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0201 CAP'N CROSBY ROAD
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Permit No. B-19-2132 Applicant Name: James Moon Approvals Date Issued: 04/02/2020 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 10/02/2020 Foundation: Location: 201 CAP'N CROSBY ROAD,CENTERVILLE Map/Lot: 193-164 r�.. Zoning District: RC Sheathing: Owner on Record: BARR, ROBERT J&JUNE-CAROL TRS Contractor Name: MOON ASSOCIATES INC. Framing: 1 Address: 201 CAP'N CROSBY ROAD Contractor License: 119535 2 CENTERVILLE, MA 02632 Est. Proj ct Cost: $ 17,700.00 Chimney: Y Description: Strip and re roof house.Approx 28 squares asphalt shingles Permit Fee: $90.27 Insulation: Project Review Req: Fee Paid:f $90.27 Date: 4/2/2020 Final: Plumbing/Gas Rough Plumbing: !. Building Official Final Plumbing: l This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced with n six months after�issuance. All work authorized by this permit shall conform to the approved application and the€approved construction documents for which this permit has been granted. Rough Gas: I All construction,alterations and changes of use of any building and structures shall be in compliance with the local zAng by-laws and codes. 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 Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing 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 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). © Fire Department Building plans are to be available on site Final: q� All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Town of Barnstable uildi �'� : ' r So.That it.�s Visible From the Street=�A _:roved P,la�a"ns Must_be Retained on Job and;this CardMust be�Kept� , RPOSt This Ca d� pp ' aA1tNtT[ABlJL. • M Posted UntilFinal,lnspectian HasBeen Madeti 6 3 ., n:::a.., i r -,y, x..., � r, _ _ ... a,,_w : fix:.' '�"'r a�Certificate:°afOccu an ris Re oared -such Buldm ;-shall No#nbe Occwpied;Juntil a�Ftnal inspectionRhas;been made` Permit Permit No. B-18-3103_ Applicant Name: todd leduc Approvals Date Issued: 09/20/2018 Current Use: Structure Permit.Type: Building-Insulation-Residential Expiration Date: 03/20/2019 Foundation: Location: 201 CAP'N CROSBY ROAD,CENTERVILLE Map/Lot: 193 164 Zoning District: RC Sheathing: Owner on Record: BARR, ROBERT J&JUNE-CAROL TRS Gontractot Name's TODD LEDUC Framing: . 1 W � Address: 201 CAP'N CROSBY ROAD Contractor License: CSSL-106019 2 ,,3Nfa. a.. CENTERVILLE, MA 02632 Est Protect Cost: $3,997.00 Chimney: r Y= Description: Insulation Work;See Contract ^ Permit fee: $85.00 Insulation: Fee Paid' $85.00 Project Review Req: Final: Date 9/20/2018 Plumbing/Gas ^ � r Rough Plumbing: Building Official t . Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authored bythis permit is commenced within six,months after-issuance. Rough Gas: All work authorized by this permit shall conform to the approved appl ation andheapproved construction documents for hick this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zonngy laws amend codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for.1J5i6bIi6&0e6t16n for the entire duration of the work until the completion of the same. Fy " Electrical The Certificate of Occupancy will not be issued until all applicable signal&-bl iby the Build�ng�and Fire Off s are provided on this`permit• Service: Minimum of Five Call Inspections Required for All Construction Work 5 �g 1.Foundation or FootingRough: 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 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Town of Barnstable ��cEiPT KAM A> 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit ' Application No: TB-17-4033 Date Recieved: 11/17/2017 N Job Location: 201 CAP'N CROSBY ROAD,CENTERVILLE � NO Permit For: Building-Siding/Windows/Roof/Doors Contractor's Name: STEPHEN T DICKINSON State Lic. No: CS-081843 Address: MERRIMAC, MA 01860 Applicant Phone: (508) 676-6820 , (Home)Owner's Name: BARR,ROBERT J&JUNE-CAROL TRS Phone: (508)428-7020 (Home)Owner's Address: 201 CAP'N CROSBY ROAD CENTERVILLE,MA 02632 Work Description: Windows Total Value Of Work To Be Performed: $2,712.00 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: Stephen Dickinson 11/17/2017 (508)676-6820 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $2,712.00 Date Paid Amount Paid i Cheek#or CC# Pay Type Total Permit Fee: $35.00 ...�..�..�.._.__..�_..__�._.w_.�..�__�.. Total Permit Fee Paid: $0.00 k e Town of Barnstable *Permit# Fxpire, nths fi o�ssue e Regulatory Services e • ta�►ntvaTnatra. • �MAS& Thomas F.Geiler,Director s659. A1� fp M1� 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 Residential Value of Work t 9 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address R06-1 � li-M (?)CA-y r t C�xlo' CaLki RryA- Contractor's Name Sprinkle Home Improvement Telephone Number 508 775-1778 . Home Improvement Contractor License#(if applicable) 103757 Construction Supervisor's License#(if applicable) �.S Loe .- E PERMIT X]Workman's Compensation Insurance JUL s Check one: ❑ I am a sole proprietor t-6Vk/N OF BARNS)ABC ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name Associa ed Indi ustries of MA Workman's Comp. Policy# AWC 700494301-011 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(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 ❑ Replacement Windows/doors/sliders. U-Value (maximurn.35)#of windows "Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation;etc. Note: Property Owner must sign Property Owner Letter of Permission. A co v o o e Improvement Contractors License& Construction Supervisors License is requ' d. SIGNATURE: 2A C:\Users\decollik\AppData\Local\Microsoft\Windows\Tcm irary Internet Pilcs\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 ' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigadons 600 Washington Street Boston,Mass. 02111 www.massgov/dia Workers' Compensation Insurance davit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Businesdorganizationilndi ideal): Sprinkle Home Improvement Address: 199 Barnstable Road City/State/Zip:Hyannis, MA 02601 Phone#: 508 775-1778 Are you an employer?Check the appropriate box: Type of project(required): 1. 0(I am an employer with 9 4. ❑ 1 am a general contractor and I 6. ❑New construction employees(full and/or part time).* have hired the sub-contractors 7. ❑Remodeling 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Buildingaddition [No workers'comp.insurance comp.insurance. t required] 5.0 We are a corporation and its 10. ❑Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their 11. ❑Plumbing repairs or additions myself [No workers'comp. right of exemption perm MGL insurance required)t c. 152,§ 1(4),and we have no 12. ❑Roof repairs employees.[no workers' comp.insurance required] 13.'tOther Sc d ` G *Any applicant that chaps box#1 must also all out the section below showing their workers'compensation policy Information. tHomeowners who submit fhb aaidsvit indicating they are doing ail work and then hire outside contractors must submit a new aa9davit indicating such. Kontaetors that check this box most attach an additional sheet showing the name of the subcontractors and state whether or not those entities have employees. H the subcontractor have cmployees,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:Associated Industries of MA Policy#or Self-ins.Lic.#: AWC 7004943012011 Expiration Date: 01-01-2012 Job Site Address: b�G d �A 2 tj CYOS QUA City/State/Zip: �,t_T ,n A c 5. 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 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 $250.00 a day against violator.Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. I do herby cera r and pens/ties of perjury that the information provided above is true and correct Si e: Date.'7 2� 4 Print Name: Brad Sprinkle phone#: 508 775-1778 Ext.10 T wW 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): l.BoaM of Heath 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact person: Phone#: Town of Barnstable Regulatory Services Thomas F.Cdler,Dhvcpr Building Division Thomas Perry,CW &Mb a CommWoner 200 Main Strut, Hyannis,MA 02601 www.town Jwmslabie,ma.os Office: 509-8624039 Fax: 509-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder L as Owner of the subject prop" 1 P Pay herby authorize Sprinkle Home Improvement to act on my behalf, in all matters relative to work authorized by this building permit application for. o tf(f (Address of Job) Signature of Owner 'X. Date QrjxA BaTr Print Name. UPropwq Owner Is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. Q a6G0MVr=IM dTe V0MY l umd F WDV87 Revised 072110 r '�O4ir�ur i..uect�� r, llt otu;/atc�;r.C(N' Office of 6,nsumer f<f`airs 'Business egulahon ti--0 Construction Sucervnsor _icens.; HOME IMPROVEMENT CONTRACTOR S 6643 k 4 � Registration: 103757 Type: i' r Expiration: 7/9/2012 Private Corporatic BRAD K SPRINKLE SOA2 KLE HOME IMPROVEMENT,INC. 190 LOTHROPS LANE Brad Sprinkle W BARNSTABLE, MA 02668 199 Barnstable Rd. �. o Hyannis, MA 02601 Undersecretary 10/8/2011 -- Tr- 5478 Restricted to: 00 License or registration valid for individul use only 00- Unrestricted before the expiration date. 1f found return to: I=1 2 Family Homes Office of Consumer Affairs and Business Regulation t 10 Park Plaza-Suite 5170 Boston,MA 02116 Failure to possess a current edition of the c----� Massachusetts State Building Code is cause for revocation of this license. Refer to: WWW.Mass.Gov/DPS Not valid without sign tore CERTIFICATE OF LIABILITY INSURANCE DATE;12 4//2 10Y) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of Such endorsement(a). PRODUCER CONTACT Bryden & Sullivan Ins Agency HUM' PROBE 8Ax Inc Wc. No. Era: (A/C. No)! E-MBIL 88 Falmouth Road ADDRESS: Hyannis, MA 02601 �ID/• INSUREDS) AFFORDING COVERAGE NAIC 1 INSURED Sprinkle Home Improvement Inc INSURER A: A.I.M. Mutual Insurance Co INSURER 8: 199 Barnstable Road INSURER C: Hyannis, MA 02 601 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFF POLICY EXP Lcer TYPE OF INSURANCE POLICY NUMBER (gym/FrrY) Na,/Op/FIFE) LIMITS GENERAL LIABILITY EACH OCCVRANCE 1 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED B PRMCUS(Ea.ooeorrenwl ❑CWIMS MADE OCCUR ❑ MED EEP (Any ow Parson) 8 OPERSONAL i ADV INJURY B 9 GEN'L AGGREGATE LIMIT APPLIES ER: GENERAL AGGREGATE ' POLICY []PROJECT M. PRODUCTS -COUP/OP AGO 1 1 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT [1ANY AUTO (aa accident) 1 MALL OWNED AUTOS BODILY INJURY (Per Person) 9 SCHEDULED AUTOS BODILY INJURY(par a idant) 8 ❑HIRED AUTOS PRODIRTI DAMAGE B (per aanidant) a NON-OWNED AUTOS ❑ 8 B UMBRELLA LIAB OCCUR EACH OCCUPIWCE 8 OEXCESS LIAB CLAIMS MADE AGGREGATE b DEDUCTIBLE 8 ❑RETENTION S a WORKERS COMPENSATION ® a< n w- oxx- AND EMPLOYEES LIABILITY T0/iT 1s'G*• ER THE PROPRIETOR/PARTNERS/ E.L. EACH ACCIDENT 8 5 00,00 0 A EXECUTIVE OFFICERS AM ® incl ❑ excl 7004943012011 01/01/2011 01/01/2012 E.L. DISEASE -POLICY LIMIT 8 500,000 B.L. DISEASE-EA EMPLOYEE $ 500,000 CO—re 7 DESCRIPTION or OPERATIONS OR lACJ1T 6: WORKERS' COMPENSATION COVERAGE APPLIES TO MNISSACHUSETTS EMPLOYEES CERTIFICATE HOLDER CANCELLATION PROOF OF INSURANCE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. /\J AUTIIOAILID REPAE8XN1'ATIVE/�'-<\ t Town of Barnstable *Permit# Expires 4 m date Regulatory Services Fe Thomas F.Geiler,Director Eo S PEA Building Division SEP 1� 6 201�; Tom Perry,CBO, Building Commissioner �,/`f(1J 200 Main Street,Hyannis,MA 02601 ®� www.town.barnstable.ma.us BAR�VST�LE -Office: 508-8624038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 1 Ito Property Address CYA (3 6 t rWResidential Value of Work '` T�Q Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address - v I n Crosby p6ck-d 0� V\k ct rY a at, 3 a� Contractor's Name �5 O[i►*t l (ti C6me.. TVVINlJ-Clv-�-me-rJ Telephone Number 50V- T7.5- 1118 Home Improvement Contractor License#(if applicable)_,_., 10 3 J 7 Construction Supervisor's License #(if applicable) (J' S (p Co`{ O✓orlman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ' ❑Thave Worker's Compensation Insurance Insurance Company Name�S��O Gt cam - ZrlCi l(S ;C's Workman's Comp.Policy# �)L C Copy of Insurance Compliance Certificate must accompany each permit. r Permit Request(check box) . ❑ Re-roof(stripping old shingles)All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof)' Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum .44)#of windows *Where required: Issuance of this permit does not exempt compliance with other tom department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A. e H e Improvement Contractors License&Construction Supervisors License is re ed. SIGNATURE: Q:\WPFILES\FORMS\building permit forms\E)XPRES .doc Revised 090809 r R ' !° `'� 0ffice o . onsumer aars smess ea,a on License or registration valid:for individul use only HOME IMPR01/rMtNT CONTRACTOR before the expiration date. If found return to: Registration• 03757 Type Office of Consumer Affairs and Business Regulation Expiration. j 41.2 Private Corporate I O.Park Plaza=Suite.5170 Boston,,MA 021162 Brad Sprite, i 06 BarhStabla 12c1 N annis,'Wl 026 �° 7 UYidersecYetrtry Not valid withoutsign,tune Massachusetts- Dep'xrtme`ntof Public $afeta Restricted to: 00 Board of Builclinlo Regulationti,and Sfxndards Construction Supervisor License 00 Unrestricted 1G-1 2 Family Homes i License: CS 6643 i Restricted to: 00 _ BRAD_K •SPRINKLE `: Failure to.possess a current edition of the ! '' 190 LgTFYROPS LA�l Massachusetts State Building Code W BARNS ,4 BLE.,MA 02668 s, is cause for revocation of this license. Refer'to! WWW.Mass.Gov/DPS Expiration: 10/8/2011 (bnimissiuner Tr#: 5478 VSKL ,L f ,per The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please.Print Legibly Name(Business/OrganizatioWIndividual):Sn{,'r)V-14e- m reVe. Address• l�irns City/State/Zip: 16anA6 MA od!00 Phone* 7�7.5 - 1-7 7 g Are you an employer?Check the appropriate box: Type of project(required): 1 0 I am a employer with C1 4. I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 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 d have workers'an working for me in any capacity. employees9. ❑Building addition (No workers'comp.insurance comp.insurance,t required.] 5. (] We are a corporation and its . 10.0 Electrical repairs or additions 3.0 I am a homeowner doing all work officers have exercised their I I.0 Plumbing repairs or additions [No workers'co myself. mp. right of exemption per MGL 12,0 Roof repairs insurance required.]t c. 152,.§1(4),and we have no employees.[No workers' 13.W Other. S comp.insurance required.] Any applicant that checks box#1 must also till out the section below showing their workers'compansation 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. tcontractors that check this box must.attached an additional sheet showing the name of the subcontractors 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 emplayer that Is providing workers'compensation Insurance for my employees. Below Is the policy and Job site Information. n(�� Insurance Company Name: Qssoc---CL�SA% -X,- �.LX4- CGS lyT YV\A — Policy#or Self-ins..Lic.#:A�� Zoe 9� 3at e2L51� Expiration Date: nt to( ( _ Job Site Address: ayl 0'rOSI�� ROaA City/State/Zip: Attach a copy,.:af the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to s6c tire coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$I300.00 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 statement may be'forwarded to the Office of Investigations of the DIA for insummrt coverage verification. 1 do hereby Ins and penalties of perjury that the information provided above Is true and correct: Sigliafare: Date: — Phone#: Offlcial use only. Do not write In this area,to be completed y 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#: = TOti Town of Barnstable Regulatory Services • �.xxsz�stg, • 9• Was. $ Thomas F.Geller,Director 16 u ` 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- 'his Section If Using ABuilder {. I, t�j6 i, ��� ,y ( , as Owner of the subject property `herebyauthorize �i y y to act on my behalf in all matters relative to work authorized by this building permit application for. Ql ✓t rl�clle Address of Job) G 6 Signature of Oa r bate 8661�ff J, Print Name If Property Owner is-applying for permit please complete the • -, l Homeo'vvners'License Exemption Form on the reverse side. Q:F0RMIS:0 WNF_RPHRMISSION Ro OP DS DATE(MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE SPRIN-1 01/05 10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Bryden Sullivan Ins Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 88 Falmouth Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis MA 02601 I Phone: 508-775-6060 Fax:508-790-1414 INSURERS AFFORDING COVERAGE NAIC# INSURED 4INSURER A Associated Industries of taA ' —-- — INSURER B S rinkle Home Imrovement Inc. INSURER c__ 1�9 Barnstable Rd- _ Hyannis MA 02601 INSURER D [INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ' 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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR PIRATION NSR TYPE OF INSURANCE POLICY NUMBER DATE MM DD/YYYY DATE MM/DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY I PREMISES Ea occurencee) ,_$ CLAIMS MADE F—]OCCUR I MED EXP(Anyone person) a PERSONAL,&ADV INJURY $ _ ' GENERAL AGGREGATE !$ — GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ PRO- ! POLICY I JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE�LIMIT ANY AUTO I j - (Ea accident) `$ ALL OWNED AUTOS BODILY INJURY I$ SCHEDULED AUTOS (Per person) HIREDAUTOS BODILY INJURY $ NON-OWNED AUTOS 1 (Per accident) I _ PROPERTY DAMAGE (Per accident) I$ GARAGE LIABILITY I.. AUTO ONLY EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ I AUTO ONLY: AGG $ EXCESS I UMBRELLA UABIGTY EACH OCCURRENCE. $ OCCUR ❑CLAIMS MADE I AGGREGATE $ $ DEDUCTIBLE ( $ RETENTION $ $ WORKERS COMPENSATION TORYIIMITS ER AND EMPLOYERS'LIABILITY A ANY PROPRIETORIPARTNERIEXECUTIV� AWC7004943012010 I 01/01/10 01/01/11 E.L.EACH ACCIDENT $500000 OFFICER/MEMBER EXCLUDED? LJ — (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500000 If yyes,desgibe under :, I SPECIALPROVISIONS'i)elow I E.L.DISEASE-POLICY LIMIT $500000 OTHER DESCRIPTION OF OPERATIONS ILOCATIONS l VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE.THE EXPIRATION • SPRNKHo DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE'CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Sprinkle Home Improvement, Inc IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Fax #508-775-1350 REPRESENTATIVES. Margo Mack AUTHORIZED REPRESENTATIVE 199 Barnstable Rd. Kelley A.Sullivan annis MA 02601 ACORD 25(2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Town of Barnstable *Permit#,r Of Ip�� Expires 6 enonu._,---•--- ' Regulatory Services Fee v� ""�• m01 Thomas F.Geiler,Director XPRESS PERMIT 059. .m �Fo►��' Building Division Peter F.DilMatteo, Building Commissioner S E P 7 2001 367 Main Street, Hyannis,MA 02601wTOWN OF BARNSTABLE Office: 508-862-4038 Fax: 508--90-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number A� Properry Address A✓)Ir( v❑-Residential Value of Work Owner's:Fame&:Address �6 '� ✓ t Y P I " ro Contractor's:�ame t �'I�t On Telephone S h�i Telephone Number S),F- ✓�� Home Improvement Contractor License#(if applicable) ,;;0,( - Construction Supervisor's License#(if applicable) ( ' ❑Workman's Compensation Insurance Ch k one: TI am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Work-=n's Comp.Policv# Permit Request(check box) Re-roof(stripping old shingles) (j�Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (mum-`4) ❑ Other(specify) *Where required: Issuance of this permit does not exempt compliance with other town department regulations.i.e.Historic.Conservation,e:c. �l Signature �.✓� Q:Forrns:expmtrz:r_%-0 i 0601 Town of Barnstable *Permit# SNE t°� Expires 6 months from issue date Fee " Regulatory Services t;AEtIVSiA81.E � 4 3 v MAss g Thomas F.Geiler,Director ` � 019. .d'°rf0► Building Division Elbert C Ulshoeffer,Jr. Building Commis wpjl�sss 367 Main Street. Hyannis.MA 02601w �l� Office: 508-862-4038 JUL 6 2001 Fax: 508-790-6230 EXPRESS PERMIT APPLICATo( OF BAaty Not Valid without Red X-Press imprint ABLE Map/parcel Number T /� Property Address aOv IAA) [Residential OR ❑ Commercial Value of Work ,car r Owner's Name&Address Telephone Number Contractor's Name �'�Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: I am a sole proprietor I am the Homeowner 2-Thave Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy# no 14 Permit Request(check box) ❑ Re-roof(stripping old shingles) ❑Re-roof(not stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows. U-Value (maximum.44) p f4A' Other(specify) at regulations.i.e.Historic.Conservation.etc• *Where required. Issuance of this permit does not exempt compliance with other town departme Signature exptntre Assessor's Office 1st floor Ma Permit# Conservation Office Oth floor Date Issued Board of Health Ord floor s ide Z / ` ��Ll� Engineering Dept. (Ord floor) House# ad Planning Dept. (Ist floor/School Admin.Bldg.): PTI i Definitive Plan Approved by Planning Board - 19 'N TALLL T IRE LIANCE (Applications processed 8:30-9:30 a.m.& 1:00-2:00 p.m.) WITH EI�VIR®I�I�IEIIITAL CODE AND' TO REGU ITION � L TOWN OF BARNSTABLE Building Permit Application Proiect Street Address 4 / C ' o S a Y pa Villa e Fire District may, fhvne Address �-D / d�' Telephone Permit Request: Zoning District Flood Plain Water Protection Lot Size Grandfathered Zoning Board of AMON Authorization Recorded Current Use Proposed Use �,�e Construction Type Existing Information Dwellin T Sin le Fa Two familyMulti-famil Age of structure Basement Historic House Finished Old King s Highway Unfinished Number of Baths No. of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached ,X Barn None Sheds Other Builder Information Name �o J� �� Tele hone number ?7 .5�s Address 73 F1411*e Aj We License# ©/`( Z-ZY Home Improvement Contractor# Worker's Compensation # NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Pro'ect Cost Fee SIGNATURg6AE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T A=193-164 6�d FOR OI-FICE USE ONLY PERMIT # 8' 12-02-94 ADDRESS 201 CAPT' CROSBY ROAD VILLAGE CENTERVILLE OWNER ROBERT BARR - DATE OF INSPECTION: FOUNDATION ,FRAME IN,SULATION� "��' (. Qv FIREPLACE .. _ ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING r' ` ( DATE CLOSED OUTvr ASSOCIATE PLAN NO. ' Gnu 's t • - 'r c 5. 2 6 x 6 6 CP YASON. 3 26x66 PIJEFULL 3 ? 6 % 6 6 PINE FULL 3 2 6 X 6 6 PINC FULL s a x 6 6 PINE FULL MA 6 8 RNE FULL s xes UPS-ON. I. 6 30x6 9L6EST .76ty, .MECH,ROOM 16 a x cv►�c l R�e. FZoo�t ,�► �� i 0 0 AC) A 1p. jam FA o �:J y w Q� rc s� ,r•� q►� e d ,n�a JOB N1AME:BARR DRAWM BY: DJK CHECKED ByW DJK LOCATIONk 201 CAM C.ROSBY RD. SCALE: 1/♦- � ,) CEM FMLLE. MA C2632 4eioms�owOE o� ama�u�epa HOME IMPROVEMENT`CONTRACTOR Registration 105737 ' Type INDIVIDUAL Expiration'.",,,,07/20/96 'r tL r 6 t JohnC 8oaden r r °X ° " 2841ady S � lipperBox =2 Cp7j�O��'��° arsYohs�Mlls�rM�A�02648��'�� .•.-.,ti...- -._------+-a`r�.-w'��-�... r-.._-. �t '��.a-,.-----�..,-._....-.._._��-�. _�:._____ ..._ �..4 _ .i� -:.�.a_..r�.-ter��'-�^r�-�-� �� _ - ) #A61issl�ItrlAt COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY Y�iNfStlltABdldblA . QF.. I ONE ASHBORTON PLACE tlQarssl0tt - MASSACHUSETTS t30STON,MA 02108 LICENSE EXPIRATION DATE Cy q CONSTR. SUPERVISOR CAUTION 04108/199b i . . { EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINST RESTRICTIONS i THEFT, PUT RIGHT THUMB NONE 06/30/1993 014224 PRINT IN APPROPRIATE to C3 0W D E N BOX ON LICENSE. ° 28 LADYSLIPPER LANE J!ruk` SS �! 014-46-1762 Z MARSTONS MILLS NA 026E BLASTING OPERATORS MUST INCLUDE PHOTO. PHOTO(BLASTING OPR ONLY) FFT� t QQ.00 {; ( NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY .. 1 HEIGHT: ) STAMPEc�.� , -"RE GF THE COMW&SIONER DOB: / � 9 +,-... THIS DOCUMENT MUST Bt __ I TURE OF LICENSEE CARRIEDON THE PERSONC' / SIGNA ;. SIGN NAME IN FULL ABOVE SIGNATURE UtVE- THE HOLDER WHEN EN ` !IL.., tf OTHERS-RIGHT THUMB PRINT GAGED IN THISOCCUPATIOt ► L._.,_ fl f}✓,m � THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I M A 01�� L DATA ! _ _ TT OF MA SSACIIUSETTS C0 O rI OF LTIDUS RLkL CCIDENTS LQ 600 WASHINGTON STREET BOSTON, MASSA USL 02111 . games , carnpoel' C,pMPFNSATION INSTANCE�IDAVIT Oon-r vss�one' 'WORKERS' I Proj ect Pros, Inc. (licenw/perMlace) , s/residesiee an with a principal place of busines . Hyannis, MA. 02601 u 73 Falmoth Road, fCiry/SasclZp) \ under of ury,tines. certify, der the pains and p� �u � do hereby for my employees working I am an employer providing the following workers' compensation coverage job. WCc2022410193 p, ICAN POLICYHOLDERS INS. CO- Policy Number Insurance Company I sm as I Ole proprietor and have no one working for me- tnetors 1 �Jvc hired the con contactor or homeowner(circle once and ha x'. J I am a sole proprietor. general licks: .-. .. who have the following woriccri cor:.r-^-mrion insuranccpo .^ _ _ - Insurance Compar►Y/Policy Number s . Name of Contractor .' j ..' Insurance Comp�Y/Policy Number x' Name of Contactor Ipoli Number InsunnQ Company policy Name of Contactor I am a homeowner performing all the work myself. THE _ _ _ �ce.��tru�ioa or NOTE P ands a urtenaat thereto an lease be aware,that while chho tn homeowner alsol resiaes ° �° Ipplication by a hocneow AQ dwcii;nc of not more than tares units is wear aoa Act- 1 G ;dered to be cmolovers under the�oricers' CAmPm"ation Act IGL C�15=.,_�-zio •4L cons status o f as employer under the workers' �mlx ` or permit may Mdeace the 1 Aecdenu'Ofnee of Insura 41 V ,, can lead to tic impodtion o4 understand that:ca ^f tvs st:tctncnt will u t°a rcccundC Sccno a'SSA f'•`�GL 15— �c form of a Stop ] p vcnnc:t;on erne that iai P re to secure cow p oeat of up to one year and evil p�u consismne of a fine of u to S1500.00 and/or un its C fine a of 5100.00 day against Mc- 19 I day or Sicgncc this 061290 T .ccr r' crrr�x� I TIC' ToA� Tl �lf ��� I"T1S12 III(' 3 1 1\i2111 Suc;�Hy,-imis MA 02601 Ofoe: 508-790-6227 mph Fare 508 775 3344 erawen BuiildingCommissioncr For office use only Permit no. Date AFFMAVIT HOME IMPROVEMMCONTTRACMRLAW SUPPLEMENITTO PERMITAPPUCATIONI MGL c.I42A requires that the"r=nstructioa,akcrations,rcnaation,Tqwk.Modernization. _ improvement, rem0%2L demolition,or construction of an addition to any pro-exsting owner ooc aow building containing at least one but not more than four dwdling units or io structures which are adjao= to such residence or building be done by registered contractors,,q6zih certain exceptions,along with otbcr requircmcats- AddressofWork: 20/i OKncr llamc: Cy/YffO Datc of Pcrnui Application-. ` p—/"g e-1, I hereb%-certify that: R'cgistr2tion is not required for the following m2son(sy Work excluded br 12w Job under S1 U00 Building not caner-occupi :d 0-mcr pulling o..n permit Notice is hereby given th2t: OV.WTEP-PULLT\,G TFIEIR OtL T'PER!4TOR DrALTNG':'ITr3 UNREGISTERID CO1",777RACTORS FOR APPLICABLE HONE P mR01L.`•-;•; v F1; DO NOT 1?A\ ACCESS TO Tr:E A-REF RATION PROGR.AJ;OF GUARf,!,T)'T1.T�,-D ER 1•;GL.c. ]<2A SIGNED UNDER PENALTIES Of PLR URY I hCrCbV 2YP1V for 2 1K77r'i11 2S illc 2-Cnt c,r L.c c\,.c- �4,o 6a.,j D2tc ContrcoT n2n;c RcgisuaLion No_ OR Date OK-ncr's naMC ' S_ Assessor's map and lot number Sewage Permit number `�p r.�...' " i ftl `.��. .:.... . . s UST BE � . INSTALLED IN C MPLIA C n � N Z B1Bd9TJ1DLE, i 0 - H®use number ..... :....Z �........: ......... ................. WITH ARTICLE 11 STATE. ' ,rb a 0� SANITARY CODE AND TOWN oo go?mix TOWN OF RAR.N"AgtK BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......Suffolk Realty Trust .............. TYPE OF CONSTRUCTION :..,Single„Family Residenti. al. . ..... .... ............................... ................................. September TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...Lot..#... ,.6—� :.. .SOS. d...........`... ............................................... Proposed Use ..........Single family'...residential...................................................... :..... Zoning District .....single family residential.Fire District ....Centerv„ille.-Osterville,,,,,,,,,,,,, Suffolk Realt Trust Name of Owner ......................................................................Address ...Pr. .e...Bo ... �$...Cen rY.�1.�, a�`1A,......... Name of Builder same..............................................Address pAm2....., ................................Address .............................Name of Architect .................................. .............:.......................................... Number of Rooms 7 ...........................................:......................Foundation ..........1.?o,L?V:Q.d...C.QXIup-te............................ Exterior .........Cedar...Shingles......................................Roofing ......:.... ..............:............... :. Floors .. carpeting over underlayment...........In'terior ...... ................................. Heating forted hot„water...j?Y....oil....................Plumbing ......PVC............................................................ Fireplace ........brck... ??d...................................................Approximate Cost ........ ................................... Definitive Plan Approved by Planning Board ----------------___-----------19_______. Area .........1. 0....................... Diagram of Lot and Building with Dimensions Fee 9 SUBJECT TO APPROVAL OF BOARD OF HEALTH row rv,p at I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regbrding the above construction. Name--vl . .:. .. ................:..... ...... 8u'ffolk Realty; Trust No ........�20§21?ermit for ....one, ; tM........... ........sin le famil Y..d elling ...................... ................................. Location .........2.0l..Cap.l.n...Crqs�.Y..Ro.a.d......... . ........ .... . .. Centerville ............................................................................... Owner ............Suffolk Realty„Trust,,,,,.., , . ...... . ................... Type of Construction ................f.r.ame................ ................................................................................ Plot ........................ Lot ............ ........... Permit Granted ....September 15 .19 78 ............... • Date of Inspection ...... ........19 Date Completed ...... .7.............19 PERMIT REFUSED .................................................................. 19 ................................................. .............................. ................................................................. jo . . ................................................................................. ............................................................................... Approved ................................................ 19 ............................................................................... .............. ........................................................... a Assessor's map and lot number r ._. ! c ` � .................. •- ?�'Of THE T��--- G Sewage Permit number .... �:5....t................................ d�' BA"STADLE, i House number ......... . :�^.................................................... yO NAM 2639* 0 VKI - TOWN 'OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......Su.Gfolk fealty Trust ......................................... .............................................................. TYPE OF CONSTRUCTION ...Bindle _-amily �esi,dental - ........................ September. . . ......13..............19 ....... .. .... ....... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....ut7t.. ... ^a.ra.Crnchv lnarl.............h .rr ir.. �i:f. .........:........:... Proposed Use .........Single family...residential....................................................:............................................ Zoning District .,,,,single f ani7 y residential Fire District ....Centerv�;ll.e Gsterui l,7,,e 'Name of Owner ..,,,Suf folk fealty Trust Address ...p.r.Q ...Box' 30',3 Cet�tervi 11_F „A1A .................................................... .......................................... .. Name of Builder Same Address s ................................................ .Name of Architect ..................................................................Address .................................................................................... Number of Rooms 7 nr_Qd mtP. Foundation ........... ou .......................n.....r..ra...................................... Exterior Cedar shingles Roofing asnhal,t„ sh ,nrT1;P ........................... ... ................ ................... Floors Car�etina. over U.ndeYlavment Interior ......skim-rna�t. n11,a..-Pr .................. ............................. ...................... ................................................................... Heating ....ho.t...;:.a.te.r...by...o.i1....................Plumbing .......Fv.t, ........................................................................ .. .. .. ....... ..... .. .. .... .: Fireplace .......?fit zck...and...t1ock......................................Approximate Cost ........i.3.`?...0.00. ,00.................................. Definitive Plan Approved by Planning Board ---------------_---------------19________. Area 1303 Diagram of Lot and Building with Dimensions - _ Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH I'' I 1 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name t )C. .....'. '�................, crcae �... ea;--.............. l Suffolk Realty Trust 1=193-16 Y• c � a No .., ... Permit for ......one„story, .............single„family„dwell, ng 201 Ca 'n Crosb o d Location .......................P................... . ....... ........ Centerville .................................................. Owner .............Suffolk„Realty„Trust rj ,_r Type of Construction .... ..... rAW..................... ................................. .............................. Plot ..................... .. Lot ......#1.6................... Permit Granted .,,, Sept_ mber 15 19 78 Date of Inspection ...................................19 Date Completed ......................................19 PERMIT REFUSED ...... ........................ ........................... 19 J. ....yy. ,Cd......�.. ... .. ..... ...... ........ .................. ....................................................... ............................................................................... ............................................................................... • Approved ................................................ 19 ........................................................................ ............................................................................... `���' •� TOWN OF BARNSTABLE Permit No. --------------------------- Building Inspector 1 ■�■■�� i Cash OCCUPANCY PERMIT ------------------ �1 No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a zn certificate of occupancy has been issued by the Building Inspector." Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department �*�... .f r /� ,,�q� i• .1 Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. ................................................. ..... ................................................................................................................ Building Inspector Lo T f� L oT NDTF,' ig.M. /,5 , Jyt� g(7 TEST ODES �z1 r G ' AM 60 '/OA SvBsoiL AO A5, • /DODO; SOf GRR��L /000OF. N 1/ . LOT M Ecjrti = 103.4' /° � 1 ° y �0 � _ No l-✓.9 TER FNCo uNT�iQ EO TEST HOLE f'L-�"R TOWN /2EC'O�DS To wly cw/q TE P- /.s I,-") )IA L P B L E //vs P M / N/NIU/"I 8U/LDING 5E73/9CK /2EQU/ REPlEAJTS F 7- SI.DF- /O ' 9EA ,e /o ' Z:)R VF- L./F9Y : ,`/ o`T T-,0 3E Lae -FED P�' OPOSED Z3ED20oMS ,� OVE/e SE e9c3E Sys7E/"I U�/C�SS DESIGN/ FLOG�I �3o G/-?L D/9 H-20 DES / G/V LOFHDI/VG /5 USED . . SCPT./-e 'S yS 7-E M C o�/sT,e uC T/ o �/ ,SN,9L,L ', P,�OPOSED L Ef�C/-/ H,2E� �00 CONFo ,eM TO /`MASS. EA/ VI1eOn/MENT� L PE�COL �T/O/`/ TEST C O D E Q D /09 T E D .TUL y 6 /9 77 /9A/D T01VA/ OF 2 E5 UL TS 2 /"I/il// /ti/C'H 7;095 E 'l/: Top OF /'.c.' ;. T P / C L R .O F l L.. E 2 "Jo 14/A./. �/w/ SHED G2/9DE i9,30V,= . F,a=<rJ N D HT/O A/ /03, !f N O MANHOLE COVER To EXTEND TO /M�'� �VfnUS CC�VE_e -� /O WITl k4I/V l' OF F/ti/ISNED GR,9DE M/n//MUM ¢ f _� 5 'Sof% 8"7 COVE /ED S-o7">Z/V„EO r Box / ��/"I✓/1�r.:: fJL L:.F-)ROUND 4' 3"M/n/. --- , ~--_ NI/N/ G"MiN. 4 Duo MUM - 2"r1/A/. - ---... o /O„ P/TG'H -FLov LINE - M/n/. - _....._. /FOOT. /¢" 4 Fool l C. 4 L.e" /Oc�D M/N .G� �4"'�Foo�- ��- GFl L L ON 2 hif3 sHED 99.3y �E��H �e STOnIE Y - //wE,er e /NVEi2T P OACNTy /NliE,2T �ffRO Un/D SEPT/C TANK J 9,,5/ 9 9-�� � ZOO (R- sL - <WflrE�2T/G HT� /IvVERT /N VE�eT - 99, 7/ /- EA a /-/ �o -�8"M,9 x . /NVE,2T �© GA,e8F1GE GRInlDE�2 - � F� E'E�J 20' M/n//MUM < I , ���ZH OF 4��gsgc i- / N. D/5 T. To /�//9X . O7- P L /� / I^/A 7 E 2 E L E_ V. L O CAT"/ 0 �1: CF�/TERV/LLB CDARTHIIR .3 0' DATE: c�FFORD No.603 A/G L o T /STER�� ON �Q PL A/U /e E.0 CD D Z D /A/ -r-1-1 E 8ARAI- S-gNlTAR�PC� ,577?aLE" CoUn/Ty ,eE=G / ST",e- Y O� DEEDS F0 L SEPTIC TANK To HE " M/A/- /MUM 0/- / 0 1 F/�!O/"1 FO U/VDF9- SuF� o n/ A n/,D L E F7 0- // T-' / T-S . 9eor9� Coco co. Y.`" +Zi+of LEf� Cf/ /A/ G F/ TS -7-0 T3E_ FJ / J/AJ- ,�""✓ '��` /M U/"1 O F 10 F..Ie O /`I P/D O PE)�?Ty GEORGE 'Cl R L / NE j f� N D S E.. PTl C 7"A A-1 f� I CET / Fy TNA 7- T f"-! E .FO�N' �1���/�N Ro Low,JR.S N O W n/ O n/ TN I S P A,/ I S N D 2 o, F,e o /\-I F O U AJ D F9 T-10AJ ON T/-HE G e O UAJ D oe-)S S f40 k//V PE,CE70N 157•, H A-/ ZD 7 /--//:9 7" / T pO"g-s C O N "=0,e/-I `�,� sU R%J D A T E T I 7-,L E - - 7"0 7- E 3U DING SETB/-)C ,/ REQU/�2E- — — — — —