Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0191 BRISTOL AVENUE
�9/ � ��u, e_ ■ Complete items 1,2,and 3. A. Signature ■ Print your name and address.on the reverse X ❑Agent so that We can return the card to you.- � Ift Addressee ■ Attach this card to the back of the mailpiece, B. eceiv d y(Pri d Nam C. Date of Delivery or on the front if space permits. / ✓ 1. Article Addressed to: D. Is delivery address different f ite s n f If YES,enter delivery address-below: ❑No y�?ac�e/y'n Cr�zAz;. - ll I IIIIII I'll III I II lI it I I I Illill I Il I I III III III 3. Service Type ❑Priority Mail Express® ❑Adult Signature ❑Registered MaiITM ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted 9590 9402 1933 6123 1269 59 gMertified Mail® Delivery ❑Certified Mail Restricted Delivery @eturn Receipt for ❑Collect on Delivery Merchandise ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTM �._n.rick_Ni.imher_/TratlsfeLfl'Om_$elVlCe label) -�C--..mod Mail M ❑Signature Confirmation 7 017 1000 0000 6759 6894 1. Mail Restricted Delivery Restricted Delivery PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt First-Class Mail Postage&Fees Paid USPS Permit No.G-10 9590 9402 1933 6123 1269 59 United States •Sender:Please print your name,address;and ZIP+4®in this box* Postal Service TOWN OF BARNSTABLE BUILDING DIVISION 200 MAIN ST "ANNIS, CIA 02601 .: 1, Ir Town of Barnstable Building .� f . . ¢ Postthis Cavil So That it is Vle-From the Street=Approved Plans Must be.Retained on Job and this Card�Must be Kept Posted Until Final Ins ection Has Been Made. - p Permit Where a CertificateofxOccupancyis R equ,rred,such Building shazll..Not`beOceupied until a.Finalanspection has.been made_ , Permit No. B-19-2640 Applicant Name: RODRIGUEZ,VICTOR A&GUZMAN, MADELYN G Approvals Date Issued: 08/15/2019 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors. Expiration Date: 02/15/2020 Foundation: Location: 191 BRISTOL AVENUE,HYANNIS Map/Lot291232 Zoning District: RB Sheathing: Owner on Record: RODRIGUEZ,VICTOR A&GUZMAN, Contractor Naive Framing: 1 Address: 191BRISTOL AVENUE Contractor-License: 2 HYANNIS, MA 02601 i "" Est. Project Cost: $3,000.00 { Chimney: Description: ROOF , , Permit Fee: $35.00 Insulation. Fee Paid:/ $35.00 Project Review Req: Date: ° 8/15/2019 Final: Plumbing/Gas ' Roughs Plumbing: rt � \Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorizedby this permit is commenced withih six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. g 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 th Electrical e Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing .. 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 becompleted 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 "Per s contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MGL c.142A). Final: —� Building plans are to be available on site Fire Department c'i� All Permit Cards are the property of the APPLICANT—ISSUED RECIPIENT Final: t 1.j . Application numbe �akoq. .... .................I.............. .. Fee .............................................................................. Building Inspectors Initials,........,��.�. . ................. Date Issued................... ..� Map/Parcel.....:...... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOW S/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION- Address of Project: H s1'p gVe ZVGLn&5 NUMBElk STREET VILLAGE Owner's Name: k8a-<-t JC' _ Phone Number --?u Email Address: POC61521Qg'6_0 ® Al t-Y CL ` cl ell Phone Number SG,en& C 4©Oe- - Project cost$ . ,�000 Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Date: `TYPE OF WORK.-- E3 Siding 0 Windows (no header change)# 0 Insulation/Weatherization 0 Doors(no header change)# Commercial Doors require an inspector's review Roof(not applying more than 1 la er of shin les) /J Construction Debris will be going to Gt�(1n11 � UJQS PCL"t me✓rf� CONTRACTOR'S INFORMATION Contractor's name Home Improvement Contractors Registration(if applicable)# (attach copy) Construction Supervisor's License# (attach copy) Email of Contractor Phone number ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR/F THE SUBJECT PROPERTY-IS IN A HISTORIC DISTRICT. YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER...................................................... .... *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent Fuel source being used LP tank 201bs. or>Yes No , if yes, a gas permit is required. Natural Gas Yes No , if yes, a gas permit is required. If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4.30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number �Lj-Z� -L1 S ja I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and t e ow of Barn ble Signature ( - - Date APPLICANT'S SIGNATURE Signature �(/ Date All permit applications are subject to a building official's approval prior to issuance. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): lheh)� f V Address: ;City/State/Zip: �YCLYIY'i I Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ 1 am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition workingfor me m' an capacity. employees and have workers' Y P tY t 9. ❑Building addition [No workers' comp. insurance comp. insurance. required.] 1 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions Myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers'. 13.❑Other 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: Policy#or Self-ins.Lic.#: Expiration Date: 1�,/ � �26®Job Site Address:._1�l t��/S�%l A�>_ - !City/State/Zip:_ `(1�(11 � Attach a copy of the workers'compensation policy.decla ration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certil un er the Vaiand p hies of perjury that the information provided above is true and correct- Si ature:, t C ~Date: V� l S'-1 Phone#: 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 1.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: � 4 r I. ` V Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal 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,MGL chapter 152, §25C(7)states"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 have been presented to the contracting authority." � Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to cant'workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date 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 you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, 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 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.mass.gov/dia i f , �1 Town of BarnstableBuilding i, i i FI Post This Card So That it is Visible From the.Street:-Approved Plans Must be Retained on lob and this Card Must be Kept atPosted Until Final Inspection Has Been Made. \'�eo►r,° Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made._ Permit No., 3-17-3902 Applicant Name: RODRIGUEZ, VICTOR A& GUZMAN, MADELYN G Approvals Date Issued." 11/27/2017 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 05/27/2018 Foundation: Location:- 191.BRISTOL AVENUE, HYANNIS Map/Lot: 291-232- Zoning District: RB Sheathing: Owner on Record: RODRIGUEZ,VICTOR A&GUZMAN, Contractor Name: framing: 1 Address: 191 BRISTOL AVENUE Contractor License: 2 HYANNIS, MA 02601 Est. Project Cost: $ 2,500.00 Chimney: Description: RESTORE TO A SF HOME.REMOVING KITCHEN CABINETS, COUNTER- Permit Fee: $85.00 TOP SINK, OPEN FIVE FEET DOORS WIDE IN BASEMENT TO BE USED Fee Paid: $85.00 Insulation: AS STORAGE AND PLAY ROOM. NO SLEEPING .Date: 11/27/2017 Final: Project Review Req; RESTORE TO SINGLE FAMILY. NO CLOSED ROOMS. NO SLEEPING 1N BASEMENT ;' " ° Plumbing/Gas V J 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 after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or.road and shall be maintained open for public.inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION MapI t pNov 0 9 V Ap lication # Health Division Date Issued S 2 �sl 7/7 Tow l ; Conservation Division LDUVC-73 niz Application Fee Planning Dept. NV Permit Fee 09 201 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis vvvIV UF8A-H1V�, SIASLt Project Street Address 1S' 0 Village Owner Telephone z��— 5 e-- 2-1 �-f Permit Request 1\n_q, Pm.f&l VL D C, 5-k � 1 Square feet: 1 s floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 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 J. Crawl Walkout ❑Other Basement Finished Area(sq.ft.) .C3,S_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: X 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) 1 / Name r a�'� L� Telephone Number � � a�6ol Address t 9 ( Rft t� � i� r(I�t License # T Home Improvement Contractor# Email IMa C ✓'1Worker's Compensation # ALL CONST UCTION DEBRIS RESULTING FROM T7 PROJECT WILL B TAKEN TO s l - to•'t y / SIGNATURE lli4j" k DATE I�-' ��F 7 FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER ' DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING IBC F DATE CLOSED OUT ASSOCIATION PLAN NO. a i %r ' 1DoW N cn cr CIO ,77 ,r> I _ : I Nov 'b#T�I 4 jI 02,601 t a _ { µ w n. #. ��#.w..a�:4'a.tr,�t�• '�:, ..A tip.a�`���� e- •v.,.4t-: a,A3,�.•%•?£e.+r ri..+n'•�a-tr :';...�5�_$*'�s�`,, .� .r ,. t .._ CyA r�'/1{ ,. '�7 ��.,t.• F Q N. C .._ � CAle/ r Town of Barnstable Regulatory Services °k rqy� Richard V.Scali,Director Building Division . > Paul Roma,Building Commissioner i63g6 ��� 200 Main Street, Hyannis,MA 02601 O�Ep www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION �r �y Please Print DATE: // G/9_ JOB LOCATION: ArC' 00 6.0 number street y village "HOMEOWNER: name home phone# work phone# CURRENT MAILING ADDRESS: Cf 05 et(4�(r 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 and igned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection pro ur s and re yeas and that he/she will comply with said procedures and requirements. ignature 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 person(s)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 this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFII.ES\FORMS\building permit forms\EXPRESS.doC 06/20/16 3 Town of Barnstable Regulatory Services Richard V.Scali,Director IIAM Building Division. Pant Roma,Bailding Commissioner 200 Main Street;Hyannis,MA 02601 www.town.barnstable-maxs Office: 509-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder lei 40c—&g ,as Owner of the subject property hereby authorize to act on.my behalf, in all matters relative to work authorized by this building permit application for. r C t� Ybs oz 1 (Address o Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final in pections are performed and accepted. Signature of Signature of Applicant Print Name Print Name Date Q:FORMS:OWNMPERMISSIONPOOLS 3TL omu�arrwvwwt q,f Ma_wa �trtsetts Dep=arterit afrnd.rtahzrxtAcdd=tr Office ofLmsagations r 600 WashhVion Street Boston,AM 02111 wmunimmgovIdia Wurrkers' Campensatron Insurance Affidxvft B�Edlde7dCa-utract rsMecb ician_sfPluinhers Applicant Infwxnat im Y Please Print Nam V f�i�� 64,edr? d' Address:�� �ifgfSitip Phan Are you an emplUer?Checktheappropdafeba= ' Type of project r L.❑ I am a employer� 4_ ❑I am a genaral caafractor and I e 1 ( egiOM P� 6. ❑I'Iesa oonsimcEior� employees(fnlf andfor part4ime:).* sub-contras 2.0 I am a sole propaetc r orpa:fnw- Tilted on the.attached sheet.. 7- ❑Remodeling b-coafractorshave soup and have as e�alcyees These su 8. ❑Demolition form is enTlo�and have worms' Wn� �Y � � 9. ❑S,uifdiag atT3ifiarr. LNO tva&Oers' camp.fin ce comp-k=M _ regntred] 5. ❑ We are a cotporaiicn and its ME]E1ecErical repairs or adt�ians 3.' �Iamm a homeo��er doing all work off cell havoc exercised their 1L❑Pfumbingrepaim o r additionsset€[No vrokkers'cOg_ rlgbt of ezempfion per M(M 1Y❑Roof c.152, 1 and we have no repairs insurance�qpjred�[ � l(r4�y,h employees.[No wow' 1311 ofher comp_msnrm=required.) •day agp& fat checlsbas isl mast also Moutthe sec&nb9 wShUM3 g t&wo&ete 0DmpEUafiaupoycpia5M=5ca_ 1 Someowaerswba sabmi t s'i;is dffdn inctncafmg tlr-y armdoing RUwank and&ml im outsidecrntmcmrsam sacb_ fCa+ce*9 3utd�a&WsbazmustsGadnd=2AMtional shad fi1Mw!agthenameofthesob-can a.andsfstete}tethecaravtthnsee�itiPsha�� emplgws.Ifthe Svb-ron�hzn maplcyers,theynmstpms-ide then wudmW ca=p.pahcy nmaben lairs all inmirance f br wy emp&&wen: ,8etoov is flta poHey imd jab zEte €rt ormalron IssumncaCompanyName: - - -Policy-or Self-ice.Uc. pifatioaDate: Job Tite Address: Citp/5tat&ZIP: Attach a copy of the workers'compensationpolicy-declarafian page(showing f e poPicy n=ber and expiration slate). FaRnre to secure coverage as requiredunder Seztib E 25A of MQ.m 152 can lead to the imposition of criminal penalties of a fine up to$Una OG and{or one yearimpdso as scrap as civil penalties,in the font of a STOP WORK ORDERand a$ae of up to$250-00 a dap against the violator. Be advised that a copy of this statementsasayba Enwarded to tine Office of h esfigations of the DIA for iflsurance coverage sdfrcation. 'Ida hereby c as tlt/spaIIcs arid, rapes cr�uay thatthe irr;{armcifzar�pt vtzcTed afiai�is true acid carrect -atare, )/) Y I— Date . Phone Orkialusawity. Da nat tvrtte in fhb axes,t a be arrnPL-tad by city artalrn oirciat City or Town: Permitffl ease:9 Issuing u&ority(Circle one): L Board of$ealth 2.RuRding Department 3.CitylTown Clerk 4.Elechical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: oarrnation an' d Instructions . . :.. M,cear3mceff8 C'TeheaalLaws chapter l52 raq==all emP+DYCES in wmix&cnmpen53tMn forfELD=employees. p this statute,an ear�vlayee is defined as":cVm7prasonm ffie service of a M&:r a¢y cc,±Cac:t ofhire, mq=*s cr implied,oral or vmith=." An errjsloyer is de$aed as-an indidvaL p=-tnetT3:ip,asmdaiioA cmpmrafson or off m legal entity,or any two or more Of the foregoing=gaged in a joint enterprise,and inchtdmg•die legal reaese fees of a deceased Moyer,or ifie receives ar frostee of an mdxvid L pip,assocJ tM or offierIegal enfriy,e3ploymg MMPinY=S'- However the owner of a.dwellmghorsehavingnotm.=thantfnea apartments andwfio residesthereat,Or occa d ofiftc- &WmUing house of zmo'3�who employs p�to do maim ce,conch-rLr'FTcn ar repay WDII an such dwelling house or on the gFatmds or butlmg �azTttitereio shalInotbecanse ofsurh employmentbe deemedto be an employee" . d' agp MM chapter 152,925C(6)also states that aeverp stzte ar local Hcen-dng agency shz.wifhb.old ffie issaance or renewal of a Ticense or perzoif to operate a Vastness or to construe#bmldnigs in the commonwealth for any applirantwho has notprodnced aczeptable ev4den"of compranmwifh the hm7arance.coverage regair d Adzdonally.MCrZ chaptnr.152,§25dM states'W itTier tTie cozmnanwe-i nor izy ofits political subdivisions shall enter fnto any caafract for tbD perfonnanc6 ofpnblic wozk m±I arcptable evidence of oompliacep the msm"nce.- ter have been enisd.m the eo 3tac��:ar�.oi�V." enfs oftbfs chap P� Applicants ' Please fill out the wo,3=1 compensation affidavit completely,by ehecIang fife boxes'hat apply to your ditL ion and,if neaes--RrL supply rah-c Dtractor(s)name(s), addresses)and phonenamber(s) along wtththmr cecstffic3f rCs)of insurance. LimitedLiab�y Companies(LLC)orLIMitedLiabilityPMt=SbJPS(LP)wiano employees other than the members or partners,are not rbquima to cagy workers'compensation insurance. If an LLC or LLP does hate employees,apolicyisregoired. Beadvisedflat this afddavitmaybesnhmiftedto the DepaitmentofIndustrial Accidents for confrmalioa of fnsm�ce coveragb Also be sure to sign and date the affidavit: The affidavit should ba.L-C ed to ffie city or town that the application for the permit or license is being requested,not the D ePartmeaf of the law or ff v.are to obtam a workers' •ors �d Should u have regm-dmg Ya - Lrdnsfrsal Asrtde +b- Yo �Y 4n� conipensafon poRcy,please call the Department at the number listedbelow. Self-fnsured companies should.enter they se iate line: tarty or Town Oftdcials PIease be sore tftat the affidavitfs complete andpifilfedlegibly. The Depa tnenthas provided a space at ffe bottom 'the affidavit for u•tn fill out inthe eventtfte Office ofInvmtgat s has to cozdactYoaregardmgtheapplicant or y� Please be sure to fill is the peamitlli c=se number which wM be used as a ref=ce n=bcr. In addition,an applicant iflat msst subm�multiple PeIMt �e applitalions in any gfveu year,need only submit one affidavit indicating Policy infoznatian(if p may)and unde2"lob 4 $e applicaof should vim -mall locations in (cY or town)--A copy of tbe-affidavfttftathas bey officially stamped or marked bythm city or t o maybe provided to ffie ' applicant as proof that a valid affidavit is on file fur frdnre'peaits or Hc=C& A new affidavit mTrst be{1led�i tQ business or c ommercY or citizen is o a license or permit not re7aied. any ..year.Where a home owner b�tg • (ie.a dog license or pemuf to bum Ieav=eb-- said pmrson is NOT to complete this affidavit The Office of Invesdg2d,=would lice to thank you in advance for your cooperation and sbouldyou.have any eons• please do nothesftate to give us a caI The Departm men address,telephone and fax nmeber: Tf u-C=MM-V *Of MRSM&Umt#s Utica of�fio (554-Vn �osto�sl�4 E�11� Fax#a7 727-7M Revised424-07 public Health Division Town of Barnstable b PO Box 534 Hyannis,Massachuseb 02601 Fax(508)775-3344 -Phone(508)!790-6265 •f�O.b/Slw�[r I�VNi.v� �BfO �/.� � . e � , { I i e,'Z L G=b• G'6' 3tV G ti G U• l a �p r r--T 6ri2 z__ 1tw _ 1 f<6:ls"./irr". JA 1 j:O'!/'O !/.v1• <!•.'!. �IifirL���I••/N •B!/!y� �.I,III✓ ' new n ..1.....� •\ .. ;� �. i .. - � .•:� '•�ii.+Xa'F..•i+.`4�'. -k:�. 1.,� �:� ?l.-.gew'':- x",w'i4. ,3�i,' � � -� - �.! ».d>�. , �2 L Vo VI w� • .'ll ti ,eu V ��._. 1. ;• i I i 0 �JVYA AL, b }-} i I t i' I r E� •F C • s w 2.... `Q + Ili �I•� : j I II• ,I j 't•� =c�. 3/sr/I/i!�!la.N:1---__ � � I t i I i2X B:� oa.�I i i i 1 i IT-O v _ � � I • .Q •Q • t i I I I .1GLftl. ,0 v LL a s:s z'Z s'&, I 3v�e �� �� I � /a'� R'i.✓ Y Kz, i �sr�ace PL'•/ i:' (�I ,JODICfa DES ; 'iv`L�G at wi� hwt Y � : i} � �l�' �.♦- t a. `` �. .. __ - + �. •.:•��+� > .: -� r� KI:' ' �t � :'. ' 1.,-�-o •.� A►`'4'�'f�h;w ;I •, { r1' ♦ - tt �.+,a r�-�-, .. �,• ^ . s RRR qe7 ,�. 1. • i ' r , ' t ' ,,. `e n; . ' h .� t- .�: -Z w .!4 - 9 ` �= L ^° � h� .' �+•.'�+ifis. (iCt�' � �S�rYa..ti< k, 'p' x ;� �\4 .::s, '•r �'Rx' N' "' itt..":,irk •, t' L. -" -- y.�'•• ,- '..'.�.�`, i.- t '� '�i„t� y,, '- .'�'. T. k..`ci".► lY�" ;Q t�.,�,� yr '+ 1* - D ( •�: �,-. .. .r .'�.' �-?',�'F.�: _-•+lr�a� c,:..`� �9r+.% rp'' ._��rd,.k.T'.Y It 4f'�..�°i�-1':Tr`d::#Jfi zwBS:.r�.�.�.,�y::�t�«:^,�'?'.'a'�'t�.`�/vr A�.• .. •.'YiSy?�Y`. .. h,�;•_r.ti`.c�'�}�'.� !�`tii.:+xtaXr -.���' .; . , w��c,41 �iysc6j., <avl .E'<Qat!✓,�.rT� � .- 41k A861 opt iZ V '�`hr f,ur Ois Spin ,[� /o% //:aewris 9I w svAws l�itL/istwr. /(.opts a fE i2 'GIs inv Alb/:O./ va/I�DI IiG' ?1�l /.lfatll/ew_ �U - ?tre NtM./1 ... "`- � � .::. . G/Slr1 f/N L•t.�.. s.cr i�•r� I/Oa•+';1.2 /'�G'Y•aC �' s G',+rsa'Irv.✓ L-!� - ✓a./sv pvj st! 3�!'cw s�I,G', s.. �`� � O Ca+s� it-p.9y ssr9 ✓ititis.+� n.�! L/e/wti s. ptrlL ee C// ii✓6 !a9.61 `y(6r✓ ae .si it..m ./Iwwrct i.r Sytw,tl. ul i I�frLfl.Wl p // a sb7acw[ Vw- AMf .A� I an cow Ate..t a s! F lfl x.•.. -sx# VXI AOWA .kll' ut G.s bn s•,va �x y�� . ir✓r4awwL,V (�'i.•yt iX�. Gt�acs ✓.ssy 77 PO io-cam is iwc /11. ieM • PAUL E JOIN fir.»6 /.=o"wn/•� 4 P 2 lcl..n. UpE Ba1..v 6t�Os 3¢i'2� iNi SfGT /Ill nn.StCT��'DvltL r wY am. vv` 00 ' El r _ — -- — — ---- FF— -- F----=—' W/S/vf Ge/.serL F?oYr E�✓/�/G�✓ GN/I!/L 1eA11��L__vY/jbt yllf fs�oNzyt w F ewe G<2A6E !it FiLy�_S��! ljOe aeN 6CiK�//��/ C/Of �C �12'�! <M�r�� CASE w/AfW r g1/HP oUT g+x t o f 5>yLE •er ''i - - /✓I' y�,v ifirai yG+fw..yyl .f/li;.,j„�{F Am ta 40 • .w•A'iW •/�� .v//l I• 6lNi lows /+,vnrL t t LcN ,•.'.0•• - trJiA/ i /W1 S/ G/ltijpn/ Yr�' .J.X..t ..l f t tiel eh 7DeF. a pCr o . CO -0 it I C -, L V'I Certified Mail Fee "0 Extra Services.$Fees(check box,add tee as appropriate) ElReturn Receipt(hardoopy) $ `�`5,M O ❑ i1 Return Receipt(electronic) $ ` os a �l a ❑Certified Mall Restricted Delivery $ �Q Here ❑Adult Signature Required $ C3 +', J ❑Adult Signature Restricted Delivery$ �0+ Q Postage Cr O $ C3 Total Postage and Fees 6 PV $ Q� Imo- Sent o a 7 O Str et and Apt.No.,or Pb Box o. r lti -----------/--------- - - -- '-- -- ---- -------------------- Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail IabeQ. for an electroni�retum receippt,see a retail ■A unique identifier for your mailpiece. associate for assistance.To-Weive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS®-postmarked Certified Mail receipt to the ■A record of delivery(including the recipients retail associate. signature)that is retained by the Postal Service' Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent. Important Reminders: Adult signature service,which requires the ■You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Mail®,First-Class Package Service®, available at retail). or Priority Mail®service. Adult signature restricted delivery service,which ■Certified Mail service is not available for requires the signee to be at least 21 years of age International mail. and provides delivery to the addressee specified ■Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent with Certified Mail service.However,the purchase (not available at retail). of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mail items. 7� USPS postmark.If you would like a postmark on ■For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail item at a Post Office-for the following services: postmarking.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. - electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Return Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT.Save this receipt for your records. Ps Form 3800,April 2015(Reverse)PSN 7530•02-000-9047 Town of Barnstable Building Department Services Brian Florence, CBO :5A.AAA ��e. A��Building Commissioner RNSTABLE 200 Main Street, Hyannis, MA 02601 "`I63q-2:1>•'.i'!'lt1LLt'•:;i*R'•v 7639-2U]A www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Notice of Building Code Violation(s) and Order to Cease, Desist and Abate: Victor Rodriguez, Madelyn Guzman and all persons having notice of this order: As property owner or tenant of the property located at 191 Bristol Avenue, Assessors Map 291 Parcel and known as residential structure, you are hereby notified that you are in violation of 780 CMR; the Massachusetts State Building Code Chapter(s) 1, 3 Section(s) 105.1, 310, and 311, and are ORDERED this date 10/19/2017 to: CEASE AND DESIST all functions associated with the following violation(s)on or at the above mentioned premises: Summary of Violation: On 10/16/2017 I observed a violation of 780 CMR of the Massachusetts State Building Code Chapter(s) 1,3 Section(s) 105.1, 310, 311 Specifically, apartment constructed in the basement including two bedrooms without the minimum requirements for emergency escape. Summary of Action to Abate Violation: ,In.order to abate this violation and to avoid further enforcement action by this office, commence_ immediately upon receipt of this notice the following action: make application and obtain a ':building permit along with all required subsequent inspections to either: 1)remove all unpermitted work; or 2) permit finished-space in basement as allowed by the Zoning Ordinance of the Town of Barnstable. Additionally, electric and plumbing permits are required. Andjf aggrieved by this notice and order; to show cause as to why you should not be required abate the violation in this notice,you may file a Notice of Appeal (specifying the grounds thereof) with the.State,.Building Code Appeals Board within (45)days of the receipt of this order and in accordance with MGL c. 143 § 100. If, at the expiration of the time allowed,action to abate this violation has not commenced, further action as the law requires may.be taken:. By Order,.. .. fr Lauzon Chief Local Inspector (508) 86274034 4effrey,lauzon@town.barnstable l T Town of Barnstable Building Department Services Brian Florence, CBO tangy. Building Commissioner BARNSTABLE 200 Main Street Hyannis, MA 02601 uin YyrYt`}1639-01Ct llrti,N ls, 16ss^-]O1A www.town.barnstable.ma.us ' J Office: 508-862-4038 Fax: 508-790-6230 Notice of Building Code Violation(s) and Order to Cease, Desist and Abate: Victor Rodriguez, Madelyn Guzman and all persons having notice of this order: As property owner or tenant of the property located at 191 Bristol Avenue, Assessors Map 291 Parcel ::': and known as residential structure,you are hereby notified that you are in violation of 180 CMR,the Massachusetts State Building Code Chapter(s) 1, 3 Section(s) 105.1, 310, and 311, and are ORDERED this date 10/19/2017 to: CEASE AND DESIST all functions associated with the following violation(s) on or at the above mentioned premises: Summary of Violation: On 10/16/20171 observed a violation of 780 CMR of the Massachusetts State Building Code Chapter(s) 1, 3 Section(s) 105.1, 310, 311 Specifically, apartment constructed in the basement including two bedrooms without the minimum requirements for emergency escape. Summary of Action to Abate Violation: In order to abate this violation and to avoid further enforcement action by this office, commence immediately upon receipt of this notice the following action: make application and obtain a "building permit along with all required subsequent inspections to either: 1) remove all unpermitted work;or 2) permit finished space in basement as allowed by the Zoning Ordinance of the Town of Barnstable. Additionally, electric and plumbing permits are required. And,,if aggrieved by this notice and order; to show cause as to why you should not be required abate the violation in-this notice, you may file a Notice of Appeal (specifying the grounds thereof) with the.State Building Code Appeals Board within (45) days of the receipt of this order and in accordance with MGL c. 143 § 100. If, at the expiration of the time allowed, action to abate this violation has,not commenced, further action as the law requires may,be taken. By Qrggr,.;.... F fr Lau Chief Local:inspector (5.08) 862-4034 Jeffrey.Iau.zon@town.barn stable TOWN OF BARNSTABLE TEMPORARY OCCUPANCY PERMIT PARCEL ID 291 232 GEOBASE ID 20095 ADDRESS 191 BRISTOL AVENUE PHONE I HYANNIS ZIP LOT 11 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 43890. DESCRIPTION 30 DAY TEMPORARY OCCUPANCY PERMIT PERMIT TYPE -B= TITLE OCCUPANCY PERMIT GD 0 CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: THE BOND $.00 , CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE, P ( I Ex a * BARNSTABLE, +► MASS. i6g9. A�� BUILDING D % IS N j DATE ISSUED 01/31/2000 EXPIRATION DATE 03/02/2000 TOWN OF. BARNSTABLE ILDING g$ T PARCEL ID 291 232 GEOBASE ID 20095 ADDRESS 191 BRISTOL AVENUE PHONE HYANNIS ZIP LOT SIZE LOT BA BLOCKBLOCK DEVELOPMENT DISTRICT HY PERMIT 41138 DESCRIPTION SINGLE FAMILY HOME (SEWAGE PMT. #99-609) PERMIT TYPE BUILD TITLE NEW RESIDENTIAL BLDG PMT Department of Health, Safety CONTRACTORS: PROPERTY OWNER and Environmental Ser vices ARCHITECTS: - TOTAL FEES: $270.07 BOND $.00 ; CONSTRUCTION COSTS $87,120.00 101 SINGLE FAM HOME DETACHED 1 PRIVATE P # gr�B>l,>�.. •' BOIL N BY DATE ISSUED 09/17/1999 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 APPROVED PLANS MUST BE RETAINED ON JOB AND FOR ALL CONSTRUCTION WORK: ` THIS CARD KEPT POSTED UNTIL FINAL INSPECTION WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS PERMITS ARE REQUIRED FOR 2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF•OCCU- ELECTRICAL,eLUMBING 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 2 2 f/irliR �'',1�+.�r6sdv 2 3 ,.J I ?,pom 1 Hf#TING INSPECTION APPROVALS ENGINEERING DEPARTMENT C'(o • BOARD OF HEALTH OTHER: SITE N REVIEW APPROVAL W-1 EK SHALL NOT P CEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS NSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY OUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA j . NOTED ABOVE. TION. �/3"o N`ppTME �O� The Town of Barnstable - BA-STABLE. = Department of Health Safety and Environmental Services - MASS �► P 1639. �0 - plF�►AP'�° 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 k N4-1 Location a ( 2 c o ( Permit Number 3� Owner Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: Please call: 508-862-4038 for re-inspection. Inspected by Date �� 3 r /Zoe-'n �„y-,..+,.,rh'i,,;y;.?il`r;.. :.� rF.--..` t.. ..,t' , . _ n -',,-.Er �^w ..n..r�- .. ,, w.n.rovy.i,,�i'�^w .,.�-.-5-.-,� ... , «.«n,.m�.F..:-rs.«+w .�.—s.'..�-• e �ME i The Town of Barnstable BARE. Department of Health Safety and Environmental Services MASS. i 19. Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection ) Location I q �o 1�j j4d;A Permit Number ) 13 Owner Builder (1.t &P,?' One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: " "' ► �, o„l 4-j'S b# An eft �✓ , - r Please call: 508-862-4038 for re-inspection. Inspected by Date TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 1 i Map_ -`� Parcel IL - Permit# � Health Division �0 /6 Date Issued Conservation Division _ Fee �"�70. 0 1 Tax Collector �.... P Treasurer SEPTIC SYSTEM MUST BE Planning Dept. INSTALLED IN COMPLIANCE Mn Date Definitive PI�nA grooved bPlanning Boro �Q h �� ENVIRONMENTAL CODE AND Historic-OKH/" Preservation/Hyannis S'4 & (' p5I TOWN REGULATIONS Project Street Address 4_0 L V _ Village NJ C , Owner Address 4 L Am E; v"'Telepho We , Permit Request `Square feet: 1 st floor: existing proposed 1r� 2nd floor:existing proposed Total newer-gy YEstimated Project Cost 0Mp® — Zoning District Flood Plain Groundwater Overlay Construction Type w e% e� . Lot Size I to 00 Sy r Grandfathered: Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family 0 Multi-Family(#units Age of Existing Structure Historic House: O Yes No On Old King's Highway: ❑Yes a No Basement Type: /Full ❑Crawl Walkout C3 Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) fo y +Number of Baths: Full: existing new a Half:existing new Number of Bedrooms: existing new 'Total Room Count(not including baths) existing new First Floor Room Count Heat Type and Fuel: 0 Gas 0 Oil ❑Electric ❑Other _ F 14- Central Air: ❑Yes 0 No Fireplaces: Existing New ® Existing wood/coal stove: ❑Yes A No Detached garage:0 existing O new size Pool:0 existing ❑new size Barn:0 existing Cl new size Attached garage:O existing 0 new size Shed:O existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# °1 `� 7 Recorded❑ Commercial ❑Yes ®'No If yes,site plan review# Current Use Proposed Use P.,€ A L BUILDER INFORMATION Name r l Telephone Number "O 27 G L-5y y/W Addre s License# nn M4 Y Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS P tESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY w - PERMIT NO. DATE ISSUED 4 MAP/PARCEL NO. ADDRESS VILLAGE OWNERS DATE OF INSPECTIONS _ r `-'Y 1 zFOUNDATION w _ _ 1 FRAME INSULATION - FIREPLACE _ a ELECTRICAL: - ROUGH FINAL P PLUMBING: ROUGH FINAL - GAS: "ROUGH !,r to FINAL ' FINAL BUILDING DATE CLOSED OUT 4 to 00 ' ASSOCIATIONYLAN NO. ' ' P . (T11I,Y960z9xvaWnnt 66190OI-Y'vQ l i M9HL(IY,71f_ 'V 7Z)Vd a0P z e 9999-Oat XVII ssoo-8zP 7�L ,y0 S�Ljvzjfzyin( YYy 'yjv gs �1 V7 DAIIATOZ ,NHL OJ HcYO IN00 ` 9 — 8�9z0. SSbLLj S77II� S�IIOLS2ib'If 's ----=-T- NoillISOd S'Ji OrVO,I AYJSn UAII 80 I ,LIM17 UNV NA4 0HE SV UATn 01,0 YRY 090 XOg '0 d ���,���s,. .. u 7� NO arIvj v507 SI 11IOLL vaivn 0i SI-AIV1717Sn10 AgA MS 19XNVA VA 08V ,NHL I VHL A YII Y,73 I V/A1-A 579 9 t OO f I,Y9U*7d Oz I.97V,.)S SIAT I b'AH-11I M 01 8�« JnloZ Six JVOIJ VJI,YI,LY,7J AIOLL VUlM O Y «j« 7jVoz Qoo7,1 \ 09i yp7lsv _ gel 80I J071EV sY'6S-goo'9r =e,7HV EEO 107 '160 drIf SHOSS,7SSV t z'19 C\I O SOIJIV 0j z �' o t I'oI LO7lsv 6Vt' lCI=H g0 l=7 �� rJ JA The Cvmmvnweaitli o Massachusetts Department of Industrial Accidents --_ � 600 Washington Street ��:;+� Boston Mass. 02111 '3Qu`w. ' Workers' Compensation Insurance Affidavit TIC�IIE;1TSfQt'Qr� name: (<- L7U V) location: t. city I\AA. i3hone# ❑ I am a omeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any ca achy ❑ I am an employer providing workers' compensation for my employees working on this job. comnnnv name- addreas• city, phone#: �psvrancL cn. policy# r ogTj I am a sole proprietor, general contractor, e ' cle one) and have hired the contractors listed below who have the folloi%ing workers' compensation polices: company name: addretr. ... ... . . . ... �i dtv phone :4.x•.Y ......... . invnrnnce cn. camnanv name! address cih to phone#� ranee co. go CV iron. :....to........:: � ss> ///%G/�/////%/%%%%////G//G�%%/%%G/ // /% / Ml/.G%G Faaure .secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a One up to 51.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a Me of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the OMce of Investigations of the DU for coverage veeitleatfon I do here , i y under the pars and pAA IG i77k, ury that the information providedabove i*,-amnmdkfcoffe Si�ature lS Date Print name Phone# oincial use only do not write in this area to be completed by city or town otIIciai city or town: pertmitNcense# ❑Building Department ,❑Licensing Board ❑ check if immediate response is required ❑Selectrnen's OMce ❑Health Department contact person: phone#; ❑Other. ;pro Y;95 P1AJ Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for.th.- employees. As quoted from the "law", an employee is defined as every person in the service of another under any cc=--= of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the recur v trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds c: 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 Iicensing agency shall withhold the issuance or renew a- 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,atl acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contrsc-= authority. , 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 along with a certificate of lustumnce as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date 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 you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill is the pezmitllic=c number which will be used as a reference number. The affidavits may be retried io the Department by marl or FAX unless other arrangements have been,made. The Office of Investigations would bike to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax member. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Inesugadons 600 Washington street Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 ext 406, 409 or 375 • The Town of Idarnstaime . ,.°'� t°"�•� Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER UC NSE EXEMPTION Pfau Ptiat DATE JOB LOCATION: t cl L �� �,C `tau L� ll N/A A)V�, number street village "HOMEOWNW: D a l2 L F 04✓i.S 5 o f' 7 ?S- 016 a mmne home phone# work phone# CURRENT MAILING ADDRESS: L4 0 7 6 P J nJ A P- R d <'I',.+E ✓I .14.E o; f. 3 a� sm cep cede The current exemption for"how"was extended to include owner-occupied dwellings of silt units or and to allow homeowners to engage an individual for hire who does not possess a license,moulded that the owner acts as su^ervisor_ u JFMMON OFHOMEOWNER Person(s)who owns a parcel of land on which he/she resides or rounds 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 .=ancble for all such work performed under the hu't ing eer it.(SeWon 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. I S' of Homeoama Approvd 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 Conti L HOMEOWNER'S NEON The Code stapes that: "Any homeowner pafornimg worm for which a building permit is requkcd shall be atempt from the pmvLdom of this seedon(Section lo9.1.1-Liccmin of consu xd=Supervismy,provided that if the homeoama engages a persons)for Wm to do such wont,that such Homeowna shall act as supervisor:" Mamy homeowners who we this eumption we unaware that they are assuming die respbilities of a supervisor(see Appendix Q. Rules A Regulations for Idceaiimg Constmaion Supervisors,Section 2.15) This lack of awmewss oRm results in satious problem particularly when the homeesvner hires unlicensed persons. In this cast,off Board carrot proceed ap mst the uniiceased person as it would with a licensed Supervisor. The homeowner sexing as Supwimr is ukh atdy respwsible. To m that the homeowner is fully aware of histher responsibilities,mm y cmm mitles regnim as part of the permit application, ea that the homeowner certify that he/she tmderstands the mpormMities of a Supervisor. on the last page of this issue is a form curtly used by sevad towers. You may care to amend and adopt such a hudieatification for use in your amity. AUG- 9-99 MON 9: 27 AM BARNSTABLE, PLANNING, DEPT FAX NO, 508 790 6288 P, 2 1610 4 s , Town of Barnstable Zoning Board of Appeals Decision and Notice Appeal Number 1999-87 -Viirre Variance to section 34.1(5)Bulk Regulations Summary: Relief Not Needed' Applicants: Wayne and Estelle Viirre Property Address: 191 Bristol Avenue,Hyannis Assessors Map/Parcel: Map 291.Parcel 232 Area: 0.29 acre Zoning: RS Residential B Zoning District Groundwater Overlay: AP Aquifer Protection District Background: The property that is the subject of this appeal consists of a 0.29 acre lot commonly addressed as 191 Bristol Avenue, Hyannis. The property is presently undeveloped and is located in an RD Residential B Zoning District which requires a minimum lot area of one acre, a minimum frontage of 20 feet, and a minimum lot width of 100 feet. The property was subdivided in 1961. At that time, the property was zoned RA-1 which required a minimum lot size of 7,500 sq.ft. In 1972, the property was rezoned to an RB Residential Zoning District with a minimum lot area requirement of 10,000 sq. ft. (ATM 4/5172,Art. 126). Finally, in 1985, the minimum lot size was increased to one acre(STM 2/28/85, Art 1). The subject lot consists of approximately 12,600 sq. ft. of area and is, therefore, nonconforming with regard to the minimum required lot size. The applicants have applied for a Variance to Section 3-1.1(5)of the Zoning Ordinance-Bulk r Regulations, to allow the construction of anew single-family residence on an undersized lot. Procedural Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on June 9, 1999. ;A public hearing before the Zoning Board of Appeals was duly advertised and notices sent to all` abutters in accordance with MGL Chapter 40A.',The hearing was opened July 28, 1999, at which time the Board decided that relief is not needed., Hearing Summary: Board Members hearing this appeal were Gene Burman, Gail Nightingale, Richard Boy, Tom DeRiemer,. and Chairman Emmett Glynn. Attorney Charles Sabatt represented the applicants, Wayne and Estelle Viirre. Attorney Sabatt submitted a color-coded sketch plan of the area and reviewed the locus and surrounding parcels. As background, Mr. Sabatt explained that Lot 11 (Map 291, Parcel 232kwas acquired in 1979 and owned individually by John Viirre. John and Estelle Viirre together bought Lot 12(Map 291, Parcel 108)in 1968, John Viirre died in 1982. John Mirre's wife, Estelle Viirre, and their son,Wayne Viirre, became co-owners of locus(Lot 11) upon his death under the terms of his will. Effectively, they acquired the land in 1982, but the Court's did not issue the new certificate until 1993. Attorney.Sabatt explained that Lot 11 is owned individually by Estelle Viirre and Lot 12 is owned by both Estelle Viirre and her son, Wayne Vilrre, as tenants in common. AUG- 9-99 MON 9: 28 AM BARNSTABLE, PLANNING, DEPT FAX N0, 508 790 6288 P. 3 - Town of Barnstable-Zoning Board of Appeals-Decision and Notice Appeal Number 1999-87-Viirre Variance to Section 3-1.1(5)Bulk Regulations-Minimum Lot Slze t Based on the information presented, the Board questioned why the applicant was before them. They questioned how the two lots merged, if one is owned individually and one is owned as tenants in common. : .Attorney Sabatt felt they might be considered under the same control even though they are not under the same ownership and-in that case-would need a Variance.;However, if the Board should rule that no Variance is needed,the applicant can then go to the Building Commissioner for a Building Permit. Public Comment:J No one spoke in favor or in opposition to this appeal.' Decision: With reference to Appeal Number 1999-87, the following motion was duly made and seconded: addressed as 191 Bristol Avenue, Hyannis, MA, as 1. The property in issue Is a vacant lot commonly Y , shown on Assessors Map 29 1, Parcel232. 2. The locus is owned by both Estelle Viirre, and her son, Wayne Viirre, as tenants in common. 3. The adjoining parcel as shown on Assessor's Map 291, Parcel 108, Is owned individually by Estelle Viirre. 4. Based on the information presented,the lots have not merged under zoning and no variance relief is i needed The Vote was as follows: AYE: Gene Burman, Gail Nightingale, Richard Boy,Tom DeRiemer,and Chairman Emmett Glynn NAY: None Order: In Appeal Number 1999-87,the Board decided that Relief is Not Needed. rAppeals of this decision, if any, shall be made pursuant to MGL Chapter 40A, Section 17,within twenty (20)days after the date of the filing of this decision. A copy of which must be filed in the office of the Town Clerk. ; Emmett Glynn, Chairman - Date Signed I Linda Hutchenrider, Clerk of the Town of'Barnstable, Barnstable County, Massachusetts, hereby certify that twenty (20)days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this day of under the pains and penalties of perjury, ,Linda Hutchenrider, Town Clerk 2 �r C I I MAScheck COMPLIANCE REPORT I I Massachusetts Energy Code 1 Permit # I MAScheck Software Version 2.01 I I I I I Checked by/Date I I I CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 9-9-1999 DATE OF PLANS: 3/99 TITLE: 36X24-26 COLONIAL PROJECT INFORMATION: SINGLE FAMILY RESIDENCE COMPLIANCE: PASSES Required UA = 375 Your Home = 334 Area or Cavity Cont• Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 946 30.0 0.0 33 WALLS: Wood Frame, 16" O.C• 2016 13.0 0.0 166 GLAZING: Windows or Doors 186 0.370 69 DOORS 56 0.380 21 FLOORS: Over Unconditioned Space 918 19.0 0.0 44 FLOORS: Over Outside Air 28 30.0 0.0 1 HVAC EQUIPMENT: Furnace, 83.0 AFUE ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application• The proposed building has been designed to meet the requirements of the Massachusetts Energy Code• The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code• The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date f � MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 36X24-26 COLONIAL DATE: 9-9-1999 Bldg. 1 Dept. 1 Use I I CEILINGS: Q I I 1• R-30 I Comments/Location f I WALLS: Q I I 1. Wood Frame, 160 O.C. , R-13 I Comments/Location I I WINDOWS AND GLASS DOORS: Q I 1 1. U-value: 0.37 I For windows without labeled U-values, describe features: I = Panes Frame Type Thermal Break? E I Yes Q I No I Comments/Location 1 I DOORS: Q I 1 1. U-value: 0.38 I Comments/Location I I FLOORS: Q I 1 1. Over Unconditioned Space, R-19 I Comments/Location Q I f 2. Over Outside Air, R-30 I Comments/Location I I HVAC EQUIPMENT: E I 1 1. Furnace, 83.0 AFUE or higher I Make and Model Number I I AIR LEAKAGE: Q I I Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. When I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: 1 1. Type IC rated, manufactured with no penetrations between the I inside of the recessed fixture and ceiling cavity and sealed or I gasketed to prevent air leakage into the unconditioned space. 1 2. Type IC rated, in accordance with Standard ASTM E 283, with no I more than 2.0 cfm (0.944 L/s) air movement from the the I conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I difference and shall be labeled. I I VAPOR RETARDER: Q I I Required on the warm-in-winter side of all non-vented framed I ceilings, walls, and floors. I I MATERIALS IDENTIFICATION: Q I Materials and equipment must be identified so that compliance can I be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be I provided. Insulation R-values, glazing U-values, and heating I equipment efficiency must be clearly marked on the building plans I or specifications. I I DUCT INSULATION: Q D I Ducts shall be insulated per Table J4.4.7.1. 1 1 DUCT CONSTRUCTION: Q ]I I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be i omitted where gaps are less than 1/8 inch. Duct tape is not I permitted. The HVAC system must provide a means for balancing I air and water systems. I I TEMPERATURE CONTROLS: Q I Thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. I I HVAC EQUIPMENT SIZING: Q I I Rated output capacity of the heating/cooling system is I not greater than 125% of the design load as specified I in Sections 780CMR 1310 and J4.4. I Q I I SWIMMING POOLS: I All heated swimming pools must have an on/off heater switch and I require a cover unless over 20% of the heating energy is from I non-depletable sources. Pool pumps require a time clock. I Q I I HVAC PIPING INSULATION: I HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in.) : I PIPE SIZES (in.) I HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" 1 Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 I Low temperature 120-200 0.5 1.0 1.0 1.5 1 Steam condensate any 1.0 1.0 1.5 2.0 1 COOLING SYSTEMS: i Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant below 40 1.0 1.0 1.5 1.5 I Q 1 1 CIRCULATING HOT WATER SYSTEMS: I Insulate circulating hot water pipes to the following levels (in.) : I 1 PIPE SIZES (in.) 1 NON-CIRCULATING 1 CIRCULATING MAINS & RUNOUTS I HEATED WATER TE19P (F): RUNOUTS 0-1" 1 0-1.25" 1.5-241" 2.-U+" .` 1 170-180 0.5 1 1.0 1.5 2.0 1 140-160 0.5 1 0.5 1.0 1.5 1 100-130 0.5 1 0.1, 0.5 1.0 I ----NOTES TO FIELD (Building Department Use Only)------------------------- El I HYANNIS UTE 28 .BENCHMARK.• 9�s�s �Eul TOP OF CATCH BASIN FLEV; 100. 0'(ASSUMED) 4 1H OF UE O �• LOCUS � PAUL E OL mEfm co) A. ew I SG T 140. N _ YD• y 7 - 1►'i _ — p A V E _ �, _ rsrE g �0 0 F _ - l01.2 IRON E / E D 01.9 /� L=108.38 0 1 PIPE 102.9 _- - 49 E =1 �14• \ �„ v0 _ LOCUS MAP 103.5 � R H, CB 1 10• �. 38' „ *2 . i � t F ASSESSORS MAP. _291, 'LOT 232 1 . O.9 y , �•. : 14034 E � EFtI�CE G • PLAN REF l � � r N�> » Op ZONING.• RB `� ZV 3IFHY v 4' „ oc� No.749 FLOOD ZONE: C J b o ° _ 100 �I �� �Q WATER PROTECTION "AP" to o' �N X I o 1 36.0 _101y - _ - SITE, AND SEPTIC PLAN C 1 04.0 T. F EL 103 e I - l I � �T -/ i PRO POSED — 99 1 0 0°29.9' 1 3 BEDROOM PROJECT L OCA T/ON gAGE HOUSE 191 BRISTOL AVENUE GA 1 HYANNIS, MA. I b tee. AS/LOT 107:. q 60.0'� rn \�; cfl APPL/CAN T.- w DARLENE DA VIS 10 y / — 9�38 0 0�\ YANKEE SUR V/EY CONSUL TANTS AS/LOT 232 RESER v \ ,. P. O. BOX 265 AS/LOT 108 AREA- 13,003�SQ.FT, _ — I� UNIT 5, 408 INDUSTRY ROAD I I MARSTONS MILLS, MA. 02648 � I PH.(508)428-0055 — FAX(508)420-5553 SCALE: I" = 20' DA TE:9115199 10'45 E LOT 159 �, REV. REV As/ IRON _ LOT 16 0 - [YjL37NO. 52093=DCB SHEET I OF 2 PIPE As } EL. = 101' _ VENT TOP OF FOUNDATION 20' MIN. , IF S.A.S. IS MORE THA 3.0' BELOW SURFACE 10' MIN. CONCRETE COVERS 4" SCHEDULE 40 P. VC . MIN. PITCH 1/8 PER FT. L 27LA YER OF , EL=100' EL=100' CONCRETE CO VER WASHED STONE B" MAX . / / / �. EL=101.0 / / /. / / i i / 4" CAST IRON PIPE (OR EQUAL MINIMUM 9" PFrCH 1/4 PER FT. CLEAN SAND 4, - .MIN. - _ FLOW LINE 711 EL=97.25 INVERT 'IN 8 �Z O EL.= 98_5 INVERT ; SUM LEVEL u cV lo c 00° INVERT BAFFLE EL.- 9B.0' � INVERT INVERT 0 0 0 0 — 97 75 — 97_5_0_ °o° ° ° EL.3=95. 75 EL.= 98.25 EL.---=-- EL.—__ (m BE PLACED ON FIRM BASE) DISTRIBUTION MECHANICALLY COMPACTED OR 6" OF S70NE BOX EL.=96. 75 1500__GALLONS TO BE WATER TESTED Il' X 38' TRENCH FORMATION SEPTIC TANK IF MORE THAN ONE OUTLET PLACE ON s•' STONE 3/4" TO 1-1/2" SOIL ABSORPTION PROFILE 0 F DOUBLE WASHED STONE SYSTEM : '(SAS) SEWAGE DISPOSAL SYSTEM BOTTOM OF TEST HOLE OR USGS PROBABLE WATER TABLE ELEV. NOT TO SCALE NO OBSERVED WATER TABLE (8/26/99) ELEV. __ 88__ OBSERVATION HOLE I ELEV.=_ 98'_ PERCOLATION RATE S2__ - MIN./ INCH AT _48—" INCHES OBSERVATION HOLE 2 ELEV.=_ 9_5.5' DEPTH HORIZ TEXTURE COLOR MOTT OTHER DEPTH HORIZ TEXTURE COLOR MOTT. OTHER 0-3" O WOOD LOAM IOYR 2-1 NONE FRIABLE 0-3" O WOOD LOAM IOYR 2-1 NONE FRIABLE 3-8" A LOAMY SAND IOYR 4-2 NONE FRIABLE 4-8" A LOAMY SAND 10YR 4-2 NONE FRIABLE GENERAL NOTES 8"-36" B LOAMY-SAND IOYR 4-6 NONE LOOSE 80%40" B LOAMY SAND IOYR 5-6 NONE LOOSE 36"-120' C MEDIUM SAND 10 Y 5-4 NONE LOOSE, 40"-120 ' C MEDIUM SAND 10 Y 6-4 NONE LOOSE, z SMNFS 5% S7vNw 1) ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. TITLE 5 AND THE TOWN OF _RARL1r.ST_AB_LE--__ RULES AND NO WATER ENCOUNTERED NO WATER ENCOUNTERED REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. E 2) ONE COVER ON SEPTIC TANK SHALL BE BROUGHT TO -' SOIL TEST " WITHIN 6 OF FINISHED GRADE, OTHERS WITHIN 12" DATE OF SOIL' TEST 8126199 WITNESSED BY: EDWARD BARRY B.O...H 3) ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN SOIL TEST DONE BY ECO—TECH ENVIRONMENTAL—DAVID D COUGHANOWR, R.S. 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE DESIGN CALCULA TIONS: USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. 4) ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL NUMBER OF BEDROOMS . . . . . . 3 BE MORTERED IN PLACE. _ TOP Le-")AD DISPOSAL NO 5) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH 5 INFILTRATORS WITH TOTAL ESTIMATED FLOW DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO 4' STONE SIDES AND ENDS ( 110__GAL/BR./DAY x 3___ BIB) 330 GAL/DA Y OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. Y 11' X_178 REQUIRED SEPTIC TANK CAPACITY 1500 GAL 6) UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCA VA TION CONTRACTOR SOIL CLASSIFICA TION . . . . . . . . 1 IS TO CALL "DIC— SAFE" AT 1—800—322—4844 AT LEAST 72 HOURS INSTALL IN MEDIUM SAND DESIGN PERCOLATION RATE 2 MIN./IN. PRIOR TO COMMENCING WORK ON SITE. a EFFLUENT LOADING RATE . • 74 GAL/DAY/S.F. 7) CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS LEACHING CAPACITY (AREA X RATE) 381 GAL DAY SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. 8) PARCEL IS IN FLOOD ZONE __"C" _. RESERVE LEACHING CAPACITY . . . 381 _ , / GAL DA Y 9) LOT IS SHOWN ON ASSESSORS MAP __291 AS PARCEL _,232 . (38XIIX 74)+(38+38+I1+IIX 74) L SHEET 2 OF 2 JOB NUMBER___52093 -__--