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HomeMy WebLinkAbout0055 SEAPUIT ROAD ... ., _ ,, r �,• .. .:.. _4_. e 0 a i i i CAPE. COD ENV��Y�V S�Si.!t��MS BUILDING DEPT. 378 Route 130 Sandwich,MA 02563 AUG 12 2020 PH:774-20S-2001•844-90-AUDIT TOWN OF BARNSTABLE Permit Affidavit Permit#' B-19-505 I,Craig Bishop,confirm that the weatherization and air sealing work completed at _ 55 Seapuit Rd SAELhas been completed in accordance with 780 CMR. Signature: Date: ` 8/7/2020 _ .. 0�L . Vie Town of Barnstable Building e 1Post This Card So.That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept BAPNnASM MAE& Posted Until Final-Inspection Has Been Made.-16 Permit sa �� 39.. Where a Certificate of Occupancy is,Required,such Building shall Not be Occupied until a Final Inspection has been made. ' Permit No. B-19-505 Applicant Name: Craig Bishop Approvals Date Issued: 02/19/2019 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 08/19/2019 Foundation: Location: 55 SEAPUIT ROAD,OSTERVILLE Map/Lot: 118-124-004� _ Zoning District: RC Sheathing: Owner on Record: PHILLIPS,WILLIAM M&PAULA S Contractor Name Craig P Bishop Framing: 1 i Address: 134 FULTON ST Contractor License: CS-109777 2 BOSTON, MA 02109 Est. Project Cost: $2,867.00 Chimney: E Y• Description: Air Sealing&Weatherization ` L Permit Fee: $85.00 Insulation: Project Review Req: ' Fee Paid: $85.00 Date: ,1 2/19/2019 Final: Plumbing/Gas I i Rough Plumbing: _._..-.... �, \Buildin Official g Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after'issuance. All work authorized by this permit shall conform to the approved application and the`approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. - —--- —�-- ' i Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work:, f' Service: 1.Foundation or Footing Rough: 2.Sheathing Inspection g 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT i o a+✓zz N� C�.n...�'GC..� S�� e oFt1KEE ram, Town of Barnstable *Permit# zz 067)(/�✓t/ Expires 6»tw�t ,C jro�n jssue date Regulatory Services Fee l L o0 • ■AaxsrasLE, v� MASS.039 $ Richard V.Scali,Director t6g9. X-PRESS PERMIT �fD MAC A Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 MAY 0 8 2015� www.town.barnstable.ma.us TOWN OF c E`y //�� Office: 508-862-4038 n ''�ai�'TO�K 6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY fl ry /j2 y ' Not Valid without Red X-Press Imprint Map/parcel Number o Property Address 5S S&7\PO 17- )2.`lb Residential Value of Work$ �1 Cyz::ZD Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address A/I LLj r97eh M P 4 t LL/ PS �vi,T_Z,nl Sr- _44- 3 13015�N/ MA 0Z10 9 Contractor's Name PA-L4— T CAZ ?ItvLI -1 SoijS Telephone Number 6 7— -723'— Home Improvement Contractor License#(if applicable) 16 -3 f Email: o FA Cie C c'cZPGP.c.4 ccy Construction Supervisor's License#(if applicable) C-S— O Z 6 3 a ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner have Worker's Compensation Insurance Insurance Company Name �_/y 1/VS CC,9 P Workman's Comp. Policy# V\/t✓5 — 315 _ 3 ,3- 667"6 — oZq Copy of Insurance Compliance Certificate must accompany each permit. Permit Reque t(check box) y/972 OU H Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum .32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: C:\Users\Decollik\AppData\LocalWicrosoft\Windows\Temporary Internet Files\Content.Outlook\2PIOI DHR\EXPRESS.doc Revised 040215 DATE(MM/DD/YYYY) A�" CERTIFICATE OF LIABILITY INSURANCE 8/7/z014 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 policy(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 endorsement(s). PRODUCER DOWLING &O'NEIL INSURANCE AGENCY INC NAME: 973 IYANNOUGH RD PHONE FAX PO BOX 1990 C No E • A/C No): HYANNIS, MA 02601 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC p INSURER A: LM Insurance Corporation 33600 INSURED INSURER B: PAUL J CAZEAULT&SONS ROOFING INC 1031 MAIN STREET INSURER C: OSTERVILLE MA 02655 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 21146142 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 S BR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MMIDDlYYYY MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ RENT D - PREMISES Ea occurrence CLAIMS-MADE OCCUR DAMAGE $ MED EXP(Anyone person) $ PERSONAL 8 AOV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY 0 PRO- JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ A WORKERS COMPENSATION WC5-31S-386670-013 8/10/2013 8/10/2014 1 SPER TATUTE ORH AND EMPLOYERS'LIABILITY Y/N WC5-31 S-386670-024 8/10/2014 8/10/2015 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1000000 OFFICER/MEMBER EXCLUDED? �N N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 1000000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1000000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Workers compensation insurance coverage applies only to the workers compensation laws of the state of MA. This certificate cancels and supersedes all previously issued certificates,only as they relate to workers'compensation coverage CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE LM Insurance Corporation DD ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD CERT NO.: 21146142 CLIENT CODE: 1614182 Lucy Garfield 8/7/2014 2:44:49 PM (EDT) Page 1 of 1 i Property Owner Must Complete & Sign This Form If Using a Roofer / Builder. 1 (print)' VJILI P14-tZ�,a < as Owner / Agent of the subject property hereby authorizes Paul J. Cazeault & Sons Roofing Inc. to act on my behalf, in all matters relative to work authorized by this building permit application for. Address of Job Signature of Owner Mailing Addres Fu C S 9 AK 024 V? Telephone # Z Date Please return this form to Paul J. Cazeault Roofing along with your signed contract. It is needed for us to obtain the building permit required by your town to complete your roofing project fax#508-420-4555 office@cazeault.com 6d'� C��a2���i�/1�(�C-GY/l/Ud'Pi �/ ��! - Offi � ce of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 103714 Type: Supplement Card PAUL J. CAZEAULT & SONS, INC. Expiration: 7/9/2016 RUSSELL CAZEAULT 1031 MAIN ST OSTERVILLE, MA 02658 Update Address and return card.Mark reason for change. sCA 1 0 20M•05111 C/ Address Renewal Employment Lost Card UFi.e• �o�izrrenrzcueall�o�C�/llry9J![C�ccaelC� Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 103714 Type: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Expiration: 7/9/2016 ? Supplement Card Boston,MA 02116 PAUL J.CAZEAULT&SONS, INC. RUSSELL CAZEAULT 1031 MAIN ST OSTERVILLE,MA 02658 Undersecretary Not valid witho nature U 9 Massachusetts - Department of Public Safety i Board of Building Regulations and Standards �. Construction Supci-Nkor i f License: CS-108157 i RUSSELL CAZE4i7LT______., 2071 MAIN STREET Brewster MA 0201 � Expiration j Commissioner 11/23/2018 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 r Please Print Legibly / Name(Business/Organization/Individual): � � C,44oA - J yiJ•S i pie- Address: 11) 3/ �� 5 City/State/Zip: o S-12F AZ Vl"-�-', N/,4 Phone #: 5 U J ct 2g✓1 i Are an employer?Check the 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 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 1 L❑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 /)L��2 p r, employees. [No workers' 13.�ther /"T r comp. insurance required.] *Any applicant that checks box 41 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 Insurance Company Name: G-M Policy#or Self-ins.Lic. _ 3�.5 3Sbb � "`r/ Expiration Date: Job Site Address: 55 5t5A-PL)iT Ab 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: C;4Date: Phone#: 5-af `f?-i- /I li- 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#: i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map °� 0 Parcel �L(4 " Permit# Health Division M 9(�-(o�a- 1( 'fn k Date Issued l 1 Conservation Division Fee f i L Tax ColleglQr I(l0�/v/ /SEPTIC SYSTEM MUST BE Treasure 11 lol O IINSTALL E D IN C r,L9f4,%,WITH TITL17 i 7� Planning ept. I I•oG a l E14VoE 0 NW,ENVRII- ( , r APPLICANT MUST OBTAIN Date Definitive Plan 1roved by Planning Board t L rl oc.c) ' A ROAD OPENING FROM ENGINEERING MI Historic OKH I� Preservation/Hyannisk4tgj �J�b' PRIOR TO CONSTRUCTION Project Street Address -PIA 71 T— C d�`-JDLv LoT Q , Village 0S T7Z-�� U�CLL: Owner P 4-CLL-1"Ps Address �s �"� (2o Telephone 3 2 b — CH 001 Permit Request S-T4L AJ _Z7 kQ- OuN, 61..._ Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Valuation (0C) Zoning District Flood Plain 14l1 Groundwater Overlay Construction Type Lot Size 5 2 1033 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Cel 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 Number of Bedrooms: existing_ new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: C Gas ❑Oil ❑ Electric O Other Central Air: ❑Yes O No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing ❑new size Pool:❑existing G7new size ?AxYYYYYBarn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Aut�h rization ❑ Appeal# Recorded❑ Commercial ❑Yes (9"No If P ,es site Ian review# Y Current Use Proposed Use - `7o �; BUILDER INFORMATION Name_ 12z C e- Telephone Number Address J % d 2T <,- A License# O 7-2 8 `� n r JJ -- n/nl-Z�S /`7A Home Improvement Contractor# Y 2 D Z C 3 Worker's Compensation# W C 13 a7 0 `� b ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO A114 SIGNATURE DATE FOR OFFICIAL USE ONLY PERMIT,NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER- DATE OF INSPECTION: r FOUNDATION - FRAME INSULATION FIREPLACE D 1 - ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL >' GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 4GJ� r °F THE T f Barnstable : . The Town o . • .Axr STABLe � g Regulatory Services E16 ot�'0 Thomas F. Geiler, Director, Building Division i Peter F. DiMatteo, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. �^ f4D L r- ' 2 ypeD Type of Work: ..L�S���� 0r ZN4�0��� S��Estimated Cost Address of Work: ' S � � �f'1 Owner's Name: O S 111064O � I�/�L L Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied []Owner pulling own permit Notice is hereby.given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby appl for a permit as the agent of the owner: 1I oG of �s� tQ-zzz-co�- 132 V? Date. Contractor Name Registration No. OR Date Owner's Name q:forms:A f fidar.re v-070601 The Commonwealth of Massachusetts Department of Industrial Accidents • ,� -=: •=, , �:_ Offlc�at/oi�estlgat/oas 600 Washington Street Boston,Mass. 02111 - Workers' Com ensation Insurance���t Ij�LL�A i name: , location: OS 7`�::z—�V:L=L LE /`�� hone# ❑ I am a homeowner performing all work myself. ❑ I am a sole opnetor and have no one worlds is any achy %%% '//////.�/G%////%////// � ��%//////.1//%%��/O /!O/%/%%%//%/////l%%//%%%/%%%%/%%%%////Ol///�%/�/�%//O; rovi wo din I am an employer P g ............ ..... .............................. sry name... .............:::::.............. ... .. ".. ' ::: .... z ........... .. hone#.... a :>_ ::...:.:............:.:.... { :::8:::::......:.:::::....................... :.::.:::.:::......::...:::..:........: . .... oiicv# ....:.:.... ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contactors listed below who have orkers' compensation polices: the following ...........mP......... ......: .:.::::.�._:::::::::::::::.�::;:;.};} .;'.}:.:::::::::.:::.}}:::.::::.:::::.::: �a a :::::................. com ............................................................... :':?!`.ii?'::;sj«.;:;Y;:;:;i:;Y{:;:i;:;::::{? :�;:;i:':ifj':Yf!^i:i{;.y+;.;:i:�{:�i:":4::�:..::::•:.:.:.:..:::.::•.�::v::::•::::v.�:.v::.::.. ..............::•::::v::::::•v::{?};:?{•x.v.:tv:•.v:}}:'4:{{.}:}•}}}:•}}:?v}}}}y:{v}:{: .....- t:??•i:t•v: n;.{.:.;.• ...... :: :-:�}:::}:•}}::vi: :z}C .�tOlt U •::fi•::nt ?•:�:•..y: ns Y r{{.}\•i}}::;{::'•:;:;i{i: iiii:tviii`:^ii 4}iii:��:�:L•}}}:ry:>.•:T ..V.v: :tv.f•..•ntvvn J. i::is::::::::.::::::................ - - ..... .... ...............................................................................:.................................. .:.....:................ anv `:ddres ti new .. .................. X.:..................... ::.:: olicv naTsnc /// Fsdmre to sec�e coverage as rega fired under Section 25A of MGL 152 can lead to the lmpositlun of ertndod penalties of a fine up to S1,SOO.00 suAlor one yew'imprisonment been as va enald fform Iry of a Srop WORK ons of the DIA for coverage an a flee a o(3 lon.00 a day against m� I miderstand that a copy of this statement may I do hereby certify under the pars en olPerJ l'��the information provided above is rru�and c e signature Date J ,4 5. � r� Phase# Print name offid2l use only do not write in this area to be completed by city or town official city or town: permitt license 0 ❑Bldlding Department ❑Idce=wg Board • �gelectmen's Office ❑checkif immediate response is required ❑Health Department phone ft: ❑Other contact person: — , (Jeviwd 9l95 PJA) , i Information and Instructions .y ir Massac husetts General Laws chapter 152 section 25 requires all employers to provide workers' coin pa thecomaac employees. As quoted from the "law", an employee is defined as every person in the service of another of hire, express or implied oral or written. y two or more of An employer is defined as an individual, partnership, association, corporation or other legal entity, or the receiver P _ the foregoing engaged in a joint enterprise, and including the legal representatives of a decease employer, trustee of an individual, partnership, association or other legal entity, employing employees. However the owner a dwelling houSe having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the grounds o building appurtenant thereto shall not because of such employment be deemed to be an employer. eneyi MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance applicant �who hr of a license or permit to operate a business or to construct buildings in the commonwealth for any pp not produced acceptable evidence of compliance with the insurance coverage required. Additionally, ditio Pu neither lic work until commonwealth nor any of its political subdivisions shall enter into any contract performanceresented to the contracting lnsu anee of this chapter have been p acceptable evidence of compliance with the ' � authority. Applicants ' compensation affidavit completely,by.checking the box that applies to your situation and Please fill in .he workers comp with a certificate of insurance as all affidavits may be supplying company names, address and phone numbers along a Also be sure to sign and submitted to the Department of Industrial Accidents for canon of insurance coverag or town that the application for the permit or license is date the affidavit. The affidavit should be returned to the city or Y�have any questions regarding the"law"or if yo being requested, not the Department of Industrial Accidents• at the number listed below. are required to obtain a workers' compensation poli please call the Department City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of tlthe licant- Please affidavit for you to fill out in the event the Office of Investigations has to contact you regarding aPP ennit/license member which will be used as a reference number. The affidavits may be rearmed t^ be sure to fill in the p ® have been made. the Department by mail or FAX unless other arrang d like to thank you in advance for you cooperation and should have The Office of Investigations woul any questions- you please do not hesitate to give us a call. I/,% %/%/%�O/////�0�������//////////////////%/ The Deparunent's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents 0mce of Imlest1gadons 600 Washington Street Boston, Ma. 02111 far#: (617) 727-7749 phone #: (617) 727-4900 eat. 406, 409 or 375 iy r . RESIDENTIAL: SHEDS - POOLS -DECKS-OPEN PORCHES- GAZEBOS 4 DETACHED GARAGES ! FEE VALUE WORKSHEET ACCESSORY STRUCTURES >120 sq.ft.(Sheds,detached garages,gazebos,etc.) >120 sf-500 sf $35.00 $ >500 sf-750 sf 50.00 $ >750 sf- 1000 sf 75.00 $ >1000 sf- 1500 sf 100.00 $ { >1500 sf—USE NEW BUILDING PERMIT.APPLICATION DECKS x$30.00= $ (Number) PORCHES x$30.00= $ (Number) IN GROUND SWIMMING POOL $60.00 $ di i ABOVE GROUND SWIMMING POOL $25.00 $ RELOCATION/MOVING $150.00 $ (Plus above fee if applicable) (DCO- ;d PERMIT FEE $ i I i Q:forms:dkcost eff:082301 f A BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM ,t.ASE PRINT: JOB LOCATION: S� S�� yDtA=T_ �Sr�� UAL NUMBER STREET VILLAGE OWNER OF .PROPERTY: /,t JT�LLZ+9M 164_•lLL CONSTRUCTION SUPERVISOR: . 7:"I NAME LICENSE NO.- PHONE NO.. ADDRESS: /% J � T- . . .Co �} A� 7"V/v=s, /&r,4 2( LICENSED DESIGNEE: (IF OTHER.THAN SUPERVISOR) NAME 'LICENSE NO. 2.15 RESPONSIBILITY OF EACH LICENSE HOLDER: 2.15►1 THE LICENSE HOLDER SHALL, BE FULLY AND COMPLETELY RESPONSIBLE FOR ALL WORK FOR WHICH HE IS SUPERVISING. .HE.SHALL BE RESPONSIBLE FOR SEEING THAT ALL WORK IS DONE PURSUANT TO THE STATE BUILDING CODE AND THE DRAWINGS AS APPROVED BY THE BUILDING OFFICIAL 2.15.2 THE LICENSE HOLDER SHALL BE RESPONSIBLE TO SUPERVISE THE CONSTRUCTION, RECONSTRUCTION, ALTERATION, REPAIR, MIOVAL OR DEMOLITION INVOLVING THE STRUCTURAL ELEMENTS OF BUILDING AND STRUCTURES ONLY PURSUANT TO THE STATE BUILDING CODE AND ALL OTHER APPLICABLE LAW' S OF THE COMMONWEALTH,. EVEN THOUGH HE,. THE LICENSE HOLDER, IS NOT'THE PERMIT HOLDER BUT. ONLY A SUB— =TRACTOR 'OR CONTRACTOR TO THE PERMIT HOLDER. 2.15.3 THE LICENSE HOLDER SHALL IMMEDIATELY NOTIFY THE BUILDING OFFICIAL IN WRITING OF THE DISCOVERY OF ANY VIOLATIONS WHICH ARE COVERED BY THE BUILDING PERMIT. 2.15.4 ANY LICENSEE WHO SHALL WILLFULLY VIOLATE SUBSECTIONS 2.15.1, 2.15.2 OR 2.15:3 OR ANY . OTHER SECTION OF THESE RULES AND REGULATIONS AND ANY PROCEDURES, AS AMENDED, SHALL 3E SUBJECT TO REVOCATION OR SUSPENSION :OF LICENSE BY THE BOARD. 2.16. ALL BUILDING PERMIT APPLICATIONS SHALL CONTAIN THE NAME,. SIGNATURE AND LICENSE NUMBER OF THE CONSTRUCT-ION SUPERVISOR.WHO IS TO SUPERVISE THOSE PERSONS ENGAGED IN CONSTRUCTION, RECON STRUCTION, ALTERATION, REPAIR, REMOVAL OF DEMOLITION -AS REGULATED BY SECTION 109.1.1 OF THE CODE AND THESE RULES AND REGULATIONS. IN THE EVENT THAT SUCH LICENSEE IS NO LONGER SUPERVISING SAID PERSONS, THE WORK SHALL I,% EDIATELY CEASE UNTIL A SUCCESSOR LICENSE HOLDER IS SUBSTITUTED ON.'THE RECORDS OF THE BUILDING DEPARTMENT. I HAVE READ AND UNDERSTAND MY RESPONSIBILITIES UNDER THE RULES AND .REGULATIONS FOR LICENSING CON- STRUCTION SUPERVISORS IN ACCORDANCE WITH SECTION 109.1.1 OF-THE STATE BUILDING CODE. I UNDERSTLUN THE CONSTRUCTION INSPECTION PROCEDURES AND THE .SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDING OFFICIAL. INSURANCE COVERAGE: I have a current A 6ility insurance policy or its substantial equivalent.which meets the requirements of MGL Ch.152' Yes 7J No O If you have checked ves. please i dicate the t•;pe c average by checking the appropriate box. A liability insurance pc.icy O'her type of `ndemnit ❑ Y Son d O OWNER'S INSURANC'z WAIVER: I am aware that the iicensee does not have the insurance coverage.required ty Chapter 152 of the Mass: General Laws. ano that my signature.on this permit rcplication waives this requirerrer Check one: Signature of C wner or Owner s Agent OwnerU Agent ❑ SIGNATURE: K BUILDING OFFICIAL APPROVAL: r 9� oard of Building Regulations and Standards One Ashburton Place - Room 1301 Boston , Massachusetts 02108 Home Improvement Contractor Registration Registration: 132476 Expira ion: 02/13/200 0.&.a..,ald�� � Type: Individual HOME IMPROVEMENT CONTRACTOR Registration: 132476 TIMOTHY RICE Expiration: 02/13/2003 TIMOTHY RICE Type: Individual 197-B RT . 6A DENNIS MA 02638 TIMOTH`1 RICE G� wJIIj0TH1 RICE 7.8 RE 6A ADMINISTRATOR DENNIS i MA 01638 , _ �: L ✓/re G!om��tonwa�I/ v..A'di" ,,jell's 'J BOARD OF BUILDING REGULATIONS f License: CONSTRUCTION SUPERVISOR Number: CS 077899 at : 0 e/28/1969_— Expires:01/28/2004- no: 77899 Restricte TIMOTHY P RICE 197 B RT 6A DENNIS, MA 02638 Administrator t�OF�� Structural Design Approved S. iinly`Cvhen instalydd in ' • F' C'TIA40THY strict Accordance with 3. 9 ER N ManutaManufacturer's Instructions WALK F CIVIL t^ T.Wa er.p.E. .9016 F No. COPING LAYOUT �; _'T `s•\/5 r`"_ �•--/1'-----'T Y , ��•-'I CCavER h'CI IB i - •- i/6 o��sSroIf Al`w�+ Iti 6'A b'7 CGPV£R 15'iY, - - 1• / , r i 10 X A 6'3.771rF7EC '6.20* / FANEL LAYOUT -A-162u910RNfg' T 10 3 9 e r0 X=BRACE V ni LAZY"L" — LEFT 6 ,d/' \ :y OEfAtL A Norsk n se w4 la+,n a Drama , Pool Pool r ',•,•� tcao."rvd tr,,rlAttk Area Capacity 860 29.000 11 CACXVMst/s Sq.FI. Gallons ittsa.ur/aa wyti,,,, ot( EDITION POOLS THIS BROCHURE IS FOR ILLUSTRATIVE PURPOSES ONLY 41 45' LAZY "L" — RIGHT D-4 manulactwer makes only those repeatnlatons which are slated In Its written wwtanly.Any other reoresenlation�statements,o,contracts made by the dealer and/or the contractor to the Nstorner )1t•I ta's IT r,yard'urp any malntals produced by the manufactwer are atuibulable to the dealer andfor the rantrae• rmautt FWUs efA,,,,,,,� 2' RADIUS CORNERS for only.The dealer o,contractor who seas W Instant,yoW pod la an Independent contractor and rot art fytssW _ - 30en1 or employee at the manufacturer.The construction methods ilustrated are suppesllons stud appty only to nomsaf yrotmd eondarpn&There may be additionaf ptecautrons and/«meods of coostnsctlor. _ _ r sants,,,,,,,A„ ,W.ter•14 p, SCALE: NONE 1992 RC 11••e sesponsi iliy Is the contraclors. th .. rAyutID Anal �yS I � i TM micpomcleap C 0 VERTICAL GRID D . E . FILTERS ! ' P i { Micro-Clear is a high-perform- ance filter series that provides superior water clarity, efficient 7177� flow and large cleaning capacity Q for pools of all types and sizes. Micro-Clear filter tanks are now Q molded from PermaGlass Xl TM �nl a a glass reinforced copolymer, P ; -- - {, providing the ultimate in strength, durability, and long life. Micro-Clear G-v11 z' filters also combine high technology a features With a 9 "service-ease" \ 4 design for I - �®' w dependable. #TNTOW operation and low maintenance. Plus, Micro-Clear filters are avail- able with the unique SP-740DE Selecta-Flo control valve, the i only filter control valve designed specifically for D.E. filters. R i For the quality conscious pool' owner, Micro-Clear filters are an unparalleled filtration value. I 0 DE-6000 Micro-Clear Vertical Grid D.E. filter with optional SP-740DE Selecta-Flom 4-position control valves i C : Featuring - d PermaGlass;=�= Filter Tank Material N� ,� { i • I N HAYWARD° Hydrogen,Oxygen and Hayward. The elements of clear water m i` i Mi' TM D . E . Filters cro Clear Vertical Grid Automatic Air Relief purges any trapped air during filter operation. • Screenless design eliminates clogging. NSF® Integral Lift Handles and Uniform Low Profile Tank Base make removal of grid nest fast and simple. High-Strength Filter Tank molded of PermaGlass Xl!m provides extra durability for dependable,corrosion-free performance. High Impact Grid Elements designed for up-flow filtration and top-down backwashing for maximum efficiency. Heavy-Duty Tamper-Proof Bolted Center Flange Clamp securely fastens tank top and bottom together.Allows quick access to all internal components without disturbing piping or connections. { I Union Locknuts make disassembly and reassembly of filter from i piping fast and easy. I Noryl®Bulkhead Fittings for extra strength and heat resistance. s� Inlet Diffuser Elbow distributes flow of incoming unfiltered water upward and evenly to all filter elements.Parabolic tank base design provides for even distribution of D.E..to grids. Full-Size 11/2"Integral Drain provides fast, 100%clean out and easier f flushing of tank. Convenient Valve and Plumbing Options allow for customized control.2"internal piping and plumbing for maximum flow performance. FILTER TYPE: Vertical Grid Diatomite:24,36,48,60 ft2.(2.23,3.35,4.46,5.58m2). s FILTER TANK: Injection molded PermaGlass ATM FILTER ELEMENTS: Monofilament polypropylene cover fitted over 8 curved, high-impact grids CONTROL VALVE: 1%z"or 2"6-Position Vari-FIoT""2"4-Position Selecta-FloTl 2"2-Position slide valve.May also be plumbed singularly or in series with quick-connect union couplings(less valve). PERFORMANCE RANGE: %2 TO 3 HP(30 to 120 GPM) DIMENSIONS: DE-2400—31 W H x 23"W(800 mm x 584 mm) DE-3600—36W H x 23"W(927 mm x 584 mm) DE-4800—42W H x 23"W(1080 mm x 584 mm) DE-6000—48W H x 23"W(1232 mm x 584 mm), Above dimensions are for filter only.Overall width with slide valve is 30"(762 mm); overall width with either 4-or 6-position multiport valve is 33"(838 mm) Model Effective Design Turnover Filtration Area Flow Rate 8 Hours 10 Hours Number ft2 m2 GPM LPM gallon kilo liter gallon kilo liter DE-2400 24 2.23 48 182 23,040 87 28,800 109 Plumbing Versatility.Select from a wide array DE-3600 36 3.35 72 273 34,560 131 43,200 164 of valve options for customized control of your DE-4800 48 4.46 96 363 46,080 174 57,600 218 filtration system,including Hayward's 2;'2-position DE-6000 1 60 5.58 1 120 454 1 57,600 218 1 72,000 273 1 slide valve. 'Determined by pump size and piping system hydraulics. 2"piping is recommended for flow rates of 90 GPM or more. Flow rates above 120 GPM are not usually required for residential pools. HAYWARD P OOLPRODUCTS9 INC. Hayward Pool Products,Inc. Hayward Pool Products,Inc. Hayward Pool Products Canada Hayward S.A. 900 Fairmount Avenue 2875 Pomona Boulevard 2880 Plymouth Drive Zone Industrielle de Jumet Elizabeth,NJ 07207 Pomona,CA 91768 Oakville,Ontario L6H 5R4 B-6040 Charleroi,Belgium 8-97 ©1997 Hayward Printed in U.S.A. i utyL4. ko=ice i U-K;A It Oh LIAbILI I Y INSURANCE iA71/' 0 0 /03/201 PRODUCER (508)S84-2300 FAX (508)584-2187 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Fredericks & Gere rdi ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.T Insurance Agency Inc. ALTER THE HIS CERTIFICATE BY THEEND POLJCIEB BE.EXTENDLOW, 1313 Belmont Strrlet Brockton. MA 023411 INSURERS AFFORDING COVERAGE INSURED Anchor SMIR & Pool Inc INSURER A; American Casualty Ca----of Reading, PA 143 Upper Glunty Road INSURER8: Transcontinental Insurance Co. Dennisport, MA 02639 INSURER C; Transportation Insurance Co. INSURER D; INSURER E: COVERAOES THE POLICES 0INSURAI rCE LISTED BELOW NAVE BEEN ISSUED TO THE INSURED NAAAGDABOVE FOR THE POLICY PERIOD INDICATED.NOTWMHSTANDING ANY RECUIRESIIBNT.TERA I OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE I£SUEO OR MAY PERTAIN,THE 14LIR V CE AFFORDED BY THE POLICIES DESCRIBED HE REIN 13 SUBJECT 70 ALL THE TERMS,EXCLUSIONS AND CONDITK]NS OF SUCH POLICIES.AGGREGATE Le NTS SHOWN MAY HAVE BEEN REDUCED BY PAID CO;w. TYK OF INSURAi 109 POLICY NUMBER LIMITS GlnCRALLIABILITY C1030715376 04/09/2001 04/09/2002 EACH OCCURRENCE s 1 0001000 COMMGRCIAL GEMS 4L LIABILRY FIRE DAMAGE*Van*fire) S 100.00 CLAIMS MADE 17 OCCUP MED E7(P(Any pn*mrw) s 5. A PERSONAL A AM INJURY 11 1.000,0001 GENERAL AGGREGATE S 2.000,00 OEKL AGGREGATE UMR A PFtIEB PER! PRODUCTS.QDMPp . P AGO S 2 OOO POLICY 01 PFg LOC ,000 AUTOMOBILELIASILRY 279516 04/09/2001 04/09/2002 ED�NOLELMT ANY AUTO i 1.000 00 ALL OWNED AVT00 eeDlly IwURY B X BCNGDU=AUTOS (P*rp*Ison) S MIRED AUTOS 80d1Y INJURY i X NONCWNM;DAUTDS (PerBeewenq P OPE DAMAGE e OARAOL LIABILITY AUTO ONLY•EA AOCIDENT i ANY AUTO Q EA ACC S • '""�RONL V AGG i FACW&LIABILITY C1030128106 04/09/2001 04/09/2002 EACH OCCURRENCE e 1,000,()00 X OCCUR r7 CL UMS MADE AWREGATG i 1 000 0 C 00 DEDLI neLE R=TW4N a 10.00 i S wDAKERneoNPENsATne AND WC130719000 04/09/2001 04/09/2002 X eMPWYrR3'LIABILITY YORY UMRS ER C EL EAW ACGDLNT S 100,000 LQ.L DSEASE•EA EMPLOYE S 100,000 OTHER ElDISEASE-POLICY OMIT S S00 00 M:SCRIPTION OF OPERATIOt4I1.110A710N81YEN61LdeMCLU3KW ADDED BY ENDORSEMENTISPECIAL PROVISIONS 2ERTIFICATE HOLDER AODIn0NAL INSUREM INIUOtGA LITTER CANCELLATION SHOULD ANY OF THIS AOOVE DESCAIBED POLICIES BE CANClL LEp eLYONe THE EXPIRATION DATETNEREW,THE ISSUING COMPANY WILL FN09AVOR TO MAIL Town of Barnl;tibl Q 10 DAYJi WRIYTen NDTC!TO THE CER TE MOLDI�Jt NAMED TO THE LEFT, Building DW Irtlrent BUTFAILURi TO MAIL SUCH NOTIOE L IM *AT10N Olt LIABILITY North Street OF ANY KIND UPON T14ECWPANY,I AG ORaGPFtCUg TAnVES. Hyannis, MA (12601 AUTHORQ,EpREPRESENTATIVs Patricia Gorr Ic 0 26,5(7 T) FA).: (508)760-3459 Inad CACORD CORPORATION TOTAL P.01 L Lo_-v i 22�•vo /: �� ; 43 mac, ' pc.aN� _ B 1�38`� Werr-a��D 1 -oi- '75-oo i t . j 30 Of i;.qrKA FOL �c``tt� ;� . ..... ._.._ g GAXTER N 50 4rAT)oN PJ�LIG� K-OAD 7o�JE QC; 20 GE,C2T OLOT GL� I La6A7AA Al OSTEJZvI[.Z�t- T T.yE 4 yE,e OWN EO.(/COMf�L YS Gr//Th/ . OGT" JS /B 19 .; ,�EcJUi.2E�-JE•t/Ts of TNT 7ow�t/DF /v A 2J S7W,8 t,' .4IV is NOT 1 oT- .,<oc.�tr�=� :. !JA ram: /O-/g-97 f�L� -±u e� �a-� . . ...........B.4 XT,�.�6 NYE ///C.U.eY�Y• T�ci/S'�1,•,�gv/S i(/oT B-4SE"!J GN Ai(/ • i2EG/STE•2E1� L��•/O S ' /�t/ST,2U�-/�.<</T,$'U.21/E}�€ T//� QSTE,el//.G,C�-� /�•�SS. TOWN,-,OF BARNkABLE CERTIFICJTE OF OCCUPANCY PARCEL ID 000 000 096 GEOBA '�""ID ADDRESS 55 SBAPUIT ROAD ' PHONE (508)771-7410 OSTERVILLE, MA Y- ZIP 02655- LOT 10 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT PERMIT 37308 DESCRIPTION SINGLE .FAMILY DWELLING (BUILDING PMT #24185) PERMITTTYPE BC00 TITLE CERTIFICATE OF OCCUPANCY ; CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: ME BOND $.00 OkT CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE 1 PRIVATE' P..tt: # BABWSTABLE, • MASS. - i639. A�O� ED MA'S ~ BUIL N� IV BY DATE ISSUED 03/25/1999 EXPIRATION DATE TOWN OF BARNSTABLE BUILDING PERMIT PARCEL ID 000 000 096 GEOBASE ID PHONE (508)771-7410 ADDRESS 55 SEAPUIT ROAD ZIP 02655- OSTERVILLE, MA LOT 10 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT PERMIT 24185 DESCRIPTION NEW SINGLE FAMILY RESIDENCE SEW.PT.096-662 PERMIT TYPE BUILD TITLE NEW RESIDENTIAL BLDG PMT CONTRACTORS: STAFFORD, ED Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $763.22 BOND CONSTRUCTION COSTS $246,200.00 101 SINGLE FAM HOME DETACHED 1 PRIVATE P a HARNBPABLE. ' MASS. OWNER BROOK VALLEY REALTY TRUST, 059' ADDRESS 298 MAIN STREET M�'►l SUITE 5 BUILD I HYANNIS, MA BY DATE ISSUED 07/03/1997 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PEHMiT DOES NOT RELEASE THE AFFLICiAN T FROM THE CONDIT:ONS OF ANY APPLICABLE SUED!V!EICN PEST.R!CTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED APPROVED PLANS MUST BE RETAINED ON JOB AND FOR ALL CONSTRUCTION WORK: THIS CARD KEPT POSTED UNTIL FINAL INSPECTION WHERE APPLICABLE, SEPARATE 1:FOUNDATIONS OR FOOTINGS PERMITS ARE REQUIRED FOR HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU 2. PRIOR TO COVERING STRUCTURAL MEMBERS SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- PANCY IS REQUIRED, (READY TO LATH). ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. • BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICA�L�INNSS�PECTION APPROVALS 1 .r,�.Gs/Gfi'� y 2 2 -t I g 1 EAT ING INSPECTION APPROVALS S �,c ENGINEE DEPARTMENT Z-tq-9 8 3 ZS t22 BOARD OF HEALTH HER: PLAN REVIEW APPROVAL qT WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- FiNSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX N BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUE- MONTHS OF DATE THE PERMIT IS ISSUED AS NEORWRITTENNOTIFICA- TION. NOTED ABOVE. „,� s,v.,,, -,K_...--..t.;D^a."-;`; ti'.^'. �•-sn^Ns..Ser+'*v.=:"►«,i:•i"l.i'�r` ..,.. _ ��,.,,s; -^wr,�r Vi'iy+.iiS.-„+y,�1.Nv�icrvi.iwii.p:1R�.' ofTHE,o,,�o The Town of Barnstable BARN LE. Department of Health Safety,and Environmental Services 059• `0� plEo .�6. Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection Location 1? 4. 14, � i� Permit Number Owner Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: f cna A�c c Lk— GA- R<L r5r� T' J f� �G�S �In r e ®.;-t► c, �C”cC' r S a i C K 1 Please call: 508-862-4038 r re-inspection. Inspected by Date 3 If 91 The Town of Barnstable o� ^RM��'g Department of Health Safety and Environmental Services E13g% Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice r.• / Type of Inspection , 1 C. V/1 Location ACAOU I .� Permit Number OwnerL , Builder �U�G1�---c� One notice to remain on jobsite, one notice on file in_Building Department. The follow' g,it ms need correcting: o nyl j7k� 6'Q �C J 3 ( 19L4 woo b _ 2� e Uc?v� tID-T W\\-0 vt� AY'Liocs y r -� V6 �9 ,�rd Please call: 508-790-6227 for re-inspection. Inspected by �S Date 2,3- Y Eia ineering P De t. (3rd floor aP Parcel Y_ ram, r` Permit# (FSJ House# UJ Date Issued Board of Health(3rd floor)(8:15--9:30/1:00-4:30) Z Z Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) s / Planning Dept. (1st floor/School Admin. Bldg.) SYS T Definitive Plan Approved by Planning Board 19� ISTALLEI) ; LE. TOWN OF BARNSTABEIP a Building Permit Application tow Project Street Address L l— 10 cLe-- Village t��� o i� l � � Owner C�, U cA Address•2c 6 Y a in e:��- .45 TA]__J rV)\5 Telephone -1-1 1-��I (� LA L14f Permit Request ] u I L-D S i 7D.p� c-e i •To714i- SQ Vr _ 3aBe, "First Floor square feet Second Floor square feet Construction Type k X)p C 6Q Estimated Project Cost $ 0l6Q,Z DO C_, > Zoning District Flood Plain Water Protection Lot Size oZ, D?�S so.�-/-. Grandfathered •❑Yes A10 Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure NON F_ Historic House ❑Yes M No On Old King's Highway ❑Yes RNo Basement Type: A Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) t Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New_` Half: Existing New No. of Bedrooms: Existing New d Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: )4 Gas ❑Oil ❑Electric ❑Other (- Central Air $Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes A�io Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) 1 it Attached(size) 0 1� ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes A No If yes, site plan review# Current Use v Proposed Use Builder Information Name SSVfL�1f1C� tlS�h'Z>C 6Lan Telephone Number '7 Address ;?�Q e) (Yh,1 1) �j�� License# &uy)g ' , CS 044b4Z0 —P tp I1 I�� So (7z-�S Home Improvement Contractor# j (j j 110 r (06L "0101 07i c> Worker's Compensation# '] Pu J'7 Z Z67 4LAWle) NEW CON UCTION 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 N S �— SIGNATURE DATE BUILDING PERMIT DENIED FOR E FOLLOWING REASON(S) FOR OFFICIAL USE ONLY a h T PERMIT NO. r DATE ISSUED MAP/PARCEL NO. : ,F r ADDRESS VILLAGE ; OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE A ELECTRICAL: ROUGH FINAL I S PLUMBING: Pou(* FINAL 1 CC GAS: ' r ( FINAL FINAL BUILDIT(O . C ) 3-RY DATE CLOS T f Y 1 ASSOCIATI P A L � j 12/17/1996 12:09 5087718923 ASSURANCE CONSTR PAGE 01 Tilt, Colttmottt,•otlltll ()f Massac•Itus0ty ;,;;� '-'• _ j;�.� Deparonettl of Industrial Accidews vice aJ/~wtva 6110 I1'rilei►gtun Street Boston.Mwxs.• 0211.1 JAL Workers'Compensation Insurance Affidavit _ •An�nferinHiian: T •� r�s� 1�.1- �i�.rp�..arr„ar11 I 1 ■ IAlm.�n'!�r"fT�•�� A r 1'f(1 _ G QCi0cat on: 1" 0 l;AU-homeowner performing all work;myself. t am a sole proprietor and have no one working in any capacity ...LY..wOwRl'��-;MM"..��N..�w.��r.•Y1►►.7ER _:►�M�RM�!f ,iiJ9.H`w� •. r�..�''�'�`���~1•.� _� I....W....rJi.4 -• 10DI am an employer providing workers compensation for my employees working on this_job. ennipgn)-name: O'Z . 9.3 0 1 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,mune! _aa_ • phone M: 1• s- r____ _o. ,� ..J,.rr ... 'M A•.._.�. •.,h�yL. ,vr:_.i���••4rOt!'�i�P_^•�,3�Sw�1//.T ''. n +,q1' T-Ytl+:.,� __._ �...._� .n .... - ..•Ja'��iL.ww• -- �rr1�Y Fill M ff.•;r��' .��.M��.�. cis.. nhene M• :Attach additl6nft shtet if eeQesl41��:';-;•.:-..r•iw-y'%.1'••arr��1 4, i �,�+ .,.:.rr.:•!' ' �Z'h�- - -.a_,.�sw '�...= :i;,a Fuilurc io accure c,uveral!e its required under Section 25A of 111GL lit can lend to the imposition of criminal penalties of a fine up to SIS00.00 and/ur une years'imprisonment as well as civil penalties in the form of s STOP NVORK ORDER and a fine of S100.00 a day against me. I understand that a topy of thin atalcntcut may be forwarded to the Office of investigations orthe DIA for coverage verification. 1 do herehr certi tr rrler I rep s and penrtllles oJperjur►'treat 1 e i►tjor a •o pro►ided above is true and correct. Signafury __ atc 12 — /-7 Print name 'S hone 2_2 " 7l j/d oflicrol use only do not write in this area to he completed by city or town official chv or rown: permit/license R _ _ nBnildiail Departmens QLicensing Board check if immediate response is required 13seteetme0'5 Office Olieatlb Department contact person: phone0,, nUther I M%,Nd)•'1}P)A1 rA�ell�1. CERTIFICATE OF .INSURANCE � IiAUtoAft (MM/ooMn . 10-22-a6 PPK=CM THIS CERTIFICATE Id ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHT$UPON THE CERTIFICATE HOLDER. TNIS CERTIFICAT HORGAN-JAME S INS AGCY DOES MOT AMEND.EXTEND OR ALTER THE COVERAdE AFFORDED BY THE PO BOX 250 POLICIlB BELOW. 44 BARSTABLE ROAD HYANNIS MA 02601 COMPANIES AFFORDING COVERAGE mEpty U A THE TRAVELERS INSURANCE COMPANY ' 21XBF TTER �...�,� T COMPANY B wSU1KP _ LETTRIR CARLETON, ROBERT T 8 STAFFORD, COMPANY vR (; T SEE ENDORSEMENT WC oO 06 01 298 MAIN STREET COMPANY SUITE N5 ,EY.tq b HYANNIS MA 02601 - -- COMPANY E 46TTiR THIS 15 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 CONORIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO PpMCT NMGTM POLICY SkPI11ATION L TYr!OF INSUIIANCS MUYStN OATS(MMMONyl DAM(MMMO/vv) Lumn QUIRAL LIAmuTv GENERAL AGGREGATE t COMMERCIAL DENERAL LIABILITY PRODUCTS-00MP/00 AGO. t CLAIMB MADE a OCCUR.1 FEP13ONAL i ADV,INJURY 1 OWNER'S L CONTRACTORPi TROT. ! EACH CMURMNCE { FIRE OAMAGE(My ono Mrs) a MED,ixMli(Any one P~) { Aeri{1DSIu LIAYIIJITY COMBINED TINGLE { ANY AUTO LIMIT ALL OwNIM AVT03 BODILY INJURY 30HtOUL9t)AUTOS (Ptf PUTon) t HIRiD AUTOS SCC%Y INJOVY { NON•OWN60 ALrTQ0 (Pa AooldeM GARAGt UASILIRY PROPERTY DAMAGE t ��iSNASNd7ti I<ACH OOOUIIRENCE { UnIISRFLLA FORM AGGREGATE 1 OTMEK THAN UMDA"FORA A We7w COMPSNBATION S57K78S5 STATUTORY UMITi 03-14-86 03-10-87 AND EACH AC4010EW { 000100004 015FA3E-P OIJCY LIMIT { 00050000( iMMLova"LMj"L"v IDI&EASS-IIIIAOMEMPLOYEE t 000100001 a"" OgCNIPTION OF IMMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. TOWN OF SANDWICH SHOULD ANY OF THE ABOVE DESCRIBI_'D POLICIES BE CANCELLED BEFORE THI ATTN: SLOG INSPECTOR EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR T( IS JANE SEBASTIAN WAY MAIL 10 DAYS WRITTENNOTICI`TOTHE CERTIFICATE HOLDER NAMEOTOTHI SANDWICH MA 02563 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OF LIABILITY OF ANY KIND UPON THE COMPANY,fM AGENTS OR REPRESENTATIVES, AUTNOIt=NSPMSINTAIM A106MD 914 .............. ACdRd.ICOM101lA1�Of1 1! TO 39dd �JISNOO 30Nvanssv CZ68TLLBOS L9:TT 9661/LT/ZT • 6 ' . 3 t �7b i � I a HOME I�;P�Ov���rdT �G#�i�f2+4�Tt3RS RE�IST�dt'�fiION Board Of Building f?e9UJ.atl'0nS e,i10 Standards OTwe* Ashbu, on P l ace - -- Room 1301 lit�_o C_: XIMPRUVEMENT CONTRIA.C"OR +ir za.?1.•fla2 E at1i on 2G/G9/9t6.,a MAIN S SUITE_ 5 F CUSTOM To _ h YAM 15 KIG'61210+1 f , �r f C G : o t Yf 33226 D m- nonr A° of M LrC SSm $3226 .r¢�'' •�' t'aE .y y a N 1 ti 1� 0¢°.s�3, .moo 9 e�e� r �q 3S.[1 UC',.3.�3� SUPERVISOR L.i.C.P.s7vr.33a L's 04-642e. 11 i 1.411998 11 14,1§6 Restricted To: 00 1 J`AFO D JF'�c:L'3 Z UCCO�', �J'4 si.Sn on r— t 298 Ou LM ? � w ande .Rce m Carr. 3s "i ia s, Fes_ 02601 ;Ceep -GBH for receipt and dznga e + of address '�~ _ ,Ji.•-- ��.�,.�a.sae_cats' Ilas.x;.:,-•��udP t i r 064 :: ?=SiI'2tW q73_..:f :C L�. sess a _.:re . '= :. rr .r',yy.•s gyp( �.os;,e!'#.Uy[ti.s t�i! �ri��:::� _=`�4 'ti Fes' � �� � ?i�s.L*'.. '. �'�.�-� _C .CbC6 _ •:f:-�.... :_ ...` _..a.Q�. - - a yeq f� i i I I - 11 ■■�11 � 11 ■6 11 - .. I� _ u■._ ml ■ ■ w w � m I. �nz l 12:tUt 11 �u,l n�c]I I I■ ■u s u■ •■■■ _�, t1t�U1111 ■ull'w�"—■ ■ tYw =u■ w ill =w u■ uu. ` - - s IIIIIIII� r l■■, 111 .■41'�i - v,�. ■u � � c o■ .■._ --- 111 1t1.a III111 :::__ �,-. I Lomas I lot u■_ _w° u n i.YiYl " = u1 =n■�• 1/1 1t u■ f� ■�■ 1�1t1 111 �� tu111' r;. u■ manw =i:i :ri � -- f f..■�.II -�— �� _ Ilbiioinr1111 =::llnuulliuuliintlluni.IIIIIIIIIIIIII 1 . r 1 -�.- _ ■11111 ,. :. :.• fir— ._— _ U ■■■ u1 — - — ts+n■ nY m nl m u� �11t1■'i/11C:� ■n —_— 1.1 II 111 111 1.■UI'111 UI U1111 1111f( �m _- 111 €'=:::'1/1 11: 11111:} 1111 IIIII �''!ri II11 11111 li lll.11:11 l l'111111 I It tllllillll: u■ulli+ ;c �_ -_� I 1111111111.. I IIIIII I I .' - i �. a woad DeaK 6 H-r d rd rd rr a _:j Hill TWO CAft GARAGE pp{p'e5�� '3; •• BREEZEWAY y \� • i;fi t . . _ ..._ .__ >ziEMilt 7 '..t_-::.•:: . yQeYq'a.ot b CO_n CV t b : q1f���: — � —FauILY� r�_�,�_ IIII�'I _ . . '•� -i . 6 ,d J(s• H-� —" +r s ^. � .�— �=--� O III+iI�,' g ; �.T a c...s om, "r .C`°' oov :: --- ---r .+r•o.� WOODD¢tK,:�:: 'RA. �, rd rd rd rd rd Ord © FIRST 'FLOOR PLAN 4 DINING ROOM: MASTER BEDROOM 0617 ? jz i- iEMPLA?F FOR 3USE WITH PLOT PLAN 3'e +ws+�eoom+r*�lbrtiF/Etop �t— 0 Eby �'. C' a� y�� !f, !1!1 r,�y'^!3'Qf+ nTrr�.•l�l>a�;;n ,..,l;.;�,c}I,w,r•T„y�.,,�. ��t..v,�,.�'t�,�I►4•,:fi. e�j`i4�;i:'rli' :i.•:� :I'J7.' '24,":!.1'..�. .�� �.r t`!w+ 'rv�K?^� ! M;,a�?+Y"1'4��1,��''',.t'V;j��' }:i� .. / 1 i+ ��r, ai;'��,,.;'i � i O ' m n ' R rn g ill a:. -i n saw o - o i � D ------- -- --- g ® � : t ® ell �Y I a wM IY' „1���"^ oornewl MQ mman .a►Lo SECOND FLOOR'•PLAN ms oonsmcemuaeF�s ' „a` � ••qYi M>I a VAw�N ,6: i�:`it.,;.;;,a:; ;at`-r �f� , .:;;•?`.�;� '���. .�+1!,M!14 wt.�.dw•mMio•.rrn,'.. c�rrma+vio�ia�a �`.. ..yr,.�i 1.1' tY � 6."T.: wnrr wn 000L �• r!+♦ � }..t .. .,. y, �.�., a .+i1 - l..a:S,m, 1. a••KLc m � 1 � { t y 'i - m aeon am•K ec oar.m ov.wm ana mn.m•n � � � .0 - "I � MO•K aG IaY�Pa �� rur amri(*n rrK'' ye. • WM w.MkWco pf��� rm�i� � �..rm � Y'R.IbLya..fF•xD \ rcn..n�o.r.,• f: (u,�Dl �r .� a?w. NT•:•" a,r m Iml�� _ mn.fonr,o. ,?OtP.® .mac�/® L" . i '�i?�� xno•,Y UC ___� / va.,mn?nr rtr e�a'V o g�g�� � �'pa . °. mllu,.0 1N9 3: Lt .�2 arm •roc`.`''•°, �5��•eFFFD� _ ilj L fr �- •• � t � Hill i><e...... �___� �•.4W avefi p pc{w+IwPva _. i ,ek. a•.r oc 11' ii r'.7a`.?�i`%a��a�' b 1[�13Y ill, %., 'e"`' .. 1.�:.a .:..;_'�,�' - _•11 z�'� 11 �� 4�',AJ 13 L .;�,'? � ......,... M � yy D �mc^.,r m,x 7J sa j!Sc e>.m a' a 1.m.e a.•u ;i t .�•�"+�" _ o I - .t. SECTION THRU FAMILY ROOM /c1 SECTION THRU. MAIN HOUSE :. swc,i.•_I•-r no+cruo.mcar mr - (yVlfR.aC7flQaflfiT vrjupr VrJf1/�AILOU®'�Q: ! .. ypp ,,stir,o�a ma�•L� ��,.,o,. >t�f4'•� ,��1�� �- .r mrf-w,L r,r mmr vmn..m gl;lill milllt!!!�e - fm•,r ee = . _ \ a0r,aao9 1 _� � � Lee•K GC - Z_._' ... .Ir,L�•KLG• V a \r.o..car ou�c<n»ara�icnTl. �Y'f'� __--_ ` y SOFFIT DETAIL W/SOFFIT VENT ~` • �� odl.an.la,o�r 1?� ,tee pm�� 9Fn9FniFniPrT .� - •n? e 7 o�vm.i"0 •&flkBBflADHflA99l i .so_"" /onmeirr.ii"�' e Z '.�`. alI av a►wa a alas�asn� - w i l�ma tia •i l ..J' r ac mn.min•aa fnN .F .r ]'Ipu4 wrp U iL a 1?� +'"'• :.��• .: 6.S'P��P'•_ I•• _ •L3'a k�'��tK`1 °' xlw�n�n' I K +r- fir`" Sc n -------------------------------------- II, rr4 11 11 .� r.-• - W _ , �•1a1�^ - ------------------------------------- SECTION THRU KITCHEN n SECTION THRU GARAGE .. W..r air.rd ,. .•..• ee i AW���n «':...: g i dd i` 0 i.- - A ;...: a .z E / w gum ,!'All . g # r . _______________________ C'y ________a_ E A RI C 5 D�ya>i r OJ P.T..plsTS i _ _ _7_ _ _ atl1E8M ,•"•:.. �•.,��;;:-.'.` 77" 2/2x0 v.L �o u'D.C.w/YEL NANOENS 4•[; ^ 4.8 NEM/FIB t CANTI VER EACH '�'SCE /xrB P.T.BANDON SPACERS I 'ETA r. SCH R DDOF2 EDULE i azc an, va viwx: °i - x Y I. o I i i A tdl-r t/maOtR 3 'r`'.�-` Q r-r,rtir r-a.K•r-a sK ____ O _ ® GO•IJ lv+0. 1 L BE G•O!r4.6 _-,.....:.' 4�.n1AiNA9 ✓�• •G'd! tlil>W Oi i -- ; -,i - rtrn,- Kit.6t �q'yiy( . •-u;._ 7emeoaeAnL _'�n•,�c•e•. w�nr+,o+w - I -� - - + - - - -L_ L ? c .. pip. 0 • :O•{.yr/uD 4 ./J•P.i 1'b;: G� RPV CANTILR :J Rr i01Fnw , Y T _ J �I' �°�§7� � _�.;'ii;; ...-_: 7 BEAM-eELow '£-__rc_ as.ml.a�•rsl a _ I -�i41°C5j➢,ie rt ..e rK ux p QQ l _�� .uwm omu.wama.a.ar.,m o.o4rma '¢ vAULTEO - —' �glp v9 tt it �xx VAULTED CEIUNO Y-' u. - I.t•� ggto�t� •p.�-•_• . VINDOV SCHEDULE _____________ ' :- FIRST FLOOR FRAMING PLAN SECOND FLR. FRAMING PLANT •L a ..t r-w:K•r+vr a,a nn em.vr'ri _ .SCALE SCALE 3/16•=1'-0'- . . .. / . La . w.,o.avaa to emon ...:3. .:..: .., t.r zT - - ..�. � ..r-.vr. orsi.: 17PICAI. - .,.c•'Z� ® w r�K Y.r wunoe la a,oq ,m FPIJICE _ (n '`��+:. •� C a.n �r+Ur.r-a yr r n.,c�.m:w'�i � _ a '~�'� a � .ly,T r� 4a•are�� � - - _ _ � Z -i - �Ti... ®w t �w yr' 1Y..a�.+"`i as ..' tares /i' 05./i ,• l=' .:' .acre / 0 " %C•u •ub- .I�mnaoawwrrwo .MA•Gw) _ •,,�-; m_,�;,.�, .. KITCHEN ELEVATIONS*Z=Saw T, .rwbJrw►�+ 7y�?* Mgr �'- r 'aa.rrr� _J tt _.. � Int.[%•sD'�ibvrow as cda.W�. r oc FOUNDATION DETAIL -- --- -- --------- 2 VALL INTERSECTION — -------- 1�� \ I_'ayT. �EiA ' b r�moo[cae 1 � ,rT �---------- . . .. . i- NIV 7. -------------- - :' `" ----- FULL t7 EM �in°ly�t�- A.t ettadi 911�iiM1 '{-.... -_••�3 -- V/v.u.Dm awa• nm,c m,G 1�i' w mC ----—1�- j I R:/ ^'1f/.;%i.•,i;� ': .:/7i .. r. � )ra o..oacow.m pan1M Z 0_ .d-�� f:. �� :l •.: .�fir, '.. I YL 1 r Q 1-4 em. r• ana .. F9r ' 1Yd alla0 1 1 - r r r- INTER. ELEVATIONS FOUNDATION PLAN 2���T TNc exTe rertrz>yrtttr,�- cawr.,a,,,,na,` ,m„ p!— $ I uler�-A��D I QZ. L A y� OF ZZ I SAVER %0 24049•1 �.a. n :. AFC I• 70 po ?0�1E Rc -Z to to CE e7~i�iEo . G<17A�)A-/ DSTEI2V/LLC j C� 2T/,cy 7W,4-- Tf-� ,S f/OWN,yE,eEO.(/CON/OL YS W172V SCA L G— �= �D 0•�1 T� �cr/F� 19 9 ANv SETBACl- �L.q�t! �Lc�-�,eEi(/C� _:; ,�EQU/.CEiiJENTS : off' T.y� 7aw�t/a� 207.- A 2)STAB !�'' -4�vo• is ,{/07'� ocA J-u ' 7'f//S•�1.�1�//S i(/oT BASED dN Ai(/ . AEG/STE•eE0 L��/O SIJ.eYEY�• ,' : //t/ST,eU�-/.�it/T,$'U•21/E?��` Tf-/� Q��TE,C i�/,C,L�-� �1,4SS. .. ..... ....... ........ . 14.5 LOY' 1.3 / JAI•AES 11. CROCI•:ER, JR. / \ / x 13.6 11?US1EE OF THE x 10.7 CROCKER PENSION REALTY 11RUST HOP / x 14 4 ` 1 / I 16.4 x 13.0 / D� `P BLSIE _V� t Qi / ary #f° U N / D r- 1 3.1 x 10.2 7.1 3. / x 14.94.5 l-_ \ \/ x 9.3 - WEILAIND - - x 15.7 x 11.2 x 15.G x 9.3 "' 9.9 \ 3. IP x 13.5 x 9.6 9.& 11.6 \ C7� J J014N S. f Li x 15.7 x...:12.1 / o 15.0 x 11.8 _ - O �. FAPP.IH( \ tJ c� x 13.8 CP. x 12.3 C. x 13. moo: 1 �8.9 \ \ \ X 10.5: x ..12.4 x 5.3 x 15.3 . i x 11.7 x11.7 \ '� x10.6 Z2,E V x 4.3 x 2.9 14.1\ \} .6 X 1l. g x'10.5 f y \ xC.1 \ •x 11.7 �/// x 14.3 x 12.5 .,` MISSIBG n1AE OWEVO"G 111.2 o x 13.9.. ... x 8 6 x 13.6 1 \ 'p° x 12.8 r.- x II.7 I \\ I x 13.5 it�a0 - -- - y 2.0\ �oQ oyb A x 1 A� cJ1 0 • I i S e�o�1?(oQ����c �• � .• x 12.1 � � G 13.5 ° a� q _..._ °° h�o °, o° A� 01 tlo- oo.00' a LOT 10 -0 x _ / ` 8,138 sq.I1. WETLAND x 14.5 prop. - - drive 1.2 x 43,897 sq.ft. UPLAND � TOTAL 52,035 s gf10.6 S 1.19 acres EPTIC SYSIEM ✓ h y1 S- ,o �` m / 11.5 x 9.8 x 15.5 EXPANSICI 4 AREA x12.9 x9.8 93 O AD x 12.5 �50 to / x 9.0 >-817/ 1 / IJ - -• �1Z j 1 8.3 1 ,- � /• � �F n / t1FC1r N F SINGLE FAMILY- 4 NO GARBAGE f)AIL'� KLOW °� 110 X xI10.9 2 56 V11UE SEPT!;: 'TANK = 440 X 0 \9S0 �S VPRo 5 4; E 13000A1. S ENn t F nVE!hE - r LEA.CHWU FIE PLAN O I+ LOT 10 ALL PIPS S TO 13E SCHEOU SCALE; 1 = 20' VA TH CAPPE f: USc 2 _ 4" DISTRIBI. WASHED AS SH SYSTEM IS WITHIN 250' THEREFORE THE APPLIC 440 G.P.O./.74 = 595 S.F. OF : x p 10EVALLEYR N Cl) �-- N o $ x ZME 15s o v x 14.5 T _ 1e� _ G 7 , _ AM H. CROCKER JR. a w O Z AP RESIDENCE C / __ , J Es Y �- t , �. MINIMUMS TRUSTEE OF THE �.� X 13.6 ,• EPUIt � '� .;' CROCKER PENSION REALTY TRUST m o j �- . x 10.7 AREA = 43,560 S.F. o" �- t NOKM LOCUS x 15.6 / BAY ¢� l FRONTAGE 20 x 144 r �- r x - - 13.0 w ,. STI, -M ,f�,.5.. E1 x 16.4 Q� : ISLAND 3 WIDTH 100 ,a \, S #4 3 BLUE HERON DR. FRONT SETB ASK -20 \ �. o SIDE SETBACKS �ry 3 W NORTH i REAR SETBACK = 10 1 ` . .50 22 0 fi ` 2 ? BUILDING HEIGHT = 30' SAY i ,/ �•- _._ Qr a 5.0� 8.5. LOCUS -MAP xx�4 SCALE. 1 1 25,000 a . x 13.1 I x t4�0'' �' / i - - ASSESSORS I 12.7 �-.� x = ;fir MAP 118 PARCEL 124' i f 3 Vola x 7.1 14.9 GRAPHIC SCALE ;, , 20 40 1 �! x 4.5 y . 0 t x9.3 t 1 , I x 10.3 ., � � 3 e, , t . 10 o . � . E WETLAND ti 8 yF �� 9 x .9 , O li x 15.5 9.3 "\ � Fx 15. i L p` \ to ?1 x, x: 9.6c 11.6 .2 LOT 9 O 0 9,► n ,<< CFx 15.0 X 15.7 -12.1 _ X 11.8 O JOHN B. & EDNA < ' .� FARRINGTON l fi 13 C' ® . x ,9.8 O �S x a 3.7 w .8 X 13.8 .. ay �, t ,,, 2 x .3 O • O `I O• -, x 13.1 � . .7.3 , x _ ,. t \ i 00 5<- r x i _.�.O• • � , , 5.3 Y _ x 11.7 . ` _ tix 11.7 Z F x 14.3 .. / o p' 2 I 25 i5. l x 12.9 0 x /i I s 2 _ x •i f � x 11.7 • - x 12.5 C.B. G 14.3 _ .T t 11.0 �, - �G FR��t1E WETLAND R O . O 0 x z O 6 x h 11:2 / X 13.9 I k x.8 13.6 4 v � x 12.8 f i + I . . . . x ::� 10.7 I : x a . I t 13.5 : 1 1 0 2 6 x 12.0 I � 13.5 a� o o c . : o O I A O r : x 12.6 ` I 1 , i f -n r � 2.6 t 7.31 , x ! • 11.2 1 LOT 01 . -i i - O --� 8,138 s .ft. WETLAND 11,2 , l `rO _ drove 43 897 s .ft. UPLAND + X P P-- . q 14.5 � { �� 1 x ! r TOTAL 52 / .ft. 1.19 acres pR 035 s a OPEp SEPT, OS TIC � - 19.06 ! ST; Iy # j{ �� # 2 rn ' S�# N 1 r 11.5 P X J E 9.8 AN x _ A x 1 t x . � 12.9 _12.5 --. - 9.8 x • - / r� O .00 go 9.3 AD 1 o y x f> 14.4a-- ,� y t^ �. • x 9.2 s^ ( x -� 1 QO I p W 4TION p � 1 ;. -<11.4 E -- 0 .- - 8.3 2 G - __- © - _ DESIGN'-DATA: ELEVATIONS ARE BASED ON N.G.V.D, t EN 4N ,--- _ FLOOD PLANE' LINE IS BASED SINGLE FAMILY 4 BEDROOMS I FLOOD INSURANCE` RATE MAP � � - NO GARBAGE GRINDER ` 1•�1 { 2� E --- NUMBER 250001 0018 D Xi �D W - 1 X 4 - 440 G.P.D. � COMMUNITY PANEL NU 110.9 O W DAILY FLOW 1 0 REVISED: JULY 2,1992. L -SEPTIC TANK =-440 X 200% = 880 G.P.D. g�� 0`I`IN T �E5 ! v PR USE 1500 GAL. SEPTIC TANK QA Np W\0 E ENS ; P P I I E .o p � J I LAN OF LOT 10 LUCMNG FIELD DESIGN ALL PIPES TO BE SCHEDULE 40 PVC PERFORATED SCALE; 1' _ 20' I � WITH CAPPED ENDS USE 2 4 _DISTRIBUTION LINES IN A _ 12 X 50 WASHED STONE FIELD I AS SHOWN SYSTEM IS WITHIN 250 OF A RESOURCE AREA THEREFORE THE APPLICATION RATE EQUALS 440 G.P.D./.74 595 S.F. OF BOTTOM AREA REQUIRED NO ALLOWANCE FOR SIDEWALL AREA � USE 12 X 50 = 600 S.F. AREA PROVIDED CLASS 1 SOIL PERCOLATION RATE 1 IN 2 MIN. OR LESS 50' PROPOSED SEPTIC SYSTEM i VVVVVVVVVVVVVVVVVVVVVVVVVV No= vvvQvv vVVVVVVVVVVVVVVVVVVV - (1) REMOVE UNSUITABLE SOILS BENEATH PROPOSED SYSTEM, BACKFILL WITH CLEAN GRANULAR MATERIAL FILL TO BE GRADED AS FOLLOWS: NOT cv - r- MORE THAN 15% RETAINED ON No. 4 SIEVE, NOT MORE THAN 90% RETAINED i - ON No. 50 SIEVE, OF FRACTION PASSING No. 4, 10% OR LESS TO PASS No. - VVVVVVVVVVVVVVVVVVVVVVVOVV ,� 100 SIEVE AND 5% OR LESS TO PASS No. 200 SIEVE, SOIL TO BE APPROVED V�v v v v v v v v v v v v v v v v v v v v tT v v BY ENGINEER FOR COMPLIANCE PRIOR TO PLACING ON SITE. 3 4 TO 1 1/2 (2) LOCATION OF UTILITIES NOT SHOWN ON THIS PLAN, AT LEAST 72 HOURS PRIOR TO ANY EXCAVATION FOR THIS PROJECT CONTRACTOR SHALL MAKE j WASHED STONE THE REQUIRED NOTIFICATION TO DIG SAFE (1-800-322-4844) AND APPROPRIATE N TOPPED WITH 3" OF PEASTONE WATER DISTRICT TO DETERMINE UTILITY LOCATIONS. EXPANSION AREA I - NOTB3 ! 1 FOR ALL ASPECTS OF THE SEPTIC SYSTEM THE CONTRACTOR i SHALL COMPLY WITH ALL GOVERNING CODES AND REGULATIONS. PLAN OF LEACH FIELD i IN PARTICULAR 310CMR 75.000 THE STATE ENVIRONMENTAL CODE TITLE 5, THE TOWN OF BARNSTABLE BOARD OF HEALTH REGULATIONS PART VIII: I , - ON-SITE SEWAGE DISPOSAL-REGULATIONS AND THE BOARD OF HEALTH 1 >:. 5 .,, y. RECtir�MEi�iDA rwnS E� Ai,C�it I=rfc.�Cl1CC. r, I I ` 1 I ! 1 I I I ! CA 1 ALL COMPONENTS LOCATED N POTENTIAL I VEHICLE TRAFFIC AREAS OR BURIED 4 FEET COVERS LOCATED TO WITHIN I 4R GREATER SHALL BE H-20 LOAD CAPACITY. „ SITE PLAN OF LOT 10 12 OF F.G. ACME PRECAST L.C,C, 15055H TOP OF FND. mL� _ F a-16 t TEST HOLE I N s EL. - 17.0 DB3 OR EQUAL - OSTER VI LLE F. =15 t P 8721 { ) i Fa.. 15t EL. INV. = 14.1 WELLER & ASSOC. 1500` GAL. a DIAMETER T INV. _ BARNSTABLE MASS . . 13.7 INV. DIS PIT i SEPTIC TANK 13.5 INV. =13.3 BO Pvc TOP ELEV.-13.9 # FOR C. P� ELEV. 10.7 I „ CRUSHED INv. -13.1 0 6 „ i INva ,2. oovovovvv vovovo -3 ASSURANCE CONSTRUCTION CO. i ( STONE BASE _ MIN. VVvoVVVVVVvvV LOAMY SAND - A BASEMENT FLOOR EL. 9.5 v v v v V v V v V v v -16" SCALE: 1"= 20' DATE: NOV. 12,1996 V V V V V V V V V V v Y LOAM - B BOTTOM ELEV.12.4 ..... SAND REV. JAN'. 15,1997 :• -30 BAXTER & NYE INC. COARSE C REGISTERED LAND SURVEYORS ui SAND ... CIVIL ENGINEERS ! T RV E MASS,48 , PERK TEST ❑S E ILL , WATER LEV EL CORR. - EL. 7.4 MEDIUM - C SAND of <,x ! OBSERVED EL 5. -58 .OBSERVED WATER EL. ,6.2 WATER OBSER 9 w� �'�•', , PROFILE �>�„ P ,7 r . 12 07 95 � „�., 10 9s / / ,� �.E r,�gr NO SCALE 4024046C.� .a C,V.,J, t •1S•g'1 #9614310 i