Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0734 CRAIGVILLE BEACH ROAD
ttIell IIIII'T I IIIIinl- IIIIIIIIIIII93 IItIIiIIIIiIIIII TOWN OF BARNSTABLE BUILDING PERMIT.APPLICATION . Map Parcel d ��-- -Application# �U Health Division Date Issued 5 C) Conservation Division Application Fee Tax Collector Permit Fee IN Treasurer r 10'3®l0-7 Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address &V-Xtn Mau Village Owner Address Telephone 50 D 1 Permit Request KjkL,_V� Q Square feet: 1 st floor:existing proposed 2nd floor:existing 300 proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ?�S POO Construction Type Lot Size G Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ®No On Old King's Highway: ❑Yes UNo Basement Type: dull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) CC Basement Unfinished Area(sq.ft) Number of Baths: Full:existing 7 new Half:existing new Number of Bedrooms: existing_ new Total Room Count(not including baths):existing new First Floor Room Count Neat Type and Fuel: ®Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes MNo Detached garage:❑existing ❑new size Pool:❑existing ❑new size . Barn:❑existing ❑new; size / Attached garage:I existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ c 4 Commercial ❑Yes ❑No If yes, site plan review# Current Use' Proposed Use w BUILDER INFORMATION ' " (QED Name Telephone Number 115? 1ct3 Address License# J tl to 6�1�11 11 Home Improvement Contractor# P Worker's Compensation#_1001(o N) 12=6 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 't ' FOR OFFICIAL USE ONLY APPLICATION# _ DATE ISSUED MAP/PARCELNO. Nl ADDRESS VILLAGE Al OWNER 1 DATE OF INSPECTION: FOUNDATION _ FRAME �� 6 INSULATION FIREPLACE ,w ELECTRICAL: ROUGH FINAL - PLUMBING: ROUGH FINAL a GAS: ROUGH FINAL FINAL BUILDING n 9/111oT,J k- r v� DATE CLOSED OUT ASSOCIATION PLAN NO. ' The Commonwealth ofMassachusetts Department of Industrial Aecidents z Office of Investigations 600 Washington Street Boston, MA 02111 , www.rnass.gov/dia Workers"Compensation Insurance Affidavit;Builders/Contractors/EIectricians/PIumbers A I.icant Information Please Print Le 'bl Name (Business/Organization/Iudividual):, Address: IO d City/State/Zip: 1' i Phone.#: Sod 112 1ciso Iyou an employer? Check the appropriate box: ', Type ofproject(required) , I am a employer with 4. ❑ I am a general contractor and I i 6. ❑ ew construction . employees(full and/orpart;time).'� have hired the sub-contractors 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. Remodeling ship and have no employees These sub-contractors have S. ❑Demolition working for mein an ca aci employees and have workers' g Y P tY 9. Ed Building addition [No workers' comp,insurance .comp.insurance.$' . required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions have exercised their '3.❑ I am a homeowner doing all work officers 11.❑Plumbing repairs or additions rnyselL [No workers' comp. right of exemption per MGL t 12,❑Roof repairs insurance required.]t c. 152, §1(4), and we have no i employees. [No workers' •13,[(Other comp. insurance required] ''Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowner;who submmt ffiis affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. (Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or notthose entities have employees. If the sub-contractors have employees,they must prvvidb their worker'comp,policy number. , I am an employer that is providing workers'compensation insurance for my employees. Below.islhe policy and job site information. Insurance Company Name: 0,W ?n Policy#or Self ins.Lic.#: 10®1 Gq 40 19NE)o Expiration Date: I/2-�q_o Job Site Address:-I"M r • -City/State/Zip: f , lJ1 02 6 1 Attach a copy of the workers' compe atiou 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 againstthe violator. Be advised that a copy-of this statement maybe forwarded to the Office of Investigations of the DU for insurance coverage verification. I do hereby c fy Un r p ins•and penalties of perjury that the information provided above is true and correct: Simature: Date: 10 ' 16-0 Phone #: 50 1 57 Official use only. Do'not write in this area,'to be completed by city or fawn ociaL City or Town: Permit/License# Issuing Authority(circle one): .1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6. Other Contact Person: ..Phone#: p�VHE Tpy, Town of Barnstable Regulatory Services BMIN Thomas F.Geiler,Director �plfn �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 IMPROVEMENT 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. Type of Work: M Ir �` Estimated Cost Address of Work: —134 &La� Blwlk tNA �Oari Owner's Name: N - Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job 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 IMPROVEMENT 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 qpnt of the o er: UA C15 Z Date Contract r Name Registration No. OR Date Owner's Name Q:fomnslomeaffidav �Op 1HE Ip�y . Town o#'Barnstable, Regulatory Services BARNSTABLE, y MASS. $ Thomas F. Geller,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 "-w.town.barnstable,ma.us- Office: 508-862-4038 r Fax: 508--790-6230 Property Owner Must Complete and Sign This Section If Using A Builder t7� �' - as Owner of the. subject property PCherebyauthorize - to act on my behalf,„ in all matters relative to work authorized by this building permit application for: . (Address ofJob) r7 a n Sga e o � Date Print Name Q:FORMS:OWNERPERMIS S ION 91?e -6qmwwmveqa Board of Building Regulat ons and Standards One Ashburton Place - Room 1301 ~ Boston, Massachusetts 02108 Construction Supery isor License f License CS: 56192 7 Restriction: 1 G Birthdate: 12/11/1962 t �k Tr# 8559 Expiration: 12/11/2008 GUY L RUFOktni 10 OLD TOWN RD $ -_ — --- -- HYANNIS, MA 02601 }� ` � — — Update Address and return card.Mark reason for change. �M DPS-CAI 0 50M-05/06-PC8490 Address Renewal Lost Card --------------- Board of Building Regula ions and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 {� Home ImprovementC_antractor Registration Registration: 119952 Type: Individual Expiration: 9/24/2009 Tr# 259818 GUY L. RUFO ~' GUY RUFO l 10 OLD TOWN RD. HYANNIS, MA 02601 :f _= Update Address and return card.Mark reason for change. DPS-CA1 0 5OM-05/06-PC8490 [7] Address ❑ Renewal Employment Lost Card 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: Registrat n�Fg_19952 Board of Building Regulations and Standards EV15�ratiori g72 42009 Tr# 259818 One Ashburton Place Rm 1301 w Tpyp Idfvidual Boston Ma.02108 }`t GUY L.RUFO 6; GUY RUFO 10 OLD TOWN RD. .;,�.4 HYANNIS,MA 02601 Administrator NoVjvalid without sig ature Department of Public Safety One Ashburton Place, Rm 1301 Boston, Ma.,,,02108-1618 License. HOISTING ENGINEER LICENSE Birthdate: 12/11/1962 Number: HE 070937 Expires: 12/11/2008_ Restricted To: 213 ... . .. ---. ._ . .. . i and of Building Regulations and Standards onstruction Supervisor License Lice CS 56192 ;` B rthdate 11/1962 j : 1 C1- 008 Tr# 8559 � h; ; GUY L RUFO 10 OLD TOWN RD HYANNIS,MA 02601 Commissioner 7/. ' DEPARTMENT OF P r BLIC SAFETY HOISTING ENGINEER LICENSE i Number\ IE 070937 MAI 962 1- Q8 Tr.no: 11945 Re GUY L RUFO 10 OLD TOWN RE) i HYANNIS, MA 0260 +4 sa�� Commissioner i ----- I r E3: 4. 20V'7 9; 57P1v ASQ,CC1ATE,,' :Iti3URA,NCE N0. 9;29=P• 2'2 FRs CERTIFICATE O d' INS�NCE TIU YC T S7i D ASA hIATTER F INT A T CATE ALDER. THIS GER IFIER O RIGVS UPON TIE CERSIF ICAI fi II& Gray r InSurauee Agency DOES NOT ANMND,EXTEND OR ALTER TItE COVERAGE AFFORDED BY THE S POLICIES IiELOKr. Inc COMPANIES AFFORDING COVERAGE 640 Route 132 RJ!0111s, MA 02601 _ C70 INSUftEn I �COIA Guy L Ruf'o PANY A•I•M, Mutual Insurance COoLETTER A10 41d Town Road T Hyannis. MA 02601' i rc—ovr,.RA I• TR19 is TO CNOTWITHSTANDINGRTIFY' A �JIREMBNT TER>A1 O CONDITIOI��OF ANY CONTRACT OR OTHER DOCUMENT WITH IOD RESP�TO LVIifC;�TH(5 INDICATED, Y lEkM O NCO DITION O RY THE POLICIES bESCRIDED xERBix IS SUBJECT TO ALL THE TERMS, CPR1'iFIGATE M,,k BE ISSLEn OR MAY rERTA1N, EX(Z u51ONS A VD CONDITIONS o7 SUCH POLICIES. LIMIT$SHOWN MAY IiavE BEEN REDUCED BY PATO CLAIMS • — 7—"— _T' pOLiCYBFFECTrVE YOLICY>xrlAATIOT I.TMITS 0' TYl'ii Or INRI!RANCE rOLICY NUMBEK D Vf9(MM1U))YY) BA'1'R(MM/1)WYy) LTRi GENERAL AGGREGA'fa t 1"NILRAL LIALUILLTY i 1 PRODULTSZOMWOP AGG. i ��— ICi>MMrALl,tLOtNc',RnLL.UBILITY I I FGRSONALSt ADV.INJURY E i..nIHR MAUFI :r1IR 1 i_ LACROCCURREKCE S Jl I l OWNER'S S UONTRA(TOR'S PROT. FIRE DAMAGE,(AAY pre Tin) S Y` I I MED.EXPLNSP,(A�y u!u penen) S �—�— GDN4BINEDSINGLE I . AUTOMOBII.L LIAWLITY IMK411' ZANY AIITU NGDILY 1MUli1' S iALLQKNEDAUT0-S 11 _ '(Perlx;ritn) ,;C'NEDUI,FDAUl'i1S i i�� BODILY INJURY S HIRED AUTO.'' (Per nccidau) NUN-UW NflD AUTOS i PROPERTY W MAGE 5 1 i;AriA��:L1ARiLI'1Y y EACH OCCURRENCE. sXCLrSi L1A1111.IIY 1 AGGRBGATG �I.MBREId-.i FORM ` 1THtiR TITAN 1!MB!LL•LLA FORM N'C 5'AEG WORK8R'ti L'.OMPLNSATIUN A*;4 ( S J LNrLUY�RS'L!A3!U'1'Y 1 12/291200G 12/29/2007 ��� s 500 000 i 700^G9401200G I y nL ISLASF—FOE,(evu rnt r A TOO 0OO I'�f:.PROPRIEi'UA/ �rNL'L EL UISEASE--EA EMPi.O'lEE S I ARTNERSIEXECi1TIVP. �11 FXC UFFICERS nRL•• (yri R I DESCi,,i—JON UIIGFL1tATI0N�/1 OC'ATIOti6fYElIICL1 R/SPEC[AL 111 T5 CER7'IRICATE EIOLDER — CANGFd.LATTOr ----�— SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Bar THg SHOULD AN DATE THEREOF,OF, 'PHE 1SStIING COMPANY WILL ENDEAVOR TO ExprRER TOWN OF BARNSTABLR LEAJ?I.BUT FAILURIL 15 DAYS ��AA SUD TO THE CH OTO TiCB SHAI L IMPCERTIFICATEOSE NO OBE G kTION oR A'I'Ti�1: BUILDING DEPT. LIABILITY OF ANY KIND UPON TfIE COMPANY, ITS AGENTS OR 200 MAIN ST I REPRESENTATIVES. i AUTHORIZED REPRES({VTA�'1VE ������.A'•`�-'\ HV.ANNIS, MA 02601 �— l X 1 -TtNG LOOP, 'PeflN - SE FrftoeLp TWO Bd4T1lKOOfd�s TO 3E RtMOD�,IEA ��zcNEN�p�t �,NkQ� 9� 13--s z• DN. 1 • e ` (U E i ' BV,O ROaMV. A FIRST' FLOOR / / , ROOF ROOF 0 3 0 .90CD cn ♦ .I. .. 15'-4 1/2' SECOND FLOOR All dimensions_size designations given are 20 This is an original design and must not be Designed: 9/16/2007 subject to verification on job site and TECHNOLOGIES released or copied unless applicable fee has Printed: 9/17/2007 adjustment to fit job conditions. been paid or job order placed. tt All Rooms.kit All Drawing #: 1 camuna 1,w,nauem M--I4"-1 141 \ I I o _ QD / i i i I Q I i w .i 3•� I -35 . a O ry µf+' } I I .............. :. w Ertl �y1,sW: I II I 1. 1.� I 7 rd LI i 8 I � I I '.. ' / I / - --- — -- - LV Y .—,.---s.,,a.—blwl anu must not oe lied ed:9/16/200 °. subject to verification on job site and ' TECHNOLOGIES%J ..released or copied unless applicable fee Printed:9/17/2007 adjustment to fit job conditions. has been paid or job order placed. All Rooms.kit All(no dims) Drawing#: ------------- tJ 39L-KSHNR-1__— P'` f � a VA o �i 3 �-a 3 w - o i 2 I a 5 k_1' C� @ ® 9 LL \ l—ice I Y 1 I 30/ 1 1 aryl O : � � FF w `O. I W036t22t�0 \ I Y„I i TEP -4 TOILET, I z 3 a I ' i y 60-$HHIR .� l y!3S4I B4:TF j T 0 * 4, PERM, Town of Barnstable Permit# �. ,ejpRFS Expires 6 months m issue date L 1 3 Z�D7 Regulatory Services Fee 6 •�� Thomas F.Geiler,Director J TO OF SARNSTA13Le Building Division 0 Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY �I`t p ooZ Not Valid without Red X-Press Imprint Map/parcel Number I Z La I l cc r@4L� Property Address 5 Residential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address '`)�.1S't • 'mac �9 Contractor's Name �`� L �l l� 7® Telephone Number 5� `]1 Home Improvement Contractor License#(if applicable) r tC1 C1_S 7 Construction Supervisor's License#(if applicable) ®'Isc 00. ❑Worktnan's Compensation Insurance '= leek one: I am a sole proprietor I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name Worktnan's Comp.Policy#� Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) 1 _ Re-roof(stripping old shingles) All construction debris will be taken to 1{`}�0UTkj�-�F (Vo f ILL.. ❑Re-roof(not stripping. Going over existing layers of roof) ' 5Re-side Replacement Windows/doors/sliders. U-Value .�� (maximum.44) *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 o e ome Improvement Contractors License is required. SIGNATURE: Q:Fonns:expmtrg Revise061306 Board of Building Regulat o ns and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02109 er�isor License Construction Sup , 56192 License CS: Restriction: 113 Birthdate: 12/1111962 Tr# 8559 — Expiration: 12/11/2008 ' 9 E --- --_---- �___ GUY L RUFO -- 10 OLD TOWN RD u HYANNIS, MA 02601 V\ * .,.+ Update Address and return card.Mark reason for ch t Carange d . (� Address [] Renewal DPS-CA1 Co 50M-05/06-PC64'0 aund �rT �jamvn�ynu ✓a Seta. uilditig Regulatioos ar oard Uf B ervisor License construction Sup k� CS 5092 Lice V Pew Tr# 8559 6i h� 111962 n121'�/�/2008 EX ratio 3 �. Re trict�-n-�MiN O GUY L RUF Vier TOWN RD , r' Com►niss'o i 10 OLD HYANNIS MA 026601 ' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations a ' 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers'Compensation Insurance.Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Q r Please Print Lepibiy Name(Business/Orgm&ation/In(iividual): G 61�t'0 Address: 10 0 wo SO W N go City/State/Zip: VV�4 IN 1e_�, Phone.#: 501 p7-74Z OB V Are Au an employer? Check the appropriate box: -Type of project(required):. 1. I am a employer with 4. ❑ I am a general contractor and I mP Yer 6. ❑ ew construction . . employees(full and/or part-time).* have hired the sub- contractors 2.El 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.acit3' 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 officers have exercised their 11. Plumbing repairs or additions '3.❑ I am a homeowner doing all work ❑ , g eP 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' .131-1 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. ZContracton that check ties 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 is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: - rV9AQ © ExpirationDate: 0-7 lob Site Address (tA . At- ' City/State/Zip: 6rA_(00,A 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce ;fy under 'n and penalties of perjury that the information providee-d/above is true and correct Si ature: Date: / Phone# 0� �� Official use only. Do not write in this area,tb be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to pro-vide 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 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." 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 ev-idence of cor✓plfauce with the in.1•ance 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,it' necessary,supply sub-confractor(s)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 returned 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 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 permit/license 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 Sile 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 fo any business or commercial venture (i.e. a dog license or permit to bum 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:. Tht;Commonwealth of Massaohusei t Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-49QG ext 406 or 1-877-MASSAFE Revised 11-22-06 Fax# 617-727-7749 www.mass.gov/dia Town of Barnstable. °a Regulatory Services Thomas F.Geiler,Director iOIFD MPI A,� Building Divlslon Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 wvv'w.town.barnstabk.ma.us Office: 508-862-4038 Fax: 50B-790-6230 ' Property Owner Must { Complete and Sign This Section If Using A Builder as Owner of the subject property. hereby authorize to to act on my behalf, in all matters relative to work authorized bythis building permit application for: . S (Address o ob) 7 , ® 7 SIgAa&xe r Date Print Name QFORMS:0V NERPERMISSION • 4 1 $5 �. JUL, 16. 2007, 12; 17PM ASSOCIATED INSURANCE NO. 0991^P, 1/1"`-' ISSUE DATE 0711312007 �RODUC R TFIIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND ogers&Gray Insui'ancc Agency CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.'PHIS CERTIFICATE Inc DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE 640 Route 132 POLICIES BELOW, Hyannis,MA 02601 COMPANIES AFFORDING COVERAGE INSURED Guy L Rufo 10 Old Town Road (COMPANY A A.I.M.Mutual Insurance Co I-1yrinnis,MA 02601 LETTER THIS IS TU CCR1'II.Y TI IAT TI-IF 1'01 ICIES 01-INSURANCE LISTGD BELOW HAVE BEEN ISSUED TO'I'HE INSIJRFiD NAMED ABOV[r FOR THl:POLICY PERIOh INDICATE-1),NOTWITHfiTANDING ANY REQUIREMENT,TL"RM OR CQNDITION OF ANY C.ON'I'IZAC'T OR U'1'IICR DOCUMEN T WITH CT RkSPE TO WHICH THIS C' M-IFICATF MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AF�01iDkD DY 1'NE POLIC'Ih.S DGSC'RIgED Ht REIN H eSPECT TO ALI.THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY IIAVE 13F.EN RCDIJCED BY PAID CLAIMS. LTA CO 'I'VPt;II!`INgURANCI: POLICY NUMUICR POLICY CFFF,CTIVC VOLICVEXPIRATION nATD(MM/DNYY) OATE(MMIDD/VY) LIMIT'S GENERAL LIABILITY OF.NERAL AGGREGATE O IS•COMPIOP AUG.COMMLR('IA I,GENERAL LInfl11,17Y PRODU ct.n IM S MADE Q rrr,UR PERSONAL&ADV,INJURY Q OwNER'S de r'ONTRACTOI<'ti rRu 1. EACIIOCCURRE-NCE FIRE DAMAGE(Agyuno lire) MED.EXPDNSH(Anyoilc parson) nUrOhIODILd 1-Innn.l'El' COMOINED SINGLE LIMIT nNY AUTO ALL OWNEn AUTOS DOOILY INJURY SCHEDULED AUTOS (Per person) HIRED AUTOS NON-OWN9D AUTOS DODILY INJURY GAkAC,F•LIABILITY (Per uccidenl) PROPERTY DAMAGE EACH OCCURRDNCe UM BRF,I,I,A POKM AGGREGATE OTHIM-THAN UMDkL!LLA FORM WORKERS COMPENSATION AND ti'1'ATLITORY LIMITS THER EMPLOYERS LIABILITY x utF.vllorRl�rDw A FARNIERgtFXECUTIvC EL EAC I-I ACCIDENCE S 100,000 DPI'lClURSART;, 7007694012006 12/29/2006 12/29/2007 RLDISEASL-110LICYLIMIT INCI. QF:acl 500,000 EL DIS-EASE--EAC14 EMPLOYEE s 100,000 COMMENTS/DESCRIPTION OF OPERATIONS OR LOCATIONS: GUV L RUFO IS NOT COVERED BY THE WORKF RTCOMPENSATION POLICY. CA 11`, tI r I''`err, SHOULD ANY OF THEA,BOV1 DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE TOWN O F'BA RNSTA II L E PIEICEOr•,THE(lS�L�h'(yCOMPANY WILL ENDEAVOR TO MAIL IS WRITTEN NOTICE TO THE CERTIFICATE I•IOLDR NA)Q�D FOIHE LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION ATTN: Ii Ul LDING' DI P-I', L kLIT�OF ANY KIND UFON THE COMPANY,ITS AGFNTS OR REPRESENTAY7VES. 200 MAIN ST r '� HYANNIS,MA (126()l A117I•I0RI2ED REPRESENTATIVE I Lauzon, Jeffrey From: Traczyk, Art Sent: Thursday, July 19, 2007 12:00 PM To: Lauzon, Jeffrey Subject: FW: Tradewinds/Isenstadt-734 Craigville Beach Road (Map 226 parcel 140-002) Jeff: For your information and records. art -----Original Message----- From: Traczyk,Art Sent: Wednesday,July 11, 2007 12:25 PM To: Perry,Tom;Weil, Ruth; Daley, Patty Cc: McLaughlin,Charles; Puckett,Carol Subject: Tradewinds/Isenstadt-734 Craigville Beach Road(Map 226 parcel 140-002) Folks: Just so we are all on the same Page: Tate Isenstadt has been on the phone to me and came in to see me. It appears he wants to keep the two units that exists at the above address and convert this structure into a two-family. This parcel was a part of the Tradewinds Motel and its existence did come up at the hearing of the Board. Those lodging units contained in the structure (housing for summer workers and the fact it had two kitchen was discussed at the ZBA hearings). This lots was held by the applicant in reserve to be used for the affordable units should it be necessary. Condition No. 5 read "Unless the Barnstable Housing Committee determines that another option exists to satisfy the Inclusionary Affordable Housing requirement and subject to approval of the Barnstable Housing Committee, 734 Craigville Beach Road, Centerville-Assessor's Map 226, parcel 140-002 shall be limited to one structure containing a two-family dwelling (townhouse type units)to satisfy the Inclusionary Affordable Housing Requirements of Section 9-41D of the Code of the Town of Barnstable. Those two units shall dedicate in perpetuity to affordable housing units. To only be sold or rented to qualified households in accordance with the requirements of the Ordinance." As they have now agreed upon a donation of$ in place of using the 734 building for the affordable units, Isenstadt is now in here seeking to keep that two-family and perhaps expand it. It was made clear at the hearing that if this building did not get used for the affordable units that use would revert to the L nderlyingzoning -thhat being asingle-family dwelling. He is now in here wanting me to say it is a legal two-family. Whichis not. For background, the lot division occurred in 1999 and therefore it most certainly was a part of the nonconforming use. The nonconforming rights on this lot(six bedrooms &two kitchens) are those of the Tradewinds that have all migrated onto the other lot that has the 21 two-bedroom, multi-family units on it. The rooms located on this lot were counted to come up with the 42 bedroom total that was the subject of the special permit and that are under development today. I y that t t is m opinion he 734 Craigville Beach Road can only be used-as a single=family dwelling given that permi�t`issued�by the Board. art 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Mapes Parcel 0 — E6A Application # a� Health'Division q 71 Date Issued fi6 bpn Conservation Division , : Application Fee Planning Dept. Permit Fee _ Date Definitive Plan Approved by Planning Board 14o { Historic OKH Preservation/Hyannis Project Street Address 7j (� 04 Village J I ' Owner ��+���^ 1 ee�-� +�0� Address Telephone Permit Request F��p� C IC I �o Square feet: 1 st floor: existing proposed 2nd floor:.existiHg proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family �3 Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: 0 Yes ❑ 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 0 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 0 new size _Shed: ❑ existing ❑ new size Other: � Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ yCommercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION crt (BUILDER OR HOMEOWNER) Name �0'k O f 0—�,Z 2 — s Telephone Number Address o _ License i11 Home Improvement Contractor# 7 Worker's Compensation # ALL CONSTRUCTION DEBEIIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO a. SIGNATURE DATE 6> 2 lAt) i r� . FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED r . MAP/PARCEL NO. >t ADDRESS VILLAGE i OWNER 1 � r ti DATE OF INSPECTION: r i FOUNDATION cQZ 2bAYu-r- FRAME f - INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL FINAL BUILDING O -7 aF o c2l�ar DATE CLOSED OUT 1 i 4 ASSOCIATION PLAN NO. f Perry, Yom From: Sarah Korjeff[skorjeff@capecodcommission.org] Sent: Tuesday, July 15, 2008 10:34 AM To: Perry, Tom Cc: Daley, Patty Subject: Craigville DCPC/Isenstad4 Tom, As I mentioned on the phone this morning, I discussed the proposed Isenstadt deck at 734 Craigville Beach Road with our staff counsel. She feels that since the existing single family dwelling on that property existed prior to July 1, 1989 and was used as a dwelling, the proposed addition of a 640 square foot deck should be eligible for exemption from the DCPC under Section 22c of the Cape Cod Commission Act. Since the proposed deck is less than 25% of the floor area of the dwelling and the project poses no other concerns relative to the goals of the Craigville Beach/Centerville Village DCPC, it qualifies for the exemption and can go forward prior to completing Implementing Regulations for the DCPC. Please feel free to contact me if you have any questions. Sarah Korjeff Preservation Specialist Cape Cod Commission 508-362-3828 1 -7fie �anvriw�zureall/ o�✓ aaaaclucoelta ` t I Board of Building Regulations and Standards } Construction Supervisor License License.: CS 98149 Expo on 34L2011 Tr# 98149 t Restricti6n00 TATE ISENSTADTr 1t PO BOX-796 v`a �i F HYANNISPORT,MA 02647 5_� 'I Commissioner Board of Building Regulatio s'nd `7 HOME IMP Standards ROVEMENT CORtT License or registration Registt�on` ��TOR q g►stration v Expiration 155997 before the expirationalid for individul use only date, If found return to: 529/2009 Tr# '. Board of Building Regulations an} Type Private 25554II One Ashburton Place d Standards T D I REALTY Corporation Rm 1301 TATE GROIJp INC ` Boston,Ma,02108 55 ISENST � ADTl _ r LAKE AVE._ w '' HYANNIS PORT MA 02647 Y'r �Administrator ---- ' _. S Not valid without signature—�— ` The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/ElectricianslPlumbers Applicant Information Please Print Legibly Name(Businessiorganization/Individual): ]� Address:O o 7 1 City/State/Zip: ( (�t�W, yot'� Phone.#: � Are you an employer? Check the appropriate bog: Type of project(required): 1.❑ I am a employer with 4. I am a general contractor and I 6. ❑New construction �,,. employees(full and/or part-time).* have hired the sub-contractors 2.�LI 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.-imurance 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 ME]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 C 1 employees. [No workers' aEl Other h 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 is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: . Policy#or Self-ins.Lic.M 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 crimirial 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 a violator. Be advised that a copy of this statement may be forwarded to the Office of Investi ations of the DIA urance coverage verification. I do hereby certify un a pains-and penalties of perjury that.the information provided ab ve true and correct Si ature: Date: Z _ Phone# t7 6 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): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 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"...eve person in the service of another under any contract of hire, . yee "...every 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 representative's 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 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." 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,i.f necessary,supply sub-contractors)name(s),address(es)and phone numbers)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 returned 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 Towp Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom for you to fill out in the event the Office of Investi ations has to contact you regarding the applicant. of the affidavity g Y g Please be sure to fill in the permit/license 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'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 hesitatc to give us a call. The Department's address,telephone-and fax number: The Commonwealth of Massachusetts Department of Industrial Accide is Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-490.0 ext 4.06 4r 1-977-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass..gov/dia r �OFIHEl°�'L Town of Barnstable Regulatory Services STABg Y vMASS.IEg,` Thomas F. Geiler,Director. �p i639' Tfo +a Building Division Tom Perry; Building Commissioner '200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508462-4038 Fax: 508-790-6230 Property Owner Must ' Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize l �e` / I G' to act on my behalf, in all matters relative to work authorized by this building permit application for: 73 6�_ ddress of Job) t Signature of Date C II Print Name . If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. n•Fnu�,rc•nwnrFuvFunriccinra a'•- .. Town of Barnstable Op SHE Regulatory Services Thomas F.Geiler,Director saatasTAat.E, ' MASS. $ Building Division lEo � Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 vtmv.town.barnstab l e.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION:. number street village "HOMEOWNER': name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the.Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1..1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor.The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. - FS s o g a Oh O�„iP " A r J Q OnaoEa R � �noMVo°n°«V V n0�oo0n -� nm'�? ezL:J nA.G¢Ilwr exi�uny G¢Ilm m `° il 6a . �'urndrefho ra�l�nsr tya4em - p t ' rrsxo daL�l+y a"mx 4'-O"�no+u b¢el p:yfao+m . poured LonLr¢4¢d¢c�:pl¢rc w/ onmgpg44 +bw�.¢ r w oz. h mpoana,4G 4 pat+&.p Ckyp.l o � 0 p.1.4%4.tuppork po<ht our¢d 4 donLr¢+¢d 4 6A w/ s %-P.T.too' - ra m,pcanm ApB4 4 Pa •.s. R __ _r~ r --------- ___fir~ ` a'-r r tr/a". W-r r r/a" W-i r r/a" 'r'-r r r/B" y���� ? - 'L . P-..tD x 4'_O•'aJona+-ubsaf C�i'fooka � i . pou-md LonLrs+-6 d�ak p�erc w/—�► I - :�, 1 Z . r7;mptano AYsM 44 Fa +b,.—. F- I O q++a cM P.T.axe I¢dy¢r wI 51sp.onm hp��s�oa \} I I wood tcr¢w.® f L"o.L.�+agq¢r¢d IU r:»Gr-;PeGTroN sxa.l:.+�® rlo"a.L. &LA UT 15 . i. P.T.£xa Jof.+c® rd"a.c. P.T E%d Joi..F4® rle"o.c. A m E E T ..0. e-7.O-r4. J a 01%6*I-F-AMM PLAN . exlsd+n�Hou4¢ _ G.x L.Hny Hcu..¢ r`+� raGnls: r W r',O" a_ ------------ HIM i 0 m_oNs'•- ' om8S3O +. z �a« gun Q -• me N N y >s a�mm . 1 DR^MN&-TYPE: . >M SHEET NUMBER: r •• . • FINISHED GRADE 15.0 FINISHED GRADE OVER LEACHING TRENCH = 15.0-16.0 FINISHED GRADE 'NLLT TEE 9COM(�C� ALL, ONE INspEcrloN PORT IN 36"MAX.-9"MIN �������>GOMPAGIED FILL/������� f FIRST 2' TO BE LEVEL ' ( ) Covx ACCORDANCE WITH MANUFACTURERS VENT .• • _l- r 2• LAYER 1 810 2• REcoMA1EPIDATIONs GENERAL NOTES : x , .` °' •� TOP OF CHAMBER DOUBLE WASHED STONE 14 CULTEC 75 OR EOLK 2" LAYER DOUBLE WASHED Nv N• raa 6�/_ -,;� �i Q • ,o • STONE 1/8" TO 1/2" i. sum our- I&I LEACHING CHAMBERS A, �= t"i 'M»• OR GEOTEXTILE FILTER PIPE INVERT y 1.) THE INTENT OF THIS PLAN IS TO DETAIL EXISTING SITE CONDITIONS AT LOCUS "' '�• FABRIC ' 4 SCH 40 PVC .,. • ' co 24" .� •e� CHAMBER BOT. s• ° 3/4" TO 1-1/2" EFFECTIVE S C W. = 119ELEV 12.4 2.) LOCUS AREA IS COMPRISED OF _ s ••'., . 11� DOUBLE WASHED DEPTH • 3/4 TO 1-1/2 DOUBLE WASHED 734 CRANGYILIE BEACH ROAD .+Q•• _: as' s N w STONE CENTERVtL1E. AA 02632 • •• a: STONE LEVEL BO . STONE t]EV=10.7 10 eE�srxim ON tFva steetF aa� 0 18' BARNSTABLE ASSESSORS MAP 226 PARCEL 140-002 LAJ •.• M w • •.• ••• : A , • 4 a 1 2 1 ELEV 10.9 LOT 18 O L.C. PLAN 8993C (SHEET 1) �,�a:' •� ,• r, . �- � � SECTION D(I$TNG $Y$TEM� CERTIF1C11TE of TTILE 55,075 .. s Zvi, 'ai ; • . NOT TO SCALE 1. SEPTIC TANK ^• 4,000 GALLONS 5, EXISTINGa REb10VEDON.M THE 'C HORIZON' Public-:, 7+ �,• =. MIN APPLICANT]. ALAN SENSTADT, TRUSTEE 3 •h - , , , 2. PUMP CHAMBER N 5 W x 10 L x 8 HARCHER REALTY TRUST Landing � PLASTIC LEACHING CHAMBER DETAIL 3. SEPTIC TANK, PUMP CHAMBER AND PUMPS ARE TO BE REUSED ADJUSTED HIGH GROUNDWATER ELEV 2.5 P.O. BOX 477 CULTEC CONTACTOR 75 OR EQUAL wtF34 4. FLOOD SWITCHES TO BE ADJUSTED CENTERVILLE. MA 02632 3.) PRIMARY Bl7VCHMARK : (SEE PLAN) SOL ASSORMION SYSTIM (SAS) LOCUS MAP Scale: 1" = 2000' LEA0M CHAMOM GYPICAU PROJECT BENCHMARK : RM-18 CHISELED SQUARE ON EAST END OF CONCRETE CURB OF A MEDIAN NIS TRIANGLE AT JUNCTION OF CRAIGVILLE BEACH ROAD AND LONG BEACH ROAD 60 FEET SOUTH OF POLE 24/91. ELEV. 7.19 (MM) CONSTRUCTION NOTES- � 4.) ZONING INFORMATION 1. LEACHING SYSTEM AND DISTRIBUTION BOX SHALL BE INSTALLED IN ACCORDANCE ZONING DISTRICT RB WITH THROUGH E V OF THE THE DATE OFTATE TNIS SANITARY do CODE LDATED OCAL RULES dcCH 3REGULATIONS AMENDED N/F �R., E� �X � '�•' OVERLAY DISTRICT : AP APPLICABLE. PENp�RGS OF P��� ,�? DA - 07086 MINIMUM ZONING REQUIREMENTS HN �. Us�EE RE 11.1 MIN. LOT AREA = 43,560 S.F. 2. ANY CHANGE TO THIS PLAN MUST BE APPROVED IN WRITING BY THE �o RG Ps�RM PR E Pis 1. LIMIT OF WORK SHALL CONSIST OF HAY BAL.ES AND SILT FENCE. MIN. LOT FIRM AGE = 20' ' WIDTH 100' TO BE MAINTAINED IN GOOD REPAIR. ENGINEER. ELEVATION INFORMATION MUST NOT BE CHANGED WITHOUT WRITTEN P�NDE �J� wLF33 WETLAND DEUNEATION BY USA HENDRICKSON, FRONT YARD = 20' SIDE at REAR YARD = 10' / 10' PRIOR APPROVAL BY THE ENGINEER. WETLANDS SCIENTIST - LOCATION BY OTHERS Ak REF: DEP FILE NO. 3-4385 5.) A TIRE SEARCH HAS NOT BEEN PERFORMED FOR THIS SITE IF DETERMINED 3. WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKFILUNG, NOTIFY THE �Ii TO BE NECESSARY A TOLE SEARCH SHALL BE PERFORMED BY OTHERS. 11.4 BOARD OF HEALTH AGENT FOR INSPECTION. 6.) THE TH PR Y �� ON CURRENT AM ME RECORD 4. ALL SANITARY DISPOSAL SYSTEM PIPING TO BE 4" SCHED 40 PVC. UNLESS TIE BMW FEARMs 9M HEREON WERE OBrANFD FRoM AN ON THE c� w FIELD AMF32 x 10. D SURVEY PERFORMED BY BANTER NYE l]NGMNLIRING & SUR%W ON JULY 18 d 20, 2007 OTHERWISE NOTED HEREIN. AL AL ' L 7.) COMMUNITY PANEL NUMBER: 250001 0000 D, REVISED JULY 2, 1992 5. EXCAVATE UNSUITABLE MATERIAL AS NOTED, TO THE "C HORIZON" , FORA ' HORIZ. DISTANCE OF 5' SURROUNDING THE LEACHING FIELD, AND REPLACE 1 THE FLOOD INSURANCE RATE MAP DEFINES THIS AREA AS ZONE a dt C WITH CLEAN SAND PER 310 CMR 15.255 TO THE TOP ELEVATION OF THE SAS. // 6. INSULATE ALL PIPES AGAINST FREEZING AS REQUIRED WHEN LESS THAN 3' SITE IS NOT WITHIN AN A C.EC. (AREA OF CRRICAL ENVIRONMENTAL CONCERN). OF COVER. x 9. rk•21'�9 E$ • SITE IS NOT WITHIN AN AREA OF ESTIMATED HABITAT OF RARE WI DLIFE PET? N 9 ��� NHESP MAP OCTOBER 1, 2006 'ESTIMATED HA ATS OF RARE MAW 7. THE EXISTING WATER AND GAS SERVICE TO BE RELOCATED AS SHOWN / FOR USE WIN THE MA WERANDS PROTECTION ACT REGULATIONS 310 CMR 10).- WLF31 ► 226 O Z 10.3 9G / • SITE DOES NOT CONTAIN A CERTIFIED VERNAL POOL. PER NHESP MAP OCTOBER i, 2006 n "M M"IED VERW POOLS." x 8.1 !� �5ti7,9 ` i 1 �O'O � F UNDERIPRIORITY HABITATS OF RARE SPECIES* FOR SPECIES CC SITE S NOT WITHN A PRIORITY HABITAT PER � MAP OCTOBER 1, 200E LIMIT OF PR C` / 11.5 THE MASSACHUUSETTS ENDANGERED SPECMfS ACT, REGULATIONS (321 CMR1O) WORK /// I / �✓1 1� SITE IS PROTECTION AREA A STATE APPROVED ZONE I GROUND WATER RECHARGE VARIANCES BEING REQUESTED: / ON. x 11, /iz �/� 1 g9�C 10.6 1. 310 CMR 15.405(c) 25% REDUCTION CB/D D \ // �/ ® T PIPE 1 �P� g PA`�0� / 12,E 9.) �m � SHOWN ' 2. 310 CMR 15.211(1) TO ALLOW AN SAS TO BE 5' OFF A PROPERTY LINE / E S�NPM oPl 9 �-• Pan RCS C)as o V& / / _ ___ _-- - THE CONTRACTOR SHALL CONTACT W SAFE(AT 1-8 -alp-SAFE) AND UTILITY COMPANIES To LOCATE IN LIEU OF REQUIRED 10 \ ��i,P SMH i l _ 0 2 P� 10.4 / / x 12 13 ALL EXISTING UTMJTIES AT LEAST 72 HOURS PRIOR TO THE START OF CONSTRUCTION. THE LOCATION OF E)V WG LIFDER(�tO M INFRUTRLICT T. URRMFSy CONDUITS AND LIES ARE SHOWN IN AN APPROXMMATE 3. 310 CMR 15.211(1) TO ALLOW AN SAS TO BE 10' OFF A FOUNDATION IN LIEU 9.3 ® Loll of QP / SMH �„� MIAY ONLY, MAY NOT BE LIMITED TO THOSE SHOWN HEREIN AND LAVE BEM REST Wa aABED ON THE OF REQUIRED 20'. AN IMPERMEABLE BARRIER TO BE INSTALLED ON FOUNDATION. pGE LNG e 1 / / // "� AVAIUIME tIINfIY RECORDS NOTED FEREO�L THE CONTRACTOR AGREES TO FULLY RESPONSJBLE FOR N 1� ANY AND ALL NAM WHO MIW BE OCCASIO O BY THE CQNTI MCTWS I'AILURE TO LOCATE SAID O� ellj PNO 0 / I�RAS1RUi.'TURE AND UfUTIES LOUCRY. LF naD CONDITIONS wFERs FROM PINY INFORM A11OK TIE 9,7 �' R��N�N" PSS SMH �, / / 07 CONTRACiR SHALL NOTIFY THE ENGNEER IMMEDIATELY FOR POSSIBLE REDEM. Vr p / x .2 // 4 WATER.LINE AND APPURTENANT INFORMATION IS BASED ON PLAN C-2128-Q PROVIDED VIA LEACHING AREA REQUIREMENTS p PRK\NG / // FAX ON JULY 24, 2007 ELECTRIC LINE INFORMATION PER NSTAR ELECTRIC FAX DATED JULY 19, 2007 WHICH SHOWS NITROGEN LOADING LIMITATION: NA I p pR���P / / / 15 G OVERHEAD SERVICE FROM U/P 24/62 TO HOUSE AT LOCUS. RESIDENTIAL: 5 BEDROOMS 9 N P P� / N X 110 GPDf BEDROOM GP 9.8 w I CONCRETE PAD/ / / / / Ip !r GAS LINE INFORMAl10N PER KEYSPAN ENERGY MAP GENERATED 7/20/07 BASED ON PLAN S02704 0) � E J GENERATO � TOTAL DESIGN FLOW = 550 GPD 00 N a / 4- // :� W 15.6 z CD X DE� OS PERC RATE = CLASS 1 ¢ � <5 MIN. / INCH ( ) �,4" C.I. "-C 1 GARDE RELOCATED WATER LINE INV.=10.8 (�N - �6 SITE LOCATION. LIAR = 0.74 GPD/S.F. N3 L 1. ✓TNV.�10.8' / BENCHMARK: 6 14 . � $ / 10.8 Epp ��,.- 23 g � TAG BOLT IN HYDRANT f1703 AT 734 CRAIGVILLE (BEACH ROAD CRAIGVILlE BEACH & MARIE AVE. CENTERVILLE MA 02632 MIN, LEACHING AREA OF S.A.S. REQUIRED: O // t 4 / 3 / / ELEV. - 18.92 (NGVD) 550 GPD/ 0.74 GPD/S.F. = 743 S.F. MIN. 0 to / x)16 /- A� PRITARM MR PROPOSED SYSTEM: z / .2 _ '3 13� / ALAN ISENSTADT, TRUSTEE 4 = 5 7 S.F. 25% REDUCTION 310 CMR 15.425 c J / //� Noo5v # o�No X ARCHER REALTY TRUST 743 S.F. x 3/ 5 ( ) O 84' L x 4' W x 2' H = 672 S.F. c( o RAMS / 16.E �coNC. \ �,� HOOD F x 15 ' G / 17,7 P.O. BOX 477 R /� ST°o.F ' '�? / x .6 / G // RELOCATED GAS LINE CENTERVILLE, MA 02632 X 15,4 / / BENCHMAR� 1 . / 5' CB/DH FND TITLE ELEGE 141N� NG I Q\ / VENT / 18.5 (SEE DETAIL L.C. PL 8993D) Septic System Design Plan \ x 15.2 x 15.3 SON. LOG DATE � 8/20/07 A� I I � i 15,E 15.2 � x 16 P-11,87b BARNSTABLE RES�p�N Nos• I I I �' � ( BA,��TER NYE ENGINEERING & SURVEYING SOIL EVALUATOR: BOARD OF HEALTH AGENT: ENE p� `M I i �, N , . � ' �a 19,E GAS C STEVE WILSON, P.E. ARP I 4.6 x 1 15,E / o DONNA MORANDI , x 5,9 S.A.S. No�oFF 18.e I wa Registered Professional Engineers and Land Surveyors TEST PIT 1 TEST PIT 2 x 1s.o _ _ .ALEACHING D4 1913 r, � \ -- -/ / 1910 78 North Street- 3rd Floor, Hyannis, Massachusetts 0260E 0" G.S.E. = 14.5 " G.S.E. = 15.2 I 1 x 12, X 0 / / I 14.0 0° 2 W Phone - (508) 771-7502 Fax - (508) 771-7622 �• JA or 10YR 413 ; SANDY LOAM FILL I j� OFF A/ SAOEWN W ' sI=ra � / 15,0 wA�ER S j �odE aF p`� ovRg W 5" (ELEV 14.E 24" EL.EV. 13.2 ` / ORA / 10 0 10 20 B ; IOYR 5/4 ; SANDY LOAM AID ; IOYR 4/2; SANDY LOAM I / IE2 ., 0" » 2 P�� W .,•� 1 / PROPOSED D-Box s 74 12 SCALE IN FEET ''. 20" ELEV 12.8 36" ELEV. 12.2 9 W D SCALE: 1 = 10 ' ir ` � cj W vto C1 ; IOYR 6/8 ; DENSE FINE B ; 1OYR 5/6 ; SANDY LOAM /i 2.0 g`N�ANA� W a GN " " / 3 l', VG AV 84 (ELEV 7.5) 48 (ELEV 11.2) , , �`9 ; 10YR 7/4 ; MED. SAND C ; IOYR 5/8 ; MED. SAND o W G V �hB� DATE: 9/2/07 � 1 -�' GRp�1 144" (ELEV 2.5) 120" (ELEV 5.2) W NO WATER OBSERVED PERC ® 60" (ELEV. 9.5) C2' I OYR 7/6 ; MED. SAND o/P ° #� �/ 2 SAW /19/06 REMOVE PAVEMENT; ADD DECK RATE= <2 MIN/IN 144" (ELEV 3.2) 1 SAW O/4/07 REVISE SAS. CLASS I SOIL NO WATER OBSERVED a 62 NO. BY DATE REMARKS U/P 07 DRAWN BY: MAM DESIGNED BY: [CHECKED BY: MWE DRAWING NUMBER x1 0: 2007 2007-037 surve worksht 2007-037SP.dw 2007-037