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HomeMy WebLinkAbout0151 WHITMAR ROAD ls�i �� � _ _ w { I !� Town of Barnstable _ Bliildin --w .g s tBine1L Post This Card So That it is;Visible From the Street-Approved'Plans Must be Retained on lob and'this Card Must be Kept • MAC ��$ Posted Until Final Inspection Has Been Made. Permit i 63 ,,ua Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made Permit No. B-19-1405 Applicant Name: Thomas Nelson Approvals Date Issued: 05/14/2019 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 11/14/2019 Foundation: Residential Mab/Lot: 056-069 Zoning District: RF Sheathing: Location: 151 WHITMAR ROAD,COTUIT Contr,,actor Nam. ,,THOMAS A NELSON Framing: 1 Owner on Record: CALIANOS,THEODORE A II&SHERYL A Contractor License: CS-009889 2 Address: 151 WHITMAR RD �^ Est. Project Cost: $45,000.00 Chimney: COTUIT MA 02635 Permit Fee: $ 279.50- Description: Renovation of(2) existing bathrooms. Remove and`replace existing Insulation: Fee Paid: 5279.50 vanities and plumbing fixtures. Final. Date:=� 5/14/2019 Project Review Req: Plumbing/Gas Rough Plumbing. �. Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within'six months after issuance. All work authorized by this permit shall conform to the approved application and theapproved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws-and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. , . Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this;permit. Service: Minimum of Five Call Inspections Required for All Construction Work: r 1.Foundation or Footingt Rough: 2.Sheathing Inspection -- 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final`. 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering 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 Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund11 (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 T � S�-i i ec� Town of Barnstable, cE 7 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit Application No: TB-17-3205 Date Recieved: 9/18/2017 Job Location:. 151 WHITMAR ROAD,COTUIT Permit For: Building-Insulation-Residential Contractor's Name: JONATHAN N WHIPPLE State Lic.No: CS-078683 Address: Webster, MA 01670 Applicant Phone: (508) 279-1110 (Home)Owner's Name: CALIANOS,THEODORE A II&SHERYL Phone: (508)5664605 A (Home)Owner's Address: 151 WHITMAR RD, COTUIT,MA 02635 1 Work Description: Insulation.Air sealing.Add insulation to the attic flat.Provide ventilation chutes.Insulate kneewall. k Total Value Of Work To Be Performed: $2,219.00 1 Structure Size: 0.00, 0.00 0.00 w r— Width Depth Total Area I hereby swear and attest that I will require,proofofworkers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a,corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to + accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed.by a representative of this office. Requests for inspections'must be made at least 24 hours in advance. Signed: Jonathan Whipple 9/18/2017 (508)279-1110 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $2,219.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $85.00 9/18/2017 $35.00 Paypal Paypal Total Permit Fee Paid: $85.00 9/.18/2017 $50.00 Paypal Paypal a "s, i� j.F TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 056 069 GEOBASE ID 35725 ADDRESS 151 WHITMAR ROAD PHONE (50H)771-0330 COTUIT ZIP - LOT 33 BLOCK LOT SIZE DBA k DEVELOPMENT DISTRICT CT PERMIT 25934 DESCRIPTION SINGLE FAMILY DWELLING (PMT:#17145) PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: BOND $.00 pCONSTRUCTION COSTS $.00 Y V 756 CERTIFICATE OF OCCUPANCY * BARMAB MASS. 039. A� BUILDDTVIS N BY V'11-` f DATE ISSUED 09/26/1997 EXPIRATION DATE 10/27/199 AW L TOWN OF BARNSTABLE TEMPORARY CERTIFICATE OF OCCUPANCY PARCEL ID 056 069 GEOBASE ID 35725 ADDRESS_ __151_ WHITPIAR_ROAD ._(508)771-�330�{ COTUIT --- - --- - zip - I LOT 33 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CT PERMIT , 25934 DESCRIPTION SINGLE FAMILY DWELLING (PMT.017145) _P,ERMIT TYPE BTC00 TITLE TEMP. OCCUPANCY PERMIT p_ NTRACTORS: Department of Health, Safety-.. ARCHITECTS: and Environmental Services TOTAL FEES: BOND $.00 OxTME CONSTRUCTIbN COSTS $.00 756 CERTIFICATE OF OCCUPANCY HARNSTABM •' MASS. OWNER DUBI N, LEE M TR i639' ADDRESS WHTTMAR ROAD REALTY TRUST INI� 1645 ROUTE 28 SUITE 4A BUIL O I S O� CENTERVILLE MA B DATE ISSUED 09/26/1997 EXPIRATION DATE 0/27/1997 Department of Health, Safety and Environmental Services a�►xwsT�, ; j 059. �► D pA1`►l A, BUILDING DIVISION BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED APPROVED PLANS MUST BE RETAINED ON JOB AND FOR ALL CONSTRUCTION WORK: INSPECTION WHERE APPLICABLE, SEPARATE THIS CARD KEPT POSTED UNTIL FINAL 1.FOUNDATIONS OR FOOTINGS HAS BEEN MADE.WHERE A CERTIFICATE PERMITS ARE REQUIRED FOR 2.PRIOR TO COVERING STRUCTURAL MEMBERS ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. , RIM Onto] BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS .-%N.0V�V,.s+� 2 2v AO -24-9 3 1 HEAT G INSPECTIO P ROVALS GINEERI G DEPARTMENT L \ {' .may• -xa:..ti.�' '��► .���77'� ���A��S/ 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APP L WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THI" THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOP' VARIOUS STAGES OF CONSTRUC= MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOT' TION. NOTED ABOVE. TION. Town of Barnstable FSME A Regulatory Services Thomas F.Geiler,Director • RUMSPABIJ9, • 9 M"$s' Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 PERr&T# 79 g"4 FEE: $o l✓' �s, ,7�oy SHED REGISTRATION 120 square feet or less Location of shed(address) Village s clo a D .0:W Property owner' name Telephone number �3 V ,1, o (:SOD 'Tt6 -060S_ '-J Size of Shed ap/Parcel# Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? ---� Conservation Commission(signature is required) �- �L7 TO ,eCe)R-DING V, PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE 4 ffi4c4e/ COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. S/ ,�f )Z AV PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. CC) Ics-TIRfSANCe- THIS FORM MUST BE ACCOMPANIED BY A CotfAN loot ®F PLOT PLAN . �laAu)Qsfic- L we�L� Q-forms-shedreg REV:121901 PLAN REFERENCE: BARNSTABLE COUNTY REGISTRY OF DEEDS PLAN BK.406 PG. 78 CORDWOOD ROAD , R = 1273.12' L =.157. ' 101 NO ACCESS STRIP _ LOT 33 44,175± S.F. .L01±.Ac. O N N O t � Z D � e rn W 0� v, rn W o. D N 1 LOT 32 O ' (56170) 15 r 56168 14.0' '+ (\i 14.0' N EXISTING 16.0' r 10.8.. FOUNDATION ' 42+ 10.8' HSE, #151 16.0' 0 16 12 ':. w O N y. tl 15 00' „ .. - 9 ' WHITMAR ROAD4.. M. I HEREBY CERTIFY THAT THIS FOUNDATION IS LOCATED ON THE GROUND AS SHOWN AND THAT IT CONFORMED TO THE TOWN OF BARNSTABLE ZONING BY—LAWS. REGARDING MINIMUM SETBACK REQUIR MENTS AT THE TIME -IT WAS CONSTRUCTED. 4 09 Ie%., MAP 56, PCL 69 NORMAN GROSSMAN R.P.L.S. DATE 0` FOUNDATION LOCATION PLAN °16� �� LOT 33 WHITMAR ROAD a NORMAN BARNSTABLE, MA. GROSSMAN v►. No. tens NORMAN GROSSMAN, R.P.L,S. �,�s��Ec►� sv 1 10 MARSH VIEW ROAD iL LAh�; EAST FALMOUTH, .MA. 508-548-1920 SCALE : I" = 440' DATE: SEP. 26, 1996 PLAN NO.: C— 430 1" i PLAN REFERENCE: BARNSTABLE COUNTY REGISTRY OF DEEDS PLAN BK. 406 PG. 78 C ORDWOOD ROAD R = 1273.12' NO ACCESS STRIP L = 157. -- LOT 33 44,175± S.F. I.01±.Ac. N O e ,rnw � m wo N D N N w � 3 m LOT 32 LOT 34 (56%70) (56/6 J � 6 14.0' o b - N 4 N 14.0' EXISTING 10.8.. FOUNDATION � 42= 101 HSE. #151 16.0 N ` 16. ' t6 b . N +I . M . 15 00' -3 - WHITMAR ROAD I HEREBY CERTIFY THAT THIS FOUNDATION IS LOCATED ON THE GROUND AS SHOWN AND THAT IT CONFORMED TO THE TOWN OF BARNSTABLE ZONING BY-L AWS REGARDING MINIMUM SETBACK REQUIR MENTS AT THE TIME IT WAS CONSTRUCTED. AIM Mnm 09/26/96 MAP 56, PCL 69 NORMAN GROSSMAN R.P.L.S. DATE FOUNDATION LOCATION PLAN OF LOT 33 WHITMAR ROAD � y O Gam, NORMAN �, - BARNSTABLE, MA, GROSSMAN v> No. ,zns 4 NORMAN GROSSMAN, R.P.L,S. px�AEc►�' s 10 MARSH VIEW ROAD EAST FALMOUTH,,MA. 508-548-1920 SCALE : 1" = 40. DATE: SEP. 26, 1996 PLAN NO.: C- 430 t 5 I v.�Ir�4��r � 1 Gv�J•�� ►�lo �is .b�•,cc o► be�v� 1G,d J r> 1'� w�c. l St-l �7, �i.►Ge r Vie, se.� Engineering Dept. 3rd floor Ma a� ��� 4 g' g p ( ) p 0�. Parcel � ermit# /7/ ` House# Date Issued ff .'9(0 Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) s` Fee `/ '9/� Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) Planning Dept.(1st floor/School Admn SEPTIC SYS. Bldg.) T BE INSTALLED ANCE DeffnM Plan Approved by Planning Board 19 WIT LNViRONOME TOWN OF BARNS LETMUN R� �2. s , Building Permit Application Project reet Address age C cn— U I Owner j= D y P.112 Address Fit A�d�tf1 ak,.yr ; P T_ Telephone Permit Request r L A-k-bLY 9 1 bF-A-)CF— First Floor 1,300 square feet Second Floor t (!) 0 O , square feet Construction Type VJ® -n A,A--M E- Q A 5 76 b� Estimated Project Cost $ (0 Q® Zoning District KFzg Flood Plain Water Protection Lot Size LIL4 V`Z-9-S F' L d AC Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 0 Historic House ❑Yes XNo On Old King's Highway ❑Yes AA Basement Type: ❑Full ❑Crawl VW. alkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) ALL r 302��Number of Baths: Full: Existing (2) New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing g!�Q New 4 First Floor Room Count Heat Type and Fuel: Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes XNo Fireplaces: Existing New Existing wood/coal stove ❑Yes No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) >JAttached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use .\ Builder Information -Name P LL- Mle-44 0 it , elephone Number Address J /NE, S77 License# os-c?065 - L/ /Lbz Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Lj�, 1 LL s R l � h"f SIGNATUREDATE D BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) It -3-91 _ � Y•t • . �. T t , I tT r - j.�"V B.d�"�����,� G��4+.� 'y. . '.—.� , ..- q r.ire .l i ,: , • r , + _. ---fit` ,L• �ti � � _ y .a. _'1� r l �'� - ' — ...._ � � . .F `.. { ' _J ------E'rKK CF1,nr+EY R[9 CEDAP� SNrraGICS 111-Hi� 11D/ aRrD CECMR,C IPBOARDS REDCEDAR SH I NGLES i LM .__ � BOXED OUT 4AwDa.1 FtD CEDgq CLAPBOA"s FRoNt ELEVAT+'oN LEE DU�,r3 RESIDENCE ••w�n `c1 19 vG .. .oB�•,�,r • \ t Sa4+ 1�� r r; 15I WN�rMh� -VAD Col u i T 'h'� {� .,...,.•.• r • —�n0 LO')UF� - LEFT ELF-vATio' t� V Michaelson Buliding Co. 477 ENE StPEET CCNMRViLLE.UA WW2 SOB790II•t2p2 . LEFT ELEVATIC"J A r - - SN;ti4bF 4 qk77)A6 j G!iT VAT I I i� _ �� Mncccls n Building op. / .rJ PINE SIPEET CENTERV LLE.1A OMM o b0!•794t7p2 Rt64-r ELL vATioQ - 7V IRE AR 4EVAJIC')r,) 4 NicAaeL""BuiidMg C, REA E 473MES7REET IV . ........... 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C lC 6• -_-r -- - 14 -- w6„ 7' Dec G - - - 1 ---- --- - �REA't Rao t\ i —�— A 00 PIASTER SUITE r scw j0 2-1 fit i I RAw6f �'brr - Z r f/' 2'4 Z Sr�Fi4E Rs FD-�78' � � j -u O i E.Aao EE�wrt.� S —�!-c— 6►aAGE.i.r+p ALL PoRN 00. � x ---24 — _ -_. ---- FIRST FLo TLA0 F�s-r FLoo LIQ /y MichaeLwn Building C06 "U r1 473 MNE STREET •� .. p CEMERY—E.YA sae-raaitpt ;j W FI; I tMi;c RID Cn �T tA A ..,w....., � y f ' r - lyl �EDQopf1 $EDRoo 126„ A 12 BED Root QV 2 y -- i 1 _� . (— _- --_ --- 0.,b6kHtt i ' F /� Miehoicbmouiidinp(b6 SECOND 1 Loop,FLAG rERVILL ,UA* CENTENviIIE.YA 02y! S0 IWA 202 SE oni FLoo LrAK) p ..�.o6J�Core 1Z� ��NirrfP� ROAD Cory 11- A ........... 2k 12 R I D GE --- — Y2 PLYWOOD —- 2M$j DORM{R RAPr{ns RED BDAf,9"i"U{S CEDAR BRSATHDk IS It FELT PAPsL q'L"CI.CS." '�teclr.b - Y2 CDk R'30/4"SNSVLlr,o 1 • Ir:o Sr RACPoNfs — --------- 'b.T" QRoPa2 VErn-+-6 I/a sµ{►T A.oc< I1K8 FASc'&. —-- �/� 0 i T rr 11 '�/ C jDs i 2/F IOTSO/SY 11 D,l r --_„_ IY 7 Sox- out — N�NDoui �,.}yA STUDS 3 fp,f`W 0,L1 C 8' /� YZ C.Dx ♦..1,TN // DE T AIL Wu1r<<eeet 93.5 STUDS sun+Glo a.n�, TYvex` II / I . a - I ('/urFleroCus R-19 _ oAx F(ourty�6 Tm%vLAr10.- — IN SAS' 6�r - • +GAR0.cE - --.--- 3�17oW5AlIIt( _— _ — CEIO"6 �7C - � PIC CLAP6 AtIbc -- /r y 14 A LL t n,v Al 4.)ALko�T •N 1:RON LI 4 -- Q-[or+c Rb 7E OvYQ, 7YVEd F,L!•� LALLV 9/ ��z "r,C R,YNo•o 'WhTEQw --- CoL.-O - - L6AD FLASM�NG -- � Tn4c CONCRs•t Sl•{ . 1" e,Wy-rtatkup ' 1 Y Y 12 FOOr-I.J 6 Ca..,c{art{!lLvh.1 - L�"6E_eW PAD GF.A,E w-w SILL ZEAL{p C KC) Sj J � �-T iJfJ WP,T:P-TASLE DET A L RA f"I IOJ � �F- TAiL 1l2 L /"I Michaelson•TJNE STREET Building Co. GEHTERYILLE•YA 02W ' 60E-7941202 LEE Duslly F\E;0oc N` 5 I �N i rMAI� for,] G-rv)t q ..... -�p 'r� 4�:Vie.�.*:`i�F"sz�•sa-::'.d.'� �'%:..Y 3s-,+,J:i..=� - 4'' S �l� Z/J6m/I)t(1OtfI/BQL�IL 4�✓vla6dQC�LUQP.�6 DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Number:" " Expires: RestriCtedj : '88 _.. WILLIS'H MICHAELSON JR 473 PINE ST CENTERVILLE, MA 82632 +` The Commonwealth of Afassachusettc Department of f Industrial Accidents ' 1 0/liceol/nrestigatfons r K l01 600 !i'ashinrton Street Boston, Afass. 02111 Workers' Compensation Insurance Affidavit t mf rn t m 1 C C (� Ict s' t Wk f,-rn 4�j . )Qo4y_� sit hone# D� I am a homeowner performing all work myself. �`I am a sole proprietor and have no one working in any capacity //. �' +�+c � z :+.�^Tnra+,e+�.e�„• .rr'a .:, a^""'a°svrr.. e�naw.rr:�.�tT.�a;a•at� <m...Yw.�m�>-..,t ,a•..agr t._.....n;�..,.:.:..a�...zL.< � ._.��._�•��> ,.as' -s�.._:9ua�r�s .s::�;. ..+as. _ram.... � _.,v„s,7.,,._ _ -c.:.�:�....._._..:.�.r. .l am an employer providing workers' c m ensati for my emplo ees working on this job. coin any name: address: If:z 1 / N -C,7 city: CF/V 2Go tltLl- �' phone insurance co.TT�Vl ��I� •`I-r"-C-i A6NCk police# V Ba / I am sole proprietor<general contractor,or homeowner(circle one)and have hired the contractors listed below who have " the following workers' compensation polices: company name: t7 S 4)/ r, 1&►er7 CO addressa_ �� s3 city: f igra kS' r LA !L k 1 phone#: �d�- "L t�7'7^insurance co. 11 F_P0_r_Vd&TS L7R-o U 1 policy# r l (.: .:.OW..., p :-ry ti�s * company name d L�c/N-S T� co < address: >r ?, city: o t7 ®� hop e#: 7 S / insurances dl—fe_ ®cl-0,ze S polic # -Attach additional shct:t if riecessaty,�-:-" "f_�,,,,�„�""°''"',%•���.�� Failure to secure coverage as required under Section 25A of n1GL 1.52 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. I understand that a cope of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do berehp certifj•under pain 1 p s ojperju t the information provided above is true and orrect. Signature Date Print name W -£-CrS L C C-�V Phone# s official use only do not write in this area to be completed by city or to%-n official city or town: permit/license# In Building Dep7rd ,"", Licensing Bo D check if immediate response is required c3Sclectmen's []Health Depacontact person: phone#; rjOther 5 (revised 319>P1A) information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an enrpli!vee is defined as every person in the service of another p-nder any contract of hire, express or implied, oral or written. An enrpinrer 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'deceascd employer, or the receiver or trusted 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 vs•ho 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,prese»ted to the contracting authority. �: �- �._.• T,,....�.y::—'^.n:"'e'.��+ .J :a/.tip --J°5e .lad .dZ�`!�'[' �. .. .. Applicants J Please fill in the,workers' compensation affidavit completely; by checking the box that applies to your situation and supplying company names, address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. ,.....�..51,^"..a.RRR°.'. l.+Y,:.:�.r, ••,_. -.y{.a w/,..:! 3RR!'l!T 7 _ i �:/' .jam-'-•„ .-• Cite or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license-number which will be used as a reference number. Tile affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. rcYau ., ..v .".nrr-e•w•. ..r >-cer: -. tttR77r..np:�+wr.�n-m•*nr+�m ,�:.---�:.�n+�:+'.R+. a-,oa++n._rr'+•<-r,•- .w..�nw• f++.•.-�•.+s.e- The Departnent's,address, telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Rlashington Street Boston,Ma. 02111 y fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 w y, � A a _ z 7 � '7 2 FIRST FLOOR SEPTIC SYSTEM PROFILE SOILS LOG 8 ELEVATION 98•0 FIN. GRADE FIN. GRADE OVER FIN. GRADE OVER FIN. GRADE OVER PERCOLATION TEST TOP of AT HOUSE SEPTIC TANK DIST. BOX SOIL ABSORPTION SYSTEM FOUNDATION 96.. 90 0 88 5 8 TEST HOLE I TEST HOLE 2 0 ELEV. _ ELEV. _ ELEVATION 97.0 2/o MIN. GRADE 85,0 RISERS , INVERT at o`' : 6" OF FIN. GRADE LOAM 8 FOUNDATION `"•'' •: -r y ' -;' 2" MIN. DOUBLE WASHED 1/8" - 1/2" STONE ELEVATION 88.65 24 it SUBSOIL t - 7PERT. 4" SCH. 40 PVC 0.005 i? > - t• 86.40 F85,97 85:$0 85.55 85.50 3/4' - I-1t2" DOUBLE WASHED PRECAST, C,I. OR P.V.C. TEES c� :. CRUSHED STONE ON LEVEL BASE DIST. BOX� . 1500 GALLON r ►� �; EFFECTIVE LENGTH _ . t. o H-IO LOADING 10'-0" �. SEPTIC TANK BASEMENT FLOOR ► ` ' '° H- 1D LOADING TO BE SET ON A COTUIT ELEVATION �': . :.:.;�.....,:�..;...;.•...:.a: :•.,•:>y:� •i:.: .;,.:;. ., LEVEL $ STABLE SAND 88.0BASE—" a•= a �� 6' -CRUSHED STONE BASE v� ACME DB- OR APPROVED EQUAL ) SEPTIC TANK SET LEVEL AND TRUE TO GRADE ON 6" CRUSHED STONE BASE ON ( Profile not to scale } MECHANICALLY COMPACTED NATURAL MATERIAL T 3' 6,. 3. 144" CORD ROAD R 5 DISTRIBUTION LINES TOTAL = O' OBSERVED GROUND WATER: NONE 017 R = 1273.12' ADJUSTED GROUND WATER: NONE L = 157.95'_ - ( 10 �+ I )^x ( 30 + 1 ) = 341 S.F. PERCOLATION RATE: 2 MIN./INCH ... ....... ._._ 10' No Access Strip SOIL CLASS: I LEACHING , FIELD DETAIL EFFLUENT LOADING RATE: .7 GPD/SF SOIL EVALUATOR: ER 8 NYE NOT TO SCALE CERTIFICATION NUMBER: WITNESS:. JAM ES CONL,O_N BOARD OF HEALTH, TOWN OF BARNSTABLE *� DESIGN DATA DATE: DEC.,19, 1985 LOT 3 3 P-5060 44,175+' S.F. ,� NUMBER OF BEDROOMS 4 i.0t* Ac. G.P.D./BEDROOM 110 G.P.D. TOTAL DAILY FLOW 440 G.P.D. GENERAL NOTES ' GARBAGE DISPOSAL NO LEACHING REQUIRED 440 G.P.D. 1. ELEVATIONS BASED UPON DATUM. WaterVev, a 72.3 LEACHING PROVIDED 511 G.P.D.. 2. ELEVATIONS AND LOCATIONS SHOWN ON THIS PLAN SEPTIC TANK REQUIRED 1500 GALLONS ARE NOT TO CHANGE WITHOUT WRITTEN APPROVAL SEPTIC TANK PROVIDED 12Q� GALLONS OF THE ENGINEER AND THE TOWN HEALTH AGENT, SIDEWALL AREA - - S.F. 3. ALL SYSTEM COMPONENTS ARE TO BE INSTALLED IN BOTTOM AREA = 341.0 S.F. ACCORDANCE WITH S.E.C. TITLE V AND LOCAL HEALTH c a ���� TOTAL PROVIDED. 341.0 S.F. x 0.75 =255.75 G.P.D. RULES AND REGULATIONS: �' wF 255.75 G.P:D./'FIELD x - 2 FIELDS 511.5 G.P.D. 4. ALL PIPES ARE TO BE OAST IRON OR P.V.C. SCH. 40. 9g V: Flogged k a N o elland3JC0 5. THE BOARD OF HEALTH AND/OR ENGINEER TO BE vsa r' s? WF NOTE: EXCAVATE TO EL. -- — OR LOWER AS SOIL NOTIFIED WHEN SYSTEM IS COMPLETELY INSTALLED ai . o CONDITIONS REQUIRE TO REMOVE ALL TOPSOIL, SUBSOIL, AND READY FOR INSPECTION. CLAY OR OTHER UNSUITABLE MATERIAL BENEATH THE 6. NORTH ARROW IS NOT TO BE USED FOR SOLAR 1 o A INLET INVERT OF .THE SOIL ABSORPTION SYSTEM FOR ORIENTATION. z 1 x 1 LOT 34 A DISTANCE OF 5` MIN., AND BACKFILL `WITH CLEAN LOT 32 20. b4_ ( 56/68 ) SAND, PER 310CMR 15,255:3. ( 56/70 ) �J �s 8 o so 10 ._._ -- 82 2 gq 4 , 86 _ REV BY DATE DESCRIPTION .. ._ ± r_ 8 -.-- ;, PROPOSED SEWAGE DISPOSAL SYSTEM 44 BEOOM ry LOT 33 WHITMAR ROAD o G�A . `---DWEL-Li�fC7--- fi 90 K� BARNS`I ABLE t COTUIT �, MA. 07 2 ` 6.0 v -- 32 01 � - off. a APPLICANT: JOHN R_CAL RS. I ---, g '� T 94 ., ° o ADDRESS, 710 MAIM HYANNIS, MA. 02601 ... B.M.s 96.6096 , a r ENGINEER: ORMAN GROSSMAN, ? E. Z US MAP --- SCALE: 1 2000 0'-59" E -,.,� za g LOCUS - IO MARSH VIEW ROAD 1AING.,.i�}ISTRICT FLOOD ZONE ELEVATION EAST FAL.MOUTH,.;MA. C.BASIN �9�- 9d RF C -- ' D8-5484920 9 4X s 6 MAP. SEC PCL LOT © PPim =95,25 96x5 WH1TM ' ,..PLAN REFERENCE: T-'►OA D 9 HSE � SCALE PATE ,DWN: BY I CK'0 BY PLAN N0. BARNST CNTY. REG. PLAN BK 4061 PG 75. SITE 'PLAN-- SCALE 1 30' 56 65 33 1 151 S NOTED J / G - 433 A N ED AUG. 2, 1996 TH N H