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HomeMy WebLinkAbout0207 HINCKLEY ROAD,o i �a Wells Fargo Bank,N.A. 1 Home Campus MAC::F2303-04J Des Moines,IA 56828; Ph: 877-617-5274 -F 8/09/2016 Town of Barnstable Attn: Robert McKechnie Building Department 200 Main Street Hyannis, MA 02601 r .__.,.-Regardi.n P.roper_ty-•Registration.a-t. Address: 207 HINCKLEY ROAD BARNSTABLE (HYAN) MA 02601 Tax ID/Parcel#: 310-082 Dear Sir/Madam: ' s "'The property above.no longer has legal action pending as of.7/29/16: Please,update your registration records to reflect Wells Fargo Home A' Mortgage is no longer the'responsible party. Thank you for your assistance in this matter. Sincerely, w — --Paige Gebe-I. . . Wells Fargo Home Mortgage Cj Paige.Gebel@wellsfargo.com i 0�1V� Wells Fargo Home Mortgage MAC F2303-04J n One Home Campus Y; Des Moines,IA 50328 r Ph 817-617-5274 July 25 2016� F Town of Barnstable Attn: Robert McKechnieCI-3 1 Building Department 200 Main Street Hyannis,MA_026oi �7 try cm Cothpleted,Property.Registration,for:= — .� '. • .w� .4 .k - : „�, F�,,, _ x i 207 HI,NCKLEY ROAD BARNSTABLE(HYAN)MA®26oiro56i1 TAX ID: 3io=o82 _ .. ._ ..._. .e..� m . Mw . ., Dear Sir/Madam: i Please see the attached property registration form and use the below contacts to expedite any future requests. 5. !.. Code SViolations: R'A+`-t v�r CodeViolations@WellsFargo C6n1 Property Registrations 'Registrations@WellsFargo come' General Property Preservation "Property.Preservation@WellsFargo.com p Call Toll'Free; ,' 1-877-617-5274. 4 For questions regarding purchasing a Wells Fargo property please contact i"877-617-5274. ° Sincerely, Angela Pryor Research/Re medration,Assoc ate` ,We 11s Fargo.Home.Mortgage:',. :, �• - - MAC F2303-04J One Home Campus Des Moines,IA 50328_„ 77-1 arigela 1`pryor@wellsfargo comb Wells Fargo Home Mortgage is a division of Wells Fargo Bank,N.A.©2o16 Wells Fargo Bank,N.A.All rights reserved.NMLSR ID 399801 Town of Barnstable, 367 Main Street, Hyannis, MA 02601 REGISTRATION AND CERTIFICATION FORM FOR FORECLOSING/FORECLOSED PROPERTY Thank you for registering in accordance with Town of Barnstable Code chapter 224 sections 224-3 and 224-4. Please complete one form for each property in foreclosure (section 224-3) or already foreclosed for which possession has been taken(section 224- 4). Please file the original with the Building Commissioner and a copy with the Chief of the Fire District in which the property is located. If you claim you are exempt from registering under Massachusetts law,please state the reason(s)and complete section 1 (property information) and the first paragraph of section 2 (foreclosing party, court, etc. and for party representative,but not other representatives and attorney) so that the Town can review the exemption and update its records: N/A Section 1 PropeM Information Property Address:207 HINCKLEY ROAD BARNSTABLE (HYAN) MA 02601-5611 Assessors Map#: N/A Parcel#: 31&082 Land area and description .lot of 8,712 sgft Building(s)description and contents single family home of 768 sgft Occupied: yes Occupant(s)(if borrowers so state and include name(s)) Rui Miranda c/o Wells Fargo Bank, N.A. as mortgage loan servicer Phone: 877-617-5274 email: codeviolations@wellsfargo.com other: fax:866-512-0757 Vacant: no Date: n/a Anticipated Length of Vacancy: n/a Last occupant(s) )(if borrowers"so state and include name(s)) n/a Phone: 877-617-5274 email: codeviolations@wellsfargo.com other: fax: 866-512-0757 Has possession been taken no If so,please explain and complete and file the maintenance and security plan form(unless exempt as stated above) see attached vacant building plan Section 2—Foreclosing Pa Information Foreclosing Party(full name/title) n/a Foreclosure Case Court: n/a Docket# n/a f I Date filed: n/a Current Status: n/a Foreclosing Party's representative(s) for property (entry,management, repair, etc.)(name, title,): n/a Company(if different from foreclosing party): Wells Fargo Bank,N.A. Address: 1 Home Campus, MAC.F2303-04J, Des Moines, IA 50328 Phone: email: (877)-61]-5274 other: CodeViolations@WeIlsFargo.com fax:866-512-0757 . If an exemption is claimed,please do not complete the remainder. Other representative(s) (if foregoing representative is primarily.responsible for property and/or foreclosure and is most likely to be able to address town matters concerning the property and/or foreclosure,please so state and do not complete contact information (i. e. "none"or"see above")). Name,title, other: see above Company(if different from foreclosing party): n/a Address: n/a Phone(s): n/a email(s): n/a other: n/a Name, title, other: n/a Company(if different from foreclosing party); .n/a Address: n/a Phone: n/a email: n/a other: n/a Attorney representing foreclosing party Firm name(if different from attorney's name)-. Harmon Law Offices PC Address: 150 California Street Newton, MA.02458 Phone(s): (617) 558-0500 email(s): www.harmonlawoffices.com other: n/a I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of chapter 224 of the Code of the Town of Barnstable. Angela Pryor,Research/Remediation,Digitally signed by Angela Pryor,Research/ Associate,Wells Faro Bank,N A Data:2 16, Associate,Wells Fargo Bank,N.A. 7/25/1 6 9 r oare:zo,s.ozzsossasa-osoo Date: J V Name:Angela Pryor Title: Research/Remediation Associate t r 4 I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-3 of chapter 224 of the Code of the Town of Barnstable. Date: Building Commissioner, Town of Barnstable e i r - 21174 ACCI - DATE(MM/DDIYYYY( �.. CERTIFICATE OF LIABILITY INSURANCE F3/25/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Wells Fargo Certificate.Service Center Wells Fargo Insurance Services USA,Inc. PHONE o t 404-923 3719 FAX No): 1-877-362 9069 3475 Piedmont Rd E-MAIL wfis.certificaere uest wesfar - ADDRESS: t ll o.com q @ g Suite 800 INSURERS AFFORDING COVERAGE NAIC# Atlanta,GA 30305 wsuRER A Old Republic Insurance Company 24147 INSURED - INSURER B Wells Fargo Home Mortgage l INSURER C a division of Wells Fargo Bank,N.A. INSURER D: 90 South 7th Street, 14th Floor INSURER E Minneapolis,MN 55402 INSURER F i COVERAGES CERTIFICATE NUMBER: 8901677 REVISION NUMBER: See below THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR.MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUER - POLICY NUMBER MM/DPOLICYIYYYY MMI DIIYYYY LIMITS q X COMMERCIAL GENERAL LIABILITY MWZY 304056 04/01/2015 04/01/2020 EACH OCCURRENCE - $ 10,000,000 CLAIMS-MADE �OCCUR DAMAGE TO RENTED 10,000,000 PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ 10,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 10,000,000 X POLICY❑PRO JECT ❑ LOC PRODUCTS-COMP/OP AGG $ 10,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT -$ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $- EXCESS LIAB CLAIMS-MADE AGGREGATE $ DIED RETENTION$ $ WORKERS COMPENSATION O4/O1/2015 Q4/O1/2020. X PER OTH- A AND EMPLOYERS'LIABILITY Y/N MWC 302638 STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE - E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? FN] NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) - Proof of Insurance CERTIFICATE HOLDER CANCELLATION Wells Fargo Home Mortgage, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE a division of Wells Fargo Bank,N.A. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN g 'ACCORDANCE WITH THE POLICY PROVISIONS. 90 South 7th Street, 14th Floor Minneapolis,MN 55402 AUTHORIZED REPRESENTATIVE The ACORD name and logo are registered marks of ACORD ©1988-20141ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) ' J P �P Barnstable, MA Vacant Building Plan Current status of the Building: The building is secured; all doors and windows are locked. If the property utilities are on when we find the property abandoned, we will transfer the utilities into our name and leave active. If we find the property to not have any utilities we winterize the property according to investor/insurer guidelines. Plan of action for exterior building maintenance: We inspect and maintain our properties. We work to keep the property secure and free of any health hazards and/or debris.Wells Fargo,also schedules our grass cuts twice a month. What improvements are planned? If the property is in need of repair to avoid a code violation, we will review and take any appropriate action. If there are insurable damages, we will file an insurance claim and review for repairs. What is the scheduled date of re-occupancy? Approximately 90 days after the foreclosure sale is confirmed. Building to be sold or rented? The building is to be sold. Certificate of Occupancy: The buyer will be responsible for re-certification and occupancy inspection with the city. Is property to be demolished? There are no current plans for demolishing the property. The city will be notified if there is a change of action. Yl F�.I'sfF� GL F r WELLS FARGO BANK, N.A. CONTACT.INFORMATION For questions or concerns regarding a property registration issue please contact the Property Registration Department. Property Registration Department Registrations@wellsfargo.com For other inquiries please route applicable requests to: Building and Code Compliance Department CodeViolations@wellsfargo.com i Utility Bills ConvUtilitvPmt@wellsfargo.com HOA or Condominium Dues or Fees HOAPmtReguestFH@wellsfargo.com Tax Related Requests: TaxGatekeeper@wellsfargo.com REO property inquiries PASAPinguiries@wellsfsargo.com Insurance Claims HazardClaims@wellsfargo.com General Property Preservation , Property.Preservation@welIsfargo,.com For questions regarding purchasing a Wells Fargo property please contact 1-877-617- 5274. You may also contact our dedicated property preservation call center at 1-877-617-5274 Monday— Friday from 8:00 AM -9:00 PM EST. Please note all legal documents should be sent to our legal mailing address below: Wells Fargo Bank, N.A. 1 Home Campus MAC# F2303-04J Des Moines,.IA 50328 "TOWN OF BARNSTABLE CAME Cod 9 INS U1_ AT1041JO- 'Z 11-01.S3 % 5 SPRAT/OAM YYSPEN L, - - BAUS 5 .... TiON CIE�M I V I S TI O .. 1-800-696-6611 'l own of Barnstable Regulatory Services Building Division 200 Main.St Hyannis, MA 02601 Dear Building Inspector Please accept this Affidavit as documematioii that Cape Cod Insulation, Inc. performed & completed the insulation and weatherizatiori 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 VillagLA Insulation Installed: Fiberglass Cellulo�; R-Value Restricted Unrestricted Ceilings Slopes ( ) ( ( ) ( ) ( ) floors ( ) ( ) ( ) ( ) ( ) Walls Sincerely �zv He y E Ca sid y r, President Ca e Cod) sulation, Inc. I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 11 Map- G' Parcel Application # Health Division Date Issued ` Z' �Y Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address < Village Owner o��vI 4W_A '5P Address Telephone Permit Request 7 11 —/Z l/ .�/ �7�/c�/L�� S�;7-51f� ell r�e Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay y Project Valuation p'�r r > Construction Type Gl �o� Lot Size Grandfathered: ❑Yes ❑ No If yes, attachrsupportingzdocurx ntation. Dwelling Type: Single Family Sr_ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes No On Old King'.t Highway❑Yes),aEMo Basement.Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other M :.r Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ftf) ? Number of Baths: Full: existing new Half: existing now rn 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 Telephone Number ✓��r����S /�/ Address /�� �/��'/ C'� License # 'Z'o n tl Home Improvement Contractor# Email Worker's Compensation #_ � ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ' DATE FOR OFFICIAL USE ONLY APPLICATION# " DATE,ISSUED MAP-4 PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION '- FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL 4 FINAL BUILDING> DATE_CLOSED OUT A SOCiATION PLAN NO. Massachusetts -Depaftm!'nt of Ppblic Safety Board of Building Regulations end Standards Construction Supervisor License: CS-100988 HENRY E CASSIPY " 8 SHED ROW W s WEST YAItMOM 10 Expiration Commissioner 11/11/2015' _ Office of Consumer Affairs and Business Regulation, 10 Park Plaza - Suite 5170 r� Boston, Massachmsetts 02116 iV Home Improvement CQn,�ragtor Registration Registration: 153567 Type: Private Corporation Expiration: 12/15/2014 Tr# 233831 CAPE COD INSULATION, INC HENRY CASSIDY , s '18 REARDON CIRCLE , `, ; � --- — -— . SO. YARMOUTH, MA 02664 „ __... _._:- ..---- -- Update Address and return card.Marts reason for chalige. Address `Renewal [7] Employment Lost Card SCA I 1i LUtvI-U./I I - i�, 011icc of Consumer Affairs& Business Regulation License or registration valid for individul use only h OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: p gistration: 153567 Type: Office of Consumer Affairs.and Business Regulation xpiration: 11I 5/2014 Private Corporation 10 Park Plaza—Suite 5170 Boston,•MA 02116 CAPE COD INSULATI;ON,rIo HENRY CASSIDY 18 REARDON CIRCLE" SO.YARMOUTH, MA 02664 Undersecretary — f Val' witho tor nat re -- ' I CAPECOD-27 'CVANGELDER ® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 4/1/2014 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 CONTACT Cape Cod Commercial Rogers&Gray Insurance Agency,Inc. PHONE FAX 434 Rte 134 A/c No Ex1: A/C,N.:(877)816-2156 South Dennis,MA 02660 E-MAIL ADDRESS: INSURER'S)AFFORDING COVERAGE NAIC If INSURER A:Peerless Insurance Company INSURED INSURER 8:COMMERCE INSURANCE COMPANY _ Cape Cod Insulation Inc IN SURER C:Evanston Insurance Company 18 Reardon Circle INSURERD:ATLANTIC CHARTER INSURANCE GROUP South Yarmouth,MA 02664 INSURER E: INSURER F: 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. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE 6R POLICY NUMBER POLICY M DDNYYY MMIDD//YCY Y Y LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 DAMAGE TO RENTE CLAIMS-MADE OCCUR CBP8263063 04/01/2014 04/01/2015 PREMISES Ea or $ 100,00 MED EXP(Any one parson) $ 5,00 PERSONALBADVINJURY -$ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PREo LOC PRODUCTS-.COMP/OP AGG $ 2,000,00 OTHER: $ AUTOMOBILE LIABILITY -- .COMBINED SINGLE LIMIT $ Ea accident B ANY AUTO 14MMBCKVMK 04/01/2014 04/01/2015 BODILY INJURY(Per person) ' $ ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $ 1,000,00 AUTOS AUTOS X HIRED AUTOS NON-OWNED PROPERTY DAMAGE X AUTOS Per accident) $ X UMBRELLA LIAR X _OCCUR EACH OCCURRENCE $ 1,000,00 C EXCESS LIAS CLAIMS-MADE R/O XONJ453512 04/01/2014 04/01/2015 AGGREGATE $ DED X RETENTION$ 10,000 Aggregate $ 1,000,00 WORKERS COMPENSATION - - _ - PER OTH- - AND EMPLOYERS'LIABILITY r - STATUTE ER' D ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N WCA00525904 - 06/30/2013 06/30/2014 E.L.EACH ACCIDENT $ 1,000,00 OFFICER/MEMBER EXCLUDED? IN N I.A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEd$ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below - E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks.Schedule,may be attached if more space Is required) Workers Compensation includes Officers or Proprietors.. Additional Insured status is provided under the General Liability and Auto Liability when required by written contract or.agreement with the Certificate Holder. CERTIFICATE HOLDER CANCELLATION v SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE EVIDENCE OF INSURANCE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved:. ; ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD The Commonwealth ofilfassachr4serts Departrrrent of Industrial Accidents Off ice of Investigatit?r s 600 Washington Street Boston, MA 02111 li ww'I"ass.govIdra Workers' 'COIE"Pelllsuti,() usunwct Affild;jv t: Builders/Coutractors[Electriciaus/PYar<Iblacry lo , )fic:uIIt Inffirt.-u�Hdu g Please Print l.,e ililY �Vi�;incsv/Orbar,ization/Lodi viduid Phone #: —l) 4�. J 2, c You ull etttyitaJydrP Check the appropriate box: 'Type of project (rcquired): q!J l .uu a r.,,,Nluyer witYz- � 4, [a I ant a general contractor and I r.ii,pl��ycry (hill ancvoe part-ti.rne).* have'hired the sub-contractors ❑ New consmictiou EI I Mo a solo proprietor or partner_ . listed on the attachod sheet. 7. E] Remodeling, 'ihtp a.ttd havc no employees These sub-contractors have g, 0 Demolition, working for rria 1.11 any capacity. employees and have workers', - [No wotkcrs' cornp. insurance 'comp, insurances `� ] Huiltling addition We are a corporation and its 10. Electrical repairs or additions a homeowner doing; all work officers have exercised then 11,,❑ Plumbing; repairs or additions u,ysclf. [No workers' curnp, right of exemption per N1GL t c. 152, §1(4),and we have no 12,[❑ Roof r pairs ,u:su,-Once rc.quu�atl.] � ,., <r.0 I ant a homeowner acting as a employees. [No workers' 13° Other a 5, _., ! 7' y ._ Scucrul coutxactor(refer to #�4) ' comp.insurance required] al,j,l,c wt dirt chccJcs box 1 1 tnttst also fill out Lhc secpon below showing their woriem wmpcnsafiod policy information: tluuwvwuc13 who subrnit this aPhr;tuvit irldicacing they arc doing at wort:uiid then hire outside contractors must submit ti new uQ7ltlavit indicating Mich. �uuuu curs ti,rt chu k this box rtutst-Uacbed au additionsj sheet showing ttic al no of the sttb�-outntctot-S and stuto whetttcr or not those catitica havc :,iy iuyccs. It urc JUj>-tUllrrMCEUt'Y havc clnptoyccl, they Must pmvidc their wurkcC3'comp.policy number, Was ari'rmployer'that it providing workers'compensation ituuraace for my employed& lrrlow is age policy rind job site. irtjurarutiurt, lnsuranoc Curttpiuty Nance: l'uit�y if ut Self-ins. Lic. #: Z"C '- i2) ` . Expiration Date: «f '<-� '.i,Io �tic.�cicttcys: �2 .L S City/State/Zip: 1 Att:,ch s cuPy of file workers' COMPeusation policy declaration page(shtirving the policy utimber and expiration elate). i t;iurc w scCurc,cove46c as required under Section 25A of VIGL e. 152 cau lead to the.imposition of cri►ainal penalties of a rinc ul,to 11,500.00 and/or one-year impri.sonttrient, as well as civil penalties in the form of a STOP WOKK OItDEK and a tine A up to 'S250.UU a (Jay against the violator. Bc advised that it copy of this statement may be forwarded to the Office of ',nvcstigatiot,a ofthc DIA fur'injurancc coverage verification. (du hereby errtifjv.lr,rrtder the bird penalties of perjury that the information provided above is true and.correct - '_ham121 }- _ t .. 71"r nly. Do not write in th2s'area, to be completed by city or fowrr ojficiaf ; �errrtitllricenseuriry (circle otze}:ealth 2_ Builditig Depurtmeut 3, CityfCorwul Clerk 3.Electrical Inspector 5. P tttft>iblftg Inspector �.Other ; .t Uutuct i'CC7tSty: — - _� Phone#• 13.. The Parties acknowledge that this Agreement is'under seal, It is intended by the Parties that the.Tenant or any successor Tenant is the intended beneficiary of the Agreement and shall have a right of enforcement. Property Owner's Signature: ---` Date Phone: 7 Address: i. Tenant Signature ; Date_ Agency Approved Weatherization Compan ra <Sag All Cape Energy I Adam T. Incorporated / Cape Cod-Insulation I Cape Save I Frontier Energy Solutions l Lohr&Sons Inc. / Resolution Energy I t't Agency Signature i or 460 West Main Street Housing �� Hyannis, MA 02601-3698 Tel: (508)771-5400 Fax(508)775-7434) Assistance Corporation TTY on all lines Cape Cod r Roe% r� iOm ! Your tenant has requested and is eligible for weatherization of your rental home through government funding. This will be provided at no cost to you. Program regulations permit us to spend around $2,500- $7,500 in materials and labor per dwelling unit. Program regulations require us to weather-strip and caulk doors and windows; insulate g attics, sidewalls and floors. All work is professionally done by established private contractors. We willi conduct a final inspection to make sure that all work is completed to specifications. z If you request, you will be informed of the estimated measures before they are done and provided with a list of the actual measures and costs following the completion of the:work.. . We also need proof that you own the property. A copy of a CURRENT TAX BILL OR DEED listing you as the owner will satisfy this requirement. Please fill in all-,blank areas of the enclosed agreement and return. with -the proof of ownership as soon as possible. . of wire 'do not receive the enclosed form within two weeks, we will do a basic energy audit of the home, but no weatherization work can be recommended or done., If.you have any questions please call Suzanne Smith at 508-771-5400, ext. 123. LAIVDLOFiDu'9: �� TENANT: St� C l.1�G47 r email: am'a i� email)&_ . � r�k� -�; �i c>> C PHONE: (home) 6 C, PHONE: (dome) ' (cell) TENANT/PROPERTY OWNERIAGENCY WEATHERItATION AGREEMENT 1. : The Parties to this Agreement are the following: A,�e (hereafter known as Tenant), (print your tenant's name) 01 dA (hereafter known as Property Owner) (print your name) and Housing Assistance Corporation (hereafter known as Agency). In consideration of the mutual promises hereafter stated,the Parties agree as follows: 2. The date of Agency's signature will be the effective date of this Agreement. 3. Property Owner and Tenant consent and agree that the Agency may do the following with respect to the property located at(street, town) iAk e, r ,O: 1 unit# ,'and currently leased or rented to the Tenant: a) Enter the premises for the purpose of performing a Weatherization inspection. b) Enter the premises to perform Weatherization work which the Agency determines in its discretion is necessary and appropriate as a result of the Agency's inspection of the property and in accordance with the appropriate priority list for the type of dwelling. The Agency and the Agency's contractors may also enter the.appropriate common areas of the building for the purpose of accomplishing the Weatherization work. The Agency and representatives of the Commonwealth of Massachusetts, Department of Housing 7. & Community Development (DHCD) may further enter the property to inspect any and all work hereunder. The Agency will provide reasonable notice of the timing of the Weatherization work and inspections. The Weatherization work will be performed in accordance with the Property Owner's consent as further specified,below: ** INITIAL-ON ON_E OP THE FOLLOWING*** -� n performance b the Agency and its contractors of an Weatherization work determined consent to p y g y Y ;. necessary and appropriate by the Agency as a result of its inspection of the property. I understand that the Agency will provide a detailed statement of the actual work performed and the associated value at .,the completion of work. I will provide a'separate consent to performance by the Agency and its contractors of Weatherization -{ work following my receipt of the Agency's inspection report and a statement of the estimated work and associated value: This additional consent will be sent under separate cover as Attachment A. I understand that the Agency will provide a detailed statement of the actual work performed and the - - ° associated value at the completion of the work. 4. The Property Owner understands and agrees that any and all work, including related repairs for which the Property may also be eligible, will be performed at the Agency's discretion. The Agency estimated completion of the Weatherization.work by the end of 2013. 5. If the Property Owner is'required to make repairs to the property prior.to the commencement of Weatherization work.bythe Agency,the Property Owner will be notified by the Agency and will be required to make the repairs as soon as possible: 'Except where the Property Owner receives a written extension from the Agency,time is of the essence.in the,performance of repairs by the Property Owner. 6. The.Property Owner and Tenant authorize the Agency to receive a statement from the fuel supplier/utility supplier as to the-quantity;of,fueVutilifies used at the above address in each of the past three years and the future three years, The information is to be used only to determine the cost effectiveness of the Weatherization improvements. : 7. The Property Owner agrees that the-rent for the dwelling unit will not be raised because of any increase in the value thereof due solely to the Weatherization work performed. 8. In consideration of the Weatherization work hereunder,the Property Owner further agree upon the effective date of this Agreement and during a period extending through 201 2f)1 approximately one year from the time the work is completed, a) The present rent $ fr2 ✓ per month will not b raised for any reason.. (The rent amount must be filled in). Heat included in rent?Yes_ Now''' However,this Paragraph (8a)will be waived by the Agency in writing if,and only if,the premises are leased under a state or federal rent subsidy program, in which case the actual rent charged by the Owner shall conform to the standards of the rent subsidy program. Please state which Housing Subsidy program your tenant is on and through which Agency:. b) The ProPerty Owner will not institute any summary process action for possession except in the case of non-payment of rent or other good cause related to the Tenant(or any successor Tenant). c) In the event the Property Owner decides to sell the premises, Property Owner shall comply with one of the two requirements below: —The Property Owner shall not sell the premises unless the buyer agrees (with a copy forwarded to the Agency) in writing prior to sale to assume all obligations of the Property Owner set out in this Agreement;or. r --The Property Owner shall pay the Agency an amount equal to the cost, as certified by the Agency, of the Weatherization materials installed and labor performed in the premises as of the date of sale. Said amount shall be paid to the Agency immediately upon sale. 9. (Applicable only if Tenant's heat is included in rental payment and blanks are filled in) At the end of the period set forth in Paragraph 8 above, the rent shall not be raised more than °/o per for an additional period of one year, and the provisions of 8b and 8c above shall continue in effect for such period. However, the rent-:provisions of this Paragraph 9 may be waived by the Agency in writing if, and only if, the premises are leased under a state or federal rent subsidy program, in which case the actual rent charged by the Owner shall conform to the standards of the.rent subsidy program. 110. The Parties agree that the terms of this Agreement are incorporated into any other lease or agreement between the Property Owner and the Tenant,and between the Property Owner and any successor Tenant, and if there is any conflict between the provisions of this Agreement and the provisions of'such other lease or agreement, the provisions of-this Agreement shall govern. However, if such other lease or agreement, including without limitation a lease or agreement under state or federal rent subsidy program, contains stronger protections for the Tenant, such stronger protections shall apply. 11._ For breach of.this Agreement by the Property Owner, the Property Owner shall reimburse the Agency in an amount equal to'the .cost, as certified by the Agency, of the Weatherization materials installed and labor performed on the premises, as well as attorneys fee and court costs. The Property Owner may also be liable for damages to the.Tenant in.accordance with applicable law; in such instance, the Property Owner shall reimburse the Tenant for attomey's fees and court-costs. Without limiting the foregoing,the Agency may at its option terminate this Agreement, by providing written notice to the Property Owner.and Tenant,in the event of breach by the Property Owner or Tenant. 12. Performance of the weathe'rization work hereunder by the Agency is contingent upon the availability of funds to th6,Agency from the commonwealth of Massachusetts and the federal government, as well as the eligibility of the Tenant under WAP°'program,requirements. The Agency may terminate this Agreement, by providing written notice.to the PropertyOwner,and Tenant, if the Agency determines that the unavailability of funds or ineligibility of the Tenant warrants termination. a , . . . ' � . . -- - U � , y � 44 STABLE. * CO INS s639. TOWN OF BARNI��n BVILDING', INSPECTOR TO THE INSPECTOR OF BUILDINGS: �O)wing information: V.............. . ...... Name of Builder ........e AOW Diagram of Lot and Building w SUBJECT TO APPROVAL OF BOARD OF HEALTH 7 ' . 1� � _~~ � . ~ . � . . ' OCCUPANCY oeo^�f�-6�/J6ED �pnm'&-- DVVEL |NQ3 � � ' � | hereby agree to conform to all the Rules o�6 Regulations of the Town of 8onnsto6|e regarding the above construction. . � � Nomo —. .~ ._------.. W.1k ' - ' Construction SupSupervisor'so, L�enoe — ..... MADDOX, ROBERT No ..2.6.152.... Permit for ............... Single Family Dwellincf ............................................................................. Location ..L.ot..135t......2Q7.jj4lKjqkjy..i? . ..................Hyannis ;j '7........................................................... ............... Owner� j6bert Maddox................................... Type of Construction ......Fxame........................ -A . ........ ................................................................ t ......................... Lot ................................. -Permit Granted I.Ma�c�i 12, . 19 84 Dateaf Inspe Iorr ... or ...................... .......... f19 r_ 14 Date Completed 4_24`.Ao� ...1-9' 16- r) 41 10- f '*'F` - �' :1Y'rt �d4%`�`.S.:a.'-.-".,.,"""'r-. .r'x7-rr ^s.. ..mar.. . e, ,- ,3R,,,,,, .w.c,J ..ryy.,,. .ar . •x«.�..:w.i.:J ... p. •. _.i< `v.n:;.(`. ..`-`:hi`. Town of Barnstable °FtHe r°y, Regulatory Services P� Thomas F. Geiler, Director • BA 9• RNST ABLE; * � N . Building Division t63 �0 A�Eo �A Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis,MA 02601 ' www.tow n.ba rnsta ble.m a.us Office: 508-862-4038 Fax: 508-790-6230 EXIT ORDER DATE: /ZP LOCATION: UNDER THE PROVISIONS OF 780 CMR, THE STATE BUILDING CODE, SECTION 3400.5.1, YOU ARE HEREBY ORDERED TO IMMEDIATELY DISCONTINUE THE USE OF THE CELLARBASEMENT AREA FOR SLEEPING PURPOSES. _;6— LOCAL INSPECTOrR SIGNATURE OF RECIPIENT ODEM DE SAIDA DATA: LOCALIDADE: DE ACORDO COM 0 PROVISORIO 780 CMR, CODIGO DE CONSTRUCAO DO ESTADO, PARAGRAFO 3400.5.1, VOCE ESTA ORDENADO DE DEIXAR DE USAR, IMEDIATAMENTE, A AREA DO PORAOBASEMENT PARA 0 PROPOSITO DE DORMIR. INSPETOR LOCAL ASSINATURA DO RECIPIENTE The Town of Barnstable Department of Health, Safety and Environmental Services = Building Division PIAM 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Home Occupation Registration Date: (I 1 1 ) q�' Name: �n ngl a-S 0=r6'!5 J IM.A4(4— Address: �,-.f�`Z ��L (.i d ° Village: Type of Business: v 1 p/Lot: INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance, provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor, no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit, located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings, and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton opacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Date: Q r Dependable Documents 24 Hour Service Small Parcels ATLANTIC COAST COURIER Complete Affordable Pick-up&Delivery Service Tom Go,dman (508)778-5208 Atlantic Coast Courier Provides the Northeast, Cape Cod & The Islands with a full time Pick-up & Delivery Service for your need. ••• Same Day Delivery ••• "Rush" Delivery ••• Overnight Delivery =•• Weekly Delivery ••• Single Item or Bulk Pick-up & Delivery ••• Inter-Company or Inter-Office Distribution ••• Documents ••• Small Parcels ••• Payroll Distribution•Bulk Mailing ••• Volume Rates ••• Fully Insured ••• Scheduled or unscheduled Dependable & Affordable 24 Hour Service. (508) 778-5208 ' '.x.,. � _ .. ,:t � ';�_ 3h�j. y .;:M :�j gf �f Y f ., { r4',•T� - { rt s: � . r x, ,�.,..r �,•,� y �' • TOWN, OF BARNSTABLE" rmit No. ------------------ Bwlding=.Inspector VAUITAu .. ....': Cash - ---- ----- OCCUPANCY PERMIT. Bond ; __Q/ _� Issued to t 1vJa.C1dC DC Address Lot. 135, 207�Hinckly Roac Hyannls, Wiring Inspector Inspection'date e. Plumbing Inspectorrcr'l 'Inspection date ' Gas Inspector Inspection date ~ Engineering g Department 4 s,r f Inspection date J Board of,Health, Inspection date/f� THIS PERMIT [FILL NOT`BE .VALID, ,AND tiTHE BUILDING SHALL NOT BE 'OCCUPIED UNTIL SIGNED..BY THE BUILDING..INSPECTOR UPON "SATISFACTORY COMPLIANCE WITH TOWN. REQUIREMENTS AND-IN ACCORDANCE WITH SECTION 119.0,OF THE.MASSACHUSETTS STATE BUILDING -CODE. oel 91..._._ (O 'Building Inspector FROM TOWN OF BARNSTASM Mr. Eramis Lahteine � _ .�. y,r BUILDING DEPARTMENT Town Cletk IWO,. �. w ate,>._ 367 MAID! STREET HYANNiS, MA 02601 ` - Phone: 775-11`20 SUBJECT: FOLDHERE DATE - 84 ;V, MESSAGE Wank hasi,been camp]eted under. Perm t�#26152 (R�b rt A+laddc?a ).. r .. SIGN `DATE i REPLY 1. SIGNED N87•�RM1 +" RECIPIENT: RETAIN WHITEOPY_,,RETURN PINK COPY - � . - ` - ,C e. ' PRINTED IN U.S.A.. SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT.` 131(D Assessor's map and lot number '.. ..... THE Sewage Permit number ....L?. ..........�..f�. ! l /� 1]t. /Qu�x d`� �� 13AUSTABLE, House number .*;-74.7......................................................... MASTCb........... .. 039,0 mo TOWN OF BARNSTABLE 'BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......... .........Ir ..........d ................................... TYPE OF CONSTRUCTION ..............wo ....47-0 go...W............................................................................ r......... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for/a permit c ordi g to the- flowing information: to the . . ....... ................................................................................................ Location ..... ............ .. . . ... .. . ................ . ...tdt�..... ..................................................... Proposed Use ........(;;.ee ............. ..... ........... Zoning District --..................... ...... ....#X4 .. ...........��....-Fire District ........... .............................. ............. Nameof Owner ....;aez!!z 4......... ...........Address ......... ............................................................ Name of Builder ........ ........ . Yce, ....Address .......... . ..........c-//,q- /- e/ ................................................ Name of Architect .................................................................... .Address .'................................................................................... ............Number of Rooms ..................... .......... ......................Foundation ........... ........... .............. Exterior ....... ✓.........7: 7//......................Roofing ..............4.A? �r ...................I......................... Floors ................. ....................................................Interior ..... -26..i- ..................................... . & 1� � 7 .. .Plumbings /....... .Heating . . ..... I:............ ............................................. 5�� e�c, Fireplace ............. ........... ..............................................Approximate Cost ...... ............................................ Definitive Plan Approved by Planning Board ------------------------------19--------- - Area ................. Diagram of Lot and Building with Dimensions Fee .............. .............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH ti C-4 OCCUPANC.. FOR NEW DWELLINGS I hereby agree to conform to afrthe'11 Rules and.Regulations of the Town of 'Barnstable regarding the above construction. Name ... . ............ ........... Con-structiontSupervisor's License 01 7... MADDOX ROBERT A=310-82 No �. .152....... Permit for ,.One Story Single Family Dwelling ............................................................................... Location ..Lot 135, 207 Hinckly..Road .................... ......... ................Hy�.�s............................................... - Owner .Robert Maddox ....................................... Type of Construction ..Frame ................................................................................ fPlot ............................ Lot ................................ ; Permit Granted .......ki-�rch..l2r.............19 84 f Date of Inspection ....................................19 Date Completed 19 t AREA PLAN TYPICAL SYSTEM PROFILE BUT N -fl- E �{A � STAHi_ RO PLAIN % FINISH GRADE NOT TO SCALE FDN TOP F C' NO C•C�i�t�3�' 'oi`�� t` t C-N-1 l m%off n � .'�'�� FINISH SCALE : I = FINISH GRADE OVER TANK= ___ " TOW Pk �.VA-T�lw �; -f-HE I_0—r GRADE OVER PIT==e_ I I ����*I LOT# I a. - LU T B i LET#8 2 83 I . TEES 4k.i � � . � .uc_ PVC OR O O • � . • o e 2D A GQ ES\ _ - sue , a ; • e . e 0 BSMT ^ . o • a.;. v • . o • • • a • • o . 2Q ACFi' FLR C�t7f.` GAL. 4" r + o e e • • • e o o + AREA PLAN • ' - ? Q2! • REINFORCED DI ST. BOX CONCRETE 8 e e + • T E N TA D 0 e + • • • • • • • • o + O B I S L L E N AkE� PLAN' F>P_FrPAW.F_U Okl a x 14 Fo Or► IVCa a ° a a r o;.:.; A LEVEL STABLE BASE e e a e • I • + o o • + NOTE: , t=0RM Ul"1€ I7V � AklD CCIUlam e e e • • • • o • • o + . 4 SHEET I 5-_Al V_- t`f�' t c�'� v t'�"sr-� SEPTIC TANK 4\' E> WIE1J-�. H�� G' j�{`�" ! 1C:•1 "C` ? ` i d`�-k 135 TO BE INSTALLED ON A a e • • • . o o + , - !ru— iF-�1 RIF1_-lC�VR"G � 19,34 LEVEL STABLE BASE c Q - BRICK 8s ..MORTAR COURSES AS 2 -I/8 - 1/2 WASHED PEASTONE ALL ,. AROUND FREE OF IRONS, FINES • • + • • REQUIRED TO BRING COVER TO GRADE AND DUST IN PLACE - LEACHING PIT t T1-•�115 A kizi,`� p R E:N/ 10 05 L,%, ' F_x C Ask' �J i=op 2 4 C.I . MANHOLE COVER d - 3/4 TO 1-112 WASHED CRUSHED 1 A Hot.35 t-ji 1 t�f �-•t�. T JNKID VVA, *Jf- � FRAME - SEE DETAIL STONE ALL AROUND FREE OF BASE TO BE LEVEL I� Ca�' ATJ W ITM a I"T' �.+ '5Tr-)c_1� IRONS, FINES AND DUST IN PLACE C _ FOR FIN. GRADE SEE SYSTEM PROFILE f U L_ b� -- = SOIL AND PERCOLATION 32 _ 5-2:1pizo PC)i>tI1 G L�+ �x� 7 14 t — ___..�.�_._ DATA ---- - 2 1-1 05 ii�. Of MA, 2.4 • 4: + �� 8 M I �I N I. ► 3'+ z4 �e S~,� i t L'IkC 4�=- " - arjQ D. �'� C -►t7t ra~'LI _ .. �_ ��7 _ �` 5;�� � 't 1 -- — FOR INV. ELEV SEE °T - FULL @SNIT, CS } ! ° :e,. N. --`z--"'--' .s No. l � TAKEN BY ' C. D. SPOHR s SYSTEM PROFILE - r0.32 `' F $ LINE • - OF LE 6�� . j '"�JA�.1K .- �'�'� � STEP�O,.\ta i ,• ,, Q \ — ��-- o '� JC1H- , r r . � rpvvhjwrm+ Fss o .� ` v 4 - - ° / �8 0 WITNESSED BY af�� t tea ' 9G I o OPENINGS W 4-I ._U D1~C. M OUTER DIA DlA� 1 -3/4 0 DATE. I S$I*- 1t. Ic Vl/ , 7 ,- ° TEST PIT GND ELEV. 4: GAL PimaST GG't*tC3� "r 51:+PTIC 'T°ANit< ,6 ° p TOTAL D 0 - +� � 1 F" i I<a1 '; • a D D D O 3AREA Jii - -�._,..�. � �F•'1?�C��"C' C_,L'?c,-?C_R�"i`�•:_ �:::s !G!�� I - i D D 0 �F�5 :� `, - •�±�.C-•>r �� �'� 4•� ��-. 0 IG' °f �4 { ►lie l' PF21'�r l t— • , ' p D ,; o 0 0 0 I T o o p - ° ° . 0�., ,moo �+ t✓ D o _ 15� L o 0 0 "f ` I p►+ `tF, _ �� I�`, �J +�. i PIT r S ii >I f 1tit - . � ,,,,- ,.,.�.�,.......�„ ...�,,,....,,... .,..�,.. � .� -- — -- - _ BOT. P E R C. HOLE r 8 ut, tsc� izX1�Y. �1.iz.T. 4 r. p40L9-X..t t G EFFECTIVE D I A. , DOWN ' 1 LEACHING PIT SECTION d _ NO SCALE DESIGN DATA : C L A(� F igOTE: DO NOT RUN HEAVY EQUIPMENT OVER SYSTEM NO. OF BEDROOMS " 2 51± PAVE L WITH I,TF 1a eva h • ' DISPOSAL LEACHING PIT NOTES: GALS . ., •. ;.. ,�� �_;--- EST TOTAL D EFFLUENT T T DAILY I . CONC. TO BE 4000 P.S.I a 28 DAYS . SEPTIC TANK ~' GAL. _ w 2. REINF W 6 " x 6 " 6 GA. W. W. M. -- '- - -a---�--- ---- - --~--~ --~ ---- ------�-- -- �'"' �'� "- 3. 2 'AND 4 ' SECTIONS ARE AVAILABLE FOR GENERAL NOTE S GREATER DEPTH REQUIREMENTS I . ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN OWNER (PA S) LOCAT I O N � PLAN SCALE I f _- � ��,D + NOTE • EXCAVATE TO ELEV. �r' z t OR LOWER AS ACCORDANCE WITH TITLE& ANY C THE STATE SANITARY CODE DATED DULY 1, 1977 8� ANY LOCAL RULES APPLICABLE. REQUIRED TO REMOVE ALL LOAM AND CLAY CONTAINING 2. ANY CHANGE TO THIS PLAN MUST BE APPR�D. IN NlR , R016ERT ADD 0 a ExiS� L_QC }_{� � MATERIAL BENEATH PIT. REPLACE EXCAVATED MATERIAL WRITING BY MR. CHARLES D. SPOHR. . Q �� ' t �� Y1 A g t WITH CLEAN,CLAY FREE GRAVEL, MECHANICALLY �"" F_L ` H15m' 1^' t�L 1 ; t9 COMPACTED IN PLACE. 3. WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKFILLING, 334 ` J �3 . 8 � Jf� c4 SIDE AREA = ' `_S. F. �`` S. F./GAL '"GALS NOTIFY THE ENGINEER ANDBOHKJOF HEALTH FOR INSPECTION. (� .�_ ;p 2o�.c .zC> Ac .zasc. .2c�hc ,a�,A c ':,?c5,a,c .7,o ,,�, .aC,,r�c .Zc,�,,,c, .2z,�. r 4 4. FOUNDATION ELEV. MUST BE CHECKED WHEN COMPLETED• �y �` BOTTOM AREA= S. F =S. F./GAL Y GALS 5. THESE ELEVS. MUST NOT BE CHANGED WITHOUT WRITTEN TOTAL AREA - S. F TOTAL 2 GALSil . rt5a� � APPROVAL BY CHARLES D. SPOHR, I LEGEND 6. FOUNDATION INSPECTION REQD. WHEN EXCAVATED. ��' 88' 9•' 8•' ss' s 3a' g•' " g6' } sa' � �' H i tJC I< �•- �A> ♦ 50.0, EXIST. GROUND ELEV. ALL E �- 1_V- 5- SAibF L?hl TQt� _ aes: g,t.`M""r 4° 4O v ` - 50.0' FINISH GROUND ELEV."UNDERLINED„ OF �X 1 5"1". �:A'�"°C,K gA51 AI -K ---•--,.......�... .�. ...��� '�„ ` ' 4750 PIPE INVERT. ELEV, REv. DATE DESCRIPTION GRA-T E (M A O tit F D FLEVATiONJ 5o.00 _ 95� ,�� y:3 92. � I `�0 ' O TEST PIT LOCATION SEWAGE DISPOSAL SYSTEM . 45 �•. ,so FOR SEPTIC TANK MR. ROBERT MADDUX ❑ DISTRIBUTION Box yyee(� LOT '' B2 H I NKLEY Rn. T., R�1y p4 C. I . PIPE ` NEARBAXTER RD. PILGF iM LANE ` 9 too � 101 I �.�.� t A3 f nfA � t<~��:;�I•g D� ,�►I " ` 1 �YANN 1S MAS ,e.c a� ,, _;3 sac . _►4 c _I a c �'^ J 3 s• $ +1-tti-Fi tt- 4 BIT. FIBER PIPE - TIGHT JOINTS -s ;�i �iR 4 o DESIGNED. C.D.SPOHR DATE:24DEC. :F- DRAWING Na PROPERTY LINE DRAWN: SCALE:ASSHOWN n1AP SEC PCL OT JHOUSE I-'ll-.G 1 � ► ��� MIN. CODE DISTANCE „,r'' 2 FHECKFD: C. D S .