Loading...
HomeMy WebLinkAbout0164 COTTONWOOD LANE i �, 1 Town of Barnstable Building s ..-....�.-„ ,, }Post This Card So.That rt is Visible From,#he.Street Approved Plans'Must be'Retained on Job and his Card Must be Kept w «. osted Until Final lns ection Has`Been'MadP W � - * �' °% g • 1b39 . a r o..a u p - ;C w _.n.Y ° Whereta Certificate of.Occupancy s Required„suchvBuildmgstall Not be Occupied until a Final lnspect�on has,been,made Permit -. Permit No. B-18-496 Applicant Name: M J NARDONE CARPENTRY LLC. Approvals Date Issued: 02/16/2018 Current Use- Structure Permit Type: Building-Restore to Single Family Expiration Date: 08/16/2018 foundation: Location: 164 COTTONWOOD LANE,CENTERVILLE Map/Lot 252 025 Zoning District: RD-1 Sheathing: Owner on Record: SILBRET, MARC&ROBERTA L Coritractor Name:': •�M J NARDONE CARPENTRY LLC. Framing: 1 Address: 164 COTTONWOOD LANE a ."'Contractor License 135887 2 :9 t CENTERVILLE, MA 02632 I � � Est Pro ect Cost: $500.00 j,t Chimney: Description: RESTORE TO SINGLE FAMILY-BY REMOVING LOCK AT,,TOP OF Permit Fete: $85.00 BASEMENT STAIRS. REMOVING KITCHENETTEIBEHIND LOUVER �_ Insulation: DOORS IN BASEMENT r Fee Paid:; S 85.00 Date 2/16/2018 Final: Project Review Req: . .3 �n� ✓ Plumbing/Gas Rough Plumbing: ' Building Official r Final Plumbing: This permit shall be deemed abandoned and invalid unless the work autho 6 by this permit is commenced within six monttis'EAeer issuance. Rough Gas: All work authorized by this permit shall conform to the approved application_and tkeapproved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall'be in compliance with the local zoning by laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. � � H Electrical The Certificate of Occupancy will not be issued until all applicable signatures_by the Building andfire Officials are provided on.this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: o-x 1.Foundation or Footing , s - Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT—ISSUED RECIPIENT BUILDING DEPT. Appuc adon Number....J�.?. 1 ... ..ti.�...................... �► * snsrtsTA]" ` Permit Fee............ ther F ...................O Fee........................ ' FEB 16 2019 . . FOWN OF BARNSTABLE Total Fee Paid................... TOWN OF BARNSTABLE Permit Approval by......... (o............on.... i � BUILDING PERNUT .Pam . APPLICATION Section I — Owner's Information and Project Location Project Address ! 7 �&>u �'�"' Village Owners Name dn zi e, Ldr�� Owners Legal Address City ��rr �G� �1� State zip 63z— Owners Cell# 5��' �� � E-mail A/*WAe.Cl, Section Z—Use of Structure Use Grroup . ❑ Commercial Structure over 35,000 cubic feet ❑ 'Commercial She under 35,000 cubic feet Single/Two Family Dwelling Section 3—Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ElFinish Basement ❑ Family/Amnesty El Fire Alarm Rebuild ❑ Deck, Apartment ❑ Sprinkler System r ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation 0 Pool ' ❑ Insulation Other—Specify ` Section 4 -Work Description d T.Pgt imdRted-2/92019 Application Number......:............................................. Section 5—Detail , Cost of Proposed Construction Square Footage of Project Ll� ' Age of Structure Dig Safe Number #Of Bedrooms Existing -z Total#Of Bedrooms(proposed) j 110 MPH Wind Zone Compliance Method Q MA Checklist ❑ WFCM Checklist Design Section 6—Project Specifics i Wiring ❑ OR Tank Storage ❑ Smoke Detectors Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply ,2 Public ❑ Private Sewage Disposal ❑ Municipal `�1 On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: �/ rev ( o s I am using a crane ❑ Yes E No Section 7—Flood Zone Flood Zone Designation ,—�. Within or adjacent to a wetland, coastal bank? Yes2 No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No 0 drL c � , VR �a NA 1 'OnwO v� , _ ST62 II -OA D 6L4 - a tsrj t �Q lrj n e - � o b� 1 Y t The Commonwealth of Massachusetts .Department oflndustrialAccidents , 1 Congress Street, Suite 100 Boston, MA 02114-2017 5 www.mass.gov/dia «'orkers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Le ibl Name (Business/Organization/Individual); Address: city/state/zip:_ ire!. Phone#: Are you an employer?Check the appropriate box: ------ 1 I am a employer with _employees(full and/or part-time).* Type of project(required): 2.❑I am a sole proprietor or partnership and have no employees working for me in 7• ❑New Construction any capacity.[No workers'comp.insurance required.] 8• emodeling 3.[]I am a homeowner doing all work myself. [No workers'comp.insurance required.]t 9. ]Demolition 4.]I am a homeowner and will be hiring contractors to conduct all work on m roe I will 10 E]Building addition ensure that all contractors either have workers'compensation insurance or are sole proprietors with no employees. I L Electrical repairs or additions 5.7 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 12.❑Plumbing repairs or additions These sub-contractors have employees and have workers'comp,insurance.t 13.❑Roof repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§](4),and we have no employees. [No workers'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. $Contractors that check this box must attached an additional sheet showing the name of the sub-contracto rs and state whether or not those entities have employees. if the sub-contractors have employees,they must p 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: Mi VW VPSfi Policy#or Self-ins.Lic.#: !�/�- Expiration Date: a• "�� Job Site Address: L6`�_ & * (: City/State/Zipq to Attach a copy of the workers' Compensation policy declaration page(showing the policy numbery and expir ate ion date) � Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by 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.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. Signature: /td Date: 2 -1 ' (� Phone#. '�°7 f r� Fc ial 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#: l i ��e aan��wracueaCG�o �raacluaella Office of Consumer Affairs&Busmess Regulation _ HOME IMPROVEMENT CONTRACTOR F -- Registration:.-�''135887 Type: Expiration:- 8/15X2018 Ltd Liability Corp M J NARDONE CARPENTRY LLCM MICHAEL NARDONEa 299 WHITES PATH SOUTH YARMOUTH, MA 02664 Undersecretary 6 ti Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards •z:R Construction`Supervisor CS-081139 r Expir es: 09/16/2019 i MICHAEL J NARDONE 299 WHITES RA,TH SOUTH YARMOUTH MA 02664 Commissioner CI& l Application Number. ...... ................................ Section 9=.Construction-'Supervisor Name " Telephone Number 9C27 Address City S:. �VPP . State Zip 62_66,�- License Number / License Type �� Expiration Date 3 Contractors Email f LO_ �( Wes. -Gent - Cell# Te�i5- 7-71 If.? ? I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your.license. Signature Date - f 5- i Section:10—Home Improvement Contractor Name Telephone Number • :`�f �l�i z7 Address�G�C /,li//I��, ��G City �' V&PO State �d'�--Zip I Registration Number `l`3 ?. Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation by 780 CMR and the Town of Barnstable.Attach a copy of your IUC... Signature Date 4)_ Section 11 =Home Owners License Exemption Home Owners Name: O f► Sr�. .. Telephone Numbers 71r_-)4 X 221 Cell or Work Number! ?3-? I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 P Massachusetts S Bu d�Code. I understand the construction inspection procedures,specific inspections and Ana re 780 d th Town of Barnstable. Si = Dated-(� - APPLICANT SIGNATURE Signature Date,,2-(e- j Print Name « t (lam Telephonep Number e E-mail permit to: !fir�c Cei Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if required) Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ~ For commercial work,please take your plans directly to the fire department for approval. Section 13 —Owner's Authorization as Owner_ of the-subject property hereby authorize A9 . 1ukp o,� to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) tore of Owner date Print Name Y i 1 • 4 . j l Last wdam&2/92018 f 1 Date: February 16, 2018 To: Building File RE: Complaint: Illegal Apartment Address: 164 Cottonwood, Lane, Centerville Originator: FPO Mike Grossman, COMM FD Contact: Complaint: Un-permitted apartment in lower level found during pre-sale inspection Enforcement Process Steps 1. Initiate local investigation: RA 2. Document/enter into system Yes ® 3. Contact Roberta Silbret ® 4. Contact owner Spoke to RE Agent 5. Seek access to subject property Inspected by COMMFD 2/15/18 6. Seek administrative warrant(if necessary) NA rM 7. Notify state authorities of findings NA LJ 8. Document conclusion ® 9. Referred Property Property is developed with a 2 bedroom - 1 bath Colonial (1981). Original building permit#23446 issued on Sept. 10, 1981 for 5 room 2-story single family dwelling. No other permits were issued for interior work. 2 15 2018 FPO Grossman noted that he found a segregated studio in lower level of the subject property. A keyed lock with slide bolts separates the two living levels. A complete kitchenette was found behind large Louvre doors in basement unit. 2 16 2018 FPO Grossman reported unit to Building and furnished staff with photos. Owner is a widow who is selling her home. FPO will have real estate agent contact RA. Agent contacted RA. Advised that a building and plumbing permits are required. Must also remove locks from doors. A satisfy inspection will be required to close out complaint. Agent will email RA to confirm nature of require work. w ' dv Am • get �F c a �O 1 w \{ r . � / jd , - ƒ\ � yt : / 2 : �d � . \ � . . w-� � �� ` � : � � \ \� � � , > � . > , ` � 2 � I NOISIA10 E :6 WV 91 u'].. 81OZ 91GViSUVO J0 NMoj i E �' y _ �' >. (. s e�� �' +�� _ � � �. ��• u �� k I d { �. .�._ o o -r, 10 a 03 w r' m by F O I'MW. i -. 1 VA,_ iw y ^�4 4' was-any:,a� �a-..a..it,�.�-•a +tit - L •�� > �.s env lc::+ wni I I I o � � O -n a � 3 a tv CID rn COMM �� i4+� _- • •���' ��. �.1 ^. +*tea.+.- loft'AIN. POOR— jo— A+ MAW .,. 1 'r.hff.__. P. + I a T s - i o. �o a M 1t �� n G�o�, ��►�� � c� d R 41 k. C) ZE WS. Ln --q rn Dow F7D w , Ad w O 0 w 7v U) a Q7 r- m c CO Fl—"") r � i 1 •. ��' �" �jF i �' � � �,-. ��K rU�`� J'^ ri� iY "4. •�`4ti o con, z V-' o O — a" a of DPW CA 3 rn / c I ,hd 1-0 `AssessOo map and lot number .... .,.......:.....:.. J"' FYNET f SEPTIC SYSTEM MUST BE Sewage Permit number .. ! :...��..2 .:........................ d INSTALLED IN COMPLIANCE : BafiasTnBLE, I` House number WITH TITLE 5 90 mum t'7o/ii�O�I 9EEiITQl� COD ND °,,�oMpY a e TOWN OF BARNSTA- BLE* Ga"iJECT TO APPROVAL OF BUILDING I'H P E T R�,...��.7LE CONSERVATION S C 0 APPLICATIONFOR PERMIT TO .................................................................................................. .......... .....I.... ..... TYPE OF CONSTRUCTION .... t:.k.q.,l.�;..... ..h+.�:.'. ..... ..r ..1Q..�.�.�:!�. ... L .............. ........... !' ................................................19........ { TO`rH INSPECTOR OF BUILDINGS: '' J ! vl The undersi`ned hereby ci lies for permit according to the, Jiollowing information: g Y PP P g Location .�--.J `...�.�/.l.y. fa.�C `-Gl. .(,111 .Q.�t �.11. ....... ,.r�' ProposedUse ... f.`..L. .t...... .................................................................................................... Zoning District ...................��-ems ..�.4..... ........................Fire District ............. ..... Name of Owner !!. .-. . :.. : .!J ..�.ti.V........Address .....� ..� :..v.QJ..................................................... �.�!1.�1!� Name of Builder .....r.L.r,;A.........................................Address l".1.R.✓r� w� � �.. I..... .... ............. .... ..... .................. Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ..................................................................Foundation ....ti....r.tl..".1:�!:{�'`;.................................. Exterior �.�. . N.�. ...............................................Roofing ............. ....SY.1 �...1............................................ .............. Floors ...................... ...............................................................Interior ........ ........... ....... ... .......................................... Heating .[4... .................................•.Plumbing .............. ..!�2r. i'................ . ; 3O Y I ..............................................Approximate Cost .... ... f�Fireplace .........I.......................... ...................../! ...... Definitive Plan Approved by Planning Board ________________________________19________. Area .5... ..1 1-...... ....... n L Diagram of Lot and Building with Dimensions Fee r,.............. SUBJECT TO APPROVAL OF BOARD OF HEALTH 9 C i I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. r Name ...... ................ !.C�`-e-.?.... t •',,,, «RI'rEIRO, LAURA N. - No ..23.4.46.. Permit for ...Two...S.t-ory.......... S "'7 S.ingle...Eamily..awel.lIng.......... Lot Of f Cottonwood Ln. Location ...................................... .. ......... Centerville ............................................................................... ; Laura N. Ribeiro Owner ..................................._.............................. _ t Fm - 1 TYPe,of,Construction .........ra..........e....................... - a.................................................................. .......... Plot A� ....................... Lot _ . .September 10, 81 Permit Granted ........................................19 Date of Inspection .............19 Date Complete "Y = PERMIT REFUSED �`..... Y '....................................................... 19 �� t - �.. i ............................................. ................. ... .......... ............................................................ ............................................................................... -�• - f i Approved ................................................ 19 - Assessor's map and lot number . r... . ............ TN E �� f P Sewage Permit number ... :......., � .......................... d`` °� 1i 8ARN TABLE, i House number ................................ ........... 900 ,"6 IL ................... _ o 39. TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ..............................................................................................�...........,%,:�................. TYPE OF CONSTRUCTION ..........!.........................................�........................-..............: . ..:....."...`.:7... . ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the foil wing information: t i Location ............. ....�{�'s....... .v���Ci,�..C.�:1.w:.�::.....�1��...,...�e�G.^� ....... ........ ......�•L�•L,``�j, Lr� # ;C �, ProposedUse �.: ,r ... .' :............................................................................................................................. Zoning District .. ................ ��' ..:........ .......................Fire District ..................... Name of Owner �v!'L.:... !.!!.... `... ��'�1..........Address....... ,l� s5.. ate' `�?• , , Nameof Builder :....:.........................................Address ...................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms `" ....Foundation ` *'.................................................... ::. �. ............................................................... Exterior .... . ��.. ..............................................Roofing (7....t�l I ,t a Floors �. � .Interior .............. ...�:a:�.�:�_.................,............................... Heating .......` .......... .t' ..�=.:"..:'..................................Plumbing ............. .�. ,t.2...:. ..:.:!..�.. ................ ................... .60 Fireplace ...,.. .I`. ...................... Approximate Cost ....�-"- -M.D,.�................. . Definitive Plan Approved by Planning Board ________________________________19________ . Area . .`.............._..... Diagram of Lot and Building with Dimensions Fee � N ' ,. ............. ....:.......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH �' ? } 6V 4 ; CFI ,.r r i I hereby agree to conform to all the Rules and Regulations of the Town'of Barnstable regarding the above construction. r Na.m`� ems` G. ..................... . `�-.r�. , RIBFIRO, LAURA N. A=252-25 23446 Build Two Story .... Permit for + Single Family Dwelling ............................................................................... Lot #14 5 O f Cottonwood I.n. �• Location ................................................................ Centerville ............................................................................... Owner .....Laura N. Ribeiro ............................................................ ' Type of Construction Frame........................... - ................................................................................ Plot .:.......................... Lot ................................ _ s Permit Granted .....September 10, 19 81 Date of Inspection ....................................19 Date Completed ...................19 PERMIT REF SED ....................................... .................................... 7................. 19 ... ............................ ............................................ , . _ .•.t . ............ ..............................y......... ' Approved ................................................ 19 ............................................................................... THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I A Cr, M / � ,,, E, '� DAT A `���•�'�e TOWN OF BARNSTABLE Permit No. --------__--------- 1 Building Inspector Cash ------------------------ ���°" OCCUPANCY PERMIT Bond ----__------- "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. ......` .��....... ., 190. ............ ... _..................._..........._._._ uilding I ector v TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map o15C91 Parcel ;)_S"` t7� Permit# Health Division F 7,P all7Z / .' Date Issued 2-- Conservation Division 00 Fee S, O O Tax Collector rlea _0& 77 - SEPTIC SYSTEM MUST BE Treasurer INSTALLED IN COMPLIANCE Planning Dept. H 1ME 5 ENVIRONMENTAL CODE A Date Definitive Plan Approved by Planning Board TOWN REGULATION Historic-OKH Preservation/Hyannis - Project Street Address L(�f r07-tn/v wo-o�& L4/Vc -Village nSx/'-AZAV1L.Lt'' p Owner ,�'`'PA�,G 4— R a �/L}R Address �4�t Telephone YoE ?j O 3111 a Permit Request V L'J CX lS�'IiVC j'Z rr&q,,/ + `Scf Z V E® 1� 1 � R&RryLD S.9MI;7- St7 , 5,4^?e re0cP1QJN7- NZEW ®. cf Square feet: 1st floor: existing proposed 2nd floor: exis ing X proposed Total new Valuation L1CX0 e - Zoning District Flood Plain Groundwater Overlay A Construction Type Lot Size r aE A F Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) / Age of Existing Struct re Historic House: ❑Yes i/No On Old King's Highway: ❑Yes �No Basement Type: lull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing O new size Other: Derr Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name n4 L 1 0EAYO 4 Telephone Number Slog- Address 006 &X_ 29� License# 03/P YAp ,X�6 � � Home Improvement Contractor# l Worker's Compensation# /V41 O 7 --4— ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO Y4&f0ut r� D(itN SIGNATURE6 ���4!:��' DATE it>1 //60 A c r FOR OFFICIAL USE ONLY PERMIT NO. ' DATE ISSUED f ' MAP/PARCEL NO. 41 ADDRESS VILLAGE OWNER a y DATE OF INSPECTION-1 FOUNDATION ��" FRAME INSULATION - _ .> r c FIREPLACE r ELECTRICAL: ROUGH -FINAL e - PLUMBING: ROUGH FINAL �. I GAS: ROUGH ' > FINAL FINAL BUILDING ( (L / CCC DATE CLOSED•OUT *= ' ASSOCIATION PLAN NO. f r ^rt RA co!y Nik d m?u LAP`'°, . 15 r-PUED-zly 1� LA 70 �14 . 0 ,A - ) C.of 1CP..G L- r aj S C 1 d l ®JEST�t�57� O�?KS ES7"1B�IA rE EETT value LIVING SPACE squm fed.X SI ISlsq. foot (high end constrxdo:A) squm(above avenge c _ `on) . . feet X$9&sq. foot= (average co don) .. _ -- squm fact 5571sq. footnstruc - -- Gt1R.AGE3�I } S�Slsq. foot fed squ= X 5201sq.foot — PORCH - fit X SIS/sq.foot DECK OTHER _ - - spm t X S?%Isq. foot Totel meted Fro jest Cost The Commonwealth ofMassachusetts rc� Department of Industrial Accidents, a 011lceo1lanesll9stioQs 600 Washington Street " - Mass. 02111 Boston.. Workers, Comloensation Insurance Afridavit /iaiii�i�n�aiii rs� � � ������������%•�����������//>'�: name. L AASO O/k/ location' �G `�'�-�ul�[�A.J� � • 5,0 hone{t city �i I am a homeowner pc dmming all workmyseE et and have no one in any ❑ I am a sole - this for emPloy� g:. J'ob. I am an lomprm ensauon my on workers ... . .:........ ..: e. .. - ... , ..:.ii:?•iY;x:'.i}:vii<$i::iiiii:�:::�'iti;i: �:.:;:;i:;2:vj;:;�:::Y;:i:i::iiii::''v;+:::::�:: SS ........ .. .. .:::::...:.....q::.::::}•}7Y}v-.}::.v:}v::xr tix;{:.:ifxxy:x:}:;:}t: } ....�'::::::}:..-:. yr.....,r.,.4.:.^:..:::v:::::::::::::.:::::::.... ....:.:�.•,'$::4�:�i>.'.. .......... ...... ........ ....... .. Cam.'...-,Cv:..:::..... ..... .: ..- v.:..::.:•x,.;r{.:::::::.v{. ...:}•:;,. .,.,,;�"•'••" ..:....::,.t::: : :. ;;:...: ;:.:....�,•�.:.:{ -.� ,.... ..:. .,. mane#:.. ... .. . . . . .l ........:::::.:::{i4:i:,:.•:,:x.•>}:.x.W::.x;.::.:,..::::.}}-:.77:.}'-,•};;}:;:.;�.;:i.7:•>'•;-::::;.,-;.;';.>.:i:.::::::..::::.�:.:::::::....,:.�:... insurance circle one)and have hired the contractors listed below who ❑ I am a sole propiiew,general contractor,or hommwner have oh • the following .. ...:.:.:.... ...:;�:;:: .,.:,.........�•::•::::.�:•:::::4x{•k� ,,...r:}r{:•.:-�.:•::,•}.:::{Yt{•:4•:K}.:- .n:�k;:x•';a:•.,�'•t':,x.:; ? ::::5:�•::::^: . :�.......:::':v:::::i•Y:iC�iiTiY:?iir:;...v:::r:n,.n.......v-.vn: - 4�.::t;-... { O..v......v.�-,M4x,\.Jr�vwY}?:`!•}:!x+.n..`•..::::•:` ... own... 4.:x. .... .. .........-r.};•}v.}y,:7:fixx:;}}7Y:4ijiy;:w:tii:jisiii:>:isiii'r::n�::�.�::f.'::..':.�:.�::.�::.��.-.'::::�::.:-.`::.....................::.... ... anon . .. ........... . ....... ..: ..... . .. .......,........ .........:.................... ........ ........ ....... ....:... .r........ .,:... ....... r..r..,.. {h{xx ..}x$. .... .....a•.:.x4}W................. :,......-:.:•.... ......................:::::::::::::::.:.......... ....... ...... ...... .n4...v..:n ..s5!?�!x,:a'+ ��:...,,::.;.. •::::.. {{.}7:.:r4-:•::;::::t::.;::.:i::::i::;•.:.�:;y::•;>?•.a:•;:-;>::::�:�:::..... i. .:..........:::r......:•.rr-...:,.ti.x:ot......,.,.{..... y,:..a•..:r•..rc4oaY..{....•:•• ,.........:. .;..:c;:•.:�•:;::�>:�::.,,r:::;.y�.:.�.;;: .. ........ ... .....:.:... ..vrn..v,n n,.. ..-...:.. r <:x:4....74} ......Khh.{'�::rk•j:.v:.:v:i:::$i}::::w:d.::.. cite . ..................:.�........ .,:r:..4. ,.....,.av .,. .,.. . ...�• ...r.;.}}•.;;>.:. :.:�.�:,:.:::::,..:., . r.... ..a..... .....-.,. .... ....., r. .,.,4,a,r.. .Y.. ... .. ..},. ,w.,};,. ...... ::.........::::.......:::.:.......:v:.:...• •ht:l......:�4:::..... r..K ..:. rn A•, 4 - . .v.}l. �.�........... :r.::::::::::::::::::.�::::::::... ........... ....................:;...••: -.......... ..v..Yh. n.4.,•.iQ•::.•k:x• ..XI ^•'• a•. ...,. ��Q.fi►i':::v....:.. ........ . �jL�... ...............: ... .-. .:... n��n�uk....:.:a.::. kr..:......,,, 2` .....}.../h+.....4:.4:.....::.}77?::•}i:•:j{•:::::•7:•:;::•:: ::jj:.�:.?:::::::;. .Cll�` .....:.......::v:-• ...:.vvv-:.v.....r v;.W..:k.:..vl.,..:..•w: .. ... k, 4W}k.�•' ..-.. .. ........ ......n.. ......... ..... .. ...r.. }. ;�F?`.}i:Lxeq.-.. ..4:4�, ,,,,{{.. vv7}::wn•.}:{}Y:•ii:;::.•-:...::•... . ....... ..... ........ .:.., ..:: .:C 7 'v......?}. 4S"Onh...4. .... .... `\rnx:7^Cv .Y?nf'n''x•:hv.::x::x:i<i$:{7i:•.:.....:.:. .. ... ..... ...... .... ........ ...-}.. .. v ..... ...... ...::..::::...Y•n::v:nv:f-8x$x;;{{•7i}iiyii:;::!v:>isv7::L�ii::<•i:•i}`!^.'%!:^i,..Y.:..;�;+::: :'�� .�.�.�:.i::•::::::::•iY::.�::•::4:w:•;:}:•n•-•4.::.}:;.:v:•:::.v...;.,7..} ...:::::.:4T}}:A4�{::•.vn„av,,w,v,. �..x.,, ..:.. ,........ ... ............. {+�!�r�ks{;.:;n:yc+q{:.7.t.;• ..,-.:.... '`; ;�+5:•'k`, :xY�°::><{:: e�cV'�t...,.;.�:::::::...:..:::.::.,::,:..:::.:::.:... .........:.. •.fir r ��,. x4 : x; �4 . ns vtYtn ...:::...........::....... ................................... ................ .... .Yk•}y}x:::isis�:iv::;:'.:::$::}:�:::::i'}:}-:}{.:}�}:iii•:�i:;:::y:jet:�:::s2:�:�>:::::Y4�4:i::�::::i��:::::����:?'?:.:::.::_...<. .:, . ..............................................:•......-...:v.......... v.:-vY..n,}x:,:. k..x,K•W.:••:.n.vn,.n-.n.::, :4kx..}:{�. f...::::.. r.:va: ..... ....... ........ ........ .n..........v::::::::::::.....: v. ..:•},}l.,t.+:.}..-.-......x• •: x -T:'t... ..........., Y.:4}:•:i!}:•}:{•}:{•:4}7:4::iv�:?:4Y}::ti:•i:�i:<::i::::•:Y::::.U•>::.:�.;:......:. ..........:::::::::::::........... .......-.... ....n.... ..... ........:::::............ :......::::•• ...,}::xaaat•.. wa3?�;�s;Nx:xc}wz•Y :•:::::::•.:......... ...............••..... 4..n :.. ..:... .. ..... .. .... -....... ..;..tiv7:•.iW:.x;.v..::O.v.4rnv/:.,:v.:};••:r.:w.}•:.:�:.v:::.Yi7::j•}:}i:::>i>i:{i•iit�:Y:::7:^:•:::::::::.:::.: . ... ............r4.4......::v:..........:.. ...... ..... ..... ........:.......v:{v::.%Y!:{:: ..;•?:v:v:.:.,-...........:n:+;{•}:r3x•};•'i}:•:::{`viYri:::;•}:tiii'F..:;.;:-_ii}":i•}i}::j' }::CT:�i:::.,.: ::.. came: :•::.i::::: ;:•}}::.<:}<..:::r:}v:x ::.......::,.:::::..,•.:•............ k•:::::::::::::::::::::.r::{;.::::,:.};.}:..<.::::::::. ::::;.;:.;::.:;;;::::::. ,. .... .. ...:.,... ..-....... 4rmwnv.N..-.... ............... . . ...... ...... ...... ..:.a .. .. •,;:;:. ad dress dr ess. .....::::::-�:...:-..:::::::::::::•..:•......:.:v.::..:..........::.:v..:.:kar•;•.h4;::{::r 47}:tx:::ti"";,::.:r::. :....; ......... ...... ..:.:... ..........................::::v::nv4':•'tx:iir�ii `v::v., v.:;:..:.v....a,;.y:::•:"•'x:Y:ii`'';:•?:?ii?>}; n�- .. ............ ......... ................... ..:•:-r,::.......::%`:4h..n}Wk•::::••.,.. .,,.r:.-:.: xN.. .�::�: e•sir'.:. ....;:.;:.:: ... .... .. .. ... ... .x :5. ... rrv.:iv{:.7:4::::::ri}:•}'•::4:}•:::F:i4:i4:::::.:'::4i::i::;:n:?4:-..... ........ ....... ......... .-..... .......-... -.....,a. .,........ .....:ten.- {F:.. •..::.. .:::::•.v;.... ;r.}'::C:S._:•+;:::.;..:;:�::::: .......:::•......................:::...........:•........-................... ...n•.v.•.:v. ,.;.}::.4}J;.y.;.;-: .. ..-..... ... x::i:•7iii:xt;:; ::i;. ?:;:;: Y'•:i7:•.:........... ...... .... ...... .........::.:::.�::::....:.v:.t•:�•::?x•i:;:;.;;.y}::}rr..v::.v:}:{•y:.yw;......,...n.7,:an•:• •;::•:-:.. .:�:..k.;.;:::;:;..-.{�'�:::.::::•:n•:}: .:,..::::. v to SI.Soo.00 and,or r of eaimiosi penalties of a&�np FaIInre to secure coverage as req�red order Seen 1SA of MQ.152 tam lead the iittp of one years'imprisonment as weII sa efvil p��s in the form of a STOP fo D O e�� ��00 a day against me. I tmdt d that a copy of this staumeat mq be fomuda to the OMM of lnvestlgm"ow— 1 do hereby certi under the p ' and p ofP�J 'that the information p�&d above is trw.and coned - .71 Date Siffiamrc ihone# � Print name— omdai we only do not write in this area to be completed by city Or town o®dal permdt/lieense# ❑Building Department city or town: ❑Licensing Boat•d DSelectmen,s Office ❑check if immediate response is required ❑Health Department phone#', D Other contact person: Ltevuw 9;95 P)A) a Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employe�on.in the service workers' of another eunder any y T--- emplovees. As quoted from the "law", an employee is defined as every P of hire. express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation ors�of a deceased employer, or er legal entity, or ay two r more - the foregoing engaged in a joint entezprise, and including the legal rep to employees. However the owner of a trustee of an individual, partnership, association or other legal entity, employing�P P dwelling house hasping not more than three apartments and who resides therein, or the occupant of the dwelling house another who employs persons to do maintenance, construction or repair work on such dwelling house or.on the grouna building appurtenant thereto shall not because of such employment be deemed to-be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or re AFi� of a license or permit to operate a business or to construct buildings in the commonwealth for any apP not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neitcant her the ho contract for the erforrnance of public work umi commonwealth nor any of its political subdivisions shall.enter into any P acceptable evidence of compliance with the insurance requireme of this chapter have been presented to the cone authority. NINE Applicants ensation affidavit completely,by checking the box that applies to your situation and Please fill in the workers' comp °� with a certificate of insurance as all affidavits maybe supplying company names, address and phone numbers along submitted to the Department of Industrial Accidents for confinmatton of insurance coverage. Also be sure l sign ,s or town that the application for the permit or license is date the affidavit. The affidavit should be returned to the city have�Y questions regards "law"or if being requested, not the Department of Industrial Accidents• Should you are required to obtain a workers' campensatian policy,Please call the Department at the number listed below. MWEA City or Towns artmeat has provided a ace at the bottom of+.he Please be sure that the affidavit is complete and printed legibly. shhasDto content you reg regarding the applicant. Please affidavit for you to fill out in the event the Office of i be returned t^ be sure to fill in the permit/license member which will be used as a reference member. The affidavits may the Department by mail or FAX unless other arrangements have bees made. The Office of Investigations would Iilce to thank you in advance for you cooPeratton and should you have any questions. please do not hesitate to give us a call. NINE WE The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of lavesugations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 7274900 "eat. 406, 409 or 375 °F�✓ T The Town of Barnstable �xxsrnsi.E. = Department of Health Safety and Environmental Services En 5{A��MASS BulMini! Division 367 Main Street,Hyannis MA 02601 Ralph Crossen Office: 508-862-4038 Building Commissioner Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SJppMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation.repair, tang owneo o ion, c upied improvement,removal,demolition,or construction of an addition to any pre- exis building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. timated Cost Type of Work: ��t L,� Es 0 2-td�l wo Address of Work: C jj �I 9 7 dP Owner's Name: / Date of Application: I hereby certify that' Registration is not required for the following reason(s): []Work excluded by law []Job Under$1,000 []Building not owner-ocupied []Owner pulling own permit Notice is hereby given that: OR DEALING WITH UNREGISTERED OWNERS PULLING THEIR OWN PERMITWORK DO NOT HAVE CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL G 142A. SIGNED UNDER PENAL- S OF PERJURY permit as the agent of the owner: � I hereby apply for g a p .20 Date Contractor Name Registration No. OR Date Owner's Name . q:forms:Affidav -_ tr �f a �� ��rilRaetoR �g tx 9R/ RIAGE; Its ' i+ z R1HIU.IHPOR -� `67 ` ' '�.+-i19`t.3.�t� S !-•' .� �1 -`G L9. ;1 i' -Ag �. �.' a 9, ✓lt� VJ097t4It47tIIlCCLU/L O� LlGUl6Ea6 - It t BOARD OF BUILDING REGULATIONS ti,E License: CONSTRUCTION SUPERVISOR Number CS\ 031271 r r hIrthddt6 11/ 6/1 2948 t;_ 1y1/26/200.1 Tr.no: 27859 1 ResMcted To 00 ' PAUL R ANDERSON A ^' . PO-BOX 298 (..�..... ! YARMOUTHPORT, MA 02675 Administrator . L *INC The Town of Barnstable '" 'Ala ' Inspection Department y rug i611 0 367 Main Street, Hyannis, MA 02601 508-790-6227 Joseph D.DaLuz Building Commissioner June 12, 1992 Mr. George M DeRaleau 164 Cottonwood. Lane Centerville, MA 02632 3 RE: A=252 025 164 Cottonwood Lane,,-.Centerville Dear Mr. DeRaleau: At the request of the C-O-M.M. Fire Department I accompanied Lt. Wilcox on an inspection of the property located at 164 Cottonwood Lane, Centerville. You informed us that you repaired bicycles for friends and others for a small profit. - The dwelling you occupy is located in a residential district and this type of use is prohibited and must cease immediately. Please inform this office of compliance. Very truly yours, 4ic4harearse Building Inspector RRB/gr cc: Laura N. Ribeiro ICI 101 C 0164 HUCKINS NECK FOAD CTYJ10, TDS.j 300 co KEYJ 163487 ----MAILING ADDRES-5 PCAJ.1,0-1 J P c S 0 0 PARENT' 0 El73EIRO, LAURA H MAP] AREA,153WC t.7VT419853 noj0000 46 FOXBOROU(;h ST PI] fib.., J UT.1 UT2] .31 SQ FTJ 1784 NEW BEDFORD MA 02746 AYBI1981 EYE 11981 OBS11 CONST, 0000 LAND 66000 1 lip 141*3100 OTHER -----LEGAL DESCRIPTION---- TRUE MKT .209100 REA CLASSIFIED #LAND 1 66,000 ASD END 66000 ASO IMP 143100 ASD OTH #BLOG(S)-CARD-1 1 143,100 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #FL 164 COTTONWOOD LANE TAX EXEMPT 9DL LOT 145 RESI DENT'L 209100 209100 209100 #RR 0746 OPEN SPACE COMMERCIAL INDUSTRIAL EXEMPTIONS 3ALEToo/oo FRICEj OREIC86221 AFL] LAST ACTIVITY 105/20/91 PCR EST . CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT OFFICE OF THE FIRE DEPARTMENT 1926 1875 Route 28 Centerville, MA 02632-3117 508-790-2380 - FAX:508-790-2385 John M.Farrington,Chief Glen S.Wilcox,LieutenantfFire Inspector Craig E.Whiteley,Deputy Chief Martin 0'L MacNeely,Lieutenant/Fire Inspector June 12, 1992 Ms. Laura Ribeiro 46 Foxboro Street New Bedford, MA. 02746 r Dean Ms. Ribeiro, As a results of our conversation this morning, I am enclosing my report from the fire safety inspection that was conducted at your property located at 164 Cottonwood Lane, Centerville. This inspection was the result of a complaint received from you on June 10, 1992, regarding your tenant possibly conducted a bicycle repair business of of the dwelling. Also involved in the inspection was Inspector Bearse from the Town of Barnstable Building Department. Please feel free to contact me at 790-2380 with any questions or comments you may have regarding this matter. Sincerely, Glen S. Wilcox Lieutenant CFI/1 C.O.M.M. Fire District cc: 1. Mr. George DeRaleau 164 Cottonwood Lane, Centerville 2. Mr. Richard Bearse Town Building Dept. Page 2 Alarm # [ 309 ] Date [ 6/12/92 l [ REQUESTED BY CHIEF FARRINGTON TO INVESTIGATE POSSIBLE BICYCLE REPAIR BUSINESS BEING ] [ CONDUCTED OUT OF BASEMENT AT THIS ADDRESS. ] [ UPON INVESTIGATION WITH INSPECTOR BEARSE(BUILDING DEPT.), WE WERE "GREETED BY MR. ] [ DERALEAU WHO STATED HE REPAIRED A SMALL NUMBER OF BICYCLES FOR FRIENDS FOR A SMALL ] [ . FEE. THERE WERE APPROXIMATELY 8-10 BICYCLES IN WORK AREA, EITHER HANGING OR SET ON ] [ FLOOR. A SMALL WORK BENCH AREA HAD NUMEROUS TOOLS NEATLY ARRANGED, WITH SOME PARTS ] . .. N [ AND SUCH STACKED ORDERLY UNDER BENCH. I EXPLAINED THE COMPLAINT, AND HE STATED THE [ ONLY FLAMMABLE LIQUIDS HE USES ARE A SMALL AMOUNT OF WD-40, WHICH HE STORED IN A a� J ... A H [ COFFEE''CAN (COVERED) ,ALSO, HE KEEPS RAGS THAT ARE`USED FOR- WIPING`OFF PARTS IN A ]° d [ BOX ON FLOOR. ALL HEATING APPLIANCES FOR -THE DWELLING ARE LOCATED ON THE OPPOSITE ) ... [ SIDE'OF BASEMENT. I ADVISED'MR.''DERALEAU TO STORE RAGS OUTDOORS WHICH HE STATED HE ) [ WOULD TARE CARE OF IMMEDIATELY. J [ MR. BEARSE STATED HE WOULD LOOK INTO THE ZONING OF THE AREA AND WOULD GET BACK TO J [ MR. DERALEAU. ] [ I FEEL THERE IS NO FIRE HAZARD 'AT THIS DWELLING AT THIS TIME. ] Report By [ LT. GLEN S. WILCOX CFI/l ] Date [ 6/12/92 ] List items that need follow—up [ ) Other agencies notified - Name [ Tele. No. [ [ J [ ) . BY [ ) Chief [ ) Date [ TOWN OF BARNSTABLE BUILDING DEPARTMENT COMPLAINT/INQUIRY REPORT ��L) D e � Rec 'd By Assessor's No. Last Name �vZ First Name ORIGINATOR Street Vil e P,t� e State Zi o Tele hone: Home Work Description: , COMPLAINT ,41 3n �UY12cd U$,n 43jlh�e i,C Cyr,<K1` .eINQUIRY ave L4- ��2 1 n tJ Se. 4 J 1`1 c.l i Yl LCti �f ;T v� i c Z2 Requestor's Signature COMPLAINT Street Address LOCATION OFFICE U3E ONLY ACTION/ INSPECTOR j /� rS ate I`nsgector COMMENTS � r5 FOLLOW-UP ACTION ADDITIONAL INFO. ATTACHED COPY DISTRIBUTIONt WHITE — DEPkRTMENT FILE PINK YELLOW — INSPECTOR ' INSPECTOR �RETURN TO OFFICE MG R. N26C1 a pyr- , I F-1 y Town of Barn *j t voFt►+�Tp�ti stable - mit# Expttes 6 tnonths froth,cssue date ASTABLE, : Regulatory Services Fee ........ `0� Thomas F.Geiler,Director ArED MA'S a Building DivisionX. om Tom Perry, Building Commissioner Q' (,' 1 9 2003 200 Main Street, Hyannis,MA 02601 office: 508-862-403 8 Fax: 508-790-6230 N OF BARNST ABLE EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid ivitl:out Red X-Press Impril:t Map/Parcel Number 2:!>�:2 5 ;/esidential perty dress / r. �� �J .✓�f� �'mL� fps f/ � r Value of Work ; ��j�- ov Owner's Name&Address ( r G R 0 _ k ✓ Z✓y ✓ .01 Contractor's Name e_ld 4Z d/41/A / Telephone Number- ;--J , Home Improvement Contractor License#(if applicable) construction Supervisor's License#(if applicable) e t ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor la ❑ I 'e Homeowner have Worker's Compensation Insurance Insurance Company Name el l l40�t/e f m g' G e,. Workman's Comp.Policy# permit Request(check box) e-roof(stripping old shingles) ❑Re-roof(not stripping. Going over existing layers of roof) r. ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) ❑ Other(specify) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. el 7 P Signals expm Revisetrg t Q:Fo a1219ot b ��.. F f °FINE l° Town of Barnstable Regulatory Services H^INST'ABLE, ' Thomas F.GeHer,Director y MASS. $ $pTEDnert"�0 Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize /42[C, d 61/_1 r4ki-I to act on my behalf, in all matters relative to work authorized by this building permit application for (address of job . t Signa e of OwnefZ Date Print Name 7 4 QTORMS:O WNERPERMISS ION Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Reg st ar tl©rv-,=]328560 v Exp7ratiQrt -41212005 Xy�g Individual i � �UPL3CA'T� RICHARb ylLLatN,. RIGHA.. VILLAN '7 N LAND HYANN1v,.MA 02601 Administrator S DATA ` •iof i . ; ^"» �' � -rF-ST TAKEN. 6-12-81 INSPE&OR -R G IFFORD - �rn.�,AK�,:..:4�' � rjRPp, t"t�9e ,j,,"ati ._� Hl�''C'•"t,,•E v.t- r 6$Vi:ti4 �r wz•�,';y, ,'.1't♦ +, w�a� _ i yl' S ,�,., t' '?: a,",i1:., krY' .5't. h•C, �,y:: i ^ .� : _ �.`-� , '..f+„n:'Y'a;�+* • .L.S , -% 7„ `: '.•' 1y e-..rf' e PIT (, -: ;, c-y� ���a� � •�- •,�- e���` , :_�,- a ,'y +1�• cG' , # _�{',� .��,,. TEST t �.'_>, 3"F�. +} � _�$ Y.py¢ l71'=f'a'1?+$°_ ,.k�,+i+n, i,�=e. �S•.l" +�. S x7.5���I 7�'.. F Ftu- � C .�.. s. � � ' ; t H `at� -O 121'`LOAM I'���A. ' €p NANOW/�VLOEQS -d+1, 00 'TER `ENCOVN'FE ..R NO GPO UN,O WQ e w€` « `f n c <� .r�^t1, :;I; �� :,.'� .w,•!w7_"+ Y `1 , ..>r 3{ �� .�, � M1� :::.- t.•c,�.�= '�t .P.ER.L RAtE -I:;/2:.�1►IN. �:; - a �. dS'1 3f. ..,.. ....d :¢`+•^ ..„-.., 1 .Mi.,. 9.r r j V rF of , 3. i; 1 1 # /trt',�¢{,.. •1• _ .: .F. .�..� •.-. A•'>.`: .:... .k.., � F, 9,' s� ..r:' ,�.. _ ;:•F •;. f�t T j. • }, ..a: 1E. „ . xw '. !- a' �v�• 4 ., .,: ,:'�`-.•: ,r- -�..:.rl.r- _..,,� V. } _ i' X.: sr �.a: 11 �:, ,r..1- r{-. n;•• ,,, ._p,• s _,, ,._ ,r •. x ,.z.{.r..t.}�. ..�f. ,t. ^u.y fr,. •F. :k +'Es'" , a .� 1'-Y le':s, t}• ti. F + :3 1.e', t: i..... C!4 F -.:..-.f. -': ,,o a a::y' riH- ,. r-' ../- +'or. ,yp[aY '.►, ii,,,Y I-t rt ',.. I�O/'1�..,.. �'a r�r:. '.f +" ?, _ 4' isY:*'.: 1P it a,}�$.. { l r6 kj , V�' 3��q a e-1:k Ig-k..: .}.s L y� .�+-•. 1 •>i -I t �'rly tT. r?`s �'f' s ?.� '.4'' :.1£ a 1C ,. 1..4,'•. s `i'1. NIED. AND` nW/ t3OU�C3LRS ° �7 � 'r �•- ,�.. rat r ��-,� x �, ,'. , zr �,� .:4F4+• A. r>^'•.�1. .1.... is jl h,..'i ' .'"-A19 �+ {y'`tt 4{, /Yy...:� y r� ,t .; �y�. � ;K NCO, NTEREDr.+ :t �. '>°r.' 'lu. ' -::, e:•.H i,:D ::c,+' .l..l � +V� ,:cs� ,.7f }:' , �� } 1 4 r .r t �.C. q :€fi,� .s�A.] ,�4' gti:yd *1 ,�. -.l. "H..F1Yi- t � t �' ? G itlFS ,P. F'7 1,`eX I 'r•.. t I.°{�y �- �.��. FAY� �u f�.Y*�,,;' g,;�� ', f-' t' -s. 1,�ee� a v. fy .k; C•kk ?.e. r;.� ft: -._ly r. o �'-� �t'`�: 7%, :Y , 5 f„'1 .3�. + r J � •1 f c sS t llt 5 ��;' S t ,. ,t °~�, G L� ,• ¢y) Y '•"sF '?v,' {{ .;sue+ 'r -Y'.} �� � �;.�: I. i}"`'3.Y• y if' .M 'il l+'., 4 r, Y t 1,: :}S -f.,w:✓ ••,1. •,: Y. :, `✓' •• .10 �: �.� .' •:N '" - Y EG�j� •.:' a j. �.. jfv.':!, -t..� ( .(j i�:e. �yf.•..r : ?Na .. ., i ,e-, i!!g,.L &. -5.::4 1 ,7't (,b�f. � a :'it -,ltt'6� 1{.,: 7 '� -., .. ,i t.:4.....�. �i.l�i [�: p:. : I S k. Iw''�.:.` •� i :iV+ } �•�i-. �✓� 3t 15: 1.. � ql. '?t ,1. a}. �, _ ::r'�a� us�''aai,t %:•., '-.t. :¢". d. ,,� a.,t y } :e i b.V:ri +� i ''}:°y tcS�F;� .�;' ' ar. ,.- ';4 •. -�;o-,1 ' ... -'� .....,..- :<._1 +.rt.'.' ' d},it r,� .7 1 , r. w. I.S I •:i � r•f� %o�q ?�. y ��; , ! ,u•. p•!-� y idi:,. -. ,•' i ✓ r�J:' �; ,a: '•Y .1,. .r:..r ,...'�.► v1 `i .ii a t .�,{ , 1 i+ GAL PROPOSED` ' 4,• --!'� y ` 8C'6" _22,. 3 BORM: DWELLING - _ N - - - ------- ----- 45 40� 14� _ FL OUTICET 45-7 eoD 40 . cRs r hRoN OR ccti 40 +s+'3✓. - i/.. .._7F/e-% 'Y 1,}-. •.x.- n°o- �, 'ry r t sr t x .. ..4 t ' .. - ��7 ... SHAL;I.OW POND. POND ELEV. M 0407 7 I • B: E�EVQON 71 I; -N c DATA i �G5. 1 V: IJ 7x 7 G 41_0. 3 '13DRM$. (P 110 GPOSORM =:330 GPD REQ.D . CIQu4D 1941-5, a� 4 .SIDE WALL AREA = -f:58 K9.o x 'A'�;;2.50 GAL(SP -394 f L EVES ` DOT TOM AREA- 7X(4.5) . x 1 OU GA1 /S.F. 6.4 GPD. 458 CGPD PROVIDED o .. a ,.•' Fry + , ^ .. .• , - y t 'CROSS SECTION t T YP/CA,w S� 1 STRUCTuRLC TO HAVE `�.l.. OR CONC. CoVR (NOT TV .Sc 1 SULLT UP GcJ TN ,FORJCK RAID MORTRR { / TD W/TWAI 6" O `/N/SH :GRADE 1 p. RDE r/IVISN CINISH GR �/ZRDE - 53.00 OVER, .TRNK = 55.00 . . - r ICi)V/SH GRR 59 odo TOP OF FOUND. 55.00 + E V= nprnc>•�-.cRr� ��.s�vv. Vfi cc��avrtF n���s n„ � . ,OWEiCLlNG $I.00 - sae • t 7 7, OPA 00 l '50.83 5-0 i GECC RR Ft. /000 6,94. .. 'A o seD 45'0 . RE/N�ORc,ED ; Co VC. 8 To OE INsr,9,L4 ED ON A • .... . .:o ... • oe ��• VEl. S.TACkf BR5 _ .. SEPTIC TANK TYP/Cf14 SYST FM PROFIL CAST 1Ae0jV OR COYCRETE' COVER QU/A.T UP U>/TH \ BRICK RND MoRTRR To W/7'N/N b" OF r/N/S GRRDE �n,r —._._._.__ -Try - • ••• 6~- .. :.' a .. , .. � U� L Cal ----- (,2)/CAYERS-is'"rFE,CT EEP N�AR/E cn i:! TFST TA N: C,- 2-81 ti COT.T�N WOO D I.,,ANEI � ;, � � A -- --- A08"M/N.) , �� 4 S 1 f INSPECTOR R ,' �'DR /i 4 �,2`CW 118 7--0 TEST P1T I v �'"--- ---� ♦ '��• �•• .: :_�.._ i ♦ ♦ TA4 „ ♦ ♦ e°eA 0-12 LOAM A / A epe 4 /N�t.E7 20 .vo24" 144" MED, SANID `U// �UuC'I j NO GROUND WATER ENCOUN , ASNO PREfRST :cEACH/NG PERC 04R PERC HATE-, I /2 MIN, I ) ,. �� CRUSHED STONE P/T RS MFG'D BY IRo7bv O OR EQu,9 30 TEST PIT 2 �� �� ~_ -• _ _ - 0-12' LOAM 12" 24'� SUR,301 L / o ao0 e° by IrSuND/STURDED ---- - eo a a A s o ° °°a °°a EARTH WA,C:C ' - - - 14 EG. SAND \A// BOULDERS ao 10 �- 24 4 M / /f,2 °� '�G * e°°Abbb a oo e e e Y a" TP ' • , •�" + �� NO C�RUUNDV�/ATER ENCOUNTERED WVASHED �d !//1 ,UA1D15TVRaE7D �n q e 9 �. !_.� CRUSHED S(W EARTH WA, k g - o GARAGE - SECT/Ow R-R - ----�-f `-_ — _ - "., T YPI C R k 4 EAC RIN 6 P17" ,0,�7"R J,C„ (/VDT ro scA� E) su GAL, PROPOSE I-) EDRM , DWELLING 't - _ _ - ----------- ------- 12' _ — 12- 41 i r q /O 5?J 14 i OUT,(ET L ' 1 ----------- ---------- i— L__J -- -- -/ ! eob Q -_ --- _ '64 RN V/E W - -'"- NOTES. CRS r /RoN OR cONC2,ET� COVER Du/4r OP c:u/rN j3ND MO�RTAi� TD W/-r,,YI 1' -4" o,C FIM1,5H GRRDE l� 7h/s Sys ten? shQlJ ,bP inspected when /each drect is 'fully excctvctted and QyaIn when Q// y cnmPoneiiis are ;n p/ace. When the system is read,/ for i12spect on the Co/7t/ cfor - - '" -- / -,•-- —�-�._ `� , t •. 1,1►t_.__1 1 Ali. � _._ �-lt_�_Y _�-- ... S.i?Cl /� n t h� / ;� ,,c c.�.- ..� ,',_.:..'� oust and fides. 2 Washed crushed sr-O/)c sha// be f, E of // dint _---'' SHALLOW POND 4 ) � -__ // c°lecicZt oos are based on f?vm o e/eva f/o2 do-r-um, ( POND E L E V. = 31. 5 °: _�, .r!1/v4E r ) y // t 3 �5 4 HeQvAS OF 6-8 -81y e9uiprnen Shall no be a1'owed to operate over the /emits of the sewage , --- " Dasa• if ,y�lns duri/O 7�,�1� COU/SrO of �onsTrc�c�io� of t/?p S sTer?s. B. M. ELEVATION ou",cET .. • 3" _ - - d/s / 9 1 ,. _ No fie/ct mo�z�fiCatinns fn the se�<��zq d%s,on�:.zr sy�ttin sha!/ be �adc Cuith�:�loricr writt�'ft •, /-7,i j �_-- 'w'-Oval of fhc cn�i.�ecr Qnd _fhc k0CLI/ (30atZi of ,F/ea/f.h. -- __.__.._--- /Or._. _ /-,,' U12le—S Other :_/ >C noted a/i `� _/s*�/r ;_<-rn�C�f'!>t , Sh2 ,, be //jj/a//L°C� //1 c2CL0ldQ/7Cf L.Ljl- j T/f/(f DESIGN �IDATA "x 7" ,I Y of )/tetatf: L�nvircn,•�entQ<' (od` and an a i/•Ca bic• /ocQ/ r�l 4 6 y ,o,� e . 3 FsDRMS. I10 GPD/ BORM =330 GPD REQ'D 4'--0" 7.� f>'f c�//�oi�fs of intersection of wafer //'nEs and S&Wer //i)CS /nccha/l/ca/ Jo/'nt cast irr�n SIDE WALL AkEA = �.56 9.0 T/ r 2506AL/SF' 394 vPD. 3" WAGES ! P ,cc s Y � 1 uia ! 1 her/1 be /noslu/ied `fbr both /roes /C' eitht,_ sidE' of the intersecy-io/2 �oinf:L EVEL [30TTOM AREA )?` (4.5;= x I.00 GAL / S.F• = h4 GPD. 87 Seo?`/c tank, distri��t,'oD boxy etc. �hcz// be clan-�facYvrec� by A, /�ofonde f` Sons cr roved equal. TOTAL- 458 GPD PR��vICEC _ • _._o . -'• • . . . . _._ _, - -- 3) C�rauf fn b� cd at a// o/nts where nr leave a// co�crc-te s>`r�ctU, c, in order .SE'" o/v / EvE4 STRQ,CE /o /9// Stj, /Q •oint5 in Se tiC tZMk 3hQ// be sealed with neo/orerlC 9askCfa5 Cr osPhQ/t CC/nent. • . CROSS SECTiow VIEW ,Q.9sE (6" �on�Pl�c rE� ) � P / P GR/9VE/. 02 C010p'q'q'Q&E) //) Excavate al/ unsuitable roa-terja/ in /each area and backfill with clean 9ravei ct- �Q/-sc sand. 1"YP/C u SEPT/C_T'4A K ��) R cert/fica'`e of comp/iQnCE' as required by SCct: e.8 of 7_t/e .Y must be obtained by the contrac7"or u on com lcfla/'t of'-7tX above work. 7f an "as - built ",olQT1 is rc?vi red due tv f STRUCTURE TO HAVE C 1 OR CONC COVER (NDT TO SCA:C 5� P P I3U/.L7- UP 6017-N BRICK RAID MOR7RR Conftac `Or deVlut//I frern these P/anS, work for such "as - bu//t"/plaits sha//' be TD W1TN1N 6' OF F/N1SH GRRDE \ Comperes tcd by * e cor>tractc,r. deslyned fcr 2 9arbuyc Jl'1010 Asa/ unit. � FINISH GRRDE r/N1SH ��,RRGE y 53.b0 COVER TRNK = 55.00 ��� �FMgss�c o� FREDERICK 1 P/N/SN GRRDE e-�`�(� �`cr- --o� K. TOP of FOuN,o. = 59.00 El_E V'S.5.UO mr r�cTrn�:�.� v. . ,. AND � v �HANACK 0 '11 �/ jrn yr vP v!tt/l, tqf lt0e/ilt••, rRrr7 tr 4 o DWE4 L/N G s ,- -- ---- -- - Ex/3 /NG h'OUND . vee e e e ♦ /�O.O T G ` r ! ,/ /o FINISH o� LOT 145 - COTTON\ OOD L.A. , � 1A 50.3 3 !::, /D Ph 5 JNVER7 -rl CV, ^^ CEC'CRR FL. �' ''. �: ' :! e !9 TEST P/T" ,COC�17/ON ' NAC ASSOC I A Z ! RE/NFORCED�CONC. °' °, 45 Uo •. SE DT/C Ti9NK tee . a'_.:: ._.._... :..• e 8 T0 ",S T :i� (;v' '`, ) PJi. . FRED CK • o o e f— <., '✓✓4� _ �N �i �E E T ;iG. .Ul` ��� OE //v57'A�,CED ON A O D/ R/C3UT1oN Oox i K. ,CEVEk STRl3:CE 13R5E 4 C I. P/PE NACK J •• ( 1-11 1- 4 Allr F/QER OR PV. C. I°/PE ^ATE : 6- IG- 81 CLIENT SEAT/G TRNK —W— PROP. WATER SERVICE t/A/E SCALE I 20' L . N. Rf BE I RO �°�F NA_�`'/ TYP/CR4 .5YS7EM PROFILE DRAwN : e D, A ' (NOT TO SC191,E) CHECKEiI: DWG. TITLE DWG. N0. JOB NO- cJB�'SORFACE SEWAGE DISPOSAL SYSTEM