HomeMy WebLinkAbout0037 DOLPHIN LANE '7 `-Do If) J ;Y, La-Nn e-
i
Solar0ty
a TS
October 10, 2016
Town of Barnstable
ATTENTION: BUILDING DEPARTMENT a €=
200 Main Street
Hyannis, MA 02601
RE: 37 Dolphin Lane, Hyannis _, r
Permit No.: B-16-1503
E-16-1097
Our Job No.: JB-0262836
NOTICE OF CANCELLATION
This letter is to certify that our proposal to install Solar(PV)at the above-
referenced property has been moved into a cancellation status.
SolarCity Corporation and Deborah E.James will not be moving forward with the
proposed installation at this time.
If you have any questions or concerns, please don't hesitate to contact me.
Thank you for your attention to this matter.
Sincerely,
CheryCGrue astern
Cheryl Gruenstern .
Permit Coordinator
Direct Line: (508)640-5397
cgruenstem@solarcily.com
112 Great Western Road,South Dennis,MA 02660 T (888)SOL-CITY solarcity.com
AL 05500.AR M-8937.AZ ROC 243771/ROC 245450.CA CSLB 888104.00 EC8041,CT HIC 0632778/ELC 0125305.DC 410514000080/ECC902585.DE 2 0 1112 0 3 8 6/T7-6032.FL EC11006226.HI CT-29770.IL 15-0052.MA HIC 168572/
EL-1136MR.MD HIC 12 8 94 8/118 05.NC 30801-0.NH 0347C/12523M.NJ NJHIC#13V406160600/34EB01732700.NM EE98-379590.NV NV20121135172/C2-0078648/B2-0079719.OH EL.47707.OR CB180496/C562.PA HICPA077343.Po
AC004714/Reg 30313.TXTECL27006.UT 8726950-6501.VA ELE2705153278.VT EM-05829.WA SOLARC•919OVSOLARC•905P7.Albany 439.Greene A-486.Nassau H2409710000,Putnam PC6041.Rockland H-11864-40-00-00.Suffolk
52057-H.Westchester WC-26088-1-113.N.Y.0#2001384-0CA SCENYC:N.Y.C.Licensed Electrician.#12610.#004485.155 Water St.6th Fl..Unit 10.Brooldyn.NY 71201.#2013966-0CA All loans prodded by SolarCity Finance Company.LLC.
CA Finance Lendersiicense 6054796.SolarCity Finance Company.LLC Is licensed by the Delaware State Bank Commissioner to engage In business In Delaware under license number 019422.MD Consumer Loan License 2241.NV
{ Installment Loan License IL11023/I01024.RI Licensed Lender#20153103LL.TX Registered Creditor 1400050963-202404,VT Lender License#6766
L
Val Town of Barnstable
�f Building
'
Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept Posted!
Until Final Inspection Has Been Made. Permit
Where a Certificate of Occupancy is Required,such Building shall,Not be Occupied until a Final Inspection has been made.
Permit No:� B-16-1503 Applicant Name: Cheryl Gruenstern Map/Lot: 268-177
Date Issued: 06/15/2016 Current Use: Zoning District: RB
Permit Type: Solar Panel-Residential Expiration Date: 12/15/2016 Contractor Name: SOLAR CITY CORPORATION
Location: 37DOLPHIN LANE, HYANNIS _s_ __ _ _ Est. Project Cost: $ 18,000.00 Contractor License: 168572
Owner on Record: JAMES,DEBORAH ELLEN Permit Fee: $ 141.80
Address: DEBORAH E JAMES LIVING TRUST Fee Paid: $ 141.80
HYANNIS PORT, MA 02647 ' { Date: 6/15/2016,
Description: Install solar panels on roof of existing house,with any upgrades, if applicable,as specified by PE in Design;To be
interconnected with home electrical system. 7.155 kW 27 Panels JB-0262836
I �
Project Review Req
Building Official
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced.within six months after issuance.
All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted.
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes.
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the
same.
i
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
2.Sheathing Inspection
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
5. Prior to Covering Structural Members(Frame Inspection) -
6.Insulation
7.Final Inspection before Occupancy
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations.
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A).
Building plans are to be available on site
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
r
S 86`1240" E 11.4'
4
She 124.35'
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51.8' 4.0' N Garage o 12.0
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sunroom
8.0' Q
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EXlS t.
Z Lot 23 Owg. � Q Q
13,158f S.F. #37 1l
z
N 86 30'10" W 1
C�-
TOWN OF BARNSTABLE ZONING- STREET ADDRESS: #37 DOLPHIN LANE
BY—LAW ASSESSORS MAP 268 PARCEL 177
OWNER: DEBORAH ELLEN JAMES
DEED REF.: BK. 3217 PG. 218
ZONE-- : RB PLAN REF.: PL. BK. 139 PG. 11 LOT 23,
SETBACKS
FRONT = 20' .
SIDE = 10'
REAR = 10' I CERTIFY THAT TO THE BEST OF MY PROFESSIONAL
KNOWLEDGE, INFORMATION AND BELIEF THE ADD177ON
SHOWN HEREON CONFORMS TO THE HORIZONTAL SETBACKS
OF THE ZONING BY—LAW FOR 7HE TOWN OF BARNSTABLE,.
PROPERTY LINES SHOWN HEREON -MOFMASS'c
WERE COMPILED FROM AVAILAB E
PLANS OF RECORD VERIFIED, ° TERRY -A
ANN
ON THE GROUND. '9 WARNER
� No.38721 "AS-BOIL T'
7HE ADDITION DEPIC7ED ON THIS PLOT PLAN
PLAN WAS LOCA7E0 ON THE GROUND jN
BY SURVEY ON FEB. 1, 2007 AND 6-7 BARNSTABLE, .MASS
EXISTS AS SHOWN AS OF THE DATE V�. . -
OF LOCA770N. SCALE: 1"=40' FEB. 2, 2007
THIS PLAN IS FOR PLOT PLAN` 7ERRY A. WARNER, P.LS
PURPOSES ONLY. 22 LONG ROAD
HARWICH, MA. 02645
(508) 432-8309
THIS PLAN IS VOID IF NOT
STAMPED AND SIGNED IN RED. 0 20 40 80
PROJECT N0. 05-156AS
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map ° (ff 0 Parcel Ar ; ,1, ;t �; � a Application# �c L
Health Division
Conservation Division - - Permit#
Tax Collector Date Issued
Treasurer Application Fee dP
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address - h L4, La�_e,_�
Village t D C—
Owner Address r flA
Telephone J � �q C) 1 3�>je Oa&y7
Permit Request J t ; SlZu (�
Square feet: 1 st floor:existing Ct proposed 7,0 2nd floor:existing proposed c2 7 Total newi $ Y 3
Zoning District Flood Plain C Groundwater Overlay
Project Valuation p� OD1� Construction Type O �
Lot Size o -1 Grandfathered: ❑Yes �KNo If yes, attach supporting documentation.
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes ;,No On Old King's Highway: .❑Yes XNo
Basement Type: X Full ❑Crawl ❑Walkout Cl Other
Basement Finished Area(sq.ft.) 0 Basement Unfinished Area(sq.ft)
Number of Baths: Full:existing new Half:existing new
Number of Bedrooms: existing new
Total Room Count(not including baths):existing ' new First Floor Room Count
Heat Type and Fuel: *Gas ❑Oil ❑ Electric ❑Other
Central Air: ❑Yes NNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes ) )No
Detached garage:❑existing ❑new size Pool:❑existing ❑new ize Barn:❑existing ❑new size
Attached garage:❑existing 2knew size 3 Shed:$existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes No If yes, site plan review#
Current Use � Proposed Use
BUILDER INFORMATION
Name Telephone Number
Addr=VV
L� License#
o ck_ Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE
r-
FOR OFFICIAL USE ONLY
r r
PERMIT NO.
DATE ISSUED ' I
MAP/.PARCEL NO.
ADDRESS VILLAGE
OWNER
w I
DATE OF INSPECTION:
FOUNDATION Q(C D —0-7 .i V
r
FRAME ® a—�'—C)—7
INSULATION 0k:1— —0 7 OD
FIREPLACE ,
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
f t
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT r
ASSOCIATION PLAN NO. I
s
+ The Commonwealth of Massachusetts
►_ �;' Department of Industrial Accidents
Office of Investigations
i f _ 600 Washington Street
Boston, MA 02111
' icy www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/PlumbersI
Applicant Information Please Print Legibly
Name (Business/Organization/Indivi dual):
i
Address:
City/State/Zip: w - Phone#: � t) •-- ( 33
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 hiredthe'sub-contractors
2.❑ 1 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.f❑ We are a corporation and its
required.] officers have exercised their
10.[_ Electrical repairs or additions
3.%�am a homeowner doing all work right of exemption per MGL I LE]Plumbing repairs or additions .
myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑Roof repairs
insurance required.]t employees. [No workers'
comp.insurance required.] 13.❑ Other
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
Homeowners who submit this 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.policy information.
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.Lie.#: 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 imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do her certify under the pains a(�ndpen/ hies ofperjury that the information provided above is true and correct
Signature: ��,Z�-Y/✓ Date:
Phone#:
Official use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6. Other
Contact Person: Phone#:
T
5 '
Information and Instructions ;
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire,
-xpress or implied,oral or written."
An employer is defned.as"an individual,partnership,association,corporation or other legal entity, or any two or more
of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the
receiver or trustee of an individual.,partnership, association or other legal entity,employing employees.,However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary, supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s),of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to carry workers' compensation insurance, If an LLC or LLP does have
employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone and fax number:
The.Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
Tel, # 617-727-4900 ext 406 or 1-8.77-MASSAFE
Fax##617-727-7749
Revised 5-26-OS
wwwmass.gov/dia
�ftF1E p own of Barnstable
Regulatory Services
9 MASS. Thomas F.Geiler,Director
`bofD ►`� Building Division
Tom-Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town..barnstable.ma.us
face: 508-8624038 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 wit!othe;
requirements.
Type of Work: C � Estimated Cost o
Address of Work:. L= Lin G- oc i a &t4
Owner's Name•��0��� � � (Z, Ml�--�
Date of Application: 11 l3/ C)�P
I hereby certify that:
Registration is not required for the following reason(s):
❑work excluded by law
FIJob Under$1,000
Building not owner-occupied
Owner pulling own permit
Notice is hereby given that:
AWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A.
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner:
Date Contractor Signature Registration No.
OR
Date Owner's Signature
Q mpfiles.fornwhomeaffi day
Rev: 060606
Tanta J3:Z1Q tecotfaned)
'. ftacriptive Packages for One and Two-Family Residential BaIIdings'Neate+d with FosrilFnels
11'1(AXfMUM MINIMUM
Glazing Glazing Ceiling Wall Floor Basement Slab HeaBng/Cooling
Area'C/a) U-value= R-value' R-value' R-vetuet Wall paime3a Fq�ipmart Etlideacy'
Pace' Se R-value, R-valves
5701 to 6500 Heating Degrer Days
t 12% 0.40 38 13 19 10 6 Normal
R 12% 0.52 30 I9 19 10 6 Normal
5 1214 0.30 38 I3 19 10 6 35-AS YE
T 15% 036 31 13 25 N/A NIA Normal
U 15% 0.46 38 19 19 10 6 N=ml
V 15Y. 0.44 38 13 25 NIA N/A 83 AFUE
W 15% 0.52 30 19 19 10 6 85 AFUE
X I s% 032 38 . 13 23 NIA N/A Normal
Y I S%. 0.42 31 19 23 N/A NhC Normal
Z 18% 6.42 38 13 19 10 . 6
90 AFUE
AA 10/. 0.30 30 19 19 10 6 90 AFUE
1. ADDRESS OF PROPERTY: c
2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: E0 s o o
3. SQUARE FOOTAGE OF ALL GLAZING:
4. %GLAZING AREA(#3 DIVIDED BY#2): 1p /0
S. SELECT PACKAGE(Q—AA-see chart above): ,. Q
NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS
ARE AVAILABLE. ASK US FOR THIS INFORMATION._.
BUILDING INSPECTOR APPROVAL:
YES:. NO:
q_fbans-0 80303 a
Town of Barnstable
FSHE Tp�
Regulatory Services
S, >3LA�RNs1as Thomas F.Geiler,Director
ARN
Mass.
r� 1619• ,0$ Building Division
QED MA't A Tom Perry,Building.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:
JOB LOCATION: -4 o a u q
number (� street S� G2 villa e (�
"HOMEOWNER"c\< 135 C�d•..� ,��d yVIQ/1 J� O � i�" �3� ��� �d-� �1?�'(�- , .
name home phone# work phone#
CURRENT MAILING ADDRESS: `C "J n-)l0 _
(-�- CA 2,q
c'ty/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and
to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as .
supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to
be,a one or two-familydwelling,attached or detached structures accessory to such use and/or farm structures. A
person who constructs more than one home in a two-year period shall not be considered a homeowner. Such
"homeowner"shall submit to the Building Official on a form acceptable to the Building*Official,that he/she shall be
responsible for all such work performed under the building permit. (Section 109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other
applicable codes,bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department
minimum inspection procedures and re uirements and that he/she will comply with said procedures and
requirem nts.
Signa re o omeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the
State Building Code Section 127.0 Construction Control. .
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner perfonning work for which a building permit is required shall be exempt from the provisions
of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such
work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,
Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly
when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed
Supervisor. The homeowner acting as Supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,
that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page 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
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Iltti*WS SSAmlS55 SYNAtI0AA1 7YSPlN0t0
AATTS OYTTSYS INSYtA1Nip 11NIN03
1-800-696-6611 DIVI3
Town of Barnstable
Regulatory Services
Building Division
200 Main St
Hyannis, 1VJA 02601
�f
Date:
Dear Building Inspector
Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed &
completed the insulation and weatherization work at the property listed below. Cape Cod
Insulation did this in accordance'to the specifications listed on the building permit
application. All work has been inspected by a certified Building Performance Institute
(BPI) inspector. All work preformed meets or exceeds Federal & State Requirements:
Property Owner Property Address Villa&e
I��elr a, tlmtz
Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted
Ceilings
Slopes (� ) ( ) ( I q ) ) ( X)
Floors
Walls ( ) ( ) ) ( ) ( )
7
Sincerely
He y E C sidy ; President
Cape Cod nsulation, Inc.
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map 7JA Parcel AA�at
I
Health Division Date Issued 1
Conservation Division , Application Fee 2�
Planning Dept. Permit Fee `V 7
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation / Hyannis
Project Street AddressUL.-�/
Village -�,Q-4 r VI�l t�l 1� 1�[.�� 026 -7 -Z--
Owner 6/�l'J� r_�1�, Address
Telephone 7A-
Permit Request Ll.- ( 1/l VnV6 &r t4a7ll
i ��a�� � /ate evr ��r 1� ' -
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation ��d ' Construction Type � �"'
Lot Size / Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family U- Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft)
Number of Baths: Full: existing new Half: existing Q:1 I neW,
Number of Bedrooms: existing _new
w,....
Total Room Count (not including baths): existing new First Floor Rgom Count
Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove.:,,❑Yes ❑ No
k J�v
Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing Q new size_
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review #
Current Use Proposed Use
APPLICANT INFORMATION
`—(BUILDER-OR-HOMEOWNER)-
Name 4 eOe /��5��� ,��i,� Telephone Number
Address /ram'" �Zt-4i2,/oeo License # l0
�i9�liG/O4L Home Improvement Contractor# ���
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE
} FOR OFFICIAL USE ONLY
y
APPLICATION#
, t DATE ISSUED
{ MAP/PARCEL NO.
t
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
k
FOUNDATION
E
FRAME
INSULATION
r
E FIREPLACE
r
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
i
} GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
S
ASSOCIATION PLAN NO.
10 Park Plaza - Suite 5170
- `1= ,'rl Boston, Massachusetts 02116
Home Improvement Contractor Registration
k,. Registration: 153567
Type: Private Corporation
Expiration: 12/15/2012 Tr# 206433
CAPE COD INSULATION, INC
HENRY CASSIDY
455 YARMOUTH RD.
HYANNIS, MA 02601
-.Update Address and return card. Mark reason for change.
L Address ` Renewal Employment Lost Card
0 50mi-0104 a 10 i z 16
l)Ifice.J "oi euwer AIT �lB ne Regulation License or registration valid for individu! ;;n!y
HOmE� f'f bQftffNT"COIs]f A `w before the expiration date. If found return to:
=_= Registration: 153567 Type: Office of Consumer Affairs and Business Regulation
y' Expiration: 12/15/2012 Private Corporation
10 Park Plaza-Suite 5170
Boston,MA 02116
SOD INSULATION,INC
HENRY CASSIDY
455 YARMOUTH RD.
HYANNIS,MA 02601 Undersecretary Atalid ith t si tune
'= VA�,"i hu`ctts 01 Pu1) is .silfet,
Boat(l of Building Rc!gulations ,tn(I Stun(I:u'ds
Construction Supervisor License
i
License: CS 100986
#A iN,
HENRY CASSIDY
8 SHED ROW
WEST�ARMOUTH, MA 02673
Expiration: 11/11/2013
(iunuu��iurr Tr#: 7620
r
The Commotlli dth of Massachusetts
4.. = Departntertl ,-/ Industrial Accidents
Offict, r 1/ Itn)estigations
600 Vl'lis/riagton Street
Bost, 1.1A 02.111
�Vt,►rl:et-'s cutttl)etls;ition Insurance Afliii.,:i,: Builders/Conti nctors/]L le�tri�i�tttisll'1tttuL►��rti
tllpliraut Lnfo►'nt�ttit►n Please PHAlt Legibly
t
;uu �lit.[sutt:.ss/Otbani.z.ati.ott/Inc ividual):, r
------------
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) -Z 7 i
:\re you an culployer'? Check the appropriate box: ------
`1'ype of project(re(luircd):
I LA I .till a cmployc;r with- 4. ❑ I am a,rt rr:rl ontractor and 1 have 6. ❑ New t onstructiutt
- .—.._—
cuiploycxcs (full and/or p.ut-tin\e.)."° hired rhr �rif-.;.,nrraetors listed on . 7. ❑ Remode.liuo
r l the attach;d .Beer.:[
pt-Oprietc►r or harmership These sill .,,. rtr:tctors have. 8. ❑ Demolition
turd have: no altiployc:rs workirl";for employc,:.:iu,l have workers' comp. 9. E] Building addition
uie In ally cal,acity. [No workers' ittsuraur. lQ, I I [ 1C:C[CICYII rel)i'11r5 Ut iI JihllllllS
l0II11) IIISIIrtlllCe rCllrllrCll.) 5. ❑ We ail[ :r r',ripoia[ion and Its
l 1. Ialitolibtn, rC 1 cs Ol-addl t4011.1'
' � I officers li,ia, t.�crcised[heir right of ❑ 6 t`
.__.1 I aul a ht ulrowticr cloing all work exernptiot, l,i NIGL c, 152§(4),and 12, Roof repairs
myself [No workers' comp. we have Ii,-,mployees.[No workers' 13. 00lur��CC�f�)er1 ze:r�'1Cli
uuur<ul c rr.quirrd•.I [ comp. ina :uc:c required.)
F.
Nrrs.rppli,anl tllat checks bux #1 roust also fill out the section below show,,,•ilr;it workers'compansation policy information.
i I Irnnc,r,vuct>whu sull,nit this affidavit indicating they arc doing till wv,l..,r J rlh:it line outside cotltnactor5 must submit a now attldktvtt indicatil%Suclt.
It nu rcwu that check this box roust attach an additional sheet showing ilr. ii:w, of the sub-contractors and state whether or not those entities have ellll loyees Il
rr,,sill;,nWUCWIn bavc employees, they must provide their workers'courl• It. It,v uwnber.
1 till,an employer that is pro vidii-igworkers'compensation i„ „r,mve formy employees. Below is the.policy ami fob site
utlin ntuliort.
lu 11:111cr.l.'omimny Narrte:. (� ("� �.htx� L t 1�_L) Ir Vt,I '-C— CC —_
i'ttli,>>„I,rSell'-ins. l,.ic. kt: WrA ao 1�' �i 1-
4_.. - Expiration Date: 30
Vt
__
Ivi;Jar- ;\dclrrs> �- City/State/Zip:
\uarh a cupy of'the w(irl�ers' cornpens� tion poliey declaration p:igL'i;;bowing the poliey number and expiration date)
I rlur.I,r secure :ovcntric as requited under Section 25A of MGL c. 1i.' :,Ili Ir.nrl to the imposition of cumin ltl penalties of a fine uh to$1,500,00Ilmi/vt
ruir-yccu 11111)ns01111l ilt,as well as civil penalties in the form of a STOP 4i i tl:k ORDER and a fine of up to$250.00 a day against the violator. He advised
cu;,,:c,py of this sl'atemcut ula c forwariied to the Office of Livesti,:n,•rr:,vl the DIA for insurance coverage voril'ication,
l all here c if, under tite , ins arttl penalties of per ary that the information rovided above is true oral correct.
Date:
,i all t[t,rt;: f/7 Dv- � 4
l'hiln�:il: ) (�
OJI4.1ul use only. 1..)u not write in this area, to be completed Gr e rn or town official
City or Tuml: I'erntit/License#
bstling Authority (circle uric):
1.hoard of Health 2. Building Department 3.Cily/'l afro Clerk 4.Electrieal Inspector S,Phimbing Inspector
6.Other
Contact Persou: __.._.._- Phone#:
1605 I
Client#:4597 CCINSUL
,,,,ACORD,,, CERTIFICATE OF LIABILITY INSURANCE 0021
DATE(MMIBBY1YYi--
THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,T2QS2
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW,THIS CERTIFICATE OF INSURANCE DOES NOT CONS]I'ruTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORILtD
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT:1— f the CO"IFI holder;-an AbDITIONAL INSURED. 11N 1101icy(iesj must be endorsed.if SU0ROCATION IS WAIVED,sutrj(jri m
the tams and conditions of the policy,certsln policles may rtryu6o an ender-errant.A 6taterneht on this certificate doer not L:unfer riglits lu the
"1_tlflcata holder in Bet,of such endarsemenl(s).
NRUDUCER
Rapers&Gray Ins.-So. Dennis NAME: Mar E MAIL et Youa0PNONE
c Nu5 -764602 — h434 Route'134 A n Ack N a B^/7.81T6.2__15-
8
-
South Donnis, MA 02660-1601 -
508 398-7980 INSURERid)AFFORDING COVERARG I T NAICN
w----- ---- wsURIiRA:Peerless Insurance 1U333 Crape Cod Insulation[no wsURERa-Evanston Insurance Company
455 Yarmouth Roars INSURERC:Atlantic Charter 1n811rance ---
Nyamiis, MA 02601 INsuREa9:,CoMInerce Insurance Company 34754
INSURER E
_ ___ _ _ INSURER F;
COVERAGES6' CERTIFICATE NUMBER: 121*VISION NUMBER:
'rH18 6TO CERTIFY THAT THE POLICIES OF INSURANCE WI TFD I111LOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TFIE POLICY PERIOD
INDICArLI). NOTWITHSTANDING ANY REQUIREMENT, TI=RM OR.CONDITION OF ANY C014TRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH -1 HIS
CER"rIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THF..TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN RC DUCED BY PAID CLAIMS.
LTh T TYPE OF INSURANCE ADOL SUER POLICY EFF pOLiGY EX --
PaLICY HkIN'arR MMIDDIYYYY MM10DlYYYY LIMITSA cENeRALLIABILITr C2P8263063.
COMMFIRML GENERAL LIABILITY EACH 4101(2012 04101I201 EACFloccuRrleN w1 UUU U00
X_ CAC-OCCURRENCE
PIf�MIS�'a a accu�ronce �1()t�Bt)I)
CLAIMS-MADE 5X OCCUR MED EXP fAny one pa mill)) s5,000
- — PERaONAL s ADV INJURY a 1 000 000
`- -- OENERALAOOREGATE $2,000,000
GEIV'L AGGNEOATk LIMIT APPLIEa PER: PRODUCTS-COMPIOP AGG s21000,000
_ I POLICY T PRO- LOC
l] AUTOMOBILE LIABILrry 12MMBCKVm1K 4101/2012 041011201 COMBINEDSINGLE�IMIT 11,000,000
Ea accidcnl
A1VY AUIU -BODILY INJURY(P..
ALL OWNED X SCHEDULED
AUTOS AUTOS 9ODILY INJURY(Par aaaWa(a) T---
X HIRED AUTOS X NON-OWNED PROPERTY OAMA'O'i�`
AUTOS (PNf nCClcrFlrlft,�,T - S --_—
H X UMBRELLA LIAR - - -- —
OccuR XONJ453512 41010012 04/01/201 EACH OCCURRENCE $1 000 000
EXCEtib UAB CLAIMS-MADE - '��-
- --"" AGGREGATE $iL000 QOU
_ oEo X RE] r1Or4 10000
C WORKER$COMPENdAT10N
AND EMPLOYERS'LIABILITY
WCA00525902 ' -
OTIi
E O O YIN 6130/20120001201 X
grd � -N E.L.OFFNY CRM MR NIA . ---
EACH ACCIOOVN1' 11 A0,000
(Mtlndalory to NH)
E.L.DISEASE-EA EMPLOYEE $1 QQQ QUQ
If ynn,Qew;ripn,In4Nr _
--DESCRIPTION OF OPERATIONS Nnluw _—_ E•L.DISEASE•POLICY LIMIT 1-1 000 000
UEBCRIKION OF OPERA"LIONS i LOCAI"IONS I VEHICLES(AUaah ACORD It 1,Addldansl x.,"schq urq,It PIOrq BPRQ0 Is regdlrqu)
"Workers Comp information
Included Officers or Proprietors
C.erilticate Holder is Included as an additional insured unour General Liapility when required by Written
contract or agreement.
CERTIFICATE HOLDER CANCELLATION
Cape Cod Cnsulation,lnc SHOULD ANY OF THE ABOVE DESCRIBED POLICIES DE CANCELLED 13EFORL
THE EXPIRATION DATE THEREOF, NOTICE WILL 13C DELIVEIREU IN,
ACCORDANCE WITH THE POLICY PROVI51oNs.
AU MORIZED REPRESENTATIVE
t8 lv
B -2010 ACORD CORPORA"PION.All rights rt:aeed.
aCUFcu 25(2U1UIU5) ®1 of 1 The ACORD name and logo aru ragistared marks of ACORD
HS838491M83848 MEY
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v u
OWNER AUTHORIZATION FORM
(Owner's Name)
owner of the property located at
(Property Address)
AA , 6U 7
(Property Address)
hereby authorize S l/ CIL
(Subc' tractor)
an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building
permit and to perform work on my property.
t
Owner's Signature
Date
D
t ae
stp 2 7 2012
oFIME Town of-Barnstable ,
ti ,
Regulatory Services t
" sn MASS.�e'
` Thomas F.,Geiler,Director
9 nss. i'
e1639. Building Division
Tom Perry,Building Commissioner
200 Main Street;Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
March 1, 2010
Deborah James
37 Dolphin Ln
Hyannisport, MA 02647
RE 37 Dolphin Lane, Hyannis
Dear Ms. James, -
This letter is to inquire as to.the status of the project at the.above referenced address. As
you may recall, a permit was issued by this office on October November 22"d 2006 for a
second story loft with kitchen and bath remodel. Your last inspection by this office was
done on July 3, 2001 for the insulation. There also is no final electrical inspection for this
project, The electrical permit`has expired. You need to contact this.office*(508)'8627
4034 to arrange for-an inspection or explain the lack of progress. Thank you for you
attention in this matter.
Sincerely,
Paul Roma'
Local Inspector
508-862-4025
4 i '
v
c +
,
i
y
Q.zoning5
'gown of Barnstable
Reguiatory Services
S saNsrASM, Thomas F:Geiler,Director
E 6���, • Ruilch Division
D D�
Tom Perry,Building Commissioner .
00 Main Stier Hyannis,MA 02601 ��
Office:-508-862-4038 Fax: 508-79Q-6230
REQUEST FOR ELECTRICAL INSPECTION
ELECTRICAL PERMIT NUMBER
(Permit required in order to process inspection).
Today's Date -S - -�Z
Requested Date of Inspection
hereby request au inspection under Massachusetts General
(Electrician)
Law chapter 143,section 3L and 237 CMR 4.02(3). 37 �oh i�� rowerI CZ
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_ E�
The installation will be ready for inspection at CJ 14161
'
(Pr erty Location) g
rV.
Type of inspeetion.requested: cn
❑ Temporary Service
❑ Service Re-insF`etion
• ao 74
❑ Excavation ❑ Rough Re-iuspe 2tion w r
Service Inspection ❑ Final Re-inspection
Roag'1 lenS OnCan for � 50.n0 Re.-Ilasp..ex-4010 Fee)
❑r. Final Inspection for
❑ Other a
weer r tenant _
a�
Licensee's name, address, and pbone . / i/k�a9l S
License number
�� Licensee's Signature
This section to be completed hvBarnstable Inspector of Wires
Inspection date �' Approved ❑Not Approved
This work was not approved for violation of the following Articles and S ections of the MA Electrical '
Code:
Q;WPFiles:forrts;electrequest '
Rey:102604
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CommonweaGth o� assac efts Official Use Only
Nome t 2epartment o f-7ire Services Permit No. �b �
Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] leave blank
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code ),527 MR 12,00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ,L,6 a
City or Town of: IM ea&dalh- To the I ecto of Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number) fty;Ar ,/��, �
Owner'or Tenant Telephone No,
Owner's Address
Is this permit in,conjunction with a building permit? Yes 2- No. ❑ (Check Appropriate Box)
Purpose of Building Utility Authorization No.
4-OP4 Existing Service /" Amps ->lcaI IV..d Volts Overhead DQ Undgrd❑ No.of Meters (�
New Service ,0c) .Amps /-a / yd Volts Overhead❑ Undgrd No.of Meters
Number of Feeders and Ampacity
Locaation an Nature of Proposed Electrical Work: �1 � �� a taD ytp a>
J to < l
CO
Completion o the ol/owin table m be waived b the Inspector of
Wires.
-J) No.of Total
N f Reces Luminaires No.of CeiL Fans-Susp.(Paddle)F
°� " Transformers KVA
Noaf Lumine Outlets No.of Hot Tubs Generators KVA
Above o In- o.of Emergency Lighting
c= No&f Lumin _Xres Swimming Pool rnd. grnd. ❑ Battery Units
No."fff ReceptAcle Outlets No.of Oil Burners. FIRE ALARMS No.of Zones
` No.9 Switchls No.of Gas Burners o.of Detection and
Initiating Devices
No.of Ranges Na..of Air Cond. Total No.of Alerting Devices
Tons g
No.of Waste Disposers eat ump umber Tons KW No.of Self-Contained
o it z .............................-.
o Totals: Detection/Alerting Devices
Z o z No.of Dishwashers Space/Area Heating KW Local❑ Municipal Other
Connection
Z W = No.of Dryers Heating Appliances KW Security Systems:*
Z No.of Devices or Equivalent
�... ,_ Z: No. of Water No.of No.of
Z of:�T z Heaters KW Signs Ballasts Data Wiring:
No.of Devices or Equivalent
n �w o No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wirin
w. s o
N No.of Devices or E uiva ent
o c a Q OTHER:
Q 'mLw
(- Cn rc',; m Attach additional detail if desired, or as required by the Inspector of Wires.
L ¢ Estimated Value of Electrical Work: (When required by municipal policy.)
I1.i m Work to Start: Inspections to be'requested in accordance with MEC Rule 10,and upon completion..
w` �, Q INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless -
6 0
ti the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The
;,�,i undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office, '
11`- "' CHECK ONE: INSURANCE BOND� a � �, ❑ OTHER ❑ (Specify:) .
I certify,under the pains and penalties of perjury,that the information.on this application is true and complete. ;
FIRM NAME: .� 1_ Z10 LIC.NO.:
Licensee: Signature V LIC.NO.: Z
(If applicable,enter "exem t"in the license n mber 'ne.) r Bus.Tel.
Address: 4t,"A, Alt.Tel.No.:
*Per M.G.L.c. 147,s.57.-61,security work requirefDepartmefit of Public Safety"S"License: Lic.No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below,I hereby waive this requirement, I am the(check one) ❑owner ❑owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE: $ ,
1500 GALLON SEPTIC TANK DISTRIBUTION BOX INEIJT AT M 3050 CHAMBERS CROSS SECTION LOCUS PLAN
NOT TO SCALE NOT TO SCALE NOT TO SCALE NOT TO SCALE
rawberr
102.01 10t.4 MIN 2% Hilt
a �/ \/ \
COVER TOBEWITImv6"oFGRADE INSPECTION PORT TO BE WITHIN 6" OF GRADE
•scx�o a v.c. STONE
3"htmu" 4"scn�o r.v c MIN.9"COVER /4 4°1 8" 1/2'B WASHELE D STONE r
0.01 M1N.
99.84 13" 4"8CS.40P.V.0
t t4„ �1 -oolvmr. \
98.75 "
w
f
Isale'ne ;
90.0 4.0' 98.0 `' \ 2.0' t53 ►0
98.6 -
\
\
<
98.4 3
96.b10.
• . • . • . • • • ii • }11x • .. • ` .• r, ,:`
/
0
MIN i � l /
Dolphin a
. . . . . 6.i., of i al 3►NiC:;: : i;::;::r; �i.0 36.91 -I1.05'� 2.9'- .25'-`---r--2.9'
10.5
39' BbTTOM OBS 90.4' 10.5'
SITE SPECIFIC NOTES
DESIGN CALCULATIONS GENERAL NOTES
ALL PIPING TO BE SCHEDULE 40 P.V.C.
y►
40ML VINYL BARMIER I O BE.INSTALLED AT EXISTING BEDROOMS 3 0 110 G.P.D.= ALL LOCATIONS OF UTILITIES SHOWN ARE AS
NORTHEAST CORNED OF SAS AS SHOWN FLOOR PLAN 330 G.P.D. MARKED BY DIG-SAFE AND ARE TO BE
� �� A TACHED RIFTED TI INSTALLER PRIOR TO
p.+�w /� �t /� j NO. OF UNITS 5 CONSTRUCTION
CtSSPOOL(S) TO BE REMOVED O Cl'e8 DEPTH BELOW INV. 1 THERE ARE NO KNOWN WETLANDS WITHIN
LWIDTH ENGTH g5 UNOLESS SHOWN.PROPOSED LEACHING FACILITY
SIDEWALL AREA 198 SF rH
ERE ARE NO KNOWN POTABLE WELLS WITHIN
INSTALLER 1-0 NOTIFY DESIGNER 24 HOURS PRIOR TO BOTTOM AREA 407.5 SF
'150' OF THE PROPOSED LEACHING FACILITY.
BEGINNING OF JOB TO COORDINATE INSPECTIONS i # log 903 � TOTAL SQUARE FEET 60 .5 SF THERE ARE NO KNOWN IRRIGATION WELLS
WITHIN 50' OF THE PROPOSED LEACHING
CAPACITY SIDEWALL 00.74 146.5 G.P.D. FACILITY
CAPACITY BOTTOM 0 0.74 303 G.P.D. THIS PROPERTY DOES NOT FALL WITHIN A
CAPACITY TOTAL 449.5 G.P.D. FLOOD ZONE AS SHOWN ON FIRM MAP
THIS DESIGN DOES NOT REQUIRE VARIANCES
TO 71 TILE 5OR
THIS SYSTEM NOT DESIGNED TO BARNSTABLE(SUPPLEMEN ALOREGULATIONS.
ACCOMODATE A GARBAGE LL CONSTRUCTION SHALL BE IN ACCORDANCE
j DISPOSAL NITH REGUL TION$AND BARNSTABLE SUPPLEMENTAL
IN LINE ELEVATIONS PROPOSED AS-BUILT SURVEY INFORMATION
_ INV. a HOUSE 99.84 PROPERTY LINE DATA FROM
Stockade Fence
INv INTO TANK 99.0 TERRY WARNER SURVEYING
S 96 019'40a 103,60 _ INV OUT OF TANK 98.75 APRIL 24, 2005
_
F
C B/D H/F N D ! O INV INTO D-BOX 98.6 PLAN TO BE USED FOR INSTALLATION
Shed 124 ( INV OUT OF D-BOX 98.43 OF SEPTIC SYSTEM ONLY
INV INTO CHAMBER 98.0
103,06 ll` too BOTTOM OF_CNAMBER 95.0 NOT FOR DETERMINING PROPERTY LINES
BOTTOM OF STONE 96.0 _
BOTTOM OF OBS HOLE 90.44 BENCH MARK -
I
Proposed Addltlorl WATER TABLE NONE ENCOUNTERED ORNER OF BULKHEAD 102.11 (ASSUMED
FISH POND
I -
102,13o DATE:
�_._.._._...__....�,-' w._L .,;�� _..___.---- �...-�"`.- OBSERVED BY: WITNESSED BY:
r- J r f 4,;,, r r �'``"- jo2 " SOH LOGS April 28, 2005 LISA C. LYONS DON DESMARAIS
SOIL EVALUATOR BOARD OF HEALTH
i - (� OBS. HOLE #1 OBS. HOLt #2
.' r T I ELEV. DEPTH ELEV. DEPTH
t J � - r
SAS DI IEI�SiONS
101. o" o.o
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00
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OVERALL DIMENSIONS 10.5'x 39' �' 99.3
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5
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101.4
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h BENCHMARK SET
10
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Elev. 102. 11 (Assum ),
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,,k'�rk0F MASS SEPTIC DESIGN PLAN
Fit
PLAN SHOWING:
• C. �� j�I�®b
PROPOSED SEPTIC SYSTEM REPAIR IN BARNSTABLE
LISA
tr��� a N= FOR DRAWN BY: LISA C. LYONS
DEBI JAMES DESIGNED & CHECKED BY:C. N
11 LyO
43 LOCATION:
l C . REVISIONS:DESCRIPTION: DATE:
o = 37 DOLPHIN LANE,W.HYANNISPORT
��� •••�Q� ADD ADDITION: SETBACK 10 18 06
�f'I .i�• LOT It-
SCALE 1 : 2 0 �N-,%�,%�111�� 41SAC. LYON , R.S. M268 P177 DATE:
i3 2005
i CERTIFY THAT THIS PLAN CONFORMS TO LISA C. L.Y 0 I V S 1 R . S. (508) 790-9970
TITLE 5 AND BARNSTABLE B.O.H. REGULATIONS 14YANNIS, MASSACHUSETTS (774)487-i638
_____ ___ • (EXCLUDING WAIVERS SPECIFIED)