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HomeMy WebLinkAbout1676 SOUTH COUNTY ROAD 1 ��7� S� � C�a��� � �.o�`� o fir_ , . R _ ,: _ _M. _ . T . ,,....�... _ s _ ..� ....,,.. n o Y l t J 5 } t 7 a r pp� 11 f } 4• 4 u t f� II �. �� o •_ 1 �. I� .. o � �{{ IIi 9 I I I I ' u �; E� i I i + � 9 T 1 �.. �� o -��°� °o �o ' a "p � n Q.� II � I� �. o 0 I t! f a ' P Sf. T. i. o o F �'. �i \ (o 7� : Soc�A Co u G" p i d � CGS in ��lS \'-0 CC k7�� ,Df9v 1�717-//;3r:S Message Page 1 of 1 Anderson, Robin Puckett, Carol Wednesday, May 10, 2017 1:56 PM Anderson, Robin Cc: Coyle, Brenda Subject: Complaint-South County Road ,-Hi Robin, I have forwarded you a voicemail I received today regarding a complaint of people living in a RV on South County. Road for a couple of months. The woman's name on the voicemail is Gail Martis (I looked it up... she lives at 1676 South County Road) She's:., very upset. Her#,is 508-776-8311. Please give her a call. Thanks, Carol Puckett-Administrative Assistant Zoning Board of Appeals&Land Acquisition and Preservation Committee ioo Main Street -Hyannis;MA 026oi 508-862-4785 4t4e,-klL bout w 5%1.0/2017 /l\ 5 Town of Barnstable *Permit# Fxpires 6 date Regulatory Services Fee � =ARNbTAHLE, � MAS& Thomas F.Geiler,Director 163 Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address 1� t S' w FZLResidential Value of Work$ • 7��r/Ci Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address YC ait z , . Contractor's Name a�G 5 �.�-c.a/Ll� CC--A Telephone Number s'5 s2 3 7 93q,L Home Improvement Contractor License#(if applicable) S 3 7 q-)- E Construction Supervisor's License#(if applicable) kWorkman's Compensation Insurance AUG 19 2013 Check one: ❑ I am a sole proprietor ❑ I am the Homeowner TOWN OF BARNSTABLE E I.have Worker's Compensation Insurance Insurance Company Name 1 CA10b'y Workman's Comp.Policy# tyc 2✓ • O O C' Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) � ���J Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to__Y I rnaA a4,_a ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red Sand inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. T SIGNATURE: Q:\WPFILES S\building eririit forms\FMRESS.doc Revised 06 13 i The Commomped&ofMassachuseM Deparftnwt of lndu&W-d Accidents - Office of rations 6#0 WaskhWan Mreet i Hvstanr MA 02M nnm.tnasx.gov/dia Workers'Compensation Insurance Affidavit:Builders/Conti-actors/Electricians/Rumbers Applicant Information . . /�_ Please Print 'b Name(BosmesglOiga diaoFlndividnsl): F&n- dress za � ,►- &—o C/&"5 pe . CYtylSta&Zip: m Qau Phone 4- a 3 7QS cl �- Am you an employer?Check tfie.. appropriate box: Type of project(required): LK I am a employer with I 4. ❑I ate a general contractor and I 6. ❑New canstruotion employees(full and/or part-time)* have hired the sdb-contrac om 2-❑ I am a sole proprietor orpartuer- listed on the attached sheet: 7- ❑Remodeling ship and hen a no employees Tlx.-se sub-contractors have g- ❑Demolition for me employees and have wadcers' ' �Y F 9_ ❑Bnildmg addition [No workers' comp.mmxanre Comp.insurance., require&] 5. ❑ We are a corporaticnand its 10-0 Electrical repairs or additions 3.❑ I am a homeowner doing all work ofS=have arercised their 11-0 Plumbing repairs or additions myset£[No workers'comp right.of exemption per MGL 12.❑Roof repairs iasara�e ]I c.152, §l(4),andwehaveno- emplagees.[No workers' 13.❑Other comp-insurance ] ;W applDaat tlul checks bax#`1 nmst also M out the section below shcuia5 rheas smacker'compensation policy iaffl� Hnmeaamers who submit this afidnit iadicstiez they are dmag allwmk sad then bim uatsi&canuactms>rmst submit anew affidwit iarHatmg sudL IConkwtoa But check this bax mast atiadhed m additional sheet sbmeing the name of the PAH:c ctxs and state whether ornot these e3fitks base employees. Iftbe sob-cootmc!—base-4dv)—%dLeY Est provide their wadcess'comp.palitfy uumber- I am an emploryw that is providing workers'eompnmrd ion hmir rnnce for trey engvlayeea: Bdow is flee palicy andiab site information. Insurance CompmyName: Y�- Policy 4 or Self-ia&Lim /�'�� d�pxpisatianDate: Job Site Address: , M0 76 . �- C.� AJ' CitylstatrlT.tp: Attach a copy of the workers'compensation policy declaration page(showing the policy number and cq&-Aou date). Failure to secure coverage as requiredunder Section 25A o€MGL c 152 can lead to the imposition ofcriminal penalties of a fine up to S 1,50D.0D and/or one-year imprisonment,as well as civil penalties in the fbna of a STOP WORK ORMR and a fine cd'up to$250-00 a day against the violator- Be advised that a copy of this statement maybe forwarded to the OTwe of hwestigations of the DIA for insurance coverage vrerffication. I da hereby certify re" a ' s andpenatliss ofipedwy Mat the informationpraszdedabove is true and correct ' furs: Date: g l9� O use only: Do trot write in€leis area,&be cawmpleted by city or town a�itzaL City or Town: PermitUcennse# Issue Authority(circle one}: L Board of Health 2.Building Department 3.Citp(]'owa Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 6 Information and Instructions - Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees, Pursuantto this statute,an employee is defined as"...every person in the service of another under any contract ofhire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,-or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or Iocal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of incnrance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance t:overage. .Also be sure to sign and date the affidavit The affidavit should be returned to the city or town that the application for the permit-or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate lime. 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 pemaMcense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out.each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number. The Commaawedth of Massachusetts Dspai mmt of Industrial Accidents • G itce of latvestigations GGO washbzton Stet Boston,MA 02111 Tel.#617 727-49W at 406 or 1.-877 MASSAFE Revised 4-2"7 Fax#617-727-7749 www.massgov/dia J r 3ermey Acadia Insurance Company NCCI Carrier Code 33391 Administered by Berkley Assigned Risk Services SSI'GNED RISK SERVICES P.O.Box 1100,Minneapolis,Minnesota 55440-1100 rf Phone(605)945-2144 Fax(866)215-8118 Toll Free(800)634-4589 www.berkleyassignedrisk.com CERTIFICATE OF INSURANCE The Insured: WCIP Policy Number: WC-20-20-000092-05 Carlos Figueiroa Tax ID#: F 01-8723094 dba: C N F Remodeling 20 Captain Noyes Rd Policy Period: From: 5/1/2013 To: 5/1/201 .. South Yarmouth, MA 02664 Date of Mailing:11/7/2013 . The Certificate is issued as a matter of information only and confers no rights upon-the Certificate Holder. This Certificate does not amend, extend or alter the coverage afforded by the Policy listed below. This is to certify that the Policy of Insurance described herein has been issued to the Insured named above for the policy period indicated. Notwithstanding any requirement, term or condition:of any contract or other document with respect to which this Certificate may be issued or may pertain, the insurance afforded by the Policy described herein is subject to all the terms, exclusions and conditions of such Policy. .TYPE OF.INSURAN�E LIMITS OF LIABILITY ? Coverage State(s) Part One Workers'Compensation Statutory MA Injury Y Part Two BodilyIn u b Accident $500,000 each accident. Employers'Liability Bodily Injury by Disease $500,000 Policy limit. Bodily,lrijUry.by Disease `$500,000-each employee. — - -- Should any of the above described policies be cancelled before the expiration date thereof, notice will be delivered in accordance with the policy provisions. All Entities/Insureds: :ertificate Holder's Name and Address: Figueiroa Election Election Garden Court Condominium Trust Category Status Name Attn Carla Roy Sole Proprietor Include Carlos Figueiroa 708 Route 134 South Dennis, MA 02660 Date Issued: 11/7/2012 Leonard Insurance Agency Inc 683 Main St B Osterville, MA 02655 r�' Signature_ C&F Remodeling Phone: (508) 237-9592 08/017/2013 Proposal Location. 1676 Main st. Osterville. Description: Re-Roofing • Remove the old shingles 36 (SQ), after the removal of roof, we inspect the whole roof for loose of rotten wood and Boards. If we find rotten plywood and/or.boards, we will notified the Owner for replacement, Pictures are taken to show in case of owner not present. We will clean the ground, removingqils, debris, loose shingles; we Wilf clean out all gutters for roper drainage. IR Install iced Yvater barrier will be install to all valleys and 411 rape edges, vend pi e collars and s�y ights if Rpply, The Iced d Water gives a fight protection against leakage. • Relac all }fielage `wh a new alninunm pipe #range apd neoprene ps et eR' iars: • To seal the lower' edge,of roof i a Fordance with manufacture's specifications, we install the shingles starter str*Tp along all gave edges and roof. Tl is provides a watertight and wind-resistant termination for your roof. • All shingles will be nailed with 6 nails on each shingle, Hurricane nailing. We use 1 1/4 galvanizes with a rust-inhibitive coating. • Install Drip edge to all bottom and rake of the roof. That prevent from leakage and rot that may occur.. • Cut the ridge approximate 1 1/2 " on each side for proper ventilation and install cobra ridge vent 70 Lf. i i • Install TL landmark, CertainTeed architect roof shingles 19(SQ) 30 year -warranty on back side of the House. • Install red cedar shingles PT on front of the house, 17 (SQ) • Install ridge vent. • Install red cedar PT shingles on.the cap. • We will use stainless steel nails. • Dumpster will be provided for clean up. Estimated time on job 7 days 1 8- -13 • . All materials are guaranteed as specified on package label, and the descript work is performed in accordance with the drawings and specifications. It will be completed in a substantial workmanlike manner for the agreed sum of U$ 7,300.00 down; and the balance upon completion. Total U$ 143600.00 i �. 0' 3 � ` bib �� U R , 1)c(�df Irlsttltc tlf t'irirl'q� � �tit•g•'o: ' r Baas u t h �,,Idlut��C t1 l.lY(I3t 1I111'td lf�t'+ - t '"? �J�sttilfrtrlstvrsor L►cense Gtcense CARLOS `FIG EIROA ; 20'CAPTAIN'NOYES� � SOUTH`YARMOUTH MA 02664- '" L4�,•tf'2C � t ta.Tif�l �t Y�•�1rx06fi3n jl8/25/2013 a}h Pik itrl lr'4 t t ;z, a ..r (r# 10 107 aiI r.,,,ga„,"S.e�; vi:�'a.sK..,..ks4t��,nth`..�t` �,_•�:�:, t ry' Office of'C ewe Affairs&usi ess ME IMPROVEMENT CONT Regufahon... License or registration valid for individul:use'c�6x;' I e istration RACTOR ° 9 ;153792.. before the.ex oration date:.If found return to: r xPiration TYPec': P • r 1/8/2pjgi DEA Office of Consumer '' C 8 F REMODE ` __ fir: 10 Park Plaza Affa►M a6d Business Rii ulati LI i,,.__.: .. . S g on NG,.. ,gs ..-�- f. uote'S1.7Q a a --z�; ;:_; ;„r Boston,MA'02116 I" ; r CRLOS FIGLIEIROAh k TiA f j". 20 CAPTAIN NOYES'I RD S. f YARMOUTH,MA 02604`='-:F-"'tif Undersecretary'. c Not-valid o t g t_. a I` hoot si n ore Regulatory Services Thomas F. Geiler,Director • iAItNSTABLR, s Building Division v$ 1 S ,0� Tom Perry,Building Commissioner TOWN OF BARNSTAELE A t 200 Main Street, Hyannis,MA 02601 www.town.barnstable mans ZQ(j jAN 29 fl°Y 12 G Office: 508-862-4038 Fax: 508-790-6230 ARpprovrwl Fee: DIVI �:35'o Permit#: e.�3-® 136b (.o`( HOME OCCUPATION REGISTRATION Date: Name: 1 a t i S Phone#:ef Address: ° CQuAllp ' n .. Village: Name of Business: ! L Type of Business �_;°P4Map/Lot: INTENT: It is the intent of this section to allow die residents of the Town of Barnstable to operate a home occupation too within single family dwellings,subject to die provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity 4J V�(yyj4-e_ shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to die 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 pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The acti<aty is carried on by the'permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to die 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,hunhidity'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 die same lot containing die Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles.rel<lted to the Customary Home Occupadon,'odier than one van or one pick-up truck not to exceed one ton capacity,and one.trailer not to exceed 20 feet in length and not to exceed 4 tines,parked on the same lot containing the Customary Home Occupation. . • No sign shhall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business, die street address shall not be included. • No person shall be employed in die Customary Home Occupation Nvho is not a permanent resident of the ' dwelling unit.. I, the undersigned,have read and agree with the above restrictions for my home occupation I am registering. . Applicant: Date: l' �� ' ,•� Honheoc.doc Rey.01/3/08 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.- it does not give you permission to operate.) You must first obtain the necessary signatures on.this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FL, 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. �. DATE: Fill in please: ® APPLICANT'S YOUR NAME/S: BU INE S YOUR HOME ADDR S: - ��� TELEPHONE # Home Telephone Number 3 SS�SSo� LCOC�S aS 1-bAS S� NAME OF CORPORATION: :/1 NAME OF NEW BUSINESS TYPE OF BUSINESS e55ior�al �� i`c�, IS THIS A HOME OCCUPATION? .�/ YES NO rG ADDRESS OF BUSINESS MAP/PARCEL NUMBER Q - O� (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally oper our business in this town. COMPLY WITH HOME OCCUPATION 1. BUILDING COM SIONE 'S OFFICE ` ULES AND REGULATIONS, FAILURE TO This individua ha b i formed f a p r it equirements that pertain to this type of business. ,n'�ADL.Y MAY RESULT IN FINES. Auth r4za d Si u e** -� C MME TS: _ 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (�ICEN NG AUTHORITY) This individual has 66en i r ed of the licensing requirements that pertain to this type of business. Autho izedl ignature** / `- COMMENTS: 0 4 V. , 1 [� 1 I I 1 I- O cn J i O O O N Y /y M M M CD U VJ O W C) O S O CL ¢ N U CO H W O U W W J W O I W CC CI] S CD 1 m H H QC W CMcD O 1 O N ¢ W \ O W Z CL 01- — V CV W F- ¢ N M 1 ¢ W } ¢ O C.n E \ 1 CL CL W O W W ¢ CC] m CTf I W 1--- It Z H N I CL ¢ 1- H W Lj H O E I H H ¢ C^J H W W EZ J Z W LLl wr:,1f� E J E E �.�•3•H'O'¢ UH F I CL H F- ¢ Ci } } W 0 0 0 } ¢ H I W E E S CL ¢ ¢ 1 i t 1 F i co O cL C1.t t3l 1 n1 a 11 -1 �+ 1 � nc an o o d 1 c.a ti w O N O y W Uj rn 7 O W co W Ct 1- SU 3 � G i O O W �O • O / / LJ..1 N S W Lo .� O W -M 9 1 M 1/� 9 --� W = 2 w W 0 W 20 .0 t / Z N O -C 1.i Z `-•t 1-4 W 1 f0 co Lb 37 —1 L O <0 1 O d S O y 1' L O '1> Cd -Z> Zt> -0 In m Town of Barnstable *Permit# o OD 76& Expires 6 months from issue date Regulatory Services Fee Thomas F.Geiler,Director s PERMIT � 06 Building Division )(_���� 1�� Tom Perry,CBO, Building Commissioner AUG 2 4 Z006 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us TOWN OF BARNST ABLE Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number (�� D b � o} 9 /'/ Property Address 16-7 6 So-" Coy,. � R -e [.]Residential Value of Work —7 SD® Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name m 1 Lyc.- Telephone Number I — I t Lis Home Improvement Contractor License#(if applicable) i 36 57? Z -7:7 QA ❑Workman's Compensation Insurance Chec one: I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Pemvt Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) i *Where required: Issuance of this pemut does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. SIGNATURE: Q:Fomis:expmtrg Revise061306 Board of Building Regulations and Standards HOME IM..ROVEMENT C \\ ONTRACTOR ,. Registrati6n�± - 136522' piration 1/2008 ;- Tya htlI idual MICHAEL BENJAM� 'pq}�pd MICHAEL `GASPARp / 225 Gosnold st Hyannis,MA 02601 Deputy administrator e 0 r / ' Cc�\ • The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations a 600 Washington Street Boston, MA 02111 ••` www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers r Applicant Information ]Please Print Legjbly Name (Business/organization/Individual): 621 r. U.,TOS,tcz 1�- Address: 2-2S' C3z�ve\c9� S City/State/Zip: MA oloi Phone #: 5-0?>`is I- clLl�t g Are you an employer? Check the-appropriate box: 'Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6 ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.(�am a sole proprietor or partner- listed on the attached sheet'$ ❑ Remodeling ship and have no employees These sub-contractors have S. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions requited.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or, additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.' t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. I am an employer that is providing workers compensation insurance for my employees. Below is the policy andjob site information. Insurance Company Name: Policy#or Self-ins.Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500•.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and'a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains andpenalties of perjury that the information provided above is true and correez Si'enature: Z2 �--�/r Date: el Zit /ab Phone#: �i'e h�l CrosPtr 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 a.Electrical inspector 5.Plumbing Inspe for 6. Other ' Contact Person: Phone#: Town. of Barnstable Regulatory Services Thomas F:Geller,Director 9`b '�� �`�� Building Division TomP.erry, Building Commissioner 200 Main Street, ljyaanis,MA 02601 www.town.bernstable.ma.us office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder ' 1 as Owner of the subject property hereby authorize m i C.1'1t'-��1 �5 P�rf . to act©n mybehalf, in all natters relative to work authorized bythis building permit application for, Rc� CC) Address of Job Date Signaeeof Owner Print P�ame - ' 1 TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY_ PARCEL ID 098 064 GEOBASE ID 4603 ' ADDRESS 1676 SOUTH COUNTY ROAD PHONE MARSTONS MILLS ZIP - LOT 9 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT .CO ! PERMIT 53022 DESCRIPTION .3BED/SINGLE. . FAM. DWELLING 4 48735 PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY, CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental'Services TOTAL FEES: Im BOND $.00 . I CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 1. PRIVATE P * BARMABLF, ` I MASS' 039. BUILDIN IV O j BY� DATE ISSUED 04/27/2001 EXPIRATION DATE 0 i.4 A ia ✓� 'a o ,v„ 1 Department of Health, Safety and Environmental Services * ■ARNSTABM w �FD Mlr►I . BUILDING DIVISION BY 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- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS P ' „� 1 J d 'IA -z6 '4 G/ �F�� y•L3 -� 66� 3 (f,J Rew.oue v�-,a'+�C Del�� 1 WEATING INSPECTION APPROVALS ENGINEERING EPART ENT f S0(3kjL r_M Opts (mow I rJ weo-tt.o14�v•A Ao�Y'. a., 0 J Wa7 (04om TV G aa'Q'. 0%a ( 2� D OF H A T 9TA ER: SITE PLAN REVIEW APPROVAL moo I WORK SHALL NOT PROCEED UNTIL F iRMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE srRUCTION 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 BUILDING PERMIT . E TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION M Map : Y Parcel Permit# 141 17 3 j HeaA Division O Date Issued r)�Ow Conservation Division �Si9 ��-s �Z�O2 Ae PC.91912zcao V Fee Tax Collector 3 653. a C f tp I C. W PTIC SYSTEM MUST BE Treasurer TALLIED 1N COMPLIANCE Planning D t 2 ADO a ,6,ti'/m Zos %�, WITH TITLE 6 ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board '(",M.r Historic-OKH NA dW-V Preservation/Hyannis CP Project Street ddres ( n ) ✓ r 72 L1 _ 1 Village Owner (x+�l Est-n'�c,�^- G k a) Mat-tt Address"I'y 69v& ,,1, ��iPl f�d f��i�r►>� Telephone Permit Request r 0 1 �6f Square feet: 1 st floor: existing proposed 11-dQ 2nd floor: existing proposed /yU Total new 2d Estimated Project Cost Zoning District U5•,p I Z Flood Plain Groundwater Overlay Construction Type c_ Lot Size H(( IZs'SG Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 10J 0 Historic House: El Yes O'No On Old King's` O'h Highway: ❑Yes 'lo Basement Type: 0Full ❑Crawl ❑Walkout ❑Other , Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) /-5CZD Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing f new _3 Total Room Count(not including baths): existing new 7 First Floor Room Count Heat Type and Fuel: O Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ErNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes r31�10 Detached garage:❑existing 0 new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:Cl existing E new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization El Appeal# Recorded❑ Commercial ❑Yes(' 0No If yes, ite plan review# Current Use JI h , Gu»i Proposed Use /i� 1, Grp, BUILDER INFORMATION -7-7 Name l/»7 DCG�rscn ///M- Telephone Number Address M.J fO License# (dy-2EES 7 Home Improvement Contractor# GG�r�h A/9 01:�J Worker's Compensation#(�/`��—A` L 2 ALL CONSTRYPTION DEB IS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �'�� � �A FOR OFFICIAL USE ONLY _ PERMIT NO. ✓ DATE ISSUED MAP/PARCEL Ltd ti c' R ! .. � _ :; , • * , - ""` • I ADDRESS VILLAGE OWNER �,�� +-• . , ._ .. � -' -/,,,• DATE OF INSPECTION'S FOUNDATION FRAME _ . INSULATION FIREPLACE "It ELECTRICAL: R.d G -- FINAL PLUMBING: ROUGH!- FINAL 4 ; GAS: ROUGg a r FINAL FINAL BUILDING -IF xc ✓,•�, DATE CLOSED OUT to 6 ;'t ASSOCIATION PLAN NO. Ai : r The Commonwealth oj'Massachusetts Department of Industrial.Accidents Office 011OYest1A8t100s - - 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit i r rii� rr ai rr r EM/0111����� name:Iocation: ' l/ 9 ✓� 7�� city hone# ❑ I am a homeowner performing all work myself. ❑ Lpma sole etor and have no one woridn in a� acity �/ � � /,�//,l� 'l�'�///"!%i��G�///,�'�/J//�.����D///l0////%%//,: din workers' compensation for my employees working,on this job. ::: ::«:::»:«:>:<:>:::<::»:<:>:::<:>::>:<:::>::<:>::;': I am an em lover P g .::.:. :::.: ... ....... P .::::::::::::::::.::::.................... . .............::::.. CAD m anv ame:. :•-:::.: � .................:........ ......... . .............. 7-4 _. dire ss. u ..: >< :.: insurance co. :..:.:::: ....... ❑ I am a sole proprietor,general contractor, or homeowner(circle one and have hired the c°ntcactors'listed below who have ::.::n.::::::.::::.:::}}}:.;;;:.:.};>.?:>}?:!.;:;!>:«:::<:>::>......::»::::<>:;::<:<:>::::: ::>>>s following workers' co ensation polices:........ the f g ..............:::::::::mP.::.:::::..:.::.:..::::.. :. ::.: :... .::.::::::..:.::::.....:::::::.:::::::..:.....:::::.::::::::..::::::::... :.....::.:.:.:::::.::::::.:::...:::::......:::::n:.:::::::::......:.:::::::::::::::: � n a me m a II ........ ... ....does •:.:'.;:!..;:::.}:.::!.}:;:::::�::n.:.......::.:..:..:::::..:::.:.::::::::::::::::.:...:..:...... .................... . j,. ............. ..................................... w::::.�:::::::::::::w:.�:: .................. :.............::::w:::::::::::nv:•phi::!!4?:•?:I•}?:4:J}??:!•::•v:;.}}}}}:r:}:�:}}?:M}:•:nv::nv::::v::.•.....•:..:..•:::.•:.•:...•..•...........xv::}}vi4':!:{.;n}•{.}-:::}:-:::. ..n•..... ... ... ........ .................v:::::::::::::::.�:•!•}}•.}vn:v.�::::::::•::::.'::::::::::::i::•::::v..:..:{•w::!W::?`:!v;:n?}�::.?:•?:ii:!•:Yvnv:i. }... ..4:n!•........... .". .......... .......... ......... ............ ....................... ..i...... .<............ n..:. :.,:•:.;:\•.C::::?:•:4i?}:4.v:i4:,...:!ri}:.ty,............... .. l.:4:v.::•:n•n::•..........................:............. .::::w:nw:. anv ...................................... dr ess: :: ''<: ::v`::: v::2>...................wMiNimoonnAlor ..............................................Failuretosecurecoverageas required umder Sections of MO[a STOP ORDER and a Arse of S 10`00 ada7 g wlnst me. I understand that°r one yeah'imprisonment as well as civil penalties is copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage veriiteation. I do hereby ccrti under and penalties ofPelWy that the information provided above iil tru,and coffeectt Date -- Signature Print name /� CGI�'� Phone# official use only do not write in this area to be completed by city or town oflidal permit/license N ❑Building Department city or town: ❑Licensing Bonrd ❑Sdeetmmen's Office (3 check if immediate response is required Qliealth Department contact person: phone N• ❑Other (revved 9/93 PIA) ' 1.- cs' ...�:�C.::,:ic w ��✓wy'��4�•! '1sr.'A+1L-ice' I �1e{p�o„r�,to�xueall� a�,/�croocu�cuae!!a BOARD OF BUILDING REGULATIONS ` I License: CONSTRUCTION SUPERVISOR ;j Numbe� GS 005867 $irdate 4 1112/1953 ' 11/.12001 Tr.oo: 8410 ' To: 00 r r ? TIMOTHY PEAR N POBX 519 CENTERVILLE,`MA 02632 AdminlsVator ✓ '. , �l�r'y I t�,, Y .�r r:4�'t,eyt,�U.1---a�.tic"�e, t.��{ ' ??.T':',�ys,. , - ..' s' .. I , • r ',1 1 I I MASch'eck COMPLIANCE REPORT Massachusetts Energy Code I Permit # I MAScheck-Software Version 2.01 I i I I I .Checked by/Date I I I CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING.SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 9-11-2000 PROJECT INFORMATION: 1676 South County Road Osterville, MA COMPANY INFORMATION: Markwood Corporation 110 Breed's Hill Road, Unit 10 Hyannis, MA ' 02601 COMPLIANCE: PASSES Required UA = 643 Your Home = 487 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA -------------------------------------------------------------------------------- CEILINGS 1520 .30.0 0.0 54 WhLLS: Wood Frame, 16" O.C. 3008 15.0 3.0 201 GLAZING: Windows or Doors 331 0.310 103 DOORS 164 0.350 57 FLOORS: Over Unconditioned Space 1520 19.0 0.0 72 HVAC EQUIPMENT: Furnace, 90.0 AFUE ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 12 f the design load as specified in Sections 780CMR 1310 and Builder/Designer Date 0 MAScheck INSPECTION CHECKLIST" Massachusetts Energy Code MAScheck Software Version 2.01 DATE: 9-11-2000 Bldg. 1 . Dept. I Use I I I CEILINGS: [ l I 1. R-30 I Comments/Location I I WALLS: [ l I 1. Wood Frame, 16" O.C., R-15 + R-3 1 Comments/Location I WINDOWS AND GLASS DOORS: T ] I 1. U-value: 0.31 I For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes ( ] No I Comments/Location I I DOORS: [ 1 I 1. U-value: 0.35 I Comments/Location I I FLOORS: [ l I 1. Over Unconditioned Space, R-19 I Comments/Location I HVAC EQUIPMENT: [ l I 1. Furnace, 90.0 AFUE or higher I Make and Model Number I I AIR LEAKAGE: [ 1 I Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. When I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: I 1. Type IC rated, manufactured with no penetrations between the I inside of the recessed fixture and ceiling cavity and sealed or I gasketed to prevent air leakage into the unconditioned space. 1 2. Type IC rated, in accordance with Standard ASTM E 283, with no I more than 2.0 cfm (0.944 L/s) air movement from the the I conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I difference and shall be labeled. I I VAPOR RETARDER: [ ] I Required on the warm-in-winter side of all non-vented framed I ceilings, walls, and floors. I I MATERIALS IDENTIFICATION: [ ] I Materials and equipment must be identified so that compliance can I be determined. -Manufacturer manuals for all installed heating i I and cooling equipment and service water heating equipment must be I _ provided. Insulation R-values, glizing U-values, and heating I equipment efficiency must be clearly marked on the building plans I or specifications. I • I DUCT INSULATION: [ ] I Ducts, shall be insulated per Table J4.4.7.1. I DUCT CONSTRUCTION: [ 1 I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be I omitted where gaps are less than 1/8 inch. Duct tape is not I permitted. The HVAC system must provide a means for balancing I air and water systems. I I TEMPERATURE CONTROLS: [ ] I Thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. I I HVAC EQUIPMENT SIZING: [ ] I Rated output capacity of the heating/cooling system is I not greater than 125% of the design load as specified I in Sections 780CMR 1310 and J4.4. I [ ] I SWIMMING POOLS: I All heated swimming pools must have an on/off heater switch and I require a cover •unless over 20% of the heating energy is from I non-depletable sources. Pool pumps require a time clock. I [ l I HVAC PIPING INSULATION: I HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in.) : I I PIPE SIZES (in.) I HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" 1 Low pressure/temp. 201-250 1.0' 1.5 1.5 2.0 I Low temperature 120-200 0.5 1.0 1.0 1.5 I Steam condensate any 1.0 1.0 1.5 2.0 I COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant below 40 1.0 1.0 1.5 1.5 I [ ] I CIRCULATING HOT WATER SYSTEMS: I Insulate circulating hot water pipes to the following levels (in.) : I I PIPE SIZES (in.) i NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS I HEATED WATER TEMP (F) : RUNOUTS 0-1" 1 0-1.25" 1.5-2.0" 2.0+" 1 170-180 0'.5 I 1.0 1.5 2.0 I 140-160 0.5 I 0.5 1.0 1.5 I 100-130 0.5 .1 0.5 0.5 1.0 ----NOTES TO FIELD (Building Department Use Only)------------------------- 0 . r 1 - - - - - - - - - -- --- t = -== SMOKE DETECTORS O.K. r Lq000fu. =�:RNSTA13 aoa.a�e.b,a, B ING DEPT D --- - ^eviin ___ �e custom <esigns p .Y CAS r / r Q D� 'f f . i� a i, } •. '°. :' ,::'. h :, ��i i I (( �:. �:•. •..: i . ... �e,e-fie s+uo. I Q aay m m � o a .r o.m. i t. I. 6 I _ is --------'------- 4. i 4 A Ctl _ pppp I r: S + e 0 I o 0 0 i 4 m M P O i �o • 6 � I i >. k . SMOKE DETECTORS O.K. YD 3ARNS DEPT.AE - m restg n afir - u u mn ns i i �i. rnN T=.r�_ r;•p f ,i s a.. Q i Ie s 1 P ' n 1 G. - .ht G b'� • �1 G n Z J � f �p es O N. L � rt a � i i • 5;lj d _... il' ' yyyyy jFM( oaf , z a F 2 iIr i _ �kr 3 I;� 5 4 O 0 4 e o Town of Barnstable zRMINUMA = Department of Public Works Engineering Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4088 Thomas J. Mullen,Director Fax: 508-862-4711 Robert A. Burgmann, P.E. Town Engineer Gail Germain Martis PO Box 573 Cotuit,-MA. 02635 j Subject: Road Opening.Permit MipNP cel ;098/.064, Date: December 12, 2000 Dear Ms. Martis, Pursuant to the Town of Barnstable Street Excavation Rules and Regulations, adopted March 1995, you are hereby notified that the Engineering Division does not have an approved road open permit on file for the work that was performed within the limits of the town road at your property located at 1676 South County Road, Marstons Mills. '= r . i Please be advised that failure to comply with the requirement of obtaining a road opening permit from the Engineering Division may result in a fine of$200.00 per day until a permit has been applied for and approved as defined under section 5.40 of the referenced order. Please contact me or Mr. Frank Schlegel at this office within 3 working days from receipt of this notice to resolve this issue or procedures will commence to process the fines. Sincerely ( � bent A. 4eer , PE. Town E EST/MA TED PROJECT COST WORKSHEET Value LIVING SPACE (high end construction) square feet X $115/sq. foot (above average construction) square feet X $96/sq. foot= (average construction) square feet X $57/sq. foot= GARAGE (UNFIlZSHED) pd y d y � square feet X $25/sq. foot PORCH square feet X$20/sq. foot= DECK square feet X$1.5/sq. foot.= OTHER square feet X$??/sq. foot= Total Estimated Project Cost Z.� 0 For Office Use Only /nc/usionarY Affordable Housin ee D,-Kesidential Commercial" Property Owner's Name C—t I Z- �eK14AW (S A►zX-006h GkP - Project Location Project Value�o � Permit Number 713f r>- �........_._ . 9529 �I MARKWOOD CORPORATION 53-574/113 DATE i FAY ' TOTHE ORQfER 6F �" W J � 20 i Do 'tea CAPE COD BANK AND TRUST COMPANY,N.A. • � PASS EiTS 7 II _OR 11606 9 5 2 9111 im 1 l3 5 ?491: LO 6 I 6 0 L11' -- Foundation Certification in Osterville, Ma. Pre pored For Gail Germain — Mortis Assessor's Map : MAP: 98 . Parcel: 64 Baxter, Nye & Hoimgren, Inc. Community. Panel Number 250001 0015 C Registered Professional F.I.R.M. Map Zone: C Engineers and Land Surveyors Plan Reference : Land Court J255750 812 Main Street • Osterville, MA., 02655 Owner : Gail Germain—Mortis Phone — (5W) 428-9131 Fax — (5M)-428-3M 99086cpp.dwg Job Number: 99-99086 Scale 1" = 40' Date 10/18/00 EARL T. & DOR071gY C. BROWN C . FND.OFF .... `— N 47'18'07" E 215.50' �I to Q WETLANDS FLAGGED BY FURGRO EAST. INC. 12129194 IAci ■ �, z s FOUNDATION .. ... ATED 10//1116/00 LOT 9 0 I0 v o0 46,135 S.F. r� 1.06 Ac. y � a z rn S.B.. a O � FND. S 443 F 5'50" W 192.23' ND. (A U co'N) 0 io m IP FND O a I � JOHN L. & JEAN QUIGLEY C � N_ 0 V v s • I� I I 41.95' 20.00' 128.05' S 4435'49" W 190.00' TD Lary //162?1 JUBILATION WAY r 1 CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE FOUNDATION SHOWN HEREON IS IN COMPLIANCE WITH rrj Of: d, THE APPLICABLE BARNSTABLE ZONING DISTRICT SIDELINE AND SETBACK REQUIREMENTS, IS LOCATED r>?.--.,�s •�� IN RELATION TO THE MONUMNENTS SHOWN, AND IS NOT LOCATED WITHIN A SPECIAL FLOOD HAZARD AREA. THIS PLAN IS NOT TO BE RECORDED NOR IS IT TO BE USED TO ESTABLISH PROPERTY—LINES. R GISTERED P OFESSIONAL LAND SURVEYOR DATE i • TEST HOLES ROUTE #28 BAXTER, NYE & HOLMGREN INC. sDVT 10/22/86 ti LOCUS N I #P-6249 c°Gti PIT #1 PIT #2 ELEV. 44 ELEV. 45.6' Water level 5/30/90 = 24.00' •5 , Ril'FR LOAM & SUB SOIL wetland FILL ' -2.0' �o A2 ��, , 0 i, ELEV. = 42.7' �I,, RAISE TO WITHIN 6" of F.G. LOAM & SUB SOIL ' � WETLANDS FLAGGED BY TOP OF FND. i /� , -4 PERC. TEST 48f F.G.= 48t -2.0 :•.•::. LOCUS MAP A3 �►�, \: .'..' :'::':: 49.0 F.c.: 8.7 FURGRO EAST INC. � 'li \��• \ � .\\�\.a. .\\�\ \\ i F.G.= 48t SCALE 1 25,000 �� 12/29/94 INV. LEVEL F.G. 48t' MEDIUM :._:.'. �r� x ASSESSORS � 0��� A4 46.0 -� \ � Q _ 4" DIAMETER 2 I -4' PERC. TEST SAND .... :... MAP 98 PARCEL 64 ,i G' 3� M.. INv. - 1500 GAL. SCHEDULE LEA ZONES N � `�•� O 45.8 SEPTIC TANK DIST. 40 P.V.C. 'HING CHAMBERS 1� ...... O INV. = INV. =45.4 Box x 45.5 ci O .........:::• INV. = 45.2 INV. = 45.0 ......... O 4 30.9 o w , MEDIUM R F v 33.2 cn cL�` ,� SAND �.• ,F. o30.2J •-----•-•-----....... 6 STONE BASE MINIMUMS .� �O �� O AREA = 43,560 S.F. 'f� 31 0 _ . BOTTOM ELEV. EL = 3 0 FRONTAGE - 150' h' 32.1 S _ - FRONT SETBACK = 30' o� ELEV. = 33.6 3, _..�.._ 31.3 �9 �p PROFILE I w SIDE SETBACKS = 15' o/ X•-3 9- ..... _ .__ he}J , 9 LE REAR SETBACK 15' -- \i 2.� �g9, F - -12.0' NO WATER o/ - --- x _ 31.s �p6 NO SCALE BUILDING HEIGHT 30' �39.8 `✓ .. f x „ `\` 32 F,p ELEV. = 30.7' o� rX' , w��� pines 16 1-50 1 x 32. 34 Q: -- w_ AA �+ 45.5 p N tg 39.7 41.9 � 34.6 46 t � iX `x C.B. w�� LIMIT q �_ URISDI X FN OFF48 0 47M2 `$ 3 ks � {t T H TI `3�. 39.8 4 <. �r :INv,. Off, <, x 37,4 ^ 9.6 , .. p x 49.3 ✓ .. x� , '`!- x 38.3` 38 3fi.0 _ 5D.2 \ s •'� 1 1.5" WASHED STONE 50.0p. , E �. � C.B. 34.4 • .47.5: X �"� _ « �Y , FND. (� \ i 45 � � . n.. 41.8 36 i . k , 4,, w_. .w 4' 10, y I� white pine 16 ___ _- •6' " I BENCHMARK TOP OF C.B. �\ •.', „�, ,: ..,: ... . \ ��k h��`�"� '�_ ?� �,,�,� �gip, t I. __ ? i EL.. 38.00' PLAN OF LEACH TRENCH 4' r .,.' Q • ��� ems? �`?,;i...o„v - NV 4 �49.8 � �y�x ���*a��. 47.2 SCALE: 1" - 20' 50.1 X 48 2• 46.7 / O / .v X - asp a i�, r ' TO BE REMOVED 49.6 : ; I - holly 12' 50 $.B. _ .� FINISHED GRADE 50.7 �9,Q '��,� �, 12"MIN \\ \ \\ \ \ \ \\ \ \\ \ \ \ \FND.OFF , l #155/80 49 4 x 50. �o,`t'' ,hp ti / / // //��/�// /�// // / //\/�./�/ COMPACTED FILL x p418.1 \� �S, gyp, 36"MAX. �. 2 ............ �......... 4...... PEASTONE o °.• ' .: . 3/4' TO 1 1/2 " Os, 3 LOT 9 X 51.0 24" a DOUBLE 46,135 S.F. `,\' - , a WASHED STONE \kl1 .06 Ac. .. 9O� EFFECTIVE SECTION DEPTH NO SCALE �', ` x 50.8 ® 51 .o PLAIT � , � � �� a. FND. - ���tix or . ��\ . SCALE:' 1 - 20' '� \ ` •p9, TEP N s, FND. GRAPHIC S;ALE d ,� o. 2r4 t N \\ 0 20 40 ,y0 �� ,`•s �fc�srE `�°��c�` \�o���s; �G !. 48.4� DATUM FOR THIS PLAN IS N.G.V.D. I i v 6 j SEPTIC, & SITE PLAN #1'7 JUBILATION WAY DESIGN DATA IN SING`_E FAMILY- 3 BEDROOMS OSTE RVI LLE I NOTES: NO GARBAGE GRINDER 1. REMOVE UNSUITABLE SOILS BENEATH PROPOSED SYSTEM, BACKFILL WITH DAILY SLOW = 1 10 X 3= 330 G.P.D. BARNS TALE, MASS. CLEAN GRANULAR MATERIAL FILL.TO BE GRADED AS FOLLOWS: NOT MORE THAN 15% RETAINED ON No. 4 SIEVE, NOT MORE THAN 90% RETAINED ON SEPTIC TANK '330 X 200% = 660 GAL # 50 SIEVE, OF FRACTION PASSING No, 4, 10% OR LESS TO PASS # 100 US'i 1 GAL. SEPTIC FOR SIEVE AND 5% OR LESS TO PASS No. 200 SIEVE, SOIL TO BE APPROVED 500 E C TANK BY ENGINEER FOR COMPLIANCE PRIOR TO PLACING ON SITE. I CERTIFY THAT THE PROPOSED FOUNDATION SH01�i� HERE ON COMPLIES WITH THE HORIZONTAL LEACHING CHAMBER DESIGN GAIL GERMAIN- MAR 1 IS 2. LOCATION OF UTILITIES NOT SHOWN ON THIS PLAN, AT LEAST 72 HOURS & D`AENSIONAL REQUIREMENTS OF THE LOCAL PRIOR TO ANY EXCAVATION FOR THIS PROJECT CONTRACTOR SHALL MAKE ALL PIPES TO BE, SCHEDULE 40 PVC PERFORATED THE REQUIRED NOTIFICATION TO DIG SAFE (1-888-•344-7233) AND FALL I A SLAW, AND THE FOUNDATION DOES NOT SCALE: 1 � = 20' DATE: NOV. 22 1999 APPROPRIATE WATER ,DISTRICT TO DETERMINE UTILITY LOCATIONS. TALI. IN A SPECIAL F.E.M.A. FLOOD HAZARD AREA. USE 1 4" DISTRIBUTION .LINE IN PLASTIC LEACHING CHAMBER I 3. FOR ALL ASPECTS OF THE SEPTIC SYSTEM THE CONTRACTOR SHALL COMPLY IN A 12'X 25' WASHED STONE' TRENCH AS SHOWN REVISED AUGUST S, 2000 WITH ALL GOVERNING CODES AND REGULATIONS. IN PARTICULAR310CMR DATE' 8 2S Z.00 R.L.S. L.=ACHING AREA REQUIRED RAER, NYE & HOLMGREN INC. 15.000 THE,STATE ENVIRONMENTAL CODE TITLE 5, ON SITE SEWAGE DISPOSAL •330 G.P.D./.74 = 446 S.F. REGISTERED LAND REGULATIONS AND THE BOARD OF, HEALTH RECOMMENDATIONS FOR ACCEPTED OFFSf'TS TO THE PRO ED FO DATION SHOULD SURVEYORS 2(25+12) ,x . 2 = 148 S.F. SIDEWALL AREA PRACTICE. NOT `iE USED TO ESTAB OPERTY LINES. CIVIL ENGINEERS (12 X 25) 300 S.F. BOTTOM AREA OSTERVILLE M f 4. THE CONTRACTOR IS TO SECURE APPROPRIATE PERMITS FROM TOWN ASS. AGENCIES FOR THE CONSTRUCTION DEFINED BY '-THIS PLAN. DEE .r REFERENCE: CERT. 89155. 48 S:F. TOTAL PROVIDED 5. ALL STRUCTURES BURIED DEEPER THAN 4 FEET OR SUBJECT TO VEHICLE TRAFFIC SHALL BE H-20 LOADING H:\1999\\y9086\SURVEY\worksht\99086ccA.dwg