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HomeMy WebLinkAbout0081 TREELINE DRIVE �� -�.�.�� fir. a _r � _ _._�____ _ . T �. �o1C F Town of Barnstable *Permit# PLO �g. �1 �� s 6 mo, s sue date ' .° 2010 Regulatory Services r 8�. : 1639. ��` Thomas P. Geiler,Director �l fo � r,qBLe Building Division Tom Perry,CBO, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstab le.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL-ONLY (/�� Not Valid with out Red X-Press Imprint Map/parcel Number 6-Cv 1 0:1 o Ou Property Address j r I_ Jn�Q � � ckf Eb 21 M'd ❑Residential Value of Work q 3n,W. Minimum fee of$25.00 for work under$6000.00 Owner's Name& Address cl 01{�(���I OF fiA hi —1145 Contractor's Name Telephone Number Home Improvement Contractor License# (if applicable) Construction Supervisor's License# (if applicable) orkman°s Co -ensation Insurance Check e: 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 accompany each permit. Permit Request(check box) oof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side # of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum .44)# of windows *Where require 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 t H e.Improveme •Contractors License & Construction Supervisors License is-, required. SIGNATURE: QAWPFILESTORMS\b lding permit fo ��EXPRES .doc T? „; ,4 nonQno ` l fa cl, David Sawyer Construction .318 Meiggs Backus Rd Sandwich, Ma 02563 508.539.1992 Proposal Submitted To Work Address Mr. & Mrs. Ridolfi 81 Tree Line drive Marstons Mills 21 Yale Dr. Milford Ma 01757 508.473.7967 508.681.8811—Cape Work to be Performed: *Strip old roof shingles and replace with new 30 year"AR" .Architect CertainTeed Shingles Color: ???? *Nail Plywood as needed *Clean Gutters as needed * Install White.Aluminum Drip.Edge Ice & Water-)larrier on all edges of roof, chimney Underlayment Paper System Pipe Flange Ridge Vent-- (when installing may cause sawdust particles in attic) Hurricane nail roof Silicone Chimney Stripfront sidewall cheekby:ckimney Replace with White Cedar shingles & Step Flashing *-Clean& Remove all debris'from:work place after job!and take-to!landfill.. Total Investment-&`L-ab'oe: $4,700 00` Payment due in full at time of job completion. All materials guaranteed to be as specific, and work to be performed as stated above. Work to.be completed in a workmanlike manner. Any alteration or deviation from the work specifications involving extra costs will be executed only upon written order, and will become an extra charge over and above the estimate. All agreements contingent upon strikes,.accidents or delays beyond our control. Please remove and or secure:any fragile household items. Not responsible for broken or damage to household items. Five Year Labor Warranty/Plus Manufactures Shingle Warranty. We may withdraw this p osal if not accepted within 30 days. Respectfully Submitted Acceptance o Proposal The above-prices, specifications and.conditions are satisfactory and are hereby accepted. `You'are'authorized to do the work as'specified:: Payment--is due in full at job completion. Ia '- Psi /a 'Signaue i 91te -C Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Reqistration: 134313 Type: Individual Expiration: 10/24/2011 Tr# 289550 DAVID SAWYER CONSTRUCTION DAVID SAWYER 318 MEIGGS BACKUS RD. SANDWICH, MA 02563 Update Address and return card.Mark reason for change. Address u Renewal ❑ Employment Lost Card S-CA1 0 50M-04/04-G101216pp ��ie Taoarvntovzca� o�✓vtaddltGutdP,�6 Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ug HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration: 134313 10 Park Plaza-Suite 5170 Expiration: 10/24/2011 Tr# 289550 Boston,MA 02116 Type: Individual DAVID SAWYER CONSTRUCTION DAVID SAWYER 318 MEIGGS BACKUS RD. SANDWICH,MA 02563 Undersecretary _ -- Not vali ho t sig Lure Sl • .... I usetts - Depa1 tment of PUhlie .'-;aPe1% BOMA of Building Re�oulations and Standards Construction Supervisor Specialty License License: CS SL 98859 Restricted to: RF,WS DAVID SAWYER j 318 MEIGGS BACKUS ROAD SANDWICH, MA 02563 c— J�- Expiration: 1/27/2011 1 nnmis�i m`'�' Tr=: 98859 The Commonwealth of Massachusetts Department of Industrial Accidents r' Office of Investigations 600 Washington Street c� Boston, MA 02111 y www,mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information . Please Print Legibly Name (Business/Organization/Individual): UAAL Address: �lAf. 1✓u l;'rwv0 I� City/State/Zip: s t LA 114-0,, Phone #: S� S3� `l lt:� Z Are you an employer?-Check the approp iate box: Type of project(required): ].❑ I am a employer with 4. ❑ I am a general contractor and 1 6. ❑New construction pltiyees(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 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 1 1.❑ 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 corrip,insurance required.) •Any applicant that checks box fill must also fill out the section below showing their workcrs'compensation policy information. t Homeowners who submit this affidavit indicating they arc doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob site information. Insurance Company Name: Policy# or Self-ins.Lic,#: WA- 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). Failuie 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 a d/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a d against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of th IA for insur ce coverage verification. I do hereby certi ruder the pa s art penalties o per'ury at the 'nformati*provided above is true and correct. S i nature: ��Date: Phone#: Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority (circle one): 1.Board of Health 2. Building Department 3, City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: Inforrnatzon . and h—structiOPS compensation eneral Laws chapter 152 requires all employers to provide workers' for their employees. d as "...every person in the service of another under any contract of h Pursuant to this statute, an emploJ�ee is define ire, Massachusetts G express or implied, oral or written:" gal chtity,-or any o or An ern toyer is defined as "an individual,partnership, association, corpoiesenlatives of aation or other edeceased empl yer,or hore P of the foregoing engaged in a joint enterprise, and including the legalp . irig employees. receiver or trustee of an individual, partnership, association 01 and who resides her other legal entity, oein, or he occupant of then he owner of a dwelling house having not more than three apartments dwelling house of another who employs persons to do mat because of such employmenconstruction or pt be deemair work oed to beayneempl ye se or on the grounds or building appurtenant thereto shall no a- ce MGL chapter 152, §25C(6) also slates that "every state or local lice t b nsing agencyn the shall comdigs mold the issua Any r renewal of a license or permit to operate a business or to co applicant who has not produced acceptable evidence o he onunonwealiance 'lth no any ofth the nts political ce coverage shall Additionally,MGL chapter.152, §25C(7) slates "Neither enter into any contract for the performance of publicwork until acceptableyvidence of compliance with the ins�uance requirements of this chapter have been presented to the contracting authorit Applicants '. y to ur Please fill out t.the workers' compensation affidavit completely,by checking the boxes thai�Pplcerlifiocate(s)�Of' and, if necessary,supply sub-contractors)name(s), address(es)and phone numbers)along vr� insurance, Limite with DO Clnp]OYCCS d Liability Companies (LLC)or Limited Liability Pansurancc.tnerships(if an)LLC or LLP does havte other than the members or partners, are not required to carry workers .compensation Of employees a policy is required. Be advised that this afordtie 5 me to sign be b nldldated oe the the Daffidavit nlThe affidavit Should Accidents for confirmation of insurance coverage, Also be returned to the city or town that the application for the permit oe law or is bei if ou age required to obtain uested,D Dt the lz workers' of Industrial Accidents. Should you have any questions regarding the Self-insured companies should enter their compensation policy,please call the Department at the number listed beloyv.. Self-insurance license number on the appropriate line. City or Town Officials ed a space at the; Please be sure that the affidavit is complete and printed legibly, i at he onshas tonconiacl yoLt has aregarding the applicant. of the affidavit for you to fill out in the event the Office gln addition, an Please be sure to fill in the.permit/]icense number which will be needonly submitbone affidavit Indicahng�current that must,submit multiple permiUlicense applications in any g y y policy information (if necessary)and under"Job Site Address" the marked by thecaty ortiown moaytbe provided to he °r town),''-A copy of the affidavit that has been officially stampOut cach applicant as proof that a valid affidavit is on file for future permits or licenses. A.new saness or commerc al venture year. Where a home owner or citizen is obtaining a license or permit not related to any (i.e..a dog license or permit to bum leaves etc.) said person is NOT required to complete this affidavit. ank you in advance for your cooperation and should you have any qua The Office of investigations would like to th stions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Coinmonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel # 617-727-4900 ext 406 or 1-877-MASSAFE - Fax # 617427-7749 1, of�HFr Town of Barnstable y° Regulatory Services s,txr+sr.+si.E, Thomas F. Geiler, Director MAsa 1639• Building Division QED µAS Q Tom Perry, Building Commissioner 200 Main Street;Hyannis,MA 02601 Yny-w.town..b arnstable.ma.us Fax: 508-790-6230 Office: 508-862-4038 Property Owner Must Complete and Sign This Section If Using ABuilder I , as Owner of the sub)ect property hereby authorize to act on my behalf, in all matters relative to work authorized by this building pernut application for: (Address of Job) Signature of Owner Date Print Name if Pro e Owner is applying for permit please complete the Homeowners License Exemption Form on the. reverse side. Town of Barnstable Regulatory ,services Thomas F. Geiler,Director + iARNSTABL£, 39. wilding Division i6 �� plFD �a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 t www.town.barnstable.ma.us Fax: 508-790-6230 Office: 508-862-4038 , H OMEOWNER LI CENSE EXEMPTI ON Please Print DATE: JOB LOCATION: village number street "HOMEOWNER": work phone 11 name home phone#! CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allowhomeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be,a one or two-family dwelling, attached or detached structures accessory to su h use and/or farm structures. A c person who constructs more than one home in a two-year period shall not be considered a homeowner, Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work-performed under the building permit. (Section 109.1.1) The undersigned "homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned "homeowner"certifies that he/she understands the Town of Barnstable Building Department rements and that he/she will comply with said procedures and minimum inspection procedures and requi requirements. Signature of Homeowner Approval of Building amicial ' Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code stairs that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions isors);provided that if the homeowner engages a person(s)for hire to do such of this section(Section]09.1.1 -Licensing of construction Supery work,that such Homeowner shall act as.supervisor." Many homeowners who use this exemption are unaware that they arc assuming the responsibilities of a supervisor(see Appendix Q, on 2.15) This lack of awareness often r�suhs in serious probleriis,particularly Rules&Regulations for Licensing Construction Supervisors,Secti In this case,our Board cannot proceed against the unlicensed person as it would with a licensed when the homeowner hires unlicensed persons, Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, —that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. n-\u PT7n P.v\1Pf1RMS\homccxcmDLDOC r fj 'ngFind Detail .0 j Eile Edit Tools Help rrr' (Action ,Parcel Information _ I TAX TITLE-2002 j'� View Bills � Parcel 040-107-006 Effective Date.10/13/_005 Effective Date Location 81 TREELIPiE DRNE � If j Name E°VARIOUS*# �1 'i Year `Type !Orig,Bled jAetivlty Unpaid Bai: DueAO NS 2001 RE-R 1641.65 -1641.65 .00 .00 j2005 RE-R 2129.73 -1059.87 1069.86 1149.92 j 2006 RE-R 1066.00 .00 1066.00 1080.93 ;•:::; !j 2000 RE-R 1715.74 -1715.74 .00 .00✓] 1999 RE-R 1579.20 -1579.20 .00 .00 El ,I 1998 RE-R 1508.14 -1508.14 .00 .00 Q �I 1995 RE-R 1411.15 -1411.15 .00 .00 Q I 1996 RE-R 1475.04 -1475.04 .00 .00 1997 RE-R 1506.44 -1506.44 .00 .00 Q II l I III f j 4 t,Total Due Now r _ 2230.85 lompi I [I'-;p-a,rrhinn - - ;;,7 co o z �1 z ;7, Do 3 moo � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map G U Parcel 1 U-7—&ft Permit# Rpsb o Health Division —ORr`,3�� Date Issued Conservation Division Application Fee �0 Tax Collector Permit Fee 0710T Treasurer Planning Dept. P'S, SEPTIC SYSTEM Date Definitive Plan Approved by Planning Board _ OF gEDR®OMS Historic-OKH Preservation/Hyannis �,)k Z:0L, IV4—), beujv c r4cok"Wkfl Project Street Address D I Tc'r.�, ctU,� d _ d' Village I"1 xr-sI-0-N Owner RVs s Ro A n( �; Address 01 Telephone .S0 a- T13,-7%`7 Permit Request _CI.mj' ,rj b11<e1P!&,Y 1 t AM 6e— L4A lh �L �a�►e(s Square feet: lst-floor: existing proposed 2nd floor: existing proposed Total new ca Zoning District I Flood Plain Groundwater Overlay t Project-Valaatiori Construction Type M eAJ s�►, ' ��1 r aand Oweav torvin Wc.(l S�l Lot Size, r; ;"—' Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. pe Single Family Two Family ❑ Multi-Family(#units) Dwelling`Ty Age of Existing Structure,' Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No r Basement Type: A Full Cl Crawl )0 Walkout ❑Other ! Basement Finished Area(sq.ft.) `� I D 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 hew First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: 'Cl Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# :,Current Use Proposed Use C"n BUILDER INFORMATION Name to ,� � Nisw►j�►, Telephone Number 781— 0011 Address —fororNiVe License# gffy1W Q P7 3 0 7 Ca m iu Home Improvement Contractor# Worker's Compensation# y.J C.t I t S <3t14 35R. a o 1. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 6 NC,0 �- �Gr A SIGNATURE DATE —o2q -os" FOR OFFICIAL USE ONLY `%PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION f FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL �F. GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT L � ASSOCIATION PLAN NO. cil+ A °F 'down of Barnstable °. Regulatory Services » Hanriftesi,E, • Thomas F.Geiler,Director ' a`0� g Buildin Division '�f0 Mn't Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction, alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: FI n/► -N 84f,6i►1 LV7- Estimated Cost f IF/ 8100, 610 Address of Work: '9 1 7n�L�� r` Owner's Name: 24 Js6 /zr.0 0cf-i Date of Application: Z y ®-r- I hereby certify that: Registration is not required for the following reason(s): Work excluded by law ❑Job Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: w, ' �2 17/6-r 0w6yt r 1?-A11 6 1379y3 Date Contractor Name Registration No. OR Date Owner's Name Q:forms:hameaffidav r„ • 1 °FINE r°y, Town of Barnstable °^ Regulatory Services '^ MAS& Thomas R Geiler,Director rfc n►A�0. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, / Ll rS ESL 1 DOCF i ,as Owner of the subject property hereby authorize 0 tn�Ns C-Ckff 1 Al G Diiv WAtJ14 to act on my behalf, in all matters relative to work authorized by this building permit application for. F5 r 7�(LF-Ec r�vE pR. (Address of Job) Za_r Signature of Owner Date /z-0 atr'/ Print Name QTORM&O WNERPERMISSION OWENS . �. F A CORNING , I Nun /■ ..■■■C■■■■■■■■■!■.■l, ■.l. ■.� ■1�.....�..............■..�...... 7 �1\ ■ ■■■i■■■■L�i/t� 'Jl/itii■■■■i■■■■■■■■■■■■■■■■■■ ■■■■■■ MEN; ■ENE■■■■■■M■M■M■■■■\ .■■■■�■��.■■■■■■■■■■■■■■■■■■■■■■■■ ■■■ .mot ' ■■■ ����iiii �iiiiii®®�i�;iia, ■■ �11�■■■■■■■■■■■■■■■■■■■ ■iE ��� i■iii�C■i���A■ins■i®iii®i'i�ii■iiiii■■ii■■■iii■i■i■■■ ■■■ ■�■ ■■■ ■i! ■■■■IiiiYilil�i■1isiylll®■■■■� � i�1■■■s■■■■■■■■■■■■■■■■■■■ ■ME , NE ■■E, s■■I■■m■■111ommumnI11�1■Gi®liifi'�■®;E��■■■■■■■■■.■■■■■■■■■■■■■ ■■■■■■■■■■■m.■ ■■■■■■■■■■■■■■■�i■a �■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■ ■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■a �r�■�■■■■ �■i■■emu■■■ ■■■■■■*� ■ ■■■■■ ■■■■■■■■■■■■■■.■■■■■/mmM■■NONE ■■�■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■ ■l��rd mi1■■■m ■■■■■■■■■■■■■■■■■■■■■■ Ell ■■■■■ lMMMMmM■■■■■■■i■■ -i►u�■■■■■■ . ... ■■■■■■■■■■■■■■■■■■■■■■■■■■■ i CTI� BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 089307 Bi hdate.b9130/1967 Expires:09(30/2007 Tr.no: 89307 Restricted:-00 DANIEL F YELLE. 481 CORONATION;DRIVE, . G— FRANKLIN, MA 02038 Commissioner Board of Building Regulat ons and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 137943 Type: Supplement Card Expiration: '1/292007 OWENS CORNING BASEMENT FINISHING DANIEL YELLE 960 TURNPIKE ST. CANTON, MA 02021 Update Address and return card.Mark reason for chang S-CAi C, 50M-04/04-G101216 Address F1 Renewal Employment ElLost Card 71. �omr�xaruueall� 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: 137943 Board of Building Regulations and Standards Expiration: 1/29/2007 One Ashburton Place Rm 1301 Type: Supplement Card Boston,Ma.02108 OWENS CORNING BASEMENT FI �i4cl����1rE'«E 960 TURNPIKE ST- � p f CANTON,MA 02021 Administrator Not valid without sig ture Tr �4 Assesso s office '(1st floor): - •�/D"/G�`'��6 SEPTIC SYSTEM M r d INSTALLED IN CO Assessor's map and lot number . .....:.. ./1..%Q ....���o.... Board of Health 3rd floor A P ` I��7 1' .� .� 1 .. . ..1.:: P t"' Sewage Permit number .... . ......... . ,.. nstable MEIV1AL g I ', Conservat Engtneering Department Ord floor): Q// /J� T®�GU House number .:......r!..`..i":...':' pY Ar. APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. orilyslgn / > Date - BARNSTABLE TOWN OF BUILDING -' INSPECTOR APPLICATION FOR PERMIT TO ... ............. TYPE OF-CONSTRUCTION ......... `.:ve.F.4.....FJ.'!t.,. .........1 cG.1.1.1.1............................................................. = .................... ..../...--.................19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 4.�........../.LA �........./..'��iE/!I✓ .... ! -.t............1.I, rC.5..n'ox1/......./fli.G.L.�................... ................. ProposedUse .....�6?!..... .I6.......�:!:?.}I.1/. .......... 4,.6.MIV3............................................................................................... ZoningDistrict ................e.f ................................................. District .........................................:...... erO J✓ �-�J. � ' �C J Name of Owner .................................................... .... al.....Address 178...... ,a v /.I/.... x.�..... Nameof Builder ................5b,o.01A.....................................Address ..................5.4 .................................................... Name of Architect ..................................................................Address Number of Rooms .....................« .......................................Foundation 614,4XW....61T.0 I$i.6.....c1^r.....�..4a.!f..... .� Exterior .....5h! ...........RoofingV. ................................. Floors p..4...L.:........................................................Interior S- 4,V. `...5a.Q � ._. -�.....1 6x .. x......�! 5... Plumbing ............reating �/ Ck...... !! 5 �'1... 1...n1P......... Fireplace !4!:G ...'{'.. .... SOlL!C�.. .............i:;•4 Ap ximate C t .... ...... 7©.. ,..�.. � Qda Loft 1rZP J�aSP� �2O'r /�' UJ O � , ��, (/gP2 rn , 6 Definitive Plan Approved by Planning Board __---_ ------- - - -_____19 _(�. �JArea .4..r, o CON V � rlC e �U UcCc� �j1C` �... .. ... Diagram of Lot andBuilding wi Dime fi h Fee�' of P, ......... SUBJECT TO APPROVAL OF BOARD OF HEALTH Rva S c 2 e Cdw�to1Pe � � R a OCCUPANCY `PERMITS REQUIRED FOR•NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of Town of Bap ing the construction. Name .................................... j Construction Supervisor's License ...D�'6G�o� . .................... THEO CONSTRUCTION CO. , INC. No ...3A55. .'Permit for ...ORe—.Stox. `— ......Sing ...F.ami..i.y....Dwelling......... Location .1.At...#is2A......81...Treel.ine...Drive '. ...................Mar atons...Mi.11.s....................... Owner ....7'k1e.Q...C.ons.tr.u.Cti.On..Ca.......Inc. ' Type of Construction Fr.ame .... ................................. Plot ............................ Lot ................................ Permit Granted ..Se�tembpe�r 13.,....19 91 Date of Inspection/Q- ".G/.................19 e —P'1 Date Co" lete '� .... ......./�� ..........19 Ile j ff Igo >; G <� e 2 t �'�ic I q��pEGK J7 L f - yININ4 I?t I. j;lTc4 N �o OSWE :12�',� t0�' 12`/x 10°i o Ioc/X iQ 14"x -c -- --c - Q N _ I N 6�ROOP1 F3E�ROOI'1 I(s x 1 9e+'x I D i 9 x-7 0_r 45 -o o. T312P IEWIGK ----.._._ .._... GH I MNE>( fin, rm T� — ------ - — CuAQBoARvS FRONT �I- ��/ATIQN i WUov 1 t";) G K I ' U.G.� - Y L E-LEV ION MA YfLowF-R I�kNC+J i y O �, 40.11' I1�E N/F ��� BRAMBLEBUSH FREALTY 63 Q TRUST . \ \rn o Ora\ocq \ o R ' o\ emer \ rn OD EI•= 61.1 o to TOF 38.9' 59.0 N/F BRAMBLEBUSH REALTY LOT 12A TRUST 43,908 sq.ft.f O ZLOT 13 N/F HAYDEN LAND DEVELOPMENT INC. 1 9 9 91 INITIAL ISSUE elk THIS PLAN IS NEITHER INTENDED NO.1 DATE DESCRIPTION BY FOR, NOR SHALL IT BE USED FOR AS-BUILT FOUNDATION PLAN-LOT 12A MORTGAGE LOAN PURPOSES. TREELINE DRIVE w BARNSTABLE, MASSACHUSETTS `•_��as/ Mp` FOR, THEO CONSTRUCTION INC. v�� �ry� SCALE: 1" = 40' JOB NO. 1583/1583 1 CERTIFY -THAT THE FOUNDATION � PAULA. ,n SHOWN ON THIS PLAN IS LOC D n LEVY -4 0 40 80 v No. 10617 w ON THE GR S INDI LEVY, ELDREDGE & WAGNER ASSOCIATES INC. JDA E R IS T RED LAND S U R VE YO • ENGINEERS LANDSCAPE ARCHITECTS PLANNERS LAND SURVEYORS 889 WEST MAIN STREET CENTERVILLE, MA 02632 c � TOWN OF`BARNSTABLE,3MASSACHU E TS' � � � • - UILD0 0 PE 1 DATE Sej)T_e,Ttt�E'._ 13, (g{-91-- PERMIT NO. v 3455 'APPLICANT =1111C o ;coll t l uctiUIl C o• ADDRESS 1 f`3 T FZUI 111t011 Drive, fil anni:s #F [o$G (NO.) (STREET) (CONTR'S LICENSE) DWE PERMIT TO Buii Dwe-lLi-i:iC; ( l ) STORY :yJ-iiC;J_c' ri+il",i 1••,• U�ICll.il �! NUMBERING UNITS i (TYPE OF #IMPROVEMENT) NO. [PROPOSED USE) t- AT (LOCATION) i+o12A� 81 Trc:eline'. Dxiyc., 1`�i�i:r��.:C:;i;i �'.1�.11:i ZONING , IN0.) (STREET) i j' BETWEEN AND (CROSS STREET) (CROSS STREET) SUBDIVISION LOT LOT BLOCK SIZE BUILDING IS TO BE FT, WIDE BY FT, LONG BY FT, IN HEIGHT AND SHALL CONFORM IN CON STRUCTI USE GROUP BASEMENT WALLS OR FOUNDATION -�+-. I7VPE1 ewage' ;`91--361I Bond TABLER ) 1 '7 r' rl !'� . S 1388 :i C�• ll':• ESTIMATED COST 0,000. 00 FEEMIT 69. 50 (CUBIC/SO UARE FEET) S;'.,:.`1kR :A li�lJ C.QIi.•,a t.1_uLt„1',J 11 Co. .L:1..: . �111Uiai_i.J is Dr 1v14 Z 14`�._ti::ll'� BUILDING DEPT. 1 B Y (. If i THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY - ► PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UND ER THE BUILD I NG CODE, MUST BE A FROM THE PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAIN[ DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIO' OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL I NSTALB IATIONS.D 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBFINAL INSPECTION 70 LATH). FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CAR® S® IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS e 1 -3 (7/ 73 ot/ HEATING INSPEC I N APPROVALS ENGINEERING DEPARTMENT i RD OF HEALTH OTHER SITE PLAN REVIEW PROVAL / V WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN•SIX MONTHS OF DATE THE INSPECTIONS INDICATED ON THIS CARD CAN CONSTRUCTION. PERMIT iS ISSUED AS NOTED ABOVE. ARRANGED FOR BY TELEPHONE OR WRITTi NOTIFICATION. 1. TOWN OF BARNSTABLE Permit No. ..�4559..... � BUILDING DEPARTMENT I s.a,n I TOWN OFFICE BUILDING Cash HYANNIS.MASS.02601 Bond ....... j CERTIFICATE OF USE AND OCCUPANCY Issued to Theo Construction Co. , Inc. Address Lot #12A, 81 Tree line rive Marstons Mills, 1,1ass, USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. November 20+ 19 91...... .... Building Inspector Assessor's office (1st floor): er6 pFT"ETo Assessor's map and lot number /�...... ..12,�.�'Q�.... Board of Health (3rd floor): Sewage Permit number �..;.,................. ....... .,.. .�...,... i $A STAXE, AZIL Engineering Department (3rd floor): 'o �6 39. 0 . i House number ....................................�.� . �� ..............:.... o�D YFY a� APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING IHSPECTOR - r -1 \ APPLICATION FOR PERMIT TO 257-1 ..,:. !........L.1.! /;Y.S.......................................................................... TYPE OF CONSTRUCTION .......... ...... !.1....: .wt.l.` .......:. ) ..�.1..!:.✓�f,. ......... ..S; t � ................. .....................19'.9�- I`---TO THEINSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location / 7' A �� �4..lCF,�I1�G'.....�C� .: i+�+S. �•.;� . /�i ................................................................. ............f✓�.,;...,... ... _...............,...,._:� .................... ProposedUse ........!^r....14....... %4y! ?!.l.-x........�J� /!.rrt J............................................................................................... Zoning District Fire District �.��..' �.... o ................................................................ry.. ....................................... Name of Owner ............................. Address/.,7..•5..././1 s..hy�nf't./....e�.!k.,......./` .;.�r+.e�..�.s�../'l A Nameof Builder .................kiwjf......................................Address ................. 4�.................................................... Nameof Architect ..................................................................Address ..................................................... ........................................Foundation 7. Number of Rooms .._../(........./.......:/� /) ��...xl...!:'.../.fi...r�.,;,Gas;.)...:......-:.a+............n.r..°..... . ..� Exterior C��9{�[�v!92C� C -N ,w / /j / /( /rh. .l. :S J. ..............-1�._...y.h......... ........�,f.�`..�............Roofing /••11•s .....rrF................n. .................................. Floors ......Interior �rn. %.;;. .... v. a.x ....' t.�. .°�.1`.......................................... 13 s Heating (�i. .....L:......!�......h.`�.....�T 9..5..................Plumbirig ............ ....4.,................................................. Fireplace .. r.. ............ <a14i1r.,.:K... .......................... Approximate Cost . .... ... .. Z-0 1 I tr O /Y L. .S P 1-'J n`�) (�J ��JN F N�j'-�^ �-•p t�(.r r 1�I.•l.'q ,�' 6 Definitive Plan A roved b Planning Board 1 / ---- ---19 -�� JArea /., A !....... f„ ) COYv VDV4 ,jC _evCCQ�, rD4 C ` + `, �9 �—�, Diagram of Lot and Building with Dimensions Fee _ !�.,...�.,.:.... ..... ...... �) G /J � � r oG r2 /V CIS �� p /2 SUBJECT TO APPROVAL OF BOARD OF HEALTH S' f2 Q0,ry pI-P . 3 PIP R to �p J OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations ofothe Town of Barnstable regarding the`obove construction. ....................,-- -............. ...Name .. ... � s ... J ' Construction Supervisor's License ............ i THEO CONSTRUCTION CO. , INC. 0 1 Y A---4 T No J455,9..'. Permit for One Stor ...................... ........... ........Single,_;Family............ ............. ..... ......... Location ...LQ.1;... 12A, 81„.Treeline Drive ..................... M4rp.t-pns Mills .......................................... Owner .....Theo...Construction Co. , Inc. ............................................... Type of'Construction ...Frame. .......................... .. .... .. . ................................................................................ Plot ............................ Lot ................................ Permit Granted .....Spp:�ember...1.3.c.19 91 . .............. Date of Inspection .....................................19 Date Completed .................. .............19 20' MINIMUM OR AS INDICATED ON PLAN NOTES: Cherrywood Ln. 10' MIN Tarragon Cir. 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.Q.E. 9 MASONRY EXTENSION TO 12• TITLE 5 ; THE TOWN OF _ a t L.1�— -- RULES AND BELOW GRADE SE3.p TOP OF FOUNDATION BACKFILL MATH REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE; 6 MIN. :5!R4 c) B•CJ CLEAN SAN MASONRr ExTENS1oN TO 12• AND THE REQUIREMENTS OF THIS PLAN.` BELOW GRADE 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO .41 ' WITHIN <2" OF FINISHED GRADE. e%0"o 4' SCH. 40 PVC PIPE MIN. PITCH 1/8 PER El'. ' N 3. ALL MASONRY UNITS USED TO BRING COVERS TO GRADE �a 1 4 PE � FLOW UNE 2' LAYER SHALL BE MORTARED IN PLACE. Stub Toe Rd. 1j8' _ 1/2• 4. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE - 10 TEE w WASHED STONE W J / OF WITHSTANDING H-10 LOADING UNLESS THEY ARE _UNDER OR SG ! 3' MIN. 1'n'i _0. LOCUS 2 F GALLON 55 WITHIN 10 FT. OF DRIVES OR PARKING AREAS. H 20 LOADING _ w 2' YIN.. .. LEVEL W LEACH I ' +' G PIT SHALL BE USED UNDER OR WITHIN 10 FT. OF DRIVES OR 55.9 MIN. ��,-�`"� 3/4• — t t/2• ! Treeline Dr. LIQUIDF WASHED STONE PARKING. a DISTRIBUTION Box W 5, NO DETERMINATION 'HAS BEEN MADE AS TO COMPLIANCE WITH DEED ' � W a 4 RESTRICTIONS OR ZONING REGULATIONS. `OWNER APPLICANT SHALL R � ` OBTAIN SUCH DETERMINATION FROM THE APPROPRIATE AUTHORITY. © LOCATION MAP GALLON SEPTIC TANK 1 ` j V I 6. HORIZONTAL AND ERTICAL CONTROL, SEE LEVY, ELDREDGE P 41 . � � ASSESSORS MA PARCEL I • & WAGNER FIELD NOTEBOOK #_ UQUID DEPTH IN SEPTIC TANK DEPTH OF OUTLET TEE BELOW FLOW UWE `BOTTOM OF TEST HOLE .: h 4 FEET 14 INCHES 5 FEET 19 INCHES OR USES PROBABLE HIGH WATER LEVEL 6 FEET 24 INCHES C. = _ CURRENT ZONING INTERPRETATION. DESIGN 'CALCULATIONS SEWAGE DISPOSAL SYSTEM PROFILE MIN. FRONT- SETBACK FEET NUMBER OF BEDROOMS NOT TO SCALE GARBAGE 'DISPOSAL UNIT nc MIN. SIDE SETBACK /�' FEET TOTAL ESTIMATED' FLOW MIN. REAR" SETBACK FEET _z_'/a GAL. BR. DAY X _ 3 BR. 330 GAL. I DAY REQUIRED SEPTIC TANK CAPACITY 4C15 " GAL. C� ACTUALSIZE OF SEPTIC TANK GAL.` E � _ LEACHING AREA REQUIREMENTS r- 1 PERCOLATION` SOIL TEST P 7 '?? SIDEWALL AREA Z,.,5 GPD. `S.F. BOTTOM AREA /,0 GPD. S.F. TES ast' t59t DATE OF SOIL T 6 A�l SIDEWALL 27T(/0 /2)Lk_)SF x 2+.5' GPD/SF = 4 7/ GAL/DAY TEST BY ^S W, O BOTTOM TT ( i 0/2)2 SF x /,a GPD/SF = 78 GAL/DAY O `t WITNESSED BY d Bramblebush PERCOLATION RATE + MIN. INCH Realty Trust 2 SF 4 9 4.0.11 GAL/DAY (10 .,. a ., Y _-TEST r tT 1 TEST P1 I 2 BREAKOUT CALCULAI ION. 2,0 o 1 i sb ELEV. : z, ELEV. 1 in 9e -0.00 —0.00 il z4d lLT .- 40 LEGEND : df N .t � `46. �_.:_- ,R _ . .•F, . EXISTING SPOT ELEVATION 00 0 EXISTING CONTOUR---------00--- FINAL SPOT ELEVATION 00.0 k ------- FINAL CONTOUR TP / { 4 BOTTOM OF TEST HOLE BOTTOM OF 'TEST HOLE SOIL TEST PIT LOCATION / R ATE f N F O WATER ELEV. S. S OR WATER ELEV. TOWN WATER ===W W y Bramblebush SEPTIC TANK o Realty Trust j DISTRIBUTION BOX ❑ r _ o, •- 1 LEACHING PIT I / WATER LEVEL ADJUSTMENT. PRIMARY LE CHIN 0 RESERVE LEACHING PIT -,Rf TEST DATE WATER LEVEL INDEX WELL WATER LEVEL RANGE ZONE 1 $l S' 9 INITIAL ISSUE s b � / +� LOT 13 DEPTH TO WATER LEVEL FOR INDEX WELL NO. DATE DESCRIPTION BY ,� LOT 12A Oo� j FOR MONTH 'OF: 43,908/sq.ft.t SITE PLAN AND SEPTIC DESIGN WATER LEVEL ADJUSTMENT J � j DEPTH TO HIGH WATER LOT 12A TREELINE DRIVE NF Hayden Land Development Inc. I" / Y P OF � ; LPI BARNSTABLE,` MASSACHUSETTS STEPHEN ALLYNFOR �t I WILSON �i >ro. 216 THEO CONSTRUCTION INC. APPROVED. BOARD OF 'HEALTH r � • A/t/ SCALE: 1' 40' JOB NO. 1583 ..Tod .w h dlu5 6�-c�., �r./rr.� ' rs:^r': a. �4..-r � SITE PLAN DATE AGENT c �rrcc .� ;" r^av fn�r a/<�s '� 2 LEVY, ELDREDGE & WAGNER ASSOCIATES INC. A ENGIN M LANDSCAPE ARCHITECTS PLANNERS LAND SURVEYORS a PERMIT # 889 WEST MAIN STREET CENTERVILLE MA 02632