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HomeMy WebLinkAbout0276 FULLER ROAD :76 ��/e�- � �,�-a-dl ..� s � . N pc. o � 4 f .. � - 9 G .. � �� � �. .. .. e .. � i � .. .. [� :, � - o e o ;. .. - - �: . ._' .. :. � _ ., � .. - it _ o - - ,. ,. a ;. _ � .. � ❑ _- ., - o .. :... .. n 4 , _ ., �. �.; .. d '. ... F -A- _.. .� f f t �`u, Town of Barnstable *Permlt# - ► (o- gq l+apires 6 metUAsfront Issue Mate °^ Regulatory Services Fee i MA� � Richard V.Scati,Interim Director ' 4 4 AtdD MAYS Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town•batnstable.ma,us Office; 508-862-4038 f Fiqvqp/�8-7 A6230 myu,s Pic T APPLTCAmN - RESIDENTIAL 0NL / Rl![l101yout IteitX-PressLnpriut Map/parcel Number /� v( 1� p,�Property Address 4� �V 1 l�1 &Af4 Residential Value of-Work$ e)5Ck ,tZ Minimum fee of$39,00 for work under$6000.00 Owmr's Name&Address V�0�(� cl 6—, Contractor'sNamelv� Lau TeleplioneNuinber 10En Home Improvement Contractor License#(if applfca le) 1A9A0 Email: S— ,eQ V� Le) Construction Supervisor's License#(if applicable) 1 V ❑Work;Fk ' Compensation Insurance one: am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit R t(check box) WRe-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to f � ❑Re-roof(hurricane nailed)(not stripping, Going over existing layers of root) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors q floor plans marked with red S and Inspections requited. Separate Electrical&lire Permits required, *1Vhere required: Issuance of this permit does not exempt comp1buice with other town department regulations,i.e.Historic,Conservation,etc. ***Note• operty Owner gn - r y Owner L tter of Permission, A co of the ome vement ntr ors License&Construction Supervisors License is re d. SIGNATURM. Q:XNvPPILHW0RU ngpermitfomislEXPRL4S,doe Revised 061313 a �H�roW Town of Barnstable q Regulatory Services a"M'�� � Thomas F Geiler,Director �'Dreo,Tq-" � Building Division Tom ferry,Building Commissloner 200 Main Street;Hyannis,MA 02601 wmv town.barnstableanams Office: 508•-8624038 Fax: 508-790-6230 _ Property Owner trust Complete and. Sign This Section If Using A.Builder I, ,as Owner of the subject pxoperiy heteby authorize to act on my behalf, in all matters telative,to work authorized by this building petnnit: (A.dkess of Job) **Pool fences and alarms are the responsibility of the applicatit. Pools are not to be filled or utilized before fence is installed and all final ins ections are performed and accepted. IsigVatme gf ex ° e of Appk Print Name Ridnt Name Date QT0RMSl01VNBRPMWSSI0I*WbS 62012 I t Nut CamrrtampmM ofMassaclrusetts Departirz wf a.f.�'ruhistrid-4ccidelrft Office of invatigadoris 600 Wasaigfoyt&reef Bostoa,MA 62111 wIvn,masxgntllrlire Warkers7 Campensatzan7us mnceAffid;rvif,Builders(Co-nfmcfvrsMectrici2uslPlumbers ApTdicant h fbrmafaan Please Print TA Rib N'stn,e(susoslOrganix(a}fion�rinvdiviaaal): Address: 1 O 1 �lJ ✓� r— J� CYtylSta6eIZ' S Mq�2 phone ik- Are you an employ 7 erkt'he-appropriate box; Type of project(required): 1.�4,,,aaml a employer with 4• ❑1 am ix general confmctoraad I 6. Newvonstxrrction oyees(8rllandlorpart4ims).* bavehiredtfie �2, a sole proprietor orpartner- Usfed on the attached sheet 7. []Rewadaling sWp and have no employees These sub-contractors have 8. ❑Demolition wo for is any c act r. employees and Itaveworkers' �g Y � h 9. []Building addition [No wotioris' comp.inst rilme comp.itl vans l zeqrfteQ 5.❑ We are a cotporationaud its 10.Q Electrical repairs or additions 3.❑I am a hordwmmler doing all work• ofEcers have exercised fheir IL[]Plumbing repairs or additions ityserf:gszo warkere wnT. AghtofwDmnptiomperMGL I Roaf insurance regnit�ed]f c.152,§1(4),andwe have no zepaus employees_[No workers' 13.0 Other comp.instuance regaired.1 tAuykppllcwttlntcWtvbox*ilumst"Mout the sectioabelortdmwingthekworrw?compemwonpallrytnfbTM%ff n. TWomw mersubosabtnftt6tsaffidavitiadicatragtheyaredoingRH%v&mk&mbitaeatd&coutroctorsmastsubnsitanswaffidavitinelirsttagsucb_ tOmtmaorsthatchwkthlsbuxwimstt dmdaAadMionAsheetshoningthenameaf&eants- tarsmdsionvrhatheracnottheseentitTexEam employees Tfthesub-canmaeiorshmermpTo}�es,Hie}mustprwIdetLeirwarkers`tomp.pol[cynumbrx Turn mr entployertitatispralidin markers'canrfrsrtsnliort irtsztrrurcu}'ornty erployees Belatpis the,pailey utrd job Saw lrt,fgrtKKt�01t. Titstuaace GompauyName: Policy orSelf ins.Tim-A: LxpiratiolLnate: Yoh Site Ad&=.. CitylStawzip:. Attach a copy of the workers'compensation policy dechration page(shwwing thepalicy*vamber and axpiration elate). Failure to Rmura coverage as requireduutler Section 25A of MGI.c.157 can lead fo the imposition of crininal penalfies of a fne up to$1.500.00 andlor aneyeariuTdioamenk as well as ckil penalties im the fiy m of a SMP WORK ORDMZ.and a fne of up to$250.00 a day apainst the violator. Be advised that:a.copy of this statement maybe ftlrwarded to the Office of luaestigations of the DIA verag erificafitra, ado h bye in Ma lid on as nfper)ury that llre injbrmfcffan prmddetr4 pe fs re and correct Si titre: Date- q ens#. qui 111 nsa only: Do Isar tM39 in flits inert,fo be catupietsd by ci(y er 101V[t o,Q9cieI City or Town: PeraatlLicensts# rssttingAlutltoa'ity(circle one): 1.Boardvf Health t.Btu7dingDeonrtmeutICitylFawnClerk 4.Mectricalluspector6.Piumbiughgxator 6.Other Contact Person: Phone#: 6 Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CSSL-099138 Construction Supervisor Specialty JAMES P CURLEY = 287 FULLER ROAD CENTERVILLE MA 02632 CA- Expiration: Commissioner 01/2812018 ' �e�anzn�anmea.LC�a a�6�ac�itmeC7f _ Office of ConsuinerAfWrs&Business Regulation License or registration valid for individul use only OME IMPROVEMEM CONTRACTOR before the expiration date. If found return to: egistration: :124310 Type: Office of Consumer Affairs and Business Regulation V.. xpiration-- E/#l9410Individual 10 Park Plaza-Suite 5170 Boston,MA 02116 James Curley - ^.-.+; --_ James Curley 287 Fuller Rd_ Centerville,MA 02632 Uadersecretary L/ilot valid without signs re TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 189 090 002 GEOBASE ID 32842 'ADDRESS 276 FULLER ROAD PHONE CENTERVILLE ZIP - LOT 2 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 43990 DESCRIPTION SINGLE FAMILY HOME - BLDG. PERMIT 041542 PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: i and Environmental Services a! TOTAL FEES: BOND $.00 Ox CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE P1'*:E� �d ; * BARNSTABLE, + / MASS. 1639. ED MIS BUILDING DIMS N B ?i''�.....� DATE ISSUED 02/04/2000 EXPIRATION DATE . t TOWN OF .BARNSTABLE R BUILDIlt—IRERMIT PARCEL ID 139 090 002 ) GEOBASE 'ID .32842 ADDRESS 278 FULLER ROAD PHONE CENTERVILLE ZIP - LOT 2 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PERRMMIT TYPE BUILD DESCRIPTION NEW/REST DENTIALTBLDGCPMTEMP. CAPE(SEW#99-651; CONTRACTORS: POWERS, THOMAS B. `� Department of Health, Safety ' ARCHITECTS: and Environmental Services " TOTAL FEES: $264. 15 BOND .00 THE CONSTRUCTION COSTS $85,210.00 . 101 SINGLE FAM HOME DETACHED 1 PRIVATE P. E:"' * BARNSTABLE, + MASS. ,. 039. BUIL} DIVIS N f BY / ; .DATE ISSUED 10/06/1999 EXPIRATION DATE " f : TOWN Off' ':BARNSTA:BLE t a 1BUILDINCG PERMIT PARCEL ID 189 OSO 002 GEOB.ASE D 32842 ADDRESS 276 FULLER ROAD PHONE I CENTERVILLE �. .. � ZIP p { LOT 2 BLOCY LOT SIZE I DBA DEVELOPMENT DISTRICT CO PERMIT TYPE BUILD TITLEYP'�ION N�GV 2BAIDENTIAL BLDG MTE��1'. CAPE(SEW#3S-6r�1) CONTRACTORS POWERS, THOMAS S. Department of Health, Safety ACxxcs and Environmental Services TOTAL FEES r BOND. $.Oa �THE, CONSTRUCTION COSTS $851 2'1 O:00 £ I Nt LF FAQ! �iC 3 TACBET3 PRIVATE P'� � - A, * BARI�ISTABLE, • MASS. i639. BUIL .DIVIS'I, •BY� DATE ISSUED 10/06/1533 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 THEhURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: kAPPROVEDtPLANS MUST BE RETAINED ON JOB AND WHERE,APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD,KEPT.POSTED UNTIL FINAL' INSPECTION r: 2. PRIOR TO COVERING STRUCTURAL MEMBERS 'i 'HAS BEEN-MADE.WHERE A CERTIFICATE OF OCCU, PERMITS ARE .REQUIRED FOR (READY TO LATH). PANC.Y-IS REQUIRED,SUCH BUILDING SHALL NOT BED: ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN, A ANICAL INSTALLATIONS. e 4.FINAL INSPECTION BEFORE OCCUPANCY. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2�'.n.vZ �g 2 rc� 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT * 2 < BOARD 0 HEALTH SITE PLAN REVIEW APPROVAL r. WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND.VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HASAPPROVEDTHE . STRUCTION WORK IS NOT STARTED WITHIN SIX, CARD CAN BE ARRANGED.FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. I Ili I I ,x 3 Wd= PP ROVED $w x. N OF BARNSTA'BLE', _ . .,�-VIf11 I NG �� t J LDING umfifk *� ./� K. Rig JV 1 NOF `BARNSTAB '0S ; F �� C� WIRING. 5 UIIIBING�' ; UILDING� a ' :; Of �;;e-m�;a..+r.+�a.:_:�+V..C'.:7ti.rt•A=':1'!'h�,-T' -.':,;'.xD7s.7,,,�.,r%'�1 f y',X.":`['C7'w;agq!,"`�.��"' •�7r........va�.,.-w.�. _...._.,....�..-�.-.e+.. ... ,. ...... .., .. ... .. THE FOLLOWING IS/ARE THE- BEST a IMAGES FROM POOR QUALITY . ORIGINALS) DA TA TO F .BARNSTABLE P IT: INS ERMIT . PARCEL ID 139 090 002 4 BA E fiiD 32842 ADDRESS 276 FULLER ROAD PHONE CENTERVILLE ZIP LOT 2 BLOCK LOT SIZE t DBA L, 1' OPMENT DISTRICT CO ' PERMIT TYPE BUILD DESCRIPTION NEW RESIDENTIALTBLDDGCP EMP. CAPE(SEW 99-651' MT CONTRACTORS: POWERS, THOMAS B. Department of Health, Safety ARCHITECTS: arid'Environmental Services TOTAL FEES: $264 15 A THE BOND $.00 Ox CONSTRUCTION COSTS $35,210.00 101 SINGLE FAM HOME DETACHED 1 PRIVATE P 8 • * 1ARNSTABLE, s MASS. . 6?9. A� 10 IM1�►y BVIL IVIS N BY .DATE ISSUED 10/06/1999 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS ` PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED APPROVED PLANS MUST BE RETAINED ON JOB AND FOR ALL CONSTRUCTION WORK: WHERE APPLICABLE, SEPARATE THIS CARD KEPT POSTED UNTIL FINAL INSPECTION 1.FOUNDATIONS OR FOOTINGS PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF•OCCU- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING.AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS AV- 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 1 -. Z Z o n BOARD O HEALTH O ER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVEDTHE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION., NOTED ABOVE. TION. F�L�ER READ E S 84'0B�58p 82•@3 L51� 3 90' m� o i )1� W h (o 46.5 2 y oo �e 3 2a.s c co N LOT 2 25, 893 SF. 21.38 _ 44 40.63 ' 43 41 "TO THE BEST OF MY KNOWLEDGE, THE PLOT PLAN OF LAND FOUNDATION SHOWN ON THIS PLAN IS AS LOCATED IN IT ACTUALLY EXISTS AND CONFORMS TO CEN TER VIL L E - MASS. THE ZONING REGUL.4 SIN THE TOWN OF BARNSTABLE, REG . r -'O,�SETBACKS _ PREPARED FOR DA TE:NOV.B, E NOL A G R AIGERY L.S. DATE:NOV.B, 1999 SCALE-1"-40 FT. FLOOD Z — T• ,`� � CAPE 6 ISLANDS ENGINEERING ONE N D-61 3BC �aN,, MA SHPEE — MASS. �_._, � , Indusionary Affordable Housing Fee Property Owner's Name i , � '� �a�' �' Y Project Location h21c( Project Value or2 C) Permit Number" Y L S y 2 Planning-Dept. ` INCLUSIONARY HOUSING FEE. ; PAID PLANNING DEPARTMENT INITIAL4-,4:i6i� DATE e w _ IICSic UNITED CASUALTY AND SURETY INSURANCE COMPANY LICENSE AND PERMIT BOND.r For County,City,Town or Village Only. Not Valid for Contract,Performance,Maintenance, Subdivision,Agent to Sell Hunting and Fishing Licenses or Utility Guarantee Bond. ` KNOW ALL MEN BY THESE PRESENTS: BOND NO: 001612 That we, THOMAS POWERS,P.O. Box 727 of the Town/City of West Yarmouth, State of MA 02673, as Principal, and UNITED CASUALTY AND SURETY INSURANCE COMPANY, a corporation duly licensed to do business in the State of Massachusetts, as Surety,are held and firmly bound unto the Town/City of TOWN OF BARNSTABLE, State of Massachusetts, as Obligee, in-the amount of Five Thousand and 00/100 DOLLARS ($5,000.00), lawful money of the United States, to be paid to the said Obligee, for which payment well and truly to be made, we bind ourselves and our legal representatives,jointly and severally. THE CONDITION OF THIS OBLIGATION IS SUCH, That whereas, the Principal has been licensed and/or issued a permit for the purpose of opening and/or occupying a public way located at:276 Fuller Road, Centerville, MA 02632 by the Obligee. NOW THEREFORE, if the Principal shall faithfully perform the duties'and comply with the laws and ordinances(including all amendments),pertaining to the license or permit,then this obligation to be void,otherwise to remain in full force and effect for a period commencing on the 5th day of October 1999, and ending on the 5th day of October, 2000, unless renewed by continuation certificate. This bond may be terminated at any time by the Surety upon sending notice in writing to the Obligee and to the Principal, in care of the Obligee or at such'other addresses the Surety deems reasonable, and at the expiration of thirty-five days (35) days from the mailing,of notice or as soon thereafter as permitted by applicable law, whichever is later, this bond shall terminate and the Surety shall be relieved from any liability for any subsequent acts or omissions of the Principal. Dated this 5th day of October, 1999. RS- i al M S Witnessed �-- Y INSURANCE COMPANY By TODD S.CA GAN PRESIDENT and Attomey-in- t ss: ACKNOWLEDGEMENT OF SURETY STATE OF MASSACHUSETTS County of Suffolk On this 5th day of October, 1999, before me, the undersigned officer, personally appeared TODD S. CARRIGAN, who acknowledged himself to be the aforesaid officer of UNITED CASUALTY AND SURETY INSURANCE COMPANY, a corporation, and that he as such officer, being authorized so to do, executed the forgoing instrument for the purpose therein contained, by signing the name of the corporation by himself as such officer. IN WITNESS WHEREOF, I have hereunto set my hand and official seal CA"-k Q ,� CAROL A.CARRIGAN, Notary Public ACKNOWLEDGEMENT OF PRINCIPAL ss: (Individual or Partners) STATE OF County of On this day of , 19 ,before me personally appeared known to me to be the individual(s) described in and who executed the forgoing instrument and acknowledged to me that he executed the same. My commission expires 19 Notary Public ACKNOWLEDGEMENT OF PRINCIPAL ss: _.... (Corporate Officer) ._. . . STATE OF County of On this day of 19 , before me, personally appeared who acknowledged himself to be the of a corporation,and that he as such officer, being authorized so to do, executed the forgoing instrument for the purposes therein-contained by signing the name of the corporation by himself as such officer. My commission expires _ -19 Notary Public � C a U W a N c >1 Q �o ._ W._ W 5 E- a O t� .o y o to o PP c Y b � 0 " a o v� Ha3 w ¢ � a r dP "esle No: 171783 UNITED CASUALTY AND SURETY INSURANCE COMPANY _ BOSTON,MASSACHUSETTS POWER OF ATTORNEY Principal: (Name and Address) KNOW ALL MEN BY THESE PRESENTS: - _ THOMAS POWER_ S That UNITED CASUALTY AND SURETY INSURANCE _ P.O.,Box 727 COMPANY,a corporation of the State of Massachusetts,does West Yarmouth;-MA 02673 hereby make,constitute and appoint- .............................-••-•......••• Todd S.Carrigan of Quincy,Massachusetts Y Bond No:001612 . its true and lawful Attorney-in-Fact,with full power and authority, Obligee:Town/City of Barnstable 7 -. for and on behalf of the Company as surety,to execute and deliver and affix the seal of the Company thereto,-if a seal is required,- Effective Date: bonds, undertakings, recognizances, consents of surety or other Immediately written obligations in the nature thereof,as follows: - Any and all bonds,undertakings,mcognizances,consents of surety or other written " Contract Amount: obligations in the nature thereof - N/A and to bind UNITED CASUALTY AND SURETY INSURANCE - Bond Amount: . COMPANY,thereby,and all of the acts of said Attomey-in-Fact pursuant to these presents,are hereby ratified and confirmed. 5,000.00 This power of attorney is signed and sealed by facsimile under and by authority of the following Resolutions adopted by the Board of Directors of UNITED,CASUALTY AND SURETY INSURANCE COMPANY at a meeting duly called and,held on the 1st day of July, 1993 which Resolutions are now in full force and effect: Resolved that the President,Treasurer,or Secretary be and they are hereby authorized and empowered to appoint Attorneys-in-Fact of the Company,in its name and as its acts, to execute and acknowledge for and on its behalf as Surety any and all bonds,recognizances,contracts of indemnity,waivers of citation and all other writings obligatory in the nature thereof;with power to attach thereto the seal of the Company.-Any such writings so executed by such Attomeys-in-Fact shall be binding upon the Company as if they had been . duly executed and acknowledged by the regularly elected Officers of the Company in their own proper persons. This power of attomey is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of UNITED CASUALTY AND SURETY INSURANCE COMPANY,at a meeting duly called and held on the`1 st day of July, 1993: That the signature of any officer authorized by Resolutions of this Board and the Company seal may be affixed by facsimile to any power of attorney or special power of attorney or certification of either given for the execution of any bond,undertaking,recognizance or other written obligation in the nature thereof;such signature and seal,when so used being hereby adopted by the Company as the original signature of such officer and the original seal of the Company,to be valid and binding upon the Company with the same force and effect as though manually affixed. IN WITNESS WHEREOF,UNITED CASUALTY AND SURETY INSURANCE COMPANY has caused these presents to be signed by its' proper officer and its corporate seal to be hereunto affixed this 29th day of October 1997. , •UNITED SUALTY AND SURETY INSURANCE COMPANY " Timothy M. arrigan,Tress er ' State of Massachusetts,County of Suffolk as. On this 29th day of October in the year 1997 before me personally came Timothy M.Carrigan to me known,who,being by me duly swom,did depose and say: that he resides.in the State of Massachusetts; that he is Treasurer (Surety) of UNITED CASUALTY AND SURETY INSURANCE COMPANY,the corporation described in and which executed the above instrument;that he signed his name thereto by the above quoted authority;that he knows the seal of said corporation;that said seal affixed to said instrument is such corporate seal,and that it was so affixed by authority of his office under the by a s of said tion.. Notary Public-Do d J.Hernberg My commission expires:08/03/01 _ I,Timothy M. Carrigan,Treasurer(Surety)of UNITED CASUALTY AND SURETY INSURANCE COMPANY,certify that the foregoing power of attorney,and the above quoted Resolutions of the Board of Directors of July l,1993 have not been abridged or revoked and are now in , full force and effect. - - i 5th October 99 Signed and sealed at Bostal�Massach tts,.this day of - 19' . Timothy M. rrigan,Treas rer . - _ COMMONWEALTH OF MASSACHUSETTS DIVISION OF INSURANCE 470 Atlantic Avenue-Boston,MA 02210-2223 (617)521-7794•FAX(617)521-7771 TTY/TDD(617)521-7490 ° CONSUMER HELP(617)521-7777 ARGEO PAUL CELLUCCI DANIEL A.GRABAUSKAS GOVERNOR DIRECTOR,CONSUMER AFFAIRS& BUSINESS REGULATION LINDA L.RUTHARDT COMMISSIONER OF INSURANCE NO: 1999080 CERTIFICATE OF COMPLIANCE Effective: January 1, 1999 NAIC#: 36226 This is to certify that - Federal ID#: 58-1847495 UNITED CASUALTY AND SURETY INSURANCE COMPANY • is duly organized under the laws of this Commonwealth, and that it is authorized under the Sections of Chapter 175 of the General Laws of Massachusetts and amendments thereto described by the following designations: 4 DESIGNATION CODES: 1 Fire 15 Reinsurance(Reinsurance Companies Only) 2A Ocean&Inland Marine 16A Life-All Kinds 2B Inland Marine Only 16B Group Life Only 4 Fidelity and Surety 16C Variable Annuity Authorization 5A Boiler 16D Annuities Only 5B Boiler(No Inspector) 16E Variable Life Authorization 6A Accident-All Kinds 17 Repair-Replacement 6B Health-All Kinds 19 Legal Services 6C Group Accident&Health 20 Credit Involuntary Unemployment 6D Non-Can.Acc.&Health 51 Stock Companies >(Extension of coverage 6E Workers'Compensation 54 `Mutual Companies >not specified in Section 47) 6F Liability other than Auto 54BX Reinsurance except Life 6G Auto Liability 54BY Nuclear Energy 7 Glass 54BZ Special Hazards 8 Water Damage and Sprinkler Leakage 54C Comprehensive M.V.&Aircraft. 9. Elevator Property Damage_ and Collision 54D Personal Property Floater 10 Credit 54E Dwellings 11 Title 54F Commercial Property 12 Burglary,Robbery,Theft. 54G Reinsurance-Life Companies Only 13 Livestock This certificate shall remain in effect for an indefinite term unless said authority is amended or , revoked in accordance with law: Linda Ruthardt Commissioner of Insurance -V.I.r-.r i. _ Y _ r- i t-r-;'i-r'b G7`=#:�-tom".` .. ,,.n..., .� a ,.;.-.r.,.,.. -. ._ '•sY" ^..---.�--.- ...�,.-...;-ya'3,.......,r,-�..--;ter.. .. I AWE,, The Town of Barnstable BARNSTABLE. Department of Health Safety and Environmental Services rEo �• Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection Location l (JJfA 12.V 1,-Y0 Permit Number Owner Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: mA �. / � a 1N-e_.�.r� ►'ac-- vim- ��l � �. ,� u II �_._,,w- - y r-j-� o Please call: 508-862-4038 for re-inspection. Inspected by R, �C- t I Date �' 9a Y Engineering Dept. (3rd floor) Map 1�q Parcel v G° Permit# ' 15- 42— House# Date Issued = Board of Health(3rd floor)(8:15 -9:30/1:00-4-"" 'l ee� J2 1� ,fs y i - Conservation Office(4th floor)(8:30-9:30/1:00-2:00) d� ' SEPTIC S rTEd MAST BE INSTAL Planning Dept.(1st floor/School Admin. Bldg.) C®MPLIANCE • - TLE 5 Definitive Plan Approved by lanning Board U 19 `' I L CODE AND -`- qd�w v✓�G L �JT-�� �,,�mac/ - �;�T . CATION TOWN OF B ' STABLE f MAy s S Building Permit Application E Gv f� Project Street Address d % �.` Village Owner KLAIAof t A4/ _ lyAOU QLtL- Address, dz V 1 lL Telephone Permit Request Jt_'YLa, ;r� i ~First Floor square feet Second Floor square feet Construction Type &9J�rD6E. � 'r Estimated Project Cost $ J_® r, Zoning District Flood Plain Water Protection Lot Size S G Grandfathered @-Ves p No le-e- G Tre Ora _f-9 -11 lu Dwelling Type: Single Family &r Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes';t ❑No On Old King's Highway ❑Yes @116 Basement Type: Oull ❑Crawl �lkout ❑Other �- Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) -7 gQ Number of Baths: Full: Existing New c�L- Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing _ New -7 First Floor Room Count Heat Type and Fuel: VG' as ❑Oil ❑Electric ❑Other Central Air ❑Yes Q'N o Fireplaces: Existing New Existing wood/coal stove ❑Yes 9-N-6 Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ' ❑Attached(size) ❑Barn(size) W41one ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ©-No_ If yes, site plan review# Current Use Proposed Use 107�? t� Builder Information Name J i I-A ?hI A nnQi R�wf Telephone Number 77S-Z? o Address VV.0 a Y 7a-7 License# W ,V&,r 11 )&h i /7?4 . 6,'1D 7;3 Home Improvement Contractor# Worker's Compensation# U)C,3— d-26 41 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL ONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATU DATE 1v BUILDING MIT DENIED F FOLLOWING REASON(S) 10LYIn t" FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE, OWNER DATE OF INSPECTION: 1 = - r FOUNDATION FRAME INSULATION FIREPLACE ! ELECTRICAL: F ROUGH FINAL PLUMBING: ROUGH FINAL 2 + GAS: . R©UGH FINAL + .' FINAL BUILDING DATE CLOSED OUT— t- Q ' r ASSOCIATIONmALAlvaN,®.._ _ , r M`\ The Commonwealth of Massachusetts � : '. _ _-__ =`--` _—;= Department of Industrial Accidents 9112 lions Once sesbga 600 Washington Street ,+r Boston,Mass.. 02111 ` Vc;:= Workers Compensation Insurance Affidavit name: mal location �� 2DW 7.2-7 cttV N Y(es L'J l.' ' i //C 1 J phone# -7 ❑ I am a homeowner performing all work myself. ❑ I am a sole ro netor and have no one working in any capacity %%%// %///%////%%%/%%%%///%//%////%///%/%//%//////%%%%/////%%%///%%%/////%///D//%%%%%%///%%/%%%/%O%/////%%//////%%/%%%/////%/%////%%/G%��%///��////%/%/%/%/%/ �am an emplover providing workers' compensation for my employees working on this job. company name address > 7 - phone# �� city 'I — insurance cat �. olicv# ` 7 ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name: address: ' } hone#: dtr. oiim Al resurnnce cat. - bx cam anv name: address. hone#: ..... Roliev A! insurance aio. WJ WA Failure to secure coverage as required under Section 25A of hiGL 152 can lead to the Imposition of criminal penalties of a Me up to 51s00.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP AVORK ORDER and a tine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the omce of investigations of the DIA for coverage verification. I do hereby ce ify under the pains v rd penaLud f perjury that the information provided above is)�true and correct Signature Date Print name "n �� •�� Phone# 7 �,S ' I�JIB only :note in this area to be completed by city or town official n: permit/license# ❑Building Department ❑Licensing Board ❑Selectmen's Office immediateis required ❑Health Department (c:ontactrson• phone#; .. ❑Other (leveed 9/95 P1A) - Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any contras 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 c trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renew: of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who ha, not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits 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. City or Towns 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 permit/license number which will be used as a reference number. The affidavits may be returned io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Olflce of imresugadons 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 eat. 406, 409 or 375 7=CURAppnWkJ TAW J=b(eosdo=d) lnseriptive Padraps for ane and Twa•Fam*Radidadal RO Wla Hu"d with Fad Fadr MAXIMUM MINIM[114i (us Ccil;ftg Wall Floor Basemm Slab U t R yalw) R value' &valu2 Wail Pa a R-value' 5"1 to 6500 Heating Degm Darr' ® 12% 0.40 31i ® 9 10 6 Normal R 12X 032 30 19 19 10 6 Normal S 12•b 030 3E 13 19 10 6 AEZJ>; T Is% 036 33 13 23 WA WA NOS U 15% 0." 33 19 19 t0 6 Normal v IVA 0.44 33 13 23 WA WA B AM W IS'1s 032 30 19 19 10 6 0 AbzJE X IE9L 032 3E 13 23 WA WA Norma! Y IVA 0.42 3E 19 25 WA WA Now Z 13% 0.42 33 13 19 t0 6 90 AFLIE M !E•/. OJO 30 19 19 t0 6 �A� 1. ADDRESS OF PROPERTY: f -2-2 Fl,C-� Rd 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: ? u 1 3. SQUARE FOOTAGE OF ALL GLAZING: 1 9 1 4. %GLAZING AREA(#3 DIVIDED BY#2): I 1 .7 °% S. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-t980303a L 780 CMR Appendix J Footnotes to Table J5.2.1 b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls.that enclose conditioned space, but excluding opaque doors) to the gross wall area,expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 ft of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing,and interior drywall. For example,an R-19 requirement could be met EITHER by R 19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions, but do not apply to metal-frame construction. 'Ile floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces, basements, or garages).Floors over outside air must meet the ceiling requirements. 'The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. 'If the building utilizes electric resistance heating use compliance approach 3, 4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.I a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). e)If a ceiling,wall, floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U=value requirement(0.35 for doors). UNITED CASUALTY AND SURETY INSURANCE COMPANY APPLICATION FOR STREET PERMIT BOND Applicant �— I/� O Single o 11 ) ,e,� /A'�/� /� Dlvame ❑ Address C) 0A ?J 7 tAj 1. � o f r A d I/,�I/�' IStrwt end Number)I V (city) rr ICourxr��l / ,n IStatal IZiol Phone: ( ) ,7 •� ;�j Fax: ( ( 77 7 (~ C�n `' Occupati or Business How long so engaged? Previous Surety es _No It yes,give name. Complete Name and Address of Obligee T,/w/2 jj�/y S Type of Bond STREET PERMIT BOND Amount of Bond $ Effective Date The Principal has made application for a license or permit to the Obligee for the purpose of opening and/or occupying a public way located at: INDEMNITY The u dar•igned spplican and indanmiurn hereby nequpt United Casualty and surety Insuranceme Camp"Idle-Camp"")to become surety for the above bond. The u dweigrsd hereby certify the truth of all statements in the application,■urherita the Company to verify this information and to obtain ad6tional information from any source,and ioindy and sov rally agmp: 11I To pay the usual premiums,including ron swel pomiume, (21 To completely INDEMNIFY the Company Flom end against any liability,lop,Best,atorey's how and expense whatsosver.which the Compay dtrl at any tams surtain se surety or by reason of Awing been surety an this bad or any other bard!pied fa applicant,or,fa the enforcement of this agrON ise t (3) Upon danced by the Company for any reason whatsoever,to delimit screws funds with the Company in am amerced sufficient to satisfy any claim against the Company by reason of such alelyahip. (4I That the Company @hall have the right to handle or settle any claim or suit in good faith. An itemiied state tt of Ion sad expense incurred by the Company,swam to by am officer of the Company.shell be prime facie evidence of the fact and extent of the liability of the undersigned to the Company, 161 That the Company ur may decline to become aat nd y an any bend a may cancer ofsmord any bond without cause and without any liability which might arise therefrom, 191 That that Company shall,without notice,have the tight to alter the penalty,terms,and coditlans of any bond issued fat undereigred,and this sgresene t @hail apply to any such shored bond, 171 That it a contract orper"ormsn's bad Is aneed hemunder,the undersigned hereby assign to the Company any monies now dew a hereeha becoming due under the contract,in dudirg all dotard psyfnanto and rstdfed percentage,supplies,tools,plans,equipment and materials due or used on de comrso.and let That u,ia indemrity may be canceled as to oubesouwm liability by an irdomnitr upon written notice to the Company at 170 Milk street,Boston,MA 02100:effective Ten 110)day.@her the ea,11—dole thoraaner upon whom the Company could have caroled all bonds In force(a opplicent. " j ,r'' Signed tits day o ,e , tg Insurance Agent ui(4 Address (� S1, �f( le Pnone Z b oC Note:Personal lndemnitors should sign their names and add the word-Indemnitor' In their own handwriting. 170 MILK STREET,BOSTON,MA 02109 TEL. 1617)542-3232 FAX:(617)642-3646 i _ °F VE r� The Town of Barnstable 9. Department of Health Safety and Environmental Services ° o �p`0 Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 wilding Commissioner July 9, 1998 Attorney Richard Dubin 4A Bayberry Square 1645 Route 28 Centerville, MA-02632 RE: Buildability of 276 Fuller Road, Centerville (189/090.002) Dear Attorney Dubin, Thank you for submitting the necessary documentation for the above lot. The information has been reviewed and it was found that 276 Fuller Road, Centerville,is a pre existing non conforming lot and therefore a buildable lot. The subject lot was held in separate ownership from the abutting parcels (90.003, 90.001 and 118) from the date of the zoning change to 1 acre (2/28/85). Should you have any questions, please feel free to call. Respectfully, Ralph Crossen Building Commissioner ,.r 5 � A FR�n1T E�L�ya-1.Qn1 Y 7TT7—" r I SMOKE DETECTORS 0X BARNSTABLE BUILDING DEPT. i 6.,�,c�N coma s� t��c 7o�f Poc.�Kj i ! � • wwovm w: oa.w w f AI i � �Y SN�rd� �•.+w.�r- �pMNfpa) soP•'7�FL67✓ f m aLY • r I T 1 L-- LEFT EL���AcT1D1J —�—�— . i I I • 30•O• 3o O" O �V YL wy ° * 1 i i pycnrsro�A � •t i � � TI I � Ll s iV r a :b'• ATN �o , •_ ?vYG yG K.rGr1eN YM r i - q G JI 1 i1 _:«t jai �.:-oc�3:F+st.tl— . -- •� • ; � •� _ ,p — �� i .. wcT - v 7 to 8 aav&xa I 1 -•d' r 5- �o-n■ FLOOJC i . I � � r w I u I � e ' •caNC.Lai.rj��ED 3jG 30 "xlo"LONG PAq � s W4 S e ? P 0 seMA „ I , V`J• y • Le.l.1�II I .JtI OLoB♦ t>pp/IT Uewr ' .. ?Ale RAFTS .. A4!•p HAFT ppP 3 T/•O .r l,5'^►.FBLT AVER �.i•GO x. /LLI. ?y Ixv hC2 LAr-F ! Il r C,,,D 6uTTsc3) . . hl•l rCI AA - �pFAjt/A .. F I I UL i,y evFl f Ix y /xS cOpf. pio IXID M' le ax v 70/ P�7'Qf q JY r) F/t•Ot... € 7:v•.SrvVl /,.(,Ox PLy 4MtA7MA)6 _ JKJV WATER TAOLP - �/1L.1 AIWu.JD ,Sue IL Z a%V S►IDC Jx/ 6A: QC, v xIO NkDIC R19 )x4 P.T• ,J3 axles&/,cr W�yEAI 3f-eoAf.COL. FrctaD 7 G'N/eN I'COarc. FrIJ. j0'ft30'hld'CD/JG /ADS DAMP. PROOF gfCO� MYDA1l.fLA� (�KADE Jo uJ.+•..QxT41Q.IQ1L ,770 ./5.... CJ/ 1l.LE__........ f AIV N. a4 . . .. 8 3'k4I 9L DOOR y04c sL"aet F cp V.5 F �✓N6x X • G u 1 .y 166622 DEPARTMENT OF PUBLIC SAFETY ONE ASHBURTON PLACE, RM 1301 166822 BOSTON „ MA 02108-1618 CONSTRUCTION SUPERVISOR LICENSE ' Number: -Expires: Restricted To: 00 ? ' THOMAS B POWERS PO BOX 727 33 W ...... 1 7 '. .. W YARMOUTH, MA 02673 , = Keep top for receipt and change g "" of address notification. I • r ESTIMATED PROJECT COST WORKSHEET Value LIVING SPACE 1 square feet X$55/sq. foot= GARAGE (UNFINISHED) square feet X $25/sq. foot= PORCH square feet X$20/sq. foot= DECK square feet X$15/sq. foot= t OTHER square feet X $??/sq. foot= Total Estimated Project Cost 4 r ,g990915b t oFTMf r� " * The Town of Barnstable * .Axxsrns�, ,e� Department of Health Safety and Environmental Services rFaM,.�a Building Division 367 Main Street,Hyannis MA 02601 Office: 508-8624038 Ralph Crossen Fax: 508-790-6230 Building Commissioner July 9, 1998 Attorney Richard Dubin 4A Bayberry Square 1645 Route 28 Centerville, MA 02632 RE: Buildability of 276 Fuller Road, Centerville (189/090.002) Dear Attorney Dubin, Thank you for submitting the necessary documentation for the above lot. The information has been reviewed and it was found that 276 Fuller Road, Centerville, is a pre existing non conforming lot and therefore a buildable lot. The subject lot was held in separate ownership from the abutting parcels (90.003, 90.001 and 118) from the date of the zoning change to 1 acre (2/28/85). Should you have any questions, please feel free to call. Respectfully, Ralph Crossen Building Commissioner t RICHARD S.-DUBI.N ATTORNEY AT�LAW 4A BAYBERRY SQUARE 51 BEACH ROAD,UNIT 204 1645 ROUTE 28 POST OFFICE BOX 1104 CENTERVILLE,MA 02632 VINEYARD HAVEN,MA 02568 (508)771-0330 (508)693-5757. FAX:(508)778-6966 FAX:(508)693-2778 ` 1 July 11 1998 s ,fie q;• f - r Building Inspector Town of Barnstable r I South Street Hyannis, MA 02601 Re: Map 189 Parcel 90.2 �, r 376 Fuller Road, Centerville, MA Dear Sirs:. This office represents the seller of the above-described premises. I have examined title to the premises together with the abutting lots. The property was last held in common ownership with any adjacent lot on January 6, 1986. Enclosed please find a copy of the Assessor's Map. Also enclosed please find copies of the deeds to the abutting lots. It is my opinion the lot qualifies under the town's grandfather clause. Please contact me if you have any questions or if further information is required. Very truly yours, Richard S. Dubin, Esquire RSD:ges Enclosure A X(f jjA ACHUSETTS . 11 � • Q Jst w01 y,t. •�r� p - C � Q B ' t• t Jtl nG G.'cw.• r• �� dd ddc 31 35AL l7 t ti 35 35 .93AC PAC // J'••d - Y ^ n8CIV OS C•a �J 4� J., - 1 • .. J �, • u '•' a I^ 1%4 � % �p.S J�4 '• �,trr I � t� • r MAC 7 • N ' t eG� 1 °4 • •3 .. SAC .12 74 ' • : .!"C Is 73 as Ke43� 'JlAc ,f• - :.ndt SfK f • 'fit 1� ® :drdc 90•1 sad 3 }1 trdc .Y •. 1l Adc 3 t 2 UAL Oac y •d 3 103 e O .OK©Q t i • ; CIF/ 107 �' Its r ol 104 a' s K t '.1K - � 21K. j 11V111 .11C LAST IK 7{I ff ;rh® 0 •e iK ,im a 4 SbC M >N M t 011"AL am is O 379 hos lwr usfo:/R.d•6./s•l, J•.rl� e" FM I.0!10 ) gg C rrsssacsrussrrs GUMLAIr as=sseoerr sort trwanomws ••d BOOK4884 352 . 4, 02910 STEPHEN W. MAHONEY—and SALLY A. MAHONEY, husband and wife Iz as tenants by the entirety, both VIRGINIA a of 813 Arcturus on the Potomic, Alexandria ComtY, ebmmna.. G for considaation paid,and in full coasidemtion of gnab� STEPHEN W. MAHONEY • 1 of 813 Arcturus on the Potomic, Alexandria, VA vidLqutldatm rrlasnaids thelandin Barnstable (Centerville), Barnstable County, Massachusetts, on the southerly side of Fuller�oad and r3e particularly being described as follows: Dampmoo �"'�"°"� ' LOT 2 as shown on a plan enttitled•'Plan of Land in Barnstable, (Centerville), Mass, for Mary Carroll Smith, September 14, 19849 Scale in Feet 1" 40', Edward E. Kelley, Reg. Land Surveyor, Cummaquid, Mass.". recorded in Plan Book 388, Page 35. For our title see deed recorded at Barnstable Cou,rty Registry of Deeds in Book 4276, Page 95. I fir-- Namur our hands and fed s Of 19 S ep 'S&� oney .< 4./ ' ��a' on ney a* (Ivmmm=raL* AI 9 nosatltuattts Barnstable, SL Lliyt 19 Then perxxi&Uy appeared the Am named Stephen W. Mah a dnd Sally A. Mahoney and acknowledged the foregoing instnmlent to be their _free ad before me otaty Fabric_*" 4l XW.&X (01n&ridud—Joint Twmu—Twaats in Common.). ' • CHAFISE 187 SEC 6 AS AMDOED BY CRAFM 497 OF 1%9 Pseq deed pr��Ions reined—'ail commis or bs.e auk upon it the full--me eaidente and part oBco address d the . and a,emtal d iLt amomt d the full comiderstiem theeaoE is dolls or the amet of the other consideration therefor,if col delnaed _ for a specific mooearI sum 2be full comidcruwa LhLU mean the tonal ptice for the comerynce with—deductite for aq liens cc e"nmbnsces assumed br the Rraotee or temaisiaa thereon.All cum end-n cs Lod r—Las shall be recorded as part of the deal. - Fulwe to comply with tha semuo shall not L6at d..aridity of say dad.No rq*a of dads sbou swept a deed fee romrdisa uder mm of is in compliance with the requirem this sewoo. . htCnGL�JAN 15 86 - - . —-- - - —, r WAYACXVaRrO*UrrelAsar O®GNOfr PC".(droev'OU") ae�r:4885:= . CD1 ,. —_ 02311 STEPHEN W. MAHONEY and SALLY A. MAHONEY, husband and wife s tenants by the entirety, -both VIRGINIA 813 Arcturus on the Potomic, Alexandria • iiY»4ow ie11 S,for 000sideradoa paid,and in full=sideration of 1001/a.{j gmaatD SALLY A. MAHONEY e of .813 Arcturus on the Potomic, Alexandria`, VA with oddatm'rnmrns>� the laodin Barnstable (Centerville), .Barnstable County, Massachusetts,, on the southerly side of Fuller Road and more particularly being described. as follows: (Deaipdos and mcumhraaca•ifaoy] LOT 3 as shown on a plan entitled "Plan of Land in Barnstable, (Centerville), Mass. for Mary Carroll Smith, September 14, 1984, Scale in Feet 1" - 40', Edward E. Kelley, Reg. Land Surveycr, Cummaquid, Mass.", recorded in P1an. Book 388, 'Page 35. For our title see.deted recorded at:Barnstable County Registry of Deeds in Book 4276, Page 95. t, 1 , 31du ss our hand s and seal s this da of 19 C Stephen W. Mahoney . Sally\&: Ma honey tZtpr �ammaaaIIralit! at Aa�ilrllu9rti9 Barnstable, a i 19d � Then personally appeared the above named Stephen W.L•tahoney nd ly .A. Mahoney and adwwledged the foregoing insmrmeat to be their.-frec_yat and before me (e1ndieid=1—Joint T0Unb-Tenants in CntamaO) CHAFM la)=6 AS AJM'DED BY CRAPM 4"O!1969 ETCT deed pteenKd for amid span coeodn or have mdonet upon it the fuU name tesidenoe asd post oBsm ad&—of the peehm and a moral of the amount of the full mm&num tbemf is dot or the oatme of the otba cmudeaaoo theetiar•if ON Mwered for a epee&mooene�mm.The fuU wo ideradm sb&U man the Wad "a for the mttsenom m ntbmd dedwo for mop lima at etettmbmom awamed by the pw m or mtoamog thews.AU w*mdoesemme and .0 A.0 b.neord I a pare of the dead. &a—to amply pith thin"Mm sham one a&a the s"&"of mar dead.No ee>dSser of dada Shea aaeyt a deaf fa emd"me mis It is is m VAIGN via the MrAmmem of thin nerds& �tCC�GCF�JAN 15 86 I 1, OWA JOHNSON, also known as OTAX E. JOHNSON, wir.'of Asel Johnson, ! i in bar own right, of Centerville, (Barnstable) Barnstable County, 1793r, Massachusetts, for consideration paid, grant to said OWA JOHNSON, I _ also known as OWA S. JOHUSON, wife of said Axel Johnson, is her own right, for life, and the remainder in fee to VAR A. JOHNSON, of Portsmouth, Rhode Island, with 4111TCLA IN CO%'ENANTS, a certain parcel j of.land in Barnstable (Centerville), Barnstable County, Massachusetts, together with the buildings thereon, bounded and described as followat Beginning at the Northeasterly corner of the premises at a bound post set by the County Road, leading from Center villa to West Farnstable, and land now or formerly oo,- cupied by Dennis C. Sturgis; thence Westerly and Southwesterly by said Sturgis land, as the fence now stands, to land of George F. Meiggs, and ` continuing the same direction by said Meiggs land'to a corner; thence Westerly by said Me1gFs land to another corner; thence Southerly by said 11lelgrs land to a corner; thence tiestnrl7 &E;ain by said ga lgfs land to a corner; thence Northerly by the aforesaid MeigL.s land to a road;'thane Westerly by said road to land now or formerly of Prince A. Fuller; thence i Southwesterly by said Fuller's land to land supposed to be owned by one F. S. Jones; thence Souttu+asterly by the said Jones land and land now or, form^rly of 'R. S. Ecorse to a corner; thanes u t Southeesterly.aEain by said Jones land .to land of heirs of Charles H. Baker (deceased); thence Northeasterly by the land of said Baker heirs to land of (or now occupied by) Edward W. Childs; thence Northerly by said Childs to a corner; thence Northeasterly by'the aforesaid Childs land to the County i Road aforesaid; thence Northerly by said County Road to the first named bound t and place of beginning. { Said described Fremisea containing about thirteen (13) aoree, more or lone. ! Excepting and reserving to Elisha' $. Bearse of Barnstable, ! his .heirs and assigns forever, all righta•of way over the above I ! described promises from the Highway, to and from his cranberry 1 bog, which is now legally held. i Paine the mama premises conveyed to me by deed of Axel Johnson ,I dated November 24, 1936, end recorded in the Barnstable County Reigatry of Deeds, Book a23, page 193. . This deed being made subject to all the benefits and to all ` the liabilities, which are fully set forth(ia deed from Edwin H. li Evans to Axel Johnson dated June 1, 1916, and recorded in the Barn•; f stable County Registry of Deeds, Book 3470 page 3029 with relation f ' ;j to the rights of taking rater from the well, the maintenance of pipes and pumps and cost of pumping water for the use of the parties as therein namedo pAp.•i 2 _ 3 I M1364 MCC 224 -- E Excepting from the above granted premises that parcel Of land conveyed by said Axel`Johnson to Martha A. Bowser, by l deed duly recorded with Barnstable County Deeds Hook 463, page 497- _ The consideration for this deed is less than one hundred (100) dollars. _ 1 WITNMS my band and seal this 26th day of October; 1967- i COVOH7ULTH OF NASSACh'USEi:S r.' Suffolk, on. Poston, October 269 1967 �1 Then personally appeared the above-named Olga Johns-,n, also known as Olga 1- Johnson, and acknowledged the foregoing Z1, Instrument to be her free act and deed, ore me !c .......Ed I, ^ • y war i. e rAj o otud ssi on s�cpis ia.� .....:.• h(arod is, 1969 `�►�t��� ; ki F OCT 271967 MEW �Ii. I • f - .Ir _ r 1 _ t s � 17 o8-6 q } JUL-07-1998 15:56 DUBIN LRW OFFICES P.02 Bk C 1043E-202 672Q4 11-25-1996 2 02527 DEED I, ZQRT C.ARROLL AMTH of 262 Puller (toad, Centerville, MA 02632 for consideration paid of Two HUNDRM TWBN'ry FIVE THOUSAND AND DD/100 DOLLARS ($225,000.00), grants to NICRUM T. MTN of 10 Wolfe Street, Alexandria, VA 22119 and J03M P. BMZT8 of 1660 Apple Lane Hill, Bloomfield, M1 48302, as tenants in coMMOn each holding an undivided one-half interest, with quitclaim covenants, Y - r the land with the buildings thereon in Barnstable (Centerville), :v _ Barnstable County, Massachusetts, described as follows: NORTfMNLY by Fuller Road, four hundred ten (410) feet., more or lead EASTERLY by land of the Town of Barnstable, two hundred seventy-eight (270) feet, more or lees; SOUTHERLY by two hundred ten (210) feet, more or less; EASTERLY by fifty-nine (59) feet, more or lees, and again SOUTHERLY by one hundred forty (140) feet, more or lees, all �- e by land now or formerly of Ivar Johnson et al; r V WESTERLY by land now or formerly of ivar Johnson at al, one hundred eighty-seven (167) feet, more or less. Containing 07,430 square feet, more or lees. i zxcwrli (. TA&0AF0U0, lens A 40 3 41 JIIowou ON P' N PLO ,iu jR64N46►k 3?1 AilV,. y N For my title see deed recorded with the Barnstable County Registry of Deeds in Sook 696i,.page 321. w y� Witness m!' hand and seal this day of AIwr,M dt- 1996 v9 RMSTAKE CQNTY DEEDS REG 01 � REGISTitY OF .i RSTAKE Mary Ca 11 Smit .s.` CO MY QtCIa�IJ1ifW Vl£jL�'LS1YJ 1],f25f96 i1/25!% ' Nif111i � Y' 'TAX 5110D y TMAL 543:00 TAX 769.50 1 CHECK 513.00 M;K s: 000 5212ABOD 14025 ,p tat'this 0.25 EXCISE TAX I�;: GOO r DCISE TAX JUL-07-1998 15'-56 CHUB I N LHW OFF I t IE5 P.03 { �g4 Sin c 1 0499--203 67284 COM910NWFAL`P}i t7F MAS5AC�iUBB'ST$ Barnstable, am. N3� pL Z1� 1996 Then peraanally appeared the above named Mary Carroll Smith and i acknowledged the foregoing instrument to be her free act and deed, before me, , otary Public e My coumieeion expires: !Z 67NJ a i ;a "e 6'. 'An 1e\data\all.nta\..)i�V1V7\dYNO i ii 7 V •�'MI ���C'117L IJUL-07-1998 15;57 DUBIN LHW OFFIC-S P.04 80"r3MP2rif 143 GAPE COD BANK AND TRUST COMPANY, a banking corporation duly established under the laws Of the Commonwealth of Massachusetts and havirg Its principal place Of business in Barnstable (Hyannis), Barnstable County, Massachusetts, and .362 7'3 WILLIAM P. SWIFT of Barnstable, said Barnstable County, 4XECUTOASunder the WILL Of—Ad33dlDiffid3ty4�(j&e�,� A��e� �� � afi--G�Aifi&&1(A1'D�NaF,t—R��INt�EIc bR Ndrs��lEA�.Y pbt-•-QP1i911J�XxC�"7pQi+R�S(9tb�]lbF�lt ' CNARLES A. HENOLER, Barnstable County Probate No. 58013, late of Barnstable (Center-+' vi 110 by conferred by License of the aarnstable Probate Court dated November 26, 19 9, h ;. i for Seventy-five Thousand and n o t/100 h s ($75,000.00)------ ever'other povrcr• --------- pdid,Frantsto MARY CARROLL SMITH and JOHN F. SMITH,JR. - Dollars 1a both of 262 Fuller Road, Barnstable (Centerville) ,Barnstable County, �'. rtlllpderuki0r Massachusetts, as joint tenants and not as tenants in common, r. a certain parcel of land situated in Barnstable (Centerville), Barnstable County, ' Massachusetts described as follows: } NORTHERLY by Fuller Road, four hundred ten (410) feet, More or less; EASTERLY by land of the Tarn of Barnstable, two hundred seventy-eight (278) feet, more or less; SOUTHERLY two hundred tcn (210) feet, more or less, Ie, EASTERLY fifty-nine (59) feet, more or less, and again ji SOUTHERLY one hundred forty (140) feet, more or less, all by x ?~' WESTERLY land now or formerly of Ivar Johnson at al; by tend now or formerly of Ivor Johnson et al, One hundred eighty-seven (I87) feet, more or less. r— Containing 87,430 square feet, more or less, i; Being a portion of the premises conveyed to Charles A. Wen by deed dated November 13, 1958, and recorded a Co and RegOttistriley Nendler in Barnstable Deeds 1 County Reglstr of Y n Book 1022•, Page 481, the said 0tt111e Handler having deceased February 16, 1975• See Inheltance Tax Release of Llen duly recorded with said Deeds In 1 ' Book 2290, Page 167. See also Certificate Releasing Massachusetts Estate Tar Lien recorded with said Deeds In Book 30t4, Page 222. I i IN MDTRESS WHEREOF the said CAPE COD BANK AND TRUST COMPANY has caused Its �. corporate seal to be hereto affixed and these presents signed, acknowledged and delivered In Its name and behalf by Stuart J. Nickerson, its Assistant Trust Officer, hereto duly authorized this _ILI" dayi of ,�,......,,r.> ,. �A.O.,1979. CAPE/CDO.BANK NO TRUST COMPANY n,RS 3TrRAT`TRUST OFFICER (: �111trrela_."a r....hard and seal this.... Q J EXECUTOR s •''>ti'Mr)rfMl�'4lTM pi EXECUTOR ! ~' }� .1$ ,�ti "' 1'd �"Itil$ am 5w . ..............:..................... i EXECUTORS u/WILL a CHARLES A 1 NENOLER ................ ............-.......«.......... } { ��� � war fdatlttntaele�rnitq ai L�ttaeer4uartta Barns tab le, Then Personallrap)+ rC%i theaboven med STUART J, NICKERSON, ASSISTANT TRUST OFFICER cold ackrrovl the fore a$ aforesaid edg ed 8oing instrument to be the free act and deed,bD►itlte"s of the said CAPE COD BANK'ANO TRUST COMPANY, EXECUTOR as' `oresoid, before Sirr C f a1.s Taoan"rab�� z yr ftmm7riaa apinr,._,r.,�.., J!_!L-07--1999 1-5;5 r I?_18I r! LHI J i iFP!iCE'S P.L15 ) + f (.I'.il'1'14'!t;<1':'?.: f`.t' ;,n!),,,..1: �.i yr• iq` �•r. .f::'F:, ..__._-•',I.�I"hill I_.. 'll; i�''i. ,i' ..�,. .. ,.. `l'!� - rtiiy: ! V11at I alit .111 01. ind T,ti-Ar cn= ny, d r_rjl p:w .. t10 1 :W.; !of t1w, (:O?q;go1lw0A)I:h l!y.;nni ;•1.Ui�„rr'it;,..r•...'s. I't.,t. .,t , ,r :.t,l .,t: t' .. !;Y ..,,,..+.i! f ;c tiL Ca:s r.osi,Y,rrei i,m .'.uly 'l,? ,,11. !y •,.f>'.. ,.t,i ,. •l,i •tn September 1', 1979, lar��;11T'-:; ':I,,g i.r-, ?f:l: '.n,j t•'i ii� �I .,It') ,t'` ;I'l� �! •,aLr� i �. • I'.l.1`; .,,11'� .Itli} ,ul•If'1• ,. t. ,i, .,Dill iit ���ft !, ..f ..ml � X: 1,?t t, t J �• .t''S .i.. 'r'i 1•1,. : it•..i.. .. .t. ,,.j ,)': ,,. , , .I �1'1' } i VOTED: Estate of ',har'_es A. Hendler co approve t'c, �a— i'rea: estate i located at 262 Puller, tIoad, Centerville, 1 MA., for not 1e3� than $75,000. and to j tI authorize Stuart J. Nickerson, Assistant ':rudt: 'J=`icer, tG Si9n, seal, ,F acknotledYie :,.nit Jeliver such documents a5 may be rtquirud to effect said sale. i1,1 1 I futhCr '.n r, •oi n'; r. •;r)l:a.t i<tn'i� noG !1 i �:on-rclr'y t:n any _�re7v•�:i,tn ltt ''!,a .1r1 irf.�•• ru' !.';-t '•.. of t'lie3 ! I '• }4or7uC?t;ion, ✓!tat: Stuart J. Nickor9on is Asst. Trust Officer f r Of this CU Yr,)^.11 `.rtn, .,I„! 111.41', ( 1`,',•!t ':I t.'r+ : ':?ufl:.�',: '.O i 1 1 ),aakc this 11 fN '.v!','i•y; t, ti;, I a �. . ! 1 .,ii'i:< •ae hQ �Jftn i-lay ut December, ?1 r' 1979, DEC 2.9 1979 air u' I i„ 1 i i I i i TJTHL P.05 P f P G G p F G Western Surety G n A r G G G LICENSE AND PERMIT BOND a For County,City,Town or Village Only-Not Valid for Bonds Required by the State.Not Valid for Contract, ; Performance,Maintenance,Subdivision,Agent to Sell Hunting and Fishing Licenses or Utility Guarantee Bond. p Y u KNOW ALL MEN BY THESE PRESENTS: BOND No. L&P-4 2A8 7 H 8 0 1. y That we, Central Construction Co. . Inc. , of the Town of Barnstable , State of Massachusetts , as Principal, and WESTERN SURETY COMPANY, a corporation duly licensed to do business in the State of Massachusetts , as Surety, are held and firmly bound unto the Town of BarnstAble , State of Massachusetts , Obligee,in the amount (Valid only when a County,City,Town or Village is named as Obligee) of One Thousand Dollars DOLLARS ($ 1000,00 ), (NOT VALID FOR MORE THAN$25,000) lawful money of the United States, to be paid to the said Obligee, for which payment well and truly to be made, we bind ourselves and our legal representatives,jointly and severally. THE CONDITION OF THIS OBLIGATION IS SUCH, That whereas, the Principal has been licensed a street permit at 278 Fuller Road, Centerville, Barnstable. Massachusetts by the Obligee. FORE; if the Principal shall faithfully perform the duties and comply with the laws and or, .(ft all amendments), pertaining to the license or permit, then this obligation to be void, o septo, e 'en full force and effect for a period commencing on the 23 day of June ,1998 , and ending on the 2. day June 1998 , unless renewed by continuation certificate. ^his b d I rminated at any time by the Surety upon sending notice in writing to the Obligee and to t�g� zclaln �the Obligee or at such other address as the Surety deems reasonable, and at the expira- tioi�s�g� - k@00days from the mailing of notice or as soon thereafter as permitted by applicable law, whlchd��x� s ,# °this bond shall terminate and the Surety shall be relieved from any liability for any subsequent acts or omissions of the Principal. Dated this 23 day of JHnp4AR Principal Principal Countersi d WESTERN SU ETY COM NY By . By Resident Agent President P p p ACKNOWLEDGMENT OF SURETY STATE OF SOUTH DAKOTA 1 (Corporate Officer) I"" jCounty of Minnehaha On this day of before me,the undersigned officer,personallyappeared Stephen T.Patewho acknowledged himself to be the aforesaid officer of WESTERN SURETY COMPANY,a corporation,and that he as such officer,being authorized so to do, executed the foregoing instrument for the purpose therein contained,by signing the name of the torpor . n by himself as such officer.IN WITNESS WHEREOF, I have hereunto set my hand and official se J. RHONE �� NOTARY PUBLIC S: AZ SOUTH DAKOTA i otary Public, South DakotaMy Commission Expires 6-12-2004 f Western Surety Company Form 849-A—12-96 1 1-605-336-0850 M � u ACKNOWLEDGMENT OF PRINCIPAL F (Individual or Partners) y N STATE OF 6 F SS J County of r ' n F On this day of ,before me personally appeared n G tl F tl i tl G tl F 1 F 9 ` u known to me to be the individual_ described in and who executed the foregoing instrument and G n r ! acknowledged to me that fie_executed the same. b n fr My commission expires Notary Public ACKNOWLEDGMENT OF PRINCIPAL (Corporate Officer) STATE OF ss County of ' On this day of ,before me, personally appeared , who acknowledged himself to be the of , a corporation, and that he as such officer being authorized so to do, executed the foregoing instrument for the pur- poses therein contained by signing the name of the corporation by himself as such officer. ,i My commission expires r f Notary Public ' n r• � � n t E-F Y.1 n 6 r F n pV. rr rk� n o C: o z z y n tl CA a a o w b F Engineering Dept. (3rd floor) Map I �_/ Parcel a Permit#p �•C ^® House# Da/./�' l�r` ry t • � �• te Issued Board of Health'3rd floor 8:15 -9:30/1:00- m z G Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) - i 23 1.4 C� C Planning Dept. (1st floor/School Admin. Bldg.) a �� " zHe SIEVI t�; SYS Definitive Plan Approved by Plannin Board Alp Xef or� 19 1NSTALLED I NCE Al P�tn+aF s�b����s,on DM :WITH w TOWN OF,BARNSTABET W�REGULATIONS AND �-+�- Building Permit Application. ; Project Street Address . �-(/�1 GAS. P� Village G ,V T-`tK.t/%_H r ST-�p 4ev !@.4 low c� Owner i_b �` / Address - �t-I (�t{rLti L. ,r� 64,U ' mad - Telephone ,.Permit Request First Floor I 6; square feet e o d 4ol square feet Construction Type Estimated Project Cost $ pd a IIll Cj a Zoning District Flood Plain 10 1 Water Protection Lot Size *'' 2� h--Ubtr[ Grandfathered Yes ❑No Dwelling Type: Single Family Y�Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes LWo On Old King's Highway ❑Yes UJI16 Basement Type: 6<1 ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) i AJO 1v Ic— Basement Unfinished Area(sq.ft) I1c Number of Baths: Full: Existing New Half: Existing 0 New No.of Bedrooms: Existing New Total Room Count(not inc ❑ing baths): Existing_ New First Floor Room Count Heat Type and Fuel: Gas Oil Electric ❑Other Central Air ❑Yes fireplaces: ExistingNew Existing o0 oal stove es ❑No � g Garage: ❑Detached(size) it/ ONE Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑moo If yes, site plan review# Current Use Proposed Use Builder Information Name �+ac u 0 ,4,yt�,J 1„ Telephone Number M�(�.t) Address �i � � 6Wt, License# o�ti &am ria—M iA i 11 b Z66 r: Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO (�►� _ J I SIGNATURE DATE 22 1 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) . 4. r FOR OFFICIAL USE ONLY ` PERMIT NO. �.. DATE ISSUED¢ MAP/PARCEL NO. -•. _ '. `. � M i - .'.,f - ` �.lf ^� r f „i f� '^: _ 2_ �?emu. ADDRESS - t VILLAGE' _ OWNER i ,�' _ f F1TM !. _�_ o • M . DATE OFtINSPECTION: t " FOUNDATION- FRAME + INSULATION FIREPLACE FINAL ELECTRICAL: ROUGH L ' - •'�' - , PLUMBING: ROUGH > FINAL. mb GAS:' RODUC3% c FINALrn FINAL BUILDING �> .:. IRi r ' n'.co V DATE CLOSED OUT 1 ® A sr� _ ¢ ' '" i__ ASSOCIATION PLAN_ NO. c _ � f• , , ' TOWN OF BARNSTABLE �c BUILDING PER14IT PARCEL? D 189 090 002 GEOBASE ID 3?'842 ADDRESS 276 FULLER ROAD 4 . PHONE CENTERV I LLE ZIP ---j LOT 2 BLOCK LOT SIZE J DBA DEVELOPME , D RIOT CO I PERMIT 32001 DESCRIPTION SINGLE FAMILY DWELLI SEPTIC NO 98-379 PERMIt TYPE BUILD TITLE NEW RESIDENTIALt. B - PMT CONTRACTORS: DEVLIN, STEPHEN Department of Health, Safety ARCHITECTS: and Environmental Services i IOTA' FEES: $241.80 BOND' $.00 Ox THE CONSTRUCTION COSTS ' $78,000.00 i /101 SINGLE F,A.M'HOME DETA 1fY PRIVATE PBARN ESTAB # I j MASS. �► j f{ 1639. I ..r:V B' LD IVISIQ DATE ISSUED 07/09/1998 EXPI T D TE TOWN OF BARNSTABLE i € A BUILDING PERHYT . PA CEL 090 00 ID 41 ADDRESS 276 FULLER 'ROAD -PHO E CNERV LLE r z i P LOT B�:0� . a LOB �. .�M. DIM DEVELOPHE .%, �RI CO Pn i.T j 32001 DRSCRIPTION SINGLE FAMILY DWELLINd SEPTIC NO 98-379 PRMI'k IYPE BUILD TITLE NEW RE91DENTIAL, L3 G" PMT CONTRACTORS: DEV'LIN, STEPR.rw Department`of Health, Safety: ARCHITECTS s and Environmental Services. TOTS iPEES: $241.60 Y BQNDt.i = $_4a tNE 1Q.1 SINGLE FAM`HO D TA I PRIVATE P:.(*';EAMSTAUM E ' 6�� B 'ILD IVISI DA.T2 ISSUED 07/09/1998 EXPI- T N SATE Y T PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK O ANY PAR [HyEII50F, EITHER TEMPORARILY OR.PERMANENTLY.EN C,ROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE bUJILDING10,6DE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALMY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM SHE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS PERPAIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE S`JBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND THIS CARD KEPT POSTED UNTIL FINAL INSPECTION WHERE APPLICABLE, SEPARATE 1:FOUNDATIONS OR FOOTINGS PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH-. (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4..FINAL INSPECTION BEFORE OCCUPANCY. ' BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS A ' 2 4 2 . 2 S 1 3 E 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH r-a OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVEDTHE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. i ' I iY i i i C i i i i PROJECT TITLE - 2 C�Lj Q �lv Ch --- 27 S` i-VLF.(rL 24 2,k4 \j / • � Red 1_ �r?-�16� ++� i��� _. k�rc,�z� _�iz�t�1 �` ---- . i PREPARED FOR - I` NAP �xc; SwcLF E 261 �(cLeaq, J VId ftP I A Central Construction Company, In( Star Devlin•Prrsidrnl L _ -tI—N 27 Clover Lane•Marslons Mills,MA 02648•508-420,1 J40 I - - — - SCALE = 61 0 1 DATE I DWG NO. DESIGN DtioWn! I �`IZ i 13 Z4� ry 6u Z4l.s.l I 242�f--�r CHECK PRAWN _ . JOB NO. SHEET OF PROJECT TITLE Grao GC[�LA;1C ` .. 17- r, ZG I6 6 '.N LIP �tc t ED Ceui Cn�i.l�c� s S. `^ _ ----- -_ I n s z S G 213 F . � e PREPARED FOR Central Construction Company, Inc << --r}--- Stem Devlin r President ,I - r-- -- 27 Clover lane Marsbns Mills,MA 02648.508-4X 1340 i SCALE _ I i I I L3) � LEtdZ\� 14l) 1� =1t 1 Sint- Elevus n>_— ----- DATE DWG NO. / DESIGN S r D C,t 4 CHECK PRAWN - OB NO. SHEET OF PROJECT TITLE ' ! i 64r� Z�x Y6 R-c'�c I -Z31 1. T I , i l 2X1-c Po(YttT 1 12F-1 El ' jD�tSL'.c•o�•PAn3 �--- I . ' I LI 6 I - -- - 2 O be Vc!jr 1-2 i _ A'PIt.�S_Boat -i rtra ;2 c- r r C Z_ - -- - -L¢( Cet r` noml 101 iC - - PREPARED FOR SarFc_vt - _L_.>S_I±tcnc21 _, Kc¢((I.(_K lAk W 1-�- PW - TrPaa W�� -- 7-s4 STVV4 I6'o,G Central Construction Company, In i T4 l A c c Y ' Star Devlin-President 2Xlo PT Y o,srs 14 •' a C - J. cllr_ 2- l01 1 C y 0,c- R l 5 3-,z 2 S_.6 nt> 27 Clover lone Morstons Mills,MA 02648 508.4200 340 SCALE _ 0 DATE DWG NO. DESIGN C iOOYI-N l / 1;_ \\ - Ll SL CHECK e1.�1:211.-�1 Tv �' - I / 16416 Ford AWN •, Y ` r10B NO. SHEET OF 4 s m r.�.S f} _ y� 6t oz � ^ 5 f � ;JC•t. J. f _J n a _ 3 7 'j ge 0 i C C The Commonwealth of Massachusetts � Sj = _ : Department of Industrial Accidents -• -... .. -- _ = Office oflo�esligations ,-:_- 600 Washington Street Boston,Mass. 02111 Workers Compensation Insurance Affidavit name: STCaoer� `WLI� location city 0z iL61 phone# ❑ I meowner performing all work myself. am a sole proprietor and have no one working in any capacity ❑ I am an employer providing workers' compensation for my employees working on this job. com nnv name- address: city LM;; IN 6 h phone# insurance co. I nolicv ❑ I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: ..:........ company name: n�'Y address city f� � lC phone#.. insarnnce co: l _ olicv# vuCi l . /////////////////// company name C1 1 '�fi C� address- Ej-)< city- IL/� 1/��ffihj ) �S I��l,> phone#r insurance co. Fanure to secure coverage as required under Section 15A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one years'Imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under t pains and penalties of perjury that the information provided above is true and coned Signature Date Print name C,3 A L, 1l►,i Phone# official use only do not write in this area to be completed by city or town official city or town: permit/license k ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's C Mce ❑health Department contact person: phone#; ❑Other (trnsea 9i95 PJAl Information and Instructions y Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,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. f Applicants ` Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names,address and phone numbers along with a certificate of insurance as all affidavits 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. City or Towns 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 pi number which will be used as a reference'number. The affidavits may be returmR 10 the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a'call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents = yk Office of Invesugadons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 __I The Commonwealth of Massachusetts 9 - (:rb Department of Industrial Accidents = _-_� Of/ICEEI/OYESl198ONFS 600 Washington Street ' Boston,Mass 02111 Workers' Compensation Insurance Afridavit t n an, 0 1 am a homeowner performing all work myself. 1 am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. :::.:•.:.,.,.....: Como III fax. add. .. .. city ►�/� Y I/J�aJ V� �' {... insurance co 7t�l��i ��� ' >`. . I am a sole proprietor,general contractor,or homeowner(circle Dual have hired the contractors listed below who have the following workers' compensation polices: company name ...:............ivy}.:•:i:"^'v.4:ii:Y:v[j{'i,'.if:�{,r•:+Y•i:;;:;�:Y.::.ii:•:r v:<?`:.}:•:L?:?::": r..d a � '.� .........:.:::•.... :i:>.}}:L'yC•'r.}r:;•?}:•}i:}:•S}i::''::::i:Ji?$::i.`•:i:i:::L':?::<:'�':;;.:: is{.:i::•...;{:•}}:•. i : .............. :...:::.::.�:::...;.: ::::..:.:............... .. .:::::.:•}i}:?:•}};••}}•::-. r% :;v:hfi4i{{{{;}ir.`;:-�:1:ti?:i;S::}}•.:::::....::-::::'.`'i:;:i: 777 . .....:::::........ ..::•.:..:::•:.::.:-::..:>::•:;•.::::?.:;:.;i:•i:•}•}'' ;.:•::.:.?,v,.;v..•. :C{}r{y'::n:•pxi)}:..:n„t city } �gc�E�altfODa: eeL` :II[CC73aTP Failure to secure coverage as required under Section 25A of MGL f52 can lad to the imposition of criminal penalties of a fine up to SU00.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a line of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Once of Investigations of the DIA for coverage verification. I do hereby certify under t p 'ns and pen ies of perjury that the information prowled above is true and correct Signature ate ---r- Print name �rofriciai use only do not write in this area to be completed by city or town of0dRl F permitAieense# rjBuilding Department city or town: C311censing Board G check if immediate response is required OSelectmen's Office OHealth Department 1' contact person: phone#; f"1Other reVISM 3 01 P1A) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law",an employee is defined as every person in the service of another under any contract of hire,express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual , partnership, association or other legal entity, employing.employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, 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 havf been presented to the contracting authority. R Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names,address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. -Also be sure to 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. .:..: .. y� City or Towns 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. Pleas( be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. u.• The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Invesdeedons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 ext. 406, 409 or 375 M 04R Appends 1 Table JS.Llb(contused) preseriptive Packages for One and Two-Family Residential Buildings Anted witb Foaail Fueb MAXIMUM MINIMUM Glazing Glazing Ceiling Wall Floor Basement Slab Hcating/Cooling Area'(%) U-valuer R-value' It-value' R valtte' Wall Perimeter Equipment Efliciency' Package I R value' It value' 5/01 to 6500 Hadog Degree Days' Q 12% 0.40 38 13 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal S 12% 0.50 38 13 19 10 6 85 AFUE T 15% 0.36 38 13 25 N/A WA Normal U IS% 0.46 38 19 19 10 6 Nomud V 15% 0.44 38 13 25 N/A N/A 85 AFUE W 15% 0.52 30 19 19 10 6 85 AFUE X 18% 032 38 13 25 N/A WA Nonnal Y 19% 0.42 38 19 25 N/A N/A Normal Z 19% 0.42 38 13 19 10 6 90 AFUE AA 1-18% 1 0.50 30 19 19 10 6 90 AFUE' I 1. ADDRESS OF PROPERTY: C`1'J1J'j'f/yl/ 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): t 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a 780 CMR Appendix J Footnotes to Table J5.2.1b: Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space, but excluding opaque doors)to the gross wall area,expressed as a percentage. Up to 1%of the total glazing area maybe excluded from the U-value requitement. For example,3 ft2 of decorative glass may be excluded from a building design with 300 ft2 of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for:R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example, an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. s The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces, basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. t 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. e If the building utilizes electric resistance heating use compliance approach 3, 4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufactureriin accordance with the NFRC test procedure or taken from the door U-value in Table J1:5.3b.-If,a d'co cont-ins glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 I S YS TEM PROFILE NOT TO SCAL L' TOP FNDN. FINISH GRADE EL . 81 . 5 FINISH GRADE OVER .., ...,: FINISH GRADE PD.O FINISH GRADE O YER DIS T. BOX 80.0 OVER TRENCHES •4'° SEPTIC TANK 7 Z aa� 12" MAX. :o,.Q b• a e:4C ;va..ao.�,� ,o'::a•eyro''°''opti'a°4:'•:' ` .e'tiv.•. :0 °.'�' i o a a.o'•. .d `' OUTLET PIPE LEVEL TOTAL LENGTH OF -TRENCH: Z FOR 2 FT. MIN. 00 oi' i w. :o.� — '.o� b, w `y6r.p0� p D � e a,• e. .• '•Q 7�. oZ 0 - - 'DO ( VJ.�� �'.:0:'0 0:. :b':'l:O,: O •9 - O °da C. I. OR PVC TEES 7�•3"( -' �.eG ' CAP END o� : o 0 0 0 0 0 0 �.8 o..e 1500 GALLON o DISTRIBUTION BOX BSMT FL . ;o":o o t b EL . L4.0 0.. o•. '�'�' °� 9° INSTALL ON LEVEL BASE �� �� :a� a 500 GALLON DRYWELL S R 4 PRECAST CONCP,E TE Q b .H = 0--REINFORCED o: A• b0 o• �i b�o p'�e-0..Cpe��4: O�y•.p'��Q►�.a��riob��_•�q�'O �p' _ SEPTIC TANK TRENCH SEC TION INSTALL ON LEVEL. BASE ,�pc NOTE' EXCA VA TE TO ELEV. I� ;L.. OR 160 LOWER TO REMOVE ALL IMPERVIGUS ' MA TERIA L BENEA TH THE L EA CHING ARE.� 4" DIAM. 12" MIN. p REPL A CE EXCA VA TED MA TERIAL WLTH 3" OF ?/8"—?/2" \ CLEAN, CLAY FREE SAND o s. ;e;:d.;:o. .v cosy b'•�:po • •Aj:}� o, t '� o.'.:' . •° WASHED 'PEA STONE •ae•� P� \ 3/• — ?—1/2" WASHED, mod. ER R0A0 EGG! r CRUSHED S TONE 'r• 84.08• >:c:73-�• GENERAL NOTES — • ` S 82.831II � 1. ALL EL EVA TIONS SHOWN ARE BASED ON ASSUMED NUMBER OF TRENCHES 1 2. ALL PIPES .IN THE SYSTEM MUST BE CAST IRON NUMBER OF DRYWELLS 2 r ii OR SCHEDULE 40 PVC. QBS -RVA TION PIT ,a 3. THE BOARD OF HEA L TH MUS T BE NO TIFIED t ram, A -r roll"/ tom , ? a w 1 v ..�,�!�lSTRL.C� IS C014PLETE PRIOR TO£BA CKFIL L ING i'ERCOL A TION RA TE: O 4. ANY CHANGES IN THIS PLAN MUST BE APPROVED <2 MIN./IN. BY THE BOARD OF HEALTH AND CAPE 6 ISLANDS WITNESSED BY.• N SURVEYING CO., INC. R. GIFFORD " 5. MATERIALS AND INSTALLATION SHALL BE IN BAR✓✓STABLEBgO. OF HEAL TH _ COMPL IANCE WI TH THE S TA TE SA NI TARP DESIGN DA TA LEA TE: ✓UNE 13, 1984 CODE — TITLE V — AND LOCAL APPLICABLE — — — . o, r �RUL ES AND REGULATIONS 3 _= X15?CNC� 6. ; NORTH ARROW IS FROM RECORD PLANS AND NUMBER OF BEDROOMS IS NOT TO BE USED FOR SOLAR PURPOSES � TOPSOIL 6 GARBAGE DISPOSAL NO _ 330 GAL . �.FL OOD HAZARD. ZONE NON—HAZARD DAILY FLOW I6.00 - SUBSOIL W I pgoPoSED 8. VA TER SUPPL Y TOWN WA TER 1500 GAL . a I $ g BEDgooM HSE.' SEPTIC TANK REO D. :_.. - _ 30 "- SEPTIC TANK PROVIDED 1500 GAL . ra S . I T m '°� m ` x v �� ��ff 22 I- LEA CHING REGUIRED GPD �ov�e ° ow /and 0 Q 4�ac0\ GI LV' —__ _.O...1..-._ r 330 cs MEDIUM �FP�,M rN . o•3c•N c N� <P9Qr, SAND SIDEWALL AREA = 152 S.F. 152S.F.X 0. 7�i/S.F. _ .112 GPD. t �e� .e m p, +� •' � W 19l v r �� = BOTTOM AREA = 329 S.F. v / LEGEND 329S.F.X 0. 74G/S. F. = 243 GPD ° Hen( PI. Fern �0,�' Holly N�11 .� v^ ? �od? ti LEACHING PROVIDED = 355 GPD a ti y �s oeae ea f M Church H O 70 PROPOSED EL EVA TION 144" NO GROUNDWA TER 9v A ar Per C7 q0+hd I ne�' {jd. We �O -- EXISTING CONTOUR Minya , ~ n1 3 sBar1 ?a �P� Q — SINGLE FA MIL Y RESIDENCE C L T 2 �� ® OBSERVA TION PIT 25, 93 SF. ® DISTRIBUTION BOX A.d° �6 �4 �• � '' ' °' PROPOSED SEWAGE DISPOSAL SYSTEM ep a r_.: -� RICHARD y< -tZ C--_� 7f - DAMES �, � PREPARED FOR SFRTRAND , L)�B 29894 40.s3 0 o SEPTIC TANKY,S1E ��t,��Q CEN TPA L CONS TRUC TION N 65'20'26"/✓ 2O'4q 26• ,, , L6 4514 _ '`'• ' LOT 2 FULLER ROAD RESERVE AREA A r BA RNS TA BL E — CEN TER VIL L E ASS. � a PIPE INVERT EL EVA TION �'NViD �y`�� ��a�icKs �� DA TE.'_JUN� I�1, 199�, SANIC 4 CAPE 6 ISLANDS ENGINEERING— - - - PLOT PLAN r / ` �Sr� �\ / SCALE AS NOTED 133 FALMOUTH ROAD — SUITE 2E r. PLAN NO. e-OGIl DS MASHPEE, MASS. .,.... _ ' . ..,.,.�. M.4P •aEC PCL LOT HSE �:_ SYSTEM PROFILE NOT TO SCALE TOP FNDN. FINISH GRADE OVER FINISH GRADE EL • 01 - 5 FINISH GRADE PCB"O FINISH GRADE O VER DIST. BOX 74.0 OVER TRENCHES 7 3- 5 - 7 I . 5 SEPTIC TANKK� . O o•a.Dp ` 12" MAX. d o:44• d' ••: �'t7: :o�..A�.D�;;4.•;;Q.e�6•p. 'o•o-oP.Y+4p'!.',• ! .A'ti•C.•. i0 TO TA L ENGTH OF TRENCH Z S'_ a A o 3 OUTLET PIPE LEVEL 0 o.a o: °' FOR 2 FT. MIN. OO 44 Oi• • •.w. , o.- .:. ',D:' '� ':d• b' ..e �. gar br �All, i-0 s� .. '00 :o•:i o:. :b:x:o.: ° CAP END 0 72.28 o b� 72.03 7 I , gs , C. I. OR PVC TEES B o b o Q C o 4 ed°oo� e •. b� P4 0 1500 GALLON DIS TRIBU TION BOX BSMT FL . o.o ► � INSTAL L ON LEVEL BASE "500 GALLON DR YWEL L S " PECA S T CONCRETE 'o• •a.• :e!•i: a'• .Q H- 10 REINFORCED - b o: e- �� o c;bap:.OdG:o'na b::o a o e �' SEPTIC TANK TRENCH SECTION 72,E INSTALL ON LEVEL BASE ,�p� NO TE.• EXCAVATE VA TE TO EL E V I�/�, OR LOWER TO REMOVE ALL IMPS VIOUS MA TERIA L BENEA TH THE L EA CHING AREA 4" DIAM. 12" MIN. REPLACE EXCA VA TED MA TERIAL WI TH 3" OF 1/8to 6 CLEAN, CLAY FREE SAND •4' o A. .Z.o WASHED PEA STONE M •Q,• .,•; • ,:�/4" - 1-1 12" WASHED •� � d ' �Ep o ___ _3C-t�Gll [:'RUSHED STONE •`'�, e• R pA0 FULL -r2 z _--'Top.OF GL7G4 �SiN S 8410 • "E i' � .7�.�� GENERAL NOTES ��•-z 82. " AL L EL EVA TIONS SHOWN ARE BASED ON ASSUMED NUMBER OF TRENCHES 1 2. AL L PIPES IN THE SYSTEM MUS T BE CAST IRON NUMBER OF DRYWEL L S 2 30• OR SCHEDULE 40 PVC. OB,`=P RVA TION PIT 3. THE BOARD OF HEA L TH MUS T BE NO TIFIED ---F — WHEN CONSTRUCTION IS COMPLETE PRIOR P-3439 PERCOLATION RATE: TO BA CKFIL L ING <2 MIN./IN. (, 4. ANY CHANGES IN THIS PLAN MUST BE APPROVED WITNESSED BY.• C BY THE BOARD OF HEALTH AND CAPE 6 ISLANDS I SURVEYING CO., INC. R. GIFFORD 5. MA TER, AND INSTALLATION SHALL BE IN o COMPL IANCE WI TH THE STA TE SA NI TARP BRNSTABL FBRD. OF HEAL TH DESIGN DA TA r__.._CODE - TITLE V - AND LOCAL APPLICABLE DA TE.• ✓UNE 13, 1984 RULES AND REGULATIONS NUMBER OF BEDROOMS 3 6. , -NORTH ARROW IS FROM RECORD PLANS AND 0 UoUS& GARBAGE DISPOSAL NO IS NOT TO BE USED FOR SOLAR PURPOSES TOPSOIL 6 330 GAL . . .FL 000 HAZARD ZONE NON-HAZARD DA IL Y FL ON W 15, �- B. WATER SUPPLY TOWN WA TER SUBSOIL SEPTIC TANK REO 'D. 1500 GAL . _. . . KQ ,: - fl .- • ea — r / 6� 30 " SEPTIC TANK PRO VIDED w Gr Rd. s v ( _ tv Tu�e GAL . _ �, - lz t GPD.. RI o+ ,o at �b•`P X` w �.�' ', --.�.. F+' "`_I L .. Lo-T 5 ' LEACHING REOUIRED 330 I °N�� W end• ao' *`�xc'au"�?- d Ql I I �n. - . x MEDIUM - z • 4 rmad SAND N d In, y� '` SIDEWALL AREA = 152 S. F. vQ,�lJ 152S.F.X 0. t/S.F. = 112 GPD. W W�r�1! - ra o5 °JR Z O�� �iyF�j '` BOTTOM AREA = 329 S. F. ��' 9a'•V t' `�//'� ti LEGEND 329S.F.X 0. 74G/S.F. = 243 GPD Hem, i.,,, '97.Fem T •/ Holly H`1�Q % a 'd. ti LEACHING PROVIDED - 355 GPD �S UN- 90 Y 70 PROPOSED EL EVA TION 144 NO GROUNDWA TER Rd. Rd.�r - we�F = -- 70 — EXISTING CONTOUR s�urrd. • �P\ o N SINGLE FA MIL Y RESIDENCE G 3 OBSERVA TION PIT CO 2 3 SF. 0 DISTRIBUTION BOX ,A,� �� ! i s PROPOSED SEWAGE DISPOSAL S YS TEM �� I \ � .a a��N OF RICHARDep you, (Olt, ��A�, No � PREPARED FOR RTRA 4.1 40.s3 0 o SEPTIC TANK /�/ /'+ /-� /� "W 2O 44 I V OL A ( EPA I GE!'7 Y 4514 _ '. ., a aG LOT 2 FUL L ER ROAD p RESERVE AREA ti ^ - - Of �sQs� BARNS TABLE — CENTEPVILLE — MASS. 7S_7p PIPE INVERT EL EVA TION �� nAvio cH.aF�LKs DA TE.' J UN E I�(, I��a�ti�vtcx' CAPE 6 ISLANDS ENGINEERING s PLOT PLAN ,rFE� � SCALE AS NOTED 133 FALMOUTH ROAD — SUITE 2E SCALE.•: 1 "� -3C7 I �� �-2 2. 27 a �lsi 1 MASHPEE, MASS. — MAP PLAN NO. OI`T �� .SEC.r .PCL LOT HSE j