HomeMy WebLinkAbout0076 SIXTH AVENUE (HYANNIS) 76 ,d�c�(- CL�--
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
% T
Map _ Parcel Fpplication #
Health Division Date IssuedL2 1
Conservation Division. Application Fee
Planning Dept. Permit Fee L D
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/Hyannis
-76
Project Street Address i' VC
NZ
Village �4nhis Aor-�
Owner 104rA 4 &1'ac e Address I I C 4rd j,15; l k el We t,A14- 016 U Z_
Telephone. _� 1 "7 V 9L I F f
Permit Request 114ih o✓e R.,A- 6,ld i�I I h) On Oec:r w I ntw
ReAc v a r�%c Addk, Sn:Je DgfeciWf !6t4g
Square feet: 1 st floor: existing / 0 proposed 2nd floor: existing proposed 6 rgTotal new C'
Zoning District R 1� Flood Plain Groundwater Overlay
Project Valuation /90,aa Construction Type WOOD
Lot:Size cr Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family Two Family ❑ Multi-Family (# units)
Age of Existing Structure t Historic House: ❑Yes Vi No On Old King's Highway: ❑Yes JrNo
Basement Type: ❑ Full Crawl ❑Walkout ❑ Other
Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft)
Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: existing y new
Total Room Count (not including baths): existing C new -7 First Floor Room Count S_
Heat Type and Fuel: lGas ❑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: r�
NO �
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
.,;;+
Commercial ❑Yes ❑ No If yes, site plan review #
Current Use Proposed Use
APPLICANT INFORMATION ` r
a
(BUILDER OR HOMEOWNER)
Name 6.4 Telephone Number ; M Y I S®0
Address pa &e4 73 36,1:� I&4Efe 46a, o ly License # fv l ci
Horne Improvement Contractor# -27
k Wo ker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING-FROM THIS PROJECT VA/I11 BE TAKEN T03 r C T
SIGNATURE DATEI --
'j
i
i
FOR OFFICIAL USE ONLY
` APPLICATION#
DATE ISSUED
MAP/PARCEL NO.
ADDRESS ` ' VILLAGE
,r
OWNER
DATE OF INSPECTION:
FOUNDATION
i
FRAME
INSULATION ;.
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
' _ °
GAS: ROUGH FINAL
t
FINAL BUILDING
DATE CLOSED'OUT
ASSOCIATION PLAN NO.
1
The Commonwealth of Massachusetts
Department of Industriai Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
www.massgov/dia.
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
'Name(Business/Organization/Individual): �U�taT(`yj-
z
Address: Vo Qu& 73
City/State/Zip: _501 i, 4e A Vk 0 o�7y Phone#: �`�� V 5-FO
Are you an employer?Check the appropriate box:
1. I am a employer with 4. a am I general contractor and I Type of project(required),
� 0
employees(full and/or part-time).* have hired the sub-contractors 6 ❑New construction
2. I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have g, 0 Demolition
working for me in any capacity. employees and have workers'
[No workers' comp. insurance comp. insurance.$ 9• ❑Building addition
required.] 5. 0 We are a,corporation and its 10.0 Electrical repairs or additions
3.❑ I am a homeowner doingall work officers have exercised their
11.❑Plumbing repairs or additions
myself.[No workers' comp. right of exemption per MGL 12.E]Roof repairs
insurance required.]t c. 152, §1(4), and we have no
employees. [No workers' 13.0 Other
comp..insurance required.].
*Any applicant that checks box.#1 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.
(Contractors that check this box must,attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp,policy number.
I am an employer that ii providing workers'compensation insurance for my.employees. Below is thepolicy and job site
information.
Insurance Company Name:
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address: City/State/Zip: -
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c.-152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties.in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a.copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification..
I do hereby certify under the pains and penalties of perjury that the.information provided above is true and correct.
.Signature: _ Date Z j
�1 Q
Phone#: V ` qs�v 7 U y�'� .
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
&.Other
Cont#ct Person: _ Phone#:
. I
Office of onsumer Affairs&B iuess Re ulauon License or registration:valid.for individul use only
HOME IMPROVEMENT CONT'"CTOR beforeahe expiration date. If found return to:
Registration: _-157757 F, Type:_ Office of Consumer Affairs and Business Regulation
Expiration 1417 j2013 DBq i 10 Park Plaza-Suite 5170
Boston,MA 02116
S LANGE CON�IRAG7 WG
STEPHEN LANCE:: l
a ,
72 SCHOOLS ST
,SOUTH BOURE, MA 01543 -
s Undersecretary 'Not valid without signature
I
Nlutisachusctts- Department of Public Safct}
Board. f.Buildin Regulations and Standa�dti.
Coristfuction Supervisor_License
License GS .65719 a .«1a j
4 - q Vr
STEPHEN R LANCE s, I
-
PO BOX 867
RUTLAND,'MA 01543
Expiration: 2/24/2013
missiunu Tr#: 11773
THE ta,, Town of Barnstable
ti
Regulatory Services
y MASS. g Thomas F.Geller,Director
Fn �Ate. Building-Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
PI, (� o , as Owner of the subject property
hereby authorize h. to act on my behalf,
in all matters relative to work authorized by this building permit.
po
(Address of Job) ' 2 t!o7 —
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
/44
Print Name Print Name
9L,4 Q/J �xI Zo I'Z.
Date
Q:FORM&OWNERPERMISSIONPOOLS 6/2012
Town of Barnstable
Regulatory Services -
1ARN87TABLE, : Thomas F.Geiler,Director y
y MASS.
�p iG.59• 4 Building Division
lFD MA'I
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION:
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 dwellings of six_units nor 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)
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 EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions i
of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a persons)for liire.to.do such'
work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,
Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly
when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed
Supervisor. The homeowner acting as Supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,'
that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by
several towns. You may care t amend and adopt such a form/certification for use in your community.
Q:forms:homeexempt
AJ-YC Grade to ff,00d Constrctctiorr,in High Wind Areas: I10 n1ph IVirid Zorzc
Massachusetts Checklist for Compliance (780 Cn'fR 5301:2.1.1)'
. Check
Compliance
1.1 SCOPE
Wind Speed (3-sec.,gust)................................. .. ...:.. ....... .._.. ........... 110 mph
Wind Exposure Category...................... .............. ....: . ........ ..a... .. ....... ............ ........ ..................:B
Wind Exposure Category................Engineering Required For Entire Project ...............:.......................C
1.2 APPLICABILITY ;.
Number of Stories (a roof which exceeds 8 in 12 slope shall be considered a story) a stories <2 stones
RoofPitch ............................................ .......................:......(Fig 2) ........:.:................................ f a�la-s 12:12 ✓'
MeanRoof Height ..:...........................................................(Fig 2).......:....::.....''............:.................. 18 ft -< 33'
Building Width,W ........................................................;...,..(Fig 3) .: ............................. aS ft 5.80' ✓
BuildingLength, L .................... .... .(Fi 3 ...... ....... ....... 0'y"a ft 5 80'
Building Aspect Ratio(L/W) .................................................(Fig 4)....... ....?.7, _<3
. :1
Nominal Height of Tallest O enm z ............. .....(Fig 4 ......................... b $
1.3 FRAMING CONNECTIONS
General compliance with framing connections.. .............(Table.2).................................... '
2.1 FOUNDATION
Foundation Walls meeting requirements`of 780 CMR 5404.1
.....................................................:............................................
......Concrete....................7,
1/
Concrete Masonry ..........................:................. . ................ ... :.........; f �•.`%
2.2 ANCHORAGE TO FOUNDATION1'3, f
5/8"Anchor Bolts imbedded or 5/8" Proprietary Mechanical Anchors as an alternative in concrete only
Bolt Spacing-general ................. (Table 4)... k*h ............... in.
Bolt Spacing from endrjoint of plate.. , ...:.. .. :::....:.:(Fig 5)..:.... ...... ........ . .:. in. _<6" 1'27: ✓ ,
Bolt Embedment-concrete (Fig 5) ............................................ in.>.7' ✓
Bolt Embedment-masonry.
asonry ......,: .. . . :,...(Fig 5) ?F ....::. in >_15" ✓ -
Plate Washer..:.............................................................(Fig 5)................:................. ..........>_3" x 3'x Y.' v
3.1 FLOORS _ /
Floor framing member spans checked •. ...... ..............'.(per 780 CMR Chapter 55) ..... ....... - V fi
Maximum Floor Opening Dimension..... ....::... ......: .....(Fig 6)....................................................-g ft 12 }
Full Height Nall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)................... ..................
Maximum Floor Joist Setbacks
Supporting Loadbearing Wail's or'Shearwall ..:...........(Fig 7)........ . . ,.................. .....:... ...: Dft <`d ti
Maximum Cantilevered Floor Joists tl
Supporting Loadbearing Walls orShearwall ..(Fig 8) ft �d
Floor Bracing at Endwalls.......... .......:. ......... .... .... .....(Fig 9):..........................:..........................
Floor
er 780 CMR
ter
Floor Sheathin Thickness .............. ...................: .... .......(Per 780 CMR Chapter 55)............ .... .... in.
Sheathing YP ........ ..
Floor SheathingFastenin Table 2 .. d nails at in edge/ field (/
g................................................ ( ) $
4.1 WALLS
Wall Height '
Loadbearing walls..........:... (Fig 10 and Table 5).. ...... .......... ft :5 10'
Non-Loadbearing walls .................(Fig 10 and Table 5) ....................... ft:s 20' V'
Wall Stud S"acin ..... (Fig 10 and Table 5 ....JK in.'S 24 O.C. l/
Wall Story Offsets ...............:.................................:...:..(Figs 7&8)............................................ d ft 5 d (�
4.2 EXTERIOR WALLS' y
Wood Studs A //
Loadbearing walls..: o- (Table 5) ..: 2x .0 - ft v in,
........ . ..
2x ft O. in.
Non-Loadbearing walls ..................................................(Table 5)...................
Gable End:Wall Bracing
Full Height Endwall Studs................... . ..............::......(Fig 10)....... .........................: ................. .........
WSP Attic Floor Length..:................. ........ . .. ........(Fig 11)..,.:... .....,.............:_,............. ft zW/3 ,vt
Gypsum Ceiling Length(if WSP not used)... ...:........:'(Fig 11).................. .. ....................16071 ft>_0:9V/ -
and 2_x 4 Continuous Lateral Brace @ 6 ft.o.c. (dig 11) ..... ... ....... ....... ..:.
or 1.x 3 ceiling furring strips.@ 16"spacing min with 2,k 4`blocking-@ 4 ft.'spacing in end joist or truss bays .✓ "
Double Top Plate - F.
Splice Length :.. :.....................................(Fig 13 and Table 6)... , .......`... , ... ......... 'ft
Splice Connection (no.of 16d common nails) ............(Table 6)...........................:
ATVC Guide to FVood Coristructiou inHigh`lVirtd Areas: 110 inplr Hlind Zone
A/lassachusetts Checklist for Compliance (780 ci\TR5301.2.1.1 1
Loadbearing Wall Connections
Lateral (no.of 16d common nails) .....::.......;..:.:..:......: (Tables 7) v
......
Non-Loadbearing Waif Connections
Lateral (no.of 16d common nails)............ .............: .(Table 8). .::::........:......................:'......... v2 v
Load Bearing Wall Op enin s record largest opening but check all openings for compliance to Table 9)
Header Spans ..................................... 9.......:,(Table 9). .......................... :S ft in. s 11'
Sill Plate Spans ........................................................(Table 9).........:........................ ft in. s 11' y
Full Height Studs (no. of studs)....................................(Table 0)...................:.:. — —
.............
Non-Load Bearing Wall Openings (record largest opening.but check all openings for compliance to Table 9),
Header Spans.......................................... ........: ......(Table 9).. ......... ................
..-G&eft in. s 12'
Sill Plate Spans........................................ ...(Table 9)..... ft 6 in: 5 12'
Full Height Studs (no. of studs).....................................(Table 9).. .... ... ............................. c
Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4
Minimum Building Dimension, W
'Nominal.Height of Tallest Openingz ............... .........6'r <6`8. v
Sheathing Type... ........(note 4)..... .. ti
Edge Nail Spacing ......................(Table 10 or note 4 if less) ....... 6 in.
Field Nail Spacing.............................................(Table 10).'_ in.
Shear Connection (no. of 16d common nails)(Table 10).......::.......................... A � 3 V
Percent Full-Height Sheathing..... ;...(Table 10)......... :............`
5%Additional Sheathing for Wall with Opening> 6 8'(Design Concepts) :: ....Lam/ t�
Maximum Building Dimension, L rt.
Nominal Height of Tallest Openingz ..... .6'f s 6'8' -eI
Sheathing Type..... - .. .::.......(note 4)...........'.................... _ —,
..
Edge Nail Spacing........ ....I..........................(Table 11 or note 4 if less)............:........... 6 in.
Field Nail Spacing. ........(Table 11) ... I;Lin. t/
...
Shear Connection (no.-'Of 16d common nails)(Table 11):.....:.:.....:............ .......
Percent Full-Height Sheathing........................(Table 11).....................................................7,5%
5%Additional.Sheathing for Wall with'Opening,> 6'8'(Design Concepts) .... ........... 1/ _
Wall Cladding --
Rated for Wind Speed?..!.....s(?'."�(Jt . .
.... ........... .
5.1 ROOFS
Roof framing member spans checked?.......................:(For Rafters use AWC Span Tool, see BBRS Website)
Roof Overhang .... ........ .............:::......(Figure 19) ::..... i. ft s smaller of 2'or U3 `✓ '
Truss or Rafter Connections at Loadbearing Walls
Proprietary Connectors
Uplift r
(Table 12)'...:. .......................U='3o� plf L
Lateral...... ...::.... . .....:.................(Table 12).............................................L=176 plf
Shear...:... . 7......... ...:............................. ....... if v Ridge Strap Connections ' co `ties- of used per page 21...
�c P P 9 (Table 13)...........................: ..T p►f
Gable Rake Ouflooker................................ .........(Figure 20) ............._C1 ft s smaller of 2' or U2 i—
Truss or Rafter Connections at Non-Loadbearing Walls
Proprietary Connectors'
Uplift.............................:....................(Table 14)........................................:. U'= l�lb.
Lateral(no of.16d common nails)...(Table 14)............... .....................}} lb.
Roof Sheathing Type. ..........(per 780 CMR Chapters 58 and 59) .Q..CY. - rT
Roof Sheathing Thickness ............... 7 >
Roof Sheathing Fastening.::................ ..(Table 2)
..... 6. ...
Notes: .
1. This checklist shall be met in its entirety, excluding the specific exception noted in 2, to comply'with the requirements of
780 CMR.5301_.2.1.1 Item 1.-Ifthe checklist is met in its entirety then the following metal straps and hold downs are.not
required per the WFCM.110 mph Guide:
a. Steel Straps per Figure 5
b. 20 Gage Straps per Figure 11. a
c. Uplift Straps per Figure 14 t
d. All Straps per Figure 17
e. Comer Stud Hold Downs per Figure 18a and Figure 1815
2. Exception: Opening heights of up to 8 ft. shall be permitted when 5% is added to the percent full-height sheathing
requirements shown in Tables 10 and 11.
3. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2-grade.
Town of'Barnstable
of Tad Regulatory SJX-k!es
Richard!V.Scali,Inted t r
`" tSTM
4ss.�, Building Division
Eos`0 Tom Perry,Building Commissioner
'200 Main Street, Hyannis MA 02601
ww*v.town.barnsta@0VP1 q� ,r
Office: 508-8624038 ". Fax: .508-790-6230
PERMIT FEE: $
SHED REGISTRATION
RESIDENTIAL ONLY
200 square feet or less ,
Location of shed(address) Village YS.e 79�v 5 (�.
Property owner's name Telephone number
1 -30
Size of Shed Map/Parcel#
ature Date
Hyannis Main Street Waterfront Historic.District? 5;
}
Old King's Highway Historic District Commission jurisdiction?
If over 126 square.feet,you:must file with Old KingN Highway
Conservation Commission(signature is required) a '
Sign off hours-for Conservation 8:00-9:30&3:30-4:30
PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE
ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION
FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.
THIS FORM MUST BE -ACCOMPANIED BY A
PLOT PLAN
Q-forms-shedreg
REV:110413
i
t
d
A
• t
rt
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Town of Barnstable *permit#
Expires 6 months from issue date
O
Regulatory Services Fee
s�xszasrA Thomas F.Geiler,Director t
MASS.
16�6i►-,0� Building Division
M ITTom Perry,CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601
APR 2 5 2008 www.town.barmstable.ma.us
Offcee��624 Fax: 508-790-6230
TOF IT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number
Property hAddress 7 J j_yf7— '�C--4 A= '
r--
Nesidential Value of Work L4601) Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address
let
---r--, 7 r
Contractor's Name U t �?. Lovc, Telephone Number la�n ("C,_
Home Improvement Contractor 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 be,on file.
Permit Request(check box)
❑ Re-roof(stripping old shingles) All construction debris will be taken to
❑Re-roof(not stripping. Going over existing layers of roof)
qRe-side
❑ Replacement Windows/doors/sliders.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.
A copy of the Home Improvement Contractors License is required..
SIGNATURE: -
Q:Forms:buildingpermits/express
Revised 123107
r ,
The Commonwealth of Massachusetts -
Department of Industrial Accidents
Office of Investigations
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): C.a
Address: _7�— 51�w I
City/State/Zip: b ^ G'7 Phone #:
Are you an employer?Check the appropriate box: Type of project(required):
1.❑ I am a employer with 4. ❑ I am a general contractor and I
' loyees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction
2. a sole proprietor or partner- listed on the attached sheet. 7. ..Remodeling
Vp and have no employees These sub-contractors have g. ❑Demolition
working for me in any capacity. employees and have workers'
$ 9. ❑Building addition
[No workers'comp.insurance comp. insurance..
required.] .5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their I L❑Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs
insurance required.]t c..152, §1(4),and we have no
employees. [No workers' 13.❑ Other
- comp. insurance required.]
'Any applicant that checks box#1 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.
:Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site
information.
Insurance Company Name:
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby cern under the pains andpenalties ofperjury that the information provided above is true and correct
Signature: Date: O
Phone#:
Official use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
; Town of Barnstable
• sn�wsrABta
Regulatory Services
��FDD Thomas F.Geiler,Director
Building Division
Thomas Perry,CBO
Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
I, �4S13V, Y-WOLViAr-7— ,as Owner of the subject property
hereby authorize a4lclhe�.Q to act on my behalf,
in all matters relative to work authorized by this building permit application for:
(Address of Job)
ign erature of n Date
/n /Z
4 1
Print Nanie
Q:Forms:buildingpermits/express
Revised 123107
liu;u'd ul Building ItcRulaliuna and Sl:uulerite I.,icense or regim-atio❑ N slid for indk idol use onl\
HOME IMPROVEMENT CONTRACTOR before the expiation )late. If fouild return to:
/ Registration: 157757 Board of Building Regulations and Stamhr(k
One A,;hburton I'lace Rnl 1301
Expiration: 11/2/2009 Tr# 261118
Boston, :Nla. 02108
Type: DBA
STAVE LANGE CONTRACTING
STEPHEN LANGE A--
72 SCHOOLS ST
SOUTH BOURE, MA 01074 �it,,,,,,,til;;,,,,,
N id without si�llaturc
a
J
p
Engineering Dept.(3r�r)f-Map Z4& Parcel Permit# Z-2_�,24
House# ?7�/ ate Issued —Z
$oard of Health(3 LdLg9r)(8:15 -9:30/1:00-4:30)(A71Z/_W v e
Conservation Office(41h .(8:30- 9:30/1:00-2:00) L-
Planning Dept. (1st floor/School Admin. Bldg.) SEPTIC,�� " UST BE
Definitive.Plan A by Planning Board 19
INSTALLt IANCE
A
TOWN OF�BARNSTABL
RONM ®E AND -
T®19�N RE TINS
' Build' g Permit Application
gar
Project Street Address r74 6 �`` ✓ • LD 7- 40�-4&S
Village i
Owner b`` (/` C Address rL—e-c ' ,r
Telephone
C'
Permit Request
dl
First Floor C � quare feet Second Floor square feet
Construction Type 0
Estimated Project Cost $
Zoning District Flood Plain Water Protection
Lot Size 5���/ Grandfathered ❑Yes ❑No
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
Age of Existing Structure 0 1�'S� Historic House ❑Yes UJ<o On Old King's Highway ❑Yes &NO
Basement Type: ❑Full rawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: Existing_� New Half: Existing New
No.of Bedrooms: Existing New
Total Room Count(not inclu ing baths): Existing � New First Floor Room Count
Heat Type and Fuel: Gas ❑Oil ❑Electric ❑Other
Central Air ❑Yes ( -Pf� Fireplaces: Existing New Existing wood/coal stove ❑Yes
Garage: ❑Detached(size) 4 d&cf' Other Detached Structures: ❑Pool(size)
❑Attached(size) ❑Barn(size)
❑None hed(size) 6 "
❑Other(size)
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes, site plan review# -
Current Use Proposed Use
Builder Information
Name Z24 if Telephone Number
Address f/-(i' c- e 1 License# ��9,_�
Home Improvement Contractor#
Worker's Compensation#
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE ()
BUILDING PERMIT DENIED FOR THE FOLLOWINGG RE N(S)
FOR OFFICIAL USE ONLY _
PERMIT NO. ) Z,6z [ P
DATE ISSUED
MAP/PARCEL NO. a
ADDRESS ` VILLAGE
OWNER -
y , •r'4 3
rV
DATE OF INSPECTION: "
FOUNDATION
FRAME
:..
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL . :
PLUMBING: JGH FINAL
GAS: I� IGIO FINAL f ^
FINAL BUILDING:. ., # r
11 . -
—'DATE CLOSED OUTS,
'ASSOCIATION PLAItO. ;-'
1Ells;
OW
PFA
rd
!
1
Assessor's map and lot number .... 1 ...-..�.9.a*
O TH O
Sevuaga Permit number C'1- ...... .- ..6.........
- .............. /.1.
J Z 33AUSTODLE, i
HoLAe number ........................:............................................... ro Mb s 00
O 39• �0
'>lE p YAy a'
TOWN OF BARNSTABLE
�- BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ..... . J`s /�ac
.........................................................................
eTYPE OF CONSTRUCTION ..................::;.................................................................................................................
.... . ...1............. .......`.......19z t
TO THE INSPECTOR OF BUILDINGS:
r
The ETI!e;rsi gne eby applies for a permit according to the following information:
Loca ........f..F..0 �'�/'. /
..................................................................... . .......... ................
ProposedUse .........�C� ,�/Ire .�. t....................................................................................................................
Zoning District .........Fire District ..•
Nameof Owner ..... ................Address ........................................:...........................................
:.. Address ......,...................
Name of Builder �f� .!/!,-•••••••!1 /� � 47... /P., „�,•*�e���,s %vK- �..
. ................ ........ ........................... ............
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms ..........._5....................................................Foundation ,ee k �!'�E'�tv si'fr
Exterior ....... .........:5.z /a.nv.��..... < � r/.,:....,Roofing ........... t..l' ..........................................................
Floors ..fa::*?::..f.....................................................Interior ....................................................................................
Heatingiii.:.5.............................................................Plumbing ..................SKc?!7./e..................................................
�. ...
Fireplace .........C./.nn................:...............................................Approximate Cost ........... ..lf, l. .....................................
� J
Definitive Plan Approved by Planning Board --------------------------------19-- ---. AreaG........
0�
Diagram of Lot and Building with Dimensions Fee ,....:`��................
SUBJECT TO APPROVAL OF BOARD OF HEALTH 1
J ;
I �
i
h�
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
y r'
Name ✓( .......... .... ........::.: ..:.:.::...............................
'
Grace, Nathan M°.'
— Permit for
------'-------------~-----
Location .~41&-1---,Sixth..�vm.---------- '
............W-;''Qyam-ni-mnurt.................................... '
Owner .44athe-n....M.,'.Graze.............................
Type ofConstruction ...........frsumm------..
�
----------------- --'
�
P|:* ............................ L o» ---
� 1
�
Permit Granted ---..N ov.—']/L---.]o7g
Date of Inspection ------------lP
Date Completed ------------'lA
. .
PERMIT REFUSED
.................................. 19
^ �
--' ''/ ' T}��-------'
'^V l / x
'---1-7^----------''
, / / ~
--------------------------'
�
............................................................ -----.
Approved ................................................ lQ
---------------^----------''
�
---------------------.--~—.. .
�
. �
| |
/ '
Assessor's map and lot number ...... ....... 1 E
o,
Sew'kage Permit number ..........R�4..,tr.........
MARISTABLE,
Houienumber ........ ............................................................... MAM
1639'
0 MAf A,
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT To ..... e........... ......
......... ...........................................
TYPEOF CONSTRUCTION ........ .W.0��./.........................................................................................................
4f
...................................192f
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
.?��..... �.L.o�.F........................ ...... .&-W.......
Location ..... ..3.......... ........ .... .........
Proposed Use .......
.<...................................................................................................................
ZoningDistrict ..............................................................:.........Fire District .................... ..................................i4........
Vd 3 '514-7-4 "I'a , Lu #�- Z"';�;W;Znc
Name of Owner .....e.*. k.IV...../k?....19ze od.I e................Address ...................................................................................
Name of Builder ....... .......Address &.a7-.-a....... ..... ...........
.Name of Architect ..................................................................Address .....................................................................................
Number of Rooms ............3....................................................Foundation .......... .............. Fet�:I�......
Exierior ....... .......... I.
. .. ... ...... df 5....�oofing .............. ..........................................................
Floors .....................4-.V.V.a. .................................................Interior ....................................................................................
Heating ...........�?.&.s.............................................................Plumbing ................. T..e.t ...
.....................................................
Fireplace ........ V,15. .. . . .......................................................Approximate Cost ........... .............................
Definitive Plan Approved by Planning Board --------------------------------19--------- Area ...... .........
d
Diagram of Lot and Building with Dimensions Fee ..... ....... ........................
t
SUBJECT TO APPROVAL OF BOARD OF HEALTH -/ t-r4
e aV
3 Y'
E-3
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable Wregarddii.n he above
construction.
Name ..e....... ..... ...... ........................
Grace, Nathan M
No= ':8 ' ... Permit for ..,,Add to....dwelling
...............................................................................
Location ...463_.Sixth Ave,
..........W• Hyannispor'.t....................................
Owner ...Nathan.M...Grace..............................
Type of Construction ........frame.......................
................................................................................
Plot .........................
... Lot ................................
Permit Granted ............NQY.......1.i...........19 79
Date of Inspection ....................................19 '
Date Completed ........./...........................19
PERMIT REFUSED
................................................................ 19
...............................................................................
...............................................................................
............................................... ...............................
............................................................................... -
� � a
Approved .....:.......................................... 19
...............................................................................
...............................................................................
p
THE
The Town of Barnstable
9 �g Department of Health Safety and Environmental Services
Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissionc
For office use only,
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization,
conversion, improvement, removal, demolition, or construction of an addition to any pre-existing
owner occupied building containing at least one but not more than four dwelling units or to
structures which are adjacent to such residence or building be done by registered contractors, with
certain exceptions,along with other requirements.
Type of Work: Est. Cos
Address of Work:
' T? e e
Owner s Name
Date of Permit Application: Z �
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job under S1,000.
Building not owner-occupied
Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a p rmit as the agentpfthe owner. ^�
2-. 2 Iq7 ..
Z��&w7ze�z
Date 4tontractor Name Registration No.
OR
Information and Instructions
Massachusetts General Laws chapter 152 section 25 requires all emplovcrs to provide workers' compensation for their
etttPlrn•ees. A.� +seated from the "law". an entpinrec is defined as every person in the service of another under ally
contract orflif?'84 express or implied. oral or written.
Ali etyzphd rcr is defined as an individual. partnership, association. corporation or other legal entity, or am, nvo or more
the foreuohm, enuaged in a joint enterprise. and including the legal representatives of a dcc=cd emplover. 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
d\\•cliin,-, house of another who employs persons to do maintenance , construction or repair work on such dwelling hour
or on the __rcunds or building appurtenant thereto shall not because of such employment be deemed to be an employer.
MGL chanter 152 section 25 also states that e,%•ery state or local licensing agency sliall withhold the issuance or
renewal of a license or hermit to operate a.business or to construct buildings in the commonwealth far any
applicant w%•lio has not produced acceptable evidence of compliance with the insurance coverage required.
additionall,'. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the
)erformr;,ce of public work until acceptable evidence of compliance with the insurance requirements of this chapter ha
Teen presented to the contracting authority.-
____
�Phlicants
Ease fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and
upplyin_= company names. address and phone numbers as all affidavits may be submitted to the Department of
tdustrial Accidents fot• confirmation of insurance coverage. Also be sure to sign and date the affidavit. The
tidavit should be returned to the city or town that the application for the permit or license is being requested.
of tite Department of Industrial Accidents. Should you have any questions regarding the "law' or if you are required
D obtain a Workers' compensatio; policy. please call the Department at the. number listed below.
itv or 'towns
ease be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of
e affidavit for you to fill out in tine event tine Office of Investigations has to contact you regarding, the applicant. Pleas
sure to fill in the permit/iicense number which will be used as a reference number. The affidavits may be returned to
Department by mail or FAX unless other arrangements have been made.
ie Office of I»vesti=atioils would like to thank you in advance for you cooperation and should you have any questions.
:ase do not hesitate to _ive us a call. .
•-...-... ._ .�........ .�..wr•.n..•>s+�.... -��na�.•—+•r..A.w+��. "'�►�ML:IrT..^'.q"^y�.ww'�".r
ie Department's address. telephone and fax number:
The Commonwealth Of Massachusetts
-" Department of Industrial Accidents
r
Office of investigations
600 Washington Street
Boston,Ma. 02111
fax #: (617) 727-7749
(617) 7274900 ext. 406, 409 or 375
The Cannyuntlrcalth of Afassachuseav
' • w '•i..ii_.�._.
Deptrrttnetrt of IndirstriQl.9cciderrts
+��\.�':' r'•`'` 610 Washing ton Street
' Via•' ' .:.
Bostutr.Ma.u. (12111
_f •�Y►it.s`
workers' Compensation Insurance Afridavit
At
HER WE m iiin•
4 •
1,7Zin � U /
cnt' •� 14L � • /
�i gi�G9 hon•0 6 C
I am a homeowner p ormin_ all ork myself.
I am a sole proprietor and have no one working in any capaciry
-... .,.�.-...r—.._•..__.....__,...—.�.,w......:...��c r-�—mow•-ll�+•'f�>'^• .. '�---.+w..�` _ _
r I am an emplover providing_ workers' compensation for my employees working on this job.
mm tin m• name•
•iddrecc• -
flit nhnnc#!
incarnnce cn nnlic�
[I I am a sole proprietor. ;enerai contractor. or homeowner(circle one) and have hired the contractors listed below who i
the following workers compensation polices:
comnnm• n.imc•
•ititirccc•
cif+•• nhnnc+��
iwtornnrc rn nniicc _ _
• •1� V_r.... -. _ T' _ `_ ___ =r�'�.. 1L.T' f.•-.w•S•_ - `T' '--.�—ie-- `'--r--
cnm am• name:
atldresr.
cin•• nhnnc i#�
neiic�•d
incor-incc cn
Attach additional sheet if necessa_rv __.::r:::' --'�'"..y s• ""''' - '" '_".-'�: ...�. -.. __.".." __: .. .
.are•.... ..r.a.:.z.
Failure iti seeure too rage:is req_uired under Section ZSA of NIGL 152 can lead to the imposition of criminal penalties of a line up to S1.500.00 andio
unc+cars' imprisonment:is+veil:is civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that
cope of this aatcittent may be forwarded to the Otlicc of Invcstigations of the DIA for coverage verification.
1 do hercbr Certify fit ler t1 •pains mrd !firs prrj • hat the information provided above is true and orre .
Si_nawrr Date
11 Iz
a �
Print name
Phone*
w
' official use univ do not�rrite in this area to be completed by city or town ofliciaf
permit/license it ritluildinr Department
cin or town:
C aUcensing Huard
t ►
[] check if immediate response is i Scicetmen's Office`cyuired 0
C311cnith Department
contact person:
phone rt• r•10thcr__.
z
51, c.
50 1�
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. . ., � - ✓die -Vo7n�w�rzurea�� o���.aaaac`zuoeC�t.
Restricted To: 00 0 4 69
II DEPARTMENT OF PUBLIC SAFETY
CONSTRUCTION SUPERVISOR LICENSE 00 - None
Number: Expires:
1G - 1 & 2 Family Homes
Restricted To: 00 Failure to possess a current edition of the
Massachusetts State Buiilding Code
KENNETH W GABRIEL is cause for revocation of this license.
157 BERRY AVE p
W YARMOUTH, MA 02673
3
(.. a urn c.:ummuNWkALTH ur* MAJJAL11UN I13 '
�\ Board of Building Regulations and Standards Transaction No.
One Ashburton Plate-Room 1301
Boston,Massachusetts 02108
Registration No.
Application for Registration as a Enective Date
Home Improvement Contractor or Subcontractor
MGL Chapter 142A, CMR 79" Expiration Date
FOR OFFICE USE ONLY
Date
1. Name im
; � 1
Prin a 2namze of the individual or business applying for the registration(not both)
2. Mailing AddressL' -
0 , Area Code 6i Telephone Number
3. Cxty GLi'5�' -L—State zip (�
4. Street Ad (if different)
Print and Number(P.O.Box not acceptable) City State Zip
S. Applicant type: Individual ❑ DBA ❑ Partnership ❑Trvst ❑ Private Corporation ❑ Public Corporation
(See instructions on back regarding enclosing a city or town registrationregistration under the DBA or"fictitious name"law•MGL c 110,ss S 6)
6. �( instrvctioas,)/ 7. Number o/f�Em'plGym Q
9. Title of individual responsible for Home Improvement Contracts OGC11�t - !T
10. Don the applicant or responsible individual hold any other construction related state,city,town licenses or registrations?
If yes,complete the table below. Use additional paper if necessary. Yes Nc
Type license or registration issued By License or Fxpitation Name of License Holder
registration number Date
S'�' r /�G1 2 .6t7elq7
11. List all partners,trustees,officers,directors and major owners.(10%or greater of ownership)of an applicant partner:
or corporation below.Use
additional papa if necessary.(See instructions on back) Check here N you wish to receive an application for additional ID cards for key persons.[
f E-
Last Fast. Middle initial Title in Applicant Business %Owns Address I�
12. Is the applicant claiming tMemption from the registration fee? (See the instructions ou the back) ❑
If yes,include a copy of a current Construction Supervisor license or motor vehicle::pair shop hocuse or registration. Yes No
Regisua G Fund fee enclosed:S / /
13: uon tee eadosed:S � sty
Include two separate certified ch=b or money orders-one marked"Registration Fee;one marked"Guaranty FOW- ALL APPLICANTS MUST
INCLUDE A GUARANTY FUND FEE EVEN IF EXFIRT FROM.THE REGWrRATION FEE.See instructions on back for amount of fees
Make an certified check;or money orders payable to"C.a®monwealth of bhoachuseW
Pursuant to Massachusetts General Lawn Chapter 62C section 49A,I am"under the pensHIN of perjury that 14
to my best ow and all state tar returns and paid all state tms required under la+�
G 0
Signature of applicant or applicant's representative Tide held with applicant
':lLe r-v.r :nv nueEt;on ii this anniicstion constitutes grounds for suspension or revocation of the applicant's registration
........... ........ . .. ..... ......... .:..w'.. ..:.......... ...._;.._. .....:_._.__�.._ .... � .. � .. age'.,- t'
-r
Tc� fi��wt t�s
SMOKE DETECTORS.REVIEWED
tT ..
owl-
BARNSTABLE BtSILDING DEPT. DATE
FIRE DEPARTMENT DATE ,
. s-�i G�2dSS;SaGI1, r10N�a
BOTH SIGNATURES ARE REQUIRED FOR PERMITING
CARBON MONOXIDE ALARMS
MUST BE INSTALLED PER
'MASSACHUSETTS BUILDING CODE
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978=9I�--S58'1
r PROFESSIONAL MEMBER . . ,
6
AMERICAN INSTITUTE
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NO DATE REVISIONS
GENERAL NOTES, - - -,
1. CODES:
FORM DRYWELL TO IMPROVE REMOVE AND REPLACE WATER
MASSACHUSETTS STATE BUILDING CODE,EIGHTH EDITION(780 CMR)
CRAWLSPACE ACCESS HEATER, SHOWER, &TRASH BIN MINIMUM DESIGN LOADS FOR BUILDINGS AND OTHER STRUCTURES(ASCE 7)
� t
TO PERMIT UNDERPINNING_ f 2. DESIGN LOADS: - .w
DEAD UVE
' 10 psf 40 psf FIRST FLOOR _ SEAL
10 psf 30 psf BEDROOMS
10 psf 10 psf ATTIC
POUR
10 psf 30 psf ROOF(GROUND SNOW) 4��H or R,
"A" "B" ^A" "q" ^g^ SEQUENCE 3. LATERAL DESIGN BY OTHERS' ^ RICNARD
�•—I I ..,.:.. e: ..` • DEMPSEY
STRUCTURAL
No.29173
m 4. DPLANS PRIOR TOOT
OCON ACTINGFENGINEER.N IS NOT GIVEN,REFERENCE ARCHITECTURAL FLOOR o QF°srear'oerW�
Fs3i nl ENS
- 5. CONTRACTOR TO VERIFY ALL DIMENSIONS AND SITE CONDITIONS PRIOR TO CONSTRUCTION AND
/ 1 2'MIN. SHALL NOTIFY THE ENGINEER IMMEDIATELY OF ANY DISCREPANCIES BETWEEN DOCUMENTS AND
a - - FIELD CONDITIONS. _
• o- ^ 6
0 . THE CONTRACTOR IS RESPONSIBLE FOR ALL MEANS AND METHODS DURING CONSTRUCTION. THE - ~
F:F: ENGINEER IS SPECIFYING THE FINISHED CONDITION ONLY, WITHOUT ASSUMING NEITHER
KNOWLEDGE NOR RESPONSIBILITY FOR HOW THE CONTRACTORS WALL ACHIEVE THIS RESULT.
W8 co
N
m ASSUMED BEAM . FOUNDAT_ ON NOTES, -
1. THE STRUCTURE IS TO BEAR ON NATURAL UNDISTURBED SOILS CAPABLE OF SUPPORTING 1.5 TONS
PER SQUARE FOOL iF QUESTIONABLE BEARINGIS ENCOUNTERED IT IS TO BE REMOVED AND
r r -1 F -1 F- r-1 -REPLACED WITH STRUCTURAL FILL COMPACTED IN 8"LIFTS ON THE NATURAL MATERIAL TO A '
J- - �'-495'6 DENSITY -
co
? L-J L_J L_=J L- -L-J - - 2. ALL EXTERIOR FOOTINGS TO,HAVE A MINIMUM OF 4'�OF FROST COVER. V • o O
EXISTING CMU FOUNDATION. GONGRF�NOTFC
{VA(WALL FRAMING NOT SHOWN FOR CLARITY) -ASSUMED POST&FOOTING -
1. ALL CONCRETE WORK SHALL CONFORM TO THE MOST CURRENT.VERSION OF BUILDING CODE
m ^ REQUIREMENTS FOR REINFORCED CONCRETE(ACI 318)AND SPECIFICATIONS FOR STRUCTURAL
'• CONCRETE FOR BUILDINGS(ACI 301)OF THE AMERICAN CONCRETE INSTITUTE. 0
2. CONCRETE SHALL BE PROPORTIONED, MIXED AND PLACED IN CONFORMANCE WITH ACI 318- _ W
MINIMUM STRENGTH 3,000 PSI AT 28 DAYS- MAXIMUM SLUMP 4 1/2". ca O
• FOUNDATION SEGMENT"A'SHOWN 3. CONCRETE SHALL BE AIR ENTRAINED. TOTAL AIR CONTENT(PERCENT BY VOLUME OF CONCRETE)
' ALREADY CONSTRUCTED. ' SHALL NOT BE LESS THAN SR OR MORE THAN 7%
B" N
SEGMENT TO BE DONE - .r .. - • • ~ � •�f
4. STEEL REINFORCING BARS SHALL CONFORM TO ASTM A615, GRADE 60.
m N
5 G TO ACI CODE -
. MINIMUM CONCRETE COVER OVER STEEL REINFORCING TO BE ACCORDING
•3"IF CONCRETE IS POURED IN DIRECT CONTACT WITH THE GROUND. • O co
...._ -. ....: ..:. a {vim
"2"IF CONCRETE IS EXPOSED TO THE EARTH OR WEATHER. v
"B"- --^A^- ^8^-�'--„A"--�'-"B - -„A" �-„B„:-- -„A„- -„B„ '1-i/2" IF CONCRETE IS NOT EXPOSED TO THE EARTH OR WEATHER.
-'F- f'- 6. ALL SPLICES IN THE REINFORCING STEEL ARE TO BE TIED WITH WIRE, AND LAP A MINIMUM OF 30 ` �C
BAR DIAMETERS. AT NO TIME IS THE REINFORCING STEEL TO BE WELDED. - r
REMOVE-AND REPLACE STEPS - 7. WHERE REINFORCING STEEL IS BENT IT IS TO BE DONE SO THE END RESULT IS A GRADUAL ARC
TO PERMIT UNDERPINNING WITH A MINIMUM OF A THREE INCH RADIUS.
AUGUST 16, 2012
8. CONTRACTOR TO PROTECT CONCRETE WORK FROM PHYSICAL DAMAGE OR REDUCED STRENGTH DATE
n UNDERPINNING PLAN WHICH COULD BE CAUSED BY BOTH EX DRAWN SRO
CESSIVE HEAT IN COMPLIANCE WITH THE MOST CURRENT SCALE : AS NOTED
Sl SCALE: 1 4" = 1�-O' � EDITION OF HOT WEATHER CONCRETING(ACI 305). AS WELL AS FROST, FREEZING ACTIONS, OR `
LOW TEMPERATURES, IN COMPLIANCE WITH THE MOST CURRENT EDITION OF COLD WEATHER
J - r CONCRETING(ACI 306).
i
EXISTING WALL FRAMING
EXISTING CMU FOUNDATION WALL
I I'
- :I l EXISTING GRADE
(2) 48"LONG, /j4 BARS 70P&BOTT. TO FORM CONTINUITY EXISTING CMU FOUNDATION. a r'BETWEEN JOINTS. EMBED 24"INTO ADJACENT SOIL (WALL FRAMING NOT SHOWN
PRIOR POURING SECTION "A" - FOR CLARI
4'- ENCASE FOOTING AND BOTTOM HALF Lu
'-0"MAX.
WI WWW
- ' ''I 1' OF FIRST COURSE. TH CONCRETE.
EXCAVA •.. - + �
ENCASE LOWER HALF
OF BOTTOM COURSE y4 AL BARS O.C.
" Lu
NATH CONCRETE , EXISTING GRADE _ - �/ I � ° � VERTICAL ®24"
ui
f;'inrvfinnFirlph" innfl nrinufinnfinnhinnrinrvfirvrvfiran iervfinnhin7f'innf
- --�-�-- �^ \ - \ \ PROPOSED UNDERPINNING OF EXISTING - W
/, / °d FOOTING WHERE BOTTOM OF FOOTING
.nl IS LESS THAN 4'BELOW GRADE
POUR "B"
POUR POUR 8"\ VPOUR POUR B"\ POUR"B
PRIOR TO Y POUR \ a V
q^ /PRIOR TO �:e PRIOR TO• 'O •PRIOR TO' \ c
CONCRETE F�XCAVA.\ q A" XCAVA\\ \_--� - Y * y H
All
.\\..\\..\\\\..\\.\\.♦ ............\\\\.\\..\\..\\..\\.\\.�\/�\�/\�/\\/\\�/\ 48"LONG y4 BARS TO FORM
• CONTINUITY BETWEEN POURS - FOUNDATION
3 (4 TOTAL) -
S, r PLAN
2 UNDERPINNING DETAIL (ELEVATION) �1 UNDERPINNING SECTION
51 SCALE: 1/2" = 1'-0" - ! S1 SCALE: t...
SCALE AS SHOWN
2 112
NO DATE REVISIONS
GENERAL NOTES:
1. CODES:
MASSACHUSETTS STATE BUILDING CODE, EIGHTH EDITION (780 CMR)
FORM DRYWELL TO IMPROVE REMOVE AND REPLACE WATER MINIMUM DESIGN LOADS FOR BUILDINGS AND OTHER STRUCTURES (ASCE 7)
CRAWLSPACE ACCESS HEATER, SHOWER, & TRASH BIN
TO PERMIT UNDERPINNING 2. DESIGN LOADS:
DEAD LIVE SEAL
10 psf 40 psf FIRST FLOOR
10 psf 30 psf BEDROOMS
10 psf 10 psf ATTIC SNOF
POUR
10 psf 30 psf ROOF (GROUND SNOW) RICHARD J,��
2
SEQUENCE 3. LATERAL DESIGN BY OTHERS STRUCTURAL
S1
"B" "A" "B" A" "B" "A" "B" "A" " " "A" "B" .,
No.29173
...: = j
FT 4. DO NOT SCALE FROM PLANS. IF DIMENSION IS NOT GIVEN, REFERENCE ARCHITECTURAL FLOOR
'np ° m PLANS PRIOR TO CONTACTING ENGINEER. Fssr At ��'\
_
3r 5. CONTRACTOR TO VERIFY ALL DIMENSIONS AND SITE CONDITIONS PRIOR TO CONSTRUCTION AND
SHALL NOTIFY THE ENGINEER IMMEDIATELY OF ANY DISCREPANCIES BETWEEN DOCUMENTS AND
S1 2' MIN. FIELD CONDITIONS.
Q
U) 6. THE CONTRACTOR IS RESPONSIBLE FOR ALL MEANS AND METHODS DURING CONSTRUCTION. THE
Z 0 ENGINEER IS SPECIFYING THE FINISHED CONDITION ONLY, WITHOUT ASSUMING NEITHER • O�
F KNOWLEDGE NOR RESPONSIBILITY FOR HOW THE CONTRACTORS WILL ACHIEVE THIS RESULT. N
w0 d
FOUNDATION NOTES:
ASSUMED BEAM
1• THE STRUCTURE IS TO BEAR ON NATURAL UNDISTURBED SOILS CAPABLE OF SUPPORTING 1.5 TONS PER SQUARE FOOT. IF QUESTIONABLE BEARING IS ENCOUNTERED IT IS TO BE REMOVED AND w
_ REPLACED WITH STRUCTURAL FILL COMPACTED IN- 8" LIFTS ON THE NATURAL MATERIAL TO A ,••�
(� —1 F -I f F f 95% DENSITY
Q L J L _ J L _ J L L T J 2. ALL EXTERIOR FOOTINGS TO HAVE A MINIMUM OF V OF FROST COVER. 0
UA
EXISTING CMU FOUNDATION. CONCRETE NOTES:, cc
(WALL FRAMING-NOT-SHOWN FOR -CLARITY) 1 ASSUMED POST & FOOTING 'SU ED 0 1. ALL CONCRETE WORK -SHALL CONFORM TO THE MOST -CURRENT-VERSION OF,BUILDING CODE.
m REQUIREMENTS FOR REINFORCED`CONCRETE (ACI 318) AND SPECIFICATIONS FOR STRUCTURAL 0
CONCRETE FOR BUILDINGS (ACI 301) OF THE AMERICAN CONCRETE INSTITUTE.
2. CONCRETE SHALL BE PROPORTIONED, MIXED AND PLACED IN CONFORMANCE WITH ACI 318 - u Z c*
MINIMUM STRENGTH 3,000 PSI AT 2&DAYS - MAXIMUM SLUMP 4 1/2 .
N
3. CONCRETE SHALL BE AIR ENTRAINED. TOTAL AIR CONTENT PERCENT BY VOLUME OF CONCRETE) a
Q FOUNDATION SEGMENT "A" SHOWN SHALL NOT BE LESS THAN 5% OR MORE THAN 7"!a co
ALREADY CONSTRUCTED. d.
SEGMENT "B" TO BE DONE 4. STEEL REINFORCING BARS SHALL CONFORM TO ASTM A615, GRADE 60, ~ �'
5. MINIMUM CONCRETE COVER OVER STEEL REINFORCING TO BE ACCORDING TO ACI CODE
Q° *3" IF CONCRETE IS POURED IN DIRECT CONTACT WITH THE GROUND. = O
^r. *2" IF CONCRETE IS EXPOSED TO THE EARTH OR WEATHER. Q
*1-1/2" IF CONCRETE IS NOT EXPOSED TO THE EARTH OR WEATHER. W ...r
m •
HA" ff ff ff " ff fJ H " ff "
B BIf A 8 7f A!! B A B 6. ALL SPLICES IN THE REINFORCING STEEL ARE TO BE TIED WITH WIRE, AND LAP A MINIMUM OF 30
BAR DIAMETERS. AT NO TIME IS THE REINFORCING STEEL TO BE WELDED. u. I-
7. WHERE REINFORCING STEEL IS BENT IT IS TO BE DONE SO THE END RESULT IS A GRADUAL ARC
REMOVE AND REPLACE STEPS WITH A MINIMUM OF A THREE INCH RADIUS. DATE : AUGUST 16, 2012
TO PERMIT UNDERPINNING DRAWN SRO
8. CONTRACTOR TO PROTECT CONCRETE WORK FROM PHYSICAL DAMAGE OR REDUCED STRENGTH SCALE AS NOTED
UNDERPINNING
� 1 WHICH COULD BE CAUSED BY BOTH EXCESSIVE HEAT IN COMPLIANCE WITH THE MOST CURRENT
V 1 N D E R P I N N I N G PLAN EDITION OF HOT WEATHER CONCRETING (ACI 305), AS WELL AS FROST, FREEZING ACTIONS, OR
s1 SCALE: 1 4" = 1 '-0" LOW TEMPERATURES, IN COMPLIANCE WITH THE MOST CURRENT EDITION OF COLD WEATHER
CONCRETING (ACI 306).
— EXISTING WALL FRAMING
EXISTING CMU FOUNDATION WALL
'I I_
I L EXISTING GRADE
L.
�j WEXISTING CMU FOUNDATION.
(2) 48" LONG. #4 BARS TOP & BOTT. TO FORM CONTINUITYui
-_
BETWEEN JOINTS. EMBED 24 INTO ADJACENT SOIL °` (WALL FRAMING NOT SHOWN f I'
PRIOR TO 'POURING SECTION "A" FOR CLARITY) i I' ENCASE FOOTING AND BOTTOM HALF
4'-0" MAX. I I OF FIRST COURSE WITH CONCRETE
EXCAVATION
ENCASE LOWER HALF \� z
' OF BOTTOM COURSE r !� � � #4 VERTICAL BARS 024" O.C.
WITH CONCRETE 1 EXISTING GRADE \\ W
0
I
> `
z I'lf:lI'l17' I'l W
`,��1 I I�i =.=1 II I`i �.� i ICI I'i �:.=�� II I'i (�.�'I i.
II I'i .�J II 1.1 LI =�1 ICI I1 l� -1 II I'i l�.�:l FI 11 F::.��1 i�l I:i �.=1 ICI I•i l.:-i I:I I'i �.:`1 ICI I'i l° �1 II 11 l:��-�i I� I:i k.. . l.. . l � .,,
,.. .. : .
:.
h1 A1.111LI �. JFILiI. J1.1J'i �:= 1NI'i1. =1I:II'i � Jlalil.. lhll'1 �.=JIII'ik =JIILi Iiil'1k.: 1III'i1: JilLiI.. ILI1`i �..: .......... cc Lu
`I i.
i Q
I�I. 11 PROPOSED 1 11 • >�I I�i I:1 E..� hl I' : � l� RO OSED UNDERPINNING OF EXISTING
;: ia11 IIIi'i �:. III =tio. . l : /\ �\ I S G
` \//\ j I Q I FOOTING WHERE BOTTOM OF FOOTING = '.
• ii�!� �� •� -� +_,ice==-. . . O ' � V •�Q L► \ \ \\ \\
. � � � _ > . . • . D . . ° / � °, . �'� i/��1��//� �\ � '4 IS LESS THAN 4' BELOW GRADE
n 4. a p► . " A. - D: .° ////�\/�\ s • \/�\
POUR "B" POUR "B" o POUR "B POUR "B"� \ d �\
POUR:• \ \ POUR POUR-. :
a PRIOR TO "A" /PRIOR TO e . • : "A" D PRIOR TO\ 1 "A" 'PRIOR TO
e. CONCRETE D \ EXCAVA. , o D : ' EXCAVA. ./ ° EXCAVA. /\j /\/ / / //
a p, t. /.//.//. a•. /\I/\/�'\ ° s s '//\//\//\//\ \ \/ `/ l �
48" LONG #4 BARS TO FORM
CONTINUITY BETWEEN POURS FQLMATION
(4 TOTAL)
' 3 PLAN
S1
3 UNDERPINNING SECTION
2 UNDERPINNING DETAIL ELEVATION S1 SCALE: 1" = 1'-0"
S1 SCALE: 1/2" = V-0"
_ SCALE AS SHOWN
12112
I
I
ALWAYS DIG SAFE PRIOR TO CONSTRUCTION--UTILITY LOCATIONS SHOWN INCOMPLETE. JOB NO. B12-03 Rd
MOTES _-,,,.....,.9..:.. aN
each Grace.dw1. LOCUS IS A.M. 246, PARCEL 130.LO
FB27/27 SB12/66
TEST HOLE 3 TEST HOLE 4 ,NOTE: THIS tS A SITE PLAN SURVEY2. ELEVATIONS SHOWN ARE TOWN' GISf0.6:
BY THIS OFFICE, NOT A COMPLETE r;, 4. A3. OLL PtPESCUS IS ITO 13E 4" SCFi 40N FLOOD ZONE C oAND1RPITCHEDDAT 1/4""JULY � PER2FOOT. (UNLESS NOTED}DEPTH' {Inches) ELEV.(#eetj DEPTH (Inches] ELEV.(feet}PROPERTY LINE SURVEY. LOT LINES 0 A layer 10yr 3/3 226 0 A Iayer 10yr 3/4 23 3 5. MUNICIPAL WATER IS AVAILABLE. LOTS WITHIN. 100' ARE ON TOWN ,WATER.HELD PARALLEL TO LAYOUTS OF - 6. COMPONENTS TO BE AASHTO H-10, UNLESS NOTED.MAPLE ST. AND SIXTH AVE• sandy Ioam sandy loam o,.. 7. INLET TEE TO PI20JECT DOWN 13 , OUTLET TEE DOWN 14 .
7B layer 10yr-5/8 10 B layer 1Oyr 5/8 Y 8. IF TWO QR MQRE LINES,. WATER TEST D-BOX FOR EQUAL FLOW
» sandy loam „ sandy Ioam o D-BOX EXIT PIPES TO BE LEVEL FOR FIRST TWO FEET.24 20.6 26 21..1 m9. DEPTH OF COMPONENTS: NOT TO. EXCEED 3, OR VENTING MUST BE PROVIDED.
C1 layer 10yr 6/6 ;' C1 layer 10yr 6/8 a COVERS: BUILD UP COVERS TO 6" BELOW GRADE--2 ON TANK, 1 ON D-BOX, 2 ON LEACHING
loamy sand �' 10. STONE TO BE DOUBLE WASHED 3/4"TO 1 1/2" WITH 2"' MIN. 1'/8 TO 1/2" PEA STONE ON TOP.44„o I°amy sand LOCATION MAP
10% gravel 11. IF UNSUITABLE SOILS, OR SOILS DIFFERING FROM THE SOIL LOG ARE FOUND,
62" 17.4 HEALTH, OR R.J. CADILLAC.
CONTACT THE BOARD OF
C2 layer 2.5y.5/4 76" 1-7.0__ 12 IF AN OVERD1G IS_CALLED FOR, BELOW, FILL MATERIAL FOR 5' AROUND AND UNDER LEACHING.
S-T * sandy loam C2 layer 2.5y 5/4 IS TO BE CLEAN GRANULAR SAND MEETING SPECIFICATIONS OF 310 CMR 15.255(3). TEST HOLE I
96" 94.6 sandy loam 13. PUMP AND FILL ANY EXISTING CESSPOOL/LEACHPIT. REMOVE ANY CLOGGED SOIL, BLOCK,
112" 14.0 AND STONE IN LEACH AREA, AND DISPOSE OF AS DIRECTED BY HEALTH AGENT. DEPTH (inches) ELEV.(feet)
! TOWN LA YOU OU C3 layer 2.5y 7/2 C3 layer 2.5y 7/3 14. ALL CONSTRUCTION TO MEET TITLE `5 AND LOCAL REGULATIONS. 0 - 24.2 Q
A layer 10yr 3/4 l
N 87'24'43" E med. to fine sand med. sand & �I
sandy loam mixed PERC.TEST NO.: 13582 sandy foam 1
--�_ E4.77
" no water „ no water TEST HOLE DATE: March 26, 2012 7" B layer 10 5 6 �•l
i I144 10.6 144 11.3 CENTER OF NEW SEWER LINE PERFORMED BY: Ron Cadillac, Soil Evaluator y �" / --�
i TO EXIT 3'-3" BELOW TOP WITNESSED BY: Donald R. Desmarais, RS 22" sandy Ioam 22.4
OF FOUNDATION.- PERC RATE: <2'-00" inch.. C1--TH'S 1 & 4 u. f
Barns invert 22.90 SOIL SURVEY(1993): Carver coarse sand ) »a C1 loamy sand
6/6
sand
Found 26.34t GEOLOGIC MAP(1986): Barnstable plain deposits 40 10% gravel
QInvert22.80
REPLUMB
Top Foundation _ 32 QttiGk4_ Plus
-N.W. CORNER OF Invert 22.55 72„ 18.2
/✓ / TOWN GISt0.6' Use Gas BaffleStClt1CQ1'SI LP 41[ti#S CZ Iayer 2.5y 5f4 .1\ PROP.=24.7 Effluent Filter invert 22.21 sandy loam
T -22.6;, T -21.8.. '
N N proposed oP- op� 96' 16.2
•P N
N/F "Pt 9" min. cover ®Filter Cloth ®Filter Cloth
p p N/F HARTIGAN Proposed S=1/8"/ft S=1/8"/ft 3" Max. C3 layer 2.5y 7/3
p Q medium,sand
KATSOHISinspection Ports
1500 Gat. min.
x 23."06 PROP. GAS, 5,5 Proposed Septic Tank 3.3" }44" o wot r 12.2
�?
2 ,1 x 24.3 N g7`24`43' €
x o -- -- ioo,00 1 ..� 26.1 ; Invert 22.38 Invert 2218 , 21.1 TEST HOLE 2
x / I i " Proposed 4 Bottom® End
,l RESERVE AREA 6 Stone or compact Proposed p 10.5 ,
. : :.:. rR---- I t 4.1.
-- `r I+ ,fib. 33 ' I x 16' X 37.5' (600 S.F.) I , i , t t N i 3• t DEPTH (inches) ELEV(feet]
i 10 1- 16 --I I -I --1 C2=17.9 Th4 C2=17,0 O 23.9
:.........:..: : I I DRIP. DISPERSAL LEACHING a I t t L^ I. 1, A layer 1Oyr 3/4
-s X I:... .. ,:'':NTH 1 X .� i I x 26,1 I - DESI DATA/`1 6"
frl i I 6,4 G,N CD 3' sandy loom
CO �::.:::;: I Exist. (Deck V - y 10yr c
22,6 4 :{ p_i Tl � I I X 4 FIND & FELL N® WeterO 10.6- Tti 3. B la 10 5 6
C� I:: :::: O ;• CESSPOOL S H :Q • z r t ) " sandy loam
'O I 3O 1'. I BEDROOMS.... 4 24 21.9
W f :; : g o .
O X o _GRINDER: LEACH,::AREA _
� -__,z :: � IV :. --�I rT_k oo n% � - ___GARBAGE DE , _ � - �_.. No _-�_� -..,- __. - ..-_ ._ �- ,__�.. _..rT__.�_-_,� --?-- Cl -
22,04 c 4'-:.rr: :::. :.. Gx ll_ 7. _ Z :.Showy 6' I oX c,S'
1 layer 90 ;
---� DART ro :::: :: REQUIRED CAPACITY- 440 GPD loamy sand
�:�' O __ t 2 I b 0° USE 32--QUICK4 PLUS STANDARD LP y
OWD... ::::::. :. o C C7 I o w, Nf l= PROPOSED SEPTIC TANK: 1500 GAL. 10% gravel
. s 30.9' UN1TS AS SHOWN. PITCH DOWN FROM 17.9
O flR1 V w o ::::. :: cn
E=m :• N (n I - = 20OX OF 440 GPD=880 GAL--USE MIN. 15M GAL ' » 72"
ry o M I NUCCI INLET PIPES TO END 0, 1 4 /FT (1fl
z 2 I: ` I ::::: H : - - :: i 33:4 I m EFFECTIVE LEACHING AREA: 605.4 SF C2 layer 2.5y 5/4
° 4.73 SF/LF X 4'/UNIT=18.92 S.F NIT OF DROP IN 40) TO MATCH GRADE.
•i�23:3 .. ...� • �--------' /U sandy. Loam.
32 UNITS X 18.92 SF/UNIT=605.4 SF(EFFECTIVE) 96 15.9
Exist. J -! SIGN CAPACITY., 448 GPD
i i i DE P >
PROVIDE �Li.i 8.6'
22 BARRICADE '" x 2 :1 Deck i tI�SPECTION SCHEDULE [(605.4 SF) X .74 GPD/SF] rJ REMOVAL
C3 layer 2.5y 7/3 I
i 3o8fs.f. I ::Exist:. CALL R.J. CADILLAC TO , medium sand
1,80 37.2' hed:. sx INSPECT PRIOR TO BACKFILL. DO 5 ALL AROUND AND UNDER REMOVAL
-i 23:5i --- 124, g .;...• DOWN 24" TO 26" TO C1 LAYER. 144" no water 11.9
L,f �463 8t 465" w �3�,� --� 23.
8,000f,S. F I w. w 23:3
z�: pARK1NG $22.6
µ
DIRT TH_3 ____ 23, 100.0O' ZONING DISTRICT: RB
- -� -
1,1 S 8T24'43 W ;:: Exist.:: / FRONT YARD 20'
20, 8 Shed Nf F SIDE YARD 10'
21.12 22:3 :•:....
3 x 21. �2 ::... ....:.... GI OFFRE REAR YARD 10,
EX/S21. T/NG'NO :...::. MAX. BUILD HEIGHT 30'
2 •45 (ISE 22.35
PROP. WATER N J F
BARD TRUST SITE PLAN
BENCH MARK- MAG. NAIL SET 1N
PAVEMENT=2.0..45 TOWN. GI.Sf0.6'
(V-S'OFF EDGE PAVA 17-6' OFF FACE POLE) FOR
THIS PLAN IS A VAUD COPY ONLY IF IT BEARS t
AN ORIGINAL RED STAMP AND SIGNATURE. MARTHA GRACE NOMINEE TRUST
LEGEND
-0• TH 1 TEST HOLE LOCATION, NUMBER jN F F M 'sq
LOTS 463 & 465, 76 SIXTH AVE, W. HYANNISPORT MA
W- WATER LINE MARKINGS N
E OVERHEAD ELECTRIC- WIRES (IF SHOWN) U° BOA D RONALq
�s �
o DAMES a DAMES
MAY 69~ 2012, SALE: 17
=2O,
CADILLAC CADILLAC
G GAS LINE MARKINGS # 1060 0 #35779
x 9.5 x8,7 EXISTING & PROPOSED ELEVATIONS ('X' MARKS POINT) 1'�c �a p0F ®�
GISTSR
--6--� EXISTING CONTOUR SANITA0, gyQSURV�`�o` RONALD J. CADILLAC, PLS, RS, P.C.
.�.._g PROPOSED E (IFSHOWN)CONTOUR
UTILITY POLE (IF S PROFESSIONAL LAND SURVEYOR & REGISTERED SANITARIAN
. �
® EXISTING DRAINAGE CATCH BASIN P.O. BOX 258
x - FENCE IF SHOWN NOT ALL SHOWN)
) WEST YARMOUTH, MA 02673 i
TREE (IF SHOWN, NOT ALL SHOWN) HEALTH AGENT APPROVAL DATE 2012 BY R.J. CADtLLAc (508) 775-9700
c PAGE 1 OF 1
ALWAYS DIG SAFE PRIOR TO CONSTRUCTION--UTILITY LOCATIONS SHOWN INCOMPLETE. JOB NO. B12-03
NOTES Grace2 .dwg Crai vide Beach Rd
LEACH DETAIL 1. LOCUS IS A.M. 246, PARCEL 130. FB27/27 S812/66
TEST HOLE 3 TEST HOLE 4
NOTE: THIS IS A SITE PLAN SURVEY 1"-20' Typ 2. ELEVATIONS SHOWN ARE TOWN GISt0.6'.
BY THIS OFFICE, NOT A COMPLETE 3. LOCUS IS IN FLOOD ZONE C ON FIRM DATED JULY 2, 1992. St.
DEPTH (inches) ELEV.(feet) DEPTH (inches) ELEV.(feet) t1, DRY 4. ALL PIPES TO BE 4" SCH 40, AND PITCHED AT 1/4" PER FOOT. (UNLESS NOTED) Ma to
PROPERTY LINE SURVEY. LOT LINESWELL 22.6
HELD PARALLEL TO LAYOUTS OF 0 A layer 10yr 3/3 0 A layer 10yr 3/4 23.3 r 4 I 5. MUNICIPAL WATER IS AVAILABLE. LOTS WITHIN 100 ARE ON TOWN WATER. N
sandy loam sandy loam ' 1�„ 6. COMPONENTS TO BE AASHTO H-10, UNLESS NOTED. 3
MAPLE ST. AND SIXTH AVE. " �� l_ 7. INLET TEE TO PROJECT DOWN 13", OUTLET TEE DOWN 14".
7 10 I IN 8. IF TWO OR MORE LINES, WATER TEST D-BOX FOR EQUAL FLOW v <
B layer 10yr 5/8 B layer 10yr 5/8 '
sandy loam sandy loam 1 4' im D-BOX EXIT PIPES TO BE LEVEL FOR FIRST TWO FEET. NOT TO
24" 20.6 26" 21.1 ;i i 9. DEPTH OF COMPONENTS NOT TO EXCEED 3', OR VENTING MUST BE PROVIDED. SCALE
C1 layer 10yr 6/6 C1 layer 1Oyr 6/8 COVERS: BUILD UP COVERS TO 6" BELOW GRADE: 3 ON LEACHING.
loam sand °' loam sand '-1 10. STONE TO BE DOUBLE WASHED 3 4 TO 1 1 2" WITH 2" MIN. 1 8 TO 1 2" PEA STONE ON TOP.
y 44"a 10% gravel i Q117 11. IF UNSUITABLE SOILS, OR SOILS DIFFERING FROM THE SOIL LOG ARE FOUND, LOCATION MAP
62" 17.4 2' CONTACT THE BOARD OF HEALTH, OR R.J. CADILLAC.
C2 layer 2.5 5/4
76" 17.0 13"+11 1\ 12. IF AN OVERDIG IS CALLED FOR BELOW, FILL MATERIAL FOR 5' AROUND AND UNDER LEACHING
APLE ST * sandy loam C2 layer 2.5y 5/4 �jt3'+ IS TO BE CLEAN GRANULAR SAND MEETING SPECIFICATIONS OF 310 CMR 15.255(3). TEST HOLE 1
96" 14.6 sandy loam ' -;'O= 20 13. PUMP AND FILL ANY EXISTING CESSPOOL/LEACHPIT. REMOVE ANY CLOGGED SOIL, BLOCK,
112 14.0 4 w RADIUS AND STONE IN LEACH AREA, AND DISPOSE OF AS DIRECTED BY HEALTH AGENT. DEPTH (inches) ELEV.(feet)
(1953
TOWN LAYOUT) C3 layer 2.5y 7/2 C3 layer 2.5y 7/3 CHORD 14. ALL CONSTRUCTION TO MEET TITLE 5 AND LOCAL REGULATIONS. 0 A layer 10yr 3/4 24 2
med. to fine sand med_ sand & L=12.7 sandy loam
N 8T24'43" E sandy loam mixed PERC.TEST NO.: 13582
f----- TEST HOLE DATE: March 26, 2012 7
144" no water 10.6 144" no water 11.3 CENTER OF NEW SEWER LINE PERFORMED BY: Ron Cadillac, Soil Evaluator B layer 10yr
loa 5/6
' TO EXIT 3'-8" BELOW TOP 22" sandy loam 22.4
WITNESSED BY: Donald R. Desmarais, RS
OF FOUNDATION. PERC RATE: <2'-00"/inch (C1---TH'S 1 & 4) i C1 layer 10yr 6/6
Barnstable Road Bound SOIL SURVEY(1993): Carver coarse sand „0Q. loamy sand
Found & Held 26.34t Invert 22.45 GEOLOGIC MAP(1986): Barnstable plain deposits 40 10% gravel
PROPOSED--REPLUMB
Top Foundation 3-500 GAL. DRY WELLS 72„ 18.2
BENCH MARK--N.W. CORNER OF Invert 22.00
Use Gas Baffle H-20 C2 layer 2.5y 5/4
BOTTOM STEP=24.77 TOWN GISf0.6' Invert 22.66 sandy loam
ii Top Conc.=22.3 96"
o N N/F S=1/4"/ft 9" min. cover Proposed p / 16.2
-� O To Peastone Filter Clo#h=21.9
S=1/8"/ft " C3 layer 2.5y 7/3
o o N F HARTIGAN Proposed S=1/8 /ft
Z X
- KATSOHIS Invert 22.25 1500 Gal. min. medium sand
a PROP. GAS Proposed Septic Tank 144" no water 12 2
---------- 24"
' N 87124'43' E
23,1 . t / ' R �
100.00' I Invert 21.50 19.5
�26.1 I Invert 22.83 TEST HOLE 2
o _ # » Proposed Bottom
�' '; ". . ^' r, ,� RESERVE AREA 6 Stone or compact Proposed
Z r �4 ----
►* °'�' I5 x. 16' X 37.5' (600 S.F.) N ' 11, I 8.9 DEPTH (inches) ELEV.(feet)
�' I i DRIP DISPERSAL LEACHING i 10 I i- 16 ---� i ��'13' 0 A layer 10yr 3/4 2
3.9
�D. m - 4 < sandy loam
4C: .:.
I::::.�• ' T 1 X � ' � 26.1 m
X :�::�.► I - X DESIGN DATA - 6"
CO t....::;) 4 Z U) I Exist. Oeck
2: ::n J FIND & FILL No Water® 10.6--TH 3 B layer 10yr 5/6
(�22.6 (:..::: :. O- O ;: CESSPOOLS) sand
►:::::::i :.:Q Z r y loam
(� L:::::.t ::.:' - O -0 I 301'. � cn BEDROOMS: 4 24„
21.9
I
.60 a O - I i I, o GARBAGE GRINDER: No LEACH AREA
-__ z [:':::: I - ��� - -k 0 ^' REQUIRED CAPACITY: 440 GPD C1 is myyer sand
6/6
2 3►: ::: _
D� o I,�.. z :.show�i I 6' I o OD USE 3 DRY WELLS, AS SHOWN, WITH FROM loam sand
RT ro !: ::.: O - 2 I o 10% ravel
F:; : o - ' N F g
O D w ao .. ...I :::: C p I c n� / PROPOSED SEPTIC TANK: 1500 GAL. 1 TO 4 OF STONE ALL AROUND (SEE
R�VE C o t�:.;.�. : ::.j
Cf) �'9� 200% OF 440 GPD=880 GAL--USE MIN. 1500 GAL. 72" 17.9
2 ' ro o 1 H H- M - m NUC'C'1 EFFECTIVE LEACHING AREA: 595.8 SF DETAIL). C2 layer 2.5y 5/4
►.::::. O :. :: - 1 33.4
23.3 � :: --- BOTTOM AREA=394.3 S.F. sandy loam
2.8 (i::. 5 9
£ I 3 Exist. 33.4' SIDE AREA= 100.75' X 2=201.5 S.F. 96
ITi'1 X 1
H2O CO " "1 DESIGN CAPACITY: 440.9 GPD
BARRICADE I i� -- 86' INSPECTION SCHEDULE [(595.8 SF) X .74 GPD/SF] 5' REMOVAL C3 layer 2.5y 7/3
22 �•::... Deck
i exist . CALL R.J. CADILLAC TO , ALL AROUND AND UNDER REMOVAL
medium sand
O , 80 37.z' i 308fs.f. DO 5
Si I p 24 shed; _a2' INSPECT PRIOR TO BACKFILL.
OF A LAYER (TOPSOIL), B LAYER (SUBSOIL) no water
C W J „ -- �a� AND C2 LAYER (SANDY LOAM) DOWN 8' TO 144" 11.9
�S 4r;3 & 465 N
8,000±S F•. µ w µ -- 23' a 23.3 9' TO C3 LAYER (MEDIUM SAND). THE C1
PARKING = �� �+DIRT. µ LAYER (LOAMY SAND FROM 2 TO 6 DOWN),
_ TH 3 _- 23, 1Q0 00' ZONING DISTRICT: RB WHICH WAS PERC'D, MAY BE USED IN THE 5'
1.1 23. 0 REMOVAL IF IT CAN BE STOCKPILED WITHOUT
• �1 S 8T24'43" W :. Exist. :; FRONT YARD 20'
Shed
N/F SIDE YARD 10' BEING MIXED WITH REMOVED LAYERS.
20. 3 2L12
21 ::=` GIOFFRE REAR YARD 10'
EX/sp/v ....::...::.... MAX. BUILD HEIGHT 30'
21 L. HODSE ............ ..
PROP. WATER NO. 84:::.
N/F
BARD TRUST SITE PLAN
EBENCHMARK--MAG. NAIL SET IN
ENT=20.45 TOWN GISf0.6' FOR
EDGE PAV.& l t-6' OFF FACE POLE)
THIS PLAN IS A VALID COPY ONLY IF IT BEARS MARTHA GRACE NOMINEE TRUST
AN ORIGINAL RED STAMP AND SIGNATURE.
LEGEND
TH i TEST HOLE LOCATION, NUMBER LOTS 463 & 465, 76 SIXTH AVE, W. HYANNISPORT MA
---__W- WATER LINE MARKINGS--E OVERHEAD ELECTRIC WIRES (IF SHOWN) o A S AN ES :>> MAY H, 201 Z SCALE. 1 "=20'
G- GAS LINE MARKINGS _.._,�- ,� " CADILLAC " CADILLAC
9.5 -8.7 EXISTING & PROPOSED ELEVATIONS ('X' MARKS POINT) # 1060 #35r'79
�-6� EXISTING CONTOUR �gN�7AR P�o., �ss\o�� RONALD J. LS RS P.C.
8-- PROPOSED CONTOUR ", CADILLAC,r r
UTILITY POLE (IF SHOWN) �, �I ! Z PROFESSIONAL LAND SURVEYOR & REGISTERED SANITARIAN
® EXISTING DRAINAGE CATCH BASIN J P.O. BOX 258
x - FENCE (IF SHOWN, NOT ALL SHOWN) WEST YARMOUTH, MA 02673
TREE (IF SHOWN, NOT ALL SHOWN) - - (508) 775-9700
HEALTH AGENT APPROVAL DATE C�2o12 BY R.J. CADILLAC PAGE 1 OF 1
REV. 11/02/2012--CONVENTIONAL LEACHING W/DRY WELLS