HomeMy WebLinkAbout0299 OAKMONT ROAD r r
Li
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n
of ToryTown of Barnstable *Permit 7 0�3
O,F Spires 6 mm lirs from issue dote
,l Regulatory Services Fee �41.
■■��
4
, 6 11ARNSrABIZ
9c� 16 9. ,0ma Richard V.Scali,Director t( � 3 o( r
RFD MA'S�`
Budding Division
Tom Perry,CBO,Building Commissioner
200 4fain Street,Hyannis, NIA 02601
www_town.bamstab le.ma.us
Office: 508-862-4038 Fax: 508-740-6230
EXPRESS PE&MIT APPLICATION - RESIDENTIAL ONLY 1
Not Valid ivitlzout Red X-Press Imprint 'n
Map/parcel dumber y� 3� a n), /j,Y"/
Property Address '9 OHKP9T;W7- DR
[Residential Value of Work S Zfa gZ$' Minimum fee of11S35.00 for work under$6000.00
V I 9
Owner's Name&Address �� �'jj-{.WD�A
Contractor's Name E 'L/Jv,,,J QUA ( /t:56/7 Telephone Number(1(0() 2—
Home Improvement Contractor License#(if applicable) 4 73 2 4 Email:
Construction Supervisor's License#(if applicable) 7 07
2Norkman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ Jm the Homeowner
I have Worker's Compensation Insurance
Insurance Company Name F; r e,fie*_ n,� Ttl a rp 1�, a ( -3.
Workman's Comp.Policy# W C A S$ 7 2_9 — 2—Q
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
Replacement Windows/doors/sliders. L�Value t� (maximum.32)#of windows v
#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.
***Note: Pro Owner must sign Property Owner Letter of Permission.
A copy cAthe Home Improvement Contractors License&Construction Supervisors License is
require
o
SIGNATURE:
C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.0utlook\2PI0I DHR\EXPRESS.doc
Revised 040215
�. Renewal Agreement Document and Payment Terms
byAndersen. dha:Renewal By Andersen of Southern New England Patti &Steve Buss
Legal Name:Southern New England Windows,.LLC 299 Oakmont Dr
Rl#36079,MA#173245,CT#0634555,Lead Firm#1237 Yarmouthport,MA 02675
WINDOW RE LACEMENT 10 Reservoir RdI Smithfield,RI 02917 - - -- - H:(508)737=7487 -
Phone:866-563-2235 1 Fax:401-633-6602 1 sales®renewalsne.com C:5082404619
Buyer(s)Name: Patti & Steve Buss. Contract Date: 10/30/17
Buyer(s)Street Address: 299 Oakmont:Dr, Yarmouthport, MA 02675
Primary Telephone Number: (508)737-7487 Secondary Telephone Number: 5082404619
Primary Email: pateb77@hotmail.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: $21,828 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: $7,275
Balance Due: $14,553 .Estimated Start: Estimated Completion:
Amount Financed: $0
8 weeks 8 weeks
Method of Payment: Credit Card We schedule installations based on the date of the signed 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: Deposit of$7275.
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 11/02/2017 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:Renewal idersen of Southern New England Buyer(s)
Signature of Sales Person Signature Signature
Paul Conboy Patti Buss Steve Buss
Print Name of Sales Person Print Name Print Name
UPDATED: 10/30/17 Page 2 / 11
r
- Town of Barnstable *Permit# oo7(XO'D
FxpiresnrPox issue date
X-FJNPA - FRMjgeF�Iatory Services , Fee
Thomas F.Geiler,Director
OC Tp0l. uU
ou 7 Building.Division
T.o Perry,CBO, Building Commissioner
200rn Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number 3 31t b��
Property Address &Lf'%�,�,�/i� zww
❑Residential Value of Work ,5Y3V Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address ��i97!'icl;l/ 4 1lyy
Contractor's Name Telephone Numb erOFJ See 4XII
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Chec ne:
I am a sole proprietor
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box)
WRe-roof(stripping old shingles) All construction debris will be taken to41!X z
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement-Windows/doors/sliders. U-Value (maximum.44)
"Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
A copy f the Home Improvement Contractors License is required.
SIGNATURE:
Q:Forms:expmtrg
Revise061306
• y rY -- f. . • .
Town of Barnstable.
�4f 1NF r�ti
Regulatory Services
Thomas F. Geiler,Director
Mass.
Building Division
Tom Perry; Building Comuussioner
200 Main Street Hyannis,MA 02601
www-town.b arnstable.ma.us
C) ce: 508-862-4038 Fax: 508-790-62.30
Property Owner Must
Complete and Sign This Section.
If Using A Builder
�J a5 Owner of the subJect property
hereby authorize to act on my behalf,
in 11 matters relative to work authorized bytEs wilding permit application for, ,
All oaknorlt— Rd . t f,MA 02,4 30
(Address of Job)
Signature of Owner D tP
'1 Bus S
Print Name
OrG�TJ5:0 W�?LP >�:�1I55IOiv
II
Town of Barnstabl
e
Approved Regulatory Services
Fee 2,6 Aa Thomas F.Geiler,Director
Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
Home Occupation Registration
Date: , j/ (&:�-
Name: 5 1t�/�_ I( oys Phone#: 6c)�
Address: i Lgcl 0'&F_ oD jr PM Village: 13AS�6T &Jc-
Name of Business: CCL 5
Type of Business: 4;,f7-,4L— g:AJ-)5 -�P__ __Map/Lot: 5 3 d
Zoning District A) ( Zoning Districts RF and RC-1 require Special Permit from Zoning Board of Appeals.
INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation
within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the
activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual
alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal
residential volumes; and no increase in air or groundwater pollution.
After registration with the Building Inspector, a customary home occupation shall be permitted as of right subject to the
following conditions:
• The activity is carried on by the permanent resident of a single family residential dwelling unit,located
within that dwelling unit.
• Such use occupies no more than 400 square feet of space.
• There are no external alterations to the dwelling which are not customary in residential buildings,and there
is no outside evidence of such use.
• No traffic will be generated in excess of normal residential volumes.
The use does not involve the production of offensive noise,vibration, smoke,dust or other particular
matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects.
• There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess
of normal household quantities.
• Any need for parking generated by such use shall be met on the same lot containing the Customary Home
Occupation,and not within the required front yard.
• There is no exterior storage or display of materials or equipment.
• There is no commercial vehicles related to the Customary Home Occupation,other than one van or one
pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to
exceed 4 tires,parked on the same lot containing the Customary Home Occupation.
• No sign shall be displayed indicating the Customary Home Occupation.
• If the Customary Home Occupation is listed or advertised as a business,the street address shall not be
included.
• No person shall be employed in the Customary Home Occupation who is not a permanent resident of the
dwelling unit.
I, the undersigned,have read d agree with the above restrictions for my home occupation I am registering.
ha
Applicant: (.tom Date: /1 I L'9
Homemdoc
I r
--'iEnjhieering Dept.(3rd:floor) Map 3 t Parcel oZ a�`� Permit# l� v
House#= 3oZ of Pis, Date Issued
Board of Health(3rd floor)(8:15 9:30/=1:00-4:30LiW— 1Z�/tj'� Fee•
Planning ept. 1st floor/School Admi}+�{{':�Bl g. --- THE
ve an p 19
' _ BARNSTABLE, `
i6)y.
TOWN`OF-BARNSTABLE
} Building Permit Application
Project Street Address
Village
Owner/' ' fi� �s t
a5 C1 YG. 11� Address
Telephone 2927-- -7110 64) sl q '
-Permit Request J2 5 TA j,
First Floor square feet Second Floor square feet
Construction Type )"-4_
Estimated Project Cost $ 400 67-?)
Zoning District Flood Plain Water Protection
Lot Size 7— Grandfathered ❑Yes' '❑No
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: 2(Full ❑Crawl ❑Walkout ❑Othe'r,
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: Existing_"` New Half: Existing New
No.of Bedrooms: Existing New
Total Room Count(not including baths): Existing New First Floor Room Count
f1 Heat Type and Fuel: 'Gas ❑Oil ❑Electric ❑Other
Central Air ❑Yes Fireplaces: Existing New Existing wood coal stove Yes No
P g �. g / ❑ ❑
Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size)
Attached(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 Telephone Number
Address License#
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
SIGNATURE 1 DATE,,/
BIUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)
/ c�y ��
- i FOR OFFICIAL USE ONLY
• ZT _
4
PERMIT NO. 71,
3
DATE ISSUED. ok
MAP/PARCEL NO.
ADDRESS e � ' VILLAGE
OWNER •' 1 T 1 e -.
DATE OF-INSPECTION: — • S t # r - '
FOUNDATION
FRAME r O 9r�" ` ,
INSULATION 4
FIREPLACE = +f
ELECTRICAL: i ROUGH ' FINAL t
PLUMBING: ROUGH - FINAL
GAS:. ; ROUGH r FINAL i
FINAL BUILDING -
.
DATE CLOSED OUT,
ASSOCIATION PLAN NO.
TOWN OF BARNSTABLE
. BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
Please print. .
✓DATE1qJ
+.
JOB LOCATION_ zV ( �i'p �?
Number Street address Section of town
v'HOMEOWNER"
5 to 5
Name Home phone Work: ph ne :
PRESENT MAILING ADDRESSq OA-K ( '
VAC94 PA-
City/town State Zip code
The current exemption for "homeowners" was extended to include owner-occuDie
dwellings of six units or less and to allow such homeowners to engage an in-
dividual for hire who does not possess a license, provided that the owner
acts as supervisor.
DEFINITION OF HOMEOWNER:
Person (s)' who owns a parcel of land on which he/she resides or intends to re
side, on which there is, or is intended to be, a one or two family dwelling,
attached or detached structures accessory to such use and/or farm structures
A person who constructs more than one home in a two-year period shall not be
considered a homeowner. Such "homeowner" shall submit to the Building Offic.
on a form acceptable to the Building Official, that he/she shall be resmons.
for all such work performed under the building permit. (Section 109.1. 1)
4
The undersigned "homeowner" assumes : responsibility for compliance with the S1
Building Code and other applicable codes, by-laws, rules and regulations.
The undersigned "homeowner" certifies that he/she understands the Town of
arnstable Building Department minimum inspection procedures and requirements
nd that he/she will comply with said procedures and requirements.
OMEOWNER'S SIGNATURE�7 %0�1
✓
PROVAL OF BUILDING OFFICIAL
ote: Three family dwellings 35 , 000 cubic feet, or larger, will be required
0 comply with State Building Code Section 127. 0, Construction Control.
yF
HOME OWNER`S EXEMPTION
Thecode ate that. "Any Home Owner
performs work for which a building
permit is r quired shall be exempt from the p visions of this section
(Section 109. . 1 - Licensing of Construction upervisors) ;, provided that if
Home Owner en g es a persons) for hire to o such work, that such Home OwnE
shall act as sup visor. "
Many Home Owner wh use this exemption re 'unaware that they are assuming
Ithe responsibilities f a supervisor (s a Appendix Q, Rules and Regulations
Ifor . licensing Construe 'on' Supervisors Section 2. 15) . This lack of awarene
often results in serious roblems, pa ticularly when the Home Owner hires
unlicensed persons. In th' case o Board cannot proceed against the
inlicensed person as it wou with ic:ensed Supervisor. The Home "Owner-* act
i:
as supervisor is ultimately x pon ible. ..
To ensure that the Home Owner i uily aware of his/her responsibilities, ma:-
communities require, as part o th permit application, that the Home Owner
certify that he/she understan s the sponsibilities of a supervisor. On the
last page of this issue is a form curr tly used by several towns. You may
care to amend and adopt suc a form/cert' fication for use in your community.
I
. I
--- 19' 10.50" --- -
5' 6.50"
c o
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0
LO
� � rn
od OVJ %
25' 5.00" -- -
SKETCH/AREA TABLE ADDENDUM
File No: 2 9 9OAK.BAR
S Borrower/Client
Steve & Patricia L. Buss
8
Property Address
299 Oakmont Road
E < City County State Zip Code
Cumma id Barnstable MA 02637
Lender
Chemical Residential Mortgage __
Bedroom
c
M'>
Unfinished Area
G.
V :
M. I- - — — — —
I
NI - - — — i
S i Deck
K I 69 Lo Living
Room
.E... Bath Family Room
C> Q Bath Two car
H; c PD O Attached
o, Bedroom FF — — — Garage 30'
c c ; Kitchen
a°
c Dining
Bedroom �' Room
LL-
14'
16' Covered Porch 26'
32' SCALE: 1 inch = 13 feet
AREA CALCULATIONS SUMMARY LIVING AREA CALCULATIONS
A Area Name of Area Size Totals Breakdown Subtotals
f GLA1 First Floor 1722.00 1722.00
46.00 X 27.00 1242.00
E GLA2 second floor 340.00 16.00 X 20.00 320.00
340.00
;
POR Covered Porch 70.00 32.00 X 5.00 160.00
C ;
Deck 428.00 498.00 20.00 X 16.00 320.00
A;
GAR Two Car Att. Garage 780.00 780.00 2.00 X 10.00 20.00
OTH Unfinished 2nd Floor 612.00 612.00
X.
C'.
XX
U
A<
'.T
<N>
S'
TOTAL LIVABLE (rounded) 2062 2062
REAL ESTATE APPRAISAL SERVICES,INC. APEX SOFTWARE,INC. 1(2101 699-6666 APEX 11 Form 2739
SH7 /oc Z SNE25T5
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41 gel
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LOCATION 8'`y 'vs�BG .�CuMh ,io,
SCALE DATE
PLAN REFERENCE . 6-e-7A16 leT'4'St
ps ;yRS� /. .G 3. . . . .. .. ... .. .. . . . . . . . . . ..�.. .
ED WAR f
EY N . . . . . . . . . . . . .. .
do. 26100 1 CERTIFY THAT THE !Sn�'
*Qr 9FciSTEF� SHOWN ON THIS PLAN IS LOCATED ON THE GROUND
LL` S AS SHOWN HEREON;
DATE
.��9vio �1C�'- �t�T7T/o•v� - ��'��ttrioiG f
REGISTERED LAND SURVEY R
/>L
Assessoas map and lot number# .....1........U � v�� �� j... .. . .. .. . . .
0*TN E T0��
SEPTIC SYSTEM MUS
Sewage Permit number ................. INSTALLED IN COMPLI
House number a� F�s WITH TITLE 5 B9BB9TADLE,
M1186
ENVIRONMENTAL COD ° pY.a`0i'
TOWN 'OF , BAR.NS1OAYA LATIO�S
BUILDING INSPECTOR
APPLICATION FOR -PERMIT TO Wf:�i ZA !!./r:... s. ? .uc'��..r......h..,�...,Srl .
TYPE OF CONSTRUCTION ......Zr/oo: .:. / " � ' ......................................................
......................................................
.................1 R/7......................19.c.
2
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit accordi g to the following information:
Location ....6./"*c aiei��W ��...............e:n!vrlavc �...... ........ ..... ...... .�....+.J. ................................... ...................................
ProposedUse !.A4 _.:.1 .��/.l.Y.. �� � �.vc! .-.....................................................................................................
Zoning District ....................................
...........Fire District t.,l�J� /J/�C�/r� ,s......
....... . ..........
Name of Owner x4q, ....44A1 A../.(Ik�./"l,c—*l Address ...... 4.`,7—.U" ��........
Name of Builde . .. . .... ...............................................Address ......... ... ......................... '
47WM7
Nameof Architect .................................................................Address ....................................................................................
Number of Rooms �' .....................Foundation .. 9..R190 `.::!.C.a� rr.,..............................
Exterior .. J +�0!�✓Ll�t/.... .......� C st /pia Y 6,e� !�S'
� .....��?.... .! ... �.5....Roofing .....�........�...:?..:....................................................
Floors .....��� ./�Ci'' .E.` .s'att"K..... �1...! :.f.�/.• .4....Interior ..... `l .IL .y ..........................................
Heating 'boa«!b.../V.. �.. ...20 ......................Plumbing ...A i/ ,. ...........................................
v
. . ........Fireplace t. ..ff«!! y:... .:...................Approximate Cost . f
...........
/ 1
Definitive Plan Approved by Planning Board ---! —-----19� Area
Diagram of Lot and Building with Dimensions .e .....F �7E...- ........ .... .... ...........
SUBJECT TO APPROVAL OF BOARD OF HEALTH aza ,j
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. /
Name ..... .... .�.,.......J.!��/.. l ...............
Construction Supervisor's License 1�a.,AIC4.
. ......................
` .. 'LASKA, ANDREW & ELLEN MORIN
T'tNo. ...30054... Permit for ....l?...Story.............. '
a
Single Family Dwelling
. ...............................................................................
Location Lot #4.. 2.99. ... ...
Oakmont Drive
.. . . ............... .........
....................... ...................: �a. ; -
Owner Andrew Laska & Ellen Morin "t j}
L • _
Frame
Type of Construction
...............................................................................
i
PlotLot ................................ `
Permit Granted Qctobcr..2Q.. ......19 86 ,
Date of Inspection_ 44-/.'.�f.�.Q�...............19
Date.C_ompleted :-ol�.........19 r
- -
M r t
` tZt� mCC
. - _ sit
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u '
oF � TOWN OF BARNSTABLE Permit No. .30054
BUILDING DEPARTMENT
TOWN OFFICE BUILDING Cash
uv HYANNIS;MASS.02601 Bond
CERTIFICATE OF USE AND OCCUPANCY
Issued to Andrew Laska & Ellen Norin
Address Lot #4, 299 Oakmont Drive
Cwtuuaquid, 14assachusetts
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.
Sepcember 16, I9 87 P
1 �
.......................... ................. ....... ..........
Building Inspector
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINALS)
I M ^C&L
DATA
f
TOWWOF BARNSTABLE, MASSACHUSETTS ' BUILDING PERMIT
T
DATE 19 PERMIT t%
APPLICANT ADDRESS -
(NO.) t (STREET) (CONTR'S LICENSE)NUM ,
OF
PERMIT TO -�l'.t.iCi_ _...i.:t;, (_' ) STORY - +. i',;!'...; .'•.I,.'. DWEBERNG UNITS
(TYPE OF IMPROVEMENT) NO. IPR OPOSEDUSE)
AT (LOCATION) DI C ZONING
T
(NO.) (STREET) `
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
. BUILDING IS TO BE FT. WIDE BY_ FT. LONG-BY FT. -IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROIi' BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: .
AREA OR PERMIT
VOLUME ESTIMATED COST L �,,t�`rt FEE $
(CUBIC/SOUARE:FEET) a
OWNER ?ii..Cl:'k1W i-�:•:ec.. _':1.�., '"
ADDRESS U.�s P;il:;li1ILFI ."„[ttI
i.e:r�, ,t BUILDING DEPT. I ,.`„!-r
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR
PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP-
PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED
FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS
OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF- THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTFL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR
ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND
1. FOUNDATIONS OR FOOTINGS. MADF ''HERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
2. PRIOR TO COVERING_ STRUCTURAL QUIF SUCH BUILDING SHALL:NOT BE OCCUPIED UNTIL
MINAL INSPECTION
TI TO BEFORE
FINAL INSPECTION HAS BEEN. MADE"
3. FINAL INSPECTION BEFORE
OCCUPANCY.
POST THIS CARD SO IT IS VISIBLE FROM -STREET
BUILDI IJSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS /� y
2 2 2
3 H HEATING INSPECTION PR ALS ENGINEERING DEPARTMENT
1 --
OTHER 2 ugiA.sg-t -/Ay�l7 H
/v/ ,
WORK SHALL eOT PROCEED UNTIL THE INSPEC- PERMIT W!L L BECOME NULL AND V 0•1, '` CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE
TOR HAS APPROVED THE VARIODUS STAGiS OF I WORK IS NOT STARTED WITHIN SI.'. MO f ?IF DATE THE ARRANGED FOR BY TELEPHONE 0#WRITTEN
CONSTRUCTIOn L PERMIT iS ISSUED AS N�JEDfABOVE. NOTIFICATION.
r 7 •
L. ..73:-76. . ... .
TOP OF FOUNDATION
CONCRETE COVER
CONCRETE COVERS
4' CAST IRON 12"MAX.
. OR SCHEDULE 40 12"MAX.
P.V C. PIPE 4��SCHEDULE 40 PVC.(ONLY)
' PITCH 1/4"PER. PIPE- MIN. LEACH
PITCH 1/4"PER.FT PIT
PRECAST
o NVERT a Q LEACHING
° EL....J-B�.. INVERT INVERT 'p . a•; PIT OR
°'. SEPTIC TANK 5 43 DIST. S
,.e INVERT. EL./c5oo BOX _ p:
d o GAL. INVERT G' a tt.
ELS7.•.•3.? INVERT w w ¢ :►, 3/4 TO I V2,
EL S�:90 u- WASHED
o �•
STONE
12
NcvEf
':o• /o' DIA-•—+-I E►/c�v�rl7eFA
PROFI LE OF GROUND WATER TABLE
SEWAGE DISPOSAL SYSTEM
NO SCALE
R-
SOIL LOG WITNESSED BY :
DATE 3 TIME. BOARD OF HEALTH
TEST HOLE I TEST HOLE 2
ELEV. .�-�7�. . . . ELEV. .. .. . . . . . . ENGINEER
WouVo-1"
�„ DESIGN DATA
NUMBER OF BEDROOMS 3
TOTAL ESTIMATED FLOW 33v GALLONS/DAY
BOTTOM LEACHING AREA 7a:S . . SO.FT. /PIT/C-0D.
SIDE LEACHING AREA . . �339-.6'�>. . . SQ.FT/ PIT/47/ G.PD
GARBAGE DISPOSAL AREA INCREASE)
TOTAL LEACHING AREA . .4-47. . . . . SQ.FT
PERCOLATION RATE 4-,55 MIN/INCH
LEACHING AREA PER PERCOLATION RATE .:�g . SQ.FT/C,RD
.,A/O..WATER ENCOUNTERED
NUMBER OF LEACHING PITS
APPROVED . .. . . . . . . . . . . BOARD OF HEALTH r °j� S7,'0i✓Ly GN_14zz Siz:,E`-s
DATE. . . . . . . . . .
AGENT OR INSPECTOR
`tt OF 4f4SS
U? 4 EDWC..' ► �
f v k
o '
�> C�7GN7 L}�Tj o
No.+GLLEY N
26100 0 �e
�F �O a'TEa
ECISiER
%/ L LRa�
PETITIONER : .���� . ���r• - • ' • .