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0122 CANTERBURY CIRCLE
p7m F �, rt L Town of Barnstable Home • P rPosthis Card So That tt is Visible from the Street Approved Plans"Must be Retained on Job and:thls Card Must 6e£Ke ,t` ,>: . Occupation MAI& i � g' b�Z €�� � ;i Jf Y' Y✓���s 1 {� s ,� ::<a' � h§z x y= e f�i�; ,Posted Until>=final Mspect�on Has Been Made s t i*; k • Where a Certificate of Occupancy is Required,such Building shall NatrbeOccuped until a F i lnspectronhas been madea Permit Registration Number: B-20-1088 Applicant Name: BONILLA, RIGOBERTO A&TEJADA, LIDIA L Approvals Date Issued: 04/27/2020 Current Use: Structure Permit Type: Building-Home Occupation Expiration Date: 10/27/2020 Foundation: Location: 122 CANTERBURY CIRCLE,HYANNIS Map/Lot 249 128 Zoning District: RB Sheathing: Yy x ? Owner on Record: BONILLA,RIGOBERTO A&TEJADA,LIDIA.Ls * Contractor Name Framing: 1 Address: 122 CANTERBURY CIRCLE _ ` Contractor License 2 vss HYANNIS, MA 02601 � m= Est:Project Cost: $0.00 h Chimney: Description: ALVARADOS LANDSCAPING Permrt{Fee: $35.00 Fee Paid ` $35.00 Insulation: Project Review Req: f" Date 4/27/2020 Final: Building Official Plumbing/Gas This permit shall be deemed abandoned and invalid unless the work autfionzed;by this permit is commenced within six months.after issuance. Rough Plumbing: All work authorized by this permit shall conform to the approved application and the,approved'construciion doctaments:forwhich this permit has been granted. Final Plumbing: All construction,alterations and changes of use of any building and structures shall be in compliance with the locat zoning by laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public rnspecfiicn for the entire duration of the -Rough work until the completion of the same. gz ' Gas: o- g Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided;on this permit. Minimum of Five Call Inspections Required for All Construction Work ; 1.Foundation or Footing h p Electrical 2.Sheathing Inspection Service: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Final: 7.Final Inspection before Occupancy Low Voltage Rough: 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. Low Voltage Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Health Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Fire Department Final: . Town of Barnstable J� . Building Department Brian Florence, CBO Building Commissioner 200 Main Street;Hyannis,MA 02601 • .waw.townbamatablema.ns •. . Pre-application for Business Certificate Date ZD Map Parcel ` -Applicant Information Iicarts Name {A I C) U Aw,i6nu.,e ddress: Z 64 JC / 1 Adaie� C. r` 5 Telephone Number (��6`� Business Information = New Business? ----------------------------------------oycx No Business is arepster d calporation? ------------- -- :. Yes No If yes Name of Corporation 1'1 Does business operate under the regietamd corporate name? Yes o Is the business a sole proprietorship or home occupation? ________ Yes - No If yes then a Home O 'on Reestration is -Z�Sea Building Division Staff 6)s �aln Name ofBnsiaess � n Business Address 1 (,/ U V Type OfBusm'CBS Buffil. ommis ' ner 00968 Use O 'ons 016. (FA ( v" e � �.Building Commissi Date �. , Clerk Office Use Only f _ 4 Assurant Use Only PID# 1726379 ASSURANT® February 22,2017 Attention: Building Division Assurant Field Services(AFS)is working on behalf of our clients to ensure compliance with ordinances requiring vacant/foreclosure property registration. r Client's Name: Ditech Financial LLC AFS previously registered a property located at: Street Address City State Zip IFolio Number 122 Canterbury Cir Hyannis MA 02601-2309 000249-000000-000128 This letter is to serve as notice that the property has either been sold to a new owner,the property is now P P h' P P h' occupied,foreclosure has been rescinded and/or borrower is no longer in default. AFS does not represent the new owner and has not been provided any further information or documents. Please de-register this property and send confirmation of de-registration to the email address listed below .or by mail. Assurant Field Services � ���� Attn:Property Registration j ��Jis/� 101 W.Louis Henna Blvd.,Ste.400 JoYd Austin,TX 78728 s1 1�/7 vpr@fieldassets.com Thank you for your time and attention to this matter. s-y ER _ 1 . r ASSURANT` Uj Field Services 101 West Louis Henna Boulevard,Suite 400 r Austin,TX 78728 Town of Barnstable Attn:Building Division 200 Main Street Hyannis,MA 02601 Town of Barnstable Building Department Brian Florence, CBO Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamsfeb1e=&ns Pre-application for Business Certificate Date Map Parod ` Applicant Information Applic$ats Name I I I UR 6C6 . . ...- Appli�-Addresso �� � ��'L (/1 . . .._.. .. ..... ....- - --- -. •- ....__ . Telepbone Nmnbers(,5`"!o I -33 g ❑ Ualis6�� Business Information NewBudness? --------------------------------------- Yes No Business is aregistered emporation? ------------ ------- _ Yes No r If yes Name of Corporation 1'1 Does business operate under the registered omporate name? Yes o Is the business a solepruprietorship orhome occupation? -------- Yes No If yes then a Home Occup on Registration is ; "See Budding Division Staff Name ofBusmrss Business Ad&ws U l Type ofBusiness B ommis ' nerbns Office Use O v-e Building Commissi e Date Clerk Office Use Only J LU o Q ca N Town of Barnstable k1% cc Building Department ® a °F rti Brian Florence,CBQ Q . Building Commissioner Co BARNSUBLE, 200 Main Street,Hyannis,MA 02601 MASS. i63 � www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: o J 0 HOME OCCUPATION RkGISTRATION Dater rr . Name: \ I I �Lf� 1 t��t� Phone Address. Pay4crbo .? Village: Name of Business: ilia oc)!5 ��� ? Isca �Ynap/Lot.'-t� Type of Business: --4 ft,- t INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. ' • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal.residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust oT other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. - • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. •' If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Date: Applicant: t q, j PID: 1726379 REGISTRATION AND CERTIFICATION FORM FOR FORECLOSING/FORECLOSED PROPERTY Thank you for registering in accordance with Town,of Barnstable Code chapter 224 sections 224-3 and 224-4. Please complete one form for each property in foreclosure (section 224-3)or already foreclosed for which possession has been taken(section 224 4). Please file the original with the Building Commissioner and a copy with the Chief of the Fire District in which the property is located. If you claim you are exempt from registering under Massachusetts:law,please state the reason(s) and complete section 1 (property information)and the first paragraph of . section 2 (foreclosing party, court, etc.and foreclosing party representative,but not other . representatives and attorney) so that the Town can review the exemption and update its records: LU co ; Section I PrODertv Information Property Address: 122 Canterbury. Cir, Hyannis, MA 02601 , `D Assessors Map#: Parcel#: 000249 -000000-000128 Land area and description single family home °-' Bul ng(s)description and contents Occupied: X Occupant(s)(if borrowers so state and include name(s)) unknown Phone: . email: other: Vacant: Date: Anticipated Length.of Vacancy: Last occupant(s))(if borrowers so state and include name(s)) unknown Phone: email: other:. Has possession been taken NO If so,please explain and complete and file the maintenance and security plan.form(unless exempt as stated above) . Section 2 Foreclosin.-PgM Information Foreclosing Party(full name/title) Ditech Financial LLC Foreclosure Case Court: Docket# Date filed: Current Status: Post-Filing Foreclosing Party's representative(s) for property(entry,management,repair; etc.)(name,title,): Company(if different from foreclosing party): Address: Phone: email:. other: If an exemption is claimed,please do not complete the remainder. Other representative(s) (if foregoing representative is primarily responsible for property and/or foreclosure and is most likely to.be able to address town matters concerning the property and/or foreclosure,please so state and do not,complete contact information (i. e. "none"or"see above")). Name,title, other: Assurant Field Services c/o Christonher.Sideman ( Companyif different from foreclosing party): Christopher Sideman Address: 268 Mammoth Rd, Lowell, MA 01854 Phone(s): 800-468-1743 email(s): ypr9fieldassets.com other: 800-468-1743 Name,title, other: Company(if different from foreclosing.party): Address: Phone: email: other: Attorney representing.foreclosing party Firm name(if different from attorney's name): Address: Phone(s): email(s): other: I acknowledge that the information provided is accurate and correct. I also understand that any 'inaccurate ` orniation will result in non-compliance with section 224-3 of chapt 224 of th Co e of the Town ofBarnstable. - Date: 11/10/2016 In Lana trickland. itle: AFS Authorized Agent Property Manager: Assurant Field Services 101 W Louis Henna Blvd, Ste 400 Austin, TX 78728 P: 800-468-1743 E: vpr@fieldassets.com I I hereby certify that the above-named foreclosing party.is in compliance with the provisions of section 224-3 of chapter 224 of the Code of the Town of Barnstable: Date: Building Commissioner, Town of Barnstable i ASSURANT BUILDING PLAN: 122 Canterbury Cir Hyannis,N 4A.02601 AS OF.: . 11/10/2016 PROPERTY WILL REMAIN SECURED AND MAINTAINED. PROPERTY WILL BE INSPECTED.PER ORDINANCE. PROPERTY WILL NOT BE DEMOLISHED. PROPERTY WILL BE LISTED FOR SALE. OWNER CONTACT IS: Ditech Financial LLC 2100 E Elliot Rd, Bldg 94 • I Tempe,AZ 85284 PH: (800)468-1743 ; EM-.- .vpr@fieldAssets.com AGENT CONTACT IS: ASSURANT FIELD SERVICES 101 WEST LOUIS HENNA BLVD. STE.400 AUSTIN,TX 78728 T:800-468-1743 E:,vpr@fieldassets.com ACCORVCERTIFICATE OF LIABILITY INSURANCE °"TE`MM. Pagel of 1 05/12/2016 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(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement:A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Willis Insurance Services of Georgia, Inc. PHONE FAX c/o 26 Century Blvd. - 877-945-7378 888-467-2378 P. 0. Box 305191 -MAIL certificates@willis..com Nashville, TN 37230-5191 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:Continental Casualty Company 20443-002 INSURED Walter Investment Management Corp. INSURERB:Continental Insurance Company 35289-002 including Ditech Financial LLC INSURERC:Ohio Casualty Insurance Companies 01481-001 3000 Bayport Drive, Suite' 2100 Tampa, FL 33607 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:24389363 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. INSR TYPE OF INSURANCE DL. SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY 6024394132 5/15/2016 5/15/2017 EACHOCCURRENCE $' 1 000 000 CLAIMS-MADEa OCCUR PAIS'FES(ta oecurence) $ MED EXP(Any one person) $. 15 000 PERSONAL&ADV INJURY $ 1,000,000 MOTHER. 'LAGGREGATELIMITAPPLIESPER: GENERALAGGREGATE $ 2 O00 000 POLICYF. ET LOCPRODUCTS-COMP/OPAGG $ 2 OOO 000 $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $. ANYAUTO BODILY INJURY(Perperson) $. ALLOWNED SCHEDULED BODILYINJURYPeraccidenl AUTOS AUTOS ( ) $ HIREDAUTOS NON-OWNED PROPERTYDAMAGE AUTOS Per accident $. $ B X UMBRELLA LIAB A OCCUR 6024506024 5/15/2016 5/15/2017 EACH.00CURRENCE $ 25 .000 000 EXCESS LUAB CLAIMS-MADE AGGREGATE .- $ 25 .000 000 DED RETENTION$ $, WORKERS COMPENSATION P 77 T - AND EMPLOYERS'LIABILITY YI N ANY PROPRIETOR/PARTNER/EXECUTIVE� NIA'" f.L.EACHACCIDENT $. . OFFICER/MEMBER EXCLUDED? _ - RA.ndesalbeun�er - - - E.L.DISEASE-.EA EMPLOYEE $ - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C Excess Liability ECO(17)56073941 5/15/2016 5 15/2017 $25,-000,000 Limit DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additonal Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ;A ��RAZED REPRESENTATIVE Evidence only Coll:4899062 Tpl:2056685 Cert9363 ©1988-2014ACORDCORPORATION.Allrightsreserved.' ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Parcel Detail Page 1 of 3 o sxl sue ' Logged In As: Pa rice I Detail fhuisday,November 17 2016 Parcel Parcel Info Parcel ID M.--128 I Developer Lot Location 122 CANTERBURY CIR PH Frontage Sec Road Sec Frontage u aI Village HISI Fire DistrictHYANNIS � .,I Town sewer exists at this address gN0 Road index 30224 p uu 2 c Asbuilt Septic Scan: " 2491281 Interactive Map ; 1 Owner Info _ Owner N WEWE MAN,CHRISTIAN/I owner %SILVA, RAINIERA streeu 1553 OLD STRAWBERRI streetz CENTERVILLEY 2632city sate zip I countryNe. w Land Info ...... ...... ............. ... ..... ...... _ Acres 3 I use Single Fam MDL-01 I zoning FRB I Nghbd,0105�� Topography Level Road Paved Utilities Public Water,Gas,Septicl Location Construction Info Building 1 of 1 Year 1971 'w` Roof Gable/Hi M Ext Wood Shingle , Built I struct p wall g L Roof AC Are 226 Area 2 J cover�Asph/F GIs/Cmp Type Style Cape Cod v � wan Drywall Bed 6 Bedrooms _ Rooms Model Residential intCarpet Batn2 Full-O Half xi, Floor. Rooms& Grade Average ( Type Hot Water R ome9 Rooms J Heat `"" Found `Poured Conc. storles y1 1/2 Stories Fuel IGaS anon Gross Area 15256 256m Permit History Issue Date Purpose Permit# Amount Insp Date Comments 11/4/2004 Addition 73172 $35,000 10/21/2005 12:00:00 AM 1 Visit HlstorY,.. __. - _._ Date I.W Purpose http:Hissgl2/intranet/propdata/ParcelDetail.aspx?ID=18106 11/17/2016 Parcel Detail Page 2 of 3 I 9/14/2016 12:00:00 AM Pamela Taylor In Office Review. 8/13/2014 12:00:00 AM Jeff Rudziak In Office Review 10/21/2005 12:00:00 AM Martin Flynn Meas/Est 4/14/2005 12:00:00 AM Martin Flynn CALL BACK 1/12/2004 12:00:00 AM Martin Flynn Bldg Permit N/C 1/12/2001 12:00:00 AM Paul Talbot Meas/Listed-Interior Access 10/15/1989 12:00:00 AM ML Meas/Listed-Interior Access Sales History _---- . .. . .. Line Sale Date Owner Book/Page Sale Price 1 10/31/2001 NEWMAN, CHRISTIAN A 14389/111 $1 2 9/2/1994 NEWMAN, MARK E &CHRISTIAN A 9351/144 $1 3 8/24/1994 NEWMAN, MARK E &CHRISTIAN A 9334/110 $1 4 9/28/1984 NEWMAN, DENICE A 4268/259 $61,600 5 3/21/1975 POMEROY, JAMES & SIDIA 2163/223 $0 6 9/13/2016 SILVA, RAINIER A 29929/38 $275,000 7 9/13/2016 NOWAK, STANLEY TR 29929/27 1 $233,000 Assessment HistorlL___._,_...,._. _...._ _. . Sa��ve Year Building XF ValueY V MOB Valuem Land Value To al Parcel 1 2016 $161,800 $41,000 $9,000 $107,500 $319,300 2 2015 $168,400 $40,000 $10,600 $103,700 $322,700 3 2014 $152,700 $40,000 $11,200 $103,700 $307,600 4 2013 $152,700 $40,000 $11,900 $103,700 $308,300 5 2012 $156,100 $39,300 . $9,800 $103,700 $308,900 6 2011 $189,700 $4,700 $5,000 $103,700 $303,100 7 2010 $189,400 $4,700 $13,400 $103,700 $311,200 8 2009 $190,400 $3,300 $8,000 $154,400 $356,100 9 2008 . $203,900 $3,300 $8,000 $165,200 $380,400 11 2007 $254,100 $3,300 $8,000 $165,200 .$430,600 12 2006 $190,900 $3,300 $8,200 $.146,400 $348,800 13 2005 $171,300 $3,200 $8,500 $132,500 $315,500 14 2004 $113,000 $3,200 $8,600 $112,600 $237,400 15 2003 $101,000 $3,200 $8,800 $40,200 $153,200 16 2002 $101,000 $3,200 $8,800 $40,200 $153,200 17 2001 $101,000 $3,400 $8,800 $40,200 $153,400 18 2000 $75,100 $3,100 $2,900 $26,000 $107,100 19 1999 $75,100 $3,100 $2,900 $26,000 $107,100 20 1998 $75,100 $3,100 $2,900 $26,000 $107,100 21 1997 $67,900 $0 $0 $26,000 $99,500 22 1996 $67,900 $0 $0 $26,000 $99,500 23 1995 $67,900 $0 $0 $26,000 $99,500 24 1994 $67,700 $0 $0 $29,300 $104,000 25 1993 $67,700 $0 $0 $29,300 $104,000 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=18106 11/17/2016 Parcel Detail Page 3 of 3 26 1992 $77,200 $0 $0 $32,600 $117,800 27 1991 $89,400 $0 $0 $45,600 $143,000 28 1990 $89,400 $0 $0 $45,600 $143,000 29 1989 $89,400 $0 $0 $45,600 $143,000 30 1988 $66,900 $0 $0 $19,600 $93,500 31 1987 $66,900 $0 $0 $19,600 # $93,500 32 1986 $66,900 $0 $0 $19,600 $93,500 � Photos ��...�,,....�...... ..�.._..._..�.._�...__.. .....�. ..... k �M a r5, http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=18106 11/17/2016 P BUILDER INFORMATION - Name ! �'l Telephone Number 7.-11— 7 Z7 5 Address 6-111 T/" -P% C Ir. License# Sl5rIr1/5,. ��+ �-t60 Home Improvement Contractor# y� Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE �� / �e' DATE ;- `" °• TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Permit# Health Division 7 Date Issued Gl tConservation Division l® -30 03 ` - 'Applicatio VFee '. Tax Collector N,-_Wd_2_ Permit Fe w YS• O d Treasurer d Planning Dept. t Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address/2(s 60w I Villagen/�l�S Owner Address CIYW"r'Z;a't tJdyL �l - Ll t Telephonesof 77l — 7Z 7 S� f o i Permit Request 2X 2-4 N q SF Square feet: 1st floor: existing proposed C, 2nd floor: existing proposed Total new Zoning District ZZstruction lain Groundwater Overlay Project Valuation <4o° Type Lot Size Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. DwellingType: Single Family 0 Two Family ❑ Multi-Family #units Yp 9 Y Y Y( ) Age of Existing Structure 0 Historic House: ❑Yes ❑No On Old King's Highway: Ll Yes ❑No Basement Type: ull ❑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 YP Heat Type and Fuel: L�'Gas ❑Oil ❑ Electric ❑Other _ Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes q=>Vo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing, ❑new size } -; Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: ,,;I CD _F1 Zoning Board of Appeals Authorization ❑ Appeal# Recorded Ll Commercial ❑Yes 0 No If yes, site plan review# m Current Use Proposed Use BUILDER INFORMATION Name, , c Telephone Number �k n 7 7 Address e14411 i2 CL License# CS S Home Improvement Contractor,# 5zo Z9 Worker's Compensation# ppg 3gl4,7,� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO /�cS'>�9,ljC SIGNATURE DATE C� FOR OFFICIAL USE ONLY PERMIT NO. � DATE ISSUED - - - MAP/PARCEL NO. - y= ADDRESS, VILLAGE OWNER DATE OF INSPECTION: •��, ,� FOUNDATION /' p 7 " o- 3 Ott f _FRAME Cs "2^ d 14 -U S= INSULATION !f f, Q FI_REPLACE 1 ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL - a l GAS: ROUGH FINAL+ ^ t, FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Town of Barnstable O aY Regulatory Services Thomas F.Geiler,Director 1639.�a Building Division r, Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fac: 508-790-6230 office: 508-862-4038 Permitno. J . . Date f7 � . AFFIDAVIT HOME IMPROVEN MNT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pie-existing owner-occupied than four dwelling units or to structures which are adjacent to betiding containing at least one but not more gistered contractors,with certain exceptions,-along with other such residence or building be done by re requirements. Estimated Cost Type of Work: II�� Address of Work: l Z Z' L 4,11 ' ner'sName: Cl�1d� %rim "�Wi�l •� ' - 0 _ . Application' y/ C; ::a Date of App • - �- I hereby certify that: cn: ' c`s X Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 cn m ❑Building not owner-occupied EOwner pulling own permit Notice is hereby given that: OWNFRS P�,LING THEIR OWN PERMIT OR DROVEMENT WORK DO EALING WITH ON HAVE CONTRACTORS FOR APPLICABLE HOME ZIP ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDERMGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner'. Contractor Name Registration No.. Date , o�� 'DR ��✓"/5 i 4 /V�w Owner s Name Date Q:focros:homeaffidav The Commonwealth of Massachusefts Department of Industrial Accidents' . 606F Washington Street Boston,Mass. .02111 Workers' Com ensation.Insurance Affidavit-General Businesses -��. :y 'tid' •g�asm.. •..;!4aq"'�fq;r 4aa. .. �.'k ..: 1 - address: C_ ��n 1'c/Jya C.i r citti, 1/�'/1/1 5 state: [Ma zip: Z ® ( vhone /- �5 work site location(full address): 5f!� I am.a sole proprietor and have no one Business Types R Retail 0 RestaurantBaF/Eating Establishment working in any capacity ❑Office'[-] Sales(including Reap Estate,Autos etc.)• ❑I am an employer with ' 'em.1 ees(full& krt time): - Other � � �/%%/%///%%%////�%%/////////D/% ' • . . ..::.%//1/%/%%/////%� �I am an;employer providing, orkers' compensation for my employees working on this job. ',; ti 'f: "v '•�..i: '3?.3. ., r�'• ?�q •,i'7.:;.'1• • w ','—'i't:`t; �:Itl''h::�;i'i• ,'• " :•"'1i:�.. A •Jt., , . `i,4•t.. :.Ate Y,., t•a' 8i•1$re9s� >''_ .:\'f .,t ;'g' ..i' : : ,.Y' .i:�� �}' ;}v'i .r..:.••''�. �t ': ..:;,• 3. .. %:.:: c.. ;5.:.;::�i-:1".�• anti..:. tt'^"r..'.. •_!• t. •'l'. 'd•a tir• t: 'lam,. :t. •.X l'u:tpi+�:;'::�1;�.'� �'• ': •�� .'. '•'{r''''}; :'Y.•" -}t:;'. :+•M1 ... one. If i Ai6faDCe4o: :..t^ }:.ry t:5":y }s:w„•K.'... O11C, .#: ? ;,yam i:., T11 am a sole proprietor and'have hired the independent contractors listed below-who have the following workers, compensation polices: " coaivenv'naiu�=: ;-tr. 4Y ��> 1. ��_`° �.,..:;� �.,� t�„i "�.:-•.::r`-�=� ;; i dal. 'r1'Fs;"i= .d•°: r.h .� ..:;'•rY•,:•' ... , t>.:�,, 1t>,'..r•. :.y�'.•'� .. 1 cis: :',;.' F o•Gp'•1.4,..,' .�^.� .1}C'���'' •• eadte$$3. t• 1 ;:�.:tir' :�sa.r..,• •'? I r: 1 f: :.,�':�"•''•C.11•. :�;. L.Y31 .5.:.�' .1' :fo...;{'�•':,e'•C'a,'i''.. .i •?.i .i J;. r 1'a 5 - .�a., i.•.. y::o r'• is :�,., .. �- � ?.5.,.+�'••':lc:•= .„'gyp• .• ..fi,—r ••�• - . f,•.:1:•; •� .1+, :er.,'}::�° .i" 'ry>'`r`+",�i 4":' 'r':}.;'.:: ,.�+�.:a3, :^,',r•.:�•.,:;, „ .`•"217:r�.'•�;'i." insurince'co. :p _ +`•i.:'' .a t`::.• at':e•r .`,i!:...;:'' ,.+� �;':,;;:;:. {�s.' :• .'' .ts*r'�:•a• tk. rt'• .r,.'' ='?%•"�: t=.'•t : r'o7iC •:#•'• r, ;':• :•.• / i;• - . t, 'V t ////////%%%%/• '!' ::'rift!'f:t .•i•:' il.^^, i ,•t i•�:..,M1 q ll::;� •!:..+. �•':•�.{�'�.::..'1:'. •t'r tt,: ':.C:% ''(;::r•. a`:{• •t.ri.;:" i. �:':;, t: vir v,, ';?••;is?f•:t; _ "�'�"' :p•' addre'ssi •• 14:i '•r .5J7.'.. .m.,.. • ,;. :. )- ,:t— t:,..-.• .,�.,, .:h:" '•y:'t.'a. •,i. r.3i•�.. .!.• y.�.'•+.°+' '.7•. .�y's1 a•.r.: :1::" :t.�4t.:1•:`•' ': inSUTBnCe�CbP+;: .�'' >. :.''"y; - •1':as�_�.)." 'O�1C' :t�,• - i i !- Faffure to secure coverage as required Hader Sectfoa 25A of MGL 152 csa lead to the imposition of criminal penalties of a•lue up to$1,500.00 and/or one years'imprisonmetrt as well as ctvffpenalties in the form of a STOP WORK O"ER and a fine of$100.00 a day against me. I understand that p copy.of this statement maybe forwarded to the Offlee of Investigations of the DLA for coverage verification. I do hereby cee I u der thepain andpenalties ofperjury that the information provided above is true and correct J ' Signature L/ Y Date Print name (_.lj1G/ YT/1�' �L✓O,►/1 s/� Phone# 7 UNA rofricialuse only . do not write in this area to be completed by city or town official ytown: permit/license# Building Department — [Licensing Board ❑'check if immediate response is required ❑Selectmen's Omee -. CHealth Department - contact person: phone#; ❑Other (revised Sept 20M) . Information'and Instructions. Massachusetts General Laws'-chapter 152 section 25': equires all emgloyers.to provide workers' compensation for their.. quoted from the `law", an employee is.defined as every p erson.in the service oi'another under any contract ` ertployees:- As . .' . 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 mare of the foregoing engaged-in a joint enferprise, 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�tnore than three apartments and-who resides therein, or the.occupant of the,dwelling house of': another who.emplbyspersbris 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 bean employer. MGL chapter 152 section 25 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 piroduced acceptable eAdence-of compliance with the insurance coverage required Additionally,neither the ' coixnnonwealth nor.any.of its political subdivisions shall enter into any contract for the performance of public work untq acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation..-Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Departmeiit'gf Industrial Accidents-for confirmation of insurance coverage. A1so: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 4Industrial Accidents`. Should you have any questions regarding`the"law"or if you ale required to obtain a.workers.'•compensationpoli0Y,please call the.Departr=' t at the number listeA..below. . /O %/0001 //%/%//// %%/////////%%%%%%%////%///%O//////%%///////%%%%%%//// City or Towns . Please be sure that the affidavit is cbmplete andprinted 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 fillet the perxnit/h=e number.which will be used as a reference number. The.affidavits nay.be:returned to the Deparftnentby,mail or FAX unless other'arrangements have been made.' The Office of Investigations would like to thank you in acivance'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 number. : ' The Commonwealth Of Massachusetts Department.of Industrial Accidents Office of Westlgetlons 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 7274900 ext:406 ]regulatory Services •Dkeetor _..�....�__.._.�.� ...._.. . .. R MASS ,� � . . . . :Buildi>rg Division Tom Perry;`Bfiilding Commissioner - 200 Main Street, Hyannis,MA 02601 ' www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION � / Please Print DATE: f/G/ JOB LOCATION: /22 �. n �r�� C iP• Vs��f5 a number street f r village "HOMEOwNW'-f,t r 5R4^ AW121 0n 5 C-$-7 7 27 45 3 4 -0-3/7 name v home phone#l work phone# CURRENT MAUmGADDRESS:_ city/town state zip code The-current exemption for"homeowners"was extended to include owner-occupied dwellings of six limits 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 ra Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which th re is,or'intenSbd to b.e,a one or two-family dwelling.,attached or detached structures accessory to such use and/or farm s esA person who constructs more than one home in a two-year period shall Pot be considered a hor_ owner uch C. "homeowner"shall submit to the Building Official on a form acceptable to the Building'O W Lal,thathe/she be responsible for all such work performed under the building permit. (Section 109.1.1) CD The undersigned"homeowner"assumes responsibility for compliance with the State Buildinj Code aaffothe applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Toga of Barnstable Buil Hug Department rr,;n;T„um inspection procedures and requirements and that he/she will comply with said procedures and recfuir. P - Z Signature of Homeowrer 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.. HOMEOVMR'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 lastpage of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certiflcation for use in your community. Q:forms:homeexempt °pfME r°� Town of Barnstable QILI ti Regulatory Services PARNSrasLE, Mass. m° Thomas F.Geiler,Director 1639. ,0 Building Division ATED MA'S A Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 )ffice: 508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF CHANGE OF LICENSED CONSTRUCTION SUPERVISOR C) *F -n co 4 h C d'�S ��� , owner of property located c.n > a: J ��� = Ln ZZ CG?�TZZi'YJUc r ll l� /J /�q • , hereby certif that $a n cn M �ovrf�W/� is no longer Construction Supervisor listed on the application for the project under construction as authorized by building permit# 2S/ 2. , issued on 7 07 2000 . I understand that the project under construction must cease until a successor licensed Construction Supervisor,is submitted on the records of the Building Division. / 0<5 PROPERTY OWNER DATE q/forms/newcontr reference R-5 780 CMR rev:080102 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 fi square s feet x$96/s . foot= `� x.0031= —1 . q q plus from below(if applicable) , ALTERATIONS/RENOVATIONS OF EXISTING SPACE 2(40 square feet x$64/sq.foot= U1 C 0 x.0031= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft._ � &/ x.0031= GX' ACCESSORY STRUCTURE>120 sq.ft. /0 7 /O f >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 4100.00 >1500 sf-Same as new building permit: r square feet x$96/sq.foot= 4 'x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (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) l' - Permit Fee `1 " projcost 7W CM*ApPwe='J Tsbie 33-11b(rontiaues rsted pith Four?FUZU p�eriptive Pxrlcagei for t7ae srtd Two-Fsmity Rrsideadil$aildlap S - MAX#MUM sb MII�IMLTM Hcuing/Cooling all-zing Glaring Ceg Well Floor Sanent p=jMWW Equipment Mclency' Areas{'/.) U-value? R-vaIuel R-value R-vniva! RWau i &vsluef ParYss3e 5701 to 6500 H"ting Aegr"Days° Normal 6 0.40 33 13 14 10 6 Narmxl 0.52 30 19 19 lO 6 3s AFUE r 12/. 0.30 31 13 19 wA NIA Normal 15Y. 036 33 13 6 Normal 19 19 10 15 A.FUF- 0.48 1 13 N/A NIA o.44ME 3E 6 ES AFUE 0.52 lO NIA Nccrnal w NIAX lgy. 032 NIA18 4 0.42 NIA 690 AFUE 4 0.42 106 90 AFYJEz 18/•AA 1g'/• a.50 MYLvO Q-L - 1, ADDRESS OF PROPERTY; S 2. Q g UARE FOOTAGE OF ALL EXTERIOR WALLS: g, gQL7A,M FOOTAGE OF ALL GLAZING: 4. % GLAZING AREA(#3 DIVIDED BY#Z): S g, SELECT PACKAGE(Q.' ►•see chart above); R MORE INVOLVED ME?HODS OF DETERMINING ENERGY PEQUMEMENTS NOTE: OTHE ARE AVAILABLE. ASK US FOR TM INFORMATION. BUILDING INSPECTOR APPROVAL: NO: YES: F , q-farms-f980303a , 780 CMR Appendix 1 Footnotes to Table A2.Ib: Iris doors, skylights, and Glazing area is the ratio of the area of the glazing assemblies ('including sliding-g basement windows if located in walls that enclas tconditioned tal d i dspace,but excluded frome doors) to the U-valuer equiremente gross l area, expressed as a percentage. Up to 1/o.of theg $ For example,3 ftz of decorative glass may be excluded from a building design with 304 fl of glazing area. After Jan 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with = A the ter anul Fenestration Rating Council (NFRC) test procedure, or taken from Table 11.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. The ceiling•Rvalues da not assume a raised or oversized truss construction. If the insulation achieves the full insulation.thickness over the exterior walls withoor R-49P�ulation. Ceiling R values represenssion, R-30 insulation may be t stem of cavity insulation and R-38 insulation may be substituted f 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. 4 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 R vo insulation t -l requirements apply to alg)wall constructions,but do not apply o metalframe construction.woad-frarhe or mass(concrete,masonry, s The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages)-Floors over outside air must meet the ceiling requirements. 'The entire opaque portion of any individual basement wall with an average depth less than 50%below eo conditioned meet the same R-value requirement as above-grade walls. Windows and sliding glass basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-vauue requirements are for unheated slabs.Add an additional R-2 for heated slabs. more ' if the building utilizes elgbtrio resistance reathaa one pie e use liance of cooling equipmproach 3; ent, the equipmen or 5. if you t to withthe Install west than one piece of heating equipment , efficiency must meet or exceed the efficionc}+required by the selected package, For Heating Degree Day requirements of the closest city or town sea Table 15.2.1a 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 11.5.3b.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 t e opaque have a U u-valuealue to determine han 0 35)compliance of the door. One door may be excluded from this requirement c)If a ceiling,wall,floor,basement wall,slab-edge,f�e il space wall ea-weighted avmerage R-value is greater than or equal ponent inclues.two or more areas to different insulation levels,the component complies Glazing or door components comply if the area-weighted average U- the R-value requirement for that component, •valu e of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). lie��nnona R f� F 11 fli C61 G'"mom 1 Ri+1C�11 W SUPERVt1, { Flt q 065525 Tr,no: 16117 A- u ice► L.�•..�- AdtTt� _.....-.__ ....<...-__...................... — _ (,1e �omnaewea/,di o�../uaaaac�`u�aet� 1 � Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 126560 lug Expiration* 6/21/2004 Type: DBA ALBERT ROY BROWN HOME REP ALERT BROWN 34 HORATIO LN CENTERVILLE,MA 02632 Administrator The Commonwealth of Massachusetts Department of Industrial Accidents Office offnyeszf9fi foes _ t 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit i name: Iocation: . city A) f hone# ❑ I am a h meowner performing all work myself. ❑ I am a sole n or and have no one workii in ca achy sole pr %///%%// am an em roviding workers' compensation for my employees working I on this job. ..............J .. ... ,:...... ......,..............:... .. ........}•. ...... .....a:•};a:•}:!??•:,v:•}:•ixk.�i.}}a•tn}}}}}:::.}{).}i.vx•{:?:y:Y�:i+ : .....:...r..... ....v ........t........ v......v....::Y:-..:v::::.};r.. •v••:FuSJ^:•.•ri•)}:t•:a'+•?}'•)}y:':i$$i)::xv::'.v{tt.}•.•:v:+:•'T^;4y:::•T!?2;•:{:^}r}:t:{:2!:J{: •.v:.W:r^::f•::n^:t?v.vTw:........r. ...r.r..v:.'.•.:?:•}••.n• ... :::::::m:::x::::.::.::•v:•.a. .....:.wr:.{.::::•:v.....}•.} :.i>., .+.:+:::.a.\\i ?'v4::•w.Aw•:v:•::a.i ,:\+v T•. nb{:{T{ vn?.:v ?:yv.v:r:pn:•}v. }.nw,vx?v.:.........i............n.. .::•. w• vJ.....n.. •r : ........ .... :1.. :. }? 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I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certi under the p penalties of pedury that the information provided above is trap mul correct Si tore Print name D of✓� Phone# ofncial we only do not write in this area to be completed by city or town official city or town: pen dt/llceme# ❑Bnfiding Department ❑Licensing Board ❑checkif immediate response is required ❑Selectnen's Office ❑Health Department contactperson: phone#; _ ❑Other Ocylsed 9195 Prrq Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the the"law" employee is defined as every person in the service of another under any cqntract 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 n three apartments and who resides therein, or the occupant of the dwelling house of dwelling house having not more tha ork on such dwelling house or on the grounds or another who employs persons to do maintenance, construction or repair w 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 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,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. _ r. 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 insurance 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 Accidents. Should you have any questions regarding the "law"or if you being requested, not the Department of Industrial on policy,please call the Department at the number listed below. are required to obtain a workers' compensati 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 in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like 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 number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of lavesugations 600'Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 . �oF cr+e rokti Town of Barnstable Regulatory Services., '+ B ..STASm Thomas F.Geiler,Director 9�A &63 .�`� BuRding Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, -improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: O l L Cat Estimated Cost4��" � Address of Work: ct Owner's Name• Date of Application: 0 I hereby certify that: ` Registration is not required for the following reason(s): []Work excluded by law ❑lob Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME ZUROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARATITY FrJND UNDER MGL e.142A, SIGNED UNDER PENALTIES OF PERJURY I hereby apply fora ermit as th e of the owner: Date Contractor Name Registration No. �r v� Date Owner's Name °FTa,,ti Town .of Barnstable °. Regulatory Services 9 aMS&i'E'$ Thomas F.Geller,Director �p .s6J9 �� � 639 '` Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as..Owner of the,subject property .........._... .. hereby authorize 1\- <*►�i—�.. to act on my.behalf,. in all matters relative to work authorized by this building,permit-application for: L) CL�ct (Address of Job) Si.gnatare of Ovner Date S cJ Print Name r ti Q:FORMS:OWNMERNIISSION i DATE(MIW°°"Y) ACOR CERTIFICATE OF LIABILITY INSURANCE M 8/15/2003 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION McShea, Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOTE AMEND, EXTEND OR 320 West Main Street ALTER THE COVERAGE AFFORDED BY'THE POLICIES BELOW. Hyannis, MA 02601 508-790-1030 INSURERS AFFORDING C4ERAGE INSURED Roy Brown Home Repair INSURER A: 34 Horatio Lane INSURERS: CLM Insurance ies Centerville, MA 02632 INSURERC: ., 508-775-6582 INSURERD: INSURER E: COVERAGES y THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDIC wTED.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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE MM/DD/YY DATE MM/DD/YY GENERAL LIABILITY EACH OCCURREja 0 COMMERCIAL GENERAL LIABILITYFIRE DAMAGE(ACLAIMS MADE a OCCUR MED EXP(Any on �' 0,000 MPK34477 05/05/03 05/05/04 PERSONAL&ADANJURY $300 0 0 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 0 0 0 0 0 POLICY JE LOC PRODUCTS-CO /OP AGG $600 000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLI LIMIT $ (Ea accident) ALL OWNED AUTOS y i SCHEDULED AUTOS BODILY INJURY j $ (Per person) HIRED AUTOS NON-OWNED AUTOS, BODILY INJURY 3 $ .(Per accident) t PROPERTY DAMA�SE $ (Per accident) t GARAGE LIABILITY + ANY AUTO AUTO ONLY-EA A;~CIDENT $ OTHER THAN < EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR �CLAIMS MADE AGGREGATE $ DEDUCTIBLE ' $ RETENTION $ $ WORKERS COMPENSATION AND $ EMPLOYERS'LIABILITY WC STATU- OTH- TORY LIMITS ER B 886X262-2-02 05/31/03 05/31/04 E.L.EACH ACCIDENT $100,000 E.L.DISEASE-EA EMPLOYEE $10 0 ,000 OTHER E.L.DISEASE-POLICY LIMIT $ 500,000 )ESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS it E f.. r t :ERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Butterfield & Client Ins Agency DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR,.TO MAIL �_ DAYS WRITTEN 167 Summer Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Kingston, MA 02364 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. 781 585 7622 AUTHORIZED REPRE y CORD 25-S(7/97) " `' V O ACQRD CORPORATION 1988 a b- _ .. . � , ._._ . _.,, - -- - . ... . �.,. _ _ ._t ..._._ .. ,._.. _,,.. . -. _ . . ... . � T- T . �. --"------ � i � � �. � � _ � � � +� j � � Qi ! ` _ _ a_ I i ! • � � � �I .1 1 i r :. 2� �� ---- - . ;.; i , [�`i �6J+i1 S � i i :: = _ - .: � ! " � � � •i . ,, : . , . :�- , . i . 0 � , (n t � --- - . �... IL . . M� � �. 1 �� � n r r ' ' I A- M Ga to buv r. � yannis � A � _ j . 122 Game bur Cr. Hya n 1 f l 4/5/0 122 CanterburyCy�. , vH annis ;7j .y f 1 • i p L '� fi - - 5 1 erburyHyannisLr. ................. ------- /. an WOW r. n. i t 1 5/0 122 -rb. r ra H n r�Y , Y. 0 AOP quo ,.., .. ,•.fie. a r b. •- •+vrr.w�...y. _.,e...,....w+.+�?�-«—:�mw.-....,n _-. -' 's;+o.'?iw•r. .,.n**a... 4. 9 �i t y. ,� Assessor's map and lot number .. .,�!-..:►.Q...:k�. .`..�`p Q ��. �OG 76 SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE Sew age 'Permit"number ........ H AR........ . ..d ?...../�.. ..:! - .o WITH ARTICLE II STATE y SANTjWLr__TPWN w: �QyOG TH'E rT® 11 a 1v ®F BtlR 8A8BSTABLE. i W 9o, M6 9 ,�� ti UILI ° INSPECTOR' ' 0 YPY 0'' :: 0• f { A,, LICATION,FOR PERMIT TO ....:J�1 `?, ...............G....1/!iM�!"��..............coJo............................... TYPE OF CONSTRUCTION ...... `r.....Y..L. ,. ...`'IfA �I .........:............................ all .o TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... . .....�� ��T ��t !4 ....:1�.1:�` ' r !:[.!!...✓ �.�................ � .r ..... ........................... ProposedUse ...(�'�� l&.................................................:............................................ Zoning District .. Fire District .....C..:��o..................................................... Name of OwnerTj .t..t... �s A.).... ..�.M�t PY....Address �.�'�.. .�����4% .. G e a Name of Builder PC..49 4_5...................Address ..........a..................... Nameof Architect .......:........................................:.................Address .................................................................................... Numberof Rooms .........................I..........................................Foundation .............................................................................. Exierior ............................. ......................................................Roofing .................................................................................... Floors ......................................................................:...............Interior .................................................................................... Heating ..................................................................................Plumbing ................... ............................................................. Fireplace ....................Approximate Cost 4�� �- .............................................................. .......:..... ....... ................. ........ Definitive Plan Approved by Planning Board ________________________________19________ . Area �: ............................. Diagram of Lot and. Building with Dimensions Fee ................................:............ SUBJECT TO APPROVAL OF BOARD OF HEALTH t��E n arm to all the Rules and Regulations a Town ofBarnst le r ardin the above f hereby agree to co 9 9 construction. Name . .. . ......... ........ . ..... .............. --------`- . . �� �° F. - . ' . . - ' l8661 �rivmta o�w� ' No -----.. Permit for ------------ ' ` . ^ r . Swimming pool -.------------------------.. ' 122 �ircle . ' Location ------..���.��������--- ...... -.. ' --------.. ....................................... ' { Ovvne, ----.J.�_F�.. ___---_- l - type of Construction ---R�?----.----. ----..�.--------'-----------. , _ � ...... �ff )�o --------_. �t ___�:..................... _ ~ ��mt«s��er ��~~ 76 -Permit G,ono»6 ...........................--� 1� -' � go+a of Inspection --------���---l9 ~ 111177. . ` {}ote'Comp�te6 .,����.^���-----.�.l� �'~ ` PERMIT REFUSED ��l9 ~ r �----'--'-----------'�-` ..�--`...I................................................ - -.---.-.-.----.-----------_�. ~/ . -~----.-----..------. ....................... .------.`---.----..--' ., -- --'r- ..-�-----------.-.. l� . ' , � --------------------..----- ~ ^ --------..------------.---.-.. . . ^ ';,T.,x ..i,r ..mw-,v.M,.�,s M,•nsti n-��+.'•.""Y'!.r.+,y._-.y�,P'`n'�i•"4 ,{ 'Qj (� WIP` Assessors map and lot .number, g YSew"age,,_Permit number �4 I...... u..t t..�.. a + g B MSTABLE, i y �p 039 6 : APPLICATION FOR{PERMIT TO `.� , A ...........:� � J ....... :........ o TYPE OF CONSTRUCTION ........................... ......................�............... ..�... ...... ..................19....... TO THE INSPECTOR OF BUILDINGS: he undersigned hereby applies yfor a permit 'according to the followin information: Location i `�....Cwwo �e .....C f lC,�t ....:...:.....:.....�1;..�t,4AI N!�.�s. .....'.°' s_`. .'...: ........ ....... ........... .. .. .. ... ...... Proposed Use S•• F"��1��. ..........................I.............I.............I.............. . . Zoning District ................ ............. .............:........ ......... Fire District .... ,::..... ............. ........ v ••,/ Name of Owner ► R.6A . . �... �,MC_go . :.Address✓ �iZ �C� ����Y —. ..... . .............. ............. .. .. .. .. o Name of Builder '.f,l„i �.RI/�'7.... L 5................::..Address b� ,* ltqi .............. ....... ' .....:...... ........ Name' of Architect ..................Address .. ........... ....... Number- of Rooms...:......... ...........Foundation ........... Exterior .......Roofing .......... Floors ..............:..............:........................................................Interior Heating ........................................................... ........... Plumbing . i .. ... ...... ... ............................ Fireplace .............................................................. ..................Approximate. Cost ...... . ........ Definitive.Plan Approved by Planning Board ________________________________19________. Area �.....:......................... Diagram 'of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH may' _ _ U bTF Ro 4 ( G1' I hereby agree to conform to all:the Rules and. Regulations-of`the Town. of:Barnstable regarding the above construction. Name ........................................... :... 'Pomeroy, J. F.= A=249 129 _ i _ . , 1 • , 4 18661 rivate. swimming... No ...:..:.:..,...:: Permit:,for ........................ ...... <. o 0'1 w P J 1 122 .Canterbur Circle Y , Location ....... - • Hyannis { , , Y « . Owner, ... .............:.............................. ` h . T e of Construction ............ YP, . P : t . t 4 • Plot .. ..... ;. Lot':::.:......: o : e : ,. i F. Permit, ' :...Sep.tember.: 4,. ,19 76 ... , i r - a 1.9 „ ._ Date of Inspection :.:..... :.:.. .: .. .. , > . .. Date Com leted ........................::::... ......lA P. r,. fi ,r • t R r' . . PERMIT REFUSED .�. - � •' • . .•r. ,. l i �- _ Y -/J . // 2 :Lp': - - ..: , •-,. • - - _ + - - �1 • : ` , _ .. .; 5{•Tar :, : .,:.. .x .- :' ... t,' .__. .� � :, - � �. , _ - , , ..'- i 5t0"ix Sr['�►►�.�.. � .n[1�:`t�..�-� E�c.�ST'c� —__ __ .�.- �►,l �4 x 33 s'�-- i'�c�.f:v, i 1 1 4�r t r i i t iip"� T7a,'"4 r t CVT �X�!s"�7 ...�.IC15� \'V7t L r _. SCALE DATE Of. cc C.V kV,C1 SVN*. , r + Cup P�J�� ... _ �, ►� C f: . . PA-)A � Ex' ,t:•��., 508.4Z8.6191 CEevlin d I .� K w,es igns copyright O 2003 All Rights w _ " " Reserved 14 , , n - , � .�f.� . I nJ �G �4 RAC ry U ''"1 � ►�,Lr__E". ��Cl _ _q".1d PU&I. I R...�]�.2r�.. �.h,1 __�T4�J�". . �1.�,�1�T��:°�� ��C""►' �-R.;:_��"J� . , -- -- —..�...�_.:�:.- �;' I C d preliminary plans and layouts by DC D are for the use of their customers only Any other use is striCtly prohlblte I I y-, � I � f i j i I I I I I lie 1Z.=1���1tJ..�..tL. ► �. 3 `��"GtL�i►.l -_ /�nTCN �(15T�5 11�• � __ v�1C1 s 4S" Sri... C. CcS7 SGfZ=.t! I Ll 'Z ti V I x a ;�QFFiT f UE+17r ._. .. _ I U'_ Z r I 244v,d (2) Ll � + I ' I I I I I r _ 1`(,,0 t,17 EU::—/A,7\O N Rl I,tT , \/i't`f t�?IV ,► r .47 } SCALD i. 508.4 ev i n guS C n (9-1eS ill copyright !o. �5 s.- (� All Rights c� --- � i Reserved r7I c DETECTOR REQUIREMENTS '447- ( � .Q"Tl l IC. CG7-4C 5{.A4 W. EVEN THE ADDITION OF A OOM WILL TRIGGER AN I J� F THE SMOKE DETECTORS I�HOLE HOUSE. YOU MUST c;: P►TL ' RDINGLY AND HAVE YOUR ° r TAKE OUT THE APPROPRIATE -• t,. HE FIRE DEPARTMENT. LD 0 10LIL I r � r I .. �..� y:t� to �a jl :�:� � .�- �o• u�o� I .c; � c.:c,; � I � , o" � c.- �• � _- - 11' � IfL4; o cc f� _ 147 0 dl Preliminary plans and layouts by DC.D are for the use of t, •� r customers only . Any other use is strictly Proh� b�te TOP OF —_ FO UNDATION EL /no. GROUND SURFACE E1���� STANDARD NOTES " GROUND SURFAC.L MIN OUTLET PIPE LEVEL -- 1) THIS PLAN IS FOR THE INSTALLATION OF A SEPTIC SYSTEM. � FIRST TWO FEET 3 /o VENT REQUIRED 2) ALL INSTALLATION PROCEDURES AND MATERIALS SHALL CONFORM TO 310 GMR 15.000, Tiff STATE FNYIRONMENTAL CODE, _ �' ' TOP EL TITLE 5, AND THE TOWN OF _�3lI/NS%/ la �-LIQUID LEVEL SUBSURFACE DISPOSAL REGULATIONS -7 r '� MIN 2' LAYER Dt]UBLE WASHED 3) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE' OF A VAILABLF PROPERTY INFORMATION WITH RECORDED DEEDS 10" D-BOX iie'- 1/2• STONE OR ZONING REGULATIONS INVERT EL //� 7 ' 4 TOWN WATER SERVICES THIS PROPERTY. GAS BAFFLE AT OUTLET bj�; , EFF CTIVE } _� p INVERT EL e" S'7nNE BAS r _ := SIDEWALL 5) THERE ARE NO KNOWN PRIVATE WELLS ON THIS PROPERTY OR WITHIN 100' OF THE PROPOSED SOIL ABSORPTION SYSTEM. INVERT EL INVERT EL 6) ALL COVERS OF SYSTEM COMPONENTS SHALL BE BROUGHT TO WITHIN M- OF FINISHED GRADE, WITH 0_NE COVER OF THE D - BoxWITHIN 6" OF GRADE. ., IN scat (.. 3/ C L ► p_S 6 STONE BASE INVERT EL (�'P ) 4'- 1 1/2' DOUBLE SEPTIC TANK BROUGHT WIT INVERT EL r^/�`I 5r$, o� -> WASHED STONE 7) ALL SYSTEM COMPONENTS SHALL REMAIN ACCESSIBLE FOR INSPECTION. IrO STRUCTURES SHALL BE LOCATED DIRECTLY Gal Septic Tanlr Z,1 r Siutir�s Doi 5' r L' UPON OR ABOVE THE COMPONENT ACCESS LOCATIONS; WHICH WOULD Il`'TERFERE WITH THE PERFORMANCE, ACCESS, INSPECTION (Typical) BOTTOM EL PUMPING OR REPAIR. EL 8) NO DRIVEWAY, PARKING OR TURNING AREA, OR OTHER IMPERVIOUS AREa4 ,SHALL BE LOCATED ABOVE A SOIL ABSORPTION BO OM OF TEST HOLE SYSTEM EXCEPT WHEN VENTING HAS BEEN PROVIDEDyz . f 9) SEPTIC TANKS, GREASE TRAPS, DOSING CHAMBERS AND DISTRIBUTION BOWS SHALL BE PLACED ON A 6" STONE BASE -- TO ENSURE STABILITY AND PREVENT SETTLING. 10) OUTLET DISTRIBUTION LINES SHALL REMAIN LEVEL FOR A MINIMUM OF TEE FIRST TWO FEET OF THEIR LENGTH. 11) ALL SYSTEM COMPONENTS" SHALL BE CAPABLE OF WITHSTANDING H-117 LOADING UNLESS THEY ARE UNDER OR WITHIN' 10' OF DRIVEWAYS OR PARKING OR TURNING AREAS, IN WHICH CASE H-4'9 COMPONENTS SHALL BE USED. 12) ALL BUILDING SEWER LINES SHALL IIA VE AN INNER 'DIAMETER OF 4" AND SHALL BE CAST-IRON OR SCHEDULE 40 PVC. 13) THE DEPTH OF THE TOP OF ALL SYSTEM COMPONENTS SHALL NOT EXCI,ED 36" UNLESS VENTING HAS BEEN PROVIDED. 14) IN THE AREAS OF EXCAVATION, EXISTING GRADES SHALL BE REESTARU HE'D UNLESS NOTED AS PROPOSED CONTOURS. 15) IF SOILS ARE ENCOUNTERED DURING THE EXCA VATTON OF THE SOIL ABSORPTION SYSTERM, THAT DIFFER NOTABLY FROM THE DEEP OBSERVATION HOLE LOG, CONTACT THE ENGINEER BEFORE PROCEEDING. _ ! 16) CONTRACTOR TO VERIFY LOCATION OF ALL UNDERGROUND UTILITIES. � 1 EXCAVATION NOTES i) EXCAVATE ALL MATERIAL ABOVE SOIL HORIZON C (SEE DEEP OBSERVATION ��� r1 HOLE LOG) AT APPROXIMATE ELEVATION �If,`� ,MR A LATERAL DISTANCE OF 5' (WHERE POSSIBLE) IN ALL DIRECTIONS BEYOND THE OUTER PERIMETER OF THE L1'ACHING AREA. 4� S yQ6,rO o ` ` - _ �0 ' r! DESIGN DA TA 2) FILL MATERIAL SHALL CONSIST OF CLEAN GRANULAR SAND, FREE FROM ORGANIC �- _ MATTER AND OTHER DELETERIOUS SUBSTANCES, WHICH MEETS THE TEXTURAL r 69 ; DEEP OBSER V A TION CRITERIA PUT FORTH IN SECTION 15.255(3) OF TITLE 5. r ~�" ` B_ 1 Number of Bedrooms: q HOLE LOG 3) SCARIFY THE BOTTOM SURFACE OF THE EXCAVATION PRIOR T9 PLACEMENT r Exist t Garbage Grinder: NO Test Hole #1 OF FILL INTO THE RETAINING STRUCTURE. i ! Water vd � ,� � 1 (EL 4) PLACE FILL ONLY )WHEN BOTTOM SURFACE IS DRY. �� t �' Line p O 1 Design Flow: q V o Depth 1 e soil soil y ) (fn) (it) Horizon (USDA Color (Mumell) (110 Gal/BR/Day x Number of BR) O ' _ 1 Septic Tank: / SfO� v - Z4 Lt F, " p �o� roFposed (Minimum = Design Flow x 200%) s ( 7 5 YR 5/ ,2 Car 1 t ` \i Leaching Area: .. Garage _ i J+ Note: Sidewall: - , .Existing Building is 5 bedroom � z Exist t' Z Sidewalls x --- Ft x Ft) + Deep Obs Hole Date: Gas house, proposed new design is /p � a Soil Svaluator.c� 5��.. A) ` `` C' Line Z Endwalls x _.Ft x ----Ft) Witnessed By: b " for a fc err bedroom h o use. Z n _ P Z Of "•� r _ ` ` 7_ 1 r'` Bottoms: So11 Sis-my DAnAriptlap- P_,'Qjii/RR I it / '«r ' ' ceologlo Mate.tal o:rrFAsx x Depth to Standing Water. NA lJ _ Depth to Weeping Water. NA �o,C' ear'oo !' i/ o Long Term Acceptance Rate (LTAR): 0. 74 De h on to o tli g Qwr)• NA NA PROPOSED LEACHING FACILITY �i m , ° Estuses Observation Well: NA >' �S(' _ _ _ 100 00, E o Leaching Area Design Capacity: q&q &PV Date of last Measurement NA Four 4 —8 x8 —6 x24 deep �, (�9 ��'1 - , � ;� - Comments � _ � - (Sidewall Area + Bottom Area) $ LTAR concrete 500 gal chambers \\ Exist / /` - - ,� r r _ (or similar) w/4 ' stone on �' Deck , < , ends and 2. 7' stone on sides Exist \ _ _ Cesspool to be 99 til) - _� N 4� Exist pool to be (Total area = 42 x 10) removed as required ::�. _�� removed and filled with clean sand q y .......... \ r o m Proposed 1,500 Gal ti 1O .. .�.. { ,, N Septic Tank N 34e• „ ° ` ' - 3p e Test -r Pit ti< ` A fs� " rr9�g 1 See Exca va lion Proposed Note D-Box PROJECT LOCATION � arh�r Gpi/� C H YANN�S N,,q. ASSESSORS MAP Z q LOT Z 8 91 2 '`" APPLICANT Lo vtjI ©zoo r PREPARED DY T3A`4e"AP M 0 .'4 A & M Land Services r 15 Sunset Drive s South Yarmouth, MA 02664 (506) 394-2723 57- SCALE.• I �� z..0 DATE. / n/ LOCUS MAP REV. �rJ�6 SHEET 1 OF DWG. NO. /