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HomeMy WebLinkAbout0016 WHITE BIRCH WAY � � o .. ` �}f e ^'+ ,; '_ .� 'gt 'I ,� r!"'` t �e I 4 O � Q � � O 1 N T O Lu Z � � W ;r r" i •v l A.Au�Jr�.�.:wn..�i.YiLL4Y.�'C�Y1W��Ll�i��-.�Srl.•1 r� .�.�las._Iiah1��111ar�'.LL. i 2 Town of Barnstable F114 Tp Regulatory Services Thomas F.Geiler,Director i H"M S. Building Division 9�• i6J9 .`��' b ArEo Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 y Fax: 508-790-6230 Office: 508-862-4038 PE T# I �� FEE: $ SHED REGISTRATION 120 square feet or less Location of shed(address) Village. Telephone number Property owner's name Size of Shed Map/Parcel# Signature D Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature required) PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. I - THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:121901 } ,ys em s, A.M. 128128 A.M 128113 os.. LOT 3 (VACANT) 00 A.M. 128126 66. LOT I ti AREA=44,190t SF Q HOUSE ,#16 } O , bt 'wt� A.M. 128127 LOT 2 N 9• N 14.3 8 i o. 10��_ 34.6 UPOLE 3� O a. g 4'o FO UNDA TION r� 0 72.1' N N [� b 4,0' N m20'0 16.0� _ o 2 0- c o s � o { I 6.0' y. ' �• CB/DH i 189 00' . N74'08'17 E WAY 14 O IRC 09 'CB/DH {Ajj4 ITE B FLOOD ZONE "C"_ FO UNDA TION CERTIFICA TION RES ZONE.- ' TOWN. W. BARNSTABLE SCALE.•1"=40' PL.REF-406 9 ELEV N A [THEGR Y THAT THE ABOVE YANKEE SURVEY CONSULTANTS ION IS LOCATED ON P.0. BOX 265 UND AS SHOWN, ANDS" os UNIT 1, 40B INDUSTRY ROAD ITION—�:S------- p� MARSTONS MILLS, MASS. 02648 TO THE ZONING LAWwm" N TEL 428—0055 REQUIREMENTS OF 0. FAX 420-5553 ARNSTABLE'____ crst---- — ✓oB52806FND A. MERITHEW DATE. 3Z1�02 NUMBER______ FAB Cape Save Inc. 7-1) Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fag: 508-398-0399 i 9/19/16 Thomas Perry CBO Town of Barnstable Building Division 200 Main St. Hyannis,MA 02601 RE: Insulation Permit 16-2423 Dear Mr. Perry This affidavit is to certify that all work completed for 16 White Birch Way,West Barnstable has been inspected by a third party Certified Building Performance Institute(BPI)Inspector. All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ibl 1 �eC� 6 TOWN OF BARN TAB � Map fi a g Parcel a application Health'Division 016 MUG 72 Phi 3:Yate Issued Conservation Division Application Fee Planning Dept. .---"-ermit Fee Date Definitive Plan Approved by Planning Board DIVISION Historic - OKH Preservation/ Hyannis Project Street AddressOL Village CIA; Owner G h & sR,�l p Address S one/— Telephone a5 9 Permit Request . 14 c�`��`ottG -}�4L arc A '- .Se&` 1 � -P rho l�! -Lx�n rnr Im Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation mbp Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other. Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes *No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name w a M C C lo 6_1 fA,0.56,.,;Y.Ac, Telephone Number 668 392 (o9� j Address �' , l' IAA�I l)cJ n rP/ License # La 6 S. y- rihnii 0 Home Improvement Contractor# Email Worker's Compensation # W G dR S S U Da'00 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO 0 SIGNATURE DATE hXA b L FOR OFFICIAL USE ONLY ' APPLICATION # - T DATE ISSUED r MAP/ PARCEL NO. r ADDRESS VILLAGE OWNER.. - Y T DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL y r 'k. FINAL BUILDING r DATE CLOSED OUT ASSOCIATION PLAN NO. t f Town of lUrnstable Regulatory Servics nsnss �. Richaril'V.Scali,:Director 6 A,. BiW ing- Di�vhdon Tom Perry,)Building Commissioner 200 Maier Street,Hyannis,:MA-02601 H wwAowu.barnstable-m2.tLs Qffice: 5.08-862-4038 Fax: 508-790-6230 Property Owner Must Complete,--and Sign 1us Section Zf Usjrig,:A$under I, nol.,��-,__,asOwner--ibftiestbjectpMpMy hereby authorize c►?P_ to act:off iiiybehalf, in aU matters relative to work authorized by this building permit application for (t! W h; I-G�i Y��Vj a rj- $�i �vl to�. Vet J� DZ&3 t) tA�ad�Sofs���. "-001 fences and-ala-= are the. resp6mibilityof•the•ap* cant. Pools are.ziot.to be•fired*or'utYlize( before fence-is-iiastalled and;�U f mal inspections are performed-audaccepted. 11 re of Owner Signature of Applicant Z?aut.Name Print Name �. ip 1b Date 0TORMS:OWNF.RPM.iISSiONPUOIs 6� The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 h www massgov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name(Business/Organization/Individual):Cape Save Inc Address:7-D Huntington Avenue City/State/Zip:South Yarmouth, MA 02664 Phone#:508-398-0398 Are you an employer?Check the appropriate box: Type of project(required): 1.0 I am a employer with 15 employees(full and/or part-time)! 7. New construction 2. I am a sole proprietor or partnership and have no employees working for me in ❑ 8. Remodeling any capacity.[No workers'comp.insurance required.] 9. Demolition 3.�I am a homeowner doing all work myself.[No workers'comp.insurance required.]t ❑ 10❑Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12. Plumbing repairs or additions 5.a 1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.[:]Roof repairs These sub-contractors have employees and have workers'comp.insurance3 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑✓ Other Insulation 152,§1(4),and we have no employees.[No workers'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: Star Insurance Co. Policy#or Self-ins.Lic.#: WC085540700 Expiration Date: 4/9/2017 Job Site Address: 16 White Birch Way City/State/Zip:Barnstable Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under th pains andpenalties of perjury that the information provided above is true and correct Si attre: Date: 22/1 Phone#:508-398-0398 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#: DATE(MMIDONYYY) Act CERTIFICATE OF LIABILITY INSURANCE 4/12/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement an this Certificate does not confer rights to the certificate holder In lieu of such endorsements. PRODUCER CONTACT NAME: Risk Strategies Company Risk Strategies Company hO No E : (781•)986-4400 FAC No:(781)963-4420 15 Pacella Park Drive aoIESS:randolphcldarisk-strategies.com Suite 240 _ INSURER(S)AFFORDING COVERAGE NAIC S Randolph MA 02368 INSURERA:Selective Ins. of America INSURED INSURERB Allmerica Financial Alliance Ins Cc 10212 Cape Save, Inc INSURERC:Star Insurance Co 7 D Huntington Ave INSURER D: INSURER E: South Yarmouth MA 02664 1 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1641211375 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1NSR R TYPE OF INSURANCE POLICY NUMBER MM/DD EFF POI Df EXP LiR LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-0AADE OCCUR PREMISES Ea occurrence)DAMAGE TO RENTED $ 100,000 X 81994480 10/16/201S 10/16/203.6 MED EXP oneperson) $ 10,000 PERSONAL&ADV IN,AIRY $ 1,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICYIEcT FILOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY OMBINED SING Ea accident $ 1,600,000 BIx ANY AUTO BODILY IN AJRY(Per person) $ ALL M SCHEDULED AVEA46796600 11/6/2015 11/6/2016 BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGEHIREDAUTOSAUTOS Psraccidant $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESSLIAB CLAIMS-MADE .. AGGREGATE $ 1,000,000 DED I X I RETENTIONS NIL 1 181994480 10/16/201530116/2016 $ WORKERS COMPENSATION- Officers Included for X .STATUTE ERH AND EMPLOYERS'LIABILITY t,.' ANY PROPRIETOR/PARTNERIDECUTIVE YIN NIA Coverage E.L.EACH ACCIDENT $ 500,000 C (ManuOFR aryinI")EXCLUDED? ® 7COSS540700 4/9/2016 4/9/2017 (MandatorylnNH) f � E.L.DISEASE'EA EMPLOYEE $ 500,000 If yyees,describe under DESCRIPTIONOFOPERATIONSbelow E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES(ACORD101,Additional Remarks Schedule,maybe attached If more apace le required) National Grid Corporate Services LLC d/b/a National Grid, Action Inc, Colonial Gas Company and NStar Electric are all included as Additional Insureds with respects to the General Liability coverage of named insured as required by written contract. I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Housing Assistance Corporation THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Cape Light Compact ACCORDANCE WITH THE POLICY PROVISIONS. Barnstable County 460 West Main Street A(mawzEDREPRFsENrATivE Hyannis, MA 02601 Michael Christian/CLC '� 01909-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025(z01401) Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 171380 Type: Corporation }' '= Expiration: 3/14/2018 Tr# 419291 CAPE SAVE INC. WILLIAM McCLUSKEY 7-D HUNTINGTON AVENUE -- SOUTH=YARMOUTH, MA 02664 Update Address and return card.Mark reason for change. "s Address F-1 Renewal Employment Lost Card SCA 1 0 2OM-05/11 (0-le` a�ccncacrwcu��/c a�A/l�iu�ac/cvet/d License or registration valid for individul use only Office of Consumer Affairs&Business Regulation g y m - HOMEIMPROVEMENT CONTRACTOR before the expiration date. If found return to: „�_,_ _ Registration:, '171380 Type: Office of Consumer Affairs and Business Regulation Expiration 3/14/2018 Corporation 10 Park Plaza-Suite 5170 P. Boston,MA 02116 CAPE SAVE INC. WILLIAM MCCLUSKEY '`; 7-0 HUNTINGTON AVENUE .�{• �_ SOUTH YARMOUTH,MA-02664 Undersecretary Not valid i signature Massachusetts-Department of Public Safety Board of Building Regulations and Standards n_ c___c-r._.. - VoTiSiriiCirOTr, siirr0i viiirT au�uari_v License: CSSL402776 WII.LIAM J MC OU 37 NAUSET ROAD I West Yarmouth MA � , I Expiration Commissioner 06/28/2017 i I �I oFINE.�� The Town of Barnstable _ BARNlE. NASS.SS. 0 Department of Health Safety and Environmental Services 9 � te39• �0 � 1 p�FDMP��� Building Division 367 Main Street, Hyannis, MA 02601 �--U Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: TC,m( uenA�t e Map/Parcel: Project Address: 6 f.QJ I t l'YJ Builder: e�,�e The following items were noted on reviewing: (/I 117�U Lcl - -u VTU P ic2k U GDn emvsu\ Ayxd I 's no LJAI uJ ll� Reviewed by: Date: _IT//V� V (. q:building:forms:review Affidavit of Substantial Financial Interest 04n.r"�\, o of \A,... , on oath depose and state as follows: 1. I am an applicant for a building permit for the property located at Map L z$ , Parcel 02t, The address of the property is w- 2. 1 have l 0 Q % legal or equitable interest in the real property which is the subject of the building permit application which is identified in paragraph 1 above. 3. Within in the last twelve months from today's date, which is 24 L1 o i , the following individuals or entities have had a 1% or greater legal or equitable interest in the real property which is the subject of the building permit application which is identified in paragraph 1 above: Name Address 4. Within the last twelve months, from today's date, which is 2l 1 ' , 1 have had a 1% or greater legal or equitable interest in the following properties which have been the subject of a building permit application: Map/Parcel Address 5. Within this calendar year, I have submitted building permit applications for property in which I have a 1% or greater legal or equitable interest. 6. Within the last ten days, I have submitted ® building permit applications for property in which I have a 1% or greater legal or equitable interest. 7. Within this month, I have submitted 0 building permit applications for property in which I have a 1% legal or equitable interest. 8. Within this month, I have received 1 building permits for property in which I have a 1% legal or equitable interest. Signed under the pains and penalties of perjury, this to day of 200). O 1 2001-0050/affin 1 O/LOTTERY/AFFIDAVIT TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 128 026 GEOBASE ID 35412 ADDRES- °- 16 WHITE BIRCH WAY PHONE W BARNSTABLE ZIP LOT 1 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT WB PERMIT 68114 DESCRIPTION SIN. FAM. 3/BED 2/BATH HOME PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of ARCHITECTS: Regulatory Services TOTAL FEES: BOND i _.. ..-• ----... .. $:00 ___ . _ . .... ._ .._.... _ _ OFF .._. . _..__.__ ... . CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE f°;VOI BARNSrABILE * MAM # 1639. BUILDING D ISION BY 1 DATE ISSUED 04/14/2003 EXPIRATION DATfi /(� V�� 0 RNSTAB ,E . 'BUILDING PERMIT PARCEL ID 128 026 GEOBASE ID 354`12 ADDRESS 16 WHITE BIRCH WAY ' PHONE W BARNSTABLE ZIP - t ,LOT 1 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT WB PERMIT 56115 DESCRIPTION 3BED/ SINGLE FAMILY DWELLING C PERMIT TYPE BUILD TITLE NEW :_cESIDENTIAL ..%T�DG PMT (CONTRACTORS: DAMELIO,, THOMAS P. s -ARCHITECTS: Department of Health, Safety ' and Environmental Services T6t.AL-.-FRES--1 . $929.24 tNE BOND $.00 ptr CONSTRUCTION COSTS $230,400.00 5 101 SINGLE FAM HOME DETACHED ]. PRIVATE P p. f * )IARNSTABLE. y sb A�O� BUILDING I Is BY r DATE ISSUED 12, 05/2001 EXPIR.ATIO.N DATE .THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OWANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EW CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR AL -GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS T DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. t s � � IMUM OF FOUR CALL INSPECTIONS REQUIRED I ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE )UNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION ipl�nq:b 9IOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- PERMITS ARE REQUIRED FOR IEADY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- SULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. NAL INSPECTION BEFORE OCCUPANCY. I :aaeQ S I 3UILDING INSPECTION APPROVALS, PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS jYj 1-2 a�nag ) I r A c TING INSPECTION APPROVALS ENGINEERING DEPARTMENT B ARD F HEAL a R: SITE PLAN REVIEW APPROVAL IK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY IOUS STAGES°OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- NOTED ABOVE. ' TION. TOWN .OF BARNSTABLE • BUILDING PERMIT 1 PARCEL ID 128 026 GEOBASE ID 35412 ADDRESS 16 WHITE BIRCH WAY PHONE BARNSTABLE ZIP _ LOT 1 BLOCK LOT 'SIZE DBA DEVELOPMENT. DISTRICT WB PERMIT 56115 DESCRIPTION 3BED// SINGLE FAMILY DWELLING j PERMIT TYPE BUILD TILE NEW RESIDENTIAL'..BLDG .PMT 'CONTRACTORS: DAMELIO,, THOMAS• P. 'Department of Health•ARCHITECTS: , Safety �TOTAI;`�FEES; $929.24 and Environmental Services p BOND $.00 1NE CONSTRUCTION COSTS $230,400.00 101 SINGLE FAM HOME -DETACHED - J. PRIVATE P'.:,r*l Et'` * BARNSTABLE. ; MASS. 1639. . MI�►� ILDINA//�A lrI BY J1( DATE ISSUED 12/06/2001 EXPIRATION DATE - ►_�_ TOWN OF BARNSTABLE/ BUILDING PERMIT ; PARCEL"1D 128 026 ' . GEOBASE ID 35412 ADDRESS 16 WHITE'BIRCH WAY ! PHONE W BARNSTABLE ZIP - - r LOT 1 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT WB PERMIT 56115 DESCRIPTION 3BED/ SINGLE FAMILY DWELLING PERMIT .TYPE BUILD TITLE NEW RESIDENTIAL BLDG PMT CONTRACTORS: DAMELIO, THOMAS P. De artm nt of Health Safety' ARCHITECTS: p and En ronmentaPServices TOTAL` rgEq $929.24 BOND $ 00 tME lbw, . CONSTRUCTION,- COSTS $230,400.OLO, 101 SINGLE FAM HOME DETACHED "1 PRIVATE P1 (4 '`BARNSTA MASS. �A639.A10� BUILDING PI -IS BY DATE ISSUED 12/06/2001 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 OFTHIS 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 MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 4. 2 Li 3 © L /�/D 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT V/ -T 2 B ARD FAQ HEAL �I OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HASAPPROVEDTHE 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. I• � .N 1 � p J N 0 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION "Map Parcel Ja ra( P>srr�it T? J 1-l�a� �� q �� f Health Division Date IssuedConservation Division q ha/ &01 2 1 2001 V1 Feez# �7qTax Collector sjm �1,i 't4�^ ', t'C �[ �jl Treasur 19�DE� �'I�� 5wic `SOi Planning Dept. � uf: OPPLICANT MUST OBTAIN /� �+ /Date Definitive Plan Approved by Planning Board �"I c � �ol f' A ROAD OPENING PERMITFROM ENGINEERING DIV. Historic-OKH Preservation/Hyannis �/" PRIOR TO CONSTRUCTION Project Street Address Village Iv. Owner 1 rrl9J' ��lirl;c� l/i9iyr�id �Addres's�dW r/?fie/ e cl.Q•✓e 14/ Telephone .Tn S Permit Request �ail/S'�i2y�y� � � .L t.4 is /::' e_ i Square feet: 1st floor: existing proposed ev-2;,i) 2nd floor: existing d proposed -o— Total new Valuation �3TY110. 0 0 Zoning District Flood Plain Groundwater Overlay Construction Type LIZ1.000 /cam Lot Size T7`�I S�_ Grandfattiered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 3 Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes Ck�Jo On Old King's Highway: ❑Yes 8<0 Basement Type: Q<II drawl Q Walkout ❑Other Basement Finished Area(sq.ft.) — 0 — Basement Unfinished Area(sq.ft) 1766 S',oc Number of Baths: Full: existing - D - new q Half: existing —D - new Number of Bedrooms: existing - D - new OVS t Total Room Count(not including baths): existing Cam. new_e!�_ First Floor Room Count G Heat Type and Fuel: R'Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes j N15d Fireplaces: Existing —. New Existing wood/coal stove: ❑Yes RH46- Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing �ew size.?Plk.2� hed:❑existing ❑new size --y—Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name A.r4 �� Telephone Number Address License# (>V 7 V.2 a Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO _Aa,WrAe fiTe SIGNATURE DATE 2-d 2� 7 FOR OFFICIAL USE ONLY F 1 L� r PERMIT-NO. DATE ISSUED MAP/PARCEL NO. j ADDRESS VILLAGE ' OWNER DATE OF INSPECTION: z FOUNDATION 9 FRAME ,B A y/D ' INSULATION f ti'S y ,�. G 3 `- FIREPLACE c ELECTRICAL: ROUGH FINAL v PLUMBING: ROUGH FINAL Y . GAS: ROUGH FINAL } FINAL-BUILDING. 6 //✓ 0' A- Y /;z/0 3CS DATE CLOSED OUT r O. ASSOCIATION PLAN N ;' The Town' of Barnstable • NW O� 4 BARNSTABLE. Department of Health Safety and Environmental Services 9 MASS. 0 039• �0 p�EO Mp+�• J Building Division . 367 Main Street,Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: InR ,e—t 1 o Map/Parcel: f T ProjectAddress-. �� UA Je._ �iA' ,L Builder: C/-�*rY�f� h following items were noted on re ewin : Te _g . VOIA -oick- I-) ay-� PYAPYC', LA n, f) Ay\d O-Alls cot y. .+' [ .t Reviewed by: s Date: /�� 7 /01 gtuilding:forms:review I a RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE ryry 2r� �J �V y square feet x$96/sq.foot=4` ` x.0031= 7 plus" from below(if applicable) ALTERATIONS/RENOVATIONS OF EmSTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.ft, >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 ------------ >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: x.0031= square feet x$96/sq.foot= STAND ALONE PERMITS Open Porch x$30.00= (number) x$30.00= Deck (number) �_ Fireplace/Chimney x$25.00. = (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee 197 projcost FIX " TileCommonweaml a�Irltrasaz.rsuarisl Department of Industrial Accidents OIBCOWIMmSM98d0OS ~ _ 600 Washington Street Boston,Mass. 02111 davWorkers'Com ensation Insaraace�///% Ce G� name: location: y 4 3citV ,y� hone 1t / . ❑ I am meowner pert' all work myself: Clave I am a sole proprietor and h no one In arto xMMMMMMr on this job.....•....•r:. for mp09 workers easanoa ...... . anP .................:.......r..,...........................r..:..................:............-. 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(mum 9195 PIA) Information and Instructions Massachusetts General Laws chapter 152 section 25 s all employers to provide workers' compensation for their require employees. As quoted from the"law", an employee is defined as every person in the service of another under any con-= of hire, e:cpress or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity', Or loan w the or morere e the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased emp or trustee of an individual,partnership, association or other legal entiiv, emploviag employees. However the owner of a Of dwelling house having not more than three apartments and who resides therein,or the occupant hoof use or on thehe dwelling.ho work an such dwelluLg use grounds another who employs persons to do maintenance, construe or rEPmr building appurtenant thereto shall not because.of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state-or local licensing agency shall withhold the issuance orient of s license or permit to operate a business or to construct buildings in the commonwealth for any applicant who the not produced acceptable evidence of compliance with the insurance coverage requiretd�Additionally, Ceo pu nciLhe work tint commonwealth nor any of its political subdivisions shall eater into any contract for the p acceptable evidence of compliance with the insurance requirements ofthis.chapter have been presented to the co*+**�M;r authority. i Applicants ' ensation affidavit ca mpletely,by checking the box that applies to your sitteatian and Please fill in .he workers � with a of insurance as all affidavits may be sapplvmg company names,address and Phone numbers�o� e. Also be sure to sign an( submitted to the Depar==of Industrial Accidents for c of insurance coverag or town that the application for the Permit or license is date the affidavit. The affidavit should be retnraed to the y���nay regg the"law"or if being requested,not the Department of Industrial Accidents• below. are required to obtain a workers'compensation policy,Please call Department at number listed .. O City.or Towns !` has provided a space at the bottom of Please be sure that the affidavit is complete and printed legibly. The Department P affidavit for you to fill out in the event the Office of Investigations has to conract you regarding the applic e applicant. Please aeas tc be petmidUcense number which well be used as be sure to fill in the a reference number. The affidavits may the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would Hike to thank you is advance for you cooperation and should you have any question- please do not hesitate to give us a call. ► . NISM M NO. The Department's address,telephone and fax member. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations . 600 Washington street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 7274900 eat- 406, 409 or 375 i I I . .. ". i .,,1• _ ;. ✓1re �omrinconurea.�•� �y /ILdO Luoeu" � . BOARD OF BUILDING REGULATIONS i. License: CONSTRUCTION SUPERVISOR f Number:.CS 047420 Birthdate: 04/07/1946 04/0712003 Tr.no: 10305 • '" - Restricted To: 1G_j�tt THOMAS P DAMELIO._..` 45 MELBOURNE R u Administrator HYANNIS; MA 02601 r( �.l.I�i'1• III..... r - '.•I. � !III II'• 03 Tn0 �w "!i�IT�•I`�' 'li l'�141I;� i Ii! • (: ,' r P ER FrTH ' •ad'a w < o pl' •.Y } gipp. 8 s C s; P C' it EEII - - . :tee?�; �� � •r - - - - IDS tub.ZFSlbrJJC.E' n>^ (J eft m > a:d� ..,.•ie:sm.. _,:.:._v�_�z°cam erica'� so'-c__:-_:_... _ __- .. i. ; C r ., ID C•. to �I 41 manoxn i�- _77. .1 {{ �.:SY:A...�:�'� l,o?O•.!iTfCr�l 9�'Q_.-.. .2b:SD.91LaMP .. edn I 1 Y 1 6 1 1J o - r. �e �� -"KITCHEN:__ ,f .I•..'.8" I l ; I 2e a- i 1 i i I. I I i I D J.A.' . . o C .. t77 I. �P� SQL . 508-428-619-11.1 !� q ovlin ' i q eslgnr? Yeie�vru� . 'FIIZST a>_zx,.: �-sc,�mm�u,s^s^,.•-� rs'ems ewe . •�vpwr�wcmuG-zmntm�: m�ieranszssfvan4.'sHSwace . W • As 01 ^ 1 _ II - . i 4, j i I .I I �'CR�YFGtttC[lT'F•-�•�_•. _ n> fll �'iY' � � -� � ' � � � 1� 3° a P .. •.m b 4i g T � � 4 4•• . .. ::is m �r: Eli i. : F -lip w t o: J f. • <d e' N N � m •F; f :J Hk 13985 Pg214 046136 06-28-2001 CP 10:27a DEED T f12TAtou�c. We,Edward W.J mes and Pamela P.James,husband and wife,as tenants by the entirety,both of Framingham,Ma,inconsideration of Seventy-Three. Thousand Five Hundred ($73,500)and 00/100 Dollars paid,grant to Thomas P.Damelio and Michele Damelio,as husband and wife,tenants by the entirety,both of 45 Melbourne Road,Hyannis,Ma.,with quit claim covenants,the land in Barnstable(West), Barnstable County,Massachusetts bounded and described as follows: The land in Barnstable(West),Barnstable County,Massachusetts being LOT 1 on a plan of land entitled,"Plan of land in(West)Barnstable,Massachusetts prepared for John & Paul Merlesena,Scale 1"=60";dated June 11, 1985,Down Cape Engineering, Yarmouth,MA' and recorded with the Barnstable County Registry of Deeds in Plan Book 406 Page 9. There is reserved to the Grantors,their successors and assigns,the fee in the way shown on said plan.Said Grantors,and their successors and assigns shall have the right to grant easements over said way to the owners of the lots shown on the aforementioned plan and to all others. Said land is conveyed together with the right to use the way shown on the aforementioned plan in common with others who are now or may hereafter become lawfully entitled thereto. Said land is conveyed subject to a Declaration of Protective.Covenants of the White Birch Subdivision,which is recorded with the Barnstable County Registry of Deeds in Book 5047 Page 78 and the Amendment to Declaration of Protective Covenants, o recorded in the Barnstable County Registry of Deeds in Book 6147 Page 265. Q Said land is conveyed subject to an easement running to the New England Telephone Company Et Al.,Dated May 5, 1986 recorded with said Deeds in Book 5066 Page 312. Said land is conveyed subject to and with the benefits of all rights,rights of way, restrictions,easements and appurtenances of record.insofar as the same are in force and effect. For our title see Deed from John P.Merlesena and Paul X.Merlesena dated June 20, 1986 recorded with the Barnstable County Registry of Deeds in Book 5196 Page 284. Witness our hands and seals this .2P'day of ,G 2001. Bk 13963 P9215 046136 Edward W.Jam Pair P. Pamela P.James COMMONWEALTH OF MASSACHUSETTS Barnstable,SS 2001 Then appeared the above named,Edward W.James and Pamela P.James,and acknowledged the foregoing instrument to be their free act and deed,before me. Notary Public Av., -� 4 My Commission expires -- ----------- BARNSTABLE COUNTY �f�•s�► ���' ;vij REGISTRY.£XC �A1QlV O � REO 13F DEEDS COUNTY `mot-EA. --------------------- 06/28/01 1012M DATE 06.28.101 THU FEE $251.37 • TAX 5167.58 TOTAL $167.58 CMeH ti?si..3'T CHECK $167.58 CLERK 1 . HO.021713 TIME 10:25 1111 ®ARNSTABLE COUNTY RE®ISTRY OF DEEDS ATRUE COPY,ATTEST BARNSTABLE REOISTRY OF DEEDS J®NN F.MEADE,REGISTER 790 C MR Appada J Table J&=b(Omdnled) prescriptive Faelca;a far One and Twe-Fasaiy RUM802W BdidlaV Heated w*Feaad Faeb MAJCIMUM MIIVQYfUM (}lazing 01aan8 Ceiling Watt Floor Baaemeac Slab ° Airs'(0/0) U.val� R-value' R value' R-vdu2 Wall ftr meta Er;rriP Wvaiue' R►valua' PadcaII_e 5701 to 6500 Heatlms De6ree Dam Q 12% 0.40 3E 13 19 10 6 Norms► R 12% 0.52 30 19 19 10 6 Norms! S 12% 0.50 3E 13 t9. 10. 6 ES AFUE T 15% 036 3E 13 2S WA WA NO�zi IJ IS•/. 0.46 3E 19 19KI 6 Normai l V 1 S•/0 0.44 38 13 _ 23 WA AFUE W 15% 032 30 19 19 6 95 AFUE X 18% 032 3E 13 25 WA Nommi j Normal Y 18•/. 0.42 3E 19 23 WA �A� Z 18•/. 0.42 3E 13 19 6 90 AFUE AA 18Y. 0.SO 30 19 19 6 1. ADDRESS OF PROPERTY: G� 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: f.f Q 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION- BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-080303 a 780 CMR Appendix J - Footnotes to Table J5.2.1b: A Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area. expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 ft of glazing area. Z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. ' The. ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full r; insulation thickness over the exterior walls without compression, R 30.insulation may be substituted for R=38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing,and interior drywall.For example,an R 19 requirement could be met EITHER. by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. S The floor requirements apply to floors over unconditioned spaces(such as unconditioned cmwispaces,basements, or garages).Floors over outside air must meet the ceiling requirements. TI:e entire opaque portion of any individual basement wall with an average depth less than 50%below grade must me=t the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned b...,ements must be included with the other glazing. Basement doors must meet the door U-value requirement d_scribed in Note b. The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3;.4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with.the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5Z.Ia NOTES: a) Glazing areas and U-values are maximum acceptable levels. Insulation R values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b) Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c) If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 WEST BARNSTABLE A.M. 128128 LOT 3 A.M. 128113 t's- WELL IN FRONT EXIT 5 �, (VACANT) l , 6' SEPTIC IN REAR & 94 9s := -r�s� � 96 / rs�- ��:���„ LOCUS O f . o c .. / \ � e3ftGGE yy No. 149 oy .lr� j00 �.li - ti�-=-=`•-- \ S.'�ECiTTE� �tZ C'a I rs - Oj� 101D \ ~_ � o, °i A.M. 128127 LOT 2 WELL IN FRONT LOCUS MAP \ �\ b . \ SEPTIC IN REAR 0 HOUSE I .106 \ \ � \ 0 14.p, I \ - #48 PLAN REF 40619 9. p• ASSESSORS MAP. 128126 i o m .... ZONING: »RF» upo1.E oZ%%%"'N ' �ti o;���Z�'�� 1'! ; GROUNDWATER OVERLAY "GP" ip. ...36. 70_ T iQ:.:.`:::::::::::::::::::.� I / w ' % ""z,%% NOTE GRADING & GRADING WALLS . ..... ............. 2.0 ' . OF 4 ,. BY OTHERS. , 4 ::::6 0 :T: 10 .5' A.M. i28126 Pillaoti ........ ..2p�oc o....o LOT 1 �, " SITE AND SEWAGE PLAN �......... \\%Z Z, IN ""'. Pp 16• \ AREA=44,190t S.F. - p N � o .,..,o HOUSE 16 �NyO PROJECT LOCH T/ON NOTE. NO !YELLS WITHIN � U� \ e ,#16 WHITE BIRCH WAY 150 OF SEPTIC WEST BARNSTABLE, MA. SB LP �l< \� ` j f _ APPL/CANT.• / o a THOMAS DAMELIO (PROPOSED / — > _ J1 100 WELL 1- —-- V-3 UTILITY 102 ,, - YANKEE SURVEY CONSULTANTS —'�— = - P.O. BOX 265 _ 18 00 - l _ _ BENCHMARK- 5 104 — 40B INDUSTRY ROAD „E f MARS TONS M/L L S, MA. 02648 / rs, 1 _ 1 p 74.08'17 , TOP OF CATCH BASIN PH.(508)428-0055 - FAX(508)420-5553 oB --�N ELE =100. 0 110 _ __, Rrj 1 4 V. SCALE. 1"=30' DATE. 7 18 DI 1311 " y .0 9 6 I RE4 V REV. M. 128 34 (VACANT) ✓A. __ f OB NO. 52806 SHEET 1 OF ,2 � / EL. 717P OF MUNDATION 20' MIN. r 10' MIN. CONCRETE COVERS 4' SCHEDULE 40 P. VC, 2"LA YER•OF MIN. P/TCH 118 PER FT. 118"_112 EL 101, CONCRETE CO VER WASHED STONE EL.=96 EL.=97 ♦ i i i ♦ MAX. / ♦ P MAX ♦ / / / / ♦ / i i i i ♦ / / B•MAX. / ♦ i i ♦ / / / / / i i ♦ ♦ AX E- INVERT RISER RISER4' SCH 40 PVC PIPE SAND A(OR EQVALj MINIMUMR/S£R CLEAN 3 MAPITCH I/4 PER FT 0FLOW L/NE j EL.=94EL=98 1 o00o O o 00 00C3C3C3 000 °grzaINVERT M/N. 14" : LE L� °o0 0 0oco0000000 0• INVERT 6 SUMP °° 00c0000000000 °EL.=99_�__ CAS o o 0 0 0 0 0 0 0 0 0 0 BAFFLE _98 25' INVERT INVERT o EL.-___ _ 9J-75' EL,= 9_3.5 _ 4' j EL.--.___— (3) 500 CAL. LEACH/NG LY•/AMB£RS EL.=98 5 DISTRIBUTION i (TO BE PLACED ON FIRM BASE) » » EL.=922 MECHANICALLY COMPACIFO OR 6' OF STONE r BOX W/ T _ 1,�QQ__GALL ONS - TO BE WATER TESTED 1?.8'x .TSB s• TRENCH FORMA nON /F MORE THAN ONE OUTLET SOIL A BSORP TION SEPTIC TANK PLACE ON s STONE 314" 70 I-I/z' DOUBLE WASHED S717NE SYSTEM (SA S> PROFILE OF USGS ADJUSTED ELEV.= __84.5_ SEWAGE DI SPOSAL SYSTEM BOTTOM OF TEST HOLE ELEV.=_ 84.5' NOT TO SCALE " ELEV.__ 97_5 OBSERVA T/ON HOLE 1 r t PERCOLA TION RA TE MIN. INCH � DEPTH TEXTURE SOIL TEST 0-36" LEAVES & SUBSOIL DATE. JAN iq 1985 . GENERA L NO TES 36"-60" S/L TY SOIL ENGINEER- R FAIRBANK. P._E. 60"-156' CLEAN MED/UM SAND BOARD OF HEALTH. J. CONLON EXCAVATOR• D. SPEAKMAN 1) ALL WORKMANSHIP AND MA TER/AL S SHALL CONFORM TO D.E.P. NO WA TER ENCOUNTERED TITLE 5 AND THE TOWN OF --BA-Rqs-Tflac - - RULES AND # ��gD REGULA TIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. 2) ONE COVER ON SEPTIC TANK SHALL BE BROUGHT TO WITHIN 6" OF FIN/SHED GRADE" OTHERS WITHIN 12" INSTALL: 3) ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF (3) 500 GAL. LEACHING CHAMBERS DESIGN CALCULATIONS.' WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WI THIN SPACED 1' APART CONNECTED BY 10 FT. OF OR/VES OR PARK/NG AREAS. H-20 LOADING SHALL BE PIPE WTH 4' STONE ALL AROUND 4 USED UNDER OR WI THIN 10 FT. OF DRI VES= OR PARKING AREAS. 12.8' X J5.5 NUMBER OF BEDROOMS . . . . . . • • 4) ANY MASONARY UNI TS USED TO BRING COVERS TO GRADE SHALL GARBAGE DISPOSAL . . . . . . . . . NO BE MORTERED /N PLACE. 5' OVERDIG DOWN TO APPROX. 60" TOTAL ESTIMA TED FLOW 440 GAL/DA Y 5) NO DETERM/NA TION HAS BEEN MADE AS TO IS T TH TO CLEAN MEDIUM SAND, REPLACE ( _110-_GAL./BR./DA Y x BR.) DEEDED OR ZONING REGULA TIONS. 0MNERIAPPL/CANT WITH CLEAN MEDIUM SAND PER TITLE 5 REOUIRED SEPTIC TANK CAPACITY 15GO GAL OBTAIN SUCH DETERM/NA TERMINATION FROM APPROPRIA TE AUTHH TI ORITY. 1 6) UTILITIES SHOWN ARE APPROX/MA TE ONL Y, EXCA VA TION CONTRACTOR SOIL CLASSIFICA TION . 5 M/N.//N. IS TO CALL "DIG- SAFE" AT 1-800-j22-4844 AT LEAST 72 HOURS DESIGN PERCOLATION RA TE PR/OR TO COMMENCING WORK ON S/TE. "1 EFFL LIEN LOADING RA TE . . . • • • •74 GAL/DA Y/S.F. 7) CON TRACTOR IS TO VERIFY GRADES AND ELEVA TIONS AS WELL AS LEACHING CAPACITY (AREA X RATE) 479 GAL/DA.Y S(TE CONDI TIONS PR/OR TO COMMENCING WORK ON Sl TE. RESERVE LEACHING CAPACITY . • 479 GAL/DA Y (.35.5X12.8X.74)+(J5.5+35.5+12.8+128)X2X.74) 8) PARCEL /S /N FLOOD ZONE____ _128 AS PARCEL __ 26 _• JOB NUMBER___52806______ 9) L 0 T /S SHOWN ON ASSESSORS MAP ____ � Ocr IQ ID to �M'R� 9JV 4r py 1►+'rastw,ufi �, p Q tip �If► Y o'�fid'' f 4 FnQ QF.GI errGY USE c� If Et_„lS � M. 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