HomeMy WebLinkAbout0021 HYDE PARK ROAD 1 i'ear-=kL�
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map i Parcel Application #
Health Divisi n Date Issued Z CZ
Conservation Division Application Fee
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board �I2Jjg)12,,
Historic - OKH _ Preservation/Hyannis ��..JJ lJ
Project Street Address 2-1 g d e IDCP 2�.
Ce ,ry l-P
,Village
Owner
5e/' U 1't-ral �tJ Address 2-1 �y�(e l�uClG
T $30 Telephone' .
Permit Request �QSe � /� C4-N
All I
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
`Project Valuation Z�DD Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documee tation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units)
c)
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway-'LJ Yes ❑ No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.,!
Number of Baths: Full: existing new Half: existing
Number of Bedrooms: existing —new
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No
Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_
Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review #
Current-Use - -_-- = Proposed Use- - - --_ -- - - -
APPLICANT INFORMATION
(BUILDER O DOWNER)
Name SP/ l Icy Telephone Number '7$) - 80 1 -8v$3 O
Address Z-( 14 k_ ar Am License #
32 Home Improvement Contractor#
i
Worker's Compensation #
l
iAL`L CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
!SIGNATURE DATE �� 6 zaZ
:t
` FOR OFFICIAL USE ONLY
Y
t
APPLICATION#
DATE ISSUED
3 _
MAP/PARCEL NO.
ADDRESS VILLAGE _ f
OWNER -
r
DATE OF INSPECTION:
�FOUNDATION
FRAME fIP 3110az yR1 4 f 0 =
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL '.
GAS: ROUGH - FINAL-
;
�G�13
FINAL BUILDING -
t
DATE CLOSED OUT
ASSOCIATION PLAN NO.
i ,
600 y{'ashingtvn Street
$osto MA02111
.. n
www m. ass gov/dia
Workers'Compensatton-:Insurance Affidavit Builders/ContractorslElectricians/Plumbers
Apphcalit Infoi iaation
Please Print LeiblY"
Name(Businessl0rganization/Individual). �C f-�c c A 1 I V
Address: 21 hfV date�C- azc.a
City/State/Zip C�►'}�R-rV 1 I-P /�`lj Phonc.#:
Are you ati employer? Check the appropriate bow :Type of project(required);
4. I am a general contractor and I
1.❑ I am a employer with 6. ❑New construction
employees (full and/or part lime) * have hired the`s'ob�outractArs ,
2:❑ I am a hole propriet w or partner= listed-on the'attached sheet ' . " 7. ❑Remodeling.
ship and have no employees These sub-contractors have `8: .[]Demolition
wo for in an ca aci employees and.have workers'
rking Y P tY 9 ❑Building addition .
[No workers',comp.insurance` .. Comp insurance.#
f 5. We are a corporation and its.• 10.❑•Electncalrepairs or additions
required.] 1 ❑ .
officers have exercised their 11. Plumb' re airs or additions
3,. I am a homeowner doing all work . P
myself. [No workers' comp. right of exemption per:MGL 12-El Roof repairs.
c:152,. 1-4 ,.and we have no
( insurance required.]t .§
employees. o workers'. 13.❑ Other
coIIlp.insurance.required:]
*Any applicant that checks box#1 Est also ED out the section below.showing their workers'compensation pphcy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
Contractors that check this box.must attached an additional sheetshowing the narnc 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.polidy number:
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information
Insurance.Company Name; -
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address City/State/7-p: _
Attach a copy of the workers'compensation policy declaration page'(showing the policy number and expiration date).Failure.to secure coverage as required tmder Section 25A ofMGL c. 152 can lead to the imposition of crimiaalpenalties of a
fine iip 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'
state erit may>be fo forwarded to the Office of
of to 250.00:a da a tthe violatoz: Be advised that a co •of this mrw
uP $ Y 1;�. PY
Investigations of the DIA for insurance coverage verification
I do-hereby certify u er the pacns•and pe of perjury that the`txformadon provided above is true and correct
14,
Si !tnre-: Datn.do
�. —
Fhone
))Official use only. Do notwrife in this area, to be completed by czfy or town`offciaL
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#
employees
Massacbnsetts-General Laws chapter 152 requires a11.employers to provide workers' compensation for their
Ptn snant to.this statute;.an employee is defined as"..every person in the service of another ender any contract of hire,
express or implied,oral or written
An employer is'def ned as"an individnal,'partnership;association,corporation or other legal entity;or any two.or more
of the foregoing engaged m a joint enterprise,and lud rncmg the legal.representatives of a deceased employer,or the__. —
rmeiver or trustee•of an individual,pirhnershipt association or other.'egal entity,en tp Dying imp oyoes. owever e
owner of a dwelling house having not more than three.apaibuenfs and who resides therein, or the occupant of the
dwelling house of another:who employs persons to do maimte ce,construction or repair work atf'snch dwelling
or on the grouiitis or building appurfnnant.thereto°shall notbecause of such employment be deemed to bean employer." '
MGL chapter 152,.§25C(t7.also states that"every state or local licensing agency shall withhold the issuance or
renewal of:a license or permif to'operate a business or to construct buildings in the commonwealth for any
app4canfwholas not' odaded•acceptable evidence of compliance with the Insurance coverage required"
Additionally,-MqL 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 zvidence of compliance with the ins nce .
requirements of this chapter have been presented'to the contracting airthouty."
A.pplicants...: -
Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,it
necessary,supply sub-conti-actor(s)name(s),address(es) and phone number(s)along with their certificates)of f
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 pemmit/license applications in any.given year,need only submit one affidavit indicating c=eat
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 maybe 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 a dog license or permit to bum leaves-etc.)said person is NOT required to complete this affidavit
The Office.of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us°a calL ; S _
The Department's address,.telephone-and fax number:
]G oz la alth clMa c-hwctts .. .:
BoStd2-, IOTA.0 111
Tel.#617-727-4-9-00 ext 406 Or 1-M-MASSAFE
Revised 11-22-06
10, mas.g� d
of o�y,
Tom 'of Bara�stable
THE t `
P "s Regulatory Services
F Thomas F.Geiler,Director ..,MASS
`
E63;9. ,fig
. Building l®ivisiola .
Tom Perry,Building Commissioner .
200.Main Street, Hyannis;MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 dFax. 508=790-6230`.
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION:
-'-
i . t.,,,..� r��:.,,•_,;__� `- village p
L r:
?S/ p y q
"HOMEOWNER
y name 'home phone# work phone#
CURRENT MAILING ADDRESS: 2-1 14 VC1& Par
city/town state zip code
The current exemption for"homeowners"was extended to include Owner-occupied dwellings of six units or less and
to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as
supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to
be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A
person who constructs more than one home in a two-year period shall not be considered a homeowner.;Such
"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be
responsible for all such work performed under the building permit.' (Section.109.1.1)
The undersigned"homeowner"assumes responsibility.for,compliance with the State Building Code and other.
applicable codes,bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department
T„in;rr, spection procedures and requirements and that he/she wit ,comply with said procedures and
req meats.
Signatu omeo e
r
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the,
State Building Code Section 127.0 Constriction Control. '
HOMEOWNER'S.EXEMPTION
The Code states.that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions
of this.section(Section`109.1:1 —Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such
work,that suet Homeowner shall act as`supervisor.'.'
Many homeowners who.use this exemption are unaware that they are assuming the responsibilities of a supervisor{see Appendix Q,
'Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly
when.the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed;
Supervisor. The homeowner acting as Supervisor is ultimately responsible.:
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,
that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by
several towns. You may caret amend and adopt such a form/certification for use in your community. "
Q:forms:homeexempt
Town of Barnstable
0
Regulatory, ervices`
MASS. . $ Thomas F.Geiler,Director
'��, ►•�a Building Division
Tom Per Building Commissione
, . . Perry, g . r .
200 Main Street,Hyannis,MA 02601
www .us
:town.barnstable.ma
Officer 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Sectio
If Using A Builderd.
4 t
I, as Owner of the subject property
hereby authorize to act on my behalf,
in all matters telative'to work authorized by this building permit'
(Address of Job)
Pool fences and alarms are the responsibility of the applicant. Pools
are.not to be filled'or utilized before fence is installed and all final "
inspections are performed.and accepted. ,
Signature of Owner Signature of.Applicant
Print Natne Print Name
Date
Q:FORMS.:OWNERPERMISSIONPOOLS 6/2012 '
21'Hyrde Park Road' Basement ent Propose �
Centerville
IT
14`
NgAFNWATER
Wind
H=12"' SEATING yx � WATER HEUER GAS
W4r=27" FEQQf ill
i4.g6Y I{ a
11 INEAZ'[NG GAS
i�10`2"
sD
- SHIELF Y.
11°
TV
ZOO
UNFINISHED 35
�
cone€ete
STORAGE
1l4ri'ndowr S ' ,fi
e 1 inch Tongue and
Groove Foam ie►suF.
H'=12"
W=27" 5' e inteenalwaf,U not i'nsut
ITI
$®
c==�Stud watt EnSuiar2ed
Opening to 21^
Bulkhead door" Window
H=7'4" H=12"
W_4' the=27"
2C1yrviP
Basement Existing
enterville
20' 11
14`
Window 1
H=12te
=27
26`
r
Windrow 2
H=12`
w_27"
To Bulkhead door Window 3
Opening: H=7'4`° Opening: H=12"
W=4` W 27"
4
s 7/
21 Hyde Pack Roa 20'
Centerville Cull I I
First Floor
front steps
No change
14''
F
Study S
Living Roar C c
�
r
t
c
One car Garage
24'
C
• Kitchen Dinning Ftrorri
Full
❑ trathrooni
with
washer
drier
FT. ) no
beak 4'
14'
15'
I�
C
a.Rk R adle MA. 2:nd' f loo' No change
14'
Vaulted !Ceifin
o �
t
i I V-1—V
5 Cat Walk.
Bedroom om
Bedroom 3
Bedroom 2
Beth E
room
t
2!0'
12,061
Town of Barnstable
oFz"E r�ti Regulatory Services
�
f;Ef�F Thomas F.Geiler,Director . 4Pp
� 2
'"'MAS&'� ' Building Division
p
9�AjE Tom Perry,Building Commissioner's
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
PERMIT# C�Z)cQ 0 V FEE: $
SHED REGISTRATION
120 square feet or less
Cer\4f vi 16
Location of shed ddress) Village
SE � FU t- AIL 0 I
Property owner's name Telephone number
�� b( Of
Size of Shed Map/ arcel#
SianatdKe Date
Hyannis Main Street Waterfront Historic District?
Old King's Highway Historic District Commission jurisdiction?
Conservation Commission(signature is-r_eguired)
Sign off hours for Conservation 8:00-9:30&3:30-4:30�
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 d191
PLOT PLAN
Q-forms-shedreg
REV;042506
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JOB # 84-198
CERTIFIED PLOT PLAN
PREPARED FOP.-
LOCATION., LOT-9 HYDE PARK BARN
SCALE: 1=40 DATE: 04/14/86
REFERENCE:
PB383 PG39 BAYSIDE. CONSTRUCTION
9
I HEREBY CERTIFY THAT THE BUILDING
SHOWN ON THIS PLAN IS LOCATED ON THE
GROUND AS SHOWN HEREON OF M
.AR
down cape engineering
CIVIL ENGINEERS a #26 43 4-
LAND SUPVEYOPS9�CIST •��, `�
.ROUTE 6A . YAPMOUTH• MA DATE PE . lle." V VEYOR
A esso�s map and lot number. ... ( SEPTIC SYSTEMLIA
US
F INSTALLED IN TITLE 6 N THE
Sewage Permit number .....................................i..C,�........... W�
ENVIRONAAENTAL COD t 8a8b9TULE, i
House number ........:............. �..F .........:.................:..... ���.11 �(PDNo o� ae
7 T®��'A � 9GYPY.�\0�
TOWN OF BARNSTABLE
BUILDING
INSPECTOR
APPLICATION FOR PERMIT TO ... an. .:..` !a ...... ............. .... 5 .................
o ....�.n. 1 ►!ll�...........................
TYPE OF CONSTRUCTION .................... ........ .............:.....................................
......... . ................
.19.c3�..
TO THE INSPEC'OR OF BUILDINGS:
The undersigned hereby applies for a permit according to the.following information:
f /�
Location ............./,. ...... .......... .. b .... ...............4.. ........................................................................
ProposedUse ..........�e.s,G r!1.. vt.C..i7.�...................................................................................................................................
Zoning District ... .. ..1�.:.t..................................................Fire District .........L•• ..-....CJ .................................
Name of Owner ....... . .. r� F•• °.................................Address .............L. .......................................................
..
Name of Builder ............. . ..................................Address .............do-f...................................
Name of Architect ....... C11... .......................Address .............�/ ... ..................
Number of Rooms .........4.....................................................Foundation .....&CAPd...6,-A .C....C. .......................
Exterior ............. i�lL.. .............s .�?!!/1�. Roofing .........��`'� ..':F1W.
Floors.........�411��� ......(��/�G .........Interior ...........1..10 1°..... . ........,...
Heating /' 7 /..........�G.�j. .........��7:.�..................................Plumbing ............:.!�..6...:.....C.I/
Fireplace .......... ... . .......iT....(�[Z1.4:!k......................Approximate. Cost ......... 5,...U......`........;X.,
Definitive Plan Approved by Planning Board — - -195 �`?�re ...........
Diagram of Lot and Building with Dimensions FeeS.J.'..oL..
SUBJECT TO APPROVAL OF BOARD OF HEALTH 73f e�L
1220
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
` Name ...... '...../�
Construction Supervisor's License ... . ...........
i
FAYSIDE BUILDING /73-
,�Lmily173-6
29211 - 1 - s ' gle
..............I Permit for ..?. ....,fLmilX....dwellin� :.. ..
............Lot #9 21rk Location ................................. .........
Centerville................ ,
Ba side Buildin Co.
Owner ........................Y..............................,..�..... ,
frame
Type of Construction` ..................... .
................................................ • -'t I. , Y - •� " •I .J w`'. - • y ..
Plot .i......................... Lot . ..........................
/ r
Permit ............................:`•April 16 19 86
- •-2
Date of Inspection .......... ..........................19 -
Date zCompleteo ~` 9
Cu
s' y
ri 0 ;
i - -
sib ;�';,.f'e.� �' '- r • _
AOIN
.. ._ � � � ,..wee►_ .� _— ,? _.. __ � __
i
` Assessor's map'and lot number lC .r"!... ./. ........ F THE r
yo o�
8C
Sewage Permit number ........ ..........�:?..1.. .....:,.,.. d�
Z MAR33TADLE, i
House number .>I...F:3-S:.......................:....... 9 NAG&
,... ...,,...... O
O 1639•
C MAY
TOWN OF BARNSTABLF
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ... .................... . ...: 6'L?0................... >.
TYPE OF CONSTRUCTION ....:.:. .........................................:....................................
TO THE INSPECTOR OF- BUILDINGS: `'
The undersigned hereby applies for a permit according to the ollowing information:
Location .............h. ......yG..........t?.�.,. .... .....L„ v .:......,...........................
Proposed Use ........../. .>c`v: . :!. ................................�.,,��ti.-, ,
+41. :Zoning District .........��.:.s� Fire District ........................:............................... ..... a.:'1........... . .................................
Nameof Owner ........ ...................................Address .............(. I ........................................................
Y' �s�/
Name of Builder ...............�'t/..�...................................Address f�:..�......�
Name of Architect .......��...,.�J:... .�`��::<.. ..-e ...................Address ...........,.jpl- .........................................................
Number of Rooms ........&I.....................................................Foundation ..... 19..........,�:11.�6�.i`.... .................
�............ yN��. i ,� Roofing ......... .
Exterior ................... .� 11. . ..•................... ................................
(/ 1l f% o�` I.� � .........Interior ........r�i ?`...... ter! ' �lc
Floors ............_.. ..........46.,(,� .. .........�..j./... .. 1..,.7�.f •,� ��,,//
Heating /� ....... . ....................:.............Plumbing ........: ' C�....J.�G .......: ..,'%>....&U,/fs
� 1
, /l
Fireplace 2V. ...:...... ..... />!?�. ............................Approximate.Cost ......... .,....It.. .."................................
Definitive Plan Approved by Planning Board ___ a=-l;t__�__ ________1 q
F
_� _ Area ..........................................
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
f
J
- -
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ...... ?....../. /.1... - u`1. .............................. 4Y ti,'
Construction Supervisor's LicenseV.. .....f� v
r -
BAYSIDE BUILDING CO A=173-16
No 29211 .permit forl 2.. story single
........family dwelling
.. .................
Location Lot #9 21 Hyde; Park
Centerville -
Owner Bayside Building„Co
................. ...........
Type of Construction frame
................................................................................
Plot ............................ Lot ......................I..........
Permit Granted .......Apri1...16
Date of Inspection...:..................................19
Date Completed .......................................19
t -
�� n
r
a ,
a
y fTME TOWN OF BARNSTABLE Permit No. ...29L11
BUILDING DEPARTMENT
{ '" AS TOWN OFFICE BUILDING Cash ........
39
Ewa
_ �ou,Y■ HYANNIS,MASS.02601 Bond ......X.
CERTIFICATE OF USE AND OCCUPANCY
Issued to Bayside Building Co.
Address Lot #9, 21 Hyde Park
Centerville, Massachusetts
USE GROUP FIRE GRADING OCCUPANCY LOAD
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN I
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE ' !,
BUILDING CODE.
l ,
Building Inspector
t
t
1i
TOWN OF BARNSTABLE
BUILDING DEPARTMENT
TOWN OFFICE BUILDING
rua
7g i63q' �� HYANNIS, MASS. 02601
'�o cur►•
MEMO TO: Town Clerk
FROM: Building Department
DATE: ,.�e �
An Occupancy' Permit .has been issued for the building authorized by
BuildingPermit $k...... .. ' f __ ._.._.............................................................._.........................................»................. .. ... .
issued tors/./ ... . 1. � _ .............../ .../,,,,..... a � l1 ../ �'
Please release the performance bond.
t r
s BUILD1,NG
. jF BAR NSTABLE, MASSACHUSETTS � PERMIT
1113- i i
JOB WEATHER CARD .
DATE 19 PERMIT NO.
Guile f 1 t C t. ')r:J.o 't):. 51) 1
. APPLICANT ADDRESS
(NO.) (STREET) (CONTR'S LICENSE)
I r 1 NUMBER OF
PERMIT TO i�L' (iil i)k't.'li�ilp ( ] i STORY '1''I;;i.t' !/'=ii:l_1 i)kcl._. .ii.' DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
I.ut if'), 'i ki);rls l.'r;tc, lt.c`.""'i.L.ICt ZONING
AT (LOCATION) DISTRICT
(N0.) .(STREET)
_ BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE _FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS:
AREA OR i:_.'.i) i(. tt•
(j�l(
VOLUME j l'll) PERMIT
ESTIMATED COST $ FEE
(CUBIC/SO UARE FEET) � `i
Y
OWNER
ADDRESS I ' Vi j.ia: BUILDING DEPT. % �`
BY /
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART,tHEREOF. EITHER TEMPORARILY OR
- PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP-
PROVED 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 THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR
ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND
I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALLNOT.BE OCCUPIED UNTIL
MINAL INSPECTION
TI TO LATHE FINAL INSPECTION HAS BEEN MADE.
3. FINAL INSPECTION BEFORE
OCCUPANCY. ..
POST THIS CARD SO IT IS VISIBLE FROM STREET °
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALSQ
)
2 2
2
3 HEATING INSPECTING APPROVALS REFRIGERATION INSPECTION APPROVALS
0'Um OF BARNSTABLE
Tl ERRYG DIVISION
- _-_-- -- - -- _- -S.
OTHER .2 —
t�\T .;jt,. . ;( , t. �:�,��- c r
9
WCRK SHALL NCT PROCEED UNT:L THE PERMIT WILL BECOME NULL ANQ•VOID IF CONSTRUCTION iNSPECTIONS I,NQICATED ON 7i IS CARD
:NSPECT.OR -iAS APPROVED THE 'JARIOUS WORK IS NOT STARTED WITHIN SIX MONTHS OF DALE THE CAN BE ARRANGED FOR BY?£LEPH9NE
STAGES OF CONSTRUCTION. OR WRITTEN NOTIFICATION:
PERMIT IS ISSUED AS NOTED ABOVE.
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JOB # 84-198
CERTIFIED PLOT PLAN
PPEPAPED FOP.
LOCATION., LOT-9 HYDE PARK BARN
SCALE. 1=40 DATE. 04/14/86
REFERENCE.
PB383 PG39 BAYSIDE CONSTRUCTION
I HEREBY CERTIFY THAT THE BUILDING
SHOWN ON THIS PLAN IS LOCATED ON THE
GROUND AS SHOWN HEREONN` OF
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CIVIL ENGINEERS l low,
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LAND SURVEYORS ``s 9���ST •`�,�`
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WASHED STONE
IN• OUT• IN• OUT• IN
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TEST HOLE LOG
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TEST BY K.�`I��� WITNESS �} 3 BEDROOfvi HOl
TEST DATE DESIG •
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ELEV.(�• r ELF' C DIS NO ER DISPOSER
PERC RATE MINiIN.
24 1 LOA �o�} FLOW RATE 330IGAL•/DAY) —
GL SEPTIC TANK 3a0 (/S=
REQ'D,SEPTIC TANK SIZE c,��
LEACH FACILITY
GL, ►� ao�lis Ira G 12 (2,S) - ]4 1/
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WATER ENCOUNTERED
NOTES: (UNLESS OTHERWISE NOTED)
• TAKEN FROM ��/ QUADRANGLE MAP
U
I.DATUM(MS .— aVAILABLE
2:MUNICIPAL WATER _ OF
3.PIPFrPITCHI A"PER FOOT 7y •44
4.DESIGN LOADING FOR ALL PRECAST UNITS:AASHO
S.MIN-GROUND COVER OVER ALL SEWAGE FACILITIES:(1)FT. C NE K (,
6.PIPE JOINTS SHALL BE MADE WATERTIGHT
7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. j/ /CiVI
STATE ENVIRONMENTAL CODE TITLES
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REG.
BOARD OF HEALTH
9N6JITAF31 M,
(EXISTING)•-•••"••"" APPROVED DATE —
CONTOURS (PROPOSED)-o-o-o-_O_ ��'