ocean Avenue in Hyannisport. The property in question consists of a house and barn dating back approximately 161 years, together with an addition joining the house and barn which was constructed in 1978 pursuant to building permit #19908. I enclose a copy of both permits for your information and review. Prior to the commencement of construction, Mr. & Mrs. O'Neill, through their representatives, contacted the town's Historic Commission staff, and were advised that the property was not a listed property and was not located within the Historic District. Notwithstanding that information, Mr. & Mrs. O'Neill, who have renovated several properties within the Town of Barnstable, were concerned about retaining the historic value and nature of the property and voluntarily elected to take certain actions to preserve the existing building, expending approximately $200,000 in the process to date. The proposed renovations were to primarily renovate within its existing foundation and footprint and to retain, to the greatest extent feasible, the original structure and materials. Accordingly, Mr. and Mrs. O'Neill prepared a plan to preserve the structure and replicate same. I enclose a copy of the plans that were submitted to the Building Commissioner's office in accordance with the enclosed permit. Please note that the demolition notes state as follows: "1. Save all load bearing walls.. 4. Preserve existing'doors and hardware and millwork that is not rotten. V NUTTER. McCLENNEN & FISH. LLP Ms. Barbara Flinn, Historical Commission Town of Barnstable July 13, 1998 Page two 5. Examine and identify all rotted structural wood especially sill plates and replace as necessary. 6. Jack all floors to level where needed. 7. Lay down 1/8 melamine cover over all floors to preserve existing plank floors. In addition, Mr. and Mrs. O'Neill prepared a building preservation plan, and spoke with structural engineers and contractors. Further, instructions were given to save all floor boards and beams and the blue stone hearths located within the premises for use during the renovation. In fact, due to the level of rot in the superstructure, each floor board was removed carefully and stored on site for reinstallation. I enclose photographs of the condition of the premises prior to construction, which were taken to insure replication. ,d To date, the property owner has constructed the premises in accordance with the permit as issued. The one exception is that there was substantial structural damage in the center area of the property which required replacement of foundation and jacking of floors. We have recently met with the structural engineer, the project engineer and the Building Commissioner. The Building Commissioner has requested an amended building permit and Mr. and Mrs. O'Neill are prepared to make application for same. The Building Commissioner has indicated he will issue same upon resolution of historic issues. Mr. and Mrs. O'Neill have reasonably relied upon the permit as issued, as well as the prior representations that the work could be conducted in accordance with the permit. Notwithstanding these matters, Mr. and Mrs. O'Neill intend to replicate the prior structure and to retain, to the greatest extent feasible, its historic features and characteristics. At the same time, the current stop work order places the O'Neills at substantial exposure. The property in its current status is an attractive nuisance which may endanger neighborhood children. Also, the O'Neills have already purchased and paid for more than $200,000 of building supplies, including all windows, plumbing fixtures, heating equipment and duct work, which are either on site or currently held in a warehouse. The previously scheduled date for completion of the project was on or before August 1, 1998, as a tenant is scheduled to move in on August 1, 1998. I NUTTER, McCLENNEN & FISH, LLP Ms. Barbara Flinn, Historical Commission Town of Barnstable July 13, 1998 Page three It is our intention to file on behalf of Mr. and Mrs. O'Neill all appropriate applications, without prejudice to their rights under the existing permit. At the same time, we would request an expedited site visit by members of the Historic Commission and the Building Commissioner's office to review the current status of the property and determine whether or not,work may proceed at this juncture. Mr. and Mrs. O'Neill are understandably anxious to proceed in order to complete construction within the time frame dictated by their rental arrangement. We are available for such a site visit at your convenience and look forward to hearing from you. Please contact me at 790-5407, or my associate, Shari Lobe, at 790-5420. ry truly yours, ,d Patrick M. Butler PMB/cam510844_1.WP6 cc: Ralph Crossen, Building Commissioner James Tinsley, Town Manager Robert Schernig, Town Planner Massachusetts Historic Commission Mr. and Mrs. Brian O'Neill T-0' 30'-8' 6'-B' W-0' IS'-0' ___ ♦I'-8' o 4 .ro ' ♦._♦. e._o a-e' ♦-t r-o' ti C-Y 20'-7' •i ,6 - LIV.RRM. 19 1"2 unx -- x — - .ro .ro x•-o•.e'-cl ancA O./. .ro ' of lo-s LIBRARY ENTRY 8 .mil � O ./. { _ KITCHEN _ ••. DINGING ♦-1 . � ' 9 I \ STUDIO unx O 5 SITTING •� IB � � I,,..0 �� ZN i � I♦ I 'r unx I O 1 ��N nil I 13'-7' 1'-e' IO•-Y 11 i I. E w=:` �1 FIRST FLOOR PLAN q A-1 SCALE: 1/4"=1'-O" I � U ` 3"so /I6.i7 Igloo - Ix'-A•.urt�c1. ti LOT B I , i E7� Lor 1 m +� /6.645 SQ.FT. 3 - V LOT 7 SI e.es . LOT 6 Z� LARGE BARN 0) �a°3 j 2�233 Sa.Fr. 0 5 gigs r s s ° °R ! u' 1 - r 19.847SQ.FT ii a e._e'Lor e._e. '0� i ❑ ., V LOT 2C3 En I ——— ——— i — I Z ——� — —� ——— s NEWTON AVENUE z a' Gardner Tar/or ./e i j Zuj a LOT 3 LOT 4 LOTS IS DATE: BID PLANS: l 29'-4• FINAL PLANS: !�. ----- REVISIONS: x &' HYANN/ `13 AVENUE SMALL BARN B I . 0 1 OF 2 . EXISTING CONDITIONS / AS BUILT -- 3� JBO-107-98 CI\LM(eilmlureWa RoittU\BloWle Muse\Dqa\b 9idQes-�JI-Y Up LI wr 0.'12 oz JS f99B o-e.n or P Y reds f - � a) •�I ' #GSt ° 1 V Clu 2 I H t!! o o i ..__- Y y �f m A o L /6eJ4 '! o T +4'-a' a � � S� G�e Sryn a i � ❑ l�J rh C c a & uJ I m s Ai. A MAYWOOD ST. o_°rt."vc LS G o O c0 i. S fA 8 a W �o �' ° � op 2 M p _ , z ! 5 m � r o O a° ;U S z r� x z c� z Do d a 0 z a c r o Iv RENOVATION O'Neill Properties - T E R C KT S Project Name: +� n19 I yW 2 .g Y�;�di WHIT EOc HOUSE E my-w O6 210 X.D 6ew _W ..a �, (810)09B-7P14t dtB X Dp XJ.10 b- 1OBM Wp X..02647 (000)-220-00" Architect u al Design t v i c U-�r<nilatueVW Po�eatelBloV4tn lane\Pq�lb Bu10WBuilt-Cle.ara Sat Rr 02,2 Ot:,�1918 Orawi or R a.lttla I " I I I I ® I I I ® a I N N n � I A BEEH WE ® oa 0 z I I ® I aA m Fm I I b � 9 ® s z � o i I � z p y O z I � I ® M I I No mo No z ® ® I I c� c� I I I P O I q 0 z x rn s M � -r 9 C a H � O C z k. o W u� o RENOVATION O'Neill Properties = T E R c KT S - Project Home: m[m 1°p1 I o"" 210 W11 BnW--d = Reeeel`RmmD WHITE HOUSE N]ennbport 11�.021a� KIuY W�Wu.Pe 1910E ARCMTWT ,O E10 a"-9111 IE HatUnp Dr1ve 10 Omw DriN m ( ) Yuwea MD.NJ OEOE2 RYa kvpo Ye.02E19 . (E09)-22]-0011 I; Architectural Design ?.,`, jR m 4 WG q tI1111f6G Fr�p w� � ICI `�••�•��5��.� i rr`.-`t-I-� TEA ROOM 12 �_6 aMtd To 491a,0, ma R a COAT AREA Q mN6An lad t•Owr WL \ rdbt$[ II Ii II II Ii IIcm f I I I I IIvr NG;Roo+l I.I I I , . A , IR W ys I( I I I -V" 4.-r 4 Air a •-c I, F, E DINING ROOM _ BREAKFAST AREA I IENTRY'HALL -trau'KITCHENI( ; 14-0•a14'I I I `' f l to � b. �..,J L._.J _1 W'-B• ] 1t• T — 4 t — t " H H H H PANTRr g. vfAa FAMILY ROOM PWOR RM.i •Doan ». DEN o a•.e'-r a o',�r v 4 t8-5■8'-O' .. ® +ct1 mon EMIR. �. K \ �,.Atn raxanw •� ,rA¢Dom ro 25'-S•x1 s'-5` 'Fylm fffrtt>6 (Q 4 4'-e rMo war .ua,r ran mr — — aa .. a_p Pd f-p aaKoo� ® C- W MAL FIRST .FLOOR PLAN • - A-1 SCALE: 1/4"=1'-O" 00 Itf43'ESt `� oAs An 1. PIPE.DI ALL GAS FOR GAS 12. CONTRACTORS TO-.GET OWNERS' T.r:EMr, .. FIREPLACES: - APPROVAL W ALL AREAS & ASP75'CT3 OF CONSTRUCTION'PRIOR NOW ELECTRIC ACCO7;DM TO, - NOR ORDERRiG -MA" IR""10 TO:CONSTRUCTIO MASSACHUmm ITS CODE. OF 11ATERIALS. w 'n sc Aius �pp0gq�'vAv o Qw'�' +.t g 4 �MW WT un 2e'-4• Aµd ran o auy DF PO BIFD[COA 19. RE$PO TO NSDi FOR B SOLELY - `ad oci.o lE ALL eg00Ym+`Aonm a `\ 4 9L'OCK-13S BASE BOARD:WITH CONSTRUCTION, MATERLALS, y �. - 06EE CAP. .TYP. '. - ORDERIINO OF WINDOWS, CABINETS. .. . & APPLIANCES.-&THE e E":CROWN 1H7'!I.StcB.�eTOCE WITH- - INSTALLATION THERE OF. DENTAL PATTERN CUT IN TVP. ON E.M. ROOM q 9 ALL:;CESINGS.. sYMeoc KEY: ® 26 1t18-8 r 7ya 8. Know CABINETS, DDIENSIONS, & A)a®'NEw WALL r• w°00AEi ro4riuwOEM'aorKc� p ¢d,S LAYOUT FROM.IKEA. CONTRACTOR .wRaeum.e.,, d2S@ IR TO COORDWATE.IGTCHEN &,ALL e) �—+ MEw mMoow 5 APPI ANCES:. c) REw DOOR ® aw 4eaA a yy@{{ r aim 7 D19H9ATb:.B ;"-AIR & - Z -BTOYE T0.SE:iEN-A1R .. o)� c EturnNc wwoow Y $ROFESSIONAL Y.00K A-LIRE TO BE REPLACED O O O CONTRACTOR ro';COORDINATE -. . To MATCH. BATH ROOM.. 01 ,p-1 d-p B ALL FIREPLACES GET 3193EL T18P1E- *ALL TT,UE3 TYP 4 BED ROOM y - tT-11•xt 3'-S 4 �e �w.'etElr xwDows & DooRs To.: °� aQ•� � I3E ON:CIaNTRACTOR TO: 0•-t• b 6' C 1dIkK WITH SUPPLIER TO INSURE - CORRECT SIM AND�NATCHWG OF 4 aTCHENETIE 4 DOOR:P O HAVE.,ALL WINDOW3:& ® � o � DOORS TO HAVE:;�571m,AR."L1i'E": SIZI _'MNNDOW 1k DOOR'.S7 ON PLAN'ARE APPROI®IATE, ¢ONTtIACTOR &'StIPPLt$R.TO �� ogre: �'a BID PIAtNS: YO VD(im11$ TO':BE:REPLACED MUST b Pu,1,U,euxs: " BB'AND�$R.4.ON AND M.A�K .�`m rma ,�w s t: s 'J51D8TltNG.:CONTRACTOR,TO.VERIFY.. b orAAa R@PIR10N tc 21 CONTNAC OR'TO`DE9IGN ALL & .. 9TA,Rs 9A9EL1.UPON EWSTDIG _ Al -CO/0 1ITIONS AND WL'I M DESIGN HNTENT CONTUCTOR TO GET LION RIffion To _ 1 of 3 l NEW CONSTRUCTION O O e'-e' - s'-e• ro au�ar re O MAST.BATH BED RM. #3 •rwam Mreo +r-cm - waaY>az rurz MDort aaun t - •_6• /Mai p°row�WmEW � qr nlo.way.. r-o•*-o 3'-10' I A'-0• 9 0 MASTER I rjBtt�) e'-7• o.. w._1. e._+. �• HALLg O M. p2x16'-1" � OPEN TO o o 0 0 0 - BELOW O R RMM ^o t � B . t �dd I - x - Mn war a 3 5'-4 e"- /'i1 SECOND FLOOR PLAN w A-2 SCALE: 1/4"=1'-O" F !, SYMBOL KEY: 1 a-o y '.:1.. REFER TO NOTES ON Al. A)® New WAu Z. ALL:BATHROOM.FIXTURES TO BE JL_i0e®; 0) r--i NEW..Dow y -STOCK. TYP. .wE oErvmwr DW M mnI D) NEW I" O RE wTNRE MID M m. IDIS t0 1E/iO1 WDaws M CPMw W+[weaMS A. r _ D) C EO 9 R PLACED 4) .,[H I�]aaW M omax O BE EE WN O - W TO NEW WTNDOw 1aT.M WMaaEf aOYID .. 11I�1(.T-a•MW MDOIT YN. T TO YwTp1. Wl . ro Maa+r rox eEn vEw.war "� .. Elaa+awn a slur a.i M .Cy wO 9 M®L AOI M (� wplalwD 4MMZ TKYS ME •-S• '-10- '-6• . T01 W M®ro MOEAY �"I • YDtI[114V1 WNT C¢4T5 M 9 6 a0N0 hl 8-e 0 W p w 12 � o .-a .cows WMx d a ® z s Q O g E0. E0. BED ROOM 4 O Z E� 113 O� ® >� flb a O I j BATE: i BM PLANS: z WIDOW WALK PLAN POIJ PLANS: m� I RP17910NS: SCALE: I/4"=1'-0" I L 1s'_.• '-D- S: t A2 NEW CONSTRUCTION 2 OF 3 :.A,>.' 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UO .... ....— 111■ ••••,- 111 111 = = 111 111 = = 111 111 = — III 111 — I O 8sto■ ■.•• some mesa= — 111 111 some me I11 III = = 111 111 = = 111 III = = III 111 - _— = 11 III MINE - - 0 ,�reT ep]rtN Q tin]O i/,1 ,b -A �aeov Pah D W , e O uV.RM. a,x u ] -ih -ih T'-e•d-P vom ,_e^. ,-r_v �f� `�'XIl . !'. r PM•. r P.A'. ENTRY r-xr•-. ]-:..-r a � . ,w LIBRARY Q z O DINING KITCHEN - ,]na oon oiAs+w nc. STUDIO N E SITTING D a un: L) : z-i•.c-e• F•a_i Ind T 24/24 1 FIRST FLOOR PLAN - On, D-1 SCALE: 1/4"=1'-O" A is U DEMOLITION NOTES U 1. SAVE ALL AND LOAD BEARING WALLS. 2. DEMO ALL PLASTER, WALLS AND m - CEILING. DEMO ALL INSULATION d AND REMOVE ALL EXISTING WIRING. -e/s--B UTE OYCR a LIw U g a 6 9 DEMO BOTH SETS OF STAIRS IN HOUSE AND N BARN. NEW SSTAIRS LARGE STAIRS OQ r g WILL BE TO CODE. SYMBOL KEY 6!0 e A to oeuousH 4. PRESERVE EXISTING DOORS AND mEASU E A)® aAu e HARDWARE, AND WLLWORK THAT'S e>DIMEN EO IFRO Z Q 0) 2 NS VDE NOT ROTTEN. JAMB TO aAA,e AND HEAD TO MU O S. EXAMINE AND IDENTIFY ALL S ROTTED STRUCTURAL S WOOD-ESPECIALLY SILL g PLATES-AND REPLACE AS ,6, 0 rf B NECESSARY. 8. JACK ALL FLOORS TO LEVEL - \� WHERE NEEDED. z o eh � £ 7. LAY DOWN b" ME13 AWNE COVER 1 •`'-e OVER ALL FLOORS TO PRESERVE c EXISTING PLANK FLOORS. 8. EVENTUALLY, INTERIOR LOAD DATE: BEARING WALLS TO BE REPLACED e1D PLANS: WITH BEAMS AND COLUMNS FINAL PLANS: (DECORATIVE). OWNER TO APPROVE REVISIONS: BEFORE THIS IS TO TAKE PLACE. SMALL BARN •• B. ALL WINDOWS TO BE REMOVED &e AFTER NEW ONES HAVE BEEN DI ORDERID. _ --_- 5 .. 1 OF 2 r DEMOLITION PLANS - JBD-,m-RB aro en an m - �-e•.a-c - W o Egg BED ROOM W Rt � d8 O CLOSET BED ROOM a•-.'.r-I 0 BED ROOM BED ROOM r pµo 0 STUDIO - . BATH RL BATH ROOM Al. O°/° an D en D en e/e D O AA r- a-P en ero r- I�b a ® a'-a•.r-P Y-.•.�'-o' '-e' Y-a•J'-P a'-faY-P 1'-rJ'-P Y-.'J'-P pppppp¢¢ e^ 11P W � BED ROOM F, ° 0 1 SECOND FLOOR PLAN O0' ero an - r-Pa-e• r-P.r-a' - D-2 SCALE: I/4"=1'-0" N,1. - i OPEN UP SECOND FLOOR AS MUCH = i. . AS POSSIBLE. - - DEMOLTION NOTES - y 1. SAVE ALL AND LOAD BEARING WALLS. U s.u•ri.. 2. DEMO ALL PLASTER, WALLS AND I•' CEILING. DEMO ALL INSULATION SWBOL KEY: AND REMOVE ALL. EXISTING WIRING. Y e^y COT B A)® wui ro oEMarsn. =) o t' 16.645 Sq. LOT! � 1 3. DEMO BOTH SETS OF STAIRS IN p_ °V LOT 7 21 s'eS•i», =i, \ HOUSE AND IN BARN. NEW STAIRS L. y, h LOT 6 S Z5v'233 Sq.Fr. a i . I'ta-67 WILL BE TO CODE. LLor $�m 1i 1 p 47 9 4: PRESERVE EXISTING DOORS AND is ?' o - e 1,p 1 �1 /9.847 SQ.FT• HARDWARE, AND MILLWORK THAT'S Z m LOT 2 � 'l NOT ROTTEN. ° ag IL N ® ei 6o ti6 a - s. Hor. H� 1l — 5. EXAMINE AND IDENTIFY ALL O y NEWTON� AVENUE - ROTTED STRUCTURAL dl WOOD-ESPECIALLY SILL PLATES-AND REPLACE AS g NECESSARY. Z 8. JACK ALL FLOORS TO LEVEL B g WHERE NEEDED. d xxi �c G r...°�� r..." _ 7. LAY DOWN !- MELIAMINE COVER O a a: Gardner Tay/or �� OVER ALL FLOORS TO PRESERVE w ° £ F,,, f1 Nugted Q- EXISTING PLANK FLOORS. Lor 57 3 LOT 4 LOTi e O 8. EVENTUALLY, INTERIOR LOAD O BEARING WALLS TO BE REPLACED ,..m 3 WITH BEAMS AND COLUMNS DATE: (DECORATIVE). OWNER TO APPROVE BID PLANS: . Q BEFORE THIS IS TO TAKE PLACE. FINAJL SIONAG:N B. ALL WINDOWS TO BE REMOVED AFTER NEW ONES HAVE BEEN ^ �. HYANN1:3 AVENUE ORDERED. I•/J) �. 2 OF 2 DEMOLITION PLAN - - JBO-107-98 3 Foundation. Certification in- . Hyannis Port , MA. Pre ared For: John K. Figge Assessor's Map: 287 Parcel: 122-001 Baxter, Nye, & Holmgren, Inc. Community Panel Number 250001 0006 D1 D & 0022 D Registered..Professional F.i.r.m. Map Zones: A13 (el. 12.0'), A11 (el. 11.o), B & C Engineers and Land Surveyors Plan Reference: Plan Book 544 Page 91 812 Main St. Deed Reference: Deed Book 12,762 Page 337 Osterville, MA 02655 Phone — (508) 428-9131 Fax — (508)-428-3750 Owner: John K. Figge & Patrica J. Figge Job Number. 2003-101 Scale 1 30' Date 03-19-2004 BRB FND FND CBNDH 49 0 N A� bto 60. A Z AGE g roe a J & 30 � LOT 2 PLAN BOOK 198 PAGE 23 SO•� N/F REIK fX/SnNG o w ? STORY /V0.19 SRAM f Dw ry. / Cw1v y 2 / FND CB H ND S p MMINC FND _ ..c...�.+-++�:��. .- J.�_^..._-•'---'.-. oo��.. IP FND 22.4'� LOT 1 P'0ljlV��NG PLAN BOOK 198 C0 n0N PAGE 23 20.0' CA TfD N/F FESIIN A 31,8104 41 N S PARCEL. AREA c� SHfD PLAN BOOK 544 PAGE 91 c 44,812t S.F. Z 1.03f ACRES w w0 coPLAN BOOK 274 PAGE 18 N/F DONAHOE I FND 64y CB DH FND 4E 4?, V�� Ir11 v CB Np LOT 5 &). H 6 PLAN BOOK 55 PAGE 27 � ,52?, 91 fie, C ,v N/F DOHERTY fy J G ?0 � LOT 2� ay/ PLAN- BOOK. 48 PAGE.125 CB OH �/n / N/F POLAK FND I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE EXISTING FOUNDATION SHOWN HEREON IS IN COMPLIANCE WITH THE APPLICABLE BARNSTABLE ZONING DISTRICT SIDELINE AND SETBACK •�., REQUIRE AM SPECIAL FOCATLOODE IN RD ATIOAN TO THE MONUMENTS SHOWN AND IS NOT LOCATED �N OFWITHI A . JOH GM THIS PLAN IS NOT TO. BE RECORDED NOR IS IT TO BE USED TO •ESTABLISH PROPERTY LINES. Al E N 74 islfaE°,1 _ og 1� REG.IST ED PROF SIONAL LAND SURVEYOR N BAXTER, NYE & HOLMGREN, INC. DATE :!S" iC1 -~-----__. c r�/-IF-Al+- - kim E�il IQ N5 d doe it R�F. n puns �,�• _ N p� s l " a Atox 9.Alj a® ga% S. e-Cvtit o Ced4- Ah h® LO W4-c-P" ooI, Ekr.HL-A s a- no;-L,�-- po j PAO 72f, - 3� -Do0 lall ©, C, SCALE: �,`� APPR ED 8 DRAW N BY /V'� 4 _ g� l�NSiS10�' DATE:. �� {fj REVISED � ab,�._ �u:i1.��/e �✓;n���',s .P�f�-�oil A•� DRAWING NUMBER t LD w rn Q N a GOS EET ' > 2 D S� MgRsro o GJOO``�q GNU fN P m p ri CEAN SIMMONS POND L 0 C U S j IRANG � r� A`�E PJ 9� H Y A N N I S 7 H A R 8 0 R y .• O / U I LOCATION MAP I Q . _j HYANNIS QUADRANGLE SCALE: 1: 25,000 / ASSESSORS MAP 287 PARCEL 122-1 CB FND / ZONES: STPICTAQUIFER PROTErTin OVERLAY O, ZONING DISTRICT: RF - 1 �o MINIMUMS - CB FND AREA y 43,560 S. F. IQ FRONTAGE = 20' J WIDTH 125' I , eRB FND `~ FRONT SETBACK = 30' SIDE SETBACK = 15 2S00, C8 SET 0 _ REAR SETBACK = 15' r0 F' Sys• { 2? 1 UTiiIT'f ROLE #23 l f /E3RE3 FND 900 109 LOT 263 S,cjFFrs 2 � F 7 do PLAN BOOK 198 PAGE 23 �4 I ?209? �F,1 21.9 OFk� N/F POLAK o StNGLF 0 �UTIUTY POLE #22 FqM! NO - z ERPREt�q i 8rU1�17ON E1 OF PAVEMENT/BERM x PARCEL AREA r 44,812 Square Feet : q i€;:CF! r-lPES`~.' "91 1.03 Acres t / l Fi?�iNI7 \* ' �, 10,E z4 UTILITY W/l - F� I LOT 1 / `=�° 20 4 j rQp4s� � PLAN BOOK 193 PAGE 23 N/F REIK r 18 {� f I SEPTIC COMPONENT LOCATION PER -_ N /ry N P SEWAGE PERMIT PLAN BOOK 274 PAGE 18 \ No- 98-368 /y( 16 2 N/F DONAHOE %b 22 C8 SET v I FN 6 ti 3 Egy) ' 42• OO•\W 22 �q CB FND 22 �.. S-F O0r ^r�J C8 FND 16 LOT 5 Ij PLAN BOOK 55 PANE 21 J % J i N/F DOHERTY 22 cl3 E:1 PLOT PLAN i / 44j (( AT f \3� . I 4 1 r0 19 OCEAN AVENUE \\\� ¢o. � HYANNIS PORT, MASS. f t of is 20\ 20 FOR L 6 i PLAN B00K GIs PAGE 125 J. BRIAN O'NEILL r ti �`'/ N; F r'OLAK t�isrEto � /22 REVISED: MAY 25, 1999 L tX',% J' SCALE: 1 " = 30' FEBRUARY 5, 1999 2 / BAXTER & NYE, INC. 1 CERTIFY THE PROPOSED POOL SHOWN CB FND 812 MAIN STREET ON THIS PLAN CONFORMS WITH THE FRONT OSTERVILLE,a MASS., 02655 SETBACK AND SIDELINE DIMENSIONS OF / (508)-428-9L31 THE TOWN OF BARNSTABLE AND IS LOCATED J WITHIN FLOOD Z E C. A NON-HAZARD AREA. I GRAPHIC SCALE GISTERE LAND SURVEYOR \ 30 o 15 ao eo 12 & NYE, INC. 812 MAIN STREET \ r OSTERVILLE, MASS., 02655 ( IN FEET ) 1 inch = 30 fL LEGEND/ABBREVIATIONS .. ® ELECTRIC METER ® GAS METER 'o- - UTILITY POLE/GUY WIRE - z�, m = WATER GATE/SHUT-OFF Viq� Y 4S a + ysLi!-. = CATCH BASIN � n _ x yaao - SPOT GRADE ' ��----- CONTOURS = STOCKADE FENCE . IN , TREE LINE ElCONCRETE BOUND 4 V V '�. ✓1 4 J -i 1 f Vy 6 y r tJ/,I/ — �, BRB FND STAKE & TACK SET • PK NAIL SET _ FND ?S� 21,9 0 = IRON PIPE -A LACB D LOCUS MAP FND LS = LANDSCAPED AREA 2ooa 2,2 �p J►� UC1► uTIUTY POLE #23 � INCONC. CONCRETE LS N Fwq� ,� ¢ z IP IRON PIPE a SB = STONE BOUND 21.3 22,0 22,94* 4 Z CB = CONCRETE BOUND 23 3,0 p m v - z 3,2 �3.2 J LAWN 22.6 3.3 23,7 23.2 23.4 a Of - � i`` 47x 24 3___ 319 .�/ / LOT 2 -24,1 iv 24.4 PLAN BOOK 198 PAGE 23 2 h / 24,3 24.4`24.? >.. 3,. 4,9 �' �� o LS 3,o PROJECT BENCHMARK : NGVD / N/F REIK 1 22.1 x 24,7 LS 4 9 `� p TBM = CONCRETE BOUND ® LOT CORNER N ELEV. 23.50 W �/ DECK >4.: ??Qg . ZONING DISTRICT: RF-1 • 24,2 fkj UTILITY POLE #22 +o SnNG( , N 3.76 ,, cA OVERLAY DISTRICT AP (AQUIFER PROTECTION) \� LAWN cv F , 24.. % , .9 FRONT YARD = 30' SIDE YARD = 15' REAR YARD = 15' 2416 . 19/�qMf DN,�,�� ��LS ^�, 2.7 2 33,r 24.5 F126 3.� ``uNG �23.7 27 22.5 '`� 22.8 WALK ^STYE 23 24 EDGE OF PAVEMENT/BERM LS 22, LOCUS PROPERTY IS SHOWN AS: 6 Pgno 4.7 c 23•0 ASSESSORS MAP 287— PARCEL 122-001 ?4.`-. ' C �9� x rn ,'4 6 'Y OAR x 6 24,2 r4,2 / DECK ) �l 2 22,1 1 LOCUS DEED: I 24.3 25,4 ! "2?4 i D DEED BOOK 12,762 PAGE 337 \ 25.4 24, 24.2 25.3 J,5 ,1 STONE-/� ti a PLAN REFERENCES: !' 25.5 S • �E PARKING PLAN BOOK 544 PAGE 91 24.3 24,1 4� 2 WALK ��� ry 100&� '2 IP 2 4.1 SWIMMING:::-:-:-• W 21.5 �' FND 23,��ri POOL ..: LAWN S,.• 22, COMMUNITY PANEL NUMBER 250001 0006 D f 3 WE RE�g1 . 21.0 THE FLOOD INSURANCE RATE MAP DEFINES THIS AREA AS ZONE C, AN AREA OF MINIMAL FLOODING. 024, 23.6� 67 24 i r' i \� lyl LOCATION OF UNDERGROUND UTILITIES ARE APPROXIMATE AND i i s 24,6 x 24.624 ( ' ' SHOULD BE VERIFIED IN THE FIELD BY THE APPROPRIATE .... IP , ......- 24.7 3.9 2 ,� 1 � � �op UTILITY COMPANY PRIOR r0 ANY CONSTRUCTION. FN LS ^. REMOVES AND_RELOCATE . - ' 24.0 23,7 w A��jj 20.2 _ w - qLC Nc 70 THIS PLAN IS BASED ON AVAILABLE RECORD INFORMATION AND — — ►�� LAWN . 0.._ _ r r / _ .�. _ ..._ r- ._ EXIST'.� SEPTIC TANK - -_..PtrT;TING 4,0 •- �2 3 __ ,. pC e �' �E'tAt�.s �u'vL` A>r v'r THE GRt�t�3':'O.:F1Et.0.._:'URVLI` BY i?iIS FIRM AND D-BOX AS SHOWN 4 - GREED\ - 1 T 3.2r_,i, �N 12903 & 12 1003. LOT 1 23, _ PR x 1£�.9 0, FND 2 CB DH / / f 0po$c . �'� 19. 22. • PLAN BOOK 198 PAGE 23 21.4 .- 4, l i ! ; N FESTINA `� `-�- 24 3 -4.0 / ��,�7oN RopM } 1 19.5 PROPERTY OWNERS: REMOVE 4 CHAMBERS dt 20 d' JOHN K. FlGGE & PATRICA J. FlGGE r} " �'� 24.5 24,0 , x23. 22.7 ,/ oe6 JOHN WISCONSIN AVE PLACE 4' OF STONE AT END ` ! I 199 PARCEL, AREA % 9.5 / 1 r 24,0 PLAN BOOK 4.3 19,3 44 PAGE 91 N� CHEVY CHASE, MD 20815 I /STONE 24 '�". 44,I312t S.F. LAWN WALK N T 2:3.7 1.03* ACRES 1 3, '4.4 L K & r r / _�/I M. O r 214, 4. 4,6�j-- 24, t R �AT)oNs eok r �2.2�r' // 19,1 3 SyE17 c'rr 4' E�!$e 4 23.3 rrLAM /L5 x19,1 m C - 19 CV / 2 23.�. �.' �_, 2 4 �� ! MgFR x22,6 r r�r /,/ . 9.1 A PLAN BOOK 274 PAGE 18 r / \ 4�S 22.4\ "STEPS , `_ 2��BERi • /r '� / ,z� 8,9 ti N/F DONAHOE LS � i 22,3 x22,3 22 3 i 23,9 23,4 23,1. 22,6 i r / 4,0 2 / 19 Ocean Avenue 4,E ` 4 `. ! 23,0 22,5 a 2 \N,� r�,4 x22,3 N r x23.7 ,�� i 2 11 18.9 \ �° 2 1 x23 5___1// Ls �y� 18,6 Hyannis Port, Massachusetts \ 2 ,0 \ 22 1 ``_ _-----------14r-2,r 8,9 ]9,0 PREPARED FOR r N / , 2L'. LS/ j $ 3 22,0 21��! , x x-- ` ~ 1 9.3 , 18.8 AA John K. Figge ti 22, ` * ORI� � �� 1' 7 w 22,1 IP , s x 0,2 21.0 H S 23,E D 22, OBBLE x22,2 2 ,1LS s 20, 1.9,3 .17,9' ' V •'� I TITLE e� Tom. R 22, 22,3 J 21. Septic Stem Modification 3 22. 22, / LS r x,18,5r P TBMz J / �^ 19.0 CB DH FND EL 23.50' FND ®218 s BAXTER, NYE & HOLMGREN, INC. , £0 � LOT 5 22,1 21.9 �' `w / � 18 4r 16. PLAN BOOK 55 PAGE 27 3� ,� �, s � x Registered Professional ��'e 'r t N/F DOHERTY .' no +� , 8i, A 6,6 Engineers and Land Surveyors, 41 F, ;c,\ 812 Main Street, Osterville,Massachusetts 02655 1: \ Adjusted System Capacity Phone (508)428-9131 Fax - (508)428-3750 c3027 r5 CS D FND SIDEWALL (48'+12')(2')(2) = 240 S.F F / BOTTOM 48' X 12' = 576 S.F. 20 0 20 40 \ TOTAL = 816 S.F. SCALE IN FEET \ 2.2 \ X 2 ��.\ TOTAL SYSTEM AREA = 1,632 S.F LOT s SCALE:1"=20' DATE: 1/30/2004 �► PLAN BOOK 46 PAGE 125 PROPOSED SYSTEM LEACHING CAPACITY. \ N/F POLAK 1,632 S.F. X 0.74 GPD/SF = 1208 GPD REV. DATE: REMARKS col Q SEPTIC SYSTEM NOTES: 1. PRESENT LOCATION OF SEPTIC SYSTEM PER INSTALLER'S CARD PERMIT j 98-368 DRAWING NUMBER \ 2. FIELD ADJUST LOCATION OF COMPONE►!TS AND INVERTS AS NEEDED. 0., 2003- 101 surve worksht 2003- 101 s .DWG 2003- 101