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HomeMy WebLinkAbout0187 TOBEY WAY .. �- _ � r ___ � � ._ 1 _� ice_ ..__.. _�-_ __.... _ _,..___�__-�-�-_..__�_.__ __.�_�._. _ _.` I •.A: 1 '> Town of Barnstable �c �T " F, 200 Main Street, Hyannis MA 02601 508-862-4038 �= Application for Building Permit e Application No: TB717-2391 Date Recieved: 7/28/2017 _ Job Location: 187 TOBEY WAY,HYANNIS d t✓° Permit For: Building-Deck t-V r— Contractor's Name: GEORGE DAVIS,-INC. State Lic. No: 160164 Address: 33 NORTH MAIN STREET, SOUTH Applicant Phone: (508) 394-0832 YARMOUTH, MA 02664 , I (Home)Owner's Name: NAJARIAN,GARY J&ARLENE CRONIN Phone: (617)480-5949 (Home)Owner's Address: 83 WOOD LEDGE RD, NEEDHAM,MA Q2492 Work Description: Replace deck within the same footprint. Total Value Of Work To Be Performed: $16,450.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other:worker before he/she engages in work on the above property in accordance with 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: George Davis 7/28/2017 (508)394-0832 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost ; $16,450.00 1 Date Paid. Amount Paid Check#or CC# Pay Type Total Permit Fee: $110.00 .........................................1..................._........................................._............. Total Permit Fee Paid: $0.00 011111111" ..,.£::E. Town of Barnstable Building u - PostaThis Card So That it is4Vi'sble Fromsthe StreetApproved Plans fVlust be Retained°on Job and this Card Must be'Kept �� .a. ABIE,• . , aaif u�x"'', _+-. .,,a -:. �r ? ,� �"'. . �,�,. ,... ,� d.._... $ Posted Until F�naLlns ection Has.Been Made q 63'a : w Permit Where a Certificate of,Occupancy is`Required;such Building shall Not be Occupied until a F�nallnspection has been made.. ; Permit No. B-17-2391 Applicant Name: George Davis Approvals Date Issued: 08/10/2017 Current Use: Structure Permit Type: Building-Deck Expiration Date: 02/10/2018 Foundation: Location: 187 TOBEY WAY,HYANNIS Map/Lot 247-235 Zoning District: RB Sheathing: Owner on Record: NAJARIAN,GARY J&ARLENE CRONIN Contractor Name.: GEORGE DAVIS, INC. Framing: 1 Address: 83 WOOD LEDGE RD o w ,` Contractor License: 160164 2 NEEDHAM,MA 02492 e .,€st Project Cost: $ 16,450.00 Chimney: Description: Replace deck within the same footprint. p� Permit Fee: 110.00 $ Insulation: Project Review Re : Re lace deck within the same foot rint�11 Fee Paid 1 S 0.00 q P P Final: �J?3//-7 ' + Date ,, 8/10/2017 71 a k W �� Plumbing/Gas Rough Plumbing: p: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application�and the$approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall.be maintained open for public inspection for the entire duration of the work until the completion of the same. s r x ;* Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on.thispermit• Service: Minimum of Five Call Inspections Required for All Construction Work: s�� � a ; 1.Foundationorfooting :Rough: 2.Sheathing Inspection 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 S.Prior to Covering Structural Members(Frame In Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy tow 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 MGLc.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT L Town of Barnstable Building Department - 200 Main Street EARNSZABLE. * Hyannis, MA 02601 9 MASS 163q. (508) 862-4038 �FD�A Certificate of Occupancy Application Number: 200804075 CO Number: 20080431 Parcel 10: 247235 CO Issue Date: 10114/09 Location: 187 TOBEY WAY Zoning Classification: RESIDENCE B DISTRICT Proposed Use: SINGLE FAMILY HOME Village: HYANNIS Gen Contractor: DADMUN, DAVID Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: -r4,c.- o Building Department Signature Date Signed IKE Tom, TOWN O F-BARN--STAB'L E _ { ti ing Application Ref: .2001304075* aaatxs'rAs'tE, Issue Date: 07/30/08 Permit MASS, �A i639• Applicant: DADMUN�DAVID rF�MAC A Permit Number: B 20081604 Proposed Use: SINGLE FAMILY HOME Expiration Date: 01/27/09 Location 187 TOBEY WAY Zoning District RB Permit Type: RESIDENTIAL ADDITION/ALTERATI0 Map Parcel 247235 Permit Fee$ 1,083.75 Contractor DADMUN,DAVID Village HYANNIS App Fee$ 50.00 License Num 74205 Est Construction Cost$ 212,500 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND FLOOD DAMAGE RECONSTRUCTION 2 ADDITIONAL MASTER BED ROCMIPQJ.RD MUST BE KEPT POSTED UNTIL FINAL MERS AND MOVING A.BATHROOM,CREATE 5'OPENING IN DINING ARNgFECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: NAJARIAN, GARY J 8i ARLENE CRONIN BUILDING SHALL INOT BE OCCUPIED UNTIL A FINAL Address: 67 LEXINGTON AVE INSPECTION HAS BEEN MADE. NEEDHAM, MA 02192 Application Entered by: PR wilding Permit Issued By: C � THIS PERMIT.CONVEYS,NO RIGHTTO OCCUPY:ANY::STREET,ALLY OR SIDEWALK OR'ANY-PART THEREOF,`EITHER TEMPORARILY OR PERMANENTLY; ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTEDUNDERTHE BUILDING CODE,MUST BE APPROVED BY-,THE JURISDICTION. STREET ORALLY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE`OBTAINED �T,FROMH E DEPARTMENT OF.PUBLIC WORKS: - THE ISSUANCE OF:THIS PERMIT DOESWOT RELEASE THE APPLICANT FROM;THE`CONDITIONS OF ANY APPLICABLE SUBDIVISIONAES.TRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). 1v En w;M, BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 z � 2 2 ,ltt l�'� 2/ 3 r �f ©�� 1 Heating Inspection Approvals Engineering Dept =C-) AA Fire Dept 2 ` Board of Health Bel ,'MF'wi.5�'rvw .-t•w,:+•;Ttra-S�e - , M � ..�.A "",y x..i?r-+S�iA.;+kv'++h..-t('�`�'Es..r. „,"n e.•rir`".'[ r _... ... _ A r .J: '/+t Y-��.i1.(SI741 Ate/-.Y j r�;.. _ \�i.. ��_,i,' Z"'�• .. 'Y'1 `Op YME, � Town of Barnstable BARNSTABLE. ; � Regulatory. Services. - - T MASS. i639 N. Building Division pfFO NA' 200 Main Street,Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Location I —7 TU R 45-Y Permit Number Owner Builder. One notice to remain on job site., one notice on file in Building Department. The following items need correcting: RAM C 2 - ,T01 s7- 1 A �16-F '(4 Is sf�f� _ l 77-1 V t I Tom' c-19 LL ,=o! off �' c`-nV /--1 Please call: 50PliOLJ 8-862-4038 for re-inspection. Inspected by A—W--4L Date TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 4 Map a 7 Parcel 36Application # Health Division r Date Issued Conservation`Division Applicationel Planning Dept. Permit Fee I b ? Date Definitive Plan Approved by Planning Board �-- Historic - OKH Preservation/Hyannis Project Street.Address 187 -M 6 6\1 GUA y Village W&S ""N IS PO L f 6.7 L_L=XI W G-7-D A&—. Owner Address -f- 4-M, �klA 0 2-1 q`L Telephone _ Permit Request r�d D �A�M 1� C®� 1�i� a il'� VX 2- A-t)i?t n of lA-c_ x4A-S'e- P�-D eoom PLC S ATACWiSD 5 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed ta 'lew �` Zoning District Flood Plain Groundwater Overlay Project Valuation Z/a 500, Construction Type t ,00, Lot Size o, 5.,2- Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 1H Two Family ❑ Multi-Family(# units) Age of Existing Structure r.5• Historic House: ❑Yes YNo On Old King's Highway: ❑Yes 31`1�o Basement Type: Yull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) $ Basement Unfinished Area(sq.ft) 1000 Number of Baths: Full: existing_, new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new '19L First Floor Room Count Heat Type and Fuel: 216as ❑Oil ❑ Electric ❑ Other Central Air: QI/Yes ❑ No Fireplaces: Existing 1 New Existing wood/coal stove: ❑Yes EMo Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: E(existing ❑ new size _Shed: ❑existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes 3'No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name _DA b M U ICI C4,4 1`TR VI j5r j L t-,r� Telephone Number Address 01 1 A- RO M Z b License# CS -7�Lg_®5 Df--N IV fS M-A- 02(o ?-0 Home Improvement Contractor# /2 8 '7/ Worker's Compensation # C Col / 4007� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNAT DATE Z6 FOR OFFICIAL USE ONLY r `APPLICATION# �ff DATE ISSUED 3 MAP/PARCEL.NO. , t ADDRESS VILLAGE s OWNER I DATE OF INSPECTION: FOUNDATION S FRAME �"—a'�'"_®� ., -� c� •. s INSULATION 9 �� FIREPLACE r ELECTRICAL: ROUGH i FINAL � I '.y PLUMBING: ROUGH FINAL 1 GAS: ROUGH ' FINAL ;(t FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. I I The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111. www.mass.gov/dia Workers' Compensation lusuraucc s fbd-avit: Builders!Contractors(Electricians/Plumbers A Iicant Lnforxnation Please Print Legibly Name (Busincs�Organizztion/lndividuO): UQc�n/lU �',U STa M I L Address: 191 A M Art 0 STRC�E-I City/State/Zip: JA) �EN N S M NO2i4�Phone.#: CjOS 7�"�1�' Are you an employer? Check the appropriate box; Type of project(required): 1. am a employer with_ .�j 4• ❑ I am a general contractor and I 6 New construction employees(fall and/or part.time)-* have hired the sub contractors listed on the attached sheet 7. ❑Remodeling 2.❑ I am a'sole proprietor or partner- These sub contractors have 8.'D Demolition ship and have no employees employees and have workers' working for mn in any capacity. 9. ❑Building addition [No workers' eQ$p.-msI ranee eoIDp-ineTrr�nGe. 5. ❑ We are a corporation and its 10_❑Electrical repairs or additions requued] officers!lave exercised their ILL]Plumbing repairs or additions . 3.❑ I am a homc;ownrr doing all work myself[No workers' comp. right of exemption per MGL 12 []Rna.i repairs inmrancc re �� t p. 152, §1(4), and we havt no employees. [No workers' 13.[ Othcr h,pb� ��1'lVIl4 Ci coup.insurance required] *Any applicant that cbccla box#1 must also fM out the=ctim blow showing their workers'corapmsaticn policy inforaatirnL t Homcownert who submit this affidavit indicating they am doingall work and then hire outside cunt-actors must tubrnit e.new affidavit indicating tech. TC ontractors that check this box must attached an additional that thowing the name of the sub contractors and dzJn whctha or net thost cntitits have errployecs. if the sub-conhactors have tmployc t,they Tnust providt their workers'comp.policy nurnba. I am an employer that is providing lvorkers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company N;;Tn : A.I.G. Policy#or Scl:f--ins. Lic. #: WC 01(O0 13 Expiration Date: 1 LJ t"1►0 8 Job Sitc Address:I —jD IN AN City/State/Zip YNN� IS poe l't 1"�•� . Attach a copy of-the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure covcragc as required under Section 25A of MGL c. 152 can lead to the imposition of crimbi al penalties of a finc tip to 51,500.D0 and/or onz-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a find of up to$250.00 a day against the violator. Be advised that a copy of this statomerit may bo forwarded to the Office of JUVCSti ations of the MA for insurancc coverer c verification. I do her ' urcdzr e p -raid penalties of pe�J,411at the information provided abaN rs true d carrerl SimatLue. Data: � 3 0 / " ' Phone# CJ�( f74-0 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#: Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees: M Pursuant to this statute, an ernployee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written_" An employer is defined as "an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged mi a joint enterprise, and including the legal representatives of a deceased employer, or the cecciver or trustee of an-indrvidual,Partnership, association or other legal entity, employing employees. Ffowevcr the Dwner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the iwclling house of another who employs persons to do maintenance,construction or repair work on such dwelling house )r on the grounds or building appurtenant tbcreto'shall not because of such employmcut be deemed to be an employer." \lGL chapter 152, §25C(6) also states that"every state or local licensing agency shall withhold the issuance on % -enewal of a license or permit to operate a business-or to construct buildings in the commonwealth for any applicant who has notproduced•aceeptable eviidence of compliance with the insurance coverage i equired" VdditionaLly,MGL chapter 152, §25C(7) states `Neither the cornmonwealth nor any of its political subdivisions shall rater into any contract for the performance of public work until acceptable evidence of compliance with the in_-Uraic cquircmcnts of this.chapter have bean presented to the cont-acting authority. >, ,pplicants lease fill out the workers' compensation affidavit completely,by chocking the boxes that apply to your situation and, it cccssar},,supply sib wntraLtor(s)name(s), addres5(cs) and phone numbcr(s) along with their eertificate(s) of BuTancc. Limited Liability Companies(LLC) or Limited Liability Partnerships(LLP)with no-employees other than the lernbms or partnrrs, arc not required to cant'workers' compensation insurance. If an LLC or LLP does have nployccs, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial ccidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should returned to the city or town that the application for the permit or license is being requested, not the Department of idustrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' ,mpcnsahon policy,please call the Department at the nw-gber listed below. Self-insured companies should enter their :If=in uranrc liecnso number on the appropriate,line. ity or Tows Officials .case be sure that the affidavit is complete and printed Legibly. The Department has provided a space at the bottom 'the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant case be sure to fill in the permitrlicensc number which will be used as a reference number. In'additio'n; an applicant It must submit multiple permittlicense applications in any given year,need only submit oar affidavit indicating emrcnt ,licy infornaztiou(if necessary) and under"Job Site Address" ilia applicant should write"all locations in ` (city or wn)."A copy of the aff davit that has been officially stamped or marked by the city or town may be provided Lt the plic=nt as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each ~ ar.Wherc a home owner or citizen is obra'�a license or permit not related fo any business or commercial venture a dog license or permit to brim leaves etc.) said person is NOT required to complete this affidavit c Office of investigations would like to thank you in advance for your cooperation and should you have any questions, zsc do not hesitate to give us a call Department's address, telephone-and fax number. Thtt C6mmonvucal.th of Mass cbus�tts Dq)eztment of Industrial Accidents Office of Iuvestigat!crns 600 w shin n sfireet Boston, MA 02111 TO. # 617-727-4900 ext 4-06 or 1-S77-MASSAFB Fax# 617-727-7749 l l 1-22-06 VPXW.Mass�.gov/dia ENEVO Y CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR ONE-AND TWO. DETACHED RESIDENTIAL'CONSTRUCTION (780 CMR 61,00) ► ` tD L ADMUld Applicant Name; �Dy�&AMPA ?A ` Site Address: ((�? -(��y Way pr;,,, Town: ES "AN NIS POKI Applicant Phone: Applicant Signature: 501-710 a- 540. Date of Application: NEW CONSTRUCTION: (choose ONE of the following two options) 780 CMR TABLE 6107.1 - PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE- AND-TWO-FAMILY BUILDINGS MAXIMUM MINIMUM Ceiling or Slab 0 t10n 1: Basement . U Fenestration exposed Wall Floor' Wall perimeter AFUE 14SPF SE-ER' U-factor floors. R-Value R-Va.lue R Value R-Value R-Value and Depth National Applimcc Encrgy 35 R-3 8 R-19 R-19 R-10 R-10, Const.valion Act(NAECA)of 4 ft. 1981 as amendcd,minimums or rcatcr 1s a licablc Note: This form is not required if you choose e.ither of the'two versions of RESclieck.as•listed below. Option 2: kR_F_S:c:heck Version 4.1.2 or later.variant software analysismust-be completed 78R_6107.3.2 REScheck--Web which can be accessed at http //www.ener cY odes•goy/reschecic/ DOITZ0�� -4,0 ALTE9A TI TON8 TO". JSTING-.BTJ7X:.] TNQS:,- VER 5:, �125 OLD Wildings under 5 years old must use option#1 or#2 in New Construction section above. . Dmplete the following formula to determine the % of glazing: (a) Gross. Wall & Ceiling Area equals Formula: (100 x b-= a) . SF � _ • 100 x - - % of.glazing b a (b) Glazing area equals. SF Dazing is':5:40%o usd.the•chart belo.w. ' If.,glaziri -is'>':40'`% proceed to "SUNROOM" section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING LOW-RISE -RESIDENTIAL BUILDINGS MAXIMUM MINIMUM Ceiling and Slab Perimeter Fenestration Exposed floors Wall Floor Basement Wall R-Value U-factor R-Value R-value R-Value and De th R-Value' .39 R-37 a R-13 R-19 R-10 R-10, 4 feet R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area(i.e. not compressed over exterior Walls, and including any access openings).- ' SUNROOM-An addition or alteration to an existing building/dwelling unit where-the total 0 glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of the addition, Note:. Owner to fill out Consumer Information Form (found in Ap 'endix 120.P) �oF Er TO'4'4rn of Barnstable ` Regulatory Services sANr" E Thomas F. Geiter,Director_ 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 'Phis Section Zf Using A. Builder as Owner of the subject property hereby authorize ��'aw�w to act on my behalf, in all matters relative to work authorized by this building permit application for: 706 j�/a kfesf t7 Q015 or- 44 (Address o ob) 711 Signature of Owner Date A4�Le Print Name If Properly Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Town of Barnstable h�of SHE tp�yT Regulatory Services Thomas F. Geiler,Director RARNSTA '"AS-11 B[.E', Buildin ' Division Y� 16yg- ti�� PTFv► '� Tom Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 vm-w.town.b arnsta bl e.ma.us ice: 508-862 4038 Fax: 508-790-6230 E0hfF_0WXER LICENSE EXEMPTION Please Pr1nt DATE: JOB LOCATION: villa c number Street g "HOMEOWNER": home phone# work phone# name CURRENT MArLING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include olvner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as SUP erYisox. DEFINrrION OF HOMOW ER persons) 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 dwclling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a iwo-year period shall not be considered a homeowner. Sucb `homeowner" shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be esponsible for all such work performed under the building.-Permit. (Section 109.1.1) [be undersigned"boroeowner" 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 ninimum inspection procedures and requirements and that he/she will comply with said procedures and �,quirements. ignaturc of Homeowner oproval of Building Official Note: •Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the ate 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 this section (Section 109.h 1 -Licensing of eonshvetion Supervisors);provided that if the homeowner engages a Persons)for hire to do such rk,that such Homeowner shad]act as supervisor:" Many homeowners who use this exemption are unaware that they are assuming the responstbilitics of a supra isor(see Appendix Q, lcs&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly cn the homeowner hire unlicrnscd persons. In this ease,our Board cannot proceed against the unlicensed person as it would Aith a licensed >ervisor. The homeowner acting as Supervisor is ultimately resporutble. To ensure that the homeowner is fvIly aware of his/her responsibilities,many communities require,as part of the permit application, :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 :ral towns. You may care t amend and adopt such a fomt/ccrdfication for use in your community. . I 12/10/2007 17:58 5087527172 PAGE 05/06 ACCPR CERTIFICATE-OF LIABILITY INSURANCE "TEWIawym `.ram' 12/11/2007 PSIOOUCER THM CERTIFICATE Is ISSUED AS A VATTER OF pIIFORRATION Blackstone Insurance&Financial Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 37 Harvard Street Suite 213 HOLDER.THIS CERTIFICATE DOES NOT AMM EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Worcester.MA 01609 INSURERS AFFORDING COVERAGE NAIL! IwsuA�o wSURER A: N&ANUS Insurance Company DL Dadmun Custom Bullders IN WRER a AIG 191A Main Street INSURER West Dennis,MA 02670 INSURER u. INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATM NOTIMRSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE UMRS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR K= TYPEOFINSUAANCE POLICY NUMBER UNITS GENERAL LIAMLITY FACH OCCURRENCE S 1.000.000 ✓ COMMERCIAL GENERAL LMBILITY PREMISE Ee O S 100.OD0 A D CLAIMS MADE © occuR NC701869 10109/2007 10/09/2008 MED ExP"am Pmw+) s SAW PERSONAL&ADV PLIURY S I'Z'000 GENEIM AOGREGATE S 2.OW.000 GENL AGORMTE L?WT APPLIES PER. PRODUCTS-CONPIOP ACC a 2.000.WD POLICY n PROJECT rl LOC AUTOM US LIABILITY C lABIIO D SINGLE LIMIT S ANY AUTO Iso oaeideM) ALL OVOW AUTOS BOOR Y MJ UMY SCHEDULED AUTOS IPa,parser+) S HIRED AUTOS DODJLVIWURY S NON-0WNED AUTOS IPar"V% PROPERTY OAMVAGE g (Per xelesm) MAW UARILIFY AUTO ONLY-EA ACGDENT S ANAVO GAACC S RAGG S MICEEEn]NUHH L.A LABA.ITY EACH OCCURRENCE S OCCUR D CLANS MAN AGGREGATE S S MMUCTIB F t RL.TENRIO!► S S EMl�L/AN � ✓ TORY UMRS ER B Ar+Y PRaRIEroaPART►r�,L7cEcvrLVE WC6716073 12/12/2007 12/12/2008 E L EACH ACCDEW s +Dg000 OFflCER1lu¢NBERExfJ.UDED'! E.LOB6tSE-EA91ROTEE S 100,000 rt ype�a.aeeawe yye�Ww SPECULL PNUMOW bW. EL.DISEASE-POLICY UNT S 500,000 OTHER ®owner merw unmr ww"caInperamw pahey CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE OESCRISED POLICIES BE CANCELLED BEFORE THE ExPIRATION Budding DgDepartmentment Town Of Barnstable DATE THEREOF.THE ISSUMO U#8UMIM MALL ENDEAVOR TO IIJUL 15 DAYS WRITTEN 200 Main Street NOVICE TO THE CERTU ICATE HOLDER NAMED TO THE LE".BUT F LLURE TO 00 80 SHALL Hyannis,MA 02601 WPOW Po OBLOATtON OR LUUMITT OF ART KMD UPON THE INSURER,ITU AOEMS OR REPIVI NTATIVES. . AUTirMtOW REDItE9ENTATiVE ACORD 25(=I=) O ACORD CORPORATION IM fie 1°iana»zamue�alll a�=lla:urz��aref.�s Board or Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 128718 Expiration: 5/9/2009 Tr# 129197 Type: DBA D.L.DADMUN CUSTOM BUILDERS ` DAVID DADMUN 51 POND ST ,e.�Q W.DENNIS,MA 02670 Administrator ✓�e-Pjomnzanu�ea�• a�✓�faa�cu'�ivaell`a Board or Building Regulations and Standards Construction Supervisor License } 4 License: CS 74205 b y Tr# 9128 Expiration: 12/31/2008 , rr, Restriction: 1G DAVID L DADMUN 51 POND STREET WEST DENNIS,MA 02670 Commissioner . i V _.� r -..._:.-_... __:......_-.._.__..._ . . .._: . ' ilSP.1aN,T 5HlN4lt5.. s•- .._ ._......_.. ... ...... ...:- . rain.. .. ... - _.._. .. `I � �an•Grs�►u`r�tri�... - - • V HI LA ........... V 7j. - — RTAflLE"µTE cch SEYLt _........ .� _ prel�min.;.ry plans and laypurs by D.C.D.are for the use of their Cu! t e 4 • r -FALSE `..WU iT.E 'C Zr)AR....rs H IN C�.L LS j aU :fin puT LEFT �LE.VI�i CJ hl r s f LO QR�nKF 14 &ST KITc.N E •1 I I — O ' • OpTiOuti� 518 F•C.6051AE1'TRAGK I � t z sue. ' o �i _ t I N.. �vnu _ , _ s, , Preliminary plans and layouts by D.C.D.are for the use of their I 39 O= eLL)"++FOAM:K 6 �EnRaUUlyl /,NHS?ER so rTE 01 I, in 2t, �K�f4G �24 UNFt1�1�SN Ef7 I r- 4 _ r�7'I-- 6� 01 � pl _ v I a ;v r 1f Aw7 try Wt , ' •.• Trprl bur 1vSs i 7�■R�srs lY] � `i�T+1�Wtt•�WL � ry�[ aS 4u E TMkl,C.,err? •fir WtINtselFolu ' m W F • _ �KSYiCTAbI•��1'ov's LD r Lnit + • - W_I ,'I IWra �s• . t 'T I.L/OV111i d�u �••or g4�'gDY . �Jy Q _ ---•h•b4x •. ... - .. w .. _ P.4f1i..JLR•'' _............._ _ ...•... '_•4'►a'pyOps . ...MY NL.Wt.' OvAn oa,e+t+ .. wv.W W. �Lgtss g �.L INIitOf�L aowp+IT�oce ui► 0-W CTS cis i� .C. +� .. I* 1+r.,{ g � •iesw. '. � � � 3ft�C'SS64t AA Q'b'k7_•�f" _...-. . ... --._....__-....... ..... ... .. ......:..•...,. •..6ECf29t'1.'6_ri�i�'.rp') _ I � e.AwitYr dYa,12{Hrra la+t QGOi+i F,.4n.uu o•tnt:.�x{■+wn�n��.t•.,flan�u..rntiy p.vh.tre t •. Wit. �Da,�►�• p nc,t vLu7 AsP.nw_T St+tN"46CS -•--•---r^:.r~ _._..^.,�i:r.__.___ ..,' ���� Issn..�a- �-�r:�!-�-• - 9.�14Z�.plEt:T�R —_r- f ................:.. • PreliminA-ry plahs.and layputs by DC.D.are for the use of their Cu., I i - !�I �.��1' 24xICa4$rr."�•.Il'ycCl� -WQTTe CCMR-SY1h.151EG r._.' T f_ I I _ .'LE 24 MISL}-,G.n.y. AAIA}l Ot7 FA v3 OUT f- LEFT EIEy/1lON._. R14NT FLuy ION SCALE DATE — _ --- -_ 508.428.6191 ;sM'W-T o evl i n o esigns - - Copyright 8 1996 All Rights Re S ervt'O EL— AU.MA. .. I 71 7E _—.._ _ _— -J4A?A 1uS 4L.D.N.C4) ' -ken cevnte CLI%vP,onnnJ�.���—+• -41 tjq 4 � IL1O5E vEs" .. + . 7Aw1f.14SUC.-' c - 24:24-I W tL Cl._ Mu:.tnuc.uml_.. - - 'M+RE CLMR n4NdU1,FM Y W un..Ic�u:4S:nru d) .. 8 _ U.-D 9.3- `,o• n naor --- ° J G bw B'TUH:lvnly.O4 - i - TPsp sciKIc n-eT4. J SOLE UITE i m o 508.428.6191 J s I a evi i n ° @ustom N o esi ns r.z•.1•T�Ic.calc.cv.,,cola"i^ � �r.Dac_rluFn.lALLv c_ol.. _.__._.. .. , j 9 r rI r T— N�0l cogrignt© 1996 p .L F —CDa4RAtT'VILL N - All Rights N L L I ; RfsfrvfO 4 IE I J 1 p 140- may, PtiG.Tm1:LIP:laK.} —_ N f OC i d i Q I i I IQ i —TOUINDAT 1:0 N-PLAN" ... Pr cli minlry puns Intl IIyOW1 by DCD Ire for the use of Inch customers only Any other use I,sr,,crly Pion,Dife .1�._._ �e•o" Rust.no,vnYR -7vA3TER surd inI IL'.8- 2.i.. —y...--__. _... i +1 . n zL IKr•L4V I J A �tJFlN154Et� - ` // 2 I ec nRoo>~c:: O a _ a � ' Q Iz,.IL.DCCK I ---__ _ I - I d FjREJ KF1ST. cece oere 1- avrtovA� o 608.428.6191 sfe-P.c co su[erw @ustom ! —M'�+owAOIR�PY4MA^NP.SiE�j---. tl . I °i o esigns O copynght czj 1998 _— _ � Auserved R,gntt Re _ �I�ItiS 01 I a•t'uR,coin 6Lm w/ --WALL I Pm. I Q :• b I r'_ Q Y i r jlb,l Prel—o"y puns and layout, by DCDA,for the ute p/ Ihe,r c„sromerr only Any other,jte ,}rtr,rtly 0 `'{ ASPHALT 5411441tly \ - TAUAL MM-EngE Awm-ciUR¢R ..LEAD t4ASw•6(Ml M)ON".` . IRY\V'n.(13LOCK'y eC41ND) - Iw�TASUA' \\.. —_. I,eyDrTrt•/vehrt - + ._..C4evRw Euos) I—w,c:5Nt45LE AAtT[0.mt[sE ., _ LEAD FUIsw'S Cm 41icsl _ - 7rs C�s^.t.t ) \vlNlxn•/�¢t rt I - I � i I Q,.L PT.-51U_a+JSENtA^" SOFFIT f�ET^IL C''t:.r o) ._ . - \VINf�OC\7 CAP(rvi'.i'o), -116°�N7f.�riF�solTi:--" _ - 1 \ynTER7AISlC Cri.'.I-o) RAFTERS ..._-. ..._.... ' I,i 6T[APPIIJy - � '�a•iuECi'fIDUC '. s rrR,ghts ♦Erz :.... 191 rt:nvvwy RAo 1w�L S 7SYEET1996 ReS Ery EA r v I IV } _ I tab aO�5T5 - . ._....._ l 1 .` SECTION -'---__..__. ... __.....__... SUM ON y Prfli Tinny plant and layouts by DAD alp for the use Of lhrir cuttO—IS Only Any other use it Strictly p,oh,wle 23542 Q Q Q © 1SIAGE. 9E:PARTtENT OF PUBLIC SAFETYASHBURTON PLACE RM 1301 MM ttmm So To , MA 02108/1618 V4 3.Q.1775 3 Z 4 CONSTRUCTION SUPERVISOR LICENSE : �}o Pe & Number: Expires: . Restricted To: 00 a — "IIICTHY PEARSON Reach bottom, fold , sign on POBX 519 r ;back; :and_. laminate license card. CENTERVILLE , MA 02632 ,;,Keep.>aop<'.for receipt and change f address notification. 92e 61»v�,�, a/,,&,. 23542 Restricted To: 00 . DSPART.011 OF PUBLIC SAFETY : D `? CONSTRUCTION SUPERVISOR lICE9SR 90 None Xaaoer: 3xpires: 1G - 1 & 2 Family Moores Failure to possess'a current edition ofthe Massachusetts State BuAlding Code x "iY PFA_^,SOE is cause for revocation:of this license:. ._BI ._9 C-RTERVI;t.c, MA 02632 -- (—UMMUN WEAI;I H UI- MASSACHUSETTS �cF DEI Ajum:ENT OF INDUSTRIAL ACCIDENTS 600 WASHINGTON STREET' ames Cam,^oer BOSTON, MASSACHUSFTTS 02111 r,ornm:ssrone• WORKERS' COMPENSATION INSURANCE AFFIDAVIT 01ccnscdperminec) with a p 'ncipal place of business/residence at: L� (CirylStatcr ip) do hereby certify, under the pains and penalties of perjury,that: �I' 1 am an employer providing the following workc:s'eompenmrion coverage for my employes working on this lob. Insurance Company Policy Number [) l am a sole proprietor and have no one working for me. [) I am a sole proprietor, general contractor or homeowner(cirde one)and have hired the eontraors listed b-ow who have the hollowing workers' compensation insurnee police~ - Name of Contractor Inn:raec Company/Policy Number Name of Contractor Ins=nce Company/Policy Number Name of Contractor Insurance Company/Policy Number I am a homeowner performingall the work myself. NOTE: Please be aware that while homeowners who employ persons to do maintenance,construction or repair work on dwciling of not more than three unit,in which the homeowner also resides or on the grounds appurtenant thereto are not gcncnil y considered to 6c employe.rs under the Workers'Compensation Act(GL C 152.sea. 1(5)), application by a homeowner for a lice=se or permit rnav evidence the legal status of as employer under the Workers'Compensation Act 1 underst:.nd that a copy of this statement will be forwarded to the Deparzne:-of Industrial Accidents'Office of Insurance for eoveca--c vc:i:ication and th:t failure to secure coverage as required undo Section 25A of.MGL 152 can lead to the imposition of criminal pcnl::cs eonsisong of a finc of up to S1500.00 and/or,imprisonment of up to one yca and civil penalties in the form of&Stop Vork Ordc.a-.t:: finc of S 100.00 a day&gains: me. Signcd this day of 19 LICc:1ar[.11'trnllnct LiccasorMcrrninor TO,OEy � N ll'1gY S 8/'3S'Z9•E• a 46.08• Ln 0 In « m H ha �o •`rd+ 29.t �• • -f- ;u 40.# o �sr ,. � • Gyo �y Cv o a► Gy 2 y LOT 5 _ 22. 725± S.F. y //9. /6 N �e04,0/ TOWN OF BARNSTABLE ZONING BY-LAW DATED SEPT. 14. 1989 ZONE RB I CERTIFY THAT TO THE BEST OF MY PROFESSIONAL SETBACKS KNOWLEDGE. INFORMATION AND BELIEF THE DWELLING FRONT - 20' SHOWN HEREON CONFORMS TO THE HORIZONTAL SETBACKS SIDE - IO' AS GRANTED UNDER THIS OPEN SPACE DEVELOPMENT. REAR 10' PROPERTY LINES SHOWN HEREON WERE COMPILED FROM AVAILABLE P`SN�FMASSq PLANS OF RECORD AND DO NOT REPRESENT AN ACTUAL SURVEY ° TERRY ANN ON THE GROUND. WARNER No.387 21 ff THE DWELLING DEPICTED ON THIS ��� �c6C.0, PLOT PLAN PLAN WAS LOCATED ON THE GROUND ''^L IN BY SURVEY ON APRIL 29. 1997 AND BARNSTABLE. MASS. EXISTS AS SHOWN AS OF THE DATE "d(„ + (cl.1 OF LOCATION. l SCALE: l'-40' APRIL 30. 1997 THIS PLAN IS FOR PLOT PLAN EAGLE SURVEYING 8 ENGINEERING.INC. PURPOSES ONLY AND NOT FOR 92$ Route BA RECORDING. DEED DESCRIPTIONS. varmouthport. AA. OZ675 OR FOR ESTABLISHING PROPERTY LINES. (508) 362-8132 (508) 432-SISJ THIS PLAN IS VOID IF NOT STAMPED AND SIGNED IN RED. 0 20 40 80 PROJECT N0. 95-240 01 Engineering Dept.(3rd floor) Map. =�{� Parcel 2 30 Permit# �A 37 House# i%664A !211AE Date Issued • 4 iz-7 Board of Health.(3rd floor)(8:15 -9:30/1:00-4:30) J Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) . 414-0 Planning Dept.(1st floor/School Admin. Bldg.) ��� 'F ��ME►p;_ 3ject e Plan Approved by Planning Board - 19 �7` ` PT R S E (2-P � LCED IN CE TOWN OF BARNSTAA� WITH TITL Buildin ermit Application ENVIRONMENTAL CODE AND treet Address TOWN REGULATIONS Village PY Owner M0 ' AddressV/ay /O lIU Ar,41411V Telephone Permit Request First Floor ^ square feet Second Floor square feet Construction Type _ Lid &�nz Estimated Project Cost $ :��- '�6 _/,/6 Zoning District /'�� I Flood Plain Water Protection Lot Size fd, Grandfathered ❑Yes ❑No Dwelling Type: Single Family Yl-�Two Family ❑ Multi-Family(#units) Age of Existing Structur A-)%� Historic House ❑Yes &' O On Old King's Highway ❑Yes 4,9O Basement Type: Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) loin — Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No. of Bedrooms: Existing New -3 ^� ,[� Total Room Count(noXGas ng baths): Existing New / First Floor Room Count '7 r Heat Type and Fuel: ❑Oil ❑Electric ❑Other Central Air ❑Yes Fireplaces: Existing PO New A)O Existing wood/coal stove ❑Yes Y<O Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ;Attached(size) /'/%Y�p� ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) �-- Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes V< If//e''s, site Ian review# Current Use Proposed Use /0 6 z e •f /7//-v Builder InformationName C Telephone Number �d'�2LN Address License# UIL."Q?07 l Home Improvement.Contractor# Worker's Compensation# L)c P601a 2(00 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEB V ESULff FjJM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) i F FOR OFFICIAL USE ONLY - r. PERMIT NO. DATE ISSUED - MAP/PARCEL NO. ADDRESS VILLAGE E "� OWNER _ DATE-OF INSPECTION: `a FOUNDATION FRAME INSULATION . FIREPLACE p "04 42 - 1 ELECTRICAL: ROUGH -j FINAL m S } PLUMBING: RO UG H - FINAL ^ - GAS: ROU,G FINAL FINAL BUILDING DATE CLOSED OUT - Ir : ASSOCIATION PLANN a a TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY ;•PARCEL ID 247 235 GEOBASE ID 35594 (,ADDRESS 187 TOBEY WAY , PHONE (508)778-0734 -. W. Hyannisport ZIP - `LOT 5 BLOCK LOT SIZE tDBA DEVELOPMENT DISTRICT HY PERMIT 24608 DESCRIPTION SINGLE FAMILY DWELLING (PMT.#22372) I PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY II CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: BOND $.00 pfrT NE CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY `T + 1ARNSTABLF, ; MASS. OWNER MARKWOOD CORPORATION, ADDRESS 110 BREEDS HILL ROADFD M1� � UNIT #10 HYANN I S, MA BUILD �G'� YISIO ` BY DATE ISSUED 07/24/1997 EXPIRATION DATE TOWN+ OF BARNSTABLE BUILDING PERMIT PARCEL ID 247 235 GE08ASE ID 35594 ADDRESS 1.87 TOBEY WAY PHONE (508)778-0734 W. Hyannispdr-G - ZIP LOT 5 BLOCK LOT SIZE -- DBA ?. DEVELOPMENT DISTRICT HY PERMIT 22372 DESCRIPTION SINGLE FAMILY DWELLING (TOWN SEW. ) PERMIT TYPE BUILD TITLE, NEW RESIDENTIAL BLDG PM CONTRACTORS: TIM-'PEARSON/MA.RKWOOO CORP. Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $298.03 BOND $,00 tNE CONSTRUCTION COSTS $96, 140.00 1.01 SINGLE FAM HAMS DETACHED 1 PRIVATE P * 1ARMANX • MASS. OWNER MARKWOOD CORPORA.T]ON �1639. ADDRESS 110 BREEDS HILL- ROAD. ED NA1� UNIT I S BUILDING DI JSION ��Y.ANNIS, MA BY DATE ISSUED 04/14/1997 . ]�XPIRA`t'ION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. BUILDING INSPECTION APPROVALLS/, PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 A00C. yN 1 a wu Cs 7 -z39� 3 1 WATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HLE4414 OTHER: SITE PLAN REVIEW APPROVAL -7F, �,/7 . WORK SHALL N PROCE D UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. BUILDING PERMIT .. a .7 SMOKE DETECTORS REVIEWED BAR TABLE BUILDING DEPT. DATE U FIRE DEPARTMENT DATE O BOTH SIGNATURES ARE REQUIRED FOR PERMITTING 52'-0" - f X �L o 5'4011° x 3'dl6' O O CARBON MONONDE ALARMS - `1 � MO LL T BE INSTALLED PER C 8 t l 9U1I, N CODE' N KITCHEN 4 Z J La ROOM f Q -m �---� I CAR GARAG1E 4 = ----------------------- F = ------ ------- LIVING ROOM m 7 3 0/ l o" 2'3M'x 4'a76' O y IST. FLOOR PLAN V O F ZI p i E� 1 a s. LU cv l7 � d 0 Q C4 U � 52-0 O -3 3/16" S'-2 3/16" 4'-II S/W•4'-{711° Cl Cl 7 SM°x 3'-4X° 7'Ah°•3'-4X° 7-9M'x 4'-4X° 7Ati°"4'-4X° - O ^ O q - CIA 5EDFROOM 02 BAtN MAST B N Y ® �„ 4 Z LU 3'-5" 212'-0" - I6'-lk lu 4 c ®c = MASTER BEDROOM _ V �U d U v 4 Q Q Q Q � t z n C- A7 :r BEDROOM - O �. v v Q v 52-U O . 2ND .FLOOR PLAN SCALE V4 -IW Q � � 1 _ US WITHIN . ACCESS COVERS MUST BE INV R V O ..._GENERAL ND TES . E T EL E A T l NS DES/ GN Cl? / TAR / A . 43.5 /2 OF FINISH GRADE FIRST 2 To INVERT AT BUILDING. 40. 25 DESIGN FLOW. t: THIS PLAN IS FOR THE bES l GN-AND BE LEVEL INVERT IN SEPTIC TANK: 39, 75 3 BEDROOMS AT 110 G. P. D. PER CONSTRUCTION OF THE SEWAGE DISPOSAL VC ---- " BEDROOM EQUALS 330 G. P. D. SYSTEM ONLY. 4 PM1N. 2 of INVERT OUT SEPTIC TANK. 39.5 SCHEDULE 40 PEASTONE INVERT IN DIST. BOX: 39.'37 40.25 NO GARBAGE GRINDER 2.' ALL CONSTRUCTION METHODS AND MATERIALS � AND MAINTENANCE OF THE SEPTIC SYSTEM 13.5' 3/4' - 7 //2' blA. INVERT OUT DI ST. BOX: 39, 2 SHALL -CONFORM TO MASS. D.E.P,' TITLE 5 3 OUTLET 35 5 WASHED STONE INVERT IN LEACH PIT: 39. 0 AND LOCAL BOARD OF HEALTH REGULATIONS. 10' MIN. 1000 GAL D-BOX SEPTIC TANK REQUIRED: H 6 � BOTTOM OF 'L EACH PIT: 35.5 330 G. P. D. X 150x 495 GAL . SEPTIC TANK LEACH PIT J. ALL SEPTIC SYSTEM COMPONENTS LOCATED ADJUSTED GROUND WATER: NIA SEPTIC TANK PROVIDED: 1000 GAL , UNDER AREAS SUBJECT TO VEHICULAR TRAFFIC PROFILE : NOT TO SCALE OBSERVED GROUND WATER NIA OR GREATER THAN 3' IN DEPTH SHALL BE CAPABLE` 'OF WITHSTANDING H-20 WHEEL LOADS. BOTTOM OF TEST HOLE: 27. 6 SIZE OF LEACHING FACILITY REQUIRED: +�39.24 330 G. P. D. 4. ALL SEWER PIPE SHALL BE SCHEDULE 40 �-""- Q 1'--`---_ carcN easlN DESIGN PERC 'RATE _ C 2 MIN/INCH _ _ _ _'- SD.61 �l OR APPROVED EOUAL�. 5. BEFORE CONSTRUCTION CALL 'DIG-SAFE'. - ''� PROVIDED: 1 4'PlT(S) WI 3'STN. 1-800-322-4844 AND THE LOCAL WATER DEPT. -""_____ ' ---- o _ 4o.so SIDEWALL : !32 S.F. X 2, 5 330 GPD ��___-- BOTTOM: 1 !3 S. F. X l . 0 / l3 GPD FOR LOCATIgN OF UNDERGROUND UTILITIES. -----_ 41.7 46,0B 6. VERTICAL DATUM IS: ASSUMED +41.7 `�- 40.74 TOTAL: 245 _S. F. 443 GPD 7. FOR BENCH MARKS SET, SEE SITE PLAN ---___ SOIL TEST PIT DATA & 8. NO DETERMINATION HAS BEEN MADE AS TO i� 2 ��\ INDICATES V _ INDICATES COMPLIANCE WITH DEED RESTRICTIONS OR I ` 41.02 PERCOLATION OBSERVED ZONING REGULATIONS. IT SHALL REMAIN 1 ♦ TEST GROUNDWATER THE CLIENTS RESPONSIBILITY TO OBTAIN I I �� `'w LOT 5 ALL PERMITS. SPECIAL PERMITS. VARIANCES 1 41.30 TP# ETC. FOR THIS PROJECT, l I �r GRND EL. 41.6 o4�ati 1 \ `� G. W.EL. N/A 9. 1T„SHALL REMAIN THE CLIENT'S RESPONSIBILITY / 56� 43.b ,� 41.6 TO HAVE THE PROPOSED BUILDING FOUNDATION �" �� \ FILL DESIGNED TO ACCOUNT FOR THE EXISTING GRADE / Q I 1 TOPSOIL AND SOIL CONDITIONS AT THE LOCATION OF THE +41.s +41.1 I � 1 41.46 SUBSOIL 39. 1 2.5' PROPOSED BUILDING. 1l j '�\ MEDIUM 9 I 10. . THIS SEPTIC SYSTEM DESIGNED IN ACCORDANCE 29 * 4 t \ COARSE 1 \ -- SAND SOME WITH`3!O CMR:15.00.5>:(S). THE SU9blY1Si0N WAS \ t f__ .I \ _ ENDORSED BY THE PLANNING BOARD ON AUGUST 8. 1994. \ oo0 42.7 I \ \ 41.79 GRAVEL `?" o + 41.78 /0' 31.6 +41, 11 i t 1 - MED SAND l 1000 OAL N0 WATER SEPTIC TANK l 4 27.6 Cf 1 , !iir `t DATE APR IL l l . 1995 1 / 42.06 i 1 P o-eox ; I G'\'�• $.., TEST BY . S TEPHEN HA A S 1 1 1 m W/ MESSED BY: ED BARRY PERC RATE: 2 MIN/INCH 40.7 1 4' PIT 4a"t \\ I -{ 6 42.28 W/3• STONE '` \ 43, \ •. � 666 RESERVE \ .S FE P T / C S \X S T E-M DE- 5 / G� . 1 . +41 \\ \ ,32 \\ \\ �.� LOT S TO B E Y W.L1 Y \\ LOT 5 \ 28. 725+ S.F. G� A R N.S T L.. W . H YA /V/V / S P O R T rP \` 42.58 PRE-FARED 1 4/.6 \ MARK" wo0D G' ORP \ S C.�I L E 12 O .4 P f? / L ! D . / 9 9 7 �i N_ S, �6 w P 0/-1Y +41.6 .�'1�JG jr NE"F'R I1VG J 1VC . CA ml r ® u t h p o � � Mcz67 +42.2 jt 42.25 O /0 20 _ 40 - , W C S JOB NO. 95-240 FIELD. RVB/PDR CALC S AHICF HECK W CF =DR�: AH