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HomeMy WebLinkAbout4855 FALMOUTH ROAD/RTE 28 ��5.� ��z�d�i t� �-�i _� � - Town of Barnstable *Permit 'fk L �� Regulatory Services Fee 6 nthsfromissue ate 3aRNS"LK Mass. Richard V.Scali,Director, Y� i639. 10� Building Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us - Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERAUT APPLICATION . -. RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number n , Property Address L� t r4 6-oc_Y'A R-1, Co Cam:l_ e7.1t}. OQ(, 3 ❑Residential Value of Work$ /O,Oc:,o Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address , n/�y 'C_ Soo ttn W of t tk Contractor's Name se4w. b; Cr4 4 t d0 Telephone Number 77 4I l (e/ OZ WC) Home Improvement Contractor License#(if applicable) !02 c 3 Email: 411 jZe«na4je.��«t t�•.e Ja .�/, Construction Supervisor's License#(if applicable) d 7 `/O 6 3 [ orkman's Compensation Insurance Check one: ;x , ❑ I am a sole proprietor ❑ Lam the Homeowner I have Worker's Compensation Insurance NOV 3 0 2016 T®WN p Insurance Company Name ( t,� �t.0 C t11 1ADD' E Workman's Comp.Policy# CJ 13 0 CT a 3 5 — /6 Copy of Insurance Compliance Certificate must accompany each permit. Permit Requ (check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to C44 r_0Kr& ❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e:Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy"of the Home Improvement Contractors License&Construction Supervisors License is . requ' SIGNATURE: QAWPFILESTORMSIbuilding permit forms\EXPRESS.doc 06/20/16 16/NOV/30/WED 10.50 FAX No, P. 001 .acoRo CERTIFICATE OF LIABILIT'YINSURANCE DATE(MWOWYYYY) 11/30/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED;the policy(Ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen a. PRODUCER CONTACT NAME: John Lynch IV PAUL PETERS AGENCY INC. P"c°N� soa 471-0021 c AIL DDREAS: jayQpaulpetersagency,00m 680 FALMOUTH RD. INSURE S AFFORDINO COVERAGE NAIC 0 MASHPEE MA 02649 INSURERA: TRAVELERS INDEMNITY CO OF AMERICA 25666 INSURED INSURE R B: ALL CAPE REMODELING INC wsURI:RC; INSURER D: PO BOX 616 INSURERe; EAST SANDWICH MA 02637 INSURER F: COVERAGES CERTIFICATE NUMBER: 107109 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, ' EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED 13Y PAID CLAIMS, LTR TYPE OF INSURANCE AODL 9U POLICY EFF IC E P POLICYNUMBER fMM10RM= JMMIDRMnLEM)T9 COMMIZACIAL GENERAL LIABILITY EACH OCCURRENCE: $ CWMS-MADE OCCUR PRERENTED MI ET(9a opourrencal $ MED EXP(Any one eraon) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO- GENERALAOC3REGATE $ POLICY❑JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINE UMIT $ Ea acrid ANY AUTO BODILY INJURY(Per person)ALL $ AAUT0O OWNED AUTOS NIA' BODILY INJURY(Peracddeno $ HIRED AUTOS AUTOSW"� PPROPER AMAGE• $ S UMBRE1LALlAB OCCUR EACH OCCURRENCE $ EXCESS U ABDED u CLAIMS-MADE NIA AGGREGATE $ ETENTION$ $ WORKERS COMPENSATION ON AND EMPLOYERS'LIAMUTY YIN x. ON ANYPROPRIETOR/PARTNER/EIECUTNE E.L.EACH ACCIDENT $ 100,000 A OFRCER/MEMBEREXCLUDED9 N/A NIA NIA 6HUDOG23598016 08/11/2016 08/11/2017 - (MandntaryhlNH) E.L DISEASE,EAEMPLOIf YE E 100,000 D ae T,0N OF under O L DISEASE-POLICY uahrr s 500,000 DESLRIP710N OF OPERATIONS below E, , NIA DESCRIPTION OF OPERATIONS I LOCATIONS I VENCL.ES(ACORD 101.Addlllonal Rarnarks schedule,maybe arched IT more apace le reghdred) Workers'Compensation benefits Wil)be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is gtven to pay claims for benefits to employees In states other than Massachusetts If the Insured hires,or has hired those employees outside of Massachusetts. This certificate of Insurance shows the policy in force on the date that this certificate was Issued(unless the expiration date on the above policy precedes the. issue date of this certificate of Insurance). The status of this coverage can be monitored dally by aocessing the Proof of Gov rage Coverage Verification Search tool at wwW.mass,govAwd/workers-oompensationrnvestigaUons/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,'NOTICE MILL BE DELIVERED 1N Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main St AUTHORMEDREPRESENTATME Hyannis MA 02601 Daniel M.Cr y,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD 27M ComMamVeafth q°tfMassadrusds Department vfr'xrdrrstriat Accide Ojfwe o,#bzves6gativns. F ' 600 Washington,Street - Boston,M4 02111 - 1VwIV.masmg,"Idin Workers' Ctmpensafian 7nsu=ce Affidavit Smlder-ictrnt raaursJEle�: r tianslPtiEinhers AA. plicamt In formatign Please Friut v Address: V ). `60%C -(CC 1*7 Citgltatel € rL'• �,�4r►o�w:r,L. - - Are}e an employer?:Checl�the appropriafe b= T of project r urn/ I am a general contractor and I Type Fr°3 t mod}= Iemployees andfor paztI am a employer with�-Time)-* ❑have 1vredgm sub coatmcfars 6. [-]New cEiraz 2.❑ I am a sale prqprietan arparEner- listed onthe attached sheet, ?- ❑Remodedigg. ship and have no employees These sub-confractors have 9- ❑Demolition vvotiang for in any capacity. employees andbave wodcers' 9..❑Suildmg aciditiou rNo�i odome Camp.fiLw ante �omp_III'aC3gt�# required-] 5_ We are a corporfon and its 10-❑Electrical repairs or addidons 3.❑ I mna homeowner doing all work officers have exercised.their 1L❑Dpwbingrepairs or additions mpsel€[No worlmrs'camp-'camp-'r xis of emempfion per M(M lry_ Roafrepairs ihmzanrerequired.]l C.1 2, §1{4h andwehwena employees.[No wwkers' 13.0 fltfier comp.insurance required_) ;An y a ppbcxntdntcbeftbos#1 oust a14o ia�autthe sectioabrIowshe�iug ire¢amniceis'c�pe�aria�peTicgin£oemsu� #�ameearae[strho submit this SfSdzC in g they sxedaiag RHwa&ea461mbim o4td&Cant,xCMM=s#submit anemzffidxvft mdiamne sudL' ICaotcsctoa'tbat therlrthi5 box must attsdi srtaaf7;t;rm97 street shamiag the=Twof the Salp- ansctaa Smd statetrheiher air not those enfftiesbxM employees.Ifthesah-caatract pare employee-%the3'=Lsrlrmsdde Yhea srndEe&camp.pGrMF aumtsez I am urn euip7oyecr flint i�rgrourding rvrrrkers'camrperrsafrirrt irtstrrarrce fur ury etRpinj�ees Sei'oav is f3te�pulic},and job sif�e trr,forma am Insurance Company Name: /lf}sse�rt f Poficy or Self-in€Lim /f y FxpirationDafe= Job Sif�Addre= c./ -9+ r2a Cm /cr,Y Cit:yIStaf&2�p: &I:7. O eZs 3S . Ati ach aropy of the workers'compensationpolicy declaration page(showing the policy number and expiration date). Failure to secure coverage as requiredunder S=tion 25A o€I_GL c.1572 can lead to the iraposid=Qf criminal penabies of a fine up to$150D.00 and for orie gearimpdsa roe as well as ci penalties in Ire form of a STOP WORK ORDER.and a Eme of upto$250.00 a dap against tFie ciolatar. Be sch ised'Irat a copy of this zbkment maybe forwarded fa the Office of IsvesEgations ofthe DIA for msurance coverage tedfrtation. I rfo tiereJry cffn6fl,ru the pains andp�rral�s a.fFej�uly thatt7ta iri farRsatiarr proud ahot�s Fs bus and correct sit�tatare: It- 3o • �6 Phone: 7'?L(- a19<<, oZg�d' r ��L use tampDo riotwrite in firmsmwa,to be carnp&ed by city artoPvnixij`iC&L y or Towm Per�tUcense 5 Issning 4uflarity(circle one): L Beard of H eaItli M BwMmg Department 3.CAyfrown Clerk 4.Electrical Inspector 5.Pkmbmg Inspector 6.Other Confect Person Phone#- - - -- - 6 laformation and lastructions e - J Massar_1 scfts Geneaal.Laws cliapier M r c all empIopers'Lu 'compemsat=far ffieg emzployees. PWSaZE t-in t1 is stattft-.>an=47kyee is deed M, ..e=y persdnin die service of anafm ceder any=f rad ofhil express or implied,oral ar " An=,p&yEr is d�frncd as-aa mdxvidnal,parfnmship,awociaflon,anporaiion or offier legal entity,or arty tWU or mare of the bregomg=gEged m a Joint emt iplise,andinclndmg the legal Feprese ves of a deceased emr .player.or ffie receiver or trastee of an mdrvidua�P >association or other legal entity,employing craPloyees- However fhe owner of a,dwel jng house having not more tbaa three apartmexds and who resides ffi=Me or the occupmmt oftbe- dwalTng house of ano$er who empIQys persons to do wait ancc,c^*� nfi on or repair work am such dwelling house Cr on the mounds or but7dmg appurtenat thereto sbaIl not because of sash employme ±be deemed tD be an CMPlnycr-" MGL chapter 152 §25C(6)also 5`t PS ff at"every sfafe or local licensing agency shO withhold fhe hZstU2llce or renewal of a license or permit to,operate a busmess'ar to constrdct buffdiags k the commanwealth for any applicantwho has notproduced acceptable evidence of compliance with the innu-anm coverage required. AddiiionaIIy,M rG chapter 152,§25CM sfafrs¢I mq=the awmalth nor jay of its political subdivisions shall an into any contract for theperfom=ce of public;w01kun7"acxeptable evidence of=MPliM=With the insurnr-6-_ regtm-emen s of this chapter have Been pre$e din the C QniIa �anthouty." Applicants - Please fill obt the workeas'compensation affi&vit complv*,by g ore boxes ist apply to your situation and,if n�saLy, T sub-cunt a Dl(s)name(s), addtess(es)andPh°nennmber(s) along with tTieir cerUficate(s)of msm-ance_ LimitcdLiabMty Companies(I.LC)orLmutedIzabfityPa tammhips(LLP)withno eoiployces ofherffamthe members or parfaers,are not reed to cagy wotice&compensation ias=nce- If an LLC or LLP does have employees,apolicyisrecpired. Be advised that this affidayitmaybesnhmit$dto the Deparfinentof Industrial Accidents for conErmation of ins -mze coverage Also he sure to sign and date-the affidavit The affidavit should be mt=ed to the ciiyor town that fhe application for the permit or license is being reques�not the Deparhnent of " - L rh,ct-r1aT.4_ecidents Sh. ould you bane auy gnestions regm7dmg the law or if you are reqcored to obtain a workers' compensation policy;Please call the Departm-entatthearnabealis� below. Self-fimzedemmpaniesshonIdmtrrtbeir s e 1fi sca-a cd Iicaose a= e�r b an.the appropriate line- City or Town Officials S - Please be sure that ffie affidavit is comple#e and priafed.legIly. The Deparimeathas provided a space at the bottom of the affidavit for you to fH out in.the event the Office of Juvesdgati=has to combactyouiegmdiagtb-e applicant- Please be store to fill in ffie pcn/I ccmc nnraber which wM be used as a refmmce mur<ber. Iu--addition,an applicant ffiat must sobmt m-uh PI0 pewlicense Epp lib aticw is any given year,neeA only submit one affidavit indicating etm ent policy informtion(ff ne y)and undea"Job S>tc Addiess"the applicant should carte"all loons in (may Or town)-"A copy of the-affidavit that has bey officially stamped-or marl�d by the y or town maybe provided to the applicant as proo-ft bat a valid affidavit is on file for fatcm a pe®its or Iicens es- A new affidavitmvst be f cd oT t each year-Whexo'a home owner or citizen is obtaining a license or permit not relatrd in any business or commca6al (ie. a dog license orpeonit to bum leaves eta-)saidpmsan is IQOTrcT*cdio complete this affidavit The Office of Iuycstig3fims mould lilm to t1wnk youm advance for your coopeaaiian and should you haFe any q2esfiow. please do not hesitafe to give us a eaIL The Departments a.ddics.s,telephone and fax cr.- CG==WMM of MaSS7r.�1 , Deparbnmt cif 1udk Adnt Q=�tc��f g�fio� • Ta.4 617 -4 Qzxt 406 or 14 T W&� Fax 9 617 727'74-9 Kevised4-24-07 _ M;3sg 0avidia. ,r �VE Town of Barnstable Regulatory Services KAM ` Richard V. Scali,Director ►,, " Building Division. Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder L i, `1kadl ,as Owner of the subject property herebyauthorize / I`[ �l! to act_on m beb4 . (sea,,, [tcl a �; y in all matters relative to work authorized b-y this building permit application for: q855 &Ii-IYA CON f 0;4 (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. tore-of Owner Signature of App cant » Print Name rint Name 11/3 Date QTORM&OWNBRPERNOSIONPOOLS Town of Barnstable Regulatory Services p�FT R7r._ Richard V.Scali,Director Building Division sA ISUI r a. Paul Roma,Building Commissioner MAM 039. �� 200 Main Street, Hyannis,MA 02601 o www.town.barnstable.ma.us Office: 508-862-4038 - Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": - name home phone# work phone# CURRENT MAILI NG 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 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 this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 06/20/16 t�/ice tpoawwcoaacue�iGG/a o,cwcadaaclauaecca Office of Consumer Affairs&Business Regulation License or registration valid for individul use only , OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: . ;Registration: ,,;'.20238 Type:- Office of Consumer Affairs and Business Regulation Expiration 1_�i822 0]7 Individual 10 Park Plaza-Suite 5170 Boston,MA 02116 SEAN J.A. DICATALDO JR, SEAN DICATALDO t ' � 4 RICHARDS WAY E.SANDWICH, MA 02537't Undersecretary.; Not valid with t signature "Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-074063 Construction Supervisor SEAN JA DICATAL•DO JIM, PO BOX 616 E SANDWICH MA 02 Expiration: Commissioner. 10/21/2018. r c5o ,tfc��'`e- LAP r✓ aL � 2T' � � ire p__ _ .%moo_ �► -4:is v G� '�• �r . _ , "\� _ � ',• . � � � . .. �,, - Z . .; t!S - \ � � . _ "' �' •r�.. � ?� , A ` 4 I •.� ��. f� A � 1 1. � S •J;`� �� 2 7 � •Rr�' 1�. {4 4 � �� ,� .� ^ } \` �� � f � L .. 4,.. ..,,,,F\j'�`.<• ..y, , _ ,. �w ;. „�;� yx..'w�` it�i:,>!°�.�i'n,.:''�`sr;:-' c �.�`rrrexh'"'�"�°*!��t'.�'+t+E.`;+�""i+,.+���.r--,�••,�:r^� .. ,..,s.��r.�,..;•.a� , * ^t:�,�.. Y T; ,*TUFT, TOWN OF BARNSTABLE Permit No. ...3Q652 BUILDING DEPARTMENT I D.Ull7 1" U... I TOWN OFFICE BUILDING Cash HYANNIS,MASS.02601 Bond ......... CERTIFICATE OF USE AND OCCUPANCY Issued to Daniel Hostetter Address Lot. #2. 4855 Route 28 Cotuitr Mass USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND,IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. , March28r......, 19............. .. ........... ......... ......... ....................... Building Inspector �W'`�•`�., TOWN OF BARNSTABLE BUILDING DEPARTMENT ! BARISTA : TOWN OFFICE BUILDING rua t639. �� HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE- An Occupancy Permit has been issued for the building authorized by Building Permit # issuedto ..............................................» ........................... ......._...............................................................»......._.............»...........................».»».»»»»» Please release the performance bond. r{t9 4t � 'lJi V a. d i; ` t• , 31 Jt 7, 22449� t� '' i m �u r�• 3 w" i{ t9 15 , .: a :k'• ' t 1• ) v t .. + v HB�t��1� 8 a DEPARTMENT OF PUBLIC WORKS f � ' { BARNSTABLE" xY f nbject to ll of ` aba�ditions aad ^rei►tricdons printed or written beloN►, �Tf ' am we revel Ali �de��er®of, :person ;6 hereby granted to �a r bANIEL HOSTETTER, `770A Main Street, 'OStervil I MA, to enter upon State highway "in the Town of 8arn5ta le laca: l known 'as Ol Falmouth Road Route 28 forg,» +%a1° the !purpose of Constructing a drive'ao his properties between Stations 1.39+08 and, f +28 at the Southerl: 1 i ne of the -State 'h i hwa 1 ocat'i:on f 1 ar i n to Y 9 Y 9 Stat�on 138+8$ and''139+48 at -the edge of thehardened surface as shown on '!! ahe attached ..s,ketch Lift� grdingrnay be d eenStations .1�38+.00 and n t? ' Rya H P +5:, 4� pi t;,� �Y3'9t,5� Thei Massachusetts Htg,way Bound 'at Station:' r139+47° 73 may not be disturbed 'Itm Clearing and grubbifn.g may be ,done between ,Stations .138+60'to1.4i1t60 , The °Grantees must submit abona-fide =nursery order, placed with an established y f� nursery, for 4 da'panese Black Pines, 5-6'T in:`height, before any trees are �4 s removed from W:kthim the ,State Highway Layout. The nursery order, shall,' stipulate that the price is •"complete in Place" to be , ;planted. when and where. directed by the Roadside Maintenance Engineer, Dwight W `; Holton at 824-6633,,` EA 212. It shall also 'stipulate that stock conforms—to 'A ; "Ameri;can Standard; for Nursery Stock".- The nursery .order shall be marked "pa}d in full" These• trees shall' be bal led and burlapped o { Allt,chippableiaterlal', "including branches and slashed up""to 4 ini diameter, ; sh6l.`.1 be reduced to chips and stockpiled as directed. in the nearest maintenance A' r trt area', :for use',by the department. ' The tree stump's must be cut 6" below the ground: A11 stumps;Wand debris resulting " s IiH` # 'fFom. such work; must be remov d. from the State highway location by the Grantee` e .; H '' Withl ;State .h ghway layout, Tthe ,"d °ve"must have a six C nch'`�foundation;df } d 4 ;,compaeted.-gravel, and,bey paved�aiwith .;t$hree Ache°s Hof a bituminous eoncret"ix }`,ra inches binder.. and 1'/Z :inches top toybe �dzin; two ,courses, . „It must; butt ,i,nto x '{ and no; overlap the4 edge of the highway surface. Grantee must not apply the bituminous concrete mix to the proposed Ariv.e r "` t: before "the gravel ba=se is inspected by the SectiomForeman: The Grantee must y call; Ralph Lavine "at -r888-0572: to arrange'for this inspection.: ` A1l 'disturbed ,:areas within the State highway ' ayout must be loamed and seeded r , f ; The ,drive must :be.graded'An such a manner that no ponding of water occurs_:,,, }; r+ withi"n .this highway,• layout. If such ponding results, the Grantee shall be responsible for its correction. s All present and future- structures located on 'the property of the" GranteO shall be at. least twelve feet from the Southerly line of the State ,highway. r % Than, part of the 'driveAocated within, the State highway location shall be r- ' mairitained by the Grantee at• hisexpense''to the satisfaction of the Engineer # . '., The 'drive must be.constructed��on a minu's grade from the.edge of the hardened �1 aaCCe pf the' State` highway layout. DANIEL HOSTETTER (Conti) BARNSTABLE 7-22449 If the„' Grantee should paint any curbing or curb returns within the State. f l . • hr'ighway layout, .the paint must be white and must be applied at. the time the : drive is installed. The Grantee shall indemnify ,and save harmless the Commonwealth and its D ' rtment _� f, Public Works ;against -all, suits, .claims or 'liabiIity of every. name and Lure arising. at the , out of or An consequence of theracts of the' Grantee ti he pei^formance of the work coveedby this, permitand/or fai-lre,to comply a+ : ' - o ei`th- the .terms; and c tbhmselvel contraoyees or sub ctors. tha emp ° ` ,- °� Please „contact Raymond True at 8880'572 when the work-,.required under this�� {= u s a " permit has, been completed -.in order,,tha:t an inspection may -.be,.made. rw A� copy, of this. permit: must be on the job site .at all times for, inspection, rail ure.to have this permit available at such s.ite:,will resPlt in 'sospenslon;- ,, of the rig permit. hts granted by the µ .required„signs ands traffic ning ;devicesshall be war furnished .`by: the + applicant,. All signs and devices shall` be in accordance with the --Aa sachUsetts _3 dp Manual on Uniform Traffic Control Devices The nurraber. and l'ocatipn of alI signs and devices shall be as deemed necessary by tJ�e. Engineer for the safe s . 1 ard. efficient performance of: the work `end thes`afef�y of. the ravelling public Y p ¢ All warning devices shall be subject to removal , .repIacement-6h'd/or repositioning by the applicant as often as deemed necessary by the Engineer. , ry Cones on non-reflectorized' warning devices shal•1 not be. left,;i.n oppratingl. ... r 1 y Y. pbsition,,on the highway :.when the daytime operations have ced'sied, ` �f i,t beGdmes necessary for the department to remove any construction„waif^rting deyiCes ox , L their appurtenances 'from, the project'`due to negligence by the appl� ant, 11 Cp is for this work wi 11 ..be charged so the ,app.l,i cant., " il n S, 4 All ,vehieles, excepting passengers cars, which are assigned to the permitted uw t ' haA 6 i prnoject and which operating .on the bite at speeds o 25 MP4i.or less shall ,. have an .official°.SLOW;MOVING VEHICLE zemblem displayed. F All., persdnnel who are working on the atraveIIed way or breakdown la es and who y k are not protected by traffic cones .Qr samila;r protect�u,e, detyices shall `wear safety vests. t t ENGINEER; AND TO THE SATISFACTION OF SHE' � ` ALL OF SAID WORK SHALL BE DONE AS DIRECTED BY s driveway permit is to servece Lit 1 & 2, as shown on + ttache& s�CetchNV 4506 ' w 11 not be able to apply fora curbr cut permit to'Iris lotrx in the 'future SEE O'PHE�t..-SIDE Ft�!Y ., ADIJI'ITt�PJ�I. CO�1D1'I'INP No work shall be done:under this permit;;until Ike Grantee shad have coinriutnuna= . L cited with and received instructions from the Distract'Elighway lganr of=the 13eparw ' ment of,Public Works,:at Tauntob. MA. 824'-�633 rN This permit shall`be void,Mess the work her conter*aplated shall h6ve bee „ completed before April i l 16; 1988 Dated ;4t Taunton this 16th day .of April , 198h r Nl :cap Department of Pubic Vl7arks,. *: t cc J.McCarth BY y d DH r} Y SmY;tiT, e HMD 604 >✓ District Highway Eng.ineen. TOWN OF BARNSTABLE, MASSACHUSETTS,. BUI NG PERfVIIT: E:=009= UZi DATE API'- L� �S./ APPLICANT t9 ..PERMIT _ r ADDRESS (STREET) (CONTR'S LICENSEI PERMIT TO_ •Rtl�l.�i r��rf>1 1 i nIY NUMBER OF (TYPE Of IMPROVEMENT) ( ). STORY__ .'i i ri�'•L L' I'-r rl tJh�� '1 T75T DWELLING UNITS_- �•. NO, (PROPOSED U, AT (LOCATION)' (NO ) int• db'7 4R�5 -Rnttt'r� ��� �'nt•11'1�- - ZONING (STREET) DISTRICT_. lZx BETWEEN (CROSS. STREET) AND - (CROSS STREET) SUBDIVISION LOT LOT BLOCK SIZE BUILDING IS TO BE FT, WIDE BY FT, LONG BY FT. IN HEIGHT AND,SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP - .. BASEMENT WALLS OR FOUNDATION ( REMARKS: � � ., _ .. ... -. T,Y P E I AREA OR VOLUME )n a'� ESTIMATED COST y� 1 S(} 00 ��11':) (CUBIC/SQUARE"FEET) PERMIT FEE � I62 C('! OWNER ADDRESS � j-a- ,_�v. � BUILDING DEPT. BY ® THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK"LLOR ANY PART THEREOF, EITHER TEMPORARILY OI PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOJ:ATION OF PUBLIC SEWERS MAY BE OBTAINEI FROM THE'DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITION OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL INSPECTIONS REQUIRED FOR7� F PROVED PLANS MUST 8E RETAINED.ON,JOB AND THIS WHERE APPLICABLE SEPARATE ALL CONSTRUCTION WORK: RD KEPT POSTED UNTIL FINAL INSPECTION HA$ BEEN PERMITS ARE REQUIRED' FOR. .I. FOUNDATIONS OR FOOTINGSDE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS,D2. PRIOR To CREAD YOVERING STRUCRED,SUC'H BUILDING SHALL NOT BE OCCUPIED UNTIL3. F NAL NS(PECTION BEFOREAL INSPECTION HAS BEEN MADE. OCCUPANCY. POST THIS CARD SO-IT IS. VISIBLE FROM,;,ST,REET ,BUILDING INSPECTION APPROVALS -- F R ._ PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVA_LS.. 2 2 2 3GAS \ HEATING INSPECTING APPROVALS REFRIGERATION INSPECTION APPROVALS 1 1 . GI OTHER 2 �Ngrr � h LCla - - BOAR F HEALTH WORK SHALLTORJH NOT PROCEED UNTIL• THE PERMIT WILL BECOME NULL AND VOID IF CONSTRUCT!ON INSPECTIONS INDICATED ON THIS CAR INSPECTOR CAS APPROVED THE VARIOUS WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE STAGES OF CONSTRUCTION. - CAN BE ARRANGED FOR BY TELEPHON" PERMIT IS ISSUED AS NOTED ABOVE. OR WRITTEN NOTIFICATION. � ��5 2 ��� � � � . i .. _.__ _. ��._. �. � , a� ,,l � . Assessor's ma and lot number q Q,oz p .."4.1.�.( F THE T C� "MA4LLATION' AND CERTIFY 'IN WRr e�Q _ ~" Sewage Permit number ......••C „`],.-.1 P .. dp,,,,,,,,,' -4f-t6''t'STEM WAS. INSTALLED IN ST! i c AHd 9 ruS ..L""r1t�n.ANCE TO PLAN. TADLE, Housenumber ................... ...............................I................ MM 0m� 03 QMAYa� TOWN OF BARNST inma v =10031d1N3WN0C' S 31= H11M BUILDING INSPECTO'CisnwW31SA(1S311d ''LL APPLICATION FOR PERMIT TO ...... ......10 1.:e4116............... TYPE OF CONSTRUCTION ........ ' ? .... / !!rJ ...1(.Z...? . ......................................................... ............ .......!.........................192.2 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a^permit according to the following information: p 40 Location ....... .......T..#L...... .n�V.1: ...... ....�rn�0(�TT'.. .Ci ..�.... P..t�v ........ ProposedUse ........ ...................................................................................................................................... ZoningDistrict ...... .1............................................................Fire District ......Cc2.2tZl!.t.................................................... Name of Owner .. n.1.C..I...../.�L .......................Address ....$.1 ... ! l'?! .!' !/Lt......14?.�. Name of Builder ../1.'��r(�..... V.:.1 D).qr.`,.0.2P.........Address ...... C7.!4....MJO.!n..�.-F. ....�. ..................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .......... ................................................:...Foundation .... ...... CJ....Q . .... .... ................... ImExterior ..... .. ? 1 .Q4C..................................................Roofing ........I�. ...1 %1 :......................................... Floors !� �� ..t. !c. .........................................Interior .........�k►ur4�T.. 00.I�:............................................ Heating .....I e?.�. .1W.1.2.... .�V...0.4S................................Plumbing ..........C..f1:.�:.....Z/7........................................... Fireplace ........ ...... Cost ............. .� j �.. r....... Definitive Plan Approved by Planning Board ----_---------------------------19________. Area 3750 �, .......................................... Diagram of Lot and Building with Dimensions Fee SUBJECT 70 APPROVAL OF BOARD OF HEALTH / u� h 2 60 2.� N 1 � OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnst ble regarding the above construction. Name ... .............................. Construction Supervisor's License .� 0 .�................ llANIEL No .30652... Permit for .1.A...Story Sincfle Family Dwelling ......................................... Location ..Lot #2, 4855 Route 28 ................................................ Cotuit ............................................................................... Owner ,.Daniel Hostetter ..................................................... Type of Construction .....Fr.ame..... .......................... _ J . ............................................................................. Plot ............................ Lot ................................ permit Granted April 2 , 87 .......................................19 Date of Inspection ,Q-� �� �.........19 ........:..... Date Co pleted �... ..5 .....19 �' 40- WIC �•r L- 0 Vt.+� 1 (� • c ` 8 1 •' / -�1� ��_—.�_,.._...._.�w� _.W _.�.�_���.M. ._ �._. _nw.�"ate- -_�w.�_�"_._..tea -—�._ .wr_�+«....��r..rur. �� 81 t 1'J • / C i p Z) 6{ 0 I eel __ .._-...._ • - - ,._. �.. .. - FT:..- � ._ - - ... . ,.�, • ._ '•. ...r.. ..._.... � ....--�—..mx�.+r.,r,—'�-rr.s-ww�.�aW+�C.+"YntAw+.n'- _.� ,.;c;:...a^'�ra.trg�er. `y^'•. CA ' vq' 7--„ems,..., `YN Ofg4 TOWN OF BARNSTABLE ZONING `�^ BY--LAWS DATED 'FEBRUARY 1986 _ s FRA N6t �" .__. .. WHITING { N ZONE: nn No. 2 Z O 9889 0¢ N E a 1�r�1!`C G"TBACKS . FRONT a 30' SIDE 15' REAR 15' PROPERTY LINES SHOWN HEREON WERE COMPILED . FROM PLANS OF RECORD AND Oki NOT RErPRESEN T' PROJECT NO. 3-1716-•00 AN ACTUAL SURVEY ON THE GROUND, THE STRUCTURE DEPICTED ON ';`hIS PLAN WAS Lk C � i ED PLOT PLAN ON THE GROUND BY SURVEY ON APRIL 6 19E7 in AND EXISTS AS SHOWN AS Or THE DATE OF LOCATION, BARNSTA®LE MASS . THIS PLAN IS FOR PLOT PLAN PURPOSES ONLY AND SCALE, 1" W 40' APRIL 6 1967 SHOULD NOT BE USED FOR :.ANY OTHER PURPOSE. - - - -'---� -�- - - _-- ---�---w------M C SSE CAPE COD SURVEY CONSULTANTS ¢- ��— ,� �1 ,a% /°�.__ 32E I MAIN STREET DATE PROFESSIONAL LAND�SURVE�-OR BAf= J TABLE VILLAGE, MA. 02630 (60) 362-8133 + SOIL TEST PIT DATA: SEPTIC TANK DETAIL: 10 0 0 GA �.. DISTRIBUTION BOX DETAIL: '-D �- LEACHING PIT DETAIL: REVISIONS. INDICATES INDICATES PERC. -y OBSERVED NOT TO SCALE NOT TO SCALE NOT TO SCALE NO ()AT[ TEST GROUNDWATER NOTES: I. SEPTIC TANK SHALL BE STEEL 4. INLET AND OUTLET TEES TO BE CAST IRON OR (�'�� NO. OF OUTLETS: +� MANHOLE COVER LOAM SEED _ - BROUGHT TO FINISH GRADE OR PAVEMENT -, i REINFORCED CONCRETE. SCHEQ 40 PVC. TEES TO BE CENTERED UNDER MANHOLE COVER. T' NOTES: i I TP TP TP 75, i TP 2. SEPTIC TANK TO WITHSTAND H-10 LOADING J-1- I. DIST. BOX TO WITHSTAND H-10 LOADING 2"MIN.OF I/8.' GRD. EL. 7`�1- GRD. EL.- GRD. EL. GRD. EL. __ �- - - GW. EL. UNLESS UNDER PAVEMENT, DRIVES OR I I / -- o GW. EL. / 't4 GW. EL. -_--_ © GW. EL. ry J' 75 TRAVELED WAYS,WHEREIN H-20 LOADING I I UNLESS UNDER PAVEMENT, DRIVES OR WASTO HE 12°MIN. FILL ..7.Q�S © I SHALL APPLY. PRECAST `_ TRAVELED WAYS WHEREIN H-20 LOADING STONED _ - - +. ' I ( DIST I I SHALL APPLY. • - ^ r13 (Q 12 74,t 3. ALL PIPE CONNECTIONS AND CONCRETE MANHOLE COVER ZI, I r_ �� F. CONSTRUCTION TO BE WATERTIGHT. BROUGHT TO FINISH GRADE BOX I 2. PROVIDE INLET TEE OR BAFFLE WHERE SLOPE OF -- ❑ o 0 o d o 0 0 ❑ 8 e-C>r,�N Boo w,'� ! I 1 INLET PIPE EXCEEDS 0.OS FT./FT. OR IN PVC INLET PIPE I PUMPED SYSTEM. f�a °o(�P°°/%' V 7RR� ❑ o co CM 0 0 0 0 ❑ � NOTE' L--- — GENERAL NOTES: 12" MIN r --- LEACHING PIT TO coven 3. FIRST TWO FEET OF PIPE OUT OF GIST x , � a +� J���, , U$So 1 L- •- - - BOX TO BE LAID LEVEL. a �o ❑ o 0 o d o C� o ❑ o WITHSTAND H-10 LOADING I. THIS PLAN IS FOR DESIGN AND PLAN VIEW a PRECAST CONSTRUCTION OF THE SEWAGE UNLESS UNDER -_-- ?2• f � � - C o� PAVEMENT DRIVE OR i REMOVEABLE kS ' DISPOSAL FACILITY ONLY. - NORMAL WATER LEVEL COVER W � 3/4� TO I-I/2" ❑ ea � � o I� o �+ ❑ TRAVELED WAY WHEREIN _ o H-20 LOADING SHALL DOUBLE LEACHING PIT v o°� 2- ALL CONSTRUCTION METHODS AND APPLY C�a s i 1 w WASHED o Q m c_ o Q o rm ❑ Oa MATERIALS SHALL CONFORM TO MASS. PROVIDE — U. STONE g D.E.Q.E. TITLE 5 AND LOCAL BOARD InLE T TEE WATERTIGHT W (no f fines, c�, �c OF HEALTH REGULATIONS. J� � I PRECAST — L- -- !t_$1l JDINTS(typ'.. �1 1 I ' Jo- • IN° 0 0 0 C7 U O O 00 3. ALL PIPES LOCATED UNDER PAVEMENT ♦•LIQUID MIN. OUTLET OR TRAVELED WAY SHALL BE 4 INLET I i� I o 1 TANK _ I • �'•'^I+0 LIOUIO DEPTH TEE - .r ( _ ,4 +�� r � ❑ o 0 o c� o 0 0 ❑ e " �% SCHEDULE 40 OR EQUAL. I SEPTIC I� � 'A •.' - MOTE Y • '' ' ' 4„OUTLET -I - rW,�;VI-4-• - - - - - - - - - - - - - - - - J I f--- - --- - I--�--- 1J L------- �' DIA---- �` 6 MIN. (jA..AVIp L - - - ,o -- -- J -BOTTOM ON _ �0 ,nSE P� CROSS-SECTION o .�✓P� �L STABLE ------... ---- ----- �Z DIA- - .-- --- oy BOTTOM ON Ll VEL 3TA OLE BASE J. .4.� o v o PLAN VIEW CROSS-SECTION VIEW CROSS-SECTION CONSTRUCTION NOTES: DAT DATE: DAT DATE: l INVERT ELEVATIONS .. TEST BY: TEST BY: TEST BY: TEST BY: INVERT AT BUILDING 7 WITNESSED BY: WITNESSED BY: WITNESSED BY: WITNESSED BY: i INVERT AT SEPTIC TANK(in) INVERT AT SEPTIC TANK(out) 71, 15 PERC. RATE: PERC. RATE: PERC. RATE: PERC. RATE: �' _._----- - ` _ 2l' •75� �� ��38 INVERT AT DIST. BOX(in)11 2l — h= MINJINCH MINJINCH MINJINCH MINJINCH A�Pk,'J �:f/4T� '``� �S�•4b' INVERT AT DIST. BOX(Out) 70.$l� ® INVERT AT LEACHING PIT �-4 DATUM: y �J/ �. -+� BOTTOM OF LEACHING PIT U.S.G. S. MAXIMUM GROUND VERTICAL DATUM: -7 c _ I _._. WATER ELEVATION OBSERVED GROUNDWATER BENCH MARK USED: 7A K�A�/ I E L E VAT I 0 N — �.-fit� ��,.�I„ .:_v: �,l-- i •'1 � � �;� f �,, _ y� I I ? ! •, � , ,�; + / •� � j ' I L a .�.. DESIGN CRITERIA: �. A i('�c,q - , / DESIGN FLOW: _-A BEDROOMS AT_V-G.P.B./D -3�0 G.P.D. - ► 1 h _ REQUIRED SEPTIC TANK: .330 s � GAL. - I t SEPTIC TANK PROVIDED = GAL. �APPR0x A- I ; I ! `� � ,_; sa� 1 :"rL I �� "• �, Cape Cod Survey Consultants SIZE OF LEACHING FACILITY REQUIRED: '1C G P I'T `` 41 1 ,' DESK3N PERC. RA _ z MINJNCH � � ! — 6' ?fT •S 7"a4'L' _ _ 3261 Maln Street Route 6A f 1 Barnst ible Vill,�ge MA �' J6 2, G Pia �E 0�,�-� 02630 A+� / ! �!: 5�D ,,D x ! ,4 ' ' 617 362 8133 M , s«t3 1 4�� y � r Tom. >�`+ _ 191 , .�� �' ' (r� �'`2"? 74'�s o :> - -"-" � ' % SIZE OF LEACHING FACILITY PROVIDED: PROJECT TITLE PIT ►� ar OA SEWAGE DISPOSAL /000cr• , , 10fWA �. 138 °' x z , - 34-�� SYSTEM DESIGN *01 _rA 4 k," VA CA k17 3 QTro hd x 1.0 dr, W • C� CJ TC ,' tl LOCUS PLAN: BARN5T"� 316) M - '`V CD-r-Ul7J� �t UNDERGROUND UTILITIES WERE COMPILED FROM A1,AIL"ABLF �-T�r�.�u / �W�LL1�r , , ^I C RECORDF-"-D PLANS OF UTILITY COMPANIF-S AND P1JBLIC AGE-ImES NOA // F t AND ARE APPROX/MATE ONL1; E'EFORE DESIGN 1iNU CI:�NSTRUCTION ti , ELF s / de a ot CALL "DIG SAFE " /-800—•�,�2- 4$44. e` 11IV ��� >r, LOCUS aWoti± �� f C9 .�a �� D PRLPAREI.) FOR ?- fl / �p� / ��� M►.SHrff�..� J • �9 y Ff?UFF_SS/ONAL L --_ UP, '_✓-z�� "-�:-� ;, ' AND SI/CYOR DATE / ' �,� DATE 3 AN vAR4` 19,17 -- .V 1� C 2�. - !� 1�/ d �'-� a COMP DESIGN .. ' i , CHECK GPM PLAN VIEW �z o DRAWN- A�' - - -- - - d � FIELD R��� 3"Y� SCALE: 1" = O s -_ _ N FILE NO' _ i'� 1 ¢ �� '` DWG NO J7•30 TSHEET J / N F Ff•:; SSIU�dL .T (;/;1/��f)r'- /t/i!_ D,�JT _ r; 0 to 20 30 40 FEET � JOB 0 1'�/f�r.d�3; O r x