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0016 CROOKED POND ROAD
r J� I Town of Barnstable Building Department °FjKE TOky Brian Florence,CB0 Building Commissioner • MENSTesr.E, t 200 Main Street,Hyannis,MA 02601 �►ss. www.town.barnstable.ma.us AlED►M,�p Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#:, HOME OCCUPATION REGISTRATION Date: Name: `� Phone#:�0 F�0 ® F�6 6 P��-- �o A ,� CR Address: 6 O � Ulc Village: I Name of Business: C CSZ C 1�S Type of Business: Map/Lot: .� ` INTENT: It is the intent of this section to ow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1 A 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 volumes;and no increase in air or groundwater pollution. residential vol After registration.with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: C 3 • The activity is carved on by the permanent resident of a single family residential dwelling unit,located r— Cn within that dwelling unit. Cn Such use occupies no more than 400 square feet of space. -< D n There are no external alterations to the dwelling which are not customary in residential buildings,and there . pO is no outside evidence of such use. < �o No traffic will be generated in excess of normal residential volumes. mM < • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular Cn C .matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. C • There is no storage or use of toxic or hazardous materials, or flammable or explosive materials,in excess O of normal household quantities. Z 0O • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Z m Occupation,and not within the required front yard. M O . There is no exterior storage or display of materials or equipment. Cn F 0 • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one MC pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to m D exceed 4 tires,parked on the same lot containing the Customary Home Occupation. ® —� No sign shall be displayed indicating the Customary Home Occupation. O • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be Z 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 regrictions for my home occupation I am registering. r� Applicant: Date: ` 4' Homeoc.doc Rev.10/17 Town of Barnstable Building Department Brian Florence, CBO . Building Commissioner. 200 Main Street;Hyannis,MA 02601 .www.town bemstsble mans Pre-application for Business Certificate Date 7 � � Parcel Applicant Information _ ._Applicants Name CC-)eSZ l y l c I�l 5�-- - _.... .._.. .. .._.. ....... ._ _ Applicants-Addrew. b CVO d O d 1". G - Email Aftess E3 w c g ;MT-l 1 !3— 6 2 6S (�✓Vicct L. C 11.✓Y Telepbone.N=bea 0 1 66 Listed❑ Unliftd 0L Business Information New Business?- ----------------------------------------- Yes No Business is a registered=poration? ------------------------ Yes If yes Name of Corporation Does business opeaaft under the registered corporaft name? Yes No Is the business a sole proprietors*or home orx pation? ----- -- Yes No If yes then a Home Occupation Registration is rcguired—See Budding Division Staff Nerve ofBusiness 6�.2 C-�L, 01_1 C1.11 1 5�. Business Address ��0/0 Type of Business B Co rn,' stoner 0 c Use Only ndlt' W Y Building Commis ' Cl�( Date Clerk Office Use Only �- `' Town of Barnstable L��p THE Tp� Regulatory Services s MASS.Mass. * Thomas F.Geiler,Director y m �iOTFp3.(A Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4024 Fax: 508-790-6230 July 14, 2006 Mr. Bruce Mills 16 Crooked Pond Road Hyannis,MA 02601 Re: Illegal ApartmeiA:— 6-Cr d Pond Road,Hyannis, Ma. 02601 Map: 328 Parcel: 06o ~ Dear Property Owner: Our records indicate that your house at the above-referenced location is currently being used as a multi-family home, which is contrary to Barnstable Zoning Ordinances. Violation of zoning ordinances is a misdemeanor, conviction for which results in a criminal record. You must contact this office within 14 days to either: • Apply for a building permit to restore the property to a one-family home • Apply to the Amnesty Program = • Prove that this is a legal multi-family home. Please contact this office immediately to tell us what direction you wish to take. Sincerely—, — Lind son esty Zoning Enforcment Officer Building Department gfonns:zoning3 Barnstable Assessing Search Results Page 1 of 2 Home: Departments:Assessors Division: Property Assessment Search Results New Search s, New Interactive Maps » k Sv Owner: 2006 Assessed Values: MILLS,LLCE-P 16-CROOKEDPOND ROAD - Appraised Value Assessed Value Map/Parcel/Parcel Extension Building Value: $ 134,100 $ 134,100 291 /152/ Extra Features: $2,500 $2,500 Outbuildings: $900 $900 Mailing Address Land Value: $ 143,700 $ 143,700 MILLS, BRUCE P Totals $281,200 $281,200 16 CROOKED POND RD HYANNIS, MA. 02601 2006 REAL ESTATE Tax Information: Tax Rates: (per$1,000 of valuation) Community Preservation Act Tax $34.28 Fire District Rates Town Barnstable-Residential $1.90 $6.31 Barnstable-Commercial $2.51 Commei Hyannis FD Tax(Residential) $452.73 C.O.M.M. -All Classes $1.06 $6.54 Cotuit FD-All Classes $1.33 Persona Town Tax(Residential) $ 1,142.74 Hyannis-Residential $1.61 $6.49 Hyannis-Commercial $2.50 Other R; W Barnstable-Residential $1.60 Commur W Barnstable-Commercial $2.46 Total: $ 1,629.75 Construction Details Building Property Sketch Legend Building value $ 134,100 Interior Floors Carpet Style Cape Cod Interior Walls Drywall Model Residential Heat Fuel Gas Grade Average Heat Type Hot Air Stories 1 1/2 Stories AC Type None Exterior Walls Wood Shingle Bedrooms 3 Bedrooms Roof Structure Gable/Hip Bathrooms 2 Full http://www.town.bamstable.ma.us/assessing/assessO6/displayparcelO6map.asp?mapparbac... 7/14/2006 Barnstable Assessing Search Results Page 2 of 2 Roof Cover Asph/F GIs/Cmp living area 1496 Replacement Cost $161600 Year Built 1964 Y s Depreciation 17 Total Rooms 5 Rooms 04 wdll=M W. j Land ,3,.�3::. ; CODE 1010 Lot Size(Acres) 0.26 ,, Appraised Value $ 143,700 I s � ryry 5 3., Assessed Value $ 143,700 View Interactive Maps > .«.�o- .n..,see w�n,..•� :.,.x SalesHistory: Owner: Sale Date Book/Page: Sale Price: MILLS, BRUCE P Jul 15 1990 12:OOAM C121022 $82,500 DENNEN,JOHN S 49951/ $0 Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value FPL1 Fireplace 1 $2,500 $2,500 SHED Shed 112 $900 $900 Property Sketch Legend BAS First Floor, Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story"(Unfinished) CAN Canopy FUS Second Story Living Area UST Utility Area(Unfinished) (Finished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story (Unfinished) , FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story (Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) http://www.town.bamstable.ma.us/assessing/assess06/displayparcelO6map.asp?mapparbac... 7/14/2006 Jul 20 06 08: 52a p. l 7f06 J[J'L 20 Alai 11, 52 kw �� c� � Go ti m aiL 6f-' Id - 1 I 4pl,11 t /1 ,�o-1- �, � , Y�L h - Le 9 • , a GLk f a. .-- i GG(J M re" Y-7) 0 Y lad 5I rka,�(-y r Jul 20 06 08: 52a p. 2 hug U u; lj �nd e�ul*on &cyh M& Y-717� 5 �-� YI 1 r G S r wl- Jul 20 'b6 08: 53a P. 3 �IMEray Town of°Barnstable Regulatory Services s6 x /$� Thomas F.Geiler,Director �p 39. ��+/ �Eo�u•+". Building.Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4024 Fax: 508=90-6230 July 14, 2006 Mr. Bruce Mills - 16 Crooked Pond Road Hyannis,MA 02601 Re: Illegal Apartment: 16 Crooked Pond Road Hyannis,Ma. 02601. . -Map: 328 Parcel: 060 Dear Property Owner: Our records indicate that your house at the above-referenced location is currently being used as a multi-family home,which is contrary to Barnstable Zoning Ordinances. Violation of zoning ordinances is a misdemeanor, conviction for which results in a criminal record. You must contact this office within 14 days to either: • Apply for a building permit to restore the property to a one-family home Apply to the Atrmesty Program ® Prove that this is a legal multi-family home. Please contact this office immediately to tell us what direction you wish to take. Sicerel `�� Li dson Amnesty Zoning Enforcment Officer Building Department gwITTISzonin33 Can TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION �77 76 Map I Parcel Permit# Health Division IMP— Date Issued I -'2- '0 Conservation Division i V -2 �� Fee ' c Tax Collector ��Ig 9.�©s�� AWL- -f= Treasurer • 1�1�►1T��T�Planning Dept. Checked in By Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis Project Street Address C U �,ed Village l � M n_ss o A Owner !S �c�C:� l / // �l S Address 16 �Jlc�� ,YT/'c✓IP�I (�� 6� r� Telephone _ �2� L e2 Permit Request �c� :� � -- G ( �Ck : �i l oa Square feet: 1st floor: existin proposed 2nd floor: existing _ proposed l3& Total new yo Valuation a®® Zoning District Flood Plain Groundwater Overlay Construction Type L✓O Ga/;v Lot Size 4 , Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family. Two Family ❑ Multi-Family(#units) ' Age of Existing Structure - 41, 0 Historic House: ❑Yes o On Old King's Highway: ❑Yes _11�,No Basement Type: A-Full '❑Crawl ❑,Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) (9 - 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: kGas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes *o Fireplaces: Existing New Existing wood/coal stove: gYes ❑No Detached garage:❑existing new size , Pool:Cl existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing knew size,-AX Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 4No If yes, site plan review# Current Use �1�12.��IV)n y SQ. Proposed Use BUILDER INFORMATION - Name Telephone Numbers Address �-�I`�c7�P� ��1 rJllei License# Home Improvement Contractor# 6 d 0 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE s FOR OFFICIAL USE ONLY } PERMIT NO. tjj DATE ISSUED MAP/PARCEL NO. . - + ADDRESS VILLAGE OWNER, + IJ `. DATE OF INSPECTION: FOUNDATION FRAME OCc 7 PA- INSULATION INSULATION O,"0 -7 O FIREPLACE ?r` ELECTRICAL: R(4.GH) FINAL PLUMBING: ROUGH FINAL GAS: Rb'UGH FINAL - F FINAL BUILDING t 1`4 DATE.CLOSED OUT v ASSOCIATION PLAN NO. — — e r r The Commonwealth of Massachusetts Department of Industrial Accidents ' TG Office.of Investigations` . a 7 600 Washington Street r Boston,MA 02111: • www mas&gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plunnbers Ay plicant Information Please Print Legibly Name (Business/organizationadividual): 1 J(�C--p Address: �� CAN DWI City/State/Zip: \ Gi G 6� Phone Are you an employer?Check the-appropriate box:. Type of project(required) 1.❑ I am a employer with 4. ❑ I 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 $ ? ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp.insurance. 9. Building addition [No workers' comp. insurance 5.�❑ We area corporation.and its required.] officers have exercised their ` 10.❑ Electrical repairs or.additions 3 �I am a homeowner doilig all work -._- = right of exemption per MGL a 1'1.❑ Plumbing iepairs or additions c. 152, 1(4),and we have no. myself. [No workers' comp. § 12.❑ Roof repairs insurance required.] # employees. [No workers' 1.3.❑ 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 submittbis affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp::policyinforrnation. 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: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration 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 imprisomnent, as well as,civil penalties in the form of a STOP'QVORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may lie forwarded to.the Office of . Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of erjury that the information provided above is true and correct Signature: Date: Phone#•S'Z Official use only. Do not write in this area,to be completed by city,or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Per son: Phone#: information aid Instructions. comp ens ti for Massachusetts General Laws chapter 152 requires all employers to Provide ime service eef another under any conetract�o€loyees hire, Pursuant to this statute, an employee is defined as ...every person in express or implied,oral or written." « association,&orporation or other legal entity,or any two or more An employer is defined a$.:au individual,;partnership,; of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the arinership,association or other legal entity, employing employees. Howev..er:-te receiver or trustee of an individual, ant of the. p owner of a dwelling house having not more than _o maintenanceents , d who resides therein, or.the o ccap construction construction or repair wo Y on such dwelling house dwelling house of another who employs persons to or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer.". g g cy - _ liGL chapter 152,§25C(6)also states that"every state or local licensing a enq shall withhold the issuance or . zenewal 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 heoommmoirweeaaltthh nor anyofits•Political subcoverage divisions shall Additionally,MGL chapter 152,§25C(7)states `Neithe 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, f.i necessary,supply sub-contractors)name(s),address(es) and phone numbers) along with their certificates)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnershipe Lan)with or employees other than the_ members or partners, are have not required to carry workers compensation insurance. employees; apol 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 gown that the application for the permit or license is being requested, not the Departrtient 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 appl icant Please be sure'to fill in the permit/hcense number which will be used as a reference number. In addition,an applicant that must submit multiple permittlicense 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 permit to bum leaves etc.)said person is NOT iequired to complete this affidavit (i.e. a g do license or 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 . Ike afinent of Industrial Accidents office of Investigations 600-Washington Street . Boston,MA 02.111. Tel. #617-727-4900 ext 406 or I-877-MASSAFE Fax#617-7274749 Revised 5-26705 www.mass.gov/dia °F11HE 1p : Town of Barnstable Regulatory Services r saxign8L4 ' Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date 0-0,��- 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. Mc,Y t T-a I I�A ' Type of Work: ll /+1 Estimated Cost 0 Address of Work: Ct/\d a kO 121617 � r Owner's Name: ,C JC Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job 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 IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the weer: Date Contractor Name Registration No. OR Date Owner's Name Q:forms1omeaffidav M CUR Appec&! Table=Llb(eaatlnned) Fuck Prescriptive Fxdmga for Oise and Two-Family Residential BuildingsMAXtH Ham��FOB UM WIN[ HearinglCcaling Glazing Glazing Ceiling Wall Floor Basement paimew Equipment EMci=ey' Areaz U-value= R-vaiuLJ R•value' &valae� R values R value' Package 3I01 to 6300 Heating Degree Days' 6 Normal 12'/• 0.40 38 13 19 10 N� FTV 19 19 10 6 12% 042 30 85AFM12Yo" 0.50 38 13 19 10 13 2S NIA NIA 38 19 19 10 —: --- Normal-'13'/o7 0.46 38 WA . . 8S.AFtTE 15'/• 0.44- 38 13. . N/A83 AFVE 19 ... 19 10 6 w 15Ya 0.52-. 30 T1/A 'Normal-. X IS•/a 032 38 13 ZS N/A No NIA �( 18'/e 0.42 38 19:' 25 NIA 90 AFUB 13 19 10 6 Z 18% 0.42 38 6. 90 AFUE AA 18'/0 0.50 30 19 t9 10 1,-ADDRESS OF PROPERTY; 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS:. 3 SQ DARE FOOTAGE.OF ALL GLAZING: /o 4. GLAZING AREA ' . � o #3 DIVIDED BY#2): �* ' . 5. SELECT PACKAGE(Q--AA-see chart above): t - L.1L� � �3C) .0 C4 s NOTE: OTHER MORE INVOLVED S OR THIS INFORMATION UETHODS OF ' ENERGY REQ ARE AVAILABLE. ASK BUILDING INSPECTOR APPROVAL: YES: NO, q.forms-580303a 780 CMR-Appendix J Footnotes to Table A2.1b: lass doors, skylights, and 3 Glazing area is the ratio of the area of the glazing assemblies (including sliding-g basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage.Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 fl of glazing area. =After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.S.3.a. U-values are for whole units: center-of-glass U-values cannot be used. The ceiling.R-values.do not assume a raised or oversized truss construction. If the insulation achieves the full _ . .. insulation thickness over the_exterior walls without compression, R 30,insulation may .be substituted_ for R 38 . _....._ tY.- insulation and R-38 insuyation i ay be stib9Ututed`for`R-493nsulation: Ceiling Rvaries=represent the sum-oi'.cavi 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. use Do not include 4 Wall R-values represent the sum-of the wall cavity insulation plus insulating sheathing(' d). exterior siding, structural sheathing, and interior drywall.For example,an R 19 requirement could be met EITHER by R-19 cavity insulation OR R 13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 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 grade must meet the same R-value requirement as above-grade walls, Windows. and sliding glass doors.of conditioned basements must be included with the other glazing. Basement doors must meet,the door U.-value requirement described in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ° if the building utilizes eleetric resistance heating use compliance approach 3;4, or 5.• If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment,the equipment with the lowest efficiency must meet-or exceed the efficiency than by the selected package. For Heating Degree Day requirements of the closest city or town see.Table J5.2:1a 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 035.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 and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(Le.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R•value requirement for that component. Glazing or door components comply if the area-weighted average U- yalue of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 Town of Barnstable Regulatory Services • Thomas F.Geiler,Director SAMsTA= KAM Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Vice: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION (�1 ('� Please Print v DATE: J _`-�s JOB IACAn0N; (� C r o C7 Vi2 C7✓l a lz number street village "HOMEOWNER': 1`)C'C C U l I �)7 F7 U name home phone# work phone# CURRENT MARJNG ADDRESS: C NO RM (2 Rvo, 4 8(,ls 4 ity/town state up 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 suoervisor. 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 vermit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department rrrin;rrn�m inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signatu' of Iromeowner Approval of Building Official Note: Tbree-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 hives 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 responsbilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt W�kic't- �,J CJ ®C 0A,�— A ,�4 wi -44-� 4ry e4 ( 17 15AAC �-Cloc,bc 0A C- lt PlF I 0o ems/ b tl � 4 x._ �CJJ r SMOKE DETECTORS REVIEWED r t i BAR.NSTABLE UILDING DEPT.. DATE � !I t t -� i i- J FIRE DEPARTMENT DATE ; BOTH SIGNATURES ARE REQUIRED FOR PERMITTING j r.. :fl-�7-2 LJ oe illese • " art11ek•tmCr,.rxmxr..++e�nra'a..mc>a1n.+.,r> .. , - - -- I - l< it I g __..- s � i 1 t T Xx Ljq� � A M.. I s_ To RILI L 1 6 i � ally 714— ►=-- =ri� a rr i I 1 � it t { ✓Y �E °01 i , ► vi AA 33 x o ows 3 e Y { �r _ NNN FFF Roo, i s i - r r //11J ��r ��_...��!--'_' _ 1 t�..�� ! 7 i! 1 "�_ ..Y � .- 2Li.G..-...-..�ra.'o^•� in � x JOB �t"��?`�l'"l..•K G� ��� L�'cxt.'Z'C�L_r TAYLOR DESIGN ASSOC.,�� INC.' 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J) , s - tt - 1 ...f....._._�...........{........i .t....._. .......i... .... t �� ( A I j i ._l.... . f.. l t ... ......_ ...... tom... .......i. :....._, ......�5.�:....,...l:.e' ........_S.l`.!'11'._'..... .......... .... .... ��e + j i ! ... f ..: _ Y d , if{- C..................:}. :.... ... . �.. RtoWCT20btfA-=--U-?hu..Gsetan,NeuMilt.ToOrQmPlIONEtOtLfAEEt•EOD•t8.6SBo i Map p� �/ Parcel Permit# : 334-� Conservation Office(4th floor)(8:30-9:30/1:00- 2:00) 4 Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) / C Fee Gd 49 Engineering Dept. (3rd floor) House# I E P oor c oo �' ve n 19 SEPTIC ST BE INSTALLE LIANCE TOWN OF BARNSTABL WITH TITLE 5 f WRONMENTAL CODE AND /�� Buildin Permit Application � E ., °.�6 NS lJ g PP ®1�9� R�.O�9@�A C E Project Street Address �� (`6 O ` Village Owner ;��(_>Q,` \R Address csoo Telephone S'd 1+7 ` C�o`� Permit Request T I cl ' O 0 _e r-,(A C, C First Floor Sf. square feet Second Floor square feet ' Estimated Project Cost $ 0,6(�(� Zoning District /?�5:�(,kLti a\ Flood Plain Water Protection �d Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use iR-PIS�l Ci'�S1 Ah, Proposed Use Construction Type W 00 A Commercial. Residential i Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure � Basement Type: Finished !`� � Historic House /\/fn Unfinished Old King's Highway �O Number of Baths O(L No. of Bedrooms /PLC Total Room Count(not including baths) 'First Floor Ll Heat Type and Fuel �{af Wa —(�S Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None C"/ Sheds 04,k- Other Builder Information / Name ar'YOC P Telephone Number � �� ��l L E�)� Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO I_a4d Fell 'SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. - 'f - . - X✓ DATE ISSUED MP/PARCEL NO ' q 1 ,� rI ADDRESS VILLAGE .° OWNER DATE OF INSPECTION: FOUNDATION ' FRAME INSULATION j FIREPLACE ELECTRICAL: ROUGH FINAL _ PLUMBING: ROUGH. FINAL GAS: ROUGH; r • FINAL t FINAL BUILDING = ; 3 DATE CLOSED OUT Yt3 - ASSOCIATION PLAN NOr - ° The Town of Barnstable KAM $ Department of Health Safety and Environmental Services 16 9- •' Building Division 367 Main Strut,Hyannis MA 02601 Ralph Csossea Office: 508-790.6227 Building Commis F= 508=775-3344 For office use only Permit no. . Date AFFIDAVIT HOME DWROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION 1VIGL a 142A requires that the""=nst:uaron,aiterations,=ovatiou,nq3air,modernization,comrersion, improvement,removal, demolition. or construction of an addition to any pre- Occupied which are t r, building containing at least one but not more than four dwelling units or to structures to such residence or building be done by registered contractors,with certain 0=;dons,along with other requirements• / pe of Wark Fat Cast . , Ty : /►ra� � dress of Work: Goo � ��A� /�n�� I-1 yG AAt Ilk Oaner:Name: � 0 co 14,71 ate of Permit Application: I herein certify that: Registration is,not required for the following rcmn(s): _Work excluded by law ob under S1,000 _Building not Owner-oocuPied Owner pulling own permit Notice is hereby given that: CONTRACTORS OWNERS PULLING THEIR OWN PERMIT OR DEALrNG DSO NOT ACCESS TO THE FOR APPLICABLE HOME IMPROVEMENT' ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A . v SIGNED UNDER PENALTIES OF PERJURY or a permit as the agent.of the owner. I hereby apply f Date Contractor name Registration. No. OR n,.A Owner's name �f'� The Coinnionll'ealtlr of Massachusetts Department of Industrial Accidents Oflleeo/laeeMIZ1/oas 60011 arliington Street may_' o Burton.Muss. 02111 Workers' Compensation Insurance.AlMdavit Ann cant tnformatlon: Please PRINT a 7� a�� nhone 2�I-am a ho eownerperforming all work myself. C 1 am a sole proprietor and have no one working in any capacity 1 am an employer providing workers' compensation for my employees working on this job. ce-manny name! address: cih•: phone#: insurance c9, policy# I am a sole proprietor,general contractor, or homeowner(circle one)and have hived the contractors listed below who have the following workers' compensation polices: company name! address! :.. cih•• phone#: insurance co. Imliev# j;•'��r:-: N--•�►;:.-•- - ... "r'its;..s.:aawt-?ri'+►'%"'T•�''''p^'� - - •r•�%'!"`:1,�'!R�J.��►�'•�T.!•-_' .9lGfL�^`'�?�S i cmmlanv name: address: city: phone#: insurance co. nolicv# :Atiacch odditid-nal'sheet if oeeessa -•* - ;f'�-�+"�'��*'*� -` •� Ttw '� ''"= Fnilurc 1-0-secure coverage as required under Section 2SA of DIGL 152 an lad to the imposition of criminal penalties of a fine up to S1.500.00 and/or unc.cars'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a line of SI00.00 a day sgainst me. 1 understand that a cope.•of this statement may be forwarded to the Once of Investigations of the DIA for eovenge verification. 1 0 hirchr cerrifj•under the pains and penalties af�e ' •that the information ptmided above is trae and z : Sicn re 1 ate ' rat name r L) (moo l ( � .Phone olrcial use only do not write in this area to be completed by city or town oMcial cin or'town: permit/lieense9 nBuildingDepartment (3Licensing Board ' cheek if immediate response is required„, OSeleetmen's Once _ Otiaitb Department ' contact person: I phone 1l;. nOther Information and Instructions , s• ' .•a _ Massachusetts General laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an emplgree is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An enrpinrer is defined as an individual, partnership, association. corporation or other ;,-gal entity, or any two or more o the fore-ohm enga=ed 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 tite occupam of the dwelling house of another who employs persons to coo 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 1'52 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 onto 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 haw been presented to the contracting authority. . t .. . . .j r .. q..i•r;.. � ... •.\: ';tyr;. '� ;ice'.-' •µ•••ef�•!,s,Wl:"%�.+: �r.p: 7777.�_ 77 .f- . Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit s n ' should b e returned to the city or town that the application for the permit or license is being requested. uested. or not the Department of Industrial Accidents. Should you have any questions regarding the law youare required to obtain a workers' compensation policy, please call the Department at the number listed below. 12 - • ..r .. .......n '. ._.. ... .. �.1.��.:•�. . �__ '�7•�S+.w�►....r'.i�i'i�rY�c•-�,'.f.•i •'Y�!RXi• 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 permitAicense 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. r The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations . 600 Washington Street Boston,Ma. 02111T., fax#: (617) 727-7749 •. phone#: (617) 7274900 ext. 406, 409 or 375 TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. . O DATE q v. ....... JOB LOCATION H Number Street address Section of town .,HOMEOWNER" Name Home phone Work phone . - PRESENT MAILING ADDRESS ' City/town State Zip code The current exemption for "homeowners" was extended to include owner-occupied dwellings of six units or less and to allow such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Person (sY who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one to six 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 Offici, on a form acgaptAble to the Building Official, that he/she shall be responsib. for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes responsibility for compliance with the Stz Building Code and other applicable codes, by-laws, 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 compl `with said procedures and requirements. - y HOMEOWNER'S SIGNATURE o ' APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required. to comply with State . Building Code Section 127. 0, Construction Control. a HOME OWNER'S EXEMPTION The code state that: "Any Home Owner 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 Home Owner engages a person (s) for hire to do such work, that such Home Owne shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for licensing Construction' Supervisors, Section 2. 15) . This lack of awarene often results in serious problems, particularly when the Home Owner hires unlicensed persons. In, this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. isor as supervisor P The Home Owner acti P is ultimately ies on sable Y P To ensure that the Home Owner is fully aware of his/her responsibilities, ma. communities require, as part of the permit application, that the Home Owner . certify that he/she understands the responsibilities of a supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. i � � 4 � � � � � �- i � � i� ; t } � .: �� i � 4 � � 'a 4 } ,.. _ � .. �. ;__..�� ;_.. � �. , � 4 4 � ; i . , ; k �— j 6 4 � , a �.. � � 4 4 4 _ � t t :r _ ... 1 ::. �+.— i i � - � ;- ' s. ' t 4 ,. ' 1 � � i- � t .� � ,i 4 _ _ � 1 , i' t � a j} , t +y _ 3 4. - � F r ,� � � =4 p if 4 ,k- 4 - � � � S yy - - f _. . } . . � r , :. ,__ w ,: : �. � 4 ,, s 4 �.....:.� ` , 4 _ _�. _. i -: _ t 4 _ - �. � __,_� _ ;, .� g 4 w. L # F � * . , , 4 ' ; - l _ ... r � r �,. i C F - _�� � � � .� .. ., _ _ `� F - ` � 4 � _ t . �, 4 � _� r `'- _! >.t +~ } +T .._—.�.Y.., �— . . _ t - �� � � � � �. _ —+—�— �,` � .. _ ._. ' � . t i i P y._ � � 4 f .. � : ., .-. : - ., � L � : :. .t , ,. _ ��_ : 4 � ' .e t � e : : i � ! 4 t� c �, � : �.b t , � . � . � .. ._ ,- _ !! .. _ ,: I .. ._ _ � � k x k _ B v �+ r a t i 1 . f a i- t , r ir r M,h - � 0 al -- % -P(y t ,11 sL �h ZR JIK �6 a�oc_l ___. _ _J 7=0UtAppeedel Tsbl MMI;(condoned) • pi cm pdre Packslea for 0ae and Two-Family Resident BaiWla;t Hewed with Fotail Fuels flumIJM MINIMUM ceinn Well Floor 8aen� Slob Va �$.t R R value' Rrvalu2 wallP� Ema� pad�ae Rrvaiue' &value' 5701 to 6500 Hesda;Demise Dsw Q 12% Q40 31 13 19 10 6 Nocmai R 12% 031 30 19 19 10 6 Normai S 12•A 0.30 31 13 19 10 6 U AFUE T Is% 036 31 13 23 WA WA Now U IS'A 0.46 31 19 19 10 6 Normal V Is'A 0.44 31 13 23 WA WA AFVE W 13'x 0Sl 30 19. 19 10 6 . 13 AFVE X 13% 0.31 31 13 23 WA I WA Now Y 19% 0.42 1 31 1 19 25 WA WA Noma! Z 12% 0.42 31 13 19 t0 I 6 90AFUE AA 199/0 0.50 30 19 19 10 6 90 AFUE G1�z\Y\ A,Ja5 0 P, 1. ADDRESS OF PROPERTY: /6 Cr®c�Grcx� ®�c,� 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. 1/6GLAZING AREA(#3 DIVIDED BY#2): ,6� S. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS'INFORMATION. WELDING INSPECTOR APPROVAL: YES: NO: q-fomu-t980303a 780 CMR Appendix J ~ Footnotes to Table J5Z.1 b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space, but excluding opaque doors)to the gross wail area,expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 f of decorative glass may be excluded from a building design with 300 fl of glazing area. =After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing,and interior drywall. For example,an R-19 requirement could be met EITHER by R 19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wail constructions, but do not apply to metal-frame construction. '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 grade must meet the same R value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. • 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3, 4, or 5. 1f you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table 15.2.1 a 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 curer in accordance with the NFRC test procedure or taken from the door U-value and documented by the manufac in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c) If a ceiling,wall, floor; basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. GIazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). L - *NOTE: ALL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C. SECTION'A -A .^1 VENT PIPE (O Least 24 inches tdi) ALL OUTLET PIPES FROM THE - -10' min. from Schedule 40 PVC w/Charcoal Odor Filter DISTRIBUTION OW SHALL r f i s Existing Foundation 1house to septic tank -� PROFILI' VIEW OF L,EACBING SYSTEM t2- TOP OF FOUNDATION= EL 100.00 Assumed Septic tank covers must be SET LEVEL FOR AT LEAST 2 FT. CONCRETE COVER c a < of D-BOX cover must be Vw ELEV. (Assumed) wthin 6 in. of finished grade Not to :Scale •. ! i within 6 in. of finished grade Oracle over Septic Tank - 96.50 (rode over D-Box- 98.50 -over SAS - 99.00 ,�.- - • 3 - 5'.OUTLET -.t-�^•..•• :.t:> 2 t{ ...,-�' Jv4 eu r 1 Jy Nv .,tia .�'". `s {-` Tira�e ! • .1 1 t' ✓<oeAei 1?eodo+v �. r <` KNOCKOUTS - t ..:.-dy t C .. ?, . ....._..._...-......__-_..__- /1'.to 1 1/t' 1seAel CrneMi stem a f - 5s' 1Y INLET ' l ! v I S 0,02 4':PVC(CAPPED)MSPECAON PORT TO t F 3 HOLE H-_10 -.INOUTLET STALLED AND TO BE YRTIN 6'OF WADE cA 20' EXIST. 5=0.01 or Box 3' Maximum Cover Top OF System- Elev. -95.75 • :w •_._,' �,< 2 `1 „ati.. y 1i CneMal►ow PtA Greater " _ Exlsr. PTpE r cn 1,000 GAL. -' Se 0.01' - --t5^5 - 4" - SCH- 40 Te i c -; cD CV O 15' Per foot 1.73' FROM EXIST. FDUNDATIDN SEPTIC TANK o 6 M 5 �� Effective Depth 24" Effective PLAN SECTION CROSS-SECTION I� II H-10 o..ewe. rn Poi ui ^�,S'IdLewaU r a CONCRETE FtAl FOUNDA d _ 11 ,A m 2' a� iu i rn p 4 Units E 7' = 28' r m 1 o O ,SYSTEM PROFILE s kr.of 3/4--1 1/2- " "--_ a 8' 3 HOLE H-10 DISTRIBUTION BOX' compacted stone u o rn 4 4 4 3.5 3.5' NOT TO SCALE Not to Scale - u A 1 - 5 > 12 n 35 I�mosr+�akea s aosymmos;k.wrEo " >c c Effective Width Effective Length 6 in,of 3/4'-1 1/2' o m SDIL ABSORPTION SYSTEM (SAS) GENERAL NOTES compacted stone a - NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6" BELOW GRADE o " 1. Contractor'is responsible for Digsafe notification, Verification of- Utilities m INFILTRATOR MODEL -3050. <H-20 LOADING)/ SUMNER & DUNBAR o and protection of all underground utilities and pipes. I? (OR EQUIVALENT) 2. The septic tank and distribution box shall be set Bottom of Test Pit = Elevation 87.50 NOTE: OVERALL HEIGHT OF INFILTRATOR IS 30 /EFFECTIVE HEIGHT IS 24' level` on 6" of 3/4"-1 1/2" stone. v Obs. Groundwater - Test Hole 1& 2 Elev. None Observed 3. Backfill should be clean sand or gravel with no stones over 3" in size. 4. This system is subject'to inspection during installation Design Calculations by Carmen E. Shay Environmental 'Services, Inc. 5. The contractor shall install this system in accordance with Title V of the.Massachusetts state code, the approved plan - I and Local Regulations. Number of Bedrooms: 3 Equivalent to 330 Gal./Day Garbage Grinder: No 6. If, during installation the contractor encounters any Leaching Capacity Proposed: 440 Gal./Day Minimum (AT CLIENT'S REQUEST) t soil conditions,or site conditions 'that are different Septic Tank - 2 x 440 .Gal./Day = 880 USE EXISTING 1,000 GAL. Septic Tank. from' those shown an the soil log or in our 'design SOIL ABSORPTION AREA: Using' percolation rate of <2 min./inch installation must halt & immediate notification be ' made to Carmen E. Shay -- Environmental Services, Inc. Bottom Area: 0.74 gal/sq. ft. x 420 sq. ft. = 310.80 gallons Sidewall Area: 0.74 gal./sq.. ft. x 188 sq. ft. = 134.12 gallons 7. No vehicle or heavy machinery shall drive over the Providing: = 449.92 gallons septic system unless noted as H-20 septic components. 8. Install Tuf-Tite gas baffles or equals on all outlet. tee ends. 9. All Distribution Lines shall be 4` diameter Schedule 40 NSF PVC pipes. Use: (4) 3050 H-20 INFILTRATOR CHAMBERS, HAVING A 2' EFFECTIVE DEPTH, 10. All solid piping, tees & fittings shall be 4"` diameter (4' W x 7' L) TO BE USED WITH 4' OF WASHED STONE ON THE SIDES AND Schedule 40 NSF PVC pipes with water tight joints. 3.5' OF WASHED' STONE ON THE ENDS. 11. Municipal Water is Connected to ALL OF The Residence and Abutting NIF TOWN OF BARNSTABLE, Properties,Within 150 Feet. T THE PROPERTY LINES ARE APPROXIMATE AND PERCOLATION TEST ,COMPILED FROM THE SURVEY PLAN GENERATED BY WHITNEY & BASSETT, RLS OF HYANNIS, MA. Date of Percolation. Test: OCTOBER 11, 2005 i i ENTITLED "SUBDIVISION PLAN OF LAND 'I BARNSTABLE, MA" Test Performed 13y. CARMEN E. SHAY, R-S., C.S.E. t . 1 HYANNIS. 'MA" DATED DATED MAY-1962 (PLAN #314034-F BLOCK 6) Results .Witnessed By. WAIVER (per Barnstable B.O.H.) 100.QO 1 AND: 1S NOT INTENDED TO BE A SURVEY PLOT PLAN EXCAVATOR: Shay Env.. Svcs. TEST HOLE #2 i IT SHOULD BE USED FOR NO PURPOSE OTHER THAN Percolation Rate: Less Than 2 MPI ® 48" �� ELEV.= 98.50 ; THE SEPTIC SYSTEM INSTALLATION. ..........._._. . , ,'LEST HOLE #1 1 Test Hole Test Hole 22i ELEV. 99.00 EXISTING,LEACH PIT TO BE PUMPED OUT ANDFILLED N PLACE No. 1 No 2 , -10' DEPTH SOILS ELEV. DEPTH solLs ELEV. --f0'/ 5' NOTE: ANY `STRIPPED OUT SOIL CONTAINING LEACHA-E - , -�--� o sasa i .` t FROM THE EXISTING LEACH PIT TO BE DISPOSED 0 99.00: 4" PVC + '!`ti+ �.� APFROX: LOCAI�ON Sandy Loam Sand Loam -•r•'t " '"�:i =a`` _ D-Box OF AS PER BOARD OF HEALTH SPECIFICATIONS. i y > Vent _ f- • O< N a 11 OF FUTURE C .10-YR.3/2. ._ - 1 : - , . J r Y.� x :�2 TH R ARF O' ET A 'PRESENT ___ =-_ ..._ �., _. � E,-�.-- . N--__V�1 _ LANDS.,- REWITHIN 200 OF THE PROPERTY .:.., _:. ._. :,. - D _9 9 5 .�+ A 98.25 s 0 9 t :,..ADD TOO. .. ..��.,. Sandy Sand 1 MA!> Laam Loamy LOT 1 " ' 4.8' i !' LOT #3 _ SHED EXIST. 1000 GAL. 'O y Failed LEGEND 10 YR 5/e 10 YR 5je SEPTIC TANK' ✓� ` Leach iPlt( . : `` V D SE i - 9 48' B,, 95.00: 9'- 42" Bs 95.00 Medium Medium DENOTES PROPOSED Sand Sand I �C4X 11 SPOT GRADE 2.5 Y 7/4 25 Y 7/4 i 42'- 132 C, PROJECT BENCH MARK i�+48" 132 C, �'-,,�`,_ ! i; DENOTES EXISTING -_ TOP OF FOUNDATION _ I :�, . I I X 104.46 SPOT GRADE _ 1 i ELEV. - 100.00 (Assumed) _ 1 I i PL PROPERTY LINE EXISTING 3 BEDROOM DECK J I 1 oIC`n� I ,' 96 PROPOSED CONTOUR HOUSE J J,z Q �. X ,w I i` - - -97 EXISTING CONTOUR Perc #1 Q : DEEP TEST HOLE & Depth to Perc: 48" to 66" , 1 Perc Rate= 2 MPI t �� 1 ' 1 i LOT # 2 PERCOLATION TEST'LOCATION OBSERVED H2O Elev. = None observed 6 FOOT STOCKADE FENCE t 15 000 Square Feet + ---- �;' I,J I J • 2-18' DIAM. ACCESS MANHOLES I �• �� 1 /100.00 IF - PLOT P LAN i. INLET lJ ( THE.ACCESS CO\6A .SEPTIC TANK. �/ -��� e/---= -- �-- 1, i C7 OF PROP-OS`ED SEPTIC SYSTEM JPGRADE Ou ET OIST216unON BOING COMPONENT ------ ------- _ _ ---- -1 .., L--------------------------.. ------ PREPARED FOR - SET DEEPER MELOW FINISHED I ) /� - RGRADE SHALL BtNTHIN.6'OF - U_" U • 1 �U -, � QA - M R . BRUCE , MILLS FNISHED GRADE �INSTALL TlF-TIES OR EOUALS (J� (40 FOOT RIGHT OF WAY) STEEL REINFORCED PRECAST CONCRETE AT PLAN vlEw # 16 CROOKED POND ROAD 3_21' RE EtIE _ H YA N N I S MA ' 3 min clearance t- I �1J' 1kiET - a min.Tli m+n tntet to outlet a.mk, ZtA OF S PREPARED BY: `- OUTLET rr ue Y MEET id level e4 .•5' _7. r +A �GN V ARff� F. S l 1 1 l" 10'min. VQ" R I ,. E$ I '� 4'-0' min. i v SH ENVIRONMENTAL SERVICES. INC., : oo.ems.. - Liquid eepth .° 0 20 40 50 No. r ;. .0. BOX. 627 c,sT ? EAST 'FALMOUTH MA 02536 0 w SANITARfPN TEL/FAX 508-539-7966 CROSS SECTION END-SECTION SCALE: V'_20' TYPICAL 1000 CALLON TIC TANK - SCALE: 1 -20 DRAWN BY: CES ATE: OCTOBER 28 2005 NOT To SCALE - PROJECT SD822 FILENAME: SD822PP.DWG SHEET 1 OF , 1. -- -- - --