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HomeMy WebLinkAbout0120 CROCKER ROAD A�RECYCLfp�o2 IIII UPC 12543 No. 53LOR 'o�OpST-CONJ��� HASTINGS, MN 9149 ffi Town of Barnstable *Permit# I TFIE , v Expires 6 nths from issue date Regulatory Services Fee � 1MAM `0 Thomas F.Geiler,Director ArFp MA't� Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 0260J www.town.barnstable.ma.us 0ffice: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY - ' ���T of Valid without Red X-Press Imprint . Map/parcel Number Property.Address [Residential Value of Work 5-6 o Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address �a�N 4, Atl//AJ Contractor's Name SW 4" t'V' A4p I ao P. jw;v Telephone Number Home Improvement Contractor License#(if applicable) 7 3 4 Z Construction Supervisor's License#(if applicable) ®q 5 7 0 7 XPRESRppmon„i- WIN RCrkman's Compensation Insurance MAY U 2 Check one: 2013 ❑ I am a sole proprietor ❑ Jam the Homeowner TQ�/(� OF B I have Worker's Compensation Insurance ARNSTA13LE Insurance Company Name /` 0/J co Workman's Comp.Policy# a t� O -3 �� ✓ Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ 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 #of doors � replacement Windows/doors/sliders.U-Value ® (maximum.35)#of windows ❑ 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: QAWPFILES\FORMS\building permit forms\FJTRESS.doc ►� Revised 053012. Southern New England Windows d.b.a Renewal by Andersen of SINE Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supertkor License: CS-095707 BRUN D DENMS46N 7 LAMBS POND EIRC s Chariton MA 01507 .`52.r� . " Expiration Commissioner 09/08/2014 � �Q�� �� Office o onsumer A aus usmess ego aUon 10 Park Plaza-Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration ReaistreOon: 173243 Type: Supplement Card SOUTHERN NEW ENGLAND WINDOWS LL Expha'ien: E1=014 DENNISON BRIAN --- 1137 PARK EAST DRIVE WOONSOCKET,RI 02895 _ Update Address and return card.Me.rearo.for cdanga. au,o aawv„ Addrm O Renewal ❑Employment ❑last Card �, n7..Yt��.,�,..,�,..../U.,�;.//,.,,,,r/,,.ter, Dke:C* asomrr Affaks 4:Badaeo Regalatloa License orreghiration vaild for lndlMdul an only MPROVEMENT CONTRACTOR before the expiration dale.Ufound return to: rc rrsze6 ORke of Consumer Affairs and Bodnea Regulation 10 Park Plan-Suite 5170 ' 0E�Iratlorc fY19/�14 Supplement::erd Boston,MA 02116 SOUTHERN NEW ENGLAND WINDOWS LLC. RENEWAL BY ANDERSON 1137 PARK FAST DRIVE - WOONSOCKET.RI 021126 Uoderra wy Not valid without signature The Commonwealth of Massachusetts Print Form Department of Industrial Accidents Office of Investigations 1 Congress Street;Suite 100 Boston,MA 02114-2017 y www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information / Please Print Legibly Name(Business/Organization/Individual): 5�%Ak-rlj kle-ey CL1t/d� LN1N�pu15 ZLG Address:__(o '41416/l/ lLO,4,b City/State/Zip: L.lNcolN kl:• Oa,?4 Phone#: LSD — �a — c? A,,rre�e,[WI an employer?Check the appropriate box: Type of project(required): 1.L�7I am a employer with oZ G 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. El 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 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.[ Other /`-ems�a-4eAU9c'll- 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.Insurance Company Name: O N ra V 60/n Policy#or Self-ins.Lic.#: �C qa 76�S 3�a 3 �y Expiration Date: 1,F1 l3 Job Site Address: 12o C9 yG kel R9&L City/State/Zip:WLS{ 1Q Q, Q 6*�s 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 nder the sins and enalties ofpedury that the in ormation provided above is true and correct Sim tune: � Date]. ._.-r_,2 �. � . .... .. Phone#: go d- < 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#: Client#:30124 SOUTNEW AOORDr. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) 1/02/2013 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 endorsement(s). PRODUCER NAM EA Anita Little Willis of New Jersey,Inc. PHONE I 856 914-4660 1015 Briggs Road t: A/C No): 856 914-1881 PO Box 5005 A DRIESS: Anita.Little@willis.com Mount Laurel,NJ 08054 INSURERS AFFORDING COVERAGE NAIC0 INSURER A:Selective Insurance Co of the S 39926 INSURED INSURER B:Argonaut Insurance Co. 19801 Southern New England Windows LLC D/B/A Renewal by Andersen INSURER C:Beacon Mutual Ins.Co. 24017 1137 Park East Drive INSURER D: i Woonsocket,RI 02895 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. NOTWITHSTANDI VG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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 ADDLSUBR LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER M�LDpY EFF MM%IIDY EXP LIMITS A GENERALLIABILnY Y S202945900 8/10/2012 08/10/2013 EACH �OCCURRENCE $1 QQp QQp X COMMERCIAL GENERAL LIABILITY PREMISES Ea�rrence $50 0O0 CLAIMS-MADEOCCUR MED EXP(Any oneperson) S5 000 PERSONAL&ADV INJURY $1 000 000 GENERALAGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER; PRODUCTS-COMP/OP AGG $2 OOO,OOO POLICY P CT LOC A AUTOMOBILE LIABILITY 5202945900 8/10/2012 08/10I2b1 COMBINED SINGLE LIMIT $ Ea acciden6 $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED AUTOS PROPERTY DAMA3E $ Per accident' $ A X UMBRELLA LIAR (.CCUR S202945900 8/10/2012 08/10/201 EACH OCCURRENCE EXCESS LIAR CLAIMS MADE i s5,000,000 AGGREGATE :5,000,000 DED RETENTION$ B WORKERS COMPENSATION AIC927698352394 8/21/2012 08/21/201 WCSTATU- orr+ $ AND EMPLOYERS'LIABILITY C ANY PROPRIETOR/PARTNER/EXECLJTIVE YINGFFICE 68028 3 — )(Mandatory EXCLUDED � NIA 8/21/2012 08/21/2013 E.L.EACH ACCIDENT $1 000000 (Mandatory In and E.L.DISEASE-EA EMPLOYEE $1 00O 000 If yes,describe under DESCRIPTION OF OPERATIONS be'ow E.L.DISEASE-POLICY LIMIT $1,000 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Cert holder is included as additional insured regarding work performed by the named Insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL EE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered narks of ACORD #S213748/M213024 AXL Renewal lv license#36079 RENEWAL BY ANDERSET� MA License 9173245 WINDOtlderSen. 26 Albion Road • Lincoln Cr License#m#1237 WINDOW REPLACEMENT anA�derunCornaay Lincoln, Lead Firm#1237 Phone 866.563.2235•Fax 401.633.6602 Federal Tax ID 446-0566630 Southern N.4 England Windows,LLC d/b/a Renewal by Andersen of Southern New England CUSTOM WINDOW AND DOOR REMODELING AGREEMENT Buyer(s)Name Date of Agreement urn d _t�1 r141 �� ; r, /►��s s A/3 Buyer(s)Street Address.City,State.and Zip Code E-Mall Address Home Telephone Number WorkTelephone Number Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Southern New England Windows,LLC d/b/a Renewal by Andersen of Southern New England("Contractor"),in accordance with the terms and conditions described on the front and the reverse of this agreement and on the attached specification sheet(s)(collectively,this"Agreement"). Total job Amount 11513071 0 Estimated Starting Method of Payment ❑Check U Cash inanced Deposit Received(334 Credit Cards are accepted for deposit only—maximum 1/3 of the Balance at Start of Job(33%):� Estimated Completion project cost(Please see Credit Card Payment Form.)By signing this /Date: ,agreement,you acknowledge that the Balance at Start of Job and the Balance on Substantl 1 Z-%5 r EC l�,s Balance on Substantial Completion of job cannot be made by credit Completion of job(33%): J card and must be made by personal check,bank check,or cash. Buyer(s) agrees and understands that this Agreement constitutes the entire understanding between the parties, and that there are no verbal understandings changing any of the terms of this Agreement. Buyer(s) acknowledges that Buyer(s) (1) has read this Agreement, understands the terms of this Agreement, and has received a completed, signed, and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and(2)was orally informed of Buyer's right to cancel this Agreement.DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. (Rhode Island Sales Only)Notice to Buyer:(1)Do not sign this Agreement if any of the spaces intended for the agreed terms to the extent of then available information are left blank.(2)You are entitled to a copy of this Agreement at the time you sign it. (3)You may at any time pay off the full unpaid balance due under this Agreement,and in so doing you may be entitled to receive a partial rebate of the finance and insurance charges. (4)The seller has no right to unlawfully enter your premises or commit any breach of the peace to repossess goods purchased under this Agreement.(5)You may cancel this Agreement if it has not been signed at the main office or a branch office of the seller,provided you notify the seller at his or her main office or branch office shown in the Agreement by registered or certified mail,which shall be posted not later than midnight of the third calendar day after the day on which the buyer signs the Agreement,excluding Sunday and any holiday on which regular mail deliveries are not made.See the accom an 'ng notice of cancellation form for an explanation of buyer's rights. rt de I egts rauon oa ' Initials) Renewal b erse�of outhern New England Buyer(s) Buye s Sij pat re of,Pr t Manager S' ure Si azure WA Mn 4., P nt Name of Product Manager Print Name Print Name YOU, THE BUYER(S), MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION.SEE THE ATTACHED NOTICE OF CANCELLATION FORMS FOR AN EXPLANATION OF THIS RIGHT. -- — — — — — — — — — — — — — —IK- — — — — — — —,— — — — — — — •�— — — — — — — — — — — — — — — rc NOTICE OF CANCELLATION X -CANCELLATION Date of Transaction ��-�G�/3 .You may cancel Date of Transaction C-0 .You may cancel this transaction, without any penalty or obligation,within this transaction,without any penalty or obligation, within three business days from the above'date.If you cancel,any I three business days from the above date.If you cancel,any property traded in, any payments made by you under the I property traded in,any payments made by you under the Contract or Sale,and any negotiable instrument executed I Contract or Sale,and any negotiable instrument executed by you will be returned within ten business days following I by you will be returned within ten business days following receipt by the Seller of your cancellation notice, and any 1 receipt by the Seller of your cancellation notice, and any security interest arising out of the transaction will be security interest arising out of the transaction will be canceled.If you cancel,you must make available to the Seller I canceled.If you cancel,you must make available to the Seller at your residence,in substantially as good condition as when I at your residence,in substantially as-good condition as when received,any goods delivered to you under this Contract or I received,any goods delivered to you tinder this Contract or Sale;or you may,if you wish,comply with-the instructions of I Sale;or you may,if you wish,comply with the instructions of the Seller regarding the return shipment of the goods at the the Seller regarding the return shipment of the goods at the Seller's expense and risk.If you do make the goods available X Seller's expense and risk.if you do make the goods available to the Seller and the Seller does not pick them up within I to the Seller and the Seller does not pick them up within twenty days of the date of cancellation,you may retain or I twenty days of the date of cancellation,you may,retain or f - Renewal RI License#3e0711 , ITNEWA MDERS.,_,1 W Lice 0173845 MAndersen. _ L BY lT Liceww#0045 55 NINDDN Nl.IACEyeNT 26 Albion Road•Lincoln,RI 02865 IAmd rirn,#1237 Phone 866.563.2235•Fax 401.633.6602 r,i<rai r:1) u,ua�;•uSCHss1, SPECIFICATION SHEET Buyer(s)Naive Date of agreement o A 4 3-L. /nil i-i 1 —lG-13 The Buyer(s)listed above hereby jointly and severally agree to purchase the goods and/or services listed below,in accordance with the prices and terms described on the Specification Sheet and the front and the reverse of the accompanying CUSTOM WINDOW AND DOOR REMODELING AGREEMENT,of which this Specification Sheet is a part. WINDOW DETAILS 1. Contractor will Install a total of windows in Owner's home,using the following individual quantities: �( Double Hung(DB) Equa sash ❑ Cottage sash(1/3 top,2/3 bottom) ❑ Oriel sash(2/3 top. 1/3 bottom) Casement(CW) ❑ Hinge right ❑ Hinge left(as viewed from exterior) Double Casement(CDW) Casement/Picture/Casement(CPW) ❑ 1:1:1 or ❑ 1:2:1 2 Lite Gliding Window(GW) Glider/Picture/Glider(GPW) ❑ 1:1:1 or ❑ 1:2:1 Awning Window(AW) Picture Window(PW) Bay or Bow Window Patio Doors(see separate Door Specification Sheet) 2. ❑ Yes ❑ No Qty of Windows to be Custom Fit Replacem� 3. ❑ Yes ❑ No Qty of Sills to be replaced by Contactor: 4. ❑ Yes Q o Qty of Windows to be New Construction Full frame(includes new interior&exterior casings): Exterior cas : ❑ Pine ❑ Maintenance-free material ❑ Factory applied 908 Fibrex brick-mold 5. Glazing to be: Low-E-4 T"+ ❑ Other If other,please specify: G. Exterior color to be: 5 V�hite ❑ Sand ❑ Canvas ❑ Terratone Exterior Only: ❑Cocoa Bean ❑Dark Bronze❑Forest Green 7. Interior color to be: (White ❑ Sand ❑ Canvas ❑ Terratone ❑ Pine ❑ Maple ❑ Oak- Note- Int 'or color can only be white,wood or same color as exterior. Wood interiors need to be finished by Owner. 8. Hardware: White ❑ Stone ❑ Canvas ❑ Brass Double Hung: 9. ❑ Yes No In Lifts with Do le HR Wind sao 10. Screens: windows to have:with for Full sc owns Screens to be: ❑ Fiberglass ❑ Atuuninum TruScene GRILLE DETAHS 11.Windows have grilles: ❑ Yes ❑ No If yes:❑ Grille Between Glass=c,)❑ Removable Interior Wood(amv)❑ Frill Divided Light ar,L) Qty- Qty: Qty: Qty: Qty: Qty OH E.11 DH OH F- E CPW orG Draw grille patterns above 'Use additional sheet if needed Owner approved(initials):( ) ADDITIONAL WORK DETAILS 12. ❑Yes Contractor will remove metal frames of windows. Qty of Units: 13. ❑Yes [�I o Contractor will install new paint-ready or stain-ready casings. Interior cas g qty of openings: Exterior casings qty of openings: ❑Pine ElMaintenance-free material 14. ❑Yes o Contractor will install new paint-ready or stain-ready inside or outside stops qty of openings: Interior stWs qty of openings: Exterior stops qty of openings: ❑Pine❑Maintenance-free material 15. Oyes IVo Contractor will wrap exterior casings with aluminum coil stock of color. Note:Wrapping may be required with storm window removal;removal of storm windows will leave screw holes in casing. 16. s ❑No Contractor will insulate,caulk and seal windows with 3-point system to prevent water and air infiltration. 17.7� ye s ❑No Clean up all job related debris including old windows will be removed.Vacuum nightly. 18. s ❑No A limited warranty shall be issued to Owner upon completion of the job and payment in full. 19. s ❑No Building Permit—Contactor will secure any and all necessary permits. The fee for the permit(s) is not included in the Contract Price and a separate check is required at the time of installation for this fee. 20. No All current promotions and discounts have been applied to the above agreement amount-any Future discounts or 'kdes are not applicable to this agreement. 21. Owner is aware that Contractor does not do any painting. ( ) Owner Initials 22. Owner is responsible for the removal and reinstallation of any exisAKg alarm systems. Owner to call alarm co. 23. Owner is responsible for the removal and reinstallation of any window AC units. 24. Owner is responsible for the removal and reinstallation of window lr:atments&brack,s. 25. Additional job details: Cl- t` " lc ,2/GiG,it-!s a �n t o♦► 7� n/. \l.... 1-1T1.. ll.............-......a..L.....-........a ....al...L'..-1 J......0:....a..l l..a:�.. C....G:._-1:..-.__.a.-.:....J a.. J.l:.....L'__-I_...........a f Renewal WEI byAndersen. WINDOW REPLACEMENT an AndersenCompany Job# 2 Page _ of Date /(o 13 Home Phone Custoi ner U tn c� u I/A Ih,.)11)4 worvicell ' tdrrtoead Address City/Sate 66 Best Day to bStall M T w TH B �y (dde one) Product Manager '(,Gr,�f d 45 Branch Est Start Date Total#of #of Bay/Bow& #of Doors Window Color Cap Windows Gar4en stmm'steelX060 Inside Ouside Color Q W w 0 No Style opeaingsizawYH U.I Location Grids Screen caaorna celarOVr XS_y a �s �3 1 Y.? xS9,3 1a XS ` �5 .3 C xS 3 - - • W / xS� 49 kn Special Installation Instructions 1 d Gh) re lr c!N -,)I de -5fde DA OL. ! TOWN OF BARNSTABLE Permit No. _____26301_— e _ Building Inspector �mnm cash OCCUPANCY PERMIT. Bond _ Issued to Gayle & T not—hV �,bollard Address 120 Crocker iRoad. West Bar.n-�table Wiring Inspector Y 57 ,i�..%. '� r Inspection date 2 vf / Plumbing Inspector���� � � Inspection date j Gas Inspector Inspection date L 7t�JLne 8'f A Engineering Department Inspection date' Board of Health � '�� ^- /I - -i�7� Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0,OF THE MASSACHUSETTS STATE BUILDING CODE. Aa, _._._ ...............�:............................... .................._...._.__.....__..__.__...._ Building Inspector FROM S ' TOWN OF BARNSTABLE T Mr. Francis Iahteine • BUILDING DEPARTMENT Town Clerk _._ r"..._..:--" """ "367 MAIN STREET HYANNIS, MA OM.,_._...._ Phone. 775-1120 L �� J SUBJECT: FOLD HERE DATE February 11, 1985 MESSAGE I Work has been caNleted under Permit 26301 �Grle & T4mthX Woollard) Please release Band. 4 rww� ♦e► F..�..�..s.!-•.Mi./f..ice•!®..f► �•iOOs •- r SIGNED I � 1 V/i DATE REPLY SIGNED N87•RMI RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY PRINTED IN U.S.A. SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. ' F I SECTION- - SEWAGE' -SEPTIC TANK - - "D'•BOX- - LEACH I ) TOP OF FON . (MS L)x WA$HE�O STONE INRrj IN OUT- 100©.G IN- OUT- IN- (�A -Ilo•Q2 S.� j SEPTIC Z. / TANK �S:g -1r7.Q0 r ELEV. ELEV. EL - ELEV. y ` r ELEV. ELEV. (b� ?:c' V. 117, �. WASHED STONE ` _ VEST HOLE LOG } TEST BY St a K rls.w �oHw� �tocaP�t �?,A�-(•8.U.4�. WITNESS BEDROOM HOUSE TEST DATE `f DESIGN �y T.H. # 1 -1 Cl .T.H. # 2 ELEV. ELEV. NO �� p DISPOSER DISPOSER (, p PERC RATE MIN/IN. FLOW RATE 330 (GAL./DAY ) 334 OR SEPTIC TANK 330 (I•S)= 4q S 1 [9 0 0 REO'D SEPTIC TANK SIZE �4 _ 117 MBD t� - LEACH FACILITY OQI / 75lb ~ SIDE WALL Ian = t�Ss.S�-(2.5.) 4i1.2 G/D. BOTTOM Io'"�14J ' I�.S I I.0 1 = �$'I"' G/17. i ►av". fo9.o TOTAL 2G��_ _ S49 .7 6�t7. �.�.\\\ , �7� \.�� �� c M tom -77 IV " USE: al+G LEACHING (-( WATER ENCOUNTERED �oI / NOTES: (UN,LESS OTHERWISE NOTED) 1. DATUM(MSL)+TAKEN FROM'r S�- QUADRANGLE MAP lv1 OF \ o 2.MUNICIPAL WATER.... 3 .PIPE PITCH: '/. PER FOOT _.^..__AVAILABLE •`'y{ CI' ,Qf� �H. ''�q I;� � •`0 tA•ld 4.DESIGN LOADING FOR,ALL PRE-CAST UNITS: AASHO- -44 • G\ b y \ (" S.MLN.GROUND COVER OVER ALL SEWAGE.FACILITIES: (1) FT. O AR;(E ARNE H. DISTA E AS CERTIFIED ;� �0 •6. PIPE-JOINTS SHALL 9E MADE WATER TIGHT H. "'` OJALA 7.CO.NSTRUC71pN QETAILS T.O 6E ACCbROANGE WITH COMM.OF MASS. A348 �'1 �- CIVIL ? SITE PLAN STATE ENVIRONMENTAL CODE TITLE 5 o. 307 \ LOCUS: LQ'T Ioc - cgs c.lG,F_1Z AL EG.PROFES EER I *`� REF: rtry - J . e* bowl) cope eftg %Ieerin �•� \ PREPARED•FOR-Ttl'nQ t F-Ay r CIVIL •0NGINEERS _----^_�---- LAND SURVEYORS REG.LAND SURVEYOR BOARD OF HEALTHa �. CONTOURS EXISTING) - 1 SCALE - � 3�IL `44 (PROPOSED) -0,-0-0- APPROVED DATE � ���"'E MA � Yarrr)outh�MA DATE ��r �S� • l iK \ O p. F ON. �o< (., 44_ ry •� Tom.;v�_ N if I Q � ` )i, 0 , CSC ofC.o /of 13M= •1�114`D S Go C / D ILL 47" aL Ate/ wE-6- 'i'SARNSTAle;,I_E MASS EFEeG'�c/GE; I I MQ 1 H Y wo 0 LA%?— 2 NeC 6�Y! , FA-5 7 F Y 7-AVAW Ti✓E QV/La/.V� SON/.t/ O.V Tf//S ?L 4iA✓ /S LOGATEa C.V THE '�yeouNa As s.�•/o w�i ,�-�Eeeov A�va a-.�✓AT /r �� �F Mks g co.vA'ot.v/ ro 7-AeAS- zo,vi.vG BY—GigWS o.� Ti�/E 7't�H/.v OF — �Q/YSTAf o�'� ARNE yGs /1�</E'ti/ O.VSTeCJC7'Eb. H. o OJALA I �.: " 026348 :� wn ca�o�e erg ��-reerir� Lq�.ya sciev�yo�a I ,GOUTS' 6q^-Y ,eA, T.�-Y, MA53 a arc .ee�. c.Awa sc�¢vt�roe Assessor's map and lot number ...I<..�./.......�2�.�:1�'...... . ° , ,r . nn,�R THE •' Sewage Permit number .... .. ��. 6 d��-� D 17",� House number [) BABBSTA �a.......... ...................... R� � 'C l� n �',� �l . qO AB DNA TOWN OF -.,'BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..........0 ." ��..�...�As;1L�cc:,�l�......�`C.Ld�^.Cnf � .....1`L)4,p................ TYPE OF CONSTRUCTION . .................�C2Q.Q....... . . .�J...).! J I9.J. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies -fo`r'a_ permit accordingto the �fo wing information: �.���..Location ............ .......� 4kv(.....!4. . ................ ...a.. K.RN3................................................................. Proposed Use .......YXIi YV%.1.0 K.'... ........1� vs.i.C,7..C'.r/�5«�..1........................................................................ Zoning District ............................................Fire District .. !` ,... 1i,.Y.Y�,. >`A1�................................... Name of Owner .Gt111�s;. .-f .�`M�l.l+\v�.. A4Lk.6 ..Address �.....W,. ,Cxx.astc�,�,L.tMUSs Name of Builder ......SG3..vp ..............................................Address ...Spa 75%::%VV,,0................................................................ Name of Architect .............................Address ...L�Qx....1.5 1.....CJ��,.w U..` CAS ............. Number of Rooms .....9..Vi�CNY�S.../ �....GJ �CC�Saf.�S ..Foundation ....gyp (� Exierior ���G�Y:,SJUS �.� � .C,�1� J....................Roofing .....P5:�. \aa ..t..... �1..iN ?1�............................ Floors ..'.. Interior ..... : .. .R.. ? ............................................. Heating U � C� ....�hc1�J.Z,�.c14....................Plumbin ::.�....1�.C1� Fireplace ....�.r1.Cr...`..............................................................Approximate. Cost . ` Definitive Plan Approved b Planning Board ------------------------------1 9--------• Area .`-'..:......'.... ... _ pP Y 9 Diagram of Lot and Building with Dimensions Feej �5� ................. ... .. . SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. 1` 4soName ...�. . . . . .......:............... Construction Supervisor's License ...Q)jr fa:................. V1001,11AM, GAYLE & TIMOTHY Na26301... Permit for .............. N .............. k2. Single Family Dwellijjq....................... .................................................. Location .12.0 Crocker.. ............................ ............... ................W. Barnstable ............................................................... Owner ............ Type of Construction FK�m.......... ................... ................................................................................. Plot ............................. Lot ................................ ,13 April Permit Granted .........19 84 Date of lnsp�6*n*f7, ;q-:'-'.3--7..........,.....19 Date Com I t d ..... ........?6.... .......19- X-C Assessor's map°and;lot number.. ... . ..�-�� ... ... ' 7HE Fr Quo Sewage Permit,:number ... ........... ���.... EAUSTA LE, i 3 House number ............../ .v . ...........................,;..., 639 0� a Mix TOWN OF' rBARNSTABLE f � b BUILDING `11NSPECTOR APPLICATION FOR PERMIT TO...........52..... ... ....��P; !.�.cs? ...... 1.^^..C^.f's..�.....N� ,.�............... TYPE OF CONSTRUCTION ..............� p.,+✓..J,.»=,\ .5��✓!.� ,.. ........ �'��3.r�.... / ..................... : y .. .i�.......3.....................19&t TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the fo lowing information: �`�.......C,.! ?.�-1< R!r V4cX................. ...1... !�.1! ^................. Location ..................... -3. ProposedUse ....... ........ ..P.<ns..q .✓................................................................................................. Zoning District ....................���... ............................................:Fire District A! ... ................................... Name of Owner c'tt`r(r"Address ..!�u:..[�.Q . �,+��"�......W.:.Pjc ��.. .`�C/�S S Nameof Builder . .......:..........................................Address ... .................................:.........:.................. Name of Architect ..�.�5'n.:.. c.� 4<............................Address ...L?�X.....�.�?�.... r� �►`r .`.., aSS: .......... Number of Rooms ...... . C7!l1!�'5... .. � �::.c7.1k�5'.::Foundation .... h1.A.l`?.•C ......�....U.(�C.t ;\.�.................... \- . Exterior .................. .Roofing .....H� 5.......... Floors al tv\<.1.��.1. ..:...1 gip... ��. 5 ��S�'. ..C.l..l. 4:.!�..Interior .� Q..<1.�'cJ.C ...... Heating 1. 1\ C......At, ....... a,.0....... Plum bin ��.�L ,;� 5. ..............: ............. Fireplace :-Wins .......................................................:. .tApproximate. Cost�..:.(.�..y U t���.�.��.�.............................. Definitive Plan Approved by Planning Board -----------_------___'�_____.__19-------- . Area r ............................................ a Diagram of Lot and Building with Dimensions i Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH - A 1. � _ s OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. � . Name .I.t�!M. V.�.�n. ......��k.Q............................ Construction Supervisor's License ... ................. WOOAM, GAYLE & TIMOTHY A=110-023 26301 13-, Story No ......1.......... Permit for .................................... Single Family Dwelling ............................................................ 120 Cr0qker..Rc?..j Location .......................... ........................... Warns ....................-...B................tal?.IQ.................................. Owner ...G4Y!P..&..Z tbY..Wollaxd............. Type of Construction ...Exam ...................... ................................................................................ Plot ............................ Lot.................................. Permit Granted ..APr"...13 . .........19 84 Date of Inspection ..............I.....................19 Date Completed ... ...................................19. 1 -Z "°►y TOWN OF BAR,NSTABLE Permit No. ------2630 ------_-_-- Building Inspector 11msrus i Cash ---------------------- 039 �! OCCUPANCY PERMIT Bond Issued to Gayle 1 T:irmt-1V (collard�sJt Address 123 Czx)c!C.�..r d, ilast R,ctt,a3 :iWlp- Wiring Inspector Inspection date Plumbing Inspector r� �' _ ) Inspection date Gas Inspector y� .' * Inspection date C Engineering Department - ���� , .������• / Inspection date/ Board of Health ' ' Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ...................`...�..........�!, 19..._ ./ ............: ,rr�......... ................................................_........._...._ Building Inspector