HomeMy WebLinkAbout0035 BRANDYWINE COURT ��
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map ( Parcel Q.`f l Application# eD Od 7e 5� -3
Health Division Date Issued Z'. 6-77
Conservation Division Application Fee
Tax Collector Permit Fee �`S
Treasurer
Planning Dept.
Date Definitive Plan Approved by Planning Board
tevy
Historic-OKH Preservation/Hyannis
Project Street Address G=
01
Village L%O' O
Owner �G i �.�G �/ AI'MP_ Address �S' A4 x/d em 41f Z0 er—
Telephone 'P/
Permit Request
f It 1,
Square feet: 1 st floor:existing proposed itlum nd floor:existing proposed iZ, Total new
Zoning District Flood Plain D Groundwater Overlay Ala
Project Valuation 15�0�. Construction Type 'e,
Lot Size 4/O f ' Grandfathered: 2 es ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family eel,, Two Family ❑ Multi-Family(#units)
Age of Existing Structure � � -eats• Historic House: ❑Yes ®'No On Old King's Highway: ❑ <0 Yes 0
Basement Type: lull ❑Crawl 99'Walkout ❑Other
Basement Finished Area(sq.ft.) rp Basement Unfinished Area(sq.ft)
Number of Baths: Full:existing { �02 new Half:existing new
Number of Bedrooms: existing 7 new
Total Room Count(not including baths):existing new First Floor Room Count
Heat Type and Fuel: 'Gas ❑Oil ❑Electric ❑Other
Central Air: Ur es ❑No Fireplaces: Existing _ c,e, New ® Existing wood/coal stove: ❑Yes 81501—
Detached garage:❑existing ❑new size Na Pool:❑existing ❑new size AVO Barn:❑existing ❑new size / d
Attached garage:8/�existing ❑new size Shed:❑existing ❑new size /VOOther: 1
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ c
Commercial ❑Yes ❑No If yes, site plan review -
Current Use Proposed Use
BUILDER
II/NFORMATION
Name �/ /_7!1 J / ,�� - Telephone Number,,
Address A�0 r 21!Y �f� License#
Home Improvement Contractor#_
Worker's Compensation# '���
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE 57-
l?
FOR OFFICIAL USE ONLY
APPLICATION# 1
DATE ISSUED `
MAP/PARCEL N0. 1 '
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION PbT> Y !a y3 7
{
FRAME
INSULATION el-I-V.s ®K l 9?10-2 ICA`4
FIREPLACE _
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING .2 !L Oe *,Ott
DATE CLOSED OUT
r1J
ASSOCIATION PLAN NO.
I
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: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Le 'bl
Name(Business/Organization/Individual): . t/eXf_. _74-
Address: r�• L"�(/�C' ® ���
City/State/Zip: Phone.#:
Are yo an employer? Check the appropriate bog: Type of project(required):.
1. I am a employer with r2 4. ❑ I am a general contractor and I 6. ❑New construction .
employees(full and/or part-time).* have hired the sub-contractors
2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have g• ❑Demolition
wor for me in an capacity. employees and have workers'
Y P tY• comp. 1• 9. ❑Building addition
[No workers'comp.insurance co 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.❑Plumbing repairs or additions
myself [No workers' comp. right of exemption per MGL 12.❑Roof repairs
insurance aequired]t c. 152, §1(4),and we have no
employees. [No workers' ` . 131 Other
comp. insurance required.] .
•Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowner who submit this affidavit indicating they are doing all work and than hire outside contractors must submit a new affidavit indicating such. ,
I4--6utractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
Z.employees. If 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 isthe policy and job site
Insurance Company Name: Z&
Policy#or Self-ins.Lic.#: tlp526��1 � ���49 Expiration Date:
Job Site Address: City/State/Zip: TU Y ll
Attach a copy of the workers' co e-nsa 'on 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-Lipto$1,500.00 and/or one-year imprisonment,as well as civil penaltirn in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of
Investigations of the WA for insurance coverage verification.
I do hereby certify un r the pains nd penalties of perjury that the information provided above is true and correct
Simature: Date:
Phone#
Official use only. Do not write in this area,tb 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 bean 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 fm the performance of public work until acceptable evidence of compliance with the M* Mrance
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-contiactor(s)name(s), address(es)and phone number(s) along with their certificates)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or parhners, 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-insuranpe 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 io 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 lice 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 Inves0gations
600 Washington Street
Boston, MA 02111
Tel. 4 617-727-4900 ext 406 or 1-877-MASSAFE
Revised 11-22-06 Fax#617-727-7749
www.mass.gov/dia
E TO�'Y Town-of Barnstable
h�P Regulatory Services
* sAxr�ST"LA Thomas F.Geiler,Director
9 MASS. � '
i63� •� 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.
t � n��
Type of Work IMZ �_j�4 1'' ` A Estimated Cost akv
,kddress of Work: G✓j'Z
Owner's Name:
Date of Application: �2,9/117
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
[]Job Under$1,000
MBuilding not owner-occupied
❑Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME MROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A.
SIGNED UNDER PENALTIES.OF PERIURY
I hereby apply for a permit as the agent of the owner.
Dat Contractor Name Registration No.
OR
Date Owner's Name
Q:fo=hcmeafndav
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Am'(M.) U-yAcO R-value' ' R•yalue' R-rnluc' Wall ,Pedmew Eop=cm Exci
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12%. 0.40 38 I3 19 10 6 N°'�
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AA 1 o ra 0•.30 30 19 19 10 6 53 AFtT£
Ale
. , ��� �/��r��d� ,ter • .
1, ADtwR S OF PROPE$TY:
2, SQUARE FOOTAGE OF ALL.EXTERIOR WALLS:
3, SQUARE FOOTAGE OF ALL GLAZINCh
a/, aLAZINO ARHA493 DIVIDED BY•R2):
5, S-ELECT PACKAGE(Q—AA see chart above): ;
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Np 01'HIJRMORB INYOLYFD METHODS OF DE'MVMTING ENIrRGY to .9
ARE.AVAILABLE, ASK US FOR THIS MFORM kTION&
BUILDING-INSPECTOR APPROVAL:
• YES:. NO; .
q_g�ris-f�aG303z
. aoF, 'Owti Town of Barnstable;
Regulatory Services
tAB '$ Thomas F.Geiler,Director
�b'°TE cb1� Building Division
TomPerry, 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
Jr , as Owner of the subjectproperty
ft J
hereby authorize (fare j (5�fvver` to act on my behalf,
in all matters relative to work authorized by this building permit application for, .
(Address of Job)
Signature of Owner Date
ag
Print Name
Q:FoP Ws:OWNE-UERMIss10N
�f,� °(� �°'�ec�"oelt
RoA"rd of 3f'u�dl�ng :•eg'u1;12:u �"�n`cl S�i��i�tls
HOME IMPROVEMENT CQNTRACTOR
Registration: 144322
E x p i rafi p P: 9/2 3/2008
Type: DBA
GROVER BUILDING+REMODELING
CAREY GROVER "
56 BOWDOINf'RD C,
MASHPEE,`AA 02649- Depg a
'ty'Adminixtritoi•
J �'J1e ?"amvr� uoeci�I �'� au�cfivaelta
4 BOARD"OF BUILDING REGULATIONS; `e
'License: CONSTRUCTION SUPERVISOR
j Number: CS 077754 s
F Birthdate: 11/22/1957 "^
Expires: 11/22/2007 Tr.no: 8693.0 ,
^^ Restricted: 1G
CAREY C GROVER
PO BOX 1080
COTUIT, MA 02635
Commissioner
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RightFax N3-2 9/12/2007 3 : 41 : 43 PM PAGE 002/002 Fax Server
I ISSUE DATE
09/12/07
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
PRODUCER AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
MCSHEA INSRUANCE CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE
749 MAIN ST#H AFFORDED BY THE POLICIES BELOW.
OSTERVILLE MA 02655 COMPACOMPANIES AFFORDING COVERAGE
LETTER A HARTFORD UNDERWRITERS INSURANCE CO
LETTER
COMPANY
LETTER
INSURED COMPANY C
GROVER, CAREY DBA GROVER BUILDING AND LETTER
REMODELING COMPANY DLETTER
PO BOX 1080 COMPANY OMPA E
ETTER
COTUIT MA 02635
-----------------
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABC VE 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.LIIvffTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
CO TYPE OF INSURANCE POLICY NUMBER POLICY POLICY LIMITS
LIM EFFECTIVE DATE EXPIRATION DATE
(MMIDD/YY) MM/DD/YY)
GENERAL LIABILITY GENERAL AGGREGATE $
E COMMERCIAL GENERAL LIABILITY PRODUCTS-COMPNP AGG. $
CLAIMS MADE E OCCUR.
PERSONAL&ADV.INJURY $
E OWNER'S&CONTRACTORS PROT. EACH OCCURRENCE $
E+ - FIRE DAMAGE(Any One Fire) $
MED.EXPENSE(Any one person $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
E ANY AUTO
E ALL OWNED AUTOS BODILY INJURY $
(Per Person)
E SCHEDULED AUTOS
E HIRED AUTOS BODILY INJURY $
(Per Accident)
E NON-OWNED AUTOS
E GARAGE LIABILITY PROPERTY DAMAGE $
E
EXCESS LIABILITY
E UMBRELLAFORM EACHOCCURRENCE $
E OTHER THAN UMBRELLA FORM AGGREGATE $
STATUTORY IBM
WORKERS'COMPENSATION UB360IB46407 08/31/07 08/31/08 EACH ACCIDENT $100,000
A AND EMPLOYER'S LIABILITY DISEASE-POLICY Lmffi $500,000
The Sole Pro rietor/Partner s xeculiveOfficr s are EXCLUDED DISEASE-EACH EMPLOYEE $100.000
OTHER
DD'TION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS THE WORKERS'COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR GROVER,CAREY
THIS REPLACES ANY PRIOR CERTIFIC ATE ISSUED TO THE CERTIFIC ATE HOLDER AFFECTING WORKERS COMP COVIAGE
TOWN OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIESTE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR T6%AIL to
200 MAIN STREET. DAYS WRTITEN NOTICE TO THE CERTIFIC ATE MOI:+DER N AMESSa THE Imo,
HYANNIS MA 02601 BUT FAILURE TO MAIL SUCHNOTICE SHALL IMPOSE NO OBLIGATION OR�..�
LIABILITY OF ANY KIND UPON THE COMPANY,IrSrlA r
a NTS OR REPRESENTATIVES
AUTHORIZED REPRESENTATIVE
DIANA JACOBS
O
<< S
The Town of Barnstable
Department of Health Safety and Environmental Services
•� = Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph IvLCmssen
Fax: 508-790-6230 Building Commissioner
A
Home Occupation Registration
Date: 1 y rI
S N \ Phone#: —1 o�cl UA
Name: A nn
co
3 J �,ra (,i). 'C �1
Address: Village:
Type of Business: Map/Lot: 0 J ! S
INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation
within single family dwellings,subject to the provisions of Section 4-1.4 of the 7=img ordinauce,provided that the
activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor,no visual
alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal
residential volumes;and no increase in air or groundwater polhrtion.
After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the
following conditions:
• .The activity is carried on by the permanent resident of a single family ressidential dwelling omit,located
within that dwelling unit.
• Such use occupies no more than 400 square feet of space.
• There are no external alterations to the dwelling which are not customary in residential buildings,and.
there is no outside evidence of such use.
• No traffic will be generated in excess of normal residential volumes.
• The use does not involve the production of offensive noise,vibration,smoke,dust or other particular
matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects.
• There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess
of normal household quantities.
• Any need for parking generated by such use shall be met on the same lot containing the Customary Home
Occupation,and not within the required from yard.
• There is no exterior storage or display of materials or egmpment.
• There is no commercial vehicles related to the Customary Home Oavpati,on,other than one van or one
pickup truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to
exceed 4 tires,parked on the same lot containing the Customary Home Occupation.
• No sign shall be displayed indicating the Customary Home Occupation.
• If the Customary Home Occupation is listed or advertised as a business,the street address shall not be
included.
• No person shall be employed in the Customary Home Occupation who is not a permanent resident of the
dwelling unit.
I,the undersigned, ve d with the above restrictions for my home occupation I am registering:
1
0/7APP
2 -A-A,2 0 ---Date:
1
. 55
Homeoc.doc
TO ALL NEW BUSINESS OWNERS.
' Fill In please: YOUR NAME: o i
APPLICANT'S AN YOUR HOME DDRESS: r T•
BUSINESS
s fti4HON�ETelephone Number(Home)
TYPE OF BUSINESS
l
NAME OF NEW BUSINESS rDV
IS THIS A HOME OCCUPATION?
• MAPIpARCEL NUMBER 0
ADDRESS OF BUSINESS eJ' ' of
"iness there are s vera things you must do in order to be in compliance witouthavelobta obtained thelatequ'�edtsignature
When starting a new bus
Barnstable. This form is Intended to assist you in obtaining the information you may need. Once y
listed below, you may apply for a business certificate at the Town Clerk's Office (Ist floor-Town Hall).
1. GO TO BUILDING INSPECTOR'S OFFICE (4TH FLOOR W pet L)this type of business.
this individual has n I formed of any ermit requirementsp
Auth !zed Sig ature
COMM NTS: j... .e c ,
2. GO TO BOARD OF HEALTH (3RD FLOOR
ibTe TuirOWN HALL)
that pertain to this type of business.
This individual ha n informed the
o
Authorized Sig t
COMMENTS:
3. GO TO CONSUMER AFFAIRS (LICENSING AUTHORITY) - (3RD FLOOR SCHOOL ADMI ISTRATION BUILDING)
This individual h b f ed of the licensing requirements that pertain to this type of business.
Auto zed Signature
COMMENTS: ost
the Town Clerk's Office to obtain your business certificates not dive
After obtaining the required signatures you must return to you must do by M.G.L. it doe 9
A business certificate ONLY REGISTERS YOUR ofME In the to es from hcthe various departments Involved.
for 4 years).`_ __.._..a.. _ mai at not that through completion
�
Assessor's mop and |cx number ............
-
�
Pq,mh num ��........................................
ouse number ~� �—
-------'._.^�-------------`
/
' ������7�� ���� �
- TOWN� |� �� BARNSTABLE
'
BUILDING
INSPECTOR
�� ��
-- _ - ---- - -- ~_ - -- .~ ~ ~~ ~~ ~ .~ ~~
APPLICATION FOR PERMIT TO ......... ' .. -------~..
TYPE OF CONSTRUCTION .......... _______,._ ..___.________.
cr�/12—"�
---.. ---.-------]��.—.-
TO THE INSPECTOR OF BUILDINGS:
| The undersigned 6ene6v applies for a permit according to H` informati on:
./ ~ �/ 7�
Location ---�/,!1/—/---' —.. —_—�������.—.--_------.-----
/, `
Proposed Use_'�=��� ��=' —'' —''" —'''�,------ ----------------'
| '��
Zoning District l��/_—..v —Fire District --�*�.7-Z��y-------. '
Name of Owner ='J ...........A66 .L..��........~/
^
4
' Nome ofb�L '�� —A66reo�' A'A�iz4�—..������?�Y.--------
[/
/ v
Nome of An6i�*� ------------/.!--------'A66reo -------------------------___
Number of Rooms ---' ��----- -----'Foun6o�on -----_____.
Exie,ior ' .� .................f ------]RooGng ......
/ % ~//4/ �
Floors ...../��1k���1------------_-------.|nnarior -------`==,!�/���.��____________
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Heating . // . � -----------------.F1um6ing .......... ...
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| Fireplace ---.��----------------------.Approximate [o� ................................................
i Definitive Plan Approved by Planning Board lV` Arem ..........:'��'._'--- L—
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Diagram of � and Building with Dimensions Fee .. �
................................
,SUBJECT TO APPROVAL OF BOARD OF HEALTH /
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I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable,regarding,the above
' Noma .�./�'" ..�?.���..�?[�!(��%�. --.
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BUSH, STERLING 6 51
No ........A7-...8..8 Permit for ...........One....1./.2.....S.to.....r...y
....S.i.ng.l.e...Fam.i.l.y. ...Dw.e.11in5!................... .. .... .. .. ....... .. . .. ..... .. . .. .....
Location 3�5—pr4.pdywin.e...C.0 U,1:t
................. ..............................................
Owner ..............................
Type of Construction ......Fr.aMP........................
................................................................................
Plot ............................ Lot .......z................
Permit Granted .......?ece�/ber...31,,....Ig 80...................
Date of Inspection .......................... .........19
Date Completed ..................... .............19
PERMIT REFUSED
............................................. . .............. 19
........................... ....................
.. ....................................................................
.....................n ... ... . ... .............................
...................... ......I.......r......................
Approved ................................................ 19
............................................................................
...............................................................................
•'Ass
ifror's map and lot number .,-5 ............
SEPTIC SYSTEM MUST SE cFIN t0
' IN COMPLIANCE
Permit numbs g. ..>!�..��.�j. ............:.......... ............. INSTALLED�"age
WITH TITLE 5 •
.1✓ Z B>SBSTl1DLE, i
House number `� ENVIRONMENTAL CODE AN®
.......................t./..? ..................................... 9 Mb 9: �0
` TOWN REGULATIONS '� 39 �e
o Mar a•
.9"'":ECT TO Ar P
TOWN OF BAR.NSTAB&NE SLE CONSERVAi3®,N,
COMMISSION
t
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO
TYPE OF CONSTRUCTION ............... . ........................
.....................:..........................................
............. .v.....................19..
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies r•a permit according to th Ilowing informati m
4.014 6t�f
Location .......... ...........7.................... ... �Z..... ..�:4, ......:..... . ...............................................................................
ProposedUse //-.... ..... ........ .........., .............................................................................
Zoning District ......... ........ .................. ........................Fire District ......11(J.'.. ..................
..... .......... ..... . ..
Name of Owner .. ... .... .................. .. . ..... .........Address ......
Name of Builder ... ... ....1.... . .......... ....Address ,.., ,. ,. . . ................ ........................
Nameof Archi .....................................!............................Address ....................................................................................
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Number of Rooms �........................Foundation ....�U ,C
Exterior ...I:N.�.*..-d (cK... .. Roofing ......G !1����..... ........
Z
..... ..............................................
Floors .............................................1.............Interior ..................�..............................................................
.. ..... .......... ..
Heating g Z A.
�. :.......Plumbin ...................................................:.....................
Fireplace ............................................................................Approkimate Cost./..1.04.......................................
Definitive Plan Approved by Planning Board -----------_______-----------19 74 . Area ....� 4.... .....
Diagram of Lot and Building with Dimensions Fee 9.. ...., II ..................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
I hereby agree to conform to all the Rules and Regulations of the Town of B nstable. 4rcdIirVhe above
construction.
Name . .... .. .......
'RUSH, STERLING
... Permit for ...1./.2...Story
Single... ...... .. .................
Location ..Lot #7 3...3.5...Brandywine...Court
cotuit
...............................................................................
Owner Ate-K.Ii4lq...13MAtk.............................
Type of Construction .......F.KA'Me......................
................................................................................
Plot ............................ Lot ................................
Permit Granted .......December 31, 19 80
Date of Inspection .................... ....J2...19
Date Complet W d ........ Ice 9
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,PERMIT REFUSED
M
" ....................................... 19
V,
.......... ...... ........... ...............
............... ................ ...........................
......... ................. ... . . . ..............................
Approved ................................................ 19
............................................. .................................
...............................................................................
STERLING REALTY CO.
P.O. BOX 3123
WAQUIOT, RSA 02536-3123
1-508-420-1290
OCTOBER 14,1999
Town of Barnstable
ATT: Building Division
i
Dear Sir,
This is to verify that I Doris Rodriguez,DB/A Sterling Realty Co. will not have.
clients or customers come to my residence at 35 BrandyWyne Ct. Cotuit,Ma. All
business is done through the Internet. Any transactions will take place at the attorney's
office or at the place of closing. If you have any questions please contact me.
Sincerely yo 's
J
oris Rodri
TOWN OF BARNSTABLE ? permit No. 22788
i Building Inspector
Cash
-
• � OCCUPANCY PERMIT'` Bond _ X
No building nor structure shall be erected, and no land, building or structure shall be
used for a new, different, changed, or enlarged use without a Building Permit therefor
first having been obtained from the Building Inspector. No building shall be occupied until a
certificate of occupancy has been issued by the Building Inspector."
Issued to Sterling Bush Address
lot #73 35 Brandywine Court. Gotuit
Wiring Inspector Inspection date
Plumbing Inspector^ � S Inspection date
j
Gras Inspector Inspection date
-JEngineering Department .�Q A Inspection date
rr V
THIS PERMIT WILL NOT BE VALID,('AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS.
U Building(Inspector
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TOWN OF del
SCALE DATE
I CERTIFY THAT WHAT/ I.S SHOWN ON THIS PLAN
IS AS IT EXISTS O,N.. .THE GROUND AND CONFORMS
TO THE TO REGULATIONS .
OOYLE ASSOCIATES FALMOUTH , MASS.
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SOIL L0
SITE PLANNO. 1 D NO. `
09 A
3
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-- TOP OF FOUNDATION El.: `'s s T`J 5
e 4°
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10 7
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vo; IN.EL. �.,J 10
O.r o • e •. j • .• i e v '
IN.EL. 11
IN.EI.` a --- - - -- - t --- 2 COVER 1/8" - 3, 8 WASHED STONE ,,,�; 12
IN.EI ° ° ° , �3T•,��4
• ----- O/B W/ 6`' SUMP IN. EL. ' 7 6"00 . ° °° 3/4 - 1 U2 WASHED STONE ���w'�� �� 13
4 LIQUID LEVEL ; ° ° a " ° ° " ° ° 14
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ooDoob PERC TEST RESULTS
PRECAST SEPTIC TANK WITH PERC RATE : _— �. � �-rim✓ f%���
° ° ° PRECAST LEACHING PITS
CAST IN PLACE INLET AND EL. � • b b o 0
—� NEB.. SIZE : � 'v - x ��: � WHITNESSED BY:
OUTLET T 'S PER TITLE It
f 1 ,;=Q,� BOARD OF HEALTH
SIZE : ,, '000 G.�LL 0IV �- ___- DIA . --�- '
.� „ -- - DATE
Go�� x � ' �v " w. �E x sue ' vE��� DIA . '��
.44
7—
PROFILE OF PROPOSED SEWAGESYSTEM
SYSTEM DESIGNED BY THE TOWN OF 45,9,-?/y•5"�129mm ,E REGULATIONS AND0111111,011
STATE TITLE V FOR SUBSURFACE DISPOSAL OF SEWAGE . SCALE 1/4"= 1 ' 0 --
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N . B . 1 ° �
1. All PIPES SHALL BE SCHEDULE 40 P.V.C. SEWER PIPE
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2. ALL PIPES SHALL BE SLOPED 1/4 " PER FOOT EXCEPT FOR '� 4 ;, 7" l, � �,�,� / / 3� - ==� • -
THE FIRST 2 FEET OUT OF THE 0 / 8 WHICH SHALL BE LEVEL ,,✓
3. DESIGN FLOW = BEDROOMS AT 110 GALDAY PER BR . % GAL/DAY
SEPTIC TANK SIZES== X �•�_-- - 6 A Lp ��; P�f // /r,,►/ �/J / �, U - 3
USE GAL. W/ ��� GARBAGE DISPOSAL ,�,,� 4
LEACHING SYSTEM: USE
EFFECTIVE AREA : SIDEx � x
BOTTOM =
TOTAL FLOW-_ �, _ ���-� .yy ,� �� �� ,/ _ 04
TOTAL REQ D FLOW _ X ,1 � . W/ ,:- GARBAGE DISPOSAL13 di
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RESERVE FLOW _' :�' = GAL/DAY - �-'--,
REFERENCE PLANS : .IA91_, -
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-- - - - - APPROVED BY : 4-
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PROPERTY OWNER : DATE : ---� _ SITE AND SEWAGE PLAN
,1- FOR
. BEDROOM SINGLE FAMILY DWELLING
fit. ., t ` 1._. 'i V',i !': l F i�_ ..• .. __. �_.
DATE
4 DOYLE ASSOCIATES FALMOUTH , MASS .