Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0009 CENTER LANE
0 * Town Of Barnstable Permit# Expires 6 months from issue date �7 4 Regulatory Services e.. MAILN t°ABIZ v� MASS. Richard V.Scali,Director '�T� j At0 J V Building Division AON/ 64 O Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 , www.town.bamstable.ma.us L� Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION : RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property.Address Residential Value of Work$ 6(1DV Minimum fee of$35.00 for work under$6000.00 , Owner's Name&Address (� Contractor's Name (� -� '1"�i'tT�,`�. Telephone Number, 50� " �t�-� Home Improvement Contractor�i ense#(if applicable) ,3 Email: M /Y)0-Qk- Z.Q.: 1 ►l C-C 4N� Construction Supervisor's License#(if applicable) C-S ( (� I ?q Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeo` er I have Worker's C t mpensation Insurance Insurance Company Name Jn(D (2:,a 0 l Workman's Comp.Policy# 6on � Copy,of Insurance Compliance Certificate must accompany each permit. Permit Requ (check box) S Re-roof(hurricane nailed)(stripping old. gles) All construction debris will betaken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) 1� 1 ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of a Home Improve 7tCtractors License&Construction Supervisors License is required. SIGNATURE: C:\Users\Decollik\AppData\Localwicrosoft indows\Temporary Internet Files\Content.Outlook\2PI0IDMEXPRESS.doc - Revised 040215 t I � seaNeress�. •. Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner .200 Main Street,-Hyannis,MA 02601 www.town-barnstablema.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must , Complete and Sign This Section If Using A Builder I, O ,as Owner of t�bject property hereby authorized Q to act on my behalf, in all matters relative to work authorized by this building permit application for: C"4tip- ", (Address of Job) ` �l6 , Signat a of Owner Date Print Name r If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the ' reverse side. C:\Usersoewilik\AppData\LocaiNicrosoft\Windows\Temporary Internet Files\Content.outlook\2PfolDHR\EXPRESS.doc Revised 040215 Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-102260 Construction Supervisor Construction Supervisor Restricted to: Unrestricted-:Buildings of any use group which contain s, less than 35,000 cubic feet(991 cubic meters)of MICHAEL S MEAGHER JR., enclosed space. 97 EMERALD LANE. d MARSTONS MILLS MA O Me �-J^^^ CA_._ Expiration: Commissioner 11/05/2018 Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. DPS Licensing information visit: WINW.MASS.GOV/DPS CJJtr,�c�rrn�ersnurea.�(�o��areacfu�efli _ -._ / k Office of Consumer Affairs&Business Regulation_ HOME IMPROVEMENT CONTRACTOR ,; TYPE:Individual Registration Expiration Registration valid for individual use only n162939 04/26/2019 before the expiration date. If found return to: `MEAGHER CONSTaUAUCTION=tf±d0• Office of Consumer Affairs and Business Regulation . 10 Park PI -Suite 5170 � 1 Boston, 021 MICHAEL MEAGHER 776 MAIN STREET :f :LM�+ " OSTERVILLE,MA 02655 Undersecretary 407 f valid without signature i Client#: 16665 2MEAGHERCO ACORU, CERTIFICATE OF LIABILITY INSURANCE DATE(MWOD/YYYY) 6/22/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.if SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Dowling 8r O'Neil Dowling&O'Neil Insurance Agency arc No Ext:508 775-1620 A/c N,; 5087781218 973 lyannough Rd,PO Box 1990 ADDRESS:s: coi�doins.com Hyannis, 02601 INSURER($)AFFORDING COVERAGE NAIC# 508 775-162620 INSURER A:NOM Insurance company 14788 INSURED Meagher Construction Inc. INSURER B:Associated Employers Insurance company 11104 Timothy Meagher INSURER C: 776 Main Street INsuRER D Osterville,MA 02665 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD MMIDD LIMITS A GENERAL LIABILITY MPT1250G 0/16/2016 10/16/2017 EACH OCCURRENCE $1 00O 000 X COMMERCIAL GENERAL LIABILITY DAMAC�FE��RENTED PREMI Ea occurrence) $500000 CLAIMS-MADE 51 OCCUR MED EXP(Any one person) $10 000 PERSONAL&ADV INJURY $1,000 000 GENERAL AGGREGATE $2 000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY JEC ET LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Es accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per $ AUTOS AUTOS ( ) HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS Par accident $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LLAS HCLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B AND EMPs COMPENSATION WCC50050054422017A 6/23/2017 06/23/201 X WC STATU- OTH- AND EMPLOYERS'LIABILITY ' ANY PROPRIETOR/PARTNERIEXECUTIVE Y I N E.L.EACH ACCIDENT $1 OO OOO OFFICERIMEMBER EXCLUDED? a N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $100 000 If yes,describe under -- DESCRIPTION OF OPERATIONS below E.L.DISEASE:POLICY LIMIT $500 000 DESCRIP410N OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remefks Schedule,if more space is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED' IN Building Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE C. ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD . #S192660/M192659 CBD I The Corlvnonn"ealtlr of'Massachusetts -- Ileprrrtment of Iiu3'rrstrial Accidents. Offiee.of Investigations wig . , �- 600 Washington Street Bosiozz JIL4 02111 ' - 1t wrtnrass:gmldirr. Workers' Compensation Insurance Affidavit:Builders/ContractorsMe.ctitzcians/Plumbers Applirant Information ( n l Please Print Legibh, Name(Businem/Orgmzation+Iadivi Address_ 7�^ City/State(Zip: C it l t�,[ ti�t�� Phone Are you an employer"Check the appropriate box: TJ of project(required): 7 4. I am a general contractor and I P J 1_Q I am a employer with J ❑ employees(full and/or part-time)_* have lured the sub-contractors 6_ ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet.. 7_ ❑Remodeling ship and haaie no employees These sub-contractors have S. ❑Demolition working for me in any capacity_ employees and have workers' 9_ ❑Building addition [No c orkers' comp_mi ssuxance comp-insurance.! required-] 5-❑ Wee 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 1?_❑Roofrepairs c"152, 1 ,and use.have no insurance required-]_ § ( ) employees-[No workers' 13_❑Other comp_insurance required_] 'Any gpli=- tars c-5ecks box#1 Must also fill our the section below slw-Mng their WQ&e e'compensation policy infoin idon_ i Homeowner.-who submit this affidacdt indi-Ming they sre doing all wcA sod iaen hire o=sids conuacmrs crust submit a new affidaa-vit indicatim,such. �Colmacmrs ahst chh's&:s box must=ached m additional sheet shoisinz-the n—,a of the sub-ctmU =rs and state whether ar not those entities have employees. If the sub-contnaos bve employees,Any must nmride their workers'comp.policy number- I arrr an errrpl er that is pro �rrg tirorkers'cougi ,-nrsaaoit irrsrrrauce for my eri I e Below is the poll cy mid job site . IrtfOYtftahOlL Insurance Company Name: c>C-. �,d �15 ' _N Policy or Self-ins-Lic WCP—, S(-)6 GO t(_,3 G/ E Expiration Job Site Address: ��� Z`�_ � �� ��c-L= City/StateiZip: - Attach a copy of the workers'compensation policy declaration page(shoving 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 S1.500.00 and/or one-year imprisonment,as well as chil penalties in the fb=of a STOP WORb 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 cerltfy under the pa s andpendh*s of etjrcry tat the informad6n provided above is tare and correct Signature: Date: L Phone,� i5 O rS ' s Official use.only. Do not write in this area,to be completed.by city or tour official City or Tour: PermitUcense f Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.CityiT01M Clerk 4.Electrical Inspector f,.Plumbing Inspector 6.Other Contact Person: Phone?#: {.' �. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION.,. o �� Map Parcel Application 4. Health Division `Date Issued 1616 Q� Conservation Division hication Fee Planning Dept: :'Permi Date Definitive Plan Approved by Planning Board _ ,�✓/'"" -cam li Historic OKH Preservation / Hyannis Project Street Address Ce^ �2 Village r' t l Owne Address Sf i-_ ,I Telepho e 95 B 17 :Permit Requester ,� , 1 C.� 1re c Square feet: 1 st floor: existing proposed 2nd floor: existing � proposed Total new Zoning District: Flood Plain Groundwater Overlay eject Valuation\:�A a®.0® Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family :3 Two Family ❑ Multi-Family (# units) Age of Existing Structures Historic House: ❑Yes WIN-o On Old King's Highway: ❑Yes Flo Basement Type: Ulf ull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) O Basement Unfinished Area (sq.ft) Number of Baths: Full: existing, '4 new Half: existing L new Number of Bedrooms: L} existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: R/G as '❑ Oil ❑ Electric ❑Other Central Air: des ❑ No . Fireplaces: Existing New Existing wood/coal stove: ❑Yes rU Flo Detached garage: ❑//existing 0 new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: U existing ❑ new size_Shed: ❑existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No . If yes, site plan review# y = Current Use—<-,_._ - _,�,:.:� : .._.:_.. ..__ - Proposed Use----. - APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name SOU-r\ n so t 3 Telephone Number SO a ' 711 l -1 I t Address 'License# Home Improvement Contractor# Worker's Compensation # .� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE _I 6 4 � 6� F r ' FOR OFFICIAL USE ONLY APPLICATION# 4 DATE ISSUED MAP/PARCEL NO. ' ADDRESS VILLAGE OWNER 7 DATE OF INSPECTION: FOUNDATION FRAME Sf► INSULATION r FIREPLACE J ELECTRICAL: ROUGH FINAL x f PLUMBING: ROUGH — FINAL GAS: ROUGH FINAL x FINAL BUILDING s DATE CLOSED OUT ASSOCIATION PLAN NO. TI>e Coininonwcalth of Massachusetts 1 .Department of Industrial Accidents Office of Investigations E 600 Washington Street Boston, MA 02111 www.mass.gov/dia i Workers' Compensation Insurance Affidavit: Builders/Contractors/:Electricians/Plnmbers Applicant Information Please Print Leibl_y_ Name (Business/Organization/Individual): Address: 4 Ce.n r•t. I_Q - City/State/Zip: cn", 1Vr_ t oats Phone#: SnS - 31 K' 1 L1 1 l Are you an employer? Check the appropriate boar: Type of project(required): 1,❑ I am a employer with 4• F-] I am a general contractor and 1 6. F]New construction employees(full and/or part-time).* have hired the sub-contractors 2.El 'I am a ole proprietor or partner- listed an the attached sheet. 7, .[]Remodeling ship and have no employees These sub-contractors have g• F1 Demolition workers' employees and have working for me in any capacity. 9. ❑Building addition [No workers' comp.-insurance Gomp•insurance. �equired.] 5. [] We are a corporation and its 10.[]Electrical repairs or additions 3.L3J 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 G. 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 them hire outside contractors must submit anew afficlavitindicating such. hcontractors that check this box must attached nn 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 providb their workers'comp.policy number. fain 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 tip to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of 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 llL4 for insurance covera e verification. I do hereby certify under he pains•and penalties ofperjury that the information provided above is true and correct Si afore:. Date: Phone# g y Fl Official use only. Do.not write in this area, to be completed by city or town official- City or Town: PermitfUcense# Issuing Authority(circle one): 1.Boaid of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other ' Contact Person: Phone#: Information and Iiistr-uctions 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 appdrtenant 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-contractors)name(s), address(cs) and phone numbcr(s) along with their certificates)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 Towp 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 fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense number which will be used as a reference number. In addition, an applicant that must submit multiple permit/licensc applications in any given year,need only submit onp 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 filled 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 bum 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 C6mmon.w e,4th of Massachusc-M DPpai m(,-nt of labstrial Ac, cidczts Office of Iztvestigations 600 Washington Street Boston, MA 02111 Tc1. # 617-727-49-0.0 ext 4.06 ar 1-V7-MASSAFE Fax# 617-727-774 Revised 11-22-06 www.mass.gov/dia _ I r •i ` 'Town of Barnstable YHt p r o Qty ulator " Re Servi. es o II H T Regulatory t . Thomas F. Geiler,Director BARNSTABLE, 4 .MASS. q, 039. Building Division f�l fU µAS p . Tom Perry,Building Commissioner . 200 Main Street, Hyannis,MA 02601 wwNy.town.b ar astab l e.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: to 0 JOB LOCATION: (4Aa a_ LtJ �-e- number �1—tom `_ � street village ,.HOMEOWNER": S�e..re.1� ()V`A ,<pa`'t"lSy 7yI name home phone# work phone# CURRENT MAILING ADDRESS: SA+M;_ city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEI+INITION 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 i-�vo-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 require ts. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code.states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner,engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q. Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board.cannot proceed against the unlicensed person as it would With a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page 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. �ofYHerOts Town of Barnstable w Regulatory Services BAWIS'"BLE' Thomas F. Geiler, Director y, hrasa , o �a`m Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.ba rnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and, Sign This Section ff Usit1 A Builder I, s net of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this b ding per application for: (Address of ob) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. /I rY(_ t_![CIr/e [0 1'I'000G l U/7111'LLCILUl1 Lit !J L�;ti .lr 41):ii rx1 L'LLJ, J AV — ' ,y Massachusetts Cbukhsf foi- Compliance (780 Cn1R5301:2.1.1)' Check Compliance 1.1 SCOPE WindSpeed.(3-sec. gust).................................................................. ................................................ 110 mph Wind Exposure Category._.....:...........:...............:.:.....r......_.......:....... ..................:............I..........:............ .....B At Wind Exposure Category...........:....Engineering Required For Entire Project .................... ...................C �J�} 1.2 APPLICABILITY Number of Stories (a roof which exceeds 8 in 12 slope shall be considered a story) __J ___stones 5 2 stories Roof Pitch ............_.:...............:............................................(Fig 2 s 12.12 ,� Mean-Roof Height ..............................................................(Fig 2)................................................�_ft :5 33' BuildingWidth, W .............................................................,..(Fig 3)............I................................... ft :58D' . Building Length, L ..............................................................(Fig.3).............................................. IWq•eft.<_80' -Z Building Aspect Ratio (L/W) .......•...............::.......................(Fig 4)........::.......`................................1,Q—s 3:1 AZ- _I- Nomin)al Height of Tallest Opening ...................................(Fig .. (' .............................. L!' _<618� ( 9 4)............ 1.3 FRAMING.CONNECTIONS General compliance with framing connections.:..................(Table 2)..,................:........................................... 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete.....................................................................................................................:......... ConcreteMasonry :..........................:........................................ ................................................................ )R 2.2 ANCHORAGE TO FOUNDATION'-' 5/8'Anchor Boltsimbedded or 5/8' Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing-general ................. ............. ...........(Table 4)..........,................................. .. < in. �Jt3 Bolt Spacing from end/joint of plate ............Bolt Embedment-concrete .. .:... ....(Fig 5)... ..... .... .... .. ...�n-6n=;��: Bolt Emedment- masonry.......................... ..............(Fig 5)....................._........................> 3'x 3"x1/" Opt Plate Washer..... . ... (Fig ) y 3.1 FLOORS / Floor framing member spans checked ..........................:....(per 780 CMR Chapter 55)................................... V Maximum Floor Opening Dimension. " P 9 . .........,..(Fig 6)...................;...:.........................._ft_ 12' �JA Full Height Wall Studs at Floor Openings less than 2' from Exterior Wall (Fig 6)....................................... Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall ................(Fig 7).......................I..........I.................T ft•< d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls'or Shearwall................(Fig 8).................................................... ft .<_d Floor Bracing at Endwalls....................:...:.:............:...........(Fig 9)..............................,...........:..:c...................., t $ Floor She Type ............................................................(per 780 CMR Chapter 55).................................... Floor Sheathing Thickness ........... ............... ...........(per 780 CMR Chapter 55)..................I.... in. ' Floor Sheathing Fastening ................................................(Table 2).. d nails at(., in edge/-!,% in field .1 WALLS Wall Height Loadbearing walls................................................:........(Fig 10 and Table 5)......................"" $�,i,ft < 10 Non-Loadbearing walls ........................,...........:...........(Fig 10 and Table 5)....................,...... ft s 20 NA- Wall Stud Spacing ..........................:.............................(Fig 10 and Table 5)...................L in. <_24'D.C. WallSlory Offsets ......................................... ...............(Figs 7 & 8).............................,..............._ft _< d N F} .2 EXTERIOR WALLS' Wood Studs Loadbearing walls ....................................:....:.......:.......(Table a)................................2x-4-- ft 4I in. '=v _ �1 Pl Non-Loadbearing walls ......:..........................................(Table 5)..............................2x_- ft in. Gable End Wall Bracing �. Full Hei ht Endwall Studs ............I.......I..... .................(Fig1 D :.............. ............. ...... .... �f ' WSP-Attic Floor Length.................:...........................:..(Fig 11)..........:.......1...................I...... ft?W/3 Gypsum Ceiling Length if WSP hot used ................ .:(Fig 1 1 ft >_0.9W and 2:x 4 Continuous'_Lateral•Brace @ 6,ft. o.c. .. (Fig 11)............................................... ............. �l P or 1 x 3 ceiling,furring strips @ 16'spacing min. with 2 x 4 blocking @ 4 ft..spacing in end joist.or truss bays .W A Double Top Plate Splice Length :...........................:..:.. ................:..(Fig 13 and Table 6)...........1........................A ft / Splice Connection-(no. of 16d common nails)..............(Table 6)........:.................:..............................� ✓ ' Af•YC Guide la food Col'1371"Glciioii iii Hijj,h HlirrdAreas: 110 111ph jf'irid.Z011r Massachusetts Cheddist for Compliance (?so cn-rF2s301.2.1:1)' Loadbearing Wall Connections Lateral (no. of 16d common nails)................................(Tables 7).............................._...................... Non-Loadbearing Wall Connections . • . Lateral (no. of 16d common nails)................................(Table 8)....................................................... Load Bearing Wall Openings (record.largest opening but check all openings for compliance to Table 9) Header Spans ........................................................(Table 9).................................. S`ft v in.51 1' ✓ Sill Plate Spans .............. ......................................(Table 9).._...............................�ft y in. 5 11' Full Height Studs (no. ofstuds)....................................(Table 9)............................,..........................._ �;L ✓ Non-Load Bearing Wall Openings (record largest opening but check all openings for compliance to Table 9)' Header Spans.............................................................(Table 9).................................._ft_in.s 12' ► pt Sill Plate Spans.... ........................................................(Table 9).................................._ft_in.s 12" N R Full Height Studs (no. of studs)....................................(Table 9).........................I............................. u Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension, W Nominal Height of Tallest Opening z ............................................................................ <6,8" f� Sheathing Type...................... . ( ) V/cnk . . ...................... note 4 ....:................................................. _V,' Edge Nail Spacing.......•.................................(Table 10 or note 4 if less)........................_,in. Field Nail Spacing...................:......................(Table 10).......................I.........................�_in. ✓ Shear Connection (no. of 16d common nails)(Table 10)....................................................... ?� _61" Percent Full-Height Sheathing.......................(Table 10)...................................................Q/o ✓ 5%Additional Sheathing for Wall with Opening > 6'8"(Design Concepts).................... Maximum Building Dimension, L Nominal Height of Tallest Openingz........................................................................GAG`6'8" Sheathing Type..............................................(note 4)..................................................... Y1 L_k Edge Nail Spacing.........................................(Table 11 or note 4 if less)........................ L, in. ✓ Field Nail Spacing.......................................:..(Table 11).........:.....................................:. in. ✓ Shear Connection (no, of 16d common nails)(Table 11)........................................:..............-3- Percent Full-Height Sheathing.......................(Table 11).......:............................................. jo% ✓ 5%Additional Sheathing for Wall with Opening > 6'8"(Design Concepts).................... Wall Cladding Ratedfor Wind Speed?.............................................................. ............................................................... . 1 ROOFS Roof framing member spans checked?........................(For Rafters use AWC Span Tool, see BBRS Website) t✓ Roof Overhang ...._..............................................(Figure 19) ..............3_�ft 5 smaller of 2' or U3 ✓ Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors �t� Uplift................................................(Table 12)......:................I........:...........U= plf AA Lateral .............................................(Table 12).:...........................................L= plf VA Shear...............................................(Table 12)..............................................S= plf Ridge'Sfrap Connections, if collar ties not used per page 21... (Table 13)...............................T= plf Ar , Gable Rake Outlooker.......................... ....(Figure 20 ft s smaller of 2' or U2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift.................................................(Table 14)............................................U= lb. Lateral (no. of 16d common nails)...(Table 14).......................................L= . 'Ib. Roof Sheathing Type................:..................................(per 7B0 CMR Chapters 58 and 59) ..COX Roof Sheathing Thickness.....................................:..... ................................I............ I.in. ?7/16" WSP _l, Roof Sheathing Fastening............................................(Table 2)......................:.................................. This checklist shall be met in its entirety, excluding the specific exception noted in 2, to comply with the requirements of 780 CMR 5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Corner Stud Hold Downs per Figure 1Ba and Figure 18b Exception: Opening heights of up to 8 ft. shall be permitted when 5% is added to th'e percent full-height sheathing .equirennents shown in Tables 10 and 11. (•he bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2-grade. r a i I ! a 1f -,_... M1 , kf" , CF s F Xk f !{ 4 j h • - Dan±�t�: -XL Q t , , I ; : ; I C • 1 , 1P , � 1 I . 1 i i 18. _ S E_o__ _.�6J. n c'z' o._ . 1 cz� s r i _ , 1 1 I , , F i I 1 4 : 1 I d _ (2%^.de2P TOWN OF BARNSTABLE BUILDING.,PERMIT APPLICATION 170 Map Parcel GLcc !o4 V:.Permit# :=(,, ea Health Division "S�� dXK Date Issued' 24 Conservation Division 00/ t r Fee" Tax Collector Treasurer. a 2�f gl�IZ OD ! SEPTIC SYSTEM MUST BE " �; r w. INSTALLED IN COMPLU iCE PlanningrDept 6)o 1,d e 4-..4_""��Hv a.t J-0 2dN.ti '� 1 E' WITH`t1TLE 5 Date Definitive Plan-Approved by Plan in Bard ✓j 7 - I ENVIRONMENTAL:'CODE AND I . �� � /G ,v .r. y TOWN REGULATIONS. Historic=OKH Preservation/Hy nnis g ` Project Street Address Village mow" (.� . � • ` �.. O � 41 ,Owner �, �. ddress' AO Telephone Permit Request y W r�4 44 Square feet: 1 st floor: existing p . proposed A 2nd floor: existing propos S ed Total new ;71 Estimated Project Cost 3029 D. Zoning District Flood'Plain Groundwater Overlay Construction Type WMd r�1G Lot Size 51J 391 Grandfathered: ❑Yes & o 'If yes, attach supporting'documentation. A Dwelling Type: Single Family 1� - Two Family' ❑ Multi-Family(#units) Age of Existing Structure 6V Historic House: ❑Yes C!f—No On Old'King's Highway: ❑Yes R(No Basement Type: a Full ❑Crawl ❑Walkout, ❑Other. Basement Finished Area(sq.ft,) Basement Unfinished Area(sq.ft) C,� 0 Number of Baths: Full: existing , new Half: existing- .xe new Number of Bedrooms: existing new �{ Total Room Count(not including baths):existing new First Floor Room Count 41 Heat Type and Fuel' ZGas ❑Oil ❑ Electric ❑Other p Central Air: fffes O No Fireplaces: Existing New / Existing wood/coal stove:, ❑Yes 21ko Detached garage:❑existing ❑new size Pool:❑.existing ❑new size -Barn:❑existing O new size Attached garage:❑existing Urnew sizedVKay Shed:❑existing ❑new size ` ' Other: f Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes L� o If yes, site plan review# Current Use �G-t�^ ProposedVse G BUILDER INFORMATION ` Name Qn Telephone Number Address.- -License# Home Improvement Contractor# Worker's.Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY ' � . •� �, ///Jjj•``_ /ems• J y •• r p ., • � �-� .. d h � � PERMIT.NO. «, yy t ,yr ' --` w•t C� r h"•� * ` R, � a J� � r � ' • - • •} ; - .:t, -N � •�S. DAI F ISSUED , - MAP/PARCEL NO. .- � - � _ • - • 'fir •, . ' • ... _ r ADDRESS '�. _ t, VILLAGE t OWNERrt Jr 1 , r,<E °p c • , DATE OF INSPE CTioWy. ' - \ _ - •.r • FOUNDATION T - FRAME INSULATION FIREPLACE '.�� !�/�•,� ,. _� ,� ;, .". , • - .-- , ELECTRICAL: ROUGH S FINAL • f • PLUMBING: ROUGH FINALt y 'i a GAS: ~ROUGH' FINAL ,i FINAL BUILDING. _ t DATE CLOSED OUT ASSOCIATION PLAN NO ESTIMA TED PROJECT COST WORKSHEET Value i LIVING SPACE d t y square feet X $6;50�sq. foot GARAGE (UNFINISHED) 5 7 t square feet X $25/sq. foot = l `/ `l L' PORCH square feet X $20/sq. foot = DECK square feet X $15/sq. foot = 3: 3 6 l� OTHER square feet X $??/sq. foot = Total Estimated Project Cost( ' '7 70 For Office Use Only lnclusionary Affordable Housing► Fee [� Residential Commercial," Property Owner's Name Project Location ` cl N rE L-1� L� C E N►"��? y Project Value ��� Permit Number **Existing Sq. Ft. **Proposed New Sq. Ft. c� l 1 Fee $ a19 l �d . NWT FiHE ip�ry� The Town of Barnstable . BAR.S _ 'Department of Health Safety and Environmental Services MABS. Y 1639. �0 pIFUMPy"' .- Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice . .Type of Inspection C� rn '_ t �, f Z Location / `-�"'` ''"" ° Permit Number v Owner V� 1 il ` Builder ��1' One notice to remain on job site, one notice on file in Building Department. The following items need correcting: G Please call: 508-862-403r8 for re-inspection. Inspected by �Z��✓� Date ` i — 1 II �Fl- 1T r II � � II II ' II ' II II iI I i II � F't1 -"7T" se 1. i i _ FFTI F��� j O ai 03 Lk co IMTT_ 9 o r _ m� I ! ri - m TR Ir I i _ 1 , - N N 6 x � i S c I N. I � . I m x r a x R >< fn F- T p r 7-0" - . q-CITE 3i_gn I .. r 28 p LAUNDRY/- n]E /2 BAT vINrL BREAKFAST KITCHEN ° •. _ - OAK � � ,. OAK I—FLD 26 - �--• i ISLAND o '.FIRE m - - - RATED m I . 20 p GARAGE p - 4" CONCRETE SLAB "- �� - _ ~. PITCFI TOWARD DOORS - _ I i O 16j 26G.0. n i �I LIVING ? 4o DINING OAK O BI-FLDOAK I / . � 14�_0�� _ 3_82- f � T In 4'_b" (L: i a 14 `5 rw � x N N � r D I A PTD 2959 29 3/4"x59 5/4" m m A �p s prn o Op 3 PTD 2959 29 3/4"x59 3/4" L. � N p le _ 1 le 0_ - - _- __._ _- - N �nN�v�yAT9 IEZ N r n PTD 2947 PTD 3359 - .In = 29 3/4"x47 3/4" 33 3/4"x59 3/4" •� _ -------- --D - PTD 2947 70 e w m 29 3/4"x47 3/4" _ 3 - CD ! PTD 3359 # - _ ro 33 3/4'x59 3/4" - .. '�1 '®®^^ - 1� co - PTD 2947 C In p, 29 3/4"x47 3/4"C:l - - C1 ur PTD 3359 Z .� p 33 3/4"x59 3/4" _ n :LO N ) - r A O': ,I tN PTD 3359 0 33 3/4"x59 3/4" _ PTD 2959-2 FTD 335-9 # r # --- --- ,N 5B 3/4 x59 3/4" 33-3.4"x59 3/4" - -- --- --- - - 14-0" O r_ — I I I G" BILCO BULKHEAD D 18 R EXT. —————————— ——— -- -------------------- —I ----- -- __ _ -----=-- ___ _ -- -- 7'-Q'Y8' CONCRETE WALL =--- I. 1 4'-O'x8"-CONCRETE WALL — I .I - _ Ifo'xl0" CONT. FOOTING TYP L I 16'x10" CONT. FOOTING TYP. I, I I J.s o Q I I BASEI LENT I w I I 3 1/2' CONCRETE SLAB I I_ I II I DROP WALL UNDER I. SLAB @. DOOR - I I ao T-O" I I GARAGE I f 4" CONCRETE SLAB I. _ I I. PITCH TOWARD DOOR5 _ I _ _ I3'-a" ---+-�--t-----4-9—{— BEAM POCK PCGKET BEAKt ET_ 30"x30'xl2" CONC. PAD TYP. I I 3 1/2" LALLY COLUMN 3-2x10 GIRT - o� v 91 I � I &"IVY I -- ----------- ------ ----------- I � — —— ——--- - ------ ——————— —————— ---'---- -----� i � •�_2hDG�E S4-11Nc�ES .. 2u to" QnocC E • ij cDX 5t1EAT •. 2x� t� 3Z.. . .• 3ia 9 P4 .x�z�v cA-r.vRck �i B vi G/1fZ t I1S14 FL.00{z L o { 2x►o r�" P. V.T _ e 2S iI pIFJISH .F t_O D CL �?i I � . y.: ).�MI,.I 2 1 I c 1 fo': - T7-- leiT. I' t_� .or1 SILc-Fitt - �< urr 13 3 Z' !7EA114 CoL'/" Z�c to 01/01i1995 00:01 918028624926 PAGE 02 The Town cii Darnstauir, Department of Health Safety and Environmental Services Building Division t 367 Main Street,Hyannis MA 02601 u . Officer 508-862-4038 Ralph Crossed Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: —1 �i �T l+� LA) cc /UT6r(__V I LLE number street village "HOMEOWNER":51,-_VF- �O UW5d Al 77 5 -7q-71 name horns phone Yt work phonc.ft CURRENT MAILING ADDRESS: c�35" IV I I � N`F-' 0 2 U city/town State zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage,an individual for hire who does not possess a license,provide d that the owner acts as supervisor. DEFINUION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home is 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 pfOC ltIeS gll1YC'Ndif9. - Signature afHofficowncr to Approval of Building Official Note: 'Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section tog.1.1 -Licensing of construction Supervisors).provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeownets who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see, Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot,proceed against the unlicensed personas it would with a licensed Supervisor. The'homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a . forth currently used by several towns. You may care'to emend and adopt such a fom✓certifreation for use to your community. Q:FORMS:EXEMP77V SUBCONTRACTOR'S INSURANCE ENGINEEER: BAXTER & NYE ENG: (L) •KEMPER. 7CQ27676000 (W) EVANSTON INS AE802232 f' LAND CLEARING: PETER GOVONI : (L) CNA INS CO , C179997230 (W) CNA 'INS CO WC179997244 EXCAVATION & SEPTIC; NORTHERN SEALCOAT (L) TRAVELERS 660364K8342 (W) LIBERTY MUTUAL - 312446298044 FOUNDATION: ALL SQUARE: (L) ASSURANCE OF AMERICA - SCP35270231 (W) ASSURANCE .OF AMERICA' - TC055751748 CELLAR/GARAGE FLOORS: MASON WORKS : (L) TRAVELERS 1680204Y4465TCT MASON: SHERMAN, WAYNE: (L) COMMERCE INS CO - N60689 (W) WAUSAU .INS- TO .BE ASSIGNED GAS PIPING: BAYSTATE PIPIMG: (L) CRUM & FORSTER - 503176686.3 (W) CRUM & FORSTER - 4086081999 ELECTRICIAN: CHAVES ELECTRIC: (L) MISC. INS . - ZDN5245913 (W) MISCELLANEOUS INS CO. '- WCP0006299 PLUMB & HEAT: WHITELY PLUMBING: (L) TRAVELERS - 660365K1782COF9 (W) EASTERN CASUALTY - POLICY IN MAIL ALARM SYSTEM: BALTIC SECURITY': (L) HANOVER INS : 7 PAC105393 (W) WORKERS RISK - WCS-80414040 INSULATION: MAP INSULATION: (L) AMERICAN STATES 02CC326435-3 (W) U S F & G - 7711099932 SHEETROCK: MEL REED: ' . (L), WORCESTER INS =""CB817530 (W) COMMERCIAL UNION CBH557387 INTERIOR TRIM: DAVID'S REMODELING:. (L) 'CGU NBFB40738 M & R CARPENTRY (L) MARYLAND INS . GRP SCP30235965 (W) , CIGNA PROP :& CAS . -- C80049997 PAINTING: CAMPBELL PAINTING: (L) TRAVELERS 1680251K4083COF (W) ASSOC INDUSTRIES OF MA. MUTUAL- AWC 7000126-01-99 GARAGE DOORS: ALL CAPE GARAGE DOOR: (L) U S F & G _ BFS00.0000348188 (W) TRAVELERS INS CO - 1810336H8138T1A99 STORMS & GUTTERS: ALUMINUM PRODUCTS : (L) CNA INSURANCE 1074079839 (W) CNA INSURANCE - WCC174080411 OAK FINISHER: AMERICAN FLOORS : (W) EASTERN CASUALTY - WCV3001745 CARPET, VINYL & TILE: CARPET BARN: (L) TRAVELERS 1680625Y1691TIL009 (W) MA.. RETAIL MERCHANTS 8100-06 TILE INSTALLER: TONY AVERINOS : (L) 'ASSURRANCE CO. - CFP26528977 (W) HARTFORD FIRE 77WZCY2409 WIRE SHELVING: CAPE COD CLOSETS : (L) ARBELLA - NBF8410782 (W) TRAVELERS - 7PJUB-521X529-4-99 APPLIANCES : KITCHEN APPL MART: (L) FIREMENS FUND - AZC80453098 (W) . HARTFORD INS CO - 77WZNB1603 MIRRORS & SHOWER DOORS L & M GLASS: (L) COMMERCIAL. UNION - CBR409003 (W) U S F & G - 0071439,933 DRIVEWAYS : NORTHERN SEALCOAT: (L) MARYLAND CASUALTY- EPA18716945 (W) THE PHOENIX , - UB387K530 SIDEWALLER: STEPHEN CRESSWELL: (L) MARYLAND INS - SCP29031342 MAScheck COMPLIANCE REPORT �. Massachusetts Energy Code Permit # MAScheck Software Version 2.01 �. Checked by/Date CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 8-28-2000 DATE OF PLANS: 8/23/00 TITLE: THE JOHNSON RESIDENCE, CENTER LANE PROJECT INFORMATION: WEQUAQUET PINES, CENTERVILLE COMPANY INFORMATION: BAYSIDE BUILDING, INC. COMPLIANCE: PASSES Required UA = 497 Your Home = 419 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA CEILINGS 1564 30.0 0.0 55 WALLS: Wood Frame., 24" O.C. 2692 19.0 0.0 158 GLAZING: Windows or Doors 334 0.350 117 DOORS 38 0.400 15 FLOORS: Over Unconditioned Space 1564 19.0 0.10 74 ------------------------------------------------------------------------------- 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 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°s of the design load as specified, in Sections 780CMR 1310 and J4.4. Builder/Designer Date MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 THE JOHNSON RESIDENCE, CENTER LANE DATE: 8-28-2000 Bldg. Dept. 1 Use CEILINGS: [ ) 1. R-30 Comments/Location WALLS: [ ] 1. Wood Frame, 24" O.C., R-19 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1. U-value: 0.35 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ .] Yes [ ], No" Comments/Location DOORS: [ ] 1. U-value: 0.4 Comments/Location ` FLOORS: [ ] 1. Over Unconditioned Space, R-s19 Comments/Location AIR LEAKAGE: [ ] Joints, penetrations, and all other such.openings in the building envelope that are sources of air leakage must be sealed. When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed,or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283, with no more than 2.0 cfm (0.944 L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors: I ' 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 shall be insulated per Table J4.4.7.1. DUCT CONSTRUCTION: [ ] All accessible joints, seams, and connections of, supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. 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: ' [ ] 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. [ ] SWIMMING POOLS: All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock.` [ ] HVAC PIPING INSULATICN: HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to -the following levels (in.): PIPE SIZES (in.) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-41 Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 Low temperature 120-200 0.5 1.0 1.0 1.5 Steam condensate any 1.0 1.0 1.5 2.0 COOLING SYSTEMS: Chilled water or 40-55 0.5 0.5 0.75 1.0 refrigerant below 40 1.0 1.0 1.5 1.5 . [ ] CIRCULATING HOT WATER SYSTEMS: - Insulate circulating hot water pipes to the following levels (in.) : ' PIPE SIZES (in.) NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F) : RUNOUTS 0711' I 0-1.25" 1.'5-2.0" 2.0+11 . 170-180 0.5 1.0 1.5 2.0 140-160 0.5 � • 0.5 1.0 1.5, 100-130 0.5 0.5 0.5 1.0. ----NOTES TO. FIELD (Building Department Use Only)-------------------=.----- a +l rV�� T,y TOWN OF BARNSTABLE ' CERTIFICATE OF OCCUPANCY PARCEL ID 000 000 170 GEOBASE Ill ADDRESS 9 CENTER LANE PHONE CENTERVILLE ZIP — LOT 5 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT PERMIT 53785 DESCRIPTION C/O FOR SFH UNDER PERMIT..-#48482. PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health Safety ARCHITECTS: P � Y and Environmental Services TOTAL FEES: BOND $.00 per CONSTRUCTION COSTS $.00 101 SINGLE FAM HOME DETACHED 1 PRIVATE P'. �1 * HARN3TABLE, ; MASS. 1639. — BUIL I G IVISIO BY DATE ISSUED 06/07/2001 EXPIRATION DATE ' t. TOWN OF BARNSTABLE BUILDING PERMIT ' .CEL ID 000 000 170 GEOBASE ID vDRESS 9 CENTER LANE PHONE CENTERVILLE ZIP - LOT 5 BLOCK LOT SIZE .� DBA DEVELOPMENT DISTRICT PERMIT 48462 DESCRIPTION NEW 4 BDRM.SING.FAM.HOME SEW.PT#2000-518 PERMIT TYPE BUILD TITLE NEW -RESIDENTIAL BLDG PMT CONTRACTORS: PROPERTY OWNER Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $1,022.60 BOND $,00 p�CIE CONSTRUCTION COSTS $329,870.00 4p�' 101 SINGLE FAM HOME DETACHED 1 PRIVATE PR<,`gTE� * ; * 1AIZN3PABLE,39. • w BUILD W-- IVISION DATE ISSUED 09/06/2000 EXPIRATION DATE 4 w TOWN OF.) BARNS'"AB E, .. BUIL IzNG PE:kJ41T PARCEL ID 000 000 1.70 GEOBA.SE -ID ADDRESS 9- CENTER LANE PHONE C:.ENTERVILLE. ZIP T.10'r 5 BMCK LOT SIZE DB A DEVEM)PMENT DI:STRI cr PERMIT 48462 DESCRIPTION NEW 4 HDRM_SING.FAM.NO14E SEW.PT#2000-518 PERMIT TYPE BUILD TITLE NEW RESIDENTIAL BLDG. PV1T f CONTRACTORS: PROPERTY OWNER Department.of Health, Safety ARCHITECTS:: and Environmental Services TOTAL FEES: $1,022 w 60 T� � BOND $-.00 J►,r CONSTRUCTION COSTS $3 ,870.00 � Qi► F 1.01. SINGLE S+AM HOME DETACHED I , PRIVATE P1Tw EA .. BAB MASS. It BUILDING MVISIo�i BY �. D E ISSUED 0946/2000 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 WD LOCf `ON OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICAN ROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF I OUR CALL INSPECTIONS REQUIRED 1 ` I FOR ALL CONSTRUCTION WORK: APPROVED PLANS 1 JST BE RETA NED ON JOB�ND �WHERE ARPLICAB�"E, SEPARATE THIS CARD KEPT POSTED UNTIL FINAL INS PE(3�-[ON { 1.FOUNDATIONS OR FOOTINGS PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE WH,fRE A CERTIFICATE OF OCCU- (READY TO LATH). " ?' PANCY IS REQUIRED,"S`5CH.jBUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- ANICAL INSTALLATIONS. . 3.INSULATION. OCCUPIED UNTIL FINAL•INSPECTION HAS BEEN MADE. � ._FINAL INSPECTION BEFORE OCCUPANCY. 1 BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS ®l 2 16'e 2 p. i 3 ` r ' X� f1' H ArNGiINSPECTIO� PRO ALS �- ENGINEERING DEPARTMENT j� b U 2 cv,1 OARD F EAL �._ OTHER: Q SITE PLAN REVIEW APPROVAL $1 oe i2 h ? WORK SHALL*NOT PROCEEbUNTIL 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 ARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- i. N. NOTED ABOVE. T ION. ;" BUILDING PERMIT Prepared For Qayside BUilders Assessor's Map : Map 251 Parcel 60 Lot: 5 Boxiet NYC Ht:llinglr't:f1, Inc. Community Panel Number 250001 0005 C Profm,-,imx:l F.I.R.M. Map Zone: Zone C can J l..rrrld Surer 4roF; ' Plan Reference QI<.552 PG.092 fJ`l.' Aloirt .`..�tr-ef: Reed Reference: ),A 0:,(.(; .lite, P:A,, 02(U5 F';ro:rr �I,rj !i)l--�1S1 F�K - (darn)-C?4•-•37;,t.1 Owner : Boyside Builders Job Number: 99-125-5 Scale 1" 50' Date September 27,'2000 PA OF 07 • - 20'-ROADWAY (No-r CONSTRUCTED) �y _......_699_76' TD _.._.._._._.__._-__._...._.. .. N 37*30'25 E 385.00, o `l.. � r� 25' Ld _ 11i C) rn I.rr (o r7 i i c\I ` 0) nr w > 200.?_. cis i N �_ _ r --_�^ ........ 'o) is a 1 164.4'V) In I (3) ii nI I W 1-: 7 I 54,391 S. F. Q . '� to 1.25 Acres shape factor 20.07 ch AC. 14 o ' ......... 25' L J &5�1.15 96 9"� .......................... -y �. � L.-)f3E3. E39' r S 3927'30' W P THIN N E Y U�tm,r CLAN 1S (JULY 17, 1030 Ly,`r CURVE _ RADIUS ARC LENGTH UNE DEARING _ DISTANCE C 1 15.0_0'T 18.83' L1 S 19'26'h5_-W 9.34' C2 � 15.00' C0�0 a I CERTIFY THAT TO THE 13EST OF MY KNOWLEDGE THE FOUNDATION SHOWN HEREON IS IN COMPLIANCE WITH THE APPLICABLE BARNSTABLE ZONING DISTRICT SIDELINE AND ,. 'i� r')' ;^„ SETBACK REQUIREMENTS, IS LOCATED IN RELATION TO THE MONUMENTS SHOWN, AND IS NOT LOCATED WITHIN A SPECIAL FLOOD HAZARD AREA. . 1\ GIS k PlOF_S�ISL—I- NIT) SDl�6L OFF— —" )A" F — '!' t.. FEP,eIo I ,�:,�.. :red For (3c�yside Builders Assessor's Map Map.251 Parcel 60 Lot: 5 f iQ;t�r:31", r"Iy4, �� �. oIrrigir-c'f1, Community Panel Number 250001 0005 C ff�:r;r�!,MC Pr-ores:,imlal R.M. Map Zone: Zone C. I r,;irl<<�rs +�n'J l.:flr"td Surv�,+,f,�rt4 Pldn Reference : 131(.552 PG.092 f�f.?.. C*'1„in .`..�froaf _ Cp.;fr;IVille, MIA- 02 6-`_i`i Deed Reference: „ f;Fa;ro -• I :!).!) sift-Rizl fnK `" (:�10)-..{74 t=;. •. . ,,. Owner Bayside Builders :Job Number: 99-125-5 Scale 1" 50' Date September 27, 2000 n MOM91 e CB/DI FND I` 20 ROADWAY (NUT : CONSTRUCTED) 699 76 TD N 3 30'25�' E -.. I_... FA 385.00' 125' I d m N IW I _ -200.2' _ I ri° 1 cy c� I� is h-- �IT_5h j 1 U.. nl 5�4,391 S: F. -1 ¢ . ��- v u) 1.25 Acres i Lj } t IC� 10 r shape factor 20.07Ly- o _ 25' ( 72.9h' 351.56' TD S 36 27'30' .�W P HIN N E•Y' , LAN I� (JULY_17, 1930 COUNTY LAYOUT) = = � fir,_•:___ --- � � � • {i • try, ___ CURVE RADIUS ARC LENGTH LINE _HEARING - _ DISTANCE C1 � '15.00'T 18.63' L1 S 19'26'�F5" W �.34' C2 15.00' 23.56' oil I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE FOUNDATION SHOWN HEREON IS IN COMPLIANCE WITH THE APPI_ICA(iLE f3ARNSTAf31_E ZONING DISTRICT SIDELINE AND p: -- SETBACK REQUIREMENTS,' IS LOCATED IN RELATION TO THE MONUMENTS SHOWN, AND IS NOT LOCATED WITHIN A SPECIAL FLOOD HAZARD AREA. f f PROF_SSZiNi�L-T-NI�'JI—SIIRVLYUf — )AT—IF-- --� ExIsrlNc LEGEND PROPOSED ZOrJES Design Schedule ELEVATION �I Leaching Area Requirements LD�j���S -~--- -- ----- - Edge of Pavement - THE EASTERLY END OF THIS LOT IS OUTSIDE TOP OF FOUNDATION 73.0 DISTRICT RD-1 FINISHED BASEMENT FLOOR 65.3 5 BEDROOMS AT 110 GPD/BEDROOM = 550 GPD Sewer Pipe - BOTH THE STATE APPROVED ZONE II AND THE DISTRICT GP & AP -- - - �-- - Water Pipe w - TOWN DESIGNATED ZONE OF CONTRIBUTION MINIMUMS FINISHED GARAGE FLOOR 72.0' ADDITIONAL 50% FOR GARBAGE DISPOSAL N.A.f Leach Pit LOCUS �3 l�-%i O - AREA = 43 560 S.F. SEWER INVERT AT FOUNDATION 68.1' su r ` FRONTAGE = 20 PERC RATE = 2 /1 MIN. / INCH (CLASS 1 ) ' SEWER INVERT INTO SEPTIC TANK 67.9' WEQUAQUET +` ) Catch Basins Q 0 SEWER INVERT OUT OF SEPTIC TANK 67.6' i o o �e.7 I P LAKE Se tis Tank ® o WIDTH = 125' LIAR = 0.74 GPD S:F. - SEWER INVERT INTO DISTRIBUTION B)X 67.4 Distribution Box o FRONT SETBACK = 30' Water Gate N SEWER INVERT OUT OF DISTRIBUTIOf` BOX 62.2' Light Pole � . SIDE SETBACKS = 10' MIN. LEACHING AREA OF S.A.S. --�:.r Utility Pole -!- REAR SETBACK = 10' SEWER INVERT INTO LEACHING SYSTi�M 67.0' 2 $ Y o � E �� ���`�----- -- Contours 20o BOTTOM OF LEACHING SYSTEM 65.0' 550 GPD/ 0.74 GPD/S.F. = 744 S.F. MIN. 20V0x.00 Spot Grade 200.0 WATER TABLE w£ Test Pit PROPOSED SYSTEM SIDEWALL (12+44)(2)(2) = 224 S.F. q HT BOTTOM 12' X 44' = 528 S.F. LONG POND S ' FFT TOTAL = 752 S.F. i i LOCATION MAP HYANNIS QUADRANGLE *T r�*��r SCALE: 1:25,000 GENERAL NOTES : ASSESSORS MAP 251 PARCELS 60 - ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE WITH TITLE V OF THE STATE SANITARY CODE DATED MARCH 31 1995 AND ANY LOCAL RULES APPLICABLE. 1-1.5" WASHED STONE ANY CHANGE TO THIS PLAN MUST BE APPROVED IN WRITING BY THE DESIGNING ENGINEER. •-; 12' WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKFILLING, NOTIFY THE ENGINEER & BOARD OF HEALTH AGENT �44' � FOR INSPECTION. PLAN OF LEACH CHAMBERS FOUNDATION ELEVATION MUST BE CHECKED WHEN COMPLETED. -•.. / I -I" 20'-ROADWAY (NOT CONSTRUCTED) A o?( i I NO SCALE THESE ELEVATIONS MUST NOT BE CHANGED WITHOUT WRITTEN N 37*30`2'" E APPROVAL BY THE DESIGNING ENGINEER. TrP #2 / Q • • • IN ie140.0' • M • a • ( I I 12' ALL SANITARY DISPOSAL SYSTEM PIPING TO BE 4 PVC; SCH. 40 I 25' I FINISHED GRADE 1 I I m TP ;�, I � f ,�, I I I ( �` EXCAVATE AND REPLACE ALL UNSUITABLE MATERIAL SURROUNDING w r--'---- ( ° " „ ,% COMPACTED FILL / ! / .T 36 MAX.- 12 MiN. /��// �� /���/�� �/j��/��� SURROUNDING THE LEACHING FIELD FOR A DISTANCE OF 5 , RESERVE AREA I I „ L I t .._...... . .._........_............................._.................................._......_ \ I 2-: o PEASTONE PER 310' CMR 15.255. J rw� M o S I I „ . .•a .a. 4 • 3/4" TO 1 1/2 " 4 G 7- 5 �, :0. 4•:' DOUBLE PRIMARY BENCHMARK : N.G.V.D. $I J �II� i % .4 WASHED STONE PROJECT BENCHMARK : SEE PLAN I } I �\ / T Sy, 9 3 9i < Z aZ _ 3 Ac, LOCATION OF UNDERGROUND UTILITIES ARE APPROXIMATE AND > W > W `I / J / sG ��{�r 2 d,o / - / SHOULD BE VERIFIED IN THE FIELD BY THE APPROPRIATE _ _ I`� ., ff / l / ! ,� /"` SECITON UTILITY COMPANY PRIOR TO ANY CONSTRUCTION. r' o 0 o NO SCALE `111 ` I I >t / r olm+ a s �`� k�� -� BOUNDARY INFORMATION FROM PLAN TITLED "PLAN OF LAND AT COONORS ROAD -PHINNEY'S LANE CAICH BASIN CENTERVILLE, MASS. FOR MRS 4►AMES HALLET" ..__ _-..... S4I s .___. •. _ _..,: �,.._..:....._ ,... ^J n,w:"•rn .'14... fit/ �i'� '�• '.C1-"�l" lk EE �F. .`•,.. / - ... ... .. ,..-.. ..._`,s-,... . .,,_..' `.'.:. ,:: .. .. - ,,,•. . .�.:_...... rt.t SJ/,..3 U"Ci aXr,..0 -....y ,Sa rF,.^o..Ai.�TEI. ;aa,.Y`" .u...9.r�4.R. ;L.7; y7,7.7. .. `` --�_ ..�. _._-•-�-�' �'.6 _ ��.-'_' - - _ _ � �ter,., -'�" / ,. �.•�. __. . ___ �' if 88.89 �= EDGE OF / i 94' ,,..-. HYD. �2 PAVEMENT / FROM HEHTOWN OF BARNS ABLE "ON G.I.S. HYDRANT�S V E NATH BERMEL LEACH SYSTEM W1TH:NFILTRATOR DEIGN S 3627'30- W ALL PIPES TO BE SCHEDULE 40 PVC _ .-..!_ _ . - `' "/ � --=� �pE'1'8 LI�i� � ,/,���/� USE 1 - 4" DISTRIBUTION LINE IN 3 RECHARGER UNITS �`1N of'._�s� /N OF A440. w- ___ _w_• .--- ""- ~` "'� -'fir IN A 12'X 26' WASHED STONE TRENCH AS SHGWN ��� ��s � STEPHEN ^ ,10 w\' ALL .--- 24�74 � ,9 cidi �2• fCIS1ER``� o,�FSSGISTE�N���`� /ONAL E I CERTIFY r0 THE BEST OF MY KNOWLEDGE THAT THE PROPOSED FOUNi)ATION SHOWN IS : IN COMPLIANCE WITH LOCAL ZONING BY-LAWS (WITH RESPECT TO SETBACK REQUIREMENTS ONLY) AND DOES NOT FALL WITHIN A SPECIAL FLOOD HAZARD AREA. LOT 59 CENTER LANE 1 . SCALE: 1"= 30' THIS PLAN IS NOT r0 BE RECORDED OR USED TO ESTABLISH PROPERLY LINES. CENTERVILLE, MASSACHUSETTS 0' 30' 60' 90' Q� -;' 02- 2oeo PREPARED FOR REGI ERED P OFESSIONAL LAND SURVEYOR DATE BAYSIDE BUILdE�RS TIRE SEPTIC SYSTEM DESIGN J.K. HOLMGREN& ASSOCIATES INC'. TYPICAL SYSTEM PROFILE SOIL LOGS P 9598 DATE:11/6)99'9:OOAM ENGINEER: BOARD OF HE 4LTH AGENT: arry, Proposed CONSTRUCT ACCESS NOT TO SCALE Stephen A. Willson,P.E. Edward B Barns. Health Dept. BA�►TER, NYE & HOLMGREN INC. Top of MANHOLE OVER INLET To TANK To AT LEAST TEST PIT 1 TEST PIT 2 TEST PIT 3 Registered Professional Foundation = 73.0 WITHIN 6• FINISH GRADE FINISHED GRADE OVER TANK = 72't G.S.E. =71.8' G.S.E. = 68.8' G.S.E. = Engmeers and Land Surveyors I FINISHED GRADE OVER .D. BOX = 72'f 812 Main Stet, Osterville,Ma. 02655 i^ i` I- I -i I;�,i FINISHED GRADE OVER LEACHING TRENCH = 72't 0 ,0' 0 '0 3" 4" Phone -(508)428-9131 Fax - (508)428-3750 4" SCH. 40 PVC FIRST 2' (TO BE LEVEL) (TYPICAL) m�• 4" SCH. 40 PVC 12" (min) Cover ',q' 'A' ` e•� `) -I.. ) 36" (max) Cover SANDY LOAM SANDY LOAM 2 min Proposed �o• CPI tees li ' 6., 4" SCH .40 PVC 10" 10YR 3/3 11„ l 0YR 3/3 Finished 2"Layer 1/8"to 1/2" Basement Peastone LEACHING CHAMBER .B� Floor = 65.3' �� ` '� ' • Sloe = 0.005 (min ) B SANDY LOAM SANDY LOAM Reinforced Concrete 6' CRUSHED STONE BASE 4" PVC 28" 10 YR 5/3 32" 1 OYR 6/4 DATE: 81112000 FOOTING 'C' SAND, GRAVEL 'C' SAND, GRAVEL REV. DATE: REMARKS & COBBLES & COBBLES BOTTOM ELEV. = 65.0' 132" 1OYR 6/4 120" 10 YR 7/4 NO WATER ENCOUNTERED 1500 GALLON SEPTIC TANK DISTRIBUTION BOX s.2' PERC ® 60" TO BE INSTALLED ON A LEVEL STABLE BASE TO BE INSTALLED ON A LEVEL STABLE BASE RATE= >2 MIN/IN ' Nth SEPTIC TANK 70 BE INSPECTED & CLEANED ANNUALLY 'IZ7 No Groundwater at Elevation = 58.8' LEACHING SYSTEM H:\Drawings on H01mgren2_nt 1997 97125 99125-lot5septic.dwg