Loading...
HomeMy WebLinkAbout0334 NYE ROAD �^ r , i a � o r . III , 6 r ad136 73 Town of Barnstab *Permit# Expires 6 months from issue date Regulatory Services Fee s 3s * MAMg Thomas F.Geiler,Director di-PRESS PERMIT 039. prfD MP't� . Building Division APR - ] 2013 Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town barnstable.ma us TOWN OF BARNSTABLE Office: 508-862-4038 Fax:.508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY r Not Valid without Red X-Press Imprint Map/parcel Number O f a a Property Address Ll �/ [residential Value of Work�l.s� Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address �I 1 Y1 t' Y°i�l� 3 j N yL y'u t I , Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: I am a sole proprietor ' I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Reque (check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to �� ���5��s ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35_ )#of windows ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. . Separate Electrical&Fire Permits required. 'Where required: Issuance of this Permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors.License is required. SIGNATURE: n l[SIDLTT 4ihTneYm,,itforms\EVRESS.doc f Town of Barnstable Regulatory Services aaxxsrwaLE Thomas F. Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.m.a.us Office:. 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: / ew `` city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be,a one:or two- family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned "homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures a9d..requirements and giat he/she will omply with said procedures and requirements. Signature Ho er Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors),provided that if the homeowner engages a person(s)for hire to do such work;that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner ceitify 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. . P40*THE Tp�� * sexrtsras[.e, '�: ,� Town of Barnstable .. 'DTFa l,ac a Regulatory Services Thomas F.Geiler,Director; Building Division Thomas Perry, CBO Building Commissio er 200 Main.Street,, Hyannis A 02661 www.town.barnsta le.ma.us Office: 508-862-4038 Fax: 508-790-6230 . �` ' - _ •tip L i } , , � , Property'O ner Must M_ C m l ii This Section J ' ' ' pete and g If Usin A Builder ' 1i as Owner of the subject property hereby authorize to act on my'behalf, in all matters relative to work authorized by this uilding p t application for: _ -- (Address of J ) Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on,the reverse side. QAWHILESTORMS\building permit formslEXPRESS.doC _ r I The Commonwealth of assaachusetts _ Deparimmt oflndushid Acddenft Office of Investigations 600 Washington Street .Boston,M4172111 . wn*rv.wass gov/di,a Workers' Compensafiion Insurance Affidavit:Builders/Cain#rac#nrslElecticansJP'hmbers Applicant b6mmation Please Print Legibly Na=(Brtionflndividrral): �'y//�f2i��� i �i r - Add ess: i-e City/st-A&L, (1;e" Z. Ph...f_ SDI Are you an employer? Check the appropriate box Type of pro jeet(required): 1_❑ I am a employer with 4. ❑ I am a general contractor and I employees(full arsdlor pit-#ime)- * have hired the sub•-�c�ont actors 6- ❑New construction 2.El I am a safe of w th FrDpn pa _ listed on e attached sheet 7. ❑Remodeling ship.and have no employees These sub-contractors have g_ ❑Demolitioa w g for me ita a employees and have Viers' ;". any sty. $ g. ❑Building- addition [No urorkess' comp_insurance cam-Ms rance 5. ❑ We are a corporation audits M 0 Electrical repairs or additions 3_ am a homethhurner doing all work have exercised dwir 11.❑Plumbing repairs or additions myself. [No workers'comp- ht of exemption per lwfGi 1?•❑Roof repairs insurance required,]T C.152,$1(4€ and we have no employees-[No workers' 13.❑Other comp.insurance required.] 'Any appfician that chrecim box#1 mas3 also fill oat tie section belaw showing lies wodeW cunrpeusaa ian policy infmnutiao_ I Hanmovn rs who suhmit this affidavit indicting they aaedoiag wc¢ic sad thee hue outside contxacmrs mast submit a new affidavit indi,catmg sacb_ tCoatraciors that check this box must attadhed an additinaai sheet showing the name of tie mb-camtrmcbm and state wbether or not those eatitiLs base emplayees Ifthe sub-contr ors have emplayees,they must prow&2teir warkets'camp.policy number- lain art emptojer tiratisprovidirrg.workers'cos gmzsah'mt iu=mnce for arils effTI sees. Bdoty is the pslecyr and job site inforrurrtion. Insurance Company Name: Policy 9 or.Sew ins.Lic. Expiration Date: Job Site Address: CityfState/4. Attach a copy of the workers'compensation policy dec.Iaratiioa page(showing the policy member and expiration date). Failure to secure coverage as required under Section 2:5A of MGL c- 152 can lead to the imposition of criminal penalties of a fine up to$1,50Qfla andfor one-yeas imprisonment,as wen as civil penalties in the form of a STOP WORK ORDER and a free of up to$250.00 a day against the violator_ Be advised that a mpy of this statement may be forwarded to the Office of lavestigations of the DIA for bmtrance cmmrage versffhaticn- ' I do hareb cerh;y rsaraT,er thirpains and 's of irrp that title irrfnrmat&a pr"4ded abaw is true and corm 5i f' Date: > _ Phone..#: official use only: Do not taste in this area,to be complele+d by eaty ar tein j ofciaf , C-it5'ar Town• PermitUcense# issuing Anthority(curie one): 1..Board.of Health 2.Building Department 3., l awn[:lent d.Electrical inspector 5.P htimbiiig Inspector' Phone#: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board ahZ Historic - OKH _ Preservation / Hyannis Project Street Address 3 3 Yr! 12D,�t7 Village Ct2ry�r,C Owner Mi+t,GC29Ja::11/e Wtf Y f,�rjWo Address 3 3`f IY,Kd= ifv�o Telephone 5 d Sr Permit Request rJ/ffi1J 1w s,10i '�(JS i;lG FiA/2 (�ih2 G� Square feet: 1 st floor: existing [�proposed 2rid floor: existing proposed Total new Zoning District IYA Flood Plain Groundwater Overlay 0490#CFO Project Valuation Construction Type D 17 Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family It Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes gNo On Old King's Highway: ❑Yes XNo Basement Type: Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) A Basement Unfinished Area (sq.ft) Number of Baths: Full: existing IV14 new Half: existing new Number of Bedrooms: .//� existing _new Total Room Count (not including baths): existing /_new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood7coal stove;'❑lbt ❑ No < Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn ❑existing O�new =size_ Attached garage:A existing ❑ new size _Shed: ❑ existing ❑ new size — Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ a Commercial ❑Yes ANo If yes, site plan review # Current Use AC5104MC,C�_ _ Proposed Use. ~w APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 11�LT�i� 51 8-006rw Telephone Number cl�5 Address License #, 2 6 Y r, 641nd f/IV W 14 02 5-3G Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO a SIGNATURE DATE 7 2 3 / Z V FOR OFFICIAL USE ONLY r APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE .. ELECTRICAL: ROUGH FINAL i PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ` FINAL BUILDING ell - cob 511.112L- DATE CLOSED OUT ASSOCIATION PLAN NO. , Y , i r l The Commonwealth ofMassachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 �M www.mass.gov/die Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): )k LTIs A cSl W®f��M/ Address: f� �[i i!' ��2 i2 12 City/State/Zip: fELn'IorlZl�M dZS�3,Phone.#: D Are you an employer? Check the appropriate box: Type of project(required):. 1.0 I am a employer with 4. I am a general contractor and I * have hired the stab-contractors 6. 0 New contraction.. employees(full and/or part time). . - 2. I am a sole proprietor or partner- listed on the-attached sheet. - 7. ❑Remodeling ship.and have no employees These sub=contractors have '8. 0 Demolition working for me imany capacity. employees and have workers' [No workers' comp.insurance. comp..insurance.$ • 9: 0 Building addition ` required.] 5..Q We are a coiporation and its 10.0 Electrical repairs or additions officers have exercised their 3.❑ I am a homeowner doing all work 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL . 12.[_1 Roof repairs insurance required.]t c. 152, §1(4), and we have no employees. [No workers' 13.0 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. 'I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information Insurance Company Name: Policy#or Self-ins.Lic.#: _ Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification I do hereby c under pains and enal 'es o erjury that the information provided above is true and correct Signature Date: Z Z �i. Phone#: �d Official use only. Do not write in this area, to be completed by city or town official.. City or Town: Permit/License# Issuing A uthoriiy(circle one): -'L Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector]5�Phu7EmbingLispector 6.Other Contact PeFson• Phone#: . 6 ✓1�� .......... Office of Consumer�0 � Affairs&B smess Regulation License or regrstratron,valyd for indrvrdul use only HOME IMPROVEMENT CONTRACTOR liefo.re the ezpiratron date If.found return to: Registration 101668 Type Office of Consumer Affairs and Busmen§Regulation Expiration: 6/26%2,014 DBA. 10 Park Plaza-Suite 5110 Boston,MA 02116 HO + SERVICES COMPANY.; ; 1 Walter Slaboden �1 �F 1O SALT RIVER RD � . FALMOUTH, MA 02536 y J~ Undersecretary Not valid without signature Massachusetts - Dep:u'tment of.Pumic Safet, Berard of Buildin',,Rc�•ulutions aridStandards Construction Supervisor License One-and Two- Family.Dwellings License: CS 52649 WALTER A g LABODEN 10 SALT RIVER RD r E FALMOUTH, MA'02534 Expiration: 11/11/2012 ('ununissiuner Tr#: 4723 G, °FINE ra,, Town of Barnstable ti Regulatory Services + snxxSTABLE, y MASS. g Thomas F.Geiler,Director rfo N,p�A Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www..town.barnstable.ma.us t � Office: 508-862-4038 Fax: 508-790-6230 t Property Owner Must Complete and Sign This Section If Using A Builder f I, IIMA A—W.92AZiY74111'4,10 , as Owner of the subject property . hereby authorize IQ*t, I5& 5148-00,0V to act on my behalf, in all matters relative to work authorized by this building permit. .5 3 'f AI Y l4 4&*0 C&1/'1 rN-f 1/1fyL , (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted Signature of Owner Signature of Applicant Print Name Print Name 7 .Z 3 z Date Q:FORM&OWNERPERMISSIONPOOLS 6/2012 OF1HE r Town of Barnstable Regulatory Services IF swRrtsTAs Thomas F.Geiler,Director 9 MASS. i639• A Building Division TED MP'I Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.bar stable.ma.us I Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER CENSE EXEMPTION PI se Print 3 DATE: JOB LOCATION: number treet village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was exte de o include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for I e wh does not possess a license,provided that the owner acts as supervisor. DEFINI ION O OMEOWNER Person(s)who owns a parcel of land on which he/ e reside or intends to reside,on which there is, or is intended to be,a one or two-family dwelling, attached or eta hed struc es accessory to such use and/or farm structures. A person who constructs more than one home in a o-year perio shall not be considered a homeowner. Such "homeowner"shall submit to the Building Ofcia on a form ac ptable to the Building Official,that he/she shall be responsible for all such work erformed under the buildin errru (Section 109.1.1) The undersigned"homeowner"assumes responsi_ ility for complian with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/s understands the To of Barnstable Building Department minimum inspection procedures and requirements and that he/she will co ly with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 5,000 cubic feet or larger will be req ' ed to comply with the State Building Code Section 127.0 Construction Co trot HOMED ER'S EXEMPTION The Code states that: "Any homeowner performing w rk for which a building permit is required shall be empt from the provisions of this section(Section 109.1.1 -Licensing of construction Supe 'sors);provided that if the homeowner engages a per (s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware hat they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Sectio 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Boa cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately respo ible. To ensure that the homeowner is fully aware of his/her res nsibilities,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 3ox (0"rf f�i��ZcrP.of f�D7?3� Iful b 0 t f •f � E Ce I lYll�✓tr. f 1' ;u �i f a u a a # Y `/ k i 1 f 7 i l i PZ—C5/if 9 N s i 3 � �K :57C TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel _ Permit# '7 (� _ Health Division a tin P 00.-�- Date Issued ^�2-0 it Y Conservation Division E : fvf Application Fee Tax Collector' Permit Fee 02) Treasurer if -SYSTEMMUST BE Planning Dept _ INSTALLED IN COMPLIANCE WITH TITLE 5 Date_Definitive Plan Approved by.Planning Board ENVIRONMENTAL CODE ANL Historic-OKH Preservation/Hyannis jott 50,3 4 a., OW14 REGULA,TIONS Project Street Address 33 7 lU - eel' Village ccl�alvvi'f ke-- Owner __ V I� .fi ,J ' ' f � Address 3 >`- Telephone 5bs" ` 2z) Permit Request ,uu 4- P—CXJ Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation4D Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ -Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:O existing ❑new size Barn:❑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 ;Z0,- Name-THe�l iAf o©t ,P A W Telephone Number Address N5- W,19011167- License# G S O 7$ 9 3 Y E � 'j i r1h ® 4' Home Improvement Contractor# J 3 0 6 6 6 Worker's Compensation# 3 A O a 138 ALL CONST CTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO �� R)� S � D V\ SIGNATURE V _ - DATE - FOR OFFICIAL USE ONLY i PERMIT NO. DATE ISSUED MAP/PARCEL NO. J ADDRESS l VILLAGE OWNER t DATE OF INSPECTION: • t• FOUNDATION FRAME ti INSULATION r FIREPLACE ELECTRICAL: ROUGH r FINAL PLUMBING: ROUGH FINAL tj GAS: ROUGH p l = FINAL i FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i r The Commonwealth of Massachusetts --= Department of Industrial Accidents = — OffiCC OttOYBsit981tOds - ` 600 Washington Street Boston,Mass. 02111 Wormers' Com ensation Insurance Affidavit RAM location. ✓1 �l� hone# . �zo"/1111�' 01 ci - ❑ I am a homeowner performing all work myself. ❑ I am a sole r rietor and have no one workin in ca achy G% //a/%/%%///%%//%%/G%/%/%%/%/%O//�%/%/%%%%%/��%%%%%%%%%%%%%%� r rovidin workers' compensation for mY employees working•on this job.::::::-"::::::::::, I am an em loye P g «»<: .............. ....... ..... 1. .:: :. .::<.;::::::.. om an ;name..:..... ...... ..:.:,:.:..::.� 1.h..v. .:::::::. ..........::.::.:::.:::.. :::::..::..::::::: ....... . . .. ..... ..... .. .:... one:. .. atisttrance tio.. bit ❑ I am a sole proprietor,general contracto ,or homeowner(circle ne) and have hired the contractors listed below who have workers" compensation olices: following wa P :.............. .,•.:,•. :•. �•.,,.::..:•:::.. the g ..........................::::::.:�::::::.... ...:...::::.�::::.�:::::.,............�:::::::::::::................................ .....::.. :......................::.x.....................:::.::..:...................:..:.::.::.:::::::. .......... :.. r « ; :...... f> x.h. ..:.............. .................. ........:v...::x....:.•::i:v:?•::;?:i.iii:i:;::;::•i:;�.,.:.;xv::::: :::::::;. ...xw::......:x.::•:i:::•iiTiii:•:iii}:::i:{'i:;'.{{:v:{{{{i:;'{:::'......::.i:•i:?•._i:;;CiY;•ixi'»+:::{{i:'� :.ti^?^i:•i:4:•::•:?;•ii}vM:xr:::• ..v. i. '•vtlY {;.v?;iii:?;;;v:!;Ci:4i:•i{{:;ti:?v•ir:$^ii:?...`v:::.v::::::•w:w::.::vi:.::..::::::::::..::::.v..:.....,v.... .4':::::'?.�::::•::p•:x.......:::::::::::.:•iiv::^.v:�.v::::xC::::nv:.v.:::.;::.::::w::}':.}:v:.::.>:•;v':.:v:::.:.v::y:n..................:..... . :•...: •.:....:::x:•.v::::.v:.::•:xv.,•v:v:::::::•xw.v:::•fi:;:•i:::::4::4:4:;v'9:i:;^:;^:•i:::{v:.;;Gi:±p::Si:;vi;;.;:v':vx}}}:iviii:ii%{; .. ........ ..... ttsttrarieeca>;;<:<i;::;:<.;:.>:;;:<..;.??«<.::?.:::::,:,�•::,::.,..:...,.::.....:::.::.::..::.:...,:...;:.:..:...:,,.:,:,.,.:::.::.;::..:,........ /%/%% si::::;:;:;?•:^:.:::w;.ii:;::•"::i�{:>:{{:{{{{}i'r{{::h;i}:;•i:ii:•ii{ ......... ....... :.;:.::::.:::x::.::::::x.:,.:..:::::.v:::::.v::.v::::•:::::::::.v::::::::::..::::::::xv::::::>.:v:>{;:>w;{:{>s>>:;> :c anv ::.:..:.x•...:.......... »> a gaibu a to secm a coverage as required wider Section ZSA of MGL 152 can lead to the imposition of criminal penalties of a fine up to s1,600.00 and/or one years'imprisonment a'rem as dvn penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of thb statement may be fotRsrded to tine Office of Investigations of the DIA for coverage verification Y under t e p ' d pe a jjury that the info anon provided ab® is-trrsR - - a ��p yip �4 ' . • t14r ,• - yft.� ....mom_ � _ _— —� r.•.•"D Phone4 i Print name ofHdai use only do not write in this area to be completed by city or.town official permitaicense# ❑Building Department w.. 'city or town: ❑Licensing Board ' ❑Selectmen's Office ❑checkif immediate response is required ❑$ealth Department contact person: phone#; ❑Other — [ (Mvised 9195 PIA) Information and Instructions Massachus( General Laws chapter 152 section 25 quires all employers to provide workers' compensation for their employees. quoted from the"law", an employee ' defined as every person in the service of another under any contract of hire, expr`s or implied, oral or written. An employer ' defined as an individual, partners p, association, corporation or,other legal entity, or any two or more of the foregoing en aged in a joint enterprise, and in luding the legal representatives of a deceased employer, or the receiver or trustee of an in di 'dual,partnership, association r other legal entity, employing employees. However the owner of a dwelling house ha snot more than three ap ents and who resides therein., or the occupant of the dwelling house of another who emplo persons to do maintenance construction or repair work on such dwelling house or on the grounds or building appurtenant ereto shall not because o such employment be deemed to be an employer. \ r r MGL chapter 152 sectio 25�also states that ev state or local licensing agency shall withhold the issuance or'renewal of a license or permit to er`e a business,or to construct buildings in the commonwealth for any applicant who has not produced acceptable a idence of compli ce with the insurance coverage required. Additionally,neither the commonwealth nor any of its hti�cal subdivisi ns shall enter into any contract for"the performance of public work until acceptable evidence of comp lian a th the ' ce requirements of this chapter have been presented to the contracting authority. Egg Applicants a Please fill in the workers' compensation it completely,by checking the box that applies to your situation and numbers along with a certificate of insurance as all affida supplying company names, address and phvits maybe r submitted to the Department of Industrial dents for confirmation of insurance coverage. Also be sure to sign an :. date the affidavit. The affidavit should e r red to the city or town that the application for the permit or license is being requested, not the Department of d Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' comp ation p cy;please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and Printed I 'bly. a Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investi lions to contact you regarding the applicant. Please be sure to fill in the permitllicense number which will be us a re ence number. The affidavits may be returned to the Department by mail or FAX unless other arrangements ha been e. vesti ations would like to'thank you in advance fo ou coo lion and should you have any questions. The Office In g� , . - __ please do not he to give us a cap^ ! 1 ' The Department's address,telephone d fax�number: he Commonwealth Of Massachus tts epartment of Industrial Accidents omce of Investlg0ons �"ashington Street ' Boston, Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 , *SHE r Town of Barnstable Regulatory Services BARMABM Thomas F.Geiler,Director y MASS. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition, or construction of an addition to any pre-existing owner-occupied ' building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: I a e— �Ro Estimated Cost Yb Address of Work: 2 l N - cip� Vt� Owner's Name: Date of Application: o� - I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY w I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. . Date Owner's Name Q:forms:homeaffidav c Town of Barnstable CF SHE T Regulatory Services BARNSTMM Thomas F.Geiler,Director ' ASS 0,39. Building Division rED MA'1 Tom Perry,Building Commissioner 200 Main Street,`Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: ctd 3 ` JOB LOCATION:. 7 1II Gf.�. �( number A street G village "HOMEOWNER': �'6 9-- q 2U o-b>3 "9D `l (,7(j name home phone# work phone# CURRENT MAIL NG ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and- to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to ` be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures-. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such _ "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building hermit. (Section 109.1.1) The undersigned"homeowner"assumes.responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands_the Town-of Barnstable Building Department - minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger,will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:fomrns:homeexempt m z A.u� AWB !t 67 Ati AC _ 7 AWC 67 A.n.a 67 st4U57 3CL3C • _ , � s r ;1tI. -� �:Side Dec' Awl . _. . - a art s a s1: Right k 1 kW'CS Bnk r _ rtW AC5 �} .. 67 a IT Left tt_ I ft J AWC AWC so Left Side Deck GATE 31H . 3ic. 3RH A1L'l �4: (: AWB 67 AWA 61 AWA-S 67 A%VA 67 r Y'k 67 LADDER AW1224 General Layout ru o S f 11fi?CORN'tR s 44 ; Q. r MAR-27-2003 THU 11:34 AM ALBERTO INSURANCE 6 R.E. FAX NO. 5086730734 x P. 03 •�,�,Iy�t1:�iT,. �t.,�;.. ��•i: 'M! tTrE; 1 t �, �:�•• ��'•�1���'��� �•• % �� •r a•.�' x�,ar •A. VEtO'� PROD p. r E .t.. i.S„ .l. ��1. l•� , �,. 1 .i•.. lyl. .' .• r .:y',7. Y: .. •.�•. ,.• ..• _5�����.�I�yw��1� ^ i. ..Y'' •�1 a'.,�..i J •�..-.;.t:r�• .•.. . �+r'1�!.�.p;�l ,•+, tlP'::1' •l�r.��' •v'+ •';:'r UCER -- "a _<:' :�;:. , r r.°•,r THIS CERTIFICATE IS ISSUED AS A MATTER OF 1NFORMATIO ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 420 S�F rd Road p Insurance Agency HOLDER,THIS CERTIFICATE DOES NOT AMEND,EXTEND OR a20 Rovor,rd Koad ALTER THE COVERAC3E AFFORDED BY THE POLICIES BELOW FoN Rlvar,MA 02721 ' COMPANIES AFFO DING INSURANCE COMPANY A INSURED GRANITE STATE INSURANCE COMPANY Steve Senna OW The"coming Pool S Spa 3 Waquoit Highway E Falmt)uth,MA 02536.0000 .00111f=RACiiES _ THIR IS TO CERTIFY THAT THE POLICIES OF INSURANCE LW7CO BELOW NAVE BEEN ISSUEO TO THE INSUKEO NAMCD ABOVE FOR , THE POLICY PERIOD INDICATEO,NOT WITHSTANDING ANY REQUIREMENT,TERM OR CONp1T1ON OFAN y CONTRACTOR OTHER OOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATQ MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE At=FOROC .THC POLICIES OFCCRIt1ED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS ANO CONDITIONS OF SVCM POLICILS.LIMITS SHOWN MAY HAVE BEEN RCOVCF_D BY PAID CLAIMS. r1n Oi ui9lINANCtM"rR `Y(/It•Crivt OATI'/casxf4LIMITS rcxCCUTiVE ct a 320213m TATUTOA02 12/p2/Z003 VUWTS peOD A"W MA Om3l;Me Cali. •y"1•;• Cr ACCiOiNT = 100, sGRIPYION�i vPEppEitA CHICLE roc EkwtOvec S 100, CERTIFICATE HOLDER CANCELLATION TOWN OF BARNSTABLE �wouaoAM p/n,eilee„I ,�� 0���88etAnccucoec�onETNE 367MAINSTREET t T1k%DAT6T►'Afol"W%a�p�CWANYWL%QNpFAVOQrOMAILiO HYANNIS.MA 02601 DAYS WMrTEN NOTICE TO TMp COIIifICATE HOtOSM lamro TO Toe terr•DUT FAuwa m WA't"C4 NOncc$W%IMPOSE"0OeueATION OR UARumOf- AMYtoo UPON true COMPANY,rIS ACPW3 OR AEOMENrATNrb, AUTHORrZCO RF.PRESENTATIVe � 'd ,. _ • • � eEZtOi EO Zi Dag rD 1 N co W ?: Poprd of Balldttq Repladoat sad St"rds license or repisttaltoo valid for indlvldal as*only HOME NNPROV EMENTCONTRACTOR before the expirRttoo date► Ufound return+for Re, 10416f--_130W Board of Building Itoplatioos and 8taedr,r4a On Atpburt9p Pkee R In 1301 cp �iiiikr gK1 pd Boston,Ait,Otto . ?fle 3vYUn Pod Spa.Se!e!E�Rr;.� - - - 435 W6tQuk Wty ', may.,,.-�e'°�.°7ye.✓ ,,�../\a'�!L Qt E.Fahno^lAA 0$336 Admisitrtzsbr Not vBlld Wl*Qut dtesture . r OOAAD OF T"M ' fhmdor.CS M93t _ :GOMM, J + �w006 Tr.no: 7804 ' .. , ResvicadTat OQ ' KL'M F C,AYAHMM E FALAIOLM! Ulk AMMEW �.f'`ram. ' i'''q /rY,. ��%r3i:l J=�J .%i V', 'V .�:'' ./7 �u"J✓J:- . -�:---- �- fn R utations . _ Boart of Build - 1301 om As % � �V Y LW �� r�edTosao CS 07=4 KBM F CAVANAUM . 43S WAQWU- E FAXAM)U H, MA. QM6 -tea 7804 V."PuPtw e" of addrom � „ f 3 N a � N - N . a Board of Building Regulations and Standards One Ashburton Place - Room 130.1 Boston. Massachusetts 02108 Home Improvement Contractor Registration . ReplatreVon: 130686 Type: 08A Explreftn: 4/8104 The Swim Pool Spa Sale & Ser, MaketGrp _�___ ._._. Steven• Senna P,O. Box 3612 �. E. Falmouth, MA 02636 Update Address and return card.Mark reason for change. [� Address [] Renewal 0 Employment ('j Lost Card a N Barnstable A-I--n The Town of Ba Xj�A Department of Health Safety and Environmental Services MASS e�ayA .orE,Mp.• Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: T� e 0\0"IYA 1 1Yl 6 Map/Parcel:14�— o 12 0 U Z Project Address:33 4- M 4 e_ R Builder: 14©1M,Co W'n9-v The following items were noted on reviewing: Reviewed by: S. Date: q:buildinglorms:review TOWN OF BARNSTABLE Permit No. ----------_---------- { x� Building Inspector Cashrua '---------"-'---'------- OCCUPANCY PERMIT Bond ---—_--_--__ __-__ "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date 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. .....................................................1 19....__ ............................................._.................... »._.... » ....».»..».__ Building Inspector Isses sor's map and lot number ............................................ SINE Sewage` Permit number ....... ........................... House number setnc sysm LE, ..... ........ . .................................................... M INSTALLED IN CO H TITLE TOWN OF BARNSTA\B&Z NTAL CODE A" L TOVVI`,,! PEGULATIONS 1. BUILDING. INSPECTOR APPLICATION FOR PERMIt-10 ....619 7� . ....................................................................................TYPE OF CONSTRUCTION ...... .0 .......... d'v........Z��z.............. .......... .... TO THE INSPECTOR OF -BUILDING&A The undersigned hereby applies for a permit according to the following information: Location .....40.77�...... ......IYX .....(RAS........ .............A ................................... Proposed Use Yc.-A.R........Rpw.tY�........'R ..................... ZoningDistrict ................fl..c.............................................Fire District .... /0............................................................. Name of Owner % I/&........Address Wx.....--a(a.,IIX,4/:1.Y .�......................... I yjv 4 , Name of Builder ........R....... ..........Address 210.K .......�/X� Name of Architect .. .df!�LtAxf....A)ARW.i.cw.....Address ..................................................................................... Number of Rooms ...................I:e...........................................Foundation .F..R.C.4.......... ................ Exterior .....F&4.44�.........................................................Roofing .................................................... Floors ...... ....... ...J11 7 ...... ...................................... 3r..dw............OIL . . PIu-mbinHeating ... . . q ......... "A A d........................................... Fireplace .............. ................................................................Approximate Cost ... .......................................... Definitive Plan Approved by Planning Board --------------------------------19--------- Area 1.73— -.040....... Diagram of Lot and Building with Dimensions Fee ..4V.41................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH r4cp C/ I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable 59garding the above construction. .. ......... Name A . ....... ..... .... ..................................... &I -W. .. .......... 17 ' Al 21444 Alden Homes, Inc. t Oto 444.4....... Permit for -me..sbory-.dwet-ling ' ............................................................................... x` x Location ......lot..#,2•.334..Nye,.M., ................. ......Cent wille.............................. Owner ...........Alden-Homes. ............... Type of Construction ............................................................................... r� Plot ............................ Lot ................................ i 1 r Permit Granted11�.�' 1Q. 19 .79.... .... .... qq � Date of Inspection a. 3- 7.1. r , Date Completed .... _ . . /..8.....:'::........19 V `+ f 6 a i. PERMIT REFUSED `- ............................ . 19 ............ . ...... ....................................... . .......... ............. . . ....................................................... ............. ...... .. ..................................... ... ............. . ....................................................... Approves{..7..........................................., ti ................ ............................................................... .� ............. .. .............................................................. � _ � AREA PLAN SCALE '. 1 LOT, 2 NYE" ,ROAD - "CROSS ;- - RIDGE" T 6 W T HIE _FLO00 : PL. A VN4 L.O T-1*3 sw- ,SET 8' m 'r SE T A5T`•CANCR �. 1-41 _ ,aETA tt - . .Ilk . - .... -. _ a' - . ' �� CAST CO NGi2�T g D. [] _� PROPOMD io s 'QczssF.t�.E' Q Q 10 Towt.t WATEi2 � -�- CONCRE'TE':srPT1,C, T fi L►J �.�--4 20 31F SEE PR04t(L$ �. i t 41 R'P APfR'A FOe'3tE5FRVF P►* - i fit ' II' _ q Q i6z Z2 (REAR) _ M Q a • 0,-00, J 1 Z � i �--- t�`±cs►la� S M. 5€T 200,90 ab.l.r .�.. 5T'K_ -SET � 8b 15' O0" E LOT -* i 1 OWNER . A L D E� ._P--t0 P'�E5 M C /E MASS4 -P, .0 ' OX '- � G 20 COT-UIT, M A, a 2 Charles s SPOHR of �F No. 7468 -CST �FfSSiONA� AREA PLAN: ARF-A PLAW PP-EP�PED. FROM SUt D.1V1 S ) 0#l.! P L �Ki o F LAN D. 11� BAD W 3 TAB t-F=7 CPZK1T�F.ti/ 1 L-LE. �fR ALDEW H OW ES t C. C1z 0-ss R .16�E SCALE I = GO 2:2 J Ul4E 19`Tq BY J. p. DC�`f LE R. L.S . _ M. NOTE " ALL ELEV`S `BASED �C��Iv�.ti. STK.AQ/^'�!`N, E , Co1z.t,1E '., MAP SEC I PCL I LOT HOUSE ' " , ' � 1 Y PI C;AL SYSTEM PROFILE FINISH GRADE= FDN TOP �/ % . NOT TO SCALE . 00: � FINISH ' FINISH GRADE OVER TANK= 50 GRADE OVER PIT=50�0 t IO PVC OR 7 67 O C. I. TEES �.• 4 7 50 Al4 7. , BSMT 47. S4 tiFLR 4Q.o I:DO� GAL. 4� 4 :. t . r `r r • • 1 . 1 1 :REINFORCED DI ST. BOX CONCRETE 8 1 r . • • . . e 1 ;. TO BE INSTALLED ON a I . r 1 • r 1 .1 ' �; `o•: . ;:`. A LEVEL STABLE BASE SEPTIC TANK TO BE INSTALLED ON A:. . . .r • • . 1 . r 1 LEVEL STABLE BASE • . . • . . . . . r r n �' �� ~ . r r r • • • . • r . Al 2 -1/8 - 1/2 WASHED PEASTONE ALL_ :, BRICK a.MORTAR COURSES AS AROUND FREE OF IRONS, FINES ' ' • • • 1 r . REQUIRED TO BRING COVER TO GRADE AND DUST IN PLACE LEACHING PIT 24 C.I. MANHOLE COVER 8► 3/4 TO 1-1/2 WASHED CRUSHED`-` FRAME SEE DETAIL STONE ALL AROUND FREE OF BASE TO BE LEVEL IRONS, FINES AND DUST IN PLACE — FOR FIN. GRADE I`ISEE SYSTEM PROFILE SOIL AND PERCOLATION 4„ DATA 811 PERC. RATE : 2 MIN.�iN. FOR INV. ELEV SEE °T INLET SYSTEM. PROFILE 6�� . TAKEN. BY : C. D. SPOHR LINE o - R PAU MU I- BRAY • ; ° - a OPENINGS W/4'1/8` WITNESSED BY: A R NSTASLE. IbM 0P NFAI.TH . / o , . - OUTERDIA.8, 1 -3 4 _ ',' ,, DATE: ' g JUh1E . 19?�3 7 , a INSIDE DIA, o • TEST PIT-GNO ELEV. 6 . . TOTAL o o - _ o o AREA o 0 3 °- p v o D o LOAM ve C3 1 .0 o 0 2SS S P, c .o o < -t 31 SU-g. - So L NO. RUST; LEQG P, W A"t"e k o000 0 0 ° METJlUKA ;Z t 6 6 DIA. I SO I L EFFECTIVE DIA. BOT. PERC. HOLE DOWN U II LEACHING PIT .- SECTION NO SCALE DESIGN DATA . NOTE DO NOT RUN HEAVY EQUIPMENT OVER SYSTEM No. of BEDROOMS 3 " LEACHING PIT NOTES: N0 DISPOSAL EST. TOTAL DAILY EFFLUENT 3_,GALS. . CONC. TO BE 4000 P.S.I a, 28 DAYS . SEPTIC TAN K � D_G AL. 2. REINF W 6 x 6 6 GA. W. W. M: 3. 2 SAND 4 ' SECTIONS ARE AVAILABLE FOR GENERAL NOTES GREATER DEPTH REQUIREMENTS I . ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN I NOTE: �C31 ACCORDANCE WITH TITLE OF THE STATE SANITARY CODE EXCAVATE TO ELEV. OR LOWER AS `' DATED DULY 1,1977 a ANY LOCAL RULES APPLICABLE. ' REQUIRED TO REMOVE ALL LOAM AND CLAY CONTAINING 2. ANY CHANGE TO THIS PLAN MUST BE APPR�D. BY THE MATERIAL BENEATH PIT. REPLACE EXCAVATED MATERIAL • BD- OF HEALTH, AND CHARLES D. SPOHR. -. WITH CLEAN,CLAY FREE GRAVEL, MECHANICALLY COMPACTED IN PLACE. 3. WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKFILLING, IDE AREA = t 9 g g.F �4 S.F./GAL �.GALS NOTIFY THE ENGINEER FOR INSPECTION. OTTOM AREA=-_S. F. f . o S. F./GAL GALS 4. FOUNDATION, ELEV. MUST BE CHECK ED WH.EN COMPLETED. OTAL AREA =285S. F TOTAL 562- GALS 5. THESE ELEVS. MUST NOT BE CHANGED WITHOUT WRITTEN APPROVAL BY CHARLES D. SPOHR. LEGEND 6. FOUNDATION INSPECTION READ. WHEN EXCAVATED. - 50.0 EXIST. GROUND ELEV. 50.0' FINISH GROUND ELEV.j'UNDERLINED�� ",L1�" 27JllNE'�gy►SED LOCATI�1.1 OF G RACzI? 7750` PIPE INVERT. ELEV. REV. DATE DESCRIPTION G' TEST PIT LOCATION SEWAGE DISPOSAL SYSTEM o SEPTIC TANK FOR ALDEN HOMES INC. DISTRIBUTION BOX - =" ` ,\: LOT 2 NYE ROAD "Cr R I DGE" 4 C. I . PIPE � � BARNSTABLE CENTERVILLE -MA. 1-11-H-t�-�- 4 81 T. FIBER PIPE - TIGHT JOINTS `n` . :� - -- - PROPERTY LINE ` ' %': DESIGNED: C.D.SPOHR DATE:8 )umE ''19 DRAWING N0. MIN. CODE DISTANCE DRAWN: c.5. SCALE:AS SHOWN C� _..__. CHECKED: C. D. S . J B 4 52 .007 , t TYPICAL SYSTEM PROFILE AREA PLAN FDN TOP FINISH GRADE-S NOT TO SCALE SCALE : 1 "- 3.0 � ,'C?O' FINISH GRADE OVER TANK= 50_00 FINISH t GRADE OVER PIT=50,00 * ti "CROSS RIDGE - - AD � . LOT 2 NYE ROAD s.o PVC OR 47 67 ° T_1-°�IE 7LOOO .�,... A I C. I. TEES o o a �IC.�T ..!N 47 � . e BSMT I000 - _ FLR ��'O GAL. 4 IOr + 1 v o + • • + e + 0 0 .. 4 7. 2 = N Q .. AI '* ...' D -f OW N 'VANE ::`. REINFORCED n D I S T. B O X + ; o e o e a + , Ll CONCRETE 8 TO BE INSTALLED ON a • + • • . 1 0 / r T. A LEVEL STABLE BASE • to • • • o a + of 0 / + • • • • v + + o o SEPTIC TANK .. , TO BE INSTALLED ON A + + • v • • o + / 1 0 LEVEL STABLE BASE 1 e / / • 1 • o • + + + c 2 1/8- 1/2 WASHED PEASTONE ALL BRICK a,MORTAR COURSES AS AROUND FREE OF IRONS, FINES + • • • o 0 0 e REQUIRED TO BRING COVER To GRADE AND DUST IN-PLACE LEACHING PIT 24 "C.I. MANHOLE COVER a 3/4 "TO 1-1/2 WASH ED CRUSHED FRAME - SEE DETAIL STONE ALL-AROUND FREE OF BASE TO BE LEVEL IRONS, FINES AND DUST IN PLACE _ FOR FIN. GRADE LOTS SEE SYSTEM PROFILE SOIL AND PERCOLATION y 4,, DATA STIR.'.SST. 13 tit • i - --- -- - - - 5 $t'o 1� , .+O O. 11'� ..a... ,..� >� `JT�.SET � . i et --- 8„ PERC. RATE . MIN./IN. I4>' �SIU� . -. ! 4,� a �� �'o `. FOR INV.ELEV SEE �'o _ INLET SYSTEM PROFILE TAKEN BY : 0 6n . . LINE \ . G ` b . C``D SPOHR ,y. LEACHING �'lr�+ �. b o'_ D 1NITNESSED BY: - A�NSTAE RE QED bF NFALTN _ z _ OPENINGS W/4-1/8 p R1�c p 4.5EE ... _ E• - --IS J UNEF tg 79 l a _ ETA I t- I'-- b 3/4 o D b np OUTER DIA a I "� _f .. , o D DTEST PIT-GNb ELEV. - .f pacASr car 600c __1 r PROP05E~� 14f sF>;�t�aF1.�F, (� - � , 6 p D INSIDE DIA 0 110 ;,> Q _ D o 3 O A1uS • o O ::, N — 1400 GAL.. PR6�A5'(' 1 1 1 p p p - o` �..DOGE p AREA L :� O —�- CANC2 T TIC.TA — o NO RUSte' rOYVti .vNAt rl� �t� pa cc X `q I . ., b D o o D D 3 (fir ° ---a�' 20 5 c ,r� s.. .�... R.P AC+:E'A to�'ozEsozvE:v�r `iYl1 - ' . ,b 0 0 p p 0 D p : b I t■ l 1 �( i I./ (• _J D D D D ` , O ( 1 J - i�i E D! L) I r - �, o Q - - Y '; 62 22 (R�Ar�-) _ • o. 0 BROWN a c. 0 0 0 0 0 0 0 0 0 s ";,. Pfi+ '1 (ARd�G E 1 i e .,.��,...�I L `. - 6 6 DIA � w LOT 2�a 1 _- �+ - BOT. PERC. HOLE 0lC 1 IF _61 EFFECTIVE DIA. M so,OC? t2' ts1D } , '�Q Q ��. , . DOWN �-� U !i l�C. :a T 2t7C? r � z• .'�'° LEACHING PIT SECTION Na SCALE DESIGN DATA NOTE: DO NOT RUN HEAVY EQUIPMENT OVER SYSTEM No. of BEDROOMS LQ T - I NO DISPOSAL --- 1 LEACHING PIT NOTES: EST. TOTAL DAILY EFFLUENT 3 � GALS. 1 . CONC. TO BE 4000 P.S.I a 28 DAYS . SEPTIC TANK I• GAL. 2. REINF. W 6 x 6 " 06 GA. W. W. M. �, • 3. 2 SAND 4 SECTIONS ARE AVAILABLE FOR GENERAL NOTES GREATER DEPTH REQUIREMENTS OWNER ' — of Massgoy N ' 1 . ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN NOTE: 1�(� ACCORDANCE WITH TITLE5 OF THE STATE SANITARY CODE ALDEN. HOM�E5 I C ' �� r ���Q�CharlesD. � I EXCAVATE TO ELEV. OR LOWER AS ` DATED JULY 171977 & ANY LOCAL RULES APPLICABLE. ` N '" REQUIRED TO REMOVE ALL LOAM A`ND CLAY CONTAINING Qt.t° OX 1 �24 SPOrIR 2. ANY CHANGE TO THIS PLAN MUST BE APPR'D. BY THE COS- UIT) �, � � �� � • ��p�No. 7468�p =� MATERIAL BENEATH PIT. REPLACE EXCAVATED MATERIAL BD- OF HEALTH, AND CHARLES D. SPOHR• \c� R WITH CLEAN,CLAY FREE GRAVEL, MECHANICALLY °,poF s�� COMPACTED IN PLACE. 3. WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKFILLING, fss�or,�� NOTIFY THE ENGINEER FOR INSPECTION. -�� SIDE`;AREA = 19 8 S.F. ..'4 S.F./GAL 5GALS 4. FOUNDATION ELEV. MUST BE CHECKED WHEN COMPLETED. - BOTTOM AREA=- S.F.@'o S. F. GAL GALS ' 5. THESE ELEVS. MUST NOT BE CHANGED WITHOUT WRITTEN TOTAL AREA =4 S. F. TOTAL. 2 2- GALS APPROVAL BY CHARLES D. SPOHR, AREA PLAN LEGEND FOUNDATION INSPECTION READ. WHEN EXCAVATED. AREA. PLAN P.I_EPAP.ED .; FROM.... S08 T )\i 510 PL alA UP LAEo�.lD IP.l BADWzTA, ��-,.�' C�klT P.\/ It.-L + 50.0' EXIST. GROUND ELEV. FOR At_..DEM HOW 1 C+ 11CRo5s 1 '' 50.0` FINISH GROUND ELEV.��UNDERLINED" ",�:� 27�uN�`>9 >z�Y15Ep. LoCATlO1•� OF GAR F�G1= srAL� 1 - Grp l �.2 J U 19 79 Sy J. ice, D t_(F R. L.S . 4750] PIPE INVERT. ELEV. REV. DATE DESCRIPTION _J@ TEST PIT LOCATION , SEWAGE DISPOSAL SYSTEM _ - FOR - 0 o SEPTIC TANK ALDEN HOMES INC. B. M. NOTE : ❑ DISTRIBUTION BOX LOT# 2 NYE ROAD "CROSS R I DCE" i 1 -� ALL ELEVS • O Q 5�• � Imo, � , C.QiZ�.1E 4 " C. I . PIPE ttittti-I- 4 BIT. FIBER PIPE -TIGHT JOINTS ,,1 :; BARN STABLE CENTERU_ILLE, MA. DESIGNED: C.D.SPOHR DATE:$ JUUE ,1g DRAWING NO. - --- PROPERTY LINE `. DRAWN: C.5. SCALE:AS SHOWN Q MAP SEC PCL LOT HQuSE MIN. CODE DISTANCE 8 6 g `'� - ' CHECKED: C. D. S . . L�