HomeMy WebLinkAbout0033 TREELINE DRIVE 33
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PARC.EL, ID 040 1.07 X03 Gk.0RAP"?, ~YD. 42089
ADDRESS v 33 `I' I{FLINE DRIVE Ave' P ONR' I
Zip -
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LOT t4 BLOCK , Lc. V SI1F
DBA DEt7EMPMENrf' DISTRIM! CT
PERMIT 29707 7 DESCRIPTION ADD GAR,�GE R1.R;DWAY SRW_PT.#:92-14'`7
PZIMt 11'r AYPE BADDI TITLE' rMJTLDINQ- Rk,mmrri ADDIT:fON
CONTRACTORS- PROPER`I".7 OWNER Department of Health, Safety
AF{ .L .t, and Environmental Services
TCITAI Ir Efir; "" $55.Fit)
BOND $"4tJ THE
43t :APaRr 1F k FFItIAT '. P _. I 1T�,.
* BARNSTABIX,
639-
MASS.
BUILD'tNG'DI VtiISION'`—�•'`
BY
i i-A`.�.`:�: TSSUED f��3j:�E3�1Jf�t3 EXPJ.RiTION DATE a
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.
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-
FOR
(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.
POSTTHIS CARD SO IT ISVISIBLE FROM STREET
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION.APPROVALS
cC1 L
4c..e
3 , 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT
, la
2 BOARD OF HEALTH
OTHER: ✓i4v SITE PLAN REVIEW APPROVAL
WORK SHALL NOT PROCEED UNTIL. PERMIT WILL_BElb!G'MNI�L E L=AND:�V��� ' � INSPECTIONS INDICATED ON THIS
a r �r
THE INSPECTOR HAS APPROVED THE STRUCTION VIIORKIS�NOT5TARTE! BARD CAN BE ARRANGED FOR BY
VARIOUS S AGES OF CONSTRUC- MONTHS OF.,DATEwT11E-;PE.M T' -LEPHONE OR WRITTEN NOTIFICA=
TION. NOTED ABOVE 1N.
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ILDING .
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TOWN OF BARNSTABLE
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z CERTIFICATE OF OCCUPANCY
46
PARCEL ID 040 107 X03 GEOBASE ID 42089
ADDRESS 33 TREELINE DRIVE PHONE
a
LOT 14 BLOCK LOOT SIZE .
DBA DEVELOPMENT DISTRICT CT
PERMIT, , 32478 DESCRIPTION BREEZEWAY & GARAGE ADD'N
PERMIT-TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY
CONTRACTORS: `�, Department of Health, Safety f
ARCHITECTS: and Environmental Services
TOTAL FEES:
BOND $,00 Oki
CONSTRUCTION COSTS $.00
756 CERTIFICATE OF OCCUPANCY
* BARNSfABLE,
MA83.
t6g9. A�O�
�Ep
MA'S
BUILDIN"IVIS
BY !!
DATE ISSUED 07/31/1998 EXPIRATION DATE
I�
MAScheck COMPLIANCE REPORT
Massachusetts Energy Code Permit #
MAScheck Software Version 2.4 1,10 -3 A7 5_/?r- '
Checked by/Date
CITY: Hyannis
STATE: Massachusetts
HDD: 5973
CONSTRUCTION TYPE: 1 or 2 family, detached
HEATING SYSTEM TYPE: Other (Non-Electric Resistance)
DATE: 3-25-1998
DATE OF PLANS:
TITLE:
COMPLIANCE: PASSES
Required UA = 264
Your Home = 177
' Area or Insul Sheath Glazing/Door
Perimeter R-Value R-Value U-Value UA
-------------------------------------------------------------------------------
CEILINGS 120 38.0 0.0 4
WALLS: Wood Frame, 16" O.C. 1920 15.0 3.0 128
GLAZING: Windows or Doors 62 0.400 25
DOORS r 40 0.350 14
FLOORS: Over Unconditioned Space 120 19.0 6
-------------------------------------------------------------------------------
COMPLIANCE STATEMENT: The proposed building design represented in these
documents is consistent with the building plans, specifications, and other
calculations submitted with the permit application. The proposed building
has been designed to, meet the requirements of the. Massachusetts Energy Code.
The heating load for this building, and the cooling load if appropriate
has been determined using the applicable Standard Design Conditions found
in the Code. The HVAC equipment selected to heat or cool the building
shall be no greater than 125% of the design load as specified in
sections 780CMR '1310 and J4.4.
Builder/Desi
g ner ( 2Qe��� J� �o- (7` Date 2 S Q
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MAScheck INSPECTION CHECKLIST
Massachusetts Energy Code
MAScheck Software Version 2 .0
DATE: 3-25-1998
Bldg.
Dept.
Use
CEILINGS:
[ ] 1. R-38
Comments/Location
WALLS:
[ ] 1. Wood Frame, 16" O.C. , R-15 + R-3
Comments/Location
WINDOWS AND GLASS DOORS:
[ ] 1. U-value: 0.40
For windows without labeled U-values, describe features:
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments/Location
DOORS:
[ ] 1. U-value: 0.35
Comments/Location
FLOORS:
[ ] 1. Over Unconditioned Space, R-19
Comments/Location
AIR LEAKAGE:
[ ] Joints, penetrations, and all other such openings in the building
envelope that are sources of air leakage must be sealed. Recessed
lights must be type IC rated and installed with no penetrations
or installed inside an appropriate air-tight assembly with a 0.5"
clearance from combustible materials and 3" clearance from insulation.
VAPOR RETARDER:
[ ] Required on the warm-in-winter side of all non-vented framed
ceilings, walls, and floors.
MATERIALS IDENTIFICATION:
[ ] Materials and equipment must be identified so that compliance can
be determined. Manufacturer manuals for all installed heating
and cooling equipment and service water heating equipment must be
provided. Insulation R-values and glazing U-values must be clearly
marked on the building plans or specifications.
DUCT INSULATION:
[ ] Ducts in unconditioned spaces must be insulated to R-5.
Ducts outside the building must be insulated to R-8.0.
DUCT CONSTRUCTION:
[ ] All ducts must be sealed with mastic and fibrous backing tape.
Pressure-sensitive tape may be used for fibrous ducts. The HVAC
system must provide a means for balancing air and water systems.
TEMPERATURE CONTROLS:
[ ] Thermostats are required for each separate HVAC system. A manual
or automatic means to partially restrict or shut off the heating
and/or cooling input to each zone or floor shall be provided.
HVAC EQUIPMENT SIZING:
[ J Rated output capacity of the heating/cooling system is
not greater than 125% of the design load as specified
in sections 780CMR 1310 and J4 .4 .
MISC REQUIREMENTS:
[ ] Refer to 780 CMR, Appendix J for requirements relating to swimming
pools, HVAC piping conveying fluids above 120 F or chilled fluids
below 55 F, and circulating hot water systems.
----NOTES TO FIELD (Building Department Use Only) -------------------------
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The Town of Barnstable
• BMW, •
NLM .Department of Health Safety and Environmental Services
i6T¢
Eor7'' Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissior.
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.
Type of Work• �p�A�j z e ►^2'Z "..)A Est.Cost
Address of Work:"
Owner's Name
Date of Permit Application: g
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job under S1,000.
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
Date Owner's Na`
0 6, 15,
DFf ,24 p• DRAINAGE
R ,56•45 \ EASEMENT
TEE 59,
181•
25.00 577 4p
LOT 13
36_3' p 6 15
N
/ A_-HSE_
CON
DECK
LOT 14
0
DRAINAGE. \
EASEMENT
�> ): 75, : WIDE' Ir
f
21
LOT 15
6129 0
RES. ZONE.- "RF" This MORTGAGE INSPECTION Plan is For FLOOD ZONE.- "C"
Bank Use Only
TOWN: COTUIT — REGISTRY OWNER: THEO CONSTRUCTION CO.,_ INC.
DEED REF: 7519 116 & 117_ _BUYER: SUSAN GRIFELTH_
DATE: -A-I18Z92_ PLAN REF: 47�0 — —SCALE:I"= 50 FT.
I HEREBY�CERTIFY TO ELYMOUTH �LIDRTGAGE CO___=_
___ '_ _ ___________ ______THAT THE BUILDING ���ZN OF MgsIf YANKEE SURVEY:
SHOWN ON 'THIS PLAN IS LOCATED 'ON -THE GROUND AS PAUL ti� CONSULTANTS'
SHOWN AND THAT ITS POSITION DOES_____ CONFORM A
TO THE ZONING LAW SETBACK REQUIREMENTS r N ENTS OF THE MERITHEW 143 ROUTE 149
TOWN OF _ BARNSTABLE_____________AND THAT y No. 32098 oQ MAR STONS MILLS, MA. 02648
IT DOES_ NOT _ LIE WITHIN THE SPECIAL FLOOD HAZARD m , FCISTE QJ TEL: 428-0055.
AREA AS SHOWN ON THE H.U.D. MAP DATED_ 2 92 __ s�oNgc LA"D FAX: 420-5553
Co unit -Panel 250001 0018 D_
�� _ _____ THIS PLAN NOT MADE FROM AN INSTRUMENT 9220 B,IS
PAUL A. M Iff-H PLS SURVEY NOT TO BE USED FOR FENCES ETC.
• TOWN OF BARNSTABLE
. . BUILDING DEPARTMENT _
HOMEOWNER LICENSE EXEMPTION
Please print. ;
DATE /
JOB LOCATION CC-f-y
Number Street address Section of town
"HOMEOWNER" C� .S A
Name Home phone Work phone
PRESENT MAILING ADDRESS
City town State Zip c-.d
The current exemption for "homeowners" was extended to include owner-occ=
dwellings of six units or less and to allow such homeowners to engage an i.
dividual for hire who does not possess a license, provided that the owner
acts as supervisor.
DEFINITION OF HOMEOWNER:
Person (s)' who owns a parcel of land on which he/she resides or intends to
side, on which there is , or is intended to be, a one or two family dwellii::
attached or detached structures accessory to such use and/or farm struct:L
A person who constructs more than one home- in a two-year period shall not }
considered a homeowner. Such "homeowner" shall submit to the Building Of":
on a form acceptable to the Building Official, that he/she shall be resCc^s
for all such work cerformed under the building permit. (Section 109. 1. 1)
The undersigned "homeowner" assumes _ responsibility for compliance with the
uilding Code and other applicable codes, by-laws, rules and regulations.
he undP_si,ned "homeownern certifies treat he/she understands the Town of
arnstable Building Department minimum inspection procedures and requiretien,
nd that he/she will comply with said procedures and requirements.
OMEOWNER'S SIGNATURE
PROVAL OF BUILDING OFFICIAL
cte: Three family dwellings 35 , 000 cubic feet, or larger, will be require:
0 comply with State Building Code Section 127. 0 , Construction Control.
HOME OWNER'S EXEMPTION �=-=
The code state that: "Any Home Owner performing work for which -build4:-
permit is required shall be exempt from the provisions of this section
(Section 109-1. 1 - Licensing of Construction Supervisors) ; provided that is
Home Owner engages a person (s) for hire to do such work, that such Home ow
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 aware:-
often results in serious problems, particularly when the Home Owner hires
unlicensed persons. In this case our Board cannot proceed against the
Pnlicensed person as it would with licensed Supervisor., The Rome " caner ac=
is supervisor is ultimately responsible. ,.
"o ensure that the Home Owner is fully aware of his/her responsibilities, m.
communities require, as part of the permit application, that the Rome' Owner
yertify that he/she understands the responsibilities of a supervisor. On t:
.ast page of this issue is a form currently used by several towns. You mG_:
'are to amend and adopt such a form/certification for use in your communit: .
s
,y
r�
The Cantntatnrcrtlt/t of.itassacliusctts
•rli `--=j.�:- Deparinzent of 111d"strial.4ccidents
6(V 11 a.0iily,ton Street
Boston.Alas. 02111
Workers' Compensation insurance Affidavit
apPiicint inttirmatiriri Ple•tSe PRINT led
name
In ition• 21 �. :.A-) M-
Cit . tc to .' .+ M/I nhnnc if 41 `7
I am a homeowner performing all wort:myself.
I am a sole proprietor and have no one working in any capacity
7-,... ..w.. -.�r�_•...—.......r+ ._;7nw�. .�rc7�.w�wn�/Tw.+ .y�..'.^.'w"'IrI'T��.�.w�.�!i..�rT�'�^=• �.'...q..._�..___. ..
Q I am an employer providing workers compensation for my employees working on this job.-
conitionv name:
addrecs• •
city nhnnc q• --
incur-ince ro nolicv#
[� I am a sole proprietor. general contractor. homeowne (circle Dire) and have hired the contractors listed beiow who ha%e
the following workers C
' cam ensatioln polices:
cnm :tm• nnm �-, �c• "V t1�. �2_�---�
lddrecc• - -
cin•• phone#• f
in�ornncr rn yJ^/� ,1`2 J`7"A �`2 -1 N S Gd nni;r,.• :1
cmmn:rm• nntnc:
nddresc-
rite nhnnc 0-
incur•tncc en,
nniicy# _
.Attach additional sheet if neeCdSRrv--�'r-.��.••-..' _-�:�•:";:.::. -::-. .',�^f'._.` 'r-""r.• �.�...v: -.:.toss.:-.- a,1��-:+�•.w..��.^•
Failure io secure to%crage its required under Section 25A of 11GL 152 czn:can :u the imposition of criminal penalties of a line up to Si500.00 andiur
uric cars'imprisonment:�.��cil as civil penalties in the form of a STOP' '()Rt;ORDER and n fine of 5100.00 a day against me. 1 understand that a
copy of Ihis statement mac be forwarded to the OfTce of Investigations of;he D1:1 fur coverage verification.
1 do herebt•certify tutder the pains attd penaltics of prriun•that the i!'or :a;ron nro►•ided above is true avid' comet..
Si=nature G..FI t'4 L Date
Print name Phone#
w -
"official use univ do not write in this area to be completed by city or toscn of icial
• city or town: permit/license# riBuildine Department
` C3Uccnsinp Board
t check if immediate response is required oSeleetmen s Office
�- C1lcalth Department
Other
contact persnn: --
phone=: rl
r
information and Instructions
Massachusetts General Law. chapter 152 section '_5 requires all emplovers to provide workers compensation .
for :
employees. As gatted
es i aw the "la++' all el"PkI-Ce is defincd as every person in the service of another under ail.-
rom
contract of hire, express or implied. ora} or written.
An eynph ►rer is defined as an individual. partnership, association. corporation or other legal entity, or any two or me
the foregoing, emga�gcd in a joint enterprise, and including the legal representatives of a deceased employer. or the
receiver or tntstce of an individual . partnership, association or other legal entity, employing employees. However
owncr of a dwelling house havin-a not more than three apartments and who resides therein. or the occupant of the
dwcllina house of another who employs persons to do maintenance, construction or repair wort: an such dwelIing itc
or oft the ;_rounds or buiiding appurtenant thereto shall not because of such employment be deemed to be an empio%
MGL chapter 15? section 'S also states that e�•en•state or local licensing agency shall wititliuld the issuance or
renewal of a license or permit to operate a business or to construct buildings in the common�•ealtlt Car sn�
applicant ,% lto 1►as not produced acceptable evidence of compliance with the insurance coverage required.
Additionally. neither tite 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
been presented to the contractinL authority.
Applicants
Please fill in the .vorkcrs* compensation affidavit completely, by checking the box that applies to your situation and
sub=i�ins_ company names. address and phone numbers as all affidavits may be submitted to the Departtncrt of
Industri.-d ,-accidents for confirmation of insurance coverage. Also be sure to sign and date the af<davit. ?lie
or town that the application for the permit or license is being requested.
afida.is should be returned to the city
not the Depanment of'Industrial Ac
cidents. Should you have any questions regarding the "law"or if you are require
call the Department at the number listed below.
to obtain a workers compcnsauon policy. please p
City or Towns
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. PI:
be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returnee
the Department by mail or FAX unless other arrangements have been made.
y. y eration and should you have any questic
The Office of Investigations would like to than!. you �n advance for,ou coo p
please do not hesitate to give us a call.
Tile Department's address. telephone and fax number:
The Commonwealth Of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,Ma. 02111
fax n: (617) 727-7749
ionn ,...+ tn.< dfl4 or 17F
J
..............
.........................X xxx ....... ........
X. ........... ................................X.
.............................. ................................ . ......... .......
DATE(MM/DDNY)
........................................
a
03125/98 E:1:11:1 ........ ...
': : :::::L: ABILIT-7-:7:
X�A,41w* a ................................ ....... AN
.........................
................ ............ ............ .. ..
PRODUCER THIS CERTIFICATE IS ISSUED ASA MATTER INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Marshall K. Lovelette Ins Agey HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
396 Main Street ALTER THE COVERAGE AFFORDED.BY THE POLICIES BELOW.
P.O. Box 836 COMPANIES AFFORDING COVERAGE
West Yarmouth MA 02673
COMPANY
A GRANITE STATE INS CO
INSURED
COMPANY
0 L Dadmun Custom Builders B MARYLAND INS CO
51 Pond Street COMPANY
West Dennis MA 02670 C
COMPANY
D
X . ..................................... .................
............
.......... ............................................................................
. ...............................
........... ............... ........... .................
0.0.1 A ....... ........................
.. .... ............ ... . . ..... . ............................. . .......
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES: LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
Co POLICY EFFECTIVE POLICY EXPIRATION
LTIR TYPE OF INSURANCE POLICY NUMBER DATE (MM/DDNY) DATE (MM/DDNY) LIMITS
B GENERAL LIABILITY BINDER 03/17/98 03/17/99 GENERAL AGGREGATE $ 600,000
X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 600,000
CLAIMS MADE I JOCCUR PERSONAL&ADV INJURY $ 300,000
OWNER'S&CONTRACTORS PROT EACH OCCURRENCE $ 300,000
FIRE DAMAGE(Any one fire) $
MED EXP(Any one person) $ 10,000
AUTOMOBILE LIABILITY
ANY AUTO COMBINED SINGLE LIMIT $
ALL OWNED AUTOS
BODILY INJURY
SCHEDULED AUTOS (Per person) $
HIRED AUTOS
BODILY INJURY
NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE
I I
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
.................
...............................
ANY AUTO ............
OTHER THAN AUTO ONLY:
.......................................
. ...............
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM $
..................
STATU- H-
.............-....................
T ........... ....................
LIMIT,
TWORCY 10FR
WORKERS COMPENSATION AND ........
EMPLOYERS LIABILITY
A BINDER 03/20/98 EL EACH ACCIDENT $ 100,000
THE PROPRIETOR/ INCL EL DISEASE-POLICY LIMIT $ 500,000
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ 100,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLiES/SPEEIAL ITEMS
............................................... ........................................................................................................................................................ .........
................................................
..................... ....... .. ......................................................................................................................................................................................
X ....................... ...................................................:......................................................
........................... .............................. .......................
E".
. ...........................................I....... ....................... ....................................................... ......... ................................
M. FICATE...: ....... ...... ... .......
..............................................
ii
......................................... .............................................................. .....
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
33 I'd
TOWN OF BARNSTABLE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
TOWN HALL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
HYANNIS MA BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
TIMOTHY K. LOVELETTE
.............................I.... .. ........... ...................... ..................................................... ........................................ ........................................
. .......... ........................
................ ...... .................... ....... ........ ........ .......... ::.. ....
...... .............................. ....... ................................ . ......... .............
.........................
go.�M , - MON.'IM,
..................... .......................................................................
2" .. ...... ... ..................................... XXXXXX.....::::::: ........... ....... ................ ..........
X
............ A...........
001
o = p31
G - /19? . o f�
Assessor's map' =d-.lot number .........
THE
Sewage Permit number ��.:... ...� ../.................... C d R
r F Z EAUSTAMLL i
E
House number: ..... .............. .........................JAL.. .:.... r 90 „b a
O M
` . SEP77C' D 1A
TOWN OF, WBARNS�'' `C0
f FI T11'L�5 CE
arnst��t ,
AL
^ ?'= B U I L D I N G INSPECT " GuL�®®EAN
Dare ®,,
i 6o
APPLICATION FOR PERMIT TO ... t7ru.S .Gt GT.......N..4FLwl.....4I'VnEe. ...................................
TYPE OF.-CONSTRUCTION .CsW....�`:...T1.4............:....51/V...G.'.�....:F.GQ..........�'...... -.........::
........................ /..�1.:......19.... �
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the'following information:
Location ..<o ..../.y:.......T/' EL/it/ .... .s............5;;;R..rk.J.r....................................... ...........
Proposed Use ....., ILU.Gr.a......f-�i!y-7I.L, .......a.�`iELC.I .��.—..... ......4Pf............?.V/. ... A.J..........................
Zoning District ........ T24.4.....1................... .Fire District ....... ..�...........................................
Name of Owner ....:...Address .....�3!�E!!7�.... ... ..........r p..... .,T.�Ot� '
Name of Builder ....................SsQP� ..................................Address ..................... /a9..E.................................................
Nameof Architect ..................................................................Address ............................. ..................... .................................
Number of Rooms .:.......................�n......................................Foundation .......el ..... .., G....................
E x i e r i o r 1!4.P..43G01,6...:t...4,-Yy1. ...�-6M....SAIW6..4E';SRoofing ...... ....................
Floors,GORfET — T/r-E Cill1 . :.oC'.....G /�5....!!'>. .... t /M.....(no/ ......���.................................... O.�.ELR..yYd.....:..,..... Interior !.r -d T /z ,
FyL✓.......�>1........�-�4..5 � ��o.T'. ...............................................Heating ..... . .............................Plumbing ......................... .rY
Fireplace
p ...��:�.�.�:..'?:..�!®,S.o!'4��.�.............................Approximate 'Cost,...........s.:d./�.............................................
Definitive Plan Approved by Planning Board ________( ______ -----19_______ . Area
Diagram' of Lot and Building with Dimensions Fee
SUB ZAI��RAL OF BOARD. OF HEALTH
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .. ...................... .. :...............
Construction Supervisor's License ..........
' THEO CONSTRUCT�.ION
3508Permit for 1?
.,S...t..
o.rY............. ....y......,.
..Sin le Famil iDwellng...................... ..................... ............... =
` Location ....Lot #1F, 33 Treeline Drive
W
............ .......... .......... ....................................
_ i
4. •-
.Owner .......Theo- Construction
Type of Construction T Frame
.........................................
.-.,....,.•................•,•.............• ..�•. ..............................
Plot ............................. Lot ................................
J
Permit Granted .....une 9..............�...................19 92
Date of-Inspection ..A...A-.fr.....................19
Date "CoT plet d ................19 } y r
a A- s
•
I
i Ic
,
G G L c
'�EiTRGDM y �t�GY,M �
�N
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t
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VO
190/
�--L.I �REISJCFA�i"[.
GIi E r
ILL
_ �EU4'�OOM Lail N Gi 1?UDr1 -
14'ix IO=i �,P I�4�X 12�%
t FIRST FLUOR PLA—L`L
SCALE- I/p ''
PS, IT GTE
-3GI_ Ui� ply.
t
-— -----
_
--- - --
+-i I
rt
12-
1
12� �. �- 1 i �-4
1 ,
i' ALL
'bEGk
+ -�--� /�j/E-i U I?
i
R = 200.00'
I.�7� L = 56.48' p \ I
E DR s
TEE
a1 5g o \
LOT 13
1 0l
cr o \/ 0
R = 125.00' o praino9et �6' o.
L = 45.58' 1 Eosemen
�0.
LOT 14
= 61 ,813 sq.ft.±
�Q QO
v
LOT 15
Q�
N/F Hayden Land Development Co.
THIS PLAN IS NEITHER INTENDED 1 6/6/92 INITIAL ISSUE JELK
NO. DATE DESCRIPTION BY
FOR, NOR SHALL IT BE USED FOR AS-BUILT FOUNDATION PLAN-LOT 14
MORTGAGE LOAN PURPOSES. TREELINE DRIVE
IN
MASHPEE, MASSACHUSETTS
FOR
THEO CONSTRUCTION CO.
i CERTIFY THAT THE FOUNDATION p 'C- SCALE: 1" = 60' JOB NO. 1583
SHOWN ON THIS PLAN IS LOCATED PLElYA J�+�i 0 60 120
ON THE GROU AS INDICAT D. No. 10617 " --
LEVY, EI,DREDGE & WAGNER ASSOCIATES INC.
DATE R E G TE E D LAND S U R VE YO 8 p ENGINEERS LANDSCAPE ARCHnTCri PLANNERS LAND SURVEYORS
889 KEST.. MAIN STREET CENTERVILLE, MA 02632
r.11ISM r-S .}sip: �hq,�•.•/�"' •:.�:� �•.�" fin..
`TOWN OF BARNSTABLE, MASSACHUSETTS 9UIL " N G � �•
A-040-107-03 /gy
040-10 7--04 DATE t1Une )t;; �. C•_19 92 _ PERMIT NO. I 9 351 08
APPLICANT UW1lE:Z _ ADDRESS l'i- ted. 8elow Owner
(N0.) (STREET) (CONTR'S LICENSE)
PERMIT TO build Dwelling �1� ) STORY i-111C�1f r ahli ly OWellill(jNUMBER OF
5 (TYPE OF,IMPROVEMENT) NO, (PROPOSED USE) DWELLING UNITS
,
�! AT (LOCATION) Lut #14, 33 Tree1111L: Driyt-, (;C)1:uit ZONING RF
(NO.) (STREET) DISTRICT
BETWEEN AND
(CROSS STREET) (CROSS STREET)
SUBDIVISION LOT BLOCK LOT
'i
BUILDING IS TO BE FT, WIDE BY FT, LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTI
TO TYPE USE GROUP t_BASEMENT WALLS OR FOUNDATION
Ti PE)
REMARKS: Sewd #91-147
AREA OR 864 sq. r • d 65 j 000�00 FEE MIT $ 69..50.
VOLUME ESTIMATED COST;
(CUBIC/SQUARE FEET) -
OWNER lllvc� conk3truC.tiullc() 1.
ADDRESS 4,4 Great Pond liriv.e, SO. zal iic>W it BUILDING DEPT, f } J-
BY �•' U
THIS PERMIT CONVEYS NO RIGHT TO OCCt,F I A Y T' EET,' AZLE,Y .QR SIDEWALK OR ,A,NY PART THEREOF, EITHER TEMPORARILY C
► PE.R,MANENTLY, ENCROACHMENTS ON PUBLIC PR Y, T' , SPECIPtICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE A
F'RQVED BY THE JURISDICTION. STREET OR ALLEYDES`I WE='LL %S DEPTH AND,LOCATION OF PUBLIC SEWERS MAY BE OBTAINE
FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PER-,"I& DOES NOT RELEASE THE APPLICANT FROM THE CONDITIOI
OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF THREE CALL -- .
INSPECTIONS REQUIRED FOR 'APPROVED PLANS MUST 8E RETAI'R AND THIS WHERE APPLICABLE SEPARATE
ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INS=E':: 1A5 BEEN PEPMITS ARE REQUIRED FOR
I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF C•- _�cp ELECTRICAL, PLUMBING AND
'.�,.:Y"IS RE- MECHANICAL INSTALLATIONS.
PRIOR 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE't ."`',`:.;_IED1NTIL
MINAL INSPECTION
TI TO BEFORE
FINAL INSPECTION HAS BEEN MADE,
3.`FINAL INSPECTION BEFORE +�
OCCUPANCY.
POST THIS CAIR®. S® IT IS VISIB E FIROM STREEi'
BUILDING INSPVJTIQN APPROVALS PLUMBING INSPECTION APPROVALS' ELECTRICAL INSPECTION APPROVALS
6
2 --- 2
vl-
3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT
} 1 SiJ Tl> =�O, Q�
2 L •��r r7 B RD OF HEALTH O�
'OTHER ^
ii SITE PLAN REVIEW APPROVAL
0 V� tct�
WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION TO,R HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE INSPECTIONS INDICATED ON THIS CARp�Ci1N i
CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. ARRANGED FOR BY TELEPHONf_-(•!i Ar91TTI
i
NOTIFICATION. i.
OF TMf)p
TOWN OF BARNSTABLE 35108
Permit No. ......:.........
BUILDING DEPARTMENT
TOWN OFFICE BUILDING Cash
Ml
9 .bso
''ffoT' HYANNIS.MASS.02601 Bond .....`Y..........
CERTIFICATE OF USE AND OCCUPANCY
Issued to Theo Construction
Address Lot #14, 33 Treeline Drive
Gotuit Mass
USE GROUP FIRE GRADING OCCUPANCY LOAD
THIS PERMIT WILL NOT BE VALID. AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
Auqus t 2 0, 9 2 ""... .... . 19......... ... .........����.... ...........
Building Inspector
10' MIN. 20' MINIMUM OR AS INDICATED ON PLAN
NOTES:
1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.Q.E.
MASBELONRY
EXTENSION TO 12' TITLE 5 ; THE TOWN OF _n�_r�'<_'•>_t RULES AND
TOP OF FOUNDATION .--� F-
BACKFILL MATH s•0 REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE;7 8• MIN. CLEAN SANG BEELSOW GRADEEXTENSION TO 12• AND THE REQUIREMENTS OF THIS PLAN.
2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO
WITHIN 12" OF FINISHED GRADE.
4• SCH. 40 PVC PIPE 3. ALL MASONRY UNITS USED TO BRING COVERS TO GRADE
MIN. PITCH 1/8' PER FT. N I
SHALL BE MORTARED IN PLACE.
1 4 PER � FLOW LINE 2• LAYER OF
1/8• - 1/2• 4. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE
10• TEE , WASHED STONE
co OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR i, cv5
54, O 3• MIN. t Z y 2-0' ZF GALLON
4'-0_ 2• MIN LEVEL CL
W LEACH WITHIN 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING
MIN. c=.4 53. Z- I PIT 3/4• - , 1/2- SHALL BE USED UNDER OR WITHIN 10 FT. OF DRIVES OR
LIQUID 6 WASHED STONE PARKING.
LEVEL DISTRIBUTION Box W It5. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEED
W q p RESTRICTIONS OR ZONING REGULATIONS. OWNER/APPLICANT SHALL
lSoo OBTAIN SUCH DETERMINATION FROM THE APPROPRIATE AUTHORITY. LOCATION MAP
GALLON SEPTIC TANK I
I e 1 6 I L , I 6. HORIZONTAL AND VERTICAL CONTROL, SEE LEVY, ELDREDGE ASSESSORS MAP 41 PARCEL IZ
& WAGNER FIELD NOTEBOOK # < 80__.
�r
UQUID DEPTH IN SEPTIC TANK DEPTH OF OUTLET TEE BELOW FLOW UNE BOTTOM OF TEST HOLE
4 FEET 14 INCHES S FEET 19 INCHES OR USGS PROBABLE HIGH WATER LEVEL I'
6 FEET 24 INCHES
CURRENT ZONING INTERPRETATION: DESIGN CALCULATIONS
SEWAGE DISPOSAL SYSTEM PROFILE MIN. FRONT SETBACK 3lz FEET NUMBER OF BEDROOMS
NOT TO SCALE
MIN. SIDE SETBACK I a FEET GARBAGE DISPOSAL UNIT 11/0 _
fj//cc b;� „�, �h; r; 4 7 TOTAL ESTIMATED FLOW
MIN. REAR SETBACK _ I FEET (1/o GAL./BR./DAY X 4 BR.) 4-4 0 GAL. /DAY
REQUIRED SEPTIC TANK CAPACITY 1;60 GAL.
ACTUAL SIZE OF SEPTIC TANK 00 GAL.
PERCOLATION SOIL TEST P- 7840 LEACHING AREA REQUIREMENTS
SIDEWALL AREA 2, GPD./S.F. BOTTOM AREA o GPD./S.F.
DATE OF SOIL TEST 7 ft r;i iyt� SIDEWALL 2TT( /51 /2)( b )SF x , -_ GPD/SF = _471 GAL/DAY
---•---_. _ TEST BY u 1.I ., 2
BOTTOM IT ( io /2) SF x 4 GPD/SF = � GAL/DAY
WITNESSED BY C>.
PERCOLATION RATE MIN./INCH
Z G 7 SF 550 GAL/DAY
4 `HIV' //00 GpG;
TEST PIT #1 TEST PIT #2 BREAKOUT CALCULATION-
ELEV.= ELEV.= --
i _0.00 — -0.00
LEGEND :
EXISTING SPOT ELEVATION OOXO
EXISTING CONTOUR--------00-----
tiR FINAL SPOT ELEVATION 00.0
FINAL CONTOUR
SOIL TEST PIT LOCATION
BOTTOM OF TEST HOLE BOTTOM OF TEST HOLE
` OR WATER ELEV. OR WATER ELEV. TOWN WATER W W
SEPTIC TANK
DISTRIBUTION BOX ❑
1 ` 1 � Rj WATER LEVEL ADJUSTMENT: PRIMARY LEACHING PIT O
RESERVE LEACHING PIT
TEST DATE WATER LEVEL
INDEX WELL
WATER LEVEL RANGE ZONE 1 4/i3/n INITIAL ISSUE 546d
DEPTH TO WATER LEVEL FOR INDEX WELL NO. DATE DESCRIPTION BY
\ r FOR MONTH OF:
WATER LEVEL ADJUSTMENT
\ �sz DEPTH TO HIGH WATER ,.
1
�i S6
STEPH
w_ - 7� APPROVED: BOARD OF HEALTH ' N- ALLYN
i WILSOIV _--
.e '�.No.30�s�
/ �' SCALE: - 40 JOB NO. 1578
SITE PLAN DATE AGENT
LEVY, ELDREDGE & WAGNER ASSOCIATES INC.
PERMIT # 6NMM LANDB O AIRa= PLANNUS LAND SWOFIS
889 WEST MAIN STREET CENTERVHII E MA 02632