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HomeMy WebLinkAbout0055 IRVING AVENUE SSZrvinq Ave, �_ _ _ - U J ,� �~ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # Health Division 'Date Issued t Conservation Division Application Fee ' Planning Dept. Permit Fee' �2 Date Definitive Plan Approved by Planning Board Historic - OKH — Preservation/Hyannis'- Project Street Address �' IA'_"yffil� 4L�lff N�APVAI_Y P,0/2�_ Village Owner Address /4LI&V Telephone Permit Request .00W 6/914e4 61 Square feet: 1 st floor: existing-proposed 2nd floor: existing��`� proposed_Total new Zoning District Flood Plain Groundwater Overlay Project Valuation IOC Construction Type Zy000 Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family R' Two Family ❑ Multi-Family (# units) Age of Existing Structure 37 Y14 Historic House: ❑Yes Id No On Old King's Highway: ❑Yes �WNo Basement Type: 9 Full ❑ Crawl. j❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) ' /-- !So Number of Baths: Full: existing new Half:.existing new Number of Bedrooms: existing 4ew Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: 421 Gas ❑Oil ❑ Electric ❑ Other Central Air: (8 Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes R No Detached garage: ❑existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage:411 existing ❑ new size _Shed: ❑ existing ❑ new. size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes 4a No If yes, site plan review # 4 Current Use Proposed Uset CO APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number i� ®� °�o �S✓�� t Address License # � Home Improvement Contractor# ->n Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# L 4; DATE ISSUED MAP/PARCEL NO.: _ r -ADDRESS, VILLAGE OWNER ft i i f DATE OF INSPECTION: s FOUNDATION a ti FRAME f r INSULATION. : ' FIREPLACE ELECTRICAL: ROUGH f FINAL PLUMBING: ROUGH FINAL'-, GAS ' ��=�` -- ROUGH,-�i!- ti.! � �•� r FINAL r "FINAL BUILDINGt" '_* _ ,�•; 1 DATE CLOSED OUT S ASSOCIATION PLAN NO. s The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations nt 1 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): U "O -lam-/ <�74G Zip•�/ Address: G City/State/Zip: I'ytlws �MJ Phone #: ��� ����-`� ✓�� Are you an employer?Check the appropriate box: Type of project(required): 1A1 I am a employer with 1 4. ❑ I am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. t 7• ® Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in an capacity. workers' comp.,insurance. Y P h'• 9. ❑ Building addition [No workers' comp, insurance 5. ❑ We are a corporation and its officers have exercised their 10.❑ Electrical repairs or additions required.]. . . - 3.❑ I am a homeowner doing all work right of exemption per MGL I LEJ Plumbing repairs or additions myself. [No workers' comp. c. 152,'§](4), and we have no - 12,❑ Roof repairs insurance required.] t employees. [No workers' comp, insurance required.] 13.❑ Other *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t 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. Lic. #: �/ Expiration Date: -' Job Site Address: �J 0 ��V 1!�/q �(/,( 0400 /1Jc /06VCity/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 hereby certify under the pains and s of perju that the information provided above is true and correct. Signature. Date: Phone#: c � �oGtJ `r C� 7 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#: 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, express or implied, oral or written." An employer is defined as"an individual,partnership,association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a 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 bean 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 burn leaves etc.)said person is NOT required to complete this affidavit. 4 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.1-877-MASSAFE Revised 5-26-05 Fax# 617-727-7749 www.mass.gov/dia r �ofrJ4EA Town of Barnstable regulatory Services snxxSTABLE, � v Muss. $ Thomas F.Geiler,Director 19- Ito, Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 0.2601 www town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-62_ Property Owner-Must Complete and Sign This Section If Using A Builder I, � �' �. ��� ✓ , as Owner of the subject property- hereby authorize J� �� -s to act on my behalf, in all matters relative to work authorized by this building permit application for. (Addres oh) Signature,of Owner Date Print Name . If Property Owner is. applying forpermrt please:complete°tlie Homeowners License Exemption Form on`the reverse side: Q:FORMS:O WNERPERMISSION of THETown of Barnstable H rg4ti � . _ Regulatory Services t Thomas F. Geilerf Director r BARNSTABLE, ` A MASS.19. Building Division °lFo µAt a Tom Perry,Building Commissioner r 200 Main Street, Hyannis,MA 02601 wwNv.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DA TE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwelling 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 HOMEOi'VNER 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 procedures and requirements and that he/she will comply with.,said procedures and requirements. Signature of Homeowner 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 EXEIITPTION 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 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. � 1 ')JD 1/12/2011 7•:18:20 AM PST :GMT-8) FROM: insurancevisions.com-TO: 15087781218 Page: 2 of 2 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYYl THIS CERTIFICATE 13 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 0= INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holier is an ADDITIONAL INSURED,the poliey(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and If 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 endorsem ni s. PRODUCER DOWLING &O'NEIL NSURANCE AGENCY COWACI NAME: 973 IYANNOUGH RC PHONEo. 77� 508 778-1218 HYANNIS, MA 02601 e411AIL ADD INSURERS)AFFORDING COVERAGE NAIC# INSURERA: USERTYMUTUAL GROUP msuREo ROBERT GLOVER INSURE. DBA ROBERT GLOVER BUILDING INsuRERC. PO BOX 703 NSURERD: MARSTON MILLS MA 02648 INSURER E: IN9URE COVERAGES CERTIFICATE NUMBER: 9287718 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 A14Y 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.UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. MR TYPE OF INSURANCEPO Y EFF POLICY EXP POLICY NUMBER immmorfmiLBWTS GENERAL LIABILITY EACH OCCURRENCE $ COMME PREMIROAL GENERAL LIABILITY TS e Oew nee $ CLAW-MAW OCCUR MEDEXP(Any one person) $ PERSONAL&ACV INJURY g J GENERALAGGREGATE $ GEW AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ POLICY PRO Lac $ AUTOMOBILE LIABLIrY a tIINGLE LIMIT $ ANY AUTO / BODILY INJURY(Per per4n) $ ALLOWNED SCHEDULED AUTO BODILY INJURY(per-d dm) $ HIREDAUTOS NON-0WNE) RTy AVTOS eraetldenl MAG S $ $ UMBRELLA M 13 OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAWMADE AGGREGATE $ DED RETENTION$ $ — A wORIORSCOMPENSATION YIN WC2-31S-320856-010 4/19/2010 4/19/2011 wl;STA LL p AND EMPLOYERS'LIABIUTY TU OFFICERIMEEMBER EXCLU D7 ARTNERIEXEC E,� NIA E.L.EACH ACCIDENT $ 100000 (Martft"in NH) E.L DISEASE-EA EMPLOYEE $ It yes,descrbe under DESCRIPTION OF OPERATIONS ow E,L.DISEASE•POLICY LIMIT $ 50000 DEWRIPTIONOFOPERATIONStLOCATIONSIVENCLES(AttaehACORDm01,AddtllanelRemaAwScheduk,nnorcspacehtregWred) . THE WORKERS COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR ROBERT GLOVER Workess Compensation Insurance:Part One of the policy applies only to the Workers Compensation Law of the State of MA. CERTIFICATE HOIDER CAN LLA ION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE: TOWN OF BARNSTABLE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ATTN: BUILDING DEPT ACCORDANCE WITHI'HE POLICY PROVISIONS. 200 MAIN STREET HYANN IS MA 02601 AUTHORIZED REPRESENTATIVE Jeff Elddgue 01988-2010 ACORD CORPORATION. All rights_reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD CEAT a0•: 9287718 CLIMT CODE: 136417r- Anne Chandler 11121201L 7:17:41 AM Page 1 of L 71- Office�f�ons w'��ir�u-4-es`��oo�-� s Q, HOME IMPROVEMENT CONTRACTOR . = Registration: ,,111157 Type: i Expiration: 12/9P012 DBA R. VER BUILDING C ,�fi ROBERT GLOVER PO BOX 703/13 CURrTtIFX S BOGRD � � • WARSTONS MILLS,.MA02648'?'' Undersecretary Massachusetts- Depuirtment of Public S.tfe.t� - i ns and Standards • r of Buildin Rc ulat o Boa d Construction Supervisor License ,License: CS. 39868 s Restricted to: 00 { - ROBERTJ GLOVER PO BOX 703 M MILLS,ARSTOIVS ILLS MA 02648 Expiration: 5/2412012. ('ununissioner Tr#: 23910 b s .... �. s 21 License or registration valid for individul use only before the expiration date. Office of Consumer A If found return to: y ffairs and Business Regulation ` ` 10 Park Plaza-Suite 5170 Boston,MA 02116 • of valid without s nature 4 w, . _ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel � . Permit# Health Division 00 $4�Jq Date Issued Conservation Division LN ,J Application Fee Tax Collector Permit Fe Treasurerwp[ )� �7 SEPTIC SYSTEM MUSTB Planning Dept. INSTALLED IN COMPLIANCE Date Definitive Plan Approved by Planning Board WITH TITLE 5 WITH CODE AND Historic-OKH Preservation/Hyannis /� TOWN REGULATIONS Project Street Address /,�%���� �y �VAL*- Village ddress ® J�LL�� C'�✓ /�/ Telephone - 5 ®� 9 Permit Request/ Q r Square feet: 1st floor: existing proposed 7/6 2nd floor: existing proposed YOO Total new Zoning District flood Plain - Groundwater Overlay Project Valuation &i Construction Type .Leo)noz Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 40 Two Family ❑ Multi-Family(#units) Age of Existing Structure :;30 Historic House: ❑Yes 21 No On Old King's Highway: ❑Yes 13 No Basement Type: R 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 V Heat Type and Fuel:- N1 Gas ❑Oil ❑Electric ❑Other Central Air: ®Yes ®No Fireplaces: Existing _ New / Existing wood/coal stove: ❑Yes 40 No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:W 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 /M ,? �9/��✓' �1 '' Proposed Use E5 -v BUILDER INFORMATION ,- - Name �,, „C- �L Telephone Number Address License# + .9�5 ��� ✓ � ,�� Home Improvement Contractor# ® � G Worker's Compensation#6 9,6r_ ?_ _6J�1 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO 1121)/'%'/Q425 SIGNATURE DATE f�� FOR OFFICIAL USE ONLY fl PERMIT NO. s ; DATE ISSUED MAP/PARCEL NO. ' ADDI. VILLAGE . OWNER r^ r DATE OF INSPECTION: FOUNDATION / ®-,�Jr �✓p!�? �'%� FRAME FXp /4 l / .S INSULATION FIREPLACE } ELECTRICAL: ROUGH FINAL PLUMBING: ROUGIN C'o > t FINAL i m O i GAS: ROUGffi Z S FINAL >. Q FINAL BUILDING . s A_ DATE CLOSED OUT •12 Q r R0 S ' ASSOCIATION PLAN NO._ �• r r RCHITECT PETER G. BROWN 8 MAIN ST:BLDG 3A 0. EASTON, MA 02356 8-362-3450 • ICI FRENCHWOOD SLIDING f DOOR 1� DECKING TO MATCH EXISTING-NOTE NO j� BENCH AT MASTER FREEZE BOARD ON BEDROOM DECK ALUM. FLASHING pow CONT. P.T. 2x4 NEW DECKING TO �ml d P.T. 2x4 0 46' O.G. MATCH EXISTING P.T. 4x4 BENCH 2X10 P.T. JOISTS 0 SUPPORT % 4'-0' O.G. 16' O.C. P.T. 2x10 RIM BOAR E C~ P.T. 4 1/2X9 1/4 GIRT r PLASTIC LATTICE SCREENING o P.T. 2x4 BRACE GALV. STEEL HANGERS P.T. 4x4 COLUMNS 0 r' 8'-0' O.C. P.T. 2x10 ANCHORED TO EXISTING GRADE EXISTING FRAMING W/ 4#2• .� e GALV. THRU BOLTS 0 4'-0' O Oak .�.i�•y+ z T GALV. COLUMN 13ASE F 1�1 A y [� a ea 10 CONC. SONOTUBE 48 ^I o ti r Q�1 • MIN. BELOW GRADE, 8' � � � on MIN ABOVE GRADE nn _ NEW OR EXISTING FOUNDATION WALL F W DATE SECTION THRU NEW DECKS: 34 AUG, 2004 -SCALE: 3/4'=l'-O' DQAR'INCw NO.: SKA-1 I FROM`'Im 1 3004-7 1 _ - .fr014111� 1 ►.OJ{C7 Tuft UPGRADE REQUIRED IMPORTANT- r .. 1 ro x w wwooun 1 ' STATE EMLDINC CODE REQUIRES THE UPCRADiNC OF A0 R SMOKE Q-7CTORS FOR THE ENTIRE DVf�LLING WHEM 1 ONE OR I�ORE SLEEPING AREAS ARE ADDED:OR CREATED. M.. I vrnca.w uw rA�� NOTE; H SEPAPJ+TE� PERMIT IS REOULRtD FOR CA� 1 INSTALLATION OF SMOKE DETECTORS-7H EL'cCiRICA� �ewnwart w PER'LITO E�SNOT.SF.TISFY THIS REQUIREJt4ENT. ----"- -- --- ----- x K ti 00 HIM X JIM I ® - I .y� �p•1 ® 610H � Av,m F� ------------ . 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WA YfyLA Y MICNIRM a W Ord • CMS ,IYd11bl,W 16•-O•tQM CCF RAFILR9.M'OL uecle0.T9. LD 0.TC9.� OL'OL '�'�� I IIIIIIIIIIIIII II -a---4--III � I I II € II 111111 I e IIVUI II II IIIIQ IIIIf 11 I °`era IIQUII �i_�ail ' IIII.II � V gIIIILl1_Lij_!ullp ' I! iiii1l a nIIUGUlll11 � IIII, � =i wi e � � � � 1, 1, 1, 6G Ili Ijljli � 7 W a w m o o ee Fall e - - - _ - - - - 44 e e 'e >os r;wi HEADER SCHEDULE(V.N.O.) —'--- au 11TAM v m cou.,a to m r p: un e Jx-Y'Pool ROOF FRAMING PLATY: wwn BY. Pca SECOND FLOOR FRAMING PLAN: ec�m vwav PYWEIY M S-1 The Commonwealth of Massachusetts. = _ = Department of Industrial Accidents' r ' 600'Washington Street Boston,Mass. 02111'. Workers' Com ensation.Insurance Affidavit=General Businesses •��• y������•:e}jxtrs, �+�:�c�r��FS,M•`T•�•.•� ,s,. .""�".. ..''.i: :_.�, ..7�1�1 address • �•. '' �"` + C•�L.J• state: zi � � hone# �� ® `�V work site location full address ❑ I am.a sole proprietor and have no one Business Type- [)Retail❑'Restaurant%Bai/Eating'Establishment working in any capacity. [IOffice❑ Sales(mcluding•Rea1 Estate, Autos etc.) ❑ Oiher ❑I am an err to er with eta to ees(full& art time . /// %/%/"a5: 11 I am�'C'ployer providing workers' compensation foi my employees working on this job., .. :',' s�.♦t ..il F,lz� q,,.�Dp r•,' S •6?�"� /�/ •'' .•�;.. �. •'Fj 1�.'r'� •'•'..• '',R:•�,•' com an me: r't ;xi } ;l y:`.'l r'r L:; :'f •°i:;:. '�%7t:',• ' :r }`: t :r,: i.r '�. '1�4•', '.ti, ",ya. 'n,.�1:': !a'.rt' 'i,`• •.. ff..r' •;i::•f.'.•.i••'i• .Si.S. _ ,�+..i.. af...'. ':�:� -:s'• i•.?:4•C' nTi. rt,�r,�,.�i. ,,; <. eddr'e'sss ;. :t'� ,:: ,,.ti..:;•t•:S ,l,,: .r� ,:�' o e. :• •N' (;Cry!'. 7. fris'urarice.cos.. .. : '�a .' ". . ._ '❑ I am a sole proprietor and have hired the independent contractors listed below who have tie following workers' compensation polices: , 'h�. _ •Lt -• 'i,' yj., :'r ••,+.;,an namd co r,:v- :.rr!v•+:'~.qh r':t :.17 .s �i}T. ,+• ..�� _ i`r f. ;..e.., ..t��_. ,,j' •�••—:;;r•: •+?:•. .ice - dress:. .F .L. •y�.,•j'••'•.'w?1c;'q',...+''.1 ,' •.y'i' .i�'• '�•t s. s•r�' ••Ye); `t, Cl '' ;.w;'•�,,; ..{l•;y,.;' i•s::},,.,:• a.y�._sll.:•• :ia: •?"L '•i..`':;;• ''! .i.:: 'i' •'!'%•. *.P..'.'V•.''�' ,., k },: L'y ..:.'• '�:. '•O�IfC :#1•': t.'i'i':`.�;..•"7?••'..`.` :sr. `{'i.,:�: �, fris'ursnce co. j... COIIl 8I1. jialrte:.;.�, .. I', 't:. �t`, :" .. .i t as •�.- :, .. ,:t- . ..i.y' .:f+s ::t. •�h. �.11r ��:''s,:. s•' "'" .,'•" "1,:'' t t •u ''i'i' :t'•:t r.' �:"a:t•�.' OZ1C• it-: .r'. st'��.�t.•d..:._ fiisur:ance so: Failure to secrete coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a Erne up to 51,500.00 and/or one years'Imprisonment as well as civil penalties 1n the foim of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that g copy of this statement maybe forwarded to the Office of Investigations of the DIA.for coverage verification. the ins and f j ry that the information provided above is true and correct I do hereby certify under, / Date Si�ature �'� Phone# Print name J official use only do not write in this area to be completed by city or town official permitllicense it (]Building Department city or town: C]Licew' ing - Board J. ❑'check if immediate response is required _ [)Selectmen's Office ❑Health Department , contact person• phone#; ❑Other : i (rev9ed Sept 2M3) . a _ 1 Information and Instructions. ; vlassachusetts General Laws chf pter�152 section 25.requires all�PlOy person in the service of another mp under arty o tract ,m ployees.. As quoted from the law, an employee is.defined as every p )f hire; express or implied; oral or written. An employer is defined as an individual, partnership, association, corporation or other legal'eniity, or any two or more of the foregoing engaged in ajoint enferprise, and including the legal representatives of a deceased,employer, or the receiver or trustee of an individual,P�e'ship, 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.maintenaance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because Qf such.employment.be deemed to be:an employer. MGL pter 152 section 25 also'states that'every state'or local licensing agency shall vvlthhold.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 accept able evidence of compliance with shall enter into an e contract for the performance of ubli work until corrunonwealth nor.any.of its political subdivisions s Y acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority Applicants •• lies to your situation.•Please Please fill in .the workers''compensation affidavit completely,by checlang the box that applies y supply company n'arrie, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Departmentof 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, no t the D ep artment of industrial Accidenits. Should you have any questions regarding the"law or if you are required to obtain a.worker5'.compensation policy,please call the Department at the number'listed.below. City or Towns . Please be sure that the affidavit is complete an printed legibly. The Departnent has provided a space at the bottom of the affidavit for you to fill out in the eyent�the Office of Investigations has to contact you regarding the applicant. Please_ ` be sure to fain the perrrnt/license number.which will be used as a reference number. The.affidavits maybe returned to or FAX unless other:arrangements have been made.- ml the Departmentbyrna o thank you in advance for you cooperation and should you have any questions,' The Office of Investigations would like t please do not hesitate to give us a-call.• - The Department's address,telephone and fax number: on�vealth 0 f Massachusetts . T'he Comm . Department of Industrial Accidents ice o[�ei�es��atiens ' - 600 Washington Street Boston,Ma. 02111 :fax#: (617)727-7749 phone#: (617) 7274900 ext..406 oY E Town of Barnstable • �°� Regulatory Services Thomas F.Geller,Vrector q`bp s639' k~�� Building DIVisit}n tFp h{p•{ • Tom Perry,Building Commissioner• 200 Main Street, Hyannis,MA 02601 ' Office; 508.862.4038 Pax; 508-790-6230 permit no. ' Data ' A'F+'MAVIT jroj ZM Z2RO +H1=NT CONTRACTOR LAW SUPPLEMENT.TO PERMIT APPLICATION MGL c,142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, •improvement,xemoval,demolition,of constsaaeon of an addittonto any pie-existing owner-occupied btu'Iding coatainmg at least one but not more than four dwelling units or to structures which are adjacent to •• such residence or building b e done by registered contractors,with certain exceptions,along with other requheBlents, • Type of Work: �'1•'� / Estimated Cast - Address of Work: Owner's Date of Application: "� • ' ' j hereby certify that: Registration is not required for the following reason(s): QWork excluded bylaw []Jab Under$1,000 ' []Building not;owner-occupied []Owner pulling own permit , Notice is hereby given that: OyMRs PULLING THEIR OWN PERM[T OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE SOME IMPROVEMENT WOMDO NOT B3 YE ACCESS TO TEE MITRATION PROGRAM OR GUARANTY FM UNDER MGL c.1.42A, ' SIGNED UNDBR?BNALTIM OF PE=Y Thereby apply foi apernt as the agpt e o /W Z,,r Data Contractor Name Regisiiadon No. 2 ) ASB?�7r vo2ffL) Owner's Name . ' Town of Barnstable p4tHE tOl,.- . Reguxatoi y Services .$ E 'Thomas F.Geller,Director� $ qq, s6�9 k•� Building DMSIOn pTD � TomPerry, Building Commissioner • 200 Main Street, Hymnis,MA 02601 . . Tr".town.b arnstable.ma.us Fax: 508-790-6230 Office. 508-862-4038 T?roperty Owner Must COmplete and Sign This Section If Using A wilder �2C-UVk A��� as Owner of the subject property hereby authorize • to act on mybehalf, -_ -- an matters relative to work authorized by this building permit application for. (Address of Job) _ - Signature of Qwner . Date print Name I i MAScheck COMPLIANCE REPORT 1 Massachusetts Energy Code Permit # I MAScheck Software Version 2.01 Release 3 I I I I 1 Checked by/Date 1 I I TITLE: Robert Glover Builder CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 8-3-2004 PROJECT INFORMATION: 55 Irving Av Hyannisport, MA - COMPANY INFORMATION: All Cape Insulation & Supply Inc PO Box 645 E Dennis, MA 02671 COMPLIANCE: Passes Maximum UA = 879 Your Home = 872 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ----------------------------------- ------------------------------------------- CEILINGS 2950 30.0 0.0 103 WALLS: Wood Frame, 16" O.C. 3615 13.0 0.0 296 GLAZING: Windows or Doors 1088 0.330 359 GLAZING: Skylights 6 0.400 2 DOORS 18 0.550 10 FLOORS: Over Unconditioned Space 1700 19.0 0.0 80 FLOORS: Over Unconditioned Space 670 30.0 0.0 22 HVAC EQUIPMENT: Furnace, 87.0 AFUE ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date r BOARD OF BUILDING REG.ULATIONtS L4cense: C NSTRUCTION SUPERVISOR N:um—be 039868 (' p Bi die- /. 2M ------ -- Eq 0 Tr.no: 24715 Re l„✓ ROBERT J GLOVE. PO BOX 703y �� MARSTONS MILLS, �/ar�2S48 C /f Commissioner T P W,Awd . Board of Bu►lding Reguldtions an¢Standards t VEMENT CONTRACTOR HOME.4M �0... ell i� , 12004 �4 AP-1� �A R.GLOVER BUILf� s �- ROBERT :GLOVEF�:� r P.O 80X 703/13 CURTIS MARSTON$,MILLS,MA 02648 � RESIDENTIAL BUILDING PERK UT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations. $ 50.00 01 sS g 6 D Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE / / C square feet x$96/sq.foot=l 7 x.0041= C , plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot x.0041= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0041= ACCESSORY.STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf. 75.00 >1000 sf= 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00= (number) . Deck..-. x$30.00= (number) Fireplace/Chimney . x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee � �� • G � Projcost Rev:063004 SUBDIVISION PLAN OF LAND IN BARNSTABLE 56,0 Eldredge Surveying Co fig Robert B. Eldredge, Surveyor October 5, 1973 Y L.C. Nu. ?OJr,,4 I lj?VIJVG t 32 00 Wide I AVENUE E,NUE c.rj 83• !•' so* . r 4C 00 St.- ae e• 6QQ0 ' /65.06 .. D� � wAar- G' of 2 N O ?40 1� 6,e 0.•. JSO'y cb Q� `o S�p,J c e • � _ w ':� '�u� UI✓� A f %+Q � i \N C FonQi Z w 6. C. tnJ 47'ON6 ?9 tie. ,,•! � Mary C. McCreery C.No.r�l36s Qi • fe.r. b � e c h ? o � • Subdivision of Lot Do Shown on Plan 11256C Filed with Cert, of Title No, 6429 Registry District of Barnstable County Separate certificates of title may be issued for land ,shown hereon as-4Vls-.t.00.-,?-------------------- Copy of part of p/aa tt in y the Court. LAND REGISTRATION Of f/CE n -- FEB 2? /974-- � � Scale of this plan 66 feet to an inch EFL,��+12974 Rtcorder R•L.Woodbury,Engineer rar Court 20.V14/jF- Vj r'z.1c7' F/ 3 s'Gc p ,CoT' CD Assessors map and lot number u1l?O �Ot SEPTIC SYSTEM MU � 'x_ETo� Sewage Permit number ........:. INSTALLED IN COMPe ° WITH TITLE House number ....................... .................: - �Ta LE. S pM TOWN OF BARNSTABLE W BUILDING INSPECTOR t y �DlTi �/ APPLICATION FOR PERMIT TO ..... fuS.:......O...K...........�I.............U........................................................... TYPE OF CONSTRUCTION, ....:.....�...G��D}s ..................................... ................:........................................................... ...................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..'�.../�2U�! ...R1�.Fiu.U..r� ........... A!4t!N.o..�.!�'.........................................:........................................ ProposedUse ...... T�� 4?1........-.... `I�/Jewtr ........................................................................................ Zoning District .........?:5:1.................................................Fire District ..HyAm ..rs.r................................................... Name of Owner ..�PGtf3E1Z,T' 77ZEV/SAIL!/... . .. Address .5.../!2U/!�f�?.�7rU.E7..... YpII�N/5 ..................................... ................... Name of Builder ...........................Address C1�T�i2ul.UE "........ ...................... Name of Architect !A...........Address ldl..M*4/A/.;57.7243.Zrr.....C.��&ta....... Numberof Rooms .......... ......................................................Foundation .... 3u. ...� �C ............................. Exierior ` Mytc. ...Roofing ���.� Floors �'L� Interior .......... �. �C�...� rr ................ ........................... ...................................................... r.............. .... Plumbing ...J.....`�..: T ^.00/ ........................:.............. Fireplace ................... .A/✓�.................................................Approximate. Cost .........rU�..........:.......................................... D Definitive Plan Approved by Planning Board -------------------_-----------19________. Area �yQ.-.�............ Diagram of Lot and Building with Dimensions Fee ................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Bar able regarding the above construction. Name .... ...... ......................................... Construction Supervisor's License *PP4aJr ........... TREVISANI, ROBERT No ..28770.... Permit fdr" AD TO DWELLING ............................ , • r Sin le Family Dwelling .... ................................................................ Irving Avenue r Location ................................................................ t Owner .•Robert Trevisani Type of Construction .••Frame ................................................................................ Plot ............................ Lot.................................. Permit Granted •• December 16, 19 85 r Date of Inspection ....................................19 Date Completed %. . '.. �?�....19 • - 1 if = 4 t Assessor's map and lot number ....... ! '..�' .��.. Q�oF THE Toy♦ Sewage Permit number ...........:......... 1 33ARNSTADLE, i Housenumber ........................................................................ t 9�p 163 0� TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........-...t'r.i r t 1; r t f.....1.j:::�.'.!.j.�..I'd....................................................:.. ........... TYPE OF CONSTRUCTION ..................:..a:...................................................... .................................................. * ....................... ........ 1....19 r{:: TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..." ... .1....:.!v''::....: !:r: .! .:t................. o`A ::. ...........;`................................................... ................................... Proposed Use .......... . .1 r. f` r- l:� : :'. .................... ..te r f rY�...... ....................... ,............. i, 1 Zoning District .........' . ....:............................................Fire District .f2.M V IL ::......,............................................ Name of Owner ............ .�r ........'... ....... .....Address f:.. .. . /............... �r „I:`.`..: ... /l`!%3f.!/iJ!?..::::�.. Name of Builder f J, x 'f':c r Address ..Ale, IrA/4 r: ✓��f..':..... ltrz/f K t r. t�� .......................................... ......................... .... Name of Architect ::r!...'r�n. /,j1,/>' 1<>,�.!::3...........°Address ..`.:I.i ��t r>r! ,rt!/J. . .. !..'`:.?.l.r.rr.......... _ ............... ... Y .. _ ... . ,y Numberof Rooms ................................................................ Foundation ........................:...................................................... Exierior ... ....... /�ri.,, 1 s,' .. r.. .....................................................................Roofing ........ Floors } k ....Interior r),, %.. ..'3!.l r T r r r f' .Plumbin r C'.a-'...e/{ Heating g ..Fireplace ...................Approximate Cost i� Definitive Plan Approved by Planning Board --------------------------------19--------. Area . f Diagram of Lot and Building with 'Dimensions Fee /,, SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Bar sable regarding the above construction. f' Name .... ........ ....�--..�.......�............................. >1 n „� �, � � `,• '' Construction Supervisor's License ...........-...:::................... TREVISANI, ROBERT A=286-034 No ... ... Permit for ; .Auto Dwelling .......Single,_.Fam.i.ly..D��llip.&....................... .... ...... . . .. ...... Location ...5.5..1);.V.ing..Aytn��................ .... .............. .. Hyannisport .............................................................. ........ ....... Robert Trevisani Owner ................................................... ............. Type of Construction ....FraIRP............................ ..................................... ......................................... Plot ............................ Lot ................................ Permit Granted .........D.ecem.b.er...1.6..........19 85 . ........ . .... . . Date of Inspection ....................................19 Date Completed ......................................19 PROJECT NO.: PROPOSED COND17IONS SITE PLAN: S004-7 „� r/') '')a TOP FNDN. AT EL, 34.9' SYSTEM P R 0 F I L E REVISIONS: �'+�: 2(✓ - �' .i ACCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) j.,/ PROVIDE INSPECTION PORT WITHIN TEST HOLE LOGS EL. 32' ACCESS COVER (WATERTIGHT) TO 6" OF FINISH GRADE /// INIMUM .75' OF COVER OVER PRECAST WITHIN 6" OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM , , EXISTING DRIVE TO REMAIN: 33.5 - 34.0 - _ - - - s, �k 2" DOUBLE WASHED PEASJONE ENGINEER; LISA LYONS, RS s� , ELI-RUN PIPE LEVEL ,►� EXISTING DRIVE TO BE REMOVED: _ - _-- -_ PROPOSED 1�00 FOR FIRST 2' 3' MAX DAVID STANTON, RS �- LOCUS PROJECT TEAM GALLON SEPTIC WITNESS:. I r 31.24' 30.99' H-2200 (-- 31.0' 3/26/04 1/ NEW DRIVE: ��: ' TANK (H- 10 ) cAs �_c 30.37' DATE: IRVING AVE PCHITECT BAFFLE 30.54' © a a o 0 0 0 < 5 MIN/INCH W TER G. BROWN MN 30.17' oaor� o ED000 PERC, RATE = z ( 2% SLOPE) �6CRUSHED STONE OR MECHANICAL Z' [� © © © M 0 © 0 a I ATLANTIC CygNr 8 MAN ST.-BLDG 3A 28.17 CLASS SOILS P 10,679 MA 02336 COMPACTION. (,t 5.224 [2]) 0 [� 0 EASTON, EXISTING CONTOUR: DEPTH of Flow = 4 1 1 3/4" TO 1 1/2" DOUBLE WASHED STONE # DALE -362- � 38 TEE SIZES: (-X SLOPE) (-X SLOPE) VAC ENGINEFp NEW CONTOUR: 38 INLET DEPTH - 10", H-20 CHAMBERS 1 ELEV. o. OUTLET DEPTH - 14 0" 33.8' 0 8 MAN ST-BLDG 3A 6.67' A EASTON MA 02356 LEACHING 8-2g0-0260 FOUNDATION--- 11 ' SEPTIC TANK 45' D' BOX 22' FACILITY �I�S UNSUIT. 12» 10YR 3/3 1VIL Ei`e'GI1`IEE{? *THE INSTALLER SHALL VERIFY THE LOCATION MAP NTS NOTE: LOCATIONS OF ALL UTILITIES AND ALL LEGEND 21.5' WN sT EnGmEERNG THE CONTRACTOR SHALL MAKE ALL NECCESSARY REVISIONS TO THE BUILDING SEWER OUTLETS AND ELEVATIONS /lsS UNSUIT. ARMA#4 ST RTo MA 0267a PRIOR TO INSTALLING ANY PORTION OF 10YR 5 6 ASSESSORS MAP 286 PARCEL 34 -362-4644 THE EXISTING LANDSCAPE IRRIGATION `SYSTEM TO ACCOMODATE THE 46'> / SEPTIC SYSTEM 100.0 PROPOSED SPOT ELEVATION ZONING DISTRICT: RF-1 NEW HOUSE AND SITE RENOVATIONS AND ADDITIONS NOTE: MINIMUM ELEVATION OF BUILDING YARD SETBACKS: SEWER REQUIRED IS 31.4'. CONFIRM 10OX0 EXISTING SPOT ELEVATION FRONT = 30' ELEVATION PRIOR TO INSTALLATION OF 100 LS/SL UNSUIT. ANY PORTION OF SYSTEM. RAISE , PROPOSED CONTOUR #0 0 � � SIDE 2,5Y 5/4 OUTLET ELEVATION IF NECESSARY. 72 27•8' REAR = 15' IRVING ,AVENUE I (CONTACT ENGINEER) 100 EXISTING CONTOUR PLAN REF. - LCP 11256D NC2 FLOOD ZONE: C IR VING ;;q V�'NU PERC / \ O Q 50.00� �_ � 737.1 E pig +. 9. / + 39.8 + 3 %5 ,g\ MS °�� 3s 2 \ +--4�A _ '� - SEPTIC SYSTEM SHOWN AS 041.0� -+ 40. 50.00'f - 3_ ,7,1 PER AS-BUILT CARD ON FILE ----a *3 .7 0. . 9 -- 2.5Y 6/4 AT BOARD OF HEALTH -I- 39.8 G+ %5 » if 1 3 .8 148 1 41.10 4- 39.2 NGWE 21.5 / i �I- 35.9 + 34.4 3 .7 / 37.2 � r�1 � EXISTING WILD FLOWER 35.9 + 34.4 / .6 MEADOW TO REMAIN 37.9 36.4 / 37.2 Q7 / / // M � aj^j ram►, / 36.4 + 6.6 Allk � i 3 / nD 37.9 J / y EXISTING DRIVE tr i M + 34.6 TO REMAIN j 3 � + 33.5 �� , f35.7 + .4.6 SEPTIC DESIGN: (GARBAGE DISPOSER IS`_ n)- I r�1 35. / i ( N T A L05NE� ) rw1 x _ DESIGN FLOW: _� BEDROG D) = 550 GPD IS ( 110 GP + 38.4 USE A 550 GPD DESIGN FLOW �'■� low ! ! , W >r / N SEPTIC TANK: 550 GPD ( 2 ) = -1 TOO - , w _ + 38.4 o i? USE A 1 5_00_ GALLON SEPTIC TANK I' t NOTES: LEACHING: � M.r 34.4 / 0 2(47.5 + 10,83) 2 (.74) - 172 T �� r SIDES: APPROX. NGVD -� 34.6 34 4 f c 1 , DATUM IS NEW 3 CALIPER TREE � `� r 47.5 x 10.83�.74) = 380 t 5.3 + •3 tr LIMIT OF WORK LINE PROVIDE VENT WITH CHARCOAL FILTER tt j a BOTTOM: rn r 0 2. MUNICIPAL WATER IS EXISTING AND r I HOMEOWNEREEN (FINAL CONSULTATION) WITH + 34.4 TOTAL: 55 ^� / ' • �341• ) r 747 S.F. 2 GPD 3. MINIMUM PIPE PITCH TO BE 1/8» PER FOOT. r/1 r w ' 34.6 �- 34.4 ,�°` USE (5) 500 GAL. LEACHING CHAMBERS (ACME OR 4. DESIGN LOADING FOR SEPTIC TANK TO BE AASHO H- BENCH MARK - TOP OF , 10 o G -�,,�3,0 .3 , , 1 .� CONCRETE BOUND. t LE, CH /� , i I TH EQUAL) WITH 3' STONE AT SIDES AND 2.5' AT ENDS DESIGN LOADING FOR D'BOX & SAS TO BE AASHO H- 20 � � ~ ELEVATION = 34.0 ,5�N / ' 3'6���:' P11• -�. / rr -� 34.1 34•1 � ' S. PIPE JOINTS TO BE MADE WATERTIGHT. Nw Now � 1 . 6, CONSTRUCTION DETAILS TO DE IN ACCORDANCE WITH MASS. p ► �I N �/ � 3 // BENCH MARK - TOP OF 0'ir, ----�33.9 1G00 GAL, ENVIRONMENTAL ENVIRONMENTAL CODE TITLE V. ,CONCRETE BOUND. 33.5 , • ' // ELEVATION = 34.0 1 �33. L:'iACH 7. THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT TO BE USED FOR ANY OTHER PURPOSE. I�EW.GRA1lEl AV / , �5 LP I f - �I! 33. 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. r r / I + 3. j o 11 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT � M" ~ r = 33� 11 INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED 8" TREE TO BE REMOVED j i EXI`:T FROM BOARD OF HEALTH, -•--i (REPLACE WITH NEW 1500 GAL. 10. PUMP & REMOVE (OR FILL W/CLEAN SAND) EXIST. LEACH PIT r."� 3 .e 11 �f ;' ! 100'J SEPTIC TANK) CAUTION: GASLINE IN AREA � J SS 5' REMOVAL OF UNSUITABLE SOIL f GAL: ST + 3 .5 f ' r ' \ `�8y REQUIRED AROUND PERIMETER OF 1 i i' e 3� _ r 32.9 �j x�j LEACHING FACILITY, DOWN TO I ' Ss PROP. FRONT ENTRANCE 1 EW BRI JALk- 131 ° SUITABLE SOIL LAYER. REPLACE 33 8 ,, r 1 3 2 �8• DECK AND STEPS j REMOVE EZI II P / NTH CLEAN MED. SAND. ENGINEER t I it + 3 . 33 TO INSPECT AND CERTIFY _ - - REMOVAL + 5 1 STAMP DECK / t O + 3 31.0 O 33.5 I- 33.5 / / M 11 O + 32.8 N i 33 3 .5 NEW STUDIO EXIST. DWELLING / / i + �___ 11 G \ PR o . ADD'N. o FIRST FLOOR ELEV. = 33.9' FIRST FLOOR ELEV. = 35.4' I / + 29.3 -+ 33.5 a TOP FNDN. ELEV. = 34.9' J 1 / �� ry BOARD OF HEALTH _ t �-SEWER LINE MUST BE 1 7 // /fry 32.5 SIDE SLEOFF CROSSI FOR NG WITH , APPROVED DATE ' MA SITE PLAN \ 31 / WATERLINE %� 1 + 29.3 TITLE �� / EXIST. DWELLING ry� OF 55 IRVING AVENUE SITF_ ft � + 32.5 I EXISTING DECK 32A � � / 15 FIRST FLOOR ELEV. 35.4' - I TO REMAIN 7 TOP FNDN. ELEV. = 34.9' _%` IS•4' rs I - SE1n1EIZAGE STEP ELEV.=33=' DISPOSAL PLANS ERR-AC�LE;�=3 - 6 i � ry`b L �� IN !"HE TOWN OF: A1�IS - f + 3°• 0/ /+ 27•9 / 3 EXISTING DECK I PROP. �s.a' ( HYANNISPORT) BARN STABLE DATE I _ N // 29. / - -----_ 8` 1_____-` DECK ry� PREPARED FOR: M M ROBERT TREVISANI 46 JULY 2004 3 18 _ 28 _ 30. 01 + 27.9 ,NEW TERR OF ` r 30 O 20 0 DRAWN BY: + 28.4 LUESTONE 20 PAVERS + 2 2g -_.._..,-..,,.``. c� PGB 2&- - -- - - - -�� ,. r- �. � M 2s - � „ - SCALE: - SCALE. 1 - 20 DATE: JULY 6, 2004 + - + 26.7 + 27.5 � , - 27.6 LIMIT OF WO K LINE 2 ry DRAWING NO.: 27� f off WS-M-4541 r p 1 2 , + 26.6 + -_----- 27 - + 2s.7 tux 5W 382--9880 9 + 27.5 27.6 do wn cape en gin eerie g, inc. 26 _._._---------26 2"1 + - --- 177.290 + 26.6 CIVIL ENGINEERS � 0 LAND SURVEYORS + 25.7 939 main St. yarmouth, mn,02675 ARNE H. OJALA, P.E., P.L.S. DATE