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HomeMy WebLinkAbout0248 TOBEY WAY r l ' ��� G � ti Z �o� �� a t �j J Office of Consumer Affairs & Business Regulation- Mass.Gov Page 1 of 1 u. ` The Official Website of the Office of Consumer Affairs&Business Regulation(OCABR) Consumer Affairs and Business Regulation Home Consumer Home Improvement Contracting HIC Registration Complaints Registration# 126480 Home Improvement Contractor Registrant Registration Home Page Name MARK HERBST Address 35 PEEP TOAD RD. City, State Zip CENTERVILLE, MA 02632 Expiration Date 06/08/2014 Complaints Details No complaints found for this registrant. You can also view arbitration and Guaranty Fund history. Back To Search http://services.oca.state.ma.us/hic/licdetails.aspx?txtSearchLN=26443 1/4/2013 Town of Barnstable arm t# � qo Expires 6 months from issue ate Regulatory Services Fee • sexrvsresM • � MASS. 'Thomas F.Geiler,Director ArED MA'S� l 2. —t q �-I Z Building Division Tom Perry,CBO, Building Commissioner. 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property.Address 1 27 U Ao 6 L'�j QtJ 0/1 ut✓%✓!j :5 30 If I -�� Minimum fee of$35.00 for work under$6000.00 Residential Value of Work t1l Owner's Name&Address 141t" 2LV�e t/® � Contractor's Name/a rt/4 �4�r A.I s Telephone Number 519 8—.y 0 1 2 tI6 Home Improvement Contractor License#(if applicable) / 2 y D i Construction Supe rvisor's License# if app licable PERMIT� S�❑Workman's Compensation Insurance Check one: DEC 13.2012 ❑ I am a sole proprietor,, ❑ I am the Homeowner, ' ❑ I have Worker's Compensation Insurance TOWN OFBARNSTABLE Insurance Company Name Workman's Comp.Policy# 7 016 2�L S e / -a.L(1) Z Copy of Insurance Compliance Certificate must accompany each permit. Permit Re (check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors 0 Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows ❑ 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 m sign Property Owner Letter of Permission. A copy of he H e I o ment Contractors License&Construction Supervisors License is requir SIGNATURE: Q:IWPFILESTORNIMbuilding permit forms EXPRESS.doC Revised 053012 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations X. 600 Washington Street. Boston,MA 02111 : www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Orgaaization/Individual):.12�Ge Address: S City/State/Zip:_a4 1.11 (A 1"A Phone.#: �V -.Y7_0 -0� Are tou an employer? Check the appropriate box: Type of project(required);. 1.L��If I am a employer with �— 4. I am a general contractor and I employees(full and/or parme).* have hired the sub-contractors 6. ❑_New construction t ti 2.❑ I am a sole proprietor or partner- listed on the-attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' t • 9. [No workers' comp.insurance. comp.insurance. Building addition required.] 5. We are a corporation and its ME]•Electricalrepairs or additions officers have exercised their 3.❑ I am a homeowner doing all work l l.0 P umbing repairs or additions . myself. [[No workers right of exemption per MGL comp. 12.gRoof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-cont actois and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. 'I am an employer that isproviding workers compensation insurance for my employees. Below is the policy and job site information Insurance Company Name: T'I`A` In U� e, Policy#or Self ins.Lic.#: �n j (�`,I 5b 1 0 l Expiration Date: Job Site Address: kAi L62N c,". 6zP0d' City/State/Zip: { Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure_to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as weU as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify nder the pains•and enalties of perjury that the information provided above is true and correct Signature: Date: ✓Z /'2 Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1 Board of Health 2,Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact_Person: Phone#: . i f i 'ksassachuseils -DPPartm- ent of Pubfic Safe,, Board of Building Regulations and Standards ConstructiOn SuPen imor License: CS-048546 MARK HER9T z4i 35 PEET T6' , RD " E r CENTERVQ3tiE MA 02632 . Commissioner 01/27120/4 f" ✓fie T�aav�no�uue¢/t�i a�✓�Gaaaccc�iva6 Office of Consumer Affairs&Business Regulation::.." TK HOME IMPROVEMENT CONTRACTOR A Registration -1,26480 Type: .: Expiration 618/2012 Individual RBST 1 `MARK HERBST 4,1 35 PEEP TOAD RD CENTERVILLE,MA'U2632 --_ �, Undersecretary. WORMERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICE' INFORMATION PAGE Assoclated tndusbies of Massachusetts Mutual Insurance Company 54 Third Avenue:Buriingtori,Massachusetts 0003 (800)876-2765 NCCI NO 26158 POLICY NO. ., AWC 7016215012M2 PRIOR NO. I AWC 7016215012011 ITEM 1. The insured Mark Herbst Mail Address: 35 Peep Toad Road Centerville MA 02632 Sheet No. Town or City County State Zip Code FEIN l0000c2887' ®individual ❑Partnership 'QCorporation OJoint Ventura j]Association ElOther Otherworkpiaces not shown above: 2. The policy period is from.01/10/Z012 to 01/10/2013 12:01 a.m.standard time at the Insure d's mailing address. 3. A. Workers Compensation Insurance:Part One of the policy applies to the Workers Compensation-Lana of the states listed here; MA B. Employers Liability Insurance:Part TWo of the policy applies to work in each state rested in Item 3 A The limits of our liability under Part Two are: Bodily Injury by Accident$ 100.000 each accident Bodily Injury by Disease $ 500,000 Policy.limit Bodily injury by Disease $ 100.000 each employee C. Other States Insurance:Coverage Replaced By Endorsement WC 20 03 06A D. This policy includes these endorsements and schedules:SEE SCHEDULE PAL 1. 2Gi1 .4. The premium far this policy will be determined by our Manuals of Rules,Classifications,Rates and Rating plans. Ail information required below,is subject to verification and change by audit Classulcations Premium Basis Rate Code Eat6eeted oarsloo No. TowlAnraw. or Annum Remuneration Remmeason 131mium INTRA 160148 l SEE E CrENSION OF INFORMAnrtm PAGE Minimum premium$. 500.00 Total Estimated Annual Premium $ . As indicated interim adustments of ommium steall be made: Deposit Premium $ 0 Annually ❑ Semi AnnuallyQuarterly 0 Monthly MA Assessment Chg. $4,649.20 x 5.8000% ! $97.00 This pour ,including all endorsements,Is hereby countersigned by 12H212011 Auftm ad Sipnehrre Date GOV GOV KIND PLACING CLAIM I NAME _ SAFETY Leonard insurance Agency Inc STATE CLASS AUDIT OFFICE OFFICE I CHECK GROUP 683 Main Street Suite B MA 5645 2 704 Ostervfile,MA 026.55 WC 00 00 01 A(7-11) (: Im�udes oopyt�tnted material vt the N Count on Compensafion hsurenca, - used w"t-,peawk-Won. N r ,� :508-420-6216/774-238-2938 www:markherbst.com` - q v. .. r PROPOSAL SUBMITTED TO: WORK PERFORMED AT: r � x ; Mike kfiNs-AlGv�O S � 248 Toby.Way Same , r =. f f Hyannis Port MA t We herby propose to furnish the;materials and.,perform the.labor necessary fob the,completion of k V . New Roof. :max Remove existing shingles 4 �Fy 7 t install ice&water shield ' Install 151b.felt paper N Install8°drip edge �� Install CertainTeed LandMark 30yr.shingles k Cut ridge&install cobra vent ' Storm nail all shingles �', } t, All debris cleaned dailytAl � ' 3 a` = All material is guaranteed to be as specified. The above work will be performed in accordance with the specifications submittetl�: And completed in a substantial workman-like manner for the sum of Six.-Thousand Nine HUnd1&d&Thiily` Dollars($6,930.00)with payments as follows:full amount due.M fu/1 upon comp/effort *Any alterations from above proposal involving extra costs will be added undera separate written agreement and become an e�Ctra charge over and above sai¢ propo L. Y ` A k1l" >� . . . RESPECTFUt � I 10110112 .; Mark Hems � ._ ACCEPTANCE OF PROPOSAL The above price,specifications and conditions.are satisfactory.I herby accept this proposal. You are authorized to do the work and payments will be as specified.above.. 3 :. .• "-... - ' SIGNATURE: gg ` : , *This proposal may,be withdrawn by said company if not accepted within 30 days f M _ "y f; t' t.ae . ✓n 5i. x s ,s 4R'}, RiWlk - tF Elx �' g{`t z N � e 1 ^ MR h OPEN Y - SPAc,E m S d/•3S� ..�� . �Q /S4• 29'lr 2 4 a M Y � A o• f 4 Qtt o *S LOT 9 24264 t S.F. _ y q 01. y 4 z' TOWN OF BARNSTABLE ZONING BY-LAW DATED SEPT. 14. 1989 Y ZONE RB To THE BEST OF MY PROFESSIONAL KNOWLEDGE SETBACKS INFORMATION AND 9E4IEF THE STRUCTURE SHOWN FRONT - 20' HEREON CONFORMS TO THE HORIZONTAL SETBACKS SIDE 10' AS GRANTED UNDER THIS OPEN SPACE DEVELOPEMENT. REAR - 10' PROPERTY LINES SHOWN HEREON `�N OF Rkss�?,,, . WERE COMPILED FROM AVAILABLE PLANS OF RECORD AND DO NOT FRANK !" WHITING REPRESENT AN ACTUAL SURVEY No.2SZ69 Q ' ON THE GROUND. 'D� �Z t� ISTER�� �`�' THE DWELLING DEPICTED ON THIS C PLOT ,PLAN z a PLAN WAS LOCATED ON THE GROUND `— IN a BY SURVEY ON JAN. 4. 1996 AND EXISTS AS SHOWN AS OF THE DATE BARNSTABLE. r OF LOCATION. SCALE: 1'-40' JAN. 5. 1996 V THIS PLAN IS FOR PLOT_PLAN NACLL' SUAMING 41 ENCIN.191MV.INC. + PURPOSES ONLY AND NOT FOR 10 Sea3oard Lone RECORDING. DEED DESCRIPTIONS. Ryonnts. Ya. 08601 { :. ESTABLISHING PROPERTY LINES (SGBJ rre-4482t OR FOR CONSTRUCTION PURPOSES. ; s THIS PLAN IS VOID IF NOT STAMPED AND SIGNED IN RED., 0 20 40 80 PROJECT NO. 95-240 ----------- TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 247 244 GEOBASE ID 35603 ADDRESS 248 TOBEY WAY PHONE W. Hyannisport ZIP LOT 9 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY � PERMIT 14214 DESCRIPTION SINGLE FAMILY DWELLING PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: 'IME BOND $-00 CONSTRUCTION COSTS $.00 QA 756 CERTIFICATE OF OCCUPANCY B MASS. OWNER MARKWOOD CORPORATION, 1639. 1ADDRESS 110 BRICK HILL ROAD UNIT 10 BUILDING DIVISI.0,N HYANNIS, MA BY DATE ISSUED 04/02/1996 EXPIRATION DATE TOWN OF BARNSTABLE \ BUILDING. PERMIT PARCEL ID 247 24:4 GEOBA5E ID' .,35603 ADDRESS 248 `l'OBEY WAY PHONE W_ Hyarinisport ZIP - LOT 9 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 11804 DESCR -PTION SINtsLh FAMILY DW ,LING SEW Pt��tit9h_ Lt. PERMIT TYPE c1UILD TITr.,t? r1E67 RESIDENTIAL B part rent of rieaIth, aiet3 CON'.rRACT' 1^:Atl�;Wt)r�D CORPORATIONand Environmental Services ARCHITECTS TOTAL FEES: 20'2.32 pk BOND $_00 � Qi► C0N';':')TRUC'i 10N COSTS $70,000.00 1.01 SINGLE FAM HOME, ii ETACHE.D. 1 PRIVATE, P Al •' MA83. s639. A�O� OWNER MARKWOOI) C�ORPORATJON , ED�p'l► ADDRESS 110 BRICK HILL ROAD UNIT 10 HVANNIr, MA BUILDINIyIST�' 11 DATE i:`-_` C71:,`.) i'° :'/3.96 E;�:;�TR1�TI ON. I?A'lE BY `�� �•�,�ccL� 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 APPROVED PLANS MUST BE RETAINED ON JOB AND FOR ALL CONSTRUCTION WORK: 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 M FOR (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. CH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS G .000*4000, .fit�LC 2 2t 2�N 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 1 N. 2 BOARD OF11EAITH C OTHER: SITE PLAN REVIEW APP VAL WORK SHALL NOT PROC D UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPR VEDTHE 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. 508-790-6227 r Assessor's Office(1st floor) Map �� / Lot " ,. Permit# "7 Conservation Office(4th floor) log&sAwbw,cc rx.vn d wn,L t;;,,I- 11 JZo I Rs' Date Issued I ! ' C201 Board of Health(3rd floor)(8:30-9:30/1:00-2:00)q. -Z 1( Fee o`Zti Engineering Dept.(3rd floor) House#1 ' "gVSEPTIC S UST BE INSTALL PWANCE Planning Dept. (1st floor/School Admin. Bldg.) •EtMR0 Definit'� pproved by Planning Board u` 19 � ODE AND 7 IONS TOWN O ,BARNSTA E E Building Pe it pp ' ation Projec treet ddress :LL Village Owner 941,ux J 60, Address fn,l Ib g /�1�-lill ;Telephone Permit Request cdj t Total 1 Story Area(include 1 story garages&decks) square feet Total 2 Story Area(total of 1st&2nd stories) 2/n square feet Estimated Project Cost+$ Zoning District 0(-- Flood Plain Water Protection Lot Size ci� Grandfathered? Zoning Board of(-peals Authorizatio Recorded Current Use J Proposed Use Construction Type _ kizr� Commercial (� Residential !/J Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished 7r't�l Old King's Highway Number of Baths No.of Bedrooms Total Room Count(not includi baths) First Floor / Heat Type and Fuel 1T^ Central Air Fireplaces.I6 n wl Garage: Detached. Other Detached Structures: Pool / Attached" ��lA p� Barn None Sheds l 3 o-q Other Builder Information Name Telephone Number Addressr jQ // �Af License# C.�t'd� 2 / Home Improvement Contractor# Worker's Compensation# LONOD 12q to NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL TNSTR CTION D BRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO k, SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. - y DATE ISSUED - f' MAP/PARCEL NO. ADDRESS '" VILLAGE OWNER r^ I DATE OF INSPECTION: FOUNDATION FRAME INSULATION 7'"� ' ¢ " FIREPLACE. '=' ELECTRICAL- ROUGH FINAL,,,.• PLUMBING: __ROUGH FINAL. , GAS: 3=ROUGH,-' /� FINAL �9 6 . 7-- ztq _�5 ^ - r. \ i Dip {T/ 'sramFINAL BUILDINU`,DATE CLOSED;OPF 1Y V/U , ASSOCIATION�PitN©k u iry `OFtHE ip�� The Town of Barnstable BABNSrABLE. Department of Health Safety and Environmental Services MASS.039. g Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection t��- Location Permit Number ' --rS Owner Builder 0j 0 One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: \3 FA c-C.e S S Please call: 508-790-6227 for reeinspection. Inspected by Date k• r ; ,HE r The Town of Barnstable BA Aq-9 LE. MASS 9` Department of Health Safety and Environmental Services . 0 s639.. �0 Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection Location j VJ Permit Number n _ � Owner Builder AQ One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: -SAVO Sa 4A- U 0 NCOC�' irAl Uf -44-y-v b L-�-s 0 , C' ,� .. t:,0) b RL &t D Y- V Vt P -f C' JJL j Y-\-1 L r-K 4 r" (� Cyr - c1 Please call: 508-790-6227 for reeinspection. Inspected by �-r Date L , `oFIHE'° The Town of Barnstable o� 7 BARNSTABLE.g Department of Health Safety and Environmental Services MASS. i639. N0 a Building Division 367 Main Street, Hyannis, MA 02601 : .,V Office: 508-790-6227 4 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice . Type of Inspection Location2--LA (-? \ t-"n / Permit Number () C) Owner wq4l,\,Ij 6 on r Builder � \f� Ila_KW or)r /One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: NCA-C� C- To— Fr ►' —�— � . kA e)��E , u tA i) �I?L �: U L Olt o 1 `'oy ZA N (:�k l t,A to k U,(,j 6 Please call: 508-790-6227 for reeinspection. Inspected by Date , THE r�tio� The Town of Barnstable BARE. MASS. p Department of Health Safety and Environmental Services 7 0 l� i63q' �0 �F1639. Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 ` Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection Location j \_V�� ��'� Permit Number Owner `(U Cj (a} Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: (16a, — �`� i� ��ate-- �� P�-n � ,41Q°r LR-+vt. D V o Cc- ( • tAP-, �a �-�� W a urn 15sl -2-v,�)Y) �`��----e. �� S--P � 1-•!-��...� �"�--cam-,-� Please call: 508-790-6227 for reeinspection. Inspected by T2 . ��A'r�t S Date C � `� _ = COMMONWEALTH OF MASSACHUSETTS DEFAR:MEN7 OF LNDUSTRIALACCIDENTS + 600 WASHINGTON'STREET -ames.: Car-.:.oei: BOSTON, MASSACHUSEM 02111 �;or.-,:ss+one• WORKERS' COMPENSATION INSURANCE AFFIDAVIT I, Ears& /—Yo (licensed erminee) with a principal place of business/residence at: �c ) ( /Scat -p) do hereby certify, under the pains and penalties of perjury,that: - I am an employer providing the following workc:s' compensation coverage for my employees working on this lob. Insurance Company Policy Number [) I 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=ou who have the following workers' compensation insurance polio Name of Contractor Insurance Company/Policy Number Name of Contractor Insurance Company/Policy Number Name of Contractor Insurance Company/Policy Numbc.• 1 am a homeowner performing all the work myself. NOM Please be aware that while homeowners who employ persons to do tnaintenana,construction or repair work on dwc'ling of not more than three units in which the homeowner also resides or on the grounds appurtenant thereto are not gcneraJy considered to be employers under the Workers'Compensation Ar.(GL C 152,sect. 1(5)), application by a homeowner for a lice:sc or permit may evidence the legal tutus of an employer under the Workers'Compensation Act 1 undc-stand that a copy of this statement will be forwarded to the Deparanc:-:of Industrial Accidents'Office of lnsu:anee for eove2: veri:ication and that failure to secure coverage as required undc:Section 25A of 1NIGL 152 an lead to the imposition of criminal pen-::es consisting of a fine of up to Sl 500.00 and/or imprisonment of up to one 1cz.7 and civil penalties in the form of a Stop'Work Order arc a fine of S 100.00 a day agains:me. Signed this day of t V , 19 �) L1crnscc!Pcrmfact Lictasor/Parnitior 4 COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY OF ONE ASHBORTON PLACE BOSTON,MA 02108 MASSACHUSETTS L.I C E NSE CAUTION CONSTIR. EXPIRATION DATE FOR PROTECTION AGAINST EFFECTIVE DATE LIC-NO. THEFT, PUT RIGHT THUMB RESTRICTIONS PRINT IN APPROPRIATE ....... (:)/-,/3c,/199' : BOX ON LICENSE. :+llv BLASTING OPERATORS 7! 151 CA MUSTJNCLUDE PHOTO.: Ei A R NE-5-T Eit_E: MA 0:.; PHOTO(BLASTING OPR ONLY) FEE:. (..)U Q NOT VALID UNTIL SIGN By L SEE AND OFFICIALLY HEIGHT: STAMPED OR THE COMMISSIONER. JUN DOB: THIS DOCUMENT MUST BE SIGN NAME INL6R; (.,ADJRELINE CARRIED ON THE PERSON OF SIONA E OF LICENSEE THE HOLDER WHEN EN- OTHERS-RIGHT THUMB PRINT GAGED INTHISOCCUPA71M COMMISSIONER 1 _ �- WD4t CGNT ' • -K1MN.T SWuyt1 --�N�IR-6WK Yl%eM1$ Nuw feTfbu � b• s -eEvrsoo.t� _ .. � r ., y✓- a .. .� �'tibD"'.®' _..®�:> . . ° .� .�. . —.----."—:-_._— :-- n�,;• -..._ram• � - ` '" '' � .. row V4:r to TM Ar� W � 508 4]8-6191 I — Devlin C3ustoom I oesi ns .. •I �_ .I`! - - I!-- .- uu_wc - .I nwww — M � � �e,,.,;9��c,„s I i M O 3 a I \ ...D,u, - -- I '4 TRV 1 0 - -�vD MHCAS E I ,.,�•:-,.,..�—I I i _ .� w<Ta.,�.,..wD Dw i.>.,E,�i _ o:° I ', i SOB 478.6191 • �, +�Teo :..•,vocs.e D.,c n..DVDD rei ��. - ; jLevi in 0 _, :.�;:.�"`•` X<rw..,.e>D Ir- - -i.:.__ - vstom"' I Cn =_II ` •o� I esigns \ 4 YNS tl.i0.r�� I — t Q o � uD O � • t t ...:. __... ..^• ... .nts,.•2. it{.�9y,n.'�" 77 .eA ; A.mt• 't7 c.�. arw.crT i{rre'. l' .ram. ► ' "°"? .. x .. e: .. a t ....,. #.. g' y GENERAL NOTES : ACCESS COVERS MUST BE WITHIN l N VER T ELEVATIONS : DES / GN CR I TER I A : 12' OF FINISH GRADE INVERT AT BUILDING: 33. 15 DESIGN FLOW: I. THIS PLAN /S FOR THE DESIGN AND 35.00 CONSTRUCTION OF THE SEWAGE DISPOSAL FIRST 2' To INVERT IN SEPTIC TANK: 32. 65BEDROOMS AT I 10 G. P. D• PER SYSTEM ONL Y. BE LEVEL INVERT OUT SEPTIC TANK: 32, 40 BEDROOM EQUALS 330 G. P. D. 4' PVC MIN. 2' of INVERT IN DIST. BOX: 32. 30 NO GARBAGE GRINDER 2. ALL CONSTRUCTION METHODS AND MATERIALS ' AND MAINTENANCE OF THE SEPTIC SYSTEM SCHEDULE 40 o w 0 12' PEAS TONE INVERT OUT DIST. BOX: 32, 10 SHALL CONFORM TO MASS, D.E.P. TITLE 5 INVERT IN LEACH CHAMBER: 31 . 90 AND LOCAL BOARD OF HEALTH REGULATIONS. �5 3-4'X 8' FLOWDIFFUSORS W/2' SEPTIC TANK REQUIRED: f - - 3 OUTLET STONE AROUND. 8'X 28' OVERALL WASHED STONE BOTTOM OF LEACH CHAMBER: 30. 90 330 � r+E.T'---' • • Io' MIN. l000 _ G. P. D. X lSOx - 495 _GAL . J. ALL SEPTIC SYSTEM COMPONENTS LOCATED _ GAL D-BOX L1Mrr��jAT1ON ADJUSTED GROUND WATER: I6. 90 SEPTIC TANK PROVIDED: 1000 GAL . UNDER AREAS SUBJECT TO VEHICULAR TRAFFIC 6 SEPTIC TANK OBSER VED GROUND WA TER: 12. 50 OR GREATER THAN 3' IN DEPTH SHALL BE 14.6 CAPABLE OF WITHSTANDING H-20 WHEEL LOADS. PROFILE .' NOT TO SCALE BOTTOM OF TEST HOLE: 19. 70 SIZE OF LEACHING FACILITY REQUIRED: INDEX WELL MIW 29. ZONE C 330 G. P. D. 4. ALL SEWER PIPE SHALL BE SCHEDULE 40 OR APPROVED EQUAL. 4/95 READ I NG-9. 0. 4. 4 ' ADJUSTMENT DESIGN PERC RATE -� 2 M/N/INCH 5. BEFORE CONSTRUCTION CALL 'DIG-SAFE'. N PROVIDED: 3-4 *X 8 ' FLOWDIFFUSORS W/2 1-800-322-4844 AND THE LOCAL WATER DEPT. STONE AROUND. 8 'X 28 ' OVERALL FOR LOCATION OF UNDERGROUND UTILITIES. r SIDEWALL : T2 S. F. X 2. 5 - 180 GPD 6. VERTICAL DATUM !S: ASSUMED $ �_ BOTTOM: 224 S. F. X 1 . 0 - 224 GPD +l7.9 T. FOR BENCH MARKS SET. SEE SITE PLAN. I ---- TOTAL : 296 S.F. 404 GPD 1 r �-- i 8. NO DETERMINATION HAS BEEN MADE AS TO ?.� / 1 I COMPLIANCE WITH DEED RESTRICTIONS OR r j I J !Y 8/' -W �� Y6 SOIL TEST P l T DA TA s ZONING REGULATIONS. IT SHALL REMAIN / 1 , l / /6j.76•/ -I- THE CLIENTS RESPONSIBILITY TO OB TA/N I 1 /I I / I ND/CA TES V I ND/CA TES PERCOLATION OBSERVED ALL PERMITS. SPECIAL PERMITS. VAR/ANCES / I • s I I / / / TEST = GROUNDWATER ETC, FOR THIS PROJECT. TP♦ LOT 9 9, IT SHALL REMAIN THE CL I ENT'S RESPONSIBILITY .. 1 / \ �/ +po.e 1 S 35'?9 / / � GRND EL. 32.7 TO HAVE THE PROPOSED BUILDING FOUNDATION , / )1�/ 1 1 /50.68' F ,' G.W.EL. 12.5(LOT 1/) DES 1 GNED TO ACCOUNT FOR THE EXISTING GRADE �� // �/ j j / 0• AND SOIL COND/T/ONS AT THE LOCATION OF THE �� // �/ // / / / 7 ,/ J2.ss - I PROPOSED BUILDING. �� // // $ ' // %?6 I / ' /+32 BOTTLES 10. THIS SEPTIC SYSTEM DESIGNED IN ACCORDANCE \ ��� +17.I/'' /,' �/ // j ! � � >�/ -� TOPSOIL WITH 310 CMR: 15. 005:(5). THE SUBDIVISON WAS ' \e /� SUBSOIL EMI f 0 ENDORSED BY THE PLANNING BOARD ON AUGUST 8. 1994 1;D +17.2 4 ' I 28.7 33.eo MEDIUM +,... I I. UNSUITABLE MA TER/AL (TOPSOIL. SUBSOIL �Y // ti �^ 25.1 // ,' -l SAND FILL ETC. ) ENCOUNTERED BELOW THE INVERT Iy t �j,� i L C� T 9 // }' s2.6 �/' + ,`�/' ,' ��� / _+32'7 Z SOME OF THE LEACH PI T TO BE REMOVED FOR A Q� j 24. 264f S. F!/ �" /' /'26 /' �� / 6 GRAVEL r , � � / / 7' 25. 7 DISTANCE OF 10' AROUND THE PIT DOWN TO THE CLEAN SAND LAYER AND REPLACED WITH „ �i ' / / ,'' //' /' /�� -.,�.9 CLEAN MEDIUM SAND. $ I !e. '�' /' /' / // /' "�'�'s / / / J9 MEDIUM \ + /' �/' ,' // //' ��- ^� ��' SAND 30 15.2 11 \ 1/ I '7 / '+ p, 00 l2 /3 NO WA TER 10. T 15.1 DATE: APR I L 18. 1995 wAT��-R L_I NE Q 10a '' ,' /' / o 3.09 TEST BY: STEPHEN HAAS 4 - ��' '' ��' / / / '" ' WITNESSED BY: ED BARRY F .., •�,�' ' / �ti �� PERC RATE: { 2 M1 NII NCH v ` iv" � E'W 1? SEPTIC SYSTEM LEES / G/V Of a r. 1 7 / k 4'•..' /' ,�A // ,' // /% /l 21/; // (�32.J Pqp �Q�7 R A R /V S T A S L E H . W . /-/ Y.4 /V/V / SPORT M�4 CO i / / / / �' /'/ /' i �/ o 140 J2.so PREP.4REU FOR / oo / 1 3-4'x e' FLOMDIFFIAtARJ 32.54 W/2' STONE ARO&W (, /� /� Q 1000 ML 1�( j / V/ A / \ �' w o o 0 SEPTIC TANK ��(( 1 -- / �laO'`---__Ji J SEE NOTE Ir:-,�f0 y o-sox ~ �� SCAL E : / - 20 /VO VEMBER / 6 /s REV / SEFD /VO VEMBER 20 . / 99.5 s5 fi J 32.7 to• -A G.L E' _5'UR Yam'Y I NG � -ArC I NL�'E'.R I NG . I NC 7. L 0 T l 0 e cz b o cz r ar L cz n e E7 r3 I Fs s.2 I / �, � . ` Ira c9 +0.4 '' __; _ __ Zz cz n rz / s mez . ® 2 6 @ I �32.2 r r 6s. o � 5 ® a, ) 7�� - 4 .4 ,. w S J •s 00' J1.96 ' ti � 5 ® �� 432 - 5333 ,.: �''/ /• �/,9 TRANSFORMER o /0 20 4o JOB NO: 95-240 F I EC D:R�B/PaR CAL C: 5AH/CFWTCHECK: CFW ORN: 5AH TES rPIT K �+� y" , : � ...- _ . 5 '4 _. .� ._ ,. .£ s ,.tY.•.c, .+.... .,:.. _ .,, .:.,.n,F.,. ,.,. >.r>,,,.:.a ,}*`».e _§.. •r •R. +,+ ,. r! ,.,i � 'a.•;.^�s er., .}�}. .J':f`. .k .. Fh. y .!1 � .r1.• .r ei "+-�v1.}Sw'.:.'L"1t .,,'ae'R,YifR..%.Ndir•-' "ka"w'. 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