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0220 HORSESHOE LANE
,d +�r h.�CIF¢ �•fl• �, .-K .. a - �� - - ti5 �.T r ,�. � r • tM i'_�>� A µ` v.'4�p 3t K� T' �y.Y.�tiL�`S ,�L• �rSlf� i� S! t. P ti. ,. R Y _.g t .� fi... ,M � � i � p ± , ,��. to ,, �, _ ,. ,. �• ". .. .: G 5 � - - �. '- � .. l ' .� 1' � c •. .. .. �. ._ � ,. 'i. ... '! ' _ _ �. ,. a � 4i N � , � .. - _ W' i _ - 'a � t . . ,,: ., ,. G. o ,� • � � .. �, + o J ' _ ', a ,, s;, v ;, ' . - Town of Barnstable Cll r € 4.. --' r ." six•r ..:-a" ,� :. '. '"' s i-. . " ""xr g 1� Il wR m onalob and this Card�Must be Ke t r P st This GardSo T -A rovedYPlans.Must be eta ed �_t o ,.. ' Pos Until.Final ted Inspection Has Been.Made> za �e�'I111t Where a Certificate'of_Occu anc" is Re uired'sucli Build�n °shall Notkbe.Occu ied:unril a:F�nal Ins ec#ion has been made ... g Permit No. B-19-3039 Applicant Name: HOMEOWNER IS APPLICANT Approvals Date Issued: 02/14/2020 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential ,Expiration Date: 08/14/2020 foundation: Location: 220 HORSESHOE LANE,CENTERVILLE Map/Lot 207-135 Zoning District: RC Sheathing: Contractor Name> HOMEOWNER IS APPLICANT Framing: .1 Owner on Record:, BUTTRICK,.MARTHA&:BR1 N TRS A Z t u Address: 220 HORSESHOE LANE Contractor License EXEMPT 2 CENTERVILLE, MA-02632 Est Project Cost: $30,000.00 Chimney: a Description: 2 Car garage,entryway attached to house add Wthilaundryto Permit Fee: $:203.00 Insulation: screen.po.rch. y. Fee Paid`: $203:00 _ Final: ff F Date 2/14/2020 i - 49 Project Review-Req: SMOKE,DETECTOR`NEEDED IN NEW FAMILY.,ROOM '` i Plumbing/Gas - Yg Plumbing: 3 , ,. P o h mb - a ug Building Official R mg Final Plumbing This permit shall be deemed abandoned and invalid unless the work authorized by this permitis commenced within siz�months after;issuance.. . • All work authorized by this permit shall'conform to the approved appl�catron:and the approved construction document which this permit has been granted. Rough Gas: All construction,,alterations and changes of use of anybuildingand structures'sh II be in compliance.with the local zompg by laws and codes. This permit shall be displayed in a location clearly visible from access streetor road and shall:be maintained open for public in for the entire duration of Final Gas: work until the completion of the same: RX , Mr Electrical The Certificate of Occupancy will not be issued until all applicable signaturesby the 8uildmg andre Officals are prov ded on the permit. " Minimum of Five Call Inspections Required for All Construction Work: g - • Service: 1.Foundation or.Footing Rough 2.Sheathing,Inspection �. . .'.�.�� � �u�aw 3.All Fireplaces must,be inspected atthe throat level before firest fluelining is installed Final: - 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior toCovering Structural Members(Frame Inspection) Low Voltage Rough`. 6:Insulation 7.Final Inspection before Occupancy;. low Voltage Final: Where applicable,:separate permits are required for Electrical,'Plumbing,and Mechanical lnstallations. Health { Work shall notproceed until the Inspector has approved the various stages of construction. Final: "Persons.contractingwith 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 I, . .. . �30 O� Application Number-".if .. . = TOWN, 4F BARNS ��ee:. PermitFee........................................ ...................... a639. �0 Total Fee P ' .".........`...... ...... TOWN OF BARNSTABLE Permit Approval by ......... PERMITBUILDING PERT �. . Map �?:••:.... ........:..........Parcel........../.�.�/..�...................... APPLICATION SCAN rn Section 1 — Owner's.Information and Project Location FEB 1.4g Project Address av,r5 SA c-t u"��"'"� V311ageC11:� ,,�,�;` (` Owners-Name k `Owners Legal Address pity-�-�l n ✓� �( State Y : G� pa Owners Cell: �� :#, 49 r�S�'7 G� _ _ '� FSection 2 -Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet D Single/Two Family Dwelling. Section 3 -Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm' Rebuild ❑ Deck Apartment © Sprinkler System [►�Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation r Other—Specify Section 4-==Work_Descn- tion Lo 4 A--6 �- T e to A.*.A• 11/1 CMAIQ i T Application Number.................................................... -' ' 5ecfion-,5'.�Detaih-- osv0f Proposed-Construction A,c e2" Square Footage of Project Age of Structure �"� Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design >"C1 VJ r Section 6—Project Specifics f'.L dWiring ❑ Oil Tank Storage ❑ Smoke Detectors ['Plumbing ❑ •Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom i Water Supply Public ❑ Private { Sewage Disposal ❑ Municipal On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: "PO M, P S I am using a crane ❑ Yes U No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes No ❑ Section 8—Zoning Information Zoning District. Proposed Use C A 81 ' 2 4.il r u) 6t Area Sq. Ft. ' o Total Frontage g� Percentage of Lot Coverage /0 #of Dwelling Units (on site) Setbacks Front Yard Required Proposed A 0 n G►1 Rear Yard Required f ,Proposed Side Yard Required 10 Proposed k � Has this property had relief from the Zoning Board in the past? ❑ Yes No Last undated: 11/15/2018 shed ro K. 1 . � I t 49 drive l '15x 2' - � porch 52 K BI L/R 55 f r✓ 55r./25ath P/L LA: 1200 517 P/L a ara a loft over 6 Exist. home the Buttrick Residerical F West Elevation SCANNED FEB 14 2020 I' ro i i e i 4 ,5 drive 15'x 2' por6h 52 K/5 f t b �BI L/R 55 j 101 1 l I 55r./25oth P/L LA: 1260 5F , P/L ara a loft over i f ¢ Exist. home . m a l i the 5uttrick Residencel West Elevation 09/04/2011 w shed ro 1 a 49 drive 2 p orch � o, r B2 K AI BI L/R B3 10' 25 5.6.��/ � "✓ 36r./2Bath ` .P/L LA: 1200 5F P/L ara a loft over Et TI Exist. home ® I the Buttrick Residencal West Elevation Oq/04/201'1 The Commonwealth of Massachusetts Department of IndustrialAccidents, Office of Investigations 600 Washington Street r Boston,MA 02111 www mass gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly e (Busing'ss/Organization/lndividual): dress: Z 4 'to S�2d E j„w� Phone#: 3 7 D� Are you an employer?Check the approp ate bo Type of project(required): 1.❑ I am a employer with - I Ta general contractor and I 6. New construction employees(full and/or part-time).* have^hired fire sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g,'❑Demolition workingfor me in an capacity. employees and have workers' Y aP ty 9. ❑Building addition [No workers' comp.insurance,, 'comp:insurance.:_ required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.El I am a homeowner doing all work ' • officers have exercised their 11.❑Plumbing repairs or additions myself.[No workers'comp., right of exemption per MGL 12.❑Roof repairs insurance ram]t. - C. 152,§1(4),and we have.no employees. [No workers' . 13.❑Other - comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information ` t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. Y I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. , Insurance Company Name: r Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as'well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a,copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under a airs` d pe of p at the information provided above is true and correct Date: Phoneme#�"` ., �o 0- �V-J Ojjicial use only. Do not write in this area,to be completed by city or town.official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 recces all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person iri 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 bg deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a licensebr permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance'coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to 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. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of vnvestigatiom 600 Washington Street Bastion,MA 02111 - Tel.#617-727-4900 ext 406 ar 1-877-MASSAM Revised 4-24-07 Fax#617-727-7749 www:maw.gov/dia AWC Guide to Wood Construction in High Wind Areas: au h Wnd Z®ne _ Massachusetts Checklist for Compliance KARAT)g o A P %'l/ 12�1� ' w�61 FEB 13 2020 Check 1.1 SCOPE *"krdi - fr ,z-t* �;•-.,u,r Y=:_trx•�. --�.,�( Compliance Wind Speed(3-sec.gust). ................................................................ ...............TOWN.QF..J3A-RJVSJ1A8L ph WindExposure Category.................................................................. .............................................................B 1.2 APPLICABILITY / Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story)_J_stories 5 2 stories RoofPitch ..........................................................................(Fig 2) ........................................... 512.12 MeanRoof Height ..............................................................(Fig 2)................................................ -ZLz ft 5 33' BuildingWidth,W ...............................................................(Fig 3)................................................ 2.Jft 5 80' BuildingLength, L .............................................................•(Fig 3). ................... ft5 Building Aspect Ratio(L/W) ............................................. (Fig 4)............................................... . 5 3:1 t/e/Nominal Height of Tallest Opening2 ...................................(Fig 4)..................................... ...... "5 6'8" 1.3 FRAMING CONNECTIONS / General compliance with framing connections....................(Table 2)................................................................ ✓ 2.1 .FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete.............................................................................................................................. _L/ ConcreteMasonry.................................................................................................................................... 2.2 ANCHORAGE TO FOUNDATION1,3 5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete on Bolt Spacing-general........... ............. ..............................(Table 4).................................. _L in.Bolt Spacing from end/joint of plate ............................(Fig 5).................................... in.5 6"-12" Bolt Embedment-concrete........................................(Fig 5)................................................._in.Z 7" aL Bolt Embedment-masonry.........................................(Fig 5)............................................ in.z 15" PlateWasher...............................................................(Fig 5)...............................................z 3"x 3„x,/4" 3.1 FLOORS Floor framing member spans checked ...............................(per 780 CMR Chapter 55). ............ ....................... Maximum Floor Opening Dimension...................................(Fig 6).................................................. .� ft:5 12' Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)....................................... Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall................(Fig 7).................................................... U ft 5 d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................(Fig 8)........................................... .. ® ft 5 d Floor Bracing at Endwalls...................................................(Fig 9)................................ ....... �L Floor Sheathing Type ........................................................(per 780 CMR Chapter 55) f ...C,n..;...... v Floor Sheathing Thickness .................................................(per 780 CMR Chapter 55)...................... in. Floor Sheathing Fastening ..................................................(Table 2).._.&d nails at (min edge/_12Jin field 4.1 WALLS Wall Height Loadbearing walls........................................................(Fig 10 and Table 5)............................_Ift 5 10' a/ Non-Loadbearing walls................................................(Fig 10 and Table 5)...................1 .....�ft 5 20' Wall Stud Spacing ........................................................(Fig 10 and Table 5)................... in.5 24"o.c. WallStory Offsets ........................................................(Figs 7&8)............................................ g> ft 5 d _sue 4.2 EXTERIOR WALLS3 Wood Studs Loadbearing walls....... ........... ........................... .(Table 5)............. ....... .2x_( ft a in. ✓ Non-Loadbearing walls ...(Table 5)..............................2x�--Aft & in. .............................................. Gable End Wall Bracing I Full Height Endwall Studs............................................(Fig 10).................................................................. WSPAttic Floor Length................................................(Fig 11).............................................-2-ft zW/3 a/ Gypsum Ceiling Length (if WSP not used)...................(Fig 11)............................................ ft a 0.9W °✓ and 2 x 4 Continuous Lateral Brace @ 6 ft.o.c. .. (Fig 11)........................................._ v or 1 x 3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft.spacing in end joist or truss bays Double Top Plate Splice Length ........................................................(Fig 13 and Table 6)................................... Splice Connection(no.of 16d common nails)..............(Table 6).......................................................... .4 • BUILDING DEPT. AWC GWde to Wood Constrixtdon in High Wind Areas. Wr 3 Tind Zone Massachusetts Checklist for Compliance (` 80 CMR 53R2.9.1)$ Loadbearing Wall Connections TOWN Lateral(no,of 16d common nails)................................. OF��RNt'.�I '� / ..............(Tables 7)...................................................::E J1L Non-Loadbearing Wall Connections Lateral(no.of 16d common nails)................................(Table 8)........................................................A- t� Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) HeaderSpans ........................................................(Table 9).................................. a ft 0 in.s 11' SillPlate Spans ........................................................(Table 9)...................... - �L ft in.s 1' e/ Full Height Studs (no.of studs)...................................(Table 9)....... ...... .......... .. ................... Non-Load Bearing Wall Openings(record largest opening but check all openings ..ening s for com..p liance to Table 9) HeaderSpans..............................................................(Table 9)................................ .aft.* in.<_12' V SillPlate Spans...........................................................(Table 9)............................... . 3 ft g in.s 12" Full Height Studs(no.of studs)....................................(Table 9)........................................................ '2- Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension,W Nominal Height of Tallest Opening2 ........................................................................... •(i s 6'8" Sheathing Type...............................................(note 4).......................... ° f✓_ Edge Nail Spacing.........................................(Table 10 or note 4'if less)........................ in. a.. Field Nail Spacing..........................................(Table 10)................................................. in. �_ Shear Connection (no.of 16d common nails)(Table 10)................................................. /....... / Percent Full-Height Sheathing.......................(Table 10)....................... ....................... C 0 a 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)..................... Maximum Building Dimension, L Nominal Height of Tallest Opening2 .... ......, ....... .. _te6 6'8" Sheathing Type......................................... .(note 4)...................................... Edge Nail Spacing.........................................(Table 11 or note 4 if less)........................ (- in. ✓ Field Nail Spacing..........................................(Table 11)................................................. VL- in. Shear Connection (no.of 16d common nails)(Table 11)........... ...................:......................... Percent Full-Height Sheathing.......................(Table 11)..........................,..................... Wall Cladding ..... 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)..... ............... Ratedfor Wind Speed?................................ . ......................... ........................................................ 5.1 ROOFS Roof framing member spans checked?.......................(For Rafters use AWC pan Tool,see BBRS Website) Roof Overhang ................................................... (Figure 19)............r._ft 15 smaller of 2'or L/3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12)............................................A 5(.plf _ Lateral.............................................(Table 12).............................................L=_j'j_Jgplf L-11 Shear...............................................(Table 12)............................................S=�plf _ z Ridge Strap Connections, if collar ties not used per page 21... (Table 13).......... ... ...............T=�(2plf Gable Rake Outlooker............................:............ (Figure 20)..........:.... ft s smaller of 2'or L/2 Truss or Rafter Connections at Non-Loadbearing Walls •Proprietary Connectors Uplift................................................(Table 14)............................................U=��Ib. a/ Lateral(no.of 16d common nails)...(Table 14)......................... .....L: b v Roof Sheathing Type............................ . ......... (per 780 CMR Chapters 58 an9) .. ........ -� Roof Sheathing Thickness. ......... .......... ............ ............................. . .......... .S' in.Z 7/16"WSP Roof Sheathing Fastening............................................(Table 2).......................................................... Notes: — 1. This checklist shall be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5361.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 C. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Corner Stud Hold Downs per Figure 18a and Figure 18b 2. Exception:Opening heights of up to 8 ft.shall be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2-grade. o t AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone " Massachusetts Checklist for Compliance (780 CMR 5301.2.1.1)1 4. a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows: i. Panels shall be installed with strength axis parallel to studs. ii. All horizontal joints shall occur over and be nailed to framing. iii. On single story construction,panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction, upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates,band joists,and girders shall be a double row of 8d staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment --WHEN THIS EDGE RESTS ON FMMING USESd NAU$ AT6 ,c -- n- =-- 11 11 11 a 11 I 11 It 11 1 Y 1•I it 11 11 / 11 /1 If tl 11 11 1 ^ ' 11 11 11 1 1/ 1l it K 11 II,r 1 O J 1 If ii a a 1 E- it 11 O J ii a�u h ii I 2 n 11 t It 1/ II I I I 11 1 1 IL( 1 - • I I Q 1 i f 1 12 1 I� f • 1 � 11 fl 11 1 II II 1 it 11 t 06UOLEEAC> L NAB.SPACING t PANEt+ d !, See Detail on Next Page Vertical and Horizontal Nailing for Panel Attachment � J rd f AWCr(amide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance (7H®CMR 5301.2.1.1)1 µStl i 1 yQ i 1 / 1 1 1 If H i � EDGE 6�[fEI2MEDiAT£ �1 1 i 1 ( 1 r wi 31 MIN1 / 3. STAGGERED i XML PATTERN PANEL —„It PAWe EDGE V, DOUMENAILEDGESPACWGwrAL Detail Vertical and Horizontal Nailing for Panel Attachment t Lauzon, Jeffrey From: Lauzon,Jeffrey Sent: Tuesday, October.15, 2019 11:18 AM To: cahalabcb@msn.com' Cc: Lauzon,Jeffrey; Hoopes, Edwin Subject: ViewPermit, Permit No:TB-19-3039 Applicant, Please be advised that the above application has been reviewed by the building department and the following is noted: 1) Conservation has denied the application. 2) No framing plans have been submitted. 3) -Incomplete floor plans submitted. - 4) No details_submitted showing fire separation of required heat detector in garage. The application is denied pending the.submission of the required documents and approval-of the conservation department. And, if aggrieved by this notice;you may file a Notice of Appeal (specifying the grounds thereof) with the State Building Appeals Board within forty-five (45) days of the receipt of this notice.-', Respectfully, Jeffrey Lauzon Chief Local Inspector (508) 862-4034 Jeffrey.lauzon@town.barn stable.ma.us Application Number........................................... Section 9- Construction Supervisor Name Telephone Number Address City State ,. Zip License Number License Type Expiration Date Contractors Email Cell # 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. f' Signature Date Section.10—Home Improvement Contractor Name Telephone Number Address City State Zip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance witli 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 H.I.C... Signature Date �Sectionll Home Owners I icense Exemption m t FHome OWIIerS•Name: Tell eph e Number 4 C�o Work,Number. 4 e' Sld'r," I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 M CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 0 CMR and Town of Barnstable. Signatures r--Date F T c -P.�PLI C7 A N SIB A—T gratnrP- / Date Pruit.Name-e 2" f"lrl�- r- T61 —�, f EOEi il_pemi f`to LA�A/-4 ice��J�O MXA,C t Last undated: 11/15/2018 . 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 L , as Owner of the subject property hereby authorize to act on my behalf, in all i matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date Print Name ,a i Last updated: 11/15/2018 FIRE ALARM INSTALLATION & INSPECTION CHECKLIST Note: All installations shall conform with 78o CMR 9th Edition (MA State Amendments), 2015 IRC R314 & R315 and maintained in accordance with R314&R 315, manufacturers instructions and listing criteria and otherwise shall be installed and maintained in accordance with Chapter 29 of NFPA 72 2013 and 527 CMR 12.00. This checklist is based on typical installations only. If and when unusual or special installation circumstances are presented, consult the fire department. ❑ All smoke alarms shall be photoelectric type ❑ Upgrade: Entire building has been upgraded to listed in accordance with UL217 or UL268. ((R314.1 IRC current code with addition or creation of one or more and MA Amendments) sleeping rooms, or if dwelling undergoes reconstruction more than 50% walls & ceiling open to framing. (Aj102.3 ❑ In no cases shall more than 18 initiating devices MA Amendments) be interconnected (of which 12 can be smoke alarms) where the interconnecting is not supervised. (29.8.2.2(2) ❑ Detectors mounted on walls shall be no more NFPA 72) than 12"but no less than 4"from ceiling or adjoining wall. (29.8.3.3 NFPA 72)and manufacturer's instructions. ❑ AC primary (main) power shall be supplied either from a dedicated branch circuit or the un-switched ❑ Detectors mounted on a ceiling shall not be portion of a branch circuit also used for power and closer than 4" from wall. Recommended: mount lighting. (29.6.3(4)NFPA 72) detectors 2-3 feet from wall. (29.8.3 NFPA 72) ❑ The secondary power source shall be supervised ❑ Detectors not closer than three (3) feet from and shall cause a distinctive audible or visible trouble paddle fans, supply vent for HVAC units, and bathroom signal upon removal or disconnection of a battery or a doors,measured horizontally. (29.8.3.4(6)(7)(8)NFPA 72) low battery condition. (29.641)NFPA 72) ❑ Fuse panel clearly marked to determine ❑ Activation: Activation of one detector causes compliance with (29.6.3(4)NFPA 72) the alarm in all required smoke detectors in the unit/dwelling to sound. (R314.4 IRC) ❑ Detectors shall be mounted on sloped and peaked ceilings within 3' of high side of ceiling but not ❑ Signal intensity: Required alarm sounding closer than 4"from peals. (29.8.3 NFPA 72) devices shall be 75 dBA at pillow level. (18.4.5.1 NFPA 72) ❑ Heat detectors required in attached garages or ❑ Required Locations: (R314.3 IRC and MA internal garage and 'interconnected with household fire Amendments) warning system. (R314.8 MA Amendments) 1. In each sleeping room 2. Outside each separate sleeping area in the ❑ Installation of listed 120 volt or low voltage immediate vicinity of the bedrooms. (Within carbon monoxide detectors. (R315 IRC, MA Amendments, 21' of any door to a sleeping room, the and NFPA 720 2015) distance measured along a path of travel. 1. On each story of a dwelling unit including (29•5.1.1(2)NFPA 72) basements and cellars. 3. On each additional story of the dwelling, 2. On levels with bedrooms, carbon monoxide including basements, and habitable attics but alarms shall be placed outside bedrooms not including crawl spaces and uninhabitable within ten(io) feet of bedroom doors. attics. In dwelling or dwelling units with 3. All alarm sounding appliances shall have a split levels and without an intervening door minimum rating of 75 dBA at pillow height. between the adjacent levels, a smoke alarm 4. Interconnection is required. installed on the upper level shall suffice for the adjacent lower level provided that the ❑ Additional Requirements: House number to lower level is less than one full story below be posted in accordance with Town of Barnstable the upper level. Regulations: 4. Near the base of all stairs where such stairs 1. Arabic numbers,contrasting color. lead to another occupied floor. 2. House number visible from the street. 5. For each l000 sq. ft.of area or part thereof. 3. If numbers are not visible from the street, they must be posted at driveway entrance or ❑ Maintenance: Maintenance of household fire as needed. alarm systems shall be conducted according to manufacturer's published instructions. (29.jo NFPA 72) Barnstable C.O.M.M. Cotuit Hyannis West Barnstable 508-362-3312 Phone 5o8-790-2375 Phone 5o8-428-2210 Phone 5o8-775-1300 Phone 5o8-362-3241 Phone 5o8-362-8444 Fax 5o8-790-2385 Fax 5o8-428-0202 Fax 5o8-778-6448 Fax 5o8-362-3683 Fax Application for Review ❑Permit to Install Fire Protection System �� To: Head of the Fire Department t Application is hereby made in accordance with the provisions of Chapter 148, and regulations made under authority thereof to install for the person or persons and at the location named herein, certain equipment for a fire protection system. This application is made with full knowledge of the current requirements of the regulations governing such installation, which will be made in compliance therewith. The installation of said system shall conform to plans presented for review by the Fire Department having jurisdiction. , 3�Permit No. PROPERTY INFORMATION Property Address: p -c) r5R .0 DQ- //Q 1 q_- Map: OC 0 1 Parcel: J Fire District: ❑ Barnstable [�,�OMM ❑ Cotuit ❑ Hyannis ❑ West Barnstable Use Group: Name: v ❑ Owner ❑ Builder Address: Phone: FIRE PROTECTION INFORMATION Check One: ❑ New System ❑ Repair/Update to Existing System ❑ Required Upgrade to Current Code - Fire Alarm System: ❑ no Volt ❑ Low Voltage ❑ Carbon Monoxide Sprinkler System: ❑ Wet System ❑ Dry System ❑ Combination ❑ Underground Fire Service Main Hood/Suppression System: ❑ Other: ❑ �m INSTALLER INFORMATION Installer Name: Mailing Address: City, State and Zip Code: Phone: Certification#: ❑ Class A ❑Class B ❑Class C ❑Class D Expires: Inspection Contact Name and Phone(s): Installer Email: OFFICE USE ONLY Application Date: Taken by: er ,it/Applic. Rec'd: #Plans Rec'd: Plans reviewed by: � �a Date: ❑. Approved ❑ Incomplete i Comments: I have inspected the above installation and found it to be I have provided accurate information for the above in accordance with the information and plans provided application and will install this system in accordance with with this application. applicable laws and regulations. s FIRE DEPARTMENT DATE SIGNATURE DATE SEE REVERSE SIDE FOR INSTALLATION/INSPECTION CHECKLIST PRINT NAME PHONE# WHITE-FD ORIGINAL YELLOW-INSTALLER i Barnstable C.O.M.M. Cotuit_. Hyannis' West Barnstable 5o8-362-3312 Phone 5o8-790-2375 Phone 5o8-428-2210 Phone 5o8-775-1300 Phone 5o8-362-3241 Phone 5o8-362-8444 Fax 5o8-790-2385 Fax 5o8-428-0202 Fax' 508-778-6448 Fax 5o8-362-3683 Fax TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application #44 Health Division ,`^�,�1 `� �' Date Issued 3 WA Conservation Division ��y 6 RFCQ Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address 2� VZ Village �WVWZ Owner �Y'4l/� Address Telephone Permit Re nest �Ipo� A1V �6 � OVYVW " l u(A 42 41 lou th to i HM& v l Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type tI` Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ 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 ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes C No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number ' Address6AMY-1 License'# V 0 vwt �lllrl� 1"L5b Home Improvement Contractor# Email Worker's Compensation # "Voo ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PR JECT WILL BE TAKEN TO 44VAM& AX�A) SIGNATURE DATE r FOR OFFICIAL USE ONLY • APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. S S. Massachusetts Department of Public Safety tl I i; Board of Building Regulations and Standards License: CS-100988 Construction Supervisor ,< HENRY E CASSIDY 8 SHED ROW f WEST YARMOUTH / i t Expiration: Commissioner 11/11/2017 ,bays `• 6y1PV)W104U0'Lolal'tv-IA olvc-�� m4eff4 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 153567 Type: Private Corporation Expiration: 12/15/2016 Tray '259188 CAPE COD INSULATION, INC HENRY CASSIDY -- 18 REARDON CIRCLE - S0. YARMOUTH, MA 02664 Update Address and return card.Mark reason for change, 'CA I :5 20M•05n1 [] Address Renewal Employment Lost Card �e tpai�u�rzooaeaea.�C�a�C�/�l�waaa�iccae� C—\ -Office of Consumer Affairs&Business Regulation License or registration valid for individul use Only UVOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration, 1:53567 Type: Office of Consumer Affairs and Business Regulation xpiration: ;:1.21.:15/ZG'�` Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 CAPE COD INSULATJON:1NC{' HENRY CASSIDY 18 REARDON CIRCLE" . lei g SO,YARMOUTH,MA 02664 Undersecretary N Otvalid wi ut sign e J The Commonwealth of Massachusetts - - - Department of Industrial Accidents y - I Office of Investigations T__-rf •' 600 Washington Street Boston, MA 02111 .,,a •,�. :-:` www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address; /) �� C � °✓ _ City/State/Zip: l� .a ia ' Phone #; 15 s .� Are you an employer? Check th appropriate box: Type of project (required): � YP P J l. 1 am a employer with 4• ❑ 1 am a general contractor and I * have hired the sub-contractors 6. ❑ New construction employees(full and/or part-time). . 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity, employees and have workers' insurance,$ 9. ❑ Btiylding addition comp.[No workers' comp. insurance p. required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their l l.❑ Plumbing repairs or additions myself. [No workers' comp, right of exemption per MGL 12.❑ Roof repairs insurance required,] T c. 152, §l(4), and we have no employees. 13.�J Other r s. (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: tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or,not those entities have employees. If the subcontractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name; 4 6 hIL rr,,,, Policy # or Self-ins. Lic, #: ��0D' � Expiration Date, L/ 1036 ! �� Job Site Address: UPI— , , City/State/Zip: K� � l Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250,00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurand coverage verification. I do hereby certify ad the pal an penalties of perjury that the information provide abov is true and correct. C G Si nature: Date: L(0IV V b Phone#: Official use only, Do not write in this area, to be completed by city or town official, City or Town: Permit/License# Issuing Authority (circle one): 1. Board of Health 2, Building Department 3, City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6, Other Contact Person: Phone#! CAPECOD-27 BDELAWRENCE A�RO" DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 6/30/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY.AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed, If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Rogers&Gray Insurance Agency,Inc. PHONE FAX 434 Rte 134 A/c No xt• A/C No i(877)816-2156 South Dennis,MA 02660, E-MAILDDRE s: INSURER($)AFFORDING COVERAGE. NAIC# INSURER A:Peerless Insurance Company-see LIBERTY MUTUAL INSURED INSURERB:ATLANTIC CHARTER INSURANCE GROUP Cape Cod Insulation,Inc, INSURER C: 18 Reardon Circle INSURERD: South Yarmouth,MA 02664 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. "NOTWITHSTANDING ANY REQUIREMENT; TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE,POLICIES DESCRIBED"HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, SR ADOLSUBTYPE OF INSURANCE R POLICY EFF POLICY EXP LTR 'POLICY NUMBER MMIDDIYYYYI (MM/ODIYYYY1 LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE 1K OCCUR CBP8.263063 0410112015 04/01/2016 PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000" pqPOLICY PRO- 9 JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $" AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL UTOSED AUTOS BODILY SCHEDULEDBODILY INJURY(Per accident) $ NON-OVVNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLALtA6 OCCUR, EACH OCCURRENCE $ EXCESSLIAB I CLAIMS-MADE AGGREGATE $' DED I I RETENTION$. $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY -'YIN - - STATUTE EERH B ANY PROPRIETOR/PARTNER/EXECUTIVE WCE00431901 06130/2015 06/30/2016 E.L.EACH OFFICER/MEMBER EXCLUDED? N/A ACCIDENT $ 1,000,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If,yes,describe under - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Addltlonal Remarks Schedule,may be attached If more space is required) Workers Compensation includes Officers or Proprietors. Additional Insured status is provided under the General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cape Cod Insulation,Inc THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 18 Reardon Circle ` ACCORDANCE WITH THE POLICY PROVISIONS, South Yarmouth,MA 02664 AUTHORIZED REPRESENTATIVE ©1988.2014 ACORD CORPORATION, All rights reserved, ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID:30278713-42B3-4160-A163-C2204323A401. �aY Permit Authorization . mass save Form PARMIPAIIING Site ID: S00050148958 Customer: Martha Buttrick I, Martha Buttrick ,owner of the property located at: (Owner's Name,printed) 220 Horseshoe LN MA (Property Street Address) (City) hereby authorize the Mass Save Home Energy Services Program assigned Participating Contractor listed below to act on my behalf and obtain a building permit to perform insulation and/or weatherization Work on.my property. DocuSignedby: Owner's Signature: fir•C i �l . OB82DBCC4DOD40E..: _ - - Date: 1/29/2016 i 09:19 PT oeeoeeeeoeoeoeeocooe0000000000eeeaooeeoeooaeeoeoeoeoeoeoeoaoeoa000eoo FOR CSG OFFICE USE ONLY Conservation Services Group.has assigned the following Mass Save Home.Energy Services Participating Contractor to the above referenced project: Participating Contractor Date l7f'� Conservation Services Group- • 50 Washington Street,Suite 3000 • Westborough,MA 01581 •_ 1800-480-7472 For Office use Only. Rev. 102015 CAPE CO INSULATION [�7] ®® IIe IA Ot Af7 SIAMLIfS SPA AY IOAM SUSPINOW e ATT( OUTT11 INSULATION OIILINO, 1-800-696-6611 Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 ' Date: Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape e CodInsulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance .Institute •(BPI) inspector. All'work preformed meets or exceeds Federal & State Requirements. Property Owner Property.Address Village ihn ,4 4 94dZ2 zo �tscs�ae �iJ l¢��.v14 Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings Slopes ( ) ) ( ) ( ) ( ) Floors ( ) ( ) ( ) ( ) ( ) Walls �ti e►^ Gvo r k FP r)lo r, j e01 --14�A 1&4 Sincerely 2rHE ssi r, President Ins ation, Inc. Town of Barnstable Regulatory Service n . STA L Richard V. Scali,Director BAMA MASS, : Building Division",;15 1639. 10� r 'Oren Ma+" Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us.—a------ k�1 € , Office: .508-862:4038 Fax: 508-790-6230 PERMIT FEE: $35.00 SHED REGISTRATION x RESIDENTIAL ONLY 200 square feet or less r Location of shed(address) r Village (003-55 '-4/0&41 Property owner's name Telephone number -7 ias— ' Size of Shed M p/Parcel# , Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? ' You must file with Old King's Highway g/a. fis S Conservation Commission(signature is required) Ayo LhvD Sign-off hours for Conservation 8:00-9;30&3:30-4:30 5w >60 E'e F 4,L ��sA PLEASE NOTE:-IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW.PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:0409.14 Town of Barnstable Geographic Information System August 11, 2015 207106 #41 207084 '®' #3a 207098 #230 207080 #227 \' `� 207093 2071 #49 #220 W - tA� 207083 #62 z07099 207134 #217 #210 207116 #59 207.119 f 207117 #207 207133 #56 #200 207118 #46 207132 ; #190 DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:207 Parcel:135 boundary determination or regulatory interpretation. Enlargements beyond a scale of - Selected Parcel Owner:BROGAN,PETER G TR Total Assessed Value:$252600 1"=100'may not meet established map accuracy standards. The parcel lines on this map are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner:C/O BUTTRICK,MARTHA Acreage:0.23 acres Abutters boundaries and do not represent accurate relationships to physical features on the map f Location;220 HORSESHOE LANE such as building locations. Buffer !��, Town of Barnstable ,,oFt"E r°wti Regulatory Services Richard V. Scali, Director + MUMSfABLE. MASS. g Conservation Division i639. ♦0 16.39 Robert W. Gatewood,Administrator 200 Main Street, Hyannis, MA 02601 E-mail:conservation(@,,town.bamstable.ma.us Office: 508-862-4093 Fax: .508-778-2412 Massachusetts Endangered Species Act Regulations Important changes to,the MESA regulations took effect on July 1, 2005. Project proponents must now file project plans with the Natural Heritage &Endangered Species Program for proposed work within Priority Habitat regardless of the presence of wetland resource areas. It appears that your project is within Priority Habitat and therefore may require filing with NHESP. For more information please visit http://www.mass.gov/eea/agencies/dfg/dfw/natural-herita eg /re u�ry-review/mass- endan ered-species-act-mesa/ There you will find filing requirements, filing fees, a list of exemptions and other important information. You can speak with a member of the review,staff at(508) 389- 6360. To avoid costly delays and the potential for criminal and civil penalties,please determine whether you need to file with NHESP before you begin work. You may view a hard copy of the Priority and Estimated Habitat maps in this office or view them online at http://maps.massgis.state.ma.us/PRI EST HAB/viewer.htm You may also submit an Information Request with NHESP for a list of species associated with the area. This will allow you to design the project to avoid or minimize the impact on rare species. Q:/wWiles/Forms/M[ESA.doc revised MAY 12,2014 , p:r<,,1'. ,. ;..m•r„•w.#, ':.r<., +.':", ';v," i<, '°.:"ice' , yf-",i 'n,:,. 'T"^`r'y ,,,, t"'r',m:'.wxT+axi v3 : r ... �a,...., " .,, <.� �<' ,.': 5 q y*�r "$,;:Y `�,%, ��,'� T"" ^„ ,.. F✓�•'. '& ^"�-�^f„ C"r z „� 45 , ,. .. ,.•�... ,.,E ,- ., n.: .. .. : .,, , .• \x .A tt. ,:"', ," ,w .j c ..: r• < y a� a" y -207-106 3 f+, Y < a G LAI, : 3 r r A, f 9 i Y r% x, L7 Y. irl F 3 207 0iL 84 C 21 141, CA VlAt" . .. � i , „ a WIll"J"17", # 7 r }t N r A 10 CrIll ' 207,-116 207-133 #gg` #200 . � #56 � tg z x „ 2 l� 207 132 6 A T -120 207 .,20 is6 TER' k 207-121 � ' 207�131 # 193 0110110 Town Boundary Parcels FY2015 .13. Address Street Numbers � Buildings v NW2 iTAJSSPcations of y �a Above Ground Swimming Pools QaIn Ground Swimming Pools Walkways Improved Walkways Unimproved 207-098 Paths # 230 ® Stairways Paved Roads � r Unpaved RoadsAWK < Paved Driveways - i x� Unpaved Driveways _ iit a y Painted Lines Q- „ Paved Parking Lots _ }, 0 Unpaved Parking Lots a ?'a Bridges Railroad 1•= Fences 207 D93 �— Guardrails _ — — Retaining Walls �i � Stone Walls 0 - s s OEM Sports Areas Golf Areas Docks/Piers WA, Boardwalks x J" Jetties - 1 Streams .- Drainage Ditches Marsh Areas [J�8 207-135 #220 -`- Water Bodies Spot Elevations(NAVD88) � �j \-4 t6�C_� Topo 10 ft Contours(NAVD88) ^� O Topo 2 ft Contours(NAVD88) 'ixe r Wooded Areas t < Street Trees - - @ f T x Catchbasins Monuments Lamp Posts ._p_. TO f'14 Manholes • 'T Satellite Dish - O Utility Poles Signs OEM Fuel Tanks r Water Tanks - 207-134 Flagpoles Q Utility Boxes #210 Q Posts _ s Zi 1 Pilings , Town of Barnstable Data source Human-made features, Disclaimer This map is for planning purposes only.It is 1 inch=20 feet N hydrography,topography,and vegetation were Parcel lines on this map are only graphic not adequate for legal boundary determination Feet Conservation Division interpreted from 20o8 aerial photographs and representations of Assessor's tax parcels.They or regulatory interpretation.This map does no http://w .town.bamstable.ma.us may have been updated from more current are not true property boundaries and do not represent an on-the-ground survey. ,. O g 10 20 30 40 W 200 Main Street,Hyannis,MA 026oi sources. 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III .... .. ... ..... ... ..._ -. t . r l�T lM 1�11u-02—,A MF 'Lb 1f61�111 { C Pt® Frai and Gerieral Notes: II ■III II �I�li I 11 _III ■II_ . .. .. ..: ' �1 1 s III :� 1, Illil S -t: _'..`."..,"""'"'1�• } Il00 Mllls.. 1ODP51 1.4MOMPS...II II IInI micas> + �•isr r II■Ili I c Y � . uA�r11�11R7w�Ci II�IIb1i �I14�_LIII7�Q II©II .. .. c_f - _ -.._. 3' I' �II� —-■ II■III - - - ""� t III__ �_ _■ — III `� (1 �S�IIIlIIl11111 1 _ �4� 1 _I�Illi I _ �I 1■ _ I ■I� TE SHALL SYSTEM PROFILE ALL MAR ED WITHJMAGNETICTTAPE OR BE NOTES COMPARABLE MEANS FOR FUTURE LOCATION. PROVIDE MIN. 20" DIAM. WATERTIGHT (NOT TO SCALE) 1. DATUM IS NAVD 88 7-- __ ACCESS COVERS TO WITHIN 6" OF FIN. GRADE CONCRETE COVERS TO WITHIN 3" GRADE oc �I Ca^ = r TOP FOUND. _ 2" PEASTONE OR GEOTEXTILE 2. MUNICIPAL WATER IS EXISTING I' o { R STONE FILTER FABRIC OVER EL. 17.6' 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. \ EEC MINIMUM .75' OF COVER OVER PRECAST I F 2� SLOPE REQUIRED OVER SYSTEM 15.0'-16.M � I i PROPOSED T 4. DESIGN LOADING FOR ALL 0 OSED PRECAST BLOCK`. OR UNITS TO BE AASHO H-iQ PRECAST RISERS `D 4 4"OSCH40 PVC z orseshoe [n MORTAR ALL 5. PIPE JOINTS TO BE MADE WATERTIGHT. PIPES LEVEL 1ST 2' 4 COMPONENTS INVERT IN 12.8' 4_ A� / i ENDS (TMP') SIDES 13.63' 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE zoos/ L-� _ WITH 310 CMR 15.000 (TITLE 5.) n r 1500 GAL H-20 14" �� ®®� ®® �7®® I d 13.91 *13.66' TEE SEPTIC TANK TEE 13.41 000an ;o0000 ���® ��®®®® 1�1®B0®® 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND Tech ,Ro °ten:, 0 0. ® Im®®®®®®® NOT TO BE USED FOR LOT LINE STAKING OR ANY GAS BAFFLE _ __.. ---------___ 10.8 OTHER PURPOSE. ,t 13.12' 12.95 4' LIQ. LEVEL (ACME OR EQUAL) 6" MIN. SUMP f _ - i2" MIN. TNT- DIM. `H-10 500 GAL. LEACHING CHAMBERS BY ACME PRECAST 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. o00•o o•o ° o•o-o 0 0 0 o a•'o o'o o o 0 0 o`er 3/4"-1-1/2" DOUBLE WASHED STONE 4' MIN. (2) UNITS REQUIRED OR EQUAL. 0000000°0000000000000 0000000000000°0°0°0°0°0 ° ° ° ° ° ° ° °^°^°^ ° ° ALL AROUND PRECAST STRUCTURES 9. COMPONENTS NOT 10 BE BACKFILLED OR Nantucket 6" CRUSHED STONE OR MECHA.41CAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 25.00' X 12.83' CONCEALED WITHOUT INSPECTION BY BOARD OF COMPACTION. (15.221 [21) vi OFAHEALTHLTH D PERMISSION OBTAINED FROM BOARD Sound (2.5 1 ( % SLOPE) -- _ - MIN, 9. SLOPE) ( % SLOPE) 1 10. CONTRACTOR SHALL BE RESPONSIBLE FOR 10' SEPTIC TANK/ 29' D' BOX 17' LEACHING CALLING DIGSAFE (1-888-344-7233) AND LOCUS MAP FOUNDATION PUMP CHAMBER FACILITY VERIFYING THE LOCATION OF ALL UNDERGROUND & NOT TO SCALE *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS 5.8' ADJUSTED WORK. PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM GROUNDWATER ASSESSORS MAP 207 PARCEL 135 11. ANY UNSUITABLE MATERIAL ENCOUNTERED *NOTE: INTERIOR PLUMBING TO BE RAISED & SHALL BE REMOVED 54' BENEATH AND AROUND THE RE-ROUTED TO EXIT THE DWELLING IN LOCATION PROPOSED LEACHING FACILITY. VARIANCES REQUESTED: SHOWN ON PLAN VIEW. PLUMBER TO CONFIRM UNDER MAX. FEASIBLE COMPLIANCE 15.405: FEASIBILITY PRIOR TO INSTALLING ANY PORTION 12. EXISTING LEACHING FACILITY SHALL BE PUMPED OF THE SEPTIC SYSTEM AND REMOVED OR PUMPED AND FILLED WITH CLEAN (1a): REDUCTION IN SETBACK, SAS TO LOT LINE (10' TO 5.0') & SAND. SAS TO DRAINAGE EASEMENT (10' TO 7.4') (1b): REDUCTION IN SETBACK, SAS TO FOUNDATION (20' TO 8.9') PROVIDE 26' OF 40 MIL LINER AT 5' OFF SAS IN AREA SHOWN. TO' AT ELEV. 13.6', BOTTOM AT EL. S.6't SYSTEM DESIGN: \ j N,\ \ GARBAGE DISPOSER IS NOT ALLOWED I ; APPROX. DRAINAGE PIPE LOCATION �/ -- NT ;\- �� DESIGN FLOW: 3 BEDROOMS Q 110 GPD 330 GPD DRANAGE FASEr USE A 330 GPD DESIGN FLOW SEPTIC TANK: 330 GPD (2) = 660 USE A 1500 H-20 GAL. SEPTIC TANK EXISTING SURFACE DRAIN - .I \ if FOR ROAD RUNOFF ¢ ''V�A� r �- \ ` Z LEACHING: 1f TH ,` �� i�•Q�� TEST HOLE LOGS ( r` ?,? _ SIDES: 2 (25 + 12.8�2 .74)` 112 GPD s 1 I o J J \NDN BOTTOM 25 x 12.83 ( 74) - 237 GPD eDANIELE. GONSALVES, SE #13587 �0ENGINEER: TOTAL. 2 tXlSrING \ ^ 47 S.F. 349 GPD DAVID STANTON, RS DWELLINC ,LIP WITNESS: _-_ _ __- -__ _ _ -- 5' REMOVAL OF UNSUITABLE SO, REQUIRED ,_ - TOP OF \ E (2) 5 CHAMBERS (ACME OR EQUAL) AROUND PERIMETER OF LEACHIb FACILITY, O f3 US 0O GAL LEACHING2 22 16 F , EL. 17.6kDATE: �22/ DOWN TO SUITABLE SOIL LAYER REPLACEWITH CLEAN MED. SAND, TO ME=T � � WITH 4' STONE ALL AROUND \ .. PERC. RATE _ _< 2 MIN/NCH _ - SPECIFICATIONS OF 310 CMR 15 255(3) o \ cP 0 of �( �^+� �•.i ,. `��° '�r/ j �1 \\ ; ` � % ,I CLASS I SOILS p# 14960 ELEV. ELEV. a 1 ' ��^ t - MA `' \` 16N 00- �' O J } \ '' APPROVED DATE BOARD OF HEALTH O 00` ORS -,fti�o� P� 115 00 TITLE 5 SITE PLAN i / V OF FILL FILL \ `� O BE RAISED ) } �, �U� O ��3 C NOTE: INTERIOR PLUMBING T ? & REROUTED. PLUMBER TO CONFIRM �£� , 1/ / ��` _ FEASIBILITY PRIOR TO INSTALLATION OF / 220 HORSESHOE LANE ANY PORTION OF THE SEPTIC SYSTEM 84" 7 0' 86" 6•8' CENTERVILLE, MA C1 C, LEGEND- _ PREPARED FOR PERC LS LS 991 ,4�� BRIAN BUTTRi K W/ POCKETS W/ POCKETS EXISTING CONTOUR T -'� ,°' OF M/CS OF M/CS X 99-1 EXIST. SPOT ELEV. ( I DATE: MARCH 21, 2016 1 OYR 5/6 4.0' 120" 10YR 5/6 4 0, 99 PROPOSED CONTOUR 120" GROUT`.DWATER ADJ. DATA: 198.4] PROPOSED SPOT E_. -4541 C G WELL: MIW 29 TH1 - fax 508 362-9 80 2 2 ZONE: B , TEST HOSE downca e.com M/CS M/CS ADJUS `MENT: 1.8' i I 10YR 5/6 10YR 5/6 (FEBR JARY) 2> sLOPE aF GROUNc ~M1 - � .� ' ; down cQpE' en f�deer1ng, 18C. j; civil engineers 144 2.0' 144 2.0 - 2C' �, , land surveyors SCaI _. i - UTI ITY POLE GROUNDWATER ENCOUNTERED AT 120" EL. 4.0 FIRE HYDRANT 939 Main Street ( f2te 6A) - DATE DANIEL A.ALL SYMBOLS MAY APPEAR IN )RAMNG 16-038 BUTTRICK.DWG OJALA, P.E., P.L.S. YAA%' OUTHPOI?T MA 02675 t� NOTE: NOT A I I)�EI # / 6- 0 (_ -- - _ - �.