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B-19-3644 Applicant Name: Approvals Date Issued: 10J30J2019 Current Use: Structure Permit Type: Building `Smoke Detector-Fire Alarm Dection Expiration Date: 04/30/2020 Foundation: System Map/Lot: 172-140 Zoning District: RC Sheathing: Location: 33 CEDRIC ROAD,CENTERVILLE Contractor yName - WILLIAM M MASSEY Framing: 1 Owner on Record: GOLDSMITH,JAMES ET AL TRS Contractor License; 28400 2 Address: 830 NORTH ATLANTIC AVENUE B905 5 Est Project Cost: $0.00 Chimney: COCOA BEACH, FL 32931 Permit Fee: $35.00 i= = Insulation: Description: Adding(1)Smoke detector Fee Paid. $35.00 WA Project Review Req: Fire approved per Mike Grossman Dated 10/30/2019 mal. 4 q Plumbing/Gas r -Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application'andtheiapproved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zomng'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 publi6insped—J6 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 byathe Building and Firei®fficials areaprovidedion this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing ^ Rou 2.Sheathing Inspection g 2 h: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 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). F Building plans are to be available on site Fire Department Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT �ZNE O Application Number.............................�............................ BUILDING DEP E , sARNB!'ABLE, • PIP MASS. $ Permit Fee..............................:.........Other Fee,......................... 6 39. OCT 2 9 2019 T®VV w vr- u'-.a-ti 01 ABLE Total Fee Paid........................................ .. ................. OWN OF BARNSTABLE Permit Approval by.. ... ..............on...:Q.................�(. BUILDING PERMIT Map............... .....................Parcel............... ......................... APPLICATION Section 1 — Owner's Information and Project Location Project-Address c VillTe T l�,o Owners Nam G Owners Legal Address Stater. Zi U p� Owners Cell# E-mail Section 2 —Use of Structure Use Group Commercial Structure over 35,000 cubic feet El Commercial Structure under 35,000 cubic feet ❑ Single/Two Family Dwelling Section 3 — Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/ entire structure) ) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment © Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify r SeCtiQn 4�Wor____.,,k Description Tact nnrlaterl- 11/i inn1 R Application Number.................................................... Section 5—Detail Cost of Proposed Construction Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total# Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage # of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes No '` Last updated: 11/15/2018 Application Number............................................ Section 9=--Constr-uction-Su-per_vis__o��: Name &1A LIL64(,'All Telephone Number Z 2 Address l / City v State�r Zip ar,(/S License Number License Type Expiration.Date Contractors Email Cell # I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date Section 10—Home Improvement Contractor Name Telephone Number Address City State Zip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date AtPPLICANT SIGNATURE1 G Sig _g urea Date e PriYt� NumJ-e )-t-1_16&� Sj� Tglopfi n,o Nuumber E=mail permit-to: G l P c /r Chi Last updated: 11/15/2018 Section 12 —Department Sign-Offs Health Department U Zoning Board(if required) Historic District� ❑ Site Plan Review(if required) ❑ Fire Department Conservation ❑ { For commercial work,please take your plans directly to the fire department for approval, Section 13 Owner's Authorization i I, , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date Print Name r 3 * • Last updated: 11/15/2018 1 , 4! I } #.r} e r I a z Ij I f (3U/t . 77 I TI Vn rRARNSTABIL d_ E v!c ftlLDING D t CtF'C. [ATE FIRE D€t�ARTMEfv l-DATE _.. \ OM SIGNATURES ARE REQU IRED FOR _ PERMITTING N j,: ' P 14 7, SMOKE DETECTORS O.K. k NST-ABLE FT BUILDING DE . ------ _.__.._...._.. .__._. _ I � r� s I r 1 i i t Z 1 Y r 3 ' . 7 i r j The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbelrs Applicant Information Please Print L 'b N4 . an3�e-(Buusiness/Organinfimindividual): C -Z� kL .Add dress! . C City/State/Zip: Phone#: Are you an employer?Cbeck the appropriate box: Type of project(required): 1.❑ I am a employer with 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- . listed on the attached sheet. 7• ❑Remodeling ship and have no employees Thesesub-contractors have 8. Demolition working for mein any capacity.acitY• employees and have workers' 9. El Building addition [No workers'comp.ms+mnce comp.insurance.: required.] 5. El We are a corporation and its 10.El Electrical repairs or additions 0❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t C. 152,§1(4),and we have no employees.[No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below 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. #Contractors 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. r I am an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy and job site ' information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip. Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL 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 f insurance coverage verification. I do hereby c n alndpenahUy of perjury that the information provided above is true and correct: Si�afore. .� Date: r Phone#: Official use only. Do not write this area,to be completed by city or town q�`iciai 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# r Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing'agency shall withhold the issuance or renewal of a Iicease or permit to operate a business or to construct build_. in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public-work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be retuned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts ; Department of Industrial Accidents Q ce of Investigat iaas 600 Washington Street Boston,MA 021.11 - Tel.#617-727-4900 ext 406 or 1-877-MASSAM Revised 4-24-07 Fax#617-727-7749 WWWv mam.gov/dia ' cz- V C-11�� 9,4 � C TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION V Map Parcel ! _•, Permit# r 4 /i -4"7 c1 m4k . ('f ���� �! Health Division LW .e q3 11yl D-ate Issued �Q �� 03 Conservation Division 06,pp'cationFee Tax Collector d f Permit Fee 2 to b. (n 5_ _ Treasurer w-_�EPTIO SYSTEM MUST BE Planning Dept. INSTALLED IN COMPLIANCE Date Definitive Plan Approved by Planning Board WITH TITLE 5 � ENVIRONMENTAL CODE. Historic-OKH Preservation/Hyannis TOWN REGULATION'S Project Street Address 3 A C E d k I C g® o CJ Village C e d'/ i A-V%�' I L L MA. 2 30 Owner t) Al CS G aA d SAIJ T/� Address 02 C&I Aj6 Ari Telephone Fa S 7 �7S -• 12-1 46 Permit Request rN TC dQ0 k fl ,-Ctio vr�T)CIVS 51le i� T 6?0G(; I111Jt1,4e%IO I DQGL\4 7' Iv el w !` c!f�r� /=Gt �-r 1=/7 w of)'y 6#1�lv6f l.v S/z 1� ��=Bvl�diti6 �� 6etTlolti Square feet: 1 st floor: existing proposed 0 2nd floor:existing b proposed O Total new Zoning Districts Flood Plain Groundwater Overlay Project Valuation Construction Type, W 0 0 Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family U/ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: mull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing y new Number of Bedrooms: existing new 0 Total Room Count(not including baths): existing new ® First Floor Room Count Heat Type and Fuel: ®"Gas ❑Oil ❑ Electric ❑Other Central Air: 0"Yes ❑No ' Fireplaces: Existing /V__ New Existing wood/coal stove: ❑Yes ❑No Detached garage: �❑/existing El new size Pool: O existing ❑new size Barn:❑existing ❑new size Attached garage: xisting ❑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 BUILDER INFORMATION -7� - Name �#�' )-CC/V S- -A 9 7cA_ f f 0 N Telephone Number 1� � P / G Address �Z yv W/ License'# 0 7 49 �; - _ lJ LSUV 1 /� I?id'VI S r✓lam Q.Z Home Improvement Contractor# �� �l '7 Worker's Compensation# cfa7l02 c) Y03 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO t1/LI 0 CS (� G Ili GA f/ 77- � SIGNATURE DATE 65) A2 3 e I FOR OFFICIAL USE ONLY PERI4IT NO. DATE ISSUED MAP/PARCEL NO. SS ADDRE VILLAGE 1 - OWNER DATE OF INSPECTION: - FOUNDATION/ FRAME C . 1 b- U -" INSULATION 1� FIREPLACE ELECTRICAL: ROUGH FINAL } PLUMBING: ROUGH FINAL GAS: ROUGH) FINAL FINAL BUILDING O Q DATE CLOSED OUT ASSOCIATION PLAN NO'.- : : ` F THE Tp� Town of Barnstable ti Regulatory Services 9 i E'$ Thomas F.Geiler,Director i619• ATE1639�a Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Y Property Owner Must Complete and Sign This Section If Using A Builder I, Tamp-, CAI rjcm;rh , as Owner of the subject property hereby authorize Whalen Restoration Services to act on my behalf, in all matters relative to work authorized by this building permit application for: 32 Cedric Road, Centerville, MA'02632 (Address of job) x a Y Signaire of Owner Date , James Goldsmith Print Name t i t QTORMS:OWNERPERMI4SION ,. ; `—�--_ The Commonwealth of Massachusetts Department of Industrial Accidents Office 0110il 91811008 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name, x m ry, ,-�- location- city a7 _I�V G f`� phone H l j F y ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any capacity 4.1-am an employer providing workers'compensation for my employees working on this job. compan.y-name:. t JY 11 cst(1 �l'1C r Lila ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who ha,:: the following workers'compensation polices: 0,1 addi�bss: ' Aid Rhone h itisnrsieee�fo p�Y�. 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 SI.500.00 andior one years'imprisonment as well as civil penalties in the form ors,STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a COPY of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penal of perjury that the information provided above is true and correm Signature Date 6 43l-3 :Pont name Phone# 3 760-9/f Ccheck nly do not write in this area to be completed by city or town official permft/licknse N Building Department - (]Licensing Board mediate response is required QSeleetmen's Office(]Health Department n: phone N; 00ther (revised V95 PJA) Information and Instructions I Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire,express or implied, oral or written. An employer is defined as an individual, partnership, association,corporation or other legal entity, or any two or more o: the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual, partnership, association or other legal entity,employing employees..However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct.buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. f Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter hav been presented to the contracting authority. Applicants Please fill in the workers compensation affidavit completely, by checking the box that applies to your situation and supplying company names,address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or lit:ense is being requested, not the Department of Industrial Accidents. Should--you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pleas be sure to fill in the permit(license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you c operation and should you have any questions.. please do not hesitate to give us a call. The Department's address, telenhcne and fax:1USI! : ::i __r..._ ..__.. f.. . . .. .. ___... .. The 1)cP artn--.e.it -tdusic.k! office of Inuesdoatiolls 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 I ACGRD,. CERTIFICATE .OF LIABILITY INSURANCE j 04/17j03 � "oL R T.15 CERTIFICATE 15 iSSUE'0 AS A MA i f ER OF INFORMATION � " ftorors & Gray Inn.Agency,!nc ONLY AND CONFERS NO FI(3-iTS UPON THE CERTIFICATE y 434 RoLrt;) 134 HOLDER.THI3 CERTIFICATE DOE$NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.C. Box 1601 South Donnie,WA 02680-1601 INSURERS AFFORDING COVERAGE NAIC n II.'svR_-� msvwHA: Arbeila Protectlon Co Whalen Ra3'orailCn Sorvlcoo Inc ;;..; _ ArWila Mutu:.l Insurance Company 22 American Way South Dannla,MA 02660 - IN5•JF;R C. P. COVERAGES E POL:OIES OF iP1S R vC=LISTED Bc!CW h:, ;E t.EcNi!SSUEDTO TIE I,NSUFElD,N',tiMED,A30Y_FOFTHEE FCLICf PERICD iNDiCA7ED.PI07J1;IThSTANIDING :�"Y R=QU'in= '"T,T°='lA OR CONDITION'CF tihlY GOi;"'n=, :OR GTri�F DOCL'tt�'T VrITH FESPE 'TO Y,;;iC�i TH15 CERTIFiCP.7E 1.^wl'9E ISSUED CA M14Y PEaTAIN,THE INS'UIPANCE AFFORDED BY THE POUCIES DcSCRIECDI ERELIi IS SUBJECT TO ALL THETERVS,EiC'_USIOIvS i'NDCONDITIONS OF SUCH PO'JC!ES.ACCRc..�.7E UPd17S SHG7iiJ�4;,`i..-i�VE 3c V�_vU�ED�f Pi,IJ CL:,IMS. TYPE PO �e+mn r�E POUT'EXF'1A.AT',G�'I _ •!MiD�M9 ' JMIT> A -,11Z,-.L'-!A=ILITY 04 04,01,'04 REn:: ii 00um =:t.TY 410000_0 _ - 117Xt N«E w F5.000 I ~ I .. I FEK50.N!;'_:5:/-•.i,N•:IFY G ~" _r E2,000 A - - 'UTONQBi'_--LIASIL:TY' 7491740G001 09,25i02 09 25;03 T I ' -I h — s T Cn c EXCE5S,vY,aR �._;.,J!_.rY I46G002fo8p 04!01C3 I04;'01,,04 A� � _I`i,000 0 I— px �R r' 10000 F , 3 WOR.<ERSCCn+PI 3ATCNi J.D I9091320403 0401,03. 04,01,,'04 \TAnI T,I' '�.I 1'T^ ..D =.uPLCYnac LJ::�uTY NY :iE [bQ0,000 .-, c-••sr'�,e,-a. -�.U' _I�,+=_ YC= 55001000 , i' 1.�=.SCPtP TIO.;CF OF T,ON5:LCCATir,N°.;'•Jc,:i::LE SF^.i!'.XC..USICE;S ADDED 9 E•?_GAL PROY!SONS _ ' 'aX J50&/7Br9Q95 . z ;.;ERTiFICATE HOLDER CAN4CELLATION §r' •'+� _ - " SHOULD ANY OFT�:E ASO/E--SCRIEEC POLICES BE CANCELLtU BEFCRE [HE EXPO ATION CATS THERE OF.T•-,E I9S'JINCIN3URER`.YI'_L ENDEAVOR TO MAIL _10 'DA'f9N'RIT7HN NO'i��E 70 THE C'cnTIFICA c HCLDcR.NAMED TO'nE LE{=T,.riL'T=AIL W'1E TO DO C0 81'.A'_L IMPOSE NO 03'_GAP.CN 0.LIA-.I_iTY OF ANY (iNG UPC, • C THE INSURER,ITS AGENTS OR= _ I j * L(EPR"&5NTdTiVcS_ '. a - A!JTl,c-1 ED AEFR"c ScNTki Vi_ - r lCORD 25(2G91rrl 1 of 2, •6,016 $BM 0 ACORD CORPORATION 19E8 Tso CMR Appwdiix J r Table J52Ib(continued) prescriptive psdages[or Una sad Two-Fssaity Rssidtatisl EuildLnp$esttd with Feud Fuels M MINIMUM MAXIMUM Wall Floor Hssemect Slab •Heacing/Cmting Gla ing Glazing Gelling ew Equipment F1liciency' Area'(Y.) U-vaiu J pw4due, R-value' R-valua! R valu s )R�=l 7R� 5701 to 6500 He:tiag Degrre DNonaial 30 l9 19 1012% 0.40 38 13 19 10 6 10 6 Normal 12% 0.52 685 AFUE 12% 0.50 38 13 19 N/A Normal T 15% 0.36 38 13 � N/A 6 Normal U 15% OAS _ 38 ` 19 19 10 N/A 85 AFUE V 15% 0.44 38 13 ZS N/A 6 85 AFUE jy 15% 0.52 30 19 19 10 NIA Nacmal X 18% 0.32 38 13 25 N/A N/A Normal y 18% 0.42 38 19 25 N/A 6 90 AFUE Z 18Y. 0.4Z 38 13 19 10 6 90 AFUE AA I8•/. 0.50 ]0 19 14 IO 3 � G 1. ADDRESS OF PROPERTY: ef � 2, SQUAR E FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(93 DIVIDED BY#2): l(, S. SELECT PACKAGE(Q=-AA-see chart above): DLO NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION- , BUILDING INSPECTOR APPROVAL: YES: NO: g4oMs-080303a 780 CMR Appendix J Footnotes to Table A2.Ib: lass doors, skylights, and ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-g basement windows if located in walls that enclose conditioned space, but excluding opaque doors)to the gross wall area, expressed as a percentage. Up to 1%.of the total glazing area may be excluded from the U-value requirement. For example, 3 fl of decorative glass may be excluded from a building design with 300 ft of glazing area. 1 After January 1, I999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table 11.5.3a. U-values are'for whole units:center-of-glass U-values cannot be used. 3 The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation•thickness over the exterior walls without compression, R 30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing(if used). Do not include exterior siding, structural sheathing, and interior drywall. For example, an R 19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R 6 insulating sheathing. Wall requirements apply to wood frame or mass(concrete,masonry, log)wall constructions,but do not apply to metal-frame construction. The floor requirements apply to floors over unconditioned spaces (such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. ' The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade .walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement d*scribed in Note b. rue requirements are.for unheated slabs.Add an additional R-Z for heated,slabs. The R vaQ • ' If the building utilizes elettric resistance heating use compliance approach 31.4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest teed the efficiency . efficiency must meet or ex ent_ Y required by the selected package.Q 'For Heating Degree Day requirements of the closest city or town see-Table J5.2.1a NOTES: a) Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. a must have a U-value no greater than 0,35. Door U-values must be tested b Opaque a ue doors in the building envelop and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall, floor,basement wall,slab-edge, or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the Rvalue requirement for that component. Glazing or door components comply if the area-weighted average U- . value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors) I k �a ZOo�m�uynu�eaLl �o�✓uaaaac4ivaella OF�BUILDINGlR�Gl1LATIONS t I t �(cense h CQNSTkRUCTI'.ON"SUPERUISOR� �) t. NumberrCS�f ' �074928 `i r ' �8/10/19�'JoR #t -� �;'"s; ;Expl�e�'` 0�,1A/2044 :• Tr`no r 261 d 1 ` �FResvlcteoo r, f WILLIAM g ` 122ROND;tSTREETt r { BREWS l,ER1�MAi 02631 Administrator 777r7 4_ e,..w..-fanw.xe,....,..,._ _. P r ROE, ..•.. . Y I� Y + ': Board+of Bulldln;Regnlatrons and Standardsy f` 4HOM7E I�PRO�l EMENT CONTRACTOR } } yy Regttlo A29244 EzplraUph r0,/30/2003 ' "y• k F ,'n}Ij ypB PnvatejCorporatjon ' \ 1" j Whalen Restoratro tServtc¢esncl , '.tr ,; es lA w } ! %William WhaleniVo� / ; I 110 Breeds HiIRR azt a, 4� •�Hyannts3'N1A�02601� �, , ',;Administrator 1�;�} Town of Barnstable Regulatory Services _ snaxsrws , ' Thomas F.Geiler,Director ass. 9�pT16 Mai A � Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME ima ROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. / 1 � Type.of Work: d-tdl Re&121-JL"ns 6r, T��4n" estimated Cost�C,O� Address of Work: -02 41r,e nJ SM: M Ile- Owner's Name: ),,,Y_rye-S rv% Date of Application: i 3 Co 3 I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑lob Under$1,000 []Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IlYIPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c, 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: kJ1'2_?6,v,33 Gyi an, GJ�IW oZ �- Contractor Name Registration No; :-.,, Date• }x , OR i T, .e Owner's Name + r RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 (p 5 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF FMSTING SPACE square LL feet x$64/sq.foot= 6 �h x.0031= 0 l/ plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.1� , >120 sf-500 sf $35.00 >500 sf-750 sf 0.00 75.00 >750 sf- 1000 sf >1000 sf-1500 sf 100.00 >1500 sf-Same as new building per x.0031= square feet x$96/sq.foot= STAND ALONE PERMITS x$30.00= Open Porch " (number) x$30.00 Deck (number) Fireplace/Chimney _x$25.00= - (number) Inground Swimming Pool $60.00 n Pool $25.00 Above Ground Swimming �Relocation/Moving $150.0Q — (plus above if applicable) permit Fee D ; i G L_J Aso p p i yy}gyp'6� IA A.s� `I'qia 'W' c. ft'pr'-Y.• } SMOKE DETECTORS O.K. . . N�BLEUILDING D T. f - i S 7 ily. ev Ji its, r r Assessor's offioe (1st floor): %/ _ E TH Assessor's map and lot number ; ... .��..:.:.......... Q.... Board of Health (3rd floor): < Sewage Permit number .. ' Z 33AHd9TSDLE. i Engineering department (3rd floor): $' rasa p NAM Hous1639, enu: '�er ............................ ..:...................................... oYAYa-a APPLICATi PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR w APPLICATION FOR PERMIT TO ............../? .......5.i .�?........�? ................. TYPE OF CONSTRUCTION ................. d.a.Tn).Q.........F24.A.'1. -....................................................................... i . ...........................19. . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...........t2-;/...�..0.........C. .fY! .C.......�?P/7................Q .tTi. .. °.....f....f!f!:Qb.r............................................ ProposedUse ................ n....................................................................................................................... FireDistrict .............................................................................. Nameof Owner ........(... a.�.. ........Address .................................................................................... Nameof Builder ..........5-a..w!.R'..-......................................Address .................................................................................... Nameof Architect '..................................................................Address .................................................................................... Number of Rooms ...............-5..............................................Foundation ...............&P77 ........................ .... Exlerior 1!0.............��a�q.bQ .. ........Roofing ...................&P......6, ................................. Floors .« .........................................................Interior F�ti ; ..e. .:.-....... ................ ....................... . . Heating ...........:;�.4..�../.!P.!.�'...................................................Plumbing .........r�.....13!% .f ................................................. Firepp �,.. e� :.................................Approximate Cost ............. d. ODG9 lace ............�.P...1.�............. 9...................................... Definitive Plan Approved by Planning Board c _--_-__ •" ----------------19-------- • Area .. Diagram of Lot and Building with Dimensions Fee ............................................. a SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS 1 hereby,,,agree to conform to all the Rules and Regulations of the Town of'Barnstable regarding the above construction. Name ... L... .... ........ Construction Supervisor's License ...... 6 S.:I............... GOLDSMITH, JAMES C. A=172-140 ' " 29944 Build Dwelli No ................. Permit for ............................. ... Sin Family DWellin ...... .. Location ....Lo0,,: '::.3,..Cedric ad....... ...................Ce,Atery,ille.................................... i Owner ....James C. Goldsmith...................... Type of Construction .....k:X=g........................... ' ............................................................................... • a. Plot .........:.................. Lot ................................ Permit Granted .., September 22, 19 86 Date of Inspection ....................................19 / Date"Completed 19 �2 °� _ yoirwero♦ TOWN OF BARNSTABLE Permit No. ....9.944.. ... . .. . BUILDING DEPARTMENT{ B"�°' TOWN OFFICE BUILDING Cash °�o uv►� HYANNIS,MASS.02601 Bond ..........t6 8� CERTIFICATE OF USE AND OCCUPANCY Issued to JAMES C. GOLDSMITH Address lot #20 33 Cedric Road, Centerville USE GROUP FIRE GRADING OCCUPANCY LOAD 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. Jul 1? 87 i -�� '- '�' .. ............3'............... 19................. , Building Inspector I ��.,� °• TOWN OF BARNSTABLE BUILDING DEPARTMENT _ »1 L _ TOWN OFFICE BUILDING HYANNIS, MASS. 02601 Y1 MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized by BuildingPermit $k.... TM....................................................................... ........................................................_.„..... issued to `�Z.. ...... /_ O.,,Shr...'....'...��.:........ ....� J..��. i�i C..... 7" Please release the performance bond. BAIL DINSTOWN OF BARNSTABLE, MASSACHUSETTS . - PERMIT DATE 19 PERMIT NO. r_ � sZ ��f -- -- — -— — — APFLICANT_'V�N.'L� �� ADDRESS - • (NO.) (STREET) (CONTR'S LICENSE) PERMIT TO ( ) STORY NUMBER OF - DWELLING UNITS _ (TYPE OF IMPROVEMENT) N0. (PROPOSED USE) /� AT (LOCATION) _ O ,`�L 2 NIR CT (NO.) (STREET) BETWEEN AND _ (CROSS STREET) (CROSS STREET) LOT SUBDIVISION _LOT____BLOCK _ -SIZE _— BUILDING IS TO BE .FT. WIDE BY FT. LONG BY _FT, IN HEIGHT AND SHALL CONFORM, IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION ��\/'�/JJ ;TYPE) REMARKS: - flea AREA OR PERMIT QQ.� VOLUME ESTIMATED COST $ FEE . .p (CUBIC/SQUARE FEET) OWNER BUILDING DEPT. ADDRESS BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR ® PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED - FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST B-E RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL INSPECTION TI TO LATHE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 3 s HEATI G INSPECTION APPROVALS ENGINEERING DEPARTMENT orl-— OTHER BOARD OF HEALTH WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT 'W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK 15 NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. PERMIT iS ISSUED AS NOTED ABOVE. NOTIFICATION. '�r �7 Lam► l d Q V vd-D �• 1977 co I i 4 - !'lfNaAll�t1�1445°° ° "AS BUILT" PLOT PLAN TO THE BEST OF MY INFORMATION, ��e�✓s�.9r ,'MASS. KNOWLEDGE, AND BELIEF THE SHOWN ON THIS PLAN HAS BEEN if re T°E6D ON THE R O EARNANc , GROUND AS IND'I ATFE<D;N, y 35 ROUTE 134, UNIT 2 "( w. SOUTH DENNIS, MASS. 02660 DATE. SCALE: ``0 JOB NO. f r ,fi _ CLIENT: DATE REGISTER'Eb AND SURVEYOR DR. BY: SHEET OF 1 June 20 , 1986 Mr . and Mrs . James C . Goldsmith 32 Highbank Road Dennis , Mass . Mr, Henry C . Farnham Vice President Cape Cod Bank and Trust Co . 307 Main Street Hyannis , Mass . Re : Lot 20 , Cedric Road, Centerville , Mass . , as shown on plan filed in Barnstable Deeds in Plan, Book 257 Page 94 This lot contains 15 , 200 square feet , and abuts two other lots (Lots 21 and 22) which were purchased and held in common ownership by Mr. and Mrs . Jackie L. Bradford since 1975 . Even though the town has up-zoned this area to acre zoning in February, 1985 , if my office is furnished with the necessary application for building permit , and the site and septic plan is approved by the Barnstable Board of Health , my office will issue a foundation and building permit for this property , since it continues to be protected by Mass . Gen . Laws . Ch . 40A, Sec . 6 . Very truly yours , 7es.eph/Daliuz' Building :Commissioner Town of. Barnstable r PA N` Assessor,'s omae (and f lot number �../....��..'.'..�7`•.a.... C '�SEPTIC SYSTEM P STALLED IN CO Board of Health (3rd floor): / /�., WITH TITL Sewage Pdrmit number .✓ ......................... CS/.K--,/ t S ENVIRONMENTAL ��� Engineering Department (3rd floor): ® e39 ' House number �.. ..�.—�......`....�............. TOWN �EG�LA�i l'-.'�TEep�PY a`e� ...................... APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only` TOWN 'OF BARNSTABLE BUILDING ' 1LNSPECTOR /Qf APPLICATION FOR PERMIT TO ............:.v ..'�-�-C.............S.!k�.��........ .`.... ........ 0.. ....................... TYPE OF CONSTRUCTION .................G�9RA........ ..................................................................... 7 .7..........................19.Y.G TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location I—Vt..9.v..........�e A.7.!a.0......20/77..............4.�k e-t.�?7.�.......... ( .... ........................................... Proposed Use ................ ...'.?si.I?..�:��: -.................................................. ...... ............................................................ Zoning District ........................................................Fire District r Name of Owner .. ..... ...J����1�11e1.4.1'.! ..:......Address .................................................................................... Nameof Builder ........... ......................................Address .................................................................................... ► o Nameof Architect ................ .................................................Address .................................................................................... Numberof Rooms ..............5..............................................Foundation Fq9.0............................................ Exterior ................ ...................c1gp...k.o o.......Roofing ..................ea.P...... ................................ Floors ............. CTi?.O.'.............................:.... .Interior .............. �kr.S.`!..Q°�.............. Heati'g I , ....................................Plumbing ....... ........f...'.............................................. Fireplace t�........... �Lr.................................Approximate Cost .............�1�.Qi..�Oth�...................................... ---Definitive.Plan Approved b Planning Board �------------------- ` PP Y 9 )9 AreatGP. ...... ..�"D". Diagram of Lot and Building with Dimensions Fee ...(Jl.! SUBJECT TO APPROVAL OF BOARD OF HEALTH 'r i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. } Name ..... .... .v...... 04, Construction Supervisor's License .......l7. 6.S.................. G0ILDMITB, JAMIES C. � 299/�. Build Dwelling ~ N�` -----. Permit for .................................... � ' Single family Dwelling ---^--------------------- , Lot #20 33 Ce6ric Doad Location ------�------`--------. ' Centerville -------------------------- ~_.~ ...Ju—mee —C— Q—nldam—itb--------- —— — -- —— Frame Type of Construction -------------- -------------------------- -~ /- Plot ............................. Lo� ----------'� . ` - - ' ���� 22 86 r r ---- '="�^' °"""'�" Date of Jnspectio 9 Date Completed/ . ` z ' / | ' . . .' . . � /» * , , Ln. pace { o° Locus ,D 8 4° SCH 40. PVC. CLEAN SAND s PIPE-V MIN• PITCH CONCRETE QO\�PER FT. COVERS c i 0 2% MIN OtP m 2-0 v LEVEL � N Z EL cL= �7•� � 4 EL=S(lP q EL-q(p EL-qCm 2 DIST. LOCATION MAP BOX ° 9 + PRECAST LEACHING v ° n EL- qO.2 LEGEND* BASIN OR EQUIV. EXISTING SPOT ELEVATION 00.0 - EXISTING CONTOUR - --00---- FINAL SPOT ELEVATION 00 FINAL CONTOUR' SOIL TEST LOCATION v� PROFILE OF BOTTOM OF, TEST HOLE EL = / TELEPHONE POt E DISPOSAL. SYSTEMADJUSTED GROUND WATER TABLE l / / } EL = HYDRANT 1 ,,qq., Y W NOT TO SCALE TOWN WATER W CATCH BASIN FRAME & COVER SHALL BE SET WITH MASONRY UNITS CLEAN SAND WHICH ARE TO BE MORTARED IN PLACE GENERAL NOTES: 2 LAYER OF' WASHED I. ALL WORKMANSHIP AND MATERIALS SHALL 1/g - 1/2 + CONFORM TO D. jQI.,E-. TITLE 5 AND THE + STONE TOWN OF RULES B+ REGULATIONS + ° ° FOR THE SUBSURFACE DISPOSAL OF SEWAGE I ?_.ALL COVERS TO SANITARY UNITS SHALL BE 4 I� + On O. ° BROUGHT TO WITHIN 12 OF FINISHED GRADE _ +L ° ° ' 3/4% 1 1/2!, &EXISTING AND 'FINAL GRADES SHALL REMAIN + WASHED STONE ESSENTIALLY THE SAME I . 4.NO DETERMINATION HAS BEEN MADE BY THIS f + 4 ww a OFFICE AS TO .COMPLIANCE WITH TOWN I tto PRECAST LEACHING w. ZONING REGULATIONS. OWNER/APPLICANT IS w ° BASIN OR EQUIV TO, OBTAIN SUCH DETERMINATION FROM d c c APPROPRIATE ,AUTHORITY. ° Y IF IT IS STAMPED 1VERS - 5.THIS PLAN IS ,VALID ONLY I , AN SIGNED IN ED. 'THIS OFFIC ASSUMES D I. R E. EW 3 �3 NO RESPONSIBILITY FOR INFORMATION CONTAINED .c ON COPIES WHICH DO NOT HAVE ORIGINAL :SHALL tZ STAMPS AND SIGNATURES COVERSn6n a AlA+ i onnlFNTs OF THE SANITARY SYSTEM B I .: L COVERS TO SANITARY UNITS SHALL BE a i o 2.AL BROUGHT TO WITHIN 12 OF FINISHED GRADE 3.EXISTING AND FINAL GRADES SHALL REMAIN 3/4!'- 1 I/2�, ESSENTIALLY THE SAME IL WASHED STONE >x, ° v 4.N0 DETERMINATION HAS BEEN MADE BY THIS. P n �I rr G OFFICE AS TO .COMPLIANCE WITH TOWN c�a 4 ww PRECAST .LEACHING ZONING REGULATIONS. OWNER J APPLICANT IS Iw`0 BASIN OR EOUIV TO OBTAIN SUCH DETERMINATION FROM w APPROPRIATE AUTHORITY. 5.THIS PLAN IS VALID ONLY IF IT IS STAMPED , AND SIGNED IN RED. THIS OFFICE ASSUMES + 3 NO RESPONSIBILITY FOR INFORMATION .CONTAINED 3 ON COPIES WHICH DO NOT HAVE ORIGINAL STAMPS AND SIGNATURES OVERS -SHALL -� 6.ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITHSTANDING H-10 MASONRY UNITS 4 BE MQRTARED LOADING UNLESS THEY ARE UNDER OR WITHIN LEACHING PIT DETAIL 10 FT OF DRIVES OR PARKING AREAS. H-20 NOT TO SCALE LOADING SHALL BE USED UNDER OR WITHIN OUTLET --REMOVEABLE COVER 10 FT. OF DRIVES OR PARKING AREAS OUTLET PIPES y E REQUIRED OUTLET TEE AS e LIQUID DEPTH. TEE .DEPTH MIN. FRONT SETBACK — BELOW FLOW LINE °' :I MIN. REAR SETBACK 14 INCHES INLET �` OUTLET MIN: SIDE SETBACK — �. 4 FT. + .. 19'INCHES ' ` FLOW 5 FT —�Y ' �j S -LINE t �j 4 F7 MIN. 6 FT. 24 INCHES. ;, APPROVED° BOARD OF HEALTH I LIQUID.` 7 FT 29 INCHES n. (' 2+ fi 34INCHES AGENT ' 8 F.T. :. :d: DATE "+ DEPTHn:... ;ry INLET TEE PROVIDED PROJECT LOC TION 15.10.2. PER SECTION, (� C e�:r i G _ TITLE .5 Ce +erv)i l� rnah N0. OF OUTLETS APPLIC NT+ + `t VIEW DIST BOX DETAIL arrle� Id�ml+ ' DETAIL NOT TO SCALE 0 HEARIV, INC. Reg. Sanilarions' ` Reg. Land Surveyors BOX 237 35 RDUTE SOUTH UDENN/S, P MA• - LATIONS is f1•e14 _BR.) _.3/�0 GAL./DAY ITY wCaO GAL: a : . 1500 GAL.. - REVISIONS . 4L./S.F.' DATE' Ij Tr OF Mq SCALE:, } 1 Kr.c' -r r SIDEWAL _GAL.GAL. ss4Oa � y APPD. j6K ( RD DR,6Y' .. 40 RICrARD _ MES 71 0 -�.F-- ° �1 n� SHEET: �--.. JOB NO' y ONHEo.avaN yFGIST EPA d N LA . _II/6/65 ..... �1 t 1 4 E z IC rt R VIV Ca . LAN reapaped ?� 6aA ro p rq 3 N - FRAN BE E ... .. IN C - o I .E �ecK.' 8MIN, W' .. a I. INLET O MININ. Lli ".I . . ,t 3 - �ek _p � bG O 4. . Ile- 0 C ..... R05S SE( S, 2cx3 SEPTIC T/ NOT TO � t . :..._ _. l s v%q-.,c�., :....:..,, ::3,1`:E'3,-:r.ws-r'aa5w.'H:'a, 9uaa tiv>=;.+s,��.,x.+5::W.SC .. '•�.;+`".' 'Y4 —— - _ .. DESIGN CP le r -NUMBER Of BEDROOMS GARBAGE 'DISPOSAL UP TOTAL ESTIMATED' FL( (' 110_GAL/$R./DAl REQUIRED SEPTIC TANK ACTUAL SIZE OF SEPTIC LEACHING AREA REQUIRI SIDEWAIL AREA G . BOTTOM AREA LEACHING CAPACITY '(BC RESERVE LEACHING CAF TOP' OF SOIL.. TEST = tau20. F _ EL No, OBSERVATION HOLE }' OBSERVATION HOLE 2 OBSERVATION HOLE .3 COVERS IQ T. M.I N ppTE OF TES i Y2 26 Sfe. .". D.ATf OF TEST 5 2,�'8�o DATE' 'OF TES3;. f3Y WITNESSED BY WITNESSED BY' ..: YVL'CNE.SSE[f n CONCRETE PERG: RATS �� 'MINfINCH PERC. RATE MIN./INCH PERC. RATE MIN./tNCH i a. 4'CASE' IRON;(OR . . 2 eLEV. �_ ELEV. 99.E bm ELEV.=. EQUAL)/PIPEERIF. Z-12"MAX lcr{� azib: i jpe i . clop sUbsal t _ ,... .. .ems... . . PIT o 9fn'7 9? . q26":: w1.fcn - fro" L _.. Iron layer' cobbles 1 . ��,ta :: _ r.bled: 5a - q � Et. M N Tell ... . while sand hdi� aa�l rt clew y�uu EL ' rn WATER AT / EL. WATER AT N A EL WATER AT EL= 1500 GA! SEPTIC TAN K I SEW J. : . XofJ Ol' :ago Ljed 2 I of I V tl f It's ` , Q i PL R20$e�. `laezrzyrl� N ' FF i W1