HomeMy WebLinkAbout0043 ELLIOTT STREET I
Asstsor's.,office (1st floo'):
TM
Asgessor's map and"'lot.,number ....-.�H?/..;... e
some sY
Board of Health (3rd-floor): - �J ! {p}iI r[ 9 ' '." ,e
Q/
..:3
......jo.
Sewage Permit number-
f�
Engineering Department (3rd floor): r , :, BaaaAB�LE
C a
• � ..-- Eft °16
39�'
H°��'se number ........ ....... d.
Defiinitive Plan Approved'by Planning Board _ __ ...... ?? �___19 " _____ . TOWN REGULATI Y
APPLICATIONS PROCESSED' 8:30-9:30 A.M, and'1:00-2:00 P.M. orfiy
.TOWN OF BARNSTABLE
. ,BUILDING., IN'SPECT,OR
APPLICATION FOR PERMIT TO•..`...< . ..........`/•'`...WAA# , !rl�� ewc �15' 1
.......�....................
JYPE OF CONSTRUCTION .......: C ....... .. •.;.:.:..•:.:
TO THE INSPECTOR. OF BUILDINGS:
•
The undersigned ,hereby. applies_for a permit according to. the following information:
a
Location ........ :....................f........... ...
n �c � r�t�
ProposedUse �... .4 �'.... ............ j...............�``.......... . .......................... ....
Zoning District ........ �..�......................:.......................Fire District .. V..................... ..
Name of Owner Address
Nameof Builder :.......................................... ..........:........Address ....................................................................................
Name of Architect .......................................... ......................Address . . ................
r
Numberof Rooms. ............................. ......... ...................Foundation . .... .........................................................................
Exterior ...,. � .:...:.. ...:............ .Roofing J�� .'�.••......... .. ...... ....
Floors ..... ..... ..:............................................Interior ...3 ucxvck............:..................................
Heating ...:............., Plumbing ......................................................
Fireplace .. ... .: ........ ....
p .� ..... ....:........Approximate Cost .....�V..f.L.�S,.l........,................................
Area ✓.. .!... . �:. 7......
Diagram of Lot and Building with Dimensions 4
.Fee ......CJ....��.... � ...
All
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. :..
Construction Supervisor's License r0jf '� L
_ELLIOTT STREET REALTY TRUST
3
li ...34.1.QAPermit for ....Two• Story,......... a ,
...S.ing.ld--Fam ly...dwe1-1ing............
4 , lttr t '
Location .....43.....E........lio.... t.....S. ......eet.......'............ -, f
.... ......Cen.tervil.le..............................
Owner l.J.icyt ...Str.ee,t...Real,ty,...Trust
<' Type of Constr.uction .......................Frame........ ........... . r
_............ ................................ ..............
' . Plot ... ...................... Lot ................................
Permit Granted .....Xa. ...18....... L9 89
Date of Inspection .... ... r .19
Date.Completed
Co
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fr
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TOWN 01" BARNSTABLE . y
' :BUILDING OEPARTMENT
f
HOMEOWNER LICENSE EXEMPTION sh
Please print.
JOB.
j LOCATION W
um er
G: G g
„ / eet a ress
HOMEOWNER11 : li'Tj ection o 'town
ame om 7� "�
1 3 r -s tx{_-
1 PRESENT MAILING ADDRESS e p one or pone + Nr3�E trt�s ¢ rr
� `
7 1 i
j L t�=d6 "-/LV1r�U! •i }ri 3:�:r 1 ti3�i ;' � � .
! lty town
"� to
7h' current exemption to
dweIlin s. of p n for homeowners" was extended to include ownero � l s
g six. units or ess 'an to allow such' homeow ,` Y,•,
iv1 ua for hire. who does not posse �cLl
acts as su ervisor, Possess a license; provide
ears to",engage an in
p (State Building Code SectionTo. ded that the owner
DEFINITION OF HOMEOWNER:.:Person(s) who owns a
'side, on -which Parcel ,.of land on which he/she residesy Y
there is, or is intended to be or intend
attached or detached structures accessorytore ` _
A person who constructs more than one home a one to 'six family dwell:i:no, F
considered a to such use and/or farm structures
homeowner, 1, In a two-year
on form• acce Such homeowner" shall submit top the o8u.ildin not ba
for all ptable to
such work the Building Official that he/she s L{1
performed under the building g Orflcl2l ,
:The undersi ned " 9 Permit.
hall be 'responsib
g homeowner" ection
Building Code and assumes responsibilit {
other a e
• PPl i cabl e codes, b Y for compliance with .the. State
The undersi ned " Y-laws, rules and regulations. W..
Barnstablesu9ldin homeowner" certifies that he/she understand
�and that he/she W1�1Partment, minimum inspection
com 1 s the down of '
P y with said Procedures and requirements
procedures and requirements;'
HOMEOWNER'S SIGNATURE
APPROVAL OF BUILDING OFFICIAL
Note'. Three family dwellings 35,000
to comply with State Buildin cubic feet
, or lar � .
g Code. Section 127.0, ConstructionlCobt r
required =
ro l . i y`:
e
• - 'y .. ..............._.... ... _
„ HOME OwNER 'S EXEMPTION
The Code state that :
Permit Any Home Owner t�crforrnin
Is required shall be g work for which
(Section log. 1 , 1 exeme•t from a `. builtling t
Home Owner LIcensing of Const the provisions of . .
engages a' ruCtIon Supervisors thl.s section
shall persons to do ) � provided =that
for hire
act as supervisor . ° such.,:work, that such Homet,Qwner`�
Many Home Owners who
the responsibilities
this exemption are
for. Llcensln of a supervlsor unaware that the '
9 Construction Supervisors (see Appendix Q y are assurra:ing"' ;
often result In , Section' 2,15) . ' Rules an'd Regulat:lons , y }unlicensed serious problems, Thfs' lack of awareness '
persons, particular )unlicensed In• this Y when the „Home ,`
Person as It w case our Board ,Owner h-l'resa ,
as,s o
u ervlsor Would with 1lcensed Supervisoannot
.,p...._„� proceed aga lnst the
ma to LY respons I b I e. Th'e Home Owner a I:
To en n
sure that
pt: g #
communitles. re the Home Owner is full
Certifyquire; as part. of y aware of his/her r t ;
that he/she the permit a re t,,,l s, many
last pa 9 of the the responslbnpltleslon, that the. r }+'
caret 9 this issue f s Home; Owrier,�;
o amend and a form current ) a .sUperviso: f adopt such a form/certlfj used by several towns •... 'On t`he
cat ion for You ....,may tt :
use in 'your common l ty,
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48.41 ' 91.59'
Ln
LOT 3
o0 31,187 sq. ft.t
O
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O O
Ln
36'f
63.2' Ln
-H T.O.F.=
N 21.57
40.0'
00 co A=2.43
139.99,
— 371 -24
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N co
503.87 co,
ELLIOTT STREET (40' WIDE PRIVATE)
1 5 17 89 INITIAL ISSUE ELK
THIS .PLAN IS NEITHER :INTENDED NO. DATE DESCRIPTION BY
FOR, NOR SHALL IT BE USED FOR AS-BUILT FOUNDATION oPLAN=LOT 3
MORTGAGE LOAN PURPOSES. ELLIOTT STREET =fit
BARNSTABLE. MASSACHUSETTS
FOR
v�+ \ ELLIOTT STREET REALTY TRUST
I CERTIFY THAT THE FOUNDATION �� PAUL.A. l �, SCALE: �" = 30' roe No. 1399
LEVY 1 0 30
SHOWN' ON, H N I LO ATE u, N0. 10517
ON THE G AS C ED.
t,�tnf� S u LEVY, ELDREDGE k WAGNER ASSOCIAM INC.
D TE REGISTERED LAND SURVE OR mm uns`olams Pw= IARBWRods
-Bdg WEST MAIN STREET CENTERVI= MA 02632
„,..�,4.:;,,,.:...,c�^',y.,..Z”►'""' ..iG"�:'+�w,-,^::'�.li...v� ,x�.�;,f}.ry*C!`�F`�i*":+.7.b3.cr'A;.+6.�..�rr+s-v-rw.,.,<.�,..t.-�.,.-c.M'Mr+.�;-,c'�.-�+r+f-..�-an�:�;5^.+�...•ar,'¢�r`^:�-;' ...yR,.ur " �y,� -�. � ---'1
ofTxs TOWN OF BARNSTABLE Permit No. .....32910.... .......
BUILDING DEPARTMENT ($72. 00.)/6
TOWN OFFICE BUILDING Cash
721�Ic?
�'O iuY HYANNIS,MASS.02601 Bond .................
CERTIFICATE OF USE AND OCCUPANCY
Issued to Elliott Street Realty Trust
Address 43 Elliott Street
Centerville, Mass.
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.
October 18, 89
19.................
Building Inspector (11
�i.�� "fin -..._, _ �_ - _.� �. �. ., _ ,i
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Town of Barnstable
�FTHE 1p Regulatory Services
Thomas F.Geiler,Director
BA srnst e.
9 'Mass. Building Division
�ATEn MAt p�0 T-om Petry Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
COMPLAINTANQUIRY REPORT
Date: Rec'd by:
Complaint Name: Teaytine S c(A d -frs Map/Parcel )-3 0 1'-I
Location
Address: 13 F-1 h o + F> =
Originator Name:
Street:
Village: State: Zip:
Telephone:
Complaint Description:
FOR OFFICE USE ONLY
Inspector's Action/Comments Date: 71- 1'710(. Inspector:
w�L--�7TE1�e
POOL RjEJ-no%/F-b
Additional Info.Attached
Q:fornis:complaint
`y�OFTHE Tq� Town of Barnstable
Regulatory Services
BARNSPABLE,
MASS. g, Thomas F.Geiler,Director
039.
lFOnia'�°i Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
July 19, 2006
Jeanne Sanders
43 Elliott St.
Centerville , MA 02632
RE: 43 Elliott St., Centerville, Map: 230 Parcel: 121
Dear Ms. Sanders:
It has come to the attention of this office that there is an on-ground pool on the above
referenced property. This letter is to follow up a conversation I had with you on July17,
2006. A barrier must be installed in accordance with 780 CMR or the pool must be
drained. Additionally,you must apply for a building permit and the pool and barrier
would then be inspected to insure compliance. You may apply for a permit at our office
on 200 Main Street in Hyannis. Please call (508) 862-4034 with any questions. Enclosed
is a copy of the barrier requirements for your convenience. Thank you for your attention
in this matter; I look forward to working with you to resolve this issue.
Respectfully,
Jeffrey L.Lauzon
Local Inspector
Q zoning5
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map-1 Q 3 Parcel /at Application#c2 oa3 29
Health Division
` Conservation Division 1, joo Permit#
Tax Collector Date Issued
Treasurer Application Fee
Planning Dept. Permit Feeo�
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address 43 0110 tt �tt Rk+
Village 1IQ ® 0Z
Owner `_ ean,n. � Addre
Telephone `0
Permit Request IL4' Abow u d- w
Square feet:1st floor:existing propo 2nd floor:existing proposed Total new
Zoning District tF1 'ai.Inr Groundwater Overlay
Project Valuation 6 C� Type
Lot Size ndfathered: ❑Yes ❑ No If yes,attach supporting documentation.
Dwelling Type: Single Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes N(No On Old King's Highway: ❑Yes ❑No
Basement Type: WFull ❑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_,3 new
Total Room Count(not including baths):existing new First Floor Room Count
Heat Type and Fuel: V/Gas ❑Oil ❑Electric ❑Other
Central Air: N Yes ❑No Fireplaces: Existing OAL New Existing wood/coal stove: ❑Yes No
.. i
Detached garage:❑existing ❑new size Pool:❑existing N(new size He1 Barn:❑existing ❑new size
'Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: '' 77)
Cn� CJ
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Z:
Commercial 0 Yes No 1f yes, sife plan'review#
Current Use Proposed Use
Qyr� BUILDER INFORMATION
Names 194". ��IA4 dA Telephone Number � �-0(
Address -2) ItiU - License#
� U11 0� Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE 6tnkU 3C"(' A�� DATE
FOR OFFICIAL USE ONLY
PERMIT NO.
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
r
r
.f DATE CLOSED OUT
ASSOCIATION PLAN NO.
i
i
Town of Barnstable
�pF SNE Tp�,�
Regulatory Services
•
sAxiasTast.�, Thomas F.Geiler,Director
MASS.
9 4 s6;9• .�� Building Division"APB tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office:
508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE: L �( /� ,,I ''n I .^ ,�A q -�
JOB LOCATION: —13 r_II J_()7T i>I 1 <Q j (�4�i``�- /"A 0�o
n+unmb�.e1r^1 p fl �^ street �1 /� _�/ village
"HOMEOWNER": -JZ A-L �( 1/I �� 03—�i — J(m
name home phone# work phone#
CURRENT MAILING ADDRESS: La✓ IJ,
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 of two-familydwelling,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.
gdp f , S OAS+.s
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 perfomring 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:
Q:forms:homeexempt
Town of Barnstable
° Regulatory Services
�a►i' to MASS. Thomas F.Geller,Director
Mesa
•i639 ,0�
RFD 39 Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Permit no.
I
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. f /�
Type of Work: na Ik a hoo� �ro U`1�T_���Estimated Cost XJ
Address of Work:_ Lf 0)1 IU—tt- • +t&-f 0oy ,Wl1LP-- g,* o)-63Z
Owner's Name:_e G n YLy-
Date of Application: I 1 I 0
I hereby certify that:
Registration is not required for the following reason(s):
El-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 agent of the owner:
Date Contractor Signature Registration No.
OR
Date Owner's Signature
Q:wpfiles.forms:homeaffidav \
Rev: 060606
1 ne Lommonwea[in uj lvlussucnuYeccs
Department of Industrial Accidents
Office of Investigations
600 Washington Street
�•`` Boston, MA 02111
' www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print ]Legibly
Name (Business/organization/Individual):
Address: A� 61 hu f t
City/State/Zip: NOW it la. , JM Q5 _(o aZ,• Phone#: 0686
Are you.an employer? Check the appropriate bog: Type of project(required):
i.❑ 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.❑ 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 any capacity. workers' comp.insurance. g, ❑ Building addition
[No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑ Electrical r airs or additions
required.] officers have exercised their
3.9 I am a homeowner doing all work right of exemption per MGL I LEI Plumbing repairs or additions
myself. [No workers' comp. c. 152,§1(4),and we have no 12,❑ Roof repairs
insurance required.] t employees. [No workers' 13.�] Other ly �Lb
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
lContractors that check this box must attached an additional sheet showing the-name of the sub-contractors and their workers'comp,policy information.
I am an employer that is providing workers'compensation Insurance for my employees. Below is the policy and jao site
information.
Insurance Company Name:
Policy#or Self-ins.Lic. #: Expiration Date:
Job Site Address: City/State/Mp:
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 for insurance coverage verification.
I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct:
Signature: QVl�D � Date: 91 , I b
Phone#: q)T' x cU� ®`o Y
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 e.Electrical inspector 5.Plumbing inspector 1
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"...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 evidence of compliance with the insurance
requirements of this chapter have been`presemed 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-contractor(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 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 Off cials .
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 permittlicens a 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 maybe provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. Anew 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'. '
Office of Investigations
600 Washington Street
.Boston, MA 02111
Tel. - 617-727-4900 ext 406 or 1-877-MIASSAFE
Fax # 617-727-7749
Revised 5-26-05 www.mass.Qov/tiia
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31 87 sq. ft.f
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503.87 P3
ELLIOTT STREET (40' WIDE PRIVATE)
1 5 17 89 INITIAL ISSUE
THIS PLAN IS NEITHER INTENDED No. DATE DESCRIPTION
FOR, NOR SHALL IT BE USED. FOR AS-BUILT FOUNDATION PLAN_-LOT
MORTGAGE LOAN PURPOSES. ELLIOTT STREET
IN
BARNSTABLE, MASSACHUSETTS
ELLIOTT STREET RREALTY .TRUST
* , PAUL.A. �4 SCAL£ 1 ..= 30' Joe No. 1399
I CERTIFY THAT THE FOUNDATION z LEVY `:� 0, . 30 60
SHOWN ON. H N I LO ATED No. i051' ! Ln I
§re ON THE G AS IC ED.
IEyY EIDREDGE A WAGNER ASSOCIATE .INC.
EG,ItST ss ���
ERE LAND SURVEOR
4. z 889.WEST.jIAIN STREET
F-:
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Olt-
,
.Friday
S aturda
Sunda
Monday
'Tuesday
Wednesday
Thursday
Total
li
A Note: Use codes in Regular.hour column:
$-Sick V=Vacation H=Holiday
B=Death in Family J=Jury Duty
r
Tof flj Off" ; %s ISTA L
a1 12: 25
o�o oi�,
t
•s+ .--.�: Wdv .1:-"'whi:.A�c� 4+,w'dT:�d�•wy�i`rH'Li,t{f�+v�£.'��.,:7':�:r���w•vw.'4�:q,.4�:�.6n%titR,:.i`iii��`�s.::�-°V`'+rf"rir�..fti.�G'�"�:-?.i.$�:tFds�r:�+: ..;.�5r5-:�; '< <�iy� l,.:y�yy i
Assessor's office '(1st floor) r'�✓
M
i T
-Assessor's map,and lot number ....�. . lJ......./...r;��..:..... QuoT E
o�`
Board of Health (3rd floor):
Sewage Permit number ...�.�......... .. .........,ti,,.. .. ......r.,...., f t Baas TSDLE. .
Engineering Department (3rd floor): [� moo rb 9-
House number / c :.. ,sue 3 `e y..........,.,../....-. 'Fo Ilan a
Definitive Plan Approved by Planning Board ___ ,r} .. _19: _ -
APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ..... � �"�K ' ✓«I.. .. .:.. -�L �
.i. ....
4 l
TYPE OF CONSTRUCTION ........! � �t......... .'l..!.........................................................................................
r
...................C)C t.....7.......19..
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Locationzz .(.I�.,��.1.!....���-� �`[ 0��. �U�1......... /vP C12(32
.......... ........... .... ..............................................................
ProposedUse ..... l. .(. ...r' ......tw,;�.�. ................................................................................................
Zoning District
15
' ..............................................Fire Distract .5....��..:.�....�.......................................................
• A
nn L .{ 1 �1
Name of Owner . . .1U1�..� ....lL � ... .�U. ......Address .. >�C��L. .. 1.....t .. .l4/� ................
tt I
Nameof Builder .................................................................Address ....................................................................................
0
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms .............................r ....A.........................Foundation .... (1, !�Qtt?... . VIX.. .......................
Exierfor ..... .......................................................Roofing ..
Floorscm,. ........................................................Interior ...... ............................................................................
Heating ........... ....... ............ ..Plumbin .........q.7 ��, !' /
. ...................................................
Fireplace ......... t ..............Approximate Cost
Area ..........................................
Diagram of Lot and Building with Dimensions Fee
i
r�
r
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 �.��/L
...................................................
- Construction Supervisor's License .JnCA`-'
............................. I
_ _ I 1
ELLIOTT STREET REALTY TRUST
TRUST
A=230-121
No Permit/for ....Two...S.tor. .........
.........5i-n.gle...Famlly...dwa 1. -Jjn g......
Location ...43...Elllatt.-Street.................
.................... .................... ........
Owner E1.1i0.t.t..Etree-t...Realty...T.ru S t
Type of Construction .........Frame....................
4...............................................................................
Plot ............................ Lot ............*...................
Permit Granted ..........4Y...18..............19 89
Date of Inspection ....................................19
Date Completed. ......................................19
BREAKOUT CALCULATION: PERCOLATION SOIL TEST
sc
PRECAST CON CIREi-E RISER A—,��- fn&-qt� DATE OF )IL TEST
10' MIN. SEE N07ES 2 & 3 A f"y-)v P;, 77,
7 4' SCH. 40 PVC PIPE ?W-J&AKOUT WITNESSED BY
PERCOLATION RATE MIN./INCH
MIN. PITCH 11lr PER FT.
BACKFILL WITH TEST PIT 1 TEST PIT 2
CLEAN SAND ELEV.- ELEV,--11—�e
-0.00
-moo
N IA v4-1
PITCH
1/40 PER FT,
2* LAYER OF
FLOW Lim ------- F— Va" - 1/2"
- WASHED STONE L 112.50 lr�,00 (k-A, 2.3
2- a, WATER LEVEL ADJUSTMENT: r-J/A DESIGN CALCULAITIONS :
<
LVIEL
<
NUMBER OF BEDROOMS
LIQUID �' 1/4" - 1 1/2*
TEST DATE WATER LEVEL GARBAGE DISPOSAL UNIT It
LEVEL WASHED STONE
TOTAL ESTIMATED FLOW
DISTRIBUTION INDEX WELL GAL/13R./DAY X BR.) !-�LLGAL- /DAY
BOX WATER LE,/EL RANGE ZONE REQUIRED SEPTIC TANK CAPACITY -�f'S GAL.
1-17 DEPTH TO WATER LEVEL FOR INDEX WELL ACTUAL SIZE OF SEP11C TANK f.11l�llGAL.
FOR THIS MONTH LEACHING AREA REQUIREMENTS
t7,-1 SIDEWALL AREA ��,GAL./S.F.
WATER LEVEL ADJUSTMENT BOTTOM AREA � GAL./S.F.
GALLON SEPTIC TANK L��CHING CAPACl-,Y (BOTTOM + SiDEWALL) !2�-�GAL.
VA
DEPTH TO HIGH WATER
RESERVE LEACHINGCAPACIW '9,�V .GAL
SEWAGE DISPOSAL SYSTEM PROFILE-
NOT TO SCALE BOTTOM OF TEST HOLE 3-1
7�-S:
LEACHING PIT
AIL #0WA0AN -.l-%P AND MATE%ALS SHALL CONFOR&O 70 D.F..0 E.
5 AND 7HE TOWNI OF PULES ANT)
REG1jLLAIIONS FOR ltlf SUBSORFACE :XSPIYSAL OF SEWAfk..
2 At. C4 f.SRS TOTO
VATIK l 12' Of Ffk4%!ED GRADE.
3. ANY WASONP' %1k*77"73, ySEL 70 9RI-144 C0490-S 'G G**Df
94ALL BE MOPT ARE D 'N ;>LAa.
4. ALL COMP'CAU47S OF 'THE SANITARY '51SIEW 91A— * CAP*a-f!
"C --IF 'OF W7�4STAhWNG LL0Aoq!4';'
*'TFw 10 ;7-, ck DR=W-s 01P PKW(14r. AREA, r-li-2C
SHALL BE USED UNDER OR. w-r-lih le" r-T. Cw DPt/F,S C*
PARKING.
L- 5. HORIZONTAL AND " '.0f4PQL 'Sikf
At WAGNEP PF-L fiC7EB"
4t
Ot,l,.i,777 D,
LEGEND:
EXISTING SPOT ELEVATION ooXo
EXISTING CONTOUR-------DO-----
FINAL SPOT ELEVATION E=
FINAL CONTOUR
SOIL TEST LOCATION rD
TOWN WATER=---lAf
TANK
(VI SEPTIC
DISTRIBUTION BOX El
cf t
4i�l' PRIMARY LEACHING PIT
RESERVE LEACHING PIT
TrIAN �A-Vt��-- Dl,,le
---',0 2,41
)<,_SZo x5
2px 113 9 , �3
x "'y i
:7 INIT
IAL ISSUE NO. DA TE OESCRIP71ON BY
AA
A, L,�(NC�t
6A L:T F,.j"Yr
SCALE: 40.
P A J L
0 ki-Ie 0 A
v y
111ma-
APPROVED: BOARD OF HEALTH
LEVY, MUDGE & ITAGNER AWICIATES NC.
DATE AGENT
^,"A-M^kl WAD LAMM ARM= Rd= LiE $
889 WEST MAIN STREET CENTERVEUZ MA. 02632