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HomeMy WebLinkAbout1027 SHOOTFLYING HILL RD . u �R " o 4 r „ f I 0 o • t 0 R " 4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 441 Parcel o2q Aq Application# C�e)Lo k Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee a Planning Dept. Permit Fee 16 Date Definitive Plan Approved by Planning Board 416 Historic-OKH Preservation/Hyannis Project Street Address �[� [�-• I�L � , Village Owner z" _ eA-j ja femorel dress /O 7T' oar - /T�A//A Telephone es3 —/7,5—e —3 7 Permit Request '2C _, °_ SZ_ 7 .Y6n_C 3 S Square feet: 1st floor:existing proposed f O 2nd floor:existing proposed Total new Z� S Zoning District J? Flood Plain &A Groundwater Overlay Al u Project Valuation %D 0 o d e 6 Construction Type �S , e /yam., Lot Size 2T�" Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 4.6 Historic House: ❑Yes EtI<o On Old King's Highway: ❑Yes _ Basement Type:�ull Xawl ❑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: Xas ❑Oil 0 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 a ; Attached garage:❑existing,- new size Shed:a existing ❑new size Other: : :T� ' _ -Zoning Board of Appeals Authorization_O Appeal# Recorded-0 Commercial ❑Yes )<No If yes, site plan review# Current Use Proposed Use _ a ' C BUILDER INFORMATION t-' Name J ICU �SU��;�c� f � 0 7 7 ® ' ' e ephone Number Address License# 1< 1i•'!/�'' Home Improvement Contractor# ;73 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE 6- FOR OFFICIAL USE ONLY. ' i PERMIT NO. " DATE ISSUED i MAP/PARCEL NO. ADDRESS VILLAGE L. OWNER ' ' L DATE OF INSPECTION: FOUNDATION p 0 „� FRAME .i INSULATION e- ctildoit4e. �7 FIREPLACE j- ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ` GAS: ROUGH FINAL FINAL BUILDING I I-2 t3�o� I-e, l$' o-&' ' DATE CLOSED OUT 4 i ASSOCIATION PLAN NO. 1 ' Department of Industrial Accidents• Office of Investigations x 600 Washington Street' Boston,MA 02111 * _� www.mass.govldia ' Workers' Cozxipensation hasurance Affidavit: Builders/Contractors/FIdctricians/Plumbers Applicant Information Please Print Le6bly Name(Business/Orgenization/lndividnal): Suvnvolc,e__ (s PUS_/ Address: 67 City/State/Zip: Al, VA-2wta,,T61- ienA_ 0 z623 Phone:#: �d Q�7 7.l 7¢j Are you an emplayer? Checkthe'appropriate boa: -Type of project(required):, . 1.❑ I am a em to er with 4. Q I am a general contractor and I P Y 6.. New construction . employees (fall and/or part-time).* have hired the stab-contractors 2.[] I am&'sole proprietor or partner- listed on the`attached sheet, 7. Remodeling ship mdhave no employees 'These sub-contractors have g �]Demolition' work n for me in an capacity. employees and have workers' g Y P t3'• $. 9s-wilding addition [No workers' conip,insurance comp,insurance. required.] 5, We are a corporation and its 10. ]Electrical repairs or additions officers have exercised their 11. Plumb' re airs or additions 3.❑ I am a homeowner doing all work V ? P myself [No workers'comb. right of exemption per MGL` 12 Roof repairs y insurance required.]t c, 152,§1(4), and we have no employees. [No workers' 13:[]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 anew affidavit indicating such. $Contractors that check this box must attached m additional sheet sbowing the name of the'sub-contractors sad state whether ornot those entities have employees, If the sub-contractors have employees,they must provide their workers'comp,polidynumber. =1 am an employer that is providing workers'compensation insurance far my employees. Below is.fhe policy and job.site information. Insurance Company Name: policy#•or Self-ins.Lic,#: Expiration Date: .30b Site Address: City/State/Zip. Attach a•eopy of the workers' compensation policy declaration page'(showing the policy number and expiration date). Faaure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip 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 -- - Investi;zations of the tQk far insurance coverage verification. 1 do hereby certify un th sins and p nalfies of perjury that the information provided above,is true and correct.- i 5i &tore:. �S.S✓✓o+ ". C,C_ Cd �✓ Date: Phone c2 9 7 7 to Official use only,.-Do not write.in this area, fa be completes by city or town o��cial City or Town: PermitUcense# t Issuing Authority(circle one): :1.Board of Health 2,Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6,other ContaetPerson: Phone#: Information' and. Insttucti®ns Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hiie, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a-deceased employer, or the Tecei-yer or nL.Lt=•of an individual,pga m-s ' ,association or other legal entity employing'employees. However the owner.of a dwelling house having not snore than three apartments and who resides therein;or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such•dwelling•house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or.local licensing agency shall withhold the issuance or renev?al,of a license or permit to'operate a business or to construct buildings in the commonwealth for any applicaut•who has not produced,acceptable evidence of compliance with the insurance coverage required:" Additionally,MGL chapter 152,•§25C(7)states'Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.•the performance of public work un�•acceptable evidence-of compliance with the in..—sce requirements of.tbis chapter have been presented'to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, it necessary,supply sub-cont'ractor(s)name(s),addresses)and phone numbers)along with their certificates) of insurance. Limited Liability Companies'(LLC)a Limited Liability Partnerships(LLP)with no employees other than the members orpartaers,are not required to carry workers' compensationinsurance. If an LLC -or LLP does have employees,a policy is required. B.e advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit.or.license is being requested,net the Department of Industrial Accidents; Should you have any questions regarding the Iawoi•if you are required to obtain a workers' compeiisitionpolicy,please call the Department at the number listed below: Self insured companies should•enter their self-insurance license number on the appropriate-line. City or Town Officials. Please be sure that the affidavit is coruplete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact•you regarding the applicant. Please be awe to f>71 in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submifong affidavit indicating current policy'information(if necessary)and under"Job Site Address"the applicant should write"all•locations'in (city-or town)."A•capy of the affidavit that has been officially stamped or marked by.the city or townmay be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses, A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit-Lot related io any business or commercial ventuie (i.e.a dog license or permit to bum leaves-etc.)said person is NOT required to.complete this affidavit. The Office of Investigations would like to thank you in advance for your co operation and should you have any questio. nos,- please do not hesitate to give us a call. The Department's address,telephone:-md fax number:. 'cif,Comm WWtb of Massaebusot€s Dqpzd=mt of kduWal A.ct�dmts' Office of lnwstiga ons TO,#617-727-490.0 ext 4.06 oar 1-4 77-MA.SSAFE Revised 11-22-06 w .iaass.godi . P�pFVEroy� Town of Barnstable Regulatory Services + BA.P!STABLE, + MASS. �, Thomas F.Geiler,Director fn39.MAr ate` 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�� L /��-��� Estimated Cost Address of Work: 10 Z 7 ,Sly�E ffi4 y 4v-1/1 /0a/ Owner's Name: Date of Application: Z 6 7 I hereby certify that: Registration is not required for the following reason(s): E]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 PE Y I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR 5- Date Owner's Name Q:fomns:homeaffidav ' RESIDE . NTIAT�BUILDING PERMIT FEES ArPLTC TION FEE . New Buildings 1 0 Residential Addition 50,00 Aherations/Renovations $50 BuildingFexmitAmendment $25,00 FFpE VALUE WOMHEET NEW LIVING SPACE �^square feet x$96/sq,foot= 9 x,0041= 33 plus$ombelow(if applicable) - ALTERA.TIONS=NOYATIONS OF EXISTING SPACE s are feet —qu , t x$64/.sq,foot-- x,004I= plus f<om below(if applicable) GARAGES(attached&detached) s care feet x$32/s ft _ Z'C q q . x,0041- �. ACCESSO$Y STRUCTURE>120 sq,ft. ; >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00. >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building pexxmt: — square feet x$96/sq,foot= x.0041= ' STAND ALONE PERMITS " Open Porch x 330,00= Deck i2X Zc7 x$30.04= 36 . r (number) Fireplace/Chimney x$25.00=' (number) Inground Swimming Pool $60,00 Above Ground Swimming Pool S25,00 RelocationlMoving 5150.00 (plus above if applicable) PerraitFee /f Prajcost RmO63004 ='mme dss.]tD(ecatmae� ' h-acriptive Faekagen for One and Two-F=Uy RaldentW Baiidte p Seated wiif'FcSeil'�'pels 11. ' 11fAXfmm 113TT1IMi11►I [dazing Glazing Ceiling Wall Hoot B33=a t Slab Hcuing/Cool ag Arm'C,e) U-value= R-valml ' R-w1twi R-valu2 Wail •Painacw EoFmen! Emcieac79 Package R-vahmf R-value► i 570I to 6300 Heating-Degrsr,D„m 0.40 I2% 0S2 30 i 9 •19 I0. b " `"jdotzssal g 12% 0.50 31 13 19 10 6 '15-AFUE T .' I5% 036 31 13 25 NIA NIA Normal U 15% 0.46 33 19 19 10 6 Normal }t 15% 0.44 311 13 25 NIA N/A 15 AFUE p, 13% 0.52 30 19 19 10 6 13 AFUE I S% 032 31 13 23 N/A NIAAioima! Y 19%. 0.47 33 19 25 N/A NIA~ NomW Z l&%® G.42 3S. 13 19 1 6 90AFUE AA 19% 0.30 30 19 19 i0 6 9 AFUE 1, ADIDRESS OF PROPERTY: 2, SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: , 4, %GLAZING AREA(93 DIVIDED BY 42): r b S. SELECT PACKAGE (Q--AA-see chart above): NOTE'. OTHER MORE INVOLVED NMTHODS OF DE i"� d G ENERGY REQUIRENI NTS ARE AVAILABLE. ASK.US FOR TMS INFORMATION, BUILDING INSPECTOR APPROVAL: YES:. NO: 5 farrms-pS0303a I Q 9.4e 1 � Board of Building eqqulations One Ashburton Place, Rm 1301 Boston, Ma 02106-1613 License: CONSTRUCTION SUPERVISOR LICENSE - Birthdate: 11/14/1960 Number: CS O46420 Expires: 11/14/2008 Restricted TO: 00 EDWARD T STAFFORD 550 WILLOW ST ` W YARMOUTH, NIA 02673 Tr.no: 3771.0 Keep top for receipt'and change of address notification. DPS-CAI ib 50M-05/06-PC6490 ✓k TOM1LbW ... Z OL✓N/.IW,OQ�UGCI BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS O46420 Bi rthdate: 11/14/1960 Expires' 11/14/2008 Tr.no: 3771.0 Restricted: 00 EDWARD T STAFFORD 550 WILLOW ST _ G- W YARMOUTH, MA 02673 Commissioner Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registration: •110190 One Ashburton Place Rm 1301 Expiration: 10/9/2008 Tr# 127803 Boston,Ma.02108 Type: Partnership ASSURANCE CONSTRUCTION ✓. r-4 EDWARD STAFFORD 550 WILLOW ST. ��,d,e � WEST YARMOUTH,MA 02675 Administrator Not valid without signature c �oFTHE'°`'ti 'down of Barnstable Regulatory Services ''� � BnxxsTABLE, WU . Thomas F.Geiler,Director AlfD►�IA�"' Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www-town,b arnstable.ma.us Office: 508-862-403 8 Fax: 5 0.8-790-62 3 0 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize z—'-d 5 JAt f t, 46+j5yr4 o cx act cn my behalf, in all matters relative to work authorized by this building permit application for; (Address of Job) nature of Owner Date nn� S i 3. Dj Vt Tt- Print Name QFORMS:O a,'=EP.MISSION t2 t3 C LO 2QA► !JE p U.IL ki Daniel E Broman, P.E. ` 189 Harbor Pow Rd Caminaquid. MA 026_47-0-161 C-T I2l01- W"sT YA cz Ho0Ttt, "v4 o. 014-73 (50c5) QZLr 1342. �-.o�.�t c, : F'�..�o ez.. O.l..� t� ps •, L.tr.� 4-6 \tj &-LA-.- �.L.Z P��-.l t`Ll CG+t._ W 8 x 2 a 'C Q.l P.,>. L n "� Zo` 6Zo of t'L �+ l S x.g+ 65.x2® 7. C', aca lO �c.3 Q o 35 ae k=L t,6, O WiR�IIS c�tr1S CA-tl-k-r- ', f-OvylIx �``� ®F.,�sf•/o '2-Yl, lV�e � sT U P �ST A 1 '. RP,�tSBEAM V2 . 0 - Gravity Beam Design Licensed to: Dan Braman, P.E. Job: Dunnett 1027 Shoot Flying Hill Steel Code: AISC 9th Ed. SPAN INFORMATION: Beam Size (User Selected) = W10X30 Fy = 36. 0 ksi Total Beam Length (ft) = 17 . 00 Top Flange Braced By Decking LOADS: Self Weight = 0. 030 k/ft • Line Loads (k/ft) : Dist1 Dist2 DL1 DL2 Pre DLl Pre DL2 LLl LL2 0. 00 17 . 00 0. 600 0. 600 0. 000 0. 000 0 . 980 0. 980 SHEAR: Max V (kips) = 13. 69 fv (ksi) = 4 . 36 Fv = • 14 . 40 MOMENTS: Span Cond Moment @ -Lb Cb Tension Flange Comp Flange kip-ft ft ft fb Fb fb Fb Center Max + 58 .2 8 . 5 0. 0 1. 00 21. 54 24 . 00 21. 54 24 . 00 Controlling 58 . 2 8 . 5 0. 0 1. 00 21. 54 24 . 00 ° --- --.- REACTIONS (kips) : Left Right DL reaction 5. 36 5. 36 Max + LL reaction 8 . 33 8 . 33 Max + total reaction 13. 69 13. 69 DEFLECTIONS: Dead load (in) . at 8 . 50 ft = -0 .240 L/D 849 Live load (in) at 8 . 50 ft = -0 . 374 L/D = ' 546 Total load (in) at 8,.,50 ft = -0 . 614 L/D = 332 I RMSBEAM V2 . 0 - Gravity Beam Design Licensed to: Dan Braman, P.E. Job: Dunnett 1027 Shoot Flying Hilly Steel Code: AISC 9th Ed. A ' a SPAN INFORMATION: Beam Size (User Selected) = W8X35 Fy = 36. 0 ksi Total Beam Length (ft) = 17 . 00 Top Flange Braced By Decking LOADS: Self Weight = 0. 035 k/ft Line Loads (k/ft) : Distl Dist2 DL1 DL2 Pre DL1 Pre DL2 LL1 LL2 0. 00 17 . 00 ' 0. 600 0. 600 0. 000 0. 000 0. 980 0 . 980 SHEAR: Max V (kips) = 13. 73 fv (ksi) = 5 . 45 Fv = 14 . 40 MOMENTS: Span Cond Moment @ Lb Cb Tension Flange Comp Flange kip-ft ft ft fb Fb fb Fb Center Max + 58 . 3 8 . 5 0. 0 1 . 00 22 . 44 24 . 00 22.. 44 24 . 00 Controlling 58 . 3 8 . 5 0 . 0 1 . 00 22 . 44° 24 . 00 --- --- REACTIONS (kips) : Left Right DL reaction 5. 40 5. 40 Max + LL reaction 8 . 33 8 . 33 Max + total reaction 13.. 73 13-73 f DEFLECTIONS: Dead load (in) at 8 . 50 ft = -0. 324 L/D = 630 Live load (in) at 8 . 50 ft = -0 . 500 L/D = 408 Total load (in) at 8 . 50 ft = -0. 824 L/D = 248 c v:� ZLlL 9 ►�� W(J 4X .4 4 :3r>�2; < z400 0 G THE. FOLLOWING IS/ARE THE BEST. IMAGES -FRO M QUALITY.- ORIGINAL(S), I M DATA. 6;;0 ( /(® &`� 4g �- Town of Barnstable *Permit# 10S- X-PRESS PERM Expires 6 months from issue date t Regulatory Services Fee �o JUL 0 5 2006 g Y t Thomas F.Geiler,Director � ��p jO WN OF BAPNSTABLEBuilding Division Tom Perry,CBO, Building Commissioner (�"�''1 J�G� 200 Main Street,Hyannis,MA 02601 b www.town.barnstable.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 Property Address (/ ❑Residential Value of Work Minimum fee of$25. 0 for work under$600 .00 #LA�- � � Owner's Name&Address � /� cV ` Contractor's Name`�;�� =-�2 �(r� Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) BDard ❑Workman's Compensation Insurance / y °r$uldlngR Check e: � FIMA eb'ulatl ~ am Rego � R VFA��a s d, a sole proprietor 4" s tC ran ❑ I am the Homeowner l3l � 8 DNTj Cr lords ❑ I have Worker's Compensation Insurance w��c�E/ORFpG � , oR Insurance Company Name B'�NFWp REys RTRD Workman's Comp.Policy# TFR,44A 026 Copy of Insurance Compliance Certificate must be on file. 31 Permit Request(check box) � �t �r re-roof(stripping old shingles) All construction debris will be taken to s ❑Re-roof(not stripping. Going over existing layers of roof) 1 .711 t— Mir ❑ l Cn ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) � *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,I'onservation;etc. ***Note: Property Owner must sign Property Owner Letter of Permission. r copy of th Ho Improvement Contractors License is required. SIGNATURE: �J Q:Forms:expmtrg Revise061306 • 1 _�V (508) 896-1483 P.O. Box 58 Harwich, MA 02645 Job Estimate Page No. of Pages PROPOSAL SUBMITTED TO PHONE DATE - TT - q STREET JOB NAME CITY, STATE AND ZIP CODE OTHER We hereby propose to furnish materials and labor necesary for the completion of or _ - - - 'DOE FAJ 04 6j$ �F[ FFF l f&V a.+Vlicnrvnrrcaasai• vJ Li MYYwv.-ouv--.. \ Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 ►I V w .mass.gov/dia Workers' Compensation'Insurance Affidavit: Builders/Contractors/]EIectricians/Pluxabers licant Information Please Print Le 'bl AUU � v Name (Business/organization/Individual): �i l kin aL7J MGM. Address: I 11 tic City/State/Zip 0-a CQ631 Phone#: 5108 -69 Co —:t LA 83 Are you an employer? Check the-appropriate box: Type of project(required): 1,❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction a sole proprietor or partner- (full and/or part-time).* have hired the sub-contractors listed on the attached sheet.$ 7. ❑ Remodeling 2. � am ship and have no employees These sub-contractors have 8: ❑ Demolition workers' comp.insurance. 9. ding addition Building n. working far me in any capacity. ❑ o workers' pomp.insurance 5. ❑ We area corporation and its [N 10.❑ Electrical repairs og additions required.] officers have exercised their 3;❑ I am a homeowner doing all work right of exemption per MGL 11,❑ Plumbing repairs ar additions myself.(No workers' comp. c. 152, §1(4),and we have no 121-1 Roof repairs insurance required.] t . employees. [No workers' 13.❑ 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 ibis affidavit indicating they are doing all work and then hire outside contractors must submit a mew affidavit indicating such tContractumthat checktbis box must attached an additional sheet showing the name of the sub-contractors mad their workers'comp,policy infosxnatian. 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.Lie.#: 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 fbTwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify nder the pains Undplties of perjury that the information provided above is true and correcit Si ature: Date: � —5--0 Phon -S9(_ 1482) 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): I.Board of ilealth 2.Building Departmew. 3.City�own Clerk 4.Electrical iaspector.5.Plumbing Inspector 6.Other Contact Ferson: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as "an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the . receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling hous a having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons'to do maintenance, construction or repair work on such dwelling house or.on the grounds or building appurtenant thereto shall not because of such eniploymeatbe deemed to be an employer." ,r . MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commionweatth'for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commomxealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply td your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial . Accidents fur confirmation of insurance coverage. Also be sure to sign and date the affidavit. The-affidavitshould be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies shon3d enter their self-insurance license number on the appropriate line. City or Town Officials. Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom. of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permitlicense number which will be used as a reference number. In addition,an applicant that mmst submit multiple permit4icense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town maybe provided to the applicant as proof that.a valid affidavit is on file for future permits or licenses. Anew affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license orpermit to bum leaves etc.)said person is NOT required to complete this afi5davit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a can The Department's address,telephone and fax member: The Commonwealth of Massachusetts,- Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ent 406'or 1-577-1VIASSAFF, Fax#617-727-7749 Revised 5-26-05 wwcr.mass.gov/ciia - Assessor's map and lot number Cii� —~ Bpi THE t0� S f s � o� Sewage Permit number ....�14.Iax. . .. .�lll.... . . .................. , co WITH TITLE LE, Hoe number rasa �p s639•. 9� ENVIRONMENTAL CO TOWN +OF ,BARNSTAT�t a t DUILDINS, INSPECTOR APPLICATION. FOR PERMIT TO .. x'C �... �. N..p...�✓/f T :h 8..�. .5........................................ TYPE OF CONSTRUCTION .....'.w.tv Q.Q.....�... �.d. :... ...1: ...........b... ................19.V..�� TO THE INSPECTOR OF BUILDINGS: The undersigned t�hereby applies for a permit according to the followinginformation: Location .J.16.`11•... �.HOT...�.�' W.6...H.�.-1....:�:.�f. .., NToww1 `f.......lv.s ................................... Proposed UseF41FNC.k�.t ....!P.jF..... ® .../ Q...., // R ®f ly.... .. ................. ZoningDistrict ..... ...�..................................................Fire District ....... ... ............................................................. Name of Owner i!lcfl ....p ,f1f Iv.E ................ Address ...et..YTTf l/`11�L Name of Builder NIV.Mj'. ...&Ar .......... ........Address 114.461.5r. lvald& .l..t.44..'9`L.��.� Nameof Architect ....:...................................... ....:. .........Address.. ...... ..................................................................................... Number of Rooms .... .........................................................Foundation ................... Exierior wr®.p.. 5UR IV.k�P5 .....Roofing ............................... r Floors ...........................................................:....Interior .8� .� `�Q.... .j.. .L® .......... ' Heating i7l. .......9®.T.....)VA..r .............................::Plumbing yF5...x9w... ............... Fireplace ....VIC......................................................................Approximate Cost ..... . n / ram, Definitive Plan Approved by Planning Board ________________________________19________. Area ....e...................................... O� Diagram of Lot and Building with Dimensions Fee SUBJECT TO APP� OF HEALTH 0 1z D 12,me I t=XtSZ r N�- 1_ NSW i7i® W 0 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the abo�Tey� 1 construction. f Name ....... .. l _ DUNNETT, BRUCE r No ...�?2 Permit for .ADD IT I.ON ....$ixl.g ..e..Zamp..l ..I?We. ling................. - Location ...F.1y..i:ng...H7:a--...Road r, ...............G.enexui.il.e................................... _ °• �" Owner ....Bruce...Dunnett.............i... ' Frame, Type of Construction .... ............ ........ ....... ..`........... ................................... ........... N # *- -A, Plot ...................... Lot ..................... ......... �' ., �-1 r - r • r , - Permit Granted Novemver 10, " 80 Date of Inspection 1 y< .� ......19 :4 Date Completed ....d., ., ....... ... .19 ^r 1 PERMIT REFUSED .....T ................................. 19 =t: /'� ' r 4 _ •, .... ... s�.. ............................................... .. ............................................. V p^ ........................................ '}. to ,Appr ................................................ 19 ..... 't.......................................................... L�� y, Assessor's map and lot number 7 PyOF TH E T��y Sew qge Permit number ... .................... / r Z HASBSTAXE• i e number yO Mnes .................................................................. psi MAO& ♦� 2639- CEONA a\ TOWN OF BARNSTABLE F BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..::. T. .� ?..... G ee„r`4 fl ... ti f ji. �:" ..`........... TYPEOF CONSTRUCTION ..... ! .: E . .....f..fLA.d.r........................................................................................ . ..` ...�...:...................19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....e:7-- ....,.-5?,,140 �,...E�Y.114��i....�L..... .7 ...��.,NT�.i`'�11Il,G �...:..r'`ft1�S t I' Proposed Use T- 1V�1 0 W 0 ..... �, t� 1} �5�r BIZ �r?....►�X......... � ....................................................................... ........... r. 3 .. 11 .............................................Fire District Zoning District ......!.). ...1....... ...................................................................... Name of Ownerld. (�l.t'�i ... :. .'-..� .....................Address !�. .� ..: �0. i�� .r�t .'....... Name of Builder , I N .�...)3b.......................................k Kt Address l tf 1 /,1„✓k' -�.. `L/ .. Nameof Architect ............... ................................Address .................................................................................... Numberof Rooms .....:11.:.........................:................................Foundation .:............ ...................:........................................ Exterior ...........................................,.........................................Roofing ..,...:...,........................................................................... Floors ; ...............................................................Interior h,l� .. .. COAT................ ,1F ` g ' � ,.................................Plumbing X+ 5 N ill/ ft 1 1 XT U Heating v..c...........:. .... ................................................................................. ` r r Fireplace A� Approximate Cost Definitive Plan Approved by Planning Board --------------------------------19--------. Area ...:...................................... Diagram of Lot and Building with Dimensions Fee ............................ ................ SUBJECT TO APPROVAL OF BOARD OF HEALTH . 4 � I I 1 1•� � i � 13 A 1 : I A 7I N (=W .v r I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above',,, 1 _construction. 4 Name (/ -!Cfa?�i . ,( ...........+ '� .............................. �. DUNNET,-, BRUCEr A=191-29 t �o �. II No ..22�'.`..... Permit for ADDITI _ Single Family Dwell ng ........... Location .1,0 27,,,Shoot F y,i„g Hill ;Rd ................C.�x1t �r?� le....... ......................... Owner ......5.1.1,>sQ.Qr.... 111XI ett.......................... Type of Construction ......Fr-aM.e....................... ............................................. ................................. Plot ......................... .. L t ................................ Permit Granted .........41��(��o?.!�?�..10 4 9 8 0 ...... Date of Inspection ...................................19 Date Completed ......................................19 PERMITEFUSED .................................. ..... ......... 19 j...... . .. .. ...... % .... .l. . ....11... .............................. .............................. .. ............................................ .......................... /.............................................. ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... IZS d �)13)e { ' p 1. a 1}. � _ 4�I�iKr, DRY �. �tJ 1 TI } — r�a r : 1Ec� '��prjY} JJ i t r I Hill w 1 b X --- _� NI , _ j - yz 77- fSCALE!` AP D HX: r,y.. DRAWN BY �•:•, (f�if' / I b / I OA/- DATE:.. ._p i'•✓ (/' / REVJSED ._._ ..-.__ ..._..,..._i y ' DRAWING NLM6ER � tl _ �� _ { * `t cV � j K - - - -- —--of�. - — �JCi S i 1 r!E>GRFIDE ^-•-� ' YYMS T77��7 f i t. i it 4. 40 -Jlt FIT . . j - - " - t1 ,� ty APPR V B - I• V. DRAWN BY .. SCALE:I JJjjJ " - DATEt REVISED o -_ DRAWING NUMBER LLB7 r - L m- hi . -- - -- — ---;,=ar ram"'' VA APPR BY: O DRAWN By. {# SCALE: t'� 2-7 Lim '� REVISED DATE: D 06�_ ` l� ' - - - DRAWING NUMBER �� �6'tC i<`.c ilG••� L:'�.}$T(i i(r• � . I _�S'�O. .. _ _ _ At y .t G.LIF ell lit �' _Z'7 L4 2'7 24 3 SCAIE:` ij I .( APPD DqY+: r-.. ORAWNBY " �:f'• ( 1`/Il'��" / —i . DATE: 7-0 • • RAW ER , C.1 _ f IMPORTANT - UPGRADE REQUIREDSMOKE DETECTORS REVIEWED STATE BUILDING CODE REQUIRES THE UPGRADING OF SMOKE DETECTORS FOR THE ENTIRE DWELLING WHEN DEPT. iBUI DINGDA TE - _ ONE OR MORE SLEEPING AREAS ARE ADDED OR CREATED. - NOTE: A SEPARAI PERMIT IS REQUIRED FOR THE INSTALLATION OF SMOKE DETECTORS THE ELECTRICAL FIRE DEPARTMENT DATE ' SATISFY THIS REQUIREMENT• - • PERMIT ESN SA BOTH SIGNATURES ARE REQUIRED FOR PERMITTING - I CARBON MONOXIDE ALARMS MUST BE INSTALLED PER MAS$ACHUSETTS BUILDING CODE r � ; f I � y , , 4( 4 ....- .. .. r - �' I - - ---=-----=-- . _ ---------- :. , �x7 d � j1 j/{( „ s�Ate � f.o" - r �__ --- --- -- - - _ R Ll L_ L s, , — — - ------ �i 'o" E l�olo,l� � Is So�.b" � _T ^; �� /�• -'�X-CS�"fVTs N�vr[''_' �\ l' .3LF04D if D i ID i ff 1 ..., r..� 41N I: n. N: ♦ atv�e , - fV " , " o 4 � : .-.:is •. �. .- ': ;'"_ ,: .. I _ _ li.i -��- . 14 ISM, ME -:. ) : - ,. .. I , •t zx Rli UTr r l ! , ` -VC-MV6 o R APPR V B DRAWN BY DATE -y l 11'V/ V REVISED " V LL.�' Y . W.ev . . . ST TI , 1 y _ „ t f y - s .��L/C—c LC���"l4 of•" L /L V' k"y : �f SCALE / APVDRAWN.BV 1( — DATE --O. 1. f' .'t i' DR AWING NUMBER ZLI a _- -t 6� r�.Gvr s_"�cr4-rG _ II � r .. 'Z� U� 2 r �I r F. V —T , UT� a ' I V ' 41 7:: r c�7 .z( yil ZS y I 4"1 -- - - ------------- Ll 117 __ -- tEi i2Lc$ �c' G LG fJ/`�' r, r/l SCALE:` 7I_ i •I APP O DAY.: DRAWN BY .. DATE: ��- —O `� Z REVISED - - `'r n / _ ? /'DRAWING NUMBER 4. T" � / - - -- - , t : tir .. 77777�- ht sz LEXlSTlN(r' t3ur_{c N'eA n 4 `� IODTA Q . -- - -- - Yl F cli ha : ° - r -� -TO PJ , - v-rv-i-Y. .=a Rio.' ,yuG`,. _ - __._-___—.�-..-----• - �.X iu �R _ Lrnt fib;= �a�r�;cn� 3 G bra Sv klk8`,art Z s - c 1 r. s 11 71 (I( - 4� { .Jf . rJ s p �y 1' 1 h 41 VE }� C — _ . - �— _.. _ . .- ... _..... . r` t I { E f t , - = ----- __ = - F - J;`s i 77. . ........ ! e I r , r : - I �d 4 , t - "al - - r I r . f , f s — i 1 �v TOP OF Proposed Addition Wall Raise covers to within 6" of STANDARD NOTES E FOUNDATION L 60. 00 Garage TCF/Sill 59. 00 finish grade install risers as needed Garage Slab EI = 58.30 1) THIS PLAN IS FOR THE INSTALLATION / REPAIR OF A SEPTIC SYSTEM.59 Ot 2) ALL INSTALLATION PROCEDURES AND MATERIALS SHALL CONFORM TO 310 CMR 15.000, THE STATE ENVIRONMENTAL CODE, - Proposed 6" : : GROUND SURFACE EL -- TITLE 5, AND THE TOWN OF ___Barnstable_-____ SUBSURFACE DISPOSAL REGULATIONS. &Coll ar� '• Proposed 3) DETERMINATION HAS BEEN MADE AS TO COMPLIANCE OF AVAILABLE PROPERTY INFORMATION WITH RECORDED DEEDS GaskD Box OR ZONING REGULATIONS. '_'_7 (Typical) 4 55. 05 TOP EL MIN 2'_LAYER STONE THIS WASHED 4) THIS PROPERTY IS SERVICED BY TOWN WATER 58. 0 » » 1�8" vz ` 2 MIN-3 MAX 5) THERE ARE NO KNOWN WELLS WITHIN 100' OF THE PROPOSED SOIL ABSORPTION SYSTEM 6 ALL COVERS OF SYSTEM COMPONENTS SHALL BE BROUGHT TO WITHIN 6" OF FINISHED GRADE INVERT EL56.22 10" „ 56. 05 24 " ) NO STRUCTURES Existing w 14 _ - - - - - - - - - - - 7) ALL SYSTEM COMPONENTS SHALL REMAIN ACCESSIBLE FOR INSPECTION SHALL BE LOCATED DIRECTLY INVERT EL ,a ,� _ - - - - - - - - - - - EFFECTIVE INV EL UPON OR ABOVE THE COMPONENT ACCESS LOCATIONS, WHICH WOULD INTERFERE WITH THE PERFORMANCE, ACCESS, INSPECTION ,I A INSTALL SIDEWALL 1 GAS 54.59 PUMPING OR REPAIR. 56. 42 BAFFLE 54. 42 54.3D 56.22 INV EL 3/4"- 1 1/2" D UB L E 8) NO DRIVEWAY, PARKING OR TURNING AREA, OR OTHER IMPERVIOUS AREA SHALL BE LOCATED ABOVE A SOIL ABSORPTION INVERT EL INV EL INV EL (Three 500 Gal Conc) (H-10) WASHED STONE SYSTEM, EXCEPT WHEN VENTING HAS BEEN PROVIDED. Proposed Proposed chambers w/4 stona all around Z Garage Invert 52.30 9) SEPTIC TANKS, GREASE TRAPS, DOSING CHAMBERS AND DISTRIBUTION BOXES SHALL BE PLACED ON A 6" STONE BASE 6 STONE BASE (4'-10 x 8'-6" x 2-s) BOTTOM EL cr o TO ENSURE STABILITY AND PREVENT SETTLING. PR o Pt1 'ed(H- o) � ,� 10) OUTLET DISTRIBUTION LINES SHALL REMAIN LEVEL FOR A MINIMUM OF THE FIRST TWO FEET OF THEIR LENGTH. 1,500 Gal Septic Tank o (Z•I _ ) WI STANDING H 10 LOADING UNLESS THEY ARE UNDER OR WITHIN 10' 11 ALL SYSTEM COMPONENTS SHALL BE CAPABLE OF TH S = 0. 033 S = 0.06 1 1 S 0.0 ) I --20 COMPONENTS SHALL BE USED. OF DRIVEWAYS OR PARKING OR TURNING AREAS, N WHICH CASE H 54' t 24 t- 12' EL 45.3 le) ALL BUILDING SEWER LINES SHALL HAVE AN INNER DIAMETER OF 4 AND SHALL BE CAST-IRON OR SCHEDULE 40 PVC. BOTTOM OF TEST HOLE DTH //1 13) THE DEPTH OF THE TOP OF ALL SYSTEM COMPONENTS SHALL NOT EXCEED 36" UNLESS VENTING HAS BEEN PROVIDED. 33. 5' NO GROUNDWATER � 14) IN THE AREAS OF EXCAVATION, EXISTING GRADES.SHALL BE REESTABLISHED UNLESS. NOTED AS PROPOSED .CONTOURS. 15) IF SOILS ARE ENCOUNTERED DURING THE EXCAVATION OF THE SOIL ABSORPTION SYSTEM, THAT DIFFER NOTABLY FROM THE DEEP OBSERVATION HOLE LOG, CONTACT EAS SURVEY, INC AMD TOWN BOH BEFORE PROCEEDING. 16) CONTRACTOR TO VERIFY LOCATION OF ALL UNDERGROUND UTILITIES. PRIOR TO CONSTRUCTION Jj/F 17) CHANGES OR REVISIONS TO SEPTIC DESIGN REQUIRE NOTIFICATION Map 91 TO A & M LAND SER VICES AND TO WN BOH FOR REVIEW AND APPRO VA Parcel 30 18) CONTRACTOR SHALL NOTIFY TOWN AND DESIGN ENGINEER AT LEAST 24 - 48 HOURS PRIOR TO INSPECTION(S). N/ ' O � Map 191 Parcel 96 6'0' DEEP OBSERVATION DEEP OBSERVATION so HOLE LOG HOLE LOG 5g.8) \ Test Hole #f Test Hole #2 s4 (EL = 56.3 f) (EL = 59.8 f) \\ D p h lev Soil Soil Soil D p h lev Soil Soil Soil --" Q �m� ft) Horizon Texture Color �m ft) Horizon Texture Color � /� � 58 (USDA) (MunsellLot 13 12A ) (USDA) (Munsell) 0 4) z o - 6" 57.8 OEA LOAMY SAND 10YR4/3 0 - 6" 5s.3 OEA LOAMY SAND 'OYR4/3 \ 6g.4 9 � G Gas L1 (52 g8) IOYR511 10YR511 38 21 ��'- S 1 j t. s" - z4" 56.3 B SANDY LOAM 7.5YR516 s" - zs" 57.6 B SANDY LOAM 7.5YR5/6 TBM = 60.20 ' q -- R� = 1175. 21 24" 40" 55.0 C1 COARSE SAND 10YR6 s zs" 38" 56.6 C1 COARSE SAND f0YR6 6 .. Center Top Step `lt _nl \ er - 15% Gravel 15% Cra vel 62 0. 8 Acres & L 1 �4 i O _ I,voo A�. S-'l�nllt.. .., ._.� .._..�.�....... 5g.1) �ldg ,�102� L1ne - _ 38" - 144" i/ 4o f5s 45.3 C2 MEDIUM SAN 2.5Y7/4 47.8 C2 MEDIUM SAND 2.5Y7/4 ^p F 4 Bdr (52 72)Rrm ..Oral TCF - 60. 0 Basin Septic Tank f` 1 Q p i _1� Deep Obs Hole Date: 4/26/07 Deep Obs Hole Date: 4126107 Soil Evaluator: ED STONE Soil Evaluator: ED STONE 190 � (60.2) Proposed �p t��I Witnessed By: DONNA MIORANDI Witnessed By: DONNA MIORANDI O D-BOX �' PJ (56.2) Q i `� Perc Rate: 2 MIN/IN ® 52" Perc Rate: 60 CQ Soil Survey Description: CARVER Soil Survey Description: CARVER -- --- (52.4) Geologic Material: GLACIAL OUTWASH MORRAINE Geologic Material: GLACIAL OUTDASIf MOMINE DTH n Depth to Standing Water: NA Depth to Standing Water: NA 1 2(59•g) jst, 54 (� (� I V Depth to Weeping Water: NA Depth to Weeping Water: NA Shed �� 56 Depth to Mottling(Color): NA Depth to Mottling(Color): NA 1 .1 Id` Prop Inv -5f / / 0 Est Seasonal High GW. NA Est Seasonal High GW: NA nit� USGS Observation Well: NA USGS Observation Well: NA L (59.6) ��. -7 out 56.42 \/�`_ Q / Date of Last Measurement: NA Date of Last Measurement: fyq '� (56.y/ .5 0 Comments: Comments: Proposed Leaching Facility .0'�" Co o Proposed (ss N/F Three 500 Gallon Cone Chambers H - ro -D/IY Map 191 With 4 ' Stone All Around (5�.3 #1 Addition y o ( S.o� ` Slab EI = 58.30 �\ �, ��„ p Present Residence Existing 4 Bdr Parcel 95 • -�. Br 50' To Be Reconfigured, i AT 84 o,32' „ Elimina to (1 Bdr i �(� jy �v Exist cons chambers to be pumpe � ---_.crushed and or removed as per Title V - (5116 ) Main Re ,s Proposed 3 Bdr F�oo P w.�. w 'J . , .KF ' NSF Addition, Garage/Loft 1 Bdr ASSESSORS MAP 191 LOT 29 Hap 191 Exist. LeAr_14-ATr td be pumped, Total Proposed = 4 Bdr crushed and sand filled with clean SI t e PI a n :7 Parcel 235 sand as per Title V. Cr_P Y : Bth for proposed a Al, z:, -� B#dr / Two Car Garage/Addition Kit Bdr Bth DES�G 1 �l 1�. TA Bdr Prepared For. Fam Din �`4 #3 Applicant/Owner RM Rm Number of Bedrooms: 4 Zoned RD1/AP James B. Dunne t t Liv �� r Garbage Grinder: N0 Rm Setbacks �' Design Flow: 440 Front 30 Located At Second Floor N. T.S. (110 Gal/BR/Day x Number a, BR) Side 15 1027 Shoot Flying Hill First Floor Septic Tank: ( ' 4 N. T. 1, 00 Rear 15 - Centerville, MA 02632 S. (Minimum = Design Flow x 200%) Gal Leaching Area: Deed Reference PREPARED BY Bib Bdr Sidewall: C83016 A & M Land Services Route 28 t 3 Bth 32- s B 1 # (2 Sidewalls x128Ft x --Ft) + Wet Yarmouth, MA 02673 Kit Bdr Plan Reference Fam Din6 #4 #3 Bdr (2 Endwalls x 3--3-5_FT x ---�-Ft) 185. 3 L. C. Plan 24654E (508) 771-LAND (5263) Rm Rm J Bottom: 12. 83 429. 8 Lo is (13 & 12A) as,P ° - � � ofK Liv 33 5--Ft x ------Ft) 615.'1 Q�� WINSLOW N °s. SCALE. 1 " - 20' DATE.• May 3, 2007 Bdr � � �aw 0 , Rm #2 Long Term Acceptance Rate (LIAR): Fen2a Map Ref. a Second Floor SPOFfOR / 250001 0015 .� t�� g No.23040 � REV. 5 t q ©"7 4 d d 1 ,oc 64-t. N.T.S Leaching Area Design Capacity: 455 GPD o �. (I ,, • (Sidewall Area + Bottom Area) x LTAR Zone C' July 2, 1992 �� ate �'�' 4h�suav�o P �. f . ��t, ¢ � •. First Floor $�O"'L�'' N. T.S. 14 M A Y DWG. NO. 4008 SHEET 1 OF 1 Existing Floor Plan , 455 GPD .Provided - 440 GPD Required = 15 Reserve. _ f y _ • I I j � / I — 7.. _._ _-._. t ON LC' LC N__..._.._.'--- - __ ---.__._ _..:_ - - -- - - -- _.... _ ._-.. - I a , F I T (3P ------------ CC) 6WEL p( KOCK Ijq — — , --- i I — �,TM Qr e — — It —— ------ — — — — — — - q Y r. I �'• RUC'E DEMN SCALE:. DRA rRs APPROVED BY: �/�• /��,(/ M DATE.. �-j(7 - _ q/ilm THA� +r / /A i REVISED P4,6201ODSO - DRAWING NUMBER