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'. ,L�� B, " , , .-N • J TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION II r Map / Parcel (' Application # 261 S Health Division Date Issued =� S Conservation Division Application Fee �P Planning Dept. Permit Fee 33 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis ' Project Stree Address �� fy//nf i AL4 a Village 6e' 7-ep/--y We IV Owner l9�-�rwi-a( d a Address`/dy l��l���a Ave UyekoV ej- Telephone R4i 3/4 6(11( Permit Request .d0UeS C. tiS PPC✓'eA. of-L f`Jd ,,, ;`-t awe 44 �U c`� OLG'+J ,i 0`Od^� i%1 Gr C �('�t r CJ�J" �dl>e ('�1'r`7Py I'l w ,.;.�/��ee�_t Square f :1 st floor: exisfinproposed U 2nd floor: existing��� proposed �S� Total new Zoning District Flood Plain Groundwater Overlay ed Project Valuation Dw Construction Type Lot Size 2), Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family. a Two Family ❑ Multi-Family(# units) f Age of Existing Structure bvflf I171 Historic House: ❑Yes ,(No On Old K 'I'ls Highway: 0--Yes Z No Basement Type: .9 Full A Crawl ❑Walkout ❑ Other it r Basement Finished Area (sq.ft.) Basement Unfinished Area (s .ft) Number of Baths: Full: existing new g�_ Half: existing s _•t_'ew Number of Bedrooms: J existing 0 new Total Room Count (not including baths): existing _new First Floor Room Count b Heat Type and Fuel: I Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes .4 No Fireplaces: Existing J New Existing wood/coal stove: ❑Yes�4 No Detached garage: ❑ existing ❑ new size—Pool:4 existing ❑ new siz#�3�Barn: ❑ existing ❑ new size_ Attached garage: Rexisting ❑ new size —Shed:A existing ❑ new size?'XioOther: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ONO If yes, site plan review# Current Use ('%Aa 1Pci M,_v ee . Proposed Use sa-ne APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number G®d Address G'y�f 0� License # C „ C��6�L� "lAM Home Improvement Contractor# Email P Worker's Compensation # ALL CONSTRU TION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE G Ca/ l a FOR OFFICIAL USE ONLY . r APPLICATION# DATE ISSUED a MAP PARCEL NO. ADDRESS VILLAGE 3 OWNER DATE OF INSPECTION: f} FOUNDATION FRAME INSULATION-Co FIREPLACE - ELECTRICAL: ROUGH FINAL `r PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING �!� IS `lllg l� !o �•- lle DATE CLOSED OUT ASSOCIATION PLAN NO. Town of Barnstable ' Regulatory Services MAIM Richard V.Scab,Director i61 Building Division 4 Tom Perry,Building Commissioner - 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.ns Office: 508-862-4038 Fax: 508-790-6230 , Property Owner Must Complete and Sign This Section If Usine A Builder I, (1- i=(tA UN> t_J fit)C-L.L- I!L ,as Owner of the subject property hereby authorize Piz rrrl .J to act on my bebA 4 in all mntters relative to work authorized bythis building permit application for. l (Addnds 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 ,Signatue of Owner Signature of Applicant At Print Name Print Name Q RMS:o wrtWERMIssroreoors' i'own of immstaKe Regulatory Services - �oF ,y Richard Y.Sc alt Dhwbor Building Division NAMMMABM ` Tom Perry,Building Commissioner 20.0 Main Street; Hyannis,MA 02601 wow w town.barasiabl.e ma.us Office: 568-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMTION DATE: JOB LOCATIOR number shset VMW fOMEOWNER"• ' name bone phone# WMjC phone# CURRENT WMING ADDRESS: citYADM Stoic up 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 hRadjAg permit (Section 109.1.0 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 underctaridc the Town ofBarnsstable Building Departmentminimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature ofHomcowncr 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 EXEMMON 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 persons)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assumingthe responsibilities of a supervisor (see Appendix Q,Roles&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 is your community. Q:IWPFILES'1FORM51bw7dmg permit from M PRESS.doc Revised 061313 All Cape Insulation & Supply Inc Post Office Box 1556 S.Dennis,MA 02660 Building Insulation Report Contractor: Dave Grew Building Co. Property Address: 112 Rolling Hitch Rd, Centerville Insulation Type Manufacturer Thickness Square R-Value . Area Used Footage Fiberglass Batts Owens Corning 5.5" 140 R-2.1 Interior Partitions Fiberglass Batts Owens Corning Fiberglass Batts Owens Corning Fiberglass Batts Owens Corning Fiberglass Batts Owens Corning Fiberglass Batts Knauf Fiberglass Batts Knauf Hi-R Board Atlas Intumescent Paint IFTI-DC315 Fire Safe Roxul Insulation Fiberglass Blown Certain Teed Fiberglass Blown Certain Teed Closed Cell Foam Henry 1.8 Permax 3" 390 R-21 Exterior Walls Closed Cell Foam Henry 1.8 Permax 7.5" 1020 R-49 Slopes Closed Cell Foam Henry 1.8 Permax Closed Cell Foam Demilec Closed Cell Foam Demilec Certified: Date: J,Z /� Home Improvement Contractor Registration #162656 Tr# 282518 Office: (508) 394-5700 (800) 626-9276 Fax: (508) 394-2220 TECHNICAL DATA SHEET Henry'.. PERMAXTM 1 .8 COMPANY Polyurethane Spray Foam System (based upon RT 2045 1.8 series resins) Physical Properties of Cured Foam -Nominal Density -VOC Content,calculated 15 g/I max ASTM D1622,Ibs/ft3 1.8 Ibs -Surface Burning Characteristics -Thermal Resistance ASTM E84 Flame Spread Index 20 @ 4 inches ASTM C518 Aged R value 6.47 per 1 inch Smoke Development Index 450 @ 4 inches (140°F @ 90 days) UBC-26-3 with 15 min thermal barrier -Air Permeance 0.036L/s/m2 8 inch wall Pass ASTM E283-04 (0.0007 cfm/ft2) 12 inch ceiling Pass -Water Vapour Transmission -Compressive Strength ASTM E96-00,Method A desiccant 0.97 ASTM D1621,psi 25 Perm-inch -Tensile Strength -Dimensional Stability Pass ASTM D1623,psi 55-65 ASTM D2126-98,<15% 168 hr at 70°C,97%humidity -Shear Strength ASTM C273,psi 35 -Closed Cell Content ASTM D1940,min% 91.9 -Sound Transmission 27/24 ASTM E90-04 STC/OrTC Compliance Standards of Cured Foam ICC-ES AC377 ICC ESR-3024 ASTM C1029 Typical Physical Properties of RT-2045 1.8 Liquid Resins Liquid Resins—Component B Liquid Resins—Component A -Specific Gravity @ 70oF 1.22 -Specific Gravity @ 70oF 1.24 ASTM D1638 ASTM D1638 -Viscosity,cps 800±50 Viscosity,cps 200 Description PERMAX 1.8 is a 2-component polyurethane spray foam system consisting of Components A and B, which when sprayed through special plural component spray equipment, will produce a premium seamless, monolithic, and durable closed-cell polyurethane foam air barrier/insulation/vapor retarder suitable for residential and commercial wall applications. System Features -Meets ICC industry standards for Spray Applied Foam Plastic Insulation -High R-value increases structures'thermal performance and reducing operating energy costs -Functions as a vapor retarder in thicknesses greater than 1 inch -Seasonally adjusted formulas available for ease of spraying at different ambient temperatures Usage PERMAX 1.8 is used to insulate a variety of interior wall, subfloor, and roof cavity conditions including: residential&commercial stud walls, attics, cavity-walls, ceilings, crawl spaces, sub-floor cavities, "controlled atmosphere" storage structures and metal buildings. Uncontrolled air leakage is eliminated increasing overall thermal performance of building structure and saving energy costs. Coverage Average density 1.8 pounds per cubic foot 4,500 to 5,500 board feet per.1051 Ibs'kit'consisting of 1 drum Part A and 1 drum Part B-based upon jobsite conditions Henry Company, 999 N. Sepulveda, Ste. 800 El Segundo CA 90245 Tel: 800-486-1278 Email:techservices@henry.com www.henry.com REV: 07/12/2012 PERMAX 1.8 2-Part Polyurethane Foam System Storage and Shelf Life Both components should be stored in their original containers and away from excessive heat and moisture, especially after the seals have been broken or some materials have been used. Drums must be stored indoors and jobsite tanks maintained between 50oF and 75°F. Containers should be opened carefully to allow any pressure buildup to be vented safely while wearing full safety protection. Excessive venting of the 'B' component may result in higher density foam and reduced yield. Materials stored at temperatures below 50°F will increase viscosity and some application equipment may not reach adequate spray temperature set points. Supply pumps and hoses must be sized to provide adequate supply when materials are cold and at a higher viscosity. Shelf Life: Excessive low or high temperatures may decrease shelf life. When stored in the original unopened container at 50°F-75°F,the shelf life of the"Part B"component is six months. Temperature above 75°F decreases the shelf life. The"Part A"component has a shelf'life of 6 months in unopened containers when stored at 65°-85°F. Surface Preparation All surfaces to receive PERMAX 1.8 must be clean and dry, free of dirt, oil, solvent, grease, loose particulates, curing compounds, frost, ice and other foreign matter which could inhibit adhesion. Moisture content and surface conditions of substrate are critical to adhesion of PERMAX 1.8 and need to be verified by installing contractor in small test areas before proceeding with full application. Suitable substrates include: exterior grade gypsum sheathing, OSB, plywood, lumber, CMU, structural & lightweight concrete and properly prepared galvanized, aluminum and painted metal. Lightweight insulating concrete or other friable substrates are not acceptable. Painted steel, galvanized,stainless and aluminum: check surfaces for mill oil used in the manufacturing process and moisture. All oil must be removed and the surfaces clean and dry before priming using Sherwin Williams®DTM Wash Primer or Krylon@ Industrial CoatingsTm Water-Reducible Wash Primer. Recommended Substrate Temperatures PERMAX 1.8 is formulated in three different reactivity profiles to meet varying substrate temperatures at jobsite. Supplemental heating is required at temperatures of 40oF and below. Depending on relative humidity and supplemental heating, application temperatures down to 20°F is possible. Winter/Winter Grade Winter Grade Regular Grade Minimum substrate&air temp 30°F 45-60°F 60-90°F Maximum substrate&air temp 70oF 80°F 120°F For applications below 40oF, Henry Company technical personnel should be consulted. At the,lower end of the indicated temperature ranges,thin"flash passes"should be avoided. PROCESSING CHARACTERISTICS Liquid Component Properties Viscosity/Specific Gravity at 70°F Part A Component(CPS)/(g/cc) 200/1.24 Part B Component(CPS)/(g/cc) 800+50 CPS/1.22 Mixing Ratio by Volume Part A Component(CPS) 50 Part B Component(CPS) 50 Recommended Pre-Heater Processing Temperatures*" Component-A 110-120°F Component-B 110-120°F Hose 110-120°F —Processing temperatures typically used with conventional Gusmer®or Graco®equipment. Environmental conditions may dictate the use of other temperature ranges, however 140°F must never be exceeded. It is the responsibility of the installing contractor to determine the specific temperature settings to meet environmental, equipment and product limitations. Henry Company, 999 N. Sepulveda, Ste. 800 El Segundo CA 90245 Tel: 800-486-1278 Email:techservices@henry.com www.henry.com REV: 07/12/2012 PERMAX 1.8 2-Part Polyurethane Foam System Machine Mix at Recommended Temperatures* Winter Grade Regular Grade Cream Time 1 second 2 second Tack Free Time On Rise On Rise Initial Cure Time 4 Hours * 4 Hours** Properties cited were achieved using a Gus mer H-2000 Proportioner and GAP Pro Gun with #01 module with a static proportioner pressure setting of 1400 psi. Older equipment may be upgraded with "Arctic Booster Pack" heaters or minimum H-2000 heater/proportioner to adequately pre-heat to process temperatures. Spray guns such as; D-gun, GAP Pro Gun, Fusion gun, or Glascraft- Probler guns fitted with smaller output tips (15-18 Ibs/min.), are recommended for better spray control in stud wall applications at recommended processing temperatures. **Complete cure will depend on temperature, humidity and degree of ventilation. Complete cure usually occurs within 24-72 hours Climatic Conditions and Humidity Moisture in the form of rain,dew, frost can seriously affect the quality and adhesion of the PERMAX 1.8 to the substrate or itself. Henry Company does not recommend the spraying of this system when the relative humidity(RH)exceeds 85%. When heating the interior of a building the relative humidity can change dramatically and should constantly be measured. Application Equipment The proportioning equipment shall be manufactured specifically for heating, mixing, and spray application of polyurethane foam and be able to maintain 1:1 metering with a+2%variance and adequate main heating capacity to deliver heated and pressurized materials up to 130°F. Heated hose must be able to maintain pre-set temperatures for the full length of the hose. Minimum 2:1 ratio feeder pumps are required to supply stored materials through minimum 1/2-inch supply hoses. Pressurized and heated tanks systems may be used if sized appropriately to provide adequate flow at maximum operating capacity and temperatures. Guns such as D-gun, Gap Pro, Fusion-gun, Probler with tip size approximately 16 Ibs/min are suitable for most residential applications. Commercial cold storage,freezer applications,and large metal buildings may utilize higher output guns. Processing Temperatures Recommended processing temperatures; 'Part A' Main 100-115°F, 'Part B' Main 130-135*F, Hose 110-120°F are critical settings to achieve viscosity to allow balanced pressure during spraying. Balanced chemical output pressures are important to producing good mix. Foam output pressures greater than 200 psi differential indicate either improper chemical temperatures, or worn gun/packing parts. Unequal pressures will cause poor chemical mixing through the module and.uneven backpressure. A critical requirement for good spray mixing requires appropriate tip/module sizing to the proportioner and adequate heating capacity. Unequal pressure(>200 psi)can cause excessive pump wear. Do not re-circulate the 'B' component for increased storage temperature as frothing or boil-over may occur at material temperatures above 607. Spraying Thin"flash passes"to very cold surfaces are not recommended. Thin passes(1/4"or less)should be avoided. They may result in reduced yield and loss of adhesion. It is recommended that the total design thickness be completed each day. This spray system should be applied in uniform minimum pass thickness of 1-inch, maximum pass thickness 3-inches. Application temperatures below 40°F may require reduction in single pass application thickness. Additional thickness may be applied after a brief waiting period. Yield and in-place-density is dependent upon the temperature of the substrate, ambient air temperature, gun speed application, gun tip size, and the output of the proportioning unit. PERMAX 1.8 is designed to provide maximum yield when sprayed in 2" thick passes. Excessive pass thickness can reduce density and physical properties, and cause local overheating and possible fire. When applying over Blueskin membranes, apply initial 1-inch pass and allow to fully cool before subsequent passes—to avoid heat damage to Blueskin membrane. Precautions Read and understand the Material Safety Data Sheet for this product before use. The numerical flame spread and all other data presented is not intended to reflect the hazards presented by this or any other material under actual fire conditions. Polyurethane foam may present a fire hazard if exposed to fire or excessive heat (i.e. cutting torches). The use of polyurethane foam in interior applications on walls or ceiling presents an unreasonable fire risk unless protected by an approved fire resistant thermal barrier with a fire rating of not less than 15 minutes. A UBC or IRC code definition of an approved"thermal barrier" is a material equal in fire resistance to '%z'gypsum board. Each firm, person, or corporation engaged in the use, manufacture, or production Henry Company, 999 N. Sepulveda, Ste. 800 El Segundo CA 90245 Tel: 800-486-1278 Email:techservices@henry.com www.henry.com REV: 07/12/2012 or application of the polyurethane foams produced from these resins should carefully examine the end use to determine any potential fire hazard associated with such product in a specific use and to utilize appropriate precautionary and safety measures. PERMAX 1.8 2-Part Polyurethane Foam System Consult with local building code officials and insurance agency personnel before application. Do not re-circulate the 'B' component for increased storage temperature as frothing or boil-over may occur at material temperatures above 60oF. Polyurethane foams will burn when exposed to fire. Caution during application must be observed with signs posted for other trades, "Caution Combustible Insulation, No Welding or Hot Work Allowed". On a daily basis remove all debris and shavings from the job site leaving a clean work area. In freezing conditions [below 32°F], jobsite air temperature must be maintained above 50 degrees F. during the cure cycle so extreme temperature drops to the curing [green]foam are not experienced. When using fuel fired heating units the exhaust must be vented directly outdoors to prevent unsafe carbon monoxide conditions in the work area. Electric heating units are preferred. All heaters must be turned off before the application of foam begins. Henry Technical Personnel should be consulted in all cases where application conditions are marginal. Worker Exposure Hazards — Both Components A and B can cause severe inhalation and skin sensitization. For interior applications: full body protection required including air supplying respirator such as a self-contained breathing apparatus(SCBA) or a supplied air respirator (SAR) in the positive pressure or continuous flow mode (this includes air supplied hoods). For exterior applications: required either a full face air purifying respirator or half face worn in combination with chemical safety goggles. The recommended APR cartridge is an organic vapor/particulate filter combination cartridge (OV/P100). It is recommended that all applicators and workers obtain recurrent formal training before exposure to or applying this product. More product information and training materials can be found at Henry Company www.henry.com — or on SPFA or CPI websites including:www.spraypolyurethane.com,www.polyurethane.org,www.sprayfoam.org Product Sizes Component A—551 Ibs drums, 2500 Ibs totes(disposable or returnable) Component B-500 Ibs drums Freight Classification Component A-Resin Compounds Item 46030,Class 55, NOIBN Non-Hazardous Component B-Resin Compounds Item 46030, Class 55, NOIBN Non-Hazardous Limited Warranty Contact Warranty Department at warranty(@henry.com or location shown below for product or systems warranty information. STATEMENT OF RESPONSIBILITY The technical and application information herein is based on the present state of our best scientific and practical knowledge. As the information herein is of a general nature, no assumption can be made as to a product's suitability for a particular use or application and no warranty as to its accuracy, reliability or completeness either expressed or implied is given other than those required by law. The user is responsible for checking the suitability of products for their intended use. Henry Company data sheets are updated on a regular basis; it is the user's responsibility to obtain and to confirm the most recent version. Information contained in this data sheet may change without notice. Henry Company,999 N. Sepulveda, Ste. 800 El Segundo CA 90245 Tel: 800-486-1278 Email:techservices@henry.com www.henry.com REV: 07/12/2012 TECHNICAL DATA SHEET Henry... A-COMPONENT COMPANY (p-MDI) Typical Physical Properties -Color, visual Brown Liquid - Flash Point, °F 199°F -Solids,weight% 100 -Weight per gallon, @ 25°F 10.3 -Specific Gravity @ 25°F 1.24 - NCO content, minimum % 31.0 -Viscosity @ 25°C, mPa.s 150-250 -Acidity, % 0.01 —0.03 maximum Description A-Component is an aromatic polymeric isocyanate resin [diphenylmethane-diisocyanate or p-MDI] available in drums, totes or bulk packaging. Usage A-Component is used in conjunction with Henry RT or PERMAX B-Component resins to create various commercial spray polyurethane foams. It is blended in a 1:1 ratio with B-Component resins to create a variety of SPF for roofs,walls, OEM, tanks, spas, piping and other uses. Coverage Reference B-Component published Technical Data Sheet Storage and Shelf Life Both A & B Components should be stored in their original containers and away from excessive heat and moisture. Drums must be stored indoors and jobsite tanks maintained between 50°F and 86°F. Containers should be opened carefully to allow any pressure buildup to be vented safely while wearing full safety protection. Shelf Life: . Excessive low or high temperatures may decrease shelf life. A-Component has a shelf life of 6 months in unopened containers when stored at 65°-85°F. Surface Preparation Reference B-Component Technical Data Sheet Application Reference B-Component Technical Data Sheet Precautions—Supplemental to B-Component Precautions Read and understand the Material Safety Data Sheet for this product before use. A-Component must be kept dry and avoid contact with moisture vapor or liquid water. The numerical flame spread and all other data presented is not intended to reflect the hazards presented by this or any other material under actual fire conditions. Polyurethane foam may present a fire hazard if exposed to fire or excessive heat(i.e. cutting torches). Each firm, person, or corporation engaged in the use, manufacture,or production or application of the polyurethane foams produced from these resins should carefully examine the end use to determine any potential fire hazard associated with such product in a specific use and to utilize appropriate precautionary and safety measures. Polyurethane foams will burn when exposed to fire. Caution during application must be observed with signs posted for other trades,"Caution Combustible Insulation, No Welding or Hot Work Allowed". On a daily basis remove all debris and shavings from the job site leaving a clean work area. When using fuel fired heating units the exhaust must be vented directly outdoors to prevent unsafe carbon monoxide conditions in the work area. Electric heating units are preferred. All heaters must be turned off before the application of foam begins. Henry Company, 909 N. Sepulveda, Ste. 650 El Segundo CA 90245 Tel: 800-486-1278 Email:techservices@henry.com www.henry.com REV: 09/30/2010 Worker Exposure Hazards—Both Components A and B can cause severe inhalation and skin sensitization. For interior applications: full body protection required including air supplying respirator such as a self-contained breathing apparatus(SCBA) or a supplied air respirator(SAR) in the positive pressure or continuous flow mode (this includes air supplied hoods). For exterior applications: required either a full face air purifying respirator or half face worn in combination with chemical safety goggles. The recommended APR cartridge is an organic vapor/particulate filter combination cartridge(OV/P100). It is recommended that all applicators and workers obtain recurrent formal training before exposure to or applying this product. More product information and training materials can be found at Henry Company www.henrV.com—or on SPFA or CPI websites including: www.spraypolyurethane.com,www,polyurethane.org,www,sDravfoam.org Product Sizes 551 Ibs drums 2500 Ibs totes(disposable or returnable) Freight Classification A-Component- Resin Compounds Item 46030, Class 55, NOIBN Non-Hazardous Limited Warranty Contact Warranty Department at warranty henry.com or location shown below for product or systems warranty information. STATEMENT OF RESPONSIBILITY The technical and application information herein is based on the present state of our best scientific and practical knowledge. As the information herein is of a general nature, no assumption can be made as to a product's suitability for a particular use or application and no warranty as to its accuracy, reliability or completeness either expressed or implied is given other than those required by law. The user is responsible for checking the suitability of products for their intended use. Henry Company data sheets are updated on a regular basis; it is the user's responsibility to obtain and to confirm the most recent version. Information contained in this data sheet may change without notice. Henry Company, 909 N. Sepulveda, Ste. 650 El Segundo CA 90245 Tel: 800-486-1278 Email:techservices@henry.com www.henry.com REV: 09/30/2010 t t„E Town of Barnstable �P��iit ���"�� EVires 6 months from issue date Regulatory Services Fee anxxseABLE Richard V.Scali,Director , �p 1639. rEDMAtA • �/_ ^//�/�� Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION ,- RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number M 0$7 - " Property Address j L �o IvjC. 4.-rctA (,�1��cVLV1 E Nlf'r 02 �3,- © Residential Value of Work$ ! 1 0o Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address C-r e 1&t, l��e R c L L- I'44- ' Cam�l,j �:-} MA Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) .❑Workman's Compensation Insurance ® S IT Check one: ❑ I am a sole proprietor SEP 18 2014 [-I am the Homeowner t1 t ❑ I have Worker's Compensation Insurance („ �f J W-, BARNS TABLE Insurance Company Name L_Lo yhS Fi i Workman's Comp. Policy# Copy of Insurance Compliance Certificate must accompany each permit. F - Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping*old shingles) All-construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over - existing layers of roof) Re-side ❑ Replacement Windows/doors/sliders:U=Value (maximum.35)#of windows #of doors: ❑ 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: d- ,• Q:\WPFILES\FORMS\bu}hing permit forms\EXPRESS.doC Revised 061313 Town of Barnstable Regulatory Services P o4IKE rolcyy Richard V.Scali,Director Building Division SAMSTABLE. " Tom Perry,Building Commissioner MASS. 200 Main Street,,Hyannis,MA 02601 QED MAt A www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION DATE �/ f g 2-O t Please Print : `� r - JOB LOCATION: 1,�_ L,u 0 dr �A iTGH —Z_a A c i.l r�t2 J)L Lz number street village "HO1vMOwNER°: CIF( ILL " 0_3&LL A 2` 2 01 —314=10#I I t2j 4-- name home pho//ne''9 work phone# CURRENT MAILING ADDRESS:._ (10Yc.1Cu�F >J.� c�7`f�1 .•. 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 dersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection proc tires,and requirements and that he/she will comply with said procedures and requirements. Si ature 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 persou(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they a're assuming the responsibilities-of a supervisor (see Appendix Q,Rules &ReguIations 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:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 THE Town of Barnstable l Regulatory Services RAR9 ' iE$ Richard V.Scali,Director i639' �� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner M st Complete and Sign T Section If Using A Bu' er I, , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by i building permit application for. (Address of Job) ""'Pool fences and alanrns are e responsib' ' f the applicant. Pools are not to be filled or utiliz d before fence is ' talled and all final inspections are performed and accepted. Signature of Owner Signature of Applic t Print Name Print Naive Date Q TORMS:O WNERPERMIS S IONPOOLS A- al5h L O r r's � of Town of Barnstable *Permit# Expires 6 mon hs f om issue dale "7 Regulatory Services Fee swuvsTABLE MASS. Richard V.Scali,Director 1639 PRESS PERMIT ArFO MA'i A Tom Perry,CBO,Building Commissioner. JUL 3 1 �0�4 200 Main Street,Hyannis,MA 02601 . www.town.barnstable.ma.us + Office: 508-862-4038 LE EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY ��� Not Valid without Red X-Press Imprint Map/parcel Number 'vC25: Property Address l /_fC� C 1 e ,\Residential Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address aj-Ard ell IT( 1 , Contractor's Name _�au G(� V G`e�0 Telephone Number Home Improvement Contractor License#(if applicable (J Email: CC.t56'o- i/��`c\Zd K ✓t,� -/ Construction Supervisor's License#(if applicable) C9— d daWorkman's Compensation Insurance . F' Check one: ❑ I am a sole proprietor ❑ I am the Homeowner 'I have Worker's Compensation Insurance Insurance Company Name /Yllr�t(jr1 S 77wts' �f tS. Workman's Comp.Policy# � Copy of Insurance Compliance Certificate must accompany-each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to. ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/dpors/sliders.U-Value (maximum.35)#of windows . GnOrt,C*0 5' #of doors: C� ❑ 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 co y of the Home Improvement Contractors License&Construction Supervisors License is. e ui ed. SIGNATURE: - Q:\WPFILES\FORMS\building permit forms\EXPRESS.doC Revised 061313 a 141 ti � 14 ZIiE T° Town of Barnstable , Regulatory Services ; �snaxwsis� Richard V.Scali,Director 1639. �Eo �A Building Division --T-om�-errs, iding-Cen►missione - — .200 Main Street,Hyannis;MA 02601 ' t' www.town.barnstable.ma.us' Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section if Using A Builder ` r. Y /� F I, C,/'eaAYLD ,ice .�•f.�t LL. -I/L i ,°as Owner of the subject property' ' hereby authorize + 1y l b (2. � ' to act on my behalf, in all matters relative to work authorized bytlii k building permit application for: �la= `(Address of Job) Pool fences and alarms are.the respons iblty of the applicant. Pools 9 are not to be filled or utilized before fence is installed and all final s inspections are performed and accepted. ' ignature of.Owner ' Signature of Applicant a Pnnt Name r Print Name Q:FORMS:OWNERPERMISSIONPOOLS' Town of Barnstable Regulatory Services _ Richard V_Scali,Director °^ Building Division S.s�xxsz Tom Perry,Building Commissioner v� 19� � 200 Main Street, Hyannis,MA 02601 ArEn µI.'t a www.town.barnstable.ma.us Office: 508-862-4038 ,_ Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTIO Please Print DATE: y t JOB LOCATION:  _ -- number street village "HOMEOWNER': name home phone# work phone# CURRENT MAU-ING ADDRESS: -- __- -- city/town sta zip code The current exemption for"homeowners"was exte ded to include owner cc ied dwellings of six units or less and to allow homeowners to engage an individual for hire who d s not possess a lice se,provided that the owner acts as supervisor. D FRgITION OF HO OWNER Person(s)who owns a parcel of land on which he/she sides.or inten to reside,on which there is,or is intended to be, a one or two- family dwelling, attached or detached structures access to such use d/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a hom wner. Su "homeowner" shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be res onsible r all such work Rerformed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for co m ce,�Nith the State Building Code and other applicable codes, bylaws,rules and regulations., _ The undersigned"homeowner"certifies that he/she enders the own of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply wi said pr cedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 3 ,000 cubic feet or larger wi be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION The Code states that: "Any homeown r performing work for which a ilding permit is required shall be exempt from the provisions of this section(Section 10 .1.1-Licensing of construction Su ervisors);provided that if the homeowner engages a person(s)for hire to do such wor that such Homeowner shall act as su ervisor." _ Many homeowners who use this a emption are unaware that they are assu ing the responsibilities of a supervisor (see Appendix Q,Rules &ReguIations f Licensing Construction Supervisors,Secti n 2.15) This lack of awareness often results in serious problems, particularl when the homeowner hires unlicensed person . In this case,our Board cannot proceed against the unlicensed perso as it would with a licensed Supervisor_ The hom wner acting as Supervisor is ultimately responsible. To ensure that the hom• wner is fully aware of his/her responsibilities,many corn nities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities o upervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a f rm/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS;doc Revised 061313 Map Parcel Peimit# ''j(� 9 ' House#, ' l ar - - Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-439) � _. Conservation Office (4th floor)(8:30-9:30/1:00 12:00) q0` lC Planning Dept. (1st floor/School Admin.Bldg.) F *TI DEtress ved b Plannin Board 19y g SEPTICST BE INSTALLIANCE TOWN OF BARNSTABLF W Building Permit Application NVIRON,MENTAL CO >AND Pr I 0,444 4;74—h QA t 0711, t I , LS Lq Village cen ✓`V — / Owner 1 3S �` Address d3Z Telephone Permit Request - - ID +.-`= .• xk f'-lJ �t�, nay,\ �.t"p w2.. First Floor square feet Second Floor ' te'` Gam.H t`S square feet Construction Type Estimated Project Cost $ $!3a Q \ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family IM/ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes L(No On Old King's Highway ❑Yes ❑No Basement Type: lull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number•of Baths: Full: Existing New Half. Existing New No. of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) • ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name yw. G- ` ZRY,.'Fi� Telephone Number 3 Address License# Mt Home Improvement Contractor# r �pv►nr3 �"^ lJ ij Worker's Compensation# 5 6:22 la-bad 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 PER IT DENIED FOR THE OLLOWIN REASON(S) �. FOR OFFICIAL USE ONLY _ PERMIT NO. -bATE ISSUED._ ' ,t=_•x MAP/PARCEL NO. ADDRESS F VILLAGE. j OWNER DATE OFINSPECTION: FOUNDATION` - ! FRAME INSULATION FIREPLACE - ELECTRICAL: ROUGH + FINAL 1 PLUMBING:', ROUGH ' 1-1 y r FINAL ` GAS: ', ROULG iF- i '. FINAL FINAL BUILDING r DATE CLOSED OUT *;' In 0 ` ASSOCIATION PLANNO-2X t'.+ k r : . The Town- of Barnstable • .ARNsrABLE, • MAM ,0�' Department of Health Safety and Environmental Services ram " Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only + Permit,no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION i 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: 6cA^04(6 f✓lr�� Est. Cost 30d Address of Work: O�'� �� OXX Owner's Name Date of Permit Application: Ali., 6Q I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Naifie Registration No. OR Date Owner's Name Assessor's map and lot-)number ..`.�.�L. ,� Q/y /� C. SEPTIC SYSTEM' IVIUST BE Y o _ INSTALLED IN COMPLIANCE ' S wage?Permit number ....... OGl �... Ir( I ARTICLE !I ,�Qr� �V1T A�2 STATE r S tiN lTA�Y CODE AND TOWN �11E r <� TOWN O .B ��. O 4 � Q � A 1�:N�*TA��L E {: , o z r 9,o Ob Yae�� _:({ , BURDING ' IHSPECT"OR r` APPLICATION FOR;. PERMIT TO . .... � -. :k.loI:-4 ..::.. Xy!. .............................. :.......... r� TYPE OF CONSTRUCTION ......�, ty4..............:....f.................................................................................... `� :............ .................... .19. TO ,THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ... .+.�. ��! . ...� ? 6�...! (.j.........J.- ........................... ................. .... ProposedUse ..............4C ::.......................................................................................................................................... ZoningDistrict �.a `• ...... . ...�.......................................................Fire District .....:4:......0.............................................................. U Name of Owner i. .�f. .C1 ...1�... / �.rl0, ................Address tt '.��.y ... `A. .. .� , 5�.�.......................... Name of Builder e:.M V%9a ..... ..Address .. :�.. ...��. .... a ire .4 �:�, .J.!..I. .S ........... Nameof Architect .......................................................:..........Address ...................................................................................... Numberof Rooms ._,a..........................................................Foundation. ....4 ? ..f;............................................................ Exterior ...... .9o? ............... ...Roofing 4. . : -............ ......................................... Floors ..... .t�. :.:.............:..................................................Interior �.......................................................... Heating .41e ..................................................................Plumbing ............. ............................................................... a �7 . �d Fireplace ............I.�1..6.............................................................Approximate Cost ................... 6c... ............................... Definitive Plan Approved by Planning Board ------_-------------------------19________ . Area t...., .'�l'............................ Diagram of Lot and Building with Dimensions fee 1���� SUBJECT TO APPROVAL OF BOARD OF HEALTH f ,A ll I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name �� J �•f ' ..... Engdahl, Magna K. N6 20227. . ..... Permit for .....add...to...f.rame,........... . . ...... .... . ........ .dwelling Location Rolling Hitch Road .............................................................. Centerville ......................................................... ..................... Owner ........Magna..K. Engdihl .. . . .... ............................................. Type of Construction ..............frame............................. ........................................................... Plot ............................. Lot ................................ May 17 78 `'"Permit Granted ........................................19 Date of Inspection ............. ......................19 Date Completed ...... 19 PERMIT REFUSED ................................................................. 19 ................................................................................ ............................................................................ ............................................................................... . ............................................................................... Approved ................................................ 19 ................................................................................. ................ ........ .................................................. 77 iL_. ----- _ , ----.... - L--- t _.... -... ._.. . i L III-1 , -- , _-- - - -- -----_- I ---. _- - - _ -- • Alt -- - - I ! i �. _ - MOK DETECTORS REVIEWED t�.rar�a2��1c�-:. _-..... .- - ----- L BUILDING DEPT. DATE '.• � 'I 2to,38 1 I �I�. 2io'SB+ !� q�$ tj _,,�, _ _ FIRE DEPARTMENT — DATE—' a6TN SIGNATURES ARE REQUIRED FOR PERMI.ITING I -- -- { 1441 e — — y -- - — - - - AM12 �tL taa.� -� �t� . - REVISED LONALD I. MEYEi ProfesstondTBuitd�ngDesi.. 'PRAWING'NUM9ER S6. . .' .. .. YarmouthxMA'02664 (508)394 5296 . . . I I A - , r I .!o -,. ... -. . I .-.- ...i.I .,;.�' . . . � .. . .7 . ... � A � .. . :: O u �� . I _ hoN o_�u .." :- --.P � . . 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I. .. . . - .--'-".---- - '___ .. - ._....__ ...--------. _. . ... _,r _.._-+.: .• , 1 ; . I . - - - '{ . - ._._ . .. ---- . ._.- 11 - -._. . _ ' 14 ._ . .. . , � . I � ` �!_ ': 1 . -itu 1. 1. -I I ( � . I i .. _ tt — Li 'i1, .4_t2r� . I. C. h , :. 4 - okrE - .. . r : . LDl I. �V EYV--E Eo . ::►� 4 �� - - - - D-ONA ---- -CD -.I. L --- Professronal 1.B�aI. td s - z " So Yarmouth,l�tA 026dS 't• G NUME 11 t ., _ , . .. . ,.�.. .d 2 I. __- .. .: .. ., '::. - :: 1508)394 52% . .. .. . . , LEGENDo� � �b Cap" Crosb RC N r ceD6493 �' 6� j� -- 98 -- EXISTING CONTOUR q�0'� p`" �" �a ( � P hiq x 100.98 EXISTING SPOT GRADE � is eF Est ow W EXISTING WATER SERVICE °f�o `w,0`a Q� �, M°st"eo Ln of G EXISTING GAS SERVICE Pg 392 - aG \`� S' 1,g. -O:H.btu-OVERHEAD WIRES � �a D 9 Q O G 4 � 91 >> >8'• ` ® TEST PIT \�, BENCHMARK LOCUS x 65,37 �/[�j BENCHMARK a`�' x 65.16 LOCUS MAP OUTSIDE COR./BOTT. STEP pp ^p O EL.= 67.52 (Assumed) NOT TO SCALE M B LU 19 2"-' 0 B 4 �� 65.51 65,11 CBDISC _ iS2 , GENERAL NOTES: / 37,377 SF 65.00 5 x � 0 65.86 `\22'SO' 1 BOARD ALL HOF HEALTH TAND HISTHE DESIGNAN MUST BENG NEER APPROVED BY THE LOCAL \ I ^ 65.49 2. I � � ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS S SHED OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: ,SA4a IU f``� x 66.2'� x 66.11---�� -310 CMR 15.405(1)(b): 1) A 3' variance to the 3' maximum cover requirement, for 66.96 � v- \1 up to 6 max. cover. S.A.S. shall be H-20 and vented. yr- /i x 66.11\, 165.86 67.43 6734 Si�ED a 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR i J i 3 TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE 6s•77 0.00 , EX1S77NG CESSPOOLS DESIGN ENGINEER. c x 66.99, t PRE' `� TO BE PUMPED, FILLED INGROUND KITH SAND & ABANDONED 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING c � (SEE NOE 14) FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN SW/MM/NG °�e�j ENGINEER BEFORE CONSTRUCTION CONTINUES. EXISTING IRRIGATION & I POOL x 6 m �'r0 �a d-C 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. UNDERGROUND WIRES ELEC. BUT T a }� _ SC �`1 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF (SEE NOTE lO) 66.96 ' ® 4 ' "t r l / ,2 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF (v 66.45 TP-1 7361 1 66.1 Z D HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 67.42 15 66.93 co 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. CIO G "AZE x 67,16 INSTALL \\\ x 66.62 N N 8. THE RE ERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. SEPTIC TANK 66.429 6729 `CLEANOUT \ Cn '�9 W AUG T ` O Ui 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS 40 toCO xl s AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE O'O J x 10 ;( B5 66.84 DIRECTED BY THE APPROVING AUTHORITIES. (� .. r / 66.94 x n 7 0 '� 26' x 66.45 O x 67,03` 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY �6.95 ^66,70 THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO .BEGINNING i TP-2 I I�12' ��� Of �qSS CONSTRUCTION. . SEWER/HOUSE (#112) EX. SEWER �Q 9�y 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS 04 ITP-3 /lNI%=65.Ot/ T.O.F.=67.57± INV.=85.J± x 61.36 0� PETER T. G� IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND / / r^ REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). GARAGE � McENTEE CIVIL 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE III III / 67.14 / PORCH I 67.311` No. 35109 INSPECTED BY THE DESIGN ENGINEER PRIOR TO BACKFILL. A //67.09 °'.::'.;,: •;'.: CJ . !O 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND v IT IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. 67.36x x 67.15 •67{20 1 E \ \ - 14. EXISTING CESSPOOL LOCATIONS ARE TAKEN FROM OWNER INFORMATION PA' D.<T, x 67.32 ` YJ. AND AVAILABLE ASBUILT INFORMATION. THE ENGINEER IS NOT RESPONSIBLE FOR X -, y'AI! 2` tti ANY UNDOCUMENTED SEPTIC SYSTEM COMPONENTS THAT MAY EXIST ON THE y �:DRIVEYVA'Y' x 67.25 L P O \� \ PROPERTY. 204. �. PROPOSED SEPTIC SYSTEM UPGRADE PLAN 112 ROLLING HITCH ROAD CENERVILLE MA 67.13 53.57 x 67,21 // 1 \ C66.73 x 66.33 67.31 <" 67.22 edge of 67.09 1 66.44 66.29 Prepared .for: 6 & B Excavation, 14 Teaberry Lane, Forestdale, MA povemnf 67,01 66.56 OW ERT OF RECORD Engineering by: SCALE DRAWN JOB. NO. ROLLIN G_ III TCH ROAD �EKMAN, AUGUST K & JEAN C Engineering Works, Inc. 1"=30' P.T.M. 111-14 112 ROLLING HITCH ROAD 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. CENTERVILLE, MA 02632 (508) 477-5313 2/21/14 P.T.M. 1 of 2 3�� - .�a$ -. �f�7- 0�•53 , NOTE: TO PREVENT BREAKOUT,.THE PROPOSED FINISH GRADE SHALL NOT BE < EL:=63.16 i FOR A DISTANCE OF 15' AROUND THE SEPTIC TANK PERIMETER OF THE S.A.S. PROPOSED D-80X PO INSTALL RISERS & COVERS OVER INLET & PRO PROPOSED S A S OUTLET AND SET TO 6" OF FINISH GRADE INSTALL WATERTIGHT RISER & INSTALL INSPECTION PORT SET TO 3" OF FINISH T.O.F.=67.57 COVER SET TO 6" OF GRADE GRADE & PLACE REBAR AGAINST CAP FOR LOCATING EXISTING F.G. EL, 66.7t VENT F.G. EL: 66.4f F.G. EL: 66.5f REBAR MANIFOLD MAINTAIN 2% GRADE MIN. OVER S.A.S. TRENCHES Lt = 120' L2 1 20' L = 28' L = 11, TWO 'x3'x3 ' LFsCHgPIPE ECff WITH® S=1% (MIN.) ® 5=1� MIN.) ® 5=19 MIN.) SGH 40 PERF. PVC 4"SCH40 PVC 4"SCH40(PVC4"SCH40(PVC 7 142' EFF. INV.=63.50 48" LIQUID DEPTH LEVELS SLOPE OF PERF. = 0.5%GAS 13AFFLE.. INV.=62.97 PROPOSED 1NV.=fi2.80r- 3242INV.=63.25 D—BO 32' EFFECTIVE LENGTH .OUTLETS (MIN.) I =62.66 INV.LENGTH.. � PROPOSED SEPTIC TANK SEWER N0.1, INV.=65.3f(VERIFY) SOIL ABSORPTION SYSTEM (PROFILE) j SEWER N0.2, INV.=65.Of(VERIFY) NOTES: MAINTAIN 2% GRADE (MIN.) OVER S.A.S. a� / � 1 N� � � •�, /�/ 2" LAYER OF 1/8--1/2- DOUBLE WASHED r7 j j j j s�. GA RA GE 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPEB OR APPROVED FILTER FABRIC)INVERTS, PRIOR TO INSTALLATION. BREAKOUT ELEV.=63.16 STONE ( 2) SEPTIC TANK & D—BOX SHALL BE SET LEVEL AND TRUE , TO GRADE ON A MECHANICALLY COMPACTED 6" CRUSHED STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). 2' i 21°12 --1 3) INSTALL INLET & OUTLET TEES AS REQUIRED. BOTTOM ELEV.=60.50 TWICE EFFECTIVE WIDTH 6� 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE 5' MIN. ABOVE BOTTOM OF 3' 6' 3' AS MANUFACTURED BY TUF—TITE, ZABEL OR EQUAL. T.P. EXCAVATION T G.W. 12' TWO 2'x3'x32' LEACHING TREHCHES BOTTOM OF TP, EL: 54.9 = SOIL ABSORPTION SYSTEM (SECTION) N.TA 3/4"-1 1/2" DOUBLE WASHED STONE SEPTIC SYSTEM PROFILE S.A.S. LAYOUT DESIGN CRITERIA SOIL LOG NUMBER OF BEDROOMS: 3 BEDROOMS DATE: FEBRUARY 20, 2014 (REF#14,291) SOIL EVALUATOR: PETER McENTEE PE(SE#1542) SOIL TEXTURAL CLASS: CLASS I WITNESS: DONNA MIORANDI R.S. HEALTH AGENT DESIGN PERCOLATION RATE: <2 MIN./INCH ELEv. TP—1 DEPTH ELEv. TP-2 DEPTH ELEv. TP-3 DEPTH DAILY FLOW: 330 G.P.D. 66.4 A 0" 66.4 A 0" 66.5 A 0" DESIGN FLOW: 330 G.P.D. SANDY LOAM SANDY LOAM SANDY LOAM GARBAGE GRINDER: NO 65.9 e 10YR 4/2 6" 65.9 8 10YR 4/2 6" 66.0 B 10YR 4/2 6" PROPOSED SEPTIC TANK: 1500 GALLON CAPACITY SANDY LOAM SANDY LOAM SANDY LOAM 10YR 5/8 10YR 5/8 10YR 5/8 PROPOSED DISTRIBUTION BOX: 1 INLET, 3 OUTLET (MIN.) s3.4 C 36" s3.7 G 32~ s3.7 C 33" LEACHING AREA REQUIRED: (330) = 445.9 S.F. PERC 42"/54" 74 PROPOSED SEPTIC SYSTEM UPGRADE PLAN INSTALL TWO 2' x 3' x 32' LEACHING TRENCHES WITH STONE MED. SAND MED. SAND MED. SAND AND SCHEDULE 40 PERFORATED PVC DISTRIBUTION LINES 2.5Y 6/4 2.5Y 6/4 2.5Y 6/4 1 1 2 ROLLING HITCH ROAD, CENERVILLE, MA SIDEWALL: 2 TRENCHES x 2 SIDES/TRENCH x 2' x 32' = 256.0 SF Prepared for: B & B Excavation, 14 Teaberry. Lane, Forestdale, MA BOTTOM AREA: 2 TRENCHES x 3' x 32........................... = 192.0 SF Engineering by: SCALE DRAWN JOB. N0. TOTAL AREA:...............................................................................448.0 SF 56.4 120" 54.9 138" 55.0 138" N.T.S. P.T.M. 111-14 Engineering Works, Inc. PERC RATE MIN "C" HORIZON 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. DESIGN FLOW PROVIDED: 0.74 GPD/SF(448.0 SF) = 331.5 G.P.D. NO GROUNDWATER ENCOUNTERED (508) 477-5313 •- 2/21/14 P.T.M. 1 Of 2 {