Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0438 STRAWBERRY HILL ROAD
Oil . " Town of Barnstable uildin x v x w# 9 'Post",This Ca d S`o Thats it�s.Visible"From the Street=Approved Plans Must be Retained on Job and this Card`Must be Ke t z � P • 6 ` :Posted Until Finallnspectio Has Beeri Made y g ��, r3 - a Where a Certdificate ofOccupancy is Required,such Building shall Not be Occup edfuntila Fm l Inspection has been made Permit Permit No. B-17-3450 Applicant Name: Glen Larsen Approvals Date Issued: 11/20/2017 Current Use: Structure Permit Type: Building-Pool-Inground Expiration Date: 05/20/2018 Foundation: O 1 rl Location: 438 STRAWBERRY HILL ROAD, HYANNIS Map/Lot: 248-066-004 Zoning District: RB Sheathing: Owner on Record: PARE, DONALD& KAREN L Contractor Name:` ...GLEN'S POOL Framing:' 1 {Contractg4ii ense 178511 2 Address: 438 STRAWBERRY HILL RD HYANNIS, MA 02601 ' m Est Project Cost: $34,702.00 Chimney: Description: 18'x 30' Mountain Pond.ln-Ground Swimming Pool The yard has an Permit Fee: $175.00 Insulation: existing fence that is pool compliant g _ A 6e, Paid $ 175.00 Project Review Req: t Da#e Y 11/20/2017 Final: f � Plumbing/Gas R Rough Plumbing: - u � -Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced withinsix months aft r issuance. All work authorized by this permit shall conform to the approved application and the approved construction clocumehts�f§'r� hiffilhis permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and steucturesshall be in compliance with the local zoning by laws and codes. This permit shall be displayed in a location clearly visible from access street or'road and public shall be maintained open for inspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the B-1ding'and Fire Officials are provided on,th s permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing 2.Sheathing Inspection Ad v Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: I Florence, Brian From: glenspools <glenspools@gmail.com> Sent: Monday, November 20, 2017 12:25 PM To: Florence, Brian Subject: RE: Permit/Application: TB-17-3450 at 438 STRAWBERRY_ HILL ROAD, HYANNIS for Building - Pool - Inground. Hi Brian , the drawing is on it's way under separate scan. The rear is 20' setback; the side is 10' setback and 18' off the septic, which we we given a T variance on Friday by the health dept. Serif. via the 5amsun�,Gainxv S rti 5 ACTIVE' ', are ,AT&T 4G I- }.sniartpholle -------- Original message -------- From: "Florence, Brian" <Brian.Florence(Ditown.barnstable.ma.us> Date: 1 1/20/17 11:09 AM (GMT-05:00) To: gleiisl)ools.r gmail.com - Subject: Permit/Application: TB-17-3450 at 438 STRAWBERRY HILL ROAD, HYANNIS for Building - Pool - Inground Provide setback dimensions on site plan -.from property lines to swimming pool side walls. r Brian Florence, Building Commissioner Building Department I Town of Barnstable 200 Main Street Hyannis, MA 02601 508-862-4038 Brian.floren.ceLtowrl.barn.siable,ma.us i 4' LE�fH Pif '3 SfATtf: YANG' .'-.BOX ' i i``\. �' �1AOP /' rL-lot,88 ) 4A . - - � �'s�yi`�" ., jam. •-S xCL �4° .,, tF.4G7t7PXr CtdAdEFt i, , J;' Wft. srOME AROUNDv. d IENAY f4, V#2 ff's t E a.� ,. GRfSEAL END .. j I C S YS 1EM DES �. T R A WB E_R R `r' H '{ C, ( R 0'A:0' h�t,'�. �' 6 6 Mo CONCRETE BoUNO , WATER L I NE . , 14YORAN i GAS LINE SC:AL_ E7 : l — 20 OCTOBffR 3 , .r OVER HEAD WIRES �: , t..I GH T POST I""' " '""",; A g UNDERGROUND ELECTRIC LINE E N C3 E N � E R I (�1 � , UNDERGROUND TELEPHONE LINE UNDERGROUND CA BLEV I S I ON LINE `t y � SPO EL EVA T I ON �'c3 r rnca v t h p c5 r t N9 C 2 .•'ter=' I�11� \ { F3 6 2- ExisriNG CONrOUR BSI PROPOSED. CONTOUR , � �C� 3 `) � � x.,. Town of Barnstableon, RECEi�T ` '" 200 Main Street, Hyannis MA 02601 508-862-4038. a Application for Building Permit Application No: TB-17-3450 Date Recieved: 10/5/2017 Job Location: 438 STRAWBERRY HILL ROAD,HYANNIS Permit For: Building-Pool-Inground. ' Contractor's Name: GLEN'S POOL State Lic. No: 178511 Address: 6 KNIGHTS WAY, SANDWICH,MA 02563 Applicant Phone: (508) 577-7410 (Home)Owner's Name: PARE,DONALD& KAREN L Phone: (508)737-1408 (Home)Owner's Address: 438 STRAWBERRY HILL RD, HYANNIS,MA 02601 Work Description: 18' x 30' Mountain Pond In-Ground Swimming Pool: The yard has'an existing fence that is pool compliant Total Value Of Work To Be Performed: $34,702.00 ` ' a Structure Size: 0.00 0.00 0.000 Width Depth Total.Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or otter wotker before he/she engages in work on the above property in accordance witti the Workers'-Compensation Act(Chapter 568).. I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Glen Larsen 10/5/2017 (508)517-7410 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $34,702.00 i Date Paid Amount Paid Check 0 or CC# Pay Type Total Permit Fee: $175.00 10/5r2O17 $125.00 XXXX-XXXX XXXX-1 Credit Card I 1831 Total Permit Fee Paid: $175.00 10/5/2017 $50.00 i XXXX XXXX XXXX-= Credit Card 1831 �., o-.,..�- .,,,..'�✓',-•9. „�i�%'&his.....d..�t�.u,."�.�.,....,a'v.�,.', ewe.., .3, ..°�, �i` ,',. ���z"n,.. t A."��_t.� .s ...., Assessor's map `and lot .nu'mber .......:..........:..:............... THE ... o 0 • Sewage Permit' number �.;.........::�...;........ +;�" � " /1b .v-/.rufL.....� ro •w ` �.. Z B9SB9TODLE, i House number ........� ... ro raea , �......... .... G 1639. 00 oul TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ... ''`I V.e 1Z i G,A�?Ft �Z To C--A 14 Y i7r,o��l �; C i��z••..........................................................•••.•.•.......••.• .. ••••• . , - I � 0UTt7U/L�iN L. TYPE OF CONSTRUCTION /,v rz;2/p.z ,rl lA�IJ - 14 P� o o Z M'�N�ou�f ................................................................................................................ I ........... .�..�`^�.................19..8t TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a;permit according to the following information: Location ?..�?/°f w.�Z/rv� �/...1. . �.,7 CK1.1�<�C�...;.���Q...O.u..-.3... . ............................................... Proposed Use ... e ..`.. .'"f1 .............................................................................................................................................................. Zoning District ............................................Fire District ..�(.`...�Z.J ............... ......................................... Name of Owner L.�...�.v. Y.-��'« ...C..?°.d�f.".<yAddress ....S - -.............................................................. Nameof Builder .....I..F........................................................Address .................................................................................... Name of Architect ...Address ............................................................... .................................................................................... Number of Rooms lG'93 .. ............................................................Foundation . .............................................................................. Exterior ... C ..A�j3� ..Roofing ............................................................................... .................................................................................... Floors Gt/00.0 .f Ca Z !`................................................Interior ..P/NC ............................... ...... Heating �7f1 S e T ......... ................................................. ......: ... ..... . ` .r.��......rdXl1�'o!i/...........Plumbing ...../vc��vy Fireplace ......!v .....................................................................Approximate. Cost .......��..................................................... j!qDefinitive Plan Approved by Planning Board ________________________________19________. Area A) C4��q Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH �(cck 1 :6A,-74]61- y 2� 33� '2�A _ OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....... ........ .....:................................ Construction Supervisor's-License .................................... RDDRTGUEZ, ZANE & BARBARA k--248-66-4 26115 Remodel Garage No ................. Permit for .................................... To Family Rom ............................................................................... 438 Strawberry Hill Road Location ................................................................. Centerville ............................................................................... Owner ....Zane...& Barbara...Rodriguez. . .......... . ...... ... ............... ........ . ...... . Type of Construction Frame. .......... ................................................................................ Plot ............................. Lot ................................ February 28, 34 Permit Granted .......................................19 Date of Inspection ....................................19 Date Completed ......................................19 `� - .,� 4 _Yp #i.""'.;y, �i � "9�....Ty �. �ir.�:r.'}...Y t��•�176"�' I../ A � ... ♦ .�:;-.Svy,, '� ,� �. '��i� 41,8 / Asses'sor s map land lot number' b�QyOF TN E Sewage Permit.number k' 11 ... rv4 BAWSTADLE, i House number °........... ��11. ......:... .....}....................... rasa 9 i639• `00 OYPYAr F - TOWN OF BARNSTABLE ° NG . � I L D f. U I� INSPECTOR APPLICATION FOR PERMIT TO ..�'^�r/ !Z 7 y/�2'q ti To FAQ./L Y r?o 0,-1, ............. r-ZIPL/cz � ouvie�.N� TYPE' OF CONSTRUCTION A-0-P•d ©o,L !.a.J1..................................:... r,• .....................�rz ....... 19..8 + a TO THE INSPECTOR OF BUILDINGS: " The undersigned hereby applies for apermiit /according /to the following information: Location ... 3�•. )'`/' W J'i� YL.f.IJ....1 :. ./...4. !^r/..eYl! Cl..�'.. .1-AM...a.. ?�..... ......... ProposedUse ....rL1"I..... ......................................... .............. ..'.......................................... ...................................... a Zoning District ... -a..................................................Fire District .......`��1...... ..................................... Name of Owner we'd J3 !! .c ...`..`.;? ' .i r%Address .... -............... ............................................ r Name of Builder .......... ...Address .. Nameof Architect .................... ................:........................Address ...........................:..... .................................................. Number of Rooms ..........Foundation ...: Exterior ...��t ���/F'' .....Roofing :.• ..............:................................ �✓> Floors ` C1 �!�Z s Interior „ f<�✓ ' N � - - Heating ,�:�..i �.tr..:.......: rrl'TH✓....??;'0j...........Plumbing .....Ndw -............... ....... ...Approximate Cost .....�:�Fireplace ......1.vD...................:.....................:..........:................ pp ...................................................... Definitive Plan Approved b _ Area � ............y . . Diagram of Lot and Building with Dimensions Fee .............. 1..0.8. ............ SUBJECT TO APPROVAL OF BOARD OF HEALTH 6 All" Z�Aou32 x� . OCCUPANCY PERMITS REQUIRED. FOR NEW DWELLINGS I hereby agree to conform to-all the Rules and Regulations of the Town of Barnstable regarding,the above construction. Name . .. ....... .... ............................ ...................... Li Construction Supervisor's cense .................................... RODRIGUEZ, ZANE & BARBARA r Remodel Garage ' r. No 26 15 g .... Permit for ... :to Family..Room.............. - Location 438 Strawberry Hill Road - Centerville i .................................... ........................................... . V r.• - _ ,S • X r j • Owner Zane & Barbara Rodriquez . - F `.A .......................... Frame TYPe of Construction .............. C ............................................................ F tPlot :........:................. •Lot....... ......... .......... ebrua 28. 84iPeimi'Granaed y .......19............ ...... -?Date;of,lrispection .... ...... _ .............19 ,Date -Completed e7f.... ...... . Az .1 1 r + .ate` Ys � + � ...• ' � y � � _ .., - - ;' S►NGt-Erb' Ftt_�( - � 6EORooM � , '�'� R.1NDE2 lIB,4� 4F ''' �= DA,tLs( F%-OW s IIo )( 3 = 3306.Pp 98'< Ila.o ` SEPTIG TANK = a3ox15o%=.495G.Ro r us — • l000 GAL T/4• k Y o15Po5�1- PIT v5E v oo ` "_�: S 5 S)SWAt.t_ ARGL� a I go S.F I � 'qv. P I BOTTOM ,AREA r f 5O $.F X 1. O 'p G•P.�� w 'TOTA1_ p6.SlGN = .g-25 G.PD. ' * TOTAL. T>A 11-'-( F%-OW o to RATE r 1'.'IN VAIN o9-L655 PE2c LAT N BAH M s JN Q a��P Rss9c , t i R j RICHARD F ALANW. gAXTER w JONE5 H 8 � •, :� _ Ku.24 N 25100 4NJ) suttq�' �� �• Y �7 ToP FND=loo O* 4 T E'�'T ,Y tNj• Sd l{. 1OOo BOA7V•�/ ='SrgNK 9G� 2 Gat.. INV , . .. INV. ( w • PIT 4} a L � - a 6'ivNE 9_ GERTIFIGD, LOCA'TloN NO. SCALE SCAt_E (114Q..._ SATE lo'"'� I p t_p.N REF E CZ.Ert t1r cZTIFY THAT TNT �nvpli RA, Ion 5NOWN y I NEREO►•l GOMPI.�(5 YJITN ENE• S 1 of LIN E A W P 5E-c2vb.C. tZEMr--N7'> gF 'TVA - c>w N or- •$A►'t 'S'('A�3L&A N U 1 S ►OJT aN Fort- ` 01�4 a 'D�t-A+JtS"j `''' LOCp.TED •WITNI T .E G�- D PLAtN •. ' G-3 - pATir R.EG I ST f�tZ 6D'IJ�11 q 5 u F-Y EY6e15 Tul'S PL�.I�I 1 NOrT' gL��jED OFd AN OSTG2.VILLE • MASs• (f IW5-T-RuMti~NT 5u2Vey -T1-IE oFF5ET5 6140LIO .. 1.1 t_cT t,l a P P�.I C A►�T' i 0160 Z6o z 3 i � 3 Z � Assessor's ,map and lot number �.... x THE .: Sewage Permit number (....�T�.. .... . F � t� iAW3Ti2LE i House number ' C f TOWN . OF ;+BARNSTAIH TITLE A All 11VIRONMENTAL COD WLATIONI r . BUILDI G.; NSPECTO APPLICATION FOR PERMIT TO ... .. ,. . / ,r TYPE OF CONSTRUCTION .... W .. ............................ 6 b..............:i9�J TO THE I1t1SPECTOR OF BUILDINGS: The undersign d &eby applies for a permit a6copclipgr to the follo ing infornjjpiion: ....... .. ... ............................... Location ..:........:................. ProposedUse ........ ....................................................................................... ...... .�. ........ .................. ........ Zoning District ....:... . .6.... ......................Fire District ........ .... .1 ..................... . / r� � - t Nameof Owner ...,,� ......................rl/..................... Address .<.. . ......../ !1.......................................................... Name of Builder ......................:.............................................'Address .............................................................. ........... ........... Name of Architect ...Address mod: .. ...................... ... a Number of Rooms -:Foundation ....`�................... ........ ,/.... . '.... ��✓U C/ " Roofing `��!.. .:A Exterior ,...... ............ ..... ............... Floors. ....� ...................... ...... ........ .Interior 1..:......... Heating ......... ......//'.. ...............................................Plumbing .......................... ................................................... ate. Fireplace ................. Approximate Cost ... .. . ./.. IQ �. ;L Definitive Plan Approved by Planning Board ________ �___________19_ j Area/1..."................................... J � Diagram of Lot and Building with Dimensions Fee .:..� ....... SUBJECT TO APPROVAL OF BOARD OF HEALTH ,�,��' Ama 1361 P OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree,to conform to all the Rules and Regulations of the Town of B st I r ard' g the above construction. Name ... ......... ................. ConSt tion Supervisor's License .................................... DELANtY, JOHN J. ` 1 z .Story 25148° - _ No .. ........ Permit for .................................... _ S.ingle. ....Family. . . . ...Dwelling. . . ................. .. ... .... .... .. . .. .. .......... .... .. .. location „Lot 4, 438 Strawberry Hill Rd: Hyannis ......,......:.. ...........................................................Delaney . `- John r •r - ^ F ..-. . '., Owner €` TYPe of Construction' .................................Frame .......... c ........................................................L y Plot .......... Lot ................................ �F • + ��� y June 6 �. .j 83 • r^• � X �, - ,� , Permit Gra ted /.).3 ' ` .......19Date f nsp c�lvon, :........190 3 Date Completed ................. ..19 ! .Z �� • ! /r � � moo, - .. t _' � �• - ✓ ! '"�- � ..� .fah c _ ;,� TOWN OF BARNSTABLE Permit No. ------- 25148 1 n.Un,ffi ? Building Tzlsnector Cash ���� �n�_-$T � AM• ,as ' Ytr, OCCUPANCY PERMIT s Bond v -VK Issued,to John J o Delaney Address � .:'lot #4 438 Strawberry Hill Road, Ilyarmis. ' Wiring Inspector �L Cr Inspection date Plumbing Inspector Inspection date Gas Inspector V J 0j__ ^ ,c—a� Inspection date ry ; e,o Engineering Department "- -- _�% �^ Inspection date Board of Health, fYi Inspection date y�'7 1.?6~- / T � THIS PERMIT WILL NOTE VALID`AND THE.BUILDING SHALL NOT BE OCCUPIED UNTIL •SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION SECTION 119.0 OF THE MASSACHUSETTS.STATE BUILDING CODE. 7 .................�,_ti r,',.......!Y1;� /' -a., O_ ... U Builain'g Inspector Asses p 's ma and lot number..............'fit✓ .� P ................ y;..... Sewage Permit number .<•�....................../& .................... d� O� Z 33AMSTABLL i House number f 039, rasa RFDm p'\ TOWN 'OF BARNSTABLE BUILDING rINSPECTOR APPLICATION FOR PERMIT TO �d/ 1 �w........X -�� TYPE OF CONSTRUCTION .......................... . .19........................ ................. .. TO' THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according, to the following information: � ...... /......... ................................................................... Location ....,..7 ...��......:............................... . .............. t" ProposedUse .......... ...................................................................................... ............................................................. � 1 ZoningDistrict ..........;.�.. ....................... ........................Fire District ............... .......................................................�iG.. /;/Name of Owner ..,�A® ...... ��" Address .......` �f.............................�.................... �r t (� t Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ............. .... ...............................Address ....................; ' ........................................................ A f. C' , Number of Rooms b....................................................Foundation Exterior .......{.1.. .. > t ?�°.�!_ Roofing ...... ................................................... Floors ...................,........ _,t✓..........................Interior ........... ........................................................................ Heating ....... t ...... .. .. ......................Plumbing ....�............. ................................................... Fireplace ........�...... .............................................. Approximate Cost ........ .1... r 2 / / 7 Definitive Plan Approved by Planning Board _________�y_Z�___________19_ j Area/!........................................ Diagram of Lot and Building with Dimensions Feed SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barns�ble'regarding the above construction. Name .... ,.......................................................... Construction Supervisor's License .................................... DELANEY, JOHN J. A=248--66- - Story 29148 1�2 N(� ................:. Permit for .................................... Single Famil Dwelling .................................... ...................... .. Lot 4 Strawberr Hill Rd. Location ................ ........................................ ...... r...1. a ..n b g e r-r v Hi Hyannis ...................................................... ............ .......... Owner John J. Delane .................................................. ............... Type of Construction ....Frame ... ........................ ....... ................................................................................ Plot ............................ Lot ................................ Permit Granted ....J114AQ... ...................;19 83 Date of Inspection ....................................19 Date Completed .......................................19 (7- ,'Town of Barnstable t 5 a 11 p�IK pOty *Permit# Expires 6 mont Zue date * Regulatory Services Fee * BARNSTABLE, hard V.Scali,Interim Director Building Division !'�" c° R^° Tom Perry,CBO,Building Commissioner AU5 21-r�+14 200 Main Street,Hyannis,MA 02601 www.town._barnstable.ma.us Office' V"VW Af�I®NABLE Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY I] t f(] Not Valid without Red X-Press Imprint' ` Map/parcel Number Property Address Residential Value of Work$ y V V • _ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address bWC6 a S i�Y � `�� Contractor's Name11�1 I tiJ I bC Telephone Numbed .� 1 V Home Improvement Contractor License#(if applicable) )✓mail: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Chgek one: (�°[� I am a sole proprietor *PRESS PONT u ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance6.x Insurance Company Name Workman's Comp.Policy# T�11fl unFBARNSTA��E Copy of Insurance Compliance Certificate must accompany each permit. Permit Req st(check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to g > �l . ❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof)• ` ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#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: Property Owner must sign P(Vper-fMwnei Letter of Permission. A copy of the me pr vement Co tractors License'&Construction_ Supervisors License is requ d. SIGNATURE: Q:\VdPFILES\FORMS\buildi pe forms\EXPRESS.doc Revised 061313 t Ile Commonwealth of Vassachuselfs eurlkieri of iiutrstrsril Accidents' _ . OKWe ofInvestt,gafiorzs Bostoii,MA 02111 r wrc m inassgoWdui Workers' Campensafion Insz mace Affidavito'Btilders/Contractors/Eiecfri.cianslPl.umbers Applicant InformationPlease Print ib Name(Busmesa/Orzmizatimffndnndnal)_ iddress: P.Q VOX City/State/Zip: � Phone " I!�"Lj�tS Are you an employer: Check the appropi-ia.te bGX TyW. of project(required): 1_❑ I.am a employes with 4 ❑ I atn a general contractor and I 6_ New oomsfiirc#ems �4loyees(full andfor pact lime-}_*% have hued the sub-contractors 2_Nd 1 am a sole proprietor or partner- listed ou the attached sheet` 7_ ❑Remodeling ship and have no.employees These sub=contractors have 8_ ❑1]emolitifla working for me in any capacity " employees and have workers., [No'workers' comp_insurance `' comp_nasurance_t. 4_-❑Building addifigrt ' w r ed 5_ ❑:IATe area corporation and its "' 1.0..❑Electrical repairs or additions 3_❑ I am a homeowner doing al work ' . officers leave exercised their' 11_.❑Plumbing repairs or additions myself o workers' right:of exemption per MGL [N 12_1 I Rnafrepaus . 152, , ti , insurance required]I c_ §14 and have no( } 13_0 Other employees_[No woke' comp_insurance regtnred 1 ` *Any app&2nt that checks box#1 toast also fill out the section below showing Their workers'coropensadou policy infurmatioai: Komeawners wha submit this affidavit inm�vFin g,�y are doing alI trork ant then hire outside contractors—subitit anew affiidwit indieaung such =Contractors that check this boa mast attached an additional sheet shutting the name of die snb-contr3clon and state whether ocnut these entities have employees. If the subcontractors hire employees,they must provide their workers'comp.policy number, lam an employer tltat is proriditig ii orke-rs'e-omperes(rlion innirariceformiyeaWtoyem Sslott:is thepoiicp and job site utf'armatconu q. Insurance Company Name: Pohcy 9 or Self tns_I ac ExpiratlonDate: Job Site Address: l: Cttyr'State/zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and'ezpiration date). . Failure too secure coverage as required under Section.25A of MGL c_ 152 can bead to the imposition of Cr;r I—=l 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$250.0{1 a day against the co.violator'.Be Be advised that a copy of this statement maybe forwarded to the Office of Imrestig$tions of the DIA for' ge vt •on_ . . I do hOr _l c�erfi&tit er ke pair and enaTfi ;ury thatthe information provide a �e and correct Signature: Date: Phone tiff-trial use only.'Ua not write fn tu,ar a completed by city or town officiaL City or Town Pernri#lLicense# Issuing Authority(circle one): 1.Board of Health 2.Budding Department 3.City1fown Clerk 4.Electrical Fnspector S:Plumbing Inspector 6.Other Contact Person: Phone 9: 6 R p .Massachusetts -jDepartment of Public Safety `., Q° ` { Board of Building Regulations and Standards , Construction Supervisor.Specialty �. License CSSL-0J9138 , fl ,�-+:�y� RYL'�.l®JLfl'�J P, Centervelle MA 0�632x I Expiration .I 3 " xComrnissioner •01/28/2016 ..," a � � v , ^c r. .:r- .. ;;� .nY 'tF -l«. .�. �..A. �tc`i `b'; ! 1rc F .....'rb',4 i :w.. r c �43,. ., _'N,,r`5`r'a4"E , ,.... . : -, , 3' ._,.s - M * r4k�?a s: I !. '.aW. 2. Ae f}. ak'..., n :Nr,_a ..Ffr i —, S:tJ�- `'s*!f2' :('4:- �� '�:. .!-. 'fir.;,4 t, 3.. --L- dr ,R n1 !r r" h. f•'M`." : 4 t. AA.�.� n-. ... :"..jF" .,,: .,. .,.,.u. b7 .a. 'i .. •' v .+. , .. ee 1111"O."'M..:°M5. Y.1LL •',9 CC t ,:.�!:. c a-x.,m « :f'.'.. f dr .o + ...S „ .. ..:+{ , ...,. .a YMh+Jtya'r. .. ,. A'...'._: 'M;xr,skN t vac : ..- -T', e!" ! 3 i r'e, s .t ,u_:. ..!- } yq .,1,,"�.P .H .'.. r .,�, �. +K tw x - 6 ![ Rr. ., -i.k` ^+is�1', r'':...{_& "F, .0 ,r7d'r 1W_,. :Y1N °i'-fi., },.. u. f:, . Vv,a,.:..r.. -...,. -a i-A , e. ,: `k. ,w5 .,+}+?iS.r .j,rr Cr+. : i^°)a.4 `3k ..2 .-... 5 - .. .. J n . _ _.51L , :. 11. 1'v'3�'i F:t. >o:t -.u. .,. c.3T=,ti F^A /i. _ J 3.r::: .J. .... a...S, .. . t ....� _ s .-fit. tEJ �>+,. .,. }<.....•'"'zz.-N ._.. �'. .... ..:e f'1 .�v.. •q. '!'A _,�. v,.ro."- ,, 3'd,., ...'t. w. :. s i -F :.d rt.,r,., r=r.'., ..r �'-' ,.� i,,x"t h t � „, a, S ,. u n e .1..•.•.. _f, ^-M -l\.�,. .f 4 h� ...Y1 z'r . .., ..:,.. '^ ,r e. ._ t ve;,m.. ,.'>su, ..^',;I .:.,..n. .. a •�' ... t sx ua r� 'r <^ „t �t,%e,}St�` �.,. r ,,F, .. .R.,. .,.., .. r , _ ..i.-.. •r a. v... ..,'I t.... :r-. ,tom :+�.:., .x''.. .....>' -` n } •r>"�.�'a'..*. r,-! P. a rt' g,�_ _.:-_... r .�,.. ..,., > ._ 1+.,,..=-'. .. .. _. ,,m._.r.a:- .""¢: "� _ao4` -:,....., 4.:,�k ...r: `;w .,,--C. .§. .,r r }� .�, t.s.w y.....,+, r .J.3.....,F ..�',., ..,. FI v. ,y�,: Fi r! 1... -u .. £..y,.lg. > i .a..ti,. .t'~x 1.. ,�^'.�. 7.1, t,.s:, gg 2"`,, ,, .... a,- r.*. :�!,,.,, ..:-:a__... .. .t.. .. ,v -+-.._ a^ .3. .,r ":...r�k..Lt- .3. #':S-a "-, of_... „a,,.a ..a ..rY .w,.w.,.'i. .....,.. 1,_._. ..,. x xa. ..F`.''4 S. ^y a x.,^.s- ii+c '3",.,k. - �- fi,, . �; .,,.�. L.,�.1«, -: :'� -., _,.., , .,�._. re - r,.. .�.. .: .. ,. d ...rs 4 .x 1 ... ,� -s ��TT tH: ':S"J t`'Sry r ..:r ....... .,..a ,f 1.r 'w. 4 9. ,G"� , '.a.... .i..:1 u. k„ a� '7.. .x,.. a - +.':,: J., 4 .0 "fr .�.n.r• ... ,:-o-.:'-.:..,.', ,.,::._ �... •r.. i.. z Y �5.. ,'�N}d.r wv a is F_ »a:°h-.,- :�s,�.h.. i• c ;'W ++..r: ,t,;.. .::p;.,.. i G rr 4 tiT �J 4 i +.,, _ 1-4•n�r-'* t a,+-4 ,i. -:.G. L-w _ .,*+Y.� Si lea. ,,.a.++r. ,.,I.k, t.�._..r 3'S _. ._. .. .: - .. 3 . F „ ,. n. ...',fir_ .. .- v s v r.. _ S .>.,F F 4s R t :.. M1!'3"-ir•',?t 4 .y:.: } -.r,.Y'G 1 3 ,af" 3, :$' '"4=t?�y £ '',' -s x r.. ... ' ,r u.-.,, ''" ,t-,,.,:. .:-:.), :,,i'";--'._.' s,a e'!) f» .?'.. .ra. .F `»* t s- i -3w''u t`', e.:,< .,..- +, r.,>d. v o....ar.. a.". :...,: ,..:- c: ssh.,r .�r.F,st;G l .>s i.:,.w•},+�. .F-.ai ,..'v,: ,.r ..a Vm k�;>!;, --� n 5 t r •+ ni :I -.i .K 1".. N'-.4, 7. -N-: u.. �. ..,. .:a. k: ,r r. -;h $ .,�,. ,.. ,i. ,. ...Jr.,, .r.. e, i,-..I J :,,: :.r 5... -....\. .. .. , u i.: - Y, :! l 7 .-L 5 v - :. a , s :, :>. ,.h ,;. : , : �'. r. .,1`„ ',, _,�. - ...- ... K s{ .Pt t t S.a.Y.:..- S xl:4o e.., !' ,.'w%=31=r 1:',> �, s d!- .; ..a y.,. .�;. .._ •.,,s. „..�, .,r. 6 M:,.f..cg^ a. ._ a r.t, A t "F; '. :..:. ,,, .. ..1>. ,.4F.+ r'... -., r....,. `u....../, 4., .., �; ,' 1 . : C'aT t rx.. -4 '3.. a. ..... ;...,.. -.,�. ., f.. .: .. F'� .,.... .. .. .-. � a,. Y: ✓. i .::r.. - , i I .d� .{' �, f-, M„ t.. q-+ aC:'.L. ..: ...:-. .....4 .. _ .... .. .. .:.......rrn.:LL, �.::,: l.s ;,,.....,..,._ r't .3 ..3. - ,.d.' C(,}} Am ' _ ' .X., :....t). .. a. ., ... .. .e.. .. {, y 3.,, :G.' I a.::.i' ..::,x :t.., �b T.91 ,,. .". �t r,.., i ,FS n.Ke -k1?.re. :.♦..... -. ':u._, ?. R_... -.sJ. , xi.. ._..:.,:C,_ :. ,.. J. .s.. .+, ..e.,_ '.., f�� V: .�f t r., Z.4y , ....,. )Y ....,:., h.. d.'f+. ,.... ,- x-r t a, . •,y Y nw t,,e... _.,S £^'[t' b... `wv a ., ♦4 ie,av; + 1 '.?4:Y,'^2s .xrr .�liMr' �.-r {..__ ->. - , ..rd.. ,'t,x„. ,.,.. .y'._.:.,,. , .. J,,.. :D,. ;+A i,,,h _r ..5, :d.. ^'. ','?'_. i. � ., •G.. rr -:.,:>1d. c:`Y,-. ,..,,. i,,.*:.<:,x ""."7. --.. ...., ;•,. -s, q:. '�- t k is !a .r.. 1 L.vi., ..,.. ,r` i 3:. :. _ r y... b.,. '3, .ri: r-'. :'..0 y <,- F..:.; .sa,: '3 ..t.. '::,.t ...,, , �. .t.a„te... ,r,.,! r, } 4 t 'r. s. F ::b ,nir. 'r."� ..?_. .) .,S"..>• sf .-,,,(.: ar, >. to i a. uaL t.l r z x kl t, r} .1 kJ ,.' :q.,.,,.. �•1.1,. r_., ty,-- 1. a _i....'<., !,:a. ...'.:-::s„ , '+- 'i.h -.,.:. k.',..... .,.,,:M..,..} r...:.,r -r. -C ,r,- 1 i 'y ,.,f, v :„_._.,.,}..a. e rya + .. 3. .f. w;....b ! ,.-,.. xs ..i .f.. f ....: L /.t:...,. ....r r e.,.. 1 ^<: n '.:Y�-„ Y ;�,^ ,..:3 y ,s. -; a. ,f F .:t. .ter. ..z3. t ,:a: .:,...,_,.i ,-;:a..,., ( >,- '. ,.,,., 5 i _ ! - as :'.-4. ., ..,;,f. s ... t.,...-it' .t,. .. .... .-...... _ .r , _:.a :. .:?'... g> 1 -ttarf, 3 ixY' :; t .. ue.: .:.. -n.:...:v....:.. -.,.W,..,.:.....L ..I::,.._ ..::... ;-. ..- 5.. .S.- ....... .. -d i :fit' S /, I F., -.,. 1 '„ .t �,. e..>.. ...> ;, :. 4f.. ., -::xr �'. ',;:T P �d '�. L;..C. t J s 3+s,.r,f'w+' 7Te-+A. 1«.d,.: ;.:+e� a.,., '� ,.a,- ,.. a p «.... r y ..�.: .i-a L .$. a 4 r _ 1 1 , .:_ _ :. : -.-,:. :< r >.. a r,» .. , -.. }, ..-...,:. ..P. r ., :.... _ r .,� l -...... i... .As ,r S. :.0 ..._x , w�._ ..; :.-".�s t t, :,:F , r f ``,!„5 I r ::4 gar„ .,,. a .€ JI j. _.:. ,:.., .. } "r- ,". _ .,. t s } i ,:,. r .c. t, _r4#.. :. a t.::. ( ...:I' .. ''c.. .'.. ..,.> ., -N. l ;,l.r ".t,.,d., t w J 'C 1. Z.:,i.., ai :>S: ,.l,,_, G C ;Jr rt ..{,.,.. + ,. ..,,,.., •, , t :�? t �r '..-k ',„9 .�,,. "'l s 'ar9 gip. r $ f : c c� t c i 1 >+. <yr. i. i _ a a i :.r ro rr„ - ;. " i ' t a ;r�: r ' - r - 7�i ..s c 'k ;s r SM J.. ''P A _ '� F S y _ "� _ �p i a{ F s:i' f f -..Y P `7 tt i t J F) -. .�. -.' y F' "fir?" !r _ y P -i a.. `F # l.r A .. ... .. , , r.:.: :, ad,-,}:} , .r- <r ,._r ELd. Y- a4, kT.. t .+1 h :Y- 4. N.:. a1 3 �';:'v. - . ,i'a,'" .S,.rt•- "rt-=::ce+ qY .: N :'i- 3'- ix �:.. -a ..:"y a i. x ,..:, ,,-":.a,:. d...,, �..... ».,..';..::..e.. >.._.. --....-L,+'-.�_a r 'P ! P. y T.. ..i�`.- 'FS 1 r_ :_.,._.� Z'*�. ""a.,..1 ri>rr r ar„.:„ t F£:"`.,.-r :<:;v,az'S ..a�,..u..-r", .,,,..W; -,...c, �'t....z, .a... '3.-ra .ri _ �.,.. �,- :i:aai-r_ �., .._— «.,, ._._ :.:-_ -:-- 4 '::_ G-w—l.,,.w-r-:�,wz-<p==.a.�,.-.. ;:..w ' ':,x,:e.,k �" w;• -�,.- ,>.,... -d. �=- - - -.' - - .:... .h:.. _ , __.. .. F^.-%a .,,r -w�au; _ ,. ya.Y,.t,-. .d,a,cm-=R'Y"x n.3':;sf. ,}. N,c z. :w^,:,.rs:: .. ._ ..:.. _ .:•,+,- +•u. ,t aP> ._.rs a•,:7- Inwt4x~' s ; .....,:. ,w"I I!�:-,.�-�-"'5"-�-'�.v!,-*,,-::-.-'�l.--" .. ..-x'u -... Sv. ix :.P,.#,.. v:. `-Yrk'':"°-y.:; S : �'m4`.v*,F .�."- ,;< ,',.:;.- r,>3"�' s �s u�[ '- �m>;'.. '�7 `,.,:, � .: w x a w �• xl �:I Ir ��: III r: a �''E i. '1 -': jam �:• '1'I .I' 4"II'h ,vie} o-ll -I. � �« i e • • . >,: i . - . - - .. ,:. :, _ .. .... a 3 _..�_ _. -„-v_�_ .. :.— . -. ., .a.—._.- -..r— _ _- _.:a >_.�. ..-. :.+- _ i_i-;. -- 'iir 3' '°'-o =a,dhA :+,. Y 4 .psi' ^_-.e'R hw' i' -"Jr:,.t�td -"{. kY yx1A6 SH g^° MOM ^.Ji'."- T S ., :r. .. , ,. ..,. :. -. - _ - - . .-r. - _j . --'.. '...-.— % _ - -- ... _,. - _ _ ... _ r: .. - .- �.:: " i + _ - , .. y I - _ __ - 9 .. .. {j ._ _ JT J _ '* t to ( ' _ yx r 3 f 1 ,' 4 j s - -r x :.� x a t t ,a J f.e I t - ,G -r r:ti .. t5. H :,.. . :.,; >:. , . '. ,l °F-WE ram, 'Town of Barnstable ti Regulatory Services �anxrMASS rrEg► Thomas F. Geiler,Director Fo;9. ��� Building Division F Tom Perry,Building Commissioner _ 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us A R Office: 508-862-4038 Fax: .508-79076230 f property.®caner 1V1ust C®mplete and sign This section`. If Using A Builder I, as Owner'of the subject property PC hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit. a (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 ignature of App ant 17 t L Print Name Print Name - _ Cr Date Q:FORM&OWNERPERMISSIONPOOLS 62012 rp Tower of Barnstable *Permit# r� Qy p Expires 6 months from issue date MAxrrsresr.e. Regulatory Services Fee o0 v 3s. •� Thomas F.Geiler,Director Building Division Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street, Hyannis,MA 02601w X:PRESS PERMIT Office: 508-862-4038 Fax: 508-790-6230 AUG 7 2�U1 EXPRESS PERMIT APPLICATIO OWN OF BARNSTABLE Not Valid without Red X-Press Imprint Map/parcel Number Property Address3� ���� 'Residential OR Commercial Value of Work Owner's Name&Address 14"eN W Iq Contractor's Name bct` 6 < teap, Gu /VU 199- Telephone Number l�l r3" Home Improvement Contractor License#(if applicable) �J Construction Supervisor's License#(if applicable) FlWorkman's Compensation Insurance Check one: I am a sole proprietor ❑ j am the Homeowner I have Worker's Compensation Insurance) Insurance Company Name c?&A1 Ave/V Workman's Comp. Policy# �✓�CIJ�D Permit Request(check box) Re-roof(stripping old shingles) Re-roof(not stripping. Going over existing layers of roof) Re-side Replacement Windows. U-Value (maximum.44) Other(specify)' •Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Consen•ation,etc. Signature �` L expmtrg AUG-2t-2001 TUE 12: 30 PM P, 002/002 =' La No.I l.232044A b s �pv Ny Lb,N0 00006018" a D.f4111 �EPU106 ALL R8 a uQUARgsNNT1NTOPAACTION k 9 t110E or1 ON EAA8�91 '61r1 31biN0 eNurm`u�l"ua. a mollBlaiHDrtrord: CONTRACT' we 21 80 eaga ae NawJhay C'Na o"B H 8 DTp .ttlnAlu AD REf38 N w R PL! 171 IJS Nq ° .211174 S raw RI Lhu Np CI �V./( I! .) GATE PHomv °I1 JD RITE AODgE98(MZNare� 97AT alp- 1 PItiONE lWcr � k) (S?JK1 APPLI�b VINYL ALUMINUM SIDING p� 1 wa ie aw eA II Mt aNr,f ur➢I>pletl l hutoll Syy if'Aev Narnleam B(tllAp IN a IIWi MA D1rAq man n1 DaaOrlpllon el WerR uAh ��➢!0 trma GtielNNly boo➢A Ina 1Ypa 21 yaWe:q( aNg AmarlAar; �NY t10D8 I'+ama p tAaaonrY Appw&Wt Dldc tau, ACPrCAr 'emolatfon D OI So• ' ,FFgg Aa°ura A1a0erlam will a f, hi v Ae fyyti0 ro �,CrRaAhGNdI aN: 6 f.9J 0 ODim�RU° ON,yNe C abu°ra; WNYLsl tleaie ARE OVCL OWe-oevpeNYAgtlmll �1gt�pl�'YOa' 1e. 0 9101NY wa Ae ADPNetl 1oln IAe�1'./�wrlAteFvdrdwp�1N�'OtIR RnAI*d, C,enae ON: aMaal �r AvIf awae.n 10LADI9CI �th �rrlrh Dvlimn NmerDeggoabr a.m etx 0 LAN FI�MOpA PUN11 net eolgp OkW� rr� l•••t' U"airYON. IeO o�nal �8o4e Couq an tmn�ame A®Ipagred tv gtln .,� . �' 6m so m y�fp1�BAw r AN �1y R 1PONe0 ew ytliyn�p h�urNatrF QTRP wE�eh eanho r aye�j 'I,necAm N InruUY°e. L Uee aeeh aN+mvvtl IN A Ta90 AN0 WNr9X 0TRt1 k•WI e�NrW7 wnA N7tye.l tYmCO.CFBVINVa wAAro conlmpot dorm Curlcel wr10 wlm genre F-r..b neewry InJuno A7�Qa� tl0 n ell CtNe.over n411n111 van QYrowO VIftd nlemleune I t10�lNal.,mon,vAq NglAh.) )mdMmD wI 010"J'911 N DUO ° "Ad 4a AASNIINI , r' 0; •Aeulmm WfA mtbama0 e�or e0•°r100U0 Polor z�+ 0.G Qfinni eA0N P� WNYL OIA iyNMINUM.r el Doan. ) 111�� O ASCIAIADouble, Wlm Mv9 ❑➢p�npy t�lo MuY �OAWMINaM.Cob�"Cmer A- 0410111 w q ❑ MTM*wDOe'"" -'8 rrpoaPr➢umeol1j 1"Allm.Dole' 4. alow.w atetebav„ WlAPaelrmnPWN°mhyq°tdu6wu0LIw��ooWrravrtEM arc�Pt„A�„d 10.❑ NeMAnvaaAameAlyRI0d4 OtlaNneOg.8 ibn°vp atlaYAO rinyayl on Flynt'grtraeu mNe0a N7te0 tNM, 0 haw. �°Y'0p� titrol f]AIMmOWm y4aryr+tlatln . warWaYWI0 N1aArN0eA u°eq 11,q poaa Aal lnoluae mY UOeAma nmayY.h'j,a gnit0y OWhe081Rnp p09w DNOX➢uuhDr.tOtaepyHO"hilba III VINYL CNINNO MAT[RIAIm NANPelynOarea fr.o eAMar4yluMxa. 77.0 I1TTrNaM1FA�Xg.� aAOro'+d VINYLClA➢AWAIINUN INo m+aalorro IA. h11TT1A9-Wav�dnnehayN YnOena nPmOlweNo Yewloaleurnl�Yu0eg017fgyw 11a •felw - IA� d �XV 'Odo anelynnrtAN" rPAltNap�mv oeetvApy,e�r tlAMae bp. ro H p gUAAN rmA40'O eemplltloN of a0h.1L�feier �°� aay. r ~� IL 1 p B� vlroP W➢RIOAANI CeAIP.and Agel�u� YLmnr•oe NO wbrI afar maiNmbn ndUA91LV m ea afmalo,a. ar In o vaa0. or 0. 0 l 01940"1 APPLIED ° melAmar b Una o1e, CONYI�h p,reehe An ; >3. p IDTro� oeyAelW"leAn ADWed WCRN"not 14elAea atom !n � QepneAll, m — •'eneA 17UmMlr,InMr.p Wai�nq y4 d'y Am II °br I n�M�O0��mamtb* ld"��n°t Inc�l➢er Intrlyaro m ma 4ntller V°I mA mW�np FWO r 9d 111 emeum 10 Do N g A7PnWlmae y r COmDlydan(�g ewwploq a9N to n IOaa °jp�m•Dumk'm0 ug0 y°Wmabo 04 gnat nlurlatmq' ohm PAS W fuum.Dangle q W➢NNOYmbAdmL r er mganeyf*11MIM"eey non of Nell and na MIUQA P61Nth dlr e� - t�✓ d ern IM64 mil loam m a7,q > g mnty0e ma 011yeanA eeada I < 7r a >�wY� —eeetly a�VI14�i11e��w'rh�tyy _^"'�1r111A9 RECEIVED IV 0 ��p�I�q TO !♦agYve WEgp q T"IDIINNTNIS"... 'n D imusplAe ANI rtl ARDo ACIABlIVIR T AND ORIGINAL OF OwRat. y a'LdNtbrUOrflDeWj "kaRredrrrs AGENT HIA °OWNER8EOFT A�IORI2LFD IDUINLIC;;R;owq OXT IA Lr�i�UPO To N aE MIS PROPERTY "roµrNaseryeliq A NOTIc To TH F wOalc OR THE NrgrERIALf1 Ap,"gY Tuts►I M MATsACTwN aT MCME OWNER(8 AWAC (M A"AIR tDATir Or TiI Ttulton YBIA�a LE38Ef(e),C •61QNER(&). )GugRANTOR(8) wr,LwDrtoaoFT r cAA'� rl►ANtapTlort au. lro AIr1tA TNO 1A RIOM Qry N FOIw�aR AN N`qV abg AA rll.r=n er after,FNW AlbYfra eY R�ro1ViBLfl' A BWX�IOE IX1.4taM[j�g VrR.L .OW w:w�.p� Up, ow doo arooKBle Paa �MI�Ilsryl au'r wko°.wliWAp " 1urae rraro t 7pN�p .IYVe iHD RID. A. A'W pMft a ny Waft a�AYl�iv°,Fr aay�I�p N V4 Oi at •aOWho MIsDA ��h��nln Ainpad AN WA .Y ��'q'0aGNo, WrtlflryTlve •% MANR 6 80�� - r1lMeleOylN 4tae21Na 0iewellb 0e FYI►T. aU71NGa Dan. DAYS OF ITS Olnler. a Aa�a{Ana hee e.ee polo can ma y t n I. ALL INBTALLI ON LAYDry DN 1! not AI this ACma mar' halrpaA o IRAN1lED 1(DM61 YEAR ��any p ounk Nepal"or N R y;u nad It or ael�"...NAM ° -Para, as flat pp„diR mm.menY 9brimyh 1Jaeo-rr°Na agAuul✓ or ero) _ VEE kg"RRB 6r0E FOR AJ)OMONAL.TERMS ND►TYON9 - v!/�i V Vf.'•'✓i i UC/i'?��C.-CUJ V 1!�V Y(.-.:f_�y�:..V•/'��.�1 Lt„: : -,. =:OVSMEiNIT CONi r^CTGR= RE'= STD-:;-=C` - - - S-_ Q c i a C�;• q L!i 1 CI i n g R c CT l!� -ic�.1❑1-I S c i 1 Cj _.,�.�n C c i '- :` P1ac - 'r00m 13O' Na=Eachuse��s 0- OE c= SZ.7a7L=enE:<,r cn 01 /01 /02 . -_-.--c-Y ,ALUN _ S=D=NG .CaF.P jOI;N O 'NE 7L 40 ELMONT RG EL 9ONT i�lv . _i i 00:3 . AUG-20-2001 NON 04:44 PM FAX NO, P, 01/01 -- -'— �_— scsAGE.NC�' � P 08/20/2001 16.42 si68295857 I .pxyl� 08 20 £F,MW �;'' '`k:, ials? , ,H:,.'.t�k:w.•< .�: ROFIN sinr %; ,' ' pNLyANpCONR7IFICAT61818�UE ASA GERTiFICIITfr_ .. Fk+RS NO RIOHTS UP NTH Cmay, Ina. HOLAER.THIS CERTIFlCA?E DOES N T AMEND,F ES SE OR P.O. sox 220493 At TE.R THE COVERAGE AFFORpEp Y THE Pa,ICiEs BELOW i1 0raast Avenue - SUite 300 cDMPANI AFFORD G COVERAGE ar"t Neck NY 11022-0493 CDNgAW Sesns1,tAq* InSWALrlae Cmpany b7 ' p - COMPAW, C1erzend= NationAl. Iris Co 1N6UA.�D 8 - � Nil-Y►ax Al.=J nlm Siding Cory- 001r1p goottsdala AW Itutts�slnae G ' 'y D/8/x Sears NO= central COMPANY 40 t Mad Zlsnent DiY 11003 MIN.''tiSTT'.�� yp�ry r.,I PCR100 �. �:'• �1 'Iw:«.w.4 :•�1�n.'I".: .•�..iw� ,wiY'Oi\WwLI:IVNN.):hl TVn p •Miv.,+'iw'Li.wi :A3: t:Y.:. r f"«ev„�:�. ,.�r�Y'.:.,x,... ....w'•„: wLv�ee1N gioip TO Elie tKsuRea► O CpTvt w..c_. -� DOCUMRNT WIT RESPECT TO WHION T►115 T196 Is TO CERTIFY THAT THE POLICIES INBUIWaCe f OR 0NOM 7 TO ALL THE TKG isTEP,NoTWtTMBTANDINO AMY RBQupmeNT,TERM OR CONDI t10N OP ANY CT;R tiFICAfE lAP.Y 9E IS8t1EC OR MAYpER7AM.THE fNPRANCE AFFM I�N�uccfl Pry P� LAW. li SU EXGi UlaIONs AND OONpITIONB OF 91)CH POI IcIEa.LMTe 6h1oWN UMrrs roucr errlLTtva voucY pcplaATfC1VCIO I L TYPE Of If 1RlWG5 PO4xtiNUMBEL DATE(MMf00/1h OATGanWmy) G1iNGAAL G=MATE iZ Q��,000 08/z5/Ol 02 PROW .00MP�oPAoo i 1 000 000 4UuL soLd3i843 08/15/ p�ONAIiAADVTNJTIRY s i voo 000 A X C0WAMAL0E►7ERALLbmLRy i 1,000 000 µIN41AADE Gx O�tIR E �ACH 0=1 = Z FIRED GWna+fi�) i 100 OQQ oNRS i CONTRACTOR.PROT Sv00 -------------- pOMgple�sNGLA LRdR � AUTOMORULIWLITY AW AUM BQCXL WVRY 4 A"CW WO ALWS ECNEOU=ALRo6 �� S N0"CWrCD AUTOS PROPERTYAAMA09 S AVTOONLY.EAAC=ENT AUYO oNt CARAGC LIA81Lr y �ACH l ANY AVM AGOREOATC S RACH RREriCE f 08/25/02 A30fiERA °coeaaGuusurrr ZL90009269 ' w+ 08/25/01 s A N N W,i WK!M Yy TV � aa�u soaa R yam,.*I>�1:..;;.,h,; 0T�jMTK0UMWt51AFORM _ iiiACEI 1 b001000 µr MKMW coMPE1'ISATON AND - .pOLpY 41MYt. s 500 000 �y�UARUW 05/14/01 05/14/02 a 8 a r�vE x INCL 'SCT=012360501 [L eA�nvLrm aoo ooa GFACM ARE OCCL arm . s,aPacaL 1T6M6 ; p� 1pilAN0 OP T1ON6 aTION i Inr , 'y I +�^�' ^"iK�`ii`� .%,;2I:u�'��'i,iiai aka' i�l ?r 'i�..• :: ...." VOF TNE'nAgQVB DE@�IBeD POLICI �OANCfl•�^-D 6lrKlRC '. I'. „'..',�.7s"R,n"•JL .,..lu«„I.,<.. IMpUL DAN ANYWRJ.W06AVCRICMAIL - BLAb -1 ExPIRAT1oN0l+1ETrItK�.TnGIs"CCOW pAy�y y4pr1TR1 NGr1�R TOT111S GGRIIF*ATC MOLCQi Nam TV TF L6Fr %VT FAIWRE TO MAN.V"NOT"SM4ALL E NO OBLbAT1ON OR LfAE1L�rY f �p 'rHECOMPA}M,93 AG o pEppE9iNTATIVLs• - A 1i "h:,Igrctlyr.4nN ,Mokw"rn�LM�;�,iIC�'�iw'll�.h lt•iHyw t'iw' 'n�> y„;:'�''akN •v,• lA✓::NI .........: G ui'+/.w'W,: V �13N ��w �rr� �-�' Q woad J a 1 http://issgl2/intranet/propdata/PareelDetail.aspx?ID=2277 1{z -- - — - ------...- _.------«_._ ^ LOAMY _._:_I oYR LOAMY IOYR A Q SAND 2/2 SAND 2/2 6 - - - 99.6 B" - - - - - - - - - - - - - - - - - - - 99.4 - - - - -LOAMY- - - - IOYR OAMY IOYR B p L SAND 5/8 O SAND S/8 S 87°09 '/8'E 24' - - - - 98. 1 22" - - - - - - - - - - - - - - - - - - - - 98.3 MEO-COARSE IOYR C / � / MED-COARSE IOYR ,' ' � •'�oz, SAND AND 6/4 SAND AND 6/4 � - " " " " ' - - sHED GRA VEL GRA VEL lot.s - - - _error. 42- � - - - - - - - - - - ror.s . L T O r DOOR h I `.t < h , OVER INLET, hh `\(b 22. 123+ S. F. ror. r NO WATER DECK 90. 1 120" NO WATER 90. l 00 ; 120" n EXISTING LEACH PIT i DA TE: SEP TEMBER 24. 2013 _ TEST BY: STEPHEN HAAS Ex/srING _ _ _ 10r.5 ,' " 1 WITNESSED BY: DONNA M10RANDI i vrEctlNG 'rExlsrlNc _ I L rL°C; SEPTIC TANK PERC RATE: C 2 MIN/INCH r+ n 20' "D Bok o t , .. I ry "! BM. CORNER SH_ of EL-101.88 .�..:.::........:.:.:(.. a s B7.09 .18-E G ` r ,�Q'�S 13 ov I o6.73 • \ ice. T Ew OUND +1d0.6 11. _ PAYED O> VFNAY \ 01, PEP- fad /—'O 265.41 * N 87°09 '18-W91_ r a'!—� t CB/SEAL FND d SEPT - / C SY % co o P 0 o C 438 STRAWBERRY H. �l L. L% E ze 1 --1 BARNS TABLE 1sC= a rr7 L,ECEND P R E P A f •,: i A: ! FT m ■ CB" CONCRETE BOUND /� I TREE �; i v I —W WATER L I NE D O //� J V A L- 6� HYDRANT i 4---Lc/C'US p . r GAS LINE S CA L E - - 20 f 1� 0HW OVER HEAD. WIRES LIGHT POST S T E P F UNDERGROUND ELECTRIC LINE 1 .—T— ' UNDERGROUND TELEPHONE LINE E jjl!::�R ¢� I —CT UNDERGROUND CABLEVISION LINE -- ACCESS COVERS MUST BE WITHIN 9- MINIMUM. INVERT EL E VA T I DNS : DESIGN CR I TER I A : GENERAL NO TES : 6" OF FINISH GRADE 3' MAXIMUM COVER FIRST 2' TO INVERT OUT SEPTIC TANK: 99.25 DESIGN FLOW: MIN 2. OF PEAS TONE INVERT IN DIST. BOX: 96.57 3 BEDROOMS AT IIO G.P.D. PER I. THIS PLAN IS FOR THE DESIGN AND CONSTRUCTION BE LEVEL !0/ :0 OR F l L TER FABRIC INVERT OUT D I S T. BOX: 96.4 BEDROOM EQUALS 330 G.P.D. OF THE SEWAGE DISPOSAL SYSTEM ONLY. 4' DIAM PIPE 99. 1 INVERT IN LEACH CHAMBER: 96. 1 DOUBLE - I I/2- DIA. � 99.25 98.4 � �r�DOUBL E WASHED STONE BOTTOM OF LEACH CHAMBER: 96. 1 NO GARBAGE GR/NDER 2. VERTICAL DATUM l S ASSUMED. FOR BENCH MARKS / 2' �° SET. SEE Sl TE PLAN. * aas J 98.57 21 98. l 2, 96. 1 ADJUSTED GROUND WA TER: N/A BAFFLE OBSERVED GROUND WA TER: N/A SEP T l C TANK REQUIRED: 3 OUTLET 2-500 GAL LEACHING CHAMBERS 330 G.P.D. X 200x - 660 GAL. J. ALL CONSTRUCTION METHODS AND MATERIALS AND EXISTING D-BOX W/4' STONE AROUND. 12.8 'M x 25'1 x 2 'd BOTTOM OF TEST HOLE *l : 90 l SEPTIC TANK PROVIDED: 1000 GAL. EXISTING MAINTENANCE OF THE SEPTIC SYSTEM SHALL 1000 GAL CONFORM TO MASS. D.E.P. TITLE 5 AND LOCAL SEPTIC TANK 6" CRUSHED STONE OR SOIL ABSORPTION SYSTEM REQUIRED: BOARD OF HEALTH REGULATIONS. COMPACTED BASE DESIGN PERC RATE C 5 MIN/INCH P R OF l L E • NOT TO SCALE SOIL TEXTURAL CLASS , 4,. , ALL ,SEPTIC SYSTEM COMPONENTS LOCATED UNDER EFFLUENT LOADING RATE - 0.74 GPD/SF AREAS SUBJECT TO VEHICULAR TRAFFIC OR GREATER 330 GPD / 0. 74 GPD/SF - 446 S.F. REQUIRED THAN 3 ' IN DEPTH SHALL BE CAPABLE OF WITH- STANDING H-20 WHEEL LOADS. TEST l EST PIT DA TA & PROVIDED: 2-500 GAL LEACHING CHAMBERS W/4 ' STONE AROUND. A-471 S.F. 5. ALL SEWER PIPE SHALL BE SCHEDULE 40 PVC OR I ND I CA TES \_ I ND l CA TES APPROVED EQUAL. PERCOLATION = OBSERVED 471 S.F. x 0. 74 - 348 G.P.O. TES T GROUNDWATER 6. SEPTIC TANK AND D-BOX SHALL BE REINFORCED TP *I P*14/37 TP *2 PRECAST CONCRETE OR APPROVED POLYETHYLENE. BOTH SHALL BE WATERTIGHT. D-BOX SHALL BE WATER 0_ HORIZON TEXTURE COLOR l 00. l 0' HORIZON TEXTURE COLOR /00. l TESTED FOR LEVEL WHEN THERE !S MORE THAN ONE A LOAMY IOYR A LOAMY IOYR OUTLET. SAND 2/2 SAND 2/2 6" - - - - - - - - - - - - - - - - - - - 99.6 8' - - - - - - - - - - - - - - - - - - - 99.4 7. BEFORE CONS TRUCT l ON CALL 'D!G-SAFE'. B LOAMY IOYR p LOAMY IOYR U 1-888-DIG-SAFE AND THE LOCAL WATER DEPT. SAND 5/8 SAND 5/8 S 87°09 '18-E FOR L OCA T I ON OF UNDERGROUND UT I L I TIES. 24' - - - - - - - - - - - - - - - - - - - 98. 1 22" - - - - - - - - - - - - - - - - - - - - 98.3 . . �n _ - ��► �►, MED-COARSE IOYR MED-COARSE IOYR C / SAND AND 6/4 C / SAND AND 6/4 r - - - - - - - _ _ _ _ _ _ _ 8. SEPTIC SYSTEM INSTALLER SHALL NOTIFY THE GRAVEL GRAVEL DESIGN ENGINEER TWO DAYS PRIOR TO CONSTRUCTION OF THE SYSTEM TO ALLOW FOR SCHEDULING OF THE + -J- lol CONS TRUCT I ON I NSPECT I DNS. 42" 9. EXISTING LEACH PIT TO BE PUMPED DRY AND BACKF!L L ED. �h• LOT 4 TRAP DOOR OVER INLET c h � 22. 123+ S. F. cI. 120 NO WATER 90. l 120_ NO WATER 90 / �' DECK EXISTING DATE: SEPTEMBER 24. 2013 LEACH PIT TEST BY: STEPHEN HAAS EXISTING IDI.5 , NOV 16 2017 WITNESSED BY: DONNA MIORANDI DRELLING EXIST ► 1 ' L ILA( T PERC RATE: C 2 MIN/INCH w SEPTIC TANK D-OOk h � , ��WN 0` _ Nyt Fewc O E BM. CORNER BN 1 cV EL-101.88- - ti -.. ... 0PZ'Al' 6 S 87°09 '18'E G � � �/'�fE/�CE' � 25• 106, 73 \ 00.`-ft,-50 6AC LEACHING CHAMBERS f , J \ W/4' STONE AROUND ' I1;��' PAVED DR VEWiiY . +I D0.6 v a j IT 40 `. ,ODOR �1 Li9RNf s i,✓iGL �, ; > . z4z _ • 400 CC /f S,5 PERATE- .� f i to 265.4 l 0 CB/SEAL FND b SEP T l C S YS TEM DES l ON ROOfE 28 438 STRAWBERRY H 1 L L ROAD , MAP 66 :. PARCEL 4 �s BARNS TABLE . ( HYANIVI S ) MA r�4 LEGEND PREPARED FOR 1 Ns P11NF STREET ■ CB CONCRETE BOUND 1�^-��CUS -W- WATER L I NE DONAL D PARE O HYDRANT -G GAS LINE SCALE : / - 20 . OCTOBER 3 - 2013 OHW- OVER HEAD WIRES #+ LIGHT POST S T E H N A . H A A S -E- UNDERGROUND ELECTRIC LINE -T- UNDERGROUND TELEPHONE LINE _ ENGINEERING , INC - 923 Route 6A CTV- UNDERGROUND CABLEVISION LINE + 40.4 SPOT ELEVATION �j, „���� I � �`� Yci rmo u t h p o r t MA . 02675 508 _40-•••__. EXISTING CONTOUR ) 362-8 1 32 0 /0 20 40 40 PROPOSED CONTOUR Y ( 5 0 8 ) 3 6 7-JOB N 1: l 3-082 � L �CUS MAP '