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0053 CARLETON LANE
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O �" �:k � � X � .: r t i:. a ':.� .,..� .ie� .. �. .: •: .� Y y.. } .: .. �, adi. � . A � .t �. i� n ., _r.. .. .. �,. }. �� ., Z � � / ,. �� _ _ t ,, ,,. _ � a. a '. ♦. � .. '. _ e7.. "� .'. _ � e .: — a'. _ .. ... ,. ". .. .y,. .. .. .. v .. i �: Y '. .- ._ _ .. i 7 �.:.� � .. ,. w ,. �. � p�C o�Z`L�/S 06 f 361 ? 3 '� „ Town of Barnstable *Permit# Expires 6 Fee month from issue date Regulatory Services F , 1M9� Thomas F.Geiler,Director -PRESS PERMIT Ep�A Building Division Tom Perry,CBO, Building Commissioner O C T 2.5 20�3 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 T®�a,fl�I �tQF85oWS ABLE EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY I O Not Valid without Red X-Press Imprint Map/parcel Number. Z , Property—Address Cn&Le 1W LIJ yr�uc,v� Residential Value of Work ,Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address C tJ-J Contractor's Name Te C Q L Telephone Number Home Improvement Contractor License#(if applicable) I Email:&K&W Ca r& �rcMyr� Cd, Cons tion Supervisor's License#(if applicable) Cons Compensation Insurance Check one: ❑ I am_*sore proprietor " ❑ m the Homeowner I have Worker's Compensation Insurance X Insurance Company Name 4-z a Gt Ct t--r oj' 'I Ol cl�l PJ'S Workman's Comp.Policy# (L UQ�-0 y MQ Q )3 A Copy of Insurance Compliance Certificate must accompany each permit. Permit Requ 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) S �W I G h1A$1 ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. e "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 copy of the Home Improvement Cont s icense&Construction_ Supervisors License is, req 'red. SIGNATURE: C:\Users\decollik\AppData\Local\M oso Windows\Temporary Intemet Files\Content.Outlook\8R76BDVA\EXPRESS.doc Revised 061313 Client#:38438 2CENTRALCA ACORD. CERTIFICATE OF LIABILITY INSURANCE DATER+iMMWYYY) 05/1512013 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 pollcy(les)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(s). PRODUCER 9 Dwli Insurance Agency E E •508 775.1620 N, 5087781218 ADDRESS: ' 9731yannough Rd., PO Box 1990 INSURERS AFFORDING COVERAGE NAIC# Hyannis,MA 02601 WSURERA:National Grange Mutual insuranc INSURED KSURER a:Associated Employers Insurance Central Cape Construction Company,Inc. INSURER C 820 Main Street Cotuit,MA 02635 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 CONTRACTOR 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. LTR TYPE OF INSURANCE INSR ADS POLICY NUMBER POST POL HCY EXP LOrtTS-" A GENERAL LIABILITY MP19764Q 1/1412012 1111412013 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY PRAISES EaEoNccu�rD ncS $500 000 CLAIMS MAOE Q OCCUR MED EXP ale per�rh $1 O OIiO PERSONAL$ADV INJURY $1 000 000 GENERAL AGGREGATE s2,000,000 GEN L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG' $2,000,000 POLICY PRO-JECT LOC $ AUTOMOBILE LABILITY COMHINED SINGLE LIMIT Ea acciderd ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per'acddan!) $ HIRED AUTOS AUTOSNON-OWNED PR�OI�RT DAMAGE $ entl UMBRELLA LJAS OCCUR EACH OCCURRENCE $ EXCESSLJAB CLAIMS-MADE AGGREGATE $ DED RETENTIONS $ B WORKERS COMPENSATION WCC5005001992013A 5114/2013 05/14I201 X WC STATU- oTti AND EMPLOYERS UASUM YIN TORY LIMITS ANY PROPRIETOR/PARTNER/EXECUTNE E.L.EACH ACGDENT S50tl,OOO OFFICER/MEMBER EXCLUDED? N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500 0O0 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE POLICY LIMIT $5O0 000 .ti DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 1ol,Addgonai Remarks Schedule,U mote apace Is required) Insurance coverage Is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the . coverage provided by the policy,provisions. CERTIFICATE HOLDER' CANCELLATION Town of Stoughton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE. EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 10 Pearl Street,2nd Floor Stoughton,MA 02072 AUTHORIZED REPRESENTATIVE O 19M2010 ACORD CORPORATION.Ali rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD 1S111265IM111262 LS1 I C� r ; Office of Consumer Affairs and Business Regulation 10 Park Plaza --Suite 5170 Boston, NIassaehsetts 02116 Home Improvement C for Registration Registration: 131841 Type: Primate Corporation Eviration: 51 W014 Tr# 230430 CENTRAL CAPE CONSTRUCTIONS 14 STEPHEN DEVLIN - - — 820 MAIN ST. r- COTUIT, MA 0263E Update Address and return card.Mark reason for change. f-j Address C Renewal Employment (j Lost Card SCA 1 0 2UM-Ml I See`tGia»tmaut�a�l�icy�G}-�ce.�krt�uselta e Office of Consumer Affairs&Rusifiess Regulation Licenser registration valid for individal use only ME IMPROVEMENT CONTRACTOR before the expiration date_ If found return W. istration: 131841 Type: Office of Consumer Affain and Rusinew RegulatWe , 'ration: VAM14 Pr{vate Corporation 10 Park Plaza-Suite 5170 Bostou,*A 02116 -.._ ..-. CENTRAL CAPE C0401 f I01+�;0.INC. i STEPHEN DEVLIN 820 MAIN ST _^ COTUIT,MA 02635 Uodcrsecretary N lid w' ut signature sacll -Depinvnew of pubft SAMY , ecaw of C COMB BM a i } anartsrns�, i "'" Town of Barnstable 1639.p�� Fp" Regulatory Services Thomas F.Geller,Director Building Division Thomas Perry,CBO 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 I -J�'1t Vet 1 ( I P y' , as Owner of the subject property hereby authorize �� l/� t'/�� to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job), l U U 13 Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. 4�C;\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\8R76BDVA\EXPRESS.doc Revised 061313 o� Town of Barnstable �ppermit Z. g Expires 6 months from issue date d Re ulator Services Fee BARNSTneta MASS.- a Richard V.Scali,Interim Director /13l/c f FD fAA'1 Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.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 Cl I Property Address S c- L LAYV6 N 11 residential Value of Work$ 2 boo Minimum fee of$35.00 for work under$6000.00� Owner's Name&Address L 43a- V e 1.1 (f u l Contractor's Name Nv Telephone Number td,F 7�-6 a Home Improvement Contractor License#(if applicable) __ Email: CO Nyucfid,> (o 6 g w JI 6g4,• =orlanan-'s-V Supervisors License#(if applicable) Ll 3 smpefisation Insurance Check one: ❑ I am a sole proprietor jUN 10 2014 ❑ the Homeowner I have Worker's Compensation Insurance Insurance Company Name I ) C k, e S TOWN®F OARNSTABLE Workman's Comp.Policy# (A) C , 6� J 2-0 13 A 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 RR oof f(hurricane nailed)(not stripping. Going over existing layers of roof). e-side El Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. i "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 copy of the Home Improvement Contractors Licei &Construction Supervisors License is requiped. SIGNATURE: ZA TAKEVIN_D\Building Changes\EXP SS PERmn,\EXPRESs.doc Revised 061313 oFTME'�rq,� snuvsTnsU& ""'SS. Town of Barnstable Regulatory Services Richard V.Scali,Interim Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, �� Z'( � ` Cy ,as Owner of the subject property hereby authorize V1-eV�G + to act on my behalf,, in all matters relative to work authorized by this building permit application for: (Address of Job) l Signature of Owner 'Date Print Name c If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. TAKEVIN_D\Building Changes\EXPRESS PERMITEXPRESS.doe Revised 061313 xw � Q�J?/l?2C�i«l1GCGGE2' f' ���%GCC�iCIIZ-Llrf�� i (1 ; Office of Consumer Affairs find Business Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Reqistration: 131841 Type: Private Corporation Expiration: 9/26/2014 Tr# 230130 CENTRAL CAPE CONSTRUCTIONCO. INC: STEPHEN DEVLIN 820 MAIN ST. COTUIT, MA 02635 — Update Address and return card.Mark reason for change. R• —i address Renewal i-. Employment ; Lost Card SCA', C. 2010-05,11 ' r"��r�i r7:i 31rG rrr-frf/�r�.,�(CfiJ,i.if�[i�P(�' ` _«�,.�..r.--.�..,•, . Office of Consumer Affairs R Business Regulation License or registration valid for individul use only I HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: 7 _ Registration: 131841 Type: Office of Consumer Affairs and Business Regulation lay.X.Expiration: 9/26/2014 Private Corporation 10 Park Plaza-Suite 5170 Y Boston,MA 02116 CENTRAL CAPE CONSTRUCTIONCO.INC. STEPHEN DEVLIN 820 MAIN ST - �- COTUIT,MA 02635 Undersecretary No v lid wit V ut signature Massachusetts-Department of Public Safety Board of Building Regulations and Standards } Crinstruetion.Super♦iSar r ` License: CS-047993 t STEPHEN J DEVIN 820 MAIN ST = Cotuit MA 02635- 4 Expiration Commissioner 02/04/2016 Client#:38438 2CENTRALCA ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 05/15/2014 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(s). PRODUCER CONTACT NAME: Dowling 8r O'Neil (A"/c°NN Exe;508 775-1620 ac No; 5087781218 Insurance Agency E-MAIL ADDRESS: 9731yannough Rd., PO Box 1990 Hyannis,MA 02601 INSURER(S)AFFORDING COVERAGE NAIL INSURER A:National Grange Mutual Insuranc INSURED INSURERB:Associated Employers Insurance Central Cape Construction Company,Inca 820 Main Street INSURER c: INSURER D: Cotuit,MA 02635 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. INSR TYPE OF INSURANCE ADDL SUB POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DOIYYYY MMIDD A GENERAL LIABILITY MP19764Q 11/14/2013 11/1412014 EEDACH��OCCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY PAMAA%E E�ENT.uErrence $50O 000 CLAIMS MADE OCCUR MED EXP(Any one person) $1 O 000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY J Q LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ RXCESS LIAB CLAIMS-MADE AGGREGATE $ ED RETENTION$ $ B WORKERS COMPENSATION WCC50050091992014A 5/14/2014 05/14/201 X TWC ORYLI IT oTH- AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE Y/N E.L.EACH ACCIDENT $5O0 OOO OFFICERIMEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500 000 it yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500 OOO DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,B more space is required) Steve Devlin is excluded from the workers compensation policy. Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Town Of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 'EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S130527/M130526 LS1 The Commonwealth of Massachusetts Department of Industrial Accidewis Office of Investigations 600 Washington Sheet Boston,?CIA 02111 xnvtr.mas&gov,1dia Workers' Compensation Insurance Affida-vit: Bu ders/ContractorslE lectricianslPlumbers Applicant Information Please Print Leyibl� Name(Bu ineworgmizatimindividuly f qil( C (0�Y%Vurs k-) Address:�(�j—�1.Li,i►� Citylstate/Zip. b S C)163'S�.hone#: 1�_(J(�— G- 0 66-6 Are you an employer!Check the appropiiate box: Type of project(required): 1.'CJ I ama employer with 4. ❑ I am a general contractor and I employees(full and/or past-time.).* have hired the sub-contractors 6 ❑New constriction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp.insurance.. required.] 5. ❑ 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.[Trio workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]7 c. 152,§1(4),,and we halm no employees.[No workers' 13.❑Other comp.insurance required.] 'Any applicant that checks bon#1 must also fill am the section belon,showing their workers'compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit itndicalki;sa dL :Contractors that check this loon must attached an additional sheet showing the oatne of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they mitst provide their workers'comp.policy number. I am an eaatpkver that is prmidirtg workers'cotitpensatioat insaaraaice for iity erttployees. Below is the police'and job site informadom Insurance Company Name: k' e Policy#or Self-ins.Lic.4: cc o I 40 I Expiration Date' Job Site Address: C 0JU -P VZAJ L,*, ,. iCity/Staterzip. /UbaOkA vn l �IIS • U Z��� Attach a copy of the workers'compensation policy-declaration page(.showing the police number and expiration date). Failure to secure coveragee as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to-S1,500.00 and+or one-year imprisonment,as well as 6,61 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 insura7nce coverage verification. I do hereby certifp,under th and penalties of t= ' f to inforatat3tioat prmzded above is(rate and correct. Si tore: Date. Phone#: J 6 0 6 Official use only. Do not ar rite in this area,to be coanpleted by�city-or town of ciaL City or Town:' Permit/License# Issuing Authority(chile one): 1.Board of Health 2.Building Npartment 3.Cityllown Clerk 4.Electrical Inspector S.Plumbing Inspector b.Other Contact Person: Phone#: 6 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �10 Parcel 2-3 S Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board �•SIZ�/�3 Historic - OKH _ Preservation/Hyannis Project Street Address 51 cAP-LOT-®N Village CEyTy 1 LLB Owner V,L" V 1 LL IX Address S3 C,4P_Le7bN LV r Telephone Permit Request 14DD t2l G�U UM C hU O P E1 Pt`'TrT1 c-- 1 a L S E2 L Square feet: 1 st floor: existing proposed 2nd floor: existing proposed ®: Totat-dew Zoning District Flood Plairi Groundwater Overlay ki a Project Valuation i Construction Typew W :xp Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supp, rting doEumerration. �- cn Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Hi hway: L�&es M No Basement Type: ❑ 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 Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ 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 Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name C _0 IVI,— t�� Telephone Number __77 Address '37 6 kovi-E (SO License # AAA Home Improvement Contractor# Worker's Compensation # C., '7 q ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY t r APPLICATION# DATE ISSUED MAP/PARCEL NO. l ADDRESS VILLAGE OWNER- z DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL., f PLUMBING: ROUGH FINAL t GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT 1 ASSOCIATION PLAN NO.' W . �tUrtgt4�. pmMCWAi1N6 cotmcfon ni s sage <•..:.v�s:Yt�j rrtifie eR:S-�f . PERMIT AUTHORIZAT!ON :FORM` ,.owner of;the property located at'- (Owner's Name.".pr ted)' Al (Property Street Address). (CitylTown): hereby'authorize-the Mass Save Home Energy Services Program assigned Participating Contractor listed below to act.on my behaif and obtain a building permit to perform insulation and/or weatherization work on my property:: wner's. gnature:` Date FOR CSG OFFICE USE QNLY g 9Y Conservation Services>Group;has assigned the foilowin Mass Save Home Ever Services_ Participating Contractor to:the above'referenced protect: lDate. Rarticipamg.Contractor' Rev 12332011; � i CONSENEM MVAUGHAN ACORO' • CERTIFICATE OF LIABILITY INSURANCE _ 1 3/26/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANO CONFERS NO RIGHTS UPON THE CERTiFICATE:HOLOER.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: H the certificate holder le an ADDITIONAL INSURED,the pollcy(les)must be endorsed. If-SUBROGATION IS WAIVED,subject to the terms and conditions of tho po0cy,:csrfaln poodles may require an endorsement.A;statement on:thla certlfkate does not caTtfer rights to the certificate holder In lleu of such endomemee e °"D°lico Strata )c Business Unit` o &Gray,Ins.-Dennis Branch PRONe fi08;398-7980 4 Rte 134 Arc ri f17T. 818.2166 -E•N L. ..__...._- - South Dennis,MA 03080 r , _..._ :INSURER AFFORWM.Q IfFWE: MCI) IISURERA„Selective Ins::co.of tho Southeast INSUF40 WSURER11:1 Con-Serve Energy,Inc. u+sURERc dba Corraeilklon,Energy 607 Main St INsURERo: Hyannis,MA 02601 INStiRERE;: ..._..._._ _ ...... .. 'INSURER F: _..._-. COVERAGES CERTIFICATE NUMBERc_ 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. NOTNATHS.TANDINO ANY REQUIREMENT,.TERM.OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT IO IMHIGH THIS CERTIFICATE-MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SOBJECT TO ALL THE TERMS;: EXCLUSIONS,AND CONDITIONS OF 3UCH POLICIE&:LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CVOKILAIMS: TYPEOFRlBURAIR:E _., FA)m bum .. ..__ - P:. POLICYEXP VIRPOLIi.Y NUtIBEII.. uu" GENERALLMBpJTY 1ACHa000RRENCE S, 1,000,0 _ A X COMMERCILGEIEMLLIAWTY 2011299; 311412013 3H412II14 PRF.LI g `100,0 r>E8 Ea aaB1sMAOE OCCUR MEDEXP on. roon) s 10,00 PERSONAL a ADV MJURY GENERA.ACG'REQATE S; 3.000,00 GENLAGGReaArELAWAPPLIES PEW R PfU UCTS-CAMFi0PAQ0 S 3,I100, X POUCY AUTONOMEMOLITY :LINK _80ddB11 SINUE $ . ANYAUTO 80I11LY;INJURY(Pe pertcn) S ALL GPM AUTOS D �AUTOS BODILY INJURY(Perapddehh S NONOANED P R 19REDA11T05 AUTOS HUNBRELLAUAB OCCUR - EACH OCCURRENCE -5 FJOCI!.ssw CIAaA •AGGREGATE_ __ $ _ ATU ... O ANO B/pLOrEAy LbBr.11Y . A AN1fPROPRIETOR/1VIRINER1EXEMMEY/M C7966639 3/14/2013 3114014 E.LEACHACCIDENT s: SOO,OtI OFFICEPi1lEAA8Ht F]rCLLr�DT. rviN 1 A Phaddwys+ l E.LOISEASE-EAEMPLOYE S-__ 500100 I. 11 ° OoFOPERAuoNseeior _ .-. _ _� LIMIT -EXCLUDED s` 600,0 r oescwPiloN aF aPeRAuOI�rtgcA'nai+ss iiallcLes pwam AAorio�w.Amtnaw R..,.tia s r m«.sPw is�ae�.d! CLUDED-OFFICERS UNDER WORKERS COMPENSATION:CONOR&COURTNEY MCWERNEY"NOTE THAT BLANKET AODITIONAI.IIVSUitED: COVERAGE APPLIES TO THE COMMERCIAL GENERAL LIABILITY:tff A wRTTTEN CONTRACT IS IN PLACE; CERTIFiCATE'HOLDER CANCELLATION SHOULD ANY OFIFHE ABOVE DESCRIED POLICIES BE CANCELLEo ofPORE. THE ;EXPIRATION DATE. THEREOF: NOTICE WILL BE OtLIVEREG IN tilse;Engltteellgg; ACCORDANCE VATH•THE POLICY PROVISIONS. 1341 Elmwood.Ave. Cranston,R102910: - AUMORIND RPPRBSERTATIVE I , it 1989.2010 ACORD:CORPORATION. All ilghts reserved.-: ACORD 10(201%08) The ACORO name,and kw are regiatered•marks of ACORD c. _ f ' The C6M)Won;wealth ofMassachusetts Print Form - Department of Industrial Accidents _. Off ce of In vestdgations. 1 Congress'Street,Suite 100 Boston,MA 021I4-2017 www mass govldia Workers' Compensation Insurance Affidavit: Builders/Contraetors/Eiectricians/Plumbers Applicant Information Please Print a ice. Name(Business/OrgaL; ton Individual):Con-:Serve Energy,Inc dba ConserVision Energy Address:376 Route 130 City/State/Zip:Sandwich,.Ma 02563 Phone Are you an-employer?Check the:appropriate box: Type of'project(required): 1. ✓❑ 1 am a employer with 8 4. [�.l am a general contractor and 1 employees(full and/or part-time). * have hired the sub-cottractors 6. ,New constrii tion 2.❑ 1 am a sole proprietor or,partner- listed on.the attached sheet.. 7. Q Remodeling These sub-contractors have ship and have no employees 8. 0 Demolition working forme in.any capacity. employees and.have�workers.' coin insurance.* 9: Building addition [No workers comp.insuratce p. required,] 5. We are a.corporat on and:i s ME]Electrical repatrs or additions 3:❑ 1,am.a homeowner doing all work officers,have exercised their, 11.El Plumbing repatrs or.additions myself.[No workers'com right of exemption per::MGL p 12.[]Roof repairs insurance required]t c. 152,§10),and:we have no employees:: [No workers' . 1121 Ozher Weatherization 2013 .comp. insurance required.] •Anyapplicant that checks box:#I must also-fill`outthe section.belowshowing'their roorkers'compensation po Icy informattom t Homeowners who submit this affidavit indicating they ate doing all work and then hire outside contractors.must submita new affidavit indicating such. tCotitractors that check this box must:ausched an;additional sheet;sbowing the name of:the sub-contractors attd state`whether of nof`those entities have_. 'employees. if the sub-cohttactots have;emptoyees,they must provide.their Work policy:number: I am an employer that:is providing workers'compensation insurance formy„employees. Below is the policy and job site information. insurance Company Name:Selective Insurance Co ofthe Southlibst Policy#or Self-ins.Lic.#.WC7956539 Expiration.Date:3k1#/2014: Job Site Address: City/State/Zip—, _ . Attach a copy of the workers''compensation policydeelaration page(showing.the policy number and,expiration date). Failure to.secure coverage as required:under Section 25A-of MGL c. 152 can lead to the imposition of criminal penalties.-of a fine up to$1,500:OO:and/or one-year."imprisonment,as welf as civil penalties in the form of a.STOP VWORK ORDER and a fine of up to.$250;60 a day against the violator.'Be advised:that a.copy of this statement may be forwarded to-the=.ff ce of Investigations of the DIA for insurance;coverage verification-, I do hereby certi under the sins and enalties o er'u that,the in ormation provided above is-true and correct. 3:Signature: 2, Date 2- '-3 Phone:#:508-833-8384 Official use only. Doh t"write in"this area,ao be,completed by clty'Or,iow& Icial. .City or Town: l'ermitlLcense#_ Issuing Authority(circle one); 1:Board of'Health'-2.Building Department 3:.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector k,Other Contact'Person Phone#tl r r CSSL 102778 CONOR D MCLIYERNEY 39 SIASCONSU bRIVE SAGAMORE BEACH MA 62562 08/19/20141 Office of Consumer Affairs&"Business Kegulahori „-= HOME IMPROVEMENT CONTRACTOR Registration.. 17-1251 Type: Expiration:: .311/2014 Partnership CON-SERVE ENERGY` CONOR MCINERNEY 376 ROUTE 130 SUITE C 4 ; -SANDWICH,MA 02563' Undersecreta - License or registrion valid, for individul use only before the expiration dafe:`lf found "return'to: Office of Consumer.Affairsand Business Regulation 10,Park Plaza-Suite 5170: Boston,MA 021.16 Not valid wttboutsignature: •TM�> 19425 7/25/ 7 TOWN OF BARNSTABLE Permit No. __________________—_____ 1 Building Inspector Cash OCCUPANCY PERMIT Bond 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 certificate of occupancy has been issued by the Building Inspector." Issued o' -J, -Albert Bassett Address South Yarmouth ipt #13 Carleton Lane, Centerville Wiring Inspector Inspection date _. Plumbing Inspector// 400 Inspection date v , Cras Inspector Inspection date a Engineering Department NZA 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. ......................... ........ is �-r ............___......._ .... ...... ....... CBuilding Inspector Ill,A-ssessbr s map and lot number ..I..t.l..... .:.lU�.... ....... . Q e / ISEPTIC SYSTEM MUST BE 7 7 � INSTALLED 'IN COMPLIANCE Sewage Permit number .......................................................... WITH ARTICLE fl STATE y�F IHE A TbWI� �Q o TOWN- OF BARIQUMI'Ll EARNSTAAL T' "b q BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..... OnstM9.t....Single...family..hcue.............................................. TYPEOF CONSTRUCTION ............�600d...frame........... ................................................................................................ April 28 t...1977........t 9........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....1p. Carleton Laney Centerville,,. Masi.. ..... ................................................................................... Proposed Use ...singZe...;CgMA 5. ...�ear...round home..............................................................:............................... Zoning District Fire District ... .......:........ Name of Owner .... .....................Address Cl ,.. t X1Pr.p...iSR41trk1...Yamouth$...Maas. Nameof Builder ..8.a.Me........................................................Address .................................................................................... Nameof Architect ..8=0.....................................................Address .................................................................................... Number of Rooms ...FI.XC.....................................................Foundation Raurad...aono.rete...................................... Exterior ....Wh7. P...C.?.de.r...Shirt 'l?.N...........................Roofing ....a.Sphalt...S.eal...a..bS................................... Floors ......&...bAth...Interior .......dry..wall........................................................ Heating f.ar.C.ed..h0.t...11uater...by...gas,.....................Plumbing .....one...f 11..bath...(plast1a..p1pa.).... Fireplace .....in-living...r-oam....(-rad...br-lak.).........Approximate Cost ......2.5y.0.00.................................�...... ........ Definitive Plan Approved by Planning Board -----------_-------------------19-------- . Area .../.. /. ..... �.� .:......... Diagram of Lot and Building with Dimensions See attached plans Fee ... ......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... ...... .... ...........................................................�r..... e -� -�-No -L--..~° Permit for .................................... ----------'-----^---------''' ' Location ------^--------------' ^^'-------------^---'`------- [�vnar —.-----_—_---_____.____. ' Type of Construction -------------- ' ----'---------------------'' - Plot -----............. Lot ................................ . . � . . . ' - Permit Granted -------------'lq . . ' Date of Inspection ------------l9 � . Dote Completed'....... ...............................lg ' - - ` PERMIT ROUSED -----~—._----_------. lV � ..'.................,.................................................... ^^—^'~--^'`^----~-----`------- � ^^^^---'^'-------------'------ / ` ` —.-----.—,—.----...----...---., . � Approved '^--------------- lQ � ' ---------------.----------- . , -------.---.----------.......— ' t .Assessor's map and lot number K,1.90..L-235....:Y......y Ks r 'd Sewage Permit number G; a_: �FTHET��o - TOWN OE BAR.NSTABLE i MARISTAAE, i :Y � _' DU LDIHG INSPECTOR L� G� i6391 �04 .P. cl �F0 MPY� i (A ; ca PC • APPLICATION FOR PERMIT TO .............................................. U , TYPE OF CONSTRUCTION X ;Xood•••fram...••••..••••• E: ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following.information: Location .1.3... .....Qe.xite. ;r.Y1.11 Ma..•........................................::........ ......................................... Proposed Use .J$in91e..XAMilY..year...r.Q. d...hme.............................................................................................. Zoning District ........................................................................Fire District QQ 11e 0stery lle Name of Owner ...J.....AIb.er ,...D.4.$Sett.....................Address ...LYm?4A.1an.ea...SQU;th Y3Y'iT1g4tha M. Nameof Builder ....Sad?E'.......................................................Address .................................................................................... Nameof Architect ..5ame.....................................................Address ..............................................................................:..... ncre e Number of Rooms .:f�..Ye..........................................:..........Foundation ...1�.4�r'ed...eQ...........tr...................................... ExieHor .White...eeS�ex...e�,1Xlg�..?5..............................Roofing as .halt..sQ.al..tab..s...................................... Floors ....14r.d...WW.d1in,7.aid...in...1r.1t.....&...bathInterior ....dry..wall........................................................... Heating ..for.ced..,hot...water...by- gaz...................Plumbing ....Oile...f.Ul ....bath...(Fj.eLAt ,C..1?jPA).... Fireplace in..livi1g...Z:om...(red...brick)..............Approximate Cost ...2-5.aQQQ................................................. Definitive Plan Approved by Planning Board ________________________________19________ . Area .......................................... Diagram of Lot and Building with• Dimensions see attached plans Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. r Name .................................................................................. Bassett, J. Albert i 19425i one story ................... Permit for .................................... single family dwelling ..................... ........................ ........................................................ Carleton Lane Location .� ....................................................... Centerville ............................................................................... 0 J. Albert Bassett Owner .................................................................. frame Type of Construction .......................................... ............................................................................ #13-- Plot ............................ Lot ................................ P'r"it Granted ........July............25....................E19 77 4 Date of Inspection ...... .... .......19 Date Completed ...... ........19 77 PERMIT REFUSED .......................................................... .... 4 9 . ................... .... .... ................................................. ....... .... ..... ..... ........... ................... ............... . .... ................. . .. ............................ ti ............................................................................... Approved .................................................19 ............................................................................... ............................................................................... TOWN OF BARNSTABLE 1639. BUIILDING INSPECTOR TYPE OF CONSTRUCTION TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Nomaof Builder ......��no........................................................Address ....,...............-^..—.—..—....—..—.......... Nameof Architect '8mmp......................................................Address .................................................................................... Number of Rooms ...f�Y!�.....................................................Foundation .. . —___________ Exlerior �a�1te' .. --------_'Roo�ng .�lt gesl..����____________.. Floors _I�rd_ � ..f��..k1t^.���..�mf��|nxehor _��rv.�`«all _______ ..................................... Heating _p]�]��d_�n'�..�.r�tm�..1�r�,���.______�vm6ing _.����..f��Tl . _�nl.mnt1!�..��lnj.\_. 'ate . Fireplace �7l'.}���;?l��'����—y���..���!?�}----.Approximo/eCox —���,OOO--______________. Definitive Plan . . by Planning 800n] lV---- ' Area ............................................. - Diagram of Lot and Building with Dimensions see attached plans / / Fee ___. 1 _ `____ SUBJECT TO APPROVAL OF BOARD OF HEALTH \ � ` ` - . . . ` � ' � � | h , ' � - to^conform to all the Rules and Regulations of the Town of, Barnstable regarding the above � construction. ' Name —''^-----------------' Bassett, J. Albert A=190-235 i Z9425 one story r r- 'No ....f........... Permit for .................................... single family dwelling ..:........................................................................... _ '03 Carleton Lane Locatio ...............:................................................ Centerville .................................................... .......................... Owner J. Albert Bas ett .................................... ..................... Type of Construction frame ........................................ ..................................... #13 Plot .......................... Lot .............. Permit Granted ... .....July 25 „lq 77 Date of Inspection ............. ......................19 Date Completed ............ .........................19 PERM T REFUSED ..................7...... ................................................. ................................ ............................................. .................................�............................................. Approved ................................................ 19. ............................................................................... .................... ......................................................... Assessor's ma and lot number ,,.,.... C p ........� ... ��t;• ........ QyO1.THE . t Sewage,,,PerrrA number ...&�� .. IP1 SEPTIC SYSTEM MU S ALLED IN COMP • a TABLE, House number ............................................... WITH TtT. roo 039 to e� ENVIRONMF�" TOWN. OF BARNSTXBLE BUILDING -j"INSPECTOR APPLICATION FOR PERMIT TO .,...I ld:1�'�.....�` Cxt...................................................................................... TYPE OF'CONSTRUCTION .... t�C�...Q.�R'®!�1. ........................................................................................ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......5 ....`- r' W......LlA/........ °. . ..I.�� ...................:........:.......................................... ProposedUse .................................................................. ..................................................... ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner ..........Address .. .:.... F Name of Builder .... ...........Address r2�.W....�.. N`� .....�A.....M.,r Nameof Architect ..... 8►!uQ............................................Address .................................................................................... Number of Rooms ..................................................................Foundation .............................................................................. Exterior ....................................................................................Roofing ...... .IA` ........................................................ Floors ....!C1q e4. .. ...................................................Interior .................................................................................... Heating ..................................................Plumbing .... ..................................................... Fireplace vv-z)1N''-e......................................................Approximate Cost-0.. . ................. Definitive Plan Approved by Planning Board ________________________________19________. Area ......... .a.....`S ..` Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH ---------------- y (I I 1 1 I 1 f +-hereby agree to conform to all the Rules and-Regina ris-oTthe Town of Barnstable regarding the above construction. Name .. ..../..................................... QUATTROCCHI, JOE F. No Permit for ..... .'Single Family Dwelling......,.,, .........................................Family, ,V. - j�/Q37-C I Locatibn ....53 Carleton Lane ............................................................ ...................Q!qqt;9x7il.lQ............................... Owner ......Joe...F......Qu.att.ro.c.chi.................... ... ..... ....... .... .. ....... Frame Type of Construction .......................................... . ............................................................................. Plot ............................ Lot ................................ Permit Granted ........jgije...2..................19 80 ate 6f Inspection ................................. ..19 : Date Completed .11 � ID .. I, 1 1 -19............ ry PERMIT REFUSED rr, ....... ...... ...................................... 19 ...................... ................................ ................ A............................................................ C) App r c 5:We ................................................ 19 rs ..................... ......................................................... ............................................................................... Assessor's map and lot number .1-6 .U......... .. . .�f t �FTHEtO Sewage,,Pevnft number ... :1./��,r ...��f/�''�:..r`,i -�',�,j ice" �✓ Z BAWSTABLE, i House number ...............:........................................................ ro rasa � p 1639. TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ............:......................................................................... TYPE OF CONSTRUCTION .... ....OIY..< e- ............................................. . ......................19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... �:.a.....�.;(�)�.�;cz:'�??,�.� ....�.. !�!�.......�.��'!�;/C�-° �.:�!..!.��+�,r................................. ............................ ... ProposedUse ... ......................................................................................................................... ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner r us. l .!...........Address ....am.?...... ...............................; pJ � � Name of Builder .... a4M1. ...........Address !A'�iP� ��{.:..��!v�?.� Nameof Architect ....1 gin ',............................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .........t...........................................:.......................... Exterior ....................................................................................Roofing ...... ......................................................... Floors . n h,�(C. �C....................................................Interior ..........................................................._........:. .. ................... ....................... Heating .........t� ?..!,r� Y ...................................................Plumbing ....Nqq! :..........................:.................................... Fireplace ..........(�l flyt�^ "!"'....................I..................................Approximate Cost:.a.5..v.U............................ f.!......... Definitive Plan Approved by Planning Board ---------------____-----------19_______. Area .......... ..........". ..:.......... Diagram of Lot and Building with .Dimensions Feed SUBJECT TO APPROVAL OF BOARD OF HEALTH YJ l r / I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name { A. ......te ... ........................................ r QUATTROCCHI , JOE F. 190-235 < No ..2.223.1.. Permit for ..8u.i1.d...P.orch..... O sSincfle. Family Dwelling Locatiln ....53. Carleton. Lane.................. Centerville ............................................................................... Owner ...Joe..F. Quattrocchi. . . . ................... ....... .... .. .... Type of Construction ..Frame.......................... .................................... ........................................... Plot ......................... Lot ................................ Permit Granted ..........June.. 2 .............19 80 Date of Inspection ...................................19 Date Completed ....................................::19 V PERM REM D / . .... ... ....... 19 ......... ............ /. .. ..... .. .... ................... ................................................................................ ............................. . ............................................. Approved ................................................ 19 ............................................................................... j 4 SOIL SOS \)(XUIIi,}7\1lirvf /i!X/ii } Ir�.V�i�aV/)VCllrix" 2'.PEASTONE �-• LOAM 9. FILL. • 12"MAX. - - 11 4 C.I. DIST °" 0 0 v► Box J� �,° ° 00 /a .-I• 24"MIN. •. . .0MIN. 1000 ° °.. pie 10'00— GAL. - GAL. 1 a PRECAST' OR ° SEPTIC 6'Ije a� ao °°oI ` BLOCK PI TANK °:. ° o s" SEEPAGE ' T o e oo 'o 0 D �} 20' MINIMUM o°°°• ;o ' b .p° el FOUNDATION I 1 Y. WASHED"ST•ONE I� /✓0 4�A��- �� ELEVATION ' SKETCH 1. Lor PRIM NATE� u,y+�x�t Z�/.;.�ti SCALE: "I 4' TOWN, TEST BY p- rs ►" R re ro". .Tw le4r I BAC HOES OPERATOR - � .���.,.�,/ ��o�°o-✓ 6r0� �c�r?i Ta►,�-�BY`%wk*,I+�rw?'GP'�r�"•''�} • - TEST MADE O N • `►—� 77 x �t ,t►yrass tta../�.,,.�ra Z)!. ��,'�?"?'�'A�.13 ��+/�.od«S.S. .� , ., , - ���. SZ. - Tor �l"'iY�s.!''"'+�o�//ceder �.y....,.!•�fi�., t - f �} 1 c v it +.� ©r JAMES. a •ter -� �a. a '} M \900 WiSWELL - c ,fy�N�4.i 1G �43� . ��`*7 �� )N•�'�� r Y', ' •�� � "a �// 'i t '. 61oi tv 7 r ff` 0 O : fig y. oe IK 01 lello APPROVED BY BOARD OF HEALTH DATE .19 / RENMCK- c� CHAPMAM' y ;Q., 'No.�27654.p ELEVATION SCHEDULE . PROPOSED "SITE PLAN00 I. INV. AT FOUNDATION " SEWABE YSTEM ®ESISH 2. 1 NV. INTO SEPTIC STANK _ IN 13 Cq-geJ 7o�✓ . L.9�1 e 3. ''i NV. OUT OF SEPTIC TANKS 4= INV. INTO DISTRIBUTION BOX ;" p'F . - SEALE:.I =rya Tu -Y ~19 -77 5. INV. POUT OFFDISTRIBUTION BOX = C— s 20 6. INV INTO SEEPAGE PIT - CAPE COD SURVEY CONSULTANTS.` ROUTE 132 7. BOTTOM OF PIT - = 0�=� `. HYANNIS,MASS. 1 " i:' - - " •` A .DIVISION BOSTON SURVEY CONSULTANTS, INC. - 8. ?OTTOM OF STONE LAYER �• A t