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1035 SHOOTFLYING HILL RD
��;D3S S1, a��1 � n �i 1� , . _ . _ _ ., ._ � � �� .. � � � .-; . a �, c � Q� � 0 o 0 Town of BarnstableBuilding. r:z . '- Ca d So'That rsgUisible_From the:Streetj A roved i'lans Must be Reta�nedYon Job and this Gard Must be Kept„ ,, Post This v Pp ii- rARNBI'ABLC, .� .,� .� � • .., rvf� '-. '�- �_� s �,'�F € + >. s �r �' '.M �''a � � �.,, ���{, t .; " Rosted.Until F�nalln'spection Has Been MFade y' F, . � _ ; ► - Cetiyea e•of Occu anc as>Re u�red such Buildm stall�Notbe Occu red untila F�nal.lns ection.has;been'rnade Permit ea. �WFhere a rt :per Y: .q ;'� , _ ,..gG -E. -.,; "., ., P ,r,. . .. ; p., ..•, -' • ,H" . . - .- Permit No. B-18-2264 Applicant Name: Debra Boulay Approvals Current Use: Structure Date Issued: 08/08/2018 Permit Type: Building-Deck Expiration Date: 02/08/2019 Foundation:sQpdf O - ��� Location: 1035 SHOOTFLYING HILL RD,CENTERVILLE Map/Lot 191-235 ll, 4Zoning District: SPLIT Sheathing: sAAJ _.- _ Owner on Record: LAHEY CONSTANCE M&BOULAY DEBRIA� Contractor�Name aye , Framing: 1 Address: 1035 SHOOTFLYING HILL RD e tractor IwA 2 ® z51 f •, $4,500.00 CENTERVILLE, MA 02632 Est Project Cost: Chimney: Description: Exterior wood deck along rear elevation �' Permt Fese: $110.00 Insulation: $ 110.00 Project Review Req: A Date 8/8/2018 Final: 7 ✓.[ Plumbing/Gas � 1 � � �yes �� ��� � �*# Si v� ✓ Rough Plumbing: Building Official Final Plumbing: AW This permit shall be deemed abandoned and invalid unless the work authorized by1his permit is commenced within six months afteAssuance. k .; Rough Gas: All work authorized by this permit shall conform to the approved applatOftion andthe approved construction documents for�which this permit has been granted. All construction,alterations and changes of use of any building and structures shallfbe in compliance with the local zoning�by laws and codes. Final Gas: ft' This permit shall be displayed in a location clearly visible from access street or road,_ and shall be maintained open for public mspectiA for the entire duration of the work until the completion of the same. ,N Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Build ng and Rre9ff1c1a15 are',pro ded on this'permit. Service: Minimum of Five Call Inspections Required for All Construction Work: P q .. , 1.Foundation or Footing w � Rough: 2.Sheathing Inspection ` • 'AFI- _ . - - - 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection S.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage a Final: - _ Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final' "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 0!U I_rc-�C i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION . Map Parcel 35 Application #' Health Division Date Issued Conservation Division }/ ' .' Application Fee Planning Dept. - Permit Fee. Date Definitive Plan Approved by Planning Board (02) gI2,77 Z Historic -' OKH _ Preservation/Hyannis t Project Street Address 10 on-t- 66 ;Nc� Village� 0►l+r2 Zu 1 l )(2- Owner('r,NS4, gk 1-4)% Address I 0 Telephone,/��}� a Permit Request t 1"Q, N C�C�,(� f�C'� �rX �C� Square feet: 1 st floor: existing I 1 t-5 proposed Cn6O 2nd floor: existing��proposed _Total new l nl�n Zoning District Flood Plain Groundwater Overlay Project Valuation b..J53 O Construction Type r,3 Lot Size O -41 3P_RQs Grandfathered: ❑Yes N No If yes,'attach supporting documentation. Dwelling Type: Single Family N Two'Family ;❑ Multi-Family (# units) Age of Existing Structure 5 CA Historic House: ❑Yes 0 No On Old King's Highway: ❑Yes W No N[->-� U Nc�e z. Basement Type: ❑ Full ❑ Crawl ❑Walkout 0 Other"'I 8y '9 UA,)4r.R MR to �uuSe - Pleb_g QOO n Basement Finished Area (sq.ft.) )Lfq Sq•P Basement Unfinished Area (sq.ft) (oun Sq a , Number of Baths: Full: existing_ new O Half: existing 1 new O Number of Bedrooms: existing 0 new Total Room Count (not including baths): existing new 1 First Floor Room Count �D Heat Type and Fuel: ❑ Gas 9 Oil ❑ Electric ❑ Other Central Air: A Yes ❑ No Fireplaces: Existing New Q Existing wood/coal stove: ❑Yes N No Detached garage: ❑existing ❑ new size-Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ t� Attached garage: W existing ❑ new size 5OWohed: ❑ existing ❑ new size _ Other: Sf Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ `�� ; Commercial ❑Yes A No If yes, site plan review# oh-j _ Current Use Proposed Use f APPLICANT INFORMATION 3 =' (BUILDER OR HOMEOWNER) y" 1 2so, , f Name LnS'n � � r Telephone Number Address I:(�3`�� i License # Psi t ri U7- Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 44SIGNATURE DATE b I� c- F FOR OFFICIAL USE ONLY :. APPLICATION# ' _DffE ISSUED -..MAP_/PARCEL NO. - ADDRESS * VILLAGE OWNER f DATE OF INSPECTION: FOUNDATION:;- a 12 FRAME TwrW- IeI CO o -7 F.INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL i-GAS: -ROUGH ViAY-wi FINAL __;..i INALBUILDING!' s,_%- r :DAT.E CLOSED:OUT: _ { ASSOCIATION PLAN NO. rt F ort�N , Town Of BanistabLe i Regulatory Services eAwasrasL� Thomas F. Geller, Director - - . $`�fa;9. Building Division .Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 wwyv.t own..barnstable.ma.us Office: 50 8-862-403 8 Fax: 508"790-623 0 PLAN RE VIE VV Owner: Map/Parcel: Project Address 1035 'IiOUTFLVJ�U6 Builder: PROP"TY OWIV C9..: The following items were noted on reviewing: 10) o Ll DOfo . � a e . ►.`wS Zoos Zr2VwN S !�c ceps +D e,a --. a 1 ak G/ w�' c n� i ,J1lr <� GI'�1,1Z. Reviewed b ,at Date: u uu s t. ' DIME ro Town of Barnstable Regulatory Services w BARNSTABLE, Mass. Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-8624038 Fax: 508-790-6230 a July 20, 2012 Constance Lahey/Debra Boulay y 1035 Shootflying Hill Rd. Centerville, Ma.02632 RE: 1035 Shootflying Hill Rd. Map: 191_Parcel: 235 Dear Property Owner(s): This letter is in response to application number 201203630 submitted for an addition to be built at the above referenced address. Unfortunately, the application can not be approved at this time because the construction documents submitted are incomplete and show conflicting information. Respectfully, a Local Inspector (508) 862-4034 r The:Coy►mo."wealth. f Massadusetfs FMotint o ln4.rrs al Aecideii s IRe /�- rfa 600'�'as1�A 0211 ti�.rnagvlalwi Workers' Compensatim.Insu mace Affidavit:Buitdez�Contt aetors/Ekf ct�uansJPhu nbers: Applicant Information lgease'Print"Lezi . Ns�e'�I3�e. ,:. tion�Imi$avmiflaa�l: ���1 N C.E�hdti:. .�,��'1������►�`, Address: i v3s !S44 DM: �1�.���� ► 1 ? a d citylsts&zip: z v, a-lPiaa ae# . Am you an employer?Check the sppranpeiate bma 1.❑ I am a employer with 4- I wn eral contractor and I Type of project{i*e4nn°ei9� s have hired the sn ❑New ootinrctiosn employees(fall-dfor pd hire):. 2.❑;I am a solepropfietor or.partitu listed-on the attached sheet: 7; ❑I odeling ship:and ne no�tptoyees 'Theme:s®b-cofactors bavae.. 8 ❑IDemoht on w fume in c ci employees and have wo s'- 9: Bualdin .adulation e wort ees'eomip.instlrauce con3p.insuranoO requited] 5. ❑ We,area corporation and its.. 10.❑E9ectrical aepeiss or: taans 3.)t I am a 6inemtier.doiagall vironk officers have exercised their.: A I.0 Plumbicg repairs ar-addiRions self. o workers'coup. rift of M=ptiou Or'MOL am3' [I+1 occmp: 12.❑Roof repairs, insurance required l 5 c.152,§1(4� and we have no employees.,[No wodd=s l3.❑{Other camp.insl>MnM regotired.] •Any,a"k=tot ct ecks #1 m=alse fill our Ake section belmw sknwng diek,�kew a spe�tion pGkcy'imbmwfi�. s8mma�vannws Wl smb¢set Afiis ar5dsvif imaBcatiag they are.daimg'all ifs and d igme'out a contiacrQrs m�4[siiksur use av a d etc mrdicatir�g ra�ela ECaatcacrots that ctiec&this �wt s ttacl eQ a¢addiraoma39 slhi•et s io tba name o �e sub t [st hors�d fita6e wlac er ar mot those wt tees Lsee �. If the tree emtpdoye empl�ees;they BmmY;pmride tlheia warkeas'cep.policy mtmisbee: loot awe e+rarjplaper t�hatispr.�v dJr:g wnrkeW coon isativai.fimrmce for iny:enill"WM Mown�irpssHO acid jeh site% IIm urance Company Name: Policy#.orSelf ins:Lric.9: ExpirationIDate: Job.Site City/State(Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy nv�ber and eap�°ataon drrto Failure to secime covwage as required under.Section 25A of-MGL c. 152 can lead,t®1he i�pasution of ca immal pena]Itie`s�a tine up to S L50DAD and/or one-year imlinsonment,as wel1 as enrol pe.nalties is tbe1brai of a STOP:WORI�"OR DEIt and.a fine o€up to.$250 00 a day against the.violator. Be adr isedlhat a copy:afthis statemeni mnay.be farwarded'to*e O fice of Investigations of the DIA for+ni ce coverage verification. I do hereby ceWf under the p dAs andpena Wes aadf Pea�irrry:tha t-the a�fo atzaiapmdded ab,ore1's bay nerd&rred Phone M. I tlfaiial arse Wily. Duo oat w1ite in dads.arers,to,be colmpleteat by city or madam aaffic�t City or To n: 1PeradlfLicense 0 Issni¢><g Authority(circle one): 1.`Board of Health 2.lBtffi iugg Department 3.cayt°own aerk L Electrical Inspector 5.Pla®burg Inspector 6.Other Contact:Persow.. Phone 6. Town of Barnstable �V Regulatory Services ltsrAe Thomas F.Geiler,Director: t� .639. Building Division s1 . Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office:.508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: June 5, 2012 JOB LOCATION: 1035 Shootflying Hill Road Centerville number street village "HOMEOWNER": Constance Lahey&Debra Boulay 508-778=6874 507-790-8190 name home phone# work phone 1035 Shootfl in Hill Road CURRENT MAILING ADDRESS: y g. . . Centerville Massachusetts 02632 city/town state zip code . The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to-engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there,is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such.use.and/or farm structures. A. person who constructs more than one home in a two-year period shall not be considered a homeowner. Such . "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with.the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature,of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000.cubic feet or larger will.be required to comply with the State Building Code Section 127.0 Construction Control: HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire'to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see.Appendix Q; Rules&Regulations for Licensing Construction Supervisors,Section 2.15)This lack of awareness often results in serious problems;particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would.with a licensed Supervisor. The homeowner acting as.Supervisor is ultimately responsible. . To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,. that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may caret amend and adopt such a form/certification for use in your community. Q:forms:homeexempt AHT Guide to FVood Construction in Higlr Wind Areas: 110 niph H nd Zone Massachusetts Checklist for Compliance (7s0 Ci1.1R5301.2.1.1)t Loadbearing Wall Connections ,� Lateral (no.of 16d common nails) .............................(Tables 7).....................................................3 pL Non-Loadbearing Wall Connections Lateral (no.of 16d common nails)................................(Table 8)....................................................... (C_ Load Bearing Wall Openings (record largest opening but check all openings for compliance to Table 9) Header Spans .... Table 9 5 SillPlate Spans ........................................................(Table 9)...................................Q ft O in.5 11' Full Height Studs (no.of studs)....................................(Table 9)......................................................... Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans.............................................. ..............(Table 9)................................... ft C9 in.<_12' Sill Plate Spans.........................:...................:.............(Table 9).................................. ® ft 0 in.:5 12' Full Height Studs (no.of studs)....................................(Table 9).......:................................I................ Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension,W „ Nominal Height of Tallest OpeningZ .:... ........................................: ......... ............ Q 5 6`8' Sheathing Type................................:.............(note 4)..................................................... C.CyC Edge Nail,Spacing.........................................(Table 10 or note 4 if less).............:.....:.... in. Field Nail Spacing............:.........: ......:.......(Table 10)............ ......................... in. Shear Connection(no. of 16d common nails)(Table 10)............ ...:.................................... Percent Full-Height Sheathing...................:...(Table 10)............:...................................... % 5%Additional Sheathing for Wall with Opening>6V(Design Concepts).................... Maximum Building Dimension, L Nominal Height of Tallest OpeningZ ........... .............. .... ....*........... ?<618" Sheathing Type............:..................................(note 4)...................................................... ................ .... ................. Edge Nail Spacing.........................................(Table 11 or note 4 if less)........................ Field Nail Spacing P 9........................ .........:..(Table 11). -JA_in. Shear Connection(no.of 16d common nails)(Table 11)...................................... ..... Percent Full-Height Sheathing......,:......:........(Table 11)....................................................(A% 5%Additional Sheathing for Wall with*Opening> 6V(Design Concepts).................:.. Wall Cladding 11 1. 1 %% Rated for Wind Speed?............................................................:.. :.�.�.�.:... ... ... .... 5.1 ROOFS Roof framing member spans checked?........................(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang ..... ............................................:(Figure 19) .............I ft:5 smaller of 2'or L13 Truss or Rafter Connections at Lo_adbearing Walls Proprietary Connectors Uplift............................... . ....(Table 12)............................................U—�plf Lateral............................. ......:......(Table 12)...... .... ............L= plf Shear...........................::.:................(Table 12)..........:................................S=5? Ridge Strap Connections, if collar ties not used per page 21... (Table 13)...............................T= plf Gable Rake Outlooker...............:...........................(Figure 20) ............. ft 5 smaller of 2'or U2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift.................................................(fable 14)............................................U=—A&lb. Lateral(no.of 16d common nails)...(Table 14) M Roof Sheathing Type ..... (per 780 CMR Chapters 58 and 59)............ Roof Sheathing Thickness... ....................................... ............................................. in._>7/16"WSP Roof SheathingFastening ..... able 2 g. ... ........... R ) ................. Notes: ,f , 1. . This checklist shall be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR-5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are.not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 h c. Uplift Straps per Figure 14 . d. All Straps per Figure 17 •. e. Comer Stud Hold Downs per Figure 18a and Figure 18b 2. Exception:Opening heights of up to 8 ft.shall be permitted when 5% is added to the.percent full-height sheathing -requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated#2-gr6de. A1VC Guide to Wood Corfstructiaf hi High Wind Areas:110 nzph Wirfd Zofre Massachusetts Checklist for Compliance (780 Cn'IR 5301.2.1.1)' Check Compliance. 1.1 SCOPE WindSpeed(3-sec. gust).................................................................. ................................................ 110 mph WindExposure Category...............................................................................................................................B Wind Exposure Category................Engineering Required For Entire Project .......................................0 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) Z stories 5 2 stories Roof Pitch ....................:.........:............................................(Fig 2) .............. ............................�'t 12:12 MeanRoof Height ...:......................:..........................:........(Fig 2)..............:.................................. i -ft s*33. Building Width,W .......................................................:.......(Fig 3)..........................................:.....aa ft :5 80, Building Length, L ...............................................................(Fig3 . '!10 ft.5 80' Building Aspect Ratio(L/W) .......::......................................(Fig 4)................................................. S �<_3:1 Nominal Height of Tallest Opening ...................................(Fig 4).................................---............1,`%f 1.3 FRAMING CONNECTIONS General compliance with framing oonnections....................(Table 2)............................................................... 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete...................................................:.....................: .....................................:............ ConcreteMasonry.................................................................... ............................................................... 2.2 ANCHORAGE TO FOUNDATION''' 5.'Anchor Bolts•imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only Bolt-S`pacing-general ................ (Table 4)..................... in. .......................... ........................ �:' Bolt.Spacing from endrJoint of plate ................:............(Fig 5)..................:.................�_in. 6 -12" Bolt=Embedmenf-concrete.......:.................................(Fig 5).....................................:........... in.>7" fN Bol Embedment mason ..........................(Fig5 in.->15" ¢.:.. Plate,Washer..: ........................................................(Fig 5)...:..........................................>3"x 3'x Y� µ a n 3.1 FCOORS E'16or-frarning member pa Wl ns checked ............................ ..(per 780 CMR Chapter 55)................................... aximu'"rn Floor Op�ehing Dimension...................................(Fig 6).................................................. ft:5 12' Full Height Wall Stud`s'at Floor Openings less than 2'from Exterior Wall(Fig 6)....................................... Maximum Floor Joist Setbacks Supporting Loadbearing Wails or Shearwall................(Pig 7)....................................................3 ft 5 d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................(Fig 8)................................................:......I ft s d FloorBracing at Endwalls....................................................(Fig 9)................................................................... Floor She Type (per 780 CMR Chapter 55)............................ ............. ...... . .. . ...... ...... ............. ....... Floor Sheathing Thickness .................................................(per 780 CMR Chapter 55 ........................3 in. Floor Sheathing Fastening..............................................:...(Table 2)..]ad nails at�in edge/� n field 4.1 WALLS s Wall Height Loadbearing walls..........:..........................................:..(Fig 10 and Table 5)............................ ft-:5,10' Non-Loadbearing walls................................................(Fig 10 and Table 5)...........................-�o ft s ZO' Wall Stud Spacing ......................t..::............................(Fig 10 and Table 5)...................Ito in.5 24'o.c. Wall Story Offsets .....................................................:..(Figs 7&8)............................................3 ft 5 d 4.2 EXTERIOR WALLS Wood Studs Loadbearing walls........................................................(Table 5)..............................2x�- ft�in. , Non-Loadbearing walls ..(Table 5) 2x Lo - ft O in. .............................................. .............................. _ Gable End Wall Bracing' Full Height Endwall Studs............................................(Fig 10)......................,........................................... WSP•Attic Floor Length................'.:........:......................(Fig 11)............................................. ft z0/3 'Gypsum Ceiling Length(if WSP not used)....:............:.(Fig 11)............................................_ft z 0.9W and 2 x 4 Continuous Lateral Brace @ 6 ft.o.c. .. (Fig 11)............................................................. or 1 x 3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft. spacing in end joist or truss bays Double Top Plate Splice Length ........................................................(Fig 13 and Table 6)....................I............... to - Splice Connection(no, of 16d common nails)..............(Table 6)......................................................... Constance M. Lahey and Debra A. Boulay TOINNI OF I1AR ABLE 1035 Shootflying Hill Road Centerville,Massachusetts 026327. _Q AN ID 6 (Debra's Work# 508-790-8190) - September 9, 2014 Town of Barnstable—Building Dept. To: Thomas Perry—Commissioner RE: Request for an Extension on Building Permit#201203630 Dear Mr. Perry: As per a telephone conversation with Jeffrey Lauzon earlier today, I am sending this letter to serve as a formal request for an extension for our Building Permit which was issued 8/28/12 and expired on 2/25/13. The extension is requested to allow for work to resume on the kitchen addition, which was halted after the structure was erected.and rendered watertight with windows, door and slider as well as the roof and sidewall shingles. Previous inspections were performed and approved for the foundation and footings and sheathing. Effectively this addition is being funded out of pocket without involving and home equity loan and once the structure was up and watertight,we discovered the work had nearly exhausted the funds we allocated to the project and needed to "catch our breath"financially before continuing with the work. We are now back in a financial position to complete the project and have arranged for an electrician to rough wire the addition and have agreed to on pricing for the insulation work which we know must wait until after the rough electrical and plumbing are completed and passed inspection. Please advise if we need to provide any additional information. Thank you in advance for your time and considerations. Best Regards, ( Debra A. Boulay Constance M. Lahey I �oFTr lti Town of Barnstable *Permit y C� Expires 6 months fro 'sue date Regulatory Services Fee sexrtsTnst e. * / 9� MASS. ,�� Thomas F.Geiler,Director. JOhu/I Z Building Division Tom.Per7 CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601, 'www.town.batnstable.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 1 ;j Property Address ) S S d) l�! 1�J l�l)i '. 71-- Residential.. Value of Work ��'(� . Minimum fee"of$35.00,for work under$6000.00 Owner's Name&Address �� a �j; - v Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) PER ❑Workman's Compensation Insurance Check one:. OCT 2 5 2�12 I am asole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance �i�R�sL.E "Insurance Company Name Workman's Comp: Policy,# Copy of.Insurance Compliance Certificate mustaccompany,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 Oyer - existing layers:of roof) .Re side =A �� #of doors Replacement Windows/doors/sliders.U Value (maximum .35)#of windows FT 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. rRev GNATURE ;sers\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\QRE6ZUBN\EXPRESS.doc ised 053012 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 °' 5.•�' www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl Name(Business/Or, nizon/IndividuaI): . ) Z ►� i-1 Address: S S 2 City/State/Zip: k ON Gj2� hone.#: �J�J—��-y.,� �� L/ Are you an employer? Check the appropriate box: Type of project(required):. 1.❑ I am a e to er with 4. ❑ I am a general contractor and I mP :Y _ 6. ❑New construction . employees{full and/or part-time).* have hired the sub contractors listed on the attached sheet. 7.M Remodeling 2:❑ I am a sole proprietor or partner- ship and have no employees These sub-contractors have g. ❑ Demolition working.for me in any capacity. employees and have workers' p ty $. 9. ❑,Building addition _ [No workers' comp, insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions _.. 3.N I am a homeowner doing all work officers have exercised their l 1.❑Plumbing repairs or additions myself. [No workers' comp.. right of exemption per MGL 12.❑Roof repairs 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 a new affidavit indicating such. #Contractors that check this box.must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities_have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date`. Job Site Address: City/State/Zip: - Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date). ' Failure.to secure coverage as required under Section25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a.fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification I do hereby certify under the pains-and penalties of perjury that the information provided above is true and correct Si afore: Date: s 1 . Phone#: O 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): ' J.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector.-S.Plumbing Inspector: r 6. Other Contact Person: 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 ajoint.entzrprise and including the legal representatives of a deceased employer,on-the -. receiver or trustee-of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the 'dwelling house of another'who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §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 commonwealth 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 commonwealth nor any of its political subdivisions shall enter into any contract fm the performance of public work until-acceptable evidence of compliance xith 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 to your situation and,if necessary,supply sub-contractor(s)name(s),address(es) and phone number(s)along with their certificates)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 for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. 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 complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to.contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license 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 may 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 not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. 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 call. The Department's address,telephone-and fax number: The C-mmmwealth of MassaohuwUs Dcparlmmt Gf li cduste al A idents Office of Investiptions 60.0 Washingtlai Street Boston, MA 02111 Tel.#617-727-4900 ext 406 or 1-M-MASSAFE Fax#617-727-°7749 Revised 11-22-06 ' www.mass.gov/dig , . - '!, , ��,,� �;X�I 21 i.�,'1. � '' � �;, - 6 ,sh . 4 P 14 4 m - - "g # OF1HE TOw' g Town of Barnstable t fi ' q, a € O ' ,. VI ' F tf r t 16 . , s: Reg latory Selrv><ces ' 3AItNSTABLE' " r3ss� {• `t ThOil''F.Geiler,DkectOr'' ArF b;pr A`� Building Division ; D f . } Tom Perry;Building Commissioner 206 Main Street Hyannis'MA 02601 ' -1 si ` , s ' ' ,;� x www town barnstable ma`us - , ° . Office` 5058 862 4038; Fax. 508 790-.6230 >. . " yy :- ffi OMEOWNER LICENSE EXEMPTION ' '` ,'a Please Print ° ti DATE: ,` s i .,:_ I r JOBLOCATION 635� l 'l t/U % 1 4, 1t — NG - { number street ,' s " village p x -..q ti jP f •Gr T G 'QD 'l "HOMEOWNER �' ,.brz a )O, E%�/ - O U C��,%d Y name '`° home phone# � F work phone# r t : r .v } / ,,_ CURRENT MAILING ADDRESS: ®3S �Z'I U(I% f"%. NIA I) '' - t ,Q 17G�LV )�L y ±U 1 A, 6� t x .,. city/town'' ; F t`state ,' Zip.code x The current,exempti:oti for"homeowners"was extended to include'owner-occupied dwellings of six units or less and to allow '. homeowners to engage an indtvtdual for hire who does not possess a license,provided that the owner acts as as ` ` t k DEFINITION OF HOMEOWNER r i „ Persons)who owns`a parcel of land on which he/she resides or intends to restde,on which there is,or is intended to be,a one or two I. T.- p, r,, k .. r t t .:. 4:r I family dwelling,attached or.detached structures accessory to sur-Alse and/or farm structures. A:person who constructs more than one,, . home m"a twho yea-r period shall not'be considered a homeowner';Such"homeowner" all submit to the:Butldtrig Official on a form acceptable t. Building Official;;that he/she 'shall be responsible:for all such work ; forined'under the builduig permit (Section 109.1 1) ' x �. s 5. ` The undersigned"homeowner"assumes responsibility for'compliance with the State Building Code and other apphcable`codes, II v bylaws,rules and regulations Y 'r I II Gc )) h`�under tarids th e Town of.Ba-;,,i -ble Bu tldtn �b6 artme nt mtnlmuni ms ectton . The understgped homeowner cerftfies that he/s e s g p p ,, procedures'and requirements and that he/she will comply with satd'procedures and requirements. > s I Ab , gnature of H eowner" i S , a k; ,i Y_'- a r ;p Approval of Building Official t3 # , 5 n I 3¢ ,�, ,, f,�,. k *t o-. § .'f A T 3 p•, f5: � + b�; -.E 3 ,g 'G 1.:. S i` '+ ._ , ' Note Three family dwellings containing 35,000 cubtc feet or larger wtll be requtred to'comply with the State Budding Code Section 127.0 COriSttlletlOn Control y a n3 i.� d i r r k S t ti t o- e ' �t M f : 'ir ' HOMEOWNER'S EXEMPTION � ., M 1, � -: - k� h''n 4X µ. 7 ,3 a a aie P':q, ;;, - 1., a `;'� a , 1 �,. �{ ;,; ; .f The,Code states that "Any homeowner performing work for which a budding permit�s requ�red'shall be exemptl ;t from'th' provis;ons-"of this section(Sect>ion 1091.1 Licensing of coii4ruct"on,Supervisors);provided that if the homeowner . engages a person,(sj for hire to do such work,that suchnHomeowner shall act as supervisor x Many homeowners who ase th><s exemp't�on are unaware that they afre assuming the respon'siAffiiti i 6fFrsipervisor (see Appendix Q,Rales&Wgulatibfis for Licensing Construction Supervisors,Section 2'8) This lack of awareness often-; results in serous:problems,particularlywhen the homeowner hires u.nhcerised persons In th'is"ca"se,our:Board'cannot > proceed against the Unlicensed'person as it would With,licensed Supervisor ,The homeowner acting as,Supervisor is, :` ultimately responsible. y To`ensure that the hotheowner'is fully aware of his/her responsibilities,many communrties require,a$part of theI 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 i amend and adopt such a form/certification for u•se in your community. ' C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\QRE6ZUBmEXPRESS doe . 1. Revised 053012 4 . s �'_ as.� r, _. l.t r 2 c.r.+,s".� ,,s< ,+~, -* ,y, x.,y� P� �, . -. c,_str.s _. ,,1- r. W .o a'��+a.+ ^�! l:f-'- ¢,6§�'i�r•+Pb i f.v;''asA t»:' �,°+r$ ^_V_ w<.. .'.si,r t <..- .e Town of Barnstable *Permit •�6 Expires 6 m onths from issu date Regulatory Services Feed Thomas F.Geiler,Director Building.Division (59[q(a r Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTL4,L ONLY Not Valid ithout Red X-Press Imprint Map/parcel Number 1 �.�� Property Address Sd�c t 1 ► +h 0 �d ark(o II [Residential Value of Work � Minimum fee of$25.00 for work under$6000.00 Owner's Name &Address i a�5 shc�cri c +i l kd Contractor's Name 1'► '� �4�1 �. Telephone Number - q 0 Home Improvement Contractor License#(if applicable) 1 42 V Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance ck one: r PERMIT Ch71 am a sole proprietor _ � 2Q08 ❑ I am the Homeowner S E P ❑ I have Worker's Compensation Insurance TOWN•OF BARNSTABLE. Insurance Company Name Worlman's Comp,Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to ' - ,R ❑Re-roof(not'tripping, Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders: U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other[own department regulations,i.e.Historic,Conservation,elc; ***Note: Property Owner must sign Property Owner Letter of Permission. A copy Home pro ement Contractors License is required.ce z SIGNATURE: Q:Forms:exprntrg Revisc061306 . The Commomvealth of Massachusetts Department of Industrial Accidents Office of Investigations ,.r 600 Washington Street Boston,MA 021II ' www.m ass.gov/dia Workers`Compensation Insurance.Alfdavit: Bu' d il ers. /Contr.actors/Elecfrlclans/Plumb ers Applicant Information Please Print Le 'biv Name(Business/Organization/Individual):. Address: R 0. x31 City/State/Zip: G(D O ` Ph one.#: o Are you an employer. Check the appropriate box: FEc7h - 4 I am a ct(required):1.❑ I am a employer with ❑ general contractor and Amployees {full and/orpart-time).* have hired the stub-contractors nstructionI am a'sole proprietor or partner- listed on the•attached sheet elingship and have no employees, These sub-contractors have tionworking for me in any capacity. employees and have workers'[No workers'comp.insurance comp.insurance.$ additionrequired_] 5. [] we are a corporation and its . ectrcal repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL insurance.required.]t c. 152,.§1(4),and we have no 12' 0, frepairs employees. [No workers' 13.❑ Other conop, insurance requured] •Any applicant that checks box#1 must also fill out the section below showing theirwarkers'compensation policy irrformr$on. t Homeowners who submit this affidavit indicating they arc doing all work and then hire outside contractors must submit a new affidavit indicating such: TU'dntractors that check this box must attached an additional sheet sbowing the name of the sub-contractors and state whether ornotthose entities have employees. If the sub-contractors gave employees,they must pravidt their Workers'comp.policy number, lam an employer that is providing workers'compensation insurance for my employees. Below islhe policy and job site information. Insurance Company Name: Policy#or Self--ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip; Attach a copy of the workers' compensation policy declaration page(showing the policy.number and expiration date),; Failure_to secure coverage as required under Section 25A of MGL 6. 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 maybe forwarded to the Office of Investi ations of the DIA f insu m Vera e verification. 16 he eby certi :rnd r e pa s•an enalties ofperjury that the information provided a ov is true and correct: Signature: �y Date: ` Phone #: g o ' F6. Other only. Do not write in this area Yb be.completed by city or town official n: Permit/License# hority(circle one); Health 2.B1tildingDepartment 3.City/Town Clerk 4,Electrical Inspector S.Plumbing Inspector son; Phone# `- yof�HE, o : Town of Barnstable— Regulator y ervices + lARNSTAKA + ?Ass $ Thomas F. Geiler,Director 41 sd39 AIFD �a Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,Mk 02601 "'w.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508=790-6230 Property Owner MY st Complete and Sign T.la.ls Section If Using A Builder , as Owner of the subject property hereby authorize to act on my behalf, , in all matters relative to work authorized b building permit app4c2tion for: r 1M S� ft(Adsb) DSiKature of Owner Date Print Name Q10PUM S:OWNERPERMIS S ION i . 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 1-24310 One Ashburton Place Rm 1301 Expiration SZ4/2009 Tr# 130873 ' Boston,Ma.02108 _Type _individual James Curley James Curley 287'Fuller Rd. Centerville, MA 02632 Administrator Not valid without re i �• Massachusetts- Department of Puhlic SafetN Board of Building Regulations and Standards Construction'Supervisor Specialty License License: CS SL 99138 Restricted.to RF WS JAMES CURLEY - 287 FULLER ROAD_ CENTERVILLE, MA 02632• I Expiration: 1/28/2012 ('unmiissiuner Tr#: 99138 1 car 01 I p,Y t � ' 1 a- 414, 6 � YYtI.LIAM t S t-i E E.`t" OF Z.- NYE Ala 10334 * � � C Q�t'1FtEt� {�LC>-!r' Pt.A.�-j i LOCAT 77 t CMczT,V=Y T"Ar •r14r-- 5uow. Nr--Z G MF,A co,N Pt qs w t Tt4 t rrc-cLt►r ,4~ -- 41— tzc.G t s'reimc> t.A i�t C7 SU V Ya cZS OS W oT -MAZ Sri o � Q.v►i,.�.E hC sS it.1 t'�iJ? Et.,tT' SUZVC%fApr,/ YU� GFF 3�E+r x1 01aJlYJ arr +- hbT er- UyC;o TG t mrc-e-Mt t_,.ib.tC: I 4'9,,97-,9 Dis f- 4 A/r Sl!ate Y4'r�44 f�'�E f �.�ca.S.to farT©.V y. 4,1�) - .S© $.,4- A Q To T.-L 7"€S7" �'''~/+ry 2f�'�t"/+fs�e', • '3; tr,n.a Tp s 9G.GS ,vV. 70 : c47. t 94.05 ve c '1 7.o o "" 1, coo C-At tNY•= 94.30 Imv. . �i7.0o• SAVOY _ �13A7� 'CRc 33.sd 1, 000 GA1_ UUs^,c VA r I-r E.T� L. O T l 4 �cTToM B 1. -1jr AP�1~ti`c� Tds a /Yn 5,c"gL.a, 1 {C'd t V c.e v 1 �Z -�s 7,741, , �6D1. GAL 4 .� t� H77 PeoPo�c�"� �y,Sr6a r w rca��a ti� �i�d�•� ,, i;; o f O CAJIL WILLIAM / Pt- /a.lj k' LoCATIoI.4 GE:1j 1 GEztz'TiF=�( TNAT" T{-ems 'a��J�aria!Q A RF- —E JGt= t-1�6Z E3 f.J fC>AAPLV4G vj t,ri-i TI-ice �11>�y t_t►,1E= �-�-- ��� A►.ta Vr=QUIV-C-MEJ-AT; O�= w� acGrsr��a >_a.r.co 5vev`�ro�s 'Pt-A" i'3 L.t OT y'>AS lu`C7 �"e�s.:� f:�.�:i ItJr,Y"C'tJfsti tJT' ��Uc;Vr=�{ Tt.tt� cat=c=y T,"� ;3lr�rr�l� APPLAC/- i-1-7 — { t' e� a erro r 10 be r �t N O-r 1-1 �,� _ �0N+4 ?, TSP-.f tsGt. k Assessor's map and lot' number .p .l.g4L.1!U'�- ca /06 i��;- ' ' 7 STATE B EYTEM MUST SEPTIC S _ 7� MPLIANC E Sew INSTALLED,IN ; ........ ..m ARTICLE II T _r ,-,a.NlITAPY CODE AND T(�� °``7"Er TOWN' OF BARX-SrIABLE BASBSTADL$ i o t, �p ` 639. BUILDIH.G INSPECTOR .; APPLICATION FOV PERMIT,_TO 'r.:............... :. TYPE OF CONSTRUCTION ".......................... . ....... ...................................................................................... ! �,!v ...........................19 : . TO..THE-ANSPECTOR OF BUILDINGS: . The undersigned hereby ap/pliies for a permit according to the following information: / Location ...�.().�......1:.4.`?IsLkw�A.....l..G: / .. .. ... .U.���... ..��: .��.r~%! .rK. t�1�........... ...... ProposedUse ........�................... .NC.�=.........!!......-...... .V` ........................................................ ......................... Zoning. District ......................:.....................:......:....................Fire District .....:...'v.��L... .............�......�... .��.�..��: L C— Name of Owner J vs ... ...UiRA.3.(.L.(.�'.........Address ....��.:o. ......1 .. �f�l1C�l L`�'(if! C; •, •j• Nameof Builder ..............SA ........................ .Address .................. .�?r ....................:............. ... .. .... .... Name of Architect ............................................ ........Address `� r Number of Rooms ..................... '...:....:............::........:.........Foundation .......,..... ..U....2�-..�. ....................................... Exterior ...................... r�....... ..............................Roofing ........... 5. GC.....T....................................... Floors �� .1n :........:...................Interior :.......... � 1 �-! .......................... �. . p........ ..©... . l Heating ...........1... k ...:..................................................Plumbing ...........2....Y�C(,�:a'12�t7!!�5 �(}✓L2 IC(�G !?� Fireplace ............ . ........ ..........................Approximate Cost ........A...... .... ... i Definitive Plan Approved.by Planning Board -----------_-_____-----------19-------- . Area ................................� S ' ......... 0� Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 0� I� I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... r `t Tarabelli, Joseph R. w No ,19465 ,Permit for. 1 1/2 story s�iAgle,family dwelling } Location .................... y...i,g..Hill Road..... Centerville ........... n ..........................................ray.................... Owner Joseph. . ..R... ......Tarabelli ; k .. . ......... .... .................... - d ` Type of Construction frame , .......... - .............`. . : ....................... ...#14. ............ e Plot ........................ .. Lot .......... .................... x �, August 3 77 Permit Granted.. ........... .......................19 , g I� a Date,of Inspection , ..r,�........19 Date. Completed ..1./ l/7 .................19 "PERMIT REFUSED .. ................ ............... ..................... 19 ........................ .................. •................................... ...................... ........................................................ .......................`.. ........................... ... ... .. r Approved ................................................ 19 t .................... ........................................................... - tI ` 1 t Assessor's map' and lot number ....:...................................... r � . _ ; 77 Ks Sewage'Permit number .......................................................... � f711ET°�� TOWN OF BARNSTABLE i BARNSTABLE, i ' "6 9• BUILDING INSPECTOR r ,e�,o waY°'• • APPLICATION FOR PERMIT TO ............................................................................................................................. TYPEOF CONSTRUCTION ..................................................................................................................................... .... .! . ... �..............19�1 7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: /— Location .n ..... ..� $..�Rnc .� ..... �, �l( ✓1 (�.... `.���... .. :. /1(T�!2..�,1•(��L........................ y ProposedUse ........(�.L.S.....!�t:J.lC..............- . ,... (....... !... l� ................................................................................. Zoning District ........................................................................Fire District ...................%;C...�......./C........ Name of Owner ) �s /4, 4�, T�R r Address 0 l u C.......... Name of Builder ...............�?.... '....�.`..............................Address .................................................n n. Nameof Architect ................................................:.................Address .................................................................................... Numberof Rooms .....................�'..........................................Foundation .................. v(2!�i................................................. Exterior ...................± ....... .-.�..�.................................Roofing ...........d..5.( G v ...``.......j. ......................... Floors (At1 (?.P < 4 v 0C .......................................................................Interior ..............................................,.. ................................... Heating ...........T.' .�.A..4......................................................Plumbing M (V CI.. .... ..... ... .. ............. ..�..C...�n..9../. Fireplace ............ ........ ......rq.. .......................-Approximate Cost .........�....���r la!�/1 a L ....... ................... Definitive Plan Approved by Planning Board ---------------____-----------19________. Area ...................................... r� Diagram of Lot and Building with Dimensions Fee ..........l: Z........................ SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....A. ... ..............................�.... Tarabelli, Joseph R. A=1-9�—Z& No ., �9465 permit for 1 1/2 story `single family dwelling ........................................................................ ...... ,hoot Flying Hill oa Location ................................................. ...... ....... Centerville Owner Joseph R. Tarabelli . Type of Construction ..............frame Plot Lot ..............................#14 Auau4lt 3 77 Permit Granted .... 19 Date of Inspection'..(... .......................19 Date Completed .... ..............................19 PERMIT REFUSED .......................................)...................... 19 .......... ................r...... ... . ;e...........' ....... ..........o.......... .........� ... ........... ......................... . ....... . ................................... ............................................................................... Approved ................................................ 19 ............................................................................... x t►,E Town of Barnstable *Permit# � Expires 6 monthsJrom issue date— Regulatory Services Fee - s�RxsrAs[S M"SS& Thomas F.Geiler,Director Building Division s � _ Tom Perry,CBO, Building Commissioner R� ps' a 200 Main Street,Hyannis,MA 02601 -i r; www.town.bamstable.ma.us 0� iiN Office: 508-862-4038 t r�ac 5-00 i79.0-6,230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY ` LE Not Valid without Red X-Press Imprint ; Map/parcel Number Property Address X Residential 'Value.of Work% M, t� Minimum fee of$.35.00 for work under$6000.00 Owner's Name&Address ���k'f� t, �daUl Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) F- Workman's Compensation Insurance M Check one: �.I am a sole proprietor I am the Homeowner I have Worker's Compensation Insurance Insurance.Company Name Workman's'Comp.Policy Copy.of Insurance Compl ance Certificate must accompany each permit. Permit Request(check box) j ❑,$e-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to F Re-roof(hurricane nailed)(not_stripping. Going over existing layers of roof) ❑ Re-side #of doors _ e ] Replacement Windows/doors/sliders..U-Value 11 (maximum .3 #ofwindows.. '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 1. required. _7 SIGNAT>}RE: C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 . The Commonwealth o Massachusetts f t I Department of Industrial Accidents Office of Investigations 600 Washington Street 16 v Boston,,MA 02111 t www.mass.gov/did Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. Applicant Information Please Print Leuibly Name (Business/Organization/Individual): F Address: City/State/Zip: C'�Map.,,,k\0 .O,)4,9 Phone #: �6 f3 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. .0;New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. $ 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9" ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its officers have exercised their 10.❑ Electrical repairs or additions required.] 3.N I am a homeowner doing all work right of exemption per MGL 1 I.[] Plumbing repairs or additions myself"[No workers' comp. c. 152, §1(4), and we have no 12.❑ Roof repairs, insurance required.] t employees. [No workers' comp:'insurance required.] 13.❑ Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as,well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the.DIA for:insurance coverage verification. I do hereby certify under the pains andpenalties of perjury that the information provided above is true and correct Si ature: '� Date: w� Phone Official use only. Do not write in this area, to be completed by.city or town official City or Town: Perm it/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: a .T Town of Barnstable Regulatory Services ' STAB Thomas F.Geiler,Director 16 . h� Building Division f0 MA't Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Officer 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE:_ �o� 0 )/�e 1 / j? JOB LOCATION: i) Sb07 ���1/� �-% ��► `��! number treet village G� .HOMEOWNER": 1 J�Lg;�:&,)A% name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners'was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed"under the building permit..(Section 1041:1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws;rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection _ pro cedures and requirements and that he/she will comply with said procedures and requirements. J omeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious°problems,particularly when the homeowner hire's 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 caret amend and adopt such a form/certification for use in your community. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\DDV87AAZ\EXPRESS.doe Revised 072110 s IMPORTANT ANY CONSTRUCTION THAT INCREASES LIVING SPACE 4•, (�� ! . v / �C BEYOND 1200 SQ. FT. PER LEVEL MAY REQUIRE THE �•�mob• Z•J INSTALLATION OF .ADDITIONAL SMOKE DETECTORS. NOTE:`A SEPARATE PERMIT IS REQUIRED FOR THE l i L 4/J INSTALLATION OF SMOKE DETECTORS-THE ELECTRICAL PERMIT.DOES NOT SATISFY THIS REQUIREMENT. gt'��Hr • ,,,� - rS�. t7t. SINOK Du"ORS RE �IE�V�� �� r tit .C�1� d ax��I /6 4tLt l wfLDIN2 EPT. DATE `,� /� N�• FIRE t$:�-=r,iT`:EN7 DATE 'Flog ,. �� �.N� BOTH SIGNATU-. . '�`r'E�`U1RED FOR PERMITI7NG /��L7V R6cK `� o�• RD®� x� �., w - . • i ?IS+) opt* I-C) AloVa- C,ot4rAQ ,Jnor4S 'iac,l�, QX S•�,' _ _ II_ - -T'� moo. >�►cw a viol,T �, I A-�� }� .., -.� �' ot*lb &ilk ' P 50D �I RT . rl►�r'' ~ • �� X g" CflNwt,C aN.S Za &TYYE• .....__ will � :� , r:., ( � con IOW �X f I I N� � .._... ......_.. cnaa O► �, { New 696 _ ......_. _.... .�..�...r�..:...._.�....�,.__�..� 2 dry o.G. CORAWN BY gflu cr►t[, &ACILIL w1m, 11 RWMD N LLibso r-j Sim So 'Ti Qs • o be �,,�a ct t'1 C Q��✓�' I�SfA(led 1P.+MRA 1uclvdl xK©""' ry / Poet a w Sao 54t,nr, `-� SI•,¢o.` w,,.�da f;,�mil►aa. �I �'J IZIL o� 9 WAi t OPCNIN_ 7. ~rt ! '" �•OV� b 5�'�" �d�� o� N d h-E-i o�..� .--�( a,�• x �o� Fes, C 1 ( �w�1 60"1 w,54- 'EI a v Q+; o NJ a„ _.. .. .►I i' T cw or 7i 5 / ✓�NTLL,q-Tl ea 1 1 - _ �a,,A� a ss 'jZ C,eo-V L SPM I ' col+ 7 c. �2 I 3� ax I o Ole, r II00 I , New #r"r/X14S i - MA Ki4v�ZX ol A 1 1 - . 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S- oL44 , O G ErCD'1b Ass (v �,f7 u-vow as 1 w'"dd' -boa Y � � � �s�I�o-�" � �.3�� ��.�,..�a� h..`�aU:.�` Ate► most L�J��l..c..: o'�'� t �'rQ►,�r�t. �1a3 j��GK � ��� vG �"Kl�-�f�t01�, �� - c��?� �o � �•c��s41�2.uC..�notJ �? -ot� R'�1 Kf�j41�-'1` WALLS, CiPl A U-�IA1uQ E*�s�, C, 30 /Vew 6"Y6W00 llry-yp)l 000 �OCaR.S � / p1M I t4 New Y6 13o Leav It. watt % 4 „2,'�c I el fR7' Col-► 0 pap 1 N `__.. toss � �' '11 �1�, ! 719 3C*�--- OCALO: --' q DRAWN Or A�aRovao®r: 1 � DATE REVISED F`W' �1 SCAM DRAWING NUMOER Qel V 36 36 ZONING: RC PROPOSED EXISTING ZONING: RD-1 PROPOSED EXISTING REQUIRED ADDITION DWELLING REQUIRED ADDITION DWELLING FRONT SETBACK= 20'MIN. 122.9' 99.9' FRONT SETBACK= 30'MIN. 122.9' 99.9' SIDE SETBACK= 10'MIN. 19.0' 17.6' SIDE SETBACK= 10'MIN. 19.0' 17.6' REAR SETBACK= 10'MIN. 154.1' 154.9' REAR SETBACK= 10'MIN. 154.1' 154.9' BUILDING HEIGHT= 30'MAX. <30' <30' BUILDING HEIGHT= 30'MAX. <30' <30' xI� a MAP 191 v PARCEL 29 0:o a Z.Z z z , N:N S84032-20-E 306.13' MAP 191 154.r o PARCEL 95 °' I `° w - Co 30.0' N o _ I 9.9' 2 154.9' I PROPOSED 122.9 i ADDITION GARAGE MAP 191 i PARCEL 235 I #1035 � � 0 3Q913 SFt EXISTING O �- MAP 191 4 BEDROOM a � J i :� DWELLING 0 0 0 2 v o 0c5 Zca A a co — a a J LL ' o ......... .: p O S84°32'20-E O 312.09, - MAP 191 PARCEL 28 EXISTING SEPTIC TANK EXISTING THREE 500-GAL INFILTRATION CHAMBERS NOTES: PLOT PLAN OF LAND 1.) OWNER OF RECORD: CONSTANCE M. LAHEY& AT DEBRA 1035SH . B°ULAY 1035 SHOOTFLYING HILL ROAD 1035 SHOOTFLYING HILL ROAD CENTERVILLE, MA 02632 1 hereby certify that the lot comers,dimensions,and setbacks E N T E RV I L L E MA 02632 to the proposed addition as shown on this plan are correct and , 2.) DEED REFERENCE: L.C.C. 183901 were based on a field instrument survey. Conformance to the Town of Barnstable By-Laws and Regulations shall be PREPARED FOR: 3.) PLAN REFERENCE: L.C. PLAN#24654-A determined by the Zoning Enforcement Agent. CONSTANC,E M. LAHEY& DEBRA A. BOULAY 4.) PROPERTY IS LOCATED WITHIN THE RESOURCE PROTECTIONsg4 OVERLAY DISTRICT. '` ti ti� PREPARED BY: 5.) A REVIEW OF FLOOD INSURANCE RATE MAP COMMUNITY PANEL J JOHN L. JC ENGINEERING, INC. GRAPHIC SCALE CHURcyii_1 JR. r NUMBER 250001 0015 C DATED 8-19-85 HAS BEEN CONDUCTED No.48 66 2854 CRANBERRY HIGHWAY AND TO THE BEST OF MY INTERPRETATION, THIS DWELLING IS IN 20 0 10 20 40 80 �s, Ii FLOOD ZONE C AND IS NOT LOCATED WITHIN A SPECIAL FLOOD ' HAZARD ZONE 's �`� --'EAST �I'ARE HAM, MA 02538 L + ( IN FEET ) 'ghel .. 1 inch = 20 ft Date Professional Land Surveyor SCALE: 1" = 20' AUGUST 10, 2012 #274A ZONING: RC "AS-BUILT" EXISTING ZONING: RD-1 "AS-BUILT" EXISTING REQUIRED FOUNDATION DWELLING REQUIRED FOUNDATION DWELLING FRONT SETBACK= 20'MIN. - 99.9' FRONT SETBACK= 30'MIN. - 99.9' SIDE SETBACK= 10'MIN. 18.4' 17.6' SIDE SETBACK= 10'MIN. 18.4' 17.6' REAR SETBACK 10'MIN. 152.8' 154.9' REAR SETBACK= 10'MIN. 152.8' 154.9' BUILDING HEIGHT= 30'MAX. - <30' BUILDING HEIGHT= 30'MAX. - <30' I� co II . 11 MAP 191 PARCEL 29 �]![� a ZIZ 00 I� N.N S84032-20"E , 306.13' MAP 191 152.8' PARCEL 95 °D CO 60 30.0' . i _ o _ I 9.9. Z co "AS-BUILT" .FOUNDATION GARAGE i MAP 191 1.3' PARCEL 235 = Q #1035 U 0 - 30,913 SFt EXISTING a MAP 191 4 BEDROOM 3 J Q i .I DWELLING o PARCEL 94 i a o >' L EL 0 0 ------------- o 0O S84°3220"E 312.09' i .. MAP 191 PARCEL 28 EXISTING SEPTIC TANK EXISTING THREE 500-GAL INFILTRATION CHAMBERS FOUNDATION "AS-BUILT" NOTES: 1.) OWNER OF RECORD: CONSTANCE M.LAHEY& AT DEBRA A. BOULAY I hereby certify that the lot comers,dimensions, 1035 SHOOTFLYI N G HILL ROAD 1035 SHOOTFLYING HILL ROAD elevations and setbacks to the existing foundation as CENTERVILLE, MA 02632 shown on this plan are correct and conforming to the Town 2.) DEED REFERENCE: L.C.C. 183901 of Barnstable By-Laws and Regulations. CENTERVILLE, MA 02632 3.) PLAN REFERENCE: L.C. PLAN#24654 A PREPARED FOR: ^F CONSTANCE M. LAHEY & DEBRA A. BOULAY 4.) PROPERTY IS LOCATED WITHIN THE RESOURCE PROTECTION OVERLAY DISTRICT. PREPARED BY: 5.) A REVIEW OF FLOOD INSURANCE RATE MAP COMMUNITY PANEL JOHN L. GRAPHIC SCALE c" ci�l NUMBER 250001 0015 C DATED 8-19-85 HAS BEEN CONDUCTED � ass JC ENGINEERING, INC. R. o AND TO THE BEST OF MY INTERPRETATION, THIS DWELLING IS IN 20 0 10 20 40 80 F 2854 CRANBERRY HIGHWAY FLOOD ZONE C AND IS NOT LOCATED WITHIN A SPECIAL FLOOD10 s cL T EAST WAREHAM MA 02538 HAZARD ZONE. , IN FED ) 9h�1lz- I inch = 2'0 ft Date Professional Lan urveyor SCALE: 1" — 20' SEPTEMBER 13, 2012 #274A TOP OF FOUNDATION = 56.02' PROVIDE PRECAST CONCRETE EXTENSION 5" DIA. OUTLET(S) FINISH GRADE OVER CHAMBERS = 50.40' - 49.70' GENERAL NOTES RISER AND COVER TO WITHIN 6" OF FINISHED REMOVABLE COVER SLOPE @ 2% MIN. OVER SYSTEM XZ GRADE OVER OUTLET ' 4" SCHEDULE 40 PVC MIN SLOPE 1% 3/4" TO 1-1/2" DOUBLE WASHED STONE TO CROWN OF PIPE FINISH GRADE OVER D-BOX= 50.40 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION FINISH GRADE @ FND. EL.= 54.50" FINISH GRADE OVER TANK EL.= 53.60' - 54.20' 2" OF 1/8" TO 1/2" DOUBLE WASHED STONE - METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL CODE AND ANY APPLICABLE LOCAL RULES. 20"MIN. ACCESS COVER TOP OF SAS = 49.1 1' PLACE RISERS ON ALL CHAMBERS (TYPICAL FOR 3) 36"MAX. 9" MIN. TO 6" OF FINISHED GRADE 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD EXISTING 4" /// _ 48.28' 36" MAX. BREAKOUT EL - 48.78' OF HEALTH AND THE DESIGN ENGINEER. PVC PIPE 3. 4" SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL 6„ 3„ 2" DROP MIN. 9„ PROVIDE WATERTIGHT BE USED IN DISPOSAL SYSTEM UNLESS OTHERWISE NOTED. 3" DROP MAX. 3 JOINTS (TYP.) o0000 0 0 0 0 4" PVC IN FROM O o O �� 4. TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE LESS THAN SEPTIC TANK 4" PVC OUT TO o00 0 0o ELEVATION = 48.78' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS 51 28' 14" 51 08 LEACHING FACILITY T oo o0 0 C� oo A 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF 1 (CONTRACTOR oo L THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. (CONTRACTOR I SHALL VERIFY) 612" Qo SHALL VERIFY) 48.53' MIN. J74 ' 2 0 0 0 0 0 00 0 0 0 C� o0 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. CONTRACTOR TO VERIFY 48" OUTLET TEE 8 36 (DC) CDC:) c� EXISTING SIZE OF TANK AND - - "- o0 0 0 �� o0 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. 0 0 6' CRUSHED STONE o 0 0 10.0' EXISTING TEES 22"ZABEL FILTER OVER MECHANICALLY o o _ VARIES MODEL#A1801 HIP COMPACTED BASE 4 7. LOCAL BOARD OF HEALTH TO BE NOTIFIED (GAS BAFFLE ON 8.5 4' 4' PRIOR TO BACK FILLING WHEN SYSTEM IS NEARLY COMPLETE AND BOTTOM) 5 33.5' 4.9 �� READY FOR INSPECTION. SYSTEM IS NOT TO BE BACK FILLED OUTLET DISTRIBUTION BOX � (TYP.) WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH. TO BE INSTALLED ON A LEVEL STABLE < 12.9' - `` BASE. FIRST TWO FEET OF OUTLET 46.28' GROUND WATER ELEV.= EXISTING 1000„GALLON CONCRETE SEPTIC TANK PIPES TO BE LAID LEVEL. 3 - 500 GAL. CHI 5' MIN. ` LENGTH 8 6 WIDTH 4�_ DEPTH 5 7 8. ELEVATIONS BASED ON ASSUMED DATUM OF 50.0'MSL OBTAINED CROSS SECTION VIEW FROM NAIL IN POST AS SHOWN ON PLAN. SEPTIC TANK PROFILE DISTRIBUTION X DETAIL TYPICAL CHAMBER PROFILE CHAMBER DETAILS CHAMBER END VIEW 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION ` NOT TO SCALE NOT TO SCALE NOT TO SCALE THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES TO THE DESIGN ENGINEER. TEST PIT DATA 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONCRETE o- STRUCTURES SHALL BE MADE WATERTIGHT. INSPECTOR: SOIL EVALUATOR: Samuel Philos Jensen ; 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR � m ' k _ L DATE: Au ust 26. 2002 ZONING REGULATIONS. OWNER/APPLICANT IS TO OBTAIN g SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. A t F TEST PIT#: 1 N. I w 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS ELEV TOP = 50.48' „ f t LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND H-20 LOADING. ELEV WATER= >11' BGS M 0,0 PERC RATE = < 2 Min/In (Assumed) 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND w. E {u� a FINES. CB/FND pt urn r�r DEPTH OF PERC= N.A. f d 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND .� � TEXTURAL CLASS: 1 UNSUITABLE MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). 1 , �►' „ 0 50.48' Loam Sand y 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. 4„ 50.15' a, E MAP 191, PARCEL 029 ' "' 16. PROPOSED PROJECT IS LOCATED WITHIN: N/F DUNNETT � . k fig' °" � B Loamy Sand ASSESSORS MAP 191 PARCEL 235 1 CY R 5/8 0 Ilk, r 28" 48.15' 17. OWNER OF RECORD: NARDONE, ROSAMOND C el" � M ;G ADDRESS: PO BOX 732 101 EAST OCEAN DRIVE#403 Catch Basin j � C_wl " s Elev. - 50.00' W � ' KEY COLONY BEACH, FL 33051 EXTERIOR LIGHTS - � , ';' Me ' S�nrl CONTRACTOR TO VERIFY Assumed C 1 CYR 5/6 118. LAND COURT PLAN REFERENCE: 24654A (SHEET 2) S84° a LOCATION OF BURIED POWER � k 32'20'E P'y 306.13' --- '"' '°'' a- � a 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. No Groundwater 20 PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY LOCUS PLAN Encountered 132" 39.5' FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. SCALE: 1" = 1000' EXISTING GARAGE DESIGN DATA fr Lt1y . o co DECK ""."m'�°°.a N�;' LEGEND is r , ; _ 50 EXISTING SPOT GRADES � `- MAP 191, PARCEL 235 . HSE #1035 .I � � �t x 30,913 SF± ,u �q - - 50 EXISTING CONTOUR -- r �' - NUMBER OF BEDROOMS EXISTING 4F µ .. ,,.uM..•. 4 50 PROPOSED SPOT GRADES BEDROOM NUMBER OF PERSONS 4 DWELLING "` ~~ ~ 4 r� PROPOSED CONTOUR DESIGN FLOW 110 GAUDAY/BEDROOM TOTAL DESIGN FLOW 440 GAL/DAY - EITIC EXISTING ELECTRICAL UTILITIES TOF = 56.02' 0"I'll 1w a TP 1 4 DESIGN FLOW X 200 % 880 GAL/DAY G EXISTING GAS LINE USE EXISTING 1000-GALLON SEPTIC TANK EXISTING WATER LINE I tt 0 0 TEST PIT LOCATION CD`="== -= `_ . o Q INSTALL 3- 500 GAL. CHAMBERS EXISTING SEPTIC TANK S84°32'20"E = ` SIDEWALL CAPACITY 312.09' 14. _j 4" SOLID SCHEDULE 40 PVC PIPE ;. .J a� (LENGTH + WIDTH) (2) (2' HIGH) (.74 GPD/S.F.) = GAL/DAY t] DISTRIBUTION BOX (33.5' +12.9') (2) (2') (0.74 GPD/S.F.)= 137.3 GAL/DAY O ® 500 GAL. LEACHING CHAMBER DISTRIBUTION Z BOTTOM CAPACITY PUMP EXISTING LEACHING PITJ BOX AND FILL WITH CLEAN SAND o J ( LENGTH x WIDTH ) (.74 GPD/S.F.) = GAUDAY 1 9/26/02 JLC JLC NAME AND DRIVE INSTALL THREE 500-GAL L (33.5'x12.9') (.74 GPD/S.F.) = 319.8 GAL/DAY REV. DATE BY APP'D. DESCRIPTION MAP 191, PARCEL026 INFILTRATION CHAMBERS 0 PROPOSED SEPTIC SYSTEM UPGRADE N/F WILKINS O TOTALS: PREPARED FOR: = MARC & DEBRA BOULAY TOTAL NUMBER OF CHAMBERS: 3 _. TOTAL LEACHING AREA: 617.7 SQ.FT. LOCATED AT TOTAL LEACHING CAPACITY: 457.1 GAL./DAY { 1035 SHOOTFLYING HILL ROAD 1 CENTERVILLE, MA 02632 SCALE: 1 INCH = 20 FT. DATE: SEPTEMBER 16, 2002 0 10 20 40 80 FEET SH OF y _ ��° JOFiN °m PREPARED BY: o CHURCHILL JR. JC ENGINEERING, INC. CIVIL � No 418G7 ( 5 ROUNDHILL BLVD. �o EAST WAREHAM, MA 02538 SITE PLAN _ 508.2.73 0377 ___________ __ _ ____ -____ ____.. Drawn By: SPJ Designed By: SPJ Checked By: JLC JOB No.274 SCALE: 1"=20' � _-._-�L�__.-...._ tSr � s4q in � r � 9 • k u q )Uom �s �1 Ace �g } ATE`- �tc�ov RSc, CXf 34+�Q"�f►�►.. ,., , R sin NSCy 15,41 +ems f N3-L LJ �k �'; -rap 4, Z C-JF:4 SA*M PA t r r1} StS O scxe; t cr a..w.wr..= owe sr AB