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HomeMy WebLinkAbout0062 BETH LANE �� `_`` ��� �a.�e � ✓U' F i q � �� ' V f i �� ,' ~ 1 �, � � 'r �`�,.- TOWN OF BARNSTABLE BUILDINIG14, PPLICATION y) Map- .L Parcel � �c Application 0 Health Division Date Issued Conservation Division Application F Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyan 's Project Street Address _9 Village 1 Owner Address �1`S Telephone Permit Request a' C1 lGt h Square feet: 1 st floor: existinggLID proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation s Q`Q OConstruction Type Ll Lot Size �-7 Grandfathered: ❑'Yes^ ❑ No If yes, attach supporting documentation. 1�4Dwelling Type: Single Family 2 Two Family ❑ Multi-Family (# units) Age of Existing Structure 53 5 ' Historic House: ❑YesXNo On Old King's Highway: ❑Yes No Basement Type:�Full ❑ CraJ ❑//q,Walkout ❑ Other Basement Finished Area(sq.ft.) 9 l d Basement Unfinished Area (sq.ft) Number of Baths: Full: existing Q-11 new Half: existing new Number of Bedrooms: 13 existing —new _ Total Room Count (not including baths): existing 'S new oq­' First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil Electric ❑ Other Central Air: ❑Yes XNo Fireplaces: Existing New Existing wood/coal stove: ❑ ,XNo Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size — Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size — Other: a 7" Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ ', B,.• -' Commercial ❑Yes If yes, site plan review# - w Current Use Proposed Use � ua APPLICANT INFO ON (BUILDER OR OME WNER ' Q Name Telephone Number 0�`7 _-4,vq�� Address i,, _ 1-h ` License # h � Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO r SIGNATURE /A, DATE /�� FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER T ' DATE OF INSPECTION: FOUNDATION FRAME it i INSULATION FIREPLACE Jar ELECTRICAL: ROUGH — FINAL PLUMBING: ROUGH FINAL 4 GAS: ROUGH FINAL c FINAL BUILDING DATE-CLOSED OUT ASSOCIATION PLAN NO. r TOWN OF BARNBTABLE Permit No. _____ � e Building-Inspector I ]PxuSTAU Cash 1639. I`MyN OCCUPANCY PERMIT A0jBond r 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 C.- & F, Builders Address Box EE Falrouth, IiA IRf•. .fM F,7 Raf-h T,nnp,. Punn li.Q i Wiring Inspector �/ � Inspection date / l� Plumbing EaspectOr} 01 Inspection date Gas Inspector'- / r Inspection date Engineering Department -, ,. r '". ,, r , r+ Inspection date,' THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTII: SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. r 19».»..».. ............................................. r.. ..».......... „ '"t'.l 'Gd» Building Inspector `9 RISE 212 x,::, ,:� �1a Division of Thielsch Engineering,Inc. 1341 Elmwood Avenue ENGINEERING Cranston,Rhode Island 02910 Thursday, August 9, 2012 ' Town of Barnstable Thomas Perry, CBO 200 Main Street Hyannis, MA 02601 RE-. --62 B.e`thT?ane Hyannis MA-02601""'` Barnstable Building Permit#: 201201254 Dear Mr. Perry; This affidavit is to certify that all work completed at 62 VBeth Lane; Hyannis, MA 02601, has been inspected by a certified Building Performan�ce4risstitute (BPI) inspector. The following weatherization work was completed' ost of the contracted measures could not be implemented due to issues with existing conditions at the home. .)-_.,_.Perform 4 man-hours of air sealing to include all appropriate blower door tests, combustion safety tests and-procedures. All work performed meets o-r exceeds Federal and State Requirements. Sincerely, Y Erik J, Nerstheimer; Field Supervisor RISE Engineering Residential Installations Department RISE Engineering; A Division of Thielsch Engineering CSL 1004591HIC 120979 401-784-3700 . 800-422-5365 . Fax 401-784-3710 i 123799 CHECK # TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 272 Parcel 152 Application # D S� Health Division Date Issued l L Conservation Division Application Fee $50:00 Planning Dept Permit Fee $35 00 Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address 62 BETH LANE Village HYANNI S Owner ELIA RIVERADE DEMATEb Address 62 BETH LANE; HYANNIS, MA 02601 Telephone 774-487-0848 Permit Request INSULATION/WEATHERIZATION WORK; PERFORM AIR SEALING MEASURES; INSTALL CELLULOSE INSULATION TO OPEN ATTIC AREA; INSULATE ATTIC HATCH; INSTALL FIBERGLASS INSULATION TO SLOPES; INSTALL VENTILATION CHUTES AND SOFFIT VENTS. INSULATE BASEMENT DOOR. SEE COPY OF AXTAC D CONTRA T FOR MORE INF RMATIO Square teet: 1 st floor: existing proposed N floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation$2,137.71 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 1❑ 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 Number of Baths: Full: existing new Half: existing tip- new Number of Bedrooms: existing _new 'a. r; 01 Total Room Count (not including baths): existing new First Floor Room Cou NO Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other NJ na M Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name RISE Engineering; A Div, of Thielsch Telephone Number 401-784-3700 EXT AfQA 6133 Engineering Address 1341 Elmwood Ave, Cranston RI 02910 License # 100459 Exp. 3/28/12 Home Improvement Contractor# 120979 Exp. 3/12 Worker's Compensation # 3730961-01 Exp. 1/1/13 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO RI Resource Reco er r ; Sh Pike; Johnston, RI (if an SIGNATURE DATE GIX.), Erik Nerstheimer for RISE Engineering 3 FOR OFFICIAL USE ONLY i APPLICATION# V DATE ISSUED MAP/PARCEL NO. -_ { ' ADDRESS VILLAGE , t OWNER 3 i r � t } DATE OF INSPECTION: FOUNDATION FRAME N INSULATIO j .. FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL _.jGA&-, '. ROUGH �L.�jjf FINAL FINAL BUILDINGS 44.VIA r to 3 DATE'CLOSED OUT ASSOCIATION PLAN NO. f a The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street � Boston, MA OZlll www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Ley-ibly Name (Business/Organization/Individual): RISE ENGINEERING; A DIVISION OF THIELSCH ENGINEERING Address: 1341 ELMWOOD AVENUE City/State/Zip: CRANSTON, RI 02910 Phone #: 401-784-3700 OR 800-422-5365 Are you an employer?Check the appropriate box: Type of project(required): 1. X❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time). have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance. $ 9. Building addition required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.0 Other INSULATION comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: THE PRESTON AGENCY, INC. Policy#or Self-ins.Lic.#: 3730961-01 Expiration Date: 01/01/13 Job Site Address: 62 BETH LANE City/State/Zip: HYANNIS, MA 02601 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 $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 the DIA for insurance coverage verification. I do hereby certif un th pains a.Wpenalties ofperjury that the information provided abov is tru and correct. Of Si mature: Date: c _ oZ q ERIK NERSTHEIMER FOR RISE ENGINEERING Phone#: 401-784-3700; EXT. 6133 Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: THIEL-1 OP ID: 27 Ac®rr�e CERTIFICATE OF LIABILITY INSURANCE DATE 01/13112. THIS CERTIFICATE IS'ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW- THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights,to.the. certificate holder in lieu.of such entlorsement(s). _ PRODUCER 401486-8000 CONTACT Y The Preston Agency,Inc. NAME: 1350 Division Rd Suite 303 401-886-1700 acNo Ext: ac No): PO Box 810 - EMAIL East Greenwich,RI 02818-0810 ADDRESS: Judith A.Wright CPCU AAl ARM INSURER(S)AFFORDING COVERAGE NAIC p INSURER A:Zurich-American INSURED Thielsch Engineering,Inc.Thielsch Group Inc. INSURER a:American Guarantee 8 Liability - Hi Tech Realty Inc. INSURER C:Twin City Fire-Hartford Attn:Trent Theroux INSURER D:North American Capacity 195 Frances Avenue Cranston,RI 02910 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE"BEEN REDUCED BY PAID CLAIMS. IN SR TYPE OF INSURANCE MW POLICY EFF POLICY EXP LTR POLICY NUMBER MMIODIYYYY MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY X 3730962.01 01/01/12 01/01/13 DAMAGE TO RENTED PREMISES(Ea occurrence) $ 300,00 CLAIMS-MADE a OCCUR MED EXP(Any one person) $ 5,00 PERSONAL&ADV INJURY $ 1,000,00 GENERALAGGREGATE $ 2,000,00 GEN'LAGGREGATE LIMIT APPLIES PER; PRODUCTS-COMP/OP AGG $ 2,000,00 POLICY X PRO- LOC Emp Ben. $ 1,000,00 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 2,000,00 A X ANY AUTO 3730963-01 01101/12 01/01/13 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS AUTOS ( ) NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ $ I X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 B EXCESS LIAB CLAIMS-MADE AUC-4857188-01 01/01/12 01/01/13 AGGREGATE $ 10,000,000 DED RETENTION$ $ WORKERS COMPENSATION STATU- OTH- AND EMPLOYERS'LIABILITY Y/N X TWC RY LIMI ER A ANY PROPRIETOR/PARTNER/EXECUTIVE 3730961-01 01/01/12 01/01/13 E.L.EACH ACCIDENT $ 1,000,00 OFFICERIMEMBER EXCLUDED? N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT s 1,000,00 C Property Section 02UUNHE6930 01/01/12 01/01/13 Property see belo D Professional Liab DVL000026802 01/01/12 01/01/13 Prof Liab 2,000,00 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,It more space Is required) When required by a written contract. CERTIFICATE HOLDER CANCELLATION ' TWNHARW SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building Division ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street AUTHORIZED REPRESENTATIVE Hyannis,MA 02601 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 26(2010105) The ACORD name and logo are registered marks of ACORD Lrl.t;Ilb= vCtdil, Page 1 of 1 The Official Website of the Executive Office of Public Safety and Security(EOPS) Mms.Gov Home Public Safety Department of Public Safety Licensee Complaints License Type Construction Supervisor License# 1OD459 Restriction WS,IC Name Erik Nerstheimer City,State,Zip North Scituate,RI,02857 Expiration Date 3/28/2012 Status Current Back To Searci; �. Hn:uyl,rl• .tt. - 1�iliar•rnli. lirr� "�' ,-'r'R:`tr,; ;uilr Ili. rrt ,rr !'iri.,rri..;,•t . _. rtinrr...rnrl ♦ ; tr t License: cs SL 100459 r L'arc r rrrrl:rr ci. Restricted `F.C'.li:'y. i cteh to: WS 00459 e s ERIK NERST NETHER 228 GLEANE >$ NORTH SCITUATHAPEL ROAD E RI02857 Expirdtlorr: 312812012 'r 100459 http://db.state.ma.us/dps/licdetails.asp?bctSearchLN=CSL100459 4/20/2011 0 1Ce o onsumer alVnd uslness e u atlon g 10 Park Plaza - Suite 5170 Boston, *ssachusetts 02116 Home Improvei� ontractor Registration Registration: 120979 Type: Supplement Card JAI Expiration: 3/25/2012 THIELSCH ENGINEERING ERIK NERSTHEIMER 1t y3 1341 ELMWOOD AVE. �t. CRANSTON, RI 02910 ! 1 f �S a Update Address and return card.Mark reason for change. Address Renewal 0 Employment 0 Lost Card DPS-CAI 0 50M-04104-GIO1216Qp �fre T�ovrrinzo�zwe� �./�aaaac�iuu.Cta Office of Consumer Affairs&Bu iness Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: ,., Office of Consumer Affairs and Business Regulation Registration{�Upg79 Type: 10 Park Plaza-Suite 5170 Expira ' - 29_12 Supplement Card Boston,MA 02116 THIELSCH ENG rt!j INKKY ERIK NERSTHEfMIER'— _�� _=j;W�. _._... .._... ��_ 1341 ELMWOOD AVE CRANSTON, RI 020.6Z:- >-~' Undersecretary Not valid without signature Control No: 3 4 2 4 4 THE COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF LABOR DIVISION, OF OCCUPATIONAL SAFETY 19 STANIFORD STREET, BOSTON,MASSACHUSETTS 02114 LEAD-SAFE RENOVATION CONTRACTOR LICENSING WAIVER RISE Engineering A Division of Thielsch Engineering, Inc. 1341 Elmwood Avenue Cranston, RI 02910 WAIVER: LW000672 EXPIRES: April 15,2015 IN ACCORDANCE WITH M.G.L. C. 111, § 197(B)(b) AND 454 CMR 22.03(3)(b), THIS LEAD-SAFE RENOVATION CONTRACTOR LICENSING WAIVER IS ISSUED BY THE DIV. OF OCCUPATIONAL SAFETY TO THE CONTRACTOR ABOVE FOR THE PURPOSE OF PERFORMING LEAD-SAFE RENOVATION WORK. THIS LEAD-SAFE RENOVATION CONTRACTOR LICENSING WAIVER MUST BE MAINTAINED BY THE CONTRACTOR IN ACCORDANCE WITH M.G.L. C. 111, § 19713(b)AND 454 CMR 22.04 WHEN PERFORMING LEAD-SAFE RENOVATION WORK. HEATHER E. ROWE,ACTING COMMISSIONER tip Printed on Recycled paper RISE ENGINEERING Federal ID#05 0405629 RI Contractor Registration No 8186 A division of Thielsch Engineering MA Contractor Registration No 120979 CT Contractor Registration No 620120 1341 Elmwood Avenue,Cranston,RI 02910 (401)784-3700 FAX(401)784-3710 CONTRACT -. •: 4. Page 1 PROGRAM THIS CONTRACT IS ENTERED INTO BETWEEN RISE y�!�{pY�t CLC-RCS ENGINEERING AND THE CUSTOMER FOR WORK AS EY7C7l7��,17� 74i,"t:r DESCRIBED BELOW CUSTOMER ����""�� PHONE DATE Client# EliaJ&tec Riverade fz'o (774)487-0848 10/26/2011 123799 SERVICE STREET BILLING STREET 62 Beth Lane 62 Beth Ln SERVICE CITY,STATE,ZIP �" BILLING CITY,STATE,ZIP l��/r I N4 \� i •, i Hyannis,MA 02601 Hyannis,MA 02601Ll LJ • JOB DESCRIPTION Provide labor and materials to seal areas of your home against wasteful,excess air leakage. This work will be performed in concert with the use of special tools and diagnostic tests to assure that your home will be left with a healthful level of air exchange and indoor air quality. Materials to be used to seal your home can include caulks,foams,weatherstripping and other products. Primary areas for sealing include air leakage to attics,basements,attached garages and other unheated areas(windows are not generally addressed.) $630.00 Provide labor and materials to install a 6"layer of R-21 Class 1 Cellulose added to 943 square feet of open attic space. $1,103.31 Provide labor and materials to insulate the back of the attic hatch with 2"rigid foam board that meets the sections R-316.5.4 and 316.6 requirements of building code. $31.00 Provide labor and materials to install a 6.25"layer of R-19 fiberglass batts to 20 square feet of sloped ceiling area. $27.80 Provide labor and materials to install ventilation chutes in(53)rafter bays to maintain air flow. $169.60 Provide labor and materials to install(5) 6" X 16"rectangular aluminum soffit vents to increase ventilation in attic areas. $130.00 Provide labor and materials to insulate the back of the basement door leading to the bulkhead with 2"rigid foam board that meets the sections R-316.5.4 and 316.6 requirements of building code. Seal all edges and seams with FSK tape. $46.00 RISE Engineering will apply all applicable,eligible incentives to this contract. You will be billed only the Net amount. Currently,for eligible measures,the Cape Light Compact offers a 100%incentive. $630.00 RISE Engineering will apply all applicable,eligible incentives to this contract. You will be billed only the Net amount. Currently,for eligible measures,the Cape Light Compact offers 75%incentive,not to exceed$2,000 per calander year. 7�plh'0 V 2 0 2011 i S Federal ID#05-0405629 RISE ENGINEERING RI Contractor Registration No 8186 A division of Thielsch Engineering MA Contractor Registration No 120979 CT Contractor Registration No 620120 y�WY 1341 Elmwood Avenue,Cranston,RT 02910 ` (401)784-3700 FAX(401)784-3710 CONTRACT Page 2 E , PROGRAM THIS CONTRACT IS ENTERED INTO BETWEEN RISE* CLC—RCS ENGINEERING AND THE CUSTOMER FOR WORK AS + � .. DESCRIBED BELOW CUSTOMER PHONE DATE Client R Elia Mateo Riverade (774)487-0848 10/26/2011 123799 SERVICE STREET BILLING STREET 62 Beth Lane 62 Beth Ln SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Hyannis,MA 02601 Hyannis,MA 02601 JOB DESCRIPTION U 41,130.78 WE AGREE HEREBY TO FURNISH SERVICES•COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Three Hundred Seventy-Six&93/100 Dollars $376.93 UPON FINAL INSPECTION AND APPROVAL BY RISE ENGINEERING.CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL.INTEREST OF l%WILL BE CHARGED MONTHLY ON ANY UNPAID BALANCE AFTER 90 DAYS.SEE REVERSE FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND CONTRACTOR REGISTRATION. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPA AUTHORIZED SIGNATURE-RISE ENGINEERING CUSTOMER ACCEPTANCE f6 NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE o ACCEPTANCE OF CONTRACT•THE ABOVE PRICES,SPECIFICATIONS AND CONDITIONS ARE ' SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO DO THE WORK DAYS. AS SPECIFIED.PAYMENT WILL BE MADE AS OUTLINED ABOVE � Commonwealth of Massachusetts Official Use Only p Department of Fire Services Permit No. 020 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 11/991 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR J2.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: b d City or Town of: Barnstable To the Inspector of Wires: By this application the undersign d gives no ce of 's or her i en ion to perform the electrical work described below. Location(Street&N ber) Map Parcel Owner or Tenant 1L � (- Telephone No. ��• ��g�� I / Owner's Address Is this permit in conjunction with a bnfldal g permit? Yes No ❑ (Check Appropriate Box) rpose of Building - `� � � Utili Authorization No. ouzo . 5 � existing Service IS® Amps 120/ 2 LgVolts Overhead Undgrd❑ No.of Meters Z U Q ew Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters LU w _ z Number of Feeders and Ampacity o = 21ocation and Nature of Proposed Electrical Work: ` r� W ¢ q0 TRff 1T CM V� �A15R �lug N a Q Completion of the following table may be waived by the Inspector of Wires. 12 1 o No.of Total o LL M No.of Recessed Fixtures No.of Ceil:Susp.(Paddle)Fans Transformers KVA W w R No.of Lighting Outlets No.of Hot Tubs Generators KVA mom w Above n- o.o Emergency Lighting LU W w Q No.of Lighting Fixtures Swimming Pool rnd. ❑ rnd. BatteryUnits W N o No.of Receptacle Outlets .20 No.of Oil Burners FIRE ALARMS No.of Zones a No.of Switches No.of Gas Burners No.of Detection and Initiatin Devices - No.of Ranges No.of Air Cond. -'- To No.of Alerting Devices No.of Waste Dis osers eat Pump Number„ Tons._ W o.of Self-Contained P Totals: Detection/Alerting Devices No.of Dishwashers S ace/Area Heating KW Local Connection El Other P g Connection No.of Dryers �- Heating Appliances KW Security Systems: No.of Devices or Equivalent o.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.H dromassa a Bathtubs No.of Motors Total HPZa i` i Telecommunications Wiring: y g CNo.of Devices or Equivalent Attach additional detail if desired,or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing.office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) (Expiration Date) Estimated Value of Ele trical Work: (When required by municipal policy.) Work to Start: 14��J� Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify,under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: Signature LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: Alt.Tel. o.: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insur ce coverage normally required by 1 .�,BAsiC7 e elow,I hereby waive this requirement. I am the(check one) owner [I owner's agent. SOigner/A en Telephone No. �' I�-O PERMIT FEE: $ ® - Q 4� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION � y Map t � Parcel /'5(�� Permit# 7 r(�'> F tt B<�rJ. r�S f 6 .E Date Issued 9 og x 4 Health Division c�o3 —C�(n � �1 �� � ^� �c�® (1'� Conservation Division Application Fee Tax Collector Permit Fee ,S' Treasurer VISION -`"`--' SEPTIC SYSTEM MUST BE Planning Dept. INSTALLED IN COMPLIANCE 1NITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND Historic-OKH Preservation/Hyannis TOWN REGULATIONS Project StreP+Address Village y T " � r Owner r-� Q0 Address Telephone q 1 b Permit Request d r�1 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 VNo On Old King's Highway: ❑Yes &'No Basement Type: Vull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing �- new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑l Gas ❑Oil V Electric ❑Other Central Air: ❑Yes C No Fireplaces: Existing I New Existing wood/coal stove: ❑Yes &No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes �Ko If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION •Name KTelephone Number 1 Address License# ® Home Improvement Contractor# t VT Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO .1 $IGNATURE DATE � "D FOR OFFICIAL USE ONLY PERMIT NO. ry DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: -- FOUNDATION Q /VO ¢l CC T. G'If FRAME r'U /!/ m xl , Clay y INSULATION / Y 4 ' � �'Ze?/® � �K/�+'S G Ol� X O? y FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUG1 5 FINAL - GAS: ROUGE FINAL , NMI F FINAL BUILDING try Ir DATE CLOSED OUT Q :S6 < w 0 ASSOCIATION PLAN NOm M f v _ Tow. of Barnstable • °� Regulatory.Servides n s x Thomas F,Geller,Director Buildfng DIVision • Tom Perry,Building Commissioner ' 200 Main Street, Hyaimis,MA 02601 Office: 508.g62.4038 Fax., 508-790-6230 permit no. Data ' AFMA IT HOME IMPROVEMENT CONTRACTOR LAW, SWTLBMENT TO J?ERTY=ATTLICATION • ' • MQL a.142A.requires that the"reconstruction,alterations,renovation,repair,modernization,eonvarsion, -'Vroyaraaut,removal,demolition,or eonstractioa of an addition to any pre-existing owr;ez-occupied bunding oontainmg at least ons but not more than four dwelliag units or to structures which are adjacent to •• such rosideaca or building b e dome by registered contractors,with certain exceptions,along with other requirements, • 'Type ofWozk: `(1� Fstimgted.Cost r� Address of Wank: L- C , Owner's Name: Date of Application: q '- I hereby certify that: pz stratioa is not required for the following reason(s): []Work excluded bylaw ❑Tab Vnder S l j000 ' []Building not owner-occupied �wner pulling own permit , Notice is hereby given that: oYMIiS PULLING MIR OWN PERMIT OR DEALING WITH UNREGISTERED COHTRACTOM FORA.7'PLICABT,E HOME ZUROYEMENT WOPXDO NOT SAYE ACCESS TO THE ARBITRATION PROGRAM OR.GUARANTY FUND UNDER MGL c.142A. SIGNED UNDBRPENAUMS OF PLR]URY _ Ihereby apply foi apermit as the agent of the owner: Data Contractor Name Ae4istrationKo. . � OR Owner's Name The Commonwealth of Massachusetts . Department of Industrial Accidents' Wee OMMS909M 6kWas hington Street Boston,Mass. 02111. •- Workers! Com ensation.insurance Affidavit-General Businesses Ave address; state: zi Q hone of full address rs war site 10c 'oz( - I am.a sole proprietor and have no one $µsiness ape: Retail Restaurant%Baz/Aatin'g Establishment working in any capacity. ❑Office❑ Sales(including.Real Estate,Autos etc.)' 11, p ❑ Other , ❑I am an em to er with %% %////%%%/%/%//%%///%%%/%%%//l//%/%%////%/%%%%% %%//G//////%/%. I am an ep2ployer providing v1'orkers compensation for my em to ees worldng on this job. :�, '.i;Fel�.�:l�\ ; .::�:•r.• ''i'�1cr •�5::::•.i• :1`♦♦ ... +st�:`ti '.ti .:1Al le i'n.!'• •-1'..t. �.7.\ .'t 1' •:t1.:45: .7• ',.,' :!: _ '1.. coYn an'•jaame: ��.,�. t• :L '•':.i`•.. ;:: a, 1 5, a •l. •'' ..a ,::,:• 's}t•;�\'. �'�• ••S:..L`t,�i���i� •i•k'. _''fir..i:•• �I..•.'. •'�a: ':•i:l l• �.,ti.��: TI. •7.:� rj':. •,;!r' •:.: addr'e'ss:! 1 ti.•:*•t•• +5;; J�i::qr- ;':: ,1+ r ::,� S..t;: ;t�ii.•a' 'i:,•' r ,:r �v \rt•'. 5 ';r: i• i•'•��(:'� 'i: . Vilrl,. .l .l y:!•,'fir '4:' ''`t• '•kC r'�:+'n,t.�i 4i••' � .: :.�,'''. .';�::.: •� ,ti•, �• �•{:, ',•. i ... C`i ,, . 'lit°� .j" '.i. •1 �F '+'• '4' iL'• '/,�•5. .:,, it"•I L.'i. ,t. .. ' � ' �r• •i •,^ .�'; y;^`�: is,•.li•In%uS::;K.'.. O11C. •�+ •� t.'.;• • Snsiir / Iam a sole proprietor and have hired the independent contractors listed below who have the following workers' .compensation polices: `. ti ;• , .11: t;:.t: ::t.^•7 — "1�:5�-• 'i+' •':r.. 1•,, +�f .4i'; .:��.;q•:� ::T.'r 'i ;a..�r';:�ti. :n, , .:r.aII 'IISIiSe: t' , 1. 3 '.•t`�::'.�Y:^: i! 4, ar,- ,1•.rc^_ :t i�,r, ;.,f".,; •,•. . , •rfi•'�'' .t•i'•. ;;,�. . ram•:;/: "' .�` ..\ :•, 4•I ,,j ' ,t .. ;!; ' t'r:'4`i;+j•:•' 8ddr2$S:. '\' .'C'. s,v '�' '�'':%i:,;: t' �,. .°�'�r•y• .t ,i. _ '!r: ,1.+ _ �7�•'•.5:�'�ira:?:1;. .rr:,:i q�•4•• r: i; yi• •,'ti' i�i'r t'�:i.. i• :1.:. �;..:.. a ,y�,.• . • _ :rr v;.!•,',+7•: .,': -,:� �'o�lc :#'' ,P .A'i•:.:,'•}. .,i:••� `{`' t••''i "' tusurance'co. T' nY 1 �O/////����//I MEMOMMENUMN gF — ! •t•.•.•• `T.• �: (,•, !+.,i�1;:.1`i Y, rr..:��..!I:rS.: s.' ••.i•:�••t•.' COIIt!8I1. nga(e: V. address: • ,=. :;' � , o ,a.. 4'•il.:=- ' '.1•f 4•: :�;••/' ,.L. r,.. .'a• .). t:' .:t: ,,i:::, _ �•r.� t. a:e..+ ,_ '+' a�'t';,,•• insursace%Cbv secure coverage as required under Section 25A of MGL 152 can lead to Failure35 to s the imposition of eriminalpenalttes of a fine up to S1,500.00 and/or one years'ecuimprisanment as well - civil penalties in the fdrm of a STOP WORK ORDER and a fine or S1o0.OD a day against me. I understand that g ded to the Office of Investigations of the DIA for coverage verification copy of this statement maybe for-war I do hereby ertify under airs and e7nalties of perj ry that the information provided above is true and correctf� Date `1 �igna Phone# ,r Print name �J official use only do not write in this area to be completed by city or town official permit/liceme it ❑Building Department city or town: ❑Licensing Board -check if immediate response is required ❑Selectmen's❑ rtmee Health Department phone; Other contactperson• ❑ ' (revised Sept 2003)' Information and Instructions. Massachusetts General Laws chapter�152 section 25•requires all employers to provide workers' compensation for'their. rrrnlo eeS: As quoted from the `law', an employee is.defined as every person in the service'of another under any contract y lie oral or written. of hire, express or imp . , association, corporation or other legal entify, or any two or more of An employer is defined as an individual,partnership, the foregoing engaged ina'joint enterprise, and including the legal representatives of a"deceased,employer, or the receiver or rtnershi association or other legal entity, employing employees. 'However the owner of a trustee of an individila�P a. P� dwelling house havin8 not'inore than three apartments and-who resides therein, or the.occupant of the dwelling house of another who employs persons to do.maihtenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of suchemployment.be deemed to be an employer. IvSGL chapter 152 section 25 also states thaf 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.cormnonwealth for any applicant who has not produced acceptable evidence•of-compliance with n��Ito ane contract for the performance of public work until • coirmionwealth nor.any.of its political subdivisions shall y liance with the insurance requirements of this chapter have been presented to the contracting acceptable evidence of comp authority. Applicants Please fill in .the workers' compensation affidavit completely,by checking the box that applies to your situation.:Please supply_company narrie, address and phone numbers along with a certificate of insurance as all affidavits may be submitted •of Industrial Accidents-for confirmation of insurance coverage. Also*be sure to sign and date the to the Department 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 m e required to obtain a workers.'•compensationpolicy,please call the Department at the number'listedbelow. i F Vol 0111 City or Towns . Please be sure that the affidavit is complete andprinted legibly. The Department has provided a space at the_bottorn of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please nits ma .be.returned to fill.in the perrriitllicens.e number.which will be used as a reference num be sure tober. The.affidavits •y the Depart neat b' or FAX unless other•arrangements havebe ' made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, not hesitate to give us a call. please do 'E The Department's address,telephone and fax number: , _The Commonwealth Of Massachusetts Department of Industrial Accidents t3i�ce of�a�testl�stiens 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 7274900 ext:406 Lj of It pIT f v� — • � . 7 k f ROOF SHEATHING The Town of Barnstable RAFTER SIZE Department of Health Safety and 2" X Environmental Services Building Division CEILING JOIST SIZE: 2" X 0.C. WALL STUDS 2" X O.0. FLOOR SHEATHING SILL 2"X c, FLOOR JOIST SIZE: 2"X a ° O.C. FOUNDATION WALL THICKNESS -71 /;f _" ace a ; BASEMENT FLOOR SLAB'THICKNESS FOOTING y ►" SIZE , X a ° o i• L � I oFt�T� Town of Barnstable Regulatory Services ,�, Thomas F.Geiler,Director '05pm� Building Division TFD MA'1 Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: / 1 � I kaor�L�& 70B LOCATION: Lk—) 1t i 'er • � villjae�gSe�\ . � "HOMEOWNER!': \C lc 1 \ "i� name L7e hone# work 39 1, CURRENT MAZING ADDRESS: ►�0 1 cilyhRt state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual 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 reside,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 Official.on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section i09.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department um inspe rocedures and requirements and that he/she will comply with said procedures and r q eats. Signature of^omeowner - Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section i09.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt . J" Assessors ma and lot number �..!�:.........l��= "/...a�-�1 r �- 7� p ' / �QF TH E T0� Q Sewgg� Permit number .......................................................{ Z MARNSTODLE, i House number ...... .........�7...................... so raea p t639 e00 up"t a� TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO I ' Pn- 1! r, t�._ . ................................:......:.. 1 faCa f I �.. �^ Yan r� TYPE OF CONSTRUCTION ........................................................................................:............................................ i ............. .................................t9 �.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following`` information: Location .'!.�..��P .... A h .................�11+ ... .......... #�l H h l 1 :....!..�. .:......................... Proposed Use ............ x i , �� ........................................................... .'....... .............................................................. ZoningDistrict ........................................... .........................Fire District ............................................t............................ Name of Owner .. .... ..... a�� ��,. ' .,t...................Address lX , ..' �- 1 tra 11L1 + " ..! .......�' Nameof Builder .........................�....................,....:...............Address .,......:...................................,... .......................... Nameof Architect ..................................................................Address .................................................................................... ' f Number of Rooms ...........................................Foundationh�'/� Exterior lritkm!!;/ t`A tlA1I.......0.•....... J�,/a—,?oofing ...... �1 /1 .. ..# ......................... Floors / ........ . .... ... .. H.... r .Interior ..� f/ ,/���//,n. .................,,........................... '� t.J ,,1 t � /t'� 7` Heating .................:..._..............................................Plumbing ....`..........,�..y......... .............................. Fireplace ..:............:.^... ...........................................................Approximate Cost ......... ,......�... �-r '� Definitive Plan Approved by Planning Board -------------------_-----------19________. Area 'f' Diagram of Lot and Building with Dimensions Fee �+ ..............f............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH v ti I� I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ' Name .....................:....................... ................................... C & F Builders- A=272-152 21637 Permit for ......one story s±ngle family dwelling ............................................................................... Location 62 Beth Lane . ................................................................ Hyannis ............................................................................... Owner .........0 & F Builders ...................... ........................ fra)e Type of Construction ........................................... ................ ........... Lot .. 4�25 Plot ............. .000 ..... ........ Permit Granted ...... 19 79 Date of Inspection .. ...............................19 Date Completed ................... ..................19 i I 1 PERMIT RE.USED .......................... 19 ............................................................................... .................................................... (I Approved ................................................ 19 ............................................................................... Assessor's map and lot number THE r0� Sewage, Permit number .......... ..�. ...... ..�.,/........................:. � SEPTIC: d :• SYST _ INSTALLED IN CO UST �l* t BAHBSTADLE, House number ...... ................................................................. �� WITh, MPLIANCE r N ' ARTICLE II � °o 1639•SAMTARY 0� ` T CODE AJr)..TC� TOWN OF BUILDING I#SPECTOR r r� APPLICATION FOR PERMIT TO ......... . i��4. J' :`0' ...�:.5f ..` e.J..l�j . ........................................... TYPE OF CONSTRUCTION1 .........................�r .d....... nat.ne....:............................................................ .............::.,Jr.�n....�..............19 2.. - TO THE INSPECTOR OF BUILDINGS: The under/signed here-�b-•y�applies for a permit according to the following information: Location .lx'. ... .'.Y./J.... . ,..G, '1.e.................k.0. .1....... ......... ...... ................................. ProposedUse ...........�.; O �•�•,.� ...................................................................................................................................... ZoningDistrict .................. ..................... ........................Fire District ........................................................................ Name of Owner ...�y..?4-.. ... ..................Address <7J, � �JC�aG: .....{...�,C±.-.. �a,. ,. . 1�m i Name of Builder .. .../.... `1./2..... ..................Address .Bizx..�1....(`X..r.`47Q11.s�,J.....y..���� Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .......1.3.....................................................Foundation ...........eJACf eJAC�,-e,17,e ....................................... Exterior ..ri�U�'�C- .i .E:�1� .�`����...... ..�....�. Woofing ....... .. �.i�..6. ........................................... l I Floors vv/.. �.... .... ... ... .......................Interior ..,� J� . .(�i �+�r .;....................... GG �/ Heating+ ......... /7". ..:_Q':d.,4... _.,........... Plumbing_..... �� .... . [....1...6,74.. Fireplace ...............)-)-0...........................................................Approximate Cost ..........(.?../. ` .................................. .99.� s Definitive Plan Approved by Planning Board ________________________________19________. Area '. ............. ....... .... :....:.... Diagram of Lot and Building with Dimensions Fee p .......s.-..../..'"""....•................. SUBJECT TO APPROVAL OF BOARD OF HEALTH ¢� I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .... ........... .....A....................... 77- C & F Builders 21637 one or No y ................. Permit for .................................... single family dwelling ............................................................................... 62 Beth Lane Location ................................................................ Hyannis . ............................................................................... Owner C & F Builders .................................................................. Type of Construction .......................frame................... ..................#25............ Plot ............................ Lot ................................ P&mit Granted ........5.PP.tgMbPP..1l......19 79 Date of Inspection .....................................19 Date Completed ... 19 ................ PERMIT REFUSED ................................................................ 19 ............................................................................... ........................................................................ ............................................................................... .............. ................................................................ Approved ......................................... ..... 19 ............................................................................... .................. .................................................. AREA PLAN l YrlL;AL SYSTEM PROFILE ' FDN TOP FINISH GRADE=51_O0 NOT TO SCALE SCALE : I ' �>� Oa SI, - ( FINISH FINISH GRADE OVER TANK= -SI , OtO GRADE OVER PIT LOT 2 5 B E T H S LANE _ m P V C OR �18,(�7 O O �..,., • •.. '..../..1.n �C. 1. TEES .tag V • . • • / 1 1 1 l� BFMRA-9-oo ? 400 GAL. 4" REINFORCED DIST. BOX • 1 e e • e e e • o l e CONCRETE 8 TO BE INSTALLED ON e • ' 1' • • e • e / • 1 ' A LEVEL STABLE BASE • • a . • e / 1 1 1 1 • o e o • • • • • • • e / SEPTIC TANK TO BE INSTALLED ON A • • o • • / • e e LEVEL STABLE BASE c 2"-1/8'� 1/2 "WASHED PEASTONE ALL ' ' ' ' ' • �' ' • ' ' ' BRICK a,MORTAR COURSES AS AROUND FREE OF IRONS, FINES ' ' ' ' • • • 1 • / REQUIRED TO BRING COVER TO GRADE AND DUST IN PLACE ' to LEACHING PIT 24 C.I. MANHOLE COVER a 3/4 TO 1-1/2 WASHED CRUSHED FRAME - SEE DETAIL STONE ALL AROUND FREE OF BASE TO BE LEVEL IRONS, FINES AND DUST IN -OD�} PLACE FOR FIN. GRADE T700 '` SEE SYSTEM PROFILE SOIL AND PERCOLATION luu�.i-I = 4 _ I DATA BETH�S LANE — y= 8 =--- - PERC.. RATE : 2 MINJIN. 4" J FOR 1 V.ELEV SEE " ' 51 5 I~ ° 4Q' INLET ° SYSTEM PROFILE TAKEN BY . C. D. SPOHR 2 OOr LINE o ; : _ p6 , - ° ►n ,,. 5 ° WITNESSED BY: 8'Apr'15TABZ-E 6D OF HR�ALr4-1 OPENINGS W/4-I/8 „p 5 DEC, 1 `3T£ ° OUTER DIA. a 1 -3/4 _ ° -- DATE: o LOT 26 Rio` HOUSE -#62 7 _ `= ° a 0 iNSTOTAL IDE DIA. p TEST PIT-GND ELEV. 5o.h2` (� TOY4M WATT. — LOT 2 4 p p o 3 4 0 • w c� o o .o AREA a _ - l.QAA�t a No RUST',; t eDaG 4 0 _ - o 0 0 0 2 gS S.F. o o -°.`"' 2 I�AY)~ p�, vrtATEt Q - , . 2d LOT# 25 papo ° � _ ' �� o 0 0 0- � CQARS� 51�1~tD Sr7 25 ►s�000 S.F — °` o o o _Fsf66) BQNEY 'F AY I� 1000 GAL , PRE CAIE57 cOcaCP_rTr � 2 6 '- 6 " D I A. 2 r SEPPT IC- TAWV-- -�-�� pIZOFt L£ �.RIFA .FO;l r 10' h•' EFFECTIVE DIA. BOT. PERC. HOLE P. Mr iI-ewlz PIT P CAST �`4A.ICIZc-T1E 0isTv_IavTIO� �--- I DOWN 34 F',O c ^ SEF- PP-OF I LE Q ) s to - .� s LEACHING PIT SECTION c1 PkEC AS`T` .C.ON-Ot2l-'1~ LEECH I*` 5 CO 1 c R� N o SCALE DESIGN DATA : IT ti5 vT<sIL . ' ° IL NOTE: DO NOT RUN HEAVY EQUIPMENT OVER SYSTEM _ N0. OF BEDROOMS ._ 25' 00' .�. DISPOSAL ca 1 3� g5` 5S" Y LEACHING PIT. NO'TES:. EST. TOTAL DAILY EFFLUENT 330 GALS. .. n T----- I . CONC. TO BE 4000 P.S.1 a 28 DAYS . SEPTIC TANK_1 0 00 GAL. OWNERS BU I-LD ER 2• REINF. W 6 " x 6 r #6 GA. W. W. M. 3. 2 SAND 4 SECTIONS ARE AVAILABLE FOR GENERAL NOTES CLAT�I� • F"L``� P�11'J3ii~ ': �� tie I GREATER DEPTH RE©UIREMENTS " I . ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN BOX, NOTE: �1C1.4<<?' ACCORDANCE WITH TITLE5 OF THE STATE SANITARY CODE" FALMOUTH , M �5�, � �,✓� (,e ti, EXCAVATE TO ELEV. OR LOWER AS DATED JULY 11977 a ANY LOCAL RULES APPLICABLE. REQUIRED TO REMOVE ALL LOAM AND CLAY CONTAINING ' ' MATERIAL BENEATH PIT. REPLACE EXCAVATED MATERIAL 2• ANY CHANGE TO THIS PLAN MUST BE APPRD: BY THE BD- OF HEALTH, AND CHARLES D. SPOHR. eke\ • - WITH CLEAN,CLAY FREE GRAVEL, MECHANICALLY 3. WHEN CONSTRUCTION IS COMPLETED PRIOR TO BACKFILLtNG COMPACTED IN PLACE. , ni SIDE AREA= 1_S. F.0=4 S.F./GAL A._GALS NOTIFY THE ENGINEER FOR INSPECTION. . B. ��. tY� TE- Q _ I�,E BOTTOM AREA= 8-7 S.F. I '0 S. F./GAL a7 GALS 4. FOUNDATION ELEV. MUST BE CHECKED WHEN COMPLETED. -;�V ' i '}` .; 1 EDGE �� of M Sic TOTAL AREA =� S.F. TOTAL 582 GALS ti 5. THESE ELEVS. MUST NOT BE CHANGED WITHOUT WRITTEN ,APPROVAL BY CHARLES D. SPOHR. t 50, Q0 o Charles D.� �,'� LEGEND G• FOUNDATION INSPECTION REQD. WHEN EXCAVATED. SPOHR l No. rasa q + 50.0' EXIST. GROUND ELEV. ' AREA ` .'PLAN A?FC'ST 50.0' FINISH GROUND ELEV.��UNDERLINEO" r ' • - �FSS�ONAt . 4750� PIPE INVERT. ELEV, REV. DATE DESCRIPTION SC AIm ' 1 Q Q TEST PIT LOCATION ro c , � s� •, .�", t=.. . >Ms �s . .�: ,. SEWAGE DISPOSAL SYSTEM L� FOR 0 o SEPTIC TANK _rOW �1 WAT�P ❑ . DISTRIBUTION BOX . OLA PK FLYNN BUWD �" = �. � �• • " °f;�.�� �"�_•,'�,• ; ; LOT � 2 5 B ET H S - LANE 00 f 4 C. I . PIPE tttti-Htf- 4'�BIT. FIBER PI-PE -TIGHT bidr 6, SPO�i (P IT HERS WAYS H � JOINTS r I , 1 ,IYA1, �' 1 'o �-p_No:*8 q �, f - 4. v+fl\fC�3TER� v�r DES'►GNED:C.D.SPOHR DATE�_bx� 'ti..;.r"?f3 DRAWING `" N0." ' — --— PROPERTY .L ENE FfSSibNAt !rA`.. DRAWN: r,�j SCALE:AS SHOWNI—�" •? t"'S MAP . qF( Pr1 1 n.r sc ..,.� �..�� �,•,..,^� ,