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HomeMy WebLinkAbout0012 TRUDY LANE la � �y� 1 y ��� d ���� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel } „Application #Q 1 Health Division O a Z - So3 b Date Issued ) b Conservation Divi on Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis ro,. Project Street Address 12, TruAc j LfA n p- Village Owner 0An.,n 1,e t,l C7 dS+ej n Address 12 Trn c d V Lr) . ro-hJ-A - Telephone_Zo2—�J2^n 1T5 ` Permit Request -J n 4-t VIA -,k 1000 sn �'� c�� bo w w P Li ct s ek Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay *'Project Valuation S(g 000 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Er Two Family ❑ Multi-Family (# units) Age of Existing Structure �r", Historic House: ❑Yes Flo On Old King's Highway: ❑Yes U'No Basement Type: 'Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) o Basement Unfinished Area (sq.ft) 2=10o il-k Number of Baths: Full: existing z new o Half: existing t new c7 Number of Bedrooms: existing o new Total Room Count (not including baths): existing (0 new o First Floor Room Count Heat Type and Fuel: 2 Gas ❑ Oil ❑ Electric ❑Other Central Air: 9Yes ❑ No Fireplaces: Existing I New o Existing wood/coal stove: ❑Yes [g No Detached garage: ❑ existing ❑ new size—Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: Qfexisting ❑ new size _Shed: ❑ existing ❑ new size _ Other: --•a c...i w. Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) r - Name S-�an le-y C-7c I aa�e i n Telephone Number- SGF�- Zg�6 l43 Address 2 -T n rl Lc n e License # Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO _E�a hn S 4rtLb_ SIGNATU '' iO DATE 1.3 J,? a b G FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. g ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME )'el�CYX 4J/Qolk- INSULATION E, FIREPLACE ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 4 The Commonwealth of Massachusetts .f o Department Industrial Accidents P Office of Investigations 600 Washington Street i Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): - � "�� C?C4 -Z/ , Address: c,42,I ter �L P City/State/Zip: _ ) O Phone #: � Are you an employer? Check thk appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g• ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3 I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152,§1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: City/State/Zip: - Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA.for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Si nature: Date: I/ Jon , ?0jU Phone#: Official use only. Do not write in this area, to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1. Board'of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance-coverage required." Additionally,MGL'chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to full out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to full in the permit/license number which will be used as,a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be fulled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24=07 Fax # 617-727-7749 www.mass.gov/dia • ENERGY' CONSERVATION APPLICATION"FORM FOR ENERGY EFFIC ICIENCY FOR ONE- AND TWO-FAIVMY DETACHED RESIDENTIAL*CONSTRU CTION (780 CMR 61.00) Applicant Name: Mill -C-7dCA Ste- Y-1Site Address: 1.2 -- on e print Lj Town: Applicant Phone: 60,z­ �iZg 01-4 3 Applicant Signature: Date of Application: 'Jam. I NEW CONSTRUCTION: choose ONE of the followin two—options) 780 CNIR TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE-AND TWO-FAMILY BUILDINGS h A1xQMUIvt M� Ceiling or Stab QOption 1: Basement Fenestration exposed Wall . Floor Perimeter U-factor floors R Value R Val R-Value wall R Value HSPF SE R,Value ue and Depth National Appliance Energy .35 R-3 8 R-19 R 19 R-10 R-10) Conservation Act(11AWA) 4 ft.• 1987 as amended,minimums eater as applicable Note: This form is not required if you choose either of the two versions of REScheck as listed below. ❑ Option 2: REScheck Version 4.1.2 or later variant software analysis must be completed 780 CMR 6107.3.2 REScheck--Web which can be accessed at hnp://www.cncrgyrodes.gov/rcschwk/ ADDTTCOIVS OR'A,Y,T RATXOI S.TO ExISTING BUJLDMG'''b VER`5 YEARS OLD* *3uildings under 5 years old must use option#1 or#2 in New Construction section above. Complete the following formula to determine the % of glazing: (a) Gross Wall & Ceiling Area equals Formula: (100 x b= a) SF 100 x - __ 3 % of glazing (b) Glazing area equals SF a If glazing js<-40%.ige the chart below. • . If glazing is> 40 % rpce6d to"SUNROOM" section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING LOW-RISE RESIDENTIAL BUILDINGS MAXDviUM hCNQvfUM Ceiling and - Slab Perimete Fenestration -wall Floor Basement Wall R Value U-factor Exposed floors R-Value R value R-Value R-Value and Depth .39 R-37 a R-13 . R-19 R-iQ R-10, 4 fee a R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area(i.e.not compressed over exterior walls, and including any access openings). ' SUNROOM—An addition or alteration to an existing building/dwelling unit where the total glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of the addition.. Note: Owner to fill out Consurner Information Form found in Appendix 120.P Town of Barnstable Regulatoky Services ` Thomas F. Geller,Director • + BAHNSTABLE, Building Division plFDy b Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 10B LOCATION: ZlAdT ►�e �-1 1 1il.f number street village "HOMEOWNER": S-AalnvwSt -U l Yl Gl name home phone# work phone#. CURRENT MAILING ADDRESS: T fi And- o2h35 city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less,and e who does not possess a license,provided that the owner acts as to allow homeowners to engage an individual for hir supervisor. DEFINITION OF HOMEOWNER Persons)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such homeowner shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned."homeowner."assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she,understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeownel Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127 0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions isors);provided that if the homeowner engages a persons)for hire to do such of this section(Section 109.1.1-Licensing of construction Supery work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.I S) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible, To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that belshe understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. 1 Q:\WPFILES\FORMS\homeexempt.DOC �-THE„ � gown of Barnstable Regulatory Services + numirABLE, Thomas F. Geiler,Director Fp� ,� 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 to act on my behalf, in all matters relative to work authoodyed this building permit application for; (Ad ss of Job Signature of Owner D to Print Name If Property Owner is applying for permit plea ' complete"the . Homeowners License Exemption Form on e reverse side. Q:FORMS:OWNERPERMIS SION THE r Town of Barnstable Regulatory Seryices 1LaCC Thomas F. Geiler,Director 9` Building Division Thomas perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnsta b le.ma.us Office( 508-862-4038 Fax: 508-790-6230 �af'f'/° Zvlovol 7 LAN RE VIE W Owner: �e.`D S-rcr r�I Map/Parcel: 0 1)-I Project Address /a-7/eu0y �,� BuiIder: S 04yk E The following items were noted on reviewing: o o"J�Q� 4b c-If7 0AI olC /N DA U.3 71to C V��t;r�7rdN �1� �03 �IdO� y a,4N N•O T �E �i15� �i7 �L E-��'/�� '0 L k`r�./s C—!e !/V "Al r�r �CUrc1 c�QE?� .Kl.CS rr �B E �v i �L� 6 Aft o� RevieWed by: Date: 'Q:Forms:PI nrvw � TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 021 098 GEOBASE ID 1008 ADDRESS 12 TRUDY LANE PHONE COTUIT ZIP - LOT 2 BLOCK LOT SIZE _ DBA DEVELOPMENT DISTRICT CT PMIT TYPE B6O86 �ffEJIPTION 8ERTjFI8ffE OF 8888PANCY #65424 CONTRACTORS: MARC N CASOLI Department of ARCHITECTS: Regulatory Services TOTAL FEES: BOND $.00 ptr CONSTRUCTION COSTS $.00_ 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE 0 * BAMSTABLE, • MASS. s6gq. 1 BUILDI G DVYION BYiy DATE ISSUED 08/28/2003 EXPIRATION DATE i J TOWN OF BA NSTABLE a�- BUILDING PERMIT A CF.I; .ID 02 1A 098 G ROBASR ID 1008 ADDRESS 12 "TR:UDY LAND PHONE COTUIT ZIP - LOT 2 BLOCK . LOT SIZE" I3B DEVELOPMENT .. DISTRICT, CT PERMIT 65424 DESCRIPTION 3RDRM/21/ BATH/ATTACHED CAR RERMIT TYPE BUILD TITLE NEW RESIDENTIAL BLDGx PM'T CC IT 'ACTORS: MARC N CASOL ARCHITECTS Department of. Regulatory Services tOT'A)�' IOUES $897.75 BOND $.U0 p1FtHE CONSTRUCTION COSTS $229,920.00 101 SINGLE FAIL BCAII�; DETACHED 1 PRIVATE - * BARNSTABLE,MASS BYI"..BULDL �,wrgI/S�IyON DATE ISSUED. 11/21/2002 EXPIRATION DATE 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 t.FOUNDATIONS OR FOOTINGS' THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR H - 2: PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE WHERE CERTIFICATE OF OCCU ELECTRICAL,PLUMBING AND MECH- (READYTO.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. VISIBLEPOST THIS CARD SO IT IS FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 QK - 3 3 �, 1 HO&AG INSPECTION APPROVALS ENGINEERING DEPARTMENT %)zi)63Ar ' 2 J BOARD OF HEALTH OTHE SITE PLAN REVIEW AP VAL c , q� WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- WSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVEDTHE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. rh , Yt t Sr . 4 t .1 TOWN OF BARNS'T'ABLE CERTIFICATE OF OCCUPANCY PARCEL' ID 021 098 GEOBASE ID 1008 ADDRESS 12 TRUDY LANE PHONE COTUIT ZIP - LOT 2 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CT PE IT TYPE $6888 ff�&PTION 8MRTIFj8AT Og OCCUPANCY 065424 i CONTRACTORS: MARC N CASOLI Department of ARCHITECTS: Regulatory Services TOTAL FEES: BOND $.00 pU CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE ftV * BARNSTABLE, MASS. 039. FD MA'S BUILDING DSION ` BY II DATE ISSUED 08/28/2003 EXPIRATION DATE V CAP I 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- (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. W9 BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 i 2 2 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL y WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. BUILDING PERMIT j �i TOWN OF BARNS TABLE BUILDING PERMIT APPLICATION a . J Map 02, 11 Parcel o q g Permit# b, 4 2 4 Health Division 3 �� a� Date I sued - Conservation Division Z Fee 4 7, Tax Collector E" T" STALLED IN ro b' S Treasurer ®1C GO —i 2 LIAN VWX CF Planning Dept. TITLE �"1IEITIAL . CODS ANL) Date Definitive Plan Approved by Planning Boa.r�d, pU L Historic-OKH Pseaon/Hyannis Mq 1 LAN /ProjectStreetA f I tZJOJ �' � / C� �� ress Village C. v i Owner �5+on 64 4 _rep-/ G01G SC0tN Address i 11 rZ R u )(km 54- /2 F �n� 9 Telephone q? �62 - 7 6 I I 01 ?N Permit Request kw 13wA P.ss,a Z Vz &4� 0U,ect1 Square feet: st floor: existing a proposed 2 3 7 5� 2nd floor: existing proposed Total new -2 37 S Valuation Zoning District Flood Plain Groundwater Overlay �-- g Y Construction Type Lot Size GrandfatKered: ❑Yes ❑No If yes, attach supporting`documentation... Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) r, 75 Age of Existing Structure 1`7 Historic House: ❑Yes Wo On Old King's Highway: Q'Yes No Basement Type: Wh Full ❑Crawl ❑Walkout ❑Other F "? w� I Basement Finished Area(sq.ft.) ® Basement Unfinished Area(sq.ft) ' Number of Baths: Full: existing new Half:existing d new Number of Bedrooms: existing d new 3 Total Room Count(not including baths): existing O new 7 First Floor Room Count Heat Type and Fuel: 6Gas ❑Oil ❑ Electric ❑Other Central Air: VYes ❑ No Fireplaces: Existing 0 New Existing wood/coal stove: ❑Yes No Detached garage: ❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing 19 new size zy-fZq Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use `" - - — Proposed Use -- ,,;�� nn BUILDER INFORMATION „�! SO$ - 7 3 7— Z S 7 Z Name_ Al2r- C-i56L Telephone Number 0 SOS - L4 2 0- Ll 322 Address S �-G �dN0 i OOAO License# 07z 69573 /✓1AR-5?O,\)5 /\41 t-LS , V� � Home Improvement Contractor# *2 2 1 y Z Worker's Compensation# V%/c-V to I G Z y 61 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO A14 5 0(Ji I'd (JAI SIGNATURE o` DATE a �. FOR OFFICIAL USE ONLY ♦ G A PERMIT NO. DATE ISSUED -MAP/PARCEL NO. f ADDRESS VILLAGE OWNER { DATE OF INSPECTION: ck- p FOUNDATION A — — , FRAME INSULATION0-3 f • FIREPLACE _ - i ELECTRICAL: ROUGH FINAL t PLUMBING: ROUGH c FINAL GAS: ROUGH 1 FINAL j FINAL BUILDING ZICO Ok Z !)3 DATE CLOSED OUT ASSOCIATION PLAN NO*—' t yS } 1 > i r . ✓�ie (ianirruyrtr���atlL a�'�i��ir�aaacliu.�ell BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR t Number:'CS 072653 lilt ' , ? Birthdate.. lc1/12/1970 x Expires: 1;1-112/2003 Tr.no: 11281 Restricted': '60 MARC N CASOLI 5$LONG POND RD MARSTONS MILLS, MA 026A'8 -- Administrator t ' Draft 8/14101 Affidavit of Substantial Financial Interest I, /✓)�4D-� C�5©t�► of /I/l�2S rorvS ►�L_S , on oath depose and state as follows: 1. 1 am an applicant for a building permit for the property located at MapPLI , Parcel tcji_. The address of the property is r u c\:j 2-ac,4 t of ;0-Z Ca+v, 2. 1 have % legal or equitable interest in the real property which is the subject of the building permit application which is identified in paragraph 1 above. 3. Within in the last twelve months from today's date, which is 1Z 2-002- , the following individuals or entities have had a 1% or greater legal or equitable interest in the real property which is the subject of the building permit application which is identified in paragraph 1 above: Name Address 4. Within the last twelve months, from today's date, which is S� 2CO2- , I have had a 1% or greater legal or equitable interest in the following properties which have been the subject of a building permit application: Map/Parcel Address 5. Within this calendar year, I have submitted O building permit applicat ions for property in which I have a 1% or greater legal or equitable interest. 6. Within the last ten days, I have submitted t.� building permit applications for property in which I have a 1% or greater legal or equitable interest. 7. Within this month, I have submitted 0 building permit applications for property in which I have a 1% legal or equitable interest. 8. Within this month, I have received 0 building permits for property in which I have ­ a 1% legal or equitable interest. i ned under the pains and penalties of perjury, this ay of , 200 . _ S9 p 2001-0050/affin 1 O/LOTTERY/AFFIDAVIT f RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE 2Z g 9 Z U 712. �1 5 2-31� square feet x$96/sq.foot= , x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.ft.� >120 sf-500 sf .$35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS -Open Porch x$30.00= �� (number) ` -Deck x$30.00= �d (number) Fireplace/Chimney x$25.00= Z s (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee -� g4T -7 projcost 9 Bk 15062 P976 034815 QUITCLAIM DEED • a M. Leonard Lewis and Ann Marie Lewis, Trustees of the Halcyon Trust, u/d/t dated April 3, 1986 and recorded with Barnstable County Registry of Deeds at Book 5055, Page 009, of Boston, Suffolk County, Massachusetts, for consideration of One Hundred Sixty Thousand ($160,000.00)Dollars paid, grant to Stanley Goldstein and Mary Theresa Goldstein of 111 Brigham Street Unit 12E, Hudson, Massachusetts 01749, husband and wife, as tenants by the 7-- entirety, with quitclaim covenants, certain real estate, together with any improvements thereon, if any, in Cotuit, Town of Barnstable, County of Barnstable, Commonwealth of Massachusetts, bounded and described as follows: Being LOT 2 as shown on plan entitled, "Plan of Land Cotuit Barnstable, Mass. Property of Ernest W. Kitchen Scale 1 inch= 60 feet April 1974 Whitney&Bassett Architects&Engineers, Hyannis, Mass.", which plan is duly recorded ,.� at Barnstable County Registry of Deeds in Plan Book 284, Page-098. . f , Together with a fee in Trudy Lane as shown on said plan. Subject to an easement to the New England Telephone and Telegraph Company et. al. �- dated July 11, 1975 duly recorded with said Deeds in Book 2208, Page 347, and to all other encumbrances and matters of record to the extent in force and applicable. Subject to Voluntary Restrictions, dated February 27, 1996, recorded.with said Deeds at Book 10075, page 341. Said covenant shall run with the land. co CA X r f4T H3 03 { rri C7 d 1 }y CJ ar W W W } t= 4d LL Q rn z i (D ltl a co o �a ss n a cc } a o —+ r —I o to _ . o U 1 3 For Grantors' title, see deed from M. Leonard Lewis and Ann Marie Lewis, husband and as tenants by the entirety, dated May 2, 1986, recorded with said Deeds in Book 5055, Page 015. 2002. WITNESS OUR HANDS AND SEALS THIS 7 DAY OF APRIL - Witness M. Leonard Lewis, as Trustee ofQ the Halcyon Trust and not individually �iu Witness Ann Marie Lewis, as Trustee of t the Halcyon Trust and not individually THE COMMONWEALTH OF MASSACHUSETTS SUFFOLK, SS. .,...,.., April %, 2002 ; Then personally appeared the above-named M. Le ar wis, Trustee�f tm-na1c, Trust, and acknowledged the foregoing to be his free a and deed b fore me ct r otary P blic My c ssion expires: 7 THE COMMONWEALTH OF MASSACHUSETTS SUFFOLK, SS. April Then personally appeared the above-named Ann ne Le ' , Trustee`"i', �. aldn� "- Trust, and acknowledged the foregoing to be her free a and deed b f re " a ary c * fp My co sion expires: �! 2 Bk 15062 Pg70 TRUSTEES' CERTIFICATE We, M. Leonard Lewis and Ann Marie Lewis, Trustees of the Halcyon Trust, u/d/t dated April 3, 1986 and recorded with Barnstable County Registry of Deeds at Book 5055, Page 009, do hereby on oath depose and say: 1. We are the sole, current Trustees of the Halcyon Trust. 2. The Halcyon Trust has not been altered or amended and is still in full force and effect. 3. Ann Marie Lewis is the sole beneficiary of the Halcyon Trust. 4. The beneficiary of the Trust has authorized and directed the Trustees to execute and deliver a deed conveying the real estate at Lot 2, Trudy Lane, Barnstable (Cotuit)Massachusetts,. further identified as shown on a plan recorded at the Barnstable County Registry of Deeds in plan Book 284, page 098 to Stanley Goldstein and Mary Theresa Goldstein. WITNESS OUR HANDS AND SEALS THIS 17TH DAY OF APRIL 2002. M. eonard Lewis, as Trustee of the H cyon Trust_ /its and not individually Y. Ann Marie Lewis, as Trustee of the Halcyon rust and not individually ' COMMONWEALTH OF MASSACHUSETTS BARNSTABLS, SS ' April 17, 2002 " Then personally appeared the above-named M. Leonard-Lewis and Ann l�v,,t�arie Lewis, Trustees of The Halcyon Trust and acknowledged the foregoing 'nstuumertt to be their free act anfl deed, before me' t j Paul J. Volikham, Notary Public My comfnission expires: 3/22/07 BARNSTABLE REGISTRY OF DEEDS ' aoor.Z$ E— - w CIP #. ,oft ,w..,.r COeu1. MIS.'• s �s•4 r iow�q" 4�s PLANO/`L gAID-COTU/T-B4RAors atf,moss. -� ' - � _p �� A� JG9L'6/INCM60A•E�7 o�dt I'J7< is if1 �1'1 - WwI>•w�Y6Mp�rn.vwcvisecsseewv+v�s�s Aoo!{ 6 -ac1 NQ.B ti • q0 C I vo �Q/� • p J1300S \ ��4e , e b f 4auaso raMw .Va Z/ - r _ �O s•Y70i� �4• Q� t Zov/Aro Ovi,.sKr of A�,.0 da/3 In m' G4051 70,43Z -121012/VAWON • e ! Gaoss A�E.o OreO.vos o-cvL`Oe-owes ' Jd ��'� �h GA!Iro�s A.ecw o�H-r•iLa.voa*.."..._-, 94e• Z �UggyO , Z30,94.-i.% - �q,a �'~r'r'-2a -�• .7b.e d • - J.s1'gcr�S a0 1 Cave a ViuM-Yaro CYccrEvcCa. 47140 or 16 �i`'�'p ?� r1M• .oP°'�!-a°;rar,M,a � yrd' tt LAN ' /aa':•:.. ° •S,� C� lrvri''w' ' a•M`°' pq w•��. .''1 4.l6ss+* �Q ~��y\, Z(.O BARNSTAS&XPLANN?!!i OOAf.D nr•Mo••^- va Sll a°fVl:f:NC:l.Y.:cYL JO -_- b� 413G1� b .e4.. Y 1 7 1874 'II,p7y.0� 14r Q, .0. a LLY off Bo ee o .(//p7PL/ Yrw.I W.%s— CtzewOP7iVeToW.VOPGA7eN3Ta01E- ( . N�,P,�OY CLfPT/IY7J4i°77NLhC7Kl CYAPS�OV.OL GY7IVEP[AV N�,ro�/! C4�V eeCIOOO O 077W`Oiy EANO 'O`A/O0 rIC,- Y.a�esiL _� J' ���=/1OM!~ WAJ 2tCG/VL'O OUB/.VG T.VL'TiW�.VTY Q4YS.VCl'T4�7NB •.,,J dUGN2KG/P7 FA/O eGCORO/.V6 00 J.oMG-:. ToW"CLear. ... .TheMassachusetts...... 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' ......... :.::.:::::•.....:n.:.. :......... .......... .....:•::::.. .. ......:.::::..:•:: ........:::::::.:. .......... .:...::.::::..................... tldress: . .. .:.: en ii ::.:. ......:::::... ..... 6 ....:....:::.: .......:::::.}:>:>::::....:.: ... :.. ... :.... ........::..........::•.t.......n.....:w:..........v....................... {.w•`'•`:{4.vnvn•::nv::.:JY•]:v}V:v:x. ...:..:.:::-. .:::::..::?.::.::..:..,.............. ...........:..:r...:::::::::::::::r..........................:.::.,.::.r. t:....: leer.. :.;:.::::,:<,.... Of of a Sae to 51,500.00 andJor gaiiu a to secure coverage as required under Section 25A of MGI,152 can lead to the imposition penalties one years'imprisonment as wen as etvo penalties in the form of a STOP WORK ORDER and a an of$100.00 a day against me. I mderstsad chat a copy of this statement may be forwarded to the Office of Investigation of the DU for coverage vesinestion. 1 do hereby certify the pawls permlties of per)'ury thai tht-irrforntouon provided above is tru.and coned - �J�Vt, /I" t Date � ) Z 5 y� — - Signature— Print name Nl Y9►ZL. C 5dL I ofncial use only do not write in this area to be completed by city or town official • per�tlllcense# ❑Building Aepartment dty or town OUcensing Board • ❑Sdeetmm's O®ce checkif immediate response to required (]Heslth Department one#: ❑Other contact person: Ph *gram 9195 PIA) Information and Instructions x . Massachusetts General Laws chapter 152 section 25 requires all employers to Provide workers' compensation for their y p em" employee is defined as every person in the service of another under any con Tact employees. As quoted from the "law", an }u1e express or implied, oral or writt en. of , An employer is defined as an individual,partnership,association, Corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of as individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MG chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neuiherthe commonwealth nor any of its political subdivisions shall enter into any coact for the performance of public work until acceptable evidence of compliance with the insurance required of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation aiTidavk completely;by checking the.box that applies to your srtru?tim and supplying company names,address and phone numbers along with a certificate of insurance as all affidavits maybe submitted to the Department of Industrial Accidents for confimmam of iasm==coverage. Also be sure to sign and dale the affidavit The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers'compensation policy,Please call'the Depw=cnt at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Deparment has provided a space at the bottom of the affidavit for you to fill aid in the event the Office of�.has to contact you the applicant. Please er. The affidavits may be rctmned t^ be sure to fill in the permitllicense mumber which will be used as a refereace numb the Department by main 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 questions. please do not hesitate to give us a call. The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents of Ice of Investigations 600 Washington street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 eat, 406, 409 or 375 I I MAScheck COMPLIANCE REPORT I Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 Release 3 I I I I J Checked by/Date I I i CITY: Falmouth STATE: Massachusetts HDD: 5713 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 10-4-2002 DATE OF PLANS: 9-20-02 PROJECT INFORMATION: Goldstein Residence 144 Santuit Road Cotuit, MA 02635 COMPANY INFORMATION: Archi-Tech Associates, Inc., 6 School Street Cotuit, MA 02635 COMPLIANCE: Passes Maximum UA = 627 Your Home = 611 r Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 495 30.0 0.0 17 CEILINGS: Raised Truss 2852 30.0 0.0 91 WALLS.: Wood Frame, 16" O.C. 2519 13.0 0.0 207 GLAZING: Windows or Doors 427 0.320 137 GLAZING: Skylights 42 0.320 13 DOORS 20 0.290 6 FLOORS: Over Unconditioned Space 2971 19.0 0.0 140 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here 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 ' e applicable Standard Design Conditions found in the Code. The HVAC equ ment ftlected to heat or cool the building shall be no greater than 1 % of e esign load as specified in Sections 780CMR 1310 and JFJ4. Builder/Designer Date tO •� �� 7P_A c Oolu 1- OQ, 46, 2 �s AREA=46,294E SF.. o, 15912 T�Up y L,9NE- L . TO THE BEST OF MY INFORMATION, 'AS-BUILT" PLOT PLAN KNOWLEDGE, AND BELIEF THE BARNSTABLE, MASS. FOUNDATION SHOWN ON- AN LOT 2, PL. BK. 284 PG. 98 HAS'j BEEN LOCATED ND DATE 12.116.�02 SCALE 1"=50' AS INDICATED. �� w°BA F N JOB 5387-00 CLIENT P. HUTTON i�Go 12 16 02. �� SWEETSER ENGINEERING 235 GREAT WESTERN ROAD DATE PROFESSIONAL L EYOR P0.BOX 713 SOUTH' DENNIS, MA 02680 off. 5W-398-3922 fax 508-398-3083 a. �S8�PROJ�5J87-00kdwg�5387-CPP.DNG t CT ow o l j L 1 U'm �. �� �� � L C�CCeS S ►�u�. SVow_10\ 31003, 912. 4) Sko\,3 -- fill I ill • RASE._-— . '�`-------- - I : y W. T psPHn�i:aata5�cs... __. 508.428.6191 (fievlin @Ustom I a esigns copyright s r I Rel Right . ®2002 yy _... - I'1 I' " � � i _ — ,II' I I � 1 ' Z i� I i_ . . . _ �• i:: � ,�.... till I NM- w t Ck _ P•reliminany plants and layouts by D,C.D.are for the use of their customers only.Any other use is strictly prohibits r \ _. TI 2 r 452vl.MULLAON if T \ SCALE DATE ' 508.428.6191 ' i _'t_��D _...... --- �\ o esigns copyright®2002 --- All Rights i... ; Reserved 7� I but JC.m �i r ' � W.C: SNrNSIFS ;_ � '•1�Irf' � —� � � � ::\I t__ 1 \I' rAll t F. - _ - - _ - -- - _ rA •5 W 0 Preliminary plans and layouts by D.C.D.are for the use of their customers only.Any other use is strictly prohibile i --ii- l� Ii� I I — I 1I A. !IiG.S0w1n . - NO.— SCALE V - -- _ 508.428.6191 ,. n vlin —_.__._ Y> Custom a esigns copyright®2002 All Rights Reserved_ Fig:IAI:�tIY�3lt:5iCp�tS-'Ca-Ew=^+�:t �sEa-a�GL•LaNF �csnZ.inres�.,rs.---_--.--:.. �razncit-a�Na_.ct_erta_r�:nt3sw mD6:eewxtccinnFi.sts F�Azrrano2 � � ...-�---.__. F � 5110rA1T_IQ�.3AJIL01AKri1C$.TlE2DF_iCAV N.{AtiiLPQGFEsiIC�IAI Gi.XiiNEClL. . 3 7 Q 3 Preliminary plans and layouts by DC.D.are for the use of their customers Only.Any other use is strictly,prohibite r � ti �I !I I \ S {{ \ N. 7-7 Al - 1 ; - - 1 4 t { - 1 1 6 I _ k 4 F. ka- �ewi508-428.6191La esion's o n N -� - copyright 0 2002 AII R i"gh is —T vi 'Reserved .. rJ tiJ A Z 0 Preliminary plans and layouts by D.0 O.are far the uSe Of their CuSto nel$ Only 7?ny Other V5e is strictly p—hiblte ` ...wrrr _0 1 / � \0. i .� -•c- \ \ 3, 'D .y�assErsue[E I ScaECR-��ctr' _ -0 2 ae _ I '0 f I _ 6iC "11CFt 9 (T(�.9.:£1iL� at.-1 I :SGuTGFA [T•t xoVA B-r, M, v T - '� I II •_1 w n. i ��, �: �: ___-r�T.rcdEV. � � ��� .,� - •.., n . . ` ! �� �Jf' I r � II I ' � -i-I � i I I �,O �F i ';`C,K•E�A��O�_—_—_ �� :.�� - I t , I - o . a'9- .. .F2. 7\2\-4 v I - �• �Go�' III j 7- �O On 10, , I MF.Q W SHEETROCKTQ . . a ® I o_ \ -.. ,.® o BEAR•ArJiv\.: I °I _ 0 _R sue : 171 �� - - _ -- - - I - — - - - 6°TPIR CON I%Ae P OI- I I R� d— I 508.428.6191 Is eviih 9 ° j :oI ( Custom 9 A a iv un~ I o es igns " C copyright Q 2002 . ......---....__._._..__ _:.-- - .. _ I 1, i All Rights j .Reserved i 1 _ • ce:o' I 121c' ce:o' {{ 8. ' 0 'n I gg 2 •' 24:O•' 2':O f A4 f _ _ a Preliminary pl ans and layouts by D.C.D.are for the use of their customers only.Any other use is st ric tly Prohibite ' it•o" W 2d.o' 10 O If _ 77 -- — m �7HK.CONC.SLAB I I a m - : 20%28%IOTHX.FIG.FOR 3112' Q P CONC..FILLED tALLY COL. N \3/40 rt � I a c O I `Q Mit - .ILC OAT 508.428.6191 ..Ix .� PI N 8"of CONC.MILLED C�O TUBES nevi i n @ustom copyright®2002 All Rights Reserved O T�T6Cb�—a�ti1 W .3 W i " s A3 A 09 Preliminary plans and layouts by D.C.D.are for the use at their customers only.Any other use is strictly Prohibite —�Sf6L�"E`-arJ_-F32:S_._ • � ( � JCSETA��¢'({L�, -- 12 ' ratss r - cr�—�_ -i --- --- - -- -......._ �_lilrJSUL, ' : I !T —�7�S Y �Xr.�L�t5uE71:_ i }I(`=cle�aiyi..�Eu•� CxL I ` I i 1 - - la2o.r� _ 508.428.6191 v- . .. _ ... _ st .. .. ,I om Ipyr :c>x @v I ®200 All Rights 2 _....... ___ „ Reserved 2' fi 1 .:I .. ... ....__. -. „y f 't : _ _ I � s ' 7reliminary plans and layouts by D.C.D.are for the use of their custorners•bnly.Any other use is strictly prohibite I m ia'-o iq:p: 1 2A.o' (1 o • t o / w 4 � a ►Lo' -- • k ! •10 ; . ti- _ W ' . T, d 1 �//4�/zt �n I " I. ,per �onix cor+ s 3rGioo i 7. 1. .. - - Ta ttc.. L uur co _ Y _ _ p a PCO EPTHced , : t : .. En t IMPORTANT ,N vi1 C ; o ANY CONSTRUCTION THAT.INCREASES LIVING E # q r BEYOND'-1200'SQ.'FT. PER LEVEL MAY REQUIRE THE, INSTALLATION- .OF ADDITIONAL SMOKE DETECTORS. Irn K.WALLS N1-a'XB' - ' a��,c�___ Tttrc f�rEn� NOTE: A SEPARATE ,PERMIT IS REQUIRED FOR THE. -r-- — — _ INSTALLATION OF SMOKE DETECTORS-THE ELECTRICAL 1 b t. PERMIT DOES NOT SATISFY THIS REQUIREMENT 508•428•e191 .8'OULCONC f16LEDSC!lOTUUES - P Df!2-..2 l'TEfi F.-G. j. CARBON MONOXIDE ALARMS G evl i n MU INSTALLED PER Custom . 1 . - -- MASSACHUSETTS.BUILDINGCODE G esigns copyrighhtt®2002 All} t. p a.o hts - - _ ed y_ r, _ q O J Or<5� �o°DeIe.C1 w' W S�S}>�''"' to �{epyl9Y� � A3 p 17 _ o - Pr el�minary plans and layouts by D.C.D.are for the use of their customers only.Any other use is strictly Prohi Dite I SOIL TEST 4 TOP OF FOUND4TION 20 FT. MINIMUM FROM CELLAR DATE SOIL TEST �..,, 10 FT. MINIMUM FROM SLAB OR CRAWL SPACE ES D SOIL S SE ENG EN _ERING ELEV. _ ��•�_ 10 FT. MINIMUM CLEAN SAND WITNESSED BY� Yt1 _ CONCRETE LOAM AND SEED 10 P� 10206 .5 4" SCHEDULE 40 PVC PIPE OBSERVATION HOLE 1 ELEV.=__�.._ MIN. PITCH 1/8" PER FT. 2" LAYER OF PERCOLATION RATE � 2 MIN./INCH. 1/8" TO 1/2" DEPTH HORIZ TEXTURE COLOR M TT. OTHER 104.0 MAX WASHED STONE rcrl' T 0-8 O/E MEDIUM SAND 10YR6/1 NO ROOTS 4•00 4" CAST IRON PIPE 101.75 MiN. NOT REQUIRED PIT CH EQUAL) PER MINIMUM FT. I l: Z CU. FT. OF 8-36 B LOAMY SAND 10YR5/6 r CONCRETE FLOW LINE a, i ANCHOR 36-124 C MEDIUM SAND 10YR7/6 ELEV. —TMIN. &VOE0 ELEV. = 10200 ° pmu-1a � � p,� - 10' 99.87 ELEV. z 10223 101.70 6 . _� ' _ `�' �` ° _ E'�Ev. _ BAFF� ELEV. _ _ _T DISTRIBUTION ELEV. . LIQUID OUTLET IBOXY 4 HIGH CAPSTONEI NL ANATORS WITH 4 { 4 FEET 14 INCHES TEE (TO BE PLACED ON FIRM BASE) TO BE WATER TESTED 17,51 • 5 FEET 19 INCHES IF MORE THAN ONE OUTLET il' X 36� X 10' TRENCH FORMATION 6 FEET 24 INCHES 1500 GALLON TO 8E PLACED ON FIRM BASE) �+ �� WELL N/A NO WATER ENCOUNTERED AT __-124= ELEV. __ 9 16 �8 FEET 34 INCHES SEPTIC TANK ( SOIL ABSORPTION ZONE 3/4" TO 1 1/2" CLEAN c INDEX DOUBLE WASHED STONE SYSTEM (SAS) ADJUST FREE OF FINES � SILT OBSERVATION HOLE 2 ELEV.- 103.5 PERCOLATION RATE _ ___ MIN./INCH. SEWAGE DISPOSAL SYSTEM PROFILE OBSERVEDUSGS WATERRTABLEE( WATER TABLE ELEV. = -__-__ DEPTH HORIZ TEXTURE COLOR MOTT. OTHER NOT TO SCALE BOTTOM OF TES? HOLE ELEV. _ _4216 0-10 O/E MEDIUM SAND 10YR6/1 NO ROOTS 10-38 B LOAMY SAND 10YR5/6 8-120 C MEDIUM SAND 10YR7/6 x . Fg` NO WATER ENCOUNTERED AT __12R:'_ ELEV. / t r 4 • DESIGN CALCULATIONS 3 1021 NUMBER OF BEDROOMS - p� GARBAGE DISPOSAL UNIT _- TOTAL ESTIMATED FLOW x 105.2 ( 110 GAL/WL/DAY X _ 3 BR.) _-330_ GAL./DAY REQUIRED SEPTIC TANK CAPACITY _ GAL. �• xACTUAL TIC TANK GAL. x SOIL CLASSIFICATION DESIGN PERCOLATION RATE MIN./IN. LOT i EFFLUENT LOADING RATE GAL./DAY/S.F. LEACHING AREA 4 SQ. FT. ^o. (11X38)+(47X2X10/12) LEACHING CAPACITY (AREA X RATE) -99 GAL./DAY x LOr 7 474.33 X M74 RESERVE LEACHING CAPACITY =aQQ GAL./DAY x c �� l ')t 2 \ ARcr ?94f S.F. NOTES: . �S x % 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. x >> TITLE 5 AND THE TOWN OF BANISTLAU __ RULES AND REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. I 2. ALL COVERS TO SANITARY UNITS MALL BE BROUGHT TO WITHIN 6" OF FINISHED GRADE. LOT 8 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF 1500 ='- WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN SEPTjC TA ON \ PCRCN x 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE x USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. 4. ANY MASONARY UNITS USED TO BRING COVERS TO GRADE $HALL O O 0T BE MORTARED IN PLACE. -" N — 11 5. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH >' DEEDED OR ZONING REGULATIONS. OWNER / APPUCANT IS TO tK 0h a x x OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. PROP x 6. UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR S OSED IS TO CALL "DIG-SAFE" AT 1-888-344-7233 AT LEAST 72 HOURS. 3 SEDROOM PRIOR TO COMMENCING WORK ON SITE. �\ -p� DLG/NC 7. CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. ANY VARIATION i Cl_ ,�, IS TO BE BROUGHT TO THE ATTENTION OF THE DESIGN ENGINEER ` TIP IMMEDIATELY. 8 PARCEL IS IN FLOOD ZONE _ C 9. LOT IS SHOWN ON ASSESSORS MAP 2) _ AS PARCEL I PROPOSED IVEW 7ES7ti 10. ALL UNSUITABLE MATERIAL SHALL BE REMOVED FROM UNDER AND FOR ' ' DRIvE (By 01-HER ) A MINIMUM OF 5' AROUND SOIL ABSORBTION SYSTEM AND BE REPLACED WITH SAND AS SPECIFIED IN 310 CMR 15.255: (3) i f ,>p \ SOIL TEST 2 X a( �A. x LEGEND. 11,".� -_ x EXISTING SPOT ELEVATION 0010 e_rvcHM��r \ +t `9Q• EXISTING CONTOUR - --00---- a4XW& v FINAL SPOT ELEVATION ( P $l1 ma* 906W r' X 100.2 SOIL FINAL CONTOUR— ( `,� \ \ TF'ST 1 ! r� i x �\ SOIL TEST LOCATION UTILITY POLE Np�� TOWN WATER =WSW f // V r- % ttk OFw CATCH BASIN `®� A GAS LINE r " b X 97.7 T. CLEAN OUT APPROVED: BOARD OF HEALTH 4 E)US CESSPOOL C.P. O NO 61 ` "" Q DATE AGENT ' x - - - f x PROPOSED SEPTIC IGN x Lip j r FOR 4 v, STANLEY GOLDSTEIN x x ` J�KINGHAM WAY at �� _. •� PROJECT LOCATION x 1 3 41 A LOT 20 TRUDY LANE COTUIT M&W 1 '. ~ �7 � Z 235 GREAT WESTERN ROAD ��+ P. 0. BOX 713 o N 508- SOUTH DENNIS, MASS. 398-3922 02660 DATE JU LY 23, 2002 scALE 1 " = 20' + - _ __ 1R�pY �N• REVISED JOB N0. OCT. 8, 20021 5387-00 ______j I - Lor i LOCATION MAP REVISED [SHEET 1 OF 1 } C. SB PRO✓ 5.387-00 dw 5387-OO.DI4G 0 2001 SWEETSER ENGN+EERING