HomeMy WebLinkAbout0076 DUMONT DRIVE f` Dumonr J7,e . �
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li
RUCTION CO. t
`V and Commercial Bwlder ', =
��T EA�TIZATlON SPECIALIST: � '�A #
A t 1Y' MCCARTHYC
® S +..WEB: WWW.
October 21,2014
Town of Barnstable s
Thomas Perry CBO 10
Building Commissioner
200 Main Stret
Hyannis, MA 02601 ►
RE: Insulation Permits
Dear Mr. Perry,
This affidavit is to certify that all work completed for permit application#201405384 at 76 DUMONT
DRIVE has been inspected by a certified Building Performance Institute(BPI) inspector.All work
performed meets or exceed Federal and State requirements
Sincerely,
Michael McCarthy
McCarthy Construction
i
sJ
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
TOE OF BA BLE STA //�1
Map Parcel d � Applications ��y
Health Division �33, a' G I j AM d� Date Issued
Conservation Division Application Fee
Planning Dept. .. a,. Permit Fee
DrPIST0
Date Definitive Plan Approved by Planning Boar
Historic - OKH _ Preservation/ Hyannis
Project Street Address 71 i ,�►-���- l�i�.
Village
Owner_ Address s,„L
Telephone 77 S^ y
Permit Request 9 cc-lI-l",
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family O/' Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft)
Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: existing _new
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No
Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_
Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER) -
Name Mike M#zC!ajL thy C-onstrUction Telephone Number
Address PO Boat 52 License #
West e ,
Cell (508) 280-6964 Home Improvement Contractor#
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
17
SIGNATURE DATE
FOR OFFICIAL USE ONLY
APPLICATION#
DATEISSUED
`s MAP/PARCEL NO.
t _
ADDRESS VILLAGE
OWNER
'E DATE OF,,INSPECTION:
1-,FOUNDATI.ON );i4,� '}+; �i Lac
c
FRAME c
t
INSULATIONjt_• •t
FIREPLACE
i
ELECTRICAL:_, ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
I
o The COMMa VM€ of i&s-Yachrfsdfs
600 ffisyhsrrgft n&reet
Basta,r;,MA 02111
wn w.masmgav/dia
Workers' CompensatianInsurance davit BuildersfC-natra:ctors/E.lectriciansIKumhers
Applicant Infarmation Please Pant It�-ibT
Mike McUaM ons uct
Name PO Box 52
West 1�ennis, AIA 02670
A&ress= Geil (508)280_6964
City/ ateIZip CSL-58gA,, IIC-169393
Are you an employer? Check the appr. Gpriate box: Type of o. ett
r
�-,/ 4_ I am a: ctanfracEor and'I � � t �_
1.Lil I am a employer witfi- ❑ 6_ New oons7�oa
employees{full andlorpart-time}* havehire:-the sub- ctors.
2_0,1 am a stile proprietor or partner
listen on the attached sheet_ 7_ �odeliag
ship and haze no employees Thy sn�contrax tors have 9- El-Demolifioa
o&ing for me.in any c cr employees and have wo&evs' -
� t5r- 9- �Builtisng addition
[No workers' coalp.-inwranc e Comp-hLMUdn F I .
1 5-'❑ We are a corporation and its lG-E-I ELecEtical rep-irs or additions
3.❑ 1 am a homeawner doing a1I work officers hatim exercised fheir 11-0 Plumbing.repairs er addi6ons
myself_ [No wofbM,MAP- right of e=mpfion per MGL 12-El Rrof repairs ,
itrmn- ceregaired_I�t.. - C_ 15?, �(4�andA2 raSSeIIL}
emplayees-[No wMicer 13_L�Ut33er
_comp_iw=anc-rermred-j
*Amy wphomt that checks boa K amst also fll oiA the section b9ow sha ;,xr ffi&,woffm"m=ez& as goorx-snFhtm dam
Homeowners Vdio submit this of awff roar gdag they are fining s7I vrc*and Bien hire octo5e coatracmrs nmst s a ffecc s d ma3r< snrh_
tC&CMrs that rhnrY ibis bmC must stts h sir ar]dirinasl sheet shots-mg the name 5ie ssfs.-m r. s and steYY ccheine[ocnnt these, `iSes- ye
EmpInyses_ Ii tle sab-contactors have emgIoyees,they must piuuide their warkms'comp polig7 nambez
I Ain an sfrrgiayer thrrtis pro�zri5�tt�orke-rs'co.tzzpt�runhotr ansztrrucce f or rtz�r entpl�:ecu: �e�atF u Ste policy ard1`cb sift
Insurance CompmyName_ ��/ ( / i✓�� '
PolicyorSelfii �Li, ` y��- 1W -(aot�(��G-2LiTi� ExgiratsonD ate
: )7 /5—
Job Site Address- / ���-�' CitylstatalzIp=
Attach a ropy of the tsarkers'compensation policy declaration page(showing thepolicy number and expiration date).
Failure to secure caimrage as regtrired under Section 25 A of MGL c. 152 can lead to the imposition ofcriminal penalties of a
fine up to$1,500.0ty andlor one-yearimpri as well as cirii penalties in fhe foTm of a STOP WDRK ORDER and a Emr-
of'up.to,$250-00 a.day against the violator_ Be advised that a copy of this statement maybe forwarded to the Office of
Ittre6ligatiom of ffie D4 for inxm-ar'c ,coverage wrfficattiorL
I do hereby,cent poi an utf-as ofperjuty that fhe irr bmzatfan prcnided abEwa is b ue and carrecE
Sisnafure: Date- r-
E3ff Ecial use only. IXir ntat write in this area,to bs ctrmpieted by C or town officiaL .
Cite or Town: PM-Mituceose
Issuing AiLtlanrity(circle one):
1.Board of Health y.Bugdiug Department 3.Cityffa,%u Clerk 4.r Iectrical Inspector 5.Plumbing Iuspecto r
6.Other
CarEtact Person: Phirne :
6
Massachusetts -Department of Public Safety
Board of Building Regulations and Standards
construction Super�isur
License: CS-058633
MICHAEL J MCCzR
PO BOX 52
W DENNIs MA 0267 l -
.
Expiration
Commissioner 04/10/2016
�� �pa�; ycu�ea� � d Ci� ��crcJe
Office of Consumer Affairs and Business Regulation
10 Park Plaza - Suite 5170
Boston, Massachusetts 02116
Home Improvement Contractor Registration
Registration: 169393
Type: Individual
Expiration: 6/16/2015 Tr# 238121
MICHAEL MCCARTHY
MICHAEL MCCARTHY
P.O. BOX 52
WEST DENNIS, MA 02670
Update Address and return card.Mark reason for change.
SCA 1 fi 20M-05/11
❑ Address Renewal ❑ Employment Lost Card
11
•AcoRV CERTIFICATE OF LIABILITY I DATE(MM/DD/YYYY)
� INSURANCE
07/10/2014
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER 01962-001 g2aJACT
Bryden&Sullivan Ins Agcy of Dennis Inc A/C.No.Ext: (508)398-6060
PO Box 1497 .No.: (508)394-2267
So Dennis,MA 02660 �Sss:
INSURER AFFORDING VE E NAIC tt
INSURED
Ns RER A• A.I.M.Mutual Insurance Company 26158
_
Michael McCarthy Construction Inc INSURER B•
P 0 Box 52 INSURERC,
West Dennis,MA 02670 _INSURER D:
INSURER E•
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE'FOR THE POLICY PERIOD
INDICATED. N07MTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER CCCUMENT WITH RESPECT TO `A1-IICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ZGENERALLIABILITY
TYPE OF INSURANCE POLICY NUMBER LIMITS
EACH OCCURRENCE $
ERCIAL GENERAL LIABILITY DAMAGE TO RENTED
PRE 1 E Ea ence $
LAIMS-MADE OCCUR MED EXP(Any one person) $
PERSONAL&ADV INJURY $
GENERAL AGGREGATE $
EN'L AGGREGATE LIMIT APPLIES PER:
— pp (( PRODUCTS-COMP/OP AGG $
-- �OLICY �rM- F-FoC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
i
ANY AUTO Ea accident $
ALL OWNED SCHEDULED BODILY INJURY(Per person) $
AUTOS AUTOS BODILY INJURY(Per accident) $
HIRED AUTOS NON-OWNED
AUTOS PROPERTY DAMAGE
accide $
UMBRELLA LIAB OCCUR $
EXCESS U EACH OCCURRENCE $AB CLAIMS MADE.
DED RETENTION $ AGGREGATE $
yypRKERg pM gpn N yy�gT TH $
gqANNNyyD ERM�PPLRO�YEAS€�CIpARBTILN4ETRY� X TORN LI 18 °ER
A OFFICER/MEMBE EXCLUDEL ECUTNE YYN NAT VWC-100-6017656-2014A 7/17/2014 7/17/2015 E.L.EACH ACCIDENT $ 600,000.00
(Mandatory In NH)
D S
H g sCR d ����dd E.L.DISEASE-EA EMPLOYEE $ 500,000.00
ON9 OF�PERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000.00
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required)
Workers Compensation Coverage applies to MA employees only.
CERTIFICATE HOLDER CANCELLATION '
Thielsch Engineering.
195 Francis Avenue SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Cranston,RI 02910 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
1988-2010
ACORU CORPORATION:All rights reserved.
ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD
OWNER AUTHORIZATION FORM
(Owner's Name �JL
owner of the property located at _
Li P\0 ,1
(Property Address)
ILI C7 17 -7/1
(Pro erty Address)
hereby authorize
(Subcontractor)
an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building
permit and to perform work on my property.
Mee
Owner's ignature .
` . Date
s
of Txe r
Town of Barnstable *Permit# 0 -Y
C Fapires 6 months from issue date
EARNSPABt.E.
Regulatory. Services Fee
v� MASS. Thomas F.Geiler,Director
163q. .0
A'fog. Building Division
Peter F.DiMatteo, Building Commissioner X-PRESS PERMIT
367 Main Street, Hyannis,MA 02601w
Office: 508-862-4038 �4 ��
Fax: 508-790-6230
EXPRESS PERMIT APPLICATION TOWN OF BARNSTABLE�
C Not Valid without Red X-Press Imprint
Map/parcel Number 50 7—
Property Address (� aAlt N W I
R1 Residential OR ❑Commercial Value of Work IS" 67sb
Owner's Name&Address al ,
VD o 1 nl�/ S Z) a n
Contractor's Name 17 lft,3 0,0 It> —Telephone Number
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable) {,
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
�] I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name S. �O
Workman's Comp.Policy
Permit Request(check box) }
Re-roof(stripping old shingles)
❑Re-roof(not stripping. Going over existing layers of roof)
Re-side
❑ Replacement Windows. U-Value (maximum.44) I
Other(specify) u
` *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic.Conservation.etc..
I
Signature
Q:Forms:expmtrg:re v-070601
TOWN OFSARNSTABLE BUILDING PkR1C�1'I�`APPLICATION
Map Parcel Wig. Application # 2 C
Health Division Date Issued 0h ?
Conservation Division 1 Application Fee '
Planning Dept. Permit Fee v�d�
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/Hyannis
Project Street Address V Q M
Village 15_ ' e_
Owner�I l ��—_Address of� NHS
Telephone SO
Permit Request 3 C C--
bt-:v 1qe)04 W�j
\ ANY, C%tQ/ht:
Square feet: 1 st floor: existing�proposed �2nd floor: existing_ proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuations g®Co"'' Construction Type
Lot Size Grandfathered: ❑Yes _�lo If yes, attach supporting documentation.
Dwelling Type: Single Family �Iwo Family ❑ Multi-Family(# units)
Age of Existing Structure 19 Historic House: ❑Yes KNo On Old King's Highway: ❑Yes Wo
Basement Type: ❑ Full Crawl ❑Walkout ❑ Other
Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft)
Number of Baths: Full: existing new Half: existing new _
Number of Bedrooms: o°�, existing I new
Total Room Count (not including baths): existing _new First Floor Room Count
Heat Type and Fuel: 34 Gas ❑Oil ❑ Electric ❑ Other
Central Air: ❑Yes >(No Fireplaces: Existing 0 New Existing wood/coal stove: ❑Yes No
Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_
Attached garage: ❑existing ❑ new size _Shed:Xexisting ❑ new size Other:
�X
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
0�
Commercial ❑Yes X No If yes, site plan review# <��� ®�j
Current Use �� Proposed Use 12�aAjzao.
APPLICANT INFORMATION
J�&(BUILDER OR HOMEOWNER)
Name E IAALQTelephone Number - / '
Address 7� ILIMCNS:n: R License4V A #
IJ Home Improvement Contractor#
Email LAI,.co m Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE �" — I
FOR OFFICIAL USE ONLY
APPLICATION #
DATE ISSUED
MAP/ PARCEL NO.
l �
7
ADDRESS VILLAGE
OWNER -
DATE OF INSPECTION:
FOUNDATION
+5 FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
4
DATE CLOSED OUT
ASSOCIATION PLAN NO. 1
n rz•.,n,.z..:. ., -; P.• r t�Th�sav C.awr.rd S,�o=.T hra,t:rtas..Vasi b(e_'Frbqm-•'.-,th,
.ved . d:r
£c..,r1w
2.. e oTownof Barnstable i
7, " t be Kept"Plans tMus Retaine� . ' aa d Joband hr f
x.
ste` Un#il° in = s ectlon as�?Been ade t,
_,< w
all
lns ectlon ha been macle eY'rnit
> , , ,.,.W a Ce� i aca e�of Oceu nc ,rs Re u�red such u,�ldm shall�Notsbe Occu, �edx• „, , s-
• • _' .,..,a..::<� '^.,.-..: ,�. � ".;.�„ r G..:,..a,�>�. ,a.�•,?u :�„n �x' k....a.'.;�.;�Y. :w.a.d:...�'. -., ,.s. ,.....�rr..., :�:. ..., �5
PerrriitM. - B 17 2465 Applicant Name ``BROECKER,ELIZABETH S TR Approvals
Date Issued. 10/17/2017 Current Use Structure
Permit:Type :rBuilding-Addition/Alteration-Residential Expiration Date: . '04/17/2018 : u
F,o ndation:
Location:- 76 DUMONT.DRIVE,HYANNIS Map/Lot 307 089 Zoning:District: RB Sheathing:.
Owner on Record: BROECKER, ELIZABETH S TR Contractor^Name Framing: 1'
Address: 819 TANGERINE WOODS BLVD Ton
tractor l,cerise 2
ENGLEWOOD, FL 34223-6028 EstPirofect Cost: $30,000.00
Chimney:
Description: 320 sq.ft addition attached to north face of ezistinp1welli,ng � Permit Fee: $203.00
Insulation:
existing 8x10 bldg will become hall and 1/2 baths add g smoke Fee Pa cl $203.00
detector A
Date 10/17/2017 Final:
Project Review Req; ADDITION NEW BEDROOM(ONE FORMER BDRM T® BECOME'
BATH),SMOKE DETECTOR UPGRADE REQQIREDD,LIMITED �� .
fir= Plumbing/Gas
STORAQE IN ATTIC Rough;PlUmbing:
Al
Building Official
Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. ._ Rough Gas:
a,.
All work authorized by this permit shall conform to the approved application and�the approved construction document0or"which this permit has been granted.
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by=laws and codes. Final Gas:
This permit shall be displayed in a location clearly visible from,access street or roadand shall be maintained open forpublic inspection for the entire duration of the
work until the completion of the same.
Electrical
The Certificate of Occupancy will not be issued until all applicable signs"lures by the Buil'ing4and F1re`Offic als�areeprovided on thls permit: Service:
Minimum of Five Call Inspections Required for All Construction Work :
1.Foundation or Footing i Rough:
.,^ �...
2.Sheathing Inspection
3.All Fireplaces must'be.inspected at the throat level before firest flue lining is installed Final:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough:
5.Prior to Covering Structural Members(Frame Inspection)
6.Insulation
7.Final Inspection before Occupancy Low Voltage Final:
Whereapplicable;separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
Work,shall.notproceed until the Inspector has approved the various stages of construction ;. ; Final
�;'Fersons contractrng;Wlth unregistered;contractors:do.not?;have access to the guaranty fund" (asset forth in MGL c.142A) Fire;Department.
Building plans are to be available on site Final:
All Permit Cards are the property of the APPLICANT-_ISSUED RECIPIENT_
I �
THEr Town of Barnstable
�. anti
Building Department Services
d '3ARN8TABLE.
.. .�p
Mass. g I Brian Florence, CBO
lfnts Building Commissioner
200 Main Street, Hyannis, MA 02601
www.town.bamstable.ma.us
Office-:, 508-862-4038 Fax: 508-790-6230
:October 5, 2017
Elizabeth Broecker
76 Dumont Drive
Hyannis, Ma. 02601
U 76 Dumont Drive, Hyannis, Map: 307 Parcel 089
,.:Dear Property Owner:
This er is in response to application number TB-17-2465.Your application is denied
as submitted for the following reasons:
1) No plot plan submitted showing work to be incompliance with setbacks.
2) Construction documents submitted show inadequate insulation in thermal
envelope.
3) Construction documents are incomplete(framing plans needed and floor
plans for entire house showing location of smoke detectors and carbon
monoxide detectors as required).
And;�ifaggrieved by this notice and order; to show cause to why you should not be -
fequ red,toAd so,you may file a Notice.of Appeal (specifying the,grounds thereof)with
the:State Building Appeals Board within forty-five (45) days of the receipt of this notice.
Res ectfully,
Lauzon
ClefLocal inspector
'_Jeffrey lauzongtown.barnstable.ma.us
(508)i862�4034
lie Commormealth f 1 dssach=.e s
Depar rr€ewt affndusttiaf Accident
fl, re o,frnvestrgadons
Boston,MA 02 U1 e `
Mri rkers' Cumpensatian.Insm-ance Affidavit:Bmlders/C!ontx acturs/EI r cians/PIumhers
ApplicantIufcn-matio " y Please print Le�'T
Name 93asiuess�QrgAn�anlLndrvtrL�al���I Z,q b21 '� �f�o r C�� {�
4— Address 7� u to a nyt
Citylstat-O.F S Pr 6. o 1 Sa I.- -S Y"
Are you an employer?ijieckthe.appropriate bae: ' Type of project(required):
I_El am a employer with. � ❑I am a gen�eml contractor.and I
employees(full andfor pant-time)-* Bove hired the sub-contractors 6. ❑New construction -
2.❑' I am a sole proprietor arparfnes listed an the attached sheet I- ❑Remodel ng
These sub-contractors have
ship and have as empl�ees 8_,❑Demolition - -
kvorldng for 7nm is any capacity- employees and hate Wodcers"
- `c insurance I 9. El Building addition
rs .
[NO wodoe comp.incr,�=ce °mp' 1U. Eleefacal r or adds
required-] 5. ❑ We are a�corparati on and its 0 repairs
officers have exercised their
3� F am a Fiomeov��:er doing all work- 1L❑Plumbing repairs or additions myself- o workers' nght of exemption per MGL
�' � - : 17'-❑Poafrepaiis.,
fictrranceretluired_I i c.152,§1(4�and wehaveno,
'employees.[No wodmrs' 13-0 Other
cats-insurance required.] `
*Amy ap &mtfatcherksbox#1 also,Moutthesecdoab9 em.Vdngi�eirwo&m-eecompenset; apolicpiuforms¢ad
1 Zomeoaraers wbo submit this of ld m=&c t..q they are doing sll wodc and tbea hire outside rontraciarsamst submit anew afEidav t indicario;sacfi_
fC'an+ ctars1 ixt rh-7r ft bux,nlBst attached sn addilinaal of the sub-canirxams.and state whether ornatthnse eatitieshwe
employees.I€themb-co-atractorshave emp1gyea%tbeYmvstpmu�drtheir nvrken'comp.policy nurubm
I ant au empiapr that is prmzeIrng workers'co, isatio-rt irtsrira zca f nr ury e�trpla}'ees Below it the po cy rum'b sffc
informatiorz
InsuranceCompanyName: °
Policy or pelf-ins.I ic_ _ E�piaatiouI?ate:
Job Site Address Cify15#atel�p:
Attach a copy of the workers'coinpensatiaapolicy dedtaration page(showing the policy number and respiration date).
Failure to secure coverage as required.under Section 25A of MGL c 15 can lead to the imposition of criminal penalties of a
fin up to,$1,50GOD anNar one-year iuzprisona-mat,as ure-II as civil penallies.in the farm of a STOP WORK ORDER and.s fcne
of up to$250-00 a clay abaiust the vio]atur. Be adiised that a copy of this statement maybe Ex-% rded to the Office of
Imvest gadons of the DIA for insurances coverage smriffcation
Ida[fereby egtEf.y riatd'er tkCPM'1s idpenq s afper crJ'fkatf7ie rrefarrrcct#rart prosziled a#aoi�e rg lrus a�iri crrrrect
Sitmature_
Phan S" 1 L
t)ajacial use antj. D47 not write in di s area,in be crrrnpleted by city or town offl iit ,
City brTown: 4 PermitfLideusei€
Ism Anthar"(circle one):
1.Board of Health Huff inj Department.3.drown.Clem 4.Electrical.Inspector Sr.Plum#K ng Inspector
6.Other
C'on#act Person: Phone 9:
farm wfion and Mstr, t s
Ii '
Massachusetts Geheral Laws chaginr 152 reqc±-s all employers to provide warkeas'compensation far their empIoyees-
porm=tto this statute,an=Tkynff is defined as.�_.everypems6aia the smvice of another ,under any con rant ofhfir,
express or iraplied Drat or "
An ezr�vroyer is defined as"an i acrnidnA pazfnasb>p,association,corporation or other legal e�ity,or any two or more
of the foregoing eugagcd in aJoint mte2p n,and including the legal represeataaiives of a deceased employer,or the
receiver or trastee of an iadividaal,partnership,association or other Iegal entity,employmg employees. However the
owner of a dwDUh-g house having not more than three apartments and who resides therein,or the occupant of the-
dwelling house of another who employs persons to do ma'i ftnan w,conshuction or repair wail-on such dwelling house
or oa the.grounds or building app thereto shall not because of such employment be deemed to be an employer.
MGL chapter 152,§25C{6)�also states that"every stain or local Tice-adn agency shall witbhoId$ze issuance or
renewal of a ficezxsa or permit to operate a business or to consfract buildiags is the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insuranc;coyear-age required.
Additionally,M(ff chapter 152,§25dM sfes'Neither the commonwealth nor 2�qy of political subdivisions sb all
enter into any couicart for the perfonnanm ofpubho work until acceptable evidence of compliancewith the;,,-u-MICe..
r .t of this ch3pirr Jiave begin presented to the r�,,,fr�c�, aniho "
equirem
Applicauis
PIease fHI out the wOlkers'compensation affidavit completely,by cherk ng ine boxes Ihat apply to your situation and,if
necessary,supply sab-contractors)name(s), addresses)and phone n=ber(s) along wish their certificates)of
nor„anc-,. Limited Liability Compa nc9(LLC)or Limrt F-d Liab1-ay-Parfaeisbips(LLP)with no =�pIoyees other tb an the
members or partner are not requfi-ed to easy wotiters' compensation m Dance. If au LLC or LLp does hage
employees,apolicy is required. Be advise-d that this a Hay!tmaybe enhn,itf i--d to the Department of Indusf<ial
Accidents for confnmation of insurance coverage. Also he sure to sign and date the affidavit The affidavit should
be-retnMed to$e city or tDwn that the application for the permit or license is being requestrA not the Deparfineuf of
ludactriai A ecide ShouIdyon have.any gaestlons leg g the Iaw or ifyou are requdred to obiahi a workers'
compensation policy,Please call the Department at the nmabes listed.below. Self-insured companies should enter their
self-;,,mn-an ce license number on the appropriate Ime.
City or Town Officials
Please be sure that the affidavit is completes and priedlegibIy. The Deparfineathas provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to court you regarding thD applicant-
Pleas o be sure to fill in the peuuitllicense number which will be,used as a reference number. In addition,an applicant
that must submit multiple pennWlicanse applications in any given year,need only submit one affidavit indicating cent
policy inl ration.Cif necessary)and under"Job Site A dB-rese the applicant should write"al[locations iu (may or
town)."A copy of the aiiclavit that has been officiaIly sfiimped or marked by the city or town maybe provided to the
appHcaut as proofthat a valid affidavit is on file far futaI 'peKMits or Iicanses. Anew 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-VEMhIM
(ie_ a dog license orputt to bum leaves etc.)said person is NOT rDTacd to complete this affidavit
The Office of Inyestigafi�would hke to i3�k you in advance for your cooperation and should you have any z, ons�
please do not hesitate to give us a call
The I?ep tra mt's address,telephone and fax number:
CG-nm�crwealh-of�hMzz '
Degartiamt of Izidmtial A(Yaideat a
f 7tc:e of jima%dntiw�
2`q1. 617' 7-4�Qxt 40f ar 1-977-MA-S
Fax 617-`27 7749
Revised 4-24-0 7 p .mg� �
,
Town d Barnstable
Building Department Services
Brian Florence,CBO
Building Commissioner
200 Main Street, Hyannis,MA 02601
assr�srwau.
KAsa. www.town.barnstable.ma.us
Office: 508-862-403 8 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
/ Please Print
DATE:
JOB LOCATION:
street
"HOMEOWNER"
p home phone# J work phone#
CURRENT MAILING ADDRESS:_
city state zip-code
The current exemption for"homeownerP 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.
DEFINMON OF HOMEOWNER "
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-
family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one
home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form
acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section
109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,
bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection
pro s d req ' ents and that he/she will comply with said procedures and requirements.
gign—a6v qMorneowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code
Section 127.0 Construction Control
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt
from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner
engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor
(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often
results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot
proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is
ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the
permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page
this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in
your community.
Q:\WPFILES\FORMS\building permit fotms\EXPRESS.doc
08/16/17
t
Town of Barnstable
Building Department Services
H.R, S . ,
Brian Florence,CBO
iMAS&65g6 �``� Building Commissioner
200 Main Street,Hyannis;MA 02601
www.town.barnstable.ma.us
Office: 509-8624038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section -
If Using A Builder
I, . ,as Owner of the subject property
hereby authorize to act on my behalf;
in all matters relative to work authorized b this building ermit application for:
Y �p PP
(Address of Job)
**Pool fences and alarms are the responsibility of the applicant Pools
are not to be filled or utilized before fence is installed and all final
inspections are performed and accepted.
Signature of Owner Signature of Applicant
Print Name Print Name -
Date
Q:FORMS:OWNERPERMISSIONPOOLS
Rer.0&/16/17
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TRANSMISSION VERLFICATION REPORT
TIME: 01/01/1995 01:12
NAME:
FAX : 918028624926
TEL
DATE DIME 01/01 01: 11
FAX NO. /NAME 95087786448
DURATION 00:00,50
PAGE(S) 02
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CART-OS BARBOSA
Ger%eral contracting 5089. 364 7792
�wiy t.icensea&p .
Inswea 508-367-0257
535.South Street ;
HYanms MA 02801 www.colaneo�capeaod com
, cofors�meganet net
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Colors of Cape Cod,Inc. Estimate
P.O.Box 3150
Nantucket, MA 02584
Name/Addn�s � -
Betsy Broecker
76 Dumont Dr.
Hyannis, MA 02601
- Date C-s5 Pr+�ject _ - -- - -- ----— --- --— --
06/27/17 2760 dscape Work.
Item - Descnpbon; Quantrty Cost ; Total.;
We work as 60%money down to get material and things
rolling and remain 40%once work is complete.
All Materials is not Included. Total $16,990 00
f
Estimate
Colors of Cape Cod,Inc.
P.O. Box 3150
Nantucket,MA 02584 f
Name/Address
Betsy Broecker ---,-r-'7�
76 Dumont Dr U v
Hyannis,MA 02601 J
F3ate -Estrrnate No : Prof
ect
06l27l17 2760 scape Work
kem Descnptton; Quantity Cost ` Total:
Labor& Remove existing block wall and side tie wall,price will 1,515.00 1,515.00
Materials include labor and dispose.
Labor& Machine work,to remove existing fill on work proposed site 3,435.00 3,435.00
Materials and establish proper levels,price will include labor,machine
worts,trucking and material dispose.
Labor& Establish a new tie wall,estimated roughly at 34'x7'wall to 9,925.00 9,925-00
Materials proper secure bank,wall to be build with plenty of dead man
for desired secure,also establish new side wall roughly
12'xT near neighbor property in water to contain hill and
elevations,price will include all material to accomplish task
and labor.
Labor& Remove tree's,on the way of the proposal work and some 2,115-00 2,115.00
Materials tree's will require dig stumps out of the way,price includes
all labor,machine and disposal.
Ps. Include moved shed from one place to another.
Labor& 0.00 0.00
a
Materials
Fully insured and references upon request.
All work above to be accomplish on the proposal,any
changes or additional to be discussed and approved by
owners first and to be priced separately.
All Materials is not Included. Total
Colors of Cape Cod,Inc. Estimate
P.O.Box 3150 '
Nantucket,MA 02584
NarrelAddress - r •
Betsy Broecker `
76 Dumont Dr.
Hyannis,MA 02601
OS/02/17 279i Work. - -
,_ pfion � Quaribty Cost Total.,`Item Descn
Labor service_ As discussed with Betsy(Owner)and her son( 2,850.00 2,850.00
Steve)in order to'set desired elevetions,
we did dig back yard roughly 1' 1/2 for future,add on
r istallation,also tie wall
was install,.1' 1/2 lower to contain embankmerrL ,
k ,
r All Materials Included. $2,850.00
r • -.-. a5r t, ydg Kr . `.". :� 'Ya r(. -dl:;-..* 4 . .�r• _ •
i
JOB NO. F
S.B. Fnd & Held NOTE: THIS IS A SITE PLAN SURVEY, AND NO.IES Puputti.dwg
NOT A PROPERTY LINE SURVEY BY THIS OFFICE. 1. LOCUS IS A.M. 307, PARCEL 89.
a CONFLICT WAS FOUND BETWEEN BOUNDS IN H-10 1000 GAL. PUMP CHAMBER 2. ELEVATIONS SHOWN ARE ASSIGNED.
Street I
NEIGHBORHOOD. PROPERTY LANE HELD FROM DRILL 3/8" WEEP/VENT HOLE 3. LOCUS IS IN FLOOD ZONE C ON FIRM 'DATED JULY 2 1'992. Main '
4. ALL PIPES TO BE 4" SCH 40, AND, PITCHED AT 1/4'a PER FOOT; (UNLESS NOTED) `1oufh
PLAN BOOK 383 PG. 4 (bOWNCAPE PLAN) AND 5. MUNICIPAL WATER IS AVAILABLE. LOTS WITHIN 100' ARE ON TOWN WATER. l
CD RECORD PLAN, AND AGREES WITH OLD WIRE �" L;ne 6. COMPONENTS TO BE AASHTO H-�10, UNLESS NOTED. 3 Sf•
a FENCE. Invert 11.4IF
5 CHECK VALVE 7. INLET TEE TO PROJECT DOWN 13"(10" BELOW FLOW LINE), OUTLET TEE DOWN 14". �
ALAIRM 32- 8. IF TWO OR MORE LINES, WATER TEST D-�BOX FOR EQUAL FLOW NOT TO °
ON 28„ D-BOX EXIT PIPES TO BE LEVEL. FOR FIRST TWO FEET., SCALE d
ALARM PUMP. NOTES OFF 24 9. DEPTH OF COMPONENTS NOT TO EXCEED 3 OR VENTING MUST .BE PROVIDED.
BUILD UP COVERS TO WITHIN 1' OF GRADE. MORTAR CHIMNEYS IN PLACE.
1. ALARM TO BE WIRED BY ELECTRICIAN ON a . ONE{.COVER;OF TANK,70,B,E, .WITH.IN:.;6%OF GRADE:SEPARATE SEPARATE CIRCUIT FROM PUMP. Bottom .6.95 �,✓�6 S7 NE UNDER' 10. STONE TO' BE DOUBLE WASHEID ;3/4 TO 1 1/2 WITH 2 MIN. 1/8 .TO 1/2" PEA STONE ON TOP. LOCATION MAP
2. ELECTRICAL WORK'TO BE INSPECTED BY 11. IF UNSUITABLE SOILS, OR SOILS DIFFERING FROM THE SOIL LOG ARE FOUND,
WIRING INSPECTOR. CONTACT THE BOARD OF HEALTH, OR R.J. CADILLAC.
3. ALARM TO BE LOCATED IN HOUSE. 12. IF AN OVERDIG IS CALLED FOR BELOW, FILL MATERIAL FOR 5' AROUND AND UNDER LEACHING TEST HOLE 1 i
4, PUMP TO BE CAPABLE OF PASSING IS TO BE CLEAN GRANULAR SAND MEETING SPECIFICATIONS OF 310 CMR 15.255(3).
1-1/4" SOLIDS AND INSTALLED IN STRICT 13. PUMP AND FILL ANY EXISTING CESSPOOLS, REMOVE ANY CLOGGED SOIL, BLOCK, AND STONE IN
CONFORMANCE WITH MANUFACTURER'S
SPECIFICATIONS. LEACH'AREA, AND DISPOSE OF AS DIRECTED BY HEALTH AGENT. DEPTH (inches) ELEV.(feet)
5. USE MEYER MWEiO, 1/2 HP PUMP, OR ' .. 14. ALL CONSTRUCTION TO MEET TITLE 5 AND LOCAL REGULATIONS. I
Z
o EOUIVALENT. TEST HOLE DATE: May.9, 2001 25. Fill 15.3
a PERFORMED BY: Ron Cadillac, Soil Evaluator A ioomy sand/2
Z. WITNESSED BY: Glen Harrington, IRS 36"
c0 PERC RATE: <2'-00"/inch (C layer) B layer 10yr 5/6
SOIL SURVEY(103): Carver coarse sand loamy sand
N/F REDUCE GRADE UP TO A FOOT GEOLOGIC MAP(1986): Barnstable plain deposits 44" 11.6
FARNWORTH OVER LEACH ,AREA, AS SHOWN. Invert 14,0
Estimated Invert 11.55 64.a
Use Gas Baffle 5 HIGH CAPACITY C layer 2.5y`6/6
•3 BENCH MARK--S.W. CORNER OF .
N/F Invert 25.56 INFILTRATORS
CONC. STOOP = 1i3.03 ASSIGNED ��` Proposed median, sand
7.6 SICILIANO S=3/4"/ftf 9" min. cover
see detail 21�0 !
TOP PEA STONE
Kh I
10.0 x 12.7 125,52 x 11.80 150ID Gal. P
x 1.4 Proposed - 125" no water 4•9
TH 1 27.9 36'-X 8' X 2' DEEP I Sanitary 24''
7.0 Q N RESERVE =M GPD Bottom 7.3 Tee
rn x 1B 9 x N N - Proposed t
r Parking CJ d' 1 x 4 I :, Invert 25.73 Invert 20.50 1 HAND BORING
m •�' Area T- OLZ 2 9 6 Stone or t;ornpaCt Proposed Pro aced 3'6 18.50 r
`s �j5.9 x 26,6 p (5/23,/01-Llnwitne sled)
} 0.1 ib.24 ?: C5� 34, 68,I I ►v �, Bottom
ELEV.(feet)
LOT 2 : .r:::: 1 .3 0 23.3
t../' e� C BENCH MARK--TOP WOOD STAKE < Bottom TN1=4.9
,000�S.I- . SET FLUSH= 24.53 ASSIGNED - A !o�my so d/3 I
r I 2a
DESIGN DATA9"
9 _ x 11 ' 13 I ., 2 o B layer N Oyr 5/8
D •►�� -W . '.,........ 7. � o BEDROOMS: 3 o3my sand
• D a
ri t�
:. 20.3
x X �M � .,.t ,, ,.a�, � to r 10 676
6 t z 10 �' REOVIRED CAPACITY:
7.6 ° $•0 330 GPD medjum sand
7.6
x 10.3 1 C? -I 6, CEPTIC TANK 1500 GA 40" 20;3
/ PROPOSED 0 Z ? o 0 BOTTOM E L hit rock
J 1 ✓ SILT WORK FENCE '1 25.�! 26.8 0 LEACHING AREA: 280 SF LEACH AREA sc �►
_ .. [(40 X 7)J USE 5 HI,,H CAPACITY INFILTRATOR WITH 14
O STONE UNDER AND SIGHTLY MORE THAN 2'
;.B SIDE LEACHING AREA: 18!3 Sr OF STONE ON THE SIDES AND 4' OF TONE
Gam. x 14,7 y rn 0 V x 7 4' DEEP IMPERVIOUS t2(7'+ 40') X 2' DEEP)] S
10 :. 20v7' BARRIER--65 L.F. OF ON THE ENDS, MAKING A 7' WIDE BY 40' LONG
-� """ " 40 MIL POLYETHYLENE DESIGN CAPACITY: 346 GPD
' i BY 2 DEEP LEACHING AREA.
x 1 .4 (MILLER BREAKOUT") 1(280 Sr + 188 SF) Y .74 GPD/SF]
7.7 1 x 2 .
48 $ x 24.9 TOP BARRIER=TOP
PUMP CHAMBER STORAGE CAPACITY; 330 GAL.
PEASTONE=21,0,GRADE
6.7 �39- '6 ABOVE BARRIER=24.O DOSES PER DAY: > 4
x 13. �'� BOTTOM OF BARRIER
46' �+ � 8. x 22.1 110, TO REACH EL 17.5, OR
�. BELOW. SET 5' OFF STONE.
o
x 1 1161c ** BARRIER IS STIFF
208.24' * OBTAINABLE FROM
d x 23.1 •6 MILLER ENVIRONMENTAL
N/F /� 508-697-371 Q.
C.B. Fnd Off
9.6 9, SMITH N/F
i
BEATY
1. t SITE PLAIN
THIS FLAN IS A VALfD COPY ONLY IF IT BEARS
8.2 AN ORIGINAL RED STAMP AND SIGNATURE. VEIKKO C.)C, ELSIE ' PUPUTTI
1, 5VI"OFM,4S1HOFAf4S LOT 2, 76 DUMONT DRIVE, HYANNIS, MA
LEGEND RE yG �� s yG� MAY 309 2001 SCALE. 1 "=20'
TH 1 TEST HOLE LOCATION, NUMBER " L
W WATER LINE MARKINGS 10 0 �, M 35779
E OVERHEAD ELECTRIC WIRES (IF SHOWN) 9�Q1STE k tf�QFs0oF
x 9.5 x 8.7 EXISTING & PROPOSED ELEVATIONS ('X' MARKS POINT) NlTAR SUR� RONALD J. CADILLAC, PLS, RS
EXISTING CONTOUR 5 �� �I
PROFESSIONAL LAND SURVEYOR & REGISTERED SANITARIAN
g-- PROPOSED CONTOUR G�? to(
P.O. BOX 258
Rf UTILITY POLE (IF SHOWN) WEST Y14RMOuTHo MA 02673
x - FENCE /IF SHOWN, NOT ALL SHOWN} 1 •
TREE (IF SHOWN, NOT ALL SHOWN) HEALTH' AGENT APPROVAL DATE (508) 775-9700
REV. 6/7/01-PROPOSED SILT FENCE C 2001 BY R.J. CADILLAC WAGE 1 OF 1
-A�s
JC:-•B NO.
n. r,a he HPI.1 NOTE: THIS IS A SITE PLAN SURVEY, Nf) NOTES Puputti.dwg
NOT A PROPERTY LINE SURVEY BY THS OFFICE. 1. LOCHS IS A.M. 07, PAR(;EL 8:I.
C.) CONFLICT WAS FOUND BETWEEN BOUNI ,S IN H-10 1000 GAL. PUMP CHAMBER 2. ELEVATIONS <>HOWN ARE ASSIGNED.
�;�raet
NEIGHBORHOOD. PROPERTY LINE HEL[ FROM DRILL 3/8" WEEP/VENT HOLE 3. LOCUS 1`• IN FUY^D Z!-:NE C ^N FIRM (%A- JULY 2 1992. Main
rn 4. ALL PIPE; TO BE 4" ;('H 40, AN(! PITCH '> AT 1 44 PER F( ()T• (UNLESS NOTEl"I `o
PLAN BOOK 383 PG. 4 (DOWNCAPE PI AN) AND � nth
RECORD PLAN, AND AGREES WITH OLD WIRE - "Line 5. MUNICIPAL WATER I` AVAILABLE. LGTC V THIN too' ARE ON TOWN WATER. C St
m 6. COMPONENTS TO BE AASHTO H-10, I_INLE' S NOTED.
a FENCE. invert 11.45 +-HECK VALVE 7• INLET TEE Ti! PR ,,'E(,T [.•('WN 1 i";1r;" BL' )W FLOW LINE), 01.ITLET TEE DOWN 14", o
ALARM 32 8, I; TWO OR M'_�RE I_INE`�, WATER TEST D-F DX FOR EO1_1AL FLOW11 NOT TO y
tDN /_ C--BOX EXIT PIPE- TC' BE LEVEL FC,R FIR' T TWO FEET, SCALE !n
ALARM do PUMP NOTES (;FF 24" U 9. (•EPTH OF C(;,MP!aNENT NOT TO EXCEEC ', OR VENTING MI_I`�T BE PRO VIIEC).
BUILD UP COVER'- T,''• WITHIN 1' C•F GRA('�i- MORTAR CHIMNEY', IN PLACE.
1. ALARM TO BE WIRED BY ELECTRICIAN (N
ONE COVER OF TANK TO BE WITHIN 6" Gl GRADE.
SEPARATE CIRCUIT FROM P!;MP, BrJ{{!�rYi F,,<)5 / ," `.T+"!NE 1.!NDER 10. •TONE TO BE DOlIH1_E WA`�HED jj4 TC' I t/2" WITH 2" MIN, 1/8 TO 1/2" PEa STONE ON TOP. L.LOCATION MAP
2. ELECTRICAL WORK TO BE INSPECTED B'' 11, IF UNSUITABLE ',OIL',. OR `;OILS UIFFERIN( FROM THE SOIL LOG ARE FOUND,
WIRING I'JCF'ECTOR, (;ONTACT THE BOAR[. OF HEALTH, OR R.j CADILLAC.
3. ALARM TO BE LOCATED IN HOUSE. 12. IF AN OVER('1G IC: GALLED FOR BELOW, FII MATERIAL FOR F,' AROUND AND UNDER LEACHING
A. PUMP TO BE CAPABLE OF PASSING LEST HOLE 1
1-1/4" >OLIDS AND INSTALLE[) IN STRIA T
IS TO BE CLEAN ;:F'^.NIILAR SANG MEETIN SPECIFICATIONS OF 310 CMR l�i,zcc}(3)
CONFORMANCE WITH MANUFACTURER'S 13. PIMP AND FILL AN'� EXI�TIN, CE`•S,PCOL'•. REMOVE ANY CLOGGED `OIL, BLOCK, AND STONE IN
SPECIFICATIONS. LEACH AREA, AN(' 1]I�FICSE (-)F A`• [.IREC.-' [) BY HEALTH AGENT. [)EPTH (inches) ELEV,(feet)
Z 5. USE MEYER MW50, 1/2 HP P!.IMP, OR 14. ALL CONSTRLIC.TICiN T(� MEET TI fLE c AN[ LOCAL REGULATIONS, 0 15.3
ECUIVALENT. TEST H.,..E DATE: May 9, 2001 25 A IoyeFill 3/2
cp F ERFr''R tEC> BY: Ron Cadillac, Soil Evalu�7tor loamy ,and
j Gl
;NITNE`��` :D BY: e n Harrington, Rtt 36`
i PERC R TE: <2'-00"/inch (C layer) B layer 10yrr 5/6
o ',CIL �I_It,VEY(19'43): (;tTrver Caorse. sand loamy Bond
N ' F REDUCE GRADE UP TO A FOOT (;EI71 ('. MAP(1786): Barnstable plain deposits 44" 1t.6
FAR 'JWORTH OVER LEACH AREA, AS SHOWN. Invert 14.(!
;i Esiimctte�l 64"]
I .�ert 11.55 n
•e Gas Baffle 5 HIGH CAPACITY C layer 2.5y 6/6
3 BENCH MARK--S.W. CORN R OF ; N/F Invert 25.56 INFILTRATORS
CONC. STOOP = 118.03 A`'. IGNEU I Proposed medium sord
SICILIANO '--�/4"/ft± ti t�
7.6 nn. cover •? r t�7il 21.0
TOP F'EA STONE
10.0 _ 12.7 125.52! " 11.£i(
no water
^ 1,4 F'ro�>osed /� �,�nitor -- � 125" 4,9
) " TH1 27.9 36' X 8' X 2' DEEP I - y 24
7.0 I �i RESERVE =343 GPO Bottom 7.3 Tee
C 12.9 > > Q I Pr,� „ ed
n Parking CV �• c� O r G' InvPrr. ;° /' Invert 20 F�0
1 1 � .. " 24.9 -" _ -_ - 13 r. 5, HAND BORING 1
S Area : r� :r,= r rr�[• F:.> Fr• �rsei
r^ "h 5.9 26.6 �" (5/'13/01-Unwitnessed)
' L Bc•tt^m
0.1 ! I 6 I c I ,� I �? z' EIEv.(feet)
10.24 LOT 2 4' �'g
Bet t.,m 7H1=4..) 0 213.3
IBENCH MARK--TOP WCr;C STAKE < A layer 10yr 4/3
111 ,200±S.F. `'1 SET FLI)SH= 24.`3 A�`I_NEt DESIGN DATA ,. Iaamy sand
1,6 13� 24 I I 2 B
? • l` � 7 ��l: l 1-c.
F ;B
loamy c EUROOM�'
n rARErE rRIN ER: N
20.3
" .6 X C layer 10yr r/F
7.6 " 10,3 o Z �� 8.0' 10 REC!_IIRE[! CAPA!-1TY �� .;I' medium snn,i
rJ :..,........: 6 0 2C.3
1 'D �2 , �EPTir TANK: 1` L. 4n` hit rock
1 m Z Q� c° x
(+ 26.8 LEACH AREA
,✓ .� r-, (') ::: � � BOTTOM LEACHING AF F"A• 2R:;
1 w _ .; 25.3. 'D [r4r;' X 7')J I USE 5 HIGH CAPACITY INFILTRATORC WITH 14"
SICE LEA':HIN'. AP a: t `;TONE UNDER AND SLIGHTLY MORE THAN 2'
+ \ rrt 20.7' IE
`'P_•7 II _ 4 UEEI• 4AF EF:VICG i i X c _ r i t iv iv try .�iU .� Hiv i .* i r 'I i iv
° BARRIER--65 L.F, OF L ! N THE ENDS, MAKING A 7' WI[`E BY 40' LONG
1 14 _ 'J [ -51GN CAPAr:'T r 34( ,_• U. ,
-� up 1 4G MIL POLYETHYLENE BY 2 PEEP LEA(�'HIN(:.7 AREA,
C 2 .rB (MILLER BREAKOUT**) [(280 SF + 188 '•F X .74 GF'D/SF] �
7.7 1 .048' " 1 .4 8. >< 24.9 TOP BARRIER=TOP
... . .................. .
PEASTONE=21.O,GRADE PI.IMP CHAMBER '•T,- F'A'-•E r'APA(.ITY: �zG A.
x 13 6.7 r 2�0- '61 ABOVE BARRIER=24.n DOSES PER [?AY: > 4
BOTTOM OF BARRIER
46 (� f A8• 22.1 10' TO REACH EL 17.5, OR
E BELOW. SET 5' OFF STONE.
0
1 116' 10E.24' b ** BARRIER IS STIFF
X21.7 OBTAINABLE FROM
- 23. •6 MILLER ENVIRONMENTAL
d N/F 1-01 FOC'-6,97-3710.
C.B. Fn•j Off
9.6 9, SMIT1 N/F
BEATY
SITE PLAN
FOR
THIS PLAN IS A VALID 170PY (:)NLY IF IT BEAR.
8.2 ,AN ORIGINAL RED STAMP AND SIGNATI_IRE. VE I i�! K 0 8c ELSIE PUPUTTI
�(���� 1�tHOFMtss1c ���1"OFM,gSS,C' LOT 29 76 DUMONT DRIVE, HYANNIS, MA
LEGEND � � y
° RA A M MAY s. ), 2001 SCALE: 1 "=20'
TH 1 TEST HOLE LOCATION, NUMBER C I C N 1
W WATER LINE MARKINGS 0 #35779 "
•P r
E OVERHEAD ELECTRIC WIRES (IF SHOWN) ?FG►STrf01L� ! O�FSS�0
8.7 EXISTING & PROPC•I�;ED ELEVATIONS CX' MARKS POINT) S41VITAaNr'� �'USURVE'a ;ONALD J. CADILLAC, PLS, IRS
/-�-- EXISTING CONTOUR s �3Q 10 J PROFESSIONgL LAND SURVEYOR & REGISTERED SANITARIAN
g---- F RC)PO,EU CONTOiI)R � P.O. BOX 258
SS !1TILITY POLE (IF sHowN) WEST YARMOUTH, MA 02673
x - - FENCE (IF SHOWN, NOT ALL SHOWN)
TREE (IF SHOWN, NOT ALL SHOWN (508) 775-9700
> HEALTH AGENT APPROVAL DATE r' AGE 1 (,)F 1
BY R.J. CAPILLA(