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0285 SHOOTFLYING HILL RD
8 5 S1� � j� N'��. .. q ..,.::.e....s;����m' �:.fr�4_�.. .. .,..: :;viAy ,..�,,., ...-.- ..�,�,.- -r .��ri _�yyi. ,� :.): .�... �� :� :,�:::.:n�. C�' � i� � 774 � I ti _Town of Barnstable o� }Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept Shed MASS. $ lPosted Until.Final Inspection Has Been Made. - • ,639 Registration Fo MA'S" Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Registration Number: B-20-861 Applicant Name: Carolyn Rasmussen Approvals Date Issued: 04/01/2020 Current Use: Structure Permit Type: Building-Shed-Residential-200 sf and under Expiration Date: 10/01/2020 Foundation: Location: 285 SHOOTFLYING HILL RD,WEST BARNSTABLE Map/Lot: 214.014-001 Zoning District: RF Sheathing: Owner on Record: RASMUSSEN,CAROLYN N Contractor Name: Framing: 1 Address: 59 WEXFORD STREET Contractor License: 2 SPRINGFIELD, MA 01118 Est. Project Cost: $3,000.00 Chimney: Description: Plan to have a shed (pre-built,delivered by The Shed Place) place Permit Fee: $35.00 on my property at 285 Shootflying Hill Rd,Centerville, MA 02632, Fee Paid: $35.00 Insulation: behind the house. i Date: 4/1/2020 Final: Project Review Req: 8 x 14 foot shed - ,� Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months afterEissuance. 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. 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 Final Gas: work until the completion of the same. ' The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: !` Service: 1.Foundation or Footing `.rf 2.Sheathing Inspection �. Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed- 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons cting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: n�. Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: I Town of Barnstable *Permit# — tres 6 months from issue date Regulatory Services f Fee • BARNSfABLF- • 1 tKAM Richard V.Scali,Director p 059. Building Division .Paul Roma,Building CommissionerDEC, 0 200 Main Street,Hyannis,MA 02601 6 2016 www.town.barnstable.ma t�s'�IN Office: 508-862-4038 v t�Jsa 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Npt Map/parcel Number Valid without Red X-Press Imprint �,l /4�� Oo/ , l Property Address s,03 cQar l- !'✓1 f« Residential Value of Work$ g P�a'O ®� Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 'ek(2 -ar- -b 4 7d 9 q ze Contractor's Name Telephone Number J�©�776 4�C� Home Improvement Contractor License#(if applicable) !�� Email: -7C��(�/ /�®��/�r����� Construction Supervisor's License#(if applicable) 09-6 7 3, 3 ❑Workman's Compensation Insurance Check one: [� 1 am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name • Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) D6 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 rp,quired. SIGNATURE: QAWPFILESTORMS\building permit forms\EXPRESS.doc 06/20/16 r The Camwmnveakh c[fMaYsrtcltrme&s Departuent ofIndrrs&iatAcrden& ' f lfwe of Lrpe*adons. 600 Wasuzzoon shwet Boston,MA 02111 imm massgovIdia WCWIMrs' Cauzgensa un Iusurance AffidaviL BEiIder-slCnntracWrsMecfricianslPlmmbers Applicant Inform,affon Please Prm -Na=M 0 7 c¢yfst - phone� Are you am employe .:Qteckthe appro a box: Type of project r I_❑ I am a employes tiritlr ¢ I am a general contractor and I 6_ Nenv construction �: employees(frill andfor part-fiime * baveltiredifie sob-coub[actos ❑ 2.❑ I am a sale proprietor orp=Iner- listed on the attached sheet: y- ❑Remodeling. shtip and have no employees . These sub-coat actors have g- ❑Demolition worsting :For me in any rapacity. employees and bave wadcers' 9..❑Builc1ing addition [No iVodonS'camp.insurance comp_mertrarttm+t - r -] 5. ❑ We are a corporation and its 10-❑Electrical repairs or additions 3-❑ I am a homeoumer doing all work officers have exercised their 1L❑Plnmbingrepaiss or additions ,� o workers' _ right of exemption per MGL y �,� 6)Y F c.I52, g1(4)6 andwe have no L_ Raofrepairs employees.(Nowa&ms' 136LJ other COS-insurance wed.) 'Any app&csv2Hiat chedlsbos R nmst also falcutthe stdi=b6 wshuvdag theawodcere®peasatinnpaTiep inffi=Mf cn. I�d�eoa+aers vrho sa6�this afddae i c y�Y exe dain�¢If Wow mad dui hoe outside r..nt,s.e,,.cmm�t submit anew ai3idavit'mdiamna sach- ZCa Alf ch I this but mast attaeb m.additi®al sheet sboWh g the name of the sub-cam and sty Whether.ar nat ihme a line e npbyees.Iftbe aabta�bane empIgyw_%thejr—, pmvAe thw wadce'imp.pdhcg m en lam an enipIrryar prat is prauiriirtg rvorkets'comrper[sa(ior[u[suraRcs�vr my e>TrplvJ�ees ffebov is t riepv cy and job she informadom Insurance Company Name: 'Policy 4 ar Self-ins.JUc.; Expiration Date: Job Sifts Address` CidylSt __ Attach a-capy of the workers'comipensationpolicp dechwation page(showing the policy,number and expiration date). Failure to secure coverage as required under Section 25A o€MGI.m 152 can lead to ffie impositimII of criminal penalties of a fine up to$00Q00 aadfor on_e yearitnprism=eut,as Well as viiil penalties in the farm of a STOP WORK 01MER and a fne of up to$250.00 a day against the violator. Be advised'that a copy of this statement maybe fonvarded to the Office of Investigations oftim DIA.for fin= ace coverage verifcati n- I To kersby cmg5r a ndar die V' ,,mnpenaWw o thatAa inforwrafiunprovwW abore Is bus and correct Phone ig: afYWd use anlp. Do not write in this axea,€c►be completed by city artawn aXidml City or Town: FermitUcense;ff Lwaing Au&ority(mrIe one): L Board of$eahh I luTdiag Department 3.Cltfirowa Clfxk 4.Electrical Inspector S.Plumbing Inspector 6.other Coact Person: Photo - - 6 orr'ation and Instructions Meets C=19: al Laws clnaptrr M reggaes an euzplvyexs to provide wozi s-'compeasafiion far fheiF employees. Prnsaant tD this sue,an errrplayee is derfined as=every permm in the smdvice of another under any contract ofhire empress or hnpHDd,oral or wzhmf An employer is defined as`pan fijdj ideal,paxiners association;corporation or other legal eddy,or any two or more of foregoing engaged is a joint uprise,and mcludmg the Legal re�e�ixves of a deceased employes,or t31e receiver or trustee of am mchvidna-L partnership,association or othemlegal eatitY,employing employees. However the owner of a.dweIIinghouse havingnotmore than.flm=apadmerb andwho rrsidesffiereia,or the occupant ofthe - dwaIIing house of another who employs persons to do mairtmmce,comhmr on or repair wok an such dwelling house or oa the grounds or building appvrfna t thereto shall notbe•canse of sorb.employment be deemed to bean empployen" MQ,chapter 152,§25C(6)also Staf�S that"every state or local licensing agency shall withhold the 7s3aaace or renewal of a license or permit to operate a business or to construct buildings in the cornmonwealth for any applicant Who has not produced acceptable evidence of compliance with tiie insur=ce.coverage required." AddifionaIly.MGE cbaptra 152,§25C(7)stains OIeitherfhe comm.aawealthnor fiy ofitspoIifical sabdivisious shall enter into any contract for the perfl anw ofynbhc work until acceptable evAm=of cornpEga.ce with the,msm-an= req=-anenfs of this chapter have been preseted to the confcading authority." App4c-anfs PIease fill om: the wo&eas'compensation affidavit completely,by chmldng the bores that apply to your situation and,if necessary,supply sub-co� s)name(s), address(es)andpbo=— ex(s)alongwiththez coca±*) of nnsormzce. Limitrd Liabi ity Companies(I.LC)or Uo itnd LiabMty-Parfnesships(LU)wit no employ=other than the mc=hers or partae2s,are not requaed to carry workers' compensation.iasara'ce• If an 1J C or LLP does have employees,a.policy is required. Be advised that tizis afEidayk maybe suhmitfedto the Department of lndas5rial Accidents for conffimaf M of msnrance coverage Also be sure to sign and date the afudavit The affidavit should be ret mncd to the city or town that tine application for the permit or license is being requested,not the D ep artne at of Indastrial Accid=:Ls. Should you bane any questions reganTmg the law or if you ate re`qmm_ed to obtam a workers' C103npens tic policy,please caII tiie Depairtm ent at the n=ber list below- Sf:lf-insured cmnpanies shonId ear their self au=ance license number an the appropriate Ime. City or Town Officials f _ Please be sore that the affidavit is complete and priced legibly. The Department has provided a space of the bottom of the affidavit for you to fill out in the event tine Office of Investi,gaticns has to contar-t yam regmrdmg the applicant Please be mnr.mfill in the pe /Iicease mmiber which will be used as a reference nomber In-addition,an applicant that must submit multipIe,pr=t/T;Se applitsfions is any given year,need only submit one affidavit macaimg cunt policy information(if necessary)and under"job Site Address"the applica t should v;,z-rb--"all locations in (,ci1-y or- town).'A copy of the•affidavit that has been offficially stied or mm imd by the city or town may be provided to the applicant as prooYthat a valid affidavit is on file for futa re pannits or Hce:oses Anew affid &:rM st be fMcd 0i1 each year.Where a home owner or citizen is obt-ammg a liccase or pemutnot xelatrd to any bnmness or commea-cial veoiznm Ci_e_a dog license or permit to bum leaves etc-)said person is NOT retpzaed to complete finis affidavit The Offim oflnyesfigations would lilmto tTiank you ia advaaco for your cooperalian and sbonl dyou.have,any-questions, please do not:hesifale to give us a call. The Department's a ddress,inlephane and fax rlumbea: of l ' Dent of�Aaridenta Of of InVeWoti= 64 Wan Stet ` BQSt==MA Oil I I Ted.4 617- -4 e�ft 4€6 or i-&77-MASS Fax 617 727 7749 Revised¢2447 p maw g i . r —,per Uhe$2"bwwaxusea&1'.o�C eac�uraeG�a �\ Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Type: LLC :Registration Expiration i= 1 .6079 09/26/2018 MCP Construction. , LC�= '; charles pisacana,t _ 1 l 9 Parker Rd. Osterville,MA 02655 Undersecretary . s' Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-086733 Construction Supervisor CHARLES PISACA6 PO BOX 126 HYANNIS PORTPA 2 Expiration: Commissioner 07/29/2017 Registration valid for individual use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 Not valid without signature Construction Supervisor Restricted to: Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991 cubic meters)of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. DPS Licensing information visit: WWW.MASS.GOV/DPS ® DATE(MM/Davrw► A�® CERTIFICATE ®E LIABILITY INSURANCE 9/15/16 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(ies) must be endorsed. if SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER _NgMEac JIM HINDMAN Schlegel & Schlegel Ins Broker PHONE (508) 771-8381 ax N : (508) 771,0663 34 Main Street aonUss: schleqelinsurance@crmail.com West Yarmouth, MA 02673 _ INSURERS AFFORDING COVERAGE NAIL# iNsuRERA:NGH INSURANCE, COMPANY 14788 INSURED INSURER B,AIM MUTUAL _ IM CONSTRUCTION CORP INSURER c 187 SANDELWOOD DRIVE INSURER D: COTUIT, MA 02635 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS ANDCONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. WSR A OL1SU6R ( POLICY EFF- 'P"OLICY EXP LTRF— TYPE OF INSURANCE N POLICY NUMBER I MMIDDNYYY I MMIDOIYYYY UMTS A GENERALLIABILITY `f, IMPT3157P 7/14/16 7/14/17 EACH OCCURRENCE Is 1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES( ocwrre $ 500,000 CLAIMS-MADE DxOCCUR 1 ME0EXP(Any one person) S 10,000 111! PERSONAL&ADV INJURY $ 11000.000 GENERAL AGGREGATE $ 21,000,000 �GFWLAGGREGATELIMITAPPLIESPER PRODUCTS.COMPIOPAGG $ 2,000,0 POLICY PRO- L0C $ AUTOMOBILE LIABILITY Ea accidart l L I $ ANYAUTO BODILY INJURY(Per parson) $ ALLOWFED SCHEDULED BODILYINJURY(Per accident) S AUTOS AUTOS NON-OWNED PROPERTY DAMAGE' $ HIRED AUTOS AUTOS I RefacideM I UMBPELI.A LIAR OCCUR EACH OCCURRENCE is EXCESSLIAB CLAIMS-b1AQE AGGREGATE 3 ¢ I DED RETENTION$ I B WORKERS COMPENSATION _., WC-1000543 12/]9/1s 12/19/16 T.QJIILLlM17S. E,R_ AND EMPLOYERS'LIABILITY ANY PROPRIETOW'PARTNERIEXECUTNF Y`-"—N i El.EACH ACCIDENT S 100,000 R NIA OFFICEMEMBEREXCLIDED? Y� (Mandapry In NH) E.L.DISEASE•EA EMPLOYEE $ 100,000 Ify es,deEcribe under DESCRIPTIONOF OPERATIONS below 1 E.L.DISEASE-POLICY LIMIT $ 500,000 F1' .. . i DESCRIPTION OP OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Reimrke Schedule,if more space Is rogd red) CORPORATE OFFICERS HAVE ELECTED NOT TO BE COVERED UNDER THEIR CURRENT WORKERS COMP POLICY a✓ f CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN CHARLIE ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 1900.2010 ACO RD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: CHARLIE@MC:PPROPERTIES.COM Town of Barnstable Regulatory Services RkLrd V.Sean,Meowr Building Division ,Paul.lEtoma4 Banding Commialm" 200 MWh sweet,Hy=nfs,MA 02601 www.towa.barawbiama= Offioe: 508-962-4039 F= 50&790.6230 ! Property Owner Must Complete and.Sign This Section If Usung A BuaUdrr >; J0%A N.. A_ w tc�Z"o,,xr -1 as 0W=of the wbjwt ptopedy hereby mathoxiu c-*AAc2121 t 0o sct oa my bebal im aII mamers rclative to wak urthmzod by thin bwUing Pmait apphmtioa foes (Addeea of Job) "Pool fences end 21ar ms are the respondbility of the applicant Pools are not to be filled or utilized before fiance is installed wad aIl final inspections are pcd*=aed and accepte& f own« Sign-to of Appliaat Psaat Namc Psiut Kama t1/� Zoi� Date l E s s TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY 00c)--000.- 07S PARCEL ID•=r 6±4 GEOBASE ID 13199 ADDRESS 285 SHOOTFLYING HILL RD PHONE W. Barnstable ZIP LOT 1 2 3 & BLOCK LOT SIZE DBA -= DEVELOPMENT DISTRICT WB ( PERMIT 19328 DESCRIPTION SINGLE FAMILY DWELLING PMT.017445) PERMIT TYPE-A BC00 TITLE CERTIFICATE OF OCCUPANC CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: BOND $.00' O�IN , CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY ' BpRNgi'ABLE. ' I. MAS& OWNER PRESTIGE PROPERTIES, 1639. ADDRESS 1645 FALMOUTH ROAD w * CENTERVILLE MA BUILD. G DIVISSBY 4 DATE ISSUED 11/15./1996 EXPIRATION DATE Town of Barnstable Regulatory Service ��� � � wPt Richard V.Scali,Direct'" 'AN 10 01 • - Building Division BAMSrABM MASS, $ Tom Perry,Building Commissioner 163q �0 '•Tfp Mpt A 200 Main Street,Hyannis,MA�04 www.town.b a rnsta b le.in AusVI-S 10 ti! Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: D - HOME OCCUPATION REGISTRATION Name; n?l C I ' C,&4V$I Phone#: 774. Z 6 ! 6 733 Address: Z K5 S hOOT T-W)IA 0 I U IM Village: QS av,5n.) Ibtc /� Name of Business: ✓V`2,5011 1, lqlLts (�►`S� iI,�G�� O+2 Type of Business: I'MOt_5®y1 W- -Map/Lot 2 l°4 01�4 001 INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling. there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. , • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. 1,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant: Nl l Date: 01JZ Homeoc.doc Rev.103113 C YOU WISH TO OPEN A BUSINESS? /Y For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: ��• I Fill in please: gr- APPLICANT'S YOUR NAME S: - aIE t ✓t� a4 �6 - �(�o ZqS LL BUSINESS YOUR HOME ADDRESS: l C- 4 , TELEPHONE # Home Telephone Number NAME OF CORPORATION: NAME OF NEW BUSINESS XS O n�k V ML S ` _O Y S v�. - O'Y\TYPE OF BUSINESS <!�Nn r i IS THIS A HOME OCCUPATION? t ES NO ADDRESS OF BUSINESS 216 Yl01.0 i ciG _ MAP/PARCEL NUMBER 21 44 0/Ll OO/ (Assessing) VMS T bap S n l c(b t When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONE ' .FFICE This individual has n i rmed of any emit requirements that pertain to this type of business MUST COMPLY WITH HOME OCCUPATION r rized Signature RULES AND REGULATIONS. FAILURE TO COMMENTS: C7 I :'.� ' r I REW LF L ►1 l 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: e... TO Oi? BARfi7S?'FBL:� � BUILDING PERMIT` Ct PARCEL ID 2i4'- 014 - GEOBASE ID • 13199 ADDRESS 285 SHOOTFLYING HILL RD PHONE W. Barnstabie ZIP LOT 1 2 3 & BLOC{ LOT SIZE DBA DEVELOPMENT-- DISTRICT WB :.> PERMIT 17445 DESCRIPTION SINGLE FAMILY DWELLING (SEW.PMT.#96-351) PERMIT TYPE BUILD TITLE NEW RESibtaftIAL BLDG PMT CONTRACTORS: PRESTIGE PROPERTIES, INC- y v Department of Health, Safeti ARCHITECTS: and Environmental.Services TOTAL FEES: - $255.00 BOND '- . $.00 t Ox Im CONSTRUCTION COSTS $82,280.OU • �.�� 101 SINGLE FAM HOME DETACHED 1 -,-3 PRIVATE P ( s 4.:\ C Muss: �► OWNER PRESTIGE PROPERTIES, -� ,�,.•�r' �� •- EDP ADDRESS 1645 FALMOUTH ROAD CENTERV I LLE MA BUILDI• VI'SI 1� - �`• __DATE ISSUED 08/22/1996 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 PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND M FOR (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. CH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. l BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APP y+ 12e- /0 APPROVEDA.. TOWN OF .BARNMBLE' ❑ GAS -W WIRING 2 / l 2 4 /vM 11 Lr PLUMBING "�"❑ BUILDING 3 ID 1 EATING INSPECTIO14 APPRO 2 DOFH LTH OTHER: SITE PL&W REVIEW APPROVAL lC � V HALL NOT PROCEE UNTIL PERMIT WILL BECOME.NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS SPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. 000 Goo- Ogg Assessor's Office(1st floor) Map Parcel Permit# Conservation Office(4th floor)(8:30-9:30/1:00-2:00) Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) Fee q6 R v?5�� 00 .� �""JM LIA Engineering Dept. (3rd floor) House# c� �'��s 11� TALLE VI anning Dept.(1st floor/School Admin. Bldg.) :��6 � NSI,'KB T'A"e--• e initive Plan Approved by Planning Board :)!. 19 - MA ag ,� c- 1 C�L— i'J V -3-.• e- P N, l2 IG.✓ ��✓1'1 eo►An+e G TOWN OFARNSTABLE tea/ Building Permit Application Project Street Address Q T / 9 � '�' `�✓' �� /Z Vic✓ Village Owner a rc e 6-Ys Address /�y� l o u6/ ��/ &A-6e,v,l4 Telephone 7-7 1- Q o o 3 Permit Request ` �e� 'T S �� "l y �'' /J.",/ First Floor 8/` square feet q Second Floor 4" square feet Estimated Project Cost $ (�o�, ag?? Zoning District K Flood Plain C Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use a le T L Construction Type Commercial Residential x Dwelling Type: Single Family x Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway /.4 Number of Baths No. of Bedrooms 3 Total Room Count(not-including baths) G First Floor Heat Type and Fuel l dA Nat. Gas Central Air Fireplaces f Fur c Garage: Detached Other Detached Structures: Pool Attached Barn ^/a None Sheds "1 3 Other "/2 Builder Information Name ���s P:o�{ Y S Telephone Number -7-7 "�0 3 T ' Address i(,Y f /u ro G 'e`/ License# 6(. U rt `l i S',•6< E - / Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBR14 RESULT NG FROM IS PROJECT WILL BETAKEN TO Aall SIGNATURE I DATE �1 BUILDING PERMIT ENI D FOR THE FO LOW RE ON(S) FOR OFFICIAL USE ONLY . PERMIT NO. C7Q DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE _ OWNER ` DATE OF INSPECTION: Q i , FOUNDATION w FRAME se ups t ` ` `''� +1� � - - . .• . INSULATION - FIREPLACE ` ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL - rt GAS: ROUGH FINAL - + FINAL BUILDING `` • ' DATE CLOSED OUT ASSOCIATION PLAN NO. ` f QUERY PERMITS: .QUERY END QUERY PERMITS PENTAMATION----------------------------------------------------------- 03/26/97 PERMIT NUMBER 19328 PARCEL ID 000 000 078 285 SHOOTFLYING HILL RD PERMIT TYPE BCOO CERTIFICATE OF OCCUPANCY DESCRIPTION SINGLE FAMILY DWELLING (PMT.#17445) CONTRACTOR PERMIT FEE 0 . 00 VARIANCE STATUS C COMPLETED a CONSTRUCTION TYPE 756 GROUP TYPE APPLICATION 11/15/1996 EXPIRATION VALUATION 0 . 00 DATE ISSUED 11/15/1996 COMPLETED 11/15/1996 DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE---- (N) EXT/ (P) REVIOUS/ (C) ONTRACTORS/ PR(0) PERTY/ (I)NSPECTIONS/ (H) ISTORY/ (F) EES/ (A) RCHITECTS/ (V) IOLATION/ (E) XIT f r ;V ;i it • 1F • N 03/27/97 TOWN OF BARNSTABLE PAGE 1 PROPERTY/PERMIT CROSS REFERENCE SELECTION CRITERIA: property.parcel_id=1214 014' ALL CONTRACTORS --- PERMIT ----- MASTER NUMBER TYPE PERMIT. PARCEL ID ADDRESS LOT/BLACK DBA EXPIRED 18016 ZBGAS 214 014 285 SHOOTFLYING HILL RD 1 2 3 & 18017� �'BPLUM 214 014 285 SHOOTFLYING HILL RD 1 2 3 & 18152 LEC 214 014 285 SHOOTFLYING HILL-RD 1 2 3 & 18978 ECNB 214 014 285 SHOOTFLYING HILL RD 1 2 3 & 19547 BGASA 214 014 285 SHOOTFLYING HILL RD 1 2 3 & Doo o© J RUN DATE 03/27/97 TIME 10:13:00 PENTAMATION - PERMITS MANAGER i r� QUERY PERMITS : QUERY END QUERY PERMITS — r ` PENTAMATION----- -------,-- --- ,------ — --- ---------------------- 03/26/97 PERMIT NUMBER 174 !PARCEL-- -ID--2-14___014 '> 285 SHOOTFLYING HILL RD PERMIT TYPE BU NEW RESIDENTIAL BLDG PMT ? r DESCRIPTION SINGLE FAMILY DWELLING (SEW. PMT. ##96-351) CONTRACTOR PERMIT FEE 255 . 00 VARIANCE STATUS A ACTIVE CONSTRUCTION TYPE 101 GROUP TYPE 1 APPLICATION 08/22/1996 EXPIRATION VALUATION 82280 . 00 DATE ISSUED 08/22/1996 COMPLETED DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE---- (N) EXT/ (P) REVIOUS/ (C) ONTRACTORS/ PR (0) PERTY/ (I) NSPECTIONS/ (H) ISTORY/ (F) EES/ (A) RCHITECTS/ (V) IOLATION/ (E)XIT i a a i ( V \ a t� ,- �`" w. The Cotnmottl+•cahlt of? fassachusetty Department of Industrial Accidents OftfC9OfI ves119a1180S 600 Washington Street Boston.Mass. 0 111 ' Workers' Compensation Insurance Afrdavit �nficaan nformatio'n Please PRiN'T"leribjy ,*�_ -- rest' % •e ro C `eS mac . locition Anne# -7-7 l- G?ljj 3 1 am a homeowner performing all work myself. 1 am a sole proprietor and have no one working in any capacity r_--a:s...e�^"'--e.re�-Tr:.+�We.�.n...�Vsi_;.7�•�!+.s�':;,,_�.._ ._.;..._ Y _ .._ .•...... -----`-3' -�`� rw— I am an employer providing workers' compensation for my employees working on this job. comimay Itlre� • • city Phone#• incur-ince co Policy# � []�I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who hav: the following wo7,e rs' compensation polices: m anv mime: II " address /(.ys --�6lucav6z ��✓.� �u �t �e Ce 4 �ry ; /1, phone#• 7 l ' ��1J3 cin (/ nsuran c co, �� - � -•' _• .+en!:: � '71�.-c^•r•�•: (Te•4�5:. — '�-arr•T+aV���TJir! •.�R+:_•:- cnm an• name: -iddre c- city phone#• curnnce co. Policy0 -_-- Attach addi_tional_• Ceti if n_eeessa �. �- - ., '!�• ....,..�.. ��`` ..r'. _ =_"" :' --"^�'S'�w"'z'i° Failure to seen ge requir under Section' of A1GL 1SZ can lead to the imposition of criminal penalties of a fine up to SI.SOU.UU anJrur unc years'im iso me t swell vil penalties i h form of s STOP WORK ORDER and a fine of S100.00 a day against me. I understand that at. copy of this s at m ntt y` c f v rded to the O ice of Investigations of the DIA for coverage verification. ' I do hercbt• i I Cr l e pa is and-putt erjuty that the information provided above is true nd co ed. �� l1�5 � Signatum �• Date Print name / Phone# �� ( " r14C0i`t`i1-00i2r' use unly do not write in this area to be completed by city or town oiTcial town: permit/license q r•tfluilding Department Licensing Huard 0 check if immediate response is required 13seleetmen's Office (311c2fth Department (contact person: phone#• riOther (Mired V95 PJA) " Information and Instructions Massachusetts General Laws chapter 152'section 25 requires all employers to provide workers' compensation for the . . employees. As quoted 1rom the "law-. an entphovee is defined as every person in the service of another under anv contract of hire, express or implied, oral or written. An emp/itrer is defined as an individual" partnership, association, corporation or other legal entity. or any two or mor the fore�_oin�a, enuaged in a joint enterprise, and including the le-al representatives of a deceased empiover, or the receiver or trustee of an individual , partnership, association or other legal entity, employing employees. However th owner of a dwelling house Navin- not more than three apartments and who resides therein, or the occupant of the dwelling; !rouse of another who employs persons to do maintenance , construction or repair work on such dwelling ho or oft the ;,_rounds or building appurtenant thereto shall not because of such employment be deemed to be an employe MGL cha.pier 152 section 25 also states that even-state or local licensing Agency shall withhold the issuance or reneival of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter ;- been presented to the contracting authority. -77 Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names. address and phone numbers as all affidavits may be submitted to the Department of industrial Accidents for confirmation of insurance coverage. Also be sure to sign and elate the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested. not the Department of Industrial Accidents. Should Vod have any questions regarding the "law" or if you are require-- to obtain a workers' compensation policy, please call the Department at the number listed below. .. .. ... ..... .. lay:•.. 1:.. .,�. -ia��.�+..�J:' •:i•. City or,rowns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at tite bottom o the af7idavit.for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pie: be sure to fill in tite permit/license number which will be used as a reference number. 17te affidavits maybe returned the Department by mail or FAX unless other arrangements have been made. The Office of Investi_ations would like to thank you in advance for you cooperation and should you have any question; please do not hesitate to give us a call. The Department's address. telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax #: (617) 727-7749 r.. nhnne-#: (61 7) 727-4900 ext. 406. 409 or�75, ISSUE DAT E s Q�UII/DD . ::: ... . ..::. ... %'i'i' rt:':'E y <.s..f........ 06 27 96 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE JOHN MCALP INE INS. AGCY. DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ONE CENTER PLACE CENTERV I LLE, MA 02632 COMPANIES AFFORDING COVERAGE CODE SUB-CODE COMPA LETTERNY A EASTERN CASUALTY COMPANY B INSURED LETTER PRESTIGE PROPERTIES, INC. COMPANY C LETTE1645 FALMOUTH ROAD COMPANY D LETTER STE E-1 CENTERVILLE, MA 02632 COMPANY E LETTER VERA ....::::::::•::::•::::::.::::::•:::•:::::::::::: :::::.::::.:...:............. .::::::::: :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: 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. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIO Lvm DATE(MM[/DD/YY) DATE(MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE f COMMERCIAL GEN.LIABILr1Y PRODUCTS-COMP/OP AGG. E OCCUR. PERSONAL&ADV.INJURY CLAIMS MADE ❑ E OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE E FIRE DAMAGE(Any one fire) $ MED.EXPENSE(Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S ANY AUTO ALL OWNED AUTOS BODILY INJURY S SCHEDULED AUTOS (Per[ten) HIRED AUTOS 9 BODILY INJURY $ NON-OWNED AUTOS (Per Accident) GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE E UMBRELLA FORM AGGREGATE E ...................................................................................... ............................................... ...................................... ...................................................................................... ............................................... ...................................... OTH ER THAN UMBRELLA FORM STATUTORY LIMITS WORKER'S COMPENSATION WCV O 0 2 2 7 6 8 0 6—21—9 6 0 6—21—9 7 EACH ACCIDENT a,.:. 100, 00c AND DISEASE-POLICY UMrr ' $ 5 0 0, O O EMPLOYERS'LIABILITY DISEASE-EACH EMPLOYEE $ 100, 0 O OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS ...................................................................................................................................:::. ................................................................................................................. . z SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE TOWN OF BARNSTABLE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO BUILDING INSPECTOR MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE MAIN STREET >' LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. HYANNI S, MA O 2 6 O 1 <z' AUTHORIZED REPRESENTATIVE #11332-1 .................................................................................................. hK:O Rxi7€9[#�N ESQ. j JII I / 1 v I f�B2. co LOT 20 , I ' 210' WIDE CAPE do VINEYARD / EASEMENT i / N W uul -LOT 19A N / 44,488 sf± 1.02 acres± 27.0± CONC. 104.4± / FOUND. � R•- cf o° g1LL FL � oODT JOB # 96-194 CER TIFIED PL 0 T PLAN I LOCATION : SHOOT FLYING HILL RD. CENTERVILLE, MA SCALE : 1" = 60' DATE : SEPTEMBER 25, 1996 PREPARED FOR: REFERENCE LOT 19A LCP 22556C r (PENDING) PRESTIGE PROPERTIES I HEREBY CERTIFY THAT THE STRUCTURE SHOWN ON THIS PLAN IS LOCATED ON THE 1N Of M GROUND AS SHOWN HEREON. t ARNE of 5M-382-4541 H. F fox WS 362-9= OJALA H 1 26348 own cape engineering, inc. ant �o CIVIL ENGINEERS ( d� ` ` `� LAND SURVEYORS -- ----- --- — ------ ii 939 main,eL ywmouth, mo 02675 DATE REG. LAN SURVEYOR `OpIKE l0 The Town of Barnstable O� 9 BA MAgT,LE. MASS g! Department of Health Safety and Environmental Services i639' �0 Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Building Fax: 508-790-6230 g Commissioner Inspection Correction Notice Type of Inspection Location.. `A, ;j r i ' Permit Number Owner `s . _` �f �_� c Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: r a , i Please call: 508-790-6227 for reeinspection. Inspected by Date l " ' �.' �� `OpIKE A The Town of Barnstable BARNSTABLE. ' Department of Health Safety and Environmental Services MASS. is39• �0 '�Fo►uy0. 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 R Location 2!�S S 1��uT �.`(' Permit Number 1 +4 4 ►--, Owner 6 �, Builder � T G L One notice to remain on jobsite, one notice on file in Building Department. /^ The following items need correcting: \'-Q \4 7 fit\ /0 � �czz ia2 ' T-0 Please call: 508-790-6227 for reeinspection. Inspected by `i�Z(i Date y FUtrn topssiss a crriini COMMONWEALTk DEPARTMENT OF PUBLIC SAFETY cocro"Arsstts State 1jrit4lai OF ONE ASHBORTON PLACE C�oIsarrsr for revooatl" MASSACHUSETTS BOSTON,MA 02108 mltAlsllcrrsm. I • LICENSE CAUTION EXPIRATION DATE 01/29/1997 CONSTR. SUPERVISOR EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINST RESTRICTIONS THEFT, PUT RIGHT THUMB 00 08/01/1993 060864 8 PRINT IN APPROPRIATE g 5 BOX ON LICENSE. TIMOTHY J LUFF BLASTING OPERATORS 1550 ROUTE 28 04 5 MUST INCLUDE PHOTO. PHOTOMLA§ OPRONLY) FEE: .C:ENTERVILLE MA 02632 • OT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY TAMPED-OR-SIGNATURE OF THE COMMI OVER -` HEIGHT: I'.7•..;wry.Y:t •'•''.•'rylx. THIS DOCUMENT MUST BE {i•:11 `. a SIGN NAME IN FULL ABOVE SIGNATURE LINE CARRIED ON THE PERSON OF SIG E I NSEE THE HOLDER WHEN EN- 'OI�FIS=RIGHT TYIUMB PRINT GAGEDIN THI$OCCUPATION. APPROV.. I.I.TH. _ _. . . . . . . . . . ✓>lie -Loo�i��nloauuea,� o���iGaGaa:c�ucGP,�6 . I . HOME IMPROVEMENT CONTRACTORS REGISTRATION Board of Building Regulations and Standards ] One Ashburton Place - Room 1301 i Boston , Massachusetts 02108 t I HOME IMPROVEMENT CONTRACTOR ;— --------- •-- - - - --------- - - ----- .. - . . . . . Registration 121169 Expiration 04/12/98 Type — INDIVIDUAL Egma HOME IMPROVEMENT CONTRACTOR Registration 121169 TIMOTHY J LUFF i Type - INDIVIDUAL TIMOTHY J . LUFF ! Expiration 04/12/98 1550 ROUTE 28 , #4 CENTERVILLE MA 02632 TIMOTHY J LUFF � � , ROUTE T5MOT J. 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U(Permit Number Owner Builder It rLoQQ i ( L One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: TD Please call: 508-790-6227 for reeinspection. Inspected by Date 1 . SEPTIC PROFILE TEST HOLE LOGS T.O.F. AT El- (NOT To SCs^E� ACCESS COVER TO WITHIN r OF FIN. GRADE �T ACCESS COVER (WA7fMGHT) TO ENGINEER: L'-z- MIMMUM .75' OF COVER OVER PRECAST WITHIN Er OF FIN, GRADE -2% SLOPE REOUfRED OVER SYSTEM Z" ar O WITNESS: f'7 Lo RUN PIPE LEVEL (DfR A FOR FIRS7 2' DATE: -� PROPOSED 7 GALLON SEPTIC 7 -4 PE '4- RC. RATE TANX (H 2 7 r -o SOILS CLASS P# SLOPE) r CRUSHED STONE OR MECHANICAL q DEPTH OF FLOW COMPACTIOk (15.221 [21) TEE SIZES: CL% SLOPE) SLOPE) 0�� *�o 117vv�i c cr cr INLET DEPTH OUTLET DEPTH - A-' LOCATION MAP • • L i& IT FOUNDATION— 1 ,9 — SEPTIC TANK D' BOX LEACHING ASSESSORS MAP PARCEL 6 FA C 1 L 17',' 45 FLOOD ZONE 4- a z- : F- - -- ---- BUILDING ZONE 4�1 SETBACKS: FRONT 1?0, SIDE REAR PLAN REFERENCE- I�.I iS, � C 13 07 E--N S 1 DATUM IS 01 t) SEPTIC DESIGN: (GAR jjA- ";'r'Osvt IS 2. MUNICIPAL WATER IS -set 'Je, DE&GN FLOW: MINIMUM PIPE PITCH TO BE 1/8- PER FOOT. I --�t BEDROOMS (, LO GPD) GPD Z," E A GP- DESIGN FLOW 1— 4, DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO-H '7 USE Li 5. PIPE JOINTS TO BE MADE WATERTIGHT. MA SEPTIC TANK: GPD GALLONS 6 CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. ENVIRONMENTAL CODE TITLE V. USE A GALLON SEPTIC TANK 7. THIS PLAN IS FOP PROPOSED WORK ONLY AND NOT TO BE LEACHING: USED FOR LOT LINE STAKING SIDES: G P D 8, PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. B0770M: ZIS GPD 6- 9. COMPONENTS NOT TO BE BACKFIIL IL-ED OR CONCEALED WITHOUT TOTAL: ��L S.F. G P D INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED L FROM BOARD OF HEALTH. 4 115" u� SITE AND SEWAGE P LAN OF IN THE TOWN OF: BOARD OF HT-AL7? LA L—I;_- )4A PREPARED FOR: PPROVED DATE '44e' 0 Z-o Foot ILI ,V DATE:SCALE: 1 v lop, down cape engineering, inc. At-I-L- Of CIVIL ENGINEERS ARNE H CUALA LAND SURVEYORS No 26 PHONE 508-362-454, 1,.; efl t-A* FAX 508--362-9880 main st. yarmouth, ma H. s' DATE