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0078 BIRCHILL ROAD
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Thomas F:'Geiler Director 2011 S � _5-. Q � 8 suexsTeBra, XAS& g Building Division 1e39. �m '�Ec ► Tom Perry,Building Commissioner 200 Main Street; 'Hyannis,:MA 02601 www.town.barnstable.ma.us DIVISION? Office: 508-862-4038 ° Fax: 508-790-6230 PERMIT# FEE: $ SHED REGISTRATION 200 squarefeet'orless '7 8 g 1 P-c R 11, Cao due: Location of shed(address) Village 774--4_70 211 g Property owner's name Telephone number Y.(2 1 1�2 69 6 Z Size of,Shed Map/Parcel# q S /3 Signature ' Date', Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? If over 120 square feet,you must file with Old King's Highway Conservation Commission(signature is required) �— Sign off hours for Conservation 8:00=9:30.&3:30 4.30' PLEASE NOTE:, ]F YOU ARE WITHIN THE JURISDICTION OF ANY,OF THE ABOVE COD'MSSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE.- PLEASE SEE THE APPROPRIATE CONBUSSION FOR DETAILS. a r i THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN. A r Q-forms-shedreg . REV`:05201 LEGEND PARCEL 1D: PARC L ID: CEN'`L M 189/031-008 PROPOSED CONTOUR ��.Y "r` 189/155 ,� PROP, 1 ,50OG PARCEL ID: ® PROPOSED SPOT GRAD[ 189/031-007 p, Q� z� ,•!`,•-, •05,10„ SEPTIC TANK f ——98 —— EXISTING CONTOUR O + 96.52 EXISTING SPOT GRADE 143,50 t vaef C•vinp- -W— EXISTING WATER SERVICE �y\P� f '',' �^�•�-yS rrr• .-p ® .A41 TEST PIT -' t r' i• � ''S'}f5;?7 a r ��a�i L' Sr T1G S� -ly�G��/ r' r 'r' r' t •' r .�' ,'�,'- ''✓ 51h0 f•r r r i' I ^�Y hl.��tW 22"OAK -1"� 11.52' Ins Ports fd "', .' ,r' '• ' r`rr''r' O'ty''^ 'r','rr`'�~ ^''- r} b _� �� � � _ _� ,rir. r/t•r;` ,' r'rr'r oo,rs P1w�' �TUFI QC /. ir0"OAI< " ,OAK11 TH-2 1*16" :11"OAK ! LOCU � �,, •r�:J 'r"�/'r r',/! ' �• r• !(�/ t r / ,/ PLAN REF:0! TITLE REF:.ESlsting Cespools7 `.•" O S9 rr- 'rrr rrr /,t' tr' ['dote 10I)! � `1 1 ` PARCEL ID: �• f . ZONING: "F r'r FLOOD ZOF �n. - •- In2M1„ `z COMMUNI' i•O"MAP, ri' 'T$M: BLHD K A ti1;:.;.' p �5, PINE ` ELEV-51.0 N tin wr"tO,A� �.ad /...f/....r/ �� PARCEL ID: 189/024 i S #78 ( GAR. TOP OF FND GENERAL NOTES:' W ', 14 iiii"r� ELEV=51.0 v 1• ALL CHANCES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD Of HEALTH AND THE DESIGN ENGINEER. 01 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS OF THE STATE ENVIRONMENTAL CODE. TITLE V, AND ANY APPLICABLE 1 I p LOCAL RULES AND REGULATIONS. to , '� S ` 1•w kLn 3.THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER. I 4,ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING PARCEL ID: , FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE.DESIGN l � ' ENGINEER BEFORE CONSTRUCTION.CONTINUES. 189/022 1 .f/ S.ALL ELEVATIONS BASED ON ASSUMED DATUM. ,r !' /` PARCEL 1D: (i THE CONTRACTORNOR IS TT NTF RESPONSIBLE LOOCAL BFAILURE DF a �t� 3 Y 189/023 S HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. I O ` Z/ AREA=2o,$92t S,F. 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. , 8.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR: I , \ • � 9, IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. 10. EXISTING PITS TO BE PUMPED AND FILLED W/ CLEAN MED. SAND / 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION 1 Y R'�32,,69 `y 12• THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY 1 '`N71•25'50"W 0O \ AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY L�38.20. 13. NO PRIVATE WELLS WITHIN ISO FT. OF PROPOSED LEACHING �/ _ /- I- n S 1 14.,ALL PIPE TO BE 4" SCFI 40 0 1/a"/FT (UNLESS SPEC. OTHERWISE) ro ----- - GJr 15, THE DESIGN OF THIS SYSTEM DOES NOT ALLOW �� v� C`- (��- FOR THE USE OF A GARBAGE GRINDER B I R>/HILL ROAD T "16, NO WETLANDS WITHIN 100 FT. OF PROPOSED LEACHING � � Locpi{{off) MAI> SWI TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel � _ Application Z3c�l�45 Health Division Date Issued 6 c2s Conservation Division Application Fee Planning Dept. Permit Fee &L Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 78 9IP..C.NILL_ eo&b Village CEwTEP_o L.L,E Owner MAID IG S. 134 1E Address 78 13MCH(u, Q01kb Telephone 774 —4 70— Z 155 Permit Request P_EP�2_ ymzb w©oc>em Dl.=Ce- 1(6f)c Z2.5 , Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay P�roject_V.aluation-0'2;060 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family %I Two Family ❑ Multi-Family(# units) Age of Existing Structure 1945 Historic House: ❑Yes �LNo On Old King's Highway: ❑Yes ��No Basement Type: $Full ❑ Crawl ❑Walkout ❑ Other w Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) ' Number of Baths: Full: existing I new Half: existing q new CO ~'existing _new Number of Bedrooms: can ?� Total Room Count (not including baths): existing 7 new First Floor Room ount __ Z Heat Type and Fuel: ❑ Gas td Oil ❑ Electric ❑ Other Central Air: ❑Yes ® No Fireplaces: Existing I New Existing wood/coal stove: ❑Yes 0 No Detached garage:*1 existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes . No If yes, site plan review# .-.Current User - - - -v Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name M k zy_ Telephone Number 774--470 —2(SS Address 78 goec u, AoAb License # 667m myt&Le MN. 0263Z Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE i. FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED w r - MAP/PARCEL NO. ADDRESS VILLAGE. ' x , OWNER ` DATE OF INSPECTION: " FOUNDATION 02, ? 3D13 !M ti FRAME t INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL !r PLUMBING: ROUGH FINAL GAS: ROUGH FINAL" FINAL BUILDING bh . 3 DATE CLOSED OUT r ASSOCIATION PLAN NO. ,,,•,,.;, ,,` L,{ , 4 DepartmentofIndustrialAccidents Office_pf Investigations. 600 Washington Street Boston,M-4 02111 wivw.massgov/dia Workers' Compensation Insuranee Affidavit: Builders/Contractors/Electricians/Plumbers Applicant h aformation .Please Print Legibly Name(Business/0Taaizadon/Individvan: Nl A V K S 49 y Z o e Address: 7g Bt ez H tu.. 120 a�x� City/State/Zip: M 0263 2 Phone.#: 774- 470-:"2l55 Are you an employer? Check the appropriate box: Type of project'(required);• 1.❑ I am a employer with 4 -E] I am a general contractor and I .. employees (full and/or part timel * have hired the stab-contractors. 6. New contraction.. 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 Q Demolition working for me in any capacity: employee's and have workers' co insurance.t 9. Building addition. .[No workers' comp.insurance - mp• required.] 5•]❑ We are a corporation and its. 10.EjElectricalrepairs or addition 3.® I am a homeowner doing all work officers have exercised their 11.[]Plumbing repairs or additions myself. [No workers' comp; right 6f ekemption per.MGL 12. Roof repairs . insurance required.]t c. 152, §1(4),and we have no employees.[No workers' :13.[]Other comp.insurance required] *Any applicant that checks box#1 must also fill out the section below.showiug their workers'compensation policy information• t Homeowners who subffit 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-contractois and state whether_or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees.;Below is the policy and job site ; information. Insurance Company Name:. Policy#or Self-ins.Lic..# Expiration Date Job Site Address: City/State/Zip Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date). Failure.to secure coverage as required under'Section 25A of MGL e.152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as-well as civil penalties in the form of a STOP WORK ORDER and'a fine of up to$250.00 a day against the violator. Be advised that a copy of this statemerit.may be.forwarded to the Office of Investigation of the DIA for insurance coverage verification I do-hereby certify under the pains-and penalties of perjury that the information provided above is true and correct Si ature: Date: Phone#: 774 4.70 1 O�C[al Ilse Only. Do not write in this area tb be completed by,city or town Official City or'down: Permit/License# Issuing Authority(circle one): I.Board of Health 2.Building Department 3. City/Town Clerk 4.E,Iectrical Inspector S.PIumbing Inspector 6. Other Contact Person. Phone#. . 1 f �tt+E► Town of Barnstable Regulatory Services AUM Thomas F.Geiler,Director 163F9. `0� 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 HOMEOWNER LICENSE EXEMPTION t� �, Zo 13 Please Print DATE: I4 7 / JOB LOCATION: Z-F s(QC number v street village "<HOMEOWNER": IVI(�1e4 6ye,0 6 774-470 —Z(SS name y� home phone# work phone# CURRENT MAILING ADDRESS: -7 S 6t e-c �L(, uLp. 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 pr� ores d r qui ments and that he/she will comply with said procedures and requirements. G •- Signature of Homeowne Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions 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. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\QRE6ZUBN\EXPRES9.doc Revised 053012 Town of Barnstable Regulatory Services MASS. � Thomas F.Geiler,Director i659. ,�� 'OrF639.�A Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit. (Address of job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q:FORM&OWNERPERMISSIONPOOLS 612012 LEGEND PARCEL ID: PARCEL ID: CENTER 189 /155 189/031-008 ' ` PROP. 1500G PARCEL ID: PROPOSED CONTOUR �� 189/031 007 ® PROPOSED SPOT GRADE p SEPTIC TANK • r . / " --98 -- EXISTING CONTOUR05'10"W + 96.52 EXISTING SPOT GRADE $ 1 —W— EXISTING WATER SERVICE ryh�y�P .�,'� /,l .'l l' ��52 1�•" �' CIA TEST PIT �J�O� i/ .' J �' .!// / �y - 58. ; 22"OAK l 1 r A5 F -=�� 11.52' Ins Ports � / ,' / •' ' � �' 'r' � / //,PINE,.,," '��' • k� � � , � -- ' O o _ �'0"OAK OAK TH-2 N46., i r,r v , �,�f/��,. �' �� ,,� 7 /.'/, _ �- �� ' 4„OAI< .. - 'LOCO:. c � / 16" PLAN REF: �38`V �/ ,' ,' l• , E. isting Ces�pools V T�-1` TITLE REF: c • , / ,� , , /' ,i ,.' ! l i ,\ cn PARCEL ID: \Note 1Q�1 {/ N ZONING`. "R 0 O FLOOD ZON 24� COMMUN11 l + 1.0"MAP, 01/ TBM: BLHD A O. Sj PINE / / ELEV=51.0 N' AK 10"P co co. ....///////:;•"1//...,� PARCEL ID: -7Q 1,89/024, •#1 U I� GAR. ;� ` �# .TOP OF FND ELEV=51.0 / GENERAL NOTES: w, I •. 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. I 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS �� ? Ln OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE i LOCAL RULES AND REGULATIONS, Ln F3.THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIORTO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER. , 4, ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING PARCEL ID: ' t ' �� / - `�.� S --_ FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN I `O\ O ENGINEER BEFORE CONSTRUCTION CONTINUES. 189/022 5. ALL ELEVATIONS BASED ON ASSUMED DATUM, r I �,.. PARCEL ID. 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF - 'p THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF ' t 3 189/023 HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 1 0 o/ AREA=20,892t S.F. 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. (I t i �\ S.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED '$ aI'Q 1 .a TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. 1 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR.TO BEGINNING CONSTRUCTION. 10. EXISTING PITS TO BE PUMPED AND FILLED W/ CLEAN MED. SAND 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION ' `� _?. I�� / R_ 32,69 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY T17 6 ` [�f71.25'5JO"W 60,00 AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY \ r38.20 \ -_-,r____-- ------sty 13. NO PRIVATE WITHIN 50 FT. F PROPOSED ING 14. ALL PIPE TOEBES4" SCH140 ® 10/8'/FT (UNLESS SPEC. OTHERWISE � ` {� �j r ---'�,- �EDP~ '� � c 15. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW ' V. �+ +• E A s T FOR THE USE WI A GARBAGE GRINDER B I R C H I L L ROAD 16. NO WETLANDS WITHIN 100 FT. OF PROPOSED LEACHING ' • SHf'` TB (ZotkU . l U.E tit 1k C�2<c3Z 2ux4` TOP RAQ, u^s 4't o.G -470- BAck Per' r- PLAN Clu;rs7 t 2Z.5 At A- woo0 PZ &L-t- tve}tLIS C-,ac.v. eoP�t�"pC'�trot2� 2x4" - Put�S o D�CWNf� SOPPOeT 6t'gMg 7.5� 7.S 7.5 r, 48 Co�aMN - Stt:TtoN ISao6+Rt. St'pTte Tfkcq I�osT e -`/ '' .p , `, .. , ._ _• __ _—I �- . _ ..._�. 4it (.ATt�L TO DISTR16uTtoN t� tzt ,._ Nod co. Y7 At I� . tQ2Sk a' 30 SuDt;NG. DexQ //� 14OUST x _ LEGEND PARCEL ID: PARCEL ID: ' 189 155 189/031-008 CENTERVILLE PROPOSED CONTOURS / PROP. I ,500G PARCEL 1D: ® PROPOSED SPOT GRADE lz ,05,1 SEPTIC TANK 189/0.31=007 —— 98 — EXISTING CONTOUR v p= >.. 0 w + 96.52 EXISTING SPOT GRADE J Q '0010. ��°21.282g , �43.50 2� W— EXISTING WATER SERVICE �' �1�2 3 7> ® A TEST PIT -59 �1 LOCUS -5 22"OAK ROv�E 28 / / i •p .' / X- PINE - c6 >� ' -�-I 11.52 Insp Ports / '. ij/ji / i� ' % . <i �i .; 'l1� : i/ �' 11\ /,'/ �'/ ;�'' ; (k`b• -/ �QNYs O��pP4 ;1/0"0 K/ )OAK � TH-2 � LOCUS MAP / � / / 16 : N 6. ' ,' / 4"OAK cn LOCUS INFORMATION 8"�, /' ' ' EIStln9' CeS pO�IS �� T' 16 PLAN REF: 477/36 i Vi TITLE REF: 21.794/64 S9 `.(Note 10)I %' N PARCEL ID: MAP 189 PAR. 23 �\ ZONING "RC" O _ FLOOD ZONE. „C" ' PA IO N \ 24" COMMUNITY PANEL: 25001 5-0001-D DATED:07/02/92 �A"MAP �! j ELEV LHD N S� PINE 1.0 10' ,'K SEPTIC SYSTEM �� d ������ ����� .� t PARCEL ID: REPAIR PLAN r ....;;....�..,.,.. , , I , 189/024 LOCATED AT: ( I # #78 BIRCHILL ROAD , I ' � ; 78 I GAR. ;, � TOP of FND CENTERVILLE�. MA GENERAL NOTES: ELEV=51:0 I `� w i PREPARED FOR W+i ; 1 . 1• ALL CHANGES TO THIS PLAN MUST BE APPROVED BY HE LOCAL i e i i i i i i i i i. i i i i BOARD OF HEALTH AND THE DESIGN ENGINEER. D C D C C K I/O/� A ,I. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS Oj I C C IVJ f 1 OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE j LOCAL RULES AND REGULATIONS. ` (.n JULY 25; 2012 3. HE SEWAGE DISPOSAL SYSTEM SHALL NOT BE 8ACKFILLED PRIOR k { c0 TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND HE I I � DESIGN ENGINEER. II \\ / \ �\ i 1 OF 4 FROM HOSE SHANY CONDITIONSENCOUNTERED WN OHEREONDSHALLNBECONSTRUCTIONREPORTED TO HE DESIGN. PARCEL ID. 1 / I `\\ �SO\ �� Mgss9�y ENGINEER BEFORE CONSTRUCTION CONTINUES. 189/02-2 \� 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. I D R M �!+ 6. HE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF L 1 PARCEL +ID:. THE CONTRACTOR OR OWNER TO NOTIFY HE LOCAL BOARD OF I, I` � � 189/023 � � D , _ ,� � NO. 1140 HEALTH FOR PROPER'INSPECTIONS DURING CONSTRUCTION. �\ 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. I p/ AREA=20,892f S.F. cisr ° 8. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. 9. IT SHALL BE THE RESPONSIBILITY OF HE CONTRACTOR TO VERIFY HE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING. \ \ I CONSTRUCTION. 10. EXISTING PITS TO BE PUMPED AND FILLED W/ CLEAN MED. SAND ` 11. 48 HOU R NOTICE FOR ENGINEER CERTIFICATIONI 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY l / R—,132,69 _ t� MEYER & SONS, INC. 1 / \ 71'25,50„W 60.00 � AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY \ — 8•20 -3 _ --- -------------------- ---------------= �9 P.0. B 0 X 981 13..NO PRIVATE WELLS WITHIN 150 FT. OF PROPOSED LEACHING A� 14. ALL PIPE TO BE 4' SCH 40 ® 1/8"/FT (UNLESS SPEC. OTHERWISE) ----j- EOP 15. THE. DESIGN OF THIS SYSTEM DOES NOT ALLOW A6 EAST SANDWICH, M A. 02537 FOR THE USE A GARBAGE GRINDER B I R C H I I L ROAD O A D 5 0 16.,NO WETLANDS WITHIN 100 FT. OF PROPOSED- LEACHING � - L ( 8 CJ)�Z J6 2— 2 9 2 2 pr I SHEET 1 OF 2 — 1449 SABXSTABLE, TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION TO THE INSPECTOR OF BUILDINGS: Ttle njtlUeiv?g~n'gd~HgF^'y'"iappl?eFTor a permit according to the followii^information: Location ... Proposed Use Zoning District Fire District Nome of Owner ....Address Name of Builder Address Name of Architect Address Number of Rooms Foundation i Exterior Roofing ....j Floors Interior Heating ...<..^Plumbing ....</. Fireplace Approximate Cost Difinitive Plan Approved by Planning*Board 19 Diagram of Lot and Building with Dimensions :-5 l> 1 75e7"s. 7^S£cfiS i rr I hereby agree to conform to all the Rules and Regulations of the Town of Bornstoble regarding the above construction. .iName Small,Alan No Permit for single Locatio?^...lir°M.ll...?°?d Centerville Owner Type of Construction Plot Lot •ft. .19 65PermitGranted Dote of Inspection C^. Dote Completed .19 PERMIT REFUSED 19 Approved 19