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Left Side Elevation
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- - DEPHTKERT OF PUBLIC SUETY
CORSTRUCPIOB SUPERVISOR LICEFSB
Rumber: Expires:
Restricted To: 00
Gas..,►X ��c� I.
BRIAR P DACEY
62 FERRBROOK LR
CERIERVILLE, KA 02632
-.c COMMONWEALTH OF MASSACHUSET'TS
P DEFA F 'ME1�'T OF LNDUST�tIAL ACCIDEN•IS
600 WASHINGTON STREET
.lames Car- ,)Del: BOSTON, MAS,SACHUSETTS 02111
�ornrtrssrone• WORKERS' COMPENSATION INSURANCE AFFIDAVIT
(licensee/permitrec) .
with a principal place of business/residence ar-
U,2 G 3 a
(Ciry/Smte0p)
do hereby certify, under the pains and penalties of perjury,Char.
[) 1 am an employer providing the following workers' compensation cov=ge for my employer working on this
job.
9&?,r A,,w /-7
Insurance Company Policy Number
O 1 am a sole proprictor and have no one working for me.
[ ) 1 am a sole proprietor, ncral contraor r homeowner (circle one) and have hired the contraorl listed below
who have the following :vor ers compensation insurance politics: --------------------------
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Name of Conrraor Insurance Company/Policy Number
Name of Conrmc:or Insurance Company/Policy Number
Name of Conrra=or Insurance Company/Policy Number
0 1 am a homeowner Pc:-forming all the work myself.
NOTE Please 6e awtic twat while homeownen who CmoloV persons to do malntenancc. construction or rrpairroric on a
6-shine of not rnorc LnaL M. rcc umu to wntcb Lnc homeowner alto rujou or on the Frour)6 appurtenal]t thcreto arc not [enerasl 1'
considered to be cr_oiovcn unorr the "QC'oriccn' Comocnsauon Act (GL C 152.sect. 1(5)). appiieation l-v a homeowner for it iscra-
or permit may cvtccocc the iepi sunu of an cmpiovcr under the Worken' Compensation Act
1 undcncind :is:t : copy of ties stitt-:rnt will Ix forwaracd to tilt Dcoar-rscnc of Industrial Acadcna' Ofncr nt lnsumnQ Fot
wr.:t:::ton ant :ia: :aiiurc to sccurc co crare as rceuirce under Seenon _'5A of 1dGL I;: can leas to the imooyrion of eri iaai ?�due'
mnstsone of : itnc of uc to SI 500.00 anc or impruonmcni of up to one N1 and avu pcnairics in the form o•'a Stop Q"iorx Orne- ant a
finc.of SI00.C-v a d:v qa:ns: mc. s
SUBCONTRACTOR'S INSURANCE
ENGINEEER:
BAXTER & NYE ENG: (L) FIREMENS FUND - S30MXX80564866
(W) LIBERTY MUTUAL - WC1312595563023
WELLER & ASSOC: (L) NAT'L GRANGE MUT.- MSP45246
EXCAVATION & SEPTIC:
ROBERT J. OUR (L) U S F & G - 1MP30109550901
(W) U S F & G - 771521695
DECO CONSTRUCTION (L) TRAVELERS 660364K8342
(W) LIBERTY MUTUAL - 312446298044
FOUNDATION:
BAYSIDE FOUNDATIONS: (L) COMMERCIAL UNION - ABR406267
(W) LIBERTY MUTUAL - WC1312201785044
WELLS:
DENNIS SCANNELL (L) TRAVELERS - 660873E5627COF92
(W) WAUSAU 151300062926
CELLAR/GARAGE FLOORS:
MICHAEL BROWN: (L) AETNA - MP0023672849
FRAMERS:
ROBERT DORRER: (L) TRAVELERS - W680526K991.TIA9
(W) AETNA 006C0023972416C
MICHAEL DUFFLEY: (L) COMMERCIAL UNION - NBF821356
(W) LIBERTY MUTUAL - WC1312492127024
MASON:
SHERMAN, WAYNE: (L) COMMERCE INS CO - N60689.
(W) WAUSAU INS TO BE ASSIGNED
ELECTRICIAN:
CHAVES ELECTRIC: (L) HANOVER INS. - LHN2964649
(W) MISCELLANEOUS INS CO. - 0708878 91 1
PLUMB & HEAT:
WHITELY PLUMBING: (L) TRAVELERS - 660365K1782COF9
(W) EASTERN CASUALTY - POLICY IN MAIL
ALARM SYSTEM:
BALTIC SECURITY: (L) FIRST FINANCIAL - FF0131 G400831
(W) COMMERCIAL UNION - CB0743379
CENTRAL VAC:
VACUUM HOUSE: MERRIMACK MUTUAL - SBP1608045
'a
INSULATION:
MAP INSULATION: (L) AMERICAN STATES - 02CC326435-3
(W) U S F & G - 7711099932
SHEETROCK:
MEL REED: (L) WORCESTER INS - CB817530
(W) COMMERCIAL UNION - CBH557387
INTERIOR TRIM:
DAVID'S REMODELING: (L) COMMERCIAL UNION - NB F821442
M & R CARPENTRY (L) MARYLAND INS. GRP- SCP30235965
(W) CIGNA PROP & CAS.- C80049997
OAK INSTALLER:
ROBERT BUDDEN: (L) NORTHERN ASSUR. - NBF528652
PAINTING:
CAMPBELL PAINTING: (L) TRAVELERS - 1680251K4083COF
(W) AMERICAN POLICY - WCC 186604
GARAGE DOORS:
ALL CAPE GARAGE DOOR: (L) U S F & G - BSC14667590301
(W) COMMERCIAL UNION - CBH573757
STORMS & GUTTERS:
ALUMINUM PRODUCTS: (L) AETNA - MPOO21014146
(W) AETNA - JC89258880
OAK FINISHER:
AMERICAN FLOORS: (L)' TRAVELERS - 680 342W754-0
CARPET, VINYL & TILE:
CARPET BARN.: - (L) VERMONT MUTUAL - SBP6507393
(W) PHOENIX INS. - 6NUB476J652794
TILE INSTALLER:
TONY AVERINOS: (L) ASSURRANCE CO. - CFP26528977
(W) HARTFORD FIRE - 77WZCY2409
WIRE SHELVING:
CAPE COD CLOSETS: (L) U S F & G - BSC146983441
APPLIANCES:
KITCHEN APPL MART: (L) FIREMENS FUND - AZC80453098 -
(W) HARTFORD INS CO - 77WZNB1603
MIRRORS & SHOWER DOORS:
L & M GLASS: (L) COMMERCIAL UNION - CBR409003
(W) U S F & G - 0071439933
LANDSCAPE & SPRINKLER:
COY'S _BROOK: (L) COMMERCIAL UNION - ABR345850
DRIVEWAYS: (W) CIGNA COMPANIES - C41138178
NORTHERN SEALCOAT: (L) MARYLAND CASUALTY- EPA18716945
(W) THE PHOENIX - UB387K530
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Western Surety Company
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F LICENSE AND PERMIT BOND
F For County,City,Town or Village Only-Not Valid for Bonds Required by the State. Not Valid for Contract, ;
a Performance,Maintenance,Subdivision,Agent to Sell Hunting and Fishing Licenses or Utility Guarantee Bond. '
KNOW ALL MEN BY THESE PRESENTS: BOND No. L & P-4 27 7 0 7 9 4
G
G That we, Bayside Building . Inc . y
of the Village of Centerville , State of Massachusetts , as Principal,
and WESTERN SURETY COMPANY, a corporation duly licensed to do business in the State °
of Massachusetts as Surety, are held and firmly bound unto the
Town of Barnstable - State of 1�a s s a c h u s e t t s , Obligee, in the amount
(Valid only when a County,City,Town or Village is named as Obligee)
of Six hundred and 0:0/100********************* DOLLARS ($600. 00*,*
(NOT VALID FOR MORE THAN$25,000)
lawful money of the United States, to be paid to the said Obligee, for which payment well and truly to be
made, we bind ourselves and our legal representatives,jointly and severally.
THE CONDITION OF THIS OBLIGATION IS SUCH, That whereas, the Principal has been
licensed to construct a single. family, frame dwelling at 90 Crystal Ridge
Drive, Cotuit , MA 02635 150 feet, frontage by the Obligee.
NOW THEREFORE, if the Principal shall faithfully perform the duties and comply with the laws and
ordin S110,=lnst ing all amendments), pertaining to the license or permit, then this obligation to be void,
ot �.to'mxgrr a. in full force and effect for a period commencing on the 6 t h day of
�4Je.m �''• �''�� 1997 and ending on the 6 t h day
19 9 8
—, , unless renewed by continuation certificate.
WTRns bond m 3.l terminated at any time by the Surety upon sending notice in writing to the Obligee
o ee�P,,ix cip r4n care of the Obligee or at such other address as the Surety deems reasonable, and
a , expp r tiota'p �fhirty-five (35) days from the mailing of notice or as soon thereafter as permitted by
apa' ltwchever is later, this bond shall terminate and the Surety shall be relieved from any
liabili°ty:e ubsequent acts or omissions of the Principal.
Dated this 6 t h day of June 1997
Principal
Principal
G Countersigned W E S T E S U T Y O M P A N Y
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By By
Resident Agent President
STATE 0 SOUTH DAKO A ACKNOWLEDGMENT OFOURE
F County o innehaha ss (Corporate Officer)
On this day of , before me, the undersigne r, personally
appeared Joe P. Kirby , who acknowledged himself to be the aforesaid officer of WESTERN
SURETY COMPANY, a corporation, and that he as such officer, being authorized so to do, executed the
foregoing instrument for the purpose therein contained, by signing the name of the corporation by himself
y
r as such officer. ,
R IN WITNESS WHEREOF, I have hereunto set my hand and official seal.
ry +fijc744(.-.4 i4i;f;C�4VG4n4;.�siGG44+ C y
S.BARNES d '
�$ NOTARY PUBLIC sF Notary Public, South Dakota
r SOUTH DAKOTA C
Western Surety Company ;
4 My Commission Expires 1-22-99
r Form 849-A—2-95 y' � + 1-605-336-0850 ,
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ACKNOWLEDGMENT OF PRINCIPAL
F
(Individual or Partners)
F STATE OF
ss ,
F County of
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} On this day of ,before me personally appeared
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known to me to be the individual_ described in and who executed the foregoing instrument and
F acknowledged to me that—he_ executed the same. u
My commission expires
Notary Public
ACKNOWLEDGMENT OF PRINCIPAL
(Corporate Officer)
STATE OF
ss
County of
On this day of ,before me,
personally appeared , who acknowledged himself to be the
of , a corporation,
and that he as such officer being authorized so. to do, executed the foregoing instrument for the pur-
poses therein contained by signing the.name of the corporation by himself as such officer.
My commission expires
Notary Public
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Engineering Dept. (3rd floor) Map 56 Parcel ®0,9 0 ,fit a I Permit 4
House# go -V-e— Date Issued
Board of Health(3rd floor)`(8:15 -9:30/1:00-4:30) 9 7— 04 Fee ` 3 7 q
Conservation Office.(4th floor)(8:30-9:30/1:00-2:00) ! 6
Planning Dept.(1st floor/School Admin. Bldg.) SEPTIC SYSTE ST BE
NST�LLEDI NCE
Defi ' ' Ian Approved by Planning Board j�g � Q � KITH ;
/H�.. r 4 - ► LO l0 M ALE •., tr''41�Y�9? ?�I°9-JIR®N EN' L,€ ,
TOWN OF,BARNSTABLE--P;P°-0 r,!77,.
Building Permit Application 4R `'`,-
Project StreetAddress ?0 CCU LOB /S�
Village co f
Owner /�C" 1�iA Q2LC Address
Telephone 7-71' (®V/)
Permit Request _76 a Azzie 4
First Floor 55CA square feet Second Floor 6 Z0-2, square feet
Construction Type U20 4i5ldpw
Estimated Project Cost $ lo?A 3.�-D
Zoning District g F Flood Plain C Water Protection 6 P
Lot Size q 3 1 (P 7l Grandfathered ❑Yes ❑No
Dwelling Type: Single Family 2"' Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House ❑Yes 3<o On Old King's Highway ❑Yes YNNo
Basement Type: Wf ull ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) JSb�
Number of Baths: Full: Existing New Half: Existing New /l//
a
No. of Bedrooms: Existing New —3
Total Room Count(not including baths): Existing New `7 First Floor Room Count
Heat Type and Fuel: E Gas ❑Oil ❑Electric ❑Other 6
Central Air ❑Yes 51,90 Fireplaces: Existing New / Existing wood/coal stove ❑Yes A-Go
Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size)
❑Attached(size) A(G� ��j r}� ❑Barn(size)
❑None ❑Shed(size)
` ❑Other(size)
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes & o If yes, site plan review# -
Current Use VOL44 Proposed Use
Builder Information
Name /- PMC Telephone Number 7Z1—M`V
Address 13D y 9-5 License# 00 5-6 0—
Home Improvement Contractor#
Worker's Compensation#we( v 0,9o1-0 17 FD 13
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE (oAl-ci
BUILDING PERMIT DENIED FORK T OLLOWING REASON(S)
FOR OFFICIAL USE ONLY
z.
PERMIT NO. 1300 Z/ '
DATE ISSUED
MAP/PARCEL NO. -
ADDRESS VILLAGE
OWNER ,*
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DATE OF INSPECTION: -
FOUNDATION
FRAME l j
INSULATION -
FIREPLACE . -22 ^
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL-.
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED'OUT.
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ASSOCIATION PLAN NO.
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September 9, 1997
Town of Barnstable
Building Department
367 Main Street
Hyannis, MA 02601
Attached is a copy of a plot plan showing the location of the house Bayside Building Co.
is constructing for my wife and I on lot 15, Crystal Ridge Rd, Cotuit. I have indicated on
the plan the approximate location of a tool house that will be installed by Pine Harbor
Products late September or October. The building will be 8'X10',even pitched roof, and
will be shingled front and sides. I have indicated the approximate distances from near
property lines to the tool house.
Sincerely,
Warren H. Ringer, PE
90 Crystal Ridge Rd
Cotuit, MA 02635
7. 199� 9:51Ar SP'r:)1 LE BUILDING C0.5067750155
No.a2" P.2. 3
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CERTIFIED PLOT PLAN
FOR 4 .
LOT 15 CRYSTAL RIDGE RD.,Co X-U
LC'P#23747 R
PRYPARZD FOR
BAYSIDE BU LDMG INC.
SCALE': 1"m SO' JMY 9, 1997
f '
I C MMY TEAT TIM FOUNDATION
WELLER & ASSOCIATES =OWN ON T=KAN N LOCATIM ON TIM
1645 FALMOUTS RD.,CEN`T vu x k,MA. 02632 GROUND AS SHOVVN=RZON AND THAT S TO M 8Z7'8AGIT
(SOS) 775-0735 UQUMZAtsNYS OF TU TOWN OF
DAIMTABLL".
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CERTIFIED PLOT PLAN
FOR
LOT 15 CRYSTAL RIDGE RD., COTUIT, MA.
LCP#23747 B
PREPARED FOR
BAYSIDE BUILDING INC.
SCALE: 1" = 50' JULY 99 1997
I CERTIFY THAT THE FOUNDATION
WELLER & ASSOCIATES SHOWN ON THIS PLAN IS LOCATED ON THE
GROUND AS SHOWN HEREON AND THAT IT
1645 FALMOUTH RD., CENTERVILLE, MA. 02632 CONFORMS TO THE MINIMUM SETBACK
(508) 775-0735 REQUIREMENTS OF THE TOWN OF
BARNSTABLE.
TOWN OF BARNSTABLE
CERTIFICATE OF OCCUPANCY
PARCEL ID 056 002 X21 GEOBASE ID 40951 '
ADDRESS 90 CRYSTAL RIDGE DRIVE PHONE,
COTUIT ZIP -
LOT PART LO BLOCK LOT SIZE
VtA DEVELOPMENT DISTRICT CO
PERMIT 26426 DESCRIPTION CERTIFICATE OF OCCUPANCY '
PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY
CONTRACTORS: BAYSIDE BUILDING, INC Department of Health, Safety
ARCHITECTS: and Environmental Services
TOTAL FEES: --
BOND $.00 O�
CONSTRUCTION COSTS $.00
756 CERTIFICATE OF OCCUPANCY 1 PRIVATE FL }d?E^' ;
* BARNSTABLE, • J
MASS. I1
1639. A� I
ED INIr►�
BUILDIL�T/�G DIVISIO BY LA
DATE ISSUED 10/20/1997 EXPIRATION DATE
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINALS)
I M A�C(, I
DATA
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PARr:_ XL 11) C)E;(.i 00L X21 11) 44961
'ADDRESu 90'GRYS"1 Nfj R) LK.3,E DRIVE PlY)N.E.
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rj� 4M IT 2,M1,, ' �.tk+��,+'i.1! `�'L Nv :3'1t`,,1L'A'1'11 tr; A` I WACHEP TWO Cott t;lh,#�.,'�;E
r� IT T',L'-4 B;' fir► I1TT& 1vEW R ;;-1.1)lW.'1AL RiXG JIM'
►. r)Tu I, l:t'1G Department of Health, Safety
and Environmental Services
INE
10 :) -N(y'A4., WAM fltlmf:''. oh r .411t.«'
* 1ARMABLE, •
MASS.
i6�9."
(-,(,,At [ .fi1'kt'S ;I� BUILDING DIVISION
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN-
CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR
ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF-PUBLIC SEWERS MAY BE'O'BTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS
rPERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION.RESTRICTIONS
MINIMUM OF FOUR CALL INSPECTIONS REQUIRED 1 N
FOR ALftONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE
1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR
> 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE,A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH-
(READY TO LATH). PANCY IS REQUIRED,SUCH-BUILDING SHALL NOT BE gNICAL INSTALLATIONS.
3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS,BEEN MADE. .
�4,FINAL INSPECTION BEFORE OCCUPANCY.
POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTION APPROVALS a PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
d
2 �a r�r %'"�• '''fir 2 ��i?6;G2lP�ov.� 2
3 t /y //J //J / (' 1 HEATING INSPECTION T OVALS NGINEERING DE'P TMENT .
oe_InAz ,j< 2 j' "BOARD OF HEALTH I
OTHER: (/- SI PLAK REVIEW APPRO <
7WORK---';HALTI NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON�THIS,,
THEINSI . "')R HAS AP PROVED THE STRUZ"s"iON WORK RS NOT STARTED WITHIN SIX CARD CA'N`BE ARRANGED FGH BY '
VARI AGES OF CONSTr+'IC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPFnNE ORWRI):TEN NOTIFICA-
TION. NOTED ABOVE. I TION.u „
BUILDING
PERMIT
AOL
Assessor's officer(1st Floor):
Assessors map and lot number S�/' ,` � � THE Tyr
BE
Conservation ' �C --� 7 ` I®2 INSTALLED IN CO LiANCE •w
Board of Health(3rd floor): WITH TITLE 5 S
Sewage:Permit number �J ,��, t .
�:�`.. e � ENi/II�ONEN`6'��,C�?�.��W6VD 'moo `6�0. d'
Engineering Department(3rd floor): �� - TOY-IN REGULATIONS �
House°number Y1iv
Definitive Plan Approved by Planning Board 19
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only
TOWN OF BARNSTABLE
BUILDING INSPECTOR
n
APPLICATION FOR PERMIT TO
TYPE OF CONSTRUCTION
19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a per rding to the following information:
Location �� j
Proposed Use
Zoning District Fire District
Name of Owner DO—t4l-e4 Address
Name of Builder ,/'7����� J/2Y� i Address
Name of Architect , ai Address C�
Number of Rooms `( Foundation ��� a2lc p
Exterior C6h Roofing
Floors 1` v Interiors 6L
pQom�'_ / /1 I/'
Heating c4�eC �y ZIJ Plurtibing !/
Fireplace ���2 �c�CQ'f 7' ' G Approximate Cost 6�w,
Area
Diagram of Lot and Building with Dimensions Fee
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction.
Name / I T7-1 �s/
Construction Supervisor's License 5r
No Permit For y
.. Location
Owner
Type of Construction-
Plot } ~Lot
Permit Granted _ 19
Date of Inspection 19 #
Date«.Completed 19
a
F} 1 S 1
i i 1 r
Assessor's office..(1st Floor) , ? -
Assesstir's map�and lot number i�
Conservation
Board of Health(3rd floor): �� � sABIST�X
Sewage Permit number l � rua
0
se}q.
Engineering Department(3rd floor): r o� `\�d°
House number F e�sr
Definitive Plan Approved by;Planning Board .` / t" �" 19
ter" r t
APPLICATIONS PROCESSED18:30-9:30 A.M.and 1'00 2 00 P.M only�' ,n :
/TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO CPW4i " Ea h4;?4t .(_
� v Y
TYPE OF CONSTRUCTION f G ✓L f�v'I'Ltk-
�� 19
TO THE INSPECTOR OF BUILDINGS:
The undersigned by applies for a permit according to the following information:
Location
v
Proposed Use
Zoning District ' ` Fire District
Name of Owner f Y t� Address
Name of Builder Address
Address
� r
Name of Architect . X&V ,",-,, Address
Number of Rooms 17 Foundation
Exterior � Roofing ao-d
Floors ? 1 ,4, j �! 64J- J tl Interior" / 1'
Heating ��+ IV2— Plumbing / Y O-d,
Fireplace � �'f 7 c��� Approximate Cost 419, dzro
N Area
Diagram of Lot and Building with Dimensions Fee
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction.
Name 'l�-t'.
Construction Supervisor's Licensed 5S
No Permit For
Location
Owner
Type of Construction
Plot* Lot
F i 1•
Permit Granted 19
Date of Inspection 19
Date Completed 19
y
TEST HOLE LOG
DATE: Z,� ♦J 89
SOIL EVALUATOR:- .4oz✓'v G9,P4e
WITNESS: - �,
ro� PERC RATE: Z
� s
o, Mrs 3D .ruBSoiL S�7
12t
0
Alpo. 2Z% i3� y3,z
a
45
o
0 DESIGN DATA
j o • DAILY FLOW:(3)BDRMS.z 110 GPD- GPD
�? SEPTIC TANK: 336GPD z 200%- o GPD
USE: o GALLON PRECAST SEPTIC TANK
LEACHING FACILITY:
USE: Cz.) SX8.5 Z� CSoo��o L?ei/GlEcc S
CAPACITY:
SIDEWALL: 7lvx z //Z.S
BOTTOM: /3"x 05' 6,7Y- Zoo• 5"
TOTAL:
QF,q� 3
DANIEL 14 f9�g
BR
. \ CIVIL rn
.3. _ -----,--,�- ---°':•-. �,..-'--,-•r.- .-� ..... - ,.. _A2; 3 ..,._ - yGnP, ;;,.� �;�y�tds..v 24?4C ,�f o -
1
, 01
NOTES: �\ �• .�' "� w�
R'
1. ALL PIPE TO BE 4"DIA.SCH 40 PVC.
2. PIPE TO BE LAID LEVEL FOR 2.OUT OF DISTRIBUTION
BOX. i 1
3. RAISE ALL APPLICABLE MANHOLE COVERS TO WITHIN ;:°L'' 7
6"OF FINISH GRADE
4. SEPTIC SYSTEM IS NOT DESIGNED FOR THE USE OF A
GARBAGE DISPOSAL
5. SEPTIC TANK AND DISTRIBUTION BOX TO BE INSTALLED
ON A 6"LAYER OF STONE.
6. INSTALL GAS BAFFLE IN OUTLET TEE, 1•LAYER Of 7A•PEASTONE OVER
3/4•-1 1!1•WAS1MD STONE ALL
AROUND
TOP OF FOUND.
@ EL. / � 19• 14• .• ro. S/...Z O
S�ZS Soo S3.So �,
r
SEPTIC SYSTEM PROFILE
SITE SEWAGE PLAN GENERAL NOTES
FOR L CONTRACTOR TO BE RESPONSIBLE FOR THE LOCATION
OF ALL UTILITIES,ABOVE AND UNDERGROUND,PRIOR
G v 7- /S C O>/.S7y G mac'/,tXyC Z�, TO ANY EXCAVATION OR CONSTRUCTION.
2. SEPTIC SYSTEM TO BE INSTALLED IN COMPLIANCE WITH
PREPARED FOR ` 310 CMR M 00.TITLE V.
3. THIS PLAN IS NOT TO BE USED FOR PROPERTY LINE
DETERMINATION.
4. ALL DISTURBED AREAS TO LOAMED AND SEEDED
DATE: w //, /y S7 SCALE: / = o
S. CONTRACTOR TO PROVIDE 24 HOUR NOTICE FOR ANY
REQUIRED INSPECTIONS ,
*X
71645
WELLER & ASSOCIATES
FALMOUTH ROAD CENTERVILLE, MA. 02632
TEL: (508)775-0735 FAX: (508)7754754
APPROVED BY:
i
eau I
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S.PtPC lot t4%'.+�4bu.. gE MOOE La1d.TE¢TIlsN?.
8£ WITW
� -'` �� MI►�.,+ Et�1VtRp>Jt+l6t�r.T,r�, GDOE "'1lTl,� J►L
TOTS p'tA&-lr-oe'F�OSICV WDeV.oaL:4 oNp QVAOL L-9►.107
e u V Foe PW a %j I, "6 SMAY4
t:
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LF
5 ,o
vmice
' ,\ ` '(\ \,, � / �-J a Lela►-n 6► tiL' r! �
�
{
t, s.3s ��
�� /� 'GL+.L. 54,So
�� :�k � FLow - -er r z j a 5
� � ` �/ � � I I lJT� '!�.�. � !�ltF•�f�}47C14t�� � �J`,µ��!�� � i+' � `,
o— t�Pao — ►z , �y C..�4G�4 '��c U-�Y 7: 8
=pTTO�` GF +i 1 43
. c e
-rM.IK
_ L.E���►-16r
'� oMi�/ZIT' t13 ' t (( ,o)= i1 1 e,,ol�dG
TOTAL. `45 c' E F 9 4'�.o
L X Z F ; 4ao.c -
�7-.J t'T
vA f T i4 3 OP frrC w18 &.L. &20 w� P 'PR deE P �OC
ADM x 3.5 P-rtf-
ARNE /�An,EWA
' doW17 Gd�C7G CI79/nc'1.Tir]y /x C�.i;u1 ��E ' vu�.E ► I Llo VA..-T� �oV Z�1 14�(
CIVIL v
Mpg.
} R'tE <.�► (ve+�rt .rra, MASS, aRn r4, a►' PA'T 14PP'�o�IED 17d'��
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