HomeMy WebLinkAbout0091 DORAL DRIVE q l 06y-aA17r
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oFTMEr Town of Barnstable *Permit#�D(1v' 7
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Regulatory Services Ixplres 6mon rom issue d
i
• s�vsrAsc E : Fee
ta059.usa. Thomas F.Geiler,Director 1
-
Building Division -
Tom Perry, CEO, Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.bamstabid.ma.us
Office: 508-862-4038
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY 508-790-6230
Not Valid without Red X-Press 1,mprint
Map/parcel Number �q s ��
Property Address
-'dsidential Value of Work Minimum fee of$35.00 for work under$6000.00
Owner's Name&Addresses—��'�flt�.1?,
Contractor's Name<= l'/�,� 7
57
Telephone Number_, —�
Home Improvement Contractor License#(if applicable)_le! LV -
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one: -PRESS PERMIT'
❑ I am a sole proprietor 1�
❑ am the Homeowner
JUP� � g; 7iljs
I have Worker's Compensation Insurance
Insurance Company Name •TOWN OF BARNSTABLE
Workman's Comp. Policy#_
:opy of Insurance Compliance Certificate must accompany each permit.
'ermit Request(check box)
;dRe-roof(stripping old shingles) All construction debris will be taken to
❑ Re-roof(not stripping. Going over existing layers of r000
❑ Re-side
❑ Replacement Windows/doors/sliders. U-Value #of doors
(maximum .44)#of windows
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Ownef must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License&Construction Supervisors License is
re ed.
GNATURE:
i
WPFILESIFORMS%uilding permit formslEXPRESS.doc
vised 070110
ry Town of Barnstable
a
Regulatory Services
M g Thomas F.Geiler,Director `
Building Division
Tom Perry,Building Commissioner
200 Main Strcct,Hyannis,MA 02501
W W W.to w n.b arnstab l e.ma.us
OffZce: 508-862-4-03 S Fax: 508-790-6230
Prop erty O-wner Mus t
Complete and Sign This Section
If Using A Builder
I, 1l_'. .�.�1� �.P. � as Owner of the Subject.'' PAY
here by authorize �.�'�/l.,Yj �� to act on my behalf,
in all matters Xtka 7e to work authorized by this buUdiag permit application far.
(Addre of job
Signature of Owner
ate
Prat Name
If Property Owneris applying for permit please complete. the
Homeowners License Exemption Form on ffhe reverse side.
L .
Town of Barnstable
Regulatory Services ti T J
• ux�rsusLE Thomas F. Geller, Director
gb 1a63} Bi ldingDivision
CFO { Tom Perry,Building Commissioner
200 Maid-Strcct, Ayannis,MA 02601 '
www-town-barnstable-ma.us
Off-cc: 508-862-40 8 Fax. 508-790-6230
HOMEONNER LIC NSE=MMON J
Pleare Print f
DATE
JOB LOCATION: r
number street village
"HOMEOWNER":
name borne phone i{ work phone#
CURRI rT h MUNG ADDRESS:
city/tow
zip
ends
The current exemption for"homeowners"was extends to include owur-occupied dwellings of six tests or less and
to allow homeowners to engage an individual for hire wh does not p ssess a license,provided that the owner arts as
stmcryisor.
DEFRCMON OF HO 0 'ER
Par-son(s)who owns a parcel of land on which helshc resides or Tin ds to reside, an-% ich.tbere is, or is intended to-
be, a one or two-family dwelling, atta:chcd or detached sfructart s ory to such use and/or fans structtaes. A
person who constrgcts more than 6ne home in a two-year periods no a considered a homeowner, Such
"homeowner"shall submit to the Building Ofcial on a form a table to 'e BuUding Official, that he/she shall be
r onstble for all such work erf°rmed•ffider the buildin c t: (Section I .1.1)
The undersigned`homeowner"assumes responsibility for co Banes with the State uilding Code and other
applicable codes, bylaws,rules and regulations.
The undersigned certifies that,be/she.understan the Town ofBarnstable B gDepm-tmrnt
rrri,,;rrrnm inspection procedures and re:qmfi-r-r,r„ts and that h she will comply with said prose and
requiretncnts.
5ignatirre of Hamemvna
Approval of Building•0f5cial
Note: Three-family dwellings containing 35,000 is feet or larger will be required to comply with the '
State Budding Code Section 127.0 Construction Control_
HOIKxC)wwER'' EximmON
.The Cede states that Any bgmcaw erpafoarmrg work for hich a building permit is required shall be excerpt from the provisions
of this section.(Section 1 D9.1.1-Lane i+g of caashvetion Supervisors); royided that if the homeowner=gages a persons)for hire to do such
wor I that such Hamcawncr sball act as supervisor.,,
luny homeowners who use this,ezempti®an unaware that cy are arm=x;ng the r•espoanbt7ities of a supervisor(see Appendix Q,
lzulcs&Regulations for Liccnsiog C®rtvctian Supervisors,Section Z. S) Thir lack of awareness bAar results in serious problems,particularly _
yhan the homeowner hires unli=wcd persons. In this cue,our Board cannot proceed against the unliernsed person as it would with i licas-cd
*pavisor. The hameowoer acting u 5upervuor is ultirrntcly rrspornstble
To ensure that the bomeavma is fully¢war=of his/herrzsp&mbilidcs,many conm=mitics rrgr&e,as part of the permit spplication,
tat the homeowner certify that hrlshe understands the rrsponar iItics of a Supervisor. On the last page of this issue is a,form cur=Vy used by
:veal towns. You may care t arnend and adopt such a forrrVccrtification for use in Your community.
TOWN OF BARNSTABLE Permit No. ----------—---------
4 "ASSIT.0 ; Building Inspector
• "ra Cash - - ------
°e ,°ao
�°""X OCCUPANCY PERMIT Bond
"No building nor structure shall be erected, and no land, building or structure shall be
used for a new, different, changed, or enlarged use without a Building Permit therefor
first having been obtained from the Building Inspector. No building shall be occupied until a
certificate of occupancy has been issued by the Building Inspector."
Issued to Me-brVI.vi Frp-zw'an Address ("?]IttCCmaquit-
Wiring Inspector Inspection date
Plumbing Inspector Inspection date
Gas Inspector Inspection date
Engineering Department Inspection date
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.
.................................................... 19_... __ ..........................................................................................__.._
Building Inspector
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CERTIFIED PLOT PLAN
EJ)W RD E. KE 'EY
02637 LOCATION
SCALE . . DATE oGT Z3 i9
PLAN REFERENCE .
Sl&w•v O ti .q PLC. Ai;Al- . . . .
13C p #
TSB. dr
. . . .. .
CERTIFY THAT THER . . . ..I !.. ?. .
`3' .k list.w* SHOWN ON THIS PL IS..L.O.CAT:E.D ON THE GROUND.#* AN
AS SHOWN HEREON AND THAT IT CONFORMS TO THE
T'y SETBACK REQUIREMENTS OF THE TOWN OF .
. . . . . . WHEN CONSTRUCTED.
/y.7/. L;C `c�MA-• DATE 7-314 7,9
PETITIONER:
REGISTERED LAND SURyfifOR.
N59345
Z s�+✓E �'S
J ` �
t / _ a•
owe
17R+v ow-"`j 20No
41
tvrlo
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Now-- �Z�✓f�7"'°/0�/S BA^sG:-f� o.�
CERTIFIED PLOT PLAN
EDWARE, E, KELLEY
CU C3U10, , 02637 LOCATION . `. . . . .R .3G
SCALE . . /��=gU . . . DATE c�,77.43,-1.7,9
PLAN. REFERENCE . 44-7,Yc. . . .G?.T. . /27. .
,ram
'�4' +� - �''• I CERTIFY THAT THE 0
... SHOWN ON THIS PLAN'IS L0 E GROUND
AS SHOWN HEREON AN FORMS TO THE
SETBACK REQUIR�[riKN HE TOWN OF
O \\V.0 . . WHEN CONSTRUCTED.
DATE . . . . . . . . . .
PETITIONER: y,gIIZ el o✓1 //00/Zr- /(—:A-T r,
REGISTERED LAND SURVEYOR
N59345
Z Sffe37-z
TOP OF FOUNDATION
CONCRETE COVER
CASr /Dery COVERS
e o 4"CAST IRON �T 12"MAX.
PIPE (OR EQUIV.)- MIN. 4"ORANGEBURG(OR EQUIV.) •
PIPE- MIN. LEACH
� " PITCH I/4"PER.I- . PITCH 1/4"PER.FT. PIT
or° PRECAST
o' INVERT a .•.:: LEACHING
EL...b.•.�9 INVERT INVERT o� w o ; PIT OR
o'. "' SEPTIC TANK DIST. EQUIV.
,,o LNVERT EL..0 7i78 . BOX EL.7$,,Ptl. >
o; EL..B3.91�• h�44. .. .. GAL. INVERT
INVERT �•' �a O• :�. 3/4"TO11/2
EL. PO' ww O•
EL.7$7-0. �� \: WASH ED
No�-E—SL�TiC T�•✓K •'• w
o ° r JHAt� bar Co�s7Rt.c :; STONE
�0 So AS 70 Oar A9Gd �
" '. N-Zo wrye•zG ,Lo*vs �+-- lo' DIA.:fA Mop•
PROFI LE OF GROUND WATER TABLE
SEWAGE DISPOSAL SYSTEM '
- NO SCALE
pG3�d�G���]QG3�
SOIL LOG WITNESSED BY :
DATE oc?3./9Z9. TI ME. .9r-To !�A?!L. .�`1u,e/Z?J. BOARD OF HEALTH
TEST HOLE I TEST HOLE 2 7h �., ,ICE�y� Pam,ENGINEER
ELEV—77311a. . ELEV. .16.4:?-P.MOW
. . /
LO i
s�8-sort. s�esp<� DESIGN DATA
36 NUMBER OF BEDROOMS -3 . . . . .
,94^* a.rroG TOTAL ESTIMATED FLOW . .3 . . . GALLONS/DAY
- Gn"
8f" BOTTOM LEACHING AREA ?B.S o . . SO.FT. /PIT
SIDE LEACHING AREA SQ.FT./ PIT
9c �'
-- /Zo' GARBAGE DISPOSAL N.4tiE: . .(50% AREA INCREASE)
SA—Z) Ci cif TOTAL_ LEACHING. AREA .7-.a" . SQ.FT
SA•*1D ti i
PERCOLATION RATE l.'`1 . . .!0 S GsC . MIN/INCH
` LEACHING AREA PER PERCOLATION RATE SQ.FT.
N9. .WATER ENC•OUNTERED
NUMBER, OF LEACHING PITS . . . .
APPROVED . . . . . BOARD OF HEALTH
DATE . . . . . . . THOMAS E.KELLEY CO.
AGENT FOR INSPECTOR ENGINEERS—SURVEYORS
346 LONG POND DRIVE P��N OF Mgss
SOUTH YARMOUTH,MASS.OF �;��� TH M 4p
13 02664
242 Q
ELLEY cnNo 2.10*1 �.G
IST�P
PETITIONER - �/.�.�,�7yv77r✓I?a •- I+ 5u �`
2/
;�11 jz
Avesso s map and lot nu e ... THE
............
Sew,��e Permit' number .........................................
Ifni
MADE
Aouse number. ...... ...................................... ....... TME
EWRONMENTAL CO1639-
W
TOWN OF B A R N S TXVIL-iULATIONS 11.11
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ....................................................................
...................................../-M
TYPEOF CONSTRUCTION ............ ................................ ........................................................................................
( .................. ..................19 .
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
-X-r-
Location ........... ......................................... .....z.... ...... .......
ProposedUse .......... .................................................................................................................................................................
ZoningDistrict ........................................................................Fire District ...................................4...........................................
90( OtAA4,CA�
Nameof Owner .. ...........................................Address ..............................................................4.....................
Name of Builder 01A
................ ......4........................... ...........Address ....
Nameof Architect ..... ....................................Address .....................................................................................
Numberof Rooms ..................................................................Foundation ...............................................................................
Exterior ............... .........................................Roofing .....1.2...../.. .�.......................... ........................................
Floors ......................................................................................Interior !...................................................................................
Heating .......... ..... .........................................Plumbing ..................................................................................
Fireplace ....
i....................... ........................... ......Approximate Cost ..... ....../...............
Definitive Plan Approved by Planning Board -------------------------------- Area .11
Diagram of Lot and Building with Dimensions Fee .... .7...........................
ter
SUBJECT TO APPROVAL OF BOARD OF HEALTH
I hereby agree to conform to all the Rules and Regulations of the Town:ofjB?st bl,e regarding the above
construction.
me .. .. ... ..... ................... ............... ..............
..
. Freeman, Mervin
rlqc7
21790-
........... Permit for .......one.........story
.........
single family dwelling
...............................................................................
Location ...........91..D.ora.1...Drive........................... .. ...... . ........ .
13
............................ le
Owner .............Mervin Freeman
.....................................................
Type of Construction ..........:....frame.,,.,,_,..,,,,_.
.............I..................................................................
Plot ............................ Lot .............. 15.6.........
Permit Granted ........N.ovem.b.er...5............19 79
. ........ . ....
Date of Inspection ................... ...............19 0-
Date Completed ...............19
.�
PERMIT REFUSED
......5i........................................ 19
>
..... ...... 9....... ...... ...........
-11)..........
a
rn (T
.. ... .. ....... .
10
........... .. ....
0
Apprw ................................... 19
M
............................................................................
...........11�4... ........... ..................