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1420 SANTUIT-NEWTOWN ROAD
i j I -wf sco C�Os$y .-To �oME up w�Ptr�+� 4Y Sf ZOOS �-L) SMOKE DETECTORS O.K. ti o- - 4 B LE BUILDING DECl PT. v fj ol� \A I- ,- W f I CPU AX- x I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel"" ' 'ApplicatiOdh # Health Division 'Date Issued Conservation Division 'Application, Fee Planning.Dept. Permit Fee Date.Definitive Plan Approved by Planning Board Historic =OKH Preservation Hyannis Project Street Address qZL &L(Hat"f_Newkwn FL;7 Village Owner.. Deb=h 00DA Address Telephone _.5VZ_ q0 Z0 D2 Permit Request 'NeA 00 Sqbare feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain- Groundwater:Overlay Project VqLuat i o ra-,,L 0,00 Construction Type Lot'Size Grandfathered: Ll Yes LJ No If yes, attach supporting documentation. Dwelling -Epe: 9i gle Fa4ily Two Family LJ Multi-Family(# units) Age of E)ting fix' #f r Historic House: L3 Yes LJ No On Old King's Highway: Ll Yes L3 No CD BasemertkType_1_)L3 Full Tu Crawl Q Walkout LJ Other Basemerfainisffg-*d Area g 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 Ll Oil LJ Electric Q Other Central Air: Yes LJ No Fireplaces: Existing New Existing wood/coal stove: L3 Yes Q No Detached garage: Ll existing L1 new size_Pool: Q existing U new. size Barn: Ll existing L1 new size Attached garage:?existing U.new size —Shed: LJ existing LJ new size Other: Zoning Board of Appeals Authorization E3 Appeal # Recorded L3 Commercial Ll Yese No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Wf4T. )rl�- Telephone Number Address Maw St . 1140, -3 License #_ Q20 Home Improvement Contractor# OS� lWorker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO w6d SIGNATURE DATE �-N-0 U s FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. k *, ADDRESS VILLAGE OWNER DATE OF INSPECTION: y FOUNDATION 00 1 L3�� FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ,i PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING � o Lai Pw4— DATE CLOSED OUT ASSOCIATION PLAN NO. 02/27/2002 08:07 FAX 001/001 Jul 14 09 09: 21p SCOTT PERCOCK BUILDING L 508 428 7625 p•� Town of Barnstable Regulatory Services a a _ • M Thomas B.Cr,'ler,Mnctor • NAM • Bufilcbmg'D�iOdou Tom Perry, I�Aldizg co oimsioner 200 Mafia Strout. Hyannis,MA 02601 Office. 508-862-403$ I Fart SQS-790-6230 i Property Owner Must Completr an a Sign This Section If Using A Builder I 622 ,as Owns of the mbject property cre6y autbo&e S to uct on 1n behalf, hm f p in all mutes relative to work autho'dzcd by this but&ag peomit application for,: II . � w� 7Ed, � - (Addr,Css of Job) Signature of Qwaer Date print Name Q,�roxM4ow�re��MzssloN . 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: Registration:,_ 151853 Board of Building Regulations and Standards Ezpiratior; 7j7/2010 TdE 271501 One Ashburton Place Rm 1301 Type: Private Corporation Boston,Ma.02108 SCOTT PEACOCK Bl11LDING_ &REMODELING INC '} JAMES PEACOCK > t 1046 MAIN STREET 18UITE;7_. " C. ,` 7 OSTERVILLE,MA 02655 ' Administrator Not valid without signature �fieB�7l�'�C� � �CDII License: CONSTRUCTION SUPERVISOR Number CS 094500 ;. Expires:07/22/2010 Tr.no: 94500 Restricted: 00 JAMES S PEACOCK . PO:JY 171 OSTEVILLE, MA 02632, Commissioner The Commonwealth of Massachusetts Y Department of Industrial Accidents r Office of Investigations t 600 Washington Street . Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le2ibiy c Name (Business/Organization/Individual): S i) . & r' J00 Address: 0 m a t.J,1 &r LC 3 (s16W Ile P Pax City/State/Zip: a.-krol to tun bbs�- Phone#: Are you an employer? Check the appropriate box: Type of project(required): 1.[ ] 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. 7. ❑ Remodeling shipand have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance. required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ 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.❑ 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#l must also fill out the section below showing their workers'compensation policy,information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :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: Policy#or Self-ins. Lic. #:-. 0o ' vl� 9 6OJ Expiration.Date: VJ Z )0 Job Site Address:__q?,l) < �� � '�(:� �. F—W! City/State/Zip:Wt ;M 62&3� Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). :Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ertify under th ains and penalties ofperjury that the information provided above is true and correct. S i ature: c Date: L( d Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town:' Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone M k ACORDTM ; CERTIFICATE '^ LIABILITY INSURANCE - , DATE(MM/DD/YY) - 7/14/2009 PRODUCER _ __ _.,_.. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE GERMANI INSURANCE AGENCY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 908 MAIN STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. OSTERVILLE, MA 02655 COMPANIES AFFORDING COVERAGE COMPANY A SAFETY INSURANCE INSURED COMPANY` , SCOTT PEACOCK BUILDING&REMODELING B AIG AMERICAN HOME ASSURANCE CO PO BOX 171 COMPANY OSTERVILLE, MA 02655 (•, COMPANY D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED B Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, _ EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION 'LIMITS LTR POLICY NUMBER DATE(MWDDIYY) DATE(MWDD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000 A X COMMERCIAL GENERAL LIABILITY CP00001152 07/05/09 07/05/10 PRODUCTS-COMP/OP AGG $ CLAIMS MADE 1:71 OCCUR PERSONAL&ADV INJURY $ OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Anyone fire) $ MED EXP (Anyone person) $ AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS • BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY. $. NON-OWNED AUTOS (Per accident) ----- PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $' AGGREGATE $" EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ - WC STATU- OTH- 'S COMPENSATION AND 70RY uMlTs ER B WORKER WC 007-45-4805 06/22/09 06/22/10 EMPLOYERS'LIABILITY EL EACH ACCIDENT $ 100,000 THE PROP II� INCL _ EL DISEASE-POLICY LIMIT $ _ 5j00,000 PARTNERS/EXECUTIVE C-� - " OFFICERS ARE: EXCL - EL DISEASE-EA EMPLOYEE $ 100,000 OTHER x - , DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS i. 'r �CERTIFiCATE HOLDER ., _.. .. Kww *' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE A EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ATTN.: SALLY, 10 DAYS WRITTEN NOTICE TO"THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY TOWN OF`BARNSTABLE OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES. FAX#: 50$-790-6230 AUTHO �P R�EPPR/E�SEENTATI/V/S/��//���' ACORD 25,S 1l95 '° ©ACORb,CORP4RAT N J988= SoNq I� �t \` . �� ' �� -- , �1: �. f � 1 �" - r�` _' a _ '.. __. . :. �� .._.. r�!+�= r• J 'eL � d d y d o� y VOA d Yj/d aL d ,v d � o- ,y t 1 y O� UPDATE PERMIT RECORDS: ADD CHANGE DELETE PRINT FEES HELP END r' CHANGE RECORDS IN PERMIT TABLE PENTAMATION----------------------------------------------------------- 06/29/04 PERMIT NO. 74915 PARCEL ID 000 000 115 1420 SANTUIT-NEWTOWN ROA PERMIT TYPE BEADALTR WIRING-RES . ADD/ALTER DESCRIPTION WIRE BASEMENT STATUS C COMPLETED APPLICATION DATE 02/24/2004 DATE ISSUED 02/24/2004 EXPIRATION DATE DATE COMPLETED 06/28/2004 MASTER PERMIT VARIANCE VALUATION 0. 00 BOND 0 . 00 CONSTRUCTION TYPE 753 GROUP TYPE 1 CONTRACTORS A11359 MEDEIROS ELECTRIC ARCHITECTS/ ENGINEERS/OTHERS ENTER Y IF ALL ARE CORRECT OR N TO REENTER LEAVE BLANK FOR NON-PROPERTY RELATED PERMIT TR -C L I FOR HELP. I UPDATE PERMIT RECORDS : ADD CHANGE DELETE PRINT FEES HELP END CHANGE RECORDS IN PERMIT TABLE PENTAMATION------------------------------------------------------------06/29/04- PERMIT NO. 74915 PARCEL ID 000 000 115 1420 SANTUIT-NEWTOWN ROA PERMIT TYPE BEADALTR DESCRIPTION WIRE BASEMENT INSPECTION REQUIRED REQUESTED SCHEDULED INSPECTED RESULT INSPECTOR BEFIN 06/18/2004 CGI BEFIN2 0.6/28/2004 A WAMA BEROU 03/10/2004 A WAMA BESER ENTER Y IF.ALL ARE CORRECT OR N TO REENTER CODE OF THE INSPECTION. CONTROL-I FOR LISTING .10-03-20935 a 12 a 48F:r � t� Deborah G. Colton Fi 47 Harvard Street, #A 110 Charlestown, MA 02129 September 12, 2005 Town of Barnstable Regulatory Services Building Division 200 Main Street Hyannis,ALA-02601 To Whom it May Concern: I work in Boston, at the Massachusetts General Hospital, and maintain mUrincipal residence here in Charlestown. I own a second home in the town of Cotuit at 1420 Santuit Newto_wn Ro:ad. My Cotuit home is used for weekends and vacations. I have finished the basement of the house to enable me to entertain my family and friends. It includes a big screen television, game tables refrigerator, sink stora a cabinets bathroom office and storage/utility e/utilit gg g Y room. Sincerely, Deborah G. Colton on dash day of 20 0 faders:: me, die'undersigned notarY public., personalty appeared.' proved`t0 a Mm* SatlSlaCtOry BY10611Ce Of iderdficabn which'were aA/�_C.IcGrS�to be Its P�ram. name is'.4W on ft pwcedieg or atirdw documerd sw acknnW'ed to me drat he/she signed d vokodariv for its sm P PATRICIA—J.EN P ya,es a `�! . s My Commission Expires Ma y3 'A � d r����999 y'rSlUyc, 9fC� rypt'� �f 1 _ BARNSTABLE COUNTYwu n rx REGISTRY DEEDS A TRUE COPY,ATTEST JOHN F.MEADE,REGISTER - —: _B-ARNSTAELE REGISTRY 4F DEEDS =. .._ ...._ a u '5 ��o lye 0 1 1 09/12/05 MUN 14:37 FAA U VV.L Deborah G. Colton 47'Iiarvard.Steet,..#Al10 ' ' F Charlestown,'NIA 02129. September 12,ZQ05 Town of Barnstable Regdlatory;}crvices Building Division 200 Main SI: eet Hyannis; M 4 02601 . To WhmnitMay Concern: _ I worle trrBo stun,at-the Massachusetts General Hospital; and maintain m it at I principal residence hexe in Charlestown. i own a second ltorne in the to Santuit IgM4town Road. M. .Caba110me is used for weekends and vacations. I have.ludes big sereeittelteoif t he house to er.��.ble me to entertain my family and friends. It mclu es g game.table;refrigerator,-sink,storage cabinets,bathroom,office, and storage/utility room. Sincerely, ( 3 Debiirah G Colton Y? -ems g LA, ! __j CD C � � N PL Aug 05 05 02: 13p L508J428-3399 p. 1 PEACOCK & CROSBY BUILDERS, Mc. 111'plain Sire&,Unit.7 Fast Office Box Ili! C_lsterville, MA W(555 Phone(508)428.69()5 Fax(508)42,8- 399 FACSIMILE TRANSMITTAL SHEET COMI'A.. 1 c/ DATE: f. E1 FAX NUMIiPR: # OF PAGf-,S I.NC UDINC.r (.OVER: 13 ©URGENT ❑F 0 R ill V l D F-OR YOUR li SE 0 PLEASF. 1'tl?J?Gk' NOTES/COMM'ENTS; L.jj AL4 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) Im A DATA Rug 05 05 02: 13p (508) 428-3399 p. 2 I, P.% 1v, Department.of Regulatory Services t + BAR ABLE, XA&& BUILDING DIVISION BY II11S PL•RMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPE01-'ICALLY PERMITTELI UNC7E?THE&ILOING COt C,MUST OE APPROV EO BY 1 HE JURISDICTION,STREET OR A' -N GRADES AS WELLAG DCFTI I ANC LOGATIQN 0,rLJOLIC rrWEnr MA\'DC QOTAINCD rnQM TI IC OCrA(1TMCNT Of rum"IC'A0170KS.71IC ICCUANCC or 1.1 I11 I IT DDES NOT RELEASE P IC APPLICANT Fr(C)NR 7hr.CONQ(TIONS OF ANY APPLIC.A54E(,;U6QIVISiCN RESTRICTIONS. MINIMUM OF FOUR CALL NSNECTIONS REQ)IREL\ FUR ALL CCNSTRJCTIONWOW APPROVED P.-ANS.MUST BE RETAINED ON !OS AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS TIits CAr1O KCrT rOSTCC UNTIL nNAL INsrr Tier: PERM TS ARE REOWRED I OR 1.PRIOR TO COVERAG STRUC UHAL MEM8FRS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCu (READY TO LATH)_ PANCN IS REOUIRIED, SUCH BUILDING SHALL NOT BE ELECTR'CAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANiCAL NSTALLATIONS, a FINAI IN"FXnTiI;)N fiFFORF 0(MjPANCY I ROJLOING I�NISPPECTIO7N AAPPROVALSr-t� PLUMBING INSPECTION APPROVALS ELE RICAL INSPECTION APPROVALS r 3 + HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH T OTHER. $11TE PLAN REVIEW APPROVAL WORK SHALL NOT PROCFEI} UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVEC THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF COINSTRUC• MONTHS OF DATE THE PERMIT IS ISSUED AS TELQ PHONE OR WRITTEN NOTlFlCA• TnN,. NOTED-ABOVE, TION. i Results Page 1 of 1 Licensed Contractor Look Up Select the search method: IN-ame , Maximum number of matches: 10 Enter Search terms separated by spaces. Iscott peacock Select Search type: r} AND OR Search Results City/Town Name Type Lic. # Restriction Expiration Street - State Zip PEACOCK, 53 LUNENBURG HIGHLAND MA SCOOT J CS 54375 00 OS/10/2006 01462 ST Total of 1 Records matched. Back to Home Page BBRS Privacy Statement http://db.stat'e.ma.us/bbrs/contract.pl 8/18/2005 r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 00a / y 8 Mai— �-Parcel Dt.,. ,,, Permit# � !A BLE Health Division iAltla Date Issued , .03 /�, Try =r- . Conservation Division Tfp s /a��?6'l� rees�` " 3371 9 1, f Application Fee Tax Collector Permit Fee ---SEPTIC SYSTEM MUST EE Treasurer - INSTALLED ON COMPLIANCE Planning Dept. WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AN[ Historic-OKH Preservation/Hyannis iGmoms_ 5-4C0 P/1,ful.15 Project Street Address 111 R0 J 111�C�.1 f Oe(O�ha)o POSId. Village (,QbL t Owner _ I),O boy _b c 0 ltd(11 Address (� Telephone LQ Permit Request .1 NTS-0 RAS leffN.E-N i — PK�-b 0 DE& EXl-�1 TNl� 1< 1R r2 VC� 14 x ti Ll PM.V T ®_F All Square feet: 1 st floor: existing )Z'90 proposed 11=10 2nd floor: existing proposed Total new �o Zoning District Flood Plain ` Groundwater Overlay �P- Project Valuation Construction Type �✓ Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Cy Two Family ❑ Multi-Family(#units) Age of Existing Structure D V-WLOHistoric House: ❑Yes n Old King's Highway: ❑Yes Basement Type: &Hru"11-- ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) C - D Basement Unfinished Area(sq.ft) J_1)4 Number of Baths; Full: existing new ( Half: existing / new w Number of Bedrooms: existing new A41 Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: WG_a's__❑Oil ❑Electric ❑Other Central Air: & es ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ZLN4a- Detached garage:11W fisting C3 new size Pool: ❑existing O new size d Barn:0 existing ❑new size Attached garage:0 existing ❑new size 0 Shed:lldexisting ❑new siz q Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded 0 Commercial ❑Yes 'Ulo If yes, site plan review# Current Use c D Proposed Use BUILDER INFORMATION v� Name CL Q 0(_A If_11rz> 64 Telephone Number Address mo—C1'1 I 8All �0• x4Sl icense# l� 355 Msf-e,,r ut k PA a6is 5 Home Improvement Contractor# 15137 Worker's Compensation# IN L &41 ALL CONSTRUCTION DEBRIS RESU G FROM THIS PROJECT WILL BE TAKEN TO S SIGNATURE DATE 1 r FOR OFFICIAL USE ONLY - t PERMIT NO. DATE ISSUED 5 a MAP/PARCEL NO. `Fi • ADDRESS - VILLAGE' OWNER r 4 '•t j DATE OF INSPECTION: t , j FOUNDATION FRAME INSULATION ; FIREPLACE ..a i a ELECTRICAL: ROUGH • FINAL PLUMBING: ROUGH FINAL ` GAS: ROUGH= "" FINAL FINAL BUILDING ' ® DATE CLOSED OUT ASSOCIATION PLAN NO. e f ID 1 : To" of Barnstable SHE Regulatory Services L BAMsresr,E, t Thomas F.Geller,Director - M,►ss. ' 94ipT16 9. •tN Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Offic e- 508-862-4038 Fax:- 508-790-6230 Permitno. , Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION r : MGL c. 142Arequires 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 ! Estimated Cost '(Address of Work: 1`?do la� Owner's Name'_I Date of Application:_ I J I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law []Job Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c,142A. SIGNED UNDER PENALT S OF PERJURY I hereby apply for a permit as the Fut of the owner: Z Date• Contractor Name Re gistrationNo. OR n„+e Owner's Name i The Commonwealth of Massachusetts Department of Industrial Accidents Office oflayests offeos _ 600 Washington Street -_ Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name: ® ' ' location. I`T�n ���7L L � � • ph one# ci ❑ I am a homeowner performing all work myself. ❑ I am a sole rietor and have no one workingin ca achy %/G7ac%/ kers' co ensation for mp employees working on this job. �. Y Y,+. 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'Y};%2•}:?v:•}}.v.J•x:..•.:.}5}}h•.\•na:•v;}v':,$•,• .r.;},rw?} ....v..... .........r 7= ,.n. ...r.. ......... ...... ..r... .a......... ...:.....} ..r....v.. .......................:.v:::::.vF:.,.::::::::-: ...v.. ::::v;v,'.:.}::i}.,r.I,+•.:.:. '{}:}v.{•}�'Y .....^w.v....•^v^•:r.....w::.....�..,... .....,•::::•.,.....,..v...... ..;:.;.. r.....,.....-•:v:nv:•.. ?.v::.:^:v:::.;. •jj aired corder Section 15A o[MGL 152 can lead to the imposition of criminal penaltin of a Sne to 51,500.00 andlor yaitme to secure coverage as req a one yam,imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a Sae of$100.00 a day against me. Imrderstaad copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. and penalties of perjury that the information provided above is trw anti tarred I do hereby certify under the pacts Date ITT il�� Signature Phone# Print name oMcial use only do not write in this area to be completed by city or town of l peradttlicense# C]Building Department city or town: ❑Licensing Board ❑Selecbnen's Office ❑check if immediate response is required ❑Health Department contact person: . � phone#; -- ❑Other O vised 9/95 PJA) ' , 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 occupant dwelling dwelling house having not more than three apartments and who resides therein, or the o pant of the lhng 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 incn*ance as all affidavits maybe 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 yqu 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 permit/licens 'number which will be used as a reference number. The affidavits may be retarhi3'in 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. .�Departrnent's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investlgatlons 600'Washington Street Boston, Ma, 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 r RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSFlEET NEW LIVING SPACE \ square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTER.ATIONS/RENOVATIONS OF EXISTING SPACE I�-F square feet x$64/sq,foot= J�9 3 yob x.0031= s plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0031= 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 $150.00 (plus above if applicable) ✓� I'L Permit Fee projcost y „� �1e -�omvmazcueal� o�./�aaoac/u�aelta . . I BOARD OF BUILDING REGULATIONS I License: CONSTRUCTION SUPERVISOR Number."' , 043556 Expires 12/1312004 Tr.no: 4902 Restricted 00 r SCOTT E CROSBY 62 CROSBY CIR OSTERVILLE, MAd tor ini _= Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of.Building Regulations and Standards Registration: 131378 One Ashburton Place Rm 1301 Expiration: 7/13/2004 Boston,Ma.02108 Type: Private Corporation PEACOCK&CROSBY BUILDERS, , kbTT CROSBY 1112 MAIN STREET UNIT 7 OSTERVILLE,MA 02655 Administrator Not valid without signature • r 7 R] �.t�a'"rafh"v •3r i".r t; ,c Wn t. r a r- A c yy% �. 'fi. - F'N'i�f'�, `''3^ �-.. ,`�;"4+�±,yi'' F � -: �'�,W`4 .. i ry,t:-,- r -,: y+k. ilE x ,-pi t t � t,t! F," �, �. 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P pd ttlr.Y y3, N s , '' u 9�'k D t._:�1-1-1 I�f�1a r.'y �$t3 a�.9 j1"A^y ;!ry, yrr 4r t'r Kam` �^ v .y „� r^`4 - r s -�..:r k 4 +J - k ✓rs'ia-,, .Mtn +y '`t"i � { r 7... t11, 2i G-rw v rt.t7 y :- ,� 3.;rr -P y S f tl{.k°'y°.ra,+, r s. c'�:r %%*r ,Zjk "wn;i.. 7{a 1 A..- * - ! ! v _ P Y.r F a r• �'5 ( -�, .9 1 :'�Rr�' <'�*a=Y * 3'Y, e .s'''{"L't'v f``bix s' . .} d.L ',4 f rFd: >1 y t..- k +�" r a r'.F t} si e`" i r•^+> T rn,� +' �sk.,,j ��j4,".j•-,s'S a It 11 I - _r Ji M4 M,.a.' : ✓ri />•'1 i'1 5^e �+ki-',QHf .�. , , a a r d- �; pia R &-r' 3 r z`Ai y7•a"�r a- s• "' ast* r *� i `t. F { .t .v r, �. .� x t 36t it w,AL err n }Ft;:a,. r,;�' �s 17 �r, FORMS 0VACRP2S MIMSTON `, r w - s N d:* ,L ' : .4 k d IL*`! 2 � w--'• X J .. ,. k ", ,. �1 wCo.ctt'+" "{q+{• �, '..�*4, 5tt , + e t44 i �£�4¥x.•i j* € T00 ' I�{a ,31 A'. "- + - ,`° _ ; v}+,.4 ` ,' �4� %V3 6Z;�,ZT �fLL £0/£,Z/ZT z:' x r _ ,,s r a 'c:•r F ,,.y" Y ,s'.r fy,„r;.7a � #r Ya-ra'Y � r k fi s i i*' j #^r'r`a'tcY.•'' r k •�+rKr . -�_. . , ,.. n:-'„ ...-.. ,.T -..... ,-.�- .� s-= >.....r. „.a_._...'p, _�..._,. Lti..'..€':i .a.,...r..._,ir-L +'3xm;'. h` '_ _r.. G 7 T v� 3 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map O Parcel - qq. Permit# y fll Health Division so DaLe Issued Conservation Division ,P Fee �5 ��—� 9 � , �Tax Collector � Treasurer .10 ? SEP C SYSTEM MUST BE f - o Y� �NBTA!.LED IN COMPLIANCE Planning Dept. VM TITLE b Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND TOMB+!REGULOA.4ION3 Historic-OKH Preservation/Hyannis Project Street Address �� �� � �f4 ` Village � U " Owner ®4-6� C.� Address S a,,_J2_ Telephone Permit Request_I _QaJL Gcy-Le_&aa C'a`Lc � f �( 2 q �x to .7 Square feet: 1 st floor: existing A) proposed 2nd floor: existing proposed Total new Valuation 4 gb,000.' Zoning District Flood Plain Groundwater Overlay Construction Type W C4 rcou� Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Q1'_ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes On Old King's Highway. ❑Yes L_J o r Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) dVl�_ Basement Unfinished Area(sq.ft) Number of Baths: Full: existing° new © Half: existing v new . C.)/Number of Bedrooms: existing-- new Total Room Count(not including baths): existing _ new 0 First Floor Room ount CZ) Heat Type and Fuel: 3F�ai ❑Oil ❑ Electric ❑Other "' Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes O No Detached garage:❑existing I"new siz Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ®new size lk!'),9—Shed:❑existing ❑new size <-- Other: --� Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes If yes, site plan review# Current Use ` Proposed Use C2. BUILDER INFORMATION ��� �0 Name rI �-° � Telephone Number Address 1.� G�I�,v� License# DLj5`�6 Home Improvement Contractor#G13J 3 7 Worker's Compensation# TC D 9�i1a� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO at_ La4( SIGNATURE DATE FOR OFFICIAL USE ONLY i PERM NO. DA ISSUED .'MAP/PARCEL NO. r ADDRESS VILLAGE r OWNER s DATE OF INSPECTION: L- FOUNDATION ��-(a -(� (� �r Y►1,'�- FRAME C 1, D Z'-b 'O3 O�x INSULATION 4 f FIREPLACE s ELECTRICAL: ROUGH .FINAL PLUMBING: ROUGti FINAL it �` 3-- • GAS: ROUGiE FINAL ' FINAL BUILDING rn go DATE CLOSED OUT ` c. • � c x ASSOCIATION PLAN NO.e 0 } y n The Town of Barnstable BARN TAMI°'.'�-- .. Department of Health Safety and Environmental Services 039.N ASS. o P�Fo MAC Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: Map/Parcel: Project Address: ��{ao 54-.V 7-0/T Wer: C v rU 7— The following items were noted on reviewing: y S/���i�l ��.�• �r�-�~�-v .ao-aiz i4T� 3��.�-r� �G ��-iZ.�F 3 Reviewed by: Date: q:building:forms:review THE T ' .The Town of Barnstable 9 � D~partment of Health Safety and Environmental Services 059. ° Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no.. . Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION . MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied . building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or wilding be done by registered contractors,with certain exceptions,along with other requirements.. Type of Work fjz"-14 Estimated Cost.. GVD -77 Address of Work: 7d-© Owner's Name: (// C' '` Date of Application: ��) 6 O 2— I hereby certify t ,: Registration is not required for the following reason(s): ❑NVork excluded bylaw ❑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 11.1 ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the ent of the owner. Date Contractor Namdl Registration No. OR x Date Owner's Name q:forms:Affidav The Commonwealth of Massachusetts Department of Industrial Accidents Office 011HI 119811ans 600 Washington Street Boston,Mass. 02111 Workers' Comyensation Insurance Affidavit name: location: L G city 0A t phone it 00 ❑ I am a homeowner performing all work myself. ❑ lamas I d have no one tivorking in any ca ,city ❑ I am an employer providing workers' compensation for my employees working on this job. comnnnv name: T' C 8 0 bG t'l A 0,A6 S r�Y �U L-bEp S =10 L address: :;,.:.•.. . ,..:.:.::;:.;..;;::.:. city: OSTERVIL.LE n M 4 Da,b nhone#: insurance cn. A A LLALJ1_ (. nllcv# TC ❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who have the follo«ing workers' compensation polices: companv name: address: city phone#r insurnnce Co. Dolicv#.. .... ... .:...... :..:.. '. <•;;:« '#i ';;<;;:. comnanv name: . . ....:....:.::...:..,..:..,. .: ... address: " city. phone M inuprance co. 011ev# Falture to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a One 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 One of$100.00 a day against me. I understand that a ' COPY of this statement may be forwarded to the Orace of Investigations of the DIA for coverage verification. 1 do hereby ertify under the p and penalties of perjury that the information provided above is Irma and correct sigiatur — ` Date 6 Prue e I , JCof PP 0 Cccc:�� Phone# 6?D Z C[11, use only do not.write in this area to be completed by city or town otncial own: ° perndt/llcense q' Mudding Department OLlcensing Board if immediate response is requited ❑Selectmen's Office ❑Health Department person: phone q; ❑Other ttrAm 9,95.PJA1 _ 1 '' r.,..., �I ✓/16 Z000)YI)t0'YtlllB � ' - ,. � -.a�i ✓�acl�idell6 BOARD OF BUILDING REGULATIONS ! ;License: CONSTRUCTION SUPERVISOR ; : Number CS O43556 [ 1 u Expires, t2/13/2002 Tr.no: 4782 p,I Restricted SCOTT E CROSBY 62 CROSBY CIR '�' !�+ OSTERVILLE, MA 02655 Adminlstrator ' 6 1 ,C/709IVIYL092lUPaa 4/✓ZZC jjo..r/z e0* Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration:. 131378 Expiration:-07/13/2002 Type. .. PEACOCK&CROSBY BUILDERS, SCOTT CROSBY .' 1112 MAIN STREET UNIT 7 rf OSTERVILLE,MA 02655 Administrator RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 .5�6 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FFE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foots x.0031= plus from below(if applicable) ALTERATIONSIRENOVATIONS.OF` MTING SPACE square feet x$64/sq foot= x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>12.0 sq.ft� ;>M sf-500 sf S 35.00 >500 sf-750 sf 50.00 >150 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 r bf� Open Porch / .x$30.00- (MM3bF) Deck x$30.00= (number) FirepIace/Chimney x$25.00= (number) Inground Swimming Pool . .$60.00 Above Ground Swimming Pool S25.00 Relocation/Moving S150.00 (plus above-if applicable) ,— Permit Fee Fp LOVELL'S GF O POND Ila c 2 Ac 63 LOT 2 CONC. I FOUND. FFu 64.6' 3 l LOT 3 47,605f s.f. (1.09t cc.) y LOT 4 ' co OD y O CD O O b 4t JOB # 98-24E? L-3 CER TIFIED PL 0 T PLA N I LOCATION : SANTUIT—NEWTOWN ROAD COTUIT, MA SCALE: 1" 60' DATE : SEPTEMBER 3, 1998 PREPARED FOR: i REFERENCE : LOT 3 PB 532 PC 63 JACQ UES MORIN I HEREBY'CERTIFY THAT THE STRUCTURE SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON. `1N Of o"otf sod—" —4,"l_ �'r� ARNE S09 362-a880. O J H. o�vn cape er�giaeeruag, Inc. C^ CIVIL ENGINEERS ----- ------- LAND SURVEYORS — -- --- ----- ,p efe1STE�, b f9 main aL yormouth, ma 02675 DATE R s�o, s RVEYOR °PYRE A : . .•'Y The Town-of Barnstable aUrrsrAMA � Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner SHED REGISTRATION ly Location of shed(address) Village �uS14�1� � Vl'1lC_l•'►Q�� ��cSsC1 , SD $-� �%6 S�0 7 Property owner's name Telephone number bas" 611 0 �- Size of Shed Map/Parcel# 3- ,;L - OD Signature Date ' Hyannis Main Street Waterfront Historic District? x Old King's Highway Historic District Commission jurisdiction?. C�) Conservation Commission(signature required) '°'°'' PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. v THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg �OWN. OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 000 000 116 GEOBASE ID -ADDRESS 1.420 SAW.UUIT=NTEWTOWN--RO-A -- - COTUIT ZIP - LOT 3 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT PERMIT 35566 DESCRIPTION CERTIFICATE OF OCCUPANCY PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS; Department of Health; Safety ARCHITECTS: and Environmental Services TOTAL FEES: THE BOND $ 00, ,E CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATg P 0 >E�;� * BARNSTABLF, • MASS. 039. . Ep BUI G DIVISIO BY .DATE ISSUED 12/23/1998 EXPIRATION DATE TOWN OF BARNSTABLE -'; CERTIFICATE OF OCCUPANCY , PARCEL ID 000 000 115 CEOB'ASE I ADVRESS 1.420 SA.NTUIT-.NEW'OWN RO '`: :SHONE COTJIT ZIP LOT 3 13LOCK LOT SIZE .DBA DEV LOPMENT DISTRICT, i PERMIT 35566 DESCRIPTION CERTIFICATE OF OCCUPANCY PERMIT TYPE - BCOO TITLE CERTIFICATE OF OCCUPANCY COINTR MOMS; Department of Health, Safety ARC4ITr3CTS: and Environmental Services TOTAL FEES; THE BOND. $.00 CONSTRUCTION 'COSTS . $ 00 �_ CEtI"FC;ATE 'OF OCCtx�Ar�c� � PRIVATE MAS& 1639. ED MO'►l� •; BUI DIVIIO Y BY (( �. DATE ISSUED 1.2/23/1998 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. q 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--_ (READY TO LATH). FANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION.. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. j 'i BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS i I i 2 2 2 i 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL.NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED N THIS S 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. TIO.N. BUILDING I� PERMIT '', TBUABLE I LD I NG�PERM PARCEL IDS,-000 000 115 GEOBASE ID ADDRESS ,1?: 1420 SANTUI T--NEWTOWN RGA PHONE COTUIT ZIP LOT 3 BLOCK LOT SI7,E �-. DBA DEVELOPMENT . DISTRICT.--•---_....`.. PERMIT 31806 DESCRIPTION _ BUILD NEW 3BDRM SING FAM.HME SH:W.PT_W._j'8;385 PERMIT TYPE BUILD TITLE NEW RESIDENTIAL BLDG PMT CONTRACTORS: MORIN, J•ACQUES N.ARCHITECTS: Department of Health; Safety i and Environmental Services WTD AL FEES: $.�387 .60 $.00 p�rTME , CONSTRUCTION COSTS $125,000.00- 101 SINGLE FAM. HOME DETACHED 1 PRIVATE BARNMEIM MASS. A i639. M1CI A BUILD SIO BY DATE ISSUED 06/25/1998 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION 2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- PERMITS ARE REQUIRED FOR (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. 1 i BUILDING INSPECTION APPROVALS PLUMBING INSPECTI N APPROVALS ELECTRICAL INSPECTION APPROVALS ow.v&rw � s. •• 6.i.+►K�►w+��lis�s i2-,a/-9$ .tom 2 2 �v Jslf 2 _Y?095w�' "0'01 OIL) 3 1 HEATING I"CTION APPROVALS ENGINEERING DEPARTMENT L w� 12,23 `V �,�,+� �lJ' 8- hBOARD OF HgALTH OTHER SITE 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. �:i k .{' , ' TOWN OF BARNSTABLE BUILDING PERMIT PARCEL ID,000 000 115 GEOBA SE ID ADDRESS ,,d'` 1420 SANTUI.'T'---NEWTOWN ROA PHONE XOTUIT ZIP LOT 3 BLOCK LOT SIZE DBA DEVELOPMENT . DISTRICT PERMIT 31806 DESCRIPTION BUILD NEW 3BDRM SING FAM.HME SRW.PT. tt(J8,38E)-i PERMIT TYPE BUILD TITLE NEW RESIDENTIAL BLDG PMT 00NTRACTORS: MORIN, J'ACQUES N. ' ARCHITECTS: Department of Health; Safety .and Environmental_ Services TOTAL FEES- $387 .50 'fNE ND $.00 per CONSTRUCTION COSTS $125,000.00' 101. SINGLE FAM HOME DET.ACIIED 1 PRIVATE P'. I ;F * ■ARNSTABLE, *' 39. P p A BUILD ISIO BY DATE ISSUED 08/25/1958 EXPIRATION DATE i THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS. PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. BUILDING INSPECTION APPROVALS p PLUMBING INSPECTI N APPROVALS ELECTRICAL INSPE C TIO N *APPROVALS 2 2 , f s 2 A 3 1 HEATING I P CTION APPROVALS ENGINEERING DEPARTMENT 4!0('r lid i2 S- 2 BOARD OF HgALjH OTHER SITE ObtAREVIEW 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 v PoLccn. -ao© coo i Engineering Dept.(3rd floor) ap Parcel fr-ff Permit# .3!8' House# I Lf?_0 Date Issued 'Board of Health(3rd floor)-(8:15 -9:30/1:00-4:30) O `3 onservation Office(4th floor)(8:30- 9:30/1:00-2:00) CDe anning Dept.(1st floor/School Admin. Bldg.) finitive Plan Approved by Planning Board ^J-.e b 19 s - `�' " �® 4 y� 1 BE u =vc, L Alt) f--2Q4 u�z _� a LE L9 CE. TOWN OF BARNSTABLENVIR0�1E ' ODE AND NO Building Permit Application T® N Rt LAT'Oti Project Street Address -- ` .. l�o�© � /1/ fv/v OF�G�" ' a L o T' 3 Village © y,1 / 7 Owner I • lWolle//U Address i--300 Telephone S o 8 7 Permit Request COit/ST�^vcT //t/ e1/ First Floor —square feet Second Floor /o�� square feet Construction Type "!Z/0®ee Te-41,ZfE Estimated Project Cost $ /n2_�, 00 n Zoning.District Flood Plain ZvtiE C Water Protection ZVIP Lot Size ''1`> 6D✓�/- /.6.7 Grandfathered ❑Yes ❑No N1i9- Dwelling Type: Single Family 1--' Two Family ❑ Multi-Family(#units) Age of Existing Structure ,V I At Historic House ❑Yes M 10 On Old King's Highway ❑Yes ❑� Basement Type: RVull ❑Crawl ❑Wa lkout ❑Other Basement Finished Area(sq.ft.) N Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New oZ Half: Existing New No.of Bedrooms: Existing New 3 Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ffGas ❑Oil ❑Electric ❑Other Central Air ❑Yes trlqo Fireplaces: Existing New f Existing wood/coal stove ❑Yes pro - Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ffg-one ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# �� Recorded❑ Commercial ❑Yes I' Flo If yes, site plan review# - Current Use 0464W '- Proposed Use V . ,x cd� eo. 2;c,c�Builder Information r Name\ "/—_&e,, .3- /V, /P/Die 11L) Telephone Number Address c300 O� S 6s 4et,, License# CS Home Improvement Contractor# `"- Worker's Compensation# Roo l W 6 0 6 9 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. r ALL CONSTRUCTI N DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO /may SIGNATURE S DATE 6 LAB// : l� ell BUIT INGPE4 IT DENIED FOR THE FOLLOWING REASON(S) Is A n.. W.VIRRIN FOR OFFICIAL USE ONLY PERMIT NO. y :, Y• e '" �: i DATE ISSUED r ' '/0 M MAP/PARCEL NO. F r' . t,• r y*' ,� -{ ,fit a � r, ADDRESS r `' VILLAGE { n i ll OWNER DATE OF INSPECTION: FOUNDATION• - �> `. FRAME' • 71 INSULATION VV ` �0 FIREPLACE__ ELECTRICAL; ROUGH FINAL"/ M1 f it PLUMBING:_,. ROUGH + FINALE GAS: t�ROUC H - % FINAL,. FINAL BUILDING . DATE CLOSED OUT ASSOCIATION PLAN t.yn t4 a LI { National Fenestration °_ + Ld xanoxu w000 wixnow Rating Council �eDON f a Accredited s incorporated Certification < Program ANDERSEN CORPORATION S Manufacturer stipulates that these ratings were determined f( in accordance with applicable NFRC procedures. } Energy Rating Factors Ratings + U-Factor Residential Nonresidential Product Description Determined in Accordance with NFRC 100 0.47 Solar Heat Gain Coefficient �'47 Double-Hung Determined in Accordance with NFRC 200 0.59 0.57 Narroline® With Clear Andersen® Dual Pane Glazing NFRC ratings are determined for a fixed set of environmental conditions and specific Product sizes and may not be appropriate for directly determining seasons/energy Performance.For additional information contact.NWWDA 1400 East To nal en e., Suite 407,Des Plaines,lL 60018, Te%(847)299-5200,Fax (847)299-1286. z Meets or exceeds Model Energy Code&C.E.C.Air Infiltration Standard _ a t J i jaoc0`penes tre cm Rio National Fenestration AND DoLWOODWINOON AND DOOfl ASSOCIATION � ' Accredited Rating Council Certification j 9erie �oo�` Incorporated program s � I ` ANDERSEN CORPORATION I i Manufacturer stipulates that these ratings were determined fined I in accordance with applicable NFRC p Ratings Product Description + Energy Rating Factors Residential Nonresidential r U-Factor 0.29 0.28 Perma-Shield®Gliding Determined In Accordance with NFRC 100 Patio Door (Double) Solar Heat Gain Coefficient 0 0.35 0.34 Determined m Accordance with NFRC 20 With Andersen® HP Low-V Glazing are determined for a fixed set of environmental conditions and specific o NFRC ratingsro appropriate for directly determining seasonal energy o product sizes and may not be app P pert 407,Des Plaines, 60018;Tel:(847)299 5200,onal information contact:NWWFax(847)299 1286,Ave.,ve., Q ` Suite 407, . Meets or exceeds Model Energy Code&C.E.C.Air Infiltration Standards i Q. f� I MAScheck COMPLIANCE: REPORT V9 Massachusetts Energy Code Permit # MASchebk Software Version 2.0 Checked by Date CITY: Hyannis STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE: l or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 10-23-1998 DATE OF PLANS: TITLE: . COMPLIANCE: PASSES Required UA = 483 "f r Your Home = 454 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA --------- -- ---- ----- ------------------ aJCEILING5 V ~®-----_-�--- -----270030 O p O. 0 95 WALLS:'/Wood Frame, 16" O.C. 2310 11.01 3.0 177 GLAZING: Windows or Doors 218 0.400 87 GLAZING: Skylights 52 0.600 31 FLOORS Over Unconditioned Space 1350 19.0 64 HVAC EFFICIENCY: Boiler, 84.0 AFUE COMPLIANCE STATEMENT: The proposed building design represented in these documents 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 m in the Code. The HYAtd uipment selected to heat or cool the building shall be no greater t1250 of the design load as .specified in m sections 780CMR 1310J4.4. N Builder/Designer Date 0 N'1 �- MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2 .0 DATE: 10-23-1998 Bldg. Dept. Use CEILINGS: [ ) 1. R-30 Comments/Location WALLS: [ ] 1. Wood Frame, 16" O_C. , R-11 + R-3 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1 . U-value: 0.40 For windows without labeled -U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments Location SKYLIGHTS: [ ] 1. U-value: 0.60 For skylights without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No y Comments Location FLOORS: [ ] 1. Over Unconditioned Space, R-19 Comments/Location HVAC EQUIPMENT EFFICIENCY: [ ] 1. Boiler, 84.0 AFUE or higher ro Make and Model Number of o THERMOSTATS: m [ ] Adjustable thermostats required for each HVAC system. a: m AIR LEAKAGE: N [ ] Joints, penetrations, and all other such openings in the building +' envelope that are sources of air leakage must be sealed. Recessed U O mt lights must be type IC rated and installed with no penetrations or installed inside an appropriate air-tight assembly with a 0. 5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: [ J 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, glazing U-values, and heating equipment efficiency must be clearly marked on the building plans or specifications. DUCT INSULATION: [ ] Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-8.0. DUCT CONSTRUCTION: [ ] All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: ( J Rated output capacity of the heating/cooling system is not greater than 125% of the design load .as specified in sections 780CMR 1310 and J4.4. MISC REQUIREMENTS: Ln [ ] Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids m below 55 F, and circulating hot water systems. 0 m ----NOTES TO FIELD (Building Department Use Only)------------------------- m m N U O TRAh5,"11SSION VERIFICATICr•; REPORT! TIME: 02/05!1995 21:30 NAME: F:AX . -i EL . DATE,TIME 02/05 21:29 FAX 1,10. /NAME 97712115 DURATION EEC:spa:29 PAGE(S) 01 RESULT OK MODE STANDARD ECM M CMR Appaw&J 1 TableJL=b(coutiuuuQ Prescriptive Packages for One and Two-Family Residential Buildings Heated with Fossil Fuds MAXIMUM MINIMUM Glazing Glazing Ceiling Nall Floor Basement Slab Hewing/cooling Am'(%) U-value= R-value' R-value' R valuer Wall Perimeter EgWpmau Efficiency' Package R value° R value' $701 to 6500 Heating Degree Days' Q 12% 0.40 38 13 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal S 12% 0.50 38 13 19 10 6 85 AFUE T IS% 0.36 38 13 25 WA WA Normal U 15% 0.46 1 38 1 19 19PN/A 6 Normal V IS'/. 0.44 38 13 25. WA 83 AFUE W 15% 0.52 30 19 19 6 83 AFUE X 18% 0.32 38 13 25 N/A Normal Y 19% 0.42 38 19 2S N/A Normal Z 19% 0.42 38 13 19 10 6 90 AFUE AA 18'/. 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: .3 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): ./S 3 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-1980303a 780 CMR Appendix J Footnotes to Table J5.2.1b: Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights,_and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area, expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 ft2 of glazing area. 'After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example, an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,.but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. `The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. The R-value requirements are for unheated slabs.Add an additional R 2 for heated slabs. " If the building utilizes electric resistance heating use compliance approach 3, 4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall, floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 y�.r.w,,,y�,,���.-.,.,..r,t.,.,„� ,. y,,. .. � ., .. -. ,.,,.m,..;..r.,.- ..,.n.;v�..,yr.•.-,ny.. ,fir -...-..""1-ii'L.�''^ih�.:l;�.w,r•l'a�a..f'iy-.+'r.,is.r-ram. `Op 114E 10 The Town of Barnstable BARNSTABL E.�! Department of Health Safety and Environmental Services MAS0 Wm �0 Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice i J , Type of Inspection {(4 -- Location l 420- i,.0 Permit Number -3 Owner �M6 /t,j Builder ( E (�-�✓� One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: Ruc- S 17� Ct,_ Pit t Please call: 508-790-6227 for re-inspection. Inspected by Date .,skd'rscF'�w.?'�'. _n'+.��-,r.'.,.ti+ii.��.:'v�^w..��..ss:.-r.•,.,r..�h.,t:r•*i'�.r-'�^"'"K'Ct3s:'?'+..�-�'�+"� 'r+:t"..�hr.'.�'�'�'^�'^,.rgi4i+"d-a"S�4u%a^°&;�.'eFr 3d`+d��;•cn. - 'tt��a.e..: ''"�C:.:n �d:� �as`� - `OpfHE The .Town of Barnstable BARE.MASS. Department of Health Safety and Environmental Services 16319.N. Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection Location �j Permit Number Owner Builder � Cj One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: nv v► 2.cllV1 Q f Please call: 508-790-622(7 for re-inspection. Inspected by Date i The Commonwealth of Massachusetts . Department of Indwrial Accidents . '-' 6li/ceel/ndesugalyaos 600 Washington Street Boston,Mass. 02111 Workers'Compensation Insuranee Affidavit y cat ❑ lam a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any capacity l.am an employer providing workers'compensation for my employees working on this job. :.. .,..w.:..Hr:,..+»r +w.,...r., wH .Y w......... £YHw,r.r»:.. 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Ow n,.%µ.sw+in^.,n n v~.�•�• yYv.n . r s ... n.av„ n��•' y.v ............H:.N+...v K..rK,»HH....wNrr.w«.K ................wH....«.vw,+v+«•w.,,v., Hw.+.vv„Y.Y....>•.........,v............:r.�:..r.................::::.::'..r,'.i::.:..n...•+N•,•,...,N•H.+.H+ K...««w ...+v,+..aw+«vw+www.wn.. w°.wH•. •.»•:wreee•v'u•. n .�a..::.;N..v.,v..: ......:.,..:,,.........,•; .. ,., :«Y•'r• :..w'H w»..,,v^4:.wyn w:"w+"N"vH.:w:"'^""S+.v' <i•nHw .yeiH,vr ;%,Yw'.;f.?•,•..KY..,'v.S.;+K.:"..... l:ailure to aceurt coverage as required underSeedoa 2SA of MG 1ST contend to the Imposition of criminal penalties of a fine up to S1.500.00 and/or one years'Imprisonment at well as civil penalties In the form of a STOP WORK ORDER and it fine of SI00.00 a day against me. 1 understand that a copy nr this statement may be forwarded to the Office of lovestigations or the D1A for coverage verification. /do hereby certify under the pains and penalties of perjury that the thftrmaden provided above Is true and correct Signature Print name I�rC--® C .� 1M,0�.1 t� Phone g onldal 1.use only do not write iu this area to be completed by city or town official city or town: permldllcense a nBullding Deji OLlcensing B 0 check if immediate response is required (]Selectmen's llllealth Depa contact person: phone 0. Other (r visld 3/9S PIAI Am mvm,.,.ald o` 14aoap4u4eM I i DEPARTMENT OF PUBLIC SAFETY i CONSTRKIIO ,SUPERVISOR LICENSE Numtier� Expires: r i Res ri del N 1G 1..� �3 1 � r JACQUESN MORIN� 300 669SES''WAY VIU19"'HYANNIS, MA 02601 DEPARTMENT Of PUBLIC SAFETY ].f,�,,156 ONE AS;HBUR` ON PLACE.. RM 1301 BOSTgN;;QA 0�1�i9<3 1.G1t3 CONSTRUCTION SUPERVISOR LICENSE bIr tuber: Expires: RostricEed To: 1G Ez s JACQUES N MORIN 300 BE ARSES WAY HYANNI S, MA 02601 ....,..x. ....�__.._ .._-.. .._........_.......-..._.._......_.......... snow keep top for receipt and change of address notification. ...-,.^...`+-.x-1F^...+..rf�s..,,..�r-s.r{'-•ti_,.�e..-`...-+-+.+..-r.....-r.f�..-+-,-.,-,._..-._...,`„tnr- '",....--.-�...�^-'*'rn,.K,.-.-.... .,Mtl:vb-'aw�s..f:.say:.-..,.�,.afi„- � : _. ...,--..- ., .. ,y 'y tNE i The Town of Barnstable BA MASS.MAgl;.LE. ` Department of Health Safety.and Environmental Services 03939. `0� prED Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-7904230 Building Commissioner Inspection Correction Notice Type of Inspections Location 1 2-0 SN,4A � Qeermit Number Owner Y`'t CK Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: (iG - -- I L-22, Lf C,,) Ai- kE)- ILL Please call: 508-790-6227 for re-inspection. Inspected by Date Z--- 2 ' 0 CONTRACT DOCUMENT a I.. 1 We by ferlify' thi: ODCL!rrent r.•�re to cr: the Basis of our ConUac!. o Signed i . , r b J�}•tJx v�>3c�A 1 � �•2 CsmnaoN?Mr l ALL T21M Li �Ir'ezc - 1A e �en,enes m(rtc� ES G a .n/tYs T1 I i.B:oe.y.. LI.•..._i:+�'s2fl'-Q' �i ._ ��I � �tri►' 'f - - \v/,t UM `!l�SFII / 1V/8l J -L 1 1F100 f 44 1�lRaVE , `I G2: '� � I�• TNES9 PLANS MAY NOT RE ` J�-� %,�r� (� '{I._ ° `=F,''a:l'CSD IN'4VIi0tE G PART �' 0 T 3�E 9 E �tSCEFi ANY GiRCUI'i1STA.. l FS _,.!t=COD:?S TECSiROLOGI S,to': .t ? L._CUT-?;-+}:Is FOR COD E COr:�Pi I,.r, YAROSH ASSOL tES,INC - c 'C Y ;GV f;Atf2 LEFT OUR OFFI" . IF TF"S Pt ,1 HAS E£-'_'li StJC.';T^D LDI\G PERFMT Ai=TER /,L,..� i;' /�}HREC7S•?tJ1T�NERS scxce: -c3' �vraoveo ev ennwH By PLEASE CC UTAC T 6UR L,.:02 SO THAT WE A9AV RECHE IT . w? D 4mgwm ATE:0000 mw-bpe10-0649 oIJ- "(3osj 4n•j3t DRAWING NUMBER.!. At CwA,RlTTt�eo.ed,M HO�I a+wao aw ae"pWrmMr veaw • _ .` .. - - s , ter( 4r7 0• y— ----- — r---- D We hwc�y to be fhe Basis of our :c.:.:oc. u Ry i Q .. ... —_ Al L'o .o u°•LrLJvrJG >D ri/Q' shWa2Tt '/c.. ssL.f - - -�- _� _;.----...-_ .._ _._-.__: --- —•--+-->—••� Ili-/ ..IL T6 Ar-a t - _f"���il� ��'f7t�-0G� : � �li I I L+I�',�`'J�: f-dd I`� {1 T�O'I�'.IR✓I 10 pjba�J+�ft... � � J r.p, �.•>o.rZ. .l.4/•tt 4 LicaL cGO.G•r. , �I' ;�At+� viJu�J+pry -' L• -N i 10Y°J pJ A*'(It2 y i' _ _ t(' I �avoh e8WfN6 %� iLEMer/L` - - vr N .• �9'Yilr' l� a Vs�Nr�. 0 i �= ' 171tJIIJ l� 7 s ,.! `••', -tiaw4.c.r+a p w'z a��L r �Ho e.y�,.s prlrr o.z+.�t s { `I {- ---- - ............. rSF PLANS MAY.NOT BE P.L'�,;HODUCED Ito'WHOLE OR PART i f25_ L44rz UNDER ANY CIRCUMSTANCES. YAROSH ASSOCIATES•ING ARCFIIECLS•PLANNERS n WALE: By orarm By Lf #, n .DATE• ���'Meshpee,NU102649: ■ oaiwn�o nween "7 c1NMeTR M03p1v q0•. •wnEG P1 aw cwJlrm+r vui,r . . - 4. - - , � 1 4. t_.. — — — _ ._ . Wigs Fall b` FAN ti •J::--�`. 'Q'� oiaw•�rasvm 3✓'. _ , . 1. °,ios Oit�v.a7 4,C7 ae.� Pls«,G Q I N XV/ :bfL u_4DA" 9 . 1 i ' _ 0 �... ;' t�V Orate �i-y y_v Z''4' —- to 1} Z Ile CFIt� t.N Zq Lp 2� j r �E Pi.A!tiJ,al,RY NOT BE f;�'rF�t�JLCF.r !'i WHOLE OR PART Zve,e pt-J 1 �.v�f2 J�.�t�� UNDER ANY CiRCUMSCANCES YAWSH ASS6CIAT6;INC h 54'C'.J'p, rj� "16 Eas _ `.■ RAN ,�/ "s I-�" NvvROVED By DRAWN er JH DATE: ■ IR, ,:10Capeus Va _ (508)477.4731 ' — . � �.f We ut,y :.n.,,}Y this vOctiment + t i is oe I•,r 9r.'a } our Cenlrad. SY %at twgJr.Ta,004 Q Q:m'• 30'• W�t#COW per$Kit - ------------_. - - !`Va O��c.g•.rc.-lr�ivvry .t7"t,�ro I flafi=;.rltrrrpL�.c�- cory',�c? �t i N S df 6 v'.e a t.�n a r td vn,� iN Au c>zvanJc C 0 ' r1 tx• c r t '.rIU.-t ve<•J+c R7 N i /� -. . I 4 � , Mws nr o+kp 4 14 4' pt JD G MIL fO ' Ile hve� i- - - � UE`i t �a� - - �� j�f !y� ii(!j �� .•l_ ... __ a dj��2'�G,•� Lnu-;��•W✓INS ,_ Lp �p.(O /0 LIT.a✓Pr/•; —_ _. _.. — ;mil___ '— —_ —_ �.�-F'. / .__�_;�-_-______ —'! _. .... .. __....... — _ L f N I A 4 Lj, --- • i t -I ( - —0-. T - IZ- r-�rJT• c-r� F rvq`> • -F -Z A 0)I 0 !. _ _...... ... ._.. ... _ .. .._. ..... ... .. f - MAY NOT 8 IN WHOLE OP.PART UNDER ANY G1RcuhlSTc.hICES . .emu• YMOSHASSOCIATEs,INC. �e.�ttJt��TInrJ K F7 IL i. w :HtTECTS PLANNERS sc�uE.I I'a I t• n avvaovED ev DRwwN By J www DATE: www iO Cape.Drive:.. www Mashpeet MA 02649 �508)477-4731 • w 'D-;W G NUMBER -- ROOF ri-VALUE 5 ie \ 043 I IVJ:JLo,T•�.:: ... _ _ 1 i71 'rtj lI I L. I f I J +1 (? IV •�'. .. IN^-.!:c/.lit 1'!-,•• � O.RI .. N! TOTAL z y•._..._ .. .L3 • h 1 Tornt u N 0.17 TC-.3L TCTAt.••1I.... lSp1 �- N I y 12�u I a � x I N I T I I , 11i )sW$✓L 4QQIV'- L Zw 12 $dr J♦i L:if�VS30d- •. I \��. gL{J1r y.v(� tv �•� (, co--for- 2 le C. z.Lp 1 91LL• Jf tHXv °'� I Y4 WSUL-Ezooa�r, 3` --- it DEy.✓nLL .. y 'r I . � ,� I r II � � �f f`- IZ y— _ _ tP.vc G'� .,aiS ION-s•I _ —�t2. tA•�4,M�irrrt,�••�_.� 1 � I .4y _ yC�l 11GN vi Pi•'YNoov v0 Jrlj� ,._Gv"'I'1 JG rl�" _ .."t' pL•(,3'J�,a 7NK1NINA y,O,.Jtq cSbl`gt,,t✓nq'IOw�rot'fj'?zi ..Ir�.V . ;i �� i' II-•1 pine `� ( �r�i ,� ,I/Jt4'(' fo��etLNvcuY 1i�i� :a v /aet.p�r��INcq P_(.v cow .<,at :r ! ! � i. Izr eLuw.P'I./sl+mq �A.i Pot-ftv- Dvx Jofot Z"at�vs.•,'.+4 PI-z++� I 2.6•s,LL-peS6al-q i� - MCA Al.1w.QC,p NAO I' , � I •�AV Y'� ��•"^I✓ � s .J.. Ga»TINY y C'�Nr�11.(,K,.,f T--^!�/`'•rg�A62,1?R- , I ' 1M. .,:'rrlr Pt D.6w�n kMe-Moe a oLt f-bY'b. col ly . Ll✓`✓A�o slli I.YYt i �• I V 61Y1. rt�ete.dugeet GP!+�> .�-Colic.pvN..v/. �j r c= LL fir4 wnl.b s M -T �V IV•'d!.c.... NaLI GON'1Y Cb�e ypgslLh-37 I�L,N� R-Iq -r _ blA t � � 7 a'>7aL4, \ nIL h Z Esvg; t Is L 3. �7t1 L *Je. ti,L 7f A!,I;, FA{ NOT gr I r l Ip: 1.:ttnl c r?ii l ART ' b,Ja+,o.ao.Iz ii I CC'\- _. __..:f+'�'J? !' �•;cjrJSraIdCES 17 � t>J-IG:'r. h1iL.(%riL.Y• •Zx3 K<=:y:v.» ` _�.: ✓ _ :YAROSHA_W .DATES,INC. i -x-4 is' rirT rrm, F, P:' _._._ _ PLANNERS VE nfrdtiOr SCALE: H A-ROD OY �I I.�7� L�� I •t -• ��� ' DATE: OMWN By J Ste.a,� I�Q"•1'0„ ---fbrapeDfive . v ■�!•1:�Sghpge,�A 02649 (508)477-4731 . : ORAWINO NUMBER _ CDN i R/'.Ct.bOEUMEN J _ • W e he'by Eei;h' this O-umc re nt .. to be the flash o1,our Contract 6r - - - Z e'Im tylBeE' vJ �+�114 — 0 w . i w Jv I �. I 6 1 ti I%P 6 11rl I o : pt-o 57 *-. '+u 44 N I A— N '44 lot + t F I i-?f4 p�vKI�� its ^I_ANS th,:•Y ;v'OT 13E IN WHOLE ,IR PA.--IT I-jOEK ANY CIFJ(;UM:i7ANGES YAROSHASSOCIATESP INC. � �� � Fes'"�I►J�r ARCHRE=•PLANNERS SCALE:I .I-v ' AVPRovEO By DMWN er ■ ■■■ ■■■, WTE: now 10 Cape Drive ■■m'Nlashpee,MA02649 0 (508)477-4731 ■ DMWINO NUMBED ■ _ Co -= Cw.wril!.•Elp1r yI/ `—"0 ar wa crr v"Liar SZZI CO1iTRA�T D7CU?J:cNT :c }, ,-wry Certify lh�s Document - d w be ihS 8ASiS of our Carlracl. • By Owner 441 fee 1�-I�TrS f rc Jr ki N 'dicer �T y • y � � �• j � r � i 1 i � 1 y �� � � ' 2:�'i c� � Z.,Sr�lly/' j � r2• Zt In� Z.'Z.-•'•Ia� E l' r _ ° __. j I i d Z ,e f",-m 24. , v. j� .IZP - - �r vlot St d . r 0 y N, i x Alt J ` e Ld %r.• _ou THESE PLANS MAY NOT 8E REPRODUCED'.N ;WHOLE OR PAF7P UP.f,)L-tl ANY CIRCUMSTANCES YAROSHASSOCIATES,INC �Zv�r?'. . MI�`''I. i'►'�� ARCHU=. AAER$- -fir cAml/ l"I,On APPROVED BY oRANM BY DATE: W6 MA 02649. �308)'4�7-4731 DRAWING NUMBER + -� Cw.lgllT�Mq.row I!o•r MMilO ON rlJN ewwrllMr VILIYN - -. .. - �.. +�� a . 72 1-2 — 4F1f1.+KS Jar+T r - L Its.z a ✓�rWr �z : -- _ ._ .. atr: r -�iN�y�.ars. . . . 77 U a IlaL-r Nl GIL.WA. ' .� ... v�I1fFi CiYo/♦2. c,t•{tr�6�;LEa I i� - t '� III I ( .�,�. � �I � I _..._ - - i; -• I -�• �-. ;.. ! r � -rd �eftBs-ftlle 2-. I 3lv .T. e�s.ar_ . li Ir 0r? li lj i 1 g!u9 Ryua{ - - • �'~--v'•�,.rly•1'�"�e i i. I i i I 9��h.:�b'run�^ t -d'r{Ir1 c?�l;sn✓ I � .4.0"�!+J p�sv� i.i L� o- �14.1 ��-� J_-rl� YARC3SH gSSOC1ATES,INC .:ARCHRC{:IS'•PIAMNEk3. SCALE: I••.. _I APPROVED BY n oaAw er ■■ :M8Shp9�,,AAA Q264� . I�.■ .. ONAM/q MUMBEq- ■ ' �.nKrn",pfoeu nen —,no w siei.C.Iw "rwaauw .I , _. . ,...._._.. Owner 1� 1� IZ� 12 of zA V pjr ! . A{ iv j. i lt � 1 iT" THEEI PLANS t•;fAY NOT B%3 YA MH.ASS OC!/kTESG E:l El E71 �.'IN ' . ARCHITECTS•PIANNERS SDAtE: 1 T a 1�r wPROVED eY ORAWN BY .. _ - • �1� DATE: - ■tlls•. .10CapeDNve ' ■nt MasdAA 02649 (9Q9Y -4731 ul LJ-U Ilul Z Z 4D9 i z� 9z Lao EXISTING ADDITION ZX —�lu z z FRONT ELEVATION t 1 SCALE: 1/4Y >: i-0Y Q DL ® 4sj �O SHEET Al kDATE: 0244 WN BY, KW 10/11/02 F&D J���%Co �Y ARCHED BOARD BARD a_ _ __ Fl FL imam -- - = 'RA Z P P � F'PLtED , TO e INSIDE REAR ELEVATION uQ SCALE- 1/.40 s V-o" �Q 4PD 7 48.E Q (IK ul d zo 030 ___,om SF{EET RIGHT ELEVATION 0244 SCALE. t/4° - t'-O" D IKW DATE* 10/11/02 (- MfrFAID LAMMMG TO i ExteriNG — DECK i e I A i u A 9 Z"MM4 TO DECK T"m // I A L APPLY DECK RAIL TO Imsm / 8 i YI V"LTED COMMI i 30 I Q SGREE�1Ei� P RGM � m i ;n t'IAFIOGAN� i �i e � Dam" I i e �EXISTING I � i raEnavE YdINDO o I i REPLACE wi woW re. e 0 UP AN6I raft i�rE i — i t � I " Lua i I 0 iY i e �3 I LU 1 1 I o I Z:K to� -UP GARAGE j n "0Z J i 2 i e D. v— j mzo ot d) 0j I 7W' CA. DOOR EET 1T-0' AB 0244 IOB: DRAWN BY, KW DATE, 10/11/02 -Y f , i' O.C. MAX. VEIFY INFIELD �+ \ Ord:P.T. POST GALV.METAL POST ANCHpR - 12° °SONG TUBE° PIER AT 22° °BIG FOCI' FOOLING TYP. iv ul _ T — RIDGE VB4T i i OBI \ 2t12 RIDGE BOARD � � � • .,�i'O.G. MAX. VERY INFIELD 4JJ ASPHALT SHINGLES MATQ4 DCISTING b 6,,W CIAO SHEATHING a8 tllsi Q m ffi® Z UNFINISNED ---- ---- - I c o CONCRETE WALL s 16 .C. F---004T.VENTING DRIP EDGE I ' I bleb Pestle : 1 1" sEconlD FIL-IBER ° lx4 QOPxIi CONTINUOUS 1�?11rING 1 ° 1 AL39FtINUM GUTTERS AND DOWN SPOUTS 1 1 BELOW 1 I fwEM MAIc Anus MMAIN Wws EXISTING 1 r: 1 9 I MATC14 MnSTMG TR1M 1 1Lua 1 I I I 2x4 orr. STUDS a*1 O.c.a, ZO Q I ; I GARAGE Irr MyWOOO SHEATHING "} 1 '• 1 i 1 U,z 1 1 4° COAQC. sLraH Lu 1 I iy Prr04 TO DOOR O Z - QL is I I GARAG _ I _ � Q — Y _ 1 I , ZX NG. IF- 1 _ E 4'GO SSLAB1. - I n ' ' COMPACT FILL O ul V c z i _ r. 1 1 prrtH TOWARD DOL>tis _ 17-D I N n 4 it i z 0- 1 i 1 GARAGE SECTION SCALE. 1/4° s —O°I °t I DROP WALL Id a DOOR I T T a� 1_---- -----------J 1 ------------- -- 2'_3p 12'-61 2'-3° SHEET A Alq ja FOUNDATION PLAN gmi 0244 SCALE. 1/4° - 1'-0° N BY- KW, 10/It/02 r� • ' BARNSTABLE I CERTIFY THAT THIS SURVEY AND PLAN WERE MADE } IN ACCORDANCE WITH THE PROCEDURAL AND TECHNICAL STANDARDS FOR THE PRACTICE OF LAND SURVEYING IN �1VfjUfT � OMMONWEALTH OF MAS ACHUSE77S. I,p VELLS POND PAULL S. T ��• 0 'c. J "9"'dd �� `Z•q�@� LOCUS 6 U? LOCUS MAP LOT 2 ole$ ��� ASSESSORS MAP. 25/11-2 fst��=_, �o� -�• PLAN REF` 532/63 ZONINC.' "RF" 4 %-__=Q = 1 6 •� d� -FLOOD ZONE: "C" 42� - w.= q►- p�Aasso o. '�•p COMM. PANEL / B 9• a. PORCH, 250001 0021 D „ 1 /� moo. - DATED.• 712192 S 4 HE'D 6 0. p��asso o. O VERI.A Y. WP 11 2 E c��ca .. 3 6 ,556 264.2' ' 6 i . 0 . 3� PLOT PLAN O OF LAND �, , LOT 3 LOCATED AT M AREA = 47102fs F r' 1420 SANTUIT-NEWTO WN ROAD. LOT� 4 COTUIT, MA.� J PREPARED FOR DEBORAH COL TON OCTOBER 11, 2002 olk 6,01 !06 �7 _ YANKEE SURVEY CONSULTANT.r `0 s C R 4PHIC SCALE UNIT 1, 40B INDUSTRY ROAD P. 0. BOX 265 40 p 20 40 00 160 MARSTONS MILLS, MASS. 00648 i TEL- 428-0055 FAX 420-5553 ( IN FEET ) , -- 1 inch = 40' M ✓1 53.273 DCB l BARNSTABLE I CERTIFY THAT THIS SURVEY AND PLAN WERE MADEIN ACCORDANCE WITH THE PRO S AND TECHNICAL SNDARDS FVR THE PRACTICECOFU TA RAL LAND SURVEYING IN i d OMMONWEALTH OF MAS ACHUSET75 LO VELLS E POND PAUL A, S. S� � m tS? 4 LOCUS o � z � T LOCUS MAP LOT 2 o. 2 =-:_�•`�,f,@ "9.0� ASSESSORS MAP.- 25111-2 PLAN REF` 532163 ZONING. "RF" =P FLOOD ZONE: »C" 42 mow. -� PROActsso o_ �O COMM. PANEL / 8 9, a. p'06� 250001 0021 D 1 SHE'D �$� _ DATED.• 7/2192 '11" 26Q,4r PARMA4IS6D o. `�� OVERLAY- "WP" 556 z, o� o 264 - Z • 0�6 f 331 PLOT PLAN O OF LAND LOT 3 LOCATED AT 4 — �o AREA - 4T 102tS.F. 1 ,20 SANTUIT NEWTO WN ROAD �o • _ t ►, E LOT 4 COTUIT MA. 18 3 g0 PREPARED FOR C I; DEEORAH COL TON OCTOBER 11, 2002 •Cj ' 7.15 �1 YANKEE SURVEY CONSULTANTr C� S UNIT �•�, a �° C-F 4PHIC ;'CALE�� 1, 40B .INDUSTRY ROAD '1 P. 0. BOX 265 0 20 40 e0 160 MARSTONS MILLS, MASS. 02648 i TM 428—0055 FAX 420—5553 ( IN FEET ) i inch = 40 fL J1 53273 DC8 i i, s BARNSTABLE I CERTIFY THAT THIS SURVEY AND PLAN WERE MADE IN ACCORDANCE WITH THE PROCEDURAL AND TECHNICAL 9�r q ` _ A T Cf STANDARDS FOR THE PRACTICE OF LAND SURVEYING IN � D�r� IT Q' ONNONWEALTH OF MAS ACHUSETTS • t ,� LO YELLS POND PAUL A, �{! ' 17N�' , a L S. TAT STY a ¢i i,! w S Q►4 @� LOCUS .f 9 1' ems; R '� LOCUS MAP LOT 22�=- ASSESSORS MAP- 25/11-2 - jam �O PLAN REF` 532/63 ZONING: "RP. aR FLOOD ZONE "C" 2' r'✓ ===q! �PAivAasso�o. �•p '� COMM PANEL 189 q - � ,. 6 � � 250001 0021 D SHED a 3 �A a' DATED.- 7/2/92 O 6 o11„ 260.4 t p i�asao moo, .o. OVERLAY "WP" 064.2 PLOT PLAN ool ' OF LAND F LOT '3 - LOCATED AT 0 c AREA 47102fS.F. ' 14,20 'SANTUIT-NEWTO WN ROADC.V = � �l ^°' COTUIT, MA. LOT 4_ PREPARED FOR t DEBORAH COLTON_ OCTOBER 11, 2002 x 1 5�7.15 YANKEE SURVEY CONSULTANT.r t^ UNIT 1, 40B INDUSTRY ROAD o �o CRAPHIC SCALE ".1 F O. BOX 265 40 40 ,� ,go MARSTONS MILLS, MASS. 02648 i TEL• 428-0055 FAX 420-5553 � a IN FEET ) 1 inch = 46` M J/ 53273 DCB ACCESS COVER TO WITHIN 6" OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM T.O.F. AT EL. 65,0' � AccEss COVER (WATERTIGHT) To TEST HOLE LOGS WITHIN 6" OF FIN. GRADE 2" DOUBLE WASHED PEASTONE 64.5' LOVELLS 63.5' MINIMUM .75' OF COVER OVER PRECAST POND ENGINEER: RICHARD LEARNED RUN PIPE LEVEL I �j PROPOSED 1500 FOR FIRST 2' 6' .5 WITNESS: J. DUNNING cr \62.05' GALLON SEPTIC 61,54' S3 [� O � M O CJ DATE: 4/17/97 61.79 TANK H- 10 a 60.67 M ED p p p p p 0 ED 0 4' d, SIDES r - < 2 MIN PER INCH 3 ( > GAS 60.83' 8� o o =1 a ED ED o a a LOVELL S POND PERc. RATE — z 57 BAFFLE 61.0' �� LOCUS I 2 C� [� 0 [� 0 0 0 0 Q 58.67' ELEV= 38+/— CLASS I SOILS P# a2- ~ ( 2 % SLOPE) t 6" CRUSHED STONE OR MECHANICAL 3/4" TO 1 1/2" DOUBLE WASHED STONE 5.or EDGE OF WETLANDS z DEPTH OF FLOW = 4' COMPACTION. (15.221 [2]) aRpNyF "'sI >� 53.6' PLAN BOOK 532 PAGE 2$ TEE SIZES: „ ( 1 % SLOPE) gfo C• 4 4 � PROP. FOOT PATH TO LOVELL'S POND INLET DEPTH 10 +, 1a V (EXACT LOCATION TO BE DETERMINED IN 2 6y \ CONSULTATION WITH CONSERVATION ADMINISTRATOR Q ELEV. 1 OUTLET DEPTH = I \ #Z AND ARBORIST) 0" 66.6' = FOUNDATION— 13' SEPTIC TANK 54' D' BOX 13' LEACHING A FACILITY3 �>Dc�E of WE7"�M4C? LS LOCATION MAP SCALE 1" 2000' .�` LoGATEp ,1JL`{ 199'S SEPTIC PROFILE 12' 10YR 4/3 (NOT To SCALE) B ASSESSORS MAP 25 PARCEL 11 ZONING DISTRICT: RF 50 h° � �� L5 YARD SETBACKS: 54 52 E V , \ 36" 10YR 5/6 63.6' FRONT = 30' �B�IT 6 40 \ SIDE =15' 56 42 C REAR = 15' 'y 45 MS PLAN REF. BOOK 532 PAGE 63 58 OF.c 50' TO WETLANDS 2.5Y 7/4 FLOOD ZONE: C VERIFY ZONING REQUIREMENTS WITH TOWN OFFICIALS PRIOR TO CONSTRUCTION 60 PROP. 44 61 DWELL. -62 T.F.= C' 6 ELEV. --63 65.0' 2� '48 Q„ E::�ll 67.0' \�64 50 r=; BENCHMARK - CTR OF CATCH \S A0 �.54,52 10YR 8" S3 3 156" 53.6' BASIN EL. = 67.85 (ASSMD - - \ 6 6S 6� B NO WATER ENCOUNTERED NOTES: BARN. G.I.S.) I -� 2� 56 8 LS 1 . DATUM IS ASSUMED 6 2. MUNICIPAL WATER IS AVAILABLE 10YR 5/6 53 30 64.5> 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. SILT FENCE BACKED BY a nrc�r nl I �,nlr��� CR ,Ai L_ PRECAST vI�,I rS r<; OE ;� 'C �� 1Q S 'AKED HA`r' BALES (; (WORK LIMIT LINE) 5. PIPE JOINTS TO BE MADE WATERTIGHT. ' `) / --64— 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. N4' / MS ENVIRONMENTAL CODE TITLE V. 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE 2.5Y 6/8 USED FOR LOT LINE STAKING. 8: PIPE FOR SEPTIC SYSTEM TO SCH. 40-4' PVC. W 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT 70 '-- 2p INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED 0' Tp w FROM BOARD OF HEALTH. ~ / eTLgNOS 10. CONTRACTOR SHALL BE RESPONSIBLE FOR VERIFYING THE LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR 66-, 150" 54.5' TO COMMENCEMENT OF WORK. ' 67_--- NO WATER ENCOUNTERED 68 1 TEST SEPTIC DESIGN: (No DISPOSER ) SITE AND SEWAGE PLAN I / HOLES DESIGN FLOW: 3_ BEDROOMS ( 110 GPD) = 330 GPD OF /� W USE A 330 GPD DESIGN FLOW L 0 T 3 S A N TU I T N E W TO WN ROAD ►..� SEPTIC TANK: 440 GPD (2 = 660 ) IN THE TOWN OF: co ,� O USE A 1500 GALLON SEPTIC TANK � (COTUIT) BARNSTABLE rn LOT 3 �1�� LEACHING: 00 � 47,605f s.f. SIDES: 2(25 + 12.83) 2 (.74) = 112 PREPARED FOR: JACQUES MORIN (1.09t ac 0 LEGEND BOTTOM: 25 x 12.83 (.74) = 237 30 0 30 60 90 TOTAL: 472 S.F. 349 GPD I 100.0 PROPOSED SPOT ELEVATION — 2 USE (2) 500 GAL. LEACHING CHAMBERS WITH 4' b I 100x0 EXISTING SPOT ELEVATION ALL AROUND SCALE: 1' = 30 DATE: JUNE 24, 1998 REV. 7/31/98 (WLL) -- PROPOSED CONTOUR 4. off 508-362-4541 fax 508 362-9880 — — 100 — — EXISTING CONTOUR down cape engineering, inc. tM O ` OF 6 'tH of BOARD OF HEALTH OIVIL ENGINEERS �o�y�t? ARNE J�''cyG �AANEK LAND SURVEYORS 3 LA JOB# 98--248 L3 78 APPROVED DATE MA 939 main st. yarmouth, ma 02675 �� � -- ti _ 7A/h OJAL A E DA TE g�sl9$ Robs Fla f0 _....— .r.... .vn'r. - ;•., :-,s.i.T._ ._.{. _..,T."-""s,.C '1'. '; -yPC'4yrr, _ 4.' R —. a .._ rpm ACCESS COVER TO WITHIN 6" OF FIN GRADE 2 o SLOPE REQUIRED OVER SYSTEM 1.0 1`. AT EL. G 5 0' ACCESS COVER (WATERTIGHT) TO TEST HOLE LOGS ' i'� WITHIN 6" OF FIN hRADE 2" UOIJBi_E WASHED PEASTONE MINIMUM .75' OF (,OVEI- f_R PRECAST --- - 63.5' ------ _— ENt, RICHARD LEARNED EE •._ 1 Hwy RUN PIPE LEVEL F 1,5 WITNESS: ) DUNNING _ ` ? t �pr► r" FOR FIRST 2' - - - 1 F1J PROPOSED 1500 / ) ^ F- 4 f 17/97 1 ( /__ Chi_ C� L� C� C7CJ [7 DATE } ••. �, 62.0' t GALLON SEPTIC 1 �' ."�' � . — ,/ (� a' 0 SIDES < 2 MIN PER INCH I f #� 1', F' - / _ 60.67' ; i O C� C7 C� L� C� C� C� C� I I S POND PERC. RATE 1i TANK �H - ��) r � — L��_ F-='AS 6U.83' _ _ _ BAFFLE 61.0' lam«' off' i C� C� C� L7 C� C] 1� C7 - v 58.67' r I u # $q Z Jij CLA.�S _ SOILS P I SLOPE) �6" CRUSHED STONE OR MECHANICAL �� 3/4" TO i 1/�2' DOUBLE WASHED STONE ' 507 DEPTH OF 1. = `�' — COMPACTION. (15 221 (21) F aw TH2 EDGE OF WETLANDS �( TEE StLE 1 o StC+F'E, �� r. PLAN BOOK 532 PAGE 4 INLET DEPTH = 10 � 63 -___ _ �� ELEV, I Ol1TLET DEPTH = -14" �. \'- 0" 66.6 I LEACHING \ As\ LOCATION MAP SCALE 1" = j FO+JN[��TiOP� -- 13' --- SEPTIC TANK 37' -___ D' BOX ------ ---- , -' - --- ---- FACILITY , LS -- - LL T r T r�L T T 10YR 4/3 S E L�r!,1�~ P\V_l^ i 1-,E �_ 1 L B ASSESSORS MAP 25 PARCEL 1 1 (NOT TC SCALE) �� �V . ZONING DISTRICT: RF 50 t.S YARD SETBACKS: 52 \ \ 10YR 5/'6 -? 6' FRONT = 30' 9eUT 54_ SIDE = 15' ' T 56 \ I C - ! REAR 15' MS l PLAN REF. BOOK 532 PAGE 63 l /\ 2.5Y ? '4 FLOOD ZONE: C a \ \ / VERIFY' ZONING REOUIREM�NT5 WITH TOWN \\ \ OFFICIALS PRIOR TO CON �TRUCTION k 44 0 * _..._62 S13 p\ � �� >y � 46 ELEV. —6 3 8 0" � 6?.0' �- 6 PROP. A q V I \ 4'------ DWELL. 1 6' � I ` 1 F - TR F CATCH TCH �� \ 8„�.1�'�YR_S 3 '`'. ' � BENCHMARK C 0 \� 6) \ S T.F.= ��� TCq�� I g NO WATER ENCOUNTERED NOTES: G BASIN EL. = 67.85 (ASSMD ( �_, 6' . BARN. G.I.S.) \� 1 . DATUM IS AS,UMED _ , \, MUNICIPAL WATER IS AVAILABLE JOYR F' /6 f I J - 64. S. M�rdiMuM PIPE P?TCH TO BE ' %�' PER FOOT. SILT FENCE BACKED BY 4. DESIGN LOADING FOR .ALL PRECAST UNITS TO BE AA H- 1C STAKED HAY BALES C a ( \ \ 5. PIPE JOINTS TO BE MADE WATERTIGHT. 1 (WORh i_IMIT LINE` 1 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. --64-- I MS ENVIRONMENTAL CODE TITLE V. F" P WORK ONLY AND NOT TO BE I 7, THIS PLAN IS FOR PROPOSED OR 0 L 2.51' 6/8 USED FOR LOT LINE STAKING. 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED 0 FROM BOARD OF HEALTH. N 10. CONTRACTOR SHALL BE RESPONSIBLE FOR VERIFYING THE ' LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR c TO COMMENCEMENT OF WORK, 15 u, 5' { 67 / �?' ~'`--- - NO WATER ENCOUNTERED SEPTIC DESIGN: (NO DISPOSER , SI / If_ AND SEWAGE PLAN ---- TEST 68 HOLE v DESIGN FLOW: _ BEDROOMS ( 110 GPD) 330 CPD USE A330_ GRD DESIGN FLOW OF LOT J� SANTUT NEWTOWN ROAD I W SEPTIC TANK: 440 GPD 2 ) = 660 IN THE TOWN OF: N " \ _ T �- OTUf \ BARNSTABL_E USE A 1500 GALLON SEP T I,� TANK �' LOT 3 / � LEACHING: T \ PREPARED FOR: 47,so5t f. �+ 2(25 + 12.83) 2 (.74� 11 JACQUES MORIN � DES. 0.09t ac.} 2� x 12.83 f-i4) = -37 BOTTOM: — `' E G N D -- -- 30 0 30 60 90 d TOTAL- 472 S.F. 349 GPD I i00.0 PROPOSED SPOT ELEVATION -F �) ,AL. LEACHING CHAMBERS WITH 4' -y b - ALL AROUND ;GALE. 1 30' DATE. JUNE 24, 1998 i 00x0 EXISTING SPOT ELEVATIC`� -----_ _ -- _ ( - I PROPOSED CONTOUR oft 508 362- 454t �A tax 508 362-M80 EXISTING CONTOUR OF li I ,�t?LtN Of 1N I o down cape engineering, Inc. MINE � CIVIL ENGINEERS Ow�A yCPA a BOARD OF HEALTH LAND SURVEYORSMA Fs E ttR� y� APPROVED DATE - 939 main st. yarmouth, ma 02675 — ------- --- — — -- JOB# 98-248 L�3 7� ARNE H. OJdLA, P. l'.L.S. -DATE y �,y, $.. .Y- 'MT. +y rig P'°a• f 'y4Gv N l N 9• Y 't i r. { ,,[ f .e mildilimi '4+ -_y;► AI