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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Ma a0+ Parcel 163 Tr C� R. STALE
p Application #
Health Division At I'S ?5
Date Issued
Conservation Division Application Fee
Planning Dept. c _ - Permit Fee • v
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/ Hyannis
Project Street Address ay �: Psv A%kt/
Village CcnA-erd("�
Owner R 0AA G: (!At Addressl,H
Telephone .�
Permit Request Ala R- 5 LOW%�M, aA�, -� ,�7r< asS -fie -} ne- c►
VA
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ 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: ❑ 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 4 No If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER) -
Name ylll k'016 �IV L �Ck & S06TAC- Tele hone Number� p .�o
Address License # a_C_ t 027 776
&1044 !'l U U 61 Home Improvement Contractor#
Email Worker's Compensation # (al C 0 85 5 q0 00
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO &rowbl,,
SIGNATURE DATE I 6
FOR OFFICIAL USE ONLY
,APPLICATION #
DATE ISSUED
MAP/ PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
i
ASSOCIATION PLAN NO.
I ,
2229.35
`fawn of Ra' rnstable
�c Mato T. .�: g � Seniees.
yMASS.. � - R➢cbard W Sc.04 Direcior
sBg9. �e
o, J uikding Division
Tornferry,Building qummissiuner
200 Ivlaiu ee# iT}minis,NIA 0260.
r
wfi�tn�:tr:barnstable.maiis
Office: 508,.862-4033 f�x 50€ %9"23(}
Propeti3=Owr.ww Must
U.- x p.le— and Si,A ` his Section
�,f�YJti�n�A IuY�c�c:r
I, Paul M:Gunn O%m, 4 he su �erc.
hcrt'b} xurhoe
l"U;-Al on.rzy behalf
z<n11 xithzs l.zua� ;torkaurhozed by this L1c prrrnitpglicacr,tflrc;
244 Park Avenue Centerville MA 02632
."Pool fences and alana3s XV..the rt-sponsabU4 of-tie applic=t,P(.io J
t:ta b led cir.Ult ed before I nee 'Imladed and,gill
irisp. Ct()31S Are PG r}Fixxec ar? Acc pt«}:.
t
S Ire of A�.ppbgajjt
u UL,
,w ,�r j •
P;nnr Name _7._ ,. N.
x
7--/4
Dace
QFOtb4s:0N%,�F,RPRR!-Al zJc)NtFCao-s
AC RLs CERTIFICATE OF LIABILITY INSURANCE DATE(1.1M"°"'"Y)
/461 4/12/2016
THIS CERTIFICATE IS ISSUED AS:A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE.OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: if the certificate holder Is an ADDITIONAL INSURED,the poilcy(les)must be endorsed: If SUBROGATION IS WAIVED, subject to
the terms and conditions or the policy,certain policies may require an endorsement. A,statement on this certificate does notconfer rights to the
certificate holder In lieu of such endorsements. .
PRODUCER ,• CONTAC Risk Strategies. Company
Risk Strategies Company PHOIN E : (781)986-4400 FA,CAX No:(761)963-4920
15 Pacella 'Park Drive Amiss:randolphcldarisk-strategies.aom
Suite 240
q ^INSURER(S)AFFORDING COVERAGE NAIC S
Randolph MA 0236.8 INSURERA:Selective Ins. of America
INSURED INSURER Allmerica Financial Alliance Ins Cc .10212
Cape Save, Inc INSURERC:Star Insurance Co.
7 D Huntington Ave
INSURER°
INSURER E:
South Yarmouth MA 02664 INSURERF:
COVERAGES CERTIFICATE NUMBER:CL1641211375 '.REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED.ABOVE FORT THE POLICY PERIOD
INDICATED: NOTUUITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE.INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN I$ SUBJECT TO ALL THE.TERMS;
.AN EXCLUSIONSD CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. '
MSR DDL SLISR POLICY FF 710/1612016
-
LTR TYPE OF INSURANCE : . POLICY NUMBER. MM LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $. . 1,000,000.
A CLAIMS-MADE X❑OCCUR PREMlY
ISES Ea occurrence) $ 100.,-000
X 31994480 i0/15/2015 MED EXP one person $ 10,000. f
<< PERSONAL&ADV INJURY, $ 1,000.,00.0
GEN'L AGGREGATE LIMIT APPLIES PER; GENERAL AGGREGATE $ 2,0:00,000
POUCY�JEC .FLOC PRODUCTS-COMP/OP AGG' $ 21.0:00,000
OTHER $
AUTOMOBILE LIABILITY M S N l, LIMIT
$ 1,,000,000
(Ea accident)
ANY AUTO " r' BODILY INJURY(Per person} $
B ALL OWNED SCHEDULED
AUTOS X .AUTOS AW0A4679660.0 11/6/2615 11/6/2016 BODILY INJURY(Pereccldent) $ _
'NON-OWWED ' PROPERTY'DAMAGE
X HIRED AUTOS X AUTOS _ Pereaddent $
p a a $
X UMBRELLA LIAB X
OCCUR EACH.OGCURRENCE, $ 1 000 000
A EXCESS LIAB CLAIMS-MADE - �._r 1 AGGREGATE $ 1 0°0.:000
DED X� RETENTION$ "OIL - 1PIR94480 - 10/16/2015 10J16/2016. $
WORKERS COMPENSATION - oEEicers Included for ,,s X 'PER ' OTH-
AND EMPLOYERS'LIABILITY f. YIN " • STATUTE ER a
ANY PROPRIETORIPARTNER1E>ECUTIVE N.fA coverage E.L.EACH ACCIDENT $ 500 000
OFFICERIMEMBER EXCLUDED?
C (Mandatory In NH) ,y: ®COS5540700 4/9.'/201.6 4/9/201,7, ..E.L.DISEASE-EA EMPLO $ 500 060
If yes,tlesaibe under f, i.i ; .".., . ..,. -..
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,600
a
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 107,.Additions]Remarks.Schedule,may be.attached If more space Is required)
National Grid Corporate Services LLC d/b/a National Grid, Action Inc, Colonial Gas Company"and NStar
Electric are all included' as Additional Insureds withlrespects to the General Liability coverage of named
insured as r ,egtiired by written contract. l
CERTIFICATE HOLDER CANCELLATION M
f
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Housing Assistance Corporation THE EXPIRATION DATE THEREOF, N0710E,WILL BE, DELIVERED IN
Cape Light Compact ACCORDANCE WITH'THE:POLICY PROVISIONS.
Barnstable County
460 West I4ain Street
AUTHORIZED REPRESENTATIVE .;' = •.•..-,, ,
Hyannis, Ida 026.0.1 .
Michael Christian/CLG - - =^
1988-20.14 ACORD CORPORATION. All rights reserved.
ACORD 25(2014/01.) Thei ACORD name and logo are;registered marks of ACORD "'
INS025(20i4o?)
The Commonwealth of Massachusetts. '
Department of Industrial.Accidents
1 Congress Street,Suite 100
Boston,MA 02114 2017
ww».massgov/dia
NVorkers'Compensation Insurance Affidavit:Builders/Contractors/Electf.icians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Avolicant Information Please Print Legibly
Name (Business/Organization/Individual):Cape Save Inc
Address:7-D Huntington Avenue
City/State/Zip:South Yarmouth, MA 02664 Phone#.508-398-0398
Are you an employer?Check the appropriate box: Type of Project(required):
I. ✓ I am a employer with 15 em to ees.full and/or. art-time • .
p y ( P > 7. New construction
2. I am a sole proprietor or partnership and have.no employees working.for me in
❑ _ l h 8. Remodeling
any capacity.[No'Workers'comp.insurance required:]
3.E.1 am a bomeowner:doing all work myself.[No workers'comp.,insurance required:]t 9. :❑Demolition
❑
4.❑I am a homeowner and will be hiring contractors to.conduct all work on:my property: I will 10 Building addition
ensure that all contractors either have workers'compensation insurance or are sole 1 L Electrical repairs or additions
proprietors with no employees. 12.❑Plumbing repairs or additions
5.0 l am a general contractor and I.have hired the sub-contractors listed on the attached sheet.. 13.❑ROof repairs
These sub-contractors have employees:and have workers'comp.insurance:+
6 f❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.0Other Insulation
152,§1(4),and we have no employees.[No workers'comp.insurance required.]
*Any applicant that checks box#l:must also fallout the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they ate 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.'comp7 policy number.
Tam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:. Star Insurance Co.
Policy#or Self=ins.Lic:# WC085540700 Expiration Date: 4/9/2017
Job Site Address: 244 Park Avenue City/State/Zip:Centerville
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MOL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00
and/or one-year impriSonntent,as well as.civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a
day against the violator.A,copy of this statement may be forwarded to the Office.of Investigations of the DIA for insurance
coverage verification.
I do herebycertifyunder th pains and penalties of perjury that the information provided above,s true and correct
Signature. Date: 8 24/16
Phone#:508-398-0398
Official use only. Do not.write in this area,to be completed by city or town official
City or Town; Permit/License#
Issuing Authority(circle one):
L Board of Health 1 Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person:_ Phone#:
f
Office of Consumer:Affairs:and Business Regulatlon
a' 10 Park Plaza - Su1te 5170
Boston;;Massachusetts 02116 :,: ..
Horne Irnprovement.:Gontractor Re
Ps,tratlori
Registrahan 1;71380,
-7 �� Type -Corporation
' -' Expiration. .3/1412018 TO 419.291
CAPE SAVE INC. A,
WILLIAM .McCLUSKEY r r
7-D HUNTINGTON AVENUE 'rQ.
SOUTH=YARMOUTR MA b2664
�.
_W _` Update Address and return card Mark reason for change. .
,E1 Address M.Renewal Employment ❑ Lost-Gard.
scA i 2OM-05111
n�/rc�aa�Jr'rrzarzruerc�l�a�C-'/�lastuclri�;e� ,
Ofiiee of:Consumer Affairs.8c Business Regulahou License or registrati fo on valid r�nd ividul:use only
HOME'IMPROVEMENT CONTRACTOR before the expiration date If foundsreturntto
G' Registrat,on 1713gp; Type; Oftiiee.of Consumer Affarrs and Biismess-Regulation.
Expiration 3l14/2018 Corporation 10 Park Plaza-Suite 5170'
Boston,MA 02116
CAPE SAVE INb , �
WILLIAM McCLU.SKEY '
7-D HUNTINGTON
SOUTH YARMOUTH MA Q2664
Undersecretary Not valid` i signature
Massachusetts-Department of'Public Safety
�-- Board of Building Reguiations,ana Standards
cons trU1t1o1i J1l VIE I.M IIi)1'Spec 141LW RWt�`i"-%�s�,.�:
License:C$SL 102776 77,
;
WILLIAM J MCU `>-
37.NAUSET ROAD
West Yarmouth rdA
``
Expiration
Commissioner 0612812017'
Cape Save Inc.
7-1) Huntington Avenue
South Yarmouth, MA 02664
Tel: 508-398-0398 Fag: 508-398-0399
9/28/16
Thomas Perry CBO
Town of Barnstable 6,1J'
Building Division LbING DES„
200 Main St.
Hyannis,MA 02601 ®CT 5Z0,6
t
y. TOWN OF g�RNSrA�I
RE: Insulation Permit 16-2457
Dear Mr. Perry
This affidavit is to certify that all work completed for 244 Park Ave,Centerville has been
inspected by a third party Certified Building Performance Institute (BPI)Inspector.
All work performed meets or exceeds Federal and State Requirements.
Sincerely,
William McCluskey
MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723-3800 Ma Oniv(800)392-6108,FAX(800)851.8424
91512013
Form of Notice of Casualty Loss to Building
Under Mass.Gen.Laws,Ch.139,Sec,313
BARNSTABLE BUILDING COMMISSIONER
367 MAIN STREET
367 MAIN STREET
HYANNIS MA 02601
Re: Insured: PAUL M,GIANNELLI
Property Address: 244 PARK AVE.,CENTERVILLE, MA 02632 - -
Policy Number: 0910979y -f
Type Loss: Fire(including Fire caused by Lightning b �'
Date of Loss: 09/01/2013 —
-a
Claim Number: 317041 -a,
10
Cn
Claim has been made involving loss,damage or destruction of the above captioned propert,which may either
exceed$1000.00 or cause Massachusetts General Laws,Chapter 143,section 6 to be applicable. If any --- s
notice under Massachusetts General Laws,Chapter 139,Section 3B is appropriate, please direct it to the
attention of the writer and include a reference to the captioned insured,location,policy number,date of loss
and claim or file number.
MPIUA Claims Division
CMA00021
Engineering Dept. (3rd� oor) Map
ea Q —7 Parcel L-C,3 1=✓3, Permit# 2(o q q 2-
House# `f rJT Date Issued p 2
Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) - Fee'
Conservation Office(4th floor)(8:30-9:30/1:00-2:00)
Planning Dept. (1st floor/School Admin. Bldg.) s THE
Definitive Plan Approved by Planning Board 19
• BARNSTABLE,
MAIM
TOWN OF BARN!STABLE
Building Permit Application
Project Street Address �1 .�A.L:1�- — A-
Village -
Owner R.,.11 . 1�r"e c��✓!e' ( �' Address L�L f � `� „�,.,bra
;Telephone 7. — C C 8
Permit Request
i ~e
1
First Floor square feet Second Floor square feet
.Construction Type
Estimated Project Cost $ 9220 •
Zoning District Flood Plain Water Protection
Lot Size Grandfathered ❑Yes ❑No
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No
Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: Existing New Half: Existing New
No. of Bedrooms: Existing New
Total Room Count(not including baths): Existing New First Floor Room Count
Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other
Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No
Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size)
❑Attached(size) ❑Barn(size)
❑None ❑Shed(size) -
❑Other(size)
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes, site plan review# -
Current Use Proposed Use
1
Builder Information
Name gec.4, Telephone Number �3 �,,
Address ��G� (�, �K �/� a License#
4w Home Improvement Contractor# Q )��
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 TOLl ���
Q�
SIGNATURE - f- DATE G
BUILDING PERMIT DENIED FOR THE FOLLO ING REASON(S)
FOR OFFICIAL USE ONLY.
PERMIT NO.
DATE ISSUED
MAP/PARCEL NO. zf
-
_
ADDRESS VILLAGE ? e
OWNER L
+
DATE OF INSPECTION:
FOUNDATION'
FRAME
INSULATION -
FIREPLACE r
a
ELECTRICAL: . ROUGH FINAL - '
PLUMBING: ROUGH 'FINAL ' `
GAS: ROUGH FINAL
FINAL BUILDING
^ -
• i t
DATE CLOSED OUT
ASSOCIATION PLAN NO. i
i t
6
�:
Assessor's Office,(1st floor) Map � _Z L`'ot Permit#
Conservation Office(4th floor) .� s �1, �� ` Date Issued
Board of Health(3rd floor)(8:30-9:30/1:00-2:00. Fee
Engineering Dept.(3rd floor) House#1
Planning Dept.(1st floor/School Admin. Bldg.) GN�`T�lal9
Ll�
efi 'tiv an Approved by Planning Board 19 _ '
ENVIRONaM
ODE AND
a uz TOWN OF BARI�TSTABLE �®�����v����P�
Building Permit Application
Project Street Address YL/ ®re
Village ��'I/l'��./l C_
Owner 2 PA tzl,, 6/412 P i` Address s2 y y PV i-,k_
'Telephone o61VC/
'Permit Request
CY
Total 1 Story Area(include 1 story garages&decks) J O o square feet
Total 2 Story Area(total of 1st& 2nd stories) square feet
Estimated Project Cost $ .S 0176
Zoning District Flood Plain Water Protection
Lot Size Grandfathered ?
Zoning Board of Appeals Authorization Recorded
Current Use ® Proposed Use
Construction Type
Commercial Residential
Dwelling Type: Single Family Two Family Multi-Family
Age of Existing Structure Irl (.7AAW)'-S" Basement Type: Finished/
Historic House — Unfinished
Old King's Highway
Number of Baths ,.� No.of Bedrooms
Total Room Count(not including baths) First Floor
Heat Type and Fuel Central Air- Fireplaces
Garage: Detached. Other Detached Structures: Pool
Attached Barn
None Sheds
1 Other
Builder Information
Name Telephone Number 77, Od
"Address
C'sL__r.o G License# D/O U/
O O Home Improvement Contractor# ZI 7 g 7
Worker's Compensation# „t�14L4ul�ilro�-..
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 711
BUILDING PER DENIED FOR THE FOLL WING REASON(S)
• FOR OFFICIAL USE ONLY -
PERMIT NO. 9 2 4 5._
DATE ISSUED 7/21/9 5 r'
MAP/PARCEL NO. 207 163
ADDRESS 244 Park Avenue t ,, ,} ��; VILLAGE Centerville , -
s� t
OWNER Paul & Dol Giannell-i ' r;
• 1 ter.•. .�\
DATE OF INSPECTION:
FOUNDATION �4'��'�I4�
FRAME
INSULATION
s
FIRI IEPLACE r
L ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH, -FINAL
GAS: ROUGH ,FINAL'f v
FINAL BUILDING
DATE CLOSED OUT ✓ �/
ASSOCIATION PLAN NO.
ha,
LINO St11;VEY1Ntb; 0 CIVIL ENGINEERING
PLOT PLAN OF LAND
•QAV65-ATE KA S.
2
ZA
34,970 S.F.
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A � a
p ®$ %r
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we- t,�1
H 4
'�r7 114
®®AR AVE. � s
I hereby certify
OCE 1D1y1A' that I have
examined the premises and all
easements: encroachments and
buildings are located on the
ground as shown. I further
certify that the bufldings shown
SCALE: fa=�Q conformed to the dimensional zonin
DATE: jU/Y� .�0��;" laws
wstOf 8A,(1v5WLFtherwhen
-
REFERENCE: EK3�1 that the Propert certify
PG � located in the y 1S ��� °
This Plan has been prepared for conveyancing Purposes hazard area. �, �biisf�ed flood
only for the above party. and is not be be used f oreS �r��t Of A�9.d ,
boundary measurements. .e� �'►
40 L®bVELL STREET 5 Op e p �t�a
;
PEABobY, MASS, 01960 35 FOREST STREET ` , ,; ' 131 "'l
MEDFOgD, MASS. 02155 r
531.8121 ��C, `'/STt,
391.0655
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CERTIFIED PLOW PLAN
C,gVF ►A - Kim
PAY Av�+_ty�
V IN
LORE'®GE �E�IGIIV�E'RONG fAl SCALE= /"= 4� DATE _ G ,�z
Ceo7Z7-44
E®ISTERED . I CERTIFY THAT THE a�'NL�A7'/UN
RE®ISTEI@�D SHOWN ON THIS PLAN IS L®GATED
CIVIL LAN® e8® Q®. ON THE GROUND AS INDICATEDSLOCATED
AND
ENGINEER SURVIaY®R DR..®T= A-- A CONFORMS TO THE ZONING LAWS
712 MAIN ST. CH.By J---=�.,. OF SARNSTAS El ASS.
HYANNIS, MASS, 2r e3
9HEE1'-�.OF'_� ®ATE
a. LAND VEYOR
E:
TOWN OF BARNSTABLE Permit No- ----------------------------
. Building inspector
aearn.n Cash
g'�o r►Y►�
OCCUPANCY PERMIT Bond
Issued to e3 lt:sr r�,r,� Address
C4 1.t7 trt j ;n •rir,;-rap��7j i Z�S
Wiring Inspector Inspection date
Plumbing Inspector ✓ t Inspection date
Gas Inspector 1 Inspection date
Engineering Department Inspection date
Board of Health 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
......................................................
.................................................. . 19............ ..................................................................................................................
Building Inspector
i
FROM -
TOWN OF BARNSTABLE
BUILDING DEPARTMENT
Mr. Francis Lahteine " „ MAIN STREET HYANNIS,,. MA 02NI
Town Clerk
Phone: 775-1120
SUBJECT:
FOLD HERE -
DATE _
F F&rua y 28, 19$5 MESSAGE
k ` Work has beery Cmpleted tier Permit #25241 (D. E: e: Fte�lL�y' Trt t)
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Please-release-B 4-- „
- SIGNED ((,,
i DATE
-
' `REPLY
Ne7-Rmi - .RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY
PRINTED IN U.S.A.
r . SENDER.: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON;INTACT.
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CERTIFIED PLOT PLAN
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SCALE: !"= 4o DATES
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DREDGE E GIAIEERII�G' �.lAl I CERTIFY THAT THE
C41ENT A SHOWN ON THIS PLAN IS LOCATED
EGISTERED REGISTERED JOB NO. 8z 4 ON THE GROUND AS INDICATED AND
CIVIL LAN® ' CONFORMS TO THE ZONING LAWS.
I
R ® ,
EE SURVEY® DR. Y .�.�
I'L ENGINEER OF GARNSTA® E , ASS.
712 MAIN ST. CH.BY, `�•i....
HYANNIS, MASS. . SHEET—LOF DATE G. LAND SURVEYOR
Assessor's map and lot number .14
..././........ay •/� c
ICA
Sewage Permit number ...................... ��.... ll.::..,...:..
TAELE, i
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House number .....�.. .............':........... ...........,:...... ..:.. 8 '
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TOWN OF .BARNSTABLE
;M" - : BUILDING " INSPECTOR
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APPLICATION'FOR PERMIT TO 22
~ l.7.. ......................... ... , .......... ...............
1 ao� r,;a;w.R
TYPEOF CONSTRUCTION .... ..........1: .........................................:..................................................................
�` ry ......................5/..a..............19..6 3
TO THE INSPECTOR OF BUILDINGS:
The undersigned
//hereby applies for a permit according too the following information:
Location ... .!�4 l.... .../:�!A P c. .. .�e... .l. ..C n(Qw.V........................... ...............:...
ProposedUse ........!`1r .?.. .j�Cf ^. . .................................... ....................................................................... .....
•Zoning District .....:..k\...1�s�A.................................................Fire District .....QsS�.. .....................................
Name of Owner.. 'E....`L....'. .:..�..lv`!`' :......Address ... .......................oqS. U/1:
t Name of Builder DA(:10... �, . �R....''.`..............Address �.lo� 7 L 2 C- � '
f t. '..'.. ........................................................... ...........
Name of Architect ........ .........................................................Address '.......................:.................:.
Number of Rooms ...... _
-(!r.. .......:..........................................:....Foundation ..............................:
.Exterior ..... . ... ...�........... ..n�....................Roofing 01f�...................
Floors ...... ............................Interior ........ ��—
Heating R Ct... . ....!...91C'e-.Z. ... ....... . ............Plumbing ....... ... .a.a.... c ?Y ........................
Fireplace �¢.. cf Q•bQ ;.
p .... ......................................................................Approximate Cost ....... .. ..i. ................................ ...._...
Definitive Plan Approved by Planning Board ----------------------_---------19________.; Area / (, 'f'........... ....................
QD
Diagram of Lot and Building with Dimensions Fee
r ........ ,__ ..............
...
SUBJECT TO APPROVAL OF BOARD OF HEALTH
3 )1
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OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS '
I hereby agree to conform to 'all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
............
' • - Name ...� ......... .... .��'
Construction Supervisor's License' ... ' ....•••••
`..r.
i DF E.' C. REALTY TRUST !fir
c` 25241 Two Story sue,
No ................. Permit for ,
:Single,Family Dwelling
Location Lot•.•1, & lA 2 4 4 ^Park Ave. s
,. . =
' Centerville
...........................................................................
�j.
D.E.C.' Realty Trust} Owner
`r Type of, Construction .......Exa,me...................... - -
....... .................. ..... ................. _} - z •�{ - i
Plot Lot.
Permit-Granted ...`"June^ 23i...... .19 $3
f
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Date of Inspectio ........................ ......,
1 Date Completed .;^^.^ - ........ :19&�'- r
i
20 FT MIN.
TOP OF FOUND.
EL. _ /Do• :9 10 FT MIN.
CONCRETE
4" SCH. 40 PVC —CLEAN SAND
COVERS
PIPE- MIN. PITCH
�• \` ° _ 1/8" PER FT. COVER
ETE
/Loc
4�� CAST IRON 12�� MAX 2�� ��LAYER OF
PIPE - MIN. PITCH I/8 - I/2 WASHED
i -
I/4 PER FT. STONE _--;
FLOW11 LINE—,% •� ' •� ' � I�\ +
10
MIN. EL.=
o•
r �AN7UGT/?" EL.= EL = 4 - EL
DI ST EL.-
LOCATION MAP BOX Y' ~ _
3/4 - 1 1/2 ' ''° w a , c
WASHED STONE �° � o o` 0 0
U- b
W 6 vU
PRECAST LEACHING " _ -
BASIN OR EQUIV. so ° EL.=
GAL. %s -
' SEPTIC
TANK
PROFILE OF GROUND WATER TABLE EL.
SEWAGE DISPOSAL SYSTEM
x/ no NOT TO SCALE
DESIGN CALCULATIONS SOIL TEST
i NUMBER OF BEDROOMS .. . . . .. ? ? cr
m ;• _ :a .. � � .� �. � � ' � � " � DATE OF SOIL TEST � � ��
GARBAGE DISPOSAL UNIT.. . . . . . . . N 0 WITNESSED BY 17,
TOTAL ESTIMATED FLOW
PERCOLATION RATE GZ MIN./INCH
GAL. /BR./DAY x � BR. ) . .. . . '. . -- -O GAL./DAY
- OBSERVATION HOLE I OBSERVATION HOLE 2
RECUIRED SEPTIC ,ANK CAPACITY GAL.
ACTUAL SIZE OF SEPTIC TANK.. .. GAL. ELEVATION = / ELEVATION =
LEACHING AREA REQUIREMENTS
SIDEWALL AREA _ GAL./S.F. ' A°01't '+' �'-► -� '=
P �1 - BOTTOM AREA ,/, o GAL./S.F,
A i°'�+h \ LEACHING CAPACITY ( BOTTOM + SIDEWALL). GAL.
2 + �tr M�71uM
RESERVE LEACHING CAPACITY �"�`� GAL.
NOTES
I. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM
TO D.E.Q.E. TITLE 5 AND THE TOWN OF
I ! RULES AND REGULATIONS FOR SUBSURFACE DISPOSAL
*` OF SANITARY SEWAGE
2.COMPLIANCE WITH ZONING REGULATIONS SHALL BE
r ✓ DETERMINED BY BUILDING INSPECTOR OR BUILDING BUILDING SETBACK REGULATIONS PER BUILDING
q s l INSPECTOR OR BUILDING COMMISSIONER
COMMISSIONER
- 3.EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY MIN. FRONT SETBACK
MIN. REAR SETBACK f�
J _ THE SAME MIN. SIDE SETBACK
�•(,7.4 Ac APPROVED : BOARD OF HEALTH
DATE AGENT
PROJECT LOCATION:
APPLICANT :
�;��� r��;� G , ,�,✓��f ol.ltil�e s
LEGEND SCALE: III. 4o, DR. BY: �, I DATE: /ems /8�j
EXISTING SPOT ELEVATIONS OOxO "���' � JOB NO: APPO. BY: td REV.:
EXISTING CONTOUR - -- - - - 00- - - - _ '" .� ' � �; .• 83 ' ($98 ��3 j 8 r
FINAL SPOT ELEVATIONS ! A*„5 •` ^"'
N R. J. O HE
/NC. DRAWING
FINAL CONTOUR 00 y '�,; .>y. '. t��r� s
SOIL TEST LOCATION ?� ` ':;. r �,; r REG. LAND SURVEYORS- RE6. SAN?AR/ANS N 0-
' t.
SITE PLAN �r j - E' /348 ROUTE /34 - R O. BOX /263
SCALE i -��' �" ;;_ EAST DENNIS , MASS. OF
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