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HomeMy WebLinkAbout0077 CARRIE LEE'S WAY � � 7 ��� ��!�� � � . � .. e n - !� p _ _ ." .. i TOWN OF BARNSTABLE BUILDING PERMIT,APPLICATION �COOS e D 0� - o o Map Parcel` . Application # Health Division Date Issued Il D Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address rri Zees� Village e�e nr r /le, Owner : Uaaet P1 Address Telephone mar If Permit Request 4 Zff Ss t-,k -3 t�,./ jG 2LO aot-eft r ' Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay __4 a � p Project Valuation Construction Type Pm ria f C) Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. CO Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure do Historic House: ❑Yes ❑ No On Old King's HIIghway:c4 Yeses❑ No Basement Type: ❑ Full ❑ Crawl. ❑Walkout ❑Other r ,, 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: YGcl�as ❑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 I APPLICANT INFORMATION (BUILDER OR HOMEOWNER) L)�Z, Name ref` I� Telephone Number "Y01 73r� 37e, �O Address d 1r,( License # l�tiN S) &24A0 Home Improvement Contractor# u0917q Worker's Compensation # VVL 2- a ff.Wff f 7 Y-419 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO -� e c o _t SIGNATURE DATE / r FOR OFFICIAL USE ONLY ` APPLICATION# DATE ISSUED w MAP/PARCEL NO. t ADDRESS VILLAGE OWNER DATE OF INSPECTION: Y FOUNDATION - FRAME `. INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING /Phts t - } DATE CLOSED OUT ASSOCIATION PLAN NO. - ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCV FOR ONE- AND TWO-FAMILY DETACHED RESIDENTIAL CONSTRUCTION (780 CMR 61.00) Applicant Name: .� � �- Site Address: �r print ;a Town: ems, Applicant Phone: Applicant Signature: Date of Application: NEW CONSTRUCTION: choose ONE of the followih `two o tions r'E 780 CMR TABLE 6I07.1 " PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE- AND TWO-FAMILY BUILDINGS MAXIMUM MINIMUM Ceiling or - Slab Option 1; Basement Fenestration exposed Wall Floor Perimeter Wall AFUE HSPF SEER U-factor floors ' R-Value R-Value R-Value R-Value. R-Value and Depth National Appliance Energy .35 R-3 8' R 19 R=19 -R-10 R-10;, Conservation Act(NAECA)of 4 ft. 1987 as amended,minimums or agreater as applicable Note: This form is not required if you choose either,of the two versions of REScheck as listed below.. ❑ Option 2: REScheck Version 4.1.2 or later variant-software analysis must be completed - (780 CMR 6107.3.2) - REScheck—Web which can be accessed at hitp://www.energ cy odes.gov/rescheek/ A DITAONS.OR ALTERATIONS TO EXISTING BUILDINGS'.OVER 5 YEARS OLD *Buildings under 5 years old must use option 91 or#2 in New Construction section above. - Complete the following formula to determine the%o of glazing: (a) Gross Wall & Ceiling Area'equals Formula: (1,00 x b a) SF 100 x _ % of glazing (b) Glazing area equals SF 6 a If glazing is.<40% use the chart below: If glazing is>40 % proceed,to "SUNROOM" section 780.CMR TABLE 6101.3 PRESCRIPTIVE ENVVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING LOW-RISE RESIDENTIAL BUILDINGS MAXIMUM MINIMUM ell, Fenestration Ceiling and Wall „ Floor Basement Wall Slab Perimeter U-factor Exposed floors R-Value R-value R-Value R-Value R-Value and Depth .39., R-37 a R-13 °.. R-19 ' R-10 R-10,.4 feet a R-30 ceiling insulation may be used in place of R-37 if the insulation achieves.the full R-value over the entire ceiling area(i.e.not compressed over exterior walls, and includi'n'g any access openings). SUNROOM-An addition or alteration to an existing building/dwelling unit where the total. ❑' glazing area of said addition exceeds 40% of the combined"gross wall and ceiling area of the addition. fi Note: Owner to fill out'Consumer Information Form(found in-Appendix 120.P) ar , r,t RISE ENGMTEEi RING y Federal 1D#05-0405629 • c RI Contractor Registration No 8186 A division of"1'hielseh)Engifiecring MA Contractor Registration No 520978 CT Contractor Registration No 620120 1341 Elmwood Avenue,Cranston,R102910 , p1p� ry� �9g� . (40F)784-3700 m�l�i FAX(401)784-3710 �`fi,,� 1 Y„ {�� - Page 9 - w... THIS CONTRACT IS ENTERED INTO BETWEEN RISE 4 ENGINEERING AND THE CUSTOMER FOR WORK AS E N G[N E E 111 I N G _ ...- DESCRIBED BELOW CUSTOMER PHONEr _ - • DATE. - - Client# Joan gilds (508)428-9784 ;` 09/l0/2009 SERVICE STREET - - BILLING.STREET, - - 77 Carrie Lees Way 77 Carrie L',ees Way , SERVICE CITY,STATE,ZIP--_--_"---_-------._----- -- a ,BILLING-CITY,STATE,ZIP- - —__ - ------- Centerville,MA 02632 Centerville,MA 02632 .JOB DESCRIPTION RISE Engineering will provide labor and materials to seal areas of your home against wasteful,excess air leakage. This Work will be r '' performed in concert with the use of special tools and diagnostic tests to assure that your home will be left with a healthful level of air exchange and indoor air quality.Materials to be used to seal your home can nclude caulks,foams,weatherstripping and other products. ` Primary areas for sealing include air leakage to attics,basements and other unheated areas(windows are not generally addressed.) This work will be performed at the rate of$66 per man per hour,which includes materials and testing. 10 man hours. t $660.00 RISE Engineering will provide labor and materials to seal heating and/or cooling ducts within designated unheated areas. This work will be-, , " performed at the rate of$75 per man per hour,which includes materials. 2 man hours. " $150.00 RISE Engineering will provide labor and materials to install a I V layer of R-38 Class I Cellulose added to 1288 square feet of open attic space. s. $1,545.60 RISE Engineering will provide labor and materials to install insulation and weatherstripping to I attic access hatch(es). $25.00 RISE Engineering will apply all applicable,eligible incentives to this contract. You will be billed only the Net amount. Currently-for eligible , measures.the Cape Light Compact offers 75%incentive;not to exceed$2,000 per calander year. ^ . -$1,785.45 WE AGREE HEREBY TO FURNISH SERVICES•COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS:FOR THE SUM OF. ` r "Tivii Hundred Noa ety-#lve& 15/100 ®®9@ate - $595.16 UPON FINAL INSPECTION AND APPROVAL BY RISE ENGINEERING.CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL.INTEREST OF t%WILL'BE CHARGED MONTHLY ON ANY UNPAID BALANCE AFTER 30 DAYS.SEE REVERSE FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND CONTRACTOR REGISTRATION, " DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES F AUTHORIZED NATURE RISE ENGINEERING - - CUSTOMER ACCEPTANCE NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN '..,,, DATE OF ACCEPTANCE ACCEPTANCE OF CONTRACT-THE ABOVE PRICES,SPECIFICATIONS AND CONDITIONS ARE -T SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO DO THE WORK DAYS. - - AS SPECIFIED.PAYMENT WILL BE.MADE AS OUTLINED ABOVE �:1.111i --------------------------- --- --- - ------ -- . - - ---------- _.. F ___ _. .__ _. .. _...._ . ___ __-__ ------------- : ___1_ __ __ _ .9,,,. I .... ------------------- -- �. --- - r -: --- . _ 1 , - ; - - - -- -- f - -- -`,- -- -.- - - - --- Not 0 MAKE ACCESS �`� � t`" `s� • =� ����'�� El EXISTING ACCESS The Connnonwealth of Massachusetts Departirrent of Industrial Aiecidents- t Office of Investigations IS t, r 600 Washington Street Boston, MA 02111 pyf www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Fleetric>ians/Plumbers Applicant Information Please Print ILeLyibl Name (Business/Organization/Individual): Address: �� �'�ri City/State/Zip: di. .. OP 142 Phone,#: ��lg " 7 " 70 0 - AVyan employer?Check the appropriate box: Type of project(required):a employer with ':.4.x I am a general contractor and I 6. [] New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a'sole proprietor or partner- ;'-listed on the attached sheet. 7.' ❑ Remodeling ship and have no employees ` - These sub-contractors have $; 0 Demolition workingfor me in an capacity. -employees and have workers' y9.. Building addition [No workers' comp. insurance comp.,insurance. I,, required.] 4 5. (� We area corporation and its ME] Electrical repairs or additions 3.❑ I am a homeowner doing.all work:t officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. A -right of exemption per MGL 12.0 Roof repairs insurance required.] t c; 152, §1(4), and we have no employees.,[No workers' 1311 Other comp. insurance required,], " *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. - tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that isproviding"workers'compensation insurance for my employees. Below is the policy andjob site information. � 5 Insurance Company Name: Policy#or Self-ins. Lic.#: " 8 2Expiration Date: ( Job Site Address: , i' !es r2--City/State/Zip: C..i,.v ,h ��C �� oa G3 Attach a copy of the workers' compensation policy d aration page(showing the policy number and expiration date). Failure to secure coverage as required under.Section 25A of MGL c.152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as 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 insurance coverage verification. I do hereby certify i der e pa' and alties of perjur thatthe.information provided above is true and correct. Signature: Date: L Phone#: 7 —J-7 ' Official•use only. Do not write in this'area, to'be completed by city or'town official City or Town: _ Permit/License# Issuing Authority(circle one): w ` 1. Board of Health 2. Building Department 3. City/Town Clerk ,,4. Electrical Inspector 5. Plumbing.inspector 6. Other` ` Contact Person: Phone#: ACORD OP D 27 DATE IMMIDD/YYY � l � BAN THIEL-1 08/07/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Preston Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1350 Division Rd Suite 303 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR PO Box 810 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. East Greenwich RI 02818-0810 Phone: 401-886-8000 Fax:401-885-1700 INSURERS AFFORDING COVERAGE NAIL# INSURED • _ - INSURER A: - Hartford Underwriters Ins..Co �. INSURER B: Hartford Casualty Insurance Co Thielsch Engineering, Inc INSURERC: Liberty Mutual Insurance Group 195 Frances Avenue Cranston RI 02910 IN Cranston North American Capacity 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.' POLICY EXPIRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE POLICYMMIDD/YY DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A }{ COMMERCIAL GENERAL LIABILITY 62UUNTD5678 04/O1/69 04/101/10 PREMISES(Ea occurence) $ 300,000 CLAIMS MADE ®OCCUR r. MED EXP(Any one person) Is 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE s2,0007 000 GEN'L AGGREGATE LIMIT APPLIES PER: R PRODUCTS-COMP/OP AGG s2,000,000 POLICY X ECT LOC Em Ben. 1,000,OOO AUTOMOBILE LIABILITY B X ANY AUTO 02UENTD4850 ` 04/01/69 04/01/10 (EaCOMBINED SINGLE LIMIT $1 000' 000' CO accident) r r ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS • - (Per person). . HIRED AUTOS 'BODILY INJURY- �:$ NON-OWNED AUTOS (Per accident) • PROPERTY DAMAGE - $ ,• r ` (Per accident) - - GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 10,000,000 B X OCCUR F CLAIMS MADE 02XHUUF6573 04/01/09 04/61/10 AGGREGATE $10,000,000 $ RDEDUCTIBLE +. - - - $ - X RETENTION $10,000 • . - ,$ WORKERS COMPENSATION AND -X TORY LIMITS ER EMPLOYERS'LIABILITY _ C ANY PROPRIETOR/PARTNER/EXECUTIVE WC2-Zl1-259874-019 04/01/09 04/01/10 E.L.EACH ACCIDENT s 500,000 OFFICERIMEMBEREXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 500 ,OOO If yes,describe under - SPECIAL PROVISIONS below E.L.DISEASE-'POLICY LIMIT $500,000, OTHER D Professional' Liab DVL000025902• 04/13/09 04/01"/10 Prof Liab 2,000,000 A Leased/Rented E 02UU14TD5678 04/01/09 1 04/01/10 Equipment,' 160,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS _ *Except 10 days for nonpayment of :premium. Certificate Holder is included as an additional -insured as required' by a written contract with respect to',: the General Liability coverage: CERTIFICATE HOLDER _ CANCELLATION TWNBARN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town_ of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL *30 DAYS WRITTEN' Building Division - - NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Attn: Tom Perry 200 Main Street L, C. IMPOSE NO OBLIGATION.OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Hyannis MA 02601 REPRESENTATIVES. .: AUTHORIZED EPRES e4 a x ' • ACORD 26(2001/08) V ©ACORD CORPORATION 1988 a, NOTEPAD" THIEL-1 PAGE 2 INSURED$NAME Thielsch .Engineering, Inc OPID 27 DATE 08/07/09 Also for RISE Engineering, a division of Thielsch Engineering, Inc. Gaskell Associates, a division of Thielsch Engineering, Inc. BAL Laboratory, a division of Thielsch Engineering, Inc. ESS Laboratory, a division of Thielsch Engineering, Inc. ALCO Engineering, a division of Thielsch Engineering, Inc. Water Management Services, a division of Thielsch Engineering, Inc. r 71 RISEDivision of Thielsch Engineering,Inc. p 1341 Elmwood Avenue ENGINEERING Cranston,Rhode Island 02910 � 7 Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Reg istral:ion:. 120979 Board of Building Regulations and Standards One Ashburton Place Rm 1301 Ezpicaian _3/25/2010 Tr# 263460 Boston,Ma.02108 T:ype 'iV2te Corporation THIELSCH ENGINEERING.':= STEPHEN HINES.,%.'� 1341 ELMWOOD AVE, CRANSTON, RI 02910 Administrator Not valid.;without signature 100463 ' a WS,IC STEPHEN HINFS 222 NARRAG ETT AVENUE . JAMESTOWN, t.,02835 6/23/2012 . 100463 102935 00 . STEPHEN HINES 222 NARRAGANSETT AVENUE JAMESTOWN, RI 02835. ; .. 6/23/2013 _ — 102935 - i Page 1 of 1 The Official Website of the Executive Office of Public Safety and Security(EOPS) Mass.Gov Home Pubflc Safety Department of Public Safety Licensee Complaints License Type Construction Supervisor License# 100459 Restriction WS,IC Name Erik Nerstheimer City,State,Zip North Scituate, RI,02857 Expiration Date 3/28/2012 Status Current No complaints found for this Licensee. Back To Search Jk � �� �✓G Board of Building Regulations and Standards I License or registration valid for individul use only l` HOME IMPROVEMENT CONTRACTOR is before the expiration date. If found return to Registration;:, 120979 Board of Building Regulations and Standards, EuprraUon 3125/2010 ; One Ashburton Place Rm 1301 Supplement Card -HIELSCH ENGINEERING _RIK NERSTHEIM._-. 341 ELMWOOD AVE..: ,RANSTON, RI 02910`w Admmisti ttor Not valid without signzt;�,re http://db.state.ma.us/dps/liedetails.asp?txtSearchLN=CSL 100459 9/24/2009 100463 �as:'r c ad o: Ws'Ic STEPHEN NINES 222 NARRAG� ETT AVENUE JAMESTOWN, r.,02835 Ex i•'a::i . : 6/23/2012 100463 i"T ?wi. Li3 k-d ot Ril io..vii+ fag and c t;iiLus-.k �cssE. CS 102935 00 " STEPHEN HINES 222 NARRAGANSETT AVENUE JAMESTOWN, RI 02835 _ :;_n: 6/23/2013 102935 TY-. TOWN OF BARNSTABLE . 21388 � Permit No. ________--- _ e ' Building' Inspector - - 1 sun Cash --- �` ~ OCCUPANCY PERMIT Bond - x- 9 "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 to Joan Wilds Address 48 Hillside Ave. Medford; MA lot AIR 77 Cp_r.fie LPP a Wav Cp4ar vi.l a-,- Wiring Inspector �'` r' � � Inspection date r " Plumbing Easpector Inspection date v 4.. Gas Inspector ,� A Inspection date Engineering DepartmentInspection 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. `. . .. r _ `Building Inspector _.._ 'n LOT 9 \ V) 'L z 9 O . O0 ' J 43, 30. 2` EXl.5T. FpU,UD. J D fff � V �i- _._. CERTIFIED PLOT PLAN A,5 oVEL E ROAD> L OCAT/ ON: 0-6&I- -ARV I LLE FRon/TI N6 LOT SCALE: " =-40 ' DA7-E: 6 - 7- '79 REFERENCE BEING LOT /8 AS SHOWN ON A PLAN RECORDED �N. 6, 1279 / N THE BARNSTABLE COUNTY pAT REGISTRY OF DEEDS PLAN BOOK 300 PAGE C16 . 2 REG. LAND .5U EYOR / HEREBY CERTIFY THAT THE FOUNDATION " . SHOWN ON 7-/-1/S PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND T"HAT / T DUES CONFORM TO THE BUILDING SETBACK REQUIREMENTS OF o� THE TOWN O F GtORGE sN _ g50R9E LOW AND CO. -p p "' Y A R 1, -r h1 P o R-r M A 55, �1, GISTE� p¢� - - - sURvE � � Asossor's map and lot num��....... 7-el .................. 0*THE TO Sewage Permit number ......................................... SVMM MUST House number STABLE, : ............r........................................................... JA XUL 7-7 MTALLO N COMPUA 039- V4N TITLES 1103 TOWN OF B T CODE AND � AR, T 10 N S BUILDING ` IN,,.,,. -PECT0R APPLICATION FOR PERMIT TO .... ... .................... ... . ....................... ............................... ................................... TYPE OF CONSTRUCTION .. .. ... ....... W... .. . .. ....... ........ . ............. ................................................ TO THE INSPECTOR OF BUILDINGS: The undersigned Preby applies for a permit according to Ihe following information: 1�w -0/9 Z4� w6zq I Location .......................................................................................................... . ..... .................... ProposedUse ...... . ...................................................................................................................................... Zoning District ........................................................................Fire District .......... Name of Owner ........ A)"e"Z4.0......................Address at ...... ..... .. Name of Builder ...... .... ........ .........Address Name of Architect ...................................................................Address .............. Number of Rooms ........&...................................................Foundation ......................... Exierior ...... ..... ::).................................Roofing ................. ............................................................ �4...* Floors ........ ....................................................Interior. ...... ............................................................................ Heating ..... A..... tA .............................Plumbing ............................................... JFireplace ......). . ....................................Approximate Cosr,.�- 4�eo ............................................ Definitive Plan Approved by Planning Board ------------------------------- Area ...... .. .... ................6...... ........ ZIP7 0- Diagram of Lot and Building with Dimensions Fee ............... ............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH NAP 132� 0 I hereby agree to conform to all the Rules and Regulations of the T w of Barnstable r garding the aboye- construction. Nam . ..... ......... Wilds, Joan A=168-8-9 N& .2fNa.... Permit for s.ingle..f.affi.j.1y....... . ...................&e.I.HaV.......................................... Location ...... 18.....7 7- --Garrie.-Lee 1-s--Way ................ ...................................... Owner ........jean..Wi.1,49..................................... Type of Construction ..........Wood....................... ................................................................................ Plot ............................ Lot ................................ Permit Granted ............. .......11.:.19 79 Date,of Inspection ........19 Date Completed ..?/*.....................19 ... �y FMRMIT REFUSED ......... ....... ......... .... 19 .......... .... .....0 ..S. ............ .......... .. ....... . .. . ............. ...........I ............ .. . . ....... ............ ................................ ............ (0 -4 0 S ApproveT M......1.7......................................19 ............................................................................... ' 01 1639- TOWN OF BARNSTABLE * ' BUILDING INSPECTOR �� �� ^ ��0NNN_N0N ���� N ������N� 0* � NN �� ' APPLICATION FOR PERMIT !=�� ---.----.--.. --....eA . TYPE OF CONSTRUCTION XOM.1YZ . ..��<^K°��/���9��. ---- ~ / ~ �` �L� --.'=�-.�..L,-�-.---]��.�/.. � TO THE INSPECTOR Of BUILDINGS: The undersigned hereby applies for a permit according / Location --'���1----.-----.�:.�...�..�.���.-..�7�����.-���� --.. �.*,����.'.�,��z��«� ...................... ` ' ProposedUse --� --------------_----_--__--__--------------- , Zoning Dis trid ------..—..-.-------------Rve District .......... ------------. Nome ofOwner ......................Address~ ` ! w // ' ` " Nome of Builder --.Add,eas ....... ........ Nome of Architect ----------------------A66reso ----. . .. . .. . . .. .. .. . . -----.. Foundation ------Number of Rooms --..&................................................... � ��� �RooGng .Exte,io, ...V .�-------------- 61, ' Floors -- -----------------.|n�hor � ---------------_. ^��_ Heating -'x������.^z��^---����f�----------.Mum6ing ..`�' .�-�^f�����.................................................. Fireplace ...... ��x------------Approximate Cox/..^.���� ----_________. Definitive Plan Approved by Planning Board ----------_-__-'lQ--_-. An»o -'��!Y������ 'S'y ' - 'i�' - --- Diagram of Lot and Building with Dimensions Fee ...........l.Z__________ SUBJECT TO APPROVAL OF BOARD Of HEALTH . ` /\ \ � ' ^lA � ^ ` . . ` | hereby agree to conform to all the Rules and � construction. 7 1 ' No .l����.���. ^----.. � ~ ' Wilds, Joan A=1�8-8-9 No213E8....... Permit for ....... ing..e..family. ...........dwe•1.1 ing................................................. Location .Lot.•#18••••77•••Car•rie••lee•'•s-Way ....................Gentery i.1.1•e.................................. Owner .....Joan.-Wilds.-.................................... Type of Construction ... ......Wd....................... . ................................. ............................................. Plot ............... .... . Lot ................................ Permit Granted ..June.....19................19 79 Date of Inspectio .............................19 Date Completed ........ ............................19 PERMIT REFUSED ........... ............................................. 19 .......... ........ ..... ..................... ....... .......... ............. ..... ............................... ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... P 29 -7 1 REVISIONS: - -- TEST PIT DA TA DATE O!F TES I _ PERC. TEST/ DATA : SEPTI C TANK DETAIL : sIzE- _�000 � DIST. BOX DETAIL LEACHING F4CILITY DETAIL �DA T ES r BY: ri-Lv� t= N-��w 4 LZ +-P - -- I / <3 � TO CONFORM TO TITLE 5 REOU/REMENTS T. P. DATE OF TESTING � �_ TANK TO CONFORM TO TITLE S REQUIREMENTS. W/TNESSEDBY: T" _�A�,ob► _ �— Tp* ► T�'#2 - rEsr er- --R_-MAlCi- t I-�•w►cz_, P - NO. OF ----v-- -- I Q i✓1 i c��=1. } / N ED BY Acot t 1� �,. ,�L' .�,., a,. .r. .� W T ESS - -�--'_ ----- �� �� i. !� ria 3Y� r / � � _. --- =� \� REMOVEABLE COVER � �i 1' q 1. I O /2 MANHOLE BROUGHT TO _ r •.„ r' ... °, FINISH GRADE. a . .. 2„PE T /2M 4JlJ 9n1L 7-FP#9 3 CLEAR 3 CLEAR• ,.` OA�� ,LOAM • • • T T- a ..' - - --- - - - --- -- --- ---- ----- --- - ,+ • r I:• OUTLET PIPES --- { M d F/LL AX 6"MIN. 2' M/N 6"M/N ° 1 AS REQUIRED ! • - :'• DEPTH OF TEST: — II —�--� ---- - - � /NLET RATE' ? MCI - +`tG -- - -- lO"M/N ' �� ��� �\ \ ` / -- -- --- - - - - - -- -- - - - +- - - - - INLET TEE OUTLET TEE I BOX-- �� -- ° - r I�_r _ ! r -- , 4 C./. /000- GAL. ! a I /� INLET AND OUTLET 4'0" MIN/MUM OUTLET TEE DEPTH ! TEES TO BE CAST L IOUID DEPTH ; /4"AT L/OUID DEPTH OF 4' :, 2 SEPTIC TA M P /9" 5, o w PRECAST P/ - - - - � /'" CONCRETE - } - - - - - -- --- TEST IRON, SCHED. 40 ONSTRUCTI /O` -- -- --- 6 / •M/ DEPTH OF ' 24" 6' o'. . .. o . ,, c oN PLACE CONCRETE CONCRETE , M/N• h i • ' i - RATE' - ^ 34"" " " B' BOTTOM ON LEVEL STABLEBASE G ! I - - I - - - - ST U N f __ __- I --- --- r (WATERY/GH % _ -� - - — WT 9 T 5 f IL �sc �S INLET TEE PROVIDED WHERE SLOPE i FOUNDAT/ON U AY�p •' ► .' OF INLET PIPE EXCEEDS 0.OB % OR I j Rt_C Ui -._- —• 1 ---_ TANK TO BEABLF TO W/THSTAND ------------- -- IN A PUMPED SYSTEM. -- -- �,� //�' WASHED STONE /pI ��R �� � BOTTOM OF TANK ON LEVEL STABLE BASE H-IOLOAD/NG UNLESSUNDER 20 MIN _ - - I 1 I PAVEMENT OR IN DRIVE.H-20 I ING UNDER PAVEMENT OR DRI E Ii /L' I UCa A��.� 1 RECOMMENDED MANUFACTURER _ - RECOMMENDED MANUFACTURER._ I OR APPROVED EOUAL ) R APPROVED I ( ( O EQUAL J NOTES : PLAN VIEW : INVERT ELEVA TIONS: /. THIS PLAN IS FOR THE DESIGN AND CONSTRUCT/ON OF THE SEWAGE r DISPOSAL FACILITY ONLY. SCALE : / - -n INV AT BUILDING _ 1.0 5.95 2. ALL CONSTRUCTION METHODS AND MATERIALS SHALL CONFORM TO /NV. AT SEPTIC rANK(/N) 0 MASS. D.E.Q.E. TITLE 5 AND THE 8A�S�"_A�B�_-_E_ BOARD OF -HEALTH REGULATIONS. IN V. AT SEPTIC TANK(OUT) _i 5_, _ — � � �� iry fwlc: i " Ha.3iyo?�3 ; } �1t_?J��..E-lv7 f{CSlL.'P:.nc'E.S SE.1ZvtCEf.� /� T 7:'�vly P. P R I O R TQ T H E /�R.T 0 A►J`( C01Jr"T° V,..JCT 1 0 N , "•1- F— I c)O P T L l i,� I ? o e .,F ve. � A >r.o �,.,/F-1-LA S�A�L. �t. F�..,�.3ca�r: INV. ATD/ST BOX(/N) _ 1o5•g4 ' - ,� x � ,; F R M THE DGIL j T W 17 INV. AT D/ST. BOX(OIUT) 0 5 Z7 f � A T L EACHING FACIL I TY: I o 5• AT BOTTOM OFPIT. I o I , 50 BOSTON, MASS. WORCESTER, MASS. HALIFAX, MASS. NORWELL, MASS. BEDFORD, MASS. LEXINGTON, MASS. 1 HYANNIS, MASS. MANSFIELD, MASS. CRANSTON, R.I. DERRY, N.H. C7 1 R E.j E v 1 1'S to F-L 17 O, I TC S �f S/GN DA TA 1 • 92 �^9\ DESIGN FLOW: PD - \ REQUIRED SEPTIC TANK x 150 - -- = 4 J 5 GAL. \ t \ SEPTIC TANK PROVIDED = 10o0— GAL CAPE COD SURVEY � ` - CONSULTANTS REQUIRED SIZE LEACHING FACILITY X 56 ;� I P O BO 3Q ��'� - ---- HYANNIS, MASS. 02601 617 775 -7155 DIVISION OF BOSTON SURVEY CONSULTANTS INC. N \ ` ' k ��G ` \ ,,• ___� �` - SIZE OF LEACHING FACILITY PROVIDED: ENGINEERING • SURVEYING • PLANNING to Tq-- Ile \ 0 \ '' ,,, -�...� _ �- TYPE OF SYSTEM: 41 PiT wj3 ' 5ic,>-m TITLE 6� SEWAGE DISPOSAL SYSTEM :. DESIGN / ; I •` � G � 'k � `['' �,, �%- r� ,���� N t=-f`tt �����tLLE `��K*a��',t�.t5�.�.j MA . , �. .. LOCUS PLAN Aklk FOR L „r� S s - - LEZ$ w lb NfC �� SCALE: AS SHOWN � b METERS - t ,tdGF, -.` -� cA FEET 0 447 >= L t1 �.�9 �Y DATE: 3 TALI . +t YDFt a ►., �- ' - -.. 1 ��'C 4 �� ¢� z o 1.-.I I` K C +F COMP./DESIGN: �. F M - �<.;�:�+, P. CHECK. crrci ' THE' S r-R2.c✓C.7'—C.>Q•� .�>r•�a s,,.a N.I ��►� DA T U/Y/ : b•`�S E.�M F_L DRAWN: '4 v ' /►> �- 1 ;1vA7 F <�a�� r c>AJ T`��' �Aeof.)a. L;t FIELD: WA �, n FILE NO: i� z 9-�4 /` DWG. NO: o Q JOB NO: 12-7 3 �-.�f i�:_ r f.:r_�/=t�::�/_^,�.,!r'�L. r•••�`1'�-3L:: , '. 1k;.�,1;.. t r.._=y SHEET: 1 OF: I