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HomeMy WebLinkAbout0021 MIDPINE ROAD n c7 0 � u o h h n c � p o i ,, v � ;, b �, �, a a ., � Application numb ....-). a-.. 1. Fee 80�.,. .........Building Inspectors initials... ,� ... ............................ ................................................... 163g. AUG 28 2018 -Date Issued........../ FMA!N (A 8AHNS(ABLE /oa�r Map/Parcel...............z................................................. TOWN OF BARNSTABLE /Z, ENPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORSnENTS/STOVFS/WEAFHEPIZATION PROPERTY INFORMATION a_-,-ri 0 Address of Project: f 9 92,4 i)l F R NUMBER STREET V11LtAGq/ Owner's Name: bFr4 E! 04C C4 U i— Phone Number Email Address: bob.0bob M/9 C 19 F 7-H Lk P.cotf ell Phone Number(5/7 83�027 1 Project cost$ (1-7 Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK Siding ED Windows (no header change)# F-1 Insulation/Weatherization ED Doors (no header change)# Commercial Doors require an inspector's review ED Roof(not applying more than I layer of shinglej) Construction Debris will be going to ...... _C� 4 A a F_ A CO a U 6e STe F oL)S'.1 r CONTRACTOR'S INFORMATION Contractor's name P P Lf C 1-,'o V Z Z r,F_SFfZV PAL)COVS71 Home Improvement Contractors Registration(if applicable)# N0_;2_2_ (attach copy) Construction Supervisor's License# (attach copy) Email of Contractor j)A I)CO M4p,4 06-ma'.4.roR,hone number _�M ALL PROPERTIES THdT HAVE STROCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS 6 A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORICAPPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NI IMBER............................................................ *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8.;00a#i -9:30 am®y 330 pm-4:30ptti. 0mmetcitil events may require Fire Department approval *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures, specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLI SIGNATURE Signature Date o10f All permit applications are 7su 'elct to iY building official's approval prior to issuance. y: ACTIVITY THIS CONTRACT NOT VAIID UNLESS SIGNED BY PAVLIN PESHEV ACCEPTED BY SIGN �f� f' DATE D 7 ZCa Z©l ACCEPTED BY _....... ............._........ ...... 7 �2 6 20� TOTAL $38,650.00 Accepted By Accepted Date - of Town of Barnstable Expires 6 moutks front issue date l ti � a ill- Serd Fee ,� .�� aARNSTART F, MAM 9cb t �0�4 Richard V.Seat!,Director Building Division �EnMpta �j �1 � Tom Perry,CBO,Building Commissioner MAY 15 Zo�a 20Q Main Street_Hyannis,NIA 02601 wiv.town_bamstable:ma_us �� `" w Office: 508-862-4038 r Fax:508-790-6230 EXPRESS PERMIT APPLICATION - RESMENTLAL ONLY �Vot valid witizout Red X-Press Imp►int - Map/parcel Number 3 s ��S Property Address o2 e s e [Residential Value of Work S�T S 11 Minimum fee of}$35.00 for work under$6000.00 Owner's Name&Address i°�6 e r—t / .c A(...Yh y r C omen l,6l,J AA 02-(o3 -7 Contractor's Name 4dco uI till rjp ( Telephone dumber[t-(o f 2�- !8_6 Rome Improvement Contractor License#(if applicabiel—L j Email: Construction Supervisor's License#(if applicable) 7 D 7 F v'orkman's Compensation Insurance Clieck one: ❑ I am a sole proprietor ❑ j,�(ffi the Homeowner I have Worker's Compensation Insurance Insurance Company Name Workman's Camp_Policy# W C A 3 1_S 8 7 2-9 2 L Copy of insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-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 2 keplacement Windowsldoors/sliders.U�Value Z. 6T (maximum.32)#of windows 2- 9 of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. =where required: issuance of this permit does not exempt compliance with other town department regulations,Le.Historic.Conservation,Cie- ***Note:*--Note_: Propertyer must sign Property Owner Letter of Permission. _ A cop can y the Home Improvement Contractors License&Construction Supervisors License is require t' _. SIGNATURE: C:xUsers\Decollik\AppData\Locai\iiticrosofr\VJindows\Tempomry lntemet Files\ContenLOutlook\?PIOIDHR\EXPRESS.doc 2evised 040215 4 Renewal Agreement Document and Payment Terms byAndersen. dba:Renewal B Andersen of Southern New England y gl Robert MacArthur Legal Name:Southern New England Windows,LLC 21 Midpine Road RI#36079,MA#173245,CT#0634555, Lead Firm#1237 Cummaquid,MA 02637 wisoow RE IAC..... 10 Reservoir Rd I Smithfield,RI 02917 H:(617)833-0771 Phone:866-563-2235 1 Fax:401-633-6602 1 sales®renewalsne.com Buyer(s)Name: Robert MacArthur Contract Date: 04/19/18 Buyer(s).Street Address: 21 Midpine Road, Cummaquid, MA 02637 Primary Telephone Number: (617)833-0771 Secondary Telephone Number: Primary Email: bob@bobmacarthur.com Secondary Email: Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Southern New England Windows,LLC d/b/a Renewal By Andersen of Southern New England("Contractor"),in accordance with the terms and conditions described in this Agreement Document and Payment Terms,any documents listed in the Table of Contents,and any other document attached to this Agreement Document,the terms.of which are all agreed to by the parties and incorporated herein by reference(collectively,this"Agreement"). Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. Total Job Amount: $3,284 By signing this Agreement,you acknowledge that the Balance Due,and the Amount Financed must be made by personal check,bank check,credit card,or cash. Deposit Received: $1,094 Balance Due: $2,190 Estimated Stan: Estimated Completion: Amount Financed: $0 8-10 weeks 8-10 weeks Method of Payment: Credit Card We schedule installations based on thea signed date h o the s g ed contract and secondarily on the date in which we complete the technical measurements.The installation date that we are providing at this time is only an estimate.We will communicate an official date and time at a later date.Rain and extreme weather are the most common causes for delay. Notes: 1/3 PEP 1/3 ON START 1/3 ON COMP TXS PD IN BARNSTABLE MA Buyer(s)agrees and understands that this.Agreement constitutes the entire understandings between the parties and that there are no verbal understandings changing or modifying any of the terms of this Agreement.No alterations to or deviations from this Agreement will be valid without the signed,written consent of both the Buyer(s) and Contractor.Buyer(s)hereby acknowledges that Buyer(s) 1)has read this Agreement,understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement. NOTICE TO BUYER: Do not sign this contract if blank.You are entitled to a copy of the contract at the time you sign. YOU,THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 04/23/2018 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. legal Name:Southern New England Windows,LLC dbai Renee� y Andersef of Southern New England Buyer(s) q /i� Z7` v _� A f Icy Signature of Sales Person Signature Signature Eric Woods Robert MacArthur Print Name of Sales Person Print Name Print Name UPDATED: 04/19/18 Page 2 / 10 Barnstable *Permit IVKEE Town of Bar , Expires 6 ntotrilrs from isstie date Regulatory Services Fee anxrtsrABLE. ` i D ' /� MASS. n`0 Richard V.Sca[i'Director Fb � Panese�Building Division Tom Perry,CBO,Building Commissioner SEP 2 7 2017 200 Main Street,Hyannis,MA 02601 w\vw.town.bamstable.ma.us TOWN OF 8N .- Office: 508-862-4.038 ���00�-�y�' [6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY ^O Not Valid ividiout Red X-Press Inspntrt Map/parcel Number L� Property Address g Residential Value of Work$d, I — Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address2obec t Ma ` OL(- oZl M ic12�n e �c� yrn�'1 yi d ✓Lt,4 o- l0 3 7 Contractor's Name n�c7,,,J 2?/1 Telephone Number(yo 1 2 Home Improvement Contractor License#(if applicable) Z3 2.44 57 Email: Construction Supervisor's License#(if applicable) 0q; 4 7 0 7 [1Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ m the Homeowner Llf I have Worker's Compensation Insurance Insurance Company Name _; r is t 1"1 Ins a Workman's Comp.Policy# V1 r-A 3 15 8 72 2 D Copy of Insurance Compliance Certificate must accompany each permit. B Permit Request(check box) ❑ Re-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) LJ JRe-side Replacement Windows/doors/sliders.U-Value •267 (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical& Fire Permits required. *Where required: Issuance of this permit.does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Property caner must sign Property Owner Letter of Permission. A copy the Rome Improvement Contractors License&Construction Supervisors License is require _ - �NIL SIGNATURE: N� nab C:\Users\Decollik\AppData\LocaNMicrosoft\Windows\Temporary Internet Files\Content.0utlook\2P10I DHR\EXPRESS.doc [devised 140215 Renewal Agreement Document and Payment Terms byAndersen. dba:Renewal By Andersen of Southern New England Robert MacArthur W.t., Legal Name:Southern New England Windows,LLC 21 Midpine Road RI #36079, MA#173245,CT#0634555, Lead Firm#1237 Cummaquid,MA 02637 10 Reservoir Rd I Smithfield,RI 02917 H:6178330771 Phone:866-563-2235 1 Fax:401-633-6602 1 sales®renewalsne.com Buyer(s)Name: Robert MacArthur Contract Date: 09/15/17 Buyer(s)Street Address: 21 Midpine Road,Cummaquid,MA 02637 Primary Telephone Number: 6178330771 Secondary Telephone Number: Primary Email: bob@bobmacarthur.com Secondary Email: Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Southern New England Windows,LLC d/b/a Renewal By Andersen of Southern New England("Contractor"),in accordance with the terms and conditions described in this Agreement Document and Payment Terms,any documents listed in the Table of Contents,and any other document attached to this Agreement Document,the terms of which are all agreed to by the parties and incorporated herein by reference(collectively,this "Agreement"). Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. Total Job Amount: $21,255 By signing this Agreement,you acknowledge that the Balance Due,and the Amount Financed must be made by personal check,bank check,credit card,or cash. Deposit Received: $7,084 Balance Due: $14,171 Estimated Start: Estimated Completion: Amount Financed: $0 6-9 weeks 6-9 weeks Method of Payment: Credit Card We schedule installations based on the date of the signed contract and secondarily on Cash/Check the date in which we complete the technical measurements.The installation date that we are providing at this time is only an estimate.We will communicate an official date and time at a later date.Rain and extreme weather are the most common causes for delay. Notes: 1/3DEP 1/30N Start 1/3 on COMP i Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between the parties and that there are no verbal understandings changing or modifying any of the terms of this Agreement.No alterations to or deviations from this Agreement will be valid without the signed,written consent of both the Buyer(s) and Contractor.Buyer(s)hereby acknowledges that Buyer(s) 1)has read this Agreement,understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,.on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement. NOTICE TO BUYER: Do not sign this contract if blank.You are entitled to a copy of the contract at the time you sign. YOU,THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 09/19/2017 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Legal Name:Southern New England Windows,LLC. dba:Ren By Andersen'of Southern New England Buyer(s) Signature of Sales Person Signature Signature Eric Woods Robert MacArthur Print Name of Sales Person Print Name Print Name UPDATED: 09/15/17 Page 2 / 13 Assessor's office(1st Floor): �S0 _ OZS SEPTIC SYSTEM MUST BE �oT THE Assessor's map and lot number TOE Board of Health(3rd floor): INSTALLED IN COMPLIANCE sewage Permit number r 4 . WITH TITLE 5 Engineering Department(3rd floor): _s s ENVIROIVIIAEiVTAL CODE AIdD asas9rsnca clue House number l TOWN REGULATIONS °° i0�o• Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARliSTABLE DURDIN HNSPECT® R APPLICATION FOR PERMIT TOy� TYPE OF CONSTRUCTION 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ,�1�! / L-- �l�OIT n Proposed Use /e_. dX Zoning District Fire District Name of Owner 2hIlge le1%g,-k7i n. v/Effress V— ', Name of Builder , J" / Address ('F.y ��U�4�= Name of Architect !;Z,2 ems, Address / �r R Number of Rooms QL� I�y In ���IA4!f Foundation Exterior �-�� /�-s Roofing ` Floors 0&!el' Fa`A,-'Qg�e 0ef as Interior N Heating /s`% Plumbing Fireplace Approximate Cost Area S- Diagram of Lot and Building with Dimensions Fee so OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regar ing the above construction. Name &/!-Y Aw�o Construction Supervisor's License ����- SPRAGUE, ROBERT .& ELIZABETH No 34031 Permit For Addition Single Family Dwelling -< 21 Mid pine Location P ne Road � �• '� Barnstable Owner Robert & Elizabeth -Sprague ? Type of Construction Frame > Plot Lot ee'4 �- / Permit Granted October 2 6,-`; 19 90 �! Date of Inspection_�` 1.19 o � r Date Completed 19Zbw � r-• f�i �� 1 Ca G rw f • f7 ' / f, � � r j I S/IC-Z 73 , 19 i 1 / Sy►t 1 b't �G B�►Sf► r�� eF ,�Vi� cam` 47'2 N LaT�' w a s�sP`sro iepn „o r► A a v�sr 43 t Box LoT,a /oJ/ AA. 3�, Z 2,r.514), Fes!'. l /0010 J 1 / 1 1 1 ► 70, 2-.3 CERTIFIED PLOT PLAN LOCATION �gsT� LF�C►!Nr�A�c�i D SCALE . .�.��.' .� . . . DATE FLAN REFERENCE , , GS7NGT"!aS /�N p .ems Ca.eOz'n /N 0 D E. I CERTIFY THAT THE "1 71N D.. KELLEY `� SHOWN ON THIS PLAN IS LOCATED ONHE T GROUN No. 2610D w� No. a�0 AS SHOWN HEREON AND THAT IT CONFORMS TO THE s ��`�� SETBACK REQUIREMENTS OF THE TOWN OFe, �L 10,�o' !3A? /sjftz3[ .. WHEN CONSTRUCTED. I DATE REGISTERED LAND SURVEYdR In�iGG/Art F Sw/ /jam/�a�� z OF Z SN&Z7s TOP OF FOUNDATION s CONCRETE COVER CONCRETE COVERS 4 CAST 'ION X. OR SCHEDULE 40 12"MAX. P.V.C. PIPE 41 SCHEDULE 40 PV.C.(ONLY) PITCH 1/4"PER. PIPE - MIN. LEACH PITCH 1/4'PER.FT. PIT PRECAST ttUsnuG• INVERT Q LEACHING ` EL..!!•P.4... INVERT INVERT PIT OR SEPTIC TANK qd,¢� DIST. qo Z!' • w i'' EQUIV. e INVERT EL..... .. . . . BOX EL...-..... ' : 2t ; /oo o, •• „ GAL. INVERT �' ►_ 6" e; EL.4?cG3... INVERT w a: 00 3/4��TO I I/2 EL... WASHED STONE e �X/S77/vG . w r: 18, E-z.34,A B�DIA T T z 6 � . —+� No.✓E PROR LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM ^'°'Ltr- A-rnhe- or_ 1N57,tU47-2o,., of NO SCALE PiT P&&V/OfJS 43.5"3 "41wx/,}L. WA S SOIL LOG WITNESSED BY : BEzow 6o7D~' oFA7- DATE !`�?,� TIME. 0 4". BOARD OF HEALTH TEST HOLE I TEST HOLE 2 '6�_. ,�Esu�• 44.Zo �. . . . EIEV. . . . . ELEV. .. .. . . . . ENGINEER see DESIGN DATA : P.ocKS NUMBER OF BEDROOMS /. . . . 7a� « 46'7.0 TOTAL ESTIMATED FLOW . . . . GALLONS/DAY BOTTOM LEACHING AREA '79• Ste. . SQ.FT. /PIT ,/S Cie a -Z4"i> SIDE LEACHING AREA . . SQ.FT./ PIT/377C.P.ID Lvi r7/ SrnN�S GARBAGE DISPOSAL AREA INCREASE) TOTAL LEACHING AREA . . L674P. SO.FT ,Z Xw, PERCOLATION RATE 107s.>/!�!"! ��� . MIN/INCH LEACHING AREA PER PERCOLATION RATE .'�Z . SQ.FT/C,,X>P, /Jo WATER ENCOUNTERED NUMBER OF LEACHING PITS .4!�! .'��T �!� /• , APPROVED . . . . . . . . . . . . . BOARD OF HEALTH TWdr p� s7pN`�' vN �/LL3 DATE . . . . . . . . . . AGENT OR INSPECTOR of OF _& ����'piQs � � a�gH OF ri%SiC, o s s .� ICELL4 Y " " v, l�ft12N:STi!9��rCCuNHA�✓ib� �"".:+'�,�fC1S1E���4�``/ /STEQ'� -PETITIONER - FACE cF s-ruos To ac IN 41NE WIT-\ {=jC15TING_ SY\CAT-\IrV�+ I _EX13T11',4 I �GI t 1 FoVNOAT ON 1 I �G SKY.LI'TC T1'Z.E ff. — FAGS of 5-{'VOS T6 ray RI-Y.l PEP__. ..._. .. v..l-R� h gh1EATFIING ieiO'o t s 2 FLIXn(L 7'Qo d • � - 9Ld CK FD'-'Nf��1T0 -. 2EA2 El��/ATOIv _ SIDC ELEVPAT\ON ___ S-EG.TION =1 FT FT 14_ 1 FT %1. = 1 FT Mg-It M2s T2. SpP- MIDPINE DRIvO CVr9r�lAcyU1(� Dare 9-3-9U SYSTEM Mug gE Assessor's map and lot number ... .. ..................................... . .c! THE INSTALLED IN COIMPLIANCE �Q�of o�y , ' Sewage Permit- number .......:.........................................�. tVITH TITLE 5 � o� ENVIROMMEMTAL CODE AN . House number .............. 2oBaaa�L . .......�.�..... ............................... TOWN REGULATIONS M�a 3 TOWN ®]� ]�A]L� I�STABIL]E mURDIN NSPE"TOR APPLICATION FOR PERMIT TO 1... /T t tc�'!!1.... ........................................................................... i TYPE OF CONSTRUCTION .....Ifeb6<).:. /-�........................................................................................ E ...........2.. jam.: 4T..............19........ TO THE INSPECTOR OF BUILDINGS: s The undersigned hereby applies for a permit according to the following information: Location ....f,3.........?z 0voe!.�va .....�Gr!��..�...�f�.r�s`x�.�4!JZ�......................................................................... I ProposedUse .. s.................................................................. . ... ................................................................................... t Zoning District ....�.P:�.L................................................Fire District ... ........................................... Name of Owner "...........Address q�u Name of Builder ji................................Address �l ' G ..................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ........... ............................................I.....Foundation ...... clit�!' ';?........................................ y Exterior .. G....... ............................................Roofing ....................................................... Floors ....`....... ...4?.......................................................Interior .... . ........................................ , Heating 6&;� ..........Plumbing 114-'-' Fireplace ..................................................................................Approximate. Cost ..... G1............................�........... ,..... 6 Definitive Plan Approved by Planning Board ________________________________19________. Area ...............'..... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 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 ..,l ..... ....................................... Construction Supervisor' License -SPRAGUE, ROBERT V. No ...28252... Permit for .... ........... SingA,!e..EgTftjjy..)ANqlj.:LjAg..................... ..... Location .... ...Road........................... .... .... .......... .................. 11, .... Robert V. Sprague Owner .................................................................. Type of Construction ....Fx.ame............................. ................................................................................ Plot ............................ Lot ................................. Permit Granted ....J.u.1y...2.9............ ........19 85 .. . .... . . . Date of Inspection ....................................19 Date Completed ......... ................19 LI) Zz M l Al/Df 1A/6 /Zop 1 � f v 0 ` a �?- Qi Poo- Bo K A�, \ ' R I �Q aver 1 1 7c, Z 3 CERTIFIED PLOT PLAN 6- 1 LOCATION BArz vsr� E�C�ti�9Qui p, SCALE . .�.��: .� . . . DATE TGy PLAN REFERENCE . .� G'7NG, . . IAI oot 0RD s •, // E. r� CERTIFY THAT THE .�� �sT �°""�D' U r KEL EY N SHOWN ON THIS PLAN IS LOCATED ON THE GROUND / No. 26 100 _ AS SHOWN HEREON AND THAT IT CONFORMS TO THE ��,�, P�CtS7F��,S' SETBACK REQUIREMENTS OF THE TOWN OF WHEN CONSTRUCTED. DATE . ..gS REGISTERED LAND SURVE11fAfR F .Swift f�t�i�DEx t TOP OF FOUNDATION CONCRETE COVER CONCRETE COVERS CAST IRON I2 MAX. 12"MAX. OR SCHEDULE 40 4"SCHEDULE 40 PV.CJONLY) P.V.C. PIPE PIPE - MIN. LEACH k • PITCH 1/4"PER. PITCH 1/4"PER.FT. PIT e'o PRECAST o' INVERT •. a ••;,:: LEACHING ` a EL. !•P.4... INVERT INVERT e . ; PIT OR SEPTIC TANK .qo,¢b DIST. EL... .. . . . . . EL4o,4c - ; >_ EQUIV. INVERT BOX GAL. INVERT 0: .�. EL4?: z INVERT w W a. :'�. 3/4��T0 11/2� u.o a STONED 0 i . &Z,34,i3 ..; o• �.. . /o' DIA. PROR LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM ""If- NO SCALE PiT P�7LV/OCIS oQS�eV�a 3o7 o�ITT. SOIL LOG WITNESSED BY : DATE 3,/Mr TIME. !0.;.00 �A'7 ^!� BOARD OF HEALTH TEST HOLE I TEST HOLE 2 �L,= !� �� ENGINEER ELEV. .`�L•Zo. . . ELEV. .. .. . . . . . . 1/ErTO/z/.vo 8/Z. woo-B sa' DESIGN DATA : 20aKs NUMBER OF BEDROOMS . . . . . . ./. . . . . . . . 7Z" &Z-4o.Zo TOTAL ESTIMATED FLOW . . GALLONS/DAY BOTTOM LEACHING AREA SO.FT. /PIT/Cs C,Pp „So �9ND SIDE LEACHING AREA . . . . . . . . SQ.FT./ PIT/377C.P.A kvlw /VoNf:` o SroN� GARBAGE DISPOSAL . . . . .(50 /o AREA INCREASE) TOTAL LEACHING AREA . . L674P. . SQ.FT ��„ �• 34e,Zo PERCOLATION RATE MIN/INCH No .WATER ENCOUNTERED LEACHING AREA PER PERCOLATION RATE .�z.. SQ.FT/C,P.D, NUMBER OF LEACHING PITS .4.!�!�•PiT �t!i�-t, / APPROVED . . . . . . . . . . . BOARD OF HEALTH T'Wd ���3 0�'S7'��✓ �/D1�3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DATE . . . . . . . . AGENT OR INSPECTOR 5h4 OF fyAS j,�P`1H �F R9q• ' �o�� s, N F, y� o KEi LEY vffl2n/+ CCu�1HA�Pu�D) � �F�!STf. � �yc sAryirr0%� L LE+28� / PETITIONER w/GGry SH//�T Asses_ p and lot number .... o..- ..?f '..... SEPTIC SYSTEM MUST E` s INSTALLED IN COMPLIANCE Sewage Permit number 3..... .. ................................. %','ITH A:�TICLE II STATE ���� � SANITARY CODE AND TOWN youTHE Tp� TOWN OF BARN"S"I"4Xh]LE i BARNSTAILE, i NAM S. APPLICATION FOR PERMIT TO .. ....`.1 ........ .....1 ..... ... L .. ....................................... 0,72 TYPE OF CONSTRUCTION ................ "" ....................................................................:....................... ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location!. .. e a0 /f!I�D.P.,!:t., .../.1�....0 �4'a�t/�.��1/Q..�°�!v 4Y- �c.Yr..7;1 ��..�l9lQ!! � A®�...................... jy�.' '7- // ProposedUse .......,1 '..v.t4.1. ........ .././ 11rL ........................................................................................................ ....Fire District Zoning District ...............r ......................................... ...................................... Name of Owner 41��!?�. �/.. !l.�f.e�J.. �11'ifi�t(leRddress ... !'(ld .......��.1.... . `d P:''�.. I'�..�..�.`.. Name of Builder ... ......Address ...X)( y d`� e'�.. ......... Name of Architect ` .......Address ....A.Ji"55`?q?� �.I~?trv'�ayc�✓ �.`� %� ° ....... ...... ....... . Number of Rooms .............. ..............................................Foundation ...... !r�? '.9.....e� -i..- '`!................................ Exlerior ....... ...............................Roofing ................. I.............................................. Floors .......................................................Interior ............ ......... ......... ................................. Heating ................. ............................................Plumbing ................ ..... .. ... .. . ....................................... Fireplace .....� lQ�... .. ... k ! .. ..............................Approximate Cost .......... J. J... �..../ oys�141 a2 lyd!yjri-� Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area .........."... .....:...........I .f ...... �o Diagram of Lot and Building with Dimensions Fee ............ . SUBJECT TO APPROVAL OF BOARD OF HEALTH d � � Ag I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above hh construction. Name . ... ........... .... .......... ....................... I Q!, Sprague, Robert V. & Elizabeth t story No ....16700.. Permit for ...................Story...... single...family...dwelling . ........ . ............. .......... .......................... LMid ine Road ................... ............... Owner Robert V. & Elizabeth Sprague ................................................................. Type of Construction .......................frame............. ................................................................................ Plot ............................ Lot ................... Permit Granted .........qpt.o.ber..31............... 19 73 Date of Inspection ,........... Date Completed ........V............................19 7 /40 7 PERMIT REFUSED .................................... .... 19 ........... ............................................... ................................................................................ ............................................................................... ............................................................................... Approved ................................................. 19 ............................................................................... ...........I.............................................................. i • I i i \ c � \ i 36( ) cn vi ---------- , f h T11O�A / 6 70 o Af-3�— F,Q-r V.) SL rz1r-#4ATtr-7-A1 aQ