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0093 REDWOOD LANE
IF �Red cone 'm F 0 r 3 �;. A 1� F parr. �3, ' . Q o.og 7 ,�.. nr L s;3 3,� N C57 I Zc>� F:_ao"r- . (3. w/F VWeN�E M U � 1 P OF 4 Fy�..(.r4i_ 1'-. CLrlu~��E-" a�� yN CERTIFIED PLOT PLAN 4 NEW CONSTRUCTION ONLY S �0 � - - o� a IN TOP OF FOUNDATION IS- FEE F ADJACENT No�Rvo � J� �•��j+ � .�. 'ABOVE LOW POINT 0 . ROAD. SCALE, � , `_3v ' DATE f�%3 E Q l �Aysra I CERTIFY THAT THE F���,����-1,0 GLItMT gNOWN ON THIS PLAN IS LOCATED EGISTEREO REGISTERED �iv4lA ON , THE GROUND. AS INDICATED AND CIVIL LAND dO� IdO. ._,.,...,,�.. CONFORMS TO THE ZONING LAWS ENGINEER SURVEYOR DR.9Y! �� / �� OF ®ARNSTA E A5 E pr 712 MAIN STREET` Cd1,RY� ,� OS,2s 8 HYANRISD MASS. $HEET..�,OF„ DATE R'E0. LAND SURVEYOR <. Town of Barnstable *Permit# �! ' Z 37 E�tres 6 months from issue date o� Regulatory Services Fee 5 t BARNSTABM MASS. Richard V.Scali,Director � ����� papal s639. �m o ��► `�' Building Divisio Paul Roma,Building Commissioner SEP 1 9 200 Main Street,Hyannis,MA 02601 2016 www.towri.barnstable.ma.us ��! n p Office: 508-862-4038 rO7UN VFax�p5 8%'OpU2 E EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number- Property Address � 1 d y y- P /Al # Au,.. ❑Residential Value of Work$ Ida Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address /Q�J JJ� M ✓ adl �)t✓ Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box)` ❑.Re-roof(hurricane nailed)(stripping'old shingles) All construction debris will betaken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side Replacement Windows/doors/sliders.'U-Value N d y (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other.town department regulations,i.e.Historic,Conservation,etc. ***Note: . Pr erty Owner must sign Property Owner Letter of Permission. o me Improvement Contractors License&Construction Supervisors License is equir ,SIGNATURE: Q:\WPFILES\FORMS\b ding it fo \EXPRESS.doc 06/20/16 The Caazwompealth a,f Massadiusettr D'epartaeut q f Ind=&d Accide ntg Office Of 1MW54Wd= Boston,_�A 02111 kpronnias gOrldia Workers' Campensati Iumn-ance Af 5xkvit:$uildersICtintractGr-JE ectr cians(Plumbers AppHcan#Infm7mfrlln Please Print�e tlY I sine usmesst gaa a . A� � ���nA'�- ess: Waal ��►� E eitgJSta-!! � w4i Z 0 Phones Are YOU an employer?.Checkthe appropriate biz: Tyke of project(required): 1.❑ I ant a employer with. 4. ❑I am a general contractor and I 6. ❑New construction employees(full an&or part-fiime).* have luredthe sub-contractors 2.❑ I am a sale proprietor orpartner- fisted on.the attached sheet. I ❑Remodeliqg. skip and have no employees These sorb-cantracors have g_ ❑Demolition. wa idng for me in any capacity- employees and Imle Workers' 9..❑Building addition [No wod:ars'Comp_i4avtrance camp. I required-] 5. ❑ We are a corporation and its 10_❑Electacal repair er additions 3_ I am,a homeowner doing all work officers have exercised their 11-❑Plumbingrepairs or additions. . [NoworlrEcs'comp_ right ���yQf // dWe ae�o 1?❑Roof repairs inn ante required•.]1 c•M l4 employees_[No'wQdzers' 13_0 Other camp_insurance required] #Amy applic=dmtcbecJsbaa inmastalsofiIIonEthesectioahelowshos4iagiheawodcets'camp mfi+++pu&cgi�dn�sunn_ I ErOMMaers md3o submit dm affidavir in g dtey ate dam.-sH wo*an4 diva hire outside a nt=t= nit submit a new affidavit iadicztne srrh ICauoaciors*a2 chetY this box mast w t rh =additi®at sheet sbotving the--of die sub cam and state whether or not Horse entities base employees.I€the snb-c�shI=e employees,dieY—PmvidedwAr wad'wnp•pGRS number I am are euipLayer that isprQuirIurg warifers'comperrsrdiun irrszirarrca�nr my e>rrplu}�eex $etory is fire p:rBGy rtrr3 jeb site inf orazatiara. Insurance Company NEame: Policy or Self-ins Lic- k Expiurtran Dade: Job Site Address: CdylStabdzip_ Attach a-coppy of the workers'compensation policy dechwafion page(showing the policy,number and expiration date). Failure to seeum coverage as required.under Section 25A of MCI,Q M can lead to the imposition of rdmhlal penalties of a fine up to$00a 00 andror orie—yeirimpdsorzmeut,as well as cis penahies in*e fom of a STOP WORK ORDER and a fine of up to$25t1_OtY a violator_ Be adsdsed that a copy of this stagent sway be forwarded to the Office of Inv _ DIAL€or" a ge verifcation- I do[Wr artd qfpzdW7&attha inforwra Youln-ol PwW abm a is tnre and correct ip�aiterrz- .Date o .Pig -4 Dv jwt wife in dib area,to be mmpTeted by cep artoa n vfflc&L CRy or Tana: Permitll icense i€ Issuing Amfl arity(ci rIe one): *Soazd of Health 12 Bm'kIrag Department I C tp Town.Clerk, d.Electrical Fnspector S.Plumbing Insspector. *Other Contact Person Phow;9: -- 6 Liformation. and Instructions Ma_ ssac3;rsceffi;C,&nerat Laws chapter M regales aIl=IpIoyeas ID provide wows'oanzpeasation for flies eToployees. Y this stafutf:,an azrplvyee'is defined as"_eYerypersonin the seavicc of another under any contraDt af'hir�, 1 empress or implied oiai orwiit� An�Fayer is defined as"an iadzYidnal,parinersb�,asso�fion;corporation or other legal e�y,at any two or maze of the foregoing engaged is a joint mdmp =,and inclurLg the legal represenf tjvas of a deceased employer,or the receives or trustee of an individII per,associafian or ofherlegat=tlfY,=PloYM9 eraployeM. However the owls of a.dwelling house having not min a thus f3=apartners-and who resides thm-c n.,0rth.0Dccq3amtGftbz - dwelling house of an, who ejploys pms=to do mafitm cer,west r acti on or repair wank on such.dwelling house or on.the grounds or bm7dmg appp=h murffereto sballnotbmanse of such employmentbe d=aedto be an employer." MGL chapter 152,§25C(6)also states that=every state or local licensing a9mcy shall withhold the issuance or renewal of a license or permit to operate a busimess or to construct buildings fin the commonwealth for any applicant-who has notproduced acceptable eYidence of cnmplianm with the T„�,-a*�ce coYex�ge regnrired" Additionally,MGL chapter 152,§25CM sties-Neither the comet wealt nor;�ny offfs poIhical subdivisions shall enter into any contract for the petfomaace ofpubho,Work until acceptable evMm=of c omp E z;a ao with tha him nmc.6. reglm-em ems of this chapter have been presentrd to the conirM�a anthouty." A-ppIlcan-b Please fol obt the woikess'compensation affidavit completely,by chwJdng the bo=that apply to pour sitnaiion and,if nmess.xy,�PIY sc±� r(s)name(s), (es)andphone u<anber(s) alongwiththez=tdacate(s) of in Limifud Liability Compares(LLC)or LfmitedLiabi-ity-Partnesships(LIP)with no employees other than the members or pamtaeas,are not requ e .to carry workers' campensafian'^smm,ce If an LLC or LLP does have employees,apolicyisreloiaZ Beadyised that thisaf ida:vkmaybesnbmittedto the Depaitrnmtofludustial Accidents fur conffimadon of msmm=coverage: Also be sure to rigs and date the afidaYit The affidavit should A- be,r-Dtizm(-_d to ff e city or town that the applicafion for the pennit or license is being requested,not the Department of Fr usttial ccidcu:ts. Sbouldym have any questions regacdmg the law or ifyeu ate rcgairedto obtain a woik=* compensation policy,please call the Department at the n=bcr lister below. Self-iiisczced coMpanie$should eu r tTaeir self-ins❑z`mce license number an the appropziafn line. City or Town Of r7aTs t _ Please be see that the affidavit is complete and pritedlegibly. The Department has provided a space of the bottom of the affidavit for you to fM out is the eve±the Office oflnvesGgatinus has to co�aC.'t you regal ding the applicant - of be m a tD fill in the pen tl r,ease mrnbes which will be used as a mf,=ce gibes 7n addition,an applicant fat must submit multiple PenntE=me applit:afi c m aay gmm yrar,need only submit one affidavit mdicatmg co Mt policy inforinaiioa(if necessary)and undea'1ob Sitn.A_d&ess"the applicant should�"all locations in (�Y m town)--A copy of the-affidavit that has ben officially stamped or ma dced by th-e city or town maybe provided to the - applicant as proofthat a valid affidavit is on Me for Um p=#3 or lice:ases_ Anew affidavitmust be fiIled out each year-Whrre a home owner or citizen is obf.i,6ng a license or p=k not related to any business or commercial venture (i_e a cl og og license orpennit to bum leaves leaves etc_)said pemon is NOT m1pizEdto complete this affidavit The Office of Investigations wouId h-_ta:t�k you is advance for your coupe on and sbs�vld yamhav a any- 1 gaesiions, please do not hesitate to give us a call The Deparimmf3 address,telephone and faxrmmber- 'Fhe�Co I-ft of Mamchusdf Depaiti ant of lid Aocident% , - �4 Ta 4 617727-4 Wt 4-Q6 Or I-V7 MA.S&AFF, Fax It 617`27 7M evised 4-24-07 W W7-Muggaviffi Town of Barnstable Regulatory Services P&Pa& �, Richard V.Scali,Director 5 & Building Division. Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 wwwAown.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must ; Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf; in all matters relative to work authorized by this building permit application for: 6 (Address of Job) **Pool, fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature-of Owner Signature of Applicant ; Print Name Print Name • Date QYORMS:OWNERPERMISSIONPOOIS. Town of Barnstable ,. Regulatory Services eOUt Richard V.Scali,Director Building Division m . t Paul Roma,Building Commissioner MAM 1. 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 - Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DA:'E: 1 ,t JOB LOCATION: j f 2� 4Jd dU d G number street village "HOMEOWNER": Ag el'1 ji nl name home phone#� work phone# CURRENT MAILING ADDRESS: T go w0d Lf`�G city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire,who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- 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) \ Tl_e undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. unde i e "ho eowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection The gn g P P proced es -Feq d that he/she will comply with said procedures and requirements. 17 SignK omeo e Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided,that if the-homeowner engages a person(s)for hire to do such work,that such Homeowner shall-act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 06/20/16 ( T,'R �� p f "y. U3E j 3 E,ii3 p3 di - 3 ��✓� t £cc>h Parcel m F288-106— I Developer Lot:0 1 Location 93 REDWOOD LANE" ( pri Frontage F7 — za Sec Road .Sec Frontage Village[Rya Wi Fire District-FFWANNIS Town sewer exists at this address NQ Road Index,1.fs w Asbuilt Septic Scan; r 14' '�; 288106_1 'Interactive wrap � a� 288106_2 ra � t o a 3 - E 3 i3• M' Owner!SELLERS, ESTATE OF,) owner %UfV1A,HARRYSON Dx� streetr 93 REDWOOD LANE: �,Streetz _ a> city HYANNIS state AMA I zip 102601 (country 6 r ztY��4�rrr�E r!✓ ,F R��q'� r E kt -.- - - - & v �3 yr . Fam MD ngleacres use nbd 0106 t ran Dnp3yed To aoq p r Road Level Utilities Public Water,Gas,Septic location. OQ SfftlGllQ(1 Rf �fi. r Pru' •s 3 3 �l 3 S i v3 r '`NY3P r Sn aY,'vy' 4. k ,� 3 k'`p a 3 : 3 qll� 11?13 el, �a .ru ....,F. ..uiL:Ew. : d,"._.._,. ..t__.my 1 ! r _�' - -a.Ti a ".L. =" � �` • "23, k t° �. of Town of Barnstable *Permit# k6l 33 S Expires 6 months from issge date NAM Regulatory Services Fee %639. i' Thomas F.Geiler,Director ArEO1A°rp Building Division Tom Perry, Building Commissioner 200 Main Street,.Hyannis,MA 02601 Office: 508-862-4038- F Fax: 508-790-6230 X-PRESS PER- EXPRESS PERMIT APPLICATION - RESIDENTIAL O 0 2004 Not Valid without Red X-Press Imprint Map/parcel Number TOWS OF BARS ttiv_� Property Address A i Residential Value of Woi L Minimum fee of$25.00 for work under$6000.00 A Owner's Name&Address fi3 j ,�' 1. Contractor's Name LQ _ i l-I S Telephone Number_�� U `�2 `g 1. Home Improvement Contractor License#(if applicable)_ / 360 6 Construction Supervisor's License#(if applicable) ! Gf/�'e".r�rnzuseal�i �✓L% ec Board of Building Regulations and Standards ❑WOrkman'S Compensation Insurance Check one: HOME IMPROVEMENT CONTRACTOR I am a sole proprietor Registration:-.36003 r]—I am the Homeowner Expiration: 5/30/2006 ❑ I have Worker's Compensation Insurance i Type: Individual Insurance Company Name 1 ` BRUCE P.MILLS, BRUCE MILLS Workman's Comp.Policy# 16 CROOKED POND RD Copy of Insurance Compliance Certificate'must be on file. HYANNIS,MA 02601 Administrator Permit Request(check box) Re-roof(stripping old shingles) All construction debris will betaken to � G,((d7 t�'� i1 E �30. ❑Re-roof(not:stripping. Going over existing layers of roof) ❑`Re-side ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvem ntractors License is required. Signature __O:Fnrmc:exnmtry a Town of Barnstable . Hero Regcxtatory Services . nomas ' Geiser,Director building Division Commissioner . ac t� Tomi enl, Suildmg . Z00 Maio Street, 8ya�,MA 02601 . . . ,- �.tat�n.barnstable.ma.us -- Paz 508-790-6230 office. 508•867-4038 - Property owner-Must Corn fete and Sig TMs Section . �r•. . ..._ . - -Complete using A.Builder • --.. • . . as owner of the subject property to act on mybea]f, h�ebyautborize e to For4 ,60 A d b tl yiis bul&Z permit aPPhcatton for, matters relatry , E? L (Address of fob) - ---._ Date. _of . .:-- Signature - �riutTI - ssor's map and lot number .... SEPTIC Sy f, HE #NST STEM MU - - /........... ALLED IN fur W,age Permit number ......!r — - vag CWP1,1A.i.Cr' WaN Tffu 6 DARN-5,TAILE, .House number .............. (0.............................. -NAS& Lft 0--*_--A- ..W"WC009AN 1639- Al a MAY OF BARNSTA TO" MMM TOWN L L BUILDING INSPECTOR APPLICATION 'FOR PERMIT TO ..... ..... ........... .......... TYPE OF CONSTRUCTION .................................................................................................................. ..................... .....191. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: .......................................Location .... ...... ............... ........... ProposedUse ...... le....... ................................................................................................................... 4- Zoning District ...1 ........................................Fire District ........................................................................ Name of Owner Ap.ct... ....Address Name of Builder AAddress ... ...... j .. ...... Nameof Architect ............... .................................................Address .................................................................................... Number of Rooms ...... .........................!.............................Foundation ..... ........................................... Exterior ..,........ 1;7/.....................................................Roofing ......... r............................................. Floors ......... a............................................Interior ...... A......................................... .......................................Heating ............. -5 ............ ..........................................................Plumbing =a Fireplace ........K .5.............................................................Approximate Cost .................................. ...... Definitive Plan Approved by Planning Board --------------------------------19-------- - Area ........ Diagram of Lot and Building with Dimensions Fee ......6;g6Z.;7 ........... SUBJECT TO APPROVAL OF BOARD OF HEALTH `� b 2 � :12 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..... ...... .. ............................................... A 0�- . — _�' L.............. SELLERS;; ROGER & IMARY I f One/.Story t :.22.... Permit for ..................................... Single Family Dwelling ........................................ Location „Lot 18, , 93 Redwood Lane �" Al- •�-► Cam. ON Hyannisport ..................................... .... .................... . Owner .Roger & -Mary J Ejellers ti /. i Type of Construction ..Frame........................................ `. ............... ..................................................... Plot ........................... Lot ................. ` f t Permit Granted „ Apri l 7., ` ,,19` 83 /f ....................... „ Date of:'Inspection ....................................19 f 1 Date Completed ............................ 19 ,41 (-,L71 41,BERMIT REFUSED o; ! I................................ 19 ................................................ 40 r ...... . ... . AA................................................ I :1 ---: •, Approved .. ...... .. ..... . ... 19 `> 1 .................. r/ .................... ..................................................... ... 12,Z- Assessor's map and lot number TOWN OFBARNSTABLE BUILDING INSPtOTOR TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Zoning District Fire District ' ' Nome of Ovvno, ../�...�. ~~'..�7- -A66rmo ���-/�/.c�/��\...�/v../7«/-.. ......... � ` � . � ' ' ' � � Nome of Builder �^ A66r�-o- . ---------------- ---..------- � �v`' '�c�' � � ^ / Address Nome of Architect .................................................... /---.. ----.--------------....------- -/ Number of Rooms ......6......^-.---_. c ---^-'Foun6otion ...... .� � � . .^-r�--------------- ' Exie,ior ..........^ / / - /� 5 ��- --_----- -� ' rz _i_, _................................................. Floors ........./ /�'1'/��~�.�..n/............................................| �- »:.. ...- ------------_ Heating --'/� ��..�� -----------------'F1um6ing .......?....��.Tt............................................................... ` - �� -�+`�. Fireplace '—.1//�.-�.-...-_---------_------Approximate Cost .._`=-//------.,.,,__,_,_.. Definitive Plan Approved by Planning 800n6 lQ---_' Area ........ - Diagram of Lot and Building with Dimensions Fee ...... SUBJECT TO APPROVAL OF BOARD OF HEALTH \ / | - ' ^ � | | ` ' ° ° | hereby agree to conform to all the Rubs and Regulations of the Town of Barnstable regarding the above construction. ' / _x~�' . . Nbme . /1 .-.-..~.--. .................. � SELLERS, ROGER & MARY A=288-l'36 24922' One Story No ................. Permit o ............................. ...... Single Family Dwelling Location .... Lot 18,....... . 9 3 Redwood Lane, ....... .. ............................... Hyannisport ............................................................................... Owner Roger & Mary Sellers ....................................................:........... Type of Construction Frame F 1 .................................................................. Plot ............................ Lot . Permit Granted April 7 , 19 83 Date of Inspection ....................................19 Date Completed ......................................19 f /,��4ERMIT REFUSED `f-�? 20A-"4J ..`..................... �........I.............. 19.F^31411( 1 ..�. ......................................................... J ............................................................................... Approved ................................................ 19 ............................:.................................................. ............................................................................... C o TOWN OF BARNBTABLE 24922 --- Permit No. _---------------- -------- - \ t � = Building Inspector Cash Sam OCCUPANCY PERMIT Bond -_ _---- X- -_-- 1- � Issued to Roger & PIary Sellars Address 1 nt 41i'A). n Al Rnrix nrsrl. T any- wv1:1rmi ar�nrt Wiring Inspector ` � dslL�u�ts. V Inspection date b _} Plumbing Inspector. Inspection date Gras Inspector ` ��r� Inspection date Engineering Department e /, � ? �'� , Inspection date C`? Board of Health 1 �^�J Inspection date S/flr- f THIS PERMIT WILL NOT/BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IIN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE. BUILDING CODE. ...... _., ................ _._.. . Building Inspector Assessor's map and lot number .................. .. .... ... . ..... %THE Toff �3—��/ ,Sewage Permit number .................. ...............:. ..®?.u:t.... .. .... �..�. �a�,�:tt:.1S'd a<. B9HH9TADLE, i House numbers ° � O ALLF a. $ye�� TITL P« Fa YPY TOWN .OF BARNSIA�B� ��F� � T '0 . R BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......G�'1..�� UC�......SI.... 5 P( v10 ?(�(� ....... TYPE OF. CONSTRUCTION ......... .(!'L.....�5 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........../t.....�Cvo� Vic .,. . �f//. Proposed Use ..��Z. � �.`.�.�., ... ..�:....... . ...c ��...... ............................................................... ... . .. . ..... Zoning District .... .................. ............�..............................Fire District .. ......., ✓ t���� ............................................... 1 4�511 ,400 Name of Owner ... Address .. .... r �/fName of Builder ... . .. .��! -. /.l ,. jddress ...I...'.(/.�.�IJ ...L..J...... .... ........ f� ,.... Name of Architect l...... '` . .. ... .Z—. ,..Address .... v�.�.��.��125........... ..................... Number of Rooms ......... ... ...................................................Foundation .... ���..ill...��� .................. Exterior ... 1!T .... . ... ....� .��=W . / .. '(....Roofing .... .......... .......... Floors Interior Heating �.l....... �` .oil ............... ..........Plumbing f) . i... . ......... L r........................ g Fireplace vv�r#$.......................... ............ ......Approxim a Cost . �'. ....................... 451, Definitive Plan Approved by Planning Board ________________ ______________19 __�� Areay....................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH ' v J\1 j I hereby agree to conform to all the Rules and Regulations of the�T n of B rnstabl r gardi g t above construction. Name ..................1.... ............ ... ................... ......... J` No ................. Permit for .................................... v• Location r ............................................................ ........ ......... Kl ^ Owner............... ...................................... ........ Type of Construction .................... :'.....'. ........ ' ' f f :. .............................. ................................................... Plot ............................ Lof' .............................. Permit Granted ..:.....................................19 =, - :. Date of Inspection ....................................19 t Date Completed PERMIT REFUSED 19 .. ........................... ............. .............................. i .................................. .......................................... ................................................................... ..... ✓ i� Approved ................................................. 19 .............................................................................. r .............................................................................. i 4 io& ems. Assessor's map and lot number ...................11. .............. � ......• � ' 10FTNEtO Sewage Permit number Z EA"STADLE. i House number ........................................................._.............. vo MU& 9 p 1639. \00 '•E�Ypy pr• TOWN OF BARNSTABLE BUILDING INSPECTOR- APPLICATION FOR PERMIT TO ....... .;�;1.&fKUC.!.........5 I'tl 4 1�....... G` ........` k r ............... ?`�.............. ! r � TYPE OF CONSTRUCTION �/�/!�© '.'` ,.................................. ........................................ .....19.�1�7 TO THE INSPECTOR,OF BUILDINGS: The undersigned ffherebyy applies for a permit according to�the following information: Location ........../.�?..............�� ..........................Gt .................................. ................................... Proposed Use .. ,. v�"t..,... l'/�v1iPl f ;�7..�ia `................. . Zoning District .....^................:.�5..............................................Fire. District ..��/Y/y� Name of Owner.�a'r"....IW!.111►.1 ..............Address ... ." 1!�,/�` ..................................... �...........�.......... Name of Builder ........:+ % :...Address f ............................................ ........................ � LL ' _ Name of ArchitectL..�.... !� „ ��. . �i..Address .......,._:..... � 1........o......... Number of Rooms .............. ...................................................Foundation ............................Of [.f . �!�5�/,..... .. ........... " Exterior ... ! r+�.../ n-- //�C1�14r? a�r I'll :..� ...., ..........:.Roofing .......... .................. ........ Floors [.�f9!'.X -249..�144:�..�'/�! / ..........Interior �,/``Q...... ............................................................................ �f Heating r'..,.. y ` ,Plumbing � Wit... . ...... v_ Fireplace `.......... ...................................................................Approximate Cost ....... .......................................................... Definitive Plan Approved by Planning Board ________ `_ ____________19 Area .......................................... oy Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH �" * a 1 w I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ���� ,•✓l-- \ + Name ............ /� ..-- '...... ' � ^ � No ----'-. Permhfor ------------ ' � � � ` ^ -------------------------- � Location --..------------.. ------ - � ~ . ............................................................ � . - ~ . Owner ...................................................... ~ � - Type ofConstruction ...................................�--_.. ---------------------..�---' ' - � plot ---------. Lot —.---------. . . ` ^ � � . Permit Granted ........................................lg / - Dote of Inspection ------------lQ Dote Completed ...................................... ' PERMIT REFUSED --------------------- 19 ' . . .............................................................................'. � ^—'------'---`-------^-----~— ` --------'—'------~—~^^------ � ^ -------^--------------^—'--'' ' � - ~ � Approved —��---...----------. lg ' ' ---'---'--------~—^----^'---' ` --------------------------' S Aga spx ,ZED 73 R 62 ly ?G l4 Miti \ O Q (. Mh, IGopgd t�Gy� s�p�.�c r+ ,k ` V)Dig 1,9 L GX�G Ai Co n'1 iTy LEGEND � Q CERTIFIED PLOT PLAN. EXISTING SPOT ELEVATION Ox0 ��w" �s EXISTING CONTOUR --- 0 ' �Q R�BERT GOT /8r FINISHED SPOT ELEVATION BuaiKjs YA s o 7- FINISHED CONTOUR . 0 N0. , APPROVED = BOARD OF HEALTH 4,bF�''�rE���4 IN DATE AGENT SCALE= /''s 30 ` DATE, LDRED6E EN6/NEE'R/NQ CO,IN [05R. 1ENT ,., 1 CERTIFY THAT THE P,R,OPOSE© EGlSTERE REGISTERED S No . 8/0117 BUILDING SHOWN ON TH1i-= PLAN Y CIVIL LANQ CONFORMS TO THE ZONING LA � "I f R V BY OF BARNST 8: rt MAB. j*w % „ • e t :r;: k -Y . 'r•' ".c+ �� �"�.. " By ET,.1�. F:. Rf +t Q d + 5 x� $ 4'Xek"t°�y., .:Yam. _.a��. ..�-i'.9',. i:..`.a, .�iv...0},�:.:. _e..r.{�j'R S re•,,.0 �„ r ' aar rT .. ". ,. . ..., r...°. _ ......, _ �'.T... ..: _ ` 'i /1107"F � /F E/TNER T.z/E SEf'T/G TANG OR --ACN//vG P/T ARE /YORE THAN I2 BELOYV JO FT. M/N. GRADES A 2¢'D/AMETEK CaNG'RET� COliER SWALL Q.F BROUGHT TD GRADE.�f]N EXTRA q"PYC p/PE CONCRETE i j-/EAVy CAST IRON C�Y'ER S/�.4LL 13E USE.0 0--�� /G G• 0 CODER MiN. P/TCN /F/N L;;R/VE-WA Y- YB Pzq FT. _ G7t�►oE Co VE'R CL EAN .SANG . &A CA--,=1 L L L/Qll/D LEVEL 6 . 4"CAST 2+L AYER IRON P/PE i Q� O o v Gi4L. • 1 t • r . . • • • ' a •A WASHED SrO E V4'PER J-r SEPTIC TANKK D/sT, o • A 1 • . . • • . , , -:�::: BOX p t 1 e ► ° • • • • �•p a 314 s y o I • •EFFEC77VL • r 4 - � f2•, ':�' o D 1 6'• pEPTH • • t • P WASHED STONE jt: ::s a •Q�o 1 1 • • • • • • • - v p o �. • • • . • • . • • • p ,•y PRECAST SE AG EPE a . • I • • . • • • • ' e o P/TOR EQU/V., lNVCR"T ELE✓AT/DNS p p a INVERT AT OU/LOIN& 9 �' U FT, i /NLE'T SEPTIC TANK FT,- 0 a' FT. D/AIM. C� E T'�VLATION> OUTLET SEPTIC TANK. FT. INLET N BOX rf a FT. SECT/Q/V OF GROUND WATER TABLE O(/TLETD/STR/B(JT/ON BOX 4s FT. INLET LEACH/Na J'/T FT. SEWAGE DISPOSAL SYSTEM LEACH//VG PIT T,gBULATlDN Sc.4LE %s„ = /= O" O/MEmsl oA/ A--T3--FT, DES/Gn/ CX17 ER/A ol�.F/vs/on/ 49 FT• NUMBER OF BEDROOMS DtMENS/ON C �' FT. 4�/'+ Gf+ReAGEDJsvosgL uwlT_- SOIL LOG t TOTAL EST.1,WA7'ED FLOhl-3 3 y G,44.140AY SO/L TEST 01 SO/1- TEST#2 SOIL TEST ,/ /{(UMBER Ap LEAGNlNG: PITS_ FLEa✓. 7 O ELEY, 9 16' O pATE OF SOJL TEST r// a- /� 9l ,� r S/DE LEACHING PER P/T L�� SQ, FT. p!' R c.. �. I's ES/JLTS I�Y/TNESSED BY ®vTTpM LEACHING PER P/T 7 ,SQ, FT. a.Cod '5� S PERCOLATJON RA TO At TOTAL LEACH/NG AREA :26 C S41 r AERCOLAT/ON RATE A2 M/N.1JNCN RESERVE LEACHING AREA��e SQ. FT. � �' RUNMIS C Od rt f'' �• M No.$420 - �fCISTV.R�AQ S a-�e� E4DREDGEENGINEER/IVG CO,INC. Sv �.� 4/ SS' C/ 712 'MAIN ST.. /r Y NN/3� A A M SS _ � NO G/eOCJND Y4�iQTER ENCOUNTE.�EP Q GM IJNO YvATER AT ELE(/. - [J0:7,5 I G y-7 SHEET OF