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0093 LUMBERT MILL ROAD
A.r S ��C th nn.: ry r:'t• -.N.�� y+y. J r r" "ls Sr f rx n a:.J� t 'iM t4rF}�. �� r Y ry`;tj��(r : x3 'Y Yt �. '`err„ ' 'q �.. ,' fill 1 f,.,:t- d %. 11•'rof',. //'"+t -w / fY« 1u. k-(R � 2y lb „ !'J,�3J ir �..:x .. - ,, r1S}t'.r.(t ` ! r a i r r 90 oo 0 0 0 io 193 LUMBERT MILL ROAD 62 00• 26.88 N NEW 13.62 FOUNDATION 16 GAFLtGE�'ry h� � , 32.00 ry •r 1 14.00, A 4'1 1?0 19p FOUNDATION AS-BUILT PLAN 0 OF 193 LUMBERT MILL ROAD I CERTIFY THAT THE FOUNDATION SHOWN o��A s" °F ��`p ' BARNSTABLE, MA CONFORMS WITH THE SETBACK REQUIREMEN BOQ�E3 ���� DATE SEPT 24 1997 DRAW Res S* JOB 97106 m SCALE. f 30 OF THE TO OF BARNSTABLE, MA. ci SYKE S -. #35418 ti PERIMETER '0 w 0 3.9 97 9oFesso�� LAND SERVICES, INC. ROBB SYKES, .P11 DA TE °°0 S dE°°� P.O. Box 1188 — 41 Meetinghouse Lane Sa amore Beach, MA 02562 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map�� �Parcel D 4 ,,; Permit# s 3 s 0 a Health Division '�4--1 % � ' 5 � " Date Issued jyy G � Conservation Division -So � 'i) $: 3 Application Fee o/ I Tax Collector Permit Fee l� Treasurer _�n� - SEPTIC SYSTEM M R Planning Dept. INSTALLED IN COMPLIANCE Date Definitive Plan Approved b PI NTH TITLE 5 pp d y Planning g Board ENVIRONMENTAL CODE AND Historic-OKH Preservation/Hyannis TOWN REGULATIONS , Project Street Address y.3 .vm /Lr t2J�GL Village 651-1 i ni vi/lam J Owner _ ,��IJI'Lf� /� �-/O gyp-/ Address IM L y�,6fu,1' 141y d t< d-arallie Telephone 6_1101f_ yaa-- C19�9 Permit Request Ceti Square feet: 1 st floor: existing�(�-proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type VkX Lot Size Grandfathered: ❑Yes & o If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure '1 Historic House: ❑Yes Oslo On Old King's Highway: ❑Yes ,Q<o Basement Type: Zull ❑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 1!� Heat Type and Fuel: arGas ❑Oil ❑Electric ❑Other Central Air: ❑Yes C3'No Fireplaces: Existing / New Existing wood/coal stove: ❑Yes �o Detached garage:❑existing ❑new size Pool:0 existing ❑new size Barn:❑existing ❑new size Attached garage: sting ❑new size Shed:2rexisting ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number4,1;& Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1 SIGNATURE DATE �19�05� _ ( 1 t FOR OFFICIAL USE ONLY � 4 1 PERMIT NO. DATEISSUED MAP/PARCEL NO. if ADDRESS VILLAGE OWNER DATE OF INSPECTION: ' FOUNDATION S ono S'- 9- S 1 FRAME INSULATION . s FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH m FINAL cv-► a rn > t FINAL BUILDING c) V� -J 5 DATE CLOSED OUT ASSOCIATION PLAN NO. cm ©� W 5 ¢N fro� S�1 1 - The:Commonwealth of Massachusetts E= Department of_=� De Industrial Accidents . _. . — Office ofInvestigations 600 Washington Street, fh Floor %f Boston,Mass. 02111 It Workers'Compensation Insurance Affidavit:Buildin lumbin lectrical Contractors ft name: address: city state: zip: phone# work site location(full address): ❑ I am a homeowner performing all work myself. Project Type ❑New Construction[]Remodel ❑ I am a sole proprietor and have no one working in any capacity. ❑Building Addition ❑ I am an employer providing workers'compensation for my employees working on this job. company name: address: ' city - 0hone#: insure I ce co. oli I # I am a sole proprietor,general contractor, omeow rcle,one) and have hired the contractors listed below who have the following workers'compensation polices: a company name: address: t ". city; phone#• insu. nc volig# company name,• address city: phone#• insurance co. ON# 93 MAIM r. *. a aeons�ut��saarar� Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.Wa day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. ]do hereby certify under t e pains and penalties of perjury that the information provided above is true and correct Signature etl V, Date /y/lam Print name 1. Phone yaa—Q [contact :0nonly. do not write in this area to be completed by city or town official permit/license# ❑Building DepJrd QLicensing Boadiate response is required ❑Selectmen's O❑Health Depar phone#; ❑Other Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law",an employee is defined as every person in the service of another under any contract of hire,express or implied,oral or written. An employer is defined as an individual,partnership,association,corporation or other legal entity,or any two or more 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 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned.to the city or town that the application for the permit or 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. . .y n 1Ty,'W.. ., ma City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. - The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. V r. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street,7te Floor Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617)727-4900 ext.406 over Town of Barnstable Regulatory Services saxrtsTas Thomas F.Geller,Director XAft • � ir, fo 39 Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4088 Pesmitno. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction alterations,faddition to anypre-existing occupied con-version, improvement,removal,demolition,or construction building containing at le an ast one but not more than four dwelling units or to structures which are adj acent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Estimated Cost 06'� Type of Work: �fGGl�i 1 �I Address of Work: Ll Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law `- ❑Job Under$1,000 [�]B ' ding not owner-occupied f LfJownerpulling own permit Notice is hereby given that; DEALING GISTERED OWNERS PULLING THEIR OWN PERMIT OIMPROYEME�NI WORKDO NOT HAVE CONTRACTORS FOR APPLICABLE H ERMGL c.142A. ACCESS TO T-tM ARBITRATION PROGRAM OR GUARANI�1 FUND UND SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Contractor Name Registration No. Date OR et's Name Date Q:focros.homeaffidav Regulatory Services * :.4- ..:,.'fhos:F::: .efler,•Director y�ArF1aK6A . . .,Building Division. . c Ma --Toni Perry;B"u"ilding Coinmissi'oaer 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: JOB LOCATION:_ nu er street village "HOMEOWNER":�/¢(Jrl�- �• Y /�!4/-'I� � y„�0 0� � ���O(�oZ'( D�OIO name / home phone/# work phone# CURRENT MALLJriG ADDRESS:_ 9 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,thathe/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 Tovy.of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and require nts. Signs re of Homeowner 01 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 104.1.1-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 d r •ti r r f ,.............. "I Ix CID_ ll I y. (--,pots a ✓✓ do 5'6° All (/� 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ) V 0 Parcel —1 Permit# Health Division � ' SARNSTA$Late Issued — Conservation Division C� `� 2004 AY -3 AM 9: lication Fee (� �Epp Tax Collector Permit Fee 1641 Treasurer t)t'�°tS10 SYSTEM MUST BE Planning Dept. �LED IN COMPLIANCE Date Definitive Plan Approved by Planning Board ' ,N"ITi TITLE S CODE AND Historic-OKH Preservation/Hyannis Project Street Address l9 Y"� �� 1^'� ► �— (� Village e-Nq Owner LpL Address Telephone Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type n Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family Cl Multi-Family(#units) Age of Existing Structure Historic House: O Yes ❑ No On Old King's Highway: ❑Yes ❑No Basement Type: ❑ Full ❑Crawl 0 Walkout ❑Other -i Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new J Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric O Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: 0 Yes ❑No Detached garage:❑existing 0 new size Pool:0 existing 0 new size Barn:0 existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use - = BUILDER INFORMATION Name P�9L� A-? y(�(� Telephone Number Address p e— License#4) 61 5r QD6Q Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 3 '� FOR OFFICIAL USE ONLY t y PERMIT NO. DATE ISSUED MAP/PARCEL NO. t ADDRESS, VILLAGE ' 'Z OWNER DATE OF INSPECTION: r FOUNDATION 2,S 4 AWL FRAME ' INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL > PLUMBING: ROUGH FINAL st' GAS: ROUGH FINAL FINAL BUILDING ; R � i 1 DATE CLOSED OUT ' ASSOCIATION PLAN NO. t ,.. t..•l•••:is.. .. i�i;' - Th . Co. vea th of Massachustgtts - = Department of lKdushzttT Accidents' boa Washington Street _ Boston,Mass. t12 �1 Workers C m ensation,InsuranceA.ffidavlt-General Businesses NO/�".�+• •srjr°+ Y11 iT LQSr.y� t •..• _• tiY address: y _. •'h `e. ' . • state: Z1 _ -• - . . _ . site ltxati foil address :' Re U.0 aF/Eat7ug Establishment work e: Retail Antos etc. D X at"sole Proprietor and hand no one �u mess 0 Dice Sales('including REa1 la st e, r1in - a 'Y capacity p� O}her ' 1• �'`'0 g "eJn'lo ees full IJt ' art tie: n I wn an em. to er //// %%/ %/%//%/%// on this'ob., , r r/1////// /%/y/�///%%%%/� 'compensation for my.em loyees worlang . . Jean;employer providing v�prkers % i...�;, ti : �;•, •t .{ �.:.i. •, h• •�' rla�y t. t,:T'.• :r''�r' .. a'-:�'�•Yf�'r, .Y sy....�.:1. .:.•:•. tt S;}a�C tl•ti: ��''�"J•����'' r•'1' ��ili t��.�. ' '• ' �'y•,•" Sr.is 1.:. •. -� l ,-,, 1 ;•,.'.•. r•�.. 9llie} JJ811 -r', YI,:,!L•t•.• ':a s,J,!'�;:ra:S•.•r••'.•,•' •1t'f':�.•.l�l.`''Ni•v.S..,:J'�%,1•%'I`+.a i:�'. '?S7:i A3'a i��. : .:.•,' r' .,r t r•; r, ,, yr• •t. COrh•eA wt, :�: i!: ::•' ': L,r i' x 4 i :t:' t r..�,, t:t '7rf•:�!•rt 4•.S#• \t:s e• •4: I�, s L7 c_1„ •t '•.d' tt�r,• 'r':*;(r rnts.r:. y •;" ��• 1.} � yri�•�':�+•,t}t{,oai" .+,.. y*< �. ," .,� ••sa..r,•.:�.•�':'rt•• a' s �• •1:.� . .. -tt y.4! ��•• .r• p`s�'�.ftrl.'t•+t,' t✓ r 7 •L.. ,7-• -i•.t'•.'•9 7•:w�.}'�yrr .".'t��.. !•t. '7 S:• S �r•���1f�'' 'r"a $dQ1'E�S. : 1. r. i»rr 'j}J.,i..JJ;'. y.•!y; •:tw•'- �j:{ r �"! ..;,�:�• ey:+i ti '�filC'��•."�,�•�Jr�J•'�•'�,•'�w..1+ ,%y•; ?L•.yr 51- '',,, ''�y,'•?�i ;�•t' •a.•'r>; �_"'.•y�4r•' c •px wile. !. r .�,ti•' ,, 'y•• ?.:!. •• S C •:�•� ,.• .1•+y'S',:t' r}t.;• ,.5. •,t Sii y 4 • ('r ..„y ii���:: v• ..t •isi: i, r:r y� •�.y"+ ti' U i.Ir...a .i:",•. r t •I,r'.• a•s �''• "1 t.=f! •a.i.r al. Z. �.: '3. �. ,r O�1G•'.fiF�' n' }irisu3i a�ce.co:'r,'••^ i ho have the following workers' / the ind endent contractors list below•w I'am a sole proprir and'have hir �P .compensation polices: rr' ;n• .:•�'.:'`.:?''t�hyi•.tirJ''r ;ll••1 '}t •+. 1 s••• ° 1pr,;•',.r•,•,r�f ..,*+�'•:`���Rii. ••4•;i;'ts: • ' t. 14�':;`p •'t. .:.• ::.' •t s..�•r•}•:rt�'rP.�,,'i�+;._•.� i.. , .. 1lII arn ' •.: 7 •b :':':e't.,.,r !' s'1 t :'. : tl }iY. .,*• t... . tit s J'� •?j .r�• •!� :' •.-.i`'.. .'.. :n;'.. 1.4.PrY:••a'4.•{J1.t�: •'r�t:i"J4±gt.'•fr�.l�.,'1.Z,i•'-•1�:'*r;'il.r •�{.:j. t'r:i:: r ..i S, "�i.':• 'n'.• 'r• •�: ::i�Y. .s-:' t J,' •,r ', 7.• .'.I, .►eri .t.,V•ul.t•� 'r 8'� . . '!� 'I Y •i:l•.r,}•:+• •t dE•C$9'...''• �. •S ,:i; .. .r :::. :, :`•t,.ir's+f:, •,' t.. .7 •.. 'I •�' �;�•':.'i '.; 1!; ' rrt::. 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L �s�e•:•a,'l.! r�I:.i;{•y'�.ti',•��j,p ., -'•t• •r•'a r•iA...jR •'L J •,',t.�';t:L:• 9`J. ^f�•a a' .r ,y:�'f,rr /� t' ' y. 1;: .�t: t:'• S'<S' •('i...:t.' '•d 'r •r , •::;J,.•t•7. "!.•,J'a ti SY .�'y1 f�t ^.y�<,1:i.,,},:'•,•C,t• ,t: ..t Y•rL.L',•t '• :'�'• .r .l 7. � ', :1• ,.- `•!•;., leoia all. paaib..�tf t ' BUCC[essi. _ ,n•'4, , . .': {•• ''•i :•�)4 d•'' :}. 'e.• :•:S 1�..t, '1! ,••A .r, •. •4 ''• `• :' ! •. . .tp..r .ri. "i-I=:+'. :,�•j i,is'�l�:t�ty''."C.!i.ry ��.:•.• •' .�i'•'Y• Lt' '1.• !�'J:.� •'Jr• �' , ''t•, •1' ,, r.•..••�.,rt,•' ..;�j`s,r~•,�:;tea':•+. i'::ti+;:•�t..' .a•J4 tt:: .i,. ';t: '• r• •.Cr h "t.t'L t. ,s� f.)1•r.,i . �in,.�s.,stJt'• 'h y: 5 s J••:9:�•;I' r: •st .y,•.' sk •CT!� t• 't:r•'-•�i•:1 .�s:t,.i• :•�t;.�,, . 4'e'.i t' 5. ,sr -,7, j.L•,1� ', t ;:.t •':fF'rL'•s ••••�••S S•ii�l}f ea.l;F:y•.i^,:'�'J.'w.�� 'i:'�.: '.;'t .r�.'i�¢:;�! ree .y •t �. d.C,: .ti.. s r:• ��isii;; s5tj'tL'�/.4 0�1C. a• 'J`a;v' �3. ti ';' '�, •:.1 f' '1 • f•::7,5: •IS•a, .4 :�::lt l.,�: t. t• T'.•. t •• ,• ••, ��� fii'siir�nc�-b�r...r• . - Failure to secure coverage as required under Sec in the form of a 152 WORK can Its o the I snd a fine of 5 Ofl 0o a day againeofaatme�Y understand that or one yeara,imprisonment as well an ctvilp r copy eithis state Cut maybe forwarded to Office of Investigatiom of the DTAfor coverage verification nder the penalties bfperJury that the iafnrmanon provided above is Prue and eorfeet [[�� I do hereby erti Date Signature �. hone# (J Print name , official ase only do not write in this area to be completed by city or town official permitmcease# [Building Department QLicea§ing Board City or town: Clselectments Office [}•chnekif immediate response is required []HealthDeparlmen� phone#; []Other contact person: (:evped Sept 7003) �........a,.:.•y:ext..� g 9 • ' , Information and Zinstructions. eral Laws'ch�pier 152 secfion 25 requires all cloyers No provide workers' eompens�tidit fir their. Massachusetts Gefl .'"`' F103'e ; As quoted'from the `law"., an employee is.defined as every perspn m the service oi'another under any contract Of hir 'express or in�loed; oral or written. 6r an o or a of • er is de. • •� an in 'yidual,partnership, association,corpora ,or other legal entity, y fw mar' z An em o3' deceased,employer,er or the-receiver or � ag�•�vint enterprise,and including the legal zepresenj�tves of a dec ,emp y , the foregoingg , + • , g� ;� emp . employees. 'HoweYei.the owner of a trustee of an individual,P . �P,-association or other le enfi to g�? y . dw ag house ha` iJ,not'mor than three apartments,and-who resides therm, or the occupant ;of the:dwelliug dons a bf spersozis t !do maintenance, constrgction or repair work on such dwelling fiouie 6r on the grounds or mother.who.empl 3' , einployme�it.be'de • 'tobe an employer, • building gppwtenant tfiereto s not because of such � . . • ,••; , .' , . . • . �• 5 aaenc shah withhold the issuance or renewal IyIGL chapter.152 sec�tibn 25 ° sates fhat'every state local liicensing� a y Y Pp. of a license or pe?' to oiler e business or to construct buildings iris fbe.cbmmonweaIthfop an applicant who has not produced acceptable evil ce�of compliance hall the urs�ce cot'racgfor the performance of pnblictwork until, cojx monw�thnor.a y.of its p ti subdivisions s y # P acceptable evidence�f compli' th a insurance requirements of this chapter have been pxesentecT to the contracting s' authority. • v Applicants ; please fm In•fie ems+ atx €tidavit coriipletely,by chec ' g thebox that applies to your situation.,Please supply company name address d phone numbers along with a certificate of insurance as all affidavits may be submitted to the Depart'°f dustrial ccidents�for confurnation of insuranc coverage. Also'be sure to sign and date the affidavit. The affida should xeturnedto the city or town thatthe'application for the permit or license is being requested, e D it o, dustrial A,ceideu'ts. Should you hie;any questions regardiri the'"Iaw"or if'you are d, not tti eP equiredto btain a wo ers'•c ensatianpglicy,please call theDep�aT{rnent at the number liste�cl;below. City or Towns . ' t has provided a space at tnd bottom of the Pleasebe sure that the a 'davit is complete andprmted legibly`'!'he + epar6rien • affidavit far y g "l►' to contact you regarding the applicant. Please you to 01 o t in•the ent the Office of Invests ations� be sure to fi11;m e P 't/licens er which wM be used as arc ence number. T ie.affida_yits may.be returned tQ. emmts havebe` de, the D ep artment b�. FAX ess�other'ari ang ` d like to thank ou in advance fo ou cooperation and sliould you have any questions, The Office of Investigate ns wo Y ; esitate to 've us a please do noth / 's addr ,Wepho 'and:fax number: . The Dep�ent e. w The Commonwealth Of Massachusetts Department.of Industrial Accidents . emce of las�esens . 600 Washington Street Boston,MR. 02111 fax#: (617)727-7749 .n_ ii•t rn rrnrr.annn _.-t 'AAC f ' Town of Barnstable of E °`''y Regul.atory Services Thomas P.Geiler,birector an� & sr�er.�,� •� s5� ,$ Buildx ig Division. . �RrFD MP�k Tom ferry,Building Commissioner 200 Main Street, Hyannis,MA 02601 • Fax; 508-790-6230 Office.. 508-862-4038 permit Data ' AFF MAVIT ptOIYM IMPROVE PEI PNTCONA R CATZONw . SUPPLEMENT T MGL c.142A requires that�° 'reconstruction,alterations,renovation,repair,modernization, conversion, re-existing ow!?er-occupied •improvement,removal,demolition,or construction of as addition to any p contain'g at Least one but not more than four dwelling units or to ontract rswith certain exc�eptio�, g with other adjacent to bun ding be done by registered such residence or building requixements, �� Estimated Cost Type of of ork: ( �G r V J at-e Address of Work: Owner s Nam Date of Application: I hereby certify that: gegistration is not required for the following reason(s): []Work excluded by law ' []lob Under$1,000 . (]Building not owner-occupied []Owner pulling own permit Notice is hereby given that-IR OWN 1 ERI?ZT ORDEALING WITH UNREGISTERED Og,S PULLING THE coNT CTORSFoRAPPLICOLY,HOMEp UARMEANTXwFUM ERMGLc 142A. AOOESS TO THE ARBITRATION p '0 GRAM OR G ' SIGNED UNDER PENALTIES OF PEPJUXY Ihereby apply for apermit as the ageAt of t'ae owner: ',.p �L� RegistrationNo. Contractor Name Date OR Owner's Name I awE r Town of Barnstable Regulatory Services 3 'BARK Thomas F.GeHer,Director F 59 L Building Division Tom Perry, Building Commissioner 200 Main street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508 790-6230 Property Owner Must Complete and Sign This Section. If Using A Builder .;.as.Ownet-of the.subject ptopetty- hereby a .... ..' uthotize �� ��- '��f �•I O f��; .to`act on my..behalf, is all matters relative to work authorized•by this building•pe= it•applicationtfor: ; (Address of Job) S4a%;tae of Owner Date Print Na�•e . t� Renovations • Custom Installations • Repairs • Maintenance 242 0 0 o Spa Showroom Pool & Spa Supplies �y Page 1 of 2 a ; 30 Cit Avenue, Hyannis MA PROPOSAL Ph: 508-771-3457 Fx: 508-771-3496 To Laura Goddard Phone 04/16/04 Date 93 Lumbert Mill Rd Centerville MA 02632 Job Name /Location Job No Job Phone We hereby submit specifications and estimates for: Pool type:Vinyl Pool size: 16 * 32 Depth 316" to . 810" Shape:Rectangle CONSTRUCTION SPECIFICATIONS FOR BASE POOL THE FOLLOWING ARE INCLUDED IN .THIS PROPOSAL 1) Typical swimming pool construction permit 2) Normal excavation of p9ol 3) Galvanized steel pool walls installed 4) Concrete collar around outside base of pool walls 6" thick 5) Concrete shallow end floor and `deep end hopper 6) Concrete or vermiculite bottom base under liner 7) 1/4" thick foam on walls and shallow end floor 8) Concrete receptor. coping 9) 20mil virgin liner in a stock pattern 10) Cutting in of liner after 6" of water is in the shallow end 11) Back filling of pool area 4 ' around pool 12) Filter type to be:SM7120 13) Pump size and type to be: 3/4 hp 14) Equipment for filtration system to be within 25' of pool i WE PROPOSE hereby to furnish material and labor-complete in accordance with the above specifications for the sum of: Cont!d Dollars ($Copt'd ), Payment to be made as follows: 10% upon acceptance.40% upon installation of wall system. 40% upon installation of liner. 10% upon completion All material is guaranteed to be as specified. All work to be completed according to standard practices.Any alteration or deviation from the above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over the above estimate. All Authorized Signa ure agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado, and other neccessary insurance. Our Workers are fully covered by Workmans Compensation Insurance. Note:This proposal may be withdrawn by us if not accepted in 30 days. ACCEPTANCE OF PROPOSAL-The above prices,specifications,and a lam conditions are satisfactory and are hereby accepted.You are authorized to do Signatur the work as specified. Payment will be made as .outlined above. Date of Acceptance: Signature o 0 o Renovations • Custom Installations • Repairs • Maintenance 242 Spa Showroom Pool & Spa Supplies page 2 of 2 f a 30 Cit Avenue, Hyannis MA P RO P O SA L Ph: 508-771-3457 Fx: 508-77.1-3496 To Laura Goddard Phone 04/16/04 Date 93 Lumbert Mill Rd Centerville MA 02632 job Name /location Job No Job Phone We hereby submit specifications and estimates for: 15) Pool light Quantity: (1), Type: 500 watt 120 volts 16) Skimmers Quantity: (2) 17) Main drains Quantity: (1) 18) Returns Quantity: (4) 19) Handrail Quantity: . (1) 20) Ladder Quantity: (1) 21) Sanitization system: CL220 Chlorinator 22) Eight foot external step section NOTE: ALL EXCAVATION AND BACKFILLING DONE BY FAT FINGERS 1 BY OTHERS NOT INCLUDED:ELECTRICAL,GAS PIPING,BOULDERS THAT CANNOT BE EASILY MOVED BY MACHINE,ACCESS AND REPAIR OF ACCESS,REMOVAL OR BRINGING IN OF FILL, SITE PREP, STUMP REMOVAL,UNSUITABLE SOIL CONDITIONS,WATER TABLE PROBLEMS,WATER TO FILL POOL i WE PROPOSE hereby to furnish material and labor-complete in accordance with the above specifications for the sum of: Fourteen Thousand Eight Hundred Ten and 00/100 Dollars Dollars ($ 14, 810. 00 Pa ment to be made as follows: �0% upon acceptance.40% upon installation of wall system. 40% upon installation of liner. 10% upon completion -7 All material is guaranteed to be as specified. All work to be completed according to standard practices.Any alteration or deviation from the above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over the above estimate. All Authorized Signature agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado, and other neccessary insurance. Our Workers are fully covered by Workmans Compensation Insurance. Note:This proposal may be withdrawn by us if not accepted in 30 days. ACCEPTANCE OF PROPOSAL-The above prices,specifications,and conditions are satisfactory and are hereby accepted.You are authorized to do Signature the work as specified. Payment will be made as outlined above. Date of Acceptance: Signature . ._..... - ` F.. � _�•-�/..%��J��^-___•...�.• ..�.._.� -..- .ram.__ ....✓-�..-'v-r�-wrRM { k BOARD OF BUILDING REGULATIONS !License CONSTRUCTION SUPERVISOR a. «r 4c v i �,,Numbet' � 077875. ~�. 54 t i I sj 0 /a8l 0 6 '"Tr no `2163T- { ROBERT C SMIT 7� s 1,547 SERVICE ROh �`{ ,•?` ; W BARNSTABLE, MA 02668 Acting C mis over I Board of Buildin a ulations , o g . One Ashburton Place, , m 1301 Boston, Ma 0.2108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 05/08/1954 Number: CS 077875 Expires:.05/08/2006�= _�.- Restricted To: 00 z U W h " ROBERT C SMITH m — > 1547.SERVICE ROAD W BARNSTABLE, MA 02668 ` Y; Tr.no: 21637 °�1r See Keep top for receipt and change of address notification. i �F7HEip The Town of Barnstable BA MASS.LE, 55. Department of Health Safety and Environmental Services 9 MA �P 039. �0 P'FDMpyp. Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Co 6 - Location 9 Permit Number 76 LI 3 Owner Builder One notice to remain on job site, one notice on file in Building Department. The following ollowing items need correcting: iM�e > w, 10Crr Ca 1Av \:tom 4 �e iAJA I �C � G^ Please call: 508-862-4®-3,8-for re-inspection. Inspected by V / (/ Date ?)2,3)q y TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY 1 k, PARCEL ID 168 648 GrEOBASE ID 9378 ADDRESS . 93 LUMBERT MILL ROAD PI40NE CENTERVILLE ZIP LOT 13 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 31855 DESCRIPTION CERTIFICATE OF OCCUPANCY PERMIT TYPE BCOO TITLE CERTIFICATE OF-OCCUPANCY- CONTRACTORS: PROPERTY OWNER Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: BOND $.0© Ok tHE CONSTRUCTION COSTS $-00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE P, * 1ARNSTABLE, • I MASS. i6g9. A�O� e ED MA'S BUILDha1 SIGN BY DATE ISSUED 06/29/1998 EXPIRATION DATE • . " sI ADDRESS 93' LUMBERT MILE, ROAD ,/ PmNE " CENTERVI LLE r✓ � � � 17 Z TIC LOT 13 PLOC LOT SI` E _ .,. DBA DEVELOPMENT DISTRICT CO PERMIT 25101 DESCRIPTION NEW 3 BDRM SING ,FAM HM SEW_ PrI'_#97-428 � i PERMIT TYPE BUILD TITLE NEW RESIDENTIAL BLDG PMT CONTRACTORS. -PROPERTY OWNER . , Department of Health, Safety ARCHITECTS r, and Environmental Services TOTAL FEES:' $2'72,80 BOND 4.00 4 r T NE ., CONSTRUCTION COSTS. 101 - SINGLE FAW-HOME DETACIIEb I_ PRIi/ATZ"P,Va ?E,.a, BARNSTABLE, OWNER :WA1BLE,. LEO. C' JR& JANE A TR ' i639. 10 ADDRESS - ED PAI►�a 2 -> nLD TONE WAY :RFD 13 I t3EDF RD NH �` BUILDINI-DIVISION BY 77 'DATE ISSUED 08/19/1997✓ FiP1RA� �.ON*�DATE r t THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON,PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION,RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK:'M- APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL.INSPECTION PERMITS ARE .REQUIRED FOR O 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- (READY TO LATH). FANCY IS'REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. f BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS A.6Y64' seep 1 i .0 .moo?/ 3 e > 1 SATING INSPECTION APPROVALS ENGINEE G.D A TMT 4 \ wad - ��"�? 2 '� �1 HEA//JL/TH ER: a =' SITE PLAWREVIEW APPROVAL t' t WORK SHALL,NOT_PROCEED-UNTIL.,.s PERMIT. LL_BECOME-NULL_AND VOID.IF.CON--- —INSPECTIONS-ND IGATED-ON THIS—� THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE'ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- ' MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFIC-TION.,i NOTED ABOVE. TION. F . f W. .H 1 Engineering Dept. (3rd floor) Map Parcel Z�Zrmit# ai!T-tO l House# ly"'Y"Of ate Issue gr�t q f q Board of Health(3rd floor)-(8:15 -9:30/1:00-4:30) 0*Z,7oi.�p ®Conservation Office(4th floor)(8:30-9:30/1:00-2:00) 10 Q Planning Dept.(1st floor/School Admin. Bldg.) CEP TIC SYSTE Eli t,. a C Definitive Plan Approved by PlanningBoard ►'v. S 19 M ITH ads a -� 2 LED IN E e c"C d-t5 ONMENT Aar, -, TOWN OF BARNSTABIRWN REGU S �� - ` Building Permit Application Project Street Address 76 A01iI,t36-i71 /Z0,, Village ( [=/V/ v/!L_Z_6� �. ,ldw er �-e.1 lntQ'h to ro J -�ct ra .ca.9 Owner ��R d y fZ-• PE 1/j�()X Address '��y /r/ �-MO()f/-�- (D ZAW&F Telephone 4 /7 — ,3 IS- Permit Request First Floor / 2— square feet Second Floor N�i� square feet Construction Type Estimated Project Cost $ 069000 Zoning District Flood Plain Nd Water Protection A/6 Lot Size / , $/0 5 r Grandfathered XYes ❑No Dwelling Type: Single Family' Two Family El Multi-Family(#units) Age of Existing Structure /V Historic House ❑Yes /No On Old King's Highway ❑Yes XNo Basement Type: XFull ❑Crawl Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) �3 Z Number of Baths: Full: Existing New Half: Existing New No. of Bedrooms: Existing New Total Room Count(not including baths): Existing New 5- First Floor Room Count S Heat Type and Fuel: QdGas ❑Oil ElElectric ❑Other jt�)te e6 5 41% W dur&z_ . Central Air ❑Yes XNo Fireplaces: Existing New �_ Existing wood/coal stove/ ❑Yes 'No - Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) /V ❑Attached(size) /'� �)C �/ ❑Barn(size) ('�J ❑None ❑Shed(size) N ❑Other(size) (� Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Builder Information Name Telephone Number Address �- License# ? * r- � Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLO NG REASON(S) ' } FOR OFFICIAL USE ONLY Z.,�;-lol - PERMIT NO. DATE ISSUED r MAP/PARCEL NO. i ADDRESS VILLAGE f OWNER DATE OF INSPECTION: FOUNDATION FRAME QJ 7- INSULATION FIREPLACE ELECTRICAL: ROUGli FINAL ► PLUMBING: ROUQU,, '" FINAL : GAS: :V., FINAL FINAL BUILDING `xa -n { � F DATE CLOSED OUP=. <„ ASSOCIATION PLAN NO. K....,X-r... , ten•-...- .. , - -�_ - .r > ;. -" " .,,v_�' .> v . -.....r�.....,.<... -�, � e FtME► The Town of Barnstable o� RNSTA BA LE.MASS. $ Department of Health Safety and Environmental Services MASS. 1639. `0 Building Division 367 Main Street,Hyannis,MA 02601 Office:. 508-790-6227 Ralph Crossen Fax: 4 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection Location Y AIL--h.00'4- 7' GfiJ i/f1P Permit Number -r Owner Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: / P 5. 7P"7 -F, t<, 0,� �,U 4 e2 2 `Z Please call: 508-790-6227 for re-inspection. Inspected by v Date , t .. ro�� •Y �� � �. :f.�. � �, . . � � � '� �. � r � ,�i . -- �__ � � __- _ �--- . �— �--�- r ; t° � n .. I ;_�. . f _ ; Q , ;,, � � ,�, ' •�`�V�� _�_ :� ���® g ��9�7 NOTES FO_UIVOR/oN PIA_ IV zon)(/Z" FOOTING S ¢°L qLL Y f3 40-0 . ¢ C oNCRE1,E:S1.-ABS 4"x 8 lqM �q i II FOU 8/956MEA/T cpRRG� � I . 4 Po�R - - -- - - - - Ir- - - - - - - - - - - - - ,- - - - - - - - -I 0 ,4 -o (���- 0 - 8 /oxiz .a 4t ICN AJ C E �r PINIwG 5 . Fa . Y�r 0 o- Cog. z i ��9t� E i o COAL ' L/V/n/C7. 13,X Igo , i - ._�,- Xl3 r 2 X 1 „ l $ -� - P�c(�RM �, gcDRl"1 . i �quLTED po2cH 32 X161 " 4' 02-" e RIGHT 5 11DE ELLVAT/ON Lc t-l 51 DE f C V�9TIuN- I i .HI I �c""A l2__C4E VA(:%A/ t S_ 20 yE1+R gsPNq�T_�" WALL SECTION DET'61L- ZxB,. gooF. Ole- PLY SOFFI 7"w/ uENT 2x¢45TUO /�'o.C• 3/¢��T �a Ft-ATE GRADE 8 WALL tfz"MIN: (3 Pr GS� �z zo,, ADDITIONAL NOTES: FOUNDATION: * 8" poured concrete on footing, 4" poured cellar floor. 2x� FRAMING: * 2"x '10" floor joists,ceiling and rafter 2x 6 * 2"x4" exterior walls * 3/4" cdx plywood floors, tongue & groove, glued & nailed. * 1 /2" plywood wall sheathing & roof sheathing, tyvex insulated house wrap. * exterior walls are white cedar shingles and clapboards(front) * 20 year asphalt shingles(roof) WINDOWS: * DOUBLE hung insulated windows with screens EXTERIOR DOORS* 1 3/4" thick foam cored steel door. INSULATION * R-11 walls, R-19 floors, R-30 ceilings. INTERIOR WALLS* 2"x4" studding with 1 /2" blueboard &plaster ELECTRIC: * 100 amp above ground service, smoke detectors. PLUMBING: * builders choice for fixtures * 5 ' fiberglass tub & shower and stainless steel sink(kitchen) .Two frost free outside spigots. HEAT: * forced hot water by gas. INTERIOR FINISH* colonial. trim throughout, six panel molded doors. Pre finished kitchen cabinets with laminated countertops. FLOORING: * wall to wall carpet. living & bedrooms,dining room hardwood, kitchen & baths vinyl. PAINTING: * 2 coats on exterior trim, 2 coats semi-gloss on interior woodwork and 2 coats flat on walls color is . . . :-. standard white throughout. DECK: * 12 'x10 ' pressure treated LANDSCAPING * 1000 sq. ft. of soda 1 : foundation shrubs, disterbed areas to be mulch or wood chips or loam and seed. DRIVEWAY: * 1o' wide bluestone up to 40 ' in lenth. UTILITIES: * title v septic ; town water,natural gas * telephone- pre-wired for two phone jacks. * television-pre-wired for two cable jacks. * appliances- ductless range hood, self cleaning range and dishwasher WARRANTY: * 1 year against mechanical & structual. deficiencies plus all available manufacturers warranties. NOTE: * these specifications are of a general nature and can be changed by the contractor without prior notice. The Conttnoun-calth of?Itassachusctts • s __ 1y Dcpartmclrt of Industrial Accidents z i :JOffIC9&IRVOSt/ga11517S �r•w! 6(1(1 JVu.vhhq,ton Street Btivon.Mass. (12111 S. �•' Workers' Compensation insurance Afftda%•it rtilic ^+ information Plense PRINT 1�iijp a r ODNI- L I am a homeown r performing all work:myself. I am a sole proprietor and have no one working in any capacity I am an enlplover providing workers' compensation for my employees working on this job. couvenov name! '1d(Ireee• cih• nhonc/t• incurnnee ro noiiev# K I am a sole proprietor. ,compensation contractor.o homeown circle one) and have hired the contractors listed below who ha the following workers' compensation polices: comma n•ttnc DOAJ#9&1� KL� !:R�4�2 wrC 'n M✓�-<2����-�fl �� nhonc�• l���� �3��� mokornncr rn L-- `-7I0/y -�"�•-' a noiicc f! �e�0�ss .�._.,._.. n•. n .. .�..t... _. . - ��••-ter .�;T i•�.�..y� .Trt_•: _ _ .�__ mmnnn. nime lddrecc V I&-ce nhonc�t•f/�0 17-Z� /3 i� -. incur•tnce co _ Attach additional sheet ifneecssa _ .. i.r_ ��•_i --Ii't:as;..`e �•.•_: .:.+..a. .• ..,r., �•• ..�:_.+•+rw.• ►.�r•rT�s .: r�=: —•+r w...—..+ ruikure to secure cuverace as required under Section M of AICL 152 can lead to the imposition of criminal penalties of a line up to SI.500.00 andiur une,,cars'imprisonment as well as civil penalties in the form of a STOT WORK ORDER and a fine of S100.00 a day against me. 1 understand that a COO"of this statement mac be forwarded to the Once of la cstirations of the DIA for coverage verification. 1110 berebr cerrifl•n r lie pains and pcitaldes cryuq•that tic informarion prodded above is true and comet si_naturc Date to L-7 Print name %Z. D81IMic Phone 500 -?375— r;(o).MZ21 use only do notwrite in this area to be completed by city or town otlicial permit/license 0 rltluilding Department ctyor town• Cluccusing Hoard C p check:if immediate response is required 0Seieetmen's Office t-- �:. C311c2011 Department a • TOWN OF BARNSTABLE ' BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION P1 ase print. ATE I j 9 LOCATION /Z�- .../,TOB CATION n&� /?,P� Number Street address Section of town "HOMEOWNER" ° _.. • . Name Home phone Work phone -- PRESENT MAILING ADDRESS 300 ��) = •-.' l l �� City town State Zip code The current exemption for "homeowners" was extended to include owner-occupies dwellings of six units or less and to allow such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Person(sj who owns a parcel of land on which he/she resides or intends to re- side, 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 Offic4 on a form acceptable to the Building Official, that he/she shall be resnonsih- for all such work performed under the building permit. (Section 109.1.1) The undersigned "homeowner" assumes . responsibility for compliance with the St Building Code and other -applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands ..the Town of Barnstable Building Depart3me minimum inspe ion procedures and requirements and that he/she will compl wi aid proced s and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 01 Construction Control. 07/17/1997 09:22 5087756029 JQTRJMQAW PAGE 02 Josh W. KENNEY ATTORNEY AT LAW 12 CENTER PLACR 1650 ROUTE 28 CENTERVILLE,MASSACHUSETTS 02632 TELEPHONE TTi•9300 FAX NO.775-6029 AREA COOK 506 July 11, 1997 Mr. Ralph N. Crossen Building Commissioner Town of Barnstable 367 Main Street- Hyannis, MA 02601 RE: Request For Determination of Buildability of Undersized Lot Locus: Lot 13, Land Court Plan 3.1043-A Lumbert Mill Road, Centerville, MA Parcel ID: Map R168, Parcel 48 Land Area: .34 acres Dear Mr. Crosson: I am writing to request a determination from you that for zoning purposes, the above-referenced lot is a "non-conforming lot" exempted from the current minimum lot size . provisions of the Barnstable Zoning ordinance. The facts regarding the lot are as follows: I. The lot was established on a plan of land dated March 1, 1962 . The plan was recorded at the Land Court Division of the Barnstable County Registry of Deeds as Land Court Plan No. 31043-A. Locus is shown as Lot 13 on said Land Court Plan. The subject lot has .34 acres and one hundred five ( 105) feet of frontage on an approved way (a copy of the plan is enclosed for your records . 2. The lot was conveyed on October 16, 1970 from William J. Connor and Lynne W. Connor, Trustees of Bumps River Realty Trust to Leo C. Waible and Jane A. Waible. Since that date ownership of Lot 13 has been separate from the adjoining lots. This deed is recorded as Document No. 142,458. A copy of this deed is attached for your reference. J. On June 10, 1994, the Waibles transferred title to this property from themselves individually to themselves as Trustees of the Waible Realty Trust. This deed is recorded as Document No. 617,751. A copy of-this deed is attached for your reference. Mr. Ralph N. Crosson July 11, 1997 Page 2 3. On February 28, 1985 by Article 1 of the Town Meeting of the Town of Barnstable, the minimum lot size for the subject area was changed to 43,560 square feet. 4. At the time of the change of zoning to 43,560 square feet the s� CONTINUE FROM PREUIOUS PAGE 001 4. At the time of the change of zoning to 43,560 square feet the lot was not held in common ownership with any adjoining land; had an area in excess of 51000 square feet and greater than 50 feet of frontage; conformed to the existing zoning when it was created; and has been separately owned at the time of every zoning change which made it nonconforming Based on the foregoing it is my opinion that under Section 4- 4.2 (2) of the Town of Barnstable Zoning Ordinance this lot was lawfully laid out on a plan which complied at the time of recording with the minimum area, frontage, width, and depth requirements of the zoning by-law in effect at that time. There has been no common ownership with that of adjoining land located in the residential district since the change in minimum lot size impacted this lot. Therefore, it is my opinion that this lot is "grandfathered" and may be built upon for residential use because the lot conforms with Section 4-4.2 (2 ) of the Zoning Ordinance. Please inform me by signing a copy of this letter and mailing it back to me as to whether or not in your opinion this lot may be built upon for residential purposes. Thank you for your attention. Ve my your , JWK/wwl ohn W. Ken ey Enclosure cc: Leo C. Waible and Jane A. Waible James Waskiewicz I agree that as of the date of this letter Lot 13 on Land Court Plan No. 31043-A located on Lumbert Mill Road in Centerville, MA, is, for zoning purposes, a buildable lot. Ralph N. Crossen Building Commissioner JOHN W. KENNEY ATTORNEY AT LAW 12 CENTER PLACE 1550 ROUTE 28 CENTERVILLE,MASSACHUSETTS 02632 TELEPHONE 771-9300 FAX NO.775-6029 AREA CODE 508 July 11, 1997 Mr. Ralph N. Crossen Building Commissioner Town of Barnstable 367 Main Street Hyannis, MA 02601 RE: Request For Determination of Buildability of Undersized Lot Locus: Lot 13, Land Court Plan 31043-A Lumbert Mill Road, Centerville, MA Parcel ID: Map R168, Parcel 48 Land Area: .34 acres Dear Mr. Crossen: I am writing to. request a determination from you that for zoning purposes, the above-referenced lot is a "non-conforming lot" exempted from the current minimum lot size provisions of the Barnstable Zoning ordinance. The facts regarding the lot are as follows: 1. The lot was established on a plan of land dated March 1, 1962. The plan was recorded at the Land Court Division of the Barnstable County Registry of Deeds as Land Court Plan No. 31043-A. Locus is shown as Lot 13 on said Land Court Plan. The subject lot has .34 acres and one hundred five ( 105) feet of frontage on an approved way (a copy of the plan is enclosed for your records) . 2. The lot was conveyed on October 16, 1970 from William J. Connor and Lynne W. Connor, Trustees of Bumps River Realty Trust to Leo C. Waible and Jane A. Waible. Since that date ownership of Lot 13 has been separate from the adjoining lots. This deed is recorded as Document No. 142,458. A copy of this deed is attached for your reference. 3. On June 10, 1994, the Waibles transferred title to this property from themselves individually to themselves as Trustees of the Waible Realty Trust. This deed is recorded as Document No. 617,751. A copy of this deed is attached for your reference. r Mr. Ralph N. Crossen July 11, 1997 Page 2 3. On February 28, 1985 by Article 1 of the Town Meeting of the Town of Barnstable, the minimum lot size for the subject area was changed to 43,560 square feet. 4 . At the time of the change of zoning to 43,560 square feet the lot was not held in common ownership with any adjoining land; had an area in excess of 5,000 square feet and greater than 50 feet of frontage; conformed to the existing zoning when it was created; and has been separately owned at the time of every zoning change which made it nonconforming Based on the foregoing it is my opinion that under Section 4- 4 .2 (2 ) of the Town of Barnstable Zoning Ordinance this lot was lawfully laid out on a plan which complied at the time of recording with the minimum area, frontage, width, and depth requirements of the zoning by-law in effect at that time. There has been no common ownership with that of adjoining land located in the residential district since the change in minimum lot size impacted this lot. Therefore, it is my opinion that this lot is "grandfathered" and may be built upon for residential use because the lot conforms with Section 4-4 .2 (2 ) of the Zoning Ordinance. Please inform me by signing a copy of this letter and mailing it back to me as to whether or not in your opinion this lot may be built upon for residential purposes. Thank you for your attention. Ver my your , C�✓Y . ohn W. Ken ey JWK/wwl Enclosure cc: Leo C. Waible and Jane A. Waible James Waskiewicz I agree that as of the date of this letter Lot 13 on Land Court Plan No. 31043-A located on Lumbert Mill Road in Centerville, MA, is, for zoning purposes, a buildable lot. Zalph Crossen Building Commissioner PLAN ;OF LAND IN BARNSTABLE 31041 Ed. Kellogg, Civil Engineer March 1, 1962 N� pp G.e. �•. e,.io' . R0,� �'riJJ.5r • S.e= -N 8 .. ��9 N2g,47 0.p0 w � 0 00 L N 7 Not o 9 e ' 2 ✓� � ►e►�y� 01 vg� 140.00tA � L d5� � ��P r C �E ge 50 L pu /O $M � � 46 151 C. '` 5 K �ei .$ 0 37 $ '"Nii a e s e to o '06. E b by �• 6,01 N19 IW gg �a 60°°��o , o°° _ 4 ,� '•r'y c g 8 Ro 8 yO 35 ' 38 z• . I POe`10 ` �� �~oJ `�oQ%e1%� s p % K $IZIf. 141, f N K 34 2 po Q h0►b M� J) JO L N19°�� d•E 1 e•J=4. / o~'s 1 �b e0, Q �y S�ph 63J �b`08 /3 �0 \ OA o t tt qq .Ai47.J l6.9J 8.10.00 m w ,Oy' 00 7 0 1�P sa 33 w. f9 h` H� JIt' 30 G 114 0 0 `� -` y 0 ,A 4O NSJ L 29, to f `;'j 'i ° ' N 32 �� °� .� '"i p...�rTir �� ���9t. �'- a �o 1 /4 ����. '► , 6 "� 5' 0= c Y, ,ice u�3/ c ,,yp006et9 ��461°y,,rfs,. hq� o ` �q J�.o f�Y c p 56 .�' o eJ �q P D ?� rj. a+� 13J.is y� 9 "" = = s ''.0 D 4 y ► o0 0 ,yb AZO Oo.o e.go4 j00.00 L of P'p° •y It rp Sys Jio t 15 .� . noo 4342 w y: �6 6'►�o+ror►d ' ,J `hb`� W��� a �w jog}iJ S E �" O ti� \bt ppJo�J ►Ilk ►h A / oar OA�ir rop h 44s 41�' a1, �oJ 5427 i�/6 c - 11 o p \►by'i° b .,, 'off./ y✓''y J �h AC '�•i yr+,per�y+� o_ a � I � ti 53 ti po p l �� 'I✓ q9 `yps Z � \b�,� r•��1, �Q� h ►^bq Po c 'oJ `h'� 46 �� 26 a '�JOO t 00 `b 52 Ab w�!J�J o` 0cb oo hfi 4 tiq > .� v ✓' ,,a '?too `hob 24 0 W '�Jo ell `M1ti 50 C,h0� �,f��p�`�0o h /7 c �o 49 ,ti ?J 23 �'1. H ti► .pp ,. o �f� �J o,'�J• 4 48 FjP �o 'oo h 22 ti 2/ �, '•, k /8 ✓9 .�,.., �p�'po 9� h0 h0 cy ,�io J ti �. Oe er000► 'ems `b 20 ► 0 �� J O w ct c* O'k N- Locus comprises /0's I-56 incl. Copy of ppe�rt of plan 3/O4.yA2 f. M __ LAND RE61STRAT/ON Off/CE Morph 6 -/962 Stale.of this Plan./6'0 fat tv an inch C.M.Anderson,rngAwr&Court eri ��•* � �' ��` 3..; r.� M.,vr;�,�,�-- �smug �� 'THY' '. +•, ^�an.�'' .a ,WA"ACHUJE"r QUITCLAIM OV:D INDIVIDUAL ILCNC mnm) eL2 Y I]E, `JIL:,!A'^ v. CONNOR and L^rNNE W. CONNO'R, Trt:3tees of EU'.�tPS RI�IE.T ;�. RIIAL7.' 'TRUST, a Trust lar.Ller Ceclar3ticn of Trust dated June 10, 1969, and registered with the Barnstable Registry ristrict on .une 13, 1969, a, as Document No. 130614, ? Of �10rt' t.aitvT, Worcester Count•,Massadrmsett3 cansi 1, ;End in fuU:ensuleratic❑of /J 1,1 ef 'a 4 { a sr"unts to LEO C. WAIBLE. and JANE A. WAIBLE, husban.d and wife, as 'tenants" 1.: Madison Rocd., N. by the entirety .AaW-I �. of HeT'[S iniv, P2nn9yl�IHnla h�/U c/N•�s� h'°rSia s �� ¢ iS Wltll. atIiYSIItiEri S:SitY21SYdff, d-,z I d in Barnstable (Centerville) , Garns`'b 3 County, Massachusetts r. bounded and described as toll.ows NORTHEASTER ._.X by Lumbert M_ Road as shown on the plan hereinafter mentioned, a distance of One Hundred �{.ve and CC/l0'J y, (105.00) feet; ' SOUTHEASTERLY by Lot No. 14, as shown on said plan; s distance of. Crie Hundred Seven',',) and 31/100 '. 7S.31) fee*:. SOUTtIrJESTEnlY by Lot No. 39, as .shown on said plan,• a distance of Ninety and 00/100 (90.00) feet; NORTHWESTERLY by Lot No. 12, as shoran on said plan, a distance 'O} One Hundred Seventy-two and 13/100 (172.13) feet. All of said boundaries are rietermined by the Court to be located as shCac on plan 3l!�43-A dra".m by Ed. T{e1i0gg, C"Vi l T'n_ji nee:, da«�� March 1, 1962, as modified and approved by the Court. and filed in to l... ,, �' I. which Land Relgistraticr, Office a,. Boston, a copy cs a portion of r r o i L n t i sa. f'�led iP. Barnstable Coiznty Renlstry of De_ds n and �.eb7_Str3_ On 15001{. _ ..:'3, Page 16, with Certificate of Title Iv. .<'_383 and said lard is shown, t`+ereon as LOT `dO. 13 _ s For _ . le, see Land Court C'rL fLcate of Titre to„ 5i9C ?n Land 6 1. M Regi st-r t- on :rocs .1 u :age 40. it ,r F J ' V d � ttin F'Gl�� 7 }Kfr"y t t T I F� r;r c c ti �+ • `� �' 3 rrrsFl r ,t�' t . ` ). • f 1^r';.. �`" _b4 <� �. t:' � �� � � y •,'f� ,•Jt-. ,y l�f✓wv�i. `" •�.mt °'���+•iYr�,� ddr� .asr" -.pr� 7 'w .yi,....r T�r •h, t r . y f`t If"' P ^ r k1t �} n+w'W.ti„Ji..�. I�s �'.'.,^� • � h �aim A �F..�« �+ •1� '' • 0 '�'•C" -. -.s �i `.. h r�" + n 1 �� f 7✓ ✓V It 1 ;.art '.:y�_:...,... .•�•. • ITS 4+ • 1.R A< t rt ?f r. s • f� r1 t"I. i h yIi ' �tyi S •f. 1+ t, M4 rt Il -r Lr PIfj,lrr /���: u r r',�Lr'�rrf r rr 1>• J a. H�,Ys �! r7�ti t �• h -751 QUITCLAIM Dan We, Leo C. Waible, Jr. and Jane A. Waible, husband and wife, both of 26 Old Stone Way, U Bedford, lsborough County, New Hampshire, for consideration paid,°�rant to Leo C. Waible, Jr. and Jane A. Waible, Trustees of the Waible Realty Trust dated y- r- IQ , 1994, to be recorded herewith, of 26 Old StozYe Way, Bedford, Hillsborough County, New Hampshire, with quitclaim covenants: A certain parcel of land with the buildings thereon, situated in Barnstable (Centerville) in the County of Barnstable and Commonwealth of Massachusetts, bounded and described as follows: Northeasterly by Lumbert Mill Road, one hundred five (105) feet; Southeasterly by Lot 14, one hundred severity eight and 81/100 (178.81) feetl Southwesterly by a portion of Lot 39, ninety (90) feet; and Northwesterly by Lot 12, one hundred seventy-two and 18/100 ^� (172.18) feet. All of said boundaries are determined by the Court to be located as shown on plan 31043-A drawn by Ed. Kellogg, Civil Engineer, dated March 1, 1962, as modified and approved by the Court, and filed in the Land Registration Office at Boston, a copy of a portion of which is filed in Barnstable County Registry of Deeds in Land Registration Book 223 Page 16 with Certificate of Title No. 28836 and said land is shown thereon as Lot. 13. And it is further certified that said land is under the operation and provisions of Chapter 185 of the General Laws, and that the title of said Leo C. Waible and Jane A. Waible to said land is registered under said Chapter, subject, however, to any encumbrances mentioned in section forty-six of said Chapter, which may be subsisting. Meaning and intending to convey the same premises conveyed to Leo C. Waible and Jane A. Waible by Certificate of Title No. 49712 dated October 16, 1970 and recorded in the Barnstable County Land Records at Book 396, Page 112. F1FASLE.Y&FERBER.P.A. 55 HAU STRF.F1 •P.O HOX 2463•CONCOAC%NF.W HAMPSKRE 033024463 - 6037255010 -J 0 Executed this /6 day of 1994. G l.V Wi ess Leo C. Waible, J aka Leo C. Waibl W Jj 66-sa �Jane A. Waible STATE OF NE E COUNTY OF Before me, personally appeared Leo C. Waible, Jr. and Jane A. Waible, and acknowledged the foregoing ipstrument to be their free act and dead on this _ l0 day of k 1994. No ry Public .RIDfIl1 A•"MY,elf ftm MY OWWAdM En*".wily 11,IM .�: , . •. is e . '•ui�aoN�N� HEASLEY&FERBER.P.A.•55 HAIL STHkPT•P.O BOX 2463•CONCONq NEW HAMAStMf 03WZ465 603.2265010 RARKSTABIE REGISTRY OF DEEDS POOL RE'Q UIRE'MENTS PLAN REF 31043-A, 210-73, 316-61 BARNSTABLE 8 ASSESSOR:4 MAP.. 168 PAR. 48 BARNSTABLE ZONING: "RC" ��� 11 � BY ZONE SETBACKS CURRTOWN SETBACKS: 20-10-10g0 00 25' FROM LEACHING AREA 0 10' FROM SEPTIC TANK c� 0' FROM HOUSE LOCUS a ROAD GAO • CB/DISC � � �. \ �''6' � �� �i LOCUS MAP � I r� \ BENCHMARK ti� o o MP OF FOUNDATION ELBV.= 100' (ASSUMED) \ . II vop LOT 12 `�� o ' �.� A.M. 168147100 �0 / T � -,WAD TAKING SEE PLANS L C. 31043-A DECK �� & P.B. 210-73 100 I � obi96 ' ``o��•, w� � �' 0 TP Y ��`;� ;Pei Q' o- NOTE.• \ / EXISTING SEPTIC SYSTEM SHOWN TAKEN FROM THE \ /O TITLE 5 SEPTIC INSPECTION FORM 6120103 Y LOT 13 Q5 / cb' A.M. 168148 15,213f S.F. 1 ��' ,SITE PLAN OF LAND LOCATED AT #93 LUMBERT MILL ROAD o v/ LOT 14 CENTER VILLE, MA A.M. 168149 LOT 39 0 A.M. 168126 PREPARED FOR. LA URA GODDARD MARCH 17, 2004 SCALE 1"=20' OF Mg4A � �`H OF STEPHEN a� $G CE ; DOYLE H ; YANAEE SURVEY CONSULTANTS O. 749 y � #37�' UNIT 1, 40B INDUSTRY ROAD No. 748 s P. 0, BOX 265 ETA MARSTONS MILLS, MASS. 02648 TEL: 428-0055 FAX 420-5553 SHEET 1 OF 2 J/ 53587 POOL REQ UIREMENTS PLAN REF 31043-A, 210-73, 316-61 BARNSTABLE 2$ ASSESSOR'S MAP.- 168 PAR. 48 BARNSTABLE ZONING: "RC" `��� g0�� BY ZONE sETaAcxs CURRENT SETBACKS: 20-10-10 25' FROM LEACHING AREA TOWN WATER 10' FROM SEPTIC TANK 0' FROM HOUSE ' LOCUS s ROAD G� Ca/DISC ♦ \��'�(FAD) �J�� LOCUS MAP � "9G �� BENCHMARK TOP OF FOUNDATION `/ \ ELEV-= 100' (ASSUMED) LOT 12 j, �P // ♦;�� 10 5 0 A.M. 168/4 7 / �` ! �� � f ' � ;,�• 21' �f\ � �QAD TAKING I1 SEE PLANS !`��� L C. 31043-A DECK i & P.B. 210-173 100 98 , TP NOTE.- -Q \ / / ,c ; EXISTING SEPTIC SYSTEM SHOWN TAKEN FROM THE TITLE 5 SEPTIC INSPECTION FORM 6120103 . y 0 ` LOT 13 A.M. 168148 % 15,213_2� S.F. cA I 440 / � p•O o, SITE PLAN OF LAND 0 LOCATED AT , 93 L UMBERT MILL ROAD / LOT 14 CENTER VILLE, MA o u A.M. 168/49 LOT 39 $_ A.M. 168/26 PREPARED FOR. LA URA GODDARD MARCH 17, 2004 SCALE.- 1"-20' OF AWSS,�Q fK3� Te�Fo�ti��� ��. y o� STEPHEN N G cE J. YANKEE SURVEY CONSULTANTS �V 4HY ti s UNIT 1, 40B INDUSTRY ROAD -No.149v y P 0. BOX 265 ` � ���, MARSTONS MILLS, MASS. 02648 Aft, TEL. 428—0055 FAX 420—5553 SHEET I OF 2 J# 53587 TOP OF FOUNDATION EL=t0o'— 20' MIN. 10 MIN. CONCRETE COVERS 4"SCHEDULE 40 P.V.C. AAN. PITCH 118 PER FT. 2"L9 YER OF EXISTING 1-7 CONCRETE COVER WASHED STONE 4" CAST IRON PIPE 6"MAX / / / (OR EQUAQ MINIMUM 6"MAX sl PIMH 114 PER FT. CLEAN SAND FLOW LINE 94.6' N k EX/ST INVERT 1mN 14" �20• o 00 0 0 0 0 0 0 0 0 0 0 0 ogo° , EL.= 96.0' CAS INVERT LEVEL o0000000000 8° �6 SUA! °o o° o000000000o O°o 0 EXIST INVERT BAFFLE EL.=95.5' INVERT INVERT .00C 0 0 0 CC 0 0 0 0 0 09 EL.=92.75' EL.=95.75' EL. 94.5' EL.=94.25' 3' DISTRIBUTION (4) FLO.DIFFusoRs GALLONS INVERT BOX EL.=93.75' EXIST. SEPTIC TANK TO BE WATER rEsrED ,O'x m' TRENCH FaRYAP/ON h IF MORE THAN ONE OUTLET PLACE ON 6" STONE SOIL ABSORPTION 314" T9 !-112" DOUBLE WASHED STONE SYSTEM (SAS) BOTTOM OF TEST HOLE OR USGS PROBABLE WATER TABLE ELEV.=_875 _ NO OBSERVED WATER TABLE (7-31—97) ELEV.=_87 5 _ OBSERVATION HOLE I ELEV.= 97. PROFILE OF 5 OBSERVATION HOLE 2 ELEV.= 973_ PERCOLATION RATE __2__ MIN./ INCH SEWAGE D I S P 0 S A L SYSTEM PERCOLATION RATE __2__ MIN./ INCH DEPTH HORIZ TEXTURE COLOR MOTT. OTHER NOT. TO SCALE DEPTH HORIZ TEXTURE COLOR MOTT OTHER 0-8" AP LOAMY SAND 0-10" AP LOAMY SAND 8"-30" BW MEDIUM SAND 10"-31" BW MEDIUM SAND Sri 30"—93" Cl MED—CRSE SAND ' 31"—96" Cl MED—CRSE SAND 3"-120' C2 MEDIUM SAND P#M 8985 6"-120' C2 MEDIUM SAND SOIL TEST NO WATER ENCOUNTERED AT 10' DATE OF SOIL TEST 7-31-97 SOIL TEST DONE BY CAROLYN ✓. DOYE RE NO WATER ENCOUNTERED AT 10' WITNESSED BY. JERRY DUNNING GENERAL NOTES _ f, 1) ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. DESIGN CA L C ULA TIONS TITLE 5 AND THE TOWN OF _—BARN,FTAQI,E--- RULES AND INSTALL- REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. (4) FLOWDIFFUSORS NUMBER OF BEDROOMS . . . . . . . 3 2) ONE COVER ON SEPTIC TANK SHALL BE BROUGHT TO WITH 3' STONE ON SIDES ANTI 3.5 ON ENDS GARBAGE DISPOSAL . . . . . . . NO WITHIN 6" OF FINISHED GRADE, OTHERS WITHIN 12" 10' X 39, 1 TOTAL ESTIMATED FLOW 3) ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN INSTALL LEACHING IN Cl HORIZON ( 110_._GAL/BR./DAY x —!2-- BR.) 330 GALIDA Y 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. NOTIFY YANKEE SURVEY 48 HOURS REQUIRED SEPTIC TANK CAPACITY 1500 GAL 4) ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL PRIOR TO SEPTIC INSPDCTION. S BE MORTERED IN PLACE. OIL CLASSIFICATION . 5) NO DETERMINATION HAS BEEN MADE AS TU COMPLIANCE WITH DESIGN PERCOLATION RATE . . . . . 2 MIN./IN. DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO r . 74 OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. EFFLUENT LOADING RATE . . . . . . GALIDA Y/S.F. 6) UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR LEACHING CAPACITY (AREA X RATE) 361 GALIDA Y IS TO CALL DIG—SAFE" AT 1-888-344-7233 AT LEAST 72 HOURS RESERVE LEACHING CAPACITY . . . 361 GAL/DAY PRIOR TO COMMENCING WORK ON SITE. 7) CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS (39x10x. 74)+(39+39+10+10) x 1 x . 74 SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. i 8) PARCEL IS IN FLOOD ZONE___"C"_____, 9) LOT IS SHOWN ON ASSESSORS MAP _168 AS PARCEL _48___. SHEET 2 OF 2 J,j# 53567 f� ' g- n 7,7 pZ1 7 f 4 & W J, P C N Im 9 f -,�,��i-�,, " p'j A �TURAL,NQTES J U i,'qPP W rld"'ll 'A' �d ,,,-,k 'd _7 SN T mbsr.60w set m"k, OA fjsp��i fic',it' j,",, froqOt st�qce�.v heSt row actor, �1$ 'C;,O 0�7r4t rom e '0 0 <)fy, iv, TV con form o he 4prP'roved 4u O�s on d an. d "TO 260 lQ= ngi, endlY�,A l'o jh� t a ss'<�c Use 1$ Stat etodin4 #3. a ,- A A, INTO FLOOR � RE_, THE il�OVF_ LAP,- 1— MI e .6* 5. i�:Bofl D -sm",DOW e st�,.�an i ep of A`L� mp f t Ohdards b NG f on 5 t �jfid f 0 !WTtO #3 0 1 0 C-`VE� t t f. IT 7:11 OND 'TRAN$iTfC4; P TkY18 � y P 8L&W -TOP f �VA 6, '0 T tJ4TIRE IM 4� �2 THROUGH �41 PO #4 DWL',0 12'!t�O,!C OUWALLS,,ii.: P 7 i, TYP. v b e ing 1_:As��i�M e in)dxim uM,. i�ofe to if ' rl kT, ",TYP,. 3%#4 COI Typ�, r J 01 6. 2 6 M A matericil ,or corripac e- grarlu ar Ill. b so I b e, �oarn Cho 2�' 6" VAX. BACK� 4' INCREASE T steoto shall- bie free BACK FILL FfL` IN EXPANSIVE :SOILS' :4444 7T- ongoritc J oll, Walls -e bqcff��fill (j t I wolls wn t 1:' 4, Do �not piac gains poo fw�/e Aoiried `7 day 'cLirO strength� 4 4 + J t A I a yer of Ali pool ffo6rsl shali'L be placed on ol'l' crusf -,-d stane cortipaded� to 957.:Stondard iP r octor N OTE t INC en 5j D Where exodrisive 18oils are 'enitountered. SI TtbN �.TH!CKNESS TO 9� N FREEZINC 4- x -WE �F��E S�OTC TE _PT t 00 OR .-EXPANSIVE, SOILS. 0 J_r j I j� j� Ong P061si ffb sh 64 1 :b, 01 on, 60tura di, oil or e un st.urbed 4 �4 r emov'e exlstin�.l fi 0 on c it-Itrptled cQnipa,_fed fill�',R A0011IONAL '#3 �k.5` V�-:EV plcice`�vith: ctedn n6tor`f et necessory bnd t gr4a y.il�,, 10, FLOOR TRANSITION PT. ':ooenpacted in, I s, n r t t�7 obt 6%, f(i da'd; 6� FLACE,1 7 r,ROM TOP:OF $LAE3 'density at'"the, op-timdm rnoi�t6re,6:m n y ? Ivery" P< tcre e Mix d HYDROSTATI)Q�-RELIU-,.V L, Lu A VE "ir,:' t If STALL:PE MANUFAC URE, f Orcem erit" $halt toriforfTi�to,�if requirement itui fo�rm t j�ceni erit 6� S ]"THRGIJGHit�OUT �E,14171RE' CO I 0 06:-- ess 'Other,W1S# ,noted. V� PO L:,F OR ci t es�t e�'iti�ln) Sp F .......... u 1 d 'on ray. �m#n Sa d P-1 699 -,a _e 'norrh -mb erialsq� shaC'be�`'�,,AS Typei 1 Por an N". 'tiot Meeting��A$ M , '-d 'd proys. e 'N -arrn le, -reig a n con REJ T t55-'s n or, S rr 'A5TM, � g� - - 1, 1 1:1 t - TYP P OL 10 0 NFORCMENT,,," SECT an z,"Pr ,construdti6n test' sp�eci f ip ,quirerrferl S, 'A I �,-brlcire e srtcia e b �,q .,,SCALE:. rn e t -air-en r X, t'! h ��8� t-ain�d_� t6h�,'re'te"' 'all JIG NA a ys �,$K x7 -,,"-,'L ,I -I i 1�i 1, ," r, I . , _j: P00'Ps I ezncre, A te *�)rk T 3 j f 1-, All :mixmq_, ranspor. ing P gco ky orid Con ordonce With e d6le, -b -tp shall d t', �rf� Coriicrtte':�Irlttit6t6,� en a idrit, o�f A e Merle< b Reii f shdM,be def6rr ars con, or's ima'y Con f0, *0� 'Ali",'' t 6`�"A�_'TM`Ae 1 G t 6, ASTM A61 5' e k'ce p f�,:W h ere '6ote'd�,No 's b" vve de b eef, ie'c1jon sholot e-of reinforcing, ars�,- 'd ro< ip- iqeldin,�f 1 46' :v ^�i. J _Sym_ j A" LJ MAX� BACK 2* FILL',ALLOWEID io, C RAalL S x 2--6 BACK �,2. c MAX;' ZIACK _MAX TRANSITION PT, FILL",ALLOWED'.' e), FILL` ALLOWED , X < 7 HYDROSTATIC RELIEF _OPE M A)C �SL A. U) 7, , 'SECT R "A 10 4. 'Y SCALE HYDROSTATIC RELIEF VALVE $CALE INSTALL PER MAN0rACTU.RtR'E 4F -AS,,�44 SPECtrICATION �k LAmsT.;REV9M sym, DEEP END -SHALLOW END DEPTH MAX. 5* 0",DEPTH MAX. DATC ';`�4 DRAWN, MAX. F 6 3ACK L FILL At LOWED ay� `61 CHECKED, A JYP. "POO NSTR ' CTIOWISECTION L 2',�PAD. A'k Noun* CALE 1��4, be copstructed t s hq:I,-, 4c�te, Ali pools -Code o mp I fo 64 w i C-tion 4 B,` miensiondf th'.se 21 Uila tis State: �a 7 �Q CMR. SEC i LT71 T 7" g "U 7",