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0485 POPONESSETT ROAD
.9 r 4 � I li ' k (i 4 i i 1 I' /I I' �� III li r �i �1 '� I i Town of Barnstable Final Inspection Affidavit f Date:-'---: ad k9 Building Division 200 MairStreet Hyannis, MA 02601 RE: Insulation Permits Dear r_ This aff avjL.is to ce tif-v all work coo pl. e t: Street: �5 l0 91 1 - 9C t Village: iCFtjj� has been inspected by a certified Building Performance Institute (BPI) Inspector. All work performed meets or exceeds federal fand state requirements. Permit application n er:l� Issue date1,-� Sincerely, e Francis Sheehan President Frontier Energy Solutions, Inc. 502 Harwich Road Brewster, MA 02631 Office: 774-237-0410 Email: fssfrontierenergy@gmail.com MAY 14 2u i TOWeV _ a— n1� BPU- ilI • .� Town of Barnstable f Post:This Card So That�t is•U�s�bleFrom the5treet ,wApprovetl�Plans Must beReta�ned on Job.'and this Card Must be Kept :3'CABL6, �:'' ',„. =», r �, : t • M" Posted UntdFinal�ln'spectron Has Been Matle a Where a"Certificate of0ecw anc, pis Re u�red,such B$uldmg shall Not be®ccupied�until aFlnallnspection,has been made ei �t .�:�.�"a, .a;..aa.' "..,�C '� .p.c„ems%>P,aw,c. �;=;d �..-r:a N P,.�: ,..9£`�,0, F ', ,. M .., n s. � _ .�. r,a:� ..,. $a- ....,,. _ -.� ,Y. Permit No. B-18-4206 Applicant Name: Francis Sheehan Approvals Date Issued: 01/10/2019 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 07/10/2019 Foundation: Location: 485 POPONESSETT ROAD,COTUIT Map/Lot: 019-004 001 Zoning District: RF Sheathing: 55, � Owner on Record: GARDINER, RICHARD&ELIZABETH I Contractor Name FRANCIS S SHEEHAN Framing: 1 � N Address: PO BOX 920 g= Contractor license: 41, CSSL-105941 2 COTUIT, MA 02635 Est�,olect Cost: $4,000.00 Chimney: Description: 508 so ft R-37 Cellulose to attic, 180 Sq ft 2" rigidto kneewall, 120 Permit Fee: $85.00 sq ft 2"rigid to kneewall,77 sq ft 2" rigid to wall„120',sg ft 2" rigid .. Insulation: z Fee Pald $85.00 to crawls ace. p g k Date 1/10/2019 final: s p4 yw�." Project Review Req: ,� ( n A C V 3s.St!1� v Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: Rough Gas: x This permit shall be deemed abandoned and invalid unless the work authorized,by this permit is commenced within six months 6— ,issuance. Final Gas: All work authorized by this permit shall conform to the approved application andthexapproved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be incompliance with the loci zornhg by lawsand codes. Electrical This permit shall be displayed in a location clearly visible from access street or road and-shall be maintained open for public mspe. ion for the entire duration of the work until the completion of the same. Service: Ek 3 The Certificate of Occupancy will not be issued until all applicable signdtures,by the Budding and Fire Officials areprovided on this permit. Rough: Minimum of Five Call Inspections Required for All Construction Work:' 1.Foundation or Footing Final: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation 7.Final Inspection before Occupancy Health Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 1 Permit# ?et7 i Health Division ® I IJ Date Issued 3 LAO 1 STEM MUST BE C/ Conservation Division 7i� Ili CON Tax Collector WITH TITLF 5 L_IW�_ Ll no R E NTXL C 0 Treasurer 5 ; z 4 RA Planning Dept. Checked in By Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis - Project Street Address 9' PO o ,5SeT Village Co+V%I �� �o Owner IC�1Ai'c+ e1i1 .II t+k &LrAtAO Address Telephone Sd ?r Permit Request ® i®�f x �. 011 MU Yz0 vn Wi 1UV) , r - G a Square feet: 1 st floor: existing o proposed 2nd floor: existing proposed Total,new71�2 y .�7'. Valuation 1Y 000 . 00 Zoning District Flood Plain �_ Groundwater Overlay- 1YO Construction Type v: Lot Size J 100,- • Grandfathered: ❑Yes flNo If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) ` Ago of Existing Str;.Full ture V �' Historic House: ❑Yes o On Old King's Highway: O Yes 5_No Basement Type: Cl Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing ' new Number of Bedrooms: existing 2 new Total Room Count(not including baths): existing new I First Floor Room Count Heat Type and Fuel: ZGas ❑Oil ❑ Electric ❑Other i Central Air: Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 2 0 e A hed:Zexisting ❑new size/0 X Ld Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, ste_plan review_# Current Use Proposed Use BUILDER INFORMATION Name .�1 `�, � Telephone Number —o g 4 u 4SIq5 Address �� .'J License# .04 ,z &fskel (l l[) rn 6 Home Improvement Contractor# H 4 Worker's Compensation# ALL CONS RUCTI N DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO-Ir An 4r SW10 r) SIGNATURE DATE 271 FOR OFFICIAL USE ONLY a PF_RMIT NO. DATE ISSUED r MAP/PARCEL NO. ADDRESS I VILLAGE ' OWNER - DATE OF INSPECTION: a FOUNDATION 3 juldlo�Cj �` i a l FRAME o_,_ 1. 05 k& r ' INSULATION (o s., FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL t GAS: ROUGH FINAL T FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. �• t P`p�THETp�p The Town of Barnstable . NW ,' BARN STARLE, • Department of Health Safety and Environmental Services y MASS 0a Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: _ ��+-d�nef Map/Parcel: Project Address: YSS ?A RR Da n eSse,4 M Builder: `z�--®" V d& The following items were noted on reviewing: PF1C�N� o e a cos ? Reviewed by: Date: 9116Y611 G-P LAM° LVL FLOOR. BEAMS The table below shows the size of the beams needed to support various Floor systems.The table is valid for loads of one Floor only, i.e.,a second story floor or one story floor over a basement. (See drawing at right.) ® m When floor joists span continuously from wall to wall "'` .,�.p. • (not cut at beam)this table requires that"B"be not less than 45%, or greater than 55%of"A". ' ;Example: If"A"=32',"B"must be between coluu nmn 14.4' (32 X.45)and 17.6'(32 X.55) spacing B A Column / \� For non-conforming situations, use FASTBeam® spacng Analysis S Selection Software or contact G-P Engineered Lumber Technical Services. 131f (IL 2.0E G-P LAM®LVL - Column Spacing (center to center) 11' 12' 13' 14' 15' 16, 17' 18, 19� , 20'' 24' 2-11'/P r 2-117,11 2-11'/;' ` 2-14" 2-14" 2-16" 2-16"+ 2-16"+ 2-18"# 2- 8"+ 3-9'/4" ` 3-9V 3-11'h" 3-1174" 3-11V." 3-14" 3-14" 3-14 3-16" 3-16" 2-111/4" 2-14 2-14"+ 2-14"+ 2-16"+ 2-16"+ 2-18"+ 2-18"+. 2-18"+ Total 28 3-91h" 3-111/4" 3-111/4" 3-11'h" 3-14" 3-14" 3-16" 3-16" 3-16" Floor 2-11'/P 2-111/1" 2-14"+ 2-14"+ 2-16"+ 2-16"+ 2-18"+ 2-18"+ 2-18"+ Joist 32 3-91/2" 3-11'/4" 3-1114" 3-11'/e 3-14" 3-14" 3-14" 3-16" 3-16 3-18" Span 2-11'/4"+ 2-14"+ 2-14"+ 2-14"+ 2-16"+ 2-16"+ 2-18"+ 2-19"+ A,� 36' 3-111/4"- 3-111/P 3-14" 3-14" 3-16" 3-16" 3-16"+ 3-18"+ 40' 2-14"+ 2-16"+ 2-16"+ 2-184 3-11'/." 3-14" 3-14" 3-14" 3-16"+ 3.16"+ 3-16"+ 3-18"+ 1.8E G-P LAM®LVL Column Spacing (center to center) 11' 12' 13' 14' 151, 16' 17' 18, 19, 20' 24' 2-111/P 2-111h" 2-14" 2-14" 2-16" 2-16" 2-16"+ 2-18"+ 2-18"+ 3-91/4" 3-111/4" 3-111/4" 3-111/d' 3-14" 3-14" 3-14" 3-16" 3-16" 3-15" 28' 2-11'/4" 2-14" 2-14" 2-16"+ 2-16"+ 2-18"+ 2-18"+ 2-18"+ Total 3-91h" 3-11'/4" 3-11'/4" 3-11'A" 3-14" 3-14" 3-14" 3.16" 3-16" 3-18" Joist 32' Floor 2-111/." 2-14" 2-14"+ 2-16"+ 2-164 2-18"+ Span 3-111/4" 3-111/4" 3-11'All 3-14" 3-14" 3-14" 3-16" 3-16" 3-18" 1 3-18' "A" 36' 2-14"+ 2-14"+ 2-16"+ 2-164 2-184 2-18"+ 3-111/4" 3-111/4" 3-1116" 3-14" 3-14" 3-16" 3-16" 3-16" 3-18"+ 3-18"+ 40' 2-14"+ 2-164 2-16"+ 2-184 2-18"+ 3-111/4" 3-11'h" 3-14" 3-14" 3-16" 3-16" 3-16"+ 3-18"+ 3-184 +See note 3. NOTES 1. Beam sizes are listed as number of pieces 11/4"thick by beam depth,e.g.2-91h"is two'11/4"pieces 91/�"deep. 2. Table is based on continuous floor joist span and simple or continuous beam span conditions.If floor joists are not continuous above the beam,take the sum of the joist spans then multiply by.8.This is the total floor joist span to consider. 3. Required end bearing length(based on 565 psi)is 3.0"unless the subscript+is shown.In that case,4.5"is required. 4. At intermediate supports of continuous spans,use the following guidelines or refer to page 12. 7'h"bearing length for beams requiring 3"bearing at the beam ends 101/i"bearing length for beams requiring 4.5"bearing'at the beam ends 5. Beams require full width bearing. 6. Table is based on residential floor loading of 40 psf live load and 12 psi dead load.Roof must be supported at exterior walls only. 7. Live load reductions have been applied per SBC section 1203.2,NBC section 1608,and UBC section 2306. 8. Deflection is limited to U360 at live load. Z 7 9. For other loading conditions refer to page 13. i j ' �1ie �o7reonanurec�� o��/�aoaac�ivaeCZa Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Regis faton 114381 Expiration 0/3/2007 rr"� t Type I�n,dtvidual - F JOHN C.VIEIRA'; ,Jt JOHN VIEIRA ?�V-; . It ' 32 COLUMBIA AVE\,�� MARSTON MILLS,MA 02',`-fi48 Administrator i ✓fie"�-�o�iinYoazruecalCl`o�, %�aaaaetivaelta S,"'RID F� UIL[ ING REGULATIONS; Lice'n5e G,NSTRUCTION 00ERV115'O'R Number S4_ 042654 nP 2 _ Ez'prF12�02I2Q 5, Tr.n'o: 10824 32.00t:l.°JMBIA AUE / dx, ''' °MAROON=MILLS; "WIA26'48 ;, Adrnrnistrat`or License or registration valid for individul use only before the.expiration date..If found return to: Board of Building Regulations and Standards One Ashburton Place Rm 1301 Boston,Ma.02108 i Not valid without signature 4 cf emclbetl space :: (MG; :C a'A"12 V80L) � G 1 `2VFath fy Homes � ilure o'possess a-turtont-edition.of the, 70 las''Sac husetts State Bu{Iding>Code. causioF revocation of this;license. € t©Irtty$i4Ft CALL CENTER' �888)344 7233 f 0 `)TCA E' SECT A 1T APPLICANT.' RICHARD & ELIZABETH GARDINER TO WY BARU<STABLE RO 1a1.5 o f� ��5c POP A6'30 E ,i NO PATIO ���� LOT 80A _ ro � ti iiii IISE #485 1 o X 0 DECK ,C M OF Pk \ NlENTHLJW hta.3 Sins ) 0 LOT 78 LOT 79A i 208.85 N79 51'40"E LOT 82 - LOT 83 FLOOD PANEL: 250001=0021D FLOOD ZONE.- C_ DATED 7102190 I hereby certify,that this mortgage inspection plan was prepared for,- Plan is For GUARANTY RESIDENTIAL Bank Use Only The location of the building shown does MaT__ fall within a special flood hazard zone. PLAN REF = _512133 The location of the dwelling does __--__ conform to the local zoning by—laws in effect 40 at the time of construction with respect to horizontal dimensional setback requirements Scale 1 = _ or is exempt from violation enforcement action under Mass. General Laws Ch. 40A —Sec. 7. Date: _�I19102__ PLEASE NOTE The structures on this inspection were located by tape not instrument and are approximate only. An actual survey is necessary for a precise determination of the building location and encroachments, if any exist, either way across property lines. This inspection must not be used for.recording purposes or for use in preparing deed descriptions and must not be used for variance or building plan purposes. This inspection must not be used to locate property lines. Verification of building locations, property line dimensions, fences or lot configuration can only be accomplished by an accurate instrument survey which may reflect different information than what is shown hereon. This inspection is not Lbed for any purposes other than mortgage. Yankee Survey accepts no responsibilityfor damages resulting from said reliance. YANKEE ,.� URVEY UUN,SUL7�gNTS FAX 508-420--5553X 265, 40 INDUSTRY RD, MARSTONS MILLS, MA 02648 PHONE. 508-428-0055 33997 LM O-P LAM° LVL WINDOW & PATIO DOOR HEADERS - ROOF ONLY ROOF APPLICATIONS This table indicates the appropriate size header for vari- ous roof truss spans with 2'soffit. If the soffit is greater than 2',additional engineering is necessary. x ® l Open \` Roof Truss Span 2'Soffit L VL Assumed 2.0E G-P LAM®LVL , Snow 115% Non-Snow 125% Roof Loading25 sf LL+20 sf DL 40 sf LL+20 sf DL 20 psf LL+12 psf DL 20 psf I L+25 psf DL . Rough O enin 6' 8' 9' 10' 12' 6' 81, 9' 10' 12' 6' 8' 9' 10, 12' 6' 1 8' 1 9' 10' 12' 1-974Y 1-971' 1-111/P 1-11'/" -9'/," 1 11' 1P/e" 1-14"+ 1-91/4" 1-9'/!' 1-9'/," 1-11'/!' 1-14" 1-9'/," 1 9'h" 1-11'/," 1-11'/a" 20' 2-91N, 2-9' " 2- '" 2-9%" 2-91/4" 2-111/4" 2-14" 2-91/4" 2-111/41' 2-91/4" 2-91/4" 2-111/e" MIN' 3-11IN, Roof 1-9'/4 1-972" 1-11'/4" 1-14"+ 1 9'/P 1-11'/i'+ 114"+ 1-9'h" 1-9'/P 1-11'/? 1-11'/P 1-9% 1-9'/2" 1-11'/," 114"+ Truss 24' 2-9%" 2-91/4" 2-11'/4" 2-14" 2-9'/a" 2-91/2" 2-111/4" 2-14" 2-91/4" 2-91/4" 2-111/4" 2-9'/," 2.91/4" 2-111/4" 2-14" A, Span 3-91/f MIN'3-11' MIN' 3-9'h" 3-11'/;' 3-91h" 3-91/4" 3-111/4" 1-974 1-11'/,'+ 1-11%'+ 1-14"+ 1-9'/1'+ 1-11'/1"+ 1-974" 1-91/4" 1-111/4" 1-11'/8" 1-91/41' 1-114,"+ 1-11'/e''+ 1-14"+ ` with 28' 2-91/4" 2-91/," 2-11IN' 2-14" 2-91/4" 2-111/4" 2-11'/a" 2-16" 2-91h" 2-91/4" 2-111/e" 2-91/P 2-9'/4" 2-111/4" 2-14" 2' 3-91/4" 3-111/411 3-91/4" 3-111/4" 3-14" 3-11'/4" 3-91/," 3-117,11 'Soffit 1 9'/," 1-11'/!'+ 1-14"+ ' F- + 1-9'/P+ 1-9V," 1-974" 1-11V," 1-14" 1-9'/? 1-11'/?+ 1-14"+ 1-14"+ 32 2-9'/f 2-9'/4" 2-111/4" 2-14" 2-91/41' 2=11IN' 2-11'h" 2-16"+ 2-91/4" 2-91h" 2-14" 2-91/P 2-9'/4" 2-111/4" 2-14" Assumed 3-91/4" 3-11'/a"r2-941/," 3-9'/4" 3-11'/P 3-14" 3-9V4" 3-11'/P 3-91/4" 3-11'/8" 1-11'h"+ 1-14"+ 1-974" 1-9'/2" -11'A" 1-14"+ 1-11'/P+ 1-14"+ 36' 2-974" 2-1 Ph" 2-111/4" 2-16" -11'/4" 2-14"+ 2-16"+ 2-9'/," 2-9'/," 2-11'/4" 2-14" 1-9'/4" 2-9'/4" 2-11'/P 2-11'/," 2-16" 3-914 3 111/4" 3-14" 1.8E G-P LAM®LVL Snow 115% Non-Snow 125% Roof Loading 25 stLL+20Ps f DL 40 psf LL+20 psf DL 20 psf LL+12 sf DL 20 sf LL+25 sf DL Rou h Opening 6' 8' 9' 10' 12' 6' 8' 9' 10' 12' 6' 8' 9' 10' 12 6' 8' 9' 10' 12' 19'/P 1 9'/P 1-11'/P 1-14" 1-91h 1-111/P+ 1-1411+ 114"+ 1-974" 1-974" 1-91h" 1-111/4" 1-14" 1-91/41, 1-91/41, 1-11'/4" 1-14" 20' 2-91/4" 2-111/4" 2-14" 2-91/4" 2-91/4" 2-111/4" 2-14" 2-91/4" 2-9'h" 2-111/4" 2-9'/,,, 2-111/41' 2-14" 3-91/4" 3-111/41, 3-91/4" 3-11'A" 3-9'/2" 3-91/4" 3-11IN' - Roof 1-9'/i' 1-11'/P 1-11'/;' 114"+ 1 9'/P 111'/,"+ 1-14"+ 1-9'/," 1-9'/," 111'/i' 1-11'/a" 1-9'/4" 1-1174 1-11'/," 1-14"+ Truss 24' 2-9%" 2-9%" 2-111/4' 2-14" 2-91/4" 2-111/4" 2-111/4" 2-16" 2-91/," 2-91/," 2-111h" 2-91/P 2-9'/," 2-111/," 2-14" Span 3 91/4" 3-11'h" 3-91/4" 3-14" 3-11'/," 3-91/4" 3-11'/P 1-9'/P 1-11'/P+ 1-14"+ 1-14"+ 1-9VP+1-11'/1"+ 1-9'/<" 1-9'/P 1-117," 1-14" 1-9'/," 1-11'/,"+ 1-14"+ 1-14'+ with 28' 2-91/4" 2-91/4" 2-111/4" 2-14" 2-91/4" 2-11'/P 2-111/e" 2-16" 2 9'/P 2 9'/2" 2 14" 211'/P 2 9'/a" 2 11'h" 2 14" y 3 9'/," 3 11'/B' 3 9'/;' 3 11'/P 3-14" 3-91/4" 3-111/4" 3-91/," 3-111/e" Soffit 1-91/4" 1-111/44 1-14"+ 1 9'/,"+ 1-9'/," 1-9'/2" 1-111/4" 1-14" 1-9'/P 1 fl%,,+ 1 14"+ 32' 2-91h" 2-11Y." 2-11'h" 2-16" 2-91/4" 2-11'/4" 2-14" 2-16"+ 2-91/4" 2-91/4" 2-111/4" 2-14" 24/4" 2-11'/4,' 2-1174" 2-16" Assumed 3-91/4" 3-14" 3-91/4" 3-1174" 3-14" 3 9'/," 3 11'/< 3-9'h" 3-14" 1-9'h° 111'h"+ 1 14"+ 1-11'/P+ 1-9'/," 1-11'/,"F-91'/4�"' 1-14"+ 1-9'/e" 1-11'/4" 114"+ 36' 2-9'/," 2-11'/," 2-11'/a" 2-16" 2-9'/," 2-9'/2" 2-11'/4" 2-14"+ 2-18"+ 2 9'/," 2-11'/4" 2 14" 2 9'/," 2-11'/<" 2-11'/d' 2 16" 3 9'/P 3 11'/," 3 14" 3-91/4" 3-111h" 3-14" 3-91/11, 3 11'/P 3-91/4" 3-111/4" 3-14" +See note 2. NOTES 1. Header sizes are listed as number of pieces 12/4"thick by header depth,e.g.2-9'h"is two 1 a/a'pieces 9,h"deep. 2. Required bearing length(based on 565 psi)is 3.0"unless the subscript+is shown.In that case,4.5"is required. 3. Headers require full width bearing.Triple headers require 2 x 6 cripples. 4. Deflection is limited to U240 at live load and the lesser of U180 or a/W'at total load. 5. Roof live and dead loads shown are applied vertically to the horizontal projection. ' 11 RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 ,` Alterations/Renovations $50.00 Change of Contractor/Builder $25.0.0 FEE VALUE WORKSHEET NEW LIVING SPACE p square feet x$96/sq.foot= ! �Z® x.0041= ° L plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING�S]�ACE.. ---.--.-----.---�_—.------ square feet x$64/sq.foot= x.0041= plus from below(if applicable). GARAGES'(attached&detached) square feet x$32/sq.&= x.0041= 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.0041= STAND ALONE PERMITS Open Porch _x$30.00= op (number) Deck x$30.00= (number) K 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) Permit Fee _ oFE'O''�• Town of Barnstable e °. Regulatory Services ' Thomas F.Geiler,Director 9`b�FQ ;oi►`�� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Permit no. Date Z.3 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: ��Qb t1 17 10 tl rnuu room f�C=C1 stimated Cost � 00 0 Address of Work: Owner's Name: I G�� 1z46-eA (10_41 1 M t1ve- Date of Application: Z 0 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 UND AL IES OF PERJURY I here y ap ly for a permit as the agent of o er: 23 Da Contractor Name Registration No. OR Date Owner's Name Q:forms:homeaffidav TableJ5.Z1b(condoned) Prweriptive Fjkdmges for One and Two-Family Residential Bniidiag!Heated with Foams Fuel MAXIMUM MINIM[TM Glazing Glazing teiiing Wall floor .Haserneat Siab HeatinglCooling ppimeta Fquipmcnt EMciexcyf Am' U.value= R-value R value R value' NallR valuer + Paelca9e R-valuef 5701 to 6500 Heating Degree Days' Q 12% 0.+40 38 13_- _19 10 6 Norms! • — 19—.� -•=--19 0 1 6 Normal U 12t., -'03230 -- "—. 8S f •3!fi S t2•t. 0.50 38 13 19 10 6 N/A Numid 13 ZS N!A _6_ - ,... ..U•..• '1Sl 0.46 31 19 19 10 'N/A 85AAFUE :. ..-13'/. 0.44 3E 13 ?3 NIA ES AFZJE W .15•/. O.SZ. 30 19 19 10 6 X 18% 032 ' 38 .13. 25 N/A ' N/A Nomaal. Y :18'/. ' 0.42 38 19 Normal 25 NIA NIA Z 18•/. 0.42 38 13 19 10 6 90 AFUE 6 90 AFM AA •• 18/. o 19.sa 30 19 10 . . . �9 d I. ADDRESS OF PROPERTY: . .. • 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS:. 3. SQUARE"FOOTAGE OF ALL GLAZING' 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q--AA-See above): NOTE: OTHER MORE.INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION.- BUILDING INSPECTOR APPROVAL: YES: NO: q•forms-�80303a 780 CMR Appendix J Footnotes to Table A2.1b: assemblies Includin sliding-glass doors, skylights, and a Glazing area is the ratio of the area of the glazing g 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/a of the total glazing area may be excluded from the U-value requirement. of decorative glass may be excluded from a building design with 300 if of glazing area. For example,3 if a 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 11..53a. U-values are for whole units: center-of-glass U-values cannot be used. 3 The.cefling.Arvalues do not assume a raised or oversized truss constriction. If.the insulation achieves the full _ insulation thickness over the exterior walls without compresslon, R 30 insulation may:be substituted for R 38 ;_. _ insulation,an-•R=31;iniu7a�ion slay bie substituted`for`R=49=insulation: Ceiling R-Yalues-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 roof. - . ' ' �� ' . if'used). . not include` 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing(' exterior siding, structural sheathing,.and interior drywall For example,an R 19 requirew��uludnrements amet pply by R.19 cavity insulation OR R 13 cavity insulation plus R 6 insulating sheathing. Q pp Y wood-frarise or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. The floor requiiements 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 than50%below of cgaade must meet the same -R=value requirement*as above-grade walls. Windows and sliding glass d. basements must be included with the other glazing. Basement doors must meet,the door U-value requirement described in Note b, nstall more The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' if the building iitil'izes elebtrie resistance heating use compliance approach 3,4'rm5.'If you lanwrth lowest than one piece of heating equipment or more than one piece of cooling equipm t, equipment efficiency rniist meet-or exceed the efficiency required by the selected package... 'For Heating Degree Day requirements of the closest city or town see Table JS.Z:Ia NOTES: a)Glazing areas and•U-values are maximiun acceptable ep not include structural omponentse levels,insulationmmunum acceptable•levels. R.value requirerrients are for insulation only tha n 0.35.Door U-values must be tested b)Opaque doors in the building envelope must have a U value no greater and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table 11.5.3b. If a door contains glass 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.,mayspace have -valuerthan 0.35udes two or more areas with c)If a ceiling,wall,floor,basement wall,slab-edge,of crawlpcomponent different-insulation levels,the component complies if the area-weighted average R-value is greater than or equal to for that component. Glazing or door components comply if the area-weighted average U- the R-value requirement p 0.35 for doors). value of all window s or doors is less than or equal to the U-value requirement( . . 43 t ' Town of Barnstable Regulatory Services M,tss. ASS. ' Thomas F.Geiler,Director � Building Division Tom Perry, 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 as Owner of the subject ro e J p P rtY hereby authorize v �(--�� �`� to act on my behalf in all matters relative to ork authorized by this building permit application for: (AddrA4 of Job) ♦ p Sign e of Owner ate Print Name Q:F0RMS:0WNEUERMM SIGN TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map • ® .q Parcel -p® 1 Permit# �� 95 b? Health Division � -15 7?` Date Issued Z12-7� o Conservation Division Fee � ,. , a. 40 Tax Collector � �5 ���/T�b g1/�� Application Fee 4'5b 0 Treasurer O�'s Planning Dept. + Checked in By iR Sj. Date Definitive Plan Approved by Planning Board �8� ►� Approved By O Historic-OKH Preservation/Hyannis �4p Project Street Address �� PO D 0 C) A 5, Village o ' 0 Owner Y V %ZA fir 14dress ��� c� n 5C_V �.d Telephone Yy 9 4 2 $ 2 g 73 Permit Request P)CIJ too pn or M1 er Square feet: 1 st floor: existing l�/Z' proposed 2nd floor: existing6 proposed.J Total new'5� iValuat� ion- ��—0-0��r 00 Zoning District Flood Plain Groundwater Overlay Construction Type WOO Lot Size 2to 000 5L Al, Grandfathered: ❑Yes cla Ko If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)) Age of Existing StruCtLre 4 3 Y pt Historic House: ❑Yes 3 o On Old King's Highway: ❑Yes o Basement Type: Full ❑Crawl ❑Walkout ❑Other YP / {,�� Basement Finished Area(sq.ft.) 600 s� . � Basement Unfinished Area(sq.ft) I� ,5 'Number of Baths: Full: existing new Half: existing _(:7P_ new -. — Number of Bedrooms: existing Z new Total Room Count(not including baths): existing b new / First Floor Room Count Heat Type and Fue: 2`Gas ❑Oil ❑ Electric ❑Other Central Air: ®'Yes ❑No Existing Fireplaces: wood/coal stove: Yes ;:�O� p g � New Existing ❑ D tache arage: isting ❑ size Pool:❑ i ting ❑ size Bar • existi ❑n size Att d ga :❑exis' new ' d:Cl exis' ❑new ther: C Zoning Board of Appeals Authorization ❑ Appeal# Recorded Cl , n Commercial ❑Yes Cl No If yes, site plan review# jan Current Use Proposed Use Z BUILDER INFORMATION �' � -� � _ - to Name Telephone Number Address 00 / License# (� / Home Improvement Contractor# O b ¢ Worker's Compensation# ALL CONST UCTIO DEBRIS E LILTING FROM THIS PROJECT WILL BE TAKEN TOnS SIGNATURE DATE 2- % 9` 05 FOR OFFICIAL USE ONLY - r PERMIT NO. DATE ISSUED J , MAP/PARCEL NO.._,i ADDRESS ' VILLAGE ' '~ OWNER v � DATE OF INSPECTION, FOUNDATION „ _ f FRAME Tot, 1 INSULATION ,9 FIREPLACE r� u% - r ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDIN - y t DATE CLOSED OUT ASSOCIATION PLAN NO. oFtNE Ta,, Town of Barnstable Regulatory Services BARN� MASS.�'�` Thomas F.Geiler,Director1639. _ 'O�FDMA'�a`0 4' Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section .If Using A Builder -, as Owner of the subject property hereby authorize ��> �1 P,%�V/� to act on my behalf, in all matters relative to work authorized by this building permit application for: 4 /'? ; (Address of Job) ign e of Own Date ,z he*, 6�v d, -& Print NIme F Q:FORMS:OWNERPERMISSION Table JU.1b(coin cued) th read Feels . "alpti"psaa6es for One and Z'wo•Fsmity Ruideatial WOW Bpi 1d mnvimum ' M17M •HesnaglCoalina a g plating Bas Cditg wan Floor ement omelet Fm�Fed Area C/�) u yd y� R,•yaluW R value' R valve° Will noT valves Rrvd R Fse 5101 to d300 dng D D 12'/• GAG 31 13 19 10 6 Norassl - - --` 6 6. �10 I ' • • R �12Y. _ , - Oat 30 ' •83�& • l2Y.' 0.30 3a 13 —"•19—`_' --10 .�,� NSA N!A 38 13 25 19 t9 10 U. '157e 0,46 38 NIA `NfA BS:AFE1$ 38 ' 13 V, :„ :.,•15Y. 0.44-.• { 85 AF A .IS•41 . O.S2 30 • 19 l9 10 � otmd X 13% 142 38 N/A Normal y ' 38 t9:' 25 rilA g0AFUE 13 19 10 6 Z .• 18y. 38 19 19 10 6 90 AF U9 AA -- 18Y. O.iO 30 PO�PAO 0 11 e,ss 1.-ADDRESS OF PROPERTY. 2, SQUARE FOOTAGE OF ALL EXTERIOR-WALLS,: - - 3, gQVARE FOOTAGE.OF ALL'GLAZING: _ s DIVIDED BY#2): • 4. c/o GLAzat4 AREA(#3 • ' 5, SELECT PACKAGE(Q--AA see chart above); , .. p• +; OTi�£R ADORE INVOLVED UMTFIODS OF DETERMINING ENERGY REQ�S N ARE AVAILABLE. ASK VS FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: N0: q•farms-�aa303a 780 CM A.Appendix J a Footnotes to Table A2.1b: lass doors, skylights, and z Glazing area is the ratio of the area of the glazing assemblies (including sliding-g e gross wall basement windows if located in walls that enctlhoeetocoml dilaz�ng area may be exelace,but udedopaque doors)*to from the U-valuer requirement. area,expressed as a percentage.Up to 1/o of g For example,3 if of decorative glass may be excluded from a building design with 300 fls of glazing area. 1, 199§, glazing U-values must be tested and documented by the manufacturer in accordance with :After January the National Fenestration Rating Council (NFRC) test procedure, or taken from Table 31.5.3n. U-values arc for whole units: center-of-glass U-values cannot be used. a The.ceiling.R values de not assume a raised or oversized buss construction. If the insulation achieves the &11 thickness over the exterior walls-without compression, R 30 Insulation may:be substituted for R 38 Insulation _ p- present the-sum••ot.cavity — insulation av—dP""g�uJafion may b—Mba if�ited°for�R=49"-fnsulatibn: Cefling'R�xalti m be: laced between . Insulation plus insulating sheathing(if.used7--For ventilated'ceilings, insulating sheating P the conditioned space and the ventilated portion of the roof. . If itse Do not Include` 4 Wall R-valuues represent the sum.of the wall cavity ° linsulating an R 9 regagent could'be met EITiMR exterior siding, structural sheathing,and interior drywall. P q m by R 19 cavity insulation OR R 13 cavity insulation plus R-6 Insulating sheathing. Will rr cnta apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame 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 walls, Windows and sliding glass doors.of conditioned. • 'mcrt the same R=value requirement as above-grade basements must be included with the other glazing. Basement doors must.;neet.the door.U-value requirement described in Note b. ue requirements are for unheated slabs.Add an additional R-2 for heated slabs. more °•The R val q If the building utilizes elebtrie resistance heating use compliance approach en rye Eqyou rplan at1with the lowest than one piece of heating equipment or more than one piece of coo g q pm t, . .efficiency most meet-or exceed the efficiency required by the selected package,.. For Heating Degree Day requirements of the closest city or town see Table 15.1.1a NOTES: ' a)Glazing areas and -values are maximum acceptable levels.Insulation R-values are minimum acceptable-levels. R-value requirerhents are for Insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35.Door U-values must be tested and documented by the manufacturer In accordance eutl the NFRC test procedure or taken from�a U-value rating for that door is not availableoinc uda the or U-Yalua In Table 11.5.3b. If a door contains glass andaggregate 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(Len may have a e wallegreater thanl035udes two or more areas with • c)If a ceiiing,wad floor,basement wall,slab-edge,of crawl spa • eater thin or eqdal to different insulation levels,the component complies ifedaor coin on nts comply-if the arY21ue Is ea-weighted Lye rage U- the R-value requirement for that component. Glazing P value of all windows or doors is less than (0.35 for doo or equal to the U-value requirement rs). 43 ' Town of Barnstable Regulatory Services s ari: Thomas F.Geiler,Director •�'��0 Building Division Ea.s� Tom Perry,Bailding Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us„ • 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,fora 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: Q 'E.� 00 M �A tr 0 ev,-- Estimated Cost !J i 00 0 (10 Address of Work: �� ` - e. Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ElBuilding 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 hereb, ap ly for a permit as the agent of the er: l4-3 Dat Contractor Name Registration No. OR Date Owner's Name Q:forms:homeaffidav RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE _ New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations $50.00 Change of Contractor/Builder $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE j _square feet x$96/sq.foot= x.0041= t� plus frombelow(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0041= plus frombelow(if applicable) . GARAGES'(attached&detached) square feet x$32/sq,ft.= x.0041= ACCESSORY STRUCTURE>120 sq.ft. >120 of-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 $96/sq,foot= x.0041= STAND ALONE PERNIITS Open Porch x$30,00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) I•nground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee Projcost ,..__.I.I,l AA T , )Per C T'IO I�T P� ,,4 RICHARD & ELIZABETH GARDINER APPLICANT BAR.ITSTABLE 0 AD 50 PO q.6 � ' 30 • Ng5 z N CJ pAT10 LOT 80A DECK of PAU1 ► EWTHEW Via.3 SiSTE� LOT 78 LOT 79A i 208.85 1V79°51'40"E LOT 82, LOT 83 FLOOD PANEL: 250001_0021D FLOOD ZONE. C DATED 7102192 I hereby certify that this mortgage inspection plan was prepared for: Plan is For GUARANTY RESIDENTIAL Bank Use Only The location of the building shown does NOT__ fall within a special flood hazard zone. PLAN REF. = 512133 The location of the dwelling does ------ conform to the local zoning by-laws in effect Scale 1" _ 40 at the time of construction with respect to horizontal dimensional setback requirements _ ---=— or is exempt from violation enforcement action under Mass. General Laws Ch. 40A. -Sec. 7 Date: _�I19102__ PLEASE NOTE The structures on this inspection were located by tape not instrument and are approximate only. An actual survey is necessary for a precise determination of the building location and encroachments, if any exist, either way across property lines. This inspection must not be used for recording purposes or for use in preparing deed descriptions and must not be used for variance or building plan purposes This inspection must not be used to locate property lines. Verification of building locations, property line dimensions, fences or lot configuration can only be accomplished by an accurate instrument survey which may reflect different information than what is shown hereon. This inspection is not to be used for any purposes jother than mortgage. Yankee Survey accepts no responsibility for damages resulting from said reliance. K,AL 1 ° fEE S UR VE Y ��1 ��UL��1 W �� FAX 506-420-5553 10 BOX ,265, 40 INDUSTRY RD, MARSTONS MILLS, MA 02648 PHONE 508-428-0055 33997 LM Board'of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 114381 Board of Building Regulations and Standards Expiration -9/3/2007 One Ashburton Place Rm 1301 T e Individual Bost Yp on;NIa.02108 JOHN C.VIEIRA' JOHN VIEIRA 32 COLUMBIA AVE MARSTON MILLS MA 02648 Administrator •.: Not valid without signati:re ✓fie �o�nvvr�o ru.�seiz�/z a����ocrcl uaeCZa BOARD OF BUILDING REGULATIONS icense: CONSTRUCTION SUPERVISOR Numbers,QS O42651 Expires: 12/02/20'07 Tr. no: 10650 Restncfed 00 x..... JOHN C VIEIRA 32 COLUMBIA AVE MARSTON MILLS MA 02648' Commissioner ROOF APPLICATIONS This table indicates the appropriate size header for vari- ous roof truss spans with 2'soffit. If the soffit is greater than 2',additional engineering is necessary. f Opening �` Roof Truss Span 2'Soffit Assumed 2.0E G-P LAM®LVL Snow 115% Non-Snow 125% Roof Loading 25 psfLL+20 psf DL 40 sf LL+20 sf DL 20 sf LL sf DL 20 sf LL sf DL Rough Opening 6' 8' 9' 10' 12' 6' 8' 9' 10' 12' 6' 8' 9' 10' 12' 6' 8' 9' 10' 12' 1-11'u, 1 1-91/4" 1-11'/4"+1-117a" 1-14"+ 1-9'/P 14/4" 14/e' 1-11'/41' 1-14" 1-91/4" 1-91/+" 1-111/e' 1-11%, 20' 2-9'/P 2-94," 2-111h" 2-9%" 2-91/4" 2-111/e" 2-14" 2-9'/," 2-11'/," 2-9'/4, 2-91/4" 2-11'/e' 3-111/4" 3-974" 3-111/4" 3-974" 3-111/4" Roof 1-974" 14/2" 1-111/4" 1-144 1-944" 1-111/4"+ 1-14"+ 1-9'/4" 1-974' 1-1174" 1-11'/4" 1-974" 1-91h" 1-111/4" 1-14"+ Truss 24' 2-9%" 2-91/4" 2-1174" 2-14" 2-9'/," 2-91/z" 2-1 Ph" 2-14" 2-91/4" 24/4" 2-111/4' 2-9'/," 2-9'/4" 2-11'/P 2-14" 3 9'/," 3 11'/P 3 9'/P 3 9'h" 3-11'h' 3 9'/z" 3-9'/,° 3 11'/P ,; Span 1-9'/4" 1-11'/,"+ 1-111h'+ 1-14"+ 1-9'/e'+ 1-11%'+ 1-9'/" 1-9'/i' 1-11'/P 1-live" 1-9'/," 1 11'/+"+ 1 11'/e'"+ 1-14"+ with 28' 2-97+" 2-91/4" 2-111/4" 2-14" MY," 2-11'/4" 2-111h' 2-16" 2-91/4" 2-91/4" 2-11'la" 2-974" 2-9'/." 2-111/4' 2-14" 2' 3-9'/," 311'/<' 3-91/+" 3-111/4" 3-14" 3-11'/4" 3-91/," 3-111/e' Soffit 1 94," 111'/+"+ 1-14"+ 114"+ 1-9y,"+ 1-9'/," 1974.' 1-1P/P 1-14" 1-9'/," 111yP+ 1-14"+ 114'+ 32' 2-9'/," 2-9'v," 2-11'/," 2-14" 2-91h- 2-11114" 2-11'/a" 2-16"+ 2.9'h" 2-91h" 2-14" 2-9'/P 2-9'/P 2-11'/," 2-14" Assumed 3-91h" 3-11IN' 3-91/," 3-111/," 3-14" 34/4" 3-111/+" 3-974" 3-111/e, 1-9'/," 1-11'/a'+ 1-14"+ 1-91/4"+ 1-91/," 1-91h" -il'%� 2 14"+ 1-11'/P+ 1-14"+ 36'' 2-974" 2-111/," 2-1 Vh" 2-16" 2-91/,° 2-11'b" 2-14"+ 2-16"+ 2-91/4" 2-9' 11'/<" 2 14" 1 9'/," 2 9'/P 2 11'/<" 2-11'/;' 2 16" 3-9'/+" 3-14" 3-9y," 3-1P/," 3-14" -9'/," 3-111/4" 34/4" 3-14" 1.8E G-P LAM®LVL Snow 115% Non-Snow 125% Roof Loading 25 psf LL+20 psf DL1 40 psf LL+20 psf DL 20 psf LL+12 psf DL 20 sf LL+25 sf DL Rough Open n 6' 8' 1 9' 10' 12' 6' 1 8' 9' 1 10' 12' 6 8' 9' 10' 12' 6' 8' 9' 10' 12' 1-974" 1-9'A" 1-1111P 1-14" 1-91/4" 1-111/4"+ 1-14"+ 1-14"+ 1-974" 1-91/4" 1-91h" 1-111/4" 1.14" 1-9'/4" 14/," 1117l' 114" 20' 2-91W 2-111/4" 2-14" 2-91/4" 2-91/4" 2-111/4" 2-14" 2-91/4" 2-91/4" 2-111/e" 2-97, 2-111/," 2-1411 3-9'/P 3-11'/41, 3-94P 3-11IN' 3-94z" 3-91/4" 3-111/41, Roof 1-9ve 1-11'/," 1-11ye 1-14"+ 1-91u, 1-11'/,"f 1-14"+ 1-9'/, 1-9'/4" 1-live 1.11,/e" 1-974" 1-11'/4" Truss 24' 2-9Y4" 2-91/4" 2-111/4" 2-14" 2-91/4" 2-111/4" 2-111/4" 2-16" 2-91/4" 2-91/e" 2-11lh" 2-91/4" 2-9y4,, 2-111/e" 2-14 3-91/4" 3-11'/,° 3-91/4" 3-14" 3-11'/P 3-91/4" 3-11IN' Span 1-9'/e' 1-11'/,"+ 1 14"+ 1 14"+ 1 9'/,"+ 1-11'/e'"+ 1 9'/P. 1 9'/," 1-11'/<" 1-14" 1-9'/e' 1-11'/,"+ 1 14"+ 1-1411 with 28' 2-9'/," 2-9'/4 2-11'/," 2-14 2-91h" 2-111/4" 2-111h" 2-16" 2-91h" 2-91h" 2-14" 2-91/e' 2-91/+" 2-111/4" 2-14" 2' 3-9'/," 3-11'/e" 3-91/+" 3-111/4" 3-14" 3-91/4" 3-117," 3-91/P 3-11IN' Soffit 1-1 1-9'/," 1-11'/,+ 1-14"+ 1-974"+ 1-9'/4" 1 9'/2" 1-11'/' 1-14" 1-91/4" 1-11'd°+ 44 32' 2-91/4" 2-111/4" 2-111/4" 2-16" 2-91/!' 2-111/+" 2-14" 2-164 2-91/4" 2-91/4" 2-111/," 2-14" 2-91/4 2-11'/e" 2-111/4" 2-16" Assumed 3-91/4 3-14" 3-91/4" 3-111/4" 3-14" 3-9'/P 3-11'h" 3-91/4" 3-14" 1-W 1.11'IP+ 1 U+ 1-11'/P+ 1-974" 1-11'h" 1-11'/e' 1-144 1-974" 1 11'/,"+ 1-14"+ 36' 2-91/4" 2-111/4" 2-11IN' 2-16" 2-91/4' 2-91h" 2-11'/," 2-14"+ 2.18"+ 2-91/4" 2-91/+" 2-111M 2 14" 2-91/41, 2-1174" 2-111/e":2-16" 3-91/411 3-111/4" 3-14" 3-91/411 3-111/4" 3-14" 3 9'A" 3-ti'/," 3-91/P 3-111/." 3-14" +.See note 2. NOTES 1. Header sizes are listed as number of pieces 11/+"thick by header depth,e.g.2-9/2"is two is/P pieces 91h"deep. 2. Required bearing length(based on 565 psi)is 3.0"unless the subscript+is shown.In that case,4.5"is required. 3. Headers require full width bearing.Triple headers require 2 x 6 cripples. 4. Deflection is limited to U240 at live load and the lesser of U180 or°/ at total load. 1.� 5. Roof live and dead loads shown are applied vertically to the horizontal projection. 11 TOWN OF BARNSTABLE BUILDING PERMITAPPLICATION ' Map j I Parcel — I Permit# 'Health Division � � � Y Date Issued V,22101 Conservation Division f d Fee Tax Collector .t�c.C� t66��� ; LPI) IN CC�����LlAN Treasurer INSTAL . t R WITH-TITLC 5 Planning Dept. •� ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board " MAR 9 2001 TOt'``N RE_GLU F c2 3 Historic-OKH Preservation/Hyannis i'; '.'. p P o - ss F - '--- Project Street Address R_4J . Village cn-t Owner R k C`k Pc`LQ Address L�'2�S P(n PPt w a S-ff T7 R® TelephoneQ> Permit Request O c ,1� �� ' P,T; ZPLETS - Ai[O &Aov-4 QD06 i x, �Ic S F Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Valuation 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 Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size 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 r' Name _ T',T G Y?\FF!W-{-SOw REP`(MEW iu(,. Telephone Number Address \'Q E70 6-F LJ M_--i2 Q L LAQ f FZ License# `i A(,n U l.� , (JA . OaSI , Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 3 Ci l C? FOR OFFICIAL USE ONLY PERMIT NO. 'dl= DATE ISSUED . ?' MAP/PARCEL NO. C • - 1 ADDRESS VILLAGE _ OWNER DATE OF INSPECTION.I. `�• FOUNDATION S [ 6 \I t4 FRAME - INSULATION ; FIREPLACE f t4" ELECTRICAL: ROUGH- FINAL PLUMBING: ROUGH• - FINAL ; GAS: ROUGH IM FINAL" s.. FINAL BUILDINGlu Co%L'lp�' '- DATE CLOSED OUT ; ASSOCIATION PLAN NO. t • �atvsresrs. The Town of Barnstable td t I 9� MASS. �,�' Regulatory Services '�Eo►„o+� Thomas F. Geiler,Director Building Division Elbert Ulshoeffer, Building Commissioner . 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 i . 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:_CC Estimated Cost y Address of Work: SSG PO'PP 1 Q ES>`-t"T fZ-0. C07 A 11_ Owner's Name:Date of of Application: ( cl 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 a permit as the agent of the owner. 4�_12- la-� Date Name Registration No.. OR Date Owner's Name t q:forms:Affidav The Commonwealth of Massachusetts �l a :==.... -- Z Department of Industrial Accidents ='` � � �=��- Ofllcooll�estlgatloos . 600 Washington Street - - Boston,Mass 02111 Workers' Com ensation Insurance Affidavit name \C\\� �-�Z � \ �YA 11UF—YL location •P o P Po rur-5�tt �Lc) city C n7w\1-- shone# i\ag-a 53 ❑,pra a homeowner performing all work myself I am a sole rvnrietor and have no one working in aav id& ❑ I am an employer providing workers' rompeasation for my.employees warldng on this job. ::.:.:::...............:..::.:::.............:....:..err:.............. :...................... >'` ....................: .............. ...........................................................................:::::::::::... v{. .. ........ .... . •. 4Y::?'i• i. ..v;{:.::::::.:v.:....;;?.. if':}}:-?'ri:�i:?�:::i3?:�?>?i siv:::::::::::}ii:•}:::v.:-0nv:n}:???':^:h:•:}i:0}::�^Y.•:^:::_�:. 8ddl'ess"...�'•�'"�^''•' <inn'r::•::.�� . 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I 1 , i• r- • w � q:1• •11 • 1 • 1• 1/ .11 • 11 1 • Jt r • •• 1 rI,• I.1 .0 •II .11 • 1• • • 1 . ■ � 1 • 1 • 1 w1Y.U" • J tw. I j�j/jjjjj�jjj����j�j��j��jj�j�/�jj�jjj�jjj�//l/��/// 1 1 1 /•1�•11 • •1 v. 1 • /•11 .11 • .:►' 11 11• •.1 1 1 11 11 1 1 1 � 1 A 1 ' 1 •11 ' 1 1 r l 1 1 1 • I , 031' <. 00" ING�G' �1 Vj -_yes 1gd O',�. r, p,ZF a g�ivd� ,V%q Wj ..: _ 81 Al r License or registration valid for individul use only before the expiration date. If found return to: Y Board of Building Regulations and Standards r One Ashburton Place Rm 1301 Boston,Ma.O2108 i Not valid out signature ; .BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Numbar.,CS 061116 Expires; 0612312001 Tr.no:'10183 Tor 00 THOMASJ GRI r 15 EDGEWAITt W+ L�.•..r�►'�a+r—-q= E FALMOUTH--MA Administratgr 1�1F .. .. r' I: -..eq,..�...�^+Q ems.G!-4r,�+-'l1lr'----- •^e--••--;x- -y�--e. .'R, .mac._.:. � ' �fce "V�o�rvmo�z � j Board of Building Regulations an&Staudards i = HOME IMPROVEMENT CONTRACTOR i Registration: 128126 Expiration: 03/012003 Type: INDIVIDUAL i THOMAS J.GRIFFIN&SON REM . THOMAS GRIFFIN 15 EDGEWATER DR WEST �u,i .' i E.FALMOUTH,MA 02536 Administrator i EST/MA TED PROJECT COST WORKSHEET LIVING SPACE Value (high end construction) square feet X$115/sq. foot.= (above average construction) square feet X$96/sq. foot= (average construction) square feet X$57/sq. foot= GARAGE (UNFINISHED) square feet X.$25/sq, foot= PORCH square feet X$20/sq.'foot= DECK _ square feet X$15/sq. foot= OTHER square,feet X$??/sq. foot= Total Estimated Project Value For Office Use Only lnclusionary Affordali% Housing Fee Residential Commercial** Property Owner's Name Project Location / Project Value Permit Number **Existing Sq. Ft. **Proposed New Sq. Ft. Fee $ IAHFORM 1/3/00 11 - A --- - G)t 1 - J j 1 f 4 i 1 r� . XV CIRTV Lai I Elf IT it'll, -ALLILL' 1 I os alp . � J , 06 / The Town of Barnstable oR tt+E Permit# /a Massachusetts Date -6 -9 ""SIL SOLID FUEL STOVE PERMIT _ Fee fa� This constitutes an official stove permit after inspection and approval by the building inspector. Owner Cori"wyey- Telephone no. Address of Property y�5 �,� I SS2771L /V Village Location and Stave Type Date: u' ding thspector 10 The Town of Barnstable Permit# O� Massachusetts .Anr�er�B Date NAM SOLID FUEL STOVE PERMIT Fee 6425,:09 - y This constitutes an official stove permit after inspection and approval by the building inspector. Owner Telephone no. - Address of Property e--rl Villages f Location and Stove TypeVIC �- ,(� Date. l � Z( tuiiding Inspector i'N" The solid fuel burnin'- stove at the above location passed: failed: inspection " '' engineering Dept.(3rd floor) Map ) Parcel —d 6 f Permit# House# Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) *T - 19 SEPTIC S `�ME IIVCTALLE �P IT TOWN OF BARNSTABL VIR®N Building Permit Application TOWN Pr 'ect Street dress Village Owner r�P_ DvYil /ciIR 6 Address Telephone .Permit Request -4— Bau!x First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ zcT ,°a Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Ef Two Family p Multi-Family(#units) Age of Existing Structure Historic House ❑Yes EY"No On Old King's Highway ❑Yes p(No Basement Type: U�Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) /,1-0& Number of Baths: Full: Existing a New j Half: Existing New No. of Bedrooms: Existing �c, New 0 Total Room Count(not including baths):Existing New First Floor Room Count Heat Type and Fuel: )yGas ❑Oil ❑Electric. ❑Other Central Air ❑Yes YNo Fireplaces: Existing _Z New Existing wood/coal stove EfYes ❑No Garage: p Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ((None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization p Appeal# Recorded❑ Commercial ❑Yes p No If yes, site plan review# Current Use Proposed Use Builder Information Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) �. FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED , MAP/PARCEL NO. ADDRESS VILLAGE OWNER ! DATE OF INSPECTION: FOUNDATION ` FRAME V , r i1 1 r INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL _ - F GAS: FINAL FINAL BUILDING` • • ,fit'.' _ r . DATE CLOSED OUT r ASSOCIATION PLAN NO. r 0 .t r r °F THE 'Y The Town of Barnstable • esaivsrestE, • 'I �0� Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790'6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner ' For office use only 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. r Type of Work: Est.Cost Address of Work:— Owner's Name Date of Permit Application: 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 Contractor Name Registration No. OR �i 0-y6 Date Owner's Name TheC(1/lllttl//1H'Callll of!Itassacbusctts .� aal =��r Dc partnu'nt njlndustrial Accidents /• t •� 011icEollaYest/gatlotts =if}1 6011 11 ashington Street t; •,: ° , N. ��:.-' Bostott, A1aas. (12111 �.41 • ' Workers' Compensation Insurance Affidavit �pPiic t—n ntormation Please MINT'•le-ibly name / ✓Ct C%e- 4,-0 v-e I,,,— location y�� �op��-�Sd �c�• I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity POST 1 am an employer providing workers' compensation for my employees working on this job. comn•tnv name: ad d rc«• -- city lthone 1t• inaur•tnce co policy# I am a sole proprietor, general contractor, o homeo nerw circle one) and have hired the contractors listed below A•he the following workers compensation polices: comp•mv- nnme- idres city Rhone#• insurencc co policy d .,•.��:•+:. .+�••a:-- - -�..ct... _ _�--r-a.._ .��-'s'r r�•-ems. .r-_ _ _•�` �� --_---c-- �_....__....._._.. ..-..-- �..a....+�....... - -•.ter"'- - - - .a- rm any name, •tddre c- city• phone in�ur•tnce co _ _ policy d Attach aJditional sheet if " Failure to secure cuverage as required under Section 25A of h1GL 152 can lead to the imposition of criminal penalties of a fine up to SL500.00 anL- one%cars'imprisonment as%well as civil Penalties in the form of a STOP AVORI:ORDER and a fine of S100.00 a day against me. 1 understand th cop%of this statement ma% be forwarded to the OMce of Investigations of the DIA for coverage verification. /do herchr cerrift•uttrier lire pains and p !tics of petjun•that 1/te information prodded above is true and correct. Signature`— Dateal- Print name Phone t; .�.�..,�..ay.., - - — — 0otl'W21 use oniv do not write in this area to be completed by city or town ofricial city or town: permit/license# t-IBuitdinp Department C3Liccnsin-,Board o check if immediate response is required Oscicctmen's Omcc allealth Department • r J0Ihcr contact person: phone# .Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for emplrn ees. As quoted from the "law", an empinree is defined as every person in the service of another under sm contract of hire, express or implied. oral or written. An emplurer is defined as an individual. partnership, association. corporation or other legal entity, or any two or the Foregoing enLa`_cd in a joint enterprise, and including the legal representatives of a deccascd eniplover, or the receiver or trustee of an individual , partnership. association or other legal entity, employing employees. Howeve owner of a dwelling_ house having not more than three apartments and who resides therein, or the occupant of the d\\--clling house of another who employs persons to do maintenance , construction or repair work on such dwellin; or on the __rounds or building appurtenant thereto shall not because of such employment be deemed to be an empi MG chapter 152 section 25 also states that even, state or local licensing agency shall withhold the issuance o 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 insurznce 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 chap- been presented to :lie contracting authority. ' _ is .... ..w..�.'. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation supplying company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial accidents for confirmation of insurance coverage. Also be sure to sibn and date the aMdavit. The affidavit should be returned to tiie 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 re--:: to obtain a workers' compensation policV. Pie--se call the Department at the number listed belo\t•. , City or "rowns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the botto the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returr. the Department by 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 ques please do not Hesitate to give us a call. �.'�1y4.,'w..p.. ..�.�..�.y....• •�A.r/T....197I<•��_y���..Nw..��.. .... �� TrT.`\.�I� The Department's address. telephone and fax number. , The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 r i 1 . • TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE JOB LOCATION �S�S �a . All - Number Street address Section of town "HOMEOWNER" J Name Home phone Work phone - PRESENT MAILING ADDRESS City town State Zip code The current exemption for "homeowners" was extended to include owner-occupied dwellings of six units or less and to allow such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides or intends to re- side, 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 Stat Building Code and other applicable codes, by-laws, 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. HOMEOWNER'S SIGNATURE t& APPROVAL OF BUILDING OFFICIAL 7 Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. . . r HOME OWNER'S EXEMPTION The code state that: "Any Home Owner 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 Home Owner engages a person(s) for hire to do such work, that such Home Owner shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for licensing Construction' Supervisors, Section 2. 15) . This lack of awarenes often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home "dwner, actin as supervisor is ultimately responsible. �. To ensure that the Home Owner is fully aware of his/ner responsibilities,- man communities require, as part of the permit application, that the Home Owner certify that he/she understands the responsibilities of a supervisor. On last page of this issue is a formp the curre ntly used by several towns. You ma care to amend and adopt such a form/certification for use in your community. t r! cy / TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 019 004 001 GEOBASE ID 39375 ADDRESS 485 POPONESSETT ROAD PHONE (503)42B-72291 Cotuit ZIP 02835- I LOT 79 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CT PERMIT 12775 DESCRIPTION SINGLE FAMILY DWELLING PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: 14'and Environmental Services TOTAL FEES: i BOND $.00 , CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY * + * ■ARNSTABM + MASS. OWNER GROVER, TRACIEE, AVALLONE, PATE 1639�- ADDRESS 82 FURLONG WAY COTI'TIT, MA BYILDIN DATE ISSUED 01/17/1996 EXPIRATION DATE '� ,�y 1t 4M, �� •f 1 F es+.; ti „.• . •�-. 1.:-1'.�.�.. ram+.;. .:., G ((. A-P a ;Pfi;, T P19 004j 001 I GEOBASE ID 39375 Ap{,s5 485 POPOIESSETT "ROAD PHONE Cotuit � I ZIP. -- LOT' � , �*,1 ..7 BLOCK j LOT SI E li3A DEVELOPMENT R DI.�TRIC� CT E 1 367 6' DESCRIPTION SINGLE; FAMILY.- DWELLING I ;, r EPj- ,T TYPE BUILD TITLE NEW RE$/COMM BLD' PERMIT department Y of Health, Safet3 C??� 'RACTORS: PROPERTY 01 ATWHIFCRCTS: kE and Environmentgl Services ' TOTAL FEES: , , �1J6.90 -,: BOi i �1ME $.00 " CON&kUCT-1011 COSTS $100 s 000.00 .: 101 ::TINGLE FAM HOLE DLTACHEU PRIVATE P OWN MASIL o RESS 'G0LDMP,N LILLIAN S ^� ib�: Tl ; 541 BEDFOR'D 5T = E BRIDf1E'WATER MA• „ 1 4 6 � � � . BUIL,Ti Y DIMS UNE ISSUED 07/11/199 EXPIRATION DATE BDA ' THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OH Phil nANriv,LT.c11- 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 OFTHIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED APPROVED PLANS MUST BE RETAINED ON JOB AND FOR ALL CONSTRUCTION WORK: THIS CARD KEPT POSTED UNTIL FINAL INSPECTION WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS 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. i IRUILQ&INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS �, � 1� 9 1 g �� ,cif•wn► _ �. j 2 ���,cv�✓?. .o� veze le, I I—3 0- 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 9 Cptas, 2 I I- 30-q 5 OA HEALTH yZ OTHER: SITE PLAN REVIEW APPROVAL We LHOE SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS SPECTOR HAS APPROVEDTHE STRUnTiON WC;;K ^T �TAOT`�unTHl!�! c!Y CARD CAN BE ARRANGED FOR BY 11 US STAGES OF CONSTRUC MC?1- ' OF DATF THE PERMIT IS ISSUED i, --':FHHONE OR WRITTEN NOTIFICA- NOTED r:20VE. TION. '^^-6227 The Town of Barnstable dp Permit# /a3S.3 Massachusetts anRrrer�sr� : Date / SOLID FUEL STOVE PERMIT Fee .— This constitutes an official stove permit after inspection and approval by the building inspector. Owner P �o Telephone no. �a�` 7��`� Address of Property y--1' �d���SS�T� Village Location and Stove Type COA-U, Date: /a--q' Building Inspector The solid fuel burning stove at the above locatio passed: sd.:- inspection. y, 4 l CA11 1� kFVl%12 PLAN PM M9M . IN5MCfM 1455 POPPONN� 5�ff coful ' nojolu�1,� Nn MP& Mk5 GA 12N�I� 485 POPPONW55�ff 09 5(M 11,lW,5 Al �451' NOUS� JOISt I,�G �t0 WU5e.3/8 X h" GAV. LAG Paf5 2'O" 0C NAND GI1 2-ZXI O'5 p,t, J015t NANaR5 MIRY 16" OC VOW J015t R*aR5 y O ON M9 J015t VOOLJ01�t31,� Nn W � eNn 6' 6'O" 50NA fLM5 rOUN12ATION PLAN 00 Assessor's Office 1st floor Ma Lot ►' (9� Permit#_ 004 p Health Dep Conservdtion Office 4th floor 0 1 cor Town of Ba ssued P.O.Box 534 �'�B�ard of Health aid floor ` ��� ji _ , ' Fluannis, Massac &CC Engineering De t. Ord floor) House#p Fax P8)775-3 Plannin De t. 1st floor/School Admin.Bld . : O J� ` S.onP rr o QDefinitive Plan A roved b Pllannin BoardMU$T B[ A lications r' :30S D am&10-2:00 .m.) 2 e �� TA0MPLI ANC'Z! WITH TITLE 5 I TOWN OF BARNSTABL Building Permit Application . . Proiect Street Address 'a Ts�A�/id4 �I Village Z911/z/4 ti Fire District J � Owner %®�7 1 / ✓ 6�� ��A4 Aya 9- Address Via- rGylkhC LI4214 /�4Ar�`l Telephonc 72�g Permit Request: Zoning District s� Flood Plain /UCH Water Protection &0 Lot Size &ilw_ Grandfathered Zoning Board of ADMIs Authorization Recorded Current Use 1411,4. Proposed Use 16 —15>%76 110L Construction T_)Z kl'iStll'I Ezistin2 Information Dwelling Type: Single Family Two family Multi-family Age of structure °(//� Basement _�Aw Historic House /✓0 Finished Old Kings Highway Iftlo Unfinished Number of Baths n2 No.of Bedrooms .3 Total Room Count(not including baths) a First Floor $� Heat Type and Fuel ;C�J ��1 Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information /, 5 7d Name QCI� -tf—L— :�_ Telephone number 5� Address C-aJovic, '( /n�' ,, License# Home Improvement Contractor# Worker's Compensation # NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION D BRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Proiect Cost. '�✓ y Fee ;o� - 2 A26, 26 SIGNATUREc-�,ere-/ �r1v�c��- DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) el BPERM T y I oOO #8676 , FOR OFFICE USE ONLY ' 0 -004.001 _ r _ ADDRESS 485 Popponessett Road VILLAGE Cotuit, MA 02635 04-JER '-�Tracie_. Grover •,. , a , i • 1 DATE OF INSPECTION: t , FOUNDATION FRANE 1 I INSULATION' FIREPLACE ELECTRICAL: ROUGH FINAL f - PLUMBING: ROUGH FINAL GAS: ROUGH FINAL al u • "- , FINAL�BUII:DING: DA-TE�LOStD.OUT: AIVOCIATTS�PLAN NO.� -• ; l 11%02'94. '17:02 `$8177277122 DEPT IND ACCID Cr�j,00CotiunviuveAt ol Y&IJachu-4etti ' �aparfinenf o��ndu�fria,�,�icciden� 600 WUy1om.,Sigel //�� M /u�slte 02111 James J.Campbell Uosrfon, a�ac .�- Commissioner Workers' Compensation Insurance Affidavit 1, /TeF c i-P_ (-'Y'o✓e V-- with a principal place of business at: ��- (OW/St"iZlip) do hereby certify under the pains and penalties of perjury, that: () I am an employer providing workers' compensation coverage for my employees working on . this job. Insurance Company Policy Humber O I am a sole proprietor and have no one working for me in any capacity,t () [ am a sole proprietor, general contractor o homeown circle one) and have hired the contractors listed below who have the following workers' compensation policies: Co tracto I ance Company/Policy Number Contractor [nsurance Company/ olicy Number Contractor' Insurance Company/Policy Number () I Am a homeowner performing all the work myself. I u,der<_[and t`at:;copy of&is sltement will be fone.zrded to d:e Office of Investirgations of the DTA for coverzge verification and that hiiure to secure i ccve-age as rec:ir ed under Section 25A of MGL 152 can lead to the imposition of criminal penaWes consisanz of a fine of up to S 1,500.00 and/or cr.- years' imprisonment n well as civil penalties in the for of a STOP WORK ORDER and a fine of S 100.00 a day against me. Signed this day of /01 19 Licensee/Permittee Building Department Licensing Board Selectmens Office Health Department TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375 __ I_ nTtiT�T nF R4RNCT_4RT_F RTTTT nTNr PFRMTT # a. hlL�js - r ` lror/NAr971oA/ / a] M N i o N Lo T -7 9 i9 /Z3 ' /, o05'i9G�LG- CERTIFIED PLOT PLAN LOCATION SCALE DATE PLAN REFERENCE OF DW v LE'( p 26100 $ 1 CERTIFY THAT THE Fs �fCIST - SHOWN ON THIS PLAN IS LOCATED ON THE GROUND l0� AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF . . . .WHEN CONSTRUCTED. DATE REGISTERED LAND SURVEYO TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. ' DATE JOB LOCATION 6L -Number Street address -Section of town "HOMEOWNER" �- A P, Name Home phone Work phone PRESENT MAILING ADDRESS A 0. Cit town ��. Y State Zip code The current exemption for "homeowners" was extended to include owner-occupied dwellings of six units or less and to allow such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor:, DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one to six 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 Slat Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/ understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said proce ures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. i HOME OWNER'S EXEMPTION The code state that: "Any Home Owner 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 Home Owner engages a person(s) for hire to do such work, that such Home Owner shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for ,licensing Construction' Supervisors, Section 2. 15) . This lack of awarenes often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home"Owner� actin as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities,. man communities require, as part of the permit application, that the Home *Owner certify that he/she understands the responsibilities of a supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Plan drawn for Tracy Grover & Pat Avallone By: Bill Liimatainen (508) 428-9303 fit 2 22 ' 2 21 O Front Plan drawn for Tracy Grover & Pat Avallone By: Bill Liirhatainen (508) 428-9303 yI- jZI I-� i Rear Plan drawn for Tracy Grover & Pat Avallone By: Bill Liimatainen (508) 428-9303 vrtia boa ds 2832 1 22 � 242 - 22 Left Side Plan drawn for Tracy Grover & Pat Avallone By: Bill Liimatainen (508) 428-9303 — vertical boards vertical boards stone gable zz zs za2 - o Right Side 3610" --- 2'7-1/4';- 9'2-5/8" 4'9-3/8" 6068R 6'5-1/2" - I ! 2842 2842 i - 13'6" - j 2832 11 < 12'0" - i) = 2842 ! II - I O 2842 z 151011 DiningRoom I I - 6068R 7.6,. Master Bedroom 2'676'6' I r N O O 2842 - 2842 m - centertine_flush in z'4-/e6- rs"/s6- j—- 9- 3- 1 3/4"X 9 1/4"ganglams N — 5'0"/6'6"bifoid 50"/66 bifold � closet j solid post under �!! o ----------------------- ------- _3_ _ ridge O O C, i -- - -- ----- - I ------- line------- ------- O O ! I 2'S'/56 ! M N 6 Illi 3 7 I;! 2832 af. family — -'z'4'vs•s- sa/ss-tafold o i j i room N / linen I ! Q M I i j v j 2842 _ lam— 7' 1/4" —� 2832-2 j I 2842-2 13'6., I I s'o/s a T g' iv ! 2,6:76.6 ,j 2�42 I ` rs"/s e _ it I Guest Bedroom -f ` - Plan drawn for Tracy Grover & F I2'976'6"bifold I I Porch CD coat 1 0) i Pat Avallone ___ _ --__-. _. closet I ,.. By: Bill Liimatainen CO -girt above, 3 "rnic-�4 rolams,%y- � I (508) 428-9303 -- I ! 2842 2 5'9-1/4" — 6'0" 6'0" - !� 18' 0" 181011 — , Plan drawn for Tracy Grover & :yF 12" Pat Avallone ��� —1 4" + or- By: Bill Liimatainen (508) 428-9303 x o.c. fiberglass shingles over 1/2" sheathing & 15# felt - - - _ - - - _ Loft Area I i � 0C 4 (, J 6' 7-1/2' — --- 2x10 16" o.c. 2x1\0 '16" o:c. 10" exterior walls 2x6's 16" o.c. 9 — 15# felt & horizontal firring vertical board & batten siding 9 6x6 PT post CO Porch 11 ; y 5/8" cdx subfloor ! I glued 6" step 2x10 16" o.c. 2x10 16" o.c. _ill p 3/ 2x10 Girt 10" pier on ✓' Basement 2'x 2' pad i ✓� ✓! — 3 1/2" concrete �' a filled column 3 1/2 " concrete floor ' L — - 510011 — — 36' 0" _ i t C All walls 8n x 7 9rr on 8n x 16" footings except 12" walls ' 00 N ' as noted. Concrete 3,000 PSI, 112" anchor bolts 6' o.c. j to be located 3" in from outside on 8" walls and 2" in y 151011 — _ _ i from inside on12" walls. -' — — — — — - - - - - i 6,0„ 30'4" - — — — — — — — — — — / /'. - 24'4" _ 'i I o 18'4" j l(7 3'x Tx i all pads 2'x 2'x O j I 1'pad 1'unless noted g 12"Walls i o Co I , o 0 C) �+ Beam Pockets r i �� o flush girt, no pockets M -- . s -- — — — — — — — — — — — — l- — — — — — — — — — — — — — — — — — — — — — — —" — 331011 2,4„ !. o O oo Plan drawn for Tracy Grover & 12"Wall 18, 0„ Pat Avallone By: Bill L.iimatainen equal �% equal equal (508) 428-9303 \ \ i - — — — — — — — — — — — — i i \ equal l — — — — — — — — — — — — — q �. 1 8' 0" ii �, 10"sonotubes on 2'x 2'pads �� �n� I _ Y 14 of 0 OON �Jf, • Ir jth .................. ►� I '3 �y �� 1 ���.Ser�'r%c o c'c 3'of ara.✓.� q ( _ 1 A Tc=T 1 6 2 � � 1 Tarr' if SITE PLAN COTUIT , MA FOR T PACY E. GPOVEP E. k}�LLLEY rFf0. 26100 �fCISTERE� , a N - 5 +r � r a k , .. . . _ . pK Opa.Xn �i z'o��x i 0'o' MLVKOOM A1919111ON POPPON r . , . 5 Cam. �'1" Kn G mf r j r 4 � • r .:— ' x i.. a r s• v n , � �Ul +..,..'. . r .. n- r .. , r : r , . e r •_I��. , h _ . ............. ia�a� s 1/4 ,�- Val � �y p Id Colon MA �v , , r y.. 5. ., .. , b s ! �'t �89t o IMDiM - - '� • � �° �IMPOaoaNi a a LO 4 / ONr Qrnwur o a miaow FEE]] 101al wwmwrmmcwv pair way Ra ri 4171 COVNPD a ki I fo a#" Fier rj,��M.M� mw SCJa 1/4 PO" h T 'EOM 2 0. kAll. RAL y I5f F..OMMNQzOOM PN Ll FAIN F 4 I'WFM AWf'fION wa Uj% 2W FLOCS PLAN a a PROP0502 MLVROOm Al2n111ON 7 - . . � �� BAtM/hAtl�1►' - wwm %At „x NUMMON ; NEW �x� IC�'O1� � NEW MI,�OOM � FAMLMUOM , o , + z r - A� 410" COVER FGPa Fd �XS pc rto MKH FIR5f FX0k PLAN ' Flow - -- Sr.A l 1/4 1'n" 7 P�OP05 .12 ' MU12�00M \ � A1212IT10N 21 Oil WNPOW ' CL- ' CL SEAT a woaow,Karawa rcaxssuvsa nos � yNEVd I700R 101011 � NW M1N71200M P A55 LU3DY a � E CIBDY COv�KPOKCYI 1 � posr ro n SEEP FROM GOOF 5eC110N, ROOFING 5HIN6 5 fO MA1"GH IdG 5V 8 cvx PLYW0019 8 12 ZAGS'516"DC 5OFFIf VAN ,- R- AC 9IN5Ll. 20 516" OC W&� %C110N l l O�rIf WNf 5WPIN616 OC fO MAfC i Z O f S�II�LAp 51n11� . PORCH ROOF PaK VAMP 1/ 2 51tAfHING x6 16 OC aLIN6 WI(AW R-19 FAM9 IN5LI,A11ON 1/ 2 51tMOM . 5715 PIN MY MR 80 P05f 5/ 8 Pf FLY 51v MCKIN6 5-�9.1/ 4 WL Pf 240 5 I6 0G R-19 INSI�,Al1 - � p1' � 516 OG 5 91/ 4 W. Giles G 14" 5 4'4" I3 LOW 10" fi1 5 F0OfI W5 h 101011 X X %C110 11A . v a l 12 12 4 Ifff 51M �LEVAION 10,01, F +.a• �.ev� . rv� wao� xmasoM�rou papa i r L-7L EJ s WAR eaVA" I IMPORTANT - UPGRADE REQUIRED SMOKE DETECTORS REVIEWED STATE RU1LDING CODE REQUIRES THE UPGRADING OF SMOKE DETECTORS FOR.THE ENTIRE DVIELLING WHEN ONE OR MORE SLEEPING AREAS ARE ADDED OR CREATED. -B LE UILDING DEPT. DATE NOTE: A SEPARATE PtKMIT IS-REQUIRED FOR THE • INSTALLATION OF SMOKE DETECTORS-THE ELECTRICAL •- PERMIT G_ N SATISFY THIS REQUIREMENT, FIRE DEPARTMENT DATE BOTH SIGNATURES ARE REQUIRED FOR PERMITTING r prop %00 ml9koom ,ZOO„ MM RVA110N pAh g kilwd aw� X" I/4 - Pal 485 p �on�sett fed ib MA PDOF lopoom o I OMN fO BELOW MIVOMa2 a 14I0". I5f FLOOR UVINWMM 21#1 C.I. RIIL iz VN WIN _ WAYM _ 2-,VIo M/4X 12 CAl4 CMM L r" 6 [CE MINIM KNIT WU 2M Mf. MUM1TO — Iva - M pwrOr 9 2NP MP MAN Iwo � IZN. 0MN t0 BELOW . er�oM 2# a . 1%RM I.MNQdODM FL INaMM VN 0 RM B/tfN e05t'AM55 PR P"OW / MilON LL rr 4: o Cl °' LNNMM OM Mr PWIANM a W!N!po:w7]j a ❑� oM OWCOV n Poiaai Fit. ' r aw tA�Wi Walt Pon FM FLOOR PLM SCE: 1/4 - Pal �(a0r CION5f- POTHN6 �aao ainr�`.NINGI.ES FEI,71'APEi'. 11Z70e 5/ 8 CYIX IFI,Y 2XI0' 516' OC � \ MtkCFIUf�S S1�PPI'It�IGil6 X \ ur ?-30 FAcxn in511,nnoN 5 TiROCK ' 1f 2 :Nr WALI. H�,r+ XR zzio' s CON5f 51nir6 ro -MnraH U15f MK I / 2CI7XPLY R-19 FACET2 INSI I.A11fxJ 2X6 ' 5 16 OC �c s�cnad ii •� - ia �� �, C��� /' �� �� l� � �� � a � � � � f4� � � �� �_ � �� �t � � �� T T 4 s sRD CJ / � '� t C �A��,� 60 A 1 f to /�,Gqn/ G{F:` : EiNG GO.` 7%� G7n/ i��n/ G� :2 A,17,VC) 'n, 4.r 5 AIC4 Ar 43 Ty, CT 0 I A'01V CS ,I Z" 167- 4— XNN �la nS 4 S/ JIM T�u EL TOP OF *FOUNDATION CONCRETE COVERS oil CAST IRON 12 MAX, 4 OR SCHEDULE 40 4"SCHEDULE 40 PV.C. (ONLY) P.V.C. PIPE MIN. 12"MIN. O�A PITCH 1/4"PER.FT PIPE- MIN. 0 PITCH 1/4"PER.FT. LEACHING TRENCH ......REOUIRED) EDmSTONE z _�JWASK rl E L INVERT I kYER SEPTIC TANK I JER EL.,4/�C. x* EL:�Y.��J' ELYZ T 7, Z)e 7.2 I 13 No GAL. INVEIJ oil INVERT 7,7' INVERT EL.' EL... -7 14. 22 l'y 0 1-33-1 OF yn.1 1 Ili _ .71 PROFILE GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM TYPICAL CROSS SECTION SOIL LOG SZ 9 NO SCALE LEACHING TRENCH TIME NO SCALE TEST HOLE I TEST HOLE Z ELEV. ELEV. DESIGN DATA ' 12"MIN. 777M, WASHED 2 NUMBER OF BEDROOMS STONE 2 77 SITE PLAN Cr' TL/ // )' VA -Ir __1__ ,�_) ,-",8,mcz. /111,0101FIZ "c' TOTAL ESTIMATED FLOW . . . . . 9-:kO. . GALLONS/DAY 1414c.V. z . � , - Le Z 130TTOM LEACHING AREA .. SQ.FT./TnENCH 2,/r_3 ---\ � fis FOR "1 -45 SIDE LEACHING AREA SOFT./TRENCH —Z3/4" I GARBAGE DISPOSAL ..(50% AREA INCREASE) WASHED & -9 Y_-,AC.: STONE ' �.?�'1��✓/i +/ten TOTAL LEACHING AREA SQ.FT. v e TPACY F. G P �Jv E P • PERCOLATION RATE PER. INCH & LEACHING AREA PER PERCOLATION RATE SO.FT, GROUND WATER TABLE APPROVED BOARD OF HEALTH OF .6/,0,.WATER ENCOUNTERED DATE EDWWAA AGENT OR INSPECTOR F E. WITNESSED BY ' 0 YgLLEY cy Z&,�,�/19 .?. . . . . . . . . . BOARD OF HEALTH pro. 26100 e's7. .-r . ENGINEER 41,91 -1 OR 'L L NIT PETITIONER m Moo"0' NONN011 —1, 00 11 0",