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0059 LILLIAN DRIVE
aK 9 1�1IZ s Town of Barnstable *Permit#o'dyA6S � Expires 6monthsfrorn issue date i Regulatory Services Fee��> • �aivsrasi,8, � • Thomas F. Geiler,Director Building DiviAon Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town barnstable ma us Office: 508-862-403 8 Fax: 508-790-623 0 EXPRESS PERMIT APPLICATTON' - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number ZA E5 C1 _ -Property Address - [YResidential Value of Work ZQ Minimum fee of$35.00 for work under$6000.00 Owner's-Name&AddressMoe- 1-1' � � leillic n�C' fi illy M6 024532 Contractor's Name ED MnC Telephone Number Home Improvement Contractor License#(if applicable) Z 1 Construction Supervisor's License#:(if applicable) Ss ❑Workman's Compensation Insurance Check one:. . ❑ I am a r C��1$ (, . coi\ii'Q�A-c.Tm- ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Q � TOW Insurance Company Name ' workman's Comp:Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) �13 [ Re-roof(hurricane nailed) (stripping old shingles) All construction debris will be taken a V m mf gr ❑Re-roof(hurricane nailed)(not stripping. Going over existing-layers of roof) [ZRe-side i #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum 35)#of windows ❑ 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: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&•Construction Supervisors License is required. SIGNATURE: f+ QN FM WORM building permit fo .doc The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations d 600 Washington Street Boston,MA 02111 - www.mass.gov/dia Workers' Compensation Insurance.Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information "�� Please Print Legibly Name(Business/Organization/Individual): $� ((>S fr/y v ,bo\l l�p ez, T-n C Address: 1-O City/State/Zip: V� B�) S+.ik)V. , m k ozl P one.#:. '7)4- q9 _ .I 3 S'? Are you an employer?Check the appropriate bo$. Type of project(required):_ 1.❑ I am a e to with 4. E�l am a general contractor and I � Yer 6. New construction . employees (full and/or part-time).* have hired the sub-contractors 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 workingfor me in an capacity. employees and have workers' Y P tY• � 9.. ❑Building addition [No workers'comp.insurance comp.insurance. required.] 5. ❑ We area corporation and its 10.0 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.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other 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: Policy#or Self-ins. Lic.M Expiration Date: Job Site Address: b l,1� �V 2 City/State/Zip: l l lQ r r yI GZfo 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 herVcerdnder the pains andpenalties of perjury that the information provided above is true and correct. Si afar Date: v Phone#: Offccial 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): J.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,-an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the ..,dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its.political subdivisions shall enter into any contract for.the performance of public work until acceptable evidence of compliance vczth.the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call.the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only,submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locationsin. (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license orpermit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call.. The Department's address,telephone and fax number:. The commonwealth of Massachusetts Departineut of lndustrial Accidents Office of Investigations 600 Washingtoxi Street Boston, MA 02 111 Te14 617--727-4900 ext 406 or 1-877-MASSAFE Fax##617-727-7749 Revised 11-22-06 www..mass.gov/dia opIHE to Town of Barnstable ti Regulatory Services y MASS. g Thomas F.Geiler,Director 1e39 .m Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038. Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, M , as Owner of the subject property . hereby authorize FTC 6.1c am to act on my behalf, in all matters relative to work authorized by this building permit: -73 U 110IA'Dr- HA (Address o Job) **Pool fences and alarms are the responsibility of the applicant.. Pools are not to be filled or utilized before fence is installed and all final inspections-are performed and accepted. _ Signature of r 4e of Applic Am M4"o Print Name Print Name � 12 Dale Q:FORM&OWNERPERMISSIONPOOLS 6/2012 �7HE rq� Town of Barnstable Regulatory Services snaxsresM : Thomas F.Geiler,Director v� 1659. .�� Building Division ..erED PAA�p Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of x 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 resMonsible for all such work performed under the bq#1 4gpermit (Section 1091.1) 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 m;n;mum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner 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 109.1.1'-Licensing of construction Supervisors);Fprovided;that if the homeowner engages a person(s)for hire;to do suck i ° 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 S, 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 fonn/certification for use in your community. Q:forms:homeexempt Massachusetts- Department 4 Public Safety Board of Building-, Regulations and Standards ,.t. Construction Supervisor License j License: CS 76332 __ I KEVIN BOYAR T- PO BOX 716 W BARNSTABLE, MA 02668 ;,.. 4 1 �-�- Expira 9/5/2013 ('ununissiuner Tr#: 4529 Offiee�fie TDarr�m Affki re� a�es✓�aaagatac�uaelta . on HOME IMPROV T C TRACTOR Registration ';62150 Type 1� Expiratio W &2013 Private Corporatr " B&D CUSTOM B s FZSF '1 KEVIN BOYAR 1050 MAIN STREET, WEST BARNSTABLE Undersecretary I License or registration valid for individul use only he expiration date. If found return to: before t p Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 E — - Boston,MA 02116 �I L: Not valid Without- ature i l l,i$![1.1 FA'r V.W: •. 'J:/ ',4 V (r v...:L:i ', vv- ♦'�rl r."iu<",. {.../. v:V.a: ♦ iA fl VVa:'+-vi OA:Tf 1MMiDQlYYYY) CERTIFICATE O;F LIABILITY`INSURANCE T IFiCATE.(S.ISSUED.AS A MATTER OFINFORMATION:ONLY AN17 CONFERS NO:'RIGHTS UPON.THE CERTIFICATE HOLDER.. TN$; GERTIEICATE:OOES NOT'AFFIRMATIVECY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFrORDED BY THE:POLICtES SEL0W . THISCERTIFICATE OF"INSURANCE DOES NO. T.CONSTITUTE A CONTRACT$ETWEEN THE.ISSUING i'NSURER(S),AUTHORIZ�C R PRESENTATiV OR,P1RODUCER ANO THECERTIFICATE HOLDER;. IMPORTANT:If.the certificate holder is an ADDITIONAL INSURED;the,�olicyjles):must be endorse8 H Sl18RQGATION IS. WklVE.O sub)ec!to. he terms;and candrtions of the OoliC certain policies-may require and a ldcrsement:. A statement on thrs Can, d"V not confer eights to he certificate holder in heu Of such end.orsement(s): _ PRODUCER: CONTACT (A►e;No,fxt IL P.0 5(7.% .1508 PRODUCER: CVST0MER:ID*- 767s= INSURERl5}ac,I FORtJIWG COUERi1GE NAIG iN. INSURED INSURER A: 3h'�._ A..�C .c.l INSURER:C: INSURER O: PO o3 INSURER C: INSURER Rs. COVERAGES. lm#to CERTWICA7IE NUMBER; REVISION NUMBER; -.. HAVE tS 0. INSURED .A V D,°: IC.: IOD- . .,AT NOTWTNSTANOIN.i;ANY REOUIRD",T;'TERM OR GONDFDOH OF ANY'CONTRACT OR OTHER DOCUMENT WITH'AESPECT Tv"ICH.THIS CERTIFICATE MAY BE tSSUED OR MAY PERTAIN. TNEINSURANCE AFFORDED;BY TNE,POLICIES DESCRMED HEREIN M SUBJECT'.TO ALL THE TERMS•EXGLU�IIS'ANO CMI)ITIONS:OF SUCH POLICIES.LW'ATS SHOWN.NWY'. HAti+E BEEN REDUCED BY'PAtD CLAIMS. SR D6 SUB; Pi?LICY`E.FF DATE. P000Y E,tP DATE' LTR TYPE:OF:INSURANCE L R: :. :POLCYNUMBER tMMtDmwm IMMU21?tY;YYY! ;UNQTS' EN ERAL LIABILITY 4CF+ CC�J�RFrI^F , AVA t_"rLo.p ;EC ; r. S E M'occu-p' Er °ES`(F. aahari aj:. - 1 EC E:.P rAr�on�p�r;o:il S. 'rrt5,�•I.yt>.3 AC °Ia_tUF:?. ;_S ,I AGGRE.A. E iW riW UL.S'PFF. EIIER�L RFt-A F g A1iTOMOE3ILE LU►BIUTY ..:3",J9i1uFC:Sdr;�E �g ALL: J71FC AC+*�S OC L ' �.1 IR 5 HETJUI E AAUTOS Per pa san) HikEG:AU u.. iN"UF' tJONJlYNE7 AI!Tr''S FBI �n�alit} .�PERir� OA{JawE :Fir'a ace Lent) I. LWBPF"stLA L;W: jccl-uk: - 4 N cUPFcrRtCE g . EXCF.SS L:•49: CL.A'YS'{:4GE ;GRE ;4TE 3 RE7FNT di . 3YORkF S COMPENSATION AND A EMPLOYER'SLIABILITY YiN UB.0+1:FJ�= 05 °1710' 1c' EA"H 4CCCc� IManyaWry.inNHI El C.SE.ASE EAE- PLO?.EF l? 100 C^! i}zs c b�c: i - ` E.t D'SEASE F31.'!uY U,MI'� ,S.: DESCRIPTIJN:OF'OPEFiAfilONS/LOCATION51VEt((C ESIRESTRI6TIO.NSISPECIAL ITEMS ANY Kl'iK i RTIr."'A I F;CSL1E^. .1..._.r .rI Ti 3VLb :L._'Pbr.. CANCELLATION' CERTIFICATE MOLDER - T3 4 REEALT I '? h L�l-:?`�E'�T,? SHOULD ANY OF THE A.BOVEDESCRIBEC 0OLICIE513E CANCELLED BEFORE THE EXPIPJkM N DATE,TH€REOF,NOTICE WILL SE.DEt(VERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED:REPR TATVE WEST 0:66S, 4r' ��" e TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ape `Parcel 0� Permit# �Ith Division �O_O ® �� Date Issued _ Co servation Division ti 4. Application Fee Fee Tax Collector b0'T �— / �O Treasurer k1ol Planning Dept. Checked in By Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis Project Street Address Village Cr? r� Owner J;A(—4° Addresses. r _ Telephone —6 1� Permit Request c' / �� CF Pc Square w Square feet: 1 st floor: proposed 2nd floor: existing proposed Total new Valuation Te)C)0 Zoning District Flood Plain Groundwater Overlay Construction Type S � Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. t Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure �rS Historic House: ❑Yes O No On Old King's Highway: ❑Yes ❑No ct Basement Type: d Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Dumber of Baths: Full: existing new Half: existing new �yumber of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas Cl Oil ❑Electric ❑Other Central Air: O Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: O Yes O No Detached garage:O existing ❑new size Pool: LJ existing ❑new size Barn: 0 existing ❑new size Attached garage:O existing ❑new size Shed:O existing ❑new size Other: Zoning Board of Appeals Authorization O Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use -- _ —Proposed Use rr BUILDER INFORMATION r Name 2 T�� ei��sc�^ Telephone Number -r ��'"� 3 �f Address. t License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING ROM THIS P OJECT WILL BETAKEN TO SIGNATURE DATE �7 d' FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED r MAP/PARCEL NO. ADDRESS VILLAGE . OWNER _ r DATE OF INSPECTION: FOUNDATION FRAME O r<- 7 - 7 -o j INSULATION FIREPLACE', ELECTRICAL ROUGH FINAL `t t PLUMBING: ROUGH FINAL " r ' GAS: ROUGH FINAL FINAL BUILDING %n® ' 1 DATE CLOSED OUT-. t ASSOCIATION PLAN NO. • r A ' O s • (n p _ :EK rn orb " � � to t Qrq � . 2�:: lot TH ' w CO o w cc o T RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations $ 50.00 Change of Contractor/Builder $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0041= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq. foot= x.0041= F ' plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq. ft.= x.0041= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee Projeost Rev:063004 FTME�p� Town of Barnstable Regulatory Services 9 BA CBI E Thomas F.Geiler,Director �ATSD 39. A Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: t -f Zoe r� ��U 0 ��y, ��.�� _ Estimated Cost Address of Work: S�% �l L�� .� Y;! /r 1 a r S~ Owner's Name: G%' Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the er: S' 17 /e:�J` �C�� ? Date Corl4rctor Name Registration No. OR Date Owner's Name Q:forms:homeaffidav Q �U ��o v b >>O � � 1 �'� � � 4 ti ` -- The Commonwealth o Massachusetts Department of Industrial Accidents — Office of Investigations _ 600 Washington Street, 7th Floor - — ' Boston,Mass. 02111 Workers'Compensation Insurance Affidavit:Building/Plumbing/Electrical Contractors A 'h�attE'`irfa r n$t n' �� =L +` � t eh )(� I's a"i l 1? 114711 111-01,561 :ws;•a ,��' . a M?i it .Id:Y S".�'? (¢tr,.a�'.i+eSX:" t'i r'S`i,• ^!;11.k:.�`.:• r�r, name �_ es' address: !'� /a,�.� s�-•�.�r t state: d�� zip:0-9.0 35_ohone# j�4 o 3? C work site location(full address): � � �� � R y4stste� Zee �07- ❑ I am a homeowner performing all work myself. Project Type: ❑New Construction❑Remodel ❑ I am a sole proprietor and have no one working in any carrtacity. ❑Building Addition T,� ..r,,. .+•9„ +nc' `J"-:"Y'x' ::' fy.:`. 3;13?f!l`"!?b:'S '.4:ify°",i? `.^"`fir."'.•. "'A+L9r 'F.r..a :.+aarr;. •; �zS '...,.....#�� ...•.d.: •'.lb,:.�...i,ge> ?�7''LG'-"k�.. ,,.�;��';E?''.' •s:.:d., ,:_ea �.4;r� •s;at:M.s,, -:�'u-q''a•� =rS;°a;�a.,.� .•:r...,:.::,::w I am an employers providing workers'compensation for my employees working on this job. company name: address: 44.1 e 7` �<nY A 3 city: ti- [ phone#: � 3 3 insurance co. 'e �err� �?��� � policy# �cr i's// C ❑ I am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: company name: address _ city: phone#: insurance co. olic # - s ...r ,....:......'.».t ..u.-.. ..T%...';E.t..''i+.f.'¢i,_. ...it1Fy.`�..!C4"',r�i'1"t.:iY'.?rf'tti ���3"'a. �•YJi -a;'$';. .7'�' ,.t3'[k�.:'.?W:7_w..i.:.. .�.� .•.7i'r.. company name: address: city: ., ph one# insurance co. h ;,.'4' r: ;:.'. Nr.. �;�'r:r$'rp .a,,:' .;y,:.:ce'ta' .+ %`.:' ; Ay':;�;;::':a - \tfaFl, SdthonaF:gh@e. i oec a �= �..�t Wiz;: b..; s}:,; r.,;•. .....: ..rX� n3F.:#. ;-.x3 x:.,.:fi't Fly.;:kk4a9;•x' .. ry w3, a+.!..ri+�'� 'i,.;�a'!`�las '�s"�x:.9�*#�:'��n:!C;�t�t9Vt`.'� �. � ;c�:�Y�=:" ' Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may forwarded to the Office of investigations of the DIA for coverage verification. I do hereby certify un tl painsjytd alties of perjury that the information provided above is true and correct. Signature Date Print name e� Phone#���e� .7 3 i E,t nly d:Wr this area to be completed by city or town official : permit/license# -[]Building Department mmediate quired ❑Licensing Board ❑Selectmen's Office ❑Health Department on: phone#; ❑Other 3) Information and Instructions . 1 Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under.any contract of hire,express or implied, oral or written. , An employer is defined as an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be.an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting'authority. - 't .1.. �' V:+'. `.7yy.(.G•t}"�'}:'r7,Na:ecCf� .:a{,' - S ,,��'�?..:: .. :�'�....'�'.....,.''..,?:- � .`.t�.',•+.'i�'.Y" e�`;.:.':F:.J.., �: .4. .L. :'';�;`'�."..�.,. ..:,,.. .:o... •',aE '�;•••%R., qa�{ ..a.��. - a6�:'�i'•'-<":&1.E31: .txiCv'� �t 'i,a :e'','�::dw2:£:.ci„z,``��s': � �.:,1w1.;� Applicants . Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name,address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. .7 :,.P:'i' a-n -§•,t �''$�iim.,,Ys.,.v'i;''A}, i i. 's`iF�,.i:Tka:.:x.s� x..i:'� r.'1r' 'r .1�1;•�'' .,+�t ,.. ,t>+.. •�_,f..'^,.ixA . K..'. i•!':7•afi3.. :'..... .'.. ;3y-.,...,: :- ' .3,.:.n.:.. °`;xisv.fi;"t.":'�`;'[[:. ..,-,iAS��..•... .<r> ��h. �,fl,�..:;��'''.1�., '��:�t`.�_ r�'. .iY 54..t.•�d.,e'��.;` ..1e.�.Q� .�.�. F.St x' :�'• ;rit; (�,. n',i!i.trt�' .cBr,` .:S r,Y.' .iaa.�r�... a..�. ,y : aa.i ' .�F".i it' 7`•r »�`: ,r?% 'S+ >�:y',::.:'yi;' ��w y. gg ^"!' ,s �1.. ;'�,�;•r.,.,s.,.w. :c,SS•.r a:,p�'h5;�,5.�c. ,a.;.�1z. .;�; .,a. ` �••,�. :&$H;'. .:;��.. .n-;Tt. ��s. 9: �'-;«xf. .i ..i,�:. �,<. y4.ro'f ,�•� ,jy .���ti�i �':+w�rll4st'i'" h,�s'�d,•t��Nr�''A`.,�'.�•' '...51�» r�dA�u M�,'�,^w's 1 �^. S...v.e' .1,• City or Towns. Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. +�fi'.} >T, yM1 ,.�7F '""�.�. ..+.sy,F •::�,. -'-� ..t♦L c,..,,n{L. !i•.'?'.•r�.'?:af' •.::`?S�/ •'4+r,.,��.0°'; E:J:.}y6c.Y�?F}:�'`�',h.." .:� ppyy�tr7'=�`: f..rr�:'4°9v'�}..jfrd��- ��' :.9�.�. ��..� .P:..�. _ :'y+°.TP: :6�•{.s i�J... .Y- .i.�::...F.' .k. '��.".�.fl r:� d}F!.. ..aa is n :...r#..:�; .�;` ..C..7.EYJ:- yy, •�`$ -rS�. '?j..1` ien.f .V'K ..y}!�.."4,r.' �..... 4.. •hN 5.l 2�}g"fi i� -ti'N�1YlS.- .•qR'L.4e.L L��y%✓^` Y 1N .'+Em��-vi" The Department's address,telephone and fax number:" The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street,7`h Floor Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext. 406 BOARD OF BUILDING REGULATIONS nse: CONSTRUCTION SURERVISOR mb 6 date 08/2g/1954 pare 08/29/2005 T .no: 254.E Restcted 00 PETER E J0= ©N r 7 PRELOPE Ltd "* CO Cigil,. `.i0263'S Administrator j Board of Regalationi and Standards HOME IMPROVEMENT CONTRACTOR j `r Reglst4pj 102785 _ 2006: i ual PETER EDVVA Peter Johnson = r f 7 PENELOPE LAND COTUIT,MA 02635 Administrator , TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANC"" PARCEL ID 248 197 GEOBASE ID 15583 ADDRESS 59 LILLIAN DRIVE PHONE HYANNIS . ZIP LOT 33 BLOCK LOT SIZE I DBA DEVELOPMENT DISTRICT HY 'PERMIT 48442 DESCRIPTION CERTIFICATE OF OCCUPANCY ,PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: 1 BOND $.00 per 114E CONSTRUCTION COSTS $.00 j K � I 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE PIS.*Eap►iwsrABi.E. j MASS. z6gq. � E'D M1�M BUILD . G'' I,`V�''SI�ON B, �;�- DATE ISSUED 09/06/2000 EXPIRATION DATE TOWN 014 BARNSTABLE PAT:CEL ID 243 197 GE09AS t TD 15.9,93 ADDRRSS-- 69 LILLIAN DRIVE HYANNIS ZIP. - y .> DBA rikvFLoPmENT D`LSTRICT:R PERMIT 43589 DESCRIPTION SINGLE FAMILY DWELLING - SEW.. PMT_ #$00--010 LPL►; IT TYPE BUILD TITLE .NEW RESIDENTIA1.0 BLDG .PM! CONTRACTORS: DAVENPORT, DEWITT P Department of Health,.Safety ARCHITECTS: and Environmental Services f LD1. »INGL,E PAM ACME DE`1ACFXtD. - 1, PRIVATE P s ; BAiRN3TABUE. + . MA83. i639. BUILDING,;bIVISION ee BY DATE ISSUED 01/13/2000 ,.E PI .ATTON DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMP�ARILY OR PERMANENTLY.,EN CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROV; fJ BY J_U ISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND.LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF�"BLIC Wb'AOTHE ISSUANCE OF THIS:- PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE "REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS- HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIE TIL,FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. BUILDING INSPECTION APPROVALS PLUMBING INSPECTI N APPROVALS ELECTRIGA6 ,_ CTION APPROVALS Wj Ir is 2 2 /, 3 / • ``iO ce &5S 1 HEATINd INSPECTION WROVA`S ENGINEERING DEPARTMENT eo ( L CA_ 1 2 OF H t D� OTHER: SITE PL N EVIEW APPROVAL I' WORK SHALL NOT ROCEED UN IL. PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED_ON THIS S . ..'THE INSPECTOR HASAPPROVEDTHE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD.CAN BE ARRANGED FOR,BY. VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA TON. NOTED ABOVE. TION. z i _ � '� � ��� ', a ,\ -�_ _.` �, -� - ._ �� _ .: } I ,t �� �. � �. ' I I fti _�------ E�----ram-- II I { I { { II ; 1 I ; � i ; I ; 1 1 1 ; { 1 f T , I ; � I { I ! 1 � i 1 { ii P6 �i { W X � Y ' �-- _M � ! Mz. ! ' 73 10 Cl m �r i Np ! ! i ! v a 1 7� { , 1 ' i 1 ' 1 I 1 I 1 I I 1 1 { /"•n•'�°,,,• °+"�� "F"�1iY• DAVEMRTBUDDINGGD. PROJECT: avva°n�•.tiwWwumr"ar 20NORTH MAIN OMISTREET �.�.a•� .M . ""•'"'•'•'"'�"°°°� SOUTMYARHYARMDUTH,MAfR664 we+UJenI oAOL4�-� Outnvonsslmshhiwdsr Avoti..tse 1- LOCATION: HI6 0 ce•.hw.bnpl.o-1 s/an/oc - essWd huld).g da -{- ''t I CPR�n!/41 /•�' 7 �� �eoav�m�isp��rar�' 11 .F ow • ' YTLNM/OMNA _ I>�I axl>�1• t ZZ I • o ----------------------- ID pmwiNGTYrb 7NFETNymyM, A 2 00 d8 n sera 1 ' w.4.. -_-._--_--_----_-__1 ------------------------ 0 � j 1 L «,. L .�. .ti.........�,... i -4 1 � 1 e 1 1 ,wv.Irv.1.f..�4. •..• ram'-IO II.• 1 f0 M' a I ____----- _-- _ ----_-_ _.c Q L QMWMC TYM raunddlon p%,.n fNtFtlww n�. Af OO �E Gr-•v�MA•aMInY•vrVl•v,MNi}J ' A.TMN.hMWiM•,1 PTO. Ly I/t"1PAr.yl,h••Mlq liiyJ I O"PY.-,W'.wi•.r'nFPO NirJ pP1` AWminNntj.Iy(yPJ AIVNNm,Wfw.11yPJ AWmMum rHN r,Mf1>PJ Gi.w Je'wY.a 10"a•. yy Iane GlMy JenN.a 10"es. Q,I Kr ti - -•[Puw iron tyPJ 6 e-O I• Tr.'s.l ane Iv.Ir r/tn41ard,.4r 4P-v ••"r�W. r/vAr'..d.br.hlMW 4'7.W. endaNrrr•U.fJipJ I/f•/ .NnYwnd N„rJ , ' rw.l.•Iwww,•gfis�J et,aan•r'mlw.0 UU 4Zp f n•11W w•II 16°es.(yp.l p Z 9/1•rAGr.�Hwml.Wba VV� s I/t'NO.bwu4.bnMlo(1y/J 4WMIruJilfiyP.l a.l.rv,a P•IO�WrJ.'w..•Ib".a v. I i I' P.r.ta.0 r/s�wq.enlv.Ht.<y�J -- t.l ol•wri...i..ra°n... ---� -•,•t ro.J.uw.i•n p 0 I„••NO.M.r,l,lbw.`t I I--- p _.+ . 1--'^, ` J ♦/ttl O\w/d'.b^.I/•"Ir.v1rMPVIM. \��- pi"'� _V ���F_ �-••�---• 1 I/f•e aMv.11 unnN•.yP.M SSIJ S'�-'• A•rW wel„w w/so".•o°.I•v�.i.<.o.n,t .� (7 � �'�$�' e"n>'O"Pw.I,eNr•Y•bwW,ium fy>.l �---�;,•� Fp+"yr�1 � � �/ P•Pur•d uHr•i..lb 1��7 y Y _ E O.Yeundnlvn I N'•I'WYM•snrH•tus.M lly'J G .-»• -{ -_�__ 46 A•oo %balsa 1/Z"� I'-O" ,�E����% F OMWMIG T'tF: DuildinJ,o.ca•'wn A,-A i lNRTMUM6FG A 4 00 r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �43 Parcel I C Permit# Health Division Date Issued Conservation Division '�— Fee Tax Collector SE SYSTEM MUST BETreasurer INSTALLED IN COMPLIANC Planning Dept.t. WITH TITLE 5 ENVIRONMENTAL C00' A 1) Date Definitive Plan Approved by Planning Board S-r- 4 TOWN REGUI.KefZM v e Historic-OKH Preservation/Hyannis - Project Street Address 'l an Village n 1 Owner fir, ot' - Addres 6 b �• Gf.� �bt Telephone -Permit Request f Square feet: 1 st floor:existing proposed 2nd floor: existing proposed Total new 0 Lf-0 Estimated Project Cost—7 7 DO Zoning District f d Flood Plain Groundwater Overlay V Construction Type (1)av Lot Size (D Q'G_ Grandfathered: XYes If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ -\ Multi-Family(#units) Age of Existing Structure A)JA, Historic House: ❑Yes )d No On Old King's Highway: ❑Yes ;j No Basement Type: AFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) AJl A Basement Unfinished Area(sq.ft) 0 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 V Heat Type and Fuel: `-Gas ❑Oil ❑Electric ❑Other �e-� Central Air: ❑Yes ANo Fireplaces: Existing New Existing wood/coal stove: ❑Yes )(No Detached garage:❑existing ❑new size A.//4 Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size / Shed:❑existing ❑new size Other: i Zoning Board of Appeals Authorization ❑ Appeal# Allk _ Recorded❑ Commercial ❑Yes *No If yes, site plan review# ,Current Use kO Proposed Use BUILDER INFORMATION Name d_w.� Telephone Number 3q{s ` a 0-�13 Address /'Mall �t' License# 13 S_393 `14 0� Home Improvement Contractor# Worker's Compensation# &J O-- 15160 2-ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO I)ut'►'�Y "��' ASIGNATURE DATE _ /Z— FOR OFFICIAL USE ONLY ¢ PERMIT NO. l—t-' ��1•/�'"(l . � DATE ISSUED MAP/PARCEL NO.`= ADDRESS VILLAGE OWNER r DATE OF INSPECTION: FOUNDATION FRAME 4 r > 4 t INSULATION , f FIREPLACE ELECTRICAL: ROUGIGZ: ' FINAL PLUMBING: ROUGI—L4 9; •FINAL GAS: RO FINAL R FINAL BUILDING s T�" fu DATE CLOSED OUT66 r- " { .,. ASSOCIATION PLAN NO.. 4 ` R ;r EST/MA TED PROJECT COST WORKSHEET ' Value LIVING SPACE �(o `f� /O �� square feet X $55/sq. foot= �00 GARAGE (UNFINISHED) square feet X $25/sq. foot= GO PORCH square feet X $20/sq. foot= DECK /0 x Z square feet X $15/sq. foot= 8 O 0 OTHER square feet X$??/sq. foot= l-�� ��0 Total Estimated Project Cost l ( 00 For-Office Use Only lnclusionary Affordable Housing Fee Residential Commercial** Property Owner's Name ( A✓5�jk Z-7 E 4 L/ Project Location L/ Z- 2- 1-4 ZLIZ 74 N�J I S Project Value 7, T C Permit Numbers�— � "Existing Sq. Ft. "Proposed New Sq. Ft. Fee $ IAHFORM 1/3/00 1Y 1 LOT 31 i GAR. c� v EXIST. FDN. TOF-50.3 40T 33 11 . 4401S.F. ��oo, sd `�q• A�� L 0 T 35 � LOT 32 STREET ADDRESS: 059 LILLIAN DRIVE. CENTERVILLE ASSESSORS' MAP 240 PARCEL 197 KOWNER: DAVENPORT BUILDING CO. TRUST PLAN REF. : PL. BK. I65 PG. 41 TOWN OF BARNSTABLE ZONING BY-LAW DATED MARCH 14. 1997 ZONE RB I CERTIFY THAT TO THE BEST OF MY PROFESSIONAL SETBACKS KNOWLEDGE. 1 NFORMAT ION AND BEL I EF THE DWELL I NO FRONT - 20 ' SHOWN HEREON CONFORMS TO THE HORIZONTAL SETBACKS SIDE - 10 ' OF THE ZONING BY-LAW FOR THE R-B DISTRICT. REAR - 10 ' PROPERTY LINES SHOWN HEREON ��n+of WERE COMPILED FROM AVAILABLE TERRYN PLANS OF RECORD AND DO NOT g ANN REPRESENT AN ACTUAL SURVEY WANNER No.38721 � ON THE GROUND. "A S e B U I L T" THE FOUNDATION DEPICTED ON THIS ; �. PLOT PLAN PLAN WAS L OCA TED ON THE GROUND IN BY SURVEY ON AP R I L 11. 2000 AND 6 b EXISTS A$ SHOWA' AS OF THE DATE BARNS T,�BL E, MASS. OF LOCATION. SCALE: 1'-40' APRIL 13. 2000 THIS PLAN IS FC* PLOT PLAN T, MY A. ffAM111, P.L.S. PURPOSES ONLY AND NOT FOR 22 LONG A0.0 RECORDING. DEEV DESCRIPTIONS OR JUNFICS. NA. 0284E ESTABLISHING PROPERTY LINES. (500) 4SP-8S09 THIS PLAN IS VVID IF NOT STAMPED AND SIMED IN RED. 0 20 40 80 PROJECT NO. 99-253 ASS9 OFIME A The Town of Barnstable • BAMSTABLE, 9�p MASS. � Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner March 21,2000 TO WHOM IT MAY CONCERN: A review of the deeds for the five properties on Lillian Drive shows that all are buildable. Although they were commonly held,two were conveyed out during the five year period. Sincerely, l Ralph M.Crossen Building Commissioner RMC/km F g000321a CASE & RAPP, LLP Attorneys and Counsellors at Law 1645 Falmouth Rd., Suite 1E Centerville,MA 02632 Tel. 508.771.3400 Fax 508.778.1700 caserapp@capecod.net Charles C. Case,Jr. Stuart W. Rapp March 17, 2000 Mr. Ralph Crossen Building Department Town of Barnstable 367 Main Street Hyannis, MA 02601 Re: Lillian Drive Dear Mr. Crossen: With reference to the above-entitled matter and pursuant to your request, enclosed please find the following: 1. My correspondence to you of September 27, 1999; 2. Your correspondence to me of September 28, 1999; and, 3. My correspondence to you of October 14, 1999. l If you should have any questionsor require any further information, please do not hesitate to contact me. I remain, Very tau rs, . ..._-_. Stuart W.KPp SWR:sjr _ Encs. CASE & RAPP, LLP Attorneys and Counsellors at Law 1645 Falmouth Rd., Suite 1E Centerville,MA 02632 Tel. 508.771.3400 Fax 508.778.1700 E-mail: caserapy(@,carecod.net - Website: www.caserapi).com Charles C. Case,Jr. — Stuart W. Rapp September 27, 1999 Via Facsimile 508-790-6230 and First Class Mail Ralph M. Crossen Building Commissioner The Town of Barnstable Department of Health Safety and Environmental Services Building Division 367 Main Street Hyannis, MA 02601 Re: Lillian Drive Dear Mr. Crossen: It was a real pleasure to meet with you this morning with regards to the Lillian Drive property that my clients own. As we discussed, I am providing this information to you with regards to these lots in order that you may determine the bu-11dability of these lots. Please be advised that the lots in question are Lot Nos. 33, 35, 38,40 and 42—all on Lillian Drive as shown on a copy of the subdivision map that I have attached to this correspondence for your_review. After our meeting this morrina. I did, in fact, drive over to the property and found that Lillian Drive dead ends currently at the boundary of Lots 45 and 42. My client has assured me that he has submitted the preliminary plan to the.Town of Barnstable Engineering Department some time ago and it is intended that the Lillian Drive will be extended as it is shown on the attached map at the time these lots are built upon. _ The lots were checker boarded by deeds recorded in December of 1986 subsequent to the adoption by the town of the one acre zoning. However, pursuant to Article 4, Section 4.2 (2 which allows for common lot protection these lots fit within that exception especially because the subdivision which these lots are located within was approved by the Town of Barnstable back in 1961. I anxiously await your written determination that these lots are buildable. If you should have any questions,please do not hesitate to contact call me. I remain, Very truly yours, Stuart pp SWRjIc _ Enc. cc: client - s $ 1100o' l05° �,, as Q o Itsop 56 loco~ of 11059so 10500 II 1�_ foggier; /6 $ 10 - �• a � Ippo 11000 1 ,gyp c /0000' Gi 11000 spM/ pp 55 loam m I I4 ,y. Q 14 0_ /0000'' � 1000 10590 95 �� 114p0 i. I13'�i''. loop° �O -:.. p #loco IpS Op dos p ISO I #loco IIpAo OP 11� _ •. . 7 7 ��die•'.r 89 #loco 114011)5 r�7y.4Z 11 k !'00 it �' -- 51 _ 1507b `d •10 n!_ r 6. r� 108Qc so 11990 jo ' P' ,,.,,� 40 .a. °•`� 19755 / 33 , '65� �Q /3470 v 17690 r \ JIrL�O .S :i `ah •� 25 -4S •�p�14 c� 32 iic9=c 0� t �G71 N6.7a"e 27 130 +_ losoo 98? 1219a • �b `C4Z�a:• 11600. 6 + ` IOSdO 4�'rw �otryy aZ0 o� Jitl'SS' 1118'3 ,f+ �9�,y�6 '�► , �' b� 28 �9 1392 � y'� ► IQ• ar52 I�p � b6' �' `�� IO550� � 10960 sT \ '�' lip Isso9 � '. ,asa _"39 8 �u _ 11705 130.09 10000 1OoA locsm o'. l0000 �►V - 73 �� �.,o+� • ' lonoo •• N�' �o"E- 1paoo 47 Sao ,. .,.. ,a000 ea 11929 o _r ,� d0 wvogpp ,rs:oo bz97 t+ an 10000 l0000 • 6so° � Q/ 10000• 1Oa00 0 .� 20035 ^6 ` r•°r 10000 1 _Sarsrl 179QS b 16coo1o0 • ioo� _ saw Ra�P�f°Awf N7Q•OT�IY �400ANA • or Tin rr 1* OCT 5-' J CASE & RAPP, LLP Attorneys and Counsellors at Law 1645 Falmouth Rd., Suite 1 E Centerville,MA 02632 Tel. (508) 771-3400 Fax(508) 778-1700 casempp@capecod.net - Charles C. Case, Jr. Stuart W. Rapp ATTENTION: FROM• i at the Law Office of Case & Rapp,LLP - DATE: YOUR FAX NUMBER: NUMBER OF PAGES FAXED INCLUDING COVER LETTER: / RE: _ If trouble with receipt, please call (508) 7713400 The documents transmitted by this facsimile contain information from the law office of Case&Rapp,LLP, and may contain confidential and privileged information. This information is intended for the use of the addressee _ named on this transmittal sheet. If you are not the addressee,any disclosure;photocopying,distribution or use of its contents is prohibited. If you have received this facsimile in error,please call us immediately at 508-771-3400 so that we can arrange to retrieve the original documents. Thank You! CASE & RAPP, LLP Attorneys and Counsellors at Law 1645 Falmouth Rd., Suite lE Centerville,MA 02632 Tel. (508) 771-3400 Fax(508) 778-1700 caserapp@capecod.net Charles C. Case, Jr. Stuart W. Rapp ATTENTION:- FROM: at the Law Office of Case& Rapp,LLP DATE: 9-a YOUR FAX NUMBER: - NUMBER(#) OF PAGES FAXED INCLUDING COVER LETTER: RE: If trouble with receipt, please call(508) 771-3400 The documents transmitted by this facsimile contain information from the law office of Case&Rapp,LLP, and may contain confidential and privileged information. This information is intended for the use of the addressee _ named on this transmittal sheet. If you are not the addressee,any disclosure,photocopying,distribution or use of its contents is prohibited. If you have received this facsimile in error,please call us immediately at 508-771-3400 so that we can arrange to retrieve the original documents. Thank You! oFINE The Town of Barnstable • ,nxWseAMX 9 � � Department of Health Safety and Environmental Services E1�"� Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner September 28, 1999 Stuart W.Rapp Case and Rapp,LLP 1645 Falmouth Road,Suite I ' Centerville,MA 02632 Re: Lillian Drive,Hyannis Dear Attorney Rapp: Unfortunately,the way must be bettered to a certain standard before I can consider it frontage. While I agree that you now satisfy the common lot exemption criteria,you have no"frontage"yet. Provisions will have to be made to agree to a list of betterments to Lillian Drive and a schedule of work on that way. Many have begun the work and held off on the final asphalt coat until they were looking for certificates of occupancy. The list of betterments will come from me and,if your client understands this,I will do a site visit and provide you with such a list. Sincerely, Ralph M.Crossen Building Commissioner RMC/km g990928b CASE & RAPP, LLP Attorneys and Counsellors at Law 1645 Falmouth Rd.,Suite 1E Centerville,MA 02632 Tel.508.771.3400 Fax 508.778.1700 E-mail: caserapancanecod.net Website: www.casemPT).com Charles C. Case,Jr. Stuart W.Rapp October 14, 1999 Via Facsimile 508-790-6230 and First Class Mail Ralph M. Crossen Building Commissioner The Town of Barnstable Department of Health Safety and Environmental Services Building Division 367 Main Street Hyannis, MA 02601 Re: Lots 33, 35, 38,40 and 42 Lillian Drive,Hyannis,MA Dear Mr. Crossen: It was a pleasure meeting you at the Lillian Drive site on October Wh and this letter is sent at your request to confirm and summarize the results of that said visit. It has been agreed that the lots are buildable and that you will require that Lillian Drive be completed in conformity with what is currently existing, which is a 13 foot wide paved road with Cape Cod berms on both sides, the depth of the road construction will be pursuant to the Town of Barnstable Engineering's specifications, a water main will be installed and the placement of the hyrdrant or hydrants will be determined by the Water Department's specifications. It was further agreed that two catch basins, one on each side of the road, will be installed at the lowest topographical point of this road construction. Also intended to be confirmed with the Town of Barnstable Engineering Department is whether they will require further catch basins to be installed and if so, they.will be installed as well. Presently, there is a plan being worked up and will be made available to the Engineering Department as well as to yourself, and pursuant to your representation, y ESTIMATED PROJECT COST WORKSHEET Value LIVING SPACE o /0 square feet X$55/sq. foot= .S 7, a GO GARAGE (UNFINISHED)/Y Y-2 Y square feet X$25/sq. foot PORCH te6'^-4::W square feet X$20/sq. foot= DECK /,0 x Ica / square feet X$15/sq. foot OAR 1;7_ 5L' • square feet X$??/sq. foot= /a/ 0O 0 Total Estimated Project Cost 7 7, VO 6' g990915b J 10/14/,196Z 12:20 7781700 CASE AND RAPP LLP PAGE 02 CASE & RAPP, LLP Attorneys and Counsellors at Law 1645 Falmouth Rd., Suite 1E Centerville,MA 02632 Tel.508.771.3400 Fax 508.778.1700 E-mail: casetaco@capwod.net Website: www.casera=,com Charles C.Case,Jr. Stuart W. Rapp I October 14, 1999 Via Facsimile 508-790-6230 and First Class Mail Ralph M. Crossen Building Commissioner The Town of Barnstable Department of Health Safety and Environmental Services Building Division 367 Main Street Hyannis,MA 02601 Re: Lots 33,35,38, 40 and 42 Lillian Drive,Hyannis,MA Dear Mr. Crossen: It was a pleasure meeting you at the Lillian Drive site on October 8s' and this letter is sent at your request to confirm and summarize the results of that said visit. It has been agreed that the tots are buildable and that you will require that Lillian Drive be completed in conformity with what is currently existing, which is a 13 foot wide paved road with Cape Cod berms on both sides,the depth of the road construction will be pursuant to the Town of Barnstable Engineering's specifications, a water main will be installed and the placement of the hyrdrant or hydrants will be determined by the Water Department's specifications. It was further agreed that two catch basins,one on each side of the road,will be installed at the lowest topographical point of this road construction. Also intended to be confirmed with the Town of Barnstable Engineering Department is whether they will require further catch basins to be installed and if so,they will be installed as well. Presently,there is a plan being worked up and will be made available to the Engineering Department as well as to yourself, and pursuant to your representation, 10/,14/1Q--99 12:20 7781700 CASE AND RAPP LLP PAGE 03 u` Certificates of Occupancy will not be issued until the binder coat of asphalt is placed on the road pursuant to these specifications. I do believe that this clearly sets forth the understanding of my client and yourself and that my client may move forward with the construction of the homes on these lots, only,of course,after receiving the Building Permits from your Department. If this varies in any regard to what is your understanding of this matter,then please contact me as soon as possible. If you should have any questions,please do not hesitate to contact me. I remain, Very truly yours _ Stuart W. Rapp SWR jlc cc: client Z'ibb.iS?.2b "cgipthe RkWm8a for dae NW TV@-f m*Rdd=dd B0ffdbW Sated with FoaO Faeb . MA7ICIM[J!WH11l41 Q g g Wall Roar 8� 9ttb H +aB Am'(%) p.,,� �valad &vafijd- Swj&J. Wilt � F�d� Padaaa itwiod 11"i to dBO Rmdmt pet a saw Q 12% aA0 It. µ 13 19 !0 6 Noemd t 12% am 30. . 19 !9 .10 6 Naem� S 12% am .33 1? 19 to . 6 t3 AFEM T is% 19 026 38 � US WA WA Natd tJ ITA 0�16 33 19 10 6 N6ed T 15% uui+ a !3 2: WA ::� ASAFEM W m am 30 19 19 10• i ISAFUE x 19% em 11 p 35 WA WA Namod T IVA 0A2 39 19 ZS WA WA liloed Z I1i'A 0A2 32 19 10 6 90 AFEIE M 1>j'A 050 30 !9 19 10 6 90AE�JE I. ADDRESS OF PROPERTY: Z SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3 3. SQUARE FOOTAGE OF ALL GLAZING: �y 4. %GLAZING AREA(#3 DIVIDED BY#2): 70 L SELECT PACKAGE(Q—AA•see chart above): .�?A NOTE. OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: tfomu-680303a 1 J Z I I _MAScheck COMPLIANCE REPORT I I Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 I I ' I I I Checked by/Date CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 12-30-1999 DATE OF PLANS: 12-29-99 :TITLE: New Ranch PROJECT INFORMATION: Lillian Drive Centerville Ma. 02632 COMPANY INFORMATION: Davenport Building Company • '} 20 North Main Street South Yarmouth Ma. 02664 NOTES: x MaCheck by Cape Cod Insulation INC. # 1189 COMPLIANCE: PASSES Required UA = 270 , Your Home = 238 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA CEILINGS 1176 30.0 0.0 41 WALLS: Wood Frame, 16" O.C. 932 13.0 0.0 77 'GLAZING: Windows or Doors 120 0.460 55 DOORS 40 0.220 9 FLOORS: Over Unconditioned Space 1176 19.0 0.0 56 HVAC EQUIPMENT: Furnace, 92.0 AFUE ------------------------------------------------------------------------------- ab .• COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has.been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 13 �andJ44. , Builder Designef Date y F'A J*`MAScheck INSPECTION CHECKLIST . —Massachusetts Energy Code MAScheck Software Version 2.01 New Ranch DATE: 12-30-1999 Bldg. l Dept. l Use I I CEILINGS: [ ] I 1. R-30 I Comments/Location I WALLS: 1. Wood Frame, 16" O.C., R-13 Comments/Location I I WINDOWS,AND GLASS DOORS: [�] I 1. U-value: 0.46 I For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location I DOORS: [ l I 1. U-value: 0.22 I Comments/Location r I FLOORS: [ ] I 1. Over Unconditioned Space, R-19 I Comments/Location I I HVAC EQUIPMENT: [ ] I 1. Furnace, 92.0 AFUE or higher I Make and Model Number I AIR LEAKAGE: [ ] I Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. When I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: 1. Type IC rated, manufactured with no penetrations between the I inside of the recessed fixture and ceiling cavity and sealed or I gasketed to prevent air leakage into the unconditioned space. I 2'• Type IC rated, in accordance with Standard ASTM E 283, with no I more than 2.0 cfm (0.944 L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I difference and shall be labeled. I I VAPOR RETARDER: [ ] I Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. I MATERIALS IDENTIFICATION: [ ] I Materials and equipment must be identified so that compliance can ,r d"ram.. r I be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be I provided. Insulation R-values, glazing U-values, and heating equipment efficiency must be clearly marked on the building plans I or specifications. I DUCT INSULATION: [ ) I Ducts shall be insulated per Table J4.4.7.1. I DUCT CONSTRUCTION: [ ] I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be I omitted where gaps are less than 1/8 inch. Duct tape is not I permitted. The HVAC system must provide a means for balancing air and water systems. I I TEMPERATURE CONTROLS: [ ] I Thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. I HVAC EQUIPMENT SIZING: [ l I Rated output capacity of the heating/cooling system is I not greater than 125% of the design load as specified I in Sections 780CMR 1310 and J4.4. . I [ ) I SWIMMING POOLS: I All heated swimming pools must have an on/off heater switch and I require a cover unless over 20o of the heating energy is from I non-depletable sources. Pool pumps require a time clock. I [ ] I HVAC PIPING INSULATION: I HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in.) : I I PIPE SIZES (in.) I HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" I Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 I Low temperature 120-200 0.5 1.0 1.0 1.5 I Steam condensate any 1.0 1.0 1.5 2.0 I COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant below 40 1.0 1.0 1.5 1.5 I [ ] I CIRCULATING HOT WATER SYSTEMS: I Insulate circulating hot water pipes to the following levels (in.) : <Y I PIPE SIZES (in.) _ I NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS ] HEATED WATER TEMP (F) : RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+" I 170-180 0.5 I 1.0 1.5 2.0 1 140-160 0.5 0_5 1.0 1.5 I 100-130 0.5 0.5 0.5 1.0 ----NOTES TO FIELD (Building Department Use Only)------------------------- •::. t, �. .. i r.•.axe, - r7rn 1 1 1 11 1 1 1 1 1 1 1 1 1 NOR •r./l 1 1 . 11 • • 1 1 1 1 1 1 1 1 • 1 - "• e,� 1� 1 1 ✓.11 N ' Md Mill pllN II II 1 �1111/ • '-1 / • ' 1 1 '1 .•�1 �1 1111�11 '✓. • • 1 1 11 ' :11111 • 1 •.� 1 _ • 1 1 1 1 7 . 11 • • • Ile 1 1wi1 11 M 1 1 1 1 11 �1 I �1 / 1 1 1 1 �/ 1 MI 1 1 1 ;�/ • 1 ' '1 I . •1 11 1 1 ' 1 1 1 1 1 I Ilr ' ///../.....//////���////////////////��/���/����//////���//O/////////////////��!/%/////////%/O//////////����////�O�//%/%/a//////!///////���///////////%//////%%/��0///���///�//wi// .I 1 1 1 1 1 1 1 1 /roUC?�U ?'tt�r{i/ice-•i/i/,sir/iqi/iia�/aii��������������������������������������������//���������������/������������i��%������ i I e • • 1 11fj I I 11 I, •I 11 — 777=7 1 I ortinmo II offi-im,use only do not write in this area to be comple I 1 epaltMent (31.1cendo Board • it. response13 chgcL-if immediate 1 epxrbnent • 1 Board of Building Regulations g One Ashburton Place Rm 1301 Boston, M.as02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE:> '« - Birthdate: 11/24/1954 Number: CS 012060 Expires: 11/24/2001 ; Restricted To: 00 DEWITT P DAVENPORT 20 N MAIN ST S YARMOUTH, MA 02664 . i% t 2��a4� Tr.no: 9205 �- Keep top for receipt and change of address notification. �1_ Monday, January 10, 2000 : Meeting with Steve Seymour, Ralph Crossen, Donny Perkins and David Sauro at Ralph's office to discuss Lillian Drive. Check with the Fire Department if a fire hydrant is required and if it is mark the location on the plan. Submit a draft of the written drainage easement to be used and would need to be done prior to issuing CO's. Set five concrete bounds at the PC's(point of curb). Street signs will be needed if not all ready there. Steve Seymour will be notified for all road inspections that would be needed. Order of procedure will be as follows: Submit the building application along with the road plan showing the location of the fire hydrant foundation permits will then be issued if everything else is in order.. Roadwork would need to be completed to the stage of being ready for base coat of mix. Road complete with utilities and drainage in place, graded and dense grade in place. Once the road is at that stage and foundation are in and certified plot plans are issued then the full building permit will be issued. Occupancy permits would not be issued until The road work is completed 0 QUERY'�PROPERTY: QUERY END QtiJER'Y°�PROPERTY PENTAMATION----------------------------------------------------------- 10/06/98 PARCEL ID 248 197 GEO ID 15583 LOT/BLOCK 33 DBA PROPERTY ADDRESS OWNER CAPE 59 LILLIAN DRIVE COD BLDG SUPLIES INC HYANNIS 63 WAREHOUSE RD HYANNIS MA 02601 PHONE DISTRICT HY DEVELOPMENT STATUS C ASSESSOR' S CODE CAPACITY(NOTES) ZONING DIST/ZOC RB SEWER SYSTEM FLOOD PLN/ELEV. WATER SYSTEM OKH? ## BEDROOMS ZBA DECISION FAMILY APT LOT SIZE 11325 . 6 OPER/MGR NAME WET LANDS MULT ADDRESS USE 130 PROTECT DIST WP (N) EXT / (P) REVIOUS / NO (T) ES / PER(M) ITS / (V) IOLATIONS / (G) EOBASE / (E) XIT N : . f. : The Town of Barnstable MAM ���� Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner October 5, 1998 l�i� Larry Nickulas �Q-r��s �5; , l .2 ;Zoq,.2Ua RE: Buildability of lots 29, 34, 33, 35, 38, 40 and 42 on subdivision plan titled "Craig Port" in West Hyannis dated September 19, 1961 by D. Kellogg, Engineer. Dear Mr. Nickulas, Thank you for submitting the necessary documentation for the above lots. The information has been reviewed and it was found that lots 33, 34, 35, 38, 40 and 42 are unbuildable because they were held in common ownership by Cape Cod Building and Supply after the zoning change to 1 acre (2/28/85). Lot 29 has been found the only buildable lot because it was held in separate ownership from the abutting parcels. Under Section 4-4.2 (20) specifically A) does not apply since the subdivision has more than 2 adjoining lots in common ownership. You have the right to appeal my decision or seek relief from the Zoning Board of Appeals. Should you have any questions, please feel free to call. Respectfully, �I Ralph Crossen Building Commissioner �� ----------------=--------------------------------------------------------------+ (Action: Exit ( Exit the RE Original Bill Screen. I I I 1Parcel [248-197 ] Current Owner Names Add' 1 Names? [N] I I Alt [ ] [CAPE COD BLDG SUPLIES INC ] I ( Street [ 59] [ ] Unit [ ] [ ] I I [LILLIAN DRIVE ] DBA[ ] Own [ ] I I Juris [400 ] Class [1300] Status [A] [JAN 1 Owner: CAPE COD BLDG SUPLIES IN] I ISubdiv [3 ] Zone [ ] List [ ] Lender [ ] Acct [ ] Serv [ ] I I # Fam [ ] SIC[55DC] Exempt [N] Book/Page [1397/616 ] Date [ ] I I Acres [ . 000] SF[ ] Special Assessments Balance [ . 00] 1 Values Prev Year This Year Tax/Exem Rate Amount Totals I ( Land Val [ 28, 300] [ 28, 300] [HYTAX ] [ 3. 740] [ 105 . 84] Taxes I ( Bldg Val [ ] [ ] [LANDBK] [ . 000] [ 10 . 87] [ 1 478 . 9511 IPers Val [ ] [ ] [TAX ] [ 12 . 800] [ 362 . 24]Exempt/Abated I I Gross [ 28, 300] [ 28, 300] [ ] [ ] [ ] [ . 00] 1 I [ ] [ ] [ ]Net Taxes I I Curr Land Use [ ] [ ] [ ] [ ] [ ] [ 478 . 95] 1 I Curr Val Exem[ ] [ ] { ] [ ] [ ] 1 I Curr Taxable [ 28, 300] [ ] [ ] [ ] 1 I I +------=-----------------------------------------------------------------------+ 70e GC/G/7c • i r t, i" A VARIANCE IS RE01; TED FOR A TWO BEDROOM ZONE: RB LOCUS: SYSTEM COMPONENTS* ELEVATIONS** SETBACKS: DESIGN FLOW (DEED ^�FSTRICTION REQUIRED). MIN. 3" TOPSOIL - FRONT 20' FILL (FREE OF TOPSOIL 1. TOP FOUNDATION....................... 98.00 SIDES - 1 0' ROUT ORGANIC MATERIAL & REAR - 10' s? wrrnE as 2. INVERT OF PIPE AT FOUNDATION.......................... 94,00 BOULDERS IN COMPLIANCE FRONTAGE - 20' WITH 310 CMR 15.255(3)), AREA - 43,560 S.F. 3. INVERT OF PIPE AT SEPTIC TANK INLET.............. 93.79 COMPACT TO 90R DRY WITHIN WELLHEAD ZONE DENSITY 4. INVERT OF PIPE AT• SEPTIC TANK OUTLET........... 93.54 2 LAYER OF 1 8-1 2 DOUBLE WASHED STONE = FEMA FLOOD ZONE C ►+ME 5. INVERT OF PIPE AT D-BOX INLET........................ ' PANEL 1250001 0008 D 93.50 _ __ i 7 ,,�. �, qp'� CAK07TA AVE, -- (AREAS OF MINIMAL FLOODING 6. INVERT OF PIPE AT D-BOX OUTLET..................... 9133 8 OUTSIDE 500 YEAR FLOOD ZONE) o�PROD. � -1 3.5' 5.2 3.5' 7. INVERT OF PIPE AT GALLEY................................. 93.31 -+ 1 SITE 8. BOTTOM OF GALLEY............................................... 91.31 9. BOTTOM OF AGGREGATE...........: 91............................ �•• 3/4-1 1/2` DOUBLE • - END OF EXISTING PAVING .31 • + WASHED STONE 9 / GENERAL NOTES *LOCATED ON SECTION & PROFILE �I I. THE SYSTEM COMPONENTS- AND CONSTRUCTION _ **BENCHMARK = STAKE SET = 95.19 - _ PROPO 'ED WATER & GAS / SHALL BE IN ACCORDANCE WITH THE STATE OF MASSACHUSETTS SANITARY CODE TITLE 5, AND LOCAL SHOULD UNSUITABLE MATERIAL BE ENCOUNTERED / " BELOW 93.31 ITSHALL 8E REMOVED & REPLACED $EC770N A - A „' BOARD OF HEALTH REGULATIONS. PROPOSED OVERHEAD TELEPHONE, N WITH A 5' OVERDIG PER TITLE 5 REGULATIONS TYPICAL SECTION 2. CONTRACTOR SHALL NOTIFY DIG-SAFE PRIOR TO NOT L SCALE / Q1 ELECTRIC & CABLE TV CONSTRUCTION AND BE RESPONSIBLE FOR ALL UNDERGROUND UTILITIES. ESTIMATED HIGH GROUNDWATER CALCULATION / 'USvS CCC METHOD) 3. ELEVATIONS ARE BASED ON BENCHMARK AS SHOWN. / INDEX WELL: >I` AIW-230 ZONE: D NOTE: PROPOSED EDGE OF 16' GRAVEL ROAD Jp� � 4. PIPING SHALL BE SCHEDULE 40 PVC. DATE OF READING: 2 20 97 DEPTH TO GROUNDWATER: 21.92 AND PROPOSED UTILITIES PER PLAN OF LILLIAN GROUNDWATER LEVEL ADJUSTMENT. 1.90 DRIVE, CENTERVILLE, MA BY CJ ENGINEERING FOR / ' 4 5. SYSTEM COMPONENTS SHALL MEET H-10 LOADING ACTUAL GROUNDWATER LEVEL O SITE: EL. 66.50 ;� ALL CAPE ENGINEERING, REVISED 6123197 i ��� i� UNLESS OTHERIMSE SPECIFIED OR H-20 LOADING - UNDER DRIVEWAYS � ESTIMATED (MAX) HIGH GROUNDWATER LEVEL: EL. 68.42 6. CONTRACTOR SHALL WATER TEST D-BOX FOR iiPER USGS MAP - PROPOSED SAS AT EL. 50.00 f ABOVE MEAN SEA LEVEL, + �i �i9 S LEVELNESS: PER GROUNDWATER CONTOUR MAP 1995 - GROUNDWATER AT EL. ?.0.00 (MSL),. � + /d.. 10 �! / i a. APPROVED IN WRITING BY THE ENGINEER AND BOARD OF 50.00 - 20.00 = 30.00' TO GROUNDWATER Oj ` ` 7. ANY ALTERATIONS OF THIS DESIGN SHALL BE 1 96.50 (GRADE AT SAS) - 30.00' = 66.50 (GROUNDWATER ELEVATION) 1�g• �` � ,u� J ' HEAL TH. / �/ / / -'i�' �� l v PGA ?� / •��?�; 8. ENGINEER ALLBE NOTIFIED 48 HOURS IN ADVANCE FOR FINAL N SNECTION OF SEPTIC SYSTEM INSTALLA770N. , SOIL TEST LOGS P-8878 P-8877 } J DEPTH HORIZON DEPTH HORIZON ,, \ _ - -- - _ 9T DESIGN CRITERIA: GRADE = EL. 96.50 GRADE = EL. 94.25 l o' 0" ORGANICS & ORGANICS & \ \ �, - '9$0 DESIGN FLOW: i, ,.' \P i <. LEAVES LEAVES �� ! � _, 9 �� ��� i� LOT 33 BEDROOMS 6" 6` - ` h F i 2 B 1.10 GPD = 220 GPD �i. , SEPTIC TANK = 1,500 GALLONS Q 0 _ 40 S. . ,.. 1,4 mrr� i '� � TOWN WATER I 7.5YR4 1 7.5YR4/1 �a /P-8878 (a / "�` +.10 GARBACE..DISPOSAL_ , C C� SIZE OF LEACH FIELD, REQUIRED: 12" 9 - .{, SANDY LOAM A SANDY LOAN A / �/ MINI INCH OF PERC RATE: 2 NIN INCH 7.5YR3/3 r 5� REO'D AREA = 22010.75 = 293.3 S.F. 7.5YR3/3 / OD 1 / / / 1 �� I 1 �'' �� AA = (8.5+8.5+4+4)(5.2+3.5'+3.5 = 305.0 S.F.15" 12" ;i Dc LOAMY SAND Bw LOAMY SAND Bw - / 1 \ 1 _ ,� ` 10YR3/6 10YR3/6 r \ \ \ �% v EFFECTIVE LENGTH 25' PROPOSED EDGE \ \ j 30" 22" OF GRAVEL ROAD EFFECTIVE WIDTH =` 12 2' MED. TO COARSE Cl MED. TO COARSE Cl \\ \\ STK SET SAND W/GRAVEL SAND W/GRAVEL \ EL. 95.19 p s 2.5Y7/6 _ 10YR7/8 \\ - -- _\ C 3t \\ � ` 112" 72" \ O.S� \ ' � '� \ � � \ '? a , 7W0 500-GALLON PRE-CAST . MED. TO COARSE C2 \ \ �' ` �► CONCRETE GALLEYS, 8'6" x 5'2" COARSE SAND C2 \ \ �1 �, 10YR7/4 �,`' SAND 9 + Fj EACH, 4' CR. STONE ON ENDS AND 10YR7/6 \ e __ 1�g. 4 3.5' CR. STONE ON SIDES LOT BOUNDARY 120" 120" N� \\ `-'� 6- -_' �� w-- WATER SOIL TESTS CONDUCTED ON 2/13/97 BOTTOM OF EXCAVATION FOR LEACHING FACILITY TO P_8877 \ a GAS ELECTRIC CABLE TV BY CAROLYN J. DOYLE, P.E. BF INSPECTED BY THE ENGINEER OR HEALTH AGENT �\ \\ T° TELEPHONE tS'ITNESSc'.D BY BARNSTABLE BQH AT TIME OF CONSTRUCTION. \ \ - - - - 80- - -- EXISTING CONTOURS AGENT JERRY DUNNING \\ \\ 1801 PROPOSED CONTOURS \ \ LIMITS OF OVERDIG NO GROUNDWATER OBSERVED AT 120" (EL. 84.25) \ RN OFF --- --------------- LIMITS OF LEACH FIELD \\ } \� - � �Ss9c� _ EXISTING TRAVELED WAY i PERC RATE <2 MIN/INCH AT 66" IN P-8878 \ L(,. 35 -_ - �° TEHRY �s EDGE OF CLEARING AND 66" IN P-8877 \ ANN �'S S.F WARNER'\�2, WARNER P-8878� � TEST PIT,. LOCATION & NUMBER SOLID 4" PVC, 5=0.021 D-BOX TO BE PLACED ON CRUSHED �.�®.3E721 0 STONE BASE, MIN. 6" THICK 2` LAYER OF 1/8" - 1/2' DOUBLE \\ r. 0 20 40 �ok� �s�ro'E° REVISIONS: WASHED STONE ABOVE GALLEYS \ s al RISER TO WITHIN 6" OF GRADE, TYP. \ -� SOLID 1 PVC, FIRST 2' TO BE J SOLID 4" PVC, S=0.021 \ LEVEL, REST AT S=0.005 SCALE: 1"= 20' il3o 99 TITLE: SITE PLAN & SEPTIC SYSTEM DESIGN OF LOT 33, 59 LILLIAN DR., CENTERWLLE, MA 0 o CA `' -•: OWNER: DAVENPORT BUILDING CO. TRUST 2 J. SO. YARMOUTH MA 02664 ' �"'•`�•.�• o 0 0 0 0 0 •`�:::''.' YLf � 20 N0. MAIN ST., , 1 3 4 5 6 7 '4 17 4 NOTES FOR SEPTIC TA �0.3453® CJ ENGINEERING EG/STE�� D-BOX OB-5 BY SHOREY a• sra 1. INLET TEE SHALL Ex'•END A MIN. OF 10" BELOW THE FLOW LINE. ®� CJ9 ROUTE MA 02563 SUITE 13 CONCRETE PRODUCTS OR oN EWs 8� s S40 � �� SEPTIC TANK EQUAL, PROVIDE FLOW 2. OUTLET TEE SHALL ESE PROVIDED PER THE TABLE BELOW. y (508) 888-4975 H-10 RATED LEVELLORS ON OUTLET 3.5' CR. STONE LIQUID DEPTH IN .SEPTIC TANK DEPTH F T W F IN �� ay�9 PIPES ON SIDES 4 FEi.7 14 INCHES MAP: 248 PARS; t97 PROVIDE GAS BAFFLE 5 FEt7 19 INCHES PROPOSED SEP77C SYSTEM - PRORLE 6 FEET T 29 INCHES 24 INCHES 7 FEt DATE: 11123199 SCALE: AS SHOWN � NOT TO SCALE 8 FE1T 34 INCHES SURVEY BY. TERRY A. WARNER, PLS HARWICH, MA 508) 432-8309 DWG: CJ123/LILLIA59.DWG SHEET f OF 1