HomeMy WebLinkAbout0056 BAIRD WAY — w..5 - ...
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATIONco
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Map ParceX_7,60 i g N Permit#
Health Division GZ2 y Date Issued
kConservation6D
Division �� ��ds y Fee
Tax Collector v"
Application Fee
Treasurer p
Planning Dept. y Checked in By
Date Definitive Plan Approved by Planning Board Approved By
Historic-OKH Preservation/Hyannis J
Project Street Address [S C i' ez
Village 6,pleeq'I'lle-
Owner Acze ��li' Address 4e- )& 'OA - ' i5 60
Telephone " 9VII
Permit Request a6,a
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Valuation /S�G�*l.®® Zoning District Flood Plain Groundwater Overlay
Construction Type .d:'
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family Qll, Two Family ❑ Multi-Family(#units)
Age of Exist4 Structure Historic House: ❑Yes o On Old King's Highway: ❑Yes 8
m Ln
Basement Tie: ull Crawl ❑Walkout ❑Other
Basementf-pisherdd-Area(sq f� Basement Unfinished Area(sq.ft)
r. q
Number of�5athscv Full: e�%ting o2 new Half: existing, new
Number af__8edr ms: existing_ new
Total Room Cool(not inc,uding baths): existing new_ First Floor Room Count
Heat Type and Fuel: 'Gas ❑Oil 0 Electric ❑Other
F
Central Air: ❑Yes 114 Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No
Detached garage:0 existing ❑new size Pool: ❑existing ❑new size Barn:0 existing ❑new size
Attached garage:❑existing ❑new size Shed:❑existing 0 new size Other:
Zoning Board of Appeals Authorization Cl Appeal# Recorded❑
--- Commercial ❑Yes ❑No If yes,site plan review.#_
Current Use Proposed Use
BUILDER INFORMATION
Name OdeAVsi.�e_41c_, Telephone Number J-TF-771-zi/_ o
Address d12 ��®txl Aw e License#
Home Improvement Contractor#
Worker's Compensation# Ge>C 0'5,97�??
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE = DATE �✓S
FOR OFFICIAL USE ONLY
PERMIT NO. `
DATE ISSUED _
MAP/PARCEL"NO.
ADDRESS ` i VILLAGE^
OWNER'
DATE OF INSPECTION:
FOUNDATION
FRAME �� Ll -V
INSULATION
FIREPL-.ACE''��
L
ELF, AL: ROUGH FINAL
PLUMBING: ROUGH FINAL _
GAS: ROUGH FINAL '
FINAL BUILDING C51< U S
DATE CLOSED OUT
LOCIATION PLAN NO. ,
l' r;
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i
Thee-Commonwealtli of Massachusetts
-Department of Industrial Accidents
i Office of Investigations
< 600 Washington Street, 7`ti Floor
Boston,Mass. 02111
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Workers'Com ensation Insurance Affidavit:Building/Plumbing/Electrical Contractors
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' 1 � a ��Nr4+ ,r
name: .11 e C4
address:
city gJ9.y �.A.1/Crf3eo state: zip: fill] phone# Y� g$;7s
work site location(full address): . ,0.4/,ed , ,. dwle,, V,
❑ I am a homeowner performing all work myself. Project Type: `❑New Construction DRSmodel
❑ I am
,9 a sole proprietor and have no one working in and capacity. ❑Building Addition ,1f1J
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an employer providing workers'compensation for my employees working on this job.
company name: (9jefe IS/ea!P_ ���' • ' '
address• df 7 Xlox,a l-w f • x
city: /•�4/A0-/1 P , /U £��Q/ phone#
insurance co. N/l�E'2%l�A,l/�,lE�`s°t.�//t1/7��o� 11/lau,® policy# GyC 07.�G+�/
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❑ I am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who have
the following workers' compensation polices: '
company name:
address
• r
city. phone#•
insurance co. policy#
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'company name:
address,
city s phone#.
insurance co. policy#
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Failure to secure coverage as required under Section 25A of iE�A MGLdd�152 can lea� •,S!ui<�
d to the imposition of criminal penalties of a fine up to'sl '00.00 and/or
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a-
copy of this statement maybe forwarded to the Office of investigations of the DIA for coverage verification.
I do hereby certify r the p ' s a alti s of perjury that the information provided above is true and correct '
Signature Date a
Print name o�f'C L✓ZiClC � ---Phone# SIDF=
r 4
Etown:
only do not write in this area to be completed by city or town official
: permit/license# ElBuilding Department
immediate response is required ❑Licensing Board
❑Selectmen's Office
❑Health Department
on: phone#• ❑Other
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Information and Instructions
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
employees. As quoted from the"law",an employee 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 in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver '
or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a
dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of
another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds
or building appurtenant thereto shall not because of such employment be deemed to be an employer.
MGL chapter 152 section 25 also states that every,state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required.
Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the
performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have
been presented to the contracting authority. F
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Applicants
Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please
supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be
submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and
date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is
being requested,not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if
you are required to obtain a workers' compensation policy,please call the Department at the number listed below.
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City or Towns
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of
the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please
be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to.
the Department by mail or FAX unless other arrangements have been made. '
The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions,
please do not hesitate to give us a call.
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The Department's address,telephone and fax number:
The Commonwealth Of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street,7th Floor
Boston,Ma. 02111
fax#: (617) 727-7749
phone#: (617) 727-4900 ext. 406
FROM : ESSENTIAL FOOD GROUP FAX NO. 415-558-9576 May. 18 2005 11:53AM P1
MAY-18- 0Hi 1':::31 Oceanside Itir_. 508 775 2848 P.01/01
°,�► r Town of Barnstable
Regulatory Services
Thomas F.Geller,Director
Building-DIAsion
Tota Terry, Buildtng Commissioner
200 Main Street,'Hyarmis,MA 02601
wwW.town.b 3rristable.ma.us
Office: 508-862-4038 Pax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A,Builder
I �j� �/f , as Owner of the subject property
hereby authorize 11d e, to act on mybeh*lf, '
in all ai Laen telative to work autlsorized bytUs building permit application for:
{Address o(Job)
C
Signature of Owner ate
Print Name
Post-it-Fax Note 7671 Date r [pages
To Go ,-, Q From f
Co./Dept. /' Co.
Phone# Phone# �`
Fax# Fax x 7
°F1HET Town of Barnstable
Regulatory Services
BAMSTABLErMASS. '� Thomas F.Geiler,Director
�p t6gq.TfOnnA't6. 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
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion,
improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied
building containing at least one but not more than four dwelling units or to structures which are adjacent to
such residence or building be done by registered contractors,with certain exceptions,along with other
requirements.
Type of Work: &wlr"e �,�/s��9e � Estimated Cost
Address of Work: IZ�2u &V vI//e .
Owner's Name:
Date of Application: �i�l% /7 c�(✓f�s
I hereby certify that:
Registration is not required for the following reason(s):
❑Work excluded by-law
❑Job Under$1,000
❑Building not owner-occupied
❑Owner pulling own permit
Notice is hereby given that: k
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A..
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner: -
Date Contractor Name Registration No.
t OR z
Date Owner's Name
Q
;forms:homeaffidavP
��ie �o�m�ync���z� o��i22�aaoac/u�ael�
Board of Building Regulations and Standards License or registration valid for individul use only
HOME IMPROVEMENT CONTRACTOR . .before the expiration date. If found return to:
Board of Building Regulations and Standards
Registration, 100121 . One Ashburton Place Rm 1301
Expiration 6/912006
Boston, Ma. 02108
Type Private Corporation
OCEANSIDE, INC
Richard Clark
217 Thornton Dr
Hyannis, MA 02601 Administrator Not valid without signature
j ��ie �a�znu��vrra/l
BOARD OF BUILDTNG'REGULATlONS .
License ONSTRUCTION SUPERVISOR
E Nym 073097`
i Tr no :5900 0
'f PETER-A'LARD
18 CEDRIC ROAD=
CENT'ER1/ILLE Mq 0 2 '
Ig Commissioner; i tF
TOWN OF BARNSTABLE _.
Y
PARCEL ID 171 271 061 GEOBASE ID
ADDRESS 56 BAIRD WAY PHONE
CENTERVILLE ZIP 02632-
LOT lotl BLOCK LOT SIZE
DBA DEVELOPMENT DISTRICT j
PERMIT 67324 DESCRIPTION SINFAM HOME 060726
PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY
CONTRACTORS: De artment Of
L ARCHITECTS: Regulatory ator Services A
TOTAL FEES: g y
BOND $.00 �1NE
CONSTRUCTION COSTS $.00
756 CERTIFICATE OF OCCUPANCY 1 PRIVATE 'P'OrT
BAMSTABLE,
MAM
039.
Ep�A
BU D,1XG ISION
BV V-,4-4&
DATE ISSUED 03/05/2003 EXPIRATION DATE
TOWN OF BARNS'TABLE ,
BUILDING PERMIT
'I PARGEL ,11) -17.1. 277 001. GEOBASE ID
; ADDRESS 56 BAIRD WAY PHONE
CENTERVILLE ZIP Ov632.--
,LOT Lott ., ,,;.. BLOCK. 1 � LOT SIZE
DBA UEiIELOPMENT ', DISTRICT
PERMIT " N, 60726 DESCRIPTION 2 BEDROOM CAPS, W/UNFINISHE6k, 2ND FLOOR F:
PE'R:MIl TYPE" .BUILD TITLE = N RESIDENTIAL BLDG PMT
9.
R
CONTRACTORS. ,,PROPERTY OW14ER Department Of Health, Safety,.
, ARCHITECTS:
and Environmental Services
POND $,O0
CONSTRUCTION COSTS $136.1192.00
10�- SING ,E- FAM HOME' 'DETACHED,' 1. PR I tTATE P ;i 3 -
* BARN3PABLE, '� F
MASS. �►
s6iq:
BUILDIN.GIDIVISION I
-BY -�
RATE. ISSUED ,°0 � 2O L E P L"I ATION 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 SEWERSMAY 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 M FOR
(READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE
I� CH-
3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION- S BEEN DE.HAS MA ANICAL INSTALLATIONS.
4.FINAL INSPECTION BEFORE OCCUPANCY.
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
t `L O 1 2 I A/A L lrsn S k3 2 l G
3 1 HEATWG INSPECTION APPROVALS ENGINEERING DEPARTMENT
2 .. B OF HEAUTH
-4/303
OTHER: SITE PLAN REVIEW APPROVAL
WORK SHALL NOT PZCEE6 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 TIHE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA-
TION. NOTED ABOVE. fJ TION.
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
OOP Coo���'.
Map / 7/ _ Parcel_Z77- 401 Permit#
Health Division . -v /crz): . -1-)c Date Issued
Conservation Division s 'Pm / Y/1710 dy ���� Fee ° 0
Tax Collector
PP ��
Treasurer SEPTIC SYSTEM MUST BE
INSTALLED IN COMPLIANCE
Planning Dept. �r �7 W11H TITLE$
Date Definitive Plan Approved by PlanningMn/
Y ` . %/ C 7 EIdVIRO{��, ENT'gl,CODE AND
Qa� vrTOWN REGULATIONSHistoric-OKH Preservyannis ����
Project Street Address S-6 o A'o p V A Y
Village - C F1--17'E)2U I C t E /q 4 O Z 6 3 T Z
i� SAN FQPrf(e-
Owner P_,qC H-C L_ ' ,5 6 L) 11Z9 C O L L Address 161, 6 846 S S A PT C A 3 y 2
Telephone
Permit Request NE U t 0 01 E - COI-{ S T ZUCTloyy P, -r—
N �✓ 0&� �fll
r, Square feet: 1 t floor: existing roposed 1 4`1 2nd floor: existing proposed !06 Total new Z-12-$
Valuation - l 'tlAning District Flood Plain Groundwater OuQrla
_ Y �
Construction Type WOO J2 F IZA M C
Lot Size 7�-, 3 0 Grandfathered: Yes ❑ No If yes, attach supportin o Mafia.
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) '
Age of Existing Structure Historic House: ❑Yes ❑No On Old King's High y: ❑ C No
o r-
z Basement Type: �0 Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing new / Half:existing new
Number of Bedrooms: existing new 2—
Total Room Count(not including baths): existing new First Floor Room Count
Heat Type and Fuel: 0 Gas ❑Oil ❑ Electric ❑Other
Central Air: ❑Yes 4 No Fireplaces: Existing New d Existing wood/coal stove: Cl Yes 'W No
Detached garage: ❑existing ❑new size O Pool: ❑existing ❑new size O Barn:❑existing ❑new size O
Attached garage: ❑existing ❑new size O Shed:Cl existing ❑new size O Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes No If yes, site plan review#
—Current Use, Proposed Use 7/n M F
BUILDER INFORMATION
Name PU CC/H6 PE-/Z M I T Telephone Number SS — 5S 7�a
Address License#
Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE /0
I
FOR OFFICIAL USE ONLY
3
PERMIT NO.
DATE ISSUED
MAP/PARCEL NO.
ADDRESS T b r.w_ VILLAGE
OWNER
DATE OF INSPECTION: `
FOUNDATION D Z -- 1 7 -vZ
FRAME
> INSULATION
} FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGHn �. g.» FINAL r.
GAS: ROUGHS _'rr5Z FINAL t
FINAL BUILDING-
DATE CLOSED OUTSx
5ti
ASSOCIATION PLAN NO. 14 C3
- a
i }
i
VI LL6�
S0 ZA� W66 �
�I
cnf
I,
��-72�
Affidavit of Substantial Financial Interest
of 5 Fr -Uc.S CO , on oath
depose and state as follows:
1. I m an applicant for a building permit for the property loca d at Map , Parcel
00 t. The address of the property is 7
2. 1 have I CO % legal or equitable interest in the real property - h is the
subject of the building permit application which is identified in paragraph 1 above.
3. Within in the last twelve months from today's date, which is ' 10 2 , the
following individuals or entities have had a 1% or greater legal or equitable interest in
the real property which is the subject of the building permit application which is
identified in paragraph 1 above:
Name Address
Sn2wc t I" Km ►t S-1-
Oswv; (,f KA
4. Within the last twelve months, from today's date, which is , I have had
a 1% or greater legal or equitable interest in the following properties which have been
the subject of a building permit application:
Map/Parcel Address
5. Within this calendar year,'I have submitted building permit applications for
property in which I have a 1% or greater legal or equitable interest.
6. Within the last ten days, I have submitted building permit applications for
property in which I have a 1% or greater legal or equitable interest.
7. Within this month, I have submittedO building permit applications for property in.
which I have a 1% legal or equitable interest.
8. Within this month, I have received building permits for property in which I have
a 1% legal or equitable. interest.
Signed under the pains and penalties of perjury, this'�`t day of
2001-0050/affin 1
Q/LOTTERY/AFFIDAVIT
RESIDENTIAL BUILDING PERNIIT FEES
APPLICATION FEE
New Buildings,Additions "� $50.00 `2
Alterations/Renovations $25.00 _
Building Permit Amendment $25.00
FEE VALUE WORKSHEET
C,
NEW LIVING SPACE
t (� �(
square feet x$961sq.foot - "g- x.0031= '
plus from below(if applicable)
ALTERATIONSIRENOVATIONS OF EXISTING SPACE
voq square feet xq foot= x.0031= (0 S f �
plus from beiow.(if applicable)
) .
ACCESSORY STRUCTURE>120 sq.
>120 sf-500 sf $35.00
>500 sf-750 sf 50.00
>750 sf- 1000 sf 75.00
>1000 sf-1500 sf .100.00
>1500 sf-Same as new building permit:
square feet x$961sq.foot= x.4031=
STAND ALONE PERMITS
Open Porch x$30.00=
(number)
Deck x$30.00=
(number)
Fireplace/Chimney x$25.00,=
(number)
Inground Swimming Pool . ' .$60.00
Above Ground Swimming Pool $25.00
Relocation/Moving S150.00
(plus above if applicable)
Permit Fes
projcost
Table d5.2.ib(
Prescriptive Packages for One and Two•Fa=*Reaideadd BaiidbW Rand wi tb Fad Fnda
MAXIMUM 11lIIYQMt11►1
Glazing, Glazing Ceiling wau Floor Btremeat Slab �°II O6li°g
Area'(•h) 0-valuc R-valuer R valuoI IGvaiwd wall pain FMa=cY'
Padcaae Rva6mr Rvaw
3"1 to 6500 Haub Degree DaW
Q 121.11 . 0.40 31 13 19 10 6 N°rmai
R 12% 031 30 19 19 10 6 Normal
3 12% 0.50 31 13 - 19 +► to, 6 95 AnM
T 15% 035. 31 13 23 WA WA Normal
U ' 15% 0.46 33. 19 19 10' 6 Normai
V 159/. 0.44 31 13 21 WA WA 15 AF[JE
w 15% M52 30 19 19 10 6 1S AFUE
x 13% 032 31. 13 25 WA WA Normal
T 18% 0.42 31 19 25 WA WA Normal
Z 18% -0.42 31 13 19 10 6 90 AF1JE
AA 18% 0.50 30 19 19 10 6 "AFM
1. ADDRESS OF PROPERTY: S� i3 Pr !z p w'4 y
CEny7 EZ0jtLE f"14 0Z63 Z
2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS:
3. SQUARE FOOTAGE OF ALL GLAZING: b
4. %GLAZING AREA(#3 DIVIDED BY#2): Z
5. SELECT.PACKAGE(Q—AA-.see chart above): U(
NOTE: OTHER MORE.INVOLVED METHODS OF DETERMG41NG ENERGY REQUIREMENTS
ARE AVAILABLE. ASK US FOR THIS INFORMATION.
BUILDING INSPECTOR APPROVAL:
YES: NO:
Ll
q-forms-f980303a
Footnotes.to Table J5.2.1 b:
' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights. and
basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wail
area. expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement.
For example.3 ft=of decorative glass may be excluded from a building design with 300 ft=of glazing area.
'After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with
the National Fenestration Rating Council (NFRC) test procedure, or taken-from Table J1.5.3a: U-values are for
whole units: center-of-glass U-values cannot be used.
' The ceiling R-values do not assume a raised or.oversized truss construction. If the insulation achieves the full
insulation thickness over the exterior walls without compression, R 30 insulation may be substituted for R-38
resent the sum of cavity
insulation and R 38 insulation may be substituted for R-49 Insulation. Ceiling R-values rep
insulation:plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between. .
the conditioned space and the ventilated portion of the roof.
'Wall R-values represent the sum of-the wall cavity insulation plus insulating sheathing (if used). Do not include
exterior siding, structural sheathing,and interior drywall.For example,as R;19 requirement could be met EITHER
by R-19 cavity insulation OR R-13 cavity insulation plus .R-6 insulating sheathing. Wall requirements apply to
wood-frame or mass(concrete,masonry,log)wall constructions,_but do not apply to metal-frame construction.
'The floor-requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements,
or garages).Floors over outside air must meet the ceiling requirements.
'Tl:e entire opaque portion of any individual basement wall with an average depth less than 50%below grade must
me:: the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned
br..,ements must be included with the other glazing. Basement doors must meet the door U-value requirement
d_scribed in Note b.
'The R-value.requirements are for unheated slabs.Add an additional R 2 for heated slabs.
' If the building utilizes electric resistance heating use compliance approach 3;4, or 5. If you plan to install more
than one piece of heating equipment or more than one piece of cooling equipment,the equipment with the lowest
efficiency must meet or exceed the efficiency required by the selected package.
'For Heating Degree Day requirements of the closest city ortown see Table J52-la
NOTES:
a) Glazing areas and U-values are maximum acceptable levels.Insulation R values are minimum acceptable levels.
k-value requirements are for insulation only and do not include structural components.
b) Opaque doors in the building envelope must have a U-value no greater than 035. Door U-values must be tested
and documented by the manufacturer,in accordance with the NFRC test procedure or-taken from the door U-value
in Table 11.5.3b. If a door contains glass Iand an aggregate U-value rating for that door is not available, include the
glass area of the door with your windows and use the opaque door U-value to determine compliance of the door.
One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35).
c) If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with
different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to
the R-value requirement for that component. Glazing or door components comply if the area-weighted average U-
value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors).
43
ICNI
The Commonwealth of Massachusetts
_ Department of Industrial Accidents
-= oxce 0110FOSMISHONs .
_ 4 00 Washington Street
Boston,Mass. 02111
Workers' Com ensation Insurance Affidavit
name
location: 4 Ir I
city SAS F le A►-f Cl S co 51111 7 phone# '�l5.5S8'
❑ I am a homeowner performing all work myself.
❑ I am a sole rietor and have no one workinn in ca achy
%a///% %%% ///////////%/%%/%%%//%%%%/%%%%%%%%/%/%%%%//%///%/////%%%%%%%/O%%%%%%/%D%%%/%/�%%%%/%%///�,
I am an employer providing workers' compensation for my employees working on this job.
omairii<nam -
:<::;;::::
gildr
c '
oe
MOM",
'iifstran
alit
I am a sole proprietor;general contractor; homeowner circle one)and have hired the contractors listed below who
e
orkers co ensati on ohces:
the follow
ing
w
i
mp
;: >:<:::
comuany name � .— �.%
'adr
> � .
.....................................:...
;. ....
:�insnrsace:ca>;::::::>:;:#` : .�•:' :�: :: ;::.I�:.:�3.�'# t�........�.�r�.'�t"`....``� .. ....
.... ............
as :�auie=::::>::::•.; .::: '�: ::;:> >:
addr
cr
r .. .
lane � .. .. ...
t�-
�.r�.e.:•:;.:.fir::.:.. :. :.;::'`:: :•..•-��':':> .... .... �., �.. .�"" :... .. .�...e�....
�I!]al'81tC��`G0£z:'. :'•.'�'�..i��-- ;�yi�'-':''.'`�?� ci�`r': ;: �v•;.:..>:.:� :�:;X:�.�-.= ."<�•!"............. ..... .. A�CY
ji.
Failure to secure coverage as required under Section 25A ofMGL 152 can lead to the imposition of uLainal penalties of MARC to$1;500.00 and/or
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification
I do hereby certify under the pains and penalties of perjury that the information provided above is true mid correct
Signature
Batt: �����•1���--
Print name
�1n(ti V 1 V._ CV �`l Phone I!
LfIldly do not write in this area to be completed by city or town o®dal
perinitNcense# ❑Building DepartmentOLicensmg Boardmediste response is required ❑Selectmen's Office❑HealthDepartmentn• phone#; _ ❑der
Omad 9/9S PW
Information and Instructions �.
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
employees. As quoted from the "law",an employee is defined as every person in the service of another under any contract
of hue, 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 in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or
trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a
dwelling house having not more than three apartments and who resides therein; or the occupant of the dwelling house of
another who employs persons to do maintenance , construction or repair work on such dwelling house or on the grounds or
building appurtenant thereto shall not because of such employment be deemed to be an.employer.
MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal
of a license or permit to operate-a business or to construct buildings in the commonwealth for any applicant who has
not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the
commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until
acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting
authority.
Applicants
Please fill in the workers'. compensation affidavit completely,by checking the box that applies:to your situation and
supplying company names, address and phone numbers along with a,certificate of insurance as all affidavits may be
submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and
date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is
being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you
are required to obtain a workers' compensation policy,.please call the Department at the number listed below.
Cityror Towns
Please be sure that the affidavit is'complete and printed legibly. The Department has provided a space at the bottom of the
affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.'Please
be sure to fill in the pi number which will be used as a reference number. The affidavits may be retired to
the Department by mail or FAX unless-othef arrangements havebeen
The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions.
please do not hesitate to give us a call.
The Department's address,telephone and fax number:
The Commonwealth. Of Massachusetts
Department of Industrial Accidents
Oftice of Invesduations
600 Washington Street
Boston, Ma. 02111
fax#: (617)727-7749
phone#: (617) 727-4900 ext. 406, 409 or 375
8k 1+4220 PB182 *66665
09-11-2001 a 08a560
I,ALAN E.SMALL TRUSTEE OF WEST PRECINCT REALTY TRUST,under a
Declaration of Trust dated September 1,1987 and recorded in the Barnstable County
Registry of Deeds in Book 2806 page 74,of Amelia Island,Florida for consideration paid
and in consideration of ONE AND 00/100($1.00),grant PATRICK COLL and RACHEL
MAGUIRE COLL,husband and wife as tenants by the entirety,both of 1456 Page Street,
San Francisco CA 94117 with QUTTCLAIN COVENANTS,the land shown as lot I on a
plan of land entitled"Plan of Land in(Centerville)Barnstable,Mass.For West Precinct
Realty Trust Alm E.Small Trustee"dated October 14,3997 drawn by Baxter and Nye,
Inc.recorded in the Barnstable Registry of Deeds in Plan Book 549 Pages 27.
Said promises are conveyed subject to an easement to Commonwealth Electric Co.as
shown on plan in Plan Book 349 Page 27.
Said premises are eomreyed subject to and with the benefit of easements,restrictions,-
reservations and agreements of record,if any,insofar as now in force and applicable.
For title see deed of Alan E Small,Inc.dated August 29,1996 recorded in Barnstable
Registry of Doods Book 5271 Page 45
THE UNDERSIGNED TRUSTEE HEREBY WARRANTS AND REPRESENTS THAT
THE WEST PRECINCT REALTY TRUST SET FORTH ABOVE IS STILL IN FULL
FORCE AND EFFECT,HAS NOT BEEN AMENDED IN ANY WAY,THAT THE
BENEFICIARIES ARE OF FULL AGE AND ARE NOT UNDER DISABILITY,AND
THAT THE TRUSTEE HAS BEEN AUTHORIZED BY THE BENEFICIARIES OF
SAID TRUST TO EXECUTE AND DELIVER THIS DEED.
WITNESS my hand and seal this c3/day of 2001
Wed Precinct t rust /--
Alan E Small,Trustee
STATE O
COUNTY O
DATE:4*0
Then personally appeared the above-namod Alan E.Small,Trustee as aforesaid and,,,
acknowledged the foregoing to be his free act and deed,before me ;;,;..:.,,.,
,,'',,.• ",O
1 vt.
NO t T�Lj _„, :��
My Corgi tbni Expires:
{ ' .,�.�,��►".god/
=COPY,
TY
DS
ESTISTER
BARNS?ABLE REGISTRY OF DEEDS
The Town of Barnstable
Regulatory Services
Thomas F. Geiler, Director
Building Division
Tom Perry, Building Commissioner
200 Main Street,Hyannis MA 02601
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE: 1 I I D�
JOB LOCATION: l0 Rcu CCA— Wwo CpA-)Rr y1 I(-c—
number street village
"HOMEOWNER":
Rckc,hQ� CAL
name {{ home phone# work phone#
`I
CURRENT MAILING ADDRESS: 1�`J ��n�
Pr
San ns►c.cD 0-�
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or
less and to allow homeowners to engage an individual for hire who does not possess a license,provided that
the owner acts as supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is
intended to be,a one or two-family dwelling, attached or detached structures accessory to such use and/or
farm structures. A person who constructs more than one home in a two-year period shall not be considered
a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the
Building Official,that he/she shall be responsible for all such work performed under the building permit.
(Section 109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and
other applicable codes,bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building
Department minimum inspection cedures and requirements and that he/she will comply with said
pr dur and quirem ts.
Si ature of Homeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply
with the State Building Code Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner perforining work for which a building permit is required shall be exempt from the
provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a
person(s)for hire to do such work,that such Homeowner shall act as supervisor.
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see
Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in
serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the
unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit
application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a
form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community.
Q:FORMS:EXEMPTN
P`oFIME► � The Town of Barnstable
9ARNBTS. a MASS. : Department of Health Safety and Environmental Services
9 +639 `00
`�prEOMa� Building'Division
367 Main Street,Hyannis,MA 02601
Office: 508-862-4038
Fax: 508-790-6230
Inspection Correction Notice
Type of Inspection �m..
Location ?a, Permit Number (z)
Owner Builder
One notice to remain on job site, one notice on file in Building Department.
The.following items need correcting:
a
9 ` \
k
Please call: 508-862-4038 for re-inspection.
Inspected by
Date �6�Da
c �-
49MOKe DT
CTORS QK.
BARIVSTA L.
� _V 1 Lo/NG DEPr
..
ILITII
j
X�
f
f
f
S
.............
.__...._._..._.._.._.--.-----.-----__....----.--._._.....__--------------_f
f
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38'
10'6 65 22'1
8'4 2'2 T6 9'4 63
10,
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9'9 N
N N
N 514 � 5'3
j]
17'11 0
C7 M
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lh
15'7 � -
4'11 7' 42 10 �7 4'11
161 LIVING AREA 21'11 _I
1064 sq ft
38'
38'
F—6'2 25'8 6'2
j
co ho
N N
UP
' I .
LIVING AREA
43sgft
38'
LIVINu AREA
1064 sq ft
--- -- - -- 38' — ,* -- ----
I
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a
38' —�
LIVING AREA
1099 sq ft
--- -- - v ----- .---
Z Xg
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ASPHALT SHINGLE / _
�` Z X I U !L_ G L
SHEETROCK
TYVEC
tR•COX RY,. ,,,, I YXs 10'.O/C s°e
i
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5 tT TO`,VEAT R Z X.lU �� `?L J
:7
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+r ------ O'CONCRETt
WA;''
3'CCNCR:1 EF:0 R
£X I6 CANCR E} r` a FOOT NG'.t7E , K
1 a;
FOOTINGS '
t�iq;v ��cs, tip ' r .>,..� . 7n
Foundation Certif icatior-I in Centerville, Ma . `
Prepared For: Richard Maguire
Assessor's Map: MAP: 171 PARCEL: 277-1 Baxter-, Nye & Holrngren, Inc.
Community Panel Number:.250001 0015 ,C Registered Professional
F.LR.M; Map Zone'` C Engineers and Land Surveyors
Plan Reference: 549/27-1 ` 812 Main Street -
` Oster0le, MA., 02655
Deed Reference: 5252/255 Phone - (508) 428-9131 Fox — (508)-428--3750
Owner:.We-mt Job Number: 2002-.022oe.dwg Scale: 1" _ 60' Date: June 26, 2002
4
S.84°25'00" E
0 86.85'
6.5 CD
60
Av
04
�o o O G
Co
LOT 2
CB/DH FND
b T '
;,r.... r_ _,-.—,.-..---.rF—<- $^�.,, .-.-:.,:..:-.v:.._----•-,..�_ •-.,:,�,,,..M,rG':a.:a -q•:o .:...`Ss=•:,-:non,:.:-cr. ..y..::.<aa+s.c..�e„iq - _ ,.�_. .r-:.. .."P�.-sr�=�+<*' - .._. --- ^e`..,.- ....- °-,r.�.----".' -- - ,. .... --
a
LOT 1
-'
o
a: N
J a
o,
F puN PEE•. �Q' �� .
0
�OGPE 2002 �oQ��
72,301+/- SQ. FT.
1.66+/- ACRES.
IV N
N
CB/DH FND
6+ �
tD
0' 60' 120' 180, o,
p -A,
I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE FOUNDATION SHOWN HEREON
IS IN COMPLIANCE WITH THE APPLICABLE BARNSTABLE ZONING DISTRICT SIDELINE
AND SETBACK REQUIREMENTS, IS LOCATED IN RELATION TO THE MONUMENTS
SHOWN, AND IS NOT LOCATED WITHIN A SPECIAL FLOOD HAZARD AREA.
(REGISTERE PROFESSIONAL LAND SURVEYOR DATE
N o�o� I CERTIFY THAT THIS PLAN HAS
�F BEEN PREPARED IN CONFORMITY WITH
GRAPHIC SCALE
�0 0 80 THE RULES AND REGULATIONS OF THE
�Lentsva
REGISTERS OF DEEDS.
Cc 2C--4t� R.L.S.
DATE: Oc r. 4 I cici-1
2 2
2 J
LOCUS MAP
SCALE 1 = 2,000'
ASSESSORS /
MAP 171 LOTS 277 & 244
ZONE
G.P. /
R C
MINIMUMS
AREA RONTAGE5602S0;F. / ,PGpeSpN
WIDTH 100'
FRONT SETBACK = 20' S.
SIDE SETBACKS = 10'
REAR SETBACK = 10'
BUILDING HEIGHT = 30'-
M• +
/ F PS
4,0
5
S\PN\
8 / Q
/GPM o
GO 2�
QP y3r /
GHQ
3"
C.B. FND `h
pNS
o r*i ON PLC
R \
o N1 O A> FRANCES P. POWER / �2.65 O•
13
m ,
m c 79 <v
o N 87'06'00"E G 66 )\38 e\
45.30 / S
v; 181.27'
C4 N C.B. FND
(; fro �
`°T /�.y0 ice+ \
rn h
39.6
co *o pF' /
Op Ln
0 -A o N
g � s� Xs LOTo 40.0' 3
g o
o � � 2) I o 105,120 sq.ft.
m 9•�6 b / o
00 0 33.69 222.92 /
N�:z
O S84'25 00 E bo
N 84-25'00"E o S.F. = 16.98 133.12'
0 86.85' /
o
o
os
'o
6 e4,
79,88,7hCD
VQ
fU ry i3
Ln
ry
� NO � �
�D J
$-r OD
LIOT2 _.
O
62,263 sq.ft.
Ln
a
w � V
.B. FND
/ titi
ti
Qo
LOT 1 v
56,583 sq.ft.
S.F. = 16.98
72,301 sq.ft.
84.79' -- v
V
0 DO
IPA
n co
Q`
q
O
00
2-
O�
¢ CIV V�
68,838 sq.ft.
S.F. = 21.85 �- PLAN [IF LAND
ss' — 4r
C.B. FND o�
IN
(CENTERVILLE)
0 0� Q�
Z J �00
�`� BARNSTABLE MASS.
CO FOR
Ci
WEST PRECINCT REALTY TRUST
o
ALAN E. SMALL, TRUSTEE
z BARNSTABLE PLANNING BOARD SCALE: 1"= 40' DATE: OCT. 14,1997
APPROVAL UNDER THE SUBDIVISION BAXTER & NYE INC.
CONTROL LAW NOT REQUIRED. REGISTERED LAND SURVEYORS
DATE: ,ifx CIVIL ENGINEERS
t ❑STERVILLE, MASS,
NOTE: NO DETERMINATION AS TO
COMPLIANCE WITH THE ZONING �4 4fC$4Afo
RAXMR
ORDINANCE REQUIREMENTS HAS �avow
BEEN MADE OR INTENDED BY THE ,
ABOVE ENDORSEMENT.
DEED REFERENCE: ALAN E. SMALL 5271/45 WEST PRECINCT REALTY TRUST 5252/255.
#86177
O'f--FIC6 py
• , +.
•� 1, .r � ., , ., t. >� LEGEND
EXISTING PROPOSED
ti ram' } • • � � rSOIL
, �` •� �0/. ,'� f- �;, f� It ;! PK/NAIL FND LOGS DATE:April 2002
P#=P 10,205
'.. tJ • a r. a\fie f•� 0
ti * *► + •' ' f, ` PK/NAIL FND i Stake & TOC Set/Found
� ENGINEER: BOARD OF HEALTH AGENT: PK Nail Set/Found
r . I
r,'mow+ �y, ��, , • f t � •+r ` r * � Y '�'l I i
-�i Stephen Wilson P.E.
Concrete Bound
�� '.�'° ! �; :�.. +1 Dave Stanton O Gas Gate
w • "' '• f1 .' o
• TEST
�`- ` ` *`� . ��► ,� 0,��
Y O
I TEST PIT 1 PIT 2 ® Electric Meter
- - ❑ Catch Basin
G.S.E. 52.4E G.S.E.
• ._ , .�',� 52.4E
Water Gate
'rf R, ,C? ;��` . SITE`- �� -, 9 -� � • k 1�� CB/DH FND ! 0 0 am TV/Cable Box
o •5g ® Telephone Riser
*;I; i • .� LINE TABLE PK/NAIL FND i 5" 4" -0- Utility Pole
Cranbevyr f`'�f�'.r ± j� O+�* $ fr • �s LINE LENGTH BEARING 60•� P 5" 4" 20� 20
{✓ r . 3"* F � i i L1 20.00' NO2'53'S9"W UP../#1231/4 55, ; E 0 20oxoo Contours
Rn a_ ifs ■ � ►f i • '� CB/DH FND �� i Spot Grade
� ! Sandy Loam
Sandy Loam Test Pit
.`'r' 'A `�. ►�` `'ti � • . VJ PK/NAIL FND/CL/IN +L • P ! 9" 10 YR 5 2 9" 10 YR 3/1
y,
. ` ''� :�' _..._._ _ __�. .._. -w_a ..._-_fr j`�.+t� " f i �: •r; PK/NAIL FND OJ�� 9" B 9" B
rC
Sandy Loam
r ! �� $ �' •, r `-� ._ '" rj+„ _' * ■ 40 .'s � .:PB CI$!� \ 22" 10 YR 5/6 22" 10 YR 5/6
00
��dd 5f y 7s ►1�' • . �.��'/ ..G••• . r;. A l� STK/FND ; C 22 C
s•} ..;� a All" R� i '� rrr{�� •r"` ,l Medium Sand & Gravel Medium Sand & Gravel
4�^ �'� �`^-` � ` ;� j 120" 10 YR 6/4 120" 10 YR 5/4
STK/FND
PERC 054"
N \ ; NO WATER ENCOUNTERED RATE= <2 MIN/IN
LOCUS MAP F QP, ,�► �$, ��; \� UNABLE TO SOAK
ri
/era to
WOODED
ZONING DISTRICT: RC o CB/DH SET u: GENERAL NOTES
BUILDING SETBACK REQUIREMENTS
FRONT= 20 SIDE= 10 REAR= 10 UP/#9135/15 �I/VE \ ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE WITH
7 �,
OVERLAY DISTRICT: (GP) GROUND WATER OVERLAY PROCTECTION DISTRICT •` _ � � CO
TITLE V OF THE STATE SANITARY CODE DATED MARCH 31,1995 I ._. \ j ANY LOCAL RULES APPLICABLE.
LOCUS PROPERTY IS COMPRISED OF: / STK/FND i ANY CHANGE TO THIS PLAN MUST BE APPROVED IN WRITING
BY DESIGNING ENGINEER
ASSESSOR'S MAP: 171 LOT: 277-1 \ r i.�� �� ' s1
DEED REFERENCE: #5252/255 `, o
PLAN REFERENCE: PLAN BOOK 549 PAGE 27
139 ® WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKFILLING,
N/F FINAN
/Q� OPEN FIELD'.\ \ NOTIFY THE ENGINEER & BOARD OF HEALTH AGENT
;, `L _. •, ....:.;�_',•. .n '- .....y ...._ . ...._ .. _ .. ;..,,•.• •..• FOR INSPECTION.
COMMUNITY PANEL NUMBER 250001 0015 C - =::'. s.:3/4 -1.5 WASHED STON :� ' :,.;;`.
THE FLOOD INSURANCE RATE MAP DEFINES THIS AREA AS ZONE C, PROPOSED _.:;. 12'
AN AREA OF MINIMAL FLOODING. - WATERLINE
�� ,._-..4..:. _ • FOUNDATION ELEVATION MUST BE CHECKED WHEN COMPLETED.
� �� T i- 35' THESE ELEVATIONS MUST NOT BE CHANGED WITHOUT WRITTEN
APPROVAL BY DESIGNING ENG114EER
j�OQ�S RFf�IHF N/F MAGUIRE LOT 3 PLAN OF LEACH CHAMBERS
STK/FND NO SCALE
T N/F SMALL ALL SANITARY DISPOSAL SYSTEM PIPING TO BE 4" PVC., SCH 40
,�O• LOT 1 WOODED \ ,
,; EXCAVATE AND REPLACE ALL UNSUITABLE MATERIAL SURROUNDING
uP/#--- A4, ,gyp / SURROUNDING THE LEACHING FIELD FOR A DISTANCE OF 5', PER
310 CMR 15.255.
UP../# ;
Fy C TP #1 UP../#9135/158 o-
TP #2
A "`' PROJECT BENCHMARK DATUM = NGVD
r ? 4~ o DRILL HOLE IN CONCRETE BOUND - ELEV = 53.38'
yO.o r,\ �, �,,, \, ,_t O \ "
STK/SET <O OG JF •'�� ",��\�``\�\� �' 1 r-.... �y`�• UP../#
12'
PROJECT BM < 'Qc` " :%' o° '' FINISHED GRADE LOCATION OF UNDERGROUND UTILITIES ARE APPROXIMATE AND
5?u
CB/DH FND �L �.�.;_, SHOULD BE VERIFIED IN THE FIELD BY THE APPROPRIATE
ELEV. = 53.38' F ro STK/FND ,� ��� ' .` � ��j��j��j��j��j��/��j��/��/��/NI��/ / / COMPACTED FILL UTILITY COMPANY PRIOR TO ANY CONSTRUCTION.
v :� �r ; 36MAX.-9MIN. / / / / / / / / / / / / / / /
2" OF PEA STONE
WOODED
• �1► ✓00. 1 3/4" TO 1 1/2 tN OF Iy or
24 DOUBLE ���
ry ` EFFECTIVE TEPHE �o J0
PARCEL AREA
�6 g ti WASHED STONE ALL'
a 1�' 72,301t SQ. FT. ; DEPTH o
1.66t ACRES ; o. 216 o. 29874 j yG/
+ ; SECTION 9 ���'''�0 fc►sica�° `
F4'c P� �� J
S 2T21'38" W — — — — — — — — — — — — — — — ' NO SCALE �FSS�OlVAL `�' LAND S
N/F MASON N/F ROBERTSON N/F LUPO N/F KENNEY N/F McSHANE
PLASTIC LEACHING CHAMBER DETAIL zzloL
56 Baird Way
Centerville, Massachusetts
,
j I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE FOUNDATION PREPARED FOR
SHOWN HEREON IS IN COMPLIANCE WITH THE APPLICABLE SANDWICH
ZONING DISTRICT SIDELINE AND SETBACK REQUIREMENTS, IS Rachel Maguire Coll
LOCATED IN RELATION TO THE MONUMENTS SHOWN, AND IS NOT
LOCATED WITHIN A SPECIAL FLOOD HAZARD AREA
i THIS PLAN IS NOT TO BE RECORDED NOR IS IT TO BE USES TO ESTABLISH PROPERTY LINES. TITLE
t
Sant D� 1
ary sposa System
FINISHED GRADE = 52.5t TYPICAL SYSTEM PROFILE DESIGN SCHEDULE ELEVATION RE ISTERED ROFESSIONAL LAND SURVEYOR DATE
NOT TO SCALE TOP OF FOUNDATION 53.5
FINISHED BASEMENT FLOOR
TOP OF FINISHED GARAGE FLOOR 52.5 BARTER, NYE & HOLMGREN, INC.
FOUNDATION
SEWER INVERT AT FOUNDATION 50.5 Registered Professional
= 53.5 FINISHED GRADE OVER TANK = 52.5t SEWER INVERT INTO SEPTIC TANK 50.3 Engineers and Land Surveyors
FINISHED GRADE OVER D. BOX = 52.5t FINISHED GRADE OVER LEACHING TRENCH = 52.5E SEWER INVERT OUT OF SEPTIC TANK 50.0 812 Main Street; Osterville MA 2
87MIN. SEWER INVERT INTO DISTRIBUTION BOX 49.8
3" (mi . 55
4" SCH. 40 PVC 4" SCH. 40 PVC FIRST 2' (TO BE LEVEL) SEWER INVERT OUT OF DISTRIBUTION BOX 49.6 Phone- (508)428-9131 Fax - (508)428-3750
TYPICAL) ® 2.0�
6• r then ® 2.OY. 9" (min) Cover SEWER INVERT INTO LEACHING SYSTEM 49.4 Leaching Area Requirements
® 2.0% Ci
0L2 min 36" (max) Cover
C BOTTOM OF LEACHING TRENCH 47.4
10• TE�'rs
FINISHED GAS BAFFLE 6• SUMP 4" SCH. 40 PVC WATER TABLE: NONE OBSERVED AT ELEV. 42.4
CONSTRUCT ACCESS 2"Layer 1/8"to 1/2" 3 BEDROOMS AT 110 GPD/BEDROOM = 330 GPD 40 0 40 80
BASEMENT MANHOLE OVER INLET Peastone LEACHING CHAMBERS
FLOOR TO TANK TO AT LEAST
WITHIN 6" FINISH ED CONCRET 6" CRUSHED ADDITIONAL 50% FOR GARBAGE DISPOSAL --NA_GPD SCALE IN FEET
REINFORC
STONE BASE
FOOTING `!; y - ti ;`; •� 4" PVC O O O O O O O O O O PERC RATE = <2 MIN. INCH CLASS 1
O • O • ) SCALE:1 " = 40' DATE: 4111102
O O LTAR = 0.74 GPD/S.F. REV. DATE: REMARKS
MIN. LEACHING AREA OF S.A.S. : 1 4117102 DRIVE LOC.
1500 GALLON SEPTIC TANK DISTRIBUTION BOX 5' MIN 330 GPD/ 0.74 GPD/S.F.= 446 S.F. MIN.
TO BE INSTALLED ON A LEVEL STABLE 13ASE TO BE INSTALLED ON A LEVEL STABLE BASE DRAWING NUMBER
No Groundwater Observed ® Elev. 42.4 PROPOSED SYSTEM
449 GPI) W/I.FACHING AREA OF 608 SF H•\2002\2002-022\survev\worksheet\20n?-n??wc? dwq
Job # 2002-02-0