Loading...
HomeMy WebLinkAbout0045 JENKINS LANE �I //// J�,0.ECYQEDCo UPC 12543 No.53LOR aco HASTINGS,Wtj ...........1 ............. ��•"'� �iki�: 'd"va•.�s.'• •'a:�ii.�3s.�s�� ._tt.,�,.,.'; J"va'ic�.!�n �'—- ._�zi�.t�,_�•�y.....,.-,:.,3n�;rlu.r l3L"rk�.�6.w of t►� Town of Barnstable *Permit N �a�� 4� { Expires o th m issue d to Regulatory Services Fee � ga BA"SCABLE, Thomas F. Geiler, Director 9VP 'I -SS PERMIT Building Division rfb MAy Tom Perry, CBO, Building Commissioner Oct a 2008 200 Main Street, Hyannis,MA 02601 O' � ,N 01F RNSTABLE www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint w Map/parcel Number �Z, 0 1 Property Address x< za&ezk,),5 (Residential Value of Work "MO Minimum fee of$25.00 for work under$6000.00 Owner's Name &Address ZX 1�� Contractors / r Telephone Number 1 / Name �Jj//� j Home Improvement Contractor License#(if applicable) �� lyworkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner VI have Worker's Compensation Insurance; r Insurance Company Namejj/� Workman's Comp. Policy# ,AY Z�gk 2 Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) v ORe-roof(stripping old shingles) All construction debris will be taken to ytj>J� �Ill� ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum..44) A *Where required: issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. SIGNATURE: Q:\WPFILESTORMS\building permit forms\EXPRESS.doc Revise020108 r-c 1-2008 0: :P=aP r ROM: 15065401 441 TO: 1508790r, 30 qq . AMP& CERTIFICATE OF LIABILITY INSURANCE OP ID Ra DATE(MMlDOrwvY) � 1 �t000CER DAVID-2 07/21/06 , ItS CERTIFICATE IS 14$UED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Northwood Ins. Agency, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 805 West )!chin Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hya.,mi a M& 02601 Phone: 508-771-1632 Fax:508-393-2955 INSURERS AFFORDING COVERAGE NAlC# , INSURED INSURER A: Travelers Insurance Co. INSURER B: Tt4v616r• Znauraaoe Cmgpany David Cox, Inc. INSURER C; P. 0. Box 401 INSURER D: 6 Yarm,outh MA 02664 INSURER E: COVERAGES THE POUCIES OF INSURANCE LISTED LOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERRA OR CONOY N OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO W MH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.W INSUR81oCE AFFORI ED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGRGATE L078 SHOWN 4AY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR <LTYPE 0)NSUR,ANC POLICY NUMBER DATE MMlDOM GATE MMlD _ LIMITS A II GENERALUAAIk" I EACH OCCURRENCE $ 1000000 Coy' ERCI�GENERALL . rrY 680-1481M796 03/IA/08 03/34/09 PREMISES EBo=renca s 50000 CLAIMS40IAOE �'OGCUR MED EXP(Any one person) 35000 X B, aine(" Owne A PERSONAL d ADV INJURY $1000000 �I GENERAL AGGREGATE $2000000 GEN'L A0GREGA �LIMII'gPPLI S PER: PRODUCTS•COMPlOP AGG S 2 000000 POLICY pR0- ecr LDC CSL 2000000 AUTOMOBILE LIABILITY I CO►BINE0 SINGLE LIMIT ANY AUTO (Es occident) S ALL OWNED AU?OS BODILY INJURY 3 SCHEDULED AUTCS (Per person) HIRED AUTOS i BODILY INJURY NON-OWNED AUTOS I (Per eeddon!) $ PROPERTY DAMAGE $ (Poroccidanl) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S 11 ANY AUTO I OTHER THAN EA ACC 3 AUTO ONLY: AGG 3 --j EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE OCCUR CLAIMS MADE AGGREGATE 3 3 DEDUCTIBLE S I RETENTION $ S WORKERS COMPENSATION AND EMPLOYERS'LIABILITY 70RY LfITS ER B ANY PROPRIETORIPARTNERIEXECUTIVE 6A%U"91OX7422'07 07/15/07 07/15/08 E.L.EACHACCIOENT $ 100000 OFFICER%FMBEREXCLUDED? 6XIM91OX742208 07/15/08 07/15/09 E.L.DISEASE-EA EMPLOYEE 1100000 if yes desalbo under SPECIAL PROVISIONS below E.L.DISEAS:•POLICY LIMIT b 500000 OTHER DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT!SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION TOWZiBM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF.THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN TOWN OF BARNSTABLE NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO 60 SHALL Building Dept. IMPOSE NO OBLIGATION OR L.IABIUTY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 367 MAIN STREET HYANNIS NA 02601 REPRESENTATIVES. AVTOO D VrR[ESLw ACORD 25(2001108) Lei ACORD CORPORATION 1988 ,per ✓lie -Po7.inzaruuea�C o�✓//laaaaclauaeCt " ' �\ Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration 100497 Board of Building Regulations and Standards Ezp1rafon=6/18/2010 Tr# 268012 One•Ashburton Place Rm 1301 -_s— Boston,Ma.02108 +^Wim ji _P_rivate Corporation _. : DAVID COX, INC 4a} David Cox, 19 LAVENDER LN W.YARMOUTH,MA 02673 Administrator Not valid without s' nature I The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation lnsurance Affidavit: Builders/Contractors/Eleetrician.s/Plumbers Applicant Information Please Print Legitbly_ Name (Business/oTtan&&6on/Indivi(ival): City/State/Zip:—Z,�z 4 � Phone*: 7 2-LI--3 Are ou an employer? Check the appropriate bor: r6. of project(requjred): 1.�I am a employer with 4. I am a general contractor and I New constructioncraployecs (full and/or part-tunL).* have hired the sbb-contractorsI am asole proprietor or partner- listed on the attached sheet R.cmodeling ship andhavc no employees These sub-contractors have g, []Demolition employees and have workers' wod6ng for me in any capacity. 9. ❑Building addition [NO workers' gyp.insturanre comp.insrranc.0 S. We arc a corporation and its 10-0 Electrical repairs or additions rt[aired.] officers have exercised their 11.[]Plumbing repairs or additions 3.❑ I am a homeowner doing all work myself [No workers' comp. right of exemption per MGL 12 'Roof repairs in snrance regnireri]t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other romp,insurance regiured..] Any applicant that ehc�ks box#1 must also M out the section blow showing their wockizs'coropa�tion policy iafom�atian t Homeowners who submit this af6d2vit indicating they arc doing all work and then hire outside cootnRCtors must submit a new affidavit mdicatatg such. tContractats thatcbmic this box mast attached as additional sheet showing the name of the sub-Cnfract=and statt whctha or not those entities have employees. If the sub{ontr=tom have employees,they must pravidh their woricas'gyp.policy numb-. I am art employer the is providing workers'compensation insurance for my employees. Belaw is the polity and job site information. Inn-ranca Company Name: Policy#or Self--ins.Lic. Expiration Date: Job Site Address: S�VGS .�� 1� �.�P City/Stafc/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and erpiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can leati to the imposition of criminal pcnaltics of a fine up to S 1,500.00 and/or one-year imprison, ut, as well as civil penalties in the form of a STOP WORK ORDER anal a fi of up to S250.00 a day against the violator. Be advised that a copy of this statcmnrit may be forwarded to the Office of Investigations of the DIA for immnance coverage verification_ — Ida hereby certify under the pains-and penalties of perjury that the information provided above is true and correct Si c: Date: — Phone O fccial use only. Do not write in this area, tb be completed by 6ity or town off-rciaL City or Town: Permit/License# Isndag Authority(circle one): 1.Board of Health 2.Building Department 3. City/Towu Clerk 4.Electrical Inspector S.Plumbing Inspector 6. Other r< . E ..F vo,-,.,,— •Phone#: �00HEy, ']Gown of Barnstable Regulatory Services ♦ f t f ` N "BtE Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize �/9 to act on my behalf, in all.matters relative to work authorized by this building permit application for: (Address of J( b) Signature of Owner ate Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Town of Barnstable mop SHE t, Regulatory Services BARNSTA$LE, . Thomas F. Geiler,Director .y MASS $. . 1639. Building Division Tom Perry,.Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOA tOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: . city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s) who owns a parcel of land on•which he/she resides or intends to reside, on which there is, or is intended to- be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1,1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws, rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic-feet or larger will be required to comply with the. State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1,1-Licensing of construction Supervisors);provided that if the homeowner engages a persons)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q. Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page.of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. TOWN OF BARNST_ABLE .Permit No. ....... �TM(�0 33,650 • BUILDING DEPARTMENT I Cash TOWN OFFICE BUILDING //I} 679• /// �� HYANNIS.MASS.02601 Bond .....X L1. CERTIFICATE OF USE AND OCCUPANCY Issued to Greenbrier Corp. M •.I Address Lot #11, 45 Jenkins Lane West Barnstable, Mass. t USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ...........July..l4,...., 19.....9 0........ ......... ........ ............ Buil ng Inspector Iv1ASSACHUSETTS rSlJ1lLJII�IV� 1'�1'�1��■ ■ ., .4A:.118"604 W.B. DATE �,��:� , ) h I)o � 33G5( 19 PERMIT NO. APPLICANT own cr ADDRESS 001397 • (NO.) (STREET) (CONTR'$ LICL'N$EI PERMIT TO Build dwelling L ( ill) STORY S,:L;j ,ll:: f avd.ly dwelling NUMBER UMBE I OF NG UNI�rS k� (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) € lot #11 � 40 Jenkins Lane, We,,,t: Barnstable ZONING AT (LOCATION) ' DISTRICT_ (ND.) (STREET) BETWEEN AND (CROSS'STREET) ICROSS STREET) �! SUBDIVISION LOT k LOT BLOCK SIZE i ? I BUILDING IS TO BE FT, WIDE BY FT, LONG BY FT_IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION f TO TYPE USE GROUP' BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: S w: p,e 1r90) 111 ('. BOVD 1, AREA OR 1364 sq. i l 45,000 PERMIT �)9.25 VOLUME E51 IMAT'ED Cm $ FEE I (CUBIC/SQUARE IEEiI T•T-f-^- OWNER Grcenbl:.i.ax Gor !1c)s J.LU Curu:cal:u'- :.i.l ^'Lk U.::(,_f.' BUILDING DEPT, ADDRESS BY 1 � , lr4. ;t 'SC" 'FYl01NYNt"t9'rpAwrNrEw'I'O "FFY'fly'CfC-WO'R'K'S"'f'H'E"fS3'U'7C"N'`C'E-t7'F`"fN'IS-PE'RM1T-TSU'E'S7JU7-17'EZ '7C5E"-Y'Fi'E""A�PC•I'CIiN'1"'FR'D'AA-7"FiE"C'OtJDITI'ONS S OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED ALL CONSTRUCTION WORK- UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FORELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL INSPECTION TI TO LATHE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 f r ) ,.t,... ,....,«. 41 ,J u(� 3 G', --III AIINI,IN:•I'I CIIIIN AI'I'I1I IVAI:. I NGINI I I(lN(;ICI 1'AHIMI NI S (SJ3-0. W/tiIvE2 — n(lAR(�IR III Al III lieWORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT 'W!L L BECOME NULL AND VOID IF CONSTRUCTION INSP&:I'I(,)NS INDICATED ON]HIS CARD CAN Ri TOR HAS APPROVED THE VARIODUS STAGES OF WORK 15 NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANG[l) FOB HY 11-I.L•PII0NL U)r 011fifT(ri CONSnIUCHON. PERMIT IS ISSUED AS NOTED ABOVE. NUHFK;AIIUN. I J4 , - I sL I -- . INCL co y cA OD a Z m �1 tj � O • Lr . ewv s�k?ui fi I� v` •��.F •w M. �1' e g a '�� lid► i n �'►.11_/M f^2:04 ,A�•a-�•-1 a+'x"v.I� •n s aur+"t w•.rwe • i;.,1�,py�jµL hI►'uNR?V?fir• .46-10 it 1 4 .l���_ .. --' - ��• vp �c..��'� ' t. y.Lr-i..g•tG .r W �M ��1,/ 'L I. v �c r+Y+;S� �Y •1�L,V -Z 4 �,sr. .�,t a • n L, h Axi rr:vl•�" !•✓4•�� ►2 W. � pip v fr.r��r+ o►�rl..,y�. .�sus t=rf L _- va ry. 1 1 4N - - ! r- s •y.�s1 t 0-1 ' � .... .. ._. -- © � 1. � •?�1 •ytf i_ O1 :., r01 III 1, ' 7 1 I .-za II I � Imo►,`: it it i I i it II II it II '� II it I C=l El I . OUND I: a II _r L t Jenkins Lane (50' Wide Private) R-926.44 L=126.45' R=497.03' L=126.57' rn rn w N v Lot 11 N 45,206 sq.ft.f 12 T.O.F. ELEV. _ 0 83.37 10 AL �r. AL AL � F w AL �. AL AL � 138.75' N/F Thomas D. Jenkins OI 1 1 4/3/901 INITIAL ISSUE elk THIS PLAN 1S NEITHER INTENDED NO.1 DATE I DESCRIPTION BY- FOR, NOR SHALL IT BE USED FOR AS—BUILT FOUNDATION PLAN—LOT 11 MORTGAGE LOAN PURPOSES. JENFINS LANE BARNSTABLE, MASSACHUSETTS MR GREENBRIER DEVELOPMENT CORP. SCALE: 1" = 501 JOB NO. 1120/1120-11 I CERTIFY THAT THE FOUNDATION PAUL A. o�yG 11 o so 100 SHOWN ON THIS PLAN IS LOCATED LEVY 04 1ON THE -GROUND AS INDICAT D. No. IOG17 "/S Tr. Z. LEVY, ELDREDGE & WAGNER ASSOCIATES 111'C. ATE REGI T RED LAND SURVEYOR evc� uh»sceae aecl�ls nuns IAfiD SIlRVETOBs 1889 HEST MAIN STREET CENTERVILLE, Ma 02832 Asge oxs office (1st floor): ;� p - `"U SEPTIC SYSTEM MUST'B � ,Assessor's ma and lot number . J-......y...................... E Board of Health (3rd floor): pp�, «��'AB.LED IN COMPLIANCE. Sewage Permit number ........f....0...- l..02....., ........... WITH 7711.E DARBSTULL, Engineering Department (3rd floor): e, /5 Ob 1639. House number `7`- � ENVIRONMENTAL C®D �;� ''� y� .......................................................... . .. ....... Definitive Plan Approved by Planning Board ______� ----- --------I9 • -®WN REGULATIONS APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only A P P R ° Qom $WN OF BARNSTABLE s at eC n ervati ILDING INSPECTOR S IIe�4PPLICATION FOR PERMIT TO ...... t,;. 7/.W. ........ CV.(. ............................... TYPE OF CONSTRUCTION................W. ......F ....................................................................... ....................... ...........19..�j TO THE INSPECTOR OF BUILDINGS: ,The undersigned hereby applies for a permit according to the following information: Location /' ` L� !. �1....... f✓1.!!.t��..:(��....... /l r,....��v...... f l l�,!v.Sq- 3 L%.. ProposedUse ...... .� .�.� ...... (.1.4.".I.�� ....................................................... r..........................................................Fire District ........!.�...........:................................................Zoning District ...... 40 Name of Owner .... .......CO!`./......Address .....L [l,X ........5-1v......Q-��1.`•�• •t!•f 4�(..C.! Name of Builder ............................Address Nameof Architect .............I......--.....................................Address .....................:77777 n ....:................................................ Number of Rooms ........ .......................................................Foundation ....f!%)/.`r�.�.......1:...11). ....... C Exle for Al&�)Ax.... ���r . ......,64e5.....Roofing ......... .......... Floors ...... / .....................Interior ........... d:6�aa�....... Heating .....,ham�i(�. .....64.......... .1..........................Plumbing ...........0....... . ........................................ Fireplace .....1.V.61V.�J..........................................................Approximate Cost .............73. i�.... . ........... /� Area �W.. 7, ... ...... ��� ............... ............ / Diagram of Lot and Building with Dimensions Fee Z4' h 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 .....%-•`_'•1����� Construction Supervisor's License ......110.1.01.7.... i s X � 1 ;' - GREENBRIAR CORP. 33650 BUILD DWELLING ' ..n ...... ........... Permit for ........ ...................... Single �Family-fDwe ling t Location 45� Jenkins°Lan e (Lot 11) " - ........................................ ....................... } a :...West. Bar-ns�irable - k Greenbriar4oComp. - K - Owner t U. i Type of,Construction ..Wood Frame - `t .........J..................... `� . ....y .. 7................................ , Plot ........................ Lot' zPermit Granted-A.prdl:�.6......... .......1990 Date of Inspection .`.. ................... .1.9 /• , Date Completed 'Qd. 19 •0 c C. Ej r, ;. �..,i.,,.;:�,.�+Ki+-: ,r.�:' i. +.. : - c::':.:..�► 4.... `..,:tai.Y ti4 .,r+: a -+J�-r w.. „ i.su.n.�ra..:I;r .Aa...R.` �.:•. .- ♦♦.•V� v-w`•�,.r �'J.-.+vv.a ..,"!�_ _ f� - �J ;. . 61� �l�/CND[!,",�•�I�1/� [fJ,C�� �. �{'/,J- ��,.)CJ.pl�.k<�, Assessor's office..(lst floor): d /l �THE Assessor's map and lot number ...1..�?.. .=r... ..W.. ......:.... Board of Health (3rd floor): -� �� e Sewage Permit number ........ .....r. ...............,.,-............. IIAS { �ess9rsnie Engineering Department (3rd floor): '00 039, House number ..... .............. ....-� � Definitive Plan Approved by Planning Board ......./c__ _:7------198/___ . APPLICATIONS PROCESSED 8:30•-9:30 A.M. and 1:00-2:00 P.M. only a<v; TOWN .OF BARNSTABLB BUILDING 1HSPECT0,11 APPLICATION FOR PERMIT TO ........ ,1t..�. ............................ ................................... . TYPE OF CONSTRUCTION ................A.D�)...... .. ........................ ...(.a..........19... ../.(J TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .....� .....67 ...��......... .�J Y. ....... ti. ......Q �.Aj. .............. �. ....... •. I _ Proposed Use . ..1..!v.tr..�. ...... (1�.1( ('11 .... _ 1............... Zoning District ........!.1.........................................................Fire District .............. F Name of Owner ..... l,�-'(_ l�I..�i. .:� :jt ... ( .F�/U/.....Address ...... 4Y.... `� Name of Builder / Address .......................... ............................ ...:............................ Name of Architect Address f/c........... `....... .... ...............)+./.n...... .... ................../n............................. . Numberof Rooms .........�2............................/........................Foundation .....r. ...... ...........,............. �..�.. Exle r ...� .; . ....`?fl(1� .1; >.! ( >....Roofing ..�N. ... . .?......... Floors .(.. .` .1..../�.........A ..........."..!.......................Interior ................<?�,�f .. .. Q( �.......,....................... Heating ......, ( .....................Plumbing ............ .......6..........,.....r..................................... Fireplace ......../.�... ; . ............Approximate Cost • ���2 Area . Diagram of Lot and ,Building with Dimerssions / 9 9 Fee ........._..... .................... Y • wow OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform.to all the Rules and Regulations of the Town of Bdrnstable regarding the above construction. J �j Name ..... //!..,1,/ �1 ;,/ ,,. ..� !✓..... . f/ 2 c � Construction Supervisor's License .........6.�/: ..1 GREENBRIAR CORP. 1`11,7TT 3365 No ..............0. Permit for X� T X,eJ)..DWELLING sin5.1e...Famil-v...aw.e-1.1 i n.g........... ........ .... ............. Location ................... .................... Owner GreenbriaK...Qor.p.......................... ....................... Type of Construction ......Waad...Fx a.M4B.......... ................................................................................ Plot ..................... ...... Lot ................................ Permit Granted ......Ap?�i 1 6. .........................19 90 Date of Inspection ......................................19 Date Completed ......................................19 PERMIT COMPLETED 1,11L;. , ',{1.:�.r-'�.,�r�h.f�j..rY'Z--r1"�t'v�'i.�µi..-...*•....�^`.+.rN'".,:n..,+rhF��('�^�"'"y,•.��1�c�.f'�"r+alw"'�•`"`.�,�".n[4�'�"+fti^.'„y,`�+,.--►.ti,,,•��..,,....5.:..: �� �. - . TOWN OF BARNSTABLE Permit No. 33650 BUILDING DEPARTMENT t "x"j I TOWN OFFICE BUILDING Cash 639 X HYANNIS,MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to Greenbrier Corp. • Address Lot #11, 45 Jenkins Lane West Barnstable, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ...........JulY..1?.►...., 19.....90....... ......... ........ ..................... Buil ng Inspector A �-T- 20' MINIMUM OR AS INDICATED ON PLAN NOTES: 0 : ��'� INTERCHANGE 10' MIN. + ��' S 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.Q.E. gpRNSTAB�E Ro MASONRY EXTENSION TO 12' TITLE 5 ; THE TOWN OF u1K�.�5.'T AL_ _.___ RULES AND v�LLE-W BELOW GRADE BACKFILL WITH -7z,o REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE; OSIER WHITE BIRCH WAY TOP OF FOUNDATION 8• MIN. 7G, 7Y,J CLEAN SAND MASONRY EXTENSION TO 12• AND THE REQUIREMENTS OF THIS PLAN. PIONEER PATH �— �— BELOW GRADE 2. ALL COVERS TO SANITARY UNITS SHALL BE (BROUGHT TO LOCUS WITHIN 12" OF FINISHED GRADE. woo 4' SCH. 40 PVC PIPE 3. ALL MASONRY UNITS USED TO BRING COVER'S TO GRADE OS/DE D MIN. PITCH 1/8• PER FT. z• LAYER OF SHALL BE MORTARED IN PLACE. 1 a PER FT FLOW LINE 1/8" - 1/2" 4. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE 10" TEE WASHED STONE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR � Q 74, 3• MIN. 2'-0• a WITHIN 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING GE ROP v� GALLON 2• MIN. LEVEL w LEACH 4'-0• 1 PIT SHALL BE USED UNDER OR WITHIN 10 FT. OF DRIVES OR pL0 743 1 MIN. 71.5 �� — 3/4" - 1 1/2- LILEUID DISTRIBUTION W WASHED STONE PARKING. Box 5. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEED w ,v RESTRICTIONS OR ZONING REGULATIONS. OWNER/APPLICANT SHALL OBTAIN SUCH DETERMINATION FROM THE APPROPRIATE AUTHORITY. LOCATION MAP 1000 GALLON SEPTIC TANK z_ 8 a� L= 6. HORIZONTAL AND VERTICAL CONTROL, SEE LEVY, ELDREDGE ASSESSORS MAP 'ems PARCEL & WAGNER FIELD NOTEBOOK # 2- 7 LIQUID DEPTH IN SEPTIC TANK DEPTH OF OUTLET TEE BELOW FLOW LINE BOTTOM OF TEST HOLE 5;50 4 FEET 14 INCHES OR USGS PROBABLE HIGH WATER LEVEL 5 FEET 19 INCHES 6 FEET 24 INCHES CURRENT ZONING INTERPRETATION: DESIGN CALCULATIONS SEWAGE DISPOSAL SYSTEM PROFILE 72 ___ MIN. FRONT SETBACK 30 FEET NUMBER OF BEDROOMS NOT TO SCALE 70 x' GARBAGE DISPOSAL UNIT G MIN. SIDE SETBACK �= FEET TOTAL ESTIMATED FLOW �9 MIN. REAR SETBACK 15 FEET (//0 GAL./BR./DAY X BR.) GAL. /DAY ' REQUIRED SEPTIC TANK CAPACITY 44.E GAL. 72 ,'/ La n e �y ��) ----- ----- ---- ACTUAL SIZE OF SEPTIC TANK Goa GAL. 70 ----- enklri Js "- • �� LEACHING AREA REQUIREMENTS \_ 61 GG PERCOLATION SOIL TEST SIDEWALL AREA 2 GPD./S.F. BOTTOM AREA GPD./S.F. +gy p {50 , wide} okr_�,.r LA,r'�uFL4- - 1019:_ _ DATE OF SOIL TEST 7�2 f SIDEWALL 277( /0 /2)( )SF x 2�5 GPD/SF = 471 GAL/DAY --- - TEST BY I-cYv ~t� rta<_ ittag �ef z �� 26.A� --T --�- BOTTOM 7T ( / /2) SF x /,C, GPD/SF = 7S GAL/DAY ------_ 70 WITNESSED BY L 1 26.57 ', �" Z--'�'� �I, PERCOLATION RATE MIN./INCH �(g 7 SF "4 `' GAL/DAY — 72 G 7678 -______ - _� WELL TEST PIT #1(7/zsja? ? TEST PIT #2 BREAKOUT CALCULATION: 78 ____ =80 > 78 s 8 I i - �1 10 ELEV.= -7e.o ELEV.= e� WETLAND76 --�_ �- ��'Wor� J i� 84 � ' ` , i �, 72 —0.00 rtocci ioii.M t —0.00 Ta >� ..5uF�3�/ FLAG -- / 86 ti I 1 I '� — . a s�bao,<< LEGEND: NUMBERS 4 // i� 1 � ' /1 I . • : i ✓ 72 - _ -___ 8s {,4 ` ', ; ------ - - `. 5' EXISTING SPOT ELEVATION OOXO L d EXISTING CONTOUR-------00----- J FINAL SPOT ELEVATION 00.0 AL J FINAL CONTOURTP -� }- Qldl sari• rorrc..t p;.t • ` ✓ ,�J , I/ L'P I I -tn v-. :;.f. ::• a�ts�da� ►�»„ t of � ,E.i ��`'' �/ SOIL TEST PIT LOCATION�� i1 Nn G�Jafr. — 115, { No i�'..zk. <1 .3 - 18.a TOWN WATER W W o 0 Y i , �V SEPTIC TANK 9 � �� �\_.5��` ; ' �^ ; ❑ BOTTOM OF TEST HOLE P BOTTOM OF TEST HOLE DISTRIBUTION BOXPRIMARY LEACHING PIT 0 1 2 �q>, 1,� �1 � f , -__ OR WATER ELEV. . OR WATER ELEV. S 5. 0 7o f'1 \ , , ,^ RESERVE LEACHING PIT 'R, 1 WATER LEVEL ADJUSTMENT: 6 1/18/90 MORE DETAILED TOPOGRAPHY HOUSE AREA elk Wetlands ALL i I I ( 70 5 12/07/89 REVISE TOPOGRAPHY & LIMIT OF WORK Saw (OLD BOG) � �\ ,` ,' 4 12/04/89 CHANGE HOUSE SIZE DRIVE LOC. Saw ..1• ,� \ � \ � � I sa TEST DATE WATER LEVEL— 2 1024% MOPal 89 � F ADDED WETLAND FLAGGING C WELL elk INDEX WELL % WATER LEVEL RANGE ZONE 1 . 9/27/89 INITIAL ISSUE asl AL DEPTH TO WATER LEVEL FOR INDEX WELL N0. DATE DESCRIPTION BY •�� ----' FOR MONTH OF: SITE PLAN & SEPTIC DESIGN ---f- WATER LEVEL ADJUSTMENT #$ .• . . �0 138.75' _ LOT 11 JENKINS LANE • - DEPTH TO HIGH WATER AL IN '• • WETLAND LSOTA E°#10 BARNSTABLE, MASSACHUSETTS 11/0 7-4-5 ' 68 • #.1 I, (�,I roof IGac -fie be e- ce-s tonnctcd FOR to cl,^yW I I S N/F Thomas D. Jenkins ALLOT 11 STEPHE�N �q�s GREENBRIER DEVELOPMENT CO. INC. 2, �r, s uay to 'Or. crms+�u�+eeQ o pc.rutov,;, 45,206 sq.ft.t APPROVED: BOARD OF HEALTH -Z � ALLYN m4�crto1 ( i.e :tzars �Pr.�ci,ctc.) 1 ,631Sq.ft.f Wetlands 0 WILSON 3 /vo tvdrztr /s TO ,ate �a✓� 0AI Liir/�r ' 43,575 s ft.� Upland ,� �, NO.s©zls ' q. p SCALE: 1 = 40 JOB NO. 1120 1120-11 OF V,4oMK. I� :.Tli►ttrO FsND HAYt',t�LE vrd SITE PLAN ��� �� � DATE AGENT ^ �,q ,". S L-T f=E-�.-JC C- 15 1hJ5rA r_L.E D A; T H IS LEVY, ELDREDGE & WAGNER ASSOCIATES INC. L_tMIT PERMIT # ,/f• L�NGIlV W LANDSCAPE ARCAfl M PUNNO LAND SUHYSYORS 889 WEST MAIN STREET CENTERVILLE MA 02632