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0265 SEA VIEW AVENUE
a�� S� �/ �� ���� r� 1 0 __� REVALIDATED LETTERS OF MAP CHANGE FOR TOWN OF BARNSTABLE,MA Case No: 11-01-0521V Community No.: 250001 . July 17, 2014 Case No. Date Issued Identifier Map Panel No. Zone 98-01-092A 02/04/1998 SQUAW ISLAND - LOT 49 - 19 ISLAND 25001CO564J X AVENUE 98-01-1020A .12/30/1998 LOT 1, LAND COURT PLAN 25001CO752J X 16194-N - 1623 MAIN STREET -99-01-244A 01/06/1999 PLAN 13687, LOT 5 -215 SEAVIEW 25001CO776J X AVENUE 00-01-0306A' 03/28/2000 648 MAIN STREET 25001CO544J X 00-01-0998A 08/22/2000 291 BRIDGE STREET 25001 CO757J X 02-01-0994A 06/05/2002 1300 CRAIGVILLE BEACH ROAD; 25001CO563J X CENTERVILLE 05-01-0804A 10/06/2005 COTUIT HIGHGROUND, LOT 25001 C0752J.. X 152B 220 CROCKERS NECK ROAD 07-01-0535A 03/29/2007 CENTERVILLE, LOT 9 -- 36 BROKEN 25001CO564J X DIKE WAY (MA) -11-01-1245A 03/31/2011 LOT B ---(265 SEA VIEW AVENUE 25001C0757J. X 13-01-0725A 02/05/2013 MAP 259, LOT 12 -- 116 SCUDDERS 25001C0554J X LANE 14-01-1368A 04/10/2014 LOT 18 -- 835 SOUTH MAIN STREET 25001CO563J. X Page 2 of 2 Federal Emergency Management Agency T7` Waslu ngton, D.C. 20472 July 16 2014 t Jessica Rapp Grassetti Case No: 11-01-0521 V President, Town Council Community: Town of Barnstable, Barnstable County, Massachusetts Town of Barnstable Town Hall Community No.: 250001 367 Main Street Effective Date: July 17, 2014 Hyannis, Massachusetts 02601 LOMC-VALID Dear Ms. Rapp Grassetti: This letter revalidates the determinations for properties and/or structures in the referenced community as i described in the Letters of Map Change (LOMCs) previously issued by'the Department of Homeland Security's Federal Emergency Management Agency (FEMA) on the dates listed on the enclosed table. As of. the effective date shown above, these LOMCs will revise the effective National Flood Insurance Program (NFIP) map dated July 16, 20.14 for the referenced community, and will remain in effect until superseded by a . revision to the NFIP map panel on which the property is located. The FEMA case number, date issued, property identifier,NFIP map panel number, and current flood insurance zone for the revalidated LOMCs are listed on the enclosed table. Because these LOMCs will not be printed or distributed to primary map users, such as local insurance agents and mortgage lenders, your community will serve as a repository for this new data. We encourage you to disseminate the information reflected by this letter throughout your community so that interested persons, such as property owners, local insurance agents, and mortgage lenders, may benefit from the information. For information relating to LOMCs not listed on the enclosed table or to obtain copies of previously issued Letters of Map Revision (LOMRs), Letters of Map Revisions Base on Fill (LOMR-Fs) and Letters of Map Amendments (LOMAs), if needed, please contact our FEMA's Map Information eXchange (FMIX), toll free, at 1-877-FEMA-MAP (1-877-336-2627). Sincerely,- Luis Rodriguez,P.E., Chief Engineering Management Branch Federal Insurance and Mitigation Administration o- Enclosure: Revalidated Letters of Map Change for the town of Barnstable, Massach s G cc:' Community Map Repository N �W Thomas Perry, Building Commissioner, Building Division, Town of Barnstable ) x Page 1 of 2 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel v Application # Health Division Date Issued Z Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board — Historic - OKH _ Preservation / Hyannis Project Street Address d Village Owner .w Address --4::� "-� Telephone S'b — a- 6 v© Permit Request — Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation � Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach scup orting documentation. _ o Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) c Age of Existing Structure ZiL Historic House: ❑Yes ❑ No On Old King; >'ighwayN0 Yesn ❑ No j Basement Type: ElFull ❑ Crawl ❑Walkout ❑ Other .� i co_ Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ftl :-A Number of Baths: Full: existing new Half: existing new- Number of Bedrooms: existing D-new Total Room Count.(not including baths): existing new First Floor Room Count Heat Type and Fuel: )(Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes XNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes 0 No Detached garage: 0 existing ❑ new size_Pool: ❑ existing ❑ new size — Barn: 0 existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing 0 new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use ��`' Proposed Use �A APPLICANT INFORMATION r (BUILDER OR HOMEOWNER) Name � � IJ � - Telephone Number Address d' License# 013 9 H V Home Improvement Contractor# Worker's Compensation # 10 0015 S 1 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE c DATE ��� c f Y ' i FOR OFFICIAL USE ONLY APPLICATION# (SATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: -»FOUNDATI.O1\140A-fMRM,F0,UMQA to - FRAME _INSULATION MA _,lJL Arty > FIREPLACE k k ELECTRICAL:. -_ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING' ' -DATE CLOSED OUT '' ASSOCIATION PLAN NO. CERTIFICATE OF LIABILITY INSURANCE ATE(MMIDDNYYY) — - r 07/03/2013 THIS CEWHFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Germani Insurance Agency NAME: 908 Main Street PHOIA&,No. Ezt: 508 428-9194 Alc No:(508)428-3068 Osterville,MA 02655 E-MAIL ADDRESS:cells ermaniinsurance.com INSURER(S)AFFORDING COVERAGE NAICN INSURER A:SAFETY INS CO INSURED Scott Peacock Building&Remodeling,Inc. INSURER e: P.O.BOX 171 INSURER C: Ostervllle,MA 02655 INSURER D: Commerce&Industry Ins.Co. INSURER E: � INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP L'(R TYPE OF INSURANCEINRPvtIVD POLICY NUMBER IMMIDDIYYYYI (MM/DDIYYYYiLIMITS A GENERAL LIABILITY CP00001152 7/5/2012 7/5/2014 EACH OCCURRENCE $ 1.000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE O RENTED rI--I PREMISES(Ea occurrence) $ CLAIMS-MADE u OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO El LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS AUTOS NON-OWNED PROPERTY DAMAGE Per accident $ UMBRELLA LIAR �7[OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTIJON$ $ D WORKERS COMPENSATION WC 005-81-5464 6/22/2013 6/22/2014 WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICERIMEMBER EXCLUDED? N/A (Mandatory in NH) If yes,describe under E.L.DISEASE-EA EMPLOYEE $ 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500.000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Scott Peacock Building&Remodeling,Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE - ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 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 Legibly n� Name(Business/Organization/Individual):� TO W�l I✓ /V®, S � ���it .� • �!V. Address:[Oqb fit/ M N <�_ Sj,(c*, C P D aK I-7 1) City/State/Zip:aj� �I(It:. M A 620SK— Phone#: Are you an employer? Check th appropriate box: Type of project(required): 1 I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time). * have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑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.t 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 I LF]Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof re a' insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13' Other rJZ� comp.insurance required.] (( 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. /�,� Insurance Company Name: (_COY'Y t rV1 fPZC_ 1.11 S r Policy#or Self-ins.Lic.#: J`i Expiration Date: ��Z6 Job Site Address: ( 17� City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,50.0.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations the DIA for insurance coverage verification. I do hereby c un the pains an pe [ties of perjury that the information provided above is true and correct SiCf afore: Date: — a r Phone#: Official use only. Do not write in this area,to be completed by city or town of 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#: 4--1 i 01,11ce of -1111.j-k1(-X1"jC'14j . (.011slinlel, . "b �-nl i Ifilil-s& liusi less Regulation License or registration valid for individul use only om E IMPROVEMENT CONTRACTOR before the expiration date. If found return to: 9 stratioij: '15-1853 Type: Office Of Consumer Affairs and Business Regulation Xpiration: 7/7/2014 Private Corporation 10 Park Plaza-Suite 5170 SCOTT PEACOCK BUILDING.& REMODELING INC Boston,HA 02116 JAMES PEACOCK 1046 MAIN STREET SUITE 7 OSTERVILLE,MA 02655 Not valid without signature UNlassachuseTtS -bepartmient of Public Safety Board of Building Regulations and Standards COnStrUCtiOn Supervisor License: CS-094500 JAMES S PEAC05X PO BOX 171 OSTEVILLE MA--02632"":�! 07/22/2014 Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet (991m3)of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license., For DPS Licensing information visit: ww%v.Mass.GOv/DPS I OF'(HE tq� Town of Barnstable aARNnAsi.s. ; MAS& Regulatory Services ►b�9. �e Argo Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Oftice: .508-862-4038 Fax: 508-790-6230 I Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject 1 property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of w er Date Print Name Q:Forms:buildingpennits/express Revised 123107 I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel o G-(J 'Application.# 7qy Health Division v? ``Date Issued 5 Conservation Division =":•Application Fee 0 J Planning Dept. Permit Fee: ' Date Definitive Plan Approved by Planning Board 3�S/J Historic - OKH Preservation / Hyannis Project Street Address ��Q V16a) fvUfi b LL Village D Owner ,5 �S Address �: Lo 1�1 TelephoneC �} Q� �`1 Z Permit Request ICctl 0 S C J Square feet: 1 st floor: existing /-proposed 2nd floor: existing i proposed Total new Zoning District Flood Plain Groundwater.Overlay Project Valuation Construction Type Lot Size CJ I Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes � No On Old King's Highway: ❑Yes ONO Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.). ® Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: 77A existing 0 new Total Room Count (not including baths): existing �� new First Floor Room Count pq Heat Type and Fuel: Gas ❑ Oil ❑ Electric ❑ Other ES o can -r, � Central Air: ❑Yes X No Fireplaces: Existing New Existing wood/Coal stove.o0 Y� ❑ No _ -n Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑esting ❑omew size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: t 77 Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ w M Commercial ❑Yes No If yes, site plan review# Current Useposed Use APPLICANT INFORMATION ��/�- (BUILDERf OR HOMEOWNER) Telephone Number 6 l`1 j LAI � � I 'll 0/3 Dg gsVJ Address � � n ,� --� License # OS4Mik MA-- 02�J Home Improvement Contractor# Worker's Compensation # ' W�0� / LI ALL CONSTRUCTION DEBRIS RESU TI G FROM THIS PRO J CT WILL BE TAKEN TO d SIGNATURE r' DATE F i FOR OFFICIAL USE ONLY r "' APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE 3, OWNER" f DATE OF INSPECTION: " 'FOUNDATION FRAME 'INSULATION qf L; l Ike , FIREPLACE ` ELECTRICAL: ROUGH FINAL - PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ; 3 r ASSOCIATION PLAN NO. The Commonwealth oflfassachusetts --� Department of Industrial Accidents Office of Investigations ' �X 600 Washington Street Boston, MA 02111 1 V- • www.mass.gov/dia Workers' Compensation Insurance Affidavit:,Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): SAW. -fa _ZL ' 0L Address: loq mat.1I ST 3, (X4ep r�� ( � • 6-OX I q I ) City/State/Zip: III Un Obs-�- Phone#: J��- V9- 7(0U.) Are you an employer? Check the appropriate box: Type of project(required): 1.14 1 am a employer with _ 4. ❑ 1 am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ 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.1 required.] 5. ❑ We are a corporation and its ME] Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I I.❑ Plumbing repairs or additions myself. o workers' com right of exemption per MGL Y � P• 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] Any applicant that checks box#1 must also till 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. 3Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. _ Insurance Company Name: Policy#or Self-ins. Lic. #: � (�(� 1 ' �,�' L�( 0� Expiration Date: �fJ ZZ �o Job Site Address:OJ 5 Jr(/l Vow Ave— City/State/Zip:05k V /P," R Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ertify under the pahvvrPndpenafties of perjury that the information provided above is true and correct. Si 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#• r �TM CERTIFICATE OF LIABILITY INSURANCE DA 7/142009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE GERMANI INSURANCE AGENCY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 908 MAIN STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. OSTERVILLE,MA 02655 COMPANIES AFFORDING COVERAGE COMPANY A SAFETY INSURANCE INSURED COMPANY SCOTT PEACOCK BUILDING& REMODELING B AIG AMERICAN HOME ASSURANCE CO. PO BOX 171 COMPANY OSTERVILLE, MA 02655 C COMPANY I I D COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED B Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MWDD/YY) DATE(MM/DD/YY) GENERAL LIABIUTY GENERAL AGGREGATE $ 2,000,000 A X COMMERCIAL GENERAL LIABILITY CP00001152 07/05/09 07/05/10 PRODUCTS-COMP/OP AGG $ CLAIMS MADE [—]OCCUR PERSONAL&ADV INJURY $ OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $ MED EXP (Anyone person) $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WC STATU- WORKER'S COMPENSATION AND ORY LIMITS OER B EMPLOYERS'LIABILITY WC 007-45-4805 06/22/09 06/22/10 EL EACH ACCIDENT $ 100,000 THE PROPRIETOPo HEXCL INCL EL DISEASE-POLICY LIMIT $ 500,000 PARTNERS/I=TIVE OFFICERS ARE: EL DISEASE-EA EMPLOYEE $ 100,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER- CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL F 110 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES. AL THOPOED R.EPPR,E'SEENTATIV ACORD 25-S 1/95 ©ACORD CORPORATION 1988 671 2. Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before tile expiration date. If found return to. Registratio 0.*,, 151853 Board of Building Regulations and Standards Expiration-',*,' 010 Tr# 271501 One Ashburton Place Rm 1301 ':Type:-.-Peivate Corporation Boston,Ma.02108 SCOTT PEACOCK 13Ul*Lblr46.:&,R.REMODELING INC JAMES PEACOCK- - 1046 MAIN STREET-SUITE I-T-1 C OSTERVILLE, MA 02655 AdW..i;t_,at., Not valid without signature I iieBObW&W 6i`A6V40 6A License: CONSTRUCTION SUPERVISOR s 7r Number.. CS 094500 .,. Birthdate: 07/22/1962 Expires: 07/22/2010 Tr.no: 94500 Restricted: 00 JAMES S PEACOCK PO. JY.171 OSTEVILLE, MA 02632. � - Commissioner 02/23/2010 15:14 19786326827 SEAMAN PAPER PAGE 01/01 rob 22 10 11a1Ga SCOTT PERCOCK BUILDING L 509 429 7G25 p. 2 'town of Barnstable y Regulatory Services s nonm F.Geikr,Diredror �'� A wilding Division E Tom Perry, Balding Coauaisa9ner 200 main Seca, kiyannis.MA 02603 Office: 508-862-4038 Fax: 508.790-6230 Property Owncr Must Complete and Sign This Section If Using A Builder w e-j - U one,5 ,as Ownex of the subject property bcxcby to act on my behalf, in all mitten relativc to work authoei'red by this budding persnit application for: C26 Se� Ile, (Addreas of job) signuwc of Owncr Datc I PAW Name Q,[-ORMS.O WNF.RrnRMIs LION 4 f � � � � � �� r I� � � � t i �� � � �� \) ' �\ ` � � � a � � � 1 � O � � i � � ' � t s ` , , ' r � I. i � .. Y � 1 � � � i �. r r � � r r , i ' eeARrni Federal Emergency Management Agency 0 4 Washington, D.C. 20472 D SEGJ MAR 3 1 2011 MR.FREDERICK CHIRIGOTIS CASE NO.: 11-01-1245A PRESIDENT,TOWN COUNCIL COMMUNITY: Town of Barnstable,Barnstable County, 367 MAIN STREET Massachuetts HYANNIS, MA 02601 COMMUNITY NO.: 250001 DEAR MR. CHIRIGOTIS: This is in reference to a request that the Federal Emergency Management Agency(FEMA) determine if the property described in the enclosed document is located within an identified Special Flood Hazard Area,the area that would be inundated by the flood having a I-percent chance of being equaled or exceeded in any given year(base flood), on the effective National Flood Insurance Program (NFIP) map. Using the information submitted and the effective NFIP map,our determination is shown on the attached Letter of Map Revision (LOMR) Determination Document. This determination document provides additional information regarding the effective NFIP map,the legal description of the property, and our determination. Additional documents are enclosed which provide information regarding the subject property and LOMAs. Please see the List of Enclosures below to determine which documents are enclosed. Other attachments specific to this request may be included as referenced in the Determination/Comment document. If you have any questions about this letter or any of the enclosures, please contact the FEMA MAP Information eXchange (FMIX)toll free at 1-877-336-2627 (877-FEMA MAP)or by letter addressed to the Federal Emergency Management Agency, LOMC Clearinghouse, 6730 Santa Barbara Court, Elkridge, MD 21075. c) Sincerely, Luis Rodriguez, P. ' Chi j Engineering Management Branch Federal Insurance and Mitigation Administration: ' List of Enclosures • LOMR-VZ DETERMINATION DOCUMENT(REMOVAL) cc: State/Commonwealth NFIP Coordinator Community Map Repository Region Mr.John Churchill Jr. w Page 1 of 2 Date: March 31, 2011 Case No.: 11-01-1245A LOMR-VZ O Federal Emergency Management Agency °� Je` Washington, D.C. 20472 �qND SEG LETTER OF MAP REVISION - COASTAL HIGH HAZARD AREA DETERMINATION DOCUMENT (REMOVAL) COMMUNITY AND MAP PANEL INFORMATION LEGAL PROPERTY DESCRIPTION Lot B,as shown on the Plat,recorded as Plan No. 9965A, in the Office of the TOWN OF BARNSTABLE, Registry of Deeds,Barnstable County, Massachusetts BARNSTABLE COUNTY, COMMUNITY MASSACHUSETTS COMMUNITY NO: 250001 NUMBER: 25000100161) AFFECTED MAP PANEL DATE: 7/211992 FLOODING SOURCE: NANTUCKET SOUND APPROXIMATE LATITUDE&LONGITUDE OF PROPERTY: 41.614,-70.375 SOURCE OF LAT&LONG: STREETS&TRIPS 2010 DATUM: WGS 84 DETERMINATION OUTCOME 1%ANNUAL LOWEST LOWEST WHAT IS CHANCE ADJACENT LOT BLOCK/ SUBDIVISION STREET REMOVED FLOOD FLOOD GRADE LOT SECTION FROM THE ZONE ELEVATION ELEVATION ELEVATION SFHA (NGVD 29) (NGVD 29) (NGVD 29) B 265 Sea View Structure C 17.0 feet 17.3 feet -- Avenue Special Flood Hazard Area(SFHA)—The SFHA is an area that would be inundated by the flood having a 1-percent chance of being equaled or exceeded in any given year(base flood). ADDITIONAL CONSIDERATIONS(Please refer to the appropriate section on Attachment 1 for the additional considerations listed below) ZONE V PORTIONS REMAIN IN THE SFHA STUDY UNDERWAY This document provides the Federal Emergency Management Agency's determination regarding a request for a Letter of Map Revision for the property described above. Using the information submitted and the effective National Flood Insurance Program(NFIP)map,we determined that the structure(s)on the property is/are not located in a Coastal High Hazard Area or the SFHA,an area inundated by the flood having a 1-percent chance of being equaled or exceeded in any given year(base flood). This document revises the effective NFIP map to remove the subject property from the Coastal High Hazard Area and the SFHA located on the effective NFIP map;therefore,the federal mandatory flood insurance requirement does not apply. However,the lender has the option to continue the flood insurance requirement to protect its financial risk on the loan. A Preferred Risk Policy(PRP)is available for buildings located outside the SFHA. Information about the PRP and how one can apply is enclosed. This determination is based on the flood data presently available. The enclosed documents provide additional information regarding this determination. If you have any questions about this document,please contact the FEMA Map Assistance Center toll free at 1-877-336-2627(FEMA MAP)or by letter addressed to the Federal Emergency Management Agency,LOMC Clearinghouse,7390 Coca Cola Drive,Suite 204 Hanover,MD 21076 Luis Rodriguez, P.E.,Chief Engineering Management Branch Federal Insurance and Mitigation Administration Page,2 of 2 Date: March 31, 2011 Case No.: 11-01-1245A LOMR-VZ tiyARTM N Federal Emergency Management Agency s C^ o0��� r. Washington, D.C. 20472 i LETTER OF MAP REVISION — COASTAL HIGH HAZARD AREA DETERMINATION DOCUMENT (REMOVAL) ATTACHMENT I (ADDITIONAL CONSIDERATIONS) ZONE V (This Additional Consideration applies to the preceding I Property) A portion of this property, but not the subject of the Determination/Comment Document, is located within a Coastal High Hazard Area(Zone VI 1). Therefore, any future construction or substantial improvement on the property remains subject to Federal, State/Commonwealth, and local regulations for floodplain management. No construction using fill for structural support or that may increase flood damage to other property may take place in these areas. PORTIONS OF THE PROPERTY REMAIN IN THE SFHA Portions of this property, but not the subject of the Determination/Comment document, may remain in the Special Flood Hazard Area. Therefore, any future construction or substantial improvement on the property remains subject to Federal, State/Commonwealth, and local regulations for floodplain management. STUDY UNDERWAY This determination is based on the flood data presently available. However,the Federal Emergency Management Agency is currently revising the National Flood Insurance Program (NFIP) map for the community. New flood data could be generated that may affect this property. When the new NFIP map is issued it will supersede this determination. The Federal requirement for the purchase of flood insurance will then be based on the newly revised NFIP map. This attachment provides additional information regarding this request. If you have any questions about this attachment,please contact the Federal Emergency Management Agency Map Assistance Center toll free at 1-877-336-2627(FEMA MAP)or by letter addressed to the Federal Emergency Management Agency,LOMC Clearinghouse,7390 Coca Cola Drive,Suite 204 Hanover,MD 21076 Luis Rodriguez, P.E.,Chief Engineering Management Branch Federal Insurance and Mitigation Administration I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel '_-•Application # ZP4 t ,t Health Division Date Issued 3 �: Conservation Division Application Fee Planning Dept. Permit Fee ' Date Definitive Plan Approved by Planning Board 6k 3�Z/ll Historic - OKH Preservation/ Hyannis Project Street Address Village Owner Address rN Telephone ' vL 6 r7D Of Permit Request 2` Square feet: 1 st floor: existing proposed 60 2nd floor: existing proposed Total �e�w '!Y Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Uje � '� Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure �� Historic House: ❑Yes 0 No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new l-? Q Total Room Count (not including baths): existing new First Floor Room Count 7 Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove.;:: ❑Yeses ❑ No I —a. Detached garage: ❑ existing 0 new size—Pool: ❑ existing ❑ new size _ Barn: ❑e'isting EPnew0,',size_ Attached garage: ❑ existing 0 new size _Shed: ❑ existing 0 new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use - Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER)Name � Telephone Number W-70D Address :D Y i�� J License# C-0 '*fit Mk. 0� Home Improvement Contractor# 51-31F Worker's Compensation # Ue C� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS P O ECT WILL BE TA EN TO jai/ SIGNATURE - DATE d�� r � r FOR OFFICIAL USE ONLY ^ `� APPLICATION# � E I DATE ISSUED - r MAP/PARCEL NO. ADDRESS VILLAGE " - OWNER DATE OF INSPECTION: s ,..FOUNDATION°! :S tO o I FRAME I INSULATION F � FIREPLACE ELECTRICAL: ROUGH FINAL k } PLUMBING: ROUGH FINAL GAS: ro;�,, ROUGH -FINAL `$ : ..DATE CLOSED OUT �> 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 oftPlease Print Le ibl Name(Business/Organization/Individual)' off Mon 7 • • Address: n tt,, City/State/Zip:( M I If- 024% Phone.#: ��•12 8���0� Are you an employer?Check the appropriate box: Type of project(required): 1X I am a e to er with 4. ❑ I am a general contractor and I y s have hired the sub-contractors 6. ❑New construction employees(full and/or part-time). 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 an capacity. employees and have workers' ' g Y P ty• t 9. ❑Building addition [No workers' comp.insurance comp. insurance• required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#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. tr—ontractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. �� Ins. Insurance Company Name: Policy#or Self-ins. Lic.M Wt4 ! 11 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 and penalties of perjury that the information provided above is true and correct Signature: Date: Phone k 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#: ALCM ' CERTIFICATE OF LIABILITY INSURANCE DATE(MMIODIYYYY) 07/19/2010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements. PRODUCER CONTACY Germani Insurance Agency PPHHO Fax 908 Main Street c No E : 508 428-9194 WC.No:(508)428.3068 E-MAIL AOORES& Ostenblle,MA 02655 PRODUCER CUSTOMER IO N: INSURER(S)AFFORDING COVERAGE NAIC i INSURED INSURERA: SAFETY INS CO Scott Peacock Building&Remodelling,Inc. INSURERe: P.O.Box 171 Osterville,MA 02655 INSURER C: INSURER D: National Union Fire Ins.Comp. INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EX LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMID MMID LIMITS A GENERAL LIABILITY CP00001152 7/52010 7152011 EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS-MADE OCCUR MED EXP(Anyone person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY f I JE LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMB $ ANY AUTO (Ea accident) BODILY NJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per aocidenl) $ SCHEOULEDAUTOS PROPERTYDAMAGE HIREOAUTOS {Peracddent) $ NON-OWNED AUTOS $ UMBRELLALIAB HOCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ D WORKERS COMPENSATION C 5815464 6222010 6222011 $ V1C STATU- OTH- AND EMPLOYERS'LIABILITYFIR ANY PROPRIETOR/PARTNERIEXECUTI VE YIN OFFICERIMEMSER EXCLUDED? N/A E.L.EACH ACCIDENT $ 100,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 100,000 r II yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION Scott Peacock Building&Remodeling,Inc. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Fax9'508.428-7625 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE O 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD ' 1 w= Massachusetts- Department of Public Safety Boat-d of Building Regulations and Standards �fl,F Construction Supervisor License License: CS 94500 JAMES S PEACOCK PO BOX 171 t OSTEV I LLE, MA 02632 Expiration: W22t2012 ('unuui.<simci. Tr#: 29233 n " I r S ✓Ize I& o�,/�aaacu�uae�la Office of Consumer Affairs&Business Regulation License or registration valid forindividul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration:,r 1,51853 Type: Office of Consumer Affairs and Business Regulation - Expiration: :71712012 Private c= Corporation 10 Park Plaza-Suite 5170 Boston MA 02116 Sc TT PEACOCK--6UILDING&:REMODELING INC — ,:_1 JAMES PEACOCK' T?tSj�Ea'•„ 1046 MAIN STREEIJIT .A7-�' OSTERVILLE, MA 02655 =>y Undersecret—ry Not valid without signature 1 oF�HE r Town of Barnstable �Pv y Regulatory Services • BARNSrABLE, 9 MASS. $ Thomas F. Geiler,Director 163 9.+ADO ]Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I V�` ����� E as Owner of the subject l property hereby authorize 4 w- to act on my behalf, in all matters relative to work authorized by this building permit application for: Ile- (Address of Job) Signature of Own� Date Print Name Q:FOR MS:O W NERPERM IS SION Nail Set in UP 68/24 Elev. =18.65' N.G.V.D. / (FND/HLD . PROPOSED 2000 GALLON SEPTIC TANK (? gr r N lot ti0 LSA =Z Z LSA \ #265 ;; // MAP 138 �jo EXISTING y PARCEL 19 N/F JONES 7-BEDROOM -47.9 HCA DWELLING / NBC, 11l a�\�o 'LACE ToRk�G N p\ TOF=22.0'# w W \ CB/DH 138 (CRAWL SPACE) > j (FND) uj ;EL 20 0 D S.F.t I 90 DEGREE LONGSWEEP N WITH CLEANOUT Epp EXISTING CESSPOOL / /1 TO BE PUMPED -� AND FILLED WITH / CLEAN SAND / )POSED EXISTING .LE LINE / / WALK-/ •�� EXISTING / JETTY EXISTING —2— DECK - EXISTING / / � RIP-RAP . / ; + Aj i vl Trp 4 rrY. •.,.— �E`` •—•.�:,��rr::a._. 7...f; s�! !;i :t. of :• S€� 1.��,, 1 •�, ,y.,,.:. i° =. SCOTT PEACOCK BUILDING & REMODELING INC. 1046 Main Street, Suite 3 Post Office Box 171 i Osterville,MA 02655 Voice 508.428.7600 Fax 508.428.7625 December 20,2010 ® -� Town of Barnstable Building Inspectors Office Re: 265 Seaview Avenue,Osterville,MA Co Application Reference#201000799 Request for Extension To Whom It May Concern: This letter acts as a request for building permit extension regarding the above-referenced job location/permit. We originally pulled this building permit on June 25,2010 and since that time the homeowners had us hold off on the work to be performed until the cold weather set in. We are currently in the process of beginning the work,but will not be starting before the expiration date of 12/23/10 on the permit. Therefore,we are asking for an extension. Thank you for your consideration. J.Scott Peacock Scott Peacock Building&Remodeling,Inc.' THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) m ^ C DATA i �INEr, TOWN OF BARNSTABLE B0,ding Application Ref: 201000799 i BASTABLE, Issue Date: 03/05/10 Permt RN 9 MASS. 1639• Applicant: PEACOCK,(SCOTT)JAMES S. Permit Number: B 20100359 Proposed Use: SINGLE FAMILY HOME Expiration Date: 09/02/10 Location 265 SEA VIEW AVENUE Zoning District RF-1 Permit Type: RESIDENTIAL ADDITION/ALTERATIO Map Parcel 138020 Permit Fee$ 153.00 Contractor PEACOCK, (SC OTT)JAMES S. Village OSTERVILLE App Fee$ 50.00 License Num 094500 Est Construction Cost$ 30,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND REPLACE 1 WINDOW AND 1 DOOR-RETROFIT EXISTING KITCHE THIS CARD MUST BE KEPT POSTED UNTIL FINAL NO AREA CHANGE INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: ]ONES, GEORGE D III u BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 39 MUSKETAQUID RD INSPECTION HAS BEEN MADE. CONCORD, MA 01742 Application Entered by: JL Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLY OR SIDEWALK OR AN ART THE H TEMPORARILY OR PERMANENTLY. ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. j STREET OR ALLY 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 CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. j 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUr'"'e,c NnT--D ABOVE _-- PERSONS CONTRACTING WITH L - L c.142A). e Q . I WIN BUILDING INSPECTION API APPROVALS ?Lt 3 +� 1 o 0-1 7l7 /6,28/o Fire Dept C) Town of Barnstable *Permit#_ Expires 6 months from issue date Regulatory Services Fee o t & Thomas F.Geiler,Director CO3 �121v/0-7 Building Division .4 Tom Perry,CBO, Building Commissioner ".j 200 Main Street,Hyannis,MA 02601 www.town.bamstable.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 —10- Prop Address (h4-,e_r,udk P+ 7c 9-en tj 148 (a - Aj�e_ Residential Value of Work 00 00D,Do Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Juj&:�, s , Contractor's Name Lde,r �>lephone Number Home Improvement Contractor License#(if applicable Construction Supervisor's License#(if applicable ElWorkman's Compensation Insurance Check one: ❑ I amehi sole proprietor ; "!�the Homeowner /'Ihave Worker's Compensation Insurance Insurance Company Name A L C, Workman's Comp.Policy k tin -31- 13 Copy of Insurance Compliance Certificate must be on file. PermitRequest(check box) WRe-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over—existing layers of roof) WRe-side VReplacement Windows. U-Value (maximum.44) *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. ome Improvement C -'tractors License is required. SIGNATURE: Q:Forms:cxpmtrg Revise:01405 1/1�//10/Z000 14:511 FAA 5UC4Lll3U*b m h (itHMAN1 1NbLIXANt;L Ig1VV1 DATE IMWDDIYY)21 r: )Ori PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE GERMANI.INSURANCE AGENCY HOLDER. THIS CERMEICATEQOES-NOT AMEND,.EXXEND OR.... 908 MAIN STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 1 OSTERVILLE,MA 02655 COMPANIES AFFORDING COVERAGE COMPANY a ESSEX INSURANCE COMPANY . INSURED COMPANY SCOTT E.CROSBY.BUILDER, INC. g AIG AMERICAN INTERNATIONAL GROUP 62 CROSBY-CIRCLE.. OSTERVILLE,MA 02855 "CO C r . COMPANY .. -..-_..-- D •.�'„,.Q ti!•__. .3•..;.,:.s..,<.;•j.."nj l°!h'4:;l�;,J Lt k ca Gl::.V.1l;;ti,Is 1li w+.•s1I£„h"6C;17,Cin 5:.'i L�dC'!:.11•�1iub.r�bIll,l�:l,e:,:I_�n:::•":1.;v.'`Y�:U,1 � I. =, ' , �j : yJL Lin" !»{:rw•'.rge...N I::F�:::�LCE��c:i:hiitiC,'AI'.�.•a1�L•:�..:P r: •:'{II� 11511iuy "JIW:.4Nnu'li:�w'i..•::�r'_:I.'c:d}]i.liJSncl�:d�]M;ela:l'°`s-.->.,i:c es:'e: THIS 15 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED-NOTWRHS.TANDINGANY REOWREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTiFTCATE MAYBEISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED 8 Y THE POLICIES DESCR16E0 WEREIN IS SUBJECT 1'0 ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. T ! TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION LTR I POLICY NUMBER DATE(MM/DD/YY) DATE(M OOM) LIMITS Y GENERAL LIABIUTY Gc ERA Ar_r_ecrAT 0�000—_ A " 3C U9430 07/06/06- OT/0510T' -�—� -• 6• X COMMERCIAL GENERAL LIABILITY PRODUCTS•COMP/OP AGO f CLAWISMADE 1:.. OCCUR PERBONAL6ADVJNIURY.. I-.. OWNER'S A CONTRACTOR'S PROT EACH OCCURRENCE .A 1,000,000 -FIRE-DAMAGE IAnyonell(e). A MED EXP(Arty one person) 4 P TOMOBILE-UABILLTY ANY AUTO COMBINEDSINGCEIIMIT""t .ALL-OWNED AUTOS- BODItY StJURr _•__ .s - — — SCHEDULED AUTOS (Per person) HIRED AUTOS - -- —•- -. . .... :... . 00DwY IMJUliY• •. y... .. NON-OWNED AUTOS (Pe.eoclaem) _ —..._...._.. .. PROPERFYDAMWE- GARAGE LIABILITY AYTO ONLY-EA ACCIDENT s ANY AUTO OTHER TWIN AUTO ONLY:` EACH ACCIDENT S AGGREGATE t EXCESS LIABILITY EACH OCCURRENCE 3 UMBRELLA FORM AGGREGATE d OTHER THAN UMBRELLA FORM B WORKER'S COMPENSATION AND WC 896-31-13 06/22/06 08/27/07 Tony LIMITA _ ER EMPLOYERS'LIABILITY EL EACH ACCIDENT i 100,000 THE PROPMETM INCt .. '. EL•DISEASE=POUCYLIMIT' .r. �/�-�M-�.- PAATWJW9JIEcu'nYE —. OFFICERS ARe: EXCL EL DISEASE•EA EMPLOYEE t 100 000 OTHER DESCRIPTION-OF OPERATIONSILOCATIONSIVEMICLESLSPECIAL.ITEMS... ��.. ...�1I � r....... I I I it i' ^ ,,, !71� I �•. A ]�•y�•':'t: �"(i�^: I IL' W�i�y � ��v�77�uu��rtrtqq�nn�1pt•I,p�11 y �// •�:�:�.i t•f ' .rvl•^' ,�.nai+w.a .. ..L' !'-, I 1 1 IlL nd:,4 li1�MWu:`'�,v, �i lld i( IIJ_2l•_ '1:c,..I ._ I...o_d-:ILg1;Irrr'u':ic:J:�u:w,__.._.._✓._ SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE ` ...LXPIRATK)N DATC THON"OF •THf�L4S1YN(4 CAYPAII�YW►b ENDEAVOR io.�WL_.,.. 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, RaLFAlULRETO MAIL_6tLC3l NG7tCESNALL116YOSCLILOOaL1GATLOGL00.iJA81UTX._..... OF ANY KIND UPON THE•COMPANY ITS AGENTS OR REPRESENTATIVES. AUTOO REPRESENTATIV' F"• i!,:if"'� 9 1 I" v':IFt �71?i(�17"�IF1 MEAN' I tr 1 - ,rRnv-a.,..•, n., � I '`.;r- � ✓�ie •r�ooruniaruuea� ���aclucarl�`4 i' I \ 1 1 ' -oard of Bwlding"Regulations and-Standard`s Construction Supervisor License p, f Licena@gCS 43556;:. f ?6f date- 13/1962 ; Epiratl n12/13/2008. Tr# 688fi- , - �- .Res rlctlon�0 1 � SCOTf�E(CROSS 62 CRQSBYYCIR OSTERVI.--LE,MA;Q2655` .i Commissioner . { [oammwm�uea a./101 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: y�,, Board of Building Regulations and Standards Registration-N 51882 One Ashburton Place Rm 1301. Expiration-_7/.13/2008 Boston,Ma.02108 rivate Corporation. t{�=Yi., p. ,__= t. y =�..� SCOTT E CROSBY BUIL EWI:N_C` SCOTT CROSBY � f 11?2 MAIN ST UNIT#,,7 ---------- -- - OSTERVILLE,MA 0266§:tZt" Deputy Administrator Not valid without signatur J i � I The Commonwealth of Massachusetts Department of Industrial Accidents i 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 Legibly Name(Business/Organization/Individual): &�LC Address: M1I - &[� `f If,+ -'-I r• n City/State/Zip: L% V t J � .N Ac- &kJS Phone#: Are you an employer?Check a appropriate box: Type of project(required): I.❑ I am a employer with 4. ❑ I am a general contractor and 1 6. ❑�Wemodeling 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 ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.El 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. $Contractors 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 and job site information. A Insurance Company Name: 4 nn !�G Policy#or Self-ins.Lic.M � 6��l L —-3 - Expiration Date: Job Site Address: .yl „� 9A U t PW Lle, City/State/Zip: 6'�k� W _ 6d-64S5 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 certi der the pains and pe pldes of perjury that the information provided above is ue and correct q/I t5 Signature: C Date: Phone#• J� O �'� - o"10 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#: APR-19-2007 16:39 P.01i01 v� Town of Barnstabk ,' wAN& ►��� ,�_ egg-. .awry - ervices- ..:. tbumsx F.Geller,Director . Tom Perry,CIBO Buildlu8 Commie"teev-- 200 Main Sleet, Hyannis,MA 02601.1 wWW.tuwn.barn%jabW.10S:e \ r S{18= 30 Office: 508-86214038 property w�t�e1< 16s . P - ]Chi%Section CvC'�. If using A Bewilder T ��.. ,ias_Owncr of the subjat property... . to act on my behalf, herchy authorize ---�- in all matters tclativc to work'autFsiiittctt lit �plicatiun fir: EA,dillt�i�s- I ... ......_. . C,..,.. ...... .,. 1e Sisnat_,jrc of Owner _.. p&t.Narne Vaurnt+�pmo'B TOTAL F.OT' AKt:A. FOP", NO. 'ORM B - BUILDING: 1ASS.ACHUSETTS HISTORICAL COMMISSION OVC 74 ?94 WASHINGTON STREET, BOSTON, 14A 02108 ----- _ .. ------------------- - tl%,. N ✓, SVt, - own—Barns-table=(Oste-r-v l-Ie�-W3an-no) - Address 265 Sea View Ave. r I Historic Name Eben J.D. Cross House r uI I I . Use: Present dwelling Original same DESCRIPTION: 't F . Date 1895 ivy Source Registry of Deeds SKETCH .- Show property's location in relation Style Shingle Style to nearest cross streets and/or. geographical features. Indicate Architect unknown all buildings between inventoried property and nearest intersection. Exterior wall fabric shingle Indicate north. Outbuildings garage across street f� hajor alterations (with dates) 0 ��, - southward extension c1897; large servants' annex added to north pre-1907 AV0_ Moved no Date n/a Approx. acreage .91 Recorded by Barbara Crosby Setting residential seaside resort area Organization Barnstable Historical Comm. part of Wianno HD Date January 1984 . - Photo#108-187-C74 (Staple additional sheets here) ARCHITECTURAL SIGNIFICANCE (Describe important architectural features and evaluate in terms of other buildings within the community.) The Cross House is very similiar to the Babcock House (OVC73) next door with its long, low massing, and dormered gable roof extending out to form a long front verandah. This roof has a gambrel pitch at the rear elevation, a form that is echoed in the pre-1907 servants' annex added to the north side. . HISTORICAL SIGNIFICANCE (Explain the role owners played in local or state history and how the building relates to the development of the community.) This house was constructed by Eben J.D. Cross of Baltimore .in 1895. Like others in.',the area it may have been. designed by Boston architect, Horace Fraser. A later owner was Ariel Meinrath of Chicago. . BIBLIOGRAPHY and/or REFERENCES (name of publication, author, date and publisher) Barnstable County Atlas. 1907. Barnstable County Registry of. Deeds and Probate. 10NI - 7/82 Barnstable Assessing Search Results Page 1 of 2 ®2007 Property Assessment Lookup Home:Departments:Assessors Division:Property Assessment Search Results New Search7 HE New Interactive Maps >> Owner: 2007 Assessed Values: JONES,GEORGE D III& 265 SEA VIEW AVENUE Appraised Value Assessed Value Map/Parcel/Parcel Extension Building Value: $582,400 $582,400 138 /020/ Extra Features: $6,700 $6,700 Outbuildings: $0 $0 Mailing Address Land Value: $4,175.000 $4,175,000 JONES,GEORGE D III& JONES,JAMES B,CHEN,JEAN Totals $4,764,100 $4,764,100 39 MUSKETAQUID RD CONCORD,MA.01742 Tax Information: Tax information is currently not available for 2007 Construction Details Building t Property Sketch & ASBUILT Cards Property Sketch Legend Building value $582,400 Interior Floors Hardwood Style Conventional Interior Walls Drywall - \ DK[260; Model Residential Heat Fuel Gas " 6 ; Grade I Luxury Heat Type Hot Air Stories 1 3/4 Stories AC Type None 1:0: • & Exterior Walls Wood Shingle Bedrooms 7 Bedrooms I TtS t OAS Roof Structure Gable/Hip Bathrooms 3 Full+1 H Roof Cover Wood Shingle living area 4365 BUSL- 1 U FUP�'625+ 1•. .Q' 19° B 1 - ; Replacement Cost $727987 Year Built 1890 i Depreciation 20 Total Rooms 13 Rooms Land - CODE 1010 AsBuilt Card N/A Lot Size(Acres) 0.91 Appraised Value $4,175,000" View Interactive Maps >> Assessed Value $4,175,000 Sales History: Owner: Sale Date Book/Page: Sale Price: h4://www.town.bamstable.ma.us/assessing/assess06/displayparcelO7map.asp?mappar=13... 4/18/2007 r Barnstable Assessing Search Results Page 2 of 2 JONES,GEORGE D III& Jun 15 1990 12:OOAM C120754 $1 JONES,GEORGE D EX'OR Jan 15 1984 12:OOAM C27443 $1 JONES,JEAN B C27443 $0 Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value FPL2 Fireplace 2 $4,800 $4,800 FPO Ext FP Opening 3 $1,900 r $1,900 Property Sketch Legend BAS First Floor,laving Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage UTO Three Quarters Story(Unfinished) i FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) 0 I http://www.town.bamstable.ma.us/assessing/assess06/displayparce107map.asp?mappai=13... 4/18/2007 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map � Parcel 60 Permit# Health Division //", Date Issued Conservation Division Q� j Application Fee Tax Collector Permit Fee Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Zo s seaulq Village oc4a V(II Owner Ge—(9 V L1�e ibo Yo Address 3q M USKC�FA©UID AD, (D.n1CDQZ . AA Telephone Permit Request � Lt,�.��� 15�� 1AA CY)Q_ C g Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 6n Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family t Two Family ❑ Multi-Family(#units) Age of Existing Structure f 15 Historic House: )J Yes ❑No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑Full 0/crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) ` Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new c7� Total Room Count(not including baths): existing new First Floor Room Bunt z � Heat Type and Fuel: Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ®No Fireplaces: Existing _ New Existing wood/coal tove: Comes r' No m 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 640 If yes,site plan review# Current Use S)All�� A104 Proposed Use BUILDER INFORMATION NamY ✓l% G 1' Telephone Number Address/% 1 16"a�,J License# O(Sr�rUIkEe:—, 4!14 O;Q 6,S:: ' Home Improvement Contractorr��#�� 15-i Sg0- Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TOiin SIGNATURE DATE Q Ll FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE 1 OWNER DATE OF INSPECTION: if FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL a _ FINAL BUILDING DATE CLOSED OUT • f ASSOCIATION.PLAN NO. DEC-10-2007 17:55 SEAMAN PAPER COMPANY 978 632 6319 P.01i01 Town of]Barnstable Regulatory.Services HAS r Thomas F.Geller,Director t67a.- Building Division Tom Perry, Building Commissioner 200 Muir Steer, Hysauis,MA 02601 Office: 508-8624638 Pax: 5W790-6230 I Property Owner Must Complete and Sign TWs Section If Using A Builder i, 0,,-eortie— Ares ,as flamer of the subject pr+opem herebyauthoA= % to act on zny behalf, m all natters relative to work authorize&hyW6 h2ding permit application for(address of job) S' of 0wUr Dan 1�• Print Na TOTAL P.01 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/Ind ividual): Address: i �. (Z- eS f ' ILV114`1 City/State/Zi i° "_Phone Are you an employer?Check the appropriate box: Type of project(required): 1. /am a employer with_( 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑N construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. deting ship and have no employees These sub-contractors have g, ❑Demolition workingfor me in an capacity. employees and have workers' Y P h'• � 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 I LEl 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' 13.0 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. ;Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state,whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation Insurance for my employees. Below is the policy and job site information. /\- I G.Insurance Company Name: /� p Policy#or Self-ins.Lic.#: IAA 1, I01 1`I " D Expiration Date:Waal Job Site Address: 1, V I��W Mt) City/State/Zip: VU I I/ 1 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 civ&penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cer nder the pains and e s of perjury that the information provided above is true and correct Signature: ��jj GG Date: Phone#• 56%.—4�0 — q©q 6w Official use only. Do not write in this area,to be completed by city or town off`iciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 08/08/2007 10:54 FAX 5084283068 GERMANI INSURANCE 0001 r WK ,�� . DATE(NhUDDIY+ Y I 8/8/2007 PRODUCER THIS CERTIFICATE S ISSUED A A MATTER O I P RMATIC ONLY AND CONFERS NO RIGHT$ UPON THE CERTIFICATE GERMANI INSURANCE AGENCY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 808 MAIN STREET ALTERED MY THE P LI OSTERVILLE,MA 02656 M, COMPANIES AFFORDING COVERAGE.__ COMPANY ASAFETY INSURANCE A BYSLIRED OowANtr .. j SCOTT E.CROSBY BUILDER,INC, B Ai4'AMERICRN INTERNACIONAL GROUP j 1112 MAIN ST.UNIT 7 COMPANY — �_.. .. .. .-_-- OSTERVILLE,MA 02866 C COMPANY D ��s.,IF��'�'� �� II i � .r}�•1 '� 0'e;;�d,,,I��,� Jfi. 1'I I, °'roa"F } •-+ ' .:v.,�J,:il•:i 4 +� r ~�4...'�+'�:i. ;wd t � ,..�.,fl �.' �dF�i �'6:..:.cl` �t�l�.ulYl• .�..S..+r�. .''�y THIS TS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED @FLOW HAVE BEEN ISSUED TO.THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED..NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE'AFFORDED B Y THE POLICIES DESCRIBED HEREIN 18 SUBJECT'TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Do TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTTYB. POLICY E7LPIRATTON LT>It OATEIMMMOlYY) DATE(MMIDIU ) LIMTTS i OENERWLIABILTY OFNERALAGOREGATB I 2,000000 A C1300001153 07/08/07 07/05/08 �( ODMNERCUL GENERAL LIABILITY PRODUCTS-COMPIOPAGO I r ICLAIMSMADE UOCCUR PERSONALLADVINWRY I _ OWNER'S I CONTRACTOR'S PROT EACH OCOURRENCV I 1000,000 FIRE DAMAGE(Arty am 16a) i M MED EXP one penwN I. —_...._. AUTOMOBILE LIABILITY COMBINED SINOIfi WAIT t ANY AUTO _ ALL OWNED AUTOS OILY INJURY SCMEDULEDAUTOSefe0") HIRED AUTOS 1 °IL�Y INJURYd I NON-OWNED AUTOS _ ' ..•-... ... ... PROPERTY DAMAGE I.. GARAGB LLABLIT'Y AUTO ONLY-EA ACCIDENT I _ ANYAUTO oYHERTHIwAuroONLr. _.___ EACH ACCIDENT •S. •' AQOREOATS t ' EXCESS LIABILITY EACH OCCURRENCE __ I _.»..—._.•._. UMBRELLA FORM AGGREGATE I OTHER THAN UMBRELLIFORM I 8 WORKE"COMPENSATION MO WC 687-7"8 06rM7 06/22= Cnr EMPLOY9t8 LIAIRLITY EL EACH ACCIDENT I 1 OO�OOQ THH PrAMA srm INCL EL DISEASE-POLICY LLMLT $ 500,000 PARTNERo"Irm AM EXCL EL DISEASE-EA EMPLOYEE S 100,000 OTHER DESCRIPITON OF OPBM71ONSILOCATIONSIVEMLCLEMPIECIAL.ITEM SHOULD ANY OF THE AWN DOCRIEED POCLG{EB Bi CANCELLED BEFORE THE DMATIDN DATE TIIM WP, THE MUMS COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOlIO TO THE CERTIFICATE HOLDERNAMEDTO THE LEFT, BUT PAIW RE TO MAIL SUCH NOTICE SHALL IMPOSH NO OBLIOATMN OR LIABILITY OF ANY IUPJD UPON THE CAXKR&6M. rM AGENTS OR REPUMUMML AUTHOi� REORK�Pi ATIVJJG�LCL I i i I ' r t li l OR )1h7'All7.L Mal d Bb"ardFof^BmldingyRegulations aM&Sfiiw&ards 'C"oristruc4lQ; SupervlsorLlcen`se: i f i f iE ; Llcen�3e CS .4355.E � � 'B rttraats 3'11962. I zplr2008' Tr# ®STERVILLE;MA:026'55 Commisseoner I T� !iL✓ ILC/7[co�w Board of Building Regulations/and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before.the expiration date. If found return to: Board of Building Regulations Aiid Sfanilards Registration: 151882 One Ashburton Place Rm 1301. Exp.i`ratiion'F;7/_13/2008 Boston,Ma.02108 P�_ivp'te`;Corporation _.; u_.ate SCOTT E CROSBYBl7ILQ:ER�I;NC is SCOTT CROSBY . r. 1112 MAIN ST UNIT#,a -'--- '— �..--......... - .. �� -- % Not valid without signatur OSTERVILLE,MA 0205 Deputy Administrator i i 3 ,Q c/ Engineering Dept.(3rd,floor) Map / Parcel p �`'� Permit# 01 7 I House# Date Is ued m f Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) ` Fee LAS 4-0-ZY Conservation Office(4th floor)(8:30-9:30/1:00-2:00) Planning Dept.(1st floor/School Admin. Bldg.) THE,p Definitive Plan Approved by Planning Board 19 BARNSTABLE. ` TOWN OYBARNSTABLE Building Permit Application Project Street Address C L�,� �f=/� V l E-0: A-01F_ Village -}� Owner b)�i�J n u V D 0�� Address ; � Telephone 'YN� — �� 3 � l'(3A)8094 0/7 Permit Request j- ]�rj(� 7— C�o'? - First Floor square feet Second Floor + square feet Construction Type Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No `"`-Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ' ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use wilder Information Name elephone Number Address icense# Home Improvement Contractor# Worker's Compensation# c NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATULE ,�4DATE 16---1L)-9 BUILDING PERMIT DENIED FOR THE OLLOWING REASON(S) Tay Co LI���'or : ��� ,.sc ✓ -N FOR OFFICIAL USE ONLY PERMIT NO. - DATE ISSUED " MAP/PARCEL NO. ADDRESS VILLAGE OWNER I DATE OF INSPECTION: FOUNDATION , FRAME INSULATION a FIREPLACE s r ELECTRICAL: ` ROUGH FINAL • PLUMBING: ROUGH FINAL i GAS: ROUGH FINAL ' FINAL BUILDING DATE CLOSED OUT r ASSOCIATION PLAN NO. DATE(tAMIDDIYY) AiCORD•. CERTIFICATE:OF LIABILITY 1NSU,RANC�AUL R2 08/06/97 P RODUCEe THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CE '.TIFICATE Drake, Swan & Crocker HOLDER.THIS CERTIFICATE DOES NOT AMEND EXTEND OR 14 Lot's Hollow Rd. ,PO Box 429 ALTER THE COVERAGE AFFORDED BY THE POI ICIES BELOW. ;Orleans M-A 02653-0429 COMPANIES AFFORDING COVEF 4GE t David D Rust COMPANY 508-255-3212 FaY..No. A Assurance Co. of Americ< INSURED COMPANY II B Credit General Insuranc( Co. Paul J. Cazeault etal DBA Paul COMPANY ! 4. Cazeault & Sons Roofing C j F O BOX 2781 COMPANY --------- ---- ------ ---- I Orleans MA 02653 D I CC'1ERr;ES THIS!S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE I OLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT 'O WHICH THIS CERT!FICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL' iE TERMS, EXCLJSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE.BEEN REDUCED BY PAID CLAIMS. O TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION L IITS LTR DATE(MMIDD/YY) DATE(MM/DD/YY) i - GENf RAL LIABILITY GENERAL AGGREGATE $ 10 0 0 0 0 0-- ' A X -IMMERCIAL GENERAL LIABILITY CFP25552812 05/01/97 05/01/98 PRODUCTS-COMP/OP, :G $ 1000000 j CLAIMS MADE ��OCCUR PERSONAL&ADVINJUR - S 500000- WNER'S&CONTRACTOR'SPROT EACH OCCURRENCE S 500000 _ FIRE DAMAGE(Any one h ) $ 5 0 0 0 0 - --- MED EXP(Any one perso+ $ 10 0 0 0 -- AUTC AOBILE LIABILITY y I COMBINED SINGLE LIMI- $ 'IY A:J'R', L OWNED AUTOS BODILY INJURY HEDULED AUTOS (Per person) S RED AUTOS BODILY INJURY DN-O`T/NED AUTOS I (Per accident) -- -- -- --. - - --— - PROPERTY DAMAGE S GARi. E LIABILITY I AUTO ONLY-EA ACCID'c r - 'Y AUTO OTHER THAN AUTO ONL EACH ACCIG; VT S AGGREG. 'E $ EX.CF SS LIABILITY EACH OCCURRENCE $ %1GRELLA FORM AGGREGATE S -HER TPIAN UMBRELLA FORM SWOR - IVC STATU. :H-' 'MP! )YE COMPENSATION AND ; TORY LIMITS .�_-._1 Ear?F!�YERS'LIABILITY HEACH ACCIDENT $ 100000 ! B PART'ERS/EXECUTIVE INCL SWC17005900 08/09/97 08/09/98 EL DISEASE-POLICY LIP, S 500000 OFFICERS ARE: Iq EXCL EL DISEASE-EA EMPLO :E S 100000 OTHER i i DEC--!IFT:''IOF OPERATIONSILOCATIONSNEHICLESISPECIALITEMS Roofing i CERTIFICATE HOLDER ^:::CANCELLATION PEACOCI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANC LLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL E'OEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND ON T E COMPANY,ITS AGENTS OR YPRESENTATIVES. ' AUTHORIZE EP ATIVE ACORD 25-S(1195) , pACORD CORPORATION 1988 DEPARTMENT OF PUBLIC SAFETY ONE ASHBUR N PLACE, RM- 1301 OCT 3 0 1995 ,if BOSTo N;4 108-1618 .AIN.i—"Rjf'-10N SUPERVISOR LICENSE nn . f Expires: Bi?r. ,',,'.?6325 10/20/1997 10720/,S5$L TO: 00 Detach bottom, fold sign on ST back, and laminate license card. I-LA 02655 Keep top for receipt and change -6f address notification. Restricted To: 00 23407 b 00 - None xp:re,: B ir t H a t e: U - Masonry only IVIN1959 N - 1, & 2 Family Homes Failure to possess a current edition cf 0.; Massachusetts State Buiildinq Code Z E A:V1 V is cause for revocation of this license. 1-ke: HOME I 'At M P R Board of. BuiI'd One fi 6 0 n .. I ----- ------ HOME IMPROVEMENT - '?agistration SHIP Type PARTNER 7.......... -.'-.CONTRACTOR 0714 . P PAUL J . -AZE Paul J . Caze au— 7.09/98 22 Giddiai"t":"--':'-' 0i Orleans MA---.' 0655, *"� 2'65 0 2 Ifi& SONS ROOFI 'P.O. Box 278 COMMONWEALTH OF MASSACHUSETTS TheCommonwealthof Alussuchuwits Department of ludustrial Accidents 600 IVashingtun Street Bosto►i,Alas. 0 111 Workers' Compensation Insurance Affidavit ,��rl�:.<;;, 6,;iformation� . _ .__`.. :. _.!Please PR11VT•lgri�Iv .a= „• , name. location ul �l.� ��FIA J t R O A 0 � nhonc# �, S� l%)1 A Oo2��b 0 I am a homeowner performing all work myself. I] I am a sole proprietor and have no one working in any capacity ry _ r..__. •... :.r�....,y,...�ty«..:.L.:.r,�-r'-;�'::��r:u� ,w���-�s_•'—.�" yYpFi?�35�'�'!,;.'r+ds"7Lis.�. �ar�r���.:i.,'��h..,,.y..:� '.�.:.��__._�._ I am an employer providing workers' compensatiori'for my`employees working on this job. comp tnv name�/7V V D7 ZT�7y(�/ j Z1>i✓7 ��D�//v (J — address: city: �/L C S /�� 6-2,24�V phone#• incurance co CfC�/2 1T �.G'iti�i�d�L polio,# ... ..- _.:.. .,..►�...•�� '-ar....=�..n�.,,•.Ky.p.�........ ai(.e T?'..!�•Aivawswci.�.,vTf .�. .w .�•�r•„a'•n'�.:..,..r!�.�"'1...........�. .- I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name: - address: -- cih.• nhonc#• insurance co policy# � - _ .. _ - .-.. •.'rs:o 'r��m.�-:r+w^::?'.r,.�.vs.r:�o�.e_;r-;as�T�(Y�.�`:�'F7�f�/rT�:yY•!eT.'L:rr`!r.�.:S:T� `�l ^,;,i'.::'�o..!,Y.:�;"e:.,.._.._.r _..___.._....._._«...,___._......tea' -i.a:i!'"s:�'• - �—iffi�._ _ __ _ _ _ __a..urr.�...... a.w� company name: address: city: phone#: insurance co policy# :Attach additionnal shcef if tiecess�,�;<�� y�_s�'I';.t`�:..tr�r��;. ^'��''zi�•.� �• " U.— Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a'STOP WORK ORDER and a fine of S100.00 a day against me. 1 understand that n copy of this statement may be forwarded to the Orrice of Investigations of the D1A for coverage verification. 1 do hereht ce ifp wr l . N1e pains and pc tallies of perjure that the information provided above is true and correct. Sienature Date Print name Phone# .' official use only do not write in this area to be completed by city or town official city or town: permitAicense# nlluilding Department OLicensing Board p check if immedjpte response is required QSelectmen•s Office f` [3liealth Department contact person: phone#i riOther , 7. trevtsed 3!0}11JA1 :S Assessor's map and lot °numberq.../� .... ...v. ..,.. � �. THE 1Sewage Permit numberl...A>n.. e.-����..• Z BARNSTABLE, i Ouse number r ` M+Sa r ��,. ... .............................................. 1639. \0� SEC YPV A,. TOWN OF BARNSTABLE ` BUILDING INSPECTOR APPLICATION FOR PERMIT TO 9�.f/1 ..r .,jy! .....�rr�Y ' ..:.........................:..:...................... TYPE OF CONSTRUCTION y ' ............U ......... ` ....... 19 /?. TO THE INSPECTOR OF BUILDINGS: y The undersigned hereby applies for a permit according to the following information Location .... .......... ProposedUse ........................................................................................................................... ............................................... Zoning District .......,.{� Fire District �... ,,P4 !!f� t., . . ............................. Q.. .. y. .............. :<4?:............. : Name of Owner_ ,R, ry .,.... .1JTnA;.• ............Address ..X� �1.lrv...... / /13 /• 11 ?�Q..•...................... Name of Builder , .P��.e !r'�.o. ..+�T .�,P/1!t..l? ...Address .....► #'' .at............................. .. .. Name of Architect � . - � ........Address ..... .......... a ........ ..................... Number of Rooms ..................................................................Foundation .. .o.n 1.<0 ..:.A. },— ............. Exierior ../ J C � „< f.? !.? ....N• . .......................Roofing ..... 11...1}: . ?r!.: c=.� Floors ..............................Interior .....�.....,..... J• Jt��� .. Heating .. -�... f�� a��, �. �� ..............................Plumbing ...... ... ? .............................�........; Fireplace ..:., !C!�c......................................................Approximate Cost ............. 6 ;..U!J......................... Definitive Plan Approved by Planning Board ---------------____-----------19 . Area .......... (o...................... Diagram of Lot and Building with Dimensions Fee ���� SUBJECT TO APPROVAL OF BOARD OF HEALTH y D, .�• - �� -:yam s LI O 1 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name •<r�/ nL�• .;,1 ,�... iJ�.c�......%....... JONES, . GEORGE A=138-20 N- 237�1'.. Permit for .............. 0 ......... Single/,"Family Dwelling .......... ...... ................................................. .16.6 sea View Avenue Location ........t�.................................. 0) ................... 05,-terville ......................................................... .1................... V C�, orge Jones Owner .......* t' .................F.................... .r. X.. .............................................. Type of CoAItructi8n tame .............. ....................................... .................... Plot ............................. Lot Permit Gran-ed .Fe b . ......r 9 .... .....19 82 Date of InsplAction ................ ................19 Date Comple ed .... ............ ...................19 PERMIT REF ED ..........................I..� ................. . ............... 19 ...................................r ................ .......... ... ...... ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... Assessor's map and lot number THE Sewage Permit number Q/..._V1.o..S .�... SEPTIC SYSTEM o� INSTAILWE INr TABLE, ;louse number .........cad�Ca.y3 .... ® .��q 90 rasa 0 oYp-jale TR95NTAL CL�I TOWN OF BARNS �r,,cE SIkBJFCT TO BUILDING INSPECTOR 9 � APPLICATION FOR PERMIT TO ,.. AA .'� ^ TYPE OF CONSTRUCTION 4-,-. .Jl.... 9 . . ............ ...Q/.......................19.r/ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby pplies for a permit according to the following information: Location ... .. ' ... ...... ... . . .,R.G ........................................................... ProposedUse ............................................................................................................................................................................. n Zoning District ...../,(.. .-i-./.:r...../..L........................................Fire District .. n V V �.( . .. .......... . .. Name of Owner_. .f?.. ............Address �Q,/Z91. . . 2. .CI?... /� ....................... Zr Name of Builder 4 1,4,.. ..�.... .... ...........�...Address ..,�/..'S.r` 4.AAAn. ...... . ..�. ,-{............................. .. .. .... 11 Name of Architect M... ... / ... .... . .'.........Address ... ... Number of Rooms ............................................I......................Foundation ...1 P . � . .. . . .. ........... ................ ................ Exterior ., .�, .,� .: ........ ....... ... 31j.........................Roofing .... .. .. .. . . ................ ......................... Floors ,, t.. ».P.. ...................................Interior �� I . ..:... �( . .................. .... .�. ...... 4y. ............... Heating .................................Plumbing.... �ncm--7-9......................................... Fireplace ..._,� -.......................................................Approximate Cost ............IJQ 6Q. v ..''....................... Definitive Plan Approved by Planning Board ________________________________19_______. Area .......... ...................... 11 Diagram of Lot and Building with Dimensions Fee /....L�......................... .............. SUBJECT TO APPROVAL OF BOARD OF HEALTH / a� F6x yl AJ . I O I hereby agree to conform to all the ules a�Regula is'of the Town of Barnstable regarding the above construction. �. Name ........ No —.�3 .7 Permit —�AJDD.I]�ION___. i lio��___� , -----' -----'-------... . .Sea�.Vie�[.�lVe���____. Ooterville ' --------------------------. . Gepzge Jones ' , Owner --------------------.—' Type of Construction ...FJ;.aM.e--------.. .............................................................. ` Plot ............................. Lot ----------' ' ' ' * ��o»uy] Ipebzoa�y 9� lg 83 � , ~ ---------' --- � ' / Do*,,pof_|nspechon ------------lV _ . Date Completed ---— ���r.��������� —.lV ` ---' _ ' PERMIT REF6SE0 � . -------. l� � ---.. . ,�---�.� ` ........... --,^--...------------. , m� � | ....-- _----------------.. ' ^ � .......... . .................................................... --- ..—.---...'.---..---..—.—.— Approved `_____— ......................... 19 ^ ` ` -------.--------~---~..—.---. ' ' -------------~------....--.—. ' ' K ' i u sy f sf. I. f o JY i'. ,.ate' .__'- "• �A 4� ! f•r Ate,. i i 1 �tl t i i o � 1 f r x �r co I LAt enc 13 ! � . 0 ; f m f ,f i a -- -o _Q LC 0 fr F�`� � .l Y f � I' Y I���/"9 � V ���� F u ���� .�'• ,^✓�A f 0 I VVrr►►"�� VV J. f-' ✓^ �+��' .__....�....�...r...�..�........�..._�.......�......�....._.w-..'.....•.�..�va � � _,� curn.n�++rvr.+u.M�r.`t...�.aw - - ✓� .f A'f p r I lr sf, r` ram' ;r �,Y ✓ i• d .tug I ✓.. f {1 V � o f ' J•r� l F r: aa,. of i �. r �s6 I )6 �1 f{! y� f a E s k ? ® 6 F a '✓rl' 3 1 i j ff t k r i ID cA Lc �Voti --� GRADE OVER DAO%= 16.8't • ... FINISH GRADQOVER CHAMBERS= PROPOSED VENT r._ ....,NC -- -_ I 16.83'-16.00' TO ABOVE GRADE �i- i�t:_ i'.t C11-;- PROVIDE RISER OVER INLET 8 FINISH GRADE OVER TANK EL= LE COVE O 2%MIN.OVE 1 _ I ; WITH-REMN 6"OF GRADE T • 4'SCHEDULE a0 PVC MIN SLOPE 1% < R . UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION l FINISHED GRADE OUTLET TO WITHIN 6'OF GRADE 314"TO 1-12"DOUBLE WASHED STWN OF PIPE i f 17.0't S"DA OUTLETS) PEACCESS BOX WITH COVER TO GRADE METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE r @ FOUNDATION=20.0 t j _._... ......_..-._._....... ... .. I -.._.fFINISIH ..._..___ ......... ....._ 2"DOUD STONE ENVIRONMENTAL CODE AND ANY APPLICABLE LOCAL RULES. f r of 1Ia•To 1 , i 2P MIN.ACCESS COVER I i 1IN. I . 2 Ar41'C18WGES TO THIS PLAN MUST BE APPROVED BY THE BOARD (3 TYPICAL) 36•MAX. ITMTN. 70P OF SAS= 13.83 PLACE RISERS OZE. q j OF HEALTH AND THE DESIGN ENGINEER CHAMBERS WITH I 3CMAX. IT MIN. I 3. 4•SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOWTS SHALL 13_OO' 36"MAX. BE USED W DISPOSAL SYSTEM UNLESS OTHERWISE NOTED. PROPOSED 4'PVC BREAKOUT EL=13.SO' PIPES TO 6"OF FINI I' �-Y r DROP MIN. SCH.4 PROVIDE WATERTIGHT Gi 4. TO PREVENT BREAKOUT,THE PROPOSED FINISH GRADE SHALL NOT BE LESS THAN 3"DROP MA%. 3" 9- ' JO WTS(TVPJ' ; ELEVATION=13.50'FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. �-EXIST.SEWER PIPES ! 775' ROM --- - - p UNLESS A 40 e0L GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM SAS. K 4"PVC OM TO IJ Q Q Q Q Q Q I�(J Q o O O No AND THE TOP OF THE LINER IS NOT LE55 THAN THE BREAKOUT ELEVATION. PROPOSED4•PVC 14' 7 14.25' i LEACHING FACILm pp o 5. SLOPEALL SOLID PIPE AT I.O%MINIMUM. SCH.40 po D O 0 p 6. THISSYSTEMISNOT DESIGNED FOR A GARBAGE DISPOSAL 2' O Q O O O Q Q Q p O Q pp 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO tr1450' q8• o11nEr TEE MIN. 13.58' ° cnBACK FIWNG WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR EL FILTER i OVER SHECHA TONE Y o pQ Q pp I INSPECTION.SYSTEM IS NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING i ° i APPROVAL FROM BOARD OF HEALTH AND DESIGN ENGINEER. 17.0 MODEL 8 AIB014.22 1 COMPACTED BASE 4.0' 8. ELEVATIONS BASED ON 1929 NGVD DATUM OF 18.65 ESTABLISHED ON A NAIL OUTLET DISTRIBUTION 80% �P') A.O 4.9' 4.0' SET W UP 6824 AS SHOWN ON PINT. i 6'CRUSHED STONE i 5 / 59.0' OVER MECHANICALLY TO BE INSTALLED ON A LEVEL STABLE L (TYPJ i 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION ! BASE.FIRST TWO FEET OF OUTLET GROUND WATER ELEV= S.7O' 129' THROUGH DIGSAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE COMPACTED BASE 11_OO• I i PROPOSED 2000 GALLON CONCRETE SEPTIC TANK PIPES TO BE LAID LEVEL AND LENGTH 12_2"WIDTH 6_8" CROSS SECTION VIEW 1 ATCREPANCIES OTHER SIGNOTHERAINEER. LE AGENCIES.REPORT ANY 5 MIN.. DEPTH 5 8" (DIMENSIONS PER i _ _ . p, ,: ; �(•,I c,; - -- CHAMBER END VIEW WIGGINPRECAST : - ,; 6 500GAL CHAMBERS .i,_� 1'-� ' :, c\; ALL JOINTS ss CONCRETE i I DISCREPANCIES 70 THE DESIGN ENGINEER. LENGTH TYPICAL CHAMBER PROFILE t ALLJo1MswHLERE eex+oewATERTICHT.CORP..POCASETT.MA) .. NOT TO SCALE -•._:. - i _ NOT TO SCALE NOT TO SCALE 111. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR -.......__.______....._....................-._ -_____ ____.._._..._.__.-,.._._-__._J ZONING REGULATIONS. OWNERlAPPl1CAM IS T006TAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. i , �• .. i_ i I I ��',;:-• 112 ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H•10 LOADING UNLESS LOCATED UNDER PAVEMENT,DRIVES OR TRAVELED WAYS IN WHICH CASE B.M. r 30 \•�) \','. THEY SHALL WITHSTAND 14-20 LOADING. Hal Set in UP 6824 .\ `• 11 \�,)'• / f INSPECTOR: Oonaa Desmarab i EI°v.=18.65' I'I ',1\ -�• <:E' 1 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT,DUST AND • llILLL��� _ EVALUATOR: MHmel Pirtl¢ntd.E.I.T. FINES. N.G.V.D. •.h• \ I• 6 v. / �✓ i DATE: Januan 4.2006 I , 1• (�/�' J 14. WHERE REWIRED,CONTRACTOR SHALL REMOVE ALL LOAM,SUBSOIL AND / `i. ,^�`• L�JM ;•plr : : TEST PR q: 1 j UNSUITABLE MATERIAL IN AREA BENEATH AND FOR 5 FT.ON ALL SIDES OF t•••FF`=. •. u'. I ELEV TOP= 162C 1 LEACHING FACILITY.REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN G •• • •� f COARSE SAND FREE FROM CLAY,FINES OR OTHER UNSUITABLE MATERIAL W ELEV WATER= -6.23' ACCORDANCE WITH 310 CUR 15255(3). 4 ' <2 M1nJM 115. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN /��/ •y •• • ri o° AT PERC RATE= SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK ° ��� •• 'i (F onHlD Neck.p °,��:� y�y.� +. / DEPTH OF PERC= 33"-51' Ia. PROPOSED PROJECT IS LOCATED WITHIN: )-' �\; �J_�Fes•.N.NEf4�) TEXTURAL CLASS: t ; ASSESSORS MAP 138 PARCEL 20 PROPOSED 2000 GALLON y r1 Q 1 f 17. OWNER OF RECORD: GEORGE D.JONES 1118 JAMES B.JONES SEPTIC TANK Q\ :%T"0/ d1- O __ - \ , . C QP/AMENS f\ PORCHI al CpJJ[5('nJri; id I.' A `r.I i 0 F� 16.23' i ADDRESS: 39 MUSKETAOUID RD&JEAN JONES CHEN TUUSTEES Y1 E //'/` / 1• p • �,' 0 0 0 I(✓/,•�• o CONCORD.MA 01742 '. A Loatry Sand 10YR312 ! FEMA FLOOD ZONE VII(EL.22)888C Gtr ri, - �` II// C 1r 14AZ T25' a-``� \' #253 AS SHOWN ON COMMUNITY PANEL C Zsoo01 a016 D OE \`. C EXISTING / .%- ,•/ - �� IS. PLAN REFERENCE: ':'�V I,E _ Loamy Sand ' 1.LC.PL 9965 A L°0r' DWELLING / /h'n ENYL. �.. 8 t0YR 5f8 I 2.PL.BK.109.PG.95 �' LOW 3.L.C.PL 17322A CjCl 9 //- S ��/Y�`�j/'•/ 11 �.r1t1 0 ftt t; c_ .. 1. 13.48' 4.L.C.PL.9596 A 'spy :.6. CH Perc I19. GEED REFERENCE • /::" �>-\ 51" 11.98' 1.L.C.0 120754 PROPOSED ` ^-\'.• , DISTRIBUTION 'S�NF'. vi oo #265 _ MAP 136� ,F, - I' McQNm Sand !20. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. �� y PARCEL 79 PROPOSED .5. RI-' /!o-� EXISTING 3 � C 25V 6I6 121. PROPERTY LINE INFORMATION IN ONLY APPROXIMATE.THIS PLAN IS TO BE USED ONLY I INSPECTION "" T g HG7 7-BEDROOM .�� • -'� N/F JONES FOR SEPTIC SYSTEM UPGRADE JC ENGINEERING WILL NOT ASSUME ANY LIABILITY DWELLING - �G \1\ 'c_,o FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. :22. IN ACCORDANCE WITH CMR 15.401.15.405,THE FOLLOWING LOCAL UPGRADE LOCUS PLAN .' APPROVALS ARE REQUESTED FROM 310 CMR 15.211: >•'b� ' (q'" /�O, _ I TOF=220' CEVDH 120' 6.23' 1.)A 7S'VARIANCE(10.0•-25)FROM THE MINIMUM SETBACK DISTANCE FROM THE Y- (��VVITH '` SCALE:1"=100(r PROPOSED LEACHING FACILITY TO THE NORTHERLY PROPERTY LINE. i FND �LCB(FND), s O __ M� / I 2.)A 2.5 VARIANCE(10•-7.51 FROM THE MINIMUM SETBACK DISTANCE FROM THE PCEL20 / _ _._ .. ._.... _._..._...._...___. ___ EXISTING FENCE TO BE REMOVED ••' �..-. •� / .�. _........ .. .. ... ._ ._... ... ._..._.__..._.__..______..._..__...__._. __ E LONGSWEEP O O PROPOSED SEPTIC TANK TO THE NORTHERLY PROPERTY LINE 39,6a0 S.F.i .� / / DURING CONSTRUCTION 8 PUT BACK\ I _ �; i� ANOUT e. i __:„. _-. -_'_\ -'_ -- _- _ 23, A q"PERFORATED SCH.40.PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION,TO A WHEN SEPTIC INSTALLATION IS \06 / _ i _ ._l I N !.ice\,:\ -_ '' ''' DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN T OF FINISH GRADE.A COMPLETE / $ _ / it REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS. PROPOSED 67500\ $ / \ i / _ �PE�R bald D-H GALLON ! 'a \ / / �' EVALUATOR: Michael Rmentel.E.I.T. LEACHING CHAMBERS � / /y1 / �"_ r PATS January 4,2006 I PROPOSED 4"VENT PIPE ..r. -=<.�.' � r/ // i �- / NUMBER OF BEDROOMS 7 TEST PIT 0: 2 0 / / / / / ll, -'.!s�` ' f i`l DESIGN FLOW t10 GAL/DAVIBEDROOM ELEV TOP 16.70' i -- --(EXACT IOC.PER OWNER) _ / 'A j TPt a % / 7r' � `1 \ TOTAL DESIGN FLOW 770 GAUDAY ELEV WATER= c5.7V N / - -(i�J j e 50.0 EXISTING SPOT GRADE 1623 \ - ' / / / DESIGN FLOW % 200% = 15_40 GALIDAY PERC RATE_ <2 MI.A. 50_-_ EXISTING CONTOUR TP2 STI - 16.70 PROPOSED ;'';.i--/ // ExI'jN V, USE PROPOSED 2000 DEPTH OF PERC PROPOSED CONTOUR 1 HAYBALE LINE / ` GALLON SEPTIC TANK EXISTING TEXTURAL CLASS: 1 i =o.xr•=v.x.� EXISTING OVERHEAD WIRES J / EXISTING WATERLINE MAP 138 - _ / J - -z- / ( 1 y ' EXISTING / INSTALL SIX 6 500 GALLON CHAMBERS 0 76.70 yr TEST PR LOCATION PARCEL 21 / DECK /EXISTING / Re ' / '�" / RIP-RAP PROPOSED 2000 GALLON SEPTIC TANK NIF DRANETz .� / / \ .%'"'' SIDEWALL CAPACITY IT 15.7U ; U'v 9 •,,: i '. .',,,/ / / PROPOSED 4•SOLID SCHEDULE 40 PIC PIPE .. (LENGTH.WIDTH)(2 SIDES)(EFF.HEIGHT)(.74 GPOISOTT.)=GPD A Lamy Sand I 1 10YR 32 0 PROPOSED DISTRIBUTION BOX _ (59.0'a 12.91(2)(2')(.74 GAUSO.FT.)= 212.8 GAL LEACHINGMAY Is, 15.37 0 ' Q PROPOSED 500 GALLON LEACHING CHAMBER 1 / { 0 / BOTTOM CAPACITY I (LENGTH)(WIDTH)(.74 GPWSO.FT.)= GPD B L°amy Salts 10YR 518 1 1.22-07 MCP JLC ADDED P.L.S.STAMP (59.01(12.91(.74GAL/SO.FT.)= 563.2 GAL.LEACHINGIDAY REV. DATE BY APP'D. _ DESCRIPTION /�G`� oa TOTALS: P_ w: PROPOSED SEPTIC SYSTEM UPGRADE p�"r. TOTAL LEACHING AREA 1048.6 SOFT. 54' 1220 ' >'•.<: PREPARED FOR TOTAL LEACHING CAPACITY ns.o GPO ed- c uaiwu GEORGE D.JONES III _ Z, - M M _ _ _ �\P ., c z.sr 6/6 cyn�. � LOCATED AT , SWING TIES m 265 SEA VIEW AVENUE OSTERVILLE,MA 02655 DESCRIPTION HC 1 LCB 11r 5.70' SCALE: 1 INCH-20 FT. DATE DECEMBER 20.2006 - / ✓ .. CORNER STONE(1) 47.9' 71.2' :.n•y .0 6r CORNERSTONE 2 52.7' ..._...-'---......_....._. _... .._.........__.......... _ _ _ ( ) 69.6' _._. .... ........ ... .. .................... �J CNN / CORNER STONE(3) 106.0 18.6' • FAaaeN ' JC ENGINEERING,INC. / \ vo.33s99 CORNER STONE(4) 108.2' 10.8' ` EAST R AREHAMI HIGHWAY SITE PLAN ,MA 02538 SCALE:I"=z0 7�cy�07 C 508.273.0377 - -- - - ..._. 8r.UN ' oes14ne4 eF r.+m t�e°me ey Ae �Joe no. 10 TOF =22,0'± FINISH GRADE OVER D-BOX= 16.8'± I FINISH GRADE OVER CHAMBERS = 16.83'- 16.00' TO PROPOSED GRADE GENERAI NOTES REMOVABLE COVER TO SLOPE @ 2% MIN. OVER SYSTEM PROVIDE RISER OVER INLET& FINISH GRADE OVER TANK EL.= WITHIN 6"OF GRADE 4" SCHEDULE 40 PVC MIN SLOPE 1% 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION FINISHED GRADE OUTLET TO WITHIN 6" OF GRADE 3/4 TO 1-1/2 DOUBLE WASHED STONE TO CROWN OF PIPE @ FOUNDATION = 20.0'± 17.0'± 5" DIA. OUTLET(S) ACCESS BOX WITH COVER TO GRADE " METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE 2 OF 1/8 TO 1/2 DOUBLE WASHED STONE ENVIRONMENTAL CODE AND ANY APPLICABLE LOCAL RULES. 20" MIN. ACCESS COVER „f I SEE NOTE#24 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD (3 TYPICAL) 12"MIN- f OF HEALTH AND THE DESIGN ENGINEER. 36 MAX. 12"MIN. TOP OF SAS = 13.83 PLACE RISERS ON ALL 36"MAX. 13.00' 36"MAX. CHAMBERS WITH INLET 3. 4" SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL 17.00' PROPOSED 4" PVC „ BREAKOUT EL = 13.50 PIPES TO 6'OF FINISHED BE USED IN DISPOSAL SYSTEM UNLESS OTHERWISE NOTED. 2" DROP MIN. SCH. 40 PROVIDE WATERTIGHT GRADE 4. TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE LESS THAN 1 0 _ 6" 3" " ELEVATION = 13.50' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. 3" DROP MAX. 3 9 io L JOINTS (TYP.) UNLESS A 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S. EXIST. SEWER PIPES 10 4" PVC IN FROM � �o 0 0 PROPOSED 4" PVC 14" SEPTIC TANK 4" PVC OUT TO O 0 0 O 00o AND THE TOP OF THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. SCH. 40 14.25 LEACHING FACILITY oo 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. ,� T C::, o o o i 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL.0 S OSAL. 13.75' MIN. 13.58' 2' o0 0 0 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO 14.50 48�� OUTLET TEE 0 0 0 oo BACK FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR 6" CRUSHED 22"ZABEL FILTER OVER MECHANICALLY oo 0 0 0 0 o 0 00 0 0 0 o INSPECTION. SYSTEM IS NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING _ APPROVAL FROM BOARD OF HEALTH AND DESIGN ENGINEER. 17.0' MODEL#A1801-4x22 COMPACTED BASE 4.0' 8.5' 8. ELEVATIONS BASED ON 1929 NGVD DATUM OF 18.65' ESTABLISHED ON A NAIL (NP•) 4.0' SET IN UP 68/24 AS SHOWN ON PLAN. OUTLET DISTRIBUTION BOX 59.0 6" CRUSHED STONE � 4.9' 4.0' TO BE INSTALLED ON A LEVEL STABLE (TYP•) 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION OVER MECHANICALLY BASE. FIRST TWO FEET OF OUTLET GROUND WATER ELEV.- < 5.70' 12.9' THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE COMPACTED BASE C C PIPES TO BE LAID LEVEL. 1 1 .00 AT 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY PROPOSED 2000 GALLON CONCRETE SEPTIC TANK 5'MIN. DISCREPANCIES TO THE DESIGN ENGINEER. LENGTH 12' 2" WIDTH 6' 8" DEPTH 5' 8" (DIMENSIONS PER CROSS SECTION VIEW 6 - 500 GAL. CHAMBERS 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONCRETE SEPTIC TANK PROFILE WIGGIN PRECAST DISTRIBUTION BOX DETAIL TYPICAL CHAMBER PROFILE CHAMBER DETAILS CHAMBER END VIEW STRUCTURES SHALL BE MADE WATERTIGHT. NOT TO SCALE CORP., POCASETT, MA) NOT TO SCALE NOT TO SCALE 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR - ------------- ZONING REGULATIONS. OWNERIAPPLICANT IS TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. + TEST PIT DATA 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS • •• • ` • • •�' . , LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE B M • 0•'t7. •� • • ; .i • � INSPECTOR: Donald Desmarais THEY SHALL WITHSTAND H-20 LOADING. . G`.' Nail Set in UP 68/24 •• • •.•• , ` / 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND Elev. =18.65 •• •. • , �• ` EVALUATOR: Michael Pimentel, E.I.T. i • • • • b �'• � ,� FINES. N.G.V.D. • ' •• . + �+ �'� o � �✓ � DATE: January ti 2006 • •• : �: z :11Or� f 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND • • ii TEST PIT#: .1 UNSUITABLE MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF • • ;• .• • • II. , ••� 1/ LEACHING FACILITY. REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN • . • �t , • • ELEV TOP= 16.23' • . • 'w � ' • •• ,� COARSE SAND FREE FROM CLAY, FINES OR OTHER UNSUITABLE MATERIAL IN .• •: • i • ' ♦ • • • • ! ELEV WATER= <6.23' ACCORDANCE WITH 310 CMR 15.255(3). \ / • • •/ �� PERC RATE < 2 Min./In. 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN\ o� �� • • • �< • • rr � , _ %;'� h' • d • • " if 00 SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK 18 - LCB --._ �` ii s , wCk x �!:- i DEPTH OF PERC = 33"-51" 16. PROPOSED PROJECT IS LOCATED WITHIN: / (FND/HLD) 1� �'�N r= ~ti ' • , o� a / ! •`"' � 6 ��� '•, L .4.- •.. a • TEXTURAL CLASS: 1 ASSESSORS MAP 138 PARCEL 20 PROPOSED 2000 GALLON 'lip / o� SEPTIC TANK 17. OWNER OF RECORD: GEORGE D. JONES III &JAMES B. JONES PORCH SC •y •� 0 16.23 & JEAN JONES CHEN TRUSTEES Fill ADDRESS: 39 MUSKETAQUID RD � Nv� OG• O� 4 - --- � +, 13 15.15 CONCORD, MA 01742 •'�' '•� A Loamy Sand FEMA FLOOD ZONE V11 (EL. 22)& B&C --- ., �, �s 10YR 3/2 �l Gl #}�' N 22 '� �� l u» • �0 17" 14.82' AS SHOWN ON COMMUNITY PANEL# 250001 0016 D iAu 0\14i' \O� - -' t / EXISTINGf/'� `! . / 18. PLAN REFERENCE: V �0 8 �� �. No . Loamy Sand 1. L.C. PL. 9965 A DWELLING �t - B G •'�-� �► 10YR 5/8 2. PL. BK. 109, PG. 95 r•,.. l J�P� s LSA \ 11'1� ��t • 3. L.C. PL. 17322 A CJ�GP x16 GpP�9� \. {{.10 �1 1i H ` 4 LOCU 33" 13.48' 4. L.C. PL. 9596 A 1j 1 Ov i -� o Apo �0 / -� I � >• �' Perc _ I r,,. 'BONE _ s ti �P j LSA PORCH ��► :r - y "G 51 11.98' i 19. DEED RCF1. CEREONCE: PROPOSED GP S /E754 P -- DISTRIBUTIONO O �\ #265 / �Y 20. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. ( Medium Sand OX �\N (2) O 7) �� EXISTING nPARPCEL 38 C 2.5Y 6/6 PROPOSED x16.5_ = .p 2 21. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY 7-BEDROOM ate' N/F JONES FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY INSPECTION 7 9' HC-1 0 PORT ~O I--, DWELLING �G �11 a' "'o ! FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. O (1) FIREPLACE 2�1� o� �� 22. IN ACCORDANCE WITH 310 CMR 15.401-15.405,THE FOLLOWING LOCAL UPGRADE :5 ,O + '�-° } N� w w LOCUS PLAN APPROVALS ARE REQUESTED FROM 310 CMR 15.211: (4) O TOF = 22.0± CB/DH 120" 6.23' ' 1.) A 7.5'VARIANCE (10.0'-2.5') FROM THE MINIMUM SETBACK DISTANCE FROM THE x16.1 - MAP 138 (CRAWL SPACE) > j (FND) SCALE: 1"= 1000' PROPOSED LEACHING FACILITY TO THE NORTHERLY PROPERTY LINE. - �LCB(FND) Lu z O O / / 2.) A 2.5'VARIANCE (10'-7.5') FROM THE MINIMUM SETBACK DISTANCE FROM THE / PARCEL 20 EXISTING FENCE TO BE REMOVED s -:: 39,640 S.F.± I 90 DEGREE LONGSWEEP N N / / - PROPOSED SEPTIC TANK TO THE NORTHERLY PROPERTY LINE. DURING CONSTRUCTION & PUT BACK WITH CLEANOUT \ / TEST PIT DATA 23. A 4" PERFORATED SCH. 40, PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION, TO A WHEN SEPTIC INSTALLATION IS �0�6 ` �p �' EXISTING CESSPOOL /1� 1 - DESIGN DATA DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3" OF FINISH GRADE. A COMPLETE (3 0 / i REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS. TO BE PUMPED INSPECTOR: Donald Desmarais PROPOSED 6-500 $ �i -� AND FILLED WITH GALLON CLEAN SAND / / / EVALUATOR: Michael Pimentel, E.I.T. LEACHING CHAMBERS , / 1 20�_ DATE: January 4, 2006 PROPOSED 4" VENT PIPE pPS�FS��/ / C Jl / / / NUMBER OF BEDROOMS 7 TEST PIT#: 2 (EXACT LOC. PER OWNER) gdPOj / �•' / / / DESIGN FLOW 110 GAL/DAY/BEDROOMELEV TOP= 16.70' LEGEND TP1 / a' �/ / / TOTAL DESIGN FLOW 770 GAUDAY ELEV WATER= <5.70' 16.23 / / c�• / DESIGN FLOW X 200 % = 1540 x 50.0 EXISTING SPOT GRADE GAUDAY PERC RATE _ <2 Min./In. - - - 50 - -- - EXISTING CONTOUR TP2 PROPOSED EXISTING DEPTH OF PERC = 36"-54" PROPOSED CONTOUR 16.70 WALK USE PROPOSED 2000 GALLON SEPTIC TANK \ HAYBALE LINE / TEXTURAL CLASS: 1 - °/"rw °/"rw - EXISTING OVERHEAD WIRES EXISTING JETTY / - --- --- w EXISTING WATERLINE EXISTING MAP 138 -2- INSTALL SIX (6) 500-GALLON CHAMBERS 0 16.70' ' j TEST PIT LOCATION ,- EXISTING PARCEL 21 ' // DECK / RIP-RAP Fill o o PROPOSED 2000 GALLON SEPTIC TANK ' N/F DRANETZ U, // / / / / SIDEWALL CAPACITY 12" 15.70' "- PROPOSED 4 SOLID SCHEDULE 40 PVC PIPE N / / / / (LENGTH +WIDTH)(2 SIDES)(EFF. HEIGHT) (.74 GPD/SQ.FT.)=GPD A Loamy Sand (59.0'+ 12.9')(2)(2')(.74 GAUSQ.FT.)= 212.8 GAL. LEACHING/DAY 10YR 3/2 PROPOSED DISTRIBUTION BOX / / 16" 15.37' PROPOSED 500 GALLON LEACHING CHAMBER I / �gP� / / BOTTOM CAPACITY SAP - LENGTH WIDTH 74 GPD/SQ.FT. - GPD B Loamy Sand GOj / (LENGTH) (WIDTH) ( ) 10YR 5/8 1 1-22-07 MCP JLC ADDED P.L.S. STAMP (59.0')(12.9')(.74 GAUSQ.FT.)= 563.2 GAL. LEACHING/DAY REV. DATE BY APP'D. DESCRIPTION " / A�- G� o�,�,�ti TOTALS: Per 36 13.70' PROPOSED SEPTIC SYSTEM UPGRADE 3 OF PREPARED FOR: TOTAL LEACHING AREA 1048.6 SQ.FT. 54" 12.20' zH TOTAL LEACHING CAPACITY 776.0 GPD �� JOHN L. ` w GEORGE D. JONES III CHU O RCHILL Medium m um Sand J . C 2.5Y 6/6 clvn_ LOCATED AT No,/41 b0 SWING TIES 265 SEA VIEW AVENUE OSTERVILLE, MA 02655 DESCRIPTION HC 1 LCB 132"/ 5.70' -- - -- - - - SCALE: 1 INCH = 20 FT. DATE: DECEMBER 20, 2006 CORNER STONE (1) 47.9' 71.2' °FMq o 10 20 ao eo FEET zk_/ CORNER STONE (2) 52.7' 69.6' J R. - PREPARED BY: CORNER STONE (3) 106.0' 18.6' FARREN JC ENGINEERING, INC. N0 33590 pox 2854 CRANBERRY HIGHWAY / / SITE PLAN CORNER STONE (4) 108.2' 10.8' EAST WAREHAM, MA 02538 SCALE: 1" =20' 508.273.0377 Drawn By: MN Designed By:MCP Checked By:AC JOB No.1108