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G / Planning Dept.(1st floor/School Admin. Bldg.) SEPTIC SYS w BE I NCE Definitive Plan Approved'by Planning Board 19 tNS1�ALL�®LED ENVIRME , AND TOWN OF BARNSTABLErovn.i A D Buil -�enit® 'cation 1 .Q Project Street Address �/V d Q 'l�%�7 ---------------- Village Owner Address �rNf�/ �/%ems Telephone Permit Request First Floor square feet Second Floor square feet Construction Type //A ` 7//92� Estimated Project Cost $ 6_7_ t Zoning,District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑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 No. of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No - Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) " ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded ❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Builder Information Name )Oe &T;F_;CA_FC1elephone Number Z6d8, g77-75 Address �7o; � (� License# Home Improvement Contractor# Worker's Compensation# _���3 (p NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING F OM THIS PROJECT WILL BE TAKEN TO anl*0 SIGNATURE DATE � 7BU SIG PER IT E D F THE FOLLOWING REASON(S) - b r FOR OFFICIAL USE ONLY x t PERMIT NO. DATE ISSUED MAP/PARCEL NO. s ADDRESS s s VILLAGE OWNER f .. , - 1 �.Y•M4as DATE OF INSPECTION: ' t FOUNDATION FRAME INSULATION ; FIREPLACE t ELECTRICAL: ROUGH-, FINAL PLUMBING: ROUGH FINAL i GAS: ° `;ROUGH FINAL , FINAL BUIELDING •s oC a— <w DATE CLOSED OUT: + ASSOCIATION PL'Ati N0. t The Town ®f Barnstable '. �`�' Department of Health Safety and Environmental Services- Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only { 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:' A-&MMG7— Est.Cost� 7 5— Address of Work: /qZ4��r Z//7 ZyGozoco e2 jw, Owner's Name Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. 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 fora permit as the agent of the owner: Diate Contractor Name Registration No. OR Date Owner's Name f i +� The Commonwealth ofMassachusen j•.,: De purtment of Industrial.4ccidents 1. Ofl 9VfIttvest/gallons •�\�';" :_ �,�,, 600 {f'asllittrton Street Boston. Man. 02111 Workers' Compensation Insurance Affidavit AI,PJtc•tnt information• PlcnSe PRINT name, loc•ttion- ran• phone# C3_ I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity _ I am an employer providing workers' compensation for my employees wor�jng on this job. cnntnanrnarne: address, city nhnnc#• �7 � —� insurmice co. nniicv 0$ [) 1 am a sole proprietor. general contractor, or homeowner(circle one) and have hired the contractors listed below who hav the following workers compensation polices: comnariv n• ine• addre�s• cin "hone#• inciirnncr co "olio comninv n•imc• addresc- cin• fthnne#• incurnnee c0 "OlicP 0 Attach additional sheet if nect!_iary.:.::�'�'.� ; -.,:.'.`.:;L ;:_•-•=.,•.'s__�,':-'" :`•=:;;,.;. .;. Failure to secure cuvcrace as required under Section 35A of A1GL 152 can lead to the imposition of criminal penalties of a tine up to S1.500.00 andior one scars'imprisonment:is well:is civil pcnaiti capgs in the form of a STOP WORK ORDER and a fine of S100.00 a dad•against me. I understand that a cope of this statement mad be forwarded to a Office of investigations of the DIA for covcrage verification. 1 to herehv cc h under the p rd cr 1 Fes ojperyun•that the information provided above is true at d correct. Signature Date Print nam Phone# ` r- Coi ficialuseunls• du not wrt in this area to be completed by cir or town officialn•or town: permit/license# r'tBuilding Department t Cjucensing Board ` C check if immediate response is required 0Seicetmen's OfGcc C311calth Department contact phone#: rlOthcr s. person: _ , information and Instructions Massacltutictts General Laws chapter 152 section 25 requires all employers to provide workers'-compensation foi employecs. As quoted from the -law-. an enzploree is defined as every person in the service of another under an contract of hire, express or implied. orni or written. An rmph rer is defined as an individual. partnership, association. corporation or other legal entity, or any two or the foregoing enLagcd in a joint enterprise, and including the le al representatives of a deceased employer, or the receiver or tnistee of an individual , partnership. association or other legal entity, employing employees. Howevc 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 dwellin: or oft the ;,wounds or building appurtenant thereto shall not because of such employment be deemed to be an emp: MGL chapter 152 section 25 also states that everystate or local licensing agency shall withhold the issuance e renewal of a license or permit to operate a business or to construct buildings in the commomi•ealth for an• applicant who has not produced acceptable evidence of compliance with the insurance coverage required. 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 tiie insurance requirements of this chap been presented to the contracting authority. Applicants Please rill in the workers' compensation affidavit completely, by checking the box that applies to your situation :. e Department of fitted to the D suppl��tng company names. address and pJ�one numbers as all aflidavtts may be subm p 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 Indust rial Accidents. Should you have any questions regarding the "law-or if you are regc to obtain a workers' compensation policy. please call the Department at the number listed below. City' or,rowns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the botto the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding tite applicant. be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be return, the Department by mail or FAX unless other arrangements have been made. Tiie Office of Investigations would like to thank you in advance for y u cooperation and should you have any quef please do not hesitate to give us a call. The Departmenf`s address. telephone and fax number., ' ; a The Commonwealth Of Massachusetts Department of Industrial Accidents Office of investigations 600 Washington Street Boston,Ma. 02111 fax R: (617) 727-7749 asuaoTi sip 10 uoi)eaonaa jot asnea si 8po3 6urp11nu slels silasopusep ayl 10 uoilga luaaan3 a ssassod of aanTTe1 sauoN 41T1e3 Z I I - 91 ATuo Anoseu - V1 CC auoN - 00 S 6®V 8 00 :01 palaTalsae SEW VA `1I0103 380p11I90 N 39y039Af SSbi/01/90 00 :01 paiauisa� OOOZ/01/90 CE►890 S3 :alepUhtg aaJW3 Wpom 3S833I1 805I1183dOS NOI1�0815803 d131yS 3I180d 30 183A18Bd30 ' rNari�✓nrru I � If,i�' '/lfiai �nuvarr�. aJ c 0. OP KAK HOME IMPROVEMENT CONTRACTORS REGISTRATION Board of Building Regulations and Standards One Ashburton Place — Room 1301 Boston, Massachusetts 02108 HOME IMPROVEMENT CONTRACTOR Registration 123494 Expiration 02/26/99 Type — PRIVATE CORPORATION Gillmore Marine Contracting , Inc . George R- Gillmore 37 Bowdoin Rd Mashpee MA 02649 t ......... 7 2 10 EXIST*WOM LADDER EXISTM Wow Dm AND"STS M.H.W.=EL 2-50 MA-W.=EL. 0.00 0 Lj EXISTING WOOD MLO BOTTOM FILING(TYP.) Lcj 17� -c APPR60MATE FRM BOTTOM 10 2 -20 0 0+10 0+30 0+40 0+50 0+60 0+70 0+80 0+90 1+00 1+10 1+20 0+00 0+20 0+-10 EXISTING SECTION 1-1 SCALE 1' 5'-0" 0 6'-L 4--6- 7 EXIST*4 WOOD DECK 7 ELEVATION VARIES FROM 4.94 TO 5.31 BENCH MARK -:7 CONC. BND EL. 5. 94 4 do 0 GRAVEL PARKING AREA 4 rn 'c I A 0600 7 160 AC 39-3 MHW EL. 2.50 145 4AC 95 1.11 AC 016 065 9,A c 2 7 63 OAe AC 52 4 17 L. 0.00 MLW E EDGE OF WATER Yr 3.34 AC 'ENTIRELY REMOVEAND OROPERLY-.� OA6 AC #664 120 AC DISPOSE OF ENTIRE EXISTING PIER 1.30 AC i�7 �A 0,75 4C co 06az 53 LY /Io.56' AC, 025 024 AC 42 Z�4 J, *78 BOTTOM 19 047 3 ELEV. VARIES 145 4� 0692 3 7Q� 64- 06 5 4 9 AC 3 NFIRM BOTTOM 65 6 ES AC 95 ELEV. VARI CONCRETE RAMP 0716 707 M.D.P.W. LICENSE 42 PLAN NO. 5502 REMOVE RAMP AND FLOAT AND STORE FOR REINSTALLATION �r2 TYPICAL EXISTING SECT.ION ' 2-2 WITH PROPOSED PIER LOCUS PLAN (STA. 0+9,0­ 8HOWN). SCALE: 1" 200'-0* SCALE 1' 2 -0" >t EXISTWIG FLOAT WOOD PIER FLOAT AND ANCHOR 'C PARTMENT OF, PUB W D� AMOR' ORK PLAN�NO. 8 LICENSE PLAN NO. 145 �A OF CIVIL M.D.P.W. I LICENSE PILINGS, M.D.P.W. M16tE4%P.C. 'RY- ' 1 '3 51 --ll..-.-./ NG "0 E E,-'- MAS :-BA SC! ' USETTS RNSTABL THOM DUXBURY. FILE,NAMIE: ....... HAYXXI� DW AS %i RECONSTRUCTIO �PIER�ANE W' NOT �,SCALE: -A�OURTENAN N OF' T-iWOW -:GENIE ES: )HEET -7 aPG `7 7 00 NO., �-DWGI NO EXIST N Uj r CeSIGNED BY: E 08 'SCALE ,'bAT PLAN.,-AN Y. -05T t",,ELEVATION$ M 8A MEAN LOWWATER. EXISTINGPLAN ARIE, SED'ON THE DATU OF R ZONE. SE�TIONS NTIRE, PROJECTJS LOCATED WITHIN THE 106-FT. �BLF j i g, &V ENED THROUGH D STEEL."C 0 'BENT PILE-IDENTIFICATION LEATS,'FAST 3* X 8*,STRINGFRS,'EACH SIDE et END (TYP.', 26 TOTAL) NUMBER SEE CONNECTION DETAIL 2 F] 4 B-13 B B-2 B B-C) -10 B_I 2 B-I B-3 B-4 B-5 -6 B-7 B--8 413 THIS SHEET 10 21-9* F] F] F1 T- k 1.3 ir— 1 ­4 -77 3 M.H.W zM_2.50 m.m.w=a_o.w I _w o N 7 "m BOTTOM 6' LONG DOCK GL ARDS FASTENED TO EACH PILING, EACH SIDE a END (TYP., 30 TOTAL) I L 7 AMROXIMA FIFN BOTTOMM 10'-0* (TY -10 dEPTH OF PILES TO BE 10 FEET B LOW FIRM BOTTOM EXISTING PILING LOCATION (TYP. '(7) LADDER A' SEMBLIES 0'YP. (SEE DET41L THIS SHEE r) f- NOTE: REFER TO SEZ�T4I 2-2 (THIS SHEET) FOR DESCRIPTION OF ST THREE LES'AT EACH%CORNER -20 0+-10 0+00 0+10 0+20 � 0+30 0+40 0+50 0+60 0+70 0+80 0+90 1+00 1+10 1+20 1+30 1+40 5 PROPOSED SECT I ON I-I SCALE 1" 5'-0' STAGGER LAP JOINTS 6'-80 DECK WIDTH 30 X 8* X:2 -6" LONG AT ,I/4 POINTS OF SPAN ON ROUGH CUT WOOD GUSSET INBOARD STRINGERS (TYP.) LEAD FLASHING PLATE AT 1/4 POINTS OF SPAN ON' CAP (TYP.) OUTBOARD STRINGERS (TYP.) 5- 10-00 EL. 8.85 (TYP 3' X 8' BLOCKING STAGGERED DECK 6 _AL. 1 1 1 1 1 2#-611 AT'EACH PILE (TYP.) 7 2m X 8* CUT TO . DECK WIDTH 8 7 PROPOSED�DECK DOCK GUARD 3* X 8' STRINGER :ELEVATION'S.85' (TYP.) .............. DOCK GUARD (TYP.) BENCH MARK ER EL. 5.94/ STRING 4 D STRINGER DOCK GUAR 9 '6 YOKE (TYP. YOKE (TYP.) PILE -3 1",DIA. GRAVEL PARKING AREA X BRACING TYPICAL SECTION 3 (TYP.) PILE SCALE 1/2" 1'-0" tiff 4" X 8 ROUGH u YOKE MHW EL. 2.501, FASTENER (TYP.) 36 X 88 BLOCKING 3- X 8,, 06uGH'CUT: —2*-7*- SECURED TO YOKE WITH EL. 8.35 (TYP.) MAC ING GALVANIZED STEEL PLATE AND 16D NAILS (TYP.) 5 1 1 FASTENER'(TYP MLW EL. 0.00 3-- 4 CONNECTION DETAIL 4 2 co SCALE 1/2". 1'-0" DEC 12" DIA. EDGE OF WATER f I I I I PILE (TYP.) -011 MUD BOTTOM 1'-0" (TYP.) JOIST ELEV. VARIES 2 X 4' REMOVE AND REPLACE 0 LET-IN (TYP. EXISTING WOOD PIER AS SPECIFIED, NOT TO EXCEED 110% '"'�4* X 6m MID.) OF EXISTING FOOTPRINT 3/4' DIA. 2 (TYP.) 6' LONG DOCK FIRM BOTTOM GUARD (TYP.) ELEV. VARIES '----FASTENER (TYP.)I" DIA.,(TYP.) CONCRETE RAMP M.D.P.W. LICENSE PLAN NO. 5502 ANCHOR PILING 25-FEET LONG (TYPA LADDER (TYP.) TIP AT 10 FEET BELOW FIRM BOTTOM CONTINUE 5--0-1: CONTINUE 5'--Ow± REMOVE AM REINSTALL 0 BENT TO SENT 2 'SEC ION 2 PROPOSED T. FLOAT HOWN) ' (STAD LADDER ASSEMBLY DETAIL SCALE li2x 1 -�O FLOAT SCALE 112' 1'-0" 'PILINGS, M.D.P.W. WOOD PIER LICENSE PLAN NO. 145 M.D.P.W.�-LICENSE D Or PUBL 1C,"WORK ERS,P.C.' AMORY D EPARTMENT� PLAN NO. 3851 REINSTALL EXISTING OFM MASSACHUSETTS%. GANGWAY IN KIND BARNSTABLE GENFJRAL,NO'TES: -mom4s C DMURY, �SEXMW FENDER PILE Mai S 1. ELEVATIONS ARE BASED'ON THE DATUM OF MEAN LOW WATER. "At SHOWN 'PIER(TYP Jw HAY—PROP.DWG RECO�MUCTION FILE 1AME BY.' CALE: 'SH' ",2.'LTHE ENTIRE PROJECT:IS LOCATED WITHIN THE 100-FT. BUFFER ZONE. E E No.: DWG D SI _�: ' FASTENER I FNGTH SHALL BE AS REWIRED'".): E GNED ijy..'L BPG 778 PROPOS INI PROPOSEUPLAN NO.: E 4 NfRACTOR'SHALL E P SPONSIBLE, FOR PROTECTION OF PROPOSED -97­057�,�XONTRACT: DAT LAN" A S �"`,-`�TRUCTURtAGAINST UPLIFT DURING CONSTRUCTION.* 8-00 CKED 8Y. :T E 5/2 ND SECT SCALE 1* 20'-0* 0 0 2