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HomeMy WebLinkAbout0061 WHITMAR ROADr� l 1�JN � Tr� �lrz q4,� _ _ i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map to, Parcel Permit# Health Division Date Issued (,o 115 16 Conservation Division Application Fee 92 CD Tax Collector Permit Fee Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address (A W HTITHA9, ROAD Village C010 1 Owner _PETEPP, R`AR.uzewS Address 61 'uJ14STMAR TbAh , C.(7 UIr Telephone 50$' gaQL—31al Permit Request c0 X kL1 i Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type 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 Cumber 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:❑existin ❑new9 sizecl Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: ' 77 S Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ # , X Commercial ❑Yes ❑ No If yes, site plan review# J Current Use Proposed Use �' r BUILDER INFORMATION Name 2IAE �AeZi5o_e� Q00-0 V9,010U °-rS Telephone Number Address AD License# CS 0 73 86 5 C & ANNE kJ Home Improvement Contractor# 13SA 3 5 62&Q 5 Worker's Compensation# WC 9q 4 73 47 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO 259 OGleeAl AtJME Rij t jki�wrc�4 MA. 6.2�4 *SIGNATURE fit/ DATE Ui Fdoo7 FOR OFFICIAL USE ONLY s• 4 s PERMIT NO. DATE ISSUED j ± � MAP/PARCEL NO. , ► 'k ADDRESS -z r ` °' VILLAGE ! OWNER ItIN i DATE OF INSPECTION: -� 1 } FOUNDATION - 1 / FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL - J PLUMBING: ROUGH FINALt`_ } .� GAS: ROUGH FINAL':, L FINAL BUILDING I DATE CLOSED OUT 1— • ASSOCIATION PLAN NO. 1 �.,►,�'° Town of Barnstable Regulatory Services iAxNsreat e Z ,,S . Thomas F.Geiler,Director Building Division Thomas Perry,CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 568-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: 11�1eA Map/Parcel: Project Address 1 IV t4ITMIWz J?A Builder: �i 4PN)3&2(JCdZ) i2�1�c�c-tS eTz The following items were noted on reviewing: se-rf319-Clc Ir E /zl#-r4/ 7-�le/C-7A Reviewed by: � `- Date:— Cz L Q:Forms:Plnrvw lT °FIKE,p Town of Barnstable Regulatory Services 4 + BAaxszaazE. " Thomas F.Geiler,Director Mass. 1639. 01 Building Division TFD MP'� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date ' AFFIDAVIT , HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal,demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. OC) Type of Work: 10X N !S HE'D Estimated Cost q,SDo. Address of Work: (01 W4-17MA►"Z ROAD Owner's Name: Date of Application: 2CO 7 — I hereby certify that: Registration is not required for the following reason(s): F Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit i Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agewner: Date ntractor Name Registration No. Date Owner's Name Q:forrmhomeaffidav The Commonwealth of Massachusetts = - Department of Industrial Accidents °°—-- Olflc�of/a�estigatioos - . ,. 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name VETEI� location_ 61 W RTIMAR 1b/AL Hk vhone# 1 city �T T 9 ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one rldng in any capacity �/�%% NEWS, em 1 er rovidin workers' compensation for 1uy employees working on this job.::::::::::: :.::::....:.::. ::.: ..::::::::::.: comvanv name n•.^ y. v.\: "•�r ri= cites on ::::::.:.......::...:: t:.:::....:....:.....:...:.:..: .... .. ...; o Dicey:#....�. . !'� :fnsnrance�:co::<:<�::; .. <...:'�•: •�: »;<;;<:.:<.:��:;;.;:::::...�tii� �...;.. ❑ I am a sole groprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have n workers' co the folio n esation polices: g mP................. ..:...:..:::::.:::::::.::::.:::.:.......:.:::.::::::::::..........:::.::::::::::::.:................:.:.:::.�:::.�:::::::::::::.::::::::::.:;:;;;.;:;•:;.::.::::.::.;:.:;::<:;>::>::><>::>:;:>::: .com sn n SS ::{<;:?;i1i:;.i:�:ii�i'i:v:}<:^:5:::2:?•:^:;':?ii:i:��':�`:;4:;L:+�iii:'i:jiY'iiii:}:�':i}'ti•i:':;:•i::<�i::ii\?;::j i:;:i:'iii:i:J'`v''Y�':::i'i::y�ii:; :�iii:i:•i:4;.;j•i}iii:•:iii:;r. ±.4T'i:;i:;:;i:;:jy?:!::::;':!;:';.;:.C;';:;.}..:;:;;;isi:?!'is4::ySi:::::•..;'•::..:i'F.:iii'+:j;'>J::;:jS:;'rj:±L::i:':?YX;i:::}':;:;:;.}!{i.ii}i:•isj':>:y;i:;Y.v:.ti:f:4:::::j:;:j;}:;:::y;:;ii{i::i:'r'::;:}::;?:; :i'riyii`:C:::i:j?::: ii±:':;:;i;::i i:•%jj•>r}:.ivi':::::::.:'::::: .............. ::::::::.ii:;;• aa3dtess .::::n:::::::.vr::;.v.�::�;;;!•.:y::••::::.v:::::ii:i;ii:;:vry.:.v:::.:}}•:.i;:.::iii:4.v::::v'..i::.'):;:i;:j�'riti:•,i:�:�J?i'ti::;:;::•:i:::ii'i'v•;�ii..:......... ................::::::::: ........................:::•.::�:.v::::::.v::::::.v::.:v::::.v.v:.v:::.:.::;;•i:;:;4Y::}isti;;;;;;:Gin:•i?:{;•i:•::•i}i::•iii:':Q?:•:??;?i'iY:4:4i:;;::::..:.............:;.... iiii'•t ............. .............. .......... ............................ h:;L:;^:•i:•ii:•S::4ii:•;:^:•i:^:•ii.v}:$i:. r ......................................... :............................................................................................... .... ............v...... ........... ........... ............ ............ .............. ......J..........:....... Jyj ............ r}:<;•}:v::::.�:::;v.�:rii'1:4i:;2;•::.......r:....... ... ..:...;...-.•..... ......,:::::::::::::.:.:......:•:.�:::::•:::rr:.,r:........::.:v::::r.v::::.:v............::•:::.v::::::::..........•v.::::.:::::.�::.�:::::::!';;•:}::'::iii: {�' ;;.;..:...................... :..:..::........:..:..::.,..::,:.:.:.........::. ....:.:..::..:.......::::.:::..... ;;:::?';::::�::: :::>:::;:>'<:>::::;;:;;<:<:::>::: ..:.... ......... .. ... $n.n :::OII h ................ ......:::...: Old _.. ?>�a<::1>:;::.<.;�;>::>:;::>4;o-::;•`::<{.» :�:<::>: :::Y:;;::>:::<:<::;<:: ::::%:Sit;:<:;:<::<::<::::><:::<::<:::«:<> IIynran �i Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a Sue up to S1rS00.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of Sloo.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 c under the pains and penalties of perjury that the infonna Lion provided above is true and correct/Signature Print name �A 1 1- [2 I (C RA 114 Phone# AJ-:ZA sod�� official use only do not write in this area to be completed by city or town official city or town pernnit/ncense# - ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectrnen's Office ❑Health Department contact person: phone#; _ ❑Other 0cmad 9195 P1Au l Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensationfor_their an employee'is defined as.every person in the service of another under any contract employees. As quoted from the "law", 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. Applicants t Please fill in the workers'.compensation affidavit completely,by checking the box that applies to your.situatim and su 1 ' com an names, address and phone numbers along with a certificate of inn ran_ce as all affidavits may be pp ymg P Y submitted to the Department of,Industrial Accidents for confirmation of insurance coverage. Also be sure,to sign and e c' o r town that the application for the permit or license is th returned to PP be r ould rtY The affidavit should . G vie �� w- date the affidavit. 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 II 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- o ... be sure to fill in the Permitllicense number which will be used as a reference number. The affidavits may be returned t the Department by mail or FAX unless other arrangements have been made. The Office of Investigations_would Eke 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 Office of investloauuns 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 06/06/2007 15:17 50843-31115 F'1NIE HARBOR PAGE 02/02 - —Cllent#:20245 MCGRPOS ACORD- CERTIFICATE OF LIABILITY IN RA 0DATE 7J21106°rcYYY, FROOUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF!NFORMATION Rogers&Gray Inc.Agency,Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 434 Route 134 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR P.O, Box 1601 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, — South Dennis,MA 02660-1601 INSURERS AFFORDING COVERAGE v NAIC k INSURED INSURERA: St.Paul Traveler$1n.uranca Cornpary� McGrath Past&.Beam Corp IN uRsRQ; ,American Home Assurance dba Pine Harbor%Vood Products ,NsuRERa Ha Queen ArwlCh,MA 02645 Anne _ f!•ISLJRER C.; Ha45 -- -- - — INsuRER E: _ COVERAGES THE POUCIEB OF INSUFA.NCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED.gBOVE FUR THE POLICY PERIOD INDICATEq,NQT,NiTHSTAPIDIW-i ANY REQUIREMENT,TERM OR CONDITION CF ANY CQNTRACT OR CITFER DOCUMENT WITH RESPECT TO WHICH'T'FJS CERTIFI::ZaTE NIAY BE ISSUED OR MAY PERTAIN,THE IN;URANCE AFFORDED 3Y THE POLICIES OE8CRISED HEREIN IS SUBJECT TO ALL TIIG TERM.3,EXCLUSIONS ANC CONDITpIN;OF 31,1CH POLICIES.AGGREGATE LlptiTS SHOWN MAYHAV=BEEN REDUCED BYPAID GLAINIS. P6L C EFFECTIVE POLICY EXPIt�AT10N LTF. NSR TYPE OF INSURANCE POLICY NUMBEEi DD.NY D TE bM nD LIMITE --�-- A i GENERALLIA,BIUrY I6600334B400TIL06 01131/06 01/31107 EACHCCCLRRV.N�.r �$1,0001000 X rDMNIERCIAL GEr•IERAL LIABILITY DAMAGE,T+:;RENTEp n _LIDO,000 CLAIMSMAOE f ^+UCCUR MEU EXP(Ay one Pe�aiC)-..:ro E5 CCO PERSONAL L A3VINJURY ai D00 000 3ENERA.LAGGR'CATE $2,000 OOO GEN1AG(3REGATE LIMIT APnIJESFI_F: FR+jpUCTg-rOMFlOPAOG $2000000 X POLICY --- AUTONOBiLE LIABILITY . COMBINED MNB4E UMIT ANY AUTO ALL O4VNE0 AUTL)$ BODILY INJURY SCh.EOULE7 AUTOS (Per person) _ $ HIRED ALTuS S{+ BODILYINJURV NON-OWNEDA.VTOZ ( (PeraWQer:� $ " Pk-DPERTY DAMAGE $ - (Per ocmenU GARAGE LIABILITY -- AUTO ONLY:EA ACCIDENT $ i ANY AUTO GTHrR THAN EA ACC $ AUTO ONLY: AGG S EXCESSIUMBkELLA UASIUTY �~ EAC'.H OCCURRENCE $ OCCUR CLAIMS MADE AGORE.C+ATF _�,.. $ $ DEDUCTIBLE S �,•^`�— I _ RETENTION VJC STA.TU- OTr B EUPLOY RS'UAQILJTT' NAND WG894.7347 0710$!06 07108/O7 X tiv_�IMn, I - y EldPLUYERS'LlABILTY' I ANY FiROPRIETORPARTNERrENECUTIVE E.L.EACHACCIDENT $100,GOO mm OFFICER!M MBEREXCLUDED? E:L.OISEASE EAEMPLOYEE $10O 000 F yes,describe wder $rE CIgL PR0V1910NR WVW _ tL.DISEASE.Pf:UC-Y LIMIT OTHER }jf- ^�• --^ DESCRIPTION OF OPERATION$i LOCATION$!VE,IICLES!EACLUSIONS ADDED BY ENCORSEMENT!SPECIAL PROVISIONS as CrEPTW(C.ATE I-IOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CA CELLED 0-.FO43H6EXFIRATiON Town of Barnstable DATE nIUEOF,THE IS WIN©INSURER WILL ENDEAVOR MAIL - ,!��t DAYSeITTEN BLIIldIrifj Dept NCTIGE TG THE CERTIFICATEHOLDER NAM=To THE L FT,HUT FAILft1O oGrnSH.ALL 200 Main St IMPOSE NO OBLIGATION OR LIABILITY OFANY KIND UPON THE INSURER,ITS AGENTS OR Hyannis,MA 02601 AUTHORIZED REPRESENTAATIVE(q! ACORD 25(20C1108)1 Gf 2' #.S23324IM23007 --GC' -•rP DMIN ACORI3 CORPORATION 1988 � F-THE rosy Town of Barnstable Regulatory Services 9$"b Thomas F.Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 ww«.town.b arnstabl e.ma.us Office: 508462-403 8 Fax: 5 08-790-623 0 Property Owner Must Complete and Sign This Section If Using A Builder .."as Owner of the subject property hereby authorize -�j t1 L.' �70Y7�� ,d -�_to act on my behalf, in a1 matters relative to work authorized by this building permit application f or; . a (Address of Job)' &A;/07 ' Sign of Owner D to Print Name h . QFORvIS:OtvNER?ERMISSION < tirr Board of Building egulatians One Ashburton Place, Rm 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 03/14/1970 Number: CS 073865 Expires.:03/14/2008 Restricted To: 1G .JAMES R MCGRATH 204 CRANVIEW RD BREWSTER, MA 02631 Tr.no: 15967 Keep top for receipt and change of address notification. Board of Building Regula ions and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 132935 Type: Private Corporation Expiration: 10/31/2008 McGRATH POST & BEAM CO. JAMES McGRATH 259 QUEEN ANNE RD. HARWICH, MA 02645 Update Address and return card.Mark reason for ch DP-s-CA1 5oM-05i0e-PC3490 Address ❑ Renewal Employment Lo: %liP. �ooiunzarecoeal� r�✓t�aaa�c�ivaelta � , Board of Building Regulations and Standards License or registration valid for individul use only g Y '— HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registration: 132935 One Ashburton Place Rm 1301 r Expiration: 10/31/2008 Type: Private Corporation Boston,Ma.02108 McGRATH POST&BEAM CO. / JAMES McGRATH �/ ^ 259 QUEEN ANNE RD. Sys 600 washingfori Sfreet vv� j . Boston, 7J A'02111 ��' xnvx�.>`nass'go y/ditt Woz-kez-s' Compensation Insurance Affzdavit Builders/Confxacfoxsl lectriciazls/plumbers Applicau.i lllforrua�ion Please PrintLeibly Name (Bus.mess/Or- anization/Indi-,iduai).- Pf n r J lar.hbr V)Jood t rpj z4--, Address: 5 -Olunfn >7 P City/State/Zip- n r e O�r h , L�R OZOL-15- Phone#: ' Are you an employer? Check the-appzopriate box: Type of project(required): 'Are T al-a a employ,,;with 15 4. Q I am a general contractor end I employees (full and/orpart-time).* have hired the sub-contractors 6' MNew.construction 2.❑ T am a sole proprietor or partner- listed on the attached sheet I .0 Remodeling ship and have uo employees These sub-contractors have 8. []Demolition working for me in any.capacity. workers' comp.insurance. [No workers' comp. insurance 5. We are a corporation and its 9, 0 Btulchng addition regwred.) officers have exercised their 10'E Electrical repairs or additions 3_❑ T . n a homeownez doing all work right of exemption per MGL 11. Pluml ing repairs or additions myself. [No workers; comp_ c. 152, §1(4), and we have no 12-�Roofrepairs Msuxance required.] t employees. [No workers' coinp. insurance required.) 13-❑ Other ;Any applicant that checks box#1 must also fill out the section below showing their workcis'compensation.policyinformation t Homeowners who submit this affidavit indicating tbey arc doing all work and then hire outside cbntractors must submit anew affidavit indicating such_ $contractors that check th s box must at+ached an additional sbect showing the name Of the sub-contra:Gtors and tbcir wwkcrs'comp policy mfonmtion I am an employer f :"at is providing�vorkers'`compensatian insurance for my employees- BeloV is fhe policy and job.site iriformdior� .. Insurance Company Name: t Yl o nCan Policy V or Self-ins. Lic_ #: U­j LI—1 r Expiration Date: I 0 114. 8, 2U,—r Job Site Address: City/State/Zip: Attach a copy of the workers-, compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the impositionof.criminalpcnalties.of a fine up to$T,500.00 and/Qr one-year imprisomlimt, as well as civil penalties in the form of a STOP WORK ORDER;and a fine of up to $250.00 a day-against the violafor. Be advised Chat a copy of this statement maybe forwarded to,the Office of Investigations of.the DIA for insurance coverage verification_ , I do hereby cezf d r 1lze pains nd etz Il'i perju i at fhe inform.afion provided above is true¢nd correct Phone#: Lj — _ 2 [6-- Gth use only. Do not'wrife inahis area, to be coinplefed by city or Town official Town: ------------------ -Permit/License#1 Authority (circle one): of$ealth 2_ BuiIdiiag Department 3_City/Tosvn Clerk 4_Elecfrical Inspector 5-Plumbing Inspector P,_son: Phone n: • FRAMING: ull Dimension Pine) COTUIT CLASSIC • z x Rafters @ 2 on centers f!A"B:%CDARN 4 FINE EM A SHED (2x6 for 12' shed widths) WOOD PRODUCTSPOST and B • 2"x 4"Loft Joists @ 4' on centers ffi all about the ^mood'.t (zx6 for 12'shed widths). • 4"x 4"Top Plate Beams..... :. _. . • 4"x 4"Center Support Posts • 4"x s" Corner Posts are 6Y'tall 3"x 4" Corner Braces b z"x 4"Wall Purlins �F " - t 2"x 4"Door and Window frames 5/8" CDXplywood flooring, x ffCCf (Pressure Treated is optional) aQ� "saw'" > _ x �"F,a F , '` ;E�f •. 2"x 6"PT Floorjolsts � 16" o.c. (ax8 PT for 12'shed widths) r • Rough Pine Trim (primed pine or 4 tiT red cedar is optional) ' ` � r •_ 8"x 8"Aluminum Louver Vents � Standard Board and'Batten Siding r (clapboards or white cedar shingles are optional) ROOFING• C �� ' �3ti • 5/8" CDX roof sheathing .i ,�� � � �r ^�� • -Choice of shingles and colors . r Ae+x,1 .� s„x� t s a c•54 rrr£ .1• ,p .. 3 i 4x z4a F3L,y'�x z,y a'rye�KhtX7s x= a{{x,z a �Sy n.re a. t ^, �� FREE Pressure Treated Ramp NOTES: s � Stock and Custom doors and C windows are available o Concrete Block or optional P Sonotube footings are available )ur most popular design, a classic peaked roof with a 7 to zz pitch is perfect for shelving and hanging space on walls, while keeping floor space✓ a a maximum. Both traditional and functional. X PRESS PERMIT Town of Barnstable Permit# 3 2013 Fxp' . moat! .ro, 5ue date Regulatory Services F �� BAMSTAa>t.e. niAss Thomas F.Geiler,Director T 6, ARNSTA�LE Building Division Q�) Tom Perry,CBO, Building Commissioner a. 200 Main Street,Hyannis,MA 02601 www.town.bamstable.m-a.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY _ Not Valid without Red X-Press Imprint Map/parcel Number �!°,�I/ 1 J Property Address (p w 1, (}1iL�/iz�, / � Ce- f 114 L t A��esidential Value of Work13 3 2,7 0— Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address P ` /y[ C gz4/d (o 1 kinu, - 4& 14i Contractor's Name Telephone Number 5�3y y Home Improvement Contractor License#(if applicable) lcJ 3� Construction Supervisor's License#(if'applicable) ❑Workman's Compensation Insurance Check one: I�Rlam a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance t Insurance Company Name rat S Workman's Comp.Policy# N 1 UJ(P L1 y Co Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) /� /f e-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to , ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red`S and inspections required. Separate Electrical& Fire Permits required. I I . *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: roperty Owner must sign Property Owner Letter of Permission. A copy of th ome Improvement Contractors License&Construction.Supervisors License is required. SIGNATURE: A ' C:\Users\decollik\AppD a\Local\Micros \Win ows\Temporary Internet Files\Content:0utlo k\QRE6ZUBN\EXPRESS.doe Revised 053012 The Coninioniswalth of Massachusetts Departanent oflndustr al accidents Qgce of Investi,gtations +600 Washington Street Boston,MA 02111 wmv.rnass.gmldw Workers' Compensation Insurance Affidavit.Builders/Contractors/E ectaicians/Plumbers Applicant Information Please riot Legibly Name qhisinesslorganizationtlndividua y �S( VJ` C44 t/A Address: i&C kl i2Ct. City/State/Zip: �G VL. (�-. 1 a Lt�— Ph(me 9_ 3 Are you an employer?Check the appropriate bax. Type of project(required): 1.❑ I am a y� em to with 4- ❑ I am a general contractor and I P ti- ❑New construction employes(fiall andlorpact-time).* have hired the suEr-contractars 2. I am a sole groprietas ar partner- listed one attached sheet. 7. ❑Remodeling ���111111 ship and have acs e�lcvyees These sub-contractors have g. ❑Demolition working forme in any capacity employees and have worker s' 9_ ❑Building addition [No workers'comp.insurance comp.insurance.2 required.] ed. 5•❑ We are a corporation and its 10_❑Electrical repairs or additions officers have exercised their I I. Plumbing repairs or additions 3.❑ I am a homeowner doing all work ❑ g eP myself.[No workers'comp. right:of exemption per MGL 12. oaf insurance required.]I c. 1.52,§1(4),and we have no repairs employees.[No workers' 13. ther comp-insurance required.] '•Any applicaul that checks box A opt also fill out the section below shoeing their workers'compensation policy information. Homeowners who submit this affrdwn u duanng they are doing all wo*and then hire outside contractors must submit a new affidavit indicating such_ ZCoutractors that chuck this boa must attached an additional sheet showing the name of the sub-ccurtractors and state whether or not those entities have employees. If the sub-contractors have employees,they twist provide their workers'comp.policy number. I am an employer that isproviiiing nwrkers'co.nrpensadon insurance for n{r employee& Below is the polic''and job site infortma&n. Insurance Company Name: Jim Policy#or Self-ins.Uc.#: G�II!!� /14 Expiration Date.- Job Site Address:_ /I 41 rjYLa1- /�-'L-- 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 S 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/die DIA for insurance coverage verification_ I do hereby c fy.nnder apains onnaldes of pedupy that the information provided above is in e and correct r tore: �" Bate: ,2 f Phone#: ral only. Do not write in this area,tat be completed IV city or town officialn: Permit/l icensehority(circle one): 1.Board of Health 2.Building Department 3.Cityfromm Clerk 4,Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#. 6 .✓ V David Sawyer Construction 318 Meiggs Backus Road Sandwich,MA 02563 508-539-1992 Proposal Submitted To: Work Address: Pete McAndrews Samea 61 Whitmar Rd,Cotuit MA pm@uds-ltd.com 508-681-5063 Worked to be Performed: *Strip old roof shingles and replace_ with new GAF Architect Ultra Shingles Color: weatherwood *Nail Plywood as needed *Clean Gutters as needed *Install: Vented drip edge,-* Ice&water barrier on all edges of roof,valley's,veluxes,and chimney Underlayment Paper System Ridge Vent Pipe Flange Hurricane nail roof *Strip sidewall cheek--Replace with new White Cedar RxR Shingles *Install: Step Flashing and Tyveck,Paper Remove rotten'triin And,Replace;as needed WJ *Strip sidewall shingles on back wall--Replace with White Cedar RxR Shingles *Install Tyvek`paper--Price$2,500.00 included in price below *Clean &Remove all debris from"workplace,take to landfall. *Please note when installing ridge-vent sawdust may fall into attic. Please cover items. Total Investment& Labor. $13,399 thirteen thousand three hundred ninety.nine dollars Payment is due at time of job completion. All materials guaranteed to be as specific,and work to be performed as stated above in a workmanlike manner. Please remove and secure any fragile household items. Not responsible for broken or damage to household items. Five year Labor Warranty/Plus Manufac res warranty. Contract may be withdrawn if not accepted within 30 da s�.Tease s e ack for a itio al ter s. Respectfully Submitted Yj';' a —Date�f Acceptance Of Proposal The above prices,specifications and condi 'ons a satisfactory and hereby accepted. You are authorized to dot a wor Payment is due in full at job completion. C) Date f ' - WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMATION PAGE AGENT NO.3020 OFFICE"NO 3020 . MARK SYLVIA INSURANCE AGENCY LLC a'771 MAIN ST OSTERVILLE MA 02655-1903 FARM FAMILY CASUALTY INSURANCE-`COMPANY 509-428=0440 NCCI COMPANY NO. ' 4' 21< { POLICY NO 200IW6406` . >I M> >>I TRG INSURED AND. MAILING ADDRESS: - '-# RENEWAL'OF NO.,-_2001W6aos EFFECTIVE 3/05/12 1; ' DAVID SAWYER ". ¢ DBA SAWYER CONSTRUCTION �. 318 MEIGGS BACKUS RD J SANDWICH, MA 02563-3131 - r. S aedii_t ' k d{p fie# ? += - 4 t r• r THE INSURED IS INDIVIDUAL Workplaces covered by this'policy:A. +, i. �_ ;. tr, P_ . .. t. J, x rS t71:+ Y xx s F` .. .a'a-'•-. .. r w. c ST WP NO. ,U ADDRESS OF WORKPLACE , ,�,,,RTG.BUR NO € INTRASTATE'.NO . MA 01 "318 MEIGGS BACKUS RD -' 1'"''210677 SANDWICH MA :..........,y....:o-r..::.:.....::..:.......::......:.:::..:.......: . ::: .,:::: ::`�..;j:�'/' :...:::i:i .:. '::::':::::::::::::::::::: :::: :<: :::::::: ::::: ::%::::::::::::: :::t:: '•::::i:: ::::::: :: ' i ::: :::.::::::::::2:::::::::::::::: :::;::: ::<:: ::::::::;::i:::::i::::::::i:: ': ::'':` '': ; .. X. :.: 7; ? ...J.,,..,:.:;P 1,. ................ :::::::::: :... .---- ....... ...... ........ ...... ...... -...__ -_......- .. -.- .. --. -.-...._._.... _.-.-. __ ........-.. The policy period is from 3/05/12to 3/05/13 12i01 A.M. Standard Time at the insured's .mailing address. ISM; >:< EA � . .......... :........................::......::................. .....................:.......::::::::: ................ A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the state listed here: MA, B. Employers Liability Insurance: Part Two of the'policy applies to work in each state listed in item 3.A. The limits of our liability under Part Two are: Bodily Injury By Accident. Bodily Injury By Disease "Bodily,;lnjury By Disease $ 100,000 each accident $ 500,000 *µpolicy,limit $ 1 00,000 each employee C. Other States Insurance: Part'Three :ou the policy applies to' the`states;:°if any,,. fisted µhere: All "states except the states designated in item 3.A.'of. the information.page and',ND, OH, WA, ands WY ` D. This policy. includes these endorsements and schedules WC 00 00 COB WC 00 00":01A WC 00 03x IS' WC 00.04'14. r WC 00 04:22A' WC 20 03 01 WC 20 03 02A WC 20 03 03D WC 20'04 05;'"y F WC.20r06 01A copyright 1987 National council INSURED COPY PROCESSED 01/30/12 on Compensation Insumce WC 00 00 01 A Issuinn Offi(,n - Po Box Rm • ALBANY_ NEW.YORK 12201-0656 gxe E=="r �_ J w = ' Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 134313 Type: DBA Expiration: 1012412013 Tr# 216645 DAVID SAWYER CONSTRUCTION. DAVID SAWYER 318 MEIGGS BACKUS RD. ---_---- SANDWICH, MA 02563 - Update Address and return card.Mark reason for change. &CAA 0 SGM-04104•GiG1216 a Address Q Renewal ❑ Employment n Lost Card is ✓�e�o�rutna�au�eall�i.o�✓P�a�vurlua�ttFa -`� Office of Consumer Affairs Business Regulation License or registration.valid for individul use only m'T ._y date. 1f found return to: before the expiration -q«HOME IMPROVEMENT CONTRACTORR Registration:. 134313 . ..." Type; Office of Consumer Affairs and Business Regulation Ex iration: 10/24/2013 10 Park Plaza-Suite 5170 p DBA ` Boston}M, 02116 DAVID SAWYER.CONSTRUCION:: ( DAVID SAWYER 318 MEIGGS BACK US`RD..::: = SANDWICH,MA 02563'.= — UndersecretaryAl ' Not vaii ithout s' nature " laco;rchir�crts- Dett.trinrcrit of Pulriii:S 1$rt<tr t8 or 8tcitt#in .r1i it ; Red"'U111110ri4 1111d Stanr#atrr# Clt 3�#rrILi1F.Sf` F a I� License- "ram-SCj ';'. ` :Iv se: CS SL 98859 Restricted to; RF,WS DAVID SAWYER 318 W CH$BACKUS ROAD SAND r MA 02563 A. Expiration: 1/27/2013 C'nauii i.i.irrfl(1. .. Tr 9n5- Assessor's office (1st floor):, 1 i tNE Assessor's map andlot number .. ....Q. .0 r TOE Board of Health (3rd floor): y� r,`�P ♦� Sewage Permit number1..�.�.� .�.t t BasasTsnLE �,. r Engineering Department (3rd floor): (/ rb & e� House number ..........................:�.9G.�.....::M..' -'. 'Fc 39 a` APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ............................................................................................................................. TYPEOF CONSTRUCTION .............................:....................................................................................................... ............................. 0......19-- TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ... .�........Z�.......A--, !.!.'.!. -.... ........... ..!..... D ,, 44�-7 �. ........................... ProposedUse ...4.Kd! � l„!, ................................................................................................................................ ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner .....Ile..............�.:(��A./`'...............Address ......... ..............................................................E.........!''.1'_ Name of Builder .crr,, v....A. } W� .............Address � 2{.CI.... !..................... Name of Architect C.. �w " "?!.................Address �$l .....51. Ve '� n f tf / Number of Rooms ..... ........................................................Foundation ..... ........... l�/ za(if-��G .. ..... EXlerior ...L� 1T�l� d ! K .!1...../5Fl,,/IV47y�, tG-- /Z ) C.�,i4,)lI ""s Roofing ....................................... ........................................... / � f �,� e>/?.p/..C,9 .F ..1..... XAla......(�d L S r k Floors Interior �/ �.......................................... �y ( Heating ..... . a! !... ......k.a......�:f!:. 5.............:..........Plumbing ....... A Fireplace .............. " � ..�.!' �. .................Approximate Cost ............. . .d. �.............................. . ...a........4.. -�__--I _`_''_`_P . Area Definitive Plan Approved by Planning Board ----------19. Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 7.�.53 Z 4 �•P 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 ...... ` --. .. .................................... oo 0 9� Construction Supervisor's License .................................... J 7 ENGLER f, JOHN J. A=0.5,7`0 0 8 f Not..3 0 6 7 5 permit for ..,,Two Story Single Family Dwelling ............................................................................... Location ..,,Lot #25 , 61 Whitmar Road .............................................. Cotuit .....................................................................I......... . Owner ....JohnJ......Eng.ler.t ........................ ....... ... .. .. Type of Construction Frame ................................................................................ Plot ............................ Lot ................................ Permit Granted ...p'.Prl...........................19 87 Date of Inspection .:.................. Date Completed ........................:..............19 IL S t t � h V P ON �w ry N I ego eq 3 PREPARED FOR.; J(qc 1 ' CER T/F/ED PL 0 T PL A N LOCATION SCALE I 5O' DATEAP2. Z4, /9&7 REFERENCE LOT z7 P. B. P. _ L. C. P. 396/ q �i� OF ° FLOOD ZONE o��r GEC E I HEREBY CERTIFY THAT THE BUILDING r. JR. . SHOWN ON THIS PLAN IS LOCATED ON THE p 27807. N GROUND AS SHOWN HEREON AND THAT IT ^�Is-r��`��Q�. Doe 5 CONFORM TO THE ZONING 1F® Su -4 BY-LAWS OF THE TOWN OF Bq Pews i 19OLE WHEN CONSTRUCTED. LOW & WEL L ER, INC. 714 MAIN STREET MRMOUTH,-MASS.. DA TE LoT S \bva 4A-L. stnPnC 'TkQ< pIs F-�jSlkc.. FIT-- U� C-ao 1 �F 0-2�� ��Ty�--{ = 1,511•�, 1�b�hF' - I� ' � � tcx�% 3�� �.�� ` c�rr�r� / �- tt� � ��,.::`', '�• as X � is _ N 43. i'i,.,. r i F v S h c, Ir R tiMA •d'�- Svs2 •� �.. C ' j�� �OsL 1tilY T ••.� _� tNv tNV >< _ll�NY INy 14 ?• ��lFl ��CST T S L\ wI-VjjA' GyvSti�� 1 -naa 'L�►s 1 T , -lV No wcc-l-w LL��te-=u IF� .?�T Z MI►Js D2-oi=` t��-�►�,vL 'TKA.`r ` i�E. PP P. (4ru 3E -iMq A �� �a c.a G�v►L- 'F.�C���-t��Zs � r �K ��C�1..11�.�M E?��`j a�`�C��'vc[?-t .�'+�L1�,a�,.•�(' •. � i J �I l.�.► ,;,..,- I,��� :�.: aF � S ,e��.R7 15 1JtSi' -MASTIAs.X As MO —Esh.sZ-�?a WjA N-5s LIMN=N-r it> �, . �r 'r' v v-r�:rg•°,Ts�a .,•,, a,ns...-.a:••I i �+ ^,r e•.., -r .yF.t.� j rr_c-., � ., , '�.:.�x.,e�s.�•,r�rTa_ •� .fir. d.Y �'-y-'t" �f ,.-P+. r � rs,: r� r• ., a ry. O"NE TOWN OF BARNSTABLE Permit No. .... 4675... BUILDING DEPARTMENT a.a�n I TOWN OFFICE BUILDING Cash M� HYANNIS,MASS.02601 Bond .......x....... CERTIFICATE OF USE AND OCCUPANCY Issued to Jahn J. Englert Address Lot #25, 61 Whitmar Road Cotuit, 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 REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. $9 January 1 ........�"1.�!!+ .........3.!......, 19................. �� ;Building inspector Ole gAssessor's office (1st floor): ^ / Assessor's map and lot number ...1 . . ' -a 0 � SEPTIC Sll'$TE�A � Q � i�Of►� �...+..................... WISTALLED IN C® Board of Health (3rd floor): Sewa a Permit number ............ ...................� H TITLE TABLE, i g ........... WITH BABas Engineering Department (3rd floor). CIVN1ENTAL Ci° a. House number ..........................�F..Co.l.....�?!?.. ? Td�� EC��LATI APPLICATIONS PROCESSED 8:30-9:30 A.M. and: 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILD G INS o� z �. APPLICATION FOR PERMIT TO ... .. I .......................... ................... ..................................... ........... TYPE OF CONSTRUCTION ..................... . ........ E ............................ f--.r..(......19... TO. THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... 7...... ........4A-)A11-1 .!.'.1. ...... Y....I.....v �.. . .... ..................................................... ProposedUse .. � A)77 ......................................................... .... ............................................................... ............Fire District ........ Zoning District `..:... ..............................:. 6............................................................ Name of Owner .....J.r....a.!'1��.'............Address IN...LI�'�1..� C..L�i��.�C�..j..�14' �x n Name of Builder .�Ll.> �..... W .......................Address .. . CCIf�..... (� .............................Address �l Q� Name of Architect(. .�.... ....i.. ..�.....................................�.�.......�.... t� .�/� Cdi�G Number of Rooms .......C�..........................................................Foundation ......................................�.:. ��4� �- a7� .............. ......... Exterior C+� a . �I ........Roofing ......... &0 Ci�IJ ................. . Floors .....fi���Q. -'! G.. . .......7!X1..0......(kO!1;Interior ......... vr!. T .............................................. Heating ..... ......ky....... ........................Plumbing ....... .`�?.............5 ................................. Fireplace .. .... .....................................:.Approximate Cost ............. .............................. Definitive Plan Approved by Planning Board _________-_------ _19 Area ..._-_____-_ � :.. .: . T.,.____ Diagram of Lot and Building with Dimensions Fee ......1. ` ' f\ SUBJECT TO APPROVAL OF BOARD OF HEALTH r Oft! f 3 0-0 7 • 12� , 2� ' OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to%b,II the. Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... .... 00 7— Construction Supervisor's License ENGLERT, JOHN J. .? g4 30675 ' :'11lo Permit for Two Story, kp t Single Family Dwelling .. .. _ .................. Location Lot #25 , 6. ...I Whitman. . . ...Rad .. . ..... .. ....... .. ..o r- fR Cotuit a . ................ .............. Owner ...John...J.....Engler.t....................... Type of Construction Frame ..................................... - r f Plot ............................ Lot ................................. ` April 27 87 Permit Granted ............................!.........:19 <. V Date of Ins ection�} -� �ef: .....19.E t- 1 Date Completed . ...... �.........19 77 •'^ •1 f CAR -W:00.n ,P.RO-DL CT.S 1ts.all about.th..eo:od.«� CI f�4TN,4i1�} .Z O ..i- I . . - .. . ... ...... ... FT 514,E (Flevatians - scale: 114" REAR 10 FRONT FLOOR- FRAMING.SPECIFIC- TIONS (2.x '8 Pressure Treated @ 16" J, 2-10" DIAM. ACCESS MANHOLES r SECTION A -A 0 INLET P- VENT PIPE Least 24 inches tall) OUTIET 10' min. from *NOTE: ALL" PIPES tAkt,TO. BE 4" SCHEDULE 40 P.'Y.C. PROFILE VIEW Or, ADD177iff 0 LEACHING SYSTEM Exist ing Foundation house to septic tank Schedule 40 PVC w/Charcocil Odor C�' Septic t nk cc-mrs must be ­4 3" of 1/�, Washed P t 140 0� SIS TOP,OF,,FOUNDATION 100.00 (Assumed) ithin 67. of finished Crude,�� il I . W THE ACCESS COVERS FOR THE SEPTIC TANK. dif ever 93 Grodo o,,er 0-8ax SIZOO 92.00 to 1 1/2 Washed Crust O'sf!7. DISTRIBUTION BOX AND LEACHING COMPONENT SET DEEPER THAN 6 INCHES BELOW FINISHED S*Ptfc Tank, .00 Aft, GRAD' SHALL BE RAISED TO WTHIN 6' OF -- ---- FINISHED GRADE. I J 3 HOLE H-10 STEEL REINFORCED tPRECAST CONCRETE S'- 0.02 cowt Top Load Elov. -90.10 -TITE GAS BAFFLES OR EOUALS 7ir ,-1 . 1� ". , I 1 1 3' Moxi2m INSTALL TUF E T. 111.1''" ,�,�� I I . I : DISt BOX PLAN VIEW 14*1 S-;O:OI or Greater 41 4 1 1 0!-' %000 CAL. A rx!rT PIPE S- 0.01, Per foot 3-24" REMOVABLE COVERS and &,C tow*ffj 1111121.104 H&LITE 12 FROM EXIST. FOUNDATI SEPTIC TANK 0" Effeettva Depth X W to a-eft 5 Units @ 6.25' 30' -10 PI) ;H 4 CONCRETE FULL FOU IV 11. 77 - 011' (10 inches) L3' --1 cc . 00rance T.I." GENERAL NOTES 00 3125 _J W mln� d k-,. 13, WLET 8 1 . . I T -r==-tt a. In. 12* rmlm. Wet to outlet .., I 6 In.of 3/4�-1 1/2" 11. ad -3 7.2 5' 6 ��B OUTLET 1. Contractor is responsible for Digsofe notification SYSTEM-PROFILE 5 compacted stone > Liquid 1*.* and protection of all underground utilities and pipes. Not to Scale 10 > -J -7' .5> S . 4 -Effective Length INUE T C 1 2. The septic tank an� distribution box sholl be set I 1 11 1 .. I I I. .. . 1 -7- >: o' - 5' C el on 67 of' 3/4 -71 1/2" stone. -2 SOIL ABSORPTION SYSTEM '<SAS) -a" Min. lev Ef 0 110, Uquid depth 3. Backfill should be clean sand or gravel with no -1 1/2" -20 �L[3ADING)/ 6EORGE: O'BRIEN 6 in.of 3/4* INFILTATROR HIGH CAPACITY (H stones over 3" in size. compacted stone Efftictivo Vktth To YA r , - j 4. This system is subject' to inspection during installation NOTE: ALL COMPONENTS MUST HAVE RISERS THIN 6" BELOW G9AOE 0 0 Bottom of Test Holo I Elov,-82.00 M I by Carmen E. Shay - Environmental Services, Inc. No Groundwater,Obeeirved 0 120' NOTE: OVERALL HEIGHT OFINFILTRATOR IS 18" /EFFECTIVE HEIGHT IS 10" 10w 5. The contractor shall install this system in accordance _O* 1 4' (OR EQUIVALENT) Not to Scale with Title V, of the Massachusetts state code, the approved pla, -SECTIO CROS5 SECTIO END cnd� Local Regulations. 6. If, during installation the contractor encounters any soil conditions or site conditions.that ore different TYPICAL, 1000 GALLON SEPTIC, TA from those shown on the soil log or in our �design NOT TO SCAtE installation must halt & immediate notification be A made to Carmen E. Shay - Environmental Services. Inc. Ctl. ........... 7. No vehicle or heavy machinery shall drive over the septic system unless noted as H-20 septic componerts. PERCOLATION TEST 8.' Install Tuf-Tite gas baffles or equals on all outlet tee ends. 9. All Distribution Lines shall be 4" diameter Sch. 40 NSF PV1 pipes� Date of Percolation:Test: DECEMBER19, 1985: Test Performed By. PETER SULLIVAN -BAXTER & NYE 10. All solid piping, tee's & fittings sholl be 4" diameter R u a i 1)t S. es'Its Witnessed By. Bornstoble.BOH Schedule� 40 NSF PVC pipes with water tight J Excavator: UNKNOWN Co 2:11 11 SITE and 'Surrounding Properties are nrected Percolation R ate: Less Than 2 min./inch'* 24" BELOW GRADE. to Municipal Water. 11 J Test Hoe' No. 1 DEPTH $OILS ELEV, ; 9 NOTE: CONTRACTOR TO NOTIFY DIGSAFE AND TH PROPERTY LINES ARE APPROXIMATE AND 0 2.00' E -ON OF CONTRACTOR TO VERIFY LOCKI ALL, UTll-ITITS COMPILED FROM THE PLAN BYBAXTER & NYE of OSTERVILLE, MA Loamy Soric PRIOR TO, EXCAVATION. ENTITLED "CERTIFIED PLOT PLAN OF LOT 25 WHITMAR ROAD, COTUIT, MA" DATED APRIL 24, 1987 0'-6-1 A, 91.50 Loamy Sand AND, IS NOT INTENDEDTO BE A SURVEY PLOT PLAN FOR NO PURPOSE OTHER THAN IT SHOULD, BE USED THE SEPTIC SYSTEM INSTALLATION. -7 6'-24" 13. 90.00 Medium LOT#26 , Sand NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE FROM THE EXISTING SEPTIC SYSTEM TO BE DISPOSED Cl 82.DO OF AS PER BOARD OF HEALTH SPECIFICATIONS. ''EXISTING LEACH.PIT TO BE PUMPED DRY & r FILLED WITH CLEAN FILL MATERIAL. I? ASSESSORS MAP 057 PARCEL ' 16 0" ZONING RESIDENTIAL FLOOD ZONE C c #1 Deptl- I to Perc: 32" to 50* te=<2 min./inch Per,6 Ra J f: Groundwater Not Observed THERE ARE WETLANDS LOCATED WITHIN A 200' JS 'BOTT -H OF TEST HOLE Elev. �120" ARF AS -----ADJVS�-E�tk.L&�E�e�. No Acpstment-lRequired.- OF:THE. PROPERTY AND SHOWN 7 7. LOT#25 ALL OUTLET PIPES FROU THE 43,564 Square Feet DtSTRS"ON BOX SHALLVE 12' CONCRETE COVER SET LEM!FOR AT LEAST 2 FT. IA .3 - 5,oullET 2 KNOCKOUTS T INLET t122*. SPOT GRADE ------ "RA GE ASP DENOTES �EXISTING X 104.46 4- SCH. 40 T.,-/ V PLAN SECTION CROSS SECTION' f PROPERTY LINE PL -10 LOADING PROPOSED CONTOUR C .3 HOLE DISTRIBUTION BOX H Failed NOT TO SCALE Leach Olt 97- - - - - -97 EXISTING CONTOUR Desian, Colculotion DEEP TEST HOLE & to ;r D-Bo 0 N, PERCOLATION TEST LOCATION EXIS TING' Number of,Bedrooms: 3 Equivalent to 330 Col./Ody (330 Col./Day Min. per Title V) FENCE SEDR00AI Garbage Grinder: No J70 ust -v Leaching Capacity Pro posed: 330 Gal./Day Vnimurn (Min.. Per Title V) 2 'x�,330 Gal./Doy - 660 - �LISE, EXIST. 1,000.GAL. Septic Jank., PRIVATE DRINKING WATER WELL Septic Ton SOIL ABSORP71ON AREA: Using percolation rate of <2, rnin./inch N '� 'HOLE: Qll TIES t Area: 0.74 gal/sq. fL x 370 sq. 'ft. 273.8 gallons Bottom A'� REVI"SION ,S ELEV\,r 92.00 Sid w It Area: 0.74 gol./sq. ft. x 78 sq. ft. 58 gallons is a 6' Z� Providling: gallons N DATE: 04 DEFINITION J, -20 (10 INCHES) EFFECTIVE DEPTH, VIENT, PIPE t Us&;, (5) JNFILTRATOR HIGH CAPACITY H UNITS, HAVING A 0.83 3 BR System 4/14/05 per Ownerl, TO,BE,�USED WITH 4.0' OF WASHED STONE ON THE SIDES, AND 3.5' OF WASHED STONE ego ON THE ENDS. NO STONE UNDER. PROJECT BENCH MARK 1 00.00 (Asisu'med) RR EPARED , FOR -OF FOU' PROPOSED !TOP, NDATION SUBSURFACE SEWAGE, DISPOSAL SYSTEM OF NOTE:, NO STRUCTURA&BEARING WEICHT FROM DECK 4 OR DECK ttUPPORT-MIE)ABERS DEBORAH J . , BREEN #61 WHITMAR ROAD Mi,�Ft"EII,AWVIE," .,6E6x is 4LEVATED DEcK A'N`61�,� ' MA -ACCIESStILE 'FDR�IlkliMPING.' C OTU 17 � iTANK COVERS AIRE i Y L DT#24 6 1 ' , ' :ROAD �':20 40 50- -Y 0 TU I T, MA 6 48 z,PffEY EII SffA Y CA E r ENVI)WAMENTAL SERVICES, ZNC 01 0 P.O. BOX 627 N `47 EAST MOUTH, MA 02536 TAL :% V� i % TAM % ....... TEL/FAX 508-539-7966 -v t BY DATE: MARCH 4, 2005 �A, -A t- 1"-�20 DRAWN. : �CES S, ,t 4r ECT#SD FILENAVE. . SID701 SHEET 1 OF '1 01 �P,DWG A" t;I�411 3/4 to 1 112 Washed Cruilined Stwe 'AT�'l IDA,no UT, Ar 4 4 4" "W4, -N` "7"',v T %A; A., 0;OF, F-1 7, o,