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0025 GROVE STREET
(-rovP 5 trees' ° k ti I r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ' 2 .. "dap Parcel _ Permit# Health Division h / �5- jcr a° = , �%4 t Date Issued 1 11-tonservation Division /\ PV V Fee �5^d f "'Tax Collector "t ,� ' SE a IC SYSTEM MUST BE f- INSTALLED IN COMPLIANCE _e�Treasu e.r" — WITH TITLE 5 PIaEpta , -�- `r' ENVIRONMENTAL CODE AND ;, �'' ' ,•' TO GULATIOI�S Project Stre Address Village Owner Address v D ,Telephone `Permit Request Ohl f rid (Estimated quare feet: 1st floor: ti g• j proposed 2nd floor:existing proposed Total new Project Cost 75'.4 ) Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes; attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units):. Age of Existing Structure oric House: ❑Yes llo On Old King's Highway: ❑Yes No Basement Type:XFull ❑Crawl ; ❑Walkout ❑Other � esement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing 62 new���' First Floor Room Count .Heat Type and Fuel:XGas ❑Oil ❑ Electric ❑Other Central Air: J Yes ❑No Fireplaces: Existing New Existin�wood/�coal ve: ❑Yes ANo " Detached garage:❑existing ❑new size Pool•❑existing ❑new size Barn:❑existing ❑new size Attached garage. existing ❑new size Shed:❑existing ❑new size Other: Zonin oard of Appeals Authoriz ❑ Appeal# Recorded❑ Commercial es ❑No If yes,site p eview# Current Use Proposed Use I BUILDER INFORMATION Name rf r phone Number Ad dre dense# 16me Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE l DATE �'OAV - FOR OFFICIAL USE ONLY PEPWITINO. co'! DATE ISSUED MAP/PARCEL NO. "' r• .-1 { r ,t ; '' •j ADDRESS -VILLAGE OWNER;' DATE OF INSP$CTIONJ3;z FOUNDATION: 'F FRAME ,. ,F Q ��" �; ' •� '; "a � � •. . a� INSULATION ' FIREPLACE` ELECTRICAL: ROUGH FINAL, 14-1 ) f, PLUMBING: ROUGH' t ^� FINAL' • ' GAS: - ROUGHi +� -FINAL ^ FINAL BUILDING p= , J j�� y • ' 1 y �' • , , � „� .,,,� ,� � __ - - , • ins r' �.h DATE-CLOSED OUT 7= ,�� r • .�:f •Y ASSOCIATION PLAN NOm - -_ "'•, , _ • _ The Town of Barnstable -� Deiarent of Health Safety and EnviroIImentaI Services tm Building Division 367 Main Sty Hyannis MA M60I r Rz#Cmz= OtSce: SOS-790-6m Building relic =: Fax: 503-790-6230 For of2tce use onlY Permit no. Dau - AFFIDAVIT . SOME MWROVEMENT'CON RACMR LAW SUPPLEMENT TO PERMIT APPLICATION MGL e, I42A requires that the 'I=constrncdon, siteradoas+ rmovadoa, repair, modernirstion- comrcrsion. improvement, removal, demolition, or construction of as addition to any pre-ezisting owner occupied building containing at least one but not more than ibur dwelling units or to scent to such residence or building be done by registered contractors, with structures which are zdJ camption&along with other uirementL e T pe otWork: � Address of Woric: /Owner's Name /Date of Permit Appltadon: I hereby certify that: Registration is not required for the following reasonisj: Work ezduded by law _Job under 3I.00L Building not owner-occupied wner puffing own permit WNM pU�G� OWN PERMIT OR DEALING WrM ONREGZSTERED O CONTRACTORS ITILATION APPLICABLE OR GGUAC)vMjENT WORK 00 NOT [[AVE LtfM FUND UNDER MGL I42A ACCESS'I0 THE•RB SIGNED UNDER PENAL=OF PERJURY t amply a permit as the 2KCUILof the owner: / t:antrsctor Y e 903 No. D OR pivnees iVame Date f =- The Commonwealth of Massachusetts Department of Industrial Accidents = wee ef/OYesdaffess 600 Washington Street Boston,Mass. 02111 —' Workers' Co m ensation Insurance Affidavit name: location city phone# ❑ I am a homeowner performing all work myself. ty ❑ I am an employer providing workers'compensation for my employees working on this job. ..:..::::.: ontaanv.n ..::..;:.;:.::.:::.::: .::.:::::...:..:: fit�a1�SS...:.. .::. z Efh' OII insurance ca. :::>:::>::.::::>::::: .. Vm ❑ I am a sole propriet ,general contractor,o homeowner(circle one)and have hired the contractors listed below who ----------------------- have the following wo mpensatio J. ,�,..•.w.•.. s <.. . .. .::::::::::: :; >< > 4: .,....:. ..' ::.� �::�:� :::::::is :v::::..:::•.•: .. ... .::::::: atlt�`es5.. ::::::: .................................................................... ::�::>:<:::<::::...:........: ...: Bone:#.. - .. .: . {<?......................... ... . . . ,:::::::::::::::::,: ... _.... ol# <.#:.::.. .:. . ...........................:.......................... SN�n ME •. .?.. �.:..: :•.:.............................................................................................:::.::::::::::.:::.:::.::::::::::::::::.::::.::::::::::.::::::::::.::.::.::. .. ::: : •:::::::::: stlifress. ::::: s::s>»> ti>:e'ft' ''� nil: .............� 2`%?.`` .......... ..:::.::: ::::. ................................................. .... .... ................... O ...........i ti?:?i�ii?N:i:f}i:v%:i il:•}}:^.l•??•}:4:hi' Fanure to secure coverage as rsga4ed order Section 25A of MGL 152 con lead to the imposition of crlmioal pensdaes of a fine up to$1,500.00 savor am years'imprison need as wen as dva penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I m derstmd that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify r and p of perjury that the information provided above is&w..and corn Signature Date Print name Phone# tt� official use only do not write in this area to be completed by city or town official city or town: penufWcense# nBu lding Department OLiceosing Board ❑checkif iamiediate response is required ❑Sdechnen's Office OE[ea h Deparhnmt contact person• phone#; _ ❑Other ,a, 4 4avind 9ros PIN Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any contra`:, of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver c- 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 section 25 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,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers compensation affidavit completely by ";t x t yes toot'b;, It ation and a v �, g t ;sup . r � idrets hone numbers along rtifi may be B -subn Ito DepM IadI Accidents for c� e - cry°�Al b°i 3 to sign and 4date 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. City or Towns 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. The affidavits may be returned io the Department by mail or FAX unless other arrangements have been made. The 0 "InveRfiVations would like to thank you in advance for you coy`a t,' d`'shsul u have any questions. please o. ,je tte us a call. w, ----------------- The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents 0mce OI Inves"gailons 600 Washington Street Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 f 4aJ7f�/6 u Dt 8 t 'fee �arn�nanurea/lf a��/ acfiuvelta s I - DEPARTMENT OF PUBLIC SAFETY -'.. CONSTRllCTION SUPERVISOR LICENSE Aurwbe .Expires: Res ic�tett..Fo . 00 m._ . MICTfAEL T 3,6UCKLEY ` l.�.a...,,x e rrsr/ 73Z..t7FU,.:'.TDP RO BREYSTER, MA 02631 l � °R THE�qy, The Town of Barnstable BAM"ABM • ' ���' Department of Health Safety and-Environmental Services %659.A,Fo Meg'' Building Division 367 Main Street,Hyannis MA 02601 ,Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner PLAN REVIEW Owner: C I "-4 Map/Parcel: Project Address: lZo U(: ST Builder: ,`�\ , �3 U The following items were noted on reviewing: 0 'r r 1 Please call 508 862-4038 for re-inspection. Inspected by: Date: I y q:building:forms:review r MC3ARAppmWkj - - TiWtJSZ1b(eoadeoa� - pessaipdve Pselcala for Oas sad TW0 Fau*RaM aWl Boildbp Sued with Foao1 Farb MAXIMUM M11"MU (11 Calling Wall Floor 8ase:o sm Slab °DllOg �) U.Wn Rrvd R values P valud Wall Wa� Package a-vaine 5101 to 6500 Degree J)"S' Q 12% 0.40 31 13 19 10 6 Normal g 129i am 30 19 19 10 6 Normal S 129E 0:50 31 13 19 10 6 85 AIVE T 15% 036 31 13 23 WA -WA Normal U 13% 0A6 38 19 19 10 6 Normal v Irs" 0.44 3s 29.1-2 �&.1 rYv'A WA "AFUE W Iris om 30 19 19 10 6 U AFUE x IVA an 3i 13 25 WA WA Normal Y IVA a42 31 19 2S WA WA Normal Z 18% &42 31 13 19 t0 6 90 AFUE AA IVA 030 30 19 19 t0 6 90::: O I. F ADDRESS PROPERTY. 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: O 3. SQUARE FOOTAGE OF ALL GLAZING: At 0 4. %GLAZING AREA(#3 DIVIDED BY #2): S. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-1980303a 780 CM Appendix J Footnotes to Table J5.2.1b: Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors,. skylights,-tad basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 fl of decorative glass may be excluded from a building design with 300 ft of glazing area. 'After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness-over the exterior walls without compression, R 30 insulation may be substituted for R-3 8 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the mof. 'Wall R values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing,and interior drywall. For example,an R 19 requirement could be met EITHER by R 19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-flame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. 'The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet die same rR-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be includw�i�th th pier '4 Has t:doors must meet the door U-value requirement described in Note b. 'The R-value requirements•are for unheated slabsp Add an additional R-Z for heated slabs. .; e ' If the building utilizes electric resistance heatu;gW%dM0hpnce approach 3,4, or S. If you plan to install more than one piece of h g equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet't e;efpciency required by the selected package. For HeatingDe bDa f3 uiie i n ,f the closest c or town see Table J5.2.1a emu,. y �.,. rtY x TES: � aa,. )filaaiigiareas;and ueilri1�imn,acceptable levels. Insulation R values are minimum acceptable levels. it-value mquirement a p F insulation only and do not include structural components. b)Opaque doors ill the b l4ing�ivelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by thievmanufactiuer',i%.accordance with the NFRC test procedure or taken from the door U-valuela- in Table J1.5.3b. If a door contains g ,„and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 035). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ( Parcel � � F �rnhk ; c1 � n Health-Division . D to Issued Conservation Division . J, 7 �'" Ap lication Fee J N � Tax Collector ��o 2 � `C — 1� �- e f Perm. Fee Treasurer � 1371,9 Zi Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address J Village Cam"✓1� Owner 4LY 000KCt L4 Address ,L'o, Telephone �62!& J Permit Request n !60- de, n��l Square feet: 1st floor: existing b proposed 2nd floor: existing proposed Total new �d Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type tdood Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units Y ) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑No Basement Type: Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) 1'�� Basement Unfinished Area(sq.ft) d 6 6 Number of Baths: Full: existing new -- Half:existing new Number of Bedrooms: existing_ new O Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: 5d Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:0 existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name ^4, U Telephone Number' �'?5�' Address c5�g �at,�e�"�1 y�l> License# C S 0 0 a 3 y d Gl ✓► Home Improvement Contractor# /0 S y� Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO esd_yv-� &0 Vr G SIGNATURE DATE �� �� " FOR OFFICIAL USE ONLY , • � - ram^*i st . PERMIT NO. DAJ,lSSUED- *' i MAP/PARCEL NO. 1 i r ,! ADDRESS _' VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION- FIREPLACE ELECTRICAL: ROUGH FINAL 1" _ s - ;PLUMBING: ROUGH FINAL z GAS. z,IGH FINAL-s k FINP1-BUILDING - DATE CLOSED OUT ` ASSOCIATION PLAN NO. 1 Y P 1 PLOT PLAN FOR LOT N Indicate location of garage or accessory building Additions with dashed lines --------------- Sewerage disposal (cesspool) ED Well-® I I I (Lot ...................ft. rear) buttcx's -to' Abutt ear's Name amc I Lot a of I Rear Yard �O. ....ft_f q 1� i f this is a if this Is a n. .orncr lot, comer lot (rite in ,3 write in name of Lame of 'theT stme-t- Sideyard HOUSE Suey2rd other meet. Set Back .........5.....f'L i i (Lot....................ft.. frontage) \ / -------------------------------- ------------------------- / (Name of street) —� �— � / \ Information / \ Supplied by / Mark North Point . l r °F[HE T° Town of Barnstable w Regulatory Services M � ' BAMSTABLE, ` Thomas F.Geiler,Director 9`bArE MASS.9. a`0� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. f Type of Work: Estimated Cost 1'� Address of Work: 41 C�E7 t✓ Owner's Name: d,� . Date of Application: 6 �" I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for ernut as the agent of the owner: Date Contractor Nam Registration No. OR Date Owner's Name Q:forms:homeaffidav r �_� . The Commonwealth of Massachusetts . _�, Department of Industrial Accidents Office offnyeSI&S f IAS . 600 Washington Street Boston,Mass. 02111 J- Workers' Com ensation Insurance Affidavit WA iiaaiaiair�aiiiioii name: hone# city ❑ 'I am a homeowner performing all work myself. . ❑ I am a sole proprietor and have no one worldn in ca achy ///%%%%��%%/G%/G//%%%%%%%//%%%%%///%/%%%%%%/G/O/O%%%/%%%%%%%%%%%%O//%%///G/�%%%%///�/�////%/�///////%/%i workers' com ensation for my employees worlang on this job. ; r :: •x. 1 er_ rc vidin P...... ;, :.:.,.. ...,,..:.:•.,:.:::::.:..:.: one g ............. ..:........ a•.:.n:..�,' {.: .::::: ::.........::::...... .:...t..�:.:�. •' :. . ..,Y .::::�'$:•;:?.:..Yfi.?:{.,.::.}'.}};.,.k}. .. .> ant . ...... ::.:. +. : .:. ,:.:.:.. .........:..:..:...................::....... : . an n ..... . oat .......:.............: .:........:::.;:::::.,;•}:.}}::.»:::>::;;..;:.:.::::::::........................... ...... .....ir.n. r..... - .,... .....:..:....::.v:... ...v;;}?}?/4;•}:4:t`>}:'•ist2ti::;:1::?:;::}:;$::{C•;:X:}}::'ri.';:v.::t{?L^;•}:•::::., ..4.}?};:. • : fiir??'r:!{4:?:{{•}::$:ii:?{i::ii:;i:Y?}:}}:�:t:•>:::•::::?4}:.v?:::,v.::::....:v::::::.:v:n:::.v.v:w.v:.::::w.:.......... .......... +j .. ..r... ............... .. �� v::::ti:}Y}}:�}:i}}i:i'+:'. ......./.+?•v:}}}}:•.::vyr;....:v.:'•:::!>:•ttij•:$:?•!i:vl:h::?:'�:'::1%?i. 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,::......... ...,..,,,:::}; ..........n..;•..........:.............ry:::.•.... ....:iv, .:{...:......:..........;.. ::?•; Q��.?• ::w:::nv:....• ?:v::•:v::r::::::.........::::::.+.:...... :�alitT•BIICe:;CQ:>:;?:::g{?>:ifi?>:::r::::r.••:::.<•}:{<{{:•:{}Y:�.}}:;<$:}.::::}:>{{?;•}::<.;?::}::�:{.}::::::::<.:::.:.::{,,.:::::.:::x::{•:::.::: n �•"' aim NAMMAN1,11111MMM Failure to secure coverage as required under Section 25A bf MGL 152 canlead to the imposition of criminal penalties of a One up to 31,500.00 and/or ears'imprisonment as well as civil penalties in the form of a STOP WORK ORDFR and a One of$100.00 a day against me. I understand that a one y . copy ea this statement may be forwarded to the OMce of Investigations of the DIA for coverage veriilcation. - I do &eby-cerdfy-underthe r -and- -of-perjury-that -information_providedabnve-islcrz cvid cor).ect�j= Date Signature Print name .. ;-' .. ..... ::Phone# id official use only do not write in this area to be completed by city or town official or town: permit./license# OBuilding Depariznent city ClLicensing Board ❑selectmen's Office ❑checkif immediate response is required ❑gealthpepartment phone#; ❑Other contact person: • UrAsed 9/95 P7Ea Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is.defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, Partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,-and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner.of a .... dwelling 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 thereto shall not because of such employment be deemed to be an employer. building appurtenant MGL chapter 152 section 25 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,neithbrthe' commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation azi� ate of insurance as all affidavits may be s and hone numbers along with a certificate. . • Y es address g .. : _.. . . ram 1 ' company ., � .._ . P DPP Y� P Y .. _ . 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 ent of Industrial Accidents. Should you have any questions regarding the"law",pr,16 ou being requested, not the Departm are required.to obtam.a workers compensation policy,please callthe Depaitmeat at the number listed below:. XXXX City or,Towns Please be sure that the affidavit is complete and printed legibly. The DeparEment has provided a space at the bottom of the u to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please„ for o ... ._.. ._ �.. . . affidavit .._ _. . ... Y be sure to fill inthe permitjlicense number which willbe used as a reference num er. Tlie affidavfts may.�ie'r : .... Y _. .. the Department liy mail,of FAXunle'ss other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any stions. . please do not hesitate to give-us a call. The Department's address,telephone and fax number: w. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street _•; Boston, Ma. 02111 fax#: (617) 727.7749 phone #: (617) 727-4900 cit. 406, 409 or 375 I RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE _ 5G New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE ���� � c�� � ,� 3 aL square feet x$96/sq foot x.0031= = plus from below(if applicable) ALTERATIONS/RENOVATIONS OF FMTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.1� , >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf-1500 sf 100.00 >1500 sf-Sarre as new building Permit: x.0031= square feet x$96/sq.foot= L STAND ALONE PERMITS , Open Porch x$30.00= (number) x$30.00= Deck (number) Fireplace/Chimney _x$25.00= (der) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocadon/Moving $150.00 (plus above if applicable) Permit Fee �o projcost `0-arhistable The Tow 1► o' �f '• BA'MASS.LE. 1 Department of Health Safety and Environmental Services MASS. P 1639. "lED MAC Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: 11t,�-L 4 CR`/ Map/Parcel: Project Address: 7 IBuiIder: 911--I. A6 L t�G,q The following items were noted on reviewing: A29 /�/ /k/f /5:� 6-1'")'k7-/O.y / 5- /Y rs �i� ��04) To OQ�c SS /{cs Ale b Fz- ©c'��s �� % ��i= I�PCq rim s Reviewed by: Date: /6 1-3 q:building:forms:review f f/ce Pom�azou„ea/.C�i a��ac/vuar,Qa Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration .`-1'05548 r + +i lExpratlon -7/Y7/2004 I I I . Type :DBA VILLAGE CRAFT El11LDING'&RE I c�iaeI" eluga 568 SANTUIT RD. 1dminisiret)r q. �,�- .��.'(009)tgILOO�P� O�✓IiGQG6�UQClr6 i ~i a, BOARD OF.BUILDING REGULATIONS }; i License)C�Oc NSTRUCTION SUPERVISOR f : ' s# '• Numbe C 050234 Fat re +0x 9 0 Tr.nb- 268 j ae f , i a r MICMAEL DELU(3 - s SAN1'UIT.�RD. ,' C61.UIT+ MA-I.." � s Administrator l I. f,� r .780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS THE MASSACHUSE I I S STATE BUILDING CODE Manual Trade-Off Worksheet Permit r j Builder Name —Date. Chocked By " Builder Address Site Address Z S G ggVg S i COTU tT. !'t' A ZoaeXM 013 014 Date • Submitted By Phoae REQUIRED x PROPOSED Ceilings:SWiAts and Floors Over Outside Air Required U-Value lmalatioa- x jJ1e Area • R--Value U-Value UA (Table J6 2h) x Area UADescriO, Ceiling (Table J622r)9 - •l Jc7 c7 "t+Z ��• •QZ10 �C1 i Z T � ;: Aoaa ova Outride Air abk J6.22a) .. "Tota1 Arca ¢$D 4.;. ... ,. wa windows:and Doors '. -, Iosulsti'oa x NSi R-Valve U-Value Area •UA. U-Value x Area. UARequired _ . _•: w(Ta�ble16226ed1 .Q77 Wrndorrs - .32 ,14�0 - 47i Lp (MC a Table 11.3331Doc !j CaTableltS3b1 r4. �� ��. "' _• Sr4q Glass Doocs — - (NFRC orTable 11.53a1 R' f Total AM& Floors and Foundations Insulati'oa lasulation R- x Arta or Required Value U-Value Pain— -UA U-Value x Area -(;A Floor ova Unconditioned (Table Z , 162.2e) 30 ,��� �� l�i2 •OS -TwSPOM Bas mcat wall (Table J62 2!) Unheated Slab (Table J6.2.2 ) in Hated slab f (Table 16-"g) im Tog!ftoposa UA oast be lest Total Total d...c eqW t.rocs(.. Jteq-b-d UA Proposed UA OR Required UA S.,.=ol-Complianoe:The Vgmcd btd 4q dew tr presamW io L---- Adjusted thus d"wwo s tr cor<r mw vtth die badit plo m+p-r Required CA and odw calcvhuioas suNnmed with the permk �11c�J Cs�ol�. C07V1 i z bZ t ButtderlDcrigner Company Name Datt 760.22 780 CMR-Sixth Edition 220198 (Effective 3/I/98) ENERGY CONSERVATION APPLICATION FORM FOR LOW-RISE RESIDENTIAL NEW CONSTRUCTION and ADDITIONS 780 CMR Appendix J (effective 3/I/98) Applicant Name: Site Address: ZS 61WVE 15 Applicant Address: City/Town: . _ Go-rut i.� - Use Group: Date of Application: Applicant Phone: Applicant Signature: Compliance Path (check one): Prescriptive Package(Limited to I-or 2-family wood frame.buildings heated with fossil fuels only) Package(A through KK from Table 15.2.1b): Heating Degree Days (HDD65) from Table J52.la: (For items d. through i., fill in all values that apply from Table J5.2.1b:) a. Gross Wall Area sq.ft f. Wall R-value R- b. Glazing Area' sq.ft. g. Floor R-value R- c. Glazing%(too x b+a) % h. Basement wall R- d. Glazing U-value U- i. Slab Perimeter R- c. Ceiling R-value. R- j. Heating AFUE Component Performance: "Manual Trade-OIT' (Limited to wood or metal framed buildings only) Climate Zone(from Figure J6.2.2) Zone 12 Zone 13 ❑ Zone 14 Attach Trade-Off Worksheet from Appendix 1, (and HYAC Trade-Off Worksheet, if applicable] MAScheck Software Attach Compliance Report and Inspection Checklist printouts. Systems Analysis OR Renewable Energy Sources Attach Mass Registered Architect or Engineer Analysis ALTERNATIVE FOR ADDITIONS ONLY: a.Gross Wall+Ceiling Area sq.fl. b. Glazing Area' sq.ft. c.Glazing%(loo x b+a) ADDITION with Glazing % (c.) up to 40% may use 780 CMR Table J1.11.3.1 below: WAIh1UM U-value MINIMUM R-Values Fenestration Ceiling Wall Floor Basement Wall Slab Perimeter.Depth 0.39 R-37 R.13 R-19 R-10 R-10,4 ft Ej "SUNROOM"addition (greater than 40% glazing-to-wall and ceiling gross area) Attach"Consumer Information Form" from 780 CMR Appendix B. Official's Name: Official's Signature: Application Approved Denied Date of Approval/Denial: Reason(s) for Denial: (provide additional details as needed on back side) 'Glazing Area may be either Rough Opening or Unit dimensions. BBRS 0611219E °FTHE Ta,, Town of Barnstable Regulatory Services ► r * BARNSTABLE, y MASS. g, Thomas F.Geiler,Director 1639.�A�ED MA1 A�0 Building Division Peter F.DiMatteo,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PERMIT# FEE: $ SHED REGISTRATION 120 square feet or less Location of shed(address) Village Property owner's name Telephone number J �O ��r li2—Z Size of Shed Map/Parcel# C J R e/, 3e) 2ao Z Si' ature . Date Hyannis Main Street-Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature required) ��� PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT AN , F EB 0 4 2002 Q-forms-shedreg REV:121901 Y a 160 1� i F- ----------------------- nr, f }5 Y1 'l i ' I ,....a...,..-.�,�.^s.."."�"�'.. __..:s..�+.,..m'^",W,.,,.�...,.�+.�...�d,,.....e,w..a.,,,..,:,,.a...,.��...���.�„�.A,�vw..�.."'�+..+�,.�,a..o,�...�5�..0..��,..�.........,=...ry..�.a.�,�..•.,...w.......+...,.n^^� -------------------- L4 s - TOWN OF BARNSTABLE BUILDING PERMIT PARCEL ID 020 122 . GEOBASE ID 888 ~� ADDRESS 25 GROVE STREET PHONE COTUIT Y ZIP — LOT 42 BLO LOT SIZE DBA EVE PM 'NT DISTRICT CT PERMIT °649 8 DES C •I TION AD TINNING ROOM EXTEND_ BED ROOM PERMIT TYPE BAD I TI E BU ' ING PERMIT ADDITION CONTRACTORS: VI L G , C 'T ARCHITECTS: Department of Regulatory Services TOTAL FEES: - $212 BOND CONSTRUG..ION COST $ -2,72$`.00 .. tNE �+ 434 RESI A /ALA /C V l PRIVATEiJ�' * IARMSTABM MASS. 1659. 1 r BUILDINJG D ISION BY DATE ISSUED 10/31/2002 EXPIRATION DATE P`bfIHE Tpy� The Town of Barnstable IiNii BARAII;9. 0p N : Department of Health Safety and Environmental Services 9 ASS 039• �0 `TFo MAy Building Division ' 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW "Owner: Map/Parcel: z2 Rroject Address: Tvr 7'$uilder: _ 9/lam/F- A&L'yG-.4 The following items were noted on reviewing: o`�, f'l�� ///�/�/• �Cf CiI e0,#—owe /' /`CTS O o� C�✓ZO S [�i � c sue?'/o�/ 3) Me UJ 2 y Reviewed by: Date: Z� 63 q:build ing:forms:review TOWN GE BARNSTABLE 4 , BUILDING PERMIT PARCELrAID "020 ,122 GE+OBASE ID 888 � >DRES t25.:.:GROVE STREET "�.. PHONE COTUIT .K.K. ZIP — - LOT - 41� r BLOCi _ LOT SIZE DBA DEVE PMENT " DISTRICT GT' PEh TT . 64998 DEBC I PT ION Ai . l�IINN I NG ROOM ' XTEND_ . BED ROOM a PERMIT TYPE BAD TIT I3UI ING PERMIT ADDITION tONTBACTORS VILLAGE, GRAFT Department of AFtCHI SECTS:. Regulatory Services TOT" AL FEES $212\4 ° "BOND $,Za ,_CONSTRUCTION COST $42,"720".00 ;,,..7 46;4 ;`� l SlD -ADD/ALT/COIN ' 1 PRIVATE •. '°� ' �,�`� BUILDING D ISION R r, BY Tl 'I"E -ISSUF . ' � 31 J2 {2XY R;�1m QN DATA Av THIS PERMIT.CONVEYS NO,RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART.THEREOF,EITHER TEMPORARILY'OR PERMANENTLY.EN: CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS..THE ISSUANCE OF THIS PERMIT DOES NOT.RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION.RESTRICTIONS. I, MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL.CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE,APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4,FINAL INSPECTION BEFORE OCCUPANCY. ji POST THIS ., SO IT IS VISIBLE FROM STREET I° BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 'S 2 2 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT i 2 BOARD OF HEALTH t ' OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME,NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. .BUILDING _ _ PERMIT !r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map U oZ 0 Parcel v2 Permit# 9 2- lo-3v y Health Division ?,t�0 �� 2to S L( '� 14,Rh1 J•rA$�E Date Issued Conservation Division 3 �.6 nc, f �� Application Fee Tax Collector Permit Fee Treasurer _- =f'n'f.SfO�'�WTICSYSTEM MUST DE Planning Dept. INSTALLED IN COMPLIANCE Date Definitive Plan Approved by Planning Board VVlTfs TITLE 6 ENVIRONMENTAL CODE AND Historic-OKH Preservation/Hyannis TOWN REGULikTIONS Project Street Address o2 S- G/{Clv& Village Owner Address e.4 0 3�S` 00--ru �t Telephone Permit Request CU�rS7�uC� R l( �� szaAe 4-PR<T��� a?iJ�s' U Square feet: 1st floor: existing proposed 3020 2nd floor: existing proposed Total new !oaf a Zoning District Flood Plain Groundwater Overlay N�roject Valuation le y,000,n Construction Type 41cfa? r Lot Size r 00 X oL00 Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family all"' Two Family ❑ Multi-Family(#units) Age of Existing Structure ✓?7a Historic House: ❑Yes W No On Old King's Highway: ❑Yes ®No Basement Type: M Full ❑Walkout ❑Other Basement Finished Area(sq.ft.) Ati Basement Unfinished Area(sq.ft) f U?� Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new —0" Total Room Count(not including baths):existing S new a2 First Floor Room Count Heat Type and Fuel: was ❑Oil ❑Electric ClOther Yp �� Central Air: Ukles ❑No Fireplaces: Existing New Existing wood/coal stove: ❑ [7 Yes No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:O existing El new size Shed:0existing ❑new size 1 a o5,fOther: Zoning Board of Appeals AZN thorization ❑ Appeal# Recorded❑ Commercial ❑Yes If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION / Name /�Ji//4, Telephone Number S`� 21�0�cf&l Address �'6 Oe7Fr 1,4 License# 00 ! 7,r Home Improvement Contractor# 1166 al Worker's Compensation# CeI S^- 0 Z-L S"S-? 3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO sjgal� S dS q/ /L QA SIGNATURE , C +4 d' DATE �� FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED '`f I t t MAP/PARCEL NO. ADDRESS VILLAGE r OWNER 'R DATE OF INSPECTION: ,pay FOUNDATION FRAME r INSULATIONao FIREPLACE ELECTRICAL: ROUGH FINAL - �t PLUMBING: ROUGH ` fz FINAL" GAS: ROUGH:,; r, FINAL, FINAL BUILDING et DATE CLOSED OUT. ' -- Cl ASSOCIATION PLAWNO. °FIME l ,Town of Barnstable Regulatory Services BARNSPABLE, ' Thomas F.Geiler,Director 9�AMASS. 1639. `fig rEnru'tA Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: op rf o 02 s rcl R y toy Estimated Cost a 3 CI efO Address of Work: �Zr Gtucle, '5�e, Owner's Name: dR-P_0 1419' Te,4cl Date of Application: 3 �a I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date tontractor Name Registration No. OR Date Owner's Name Q:fomis:homeaffidav . The Commonwealth of Massachusetts . Department of Industrial Accidents Office offayestfgatfoas 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit FMA nine: location: )1 C- hone# [�] . am alhomeowner performing all work myself. 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I undersfand that a' copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. hereby-certify�t he -and penalttiieess'of-penalties tha�the-information-Pr-auidecLabnve islrs�e-aisrLcorrect —. . Date 3`2`1� Phone# .S dt��2O eJ� Print name official use only do not write in this area to be completed by city or town official permit/license# C3Bullding Department city or town: ❑Licensing Board ❑Selectmen's Office ❑checkif immediate response is required ❑HealthDepartrnent Other contact person: phone#; ❑ 112:215P110 gig (devised 9/95 PIA) I . Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", 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 g foreg oin engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner.of a ....- dwelling 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 section 25 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,neitherthe' comet onwealth•nor any of its pol itical subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. __• _ Applicants e workers' compensation affidavit completely,by checking the box that applies to your situation~aad' e fill in the omp Pleas . hone numbers along with a certificate of insurance as all affidavits may be duress and g _ es a .. . _ . an main supplying c Y .. .,_ � .__ . p . pp Ynr!SP a of insurance coverage. Also be sure to sign and dustriai Accidents for confirmation g I� e Department.of In submitted to the e is date the affidavit. The•affidavit should be returned to the city or town that the application for the permit or licens being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law of ifygu are required.to obtain a workers' compensatioapohcy,please call:the Department at•the number�listed below:. • City or.Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom 0-r1he affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. .Please•. `" 'cease number which wilLbe used as a reference num er.."ff6 affidavits may lie'r to be sure to fill in the.pernutlli ..:.. .. . .. the Department liy mail or FAX unless other arrangements have been made; The Office of Investigations would like to thank you in advance for you cooperation and should you have any tions, . Please do not hesitate to give-us a'call. The Department's address,telephone and fax number: The'Commonwealth Of Massachusetts Department of Industrial Accidents Offlce of Invesilgatlons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 r 375 phone #: (617) 727-4960 eat. 406, 409 o ficcs�r a RESIDENTIAL BUILDING PERNIIT FEES APPLICATION FEE New Buildings,Additions $50.00 Jo Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= C,y,�b`{ x.003 1= �� plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq. ft.= x.0031= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $ 35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) c'D Deck x$30.00= a (number) Fireplace/Chimney x$25.00= (number) Inground•Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) ) S$ Permit Fee /. 7 00.00'. \ :, SHED �. \ LOT #42 20,000 S.F. +/— \\� BOX \ TEST HOLE �f1 t ' LOT #37 ELEV. :97.50 Jpy�M , k .�5 775 'R{•�4 /' ?o.0 d a 3f 9�_ aCv_S„fit.�'��r-. 164" Li p ' Faded � � sWN �tlwjy+y+�. Cesspoo l : I jf. y ,,d F,o�letl (� 1 f 4 �+G I t , e PROJECT BENCH fir° # DE K #30 TOP OF FOUNDAT� ' �� ELEV.- = 100 (0s i fl „�„ter' j� l i,x Y�►/P' -- _ ' = xr� '�� ' TOF= ELEV. 100 * } w kfe l"hr EXISTING 4 k _14i �a< BEDROOM � x. �� HOUSE { LOT 435 tF .44 1Wa - x 440Am sVr rPr 3 iK GRAVEL DRIVEWAY 110 k7 S �x',. - .a. � 1 ' G^,,.• >tia:. ^,,..,q3' , a,e','. CB D.H. CB 'DjH FND (� ppIME Tp j, Town of Barnstable Regulatory Services ` B`'RNASS. Thomas F.Geiler,Director y Mnss. � � 39. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A P rtY P g g Builder I, , as Owner of the subject property hereby authorize ;t .v to act on my behalf, in all matters relative to work auth rized by this building permit application for(address of job) Vilhature of Owner Date IV 11CC7,4r Print Name 'r 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS THE MASSACHUSETTS STATE BUILDING CODE - Nanual Trade-Oft Worksheet Permit! Builder Name Date Cbedced By Builder Address AV Site Address ZSGRDVC$T �7UtTF ZoneO12 ❑13 ❑14 Date 1 ' • r.•I'(lr ' Sub PhoneSubmittedBy � ` REQUIRED • PROPOSED IRED . eitinQs kvfivfits and Floors Over Outside Air Insuluion xje Am U-Value • oe R--Value U-Value UA (Tabk 161.26) x Area UA z; C-lin 44 G ' j 16 1 Flow Ora Outside Air (Table J6.2231 ,t4 ft_ - ._ -_ C} 1 •T..i_Tonl Area .. wails.wirido7ws:an d Doors' ' . Iasulatiaa Nam. tine ,R-Yafue U-Valor Area - •UA U-Vdne 'c>: -x Area �. UA Who 76R, -t3 = 116 � 4.0 -. C oc i a T . r`3 3 able J .S )(NFR Doan. ffRCerTableJ1.53b) Sri Glass Door: — � - - (NFW orTabk J1.S3a1 tt' • Total Area llOg Floors and Foundations las+alaion laeml:<ioa R- x Area or RepuueC Depdt Value U-Value Perimeter Ua U-Value z A= UA , FlpwQrertJpCooditi000d Jau fe , 3© 8033 35'y- 35 17a 7 Baseman wan (table.% fe Utd"W Slab - .bk Itaood slab - (TabkJ622t) - Id Toa[h+elwset(LGtwdtbstas 7 row . • Toetal � thtiat eq.d toTeAa((�rdQstAoQ Re�ariaaf PmpostQ UA ' • I pt Regximd UA , Statement of Cotppr Mw pmpoaod ba'{do daW t° ►Ar(Justt� tAKse fecvaaeea&oowfttentwA*the badJ&,Zpbaar,r °1a Rtgalrral UA wad odwr almtedons submitted With theWfic -r,! Coax tZtGM / 1 7/o 3 8 Conrpaaay NameDaiV 76012 780 CMR-S'ncth Edition . 2R0198 (Effective 3/1/98) ENERGY CONSERVATION APPLICATION FORM FOR LOW-RISE RESIDENTIAL NEW CONSTRUCTION and ADDITIONS - 790 CMR Appendix J (effective 3/1/98) - - PPlicant Name; Site Address: S Z �� � ��c PPlicant Address: CiV. town: . . ( s:o7W - Use Group: I Date of Application: pplicant Phone: Applicant Signature: ompliance Path(check one): ] Prescriptive Package(U nited to 1-or 2-family wood frame.buildings heated with fossil fuels only) j ackage(A fhrough KK from Table J5.2.Ib): Heating Degree Days(HDD63) from Table J52.1a: 1 -or items d.through i., fill in.all values that apply from Table J52.Ib:) f a. Gross Wall Area sq.ft f. Wall R value R- ue Glazing Area` sq.ft. g. Floor R value R- c. Glazing%(to0 x b+a) % h. Basement wall- —R--- d. Glazing U-value U- - i. Stab.Perimeter R- e. Ceiling R value R J. Heating AFUE Component Performance:"Manual Trade-Off".(Umlted to wood or metal framed buildings only) ' ;!(mate Zone(from Figure J622) Zone 12 {] Zone 13 (] Zone 14. wach Trade-Off Worksheel from Appendix J, (and HYAC Trade-Off Worksheet,if applicable] "check Software kttaeh Compliance Report and Inspection Checklist printouts. ] Systems Analysis OR 0 Renewable Energy Sources 4ttach Mass Registered Architect or F-tcgineer Analysis ALTERNATIVE FOR ADDITIONS ONLY: L Gross-Wall+Ceiling Area .sq.& b.Glazing Area` sq.ft. c.Glazing%(too x b+a) % ] ADDITION with Glazing% (a) up to 40% may cue 780 CMRTable J1.123.1 below: hUMMUM U-Value MINIMUM R:Yatues Feaestratiea Ceiling F[ooc �Kall Basement NYat[ 15tab Perimeter.NPtb 0.39 R_37 R.13 R-19 R-10 R-10,4 R ] "SUKROOM"addition(greater than 40%glxziag-to-wall and ceiling gross area) Attach"Consumer information Form"from 780 CMR Appendix B. Officiars Name: 011ieial's signature: Application, Approved 0 Denied (] Date of Approval/Denial: Reason(s)for Denial: '- (provide additional details as needed on backside) 4 ' `Glazing Area may be either Rough Opening or Unit dimuuiolm MS 002198 P`oFtHETp The Town of Barnstable N O,' BAR 11: E.0a A Department of Health Safety and Environmental Services 9 MASS. i63 q' �0 plFDMA�e.. Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection rra Vn-e- Location S G r-o v e �� Permit Number 76 Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: -,�', t L.�av � S�-� �,r way ! \ J AV 66 L eov1e 0CtV 1�\ 1 cz) Q A k( 14 Al 5 L4'90r�44A 0 C4 Q, A 5.4 WCA�� Please call: 508-862-4038 for re-inspection. Inspected by Date 01)l1I ' �� r q-,t-q 'i�17 WA "a L ut" El.,i Qf 1 Q., -1A Q; �-z n —ANA SUAWWWOn. sl� 4 J; �A �,t �.T LIAR E 45T. 7" ANA NEW, 51 ."fy U I = .-7777 P 0 3 U:W 4! a T�V 12 6t x 'T- V Y -J/j INCA h I Ow n SUS 'J" tkpRoom whoky, NQ r IMP,,1,Pff n oll XNAN • . ...... Y PQ- -q'i W All" &W i V T%my G, e`f,#Wp�%Iam .......... ss- �vF N A DR INQ W 1E ]?P, M11KJIti ids to 1,; , PA Z, Fpr 7v117 M, M*= WK Nx. '7 4 A fp On_ 11,11"_ZrZ.�:�""."' U 4 it4 4 77 R —y" J J V-4 s I a M 9.1 -0 VFe P.n k .5V MAR -, - , ':_T" ':- -,ME'� V.'.;-I,-,. I.I t"t. AM, !Ybn 7-'+ Emu IBM, Y." t.� 7�z -IN F` t�.'CQN5TM ..... "I'M Ux" v IT %j N7 S .. ........ �'R zA o Y two 7z W M- A a I : . " nd U, ISO YJ, NY V "M E_ Q'I'mm RN MAI Q Z-1 .zm via,ly- _[WO 7. r',LKAVVL5P/�rE 7., .......P"t"; 'Ty= ",xv, hot ws p w��M=k My f# curr'AL517 � manumm WAR IN My Fe N "M A`E&50T 15" 'M5r- A 0 O...L 00 ;Lit UNPMON .5tC'n N: 6- S Eno, fop a a - �� o _ E C)11 EE M,ovvocv LA, FM, EL�VAIION ameaa6 12 IN, /-lq5t:mlt!tM 2-C \mf��-V, ON,.' C) 5j.ti —WIMY, DFWY TvA �pf F OA20 T. HE Rt. Jw J69 7-u. bRX fN6,14 fA"I - ZZ 12 Ar NEW CLERE5foV MDO FLIWOOD 12ht w0 No Q F-1 ¢��c W o0 v]W c �wzu Ell �:) F'm(Ao NEW q)WOOR Q co<u El. MOWER. NOTE:DECK RALINO&DENCN LEFT Off FOR VIEW CLAIM RE-U5E Xl5f. 2 f n�W I O N I SKY Ve El NSW DULf-IN o UVINEr5 N 5TUPY O h. 9 _ C (VAU.tED CEILING) C 5KYLAaif V. c!.. » 6. CL 5. A - � 5KKYL16 U I O� move I L--J CL�015 Z EXISt. �XI5f. Mt;00M �ov6K I NM5: L__J I I.CONWALfOR fO VERIFY E4511NG CON121i1ON5&DIM%510N5IN THE FIELD PRIOR TO 5fARr of WORD. SCALE: Ex15r. I 2.CONTRACTOR f0 REMOVE ALL EXISTING DOOR5&WIN190W5 1/4" = 1'-0 _ A5 MQUIR[T FOR NEW CONN5TUTION. �XI51. 5.MATCH EX1511N6 TRIM PAINT COLOR&WINDOW MI 51YLE. %t o I I 4.VERIFY ALL MATERIAL5,FINI511E5•&PE%5WV OJNER5: DATE: L__J I 5.VERIFY DECK&STEP MAIERIOJ 5 N/ITN OWNERS: 6/3/2002 EXISt. I. 6.IN5f&L 51MP50N H 2,5 WICANE CLIP5 Af ALL RAFTER CONNECTION5, JOB NO.: NSW 51Tr - 224 5.F• MCGAY Ez1sr. 0 NEW 12ININ61�Nv - 2M 5,F. DRAWING NC �xlsT. BATH W&U 5 CON5MCTION TO i t 0W0\02 ME NSW C0N5TRUCTION 12 NEW FAKE&1RIM(3OAIV5 f0 MATCH EXISf. NEW�-ED ROOF fOP Or FLAT HTI NEW CORNER 6OA1V5 f0 MATCH EXISf. � NEW WL.�IINCd.E 51�JI�i x fO MATCH EXJ511% S N FIRST FLOOR ao SIJDFLOOR FF PM, �LFVAVON 12'-0" 1O1-01, --- EXISf.5MC5Y51EM I ,r--.-__-_----_- VERIFYNEW 111LE V I a �M5Y51 MW/ OVMV 8 MOM I I '1 I -L----I--- I _ ___ _ I " ' I I I - M-U5�EXISf. 111WO115 II ' - NFW - o - PINING A m A f;00M I NEW DU WEAP O F I I 1 \I 1 1 Af3CW � W _" i i l; CLEREsfORY Oil GNFWy�� C�11C�o0R I I ADOVE(CENTER �I I I N I l (qFY IN f i i i i I i ON ROOM) FIELD) EXISf. -NEW3}El /PA55ilY.Cf —— EXISf. a --- ---. xlsr, coos, PM100M EXISf. EXIST, �XI51, PINING KIMCNEN FIp5f FL00P PLAN t CONE.M17GE VENT W/911NP OF W WA f I 5 j fO MAD EXISTING �0 � Alp o tOL9Nh_feQom¢ Q) W co N NEW CORNER f10ARv5 F"WaW,� fO MATCH EX15T. z w ..., Lo NEW W.C.911NQ.E 9DING " ( O X Q 00 fO MATCH EXI59NG Q U c) HUMOR O R 5UMOOR 12 �bt l I Q � 0 I NGW. I U 07 NSW ` \ cc 5. F. � Q � v °6 NO PI C NING � II coos' � L p00M I � � W LC l� SCALE:I 1/4 = 1,_0„ \ i DATE: I I '� ❑ i 5/19/2002 I i NSW �NTFY I JOB NO. _= MCGAY t, �XI51, �Xbf. N5f. - - PM DRAWING NO. nINING KI1"CN�N 0 r N _�-rfPlrk PLAKI 12 12 �IGN1" 51b� ����A1�10�1 �bt O � NEwaE�srGR, —MDO PLWJOGO NEW fA50A&PEIEZE DOMV5 f0 MAT01 E45r. f0P Of PLAM Da i PIESf PLOGR 5LI PLOOR NEW DECK&MLlKIGS WINOW 5CHFnULF NM NDOYALI,WIINVOWp ITHmi RAN P01.6NOMNIN65 fYPE MANUFACTURE'5 UNIT ROUGH OPENING REMAM5 A ANPER5EN TW 21046 5,-O 1/8" x 4'-9 1/4"- n0U6LEHUNG D VEI UY\P5 306 2'-6 5/8" x 3'-10 3/8" SKYLIGNTC EIXEf7) C ANPER5EN GNf 31010 5'2 1/2" x I'-0 1/2" TP.AN50M NOTES - J THE ELECTRICAL PLAN5 SHOW GENEP.AL PURPO�f LIGHfING,,5W1fCHING ANO OUf M ONLY, THE.ELECVICAL CONTP.ACfOR 15 RESPON5113LE FOR THE ENTIP.E ELEOi?ICAL 5Y5TEM. THE ELECTRICAL CONTRACTOR 51-IALL 5TRICTLY APHERE f0 ALL 5fATE,FEW\&AN12 LOCAL COPE5 MAf APP.Y. 7)LO A ON5 W TNEF IECW/ ETN OWNEr II'ALL M OU W&WO Pn IWALLA110N; 1 5.)ALL RECE55EP 1,I6HM6 5HALL 6E ON t71MMER 5MfCHE5. MIFY W/ OWNER IF OTHER 1,16Hf5 ARE fO PE ON 12IMMER5. 1.)THE'ELECTRICAL CONTP.ACfOR 15 fO PROVM ALL RECE55ED UGHf EIXM5,THE OWNER MALL PROVIM ALL OTHER LIGHT PIXTURE5 TO PE IWALLEP 13Y THE ELECTRICAL CONTP.A TOR, UCTRIck - L�G�Nn w -- (c�luNG�Ixru�) (swrra�) EXIST, C1,05, 0 (K a55ED Plxruc) 4 (WALLPIXIUll) C3M0oM (CEILING PPN) I (iELtrHo.NE OUILM © (LADLE iV) CONE.RIDGE VENf f CON5TFUCTION w/5H1NQ ECAP 2 x 6 LROSSnEs�16"o.c. @16"oc. 'OOD`kEAMNG SKYLI2f %KaE5 — la �.• iR 16+-. Aff.IN5U.AnGN @ FLAf CELING5 IIGN DEN5,INSU AnON @ 4 OFtP CELIN66 1/2"GM.DOARP for OF FLAlf Z sARP l�&JRRICANE CLIP5 @ RAFTER CWNECn0nN5 ON 115 STRAPPING --1/2'q,LEDOAR"i a I6"oc. CONE.ALUFA. CONST, W/V.P. 50fFlfVENf5 Q o 6" NEW N � w 17 5 EAMNG 51 UV Y Q Q Q Q 3)Mff,IN51MON NEW RAiLI%5 W Q E- a RA,r, 3/4"f 8 G LYa W N R 3-P.f.2 x 10's PLYWOOD%DFLOCR. �W c� I 14 MA 06M DECKING GLUED&NA1 ED FIR5fFLOOR OR w CL M �� v) P.f.2 x 8's a 16"oc. z I 5-2 x 10 QRr PS.2 x 6 51LL W/`5MER [7� m Q C) P.f.k x A P05f g'C R<30>DAff. Q 0 ll� IN5LLAfION NEW NEW 8"CONC. o:2! 2"CONC.5-AD CkAX5PACE FOMP.WALL-z NEW 8"x 18" L_ J CONC.f00TING new 3 1/2"Dw. NEW 10"DIA`ONOfI 5 �51EEL LALLYCGLUMN f0 4'O"DELOW 6RAVE NEW 30"x 30"x 12" CONCREfEf000NG -0° 5�cyom @ NSW 5TUPY ------------- r------- -- -_j w AM I PKf. I I m NEW2x8 I NEW 2x8FtO I II �Oc FLO OR�Oa • � � 1 I DAkA4ENf w [��, f I I NEW � Q 1 i 1,�n p�L J I CI'�AVVl.5fb ACG EW31/2"DIA I I U I NEWS "xL O"x12 I (2"CONC.9.AD) I i I NEw 30"x 30"x I2" I - 0' CONGM FOOM�G I o I I m w \-5AWCLK 3'O"OPENIN'G IN EXI5f,FOUNDA11ON FOR 0�xx ACCE551NfOAEW O CRAWLS°ACE Z �WLSpAC� ALTEP\ AtE PL001?EpAMING- -2 x IO ELOR J015f5 @ 16"ac,WITHOUT U51N6 THEE N GIRT&LALLY COLUMN5. -PP\C?TOP OF POUNf7Afi0N HEIGHT TO ACCOMOPM SCALE: THE 2 x 10 PLOOP,J0155,MATCH FLOOR HEIGH5, 1/4" = F-0" DATE: 6/3/2002 ——— JOB NO.: MCGAY DRAWING NO.: 12 ),6+, 2 z 8 RAciEPSI`M 01N6" 02-2 z 6&VER AUK RIDGE Viir--- IZ 2 2z18, TOP OF PI,A1E NEW PINING � - p00M g FIRST FLOOR SUPFLOOR 2z L RJ I f5�16"oc. 12'-0" NEW UAWLTACe 5 0„ 'o z : . — NOM: 1 VCPJFY n EXACf SIZE OF o A 5�C110N @ NSW PINING p00M WNZ °W' 1 OWNERS Io NEW 10"DIA.50NOfL 5 ° r f091011DELOWGP,ADE 6_o, c I d 6'0" A P.f.2 z 8 JOI r--- CONf. ,-P.f.2, 10 s P.t.2 z 8 J015f5 i III I � I . --- --- ------ 3-P.f.2z10's NEW 8"Coi 1L. _ WILL&PIN NE FOIND,WALL --------�I 1 f0 EX15f.W&L N�wa"z18„ I (--- � I CONC.FoonNG--) I NEW I I'_8'I I Cf?AW.St'AC� I j NEW PRE CASE I I (2"CONC.51,AD) o�.K!M 1 T 0" V-0'9 ce VERIFY 5a A 3 I IN TPE FIELD I 2=10 1 _ — I NEW ---- PKf. N NEW v a a I GILCO'c. I I I 5AWCUf3'0"OPENIN6 131 R KN A7 IN Rbf.FOUNPAfION FO: I I I m 1 I I I ACCE55INTO NEW CRAM5PACE -------- !2 WEXIST.FO NDAjoN pa GGX15T. EXIST.FOIAIDATION INPLL NEW PLLWA17 I ULL 8 FOOnNU5 fO REMAIN PA5MNt FOUNPAION PLAN i . �Rot�r eXiST"�Nc� SCALE: APPROVED BY: DRAWN BY ., DATE: Gi,110.98 REVISED LI�2o�n 1BAN MGGF+�/ DRAWING NUMBER c ,C'_ ZS GROVE ST GoTV IT Mf4 oo �� ��4�nnZs�o�ech 2X8 �zr� 5 lCq`` OLC, c.>i R �X10 SUS � � ���� 4X4 colCermr�s 7 oFC. �,ae�oN II hW$l hw8l a J/gnliarr Lcc)v,, 41 'TrRTMSo1�1 i Igss T-RcnrF TJooTL spn� 3C9�W' '�' 30��45-ZD I?�IJOVRfED 'F�ZDATT' SCALE:I ' =J.. APPROVED BY, DRAWN BY DATE:. DRAWING NUMBER �T z '�� ONARRETTE-PRO-FORM 93OPF - PRINTED ON 920H CHARPRINT VELLUM 0 0 . ...... ...... ............. EXISTING i3F�LK SCALE: 1/�/IIa'1 APPROVED BY: DRAWN BY fAj 5 B - - DATE: �.lo•,g8 REVISED v ••11 MGG/ty DRAWING NUMBER 8 zS C1ROV6 ST CoTU1T, MA 3 OF ly I(C>x n, �r� c,:�AJ1 Li a �.rvd.��.sary W►�c��,zS —— r . REr�IOVhTE"D T3'A-�� _ - SCALE: I l f I APPROVED BY: DRAWN BV MJ g 5 QQ .. DATE: REVISED g g wpoto Me-&A,/ DRAWING NUMBER 2 S G i�oV e ST Co-ry rr MA 14 i gXIS'�" �NG SIDE N0 Tit 1 SCALE:1/ DRAWN BY (l,0� I �p APPROVED BY: ED - DATE: I..IO' 18 REVISED DRAWING NUMBER -lEort.L McGaY 5-vF 14 zs GRDVE ST 64 iT MR TCXl �14►Z -� 8 ��C,3 s ::w i� � r RE KL O V ATe V S I P E 1402T-4 .SCALE: 11>I 1 APPROVED BY: DRAWN BY.MJ V DATE: i o•98 REVISED 9• JEAN fAc&A-/ DRAWING NUMBER GROuE ST. GoTu rr, mA (� °- i4 1� Ex 5T i N Ca ,S I D E SOUTH SCALE:1/4 I APPROVED BY DRAWN By r3 DATE: 9' I9 9 3 LIPTCtbL.Q t .WAt.l ML Ay DRAWING NUMBER o- zS GRovL'r Sr GoTu1'1-. MA 7 of I Kl-, CNARRETTE PRO-FORM"OPI PRINTED ON 9NO CNARPRINT VELLUM ICQ�z�} �c7C�'��-►oYv �y IE-1 R E h10 v A T-E D s t n E So o T-i+ t. I SCALE: �I�{N=I APPROVED BY DRAWN BY J DATE:. .. 1.HA%V-OL.V r JEArIl Mr-aAy DRAWING NUMBER 25' 67-oVE ST- COT u1T, Ml4 8 aG �� CNARRETTE PRO-FORM"OPP PRINTEO ON PION CNARPRINT VELLUM q d boAm ° : oAeZ 4 L1VIr.1G RODM I Z' >< ZI ' PIA,R,,,,,, Old6ARA66' x z4'lo„ O O a - KITG4t�J I'f11C II16P DINING/gED II X It'(01 E)(ISTIt, G ,FLOOR PL-AM SCALE:p1/ M= APPROVED BY DRAWN BY MJ V - - DATE: 1' 1 0-9 8 . . 4A20L.V t JEAN mc,(i AY DRAWING NUMBER zS GRovE '9r. Cwrvrr, MA 9 ccl`1 K� CNARRETTE PRO-FORM"OPF PRINTEO ON SM CNARPRINT VELUM top 6 ►4lazn�n 00 ro' 00 " IR <y`' z. k�iDE25on1 A231�i N. U. Traf`' FS j, � E�IAQ�E17 'Dihllf�la A'KE�4 WET "BR{Z P: AnlDE25oIL1 Ap32� �2 T3oxr=12 ovr w rr* Se/4T I(o' itt�LDEfLSo N A 32--2 '_EAlo vA-rFD P L_ootZ -PL.ArJ CM)WI-A3I- A31 . SCALE: D= I' APPROVED BY DRAWN BY DATE: �I' I D•�I z4' I � Ar-OL•p t -leAKI PAC aAy DRAWING NUMBER rZS GROVE Sr Go-ru rr, mA ID °� 14 —, CNMRETTE PRO-FORM V]OPF PRINTED ON O2 H CNMPRINT VELLUM Z•c{-u you 2a+❑ .. GVPPeR pr.' vnv E=ram vPPER v P 62 OPer.1 5+4�WI N(o sro v E 30. 8 P vav 181I ppEfJ z. vPVeR ZI Zl+ 13. uvPeR I$" • Z'(R 2`t" sNK V SASE Base K t'f 6.14 EF l lZE M O V AT-106J SCALE: 1�2" I APPROVED.BY DRAWN BY M J . DATE: O• 9 S I+AV--OLD + JeA t L MGIaA-/ DRAWING NUMBER zS GROVE ST, i Ccrru IT- WA A. I I OF 14 <C CN REWE PROiORM"GPP PRINTEO ON 999N CHARPRINT V LLAFM 11 till i F��wnini A�.l i . ' 7—X10 fall of SCALE: S/41I I 1 APPROVED BY: DRAWN BY MJP7 4 DATE: C' .96 REVISED s F}A201-D JEAti MGCah Y DRAWING NUMBER x ZS 6R Vv 16r co-rui7", MA IZ of 1� f F - N& F N V A-r-I O L1 l i , a + T=OVklMATIDn1 ?L-AM SCALE: I "= ' APPROVED BY DRAWN BV M.I-.P2 - DATE: q'1 O'98 16R20t D -i�ht l Mc.GAy DRAWING NUMBER Zs (Drove, vT MA, 13 OF I4+ Kj-, CNARRETTE PRO-FORM 0 OPI PRINTED ON 9MM CMARPRINT VELLUM 9 sa T , } 14' XZI' PT nG<-e, w/s��+r cw� D,G >, r 2 EEC-K— 'T7-1 LA i S SOALE: II- APPROVED BY _ DRAWN BY &AJ DATE: lt�2oL D t J B/MJ r•y /})/ DRAWING NUMBER z5 GT E 5r GOTIJI 1-. KA Pc 14 of 14 %Otf P.INTEO ON 120N ONARPRINT VELLUM CNAgpETTE PRO-F , r Yi SECTION A —A ALL OUW PIES FROM THE 9h� 10' min from Dt$7*Wy"sOx SHALL sE house to septic tank 'NOTE: ALL PIPES ARE TO BE 4' SCHEDULE 40 P.V.C. PROFILE VIEW OF LEACHING SYSTEM SET LEVEL FOR AT LEAST 2 FT. CON:RETE �R 4 Existing Foundation q Septic IONc covac must be _ 1. within 6 in. of finished 9rode Not to Scale �'� 3 - S- OUTLET Grade over Saplic Tonle - 9900 �Grode over D-Bo. - 97.00 /—'"(',coda ow• SAS - ELEvr 97.00 ", i KMOpcW15 — d• of f/1' - ►/I' IweAel Peav4owe 15 S' � t2' INLET 0/! b I f/1 We"" C1tiMed$60" � OUTLET S r 0.02 3 HOLE H-10 �� i/ 6' srhoot St D NEW S.0 10 DIST BOX 3' Mar mum Cover %'..•. 2 r z �/ Exist. PIPE n 1,500 GAL. .pt rootf , .t3.S' 4- - SCH 40 T(' 1.75" I T E FROM rUUNDA71ON / rn SEPTIC TANK 35' ~ I x H-10 g � Is' 2' Effectne Depth —1 PLAN SECTION CROSS—SECTION CONCRETE FULL FOUNDATIC o x °i`� 0 ri 24" Effective , c / u M (71 —J SidetuaLl 0 5 Units t 6.25' = 31.25 3 HOLE H-10 DISTRIBUTION BOX SYSTEM PROFILE6 ir,of 3/4--1 1/2- if 4' s' 4' a compacted stone d u 3 5, 31.25' 3 5, NOT TO SCALE Not to Scale IS, ►' 11 LOCUS M A F > Effective width c' c > v 38' - 6 m of 3/4'-1 112' ° Effective Length composted stone 2QttQrb 41145Lf'l9tt L Elcz=$l 59 m° SOIL ABSORPTION SYSTEM (SAS) GENERAL NOTES INFILTRATOR MODEL 3050 (H-10 LOADING)/ SUMNER & DUNBAR 1. Contractor is responsible for Digsofe notification (OR EQUIVALENT) and protection of all underground utilities and pipes. 2 The septic: tank and, distribution box shall be set NOTE OVERALL HEIGHT OF INFILTRATOR IS 30' /EFFECTIVE HEIGHT IS 24" level on 6" of 3/4'-1 1/2" stone. 3 Bockfill should be clean sand or gravel with no a- LOT #40 stones ovier 3" in size. TYPICAL � 500 GALLON SEPTIC TANK \ 4 This system E Is subject inspection during installation by Cormormein E. Shay - Environmental Services, Inc.. NOT TO SCALE 100.00, 5. The contractor shall install this system in accordance with Title V of the Massachusetts state code, the approved plan and Local Regulations. SHED 6. If, during installation the contractor encounters an 3-24' DAM ACCESS MANHOLES �� _ �3' _ � g u y _ soil conditions or site conditions that ore different to' -6 from those shown on the soil log or in our design LOT #42 nstollotion must halt & immediate notification be ' \ 20,000 S.F. +/- \� mode to Carmen E. Shay - Environmental Services, Inc. 7. No vehicle or heavy machinery shall drive over the INLET - ( ( - • septic system unless noted as H-20 septic components. OU TIET \ 8. Install Tuf-Tite gas baffles or equals on all outlet tee ends. INLET THE ACCESS COVERS FOR THE SEPTIC TANK, ' `• DISTRIBUTION BOX AND LEACHING COMPONENT % • � .� 9. All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes. SHALL BE RAISED TO WITHIN 6. OF r—D-BOX \ 10. All solid piping, tees & fittings shall be 4" diameter FINISHED GRADE \ Schedule 40 NSF PVC pipes with water tight joints. STEEL^REINFORCED PRECAST CONCRETE INSTALL TUF-TITS GAS BAFFLES OR EOVALS 3 • ` . PLAN VIEW ON ALL OUTLET TEE ENDS 11. Municipoll Water Is Connected to The Residence and Abutting • Properties' Within 150 Feet. TEST HOLE #1 _ ---- ELEV 97.50 / LOT #37 NOTE" 3-24' REMOVABLE COVERS _i • .%.I THE PROPERTY LINES ARE APPROXIMATE AND \ COMPILED FROM THE SURVEY PLAN GENERATED BY \ \ EC BOURNE OF SANDWICH, MA - 4' i 1S�_�.�-11' \ ENTITLED " FLAN OF LAND IN COTUIT, MA" 3' min cieoronce „• LOT #44 /INLE _12 mn nlel to outlet (MAY 1, 1902) AND IS NOT INTENDED TO BE A SURVEY txtTLEr TWT /' / \ PLOT PLAN. IT SHOULD BE USED FOR NO PURPOSE OTHER THAN THE SEPTIC SYSTEM INSTALLATION. s / 1 _ gal A/ e J C_"Ooo iw.a depth �cxptic Tonle _ THERE ARE NO WETLANDS LOCATED WITHIN A 200' RADIUS o --- OF THE PROPERTY e O ' Foiled \\ O ` O I Cesspool to'-0- f � � pool � 00 � CROSS SECTION END—SECTION � I 1 \ � L EG E N D ENOTES I � PERCOLATION TEST I I � '— i104X1 SPOTT GRADEOPOSED Failed N 1 Cesspool i Dote of Percolation Test OCT 16, 2002 PROJECT BENCH MARK DENOTES EXISTING DECX Test Performed By: CARMEN E. SHAY, R.S.. C.S.E. I # III �I —TOP OF FOUNDATION 104.46 SPOT GRADE Results Witnessed By WAIVER ( for Barnstable B O.H ) ELEV. = 100 (assumed) Excavator Shay Environmental Services, INc ` PL PROPERTY LINE Percolation Rate: Less Than 2 min /inch TOF= ELEV. 100 F96P PROPOSED CONTOUR Test Hole � EXISTING 4 I 97 —97 EXISTING CONTOUR No. 1 BEDROOM DEPTH SOILS_ ELEV. HOUSE I o 98 so I LOT #35 DEEP TEST HOLE & Loomy PERCOLATION TEST LOCATION Sand 10 rR 3/2 0-12- A, 97 50 1 Sandy I \ I .— 6 FOOT STOCKADE FENCE Loom 10 rR 6/4 B. 96 25 I — Med GRAVEL I -- - t9 DRIVEWAY Sand 25 Y 7,4 ► PL ( T PLAN 28--168 84 so l \ OF PROPOSED SEPTIC SYSTEM REPAIR Perc #1 PREPARED FOR Depth to Perc 30" to 48" \ J Perc Rate=<2 min /inch �,� J EAN N .. M c GAY Groundwater Not Observed No Observed ESHWT \ AT ADJUSTED H2O Elev. = None -- - 100. ------ # 3 G GROVE STREET _ COT IT MA Design Calculations CB DjH. —CB D H. _ — — —_" r FNQ, CR O T �� .S' TR L�_E' 2" F JD OF REPARED BY: Number of Bedrooms 4 Equivalent tc 440 Gol %Day (440 Gal./Day Min per Tale V' ��N Garbage Grinder. No I ) o CAR N cy �RNE Y Fe SHA l Leaching Capacity Proposed- 330 Gal /Day Minimum (Min Per Title V) 40 FOOT RIGHT OF WA( � � Septic Tank - 2 x 440 Gal /Day = 880 USE 1,500 GAL Septic Tank NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE E SOIL ABSORPTION AREA: Using per olation rote of <2 min./inch NVIRONMENTAL SERVICES, INC. FROM THE EXISTING CESSPOOLS TO BE DISPx}S1<D SHAY Bottom Area 0.74 qal/sq It x 418sq. ft = 309 32 gallons `96 34 THATCHERS LANE Sidewall Area: 0 74 gal /sq It x 196 sq. ft = 145 04 gallons OF AS PER BOARD OF HEALTH SPECIFICATIONS. 0 20 40 50 0 Providing. = 454 36 gallons FGISTER� EAST FALMOUTH, MA 02536 SgN17ARNP� TEL/FAX 508-54$-0796 Use: (5) HIGH CAPACITY INFILTRATOR CHAMBERS, HAVING A 2' EFFECTIVE DEPTH, EXISTING CESSPOOLS TO BE PUMPED DRY & (3' W x 6 25' L) TO BE USED WITH 3' OF WASHED STONE ON THE SIDES AND SCALE: 1 "=20' DRAWN BY: CES DATE: OCT. 18, 20'02` 3,75' OF WASHED STONE ON THE ENDS. FILLED IN PLACE PER TITLE V. SCALE: 1 "=20 PROJECT#SD351 FILENAME: SD351 PP.DWG SHEET 1 OF 1