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HomeMy WebLinkAboutBuilding Permits Backfile■ Complete items 1, 2, and 3. Also complete Agent item 4 if Restricted Delivery is desired. X �� Addressee ■ Print your name and address on the reverse so that we can return the card to you. Rec ed by (P red Name) C� to livery ■ Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery adtA Aiffe)QZJP#K%tem 1 1. Article Addressed to: If YES, enter delivery address below: U No SaS� MR. ANTHONY R. $ UIj0- 50 Cook St. Newton, Ma 024 8 7 ,H LUO` �1z 3.e Type rtifietl Mail ❑Express Mail egistered ❑ Return Receipt for Merchandise f; �S��w � '� <� Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ yes 2. Article Number 7001 1140 0002 9388 8714 (transfer from service late PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-1035 UNITED STATES POSTAL SERVICE First -Class Mail Postage 8& Fees Paid LISPS Permit No. G•10 • Sender Please print your name, address, and ZIP+4 in this box Town Ofy n" BuAding Dept. 1146 Route 28 South Yarmouth, MA 02M = %3 1111IIIIIIIIll,If �IIIII"LL.I'I,1,11111 - - ,- - �� ���� - �- - g -- ;--] I A) • 15'N 9 r _ THE COMMONWEALTH OF MASSACHUSETTS Fee .OZ ! TOWN OF YARMOUTH No. OCCUPANCY PERMIT "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 builclinq shall be occu {�ed yyi�til a certifica o occupa�c has been iss by the Building Inspector." pLl�n� �/ Issued to: .. .. N :%J ... AddresV Wiring Inspe r . C�-U4�7���}}^� Inspection K4Date —.i.� — 7 Plumbing Inspectc %p���Gfw. Inspection Date �7`J7-�lr'.9 Fire Department 4VGi.., /' Inspection Date 7147 Building Inspector ... 0 Inspection Date /� l_P Board of Health (l Inspection Date 7 /9.Q% THIS PERMIT WILL NOT B VALID. AND THE RUILnINr swei i unT as ncr-, ioirn i Vuru e1craen BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. Dater / /! ,471 Building InspectorX�"rr d . z�. S!? 9y_19D `1 TOWN OF YARMOUTH Appilicationn for a Permit to Build No. M3 1 (�9rMLY Is- u�a UPON FINAL APPROVAL I I ` ( MAP 1 LOT S FEE MUST ACCOMPANY THIS APPLICATION. DATE The undersigned hereby applies for a permit to build according to the following specifications 1 7ZZ/i 1. Name ofproperty owner �� ��� P s� oS M� 1�� Tel. q -39 Z o621� Address `7 Wc�r :t\ Rona (A1eSf�vice mfi ©7n!22 2. Name of Architect (if any) 3. Name of builder Address 4.License No. CsC7'-I`)ZS Tel. 17T-357--103d 5. Name of Mason Address 6. License No. 7. Construction address I q Tel. C► 8. Date of subdivision Approval IttV I plai 9. Private dwelling S?r- Estimated Cost 10. Multi family ❑ HO 11. Commercial ❑ 12.Other ❑ 13. No. of stories 14. Foundation — Full ❑ Half ❑ Crawl) Slab ❑ 15. Materials — Wood I"Cement ❑ Other ❑ 16. Type of heat — Oil ❑ Gas Fr'Electric ❑ Other ❑ 17. Garage —1 d2 ❑ 18. Swimming pool - Size 19. Storage shed — Size — 20 Stove — Wood ❑ Coal ❑ n zone Tel. lo,�onecT R-25 O NOT WRITE IN THIS SPACE Type of room I No. err� j t �-� y7 Kitchen Dining Rm. Living Rm. Bed Rm. Bath Deck Closed porc Family Rm. Sun room Garage Shed Alterations FA 21. Size of lot: No. of feet front No. of feet rear No. of feet deep 1z9.G� ' IMz• i(, 22. Size of building. No. of feet front (4� No. of feet side Z457>' No. of feet rear 7�— 23. Distance from nearest building: Front Ft. side Ft. side 24. Distance back from line or street 35� From rear lot line 25. H.I.C.R. No. LOT RELEASED BY PLANNING BOARD # 17 21 Date 1 /5 69 ,CEco2DED'R.AN'� 694' Sign iZELo tt DEI Rear Sideline �7 i 637 Date Name of Job WIRE INSPECTOR'S DEPARTMENT YARMOUTH TOWN HALL SOUTH YARMOUTH, MASS. 02664 5 Fee Name of Electrician Location pc�'2— 1 '.3' ■ complete items 1, 2, and 3. Also complete " ' - �� `/ Agent item 4 if Restricted Delivery is desired. X ' G Li r L' Addre ■ Print your name and address on the reverse so that we can return the card to you. Re, ed by (P fed Name) C. 1e I ■ Attach this card to the back of the mailpiece, / or on the front if space permits. es.. D. Is delivery ad iH t aem 1 1. Article Addressed to: If YES, enter delivery address below: No MR. ANTHONY R. $ U 50 CookookstSt. / Newton, Ma 024 8 g� •.N 2. Article Number - - (rmnsfer from service labs PS Form 3811, August 2001 LU Vl 3. a �e Type � r ified Mail ❑ Express Mail "Q egistered ❑ Return Receipt for Merchandise All ``. �s�� Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 71301 1140 0002 9388 8714 Domestic Return Receipt 102595-02-M-1035 UNITED STATES POSTAL SERVICE First -Class Mail Postage &Fees Paid USPS Permit No. G-10 • Sender Please print your name, address, and ZIP+4 in this box TownotVgrtr>oupl BullOg Dept. 1146 RMb 28 South Yarmouth, MA 1Y W APPLIC _:T: Ja.c,e_S L" N ` A�sszos BUILDING PERMIT U: wa Off okn(o ADDRES TELE. NO. :sq�T-3`t2.- fl6z6DATE FILED: BLDG. SI:E LOCAIIv::: (9 U0.c;leM��w'� c -cif MAP#Y iet LOT:': 5 FMLY /5- L1G8 TFE FOLLOICI_:G L,F ?C_1TIQ:] OU =LINES THE PROCEDURAL STEPS REQUIRED TO OBTAIN A PE-J'. IT TO SW:'__= AL=ER, CR :ZD =0 A STRUCTURE WITHIN THE TOWN OF YARMOUTH. THE BUILDING DEPAR7_1ENT WILT DE_E-. }IINE C0:'?L =_:CE =0 THE FOLLO::ING (A) ZONING REQUIREMENTS (B) HIST.ORICAL DISTRICTS (C) FLOC] PLAINS COS_:G. THE BUI -- DISG ]EPARTSENT WILL BE RESPONSIBLE FOR ASSISTING THE APPLICAST IHC_C THEE FOL_OW.'I::G WATER DEPART`W:T: ENGINEERING DEPART. T: CONSERVATION COX -MISSION: HLAI TH DEPART."_= FIRE DEPARTMENT RESIDENTIAL AND/OR COMMERCIAL BUILDING DETERMINES COMPLIANCE OF WATER AVAILABILITY. DETERMINES COMPLIANCE FOR'PARKING AND DRAINAGE. DETERMINES COMPLIANCE TO WETLANDS ACTS, I.E.: IF LOT(S) BORDER z-S TYPE OF WETLANDS, STREAMS, PONDS, RIVERS, OCEANS, BOGS, BAYS, MARE LAND, ETC. DETEILKINES COMPLIANCE TO STATE AND TOWN REGULATIONS, I.E.: REQUIRE MENTS FOR SEPTAGE DISPOSAL AND OTHER PUBLIC HEALTH ACTIVITIES. DETERMINES COMPLIANCE TO STATE AND TOWN REQUIREMENTS FOR PERSONAL SAFETY, PROPERTY PROTECTION, I.E., SMOKE DETECTORS, SPRINKLER SYS: ETC. THE FOLLOWING DEPARTMENTS MUST SIGN OFF, IN THE RESPECTIVE ORDER, PRIOR TO BUILDING INSPECT( ISSUING THE REQUIRED BUILDING PM''=: REVIEWED BY: 1. WATER DEPARTMENT_ L DATE: - - N/A: 2. ENGINEERING DEPARTMENT: 56S BELacd t?.£ DATE: sL 23 9 ttt-� 3. CONSERVATION: DATE: N/A: 4. HEALTH DEPARTMENZ meen i%j / DATE: S— N/A: INDUSTRIAL AND/OR COMMERCIAL PERMITS 5. WIRING INSPECTOR: DATE: N/A: 6. PLUMBING INSPECTOR: DATE: N/A: 7. FIRE DEPARTMENT: DATE: N/A: PLEASE NOTE ALL STLrkTS AND/OR BRUSH MUST BE DISPOSED OF AT AN APPROVED SITE. A SIGNED RECEIPT FROM THE DISPOSAL SITE MUST BE SUBMITTED TO THE BUILDING DEPARTMENT PRIOR TO ISSUANCE OF THE BUILDINC PERMIT. COMMENTS: ///nfOw ; .. �i.n►:1i�i, Y�, /�, iT�� . . U ERastmEwr IS MOT REGOM ED OM THIS SITE 3 GUyTS 4 DoWNS70UT5 To DRYWELLS REQUIRED Ta ceuTAln+ 17nor NOFF Ao GR"i4G MOST 8E REa ESIGNED To co NTAW ALL RUN-OFF 6M SITE AS CURKENTL`( 'RUN-oFF Tb Tl(E No2TN AmD $DUTH FLOWS o Na-ro ABorrlu[:. 'P¢o VF P_T1 ES A1,tD LARGE 'DRIVEWAY IS I)RA1141M IIuTo THE ROAD. 05/11/1999 16:13 15087754578 Y r� CORVORATION M&Y 21, 1999 To Whom It Cmn =M. EPOCH HMS C WJSEL PAGE el/01 PO. aw 235 N,nemb. NM �e SAW RAx. 003ee043111 The following individual employees of Epoch Corporation, based on training and exparienee, ate hereby certified by Epoch Corporation as installers of one and two family nodular homes constructed and sold by Epoch Corporation. Tbey are famllim with and experienced in the Placement of modular homes, built by Epoch Corporation. Any of these individuals may, as crew chief; be fully responsible for the setting of the modules. One or more of these individuals named below will be present at the time the modules are placed on the foundation 1. Richard Penm 2. GwyF Abbott 3. Ernest T. Carlson 4. ThOMW Swanson s. Gary Fmch 6. Mike Bermat 7 Jeffrey Swamn Douglas Baseatt President BUILDIM, TOWN OF Y A R M O U T H E1.Et:TRI(' %L GAS 1146ROUTE28 SOUTIil:aR.MOUTH MA.SSAC �l� PLUMBING Telephone (508) 398-2231, Ext. 261 — Fax r SIGNS BLILDING DEP\RT11EBUILDABLE LOT INQUIRY FO Lot No. —Assessors' Map No.�_Street '1'19 g� -YE `� CIRCLT 501y , Endorsement Date of Subdivision Plan and Type (if applicable) t D-2A CA -- Total Land Area (sq. ft) �3 �% Frontage 106 ,'711 AI.fVz0 JA1.)5S=t� IS -FUTO t.kt-� Name of Current Owner *-Lza �'}"'s�s'a Address S_ w , t44 • Telephone No. Inquire's Name (if different from owne5 Telephone No Inquire's Mailing Address 7 V000 AIU. V-0 ia?FM�Ee LAA olts8� i 577 Building Intent V05 Adjoining Lot Numbers 5� 612, Date of Inquiry Signature of Applicant -Z — FOR OFFICE USE ONLY _Does not conform with M.G.L. Chapter 40A, Section 6, single lot exemption, or Definitive Plan Exemption and/or the applicable zoning bylaw, as per information provided. Conforms with M.G.L. Chapter 40A, Section 9, single lot exemption, and/or applicable zoning bylaw, as per information provided. / v V. Y' 5 Protected pursuant to M.G.L. Chapter 40A, Section 6, Definitive Plan Exemption. _Application is incomplete. Comments: _Adequate road access must be present. Determination of access shall be determined by the /Planning Board (if applicable). ✓/ Must satisfy Title V requirements. ✓ Must satisfy Conservation regulations, if applicable. C y�cnc Dat Cc P � �n�stigator's Signature i1575' =rn!e0 on Fecic'ea Paper .05113/99 16:14 FAX 6032253907 EPOCH CORP 1@01 D "MAY 14 1999 17 By Z�S EDO& QgOY'c on P. O. Box 235, Pembroke, N. H. 03275 (603) 225-3907, Fax (603)225-8329 To: ]vlr. Brandolini — Building Inspector Fax # :1-50&39&2365 CC: From: Douglas Basnett Date: 05/13/99 Re: House #2743 RE: Tun Passio Site Location:19 Barkerdine Circle, South Yarmouth, Ma - Attached is Epoch Corporations letter of approval for the State of Massachusetts as requested by Tim Passio. The stamp on the full set of plans is the original stamp that we received in 1989 for our systems approval and every year the Stare of Mass chusetu sends Epoch a letter of renewal. We have a system approval for all of our one and two family homes and this house would be covered by that approval. If you have any questions please feel free to give me a call. Thanks 1 OV13/99 16:14 FAX 6032253907 EPOCH CORP 1a02 The Commonwealth of Massach Argeo Paul Celiucci Governor Jane Swift Lieutenant Governor Jane Perlov Secretary May 1, 1999 Executive Office of Public Board of Building Regulations and Stanc One Ashburton Place -Room 1301 Boston, MA 02108 Tel: (617) 727-7532 Fax: (617) 227-1754 Epoch Corporation Route 106 - P. O. Box 235 Pembroke, NH 03275 ivlAY 14 1999 IIUI RE: Annual Re -Certification in the Massachusetts Manufactured Buildings Program MC# 089 Kentaum Tsutsumi Chairman Thomas L Rogers Administrator To Whom It May Concern: This letter is to confirm that your certification in the Massachusetts Manufactured Buildings Program as a producer of Manufactured Buildings has been approved for the period of May 1, 1999 through April 30, 2000. This approv4 is contingent upon compliance with all previously listed conditions of your approval, and compliance with the provisions of the Massachusetts State Builing Code, Electrical Code and Fuel/Gas Code. Yours truly, STATE BOARD OF BUILDING REGULATIONS AND STANDARDS �4.b Thomas L_ Rogers Administrator cc: MA Board of Examiners of Plumbers and Gasfitters MA Board of Examiners of Electricians J The Commonwealth of Massach Paul Cellucci Governor Jane Swift Lieutenant Governor Jane Perlov Secretary May 1, 1999 Executive Office of Public Safety Board of Building Regulations and Standc- One Ashburton Place - Room 1301 Boston, MA 02108 Tel: (617) 727-7532 Fax: (617) 227-1754 Epoch Corporation Route 106 - P. O Box 235 Pembroke, NH 03275 ` VR0d MAY 13 1999 D s RE: Annual Re -Certification in the Massachusetts Manufactured Buildings Program MC# 089 To Whom It May Concern: Chairman Thomas L Rogers Administrator This letter is to confirm that your certification in the Massachusetts Manufactured Buildings Program as a producer of Manufactured Buildings has been approved for the period of May 1, 1999 through April 30, 2000. This approval is contingent upon compliance with all previously listed conditions of your approval, and compliance with the provisions of the Massachusetts State Builing Code, Electrical Code and Fuel/Gas Code. Yours truly, STATE BOARD OF BUILDING REGULATIONS AND STANDARDS Thomas L. Rogers Administrator cc: MA Board of Examiners of Plumbers and Gasfitters MA Board of Examiners of Electricians 4A-Z 611 &o CERTIFIED PLOT PLAN FOR 19 BARKENTINE CHICLE SOUTH YARMOUTH, MA. LOT 68 - PLAN BOOK 203 PAGE 17 PREPARED FOR JAMES PASSIOS SCALE: 1" = 40' NNE 7, 1999 Weller & Associates 1645 Falmouth Rd. — Suite 4C Centerville, Ma. 02632 (508)775-0735 0 6-o'-5,9 Nam: -t4is TV L4es WrT40-� icm, -1r=AV _ ft'r-O 04.*� ^ 7.ol � "A tL' CgA'VgOo EL.lo.o) „i NOTE: TOP OF FOUNDATION IS 3.5' ABOVE THE HIGH POINT IN THE ROAD (al ELEV. 11.5 I CERTIFY THAT THE FOUNDATION SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE MINIMUM BUILDING SETBACK REQUIREMENTS OF THE TOWN OF YARMOUTH. TOWN OF YARMOUTH WATIER DEPARTMENT 102 UNION STREET YARMOUTH PORT, MASS. 02675 (508) 362.4974 FAX (508) 362-5421 Date of Issue : Apr 7, 1999 Letter of Water Availability 1. Single Family Dwelling X 2. Duplex Family Dwelling 3. Condominium Dwelling 4. Commercial / Industrial 5. Other (Specify) Reference; Massachusetts General Laws Chapter 40, Section 54 To Town of Yarmouth Building Inspector Please be advised that the Town of Yarmouth Public water supply is available to service lot/parcel(s) 54 Street 19 BARKENTINE CIRCLE as shown on Assessors sheet/map # 19 Issuance of this Letter of Availability is subject to the following provisions/restrictions. (1) The property owner agrees to comply with all Federal, State, and Local Laws, Rules and Regulations as they pertain to the use of the Public water Supply. (2) The Yarmouth Water Department shall have exclusive rights as to the size, number, type and location of all water service lines, fire service lines or appurtenant items connected to the water distribution system. (3) The Yarmouth Water Department reserves the right to require, at the property owners expense, the installation of water mains and appurtenant items to meet water demand requisites within any structure relevant to this Letter of Availability. (4) This Letter of Availability will expire 180 days from the date of issue. I have read and understand the provisions/restrictions of this Letter of Water Availability. --!V. ------------- —� Reference JAMES N PASSIOS 7 WARD HILL RD WESTFORD, MA 01886 11 In accordance with the provisions of MGi c 40, S 53, a ccadi;ior. of BLiidin} Pe..^it Number is that the debris rtsulting from this wok shall be disposed of in a preperty liczrsed solid waste disposal facility as dc:iaed by MIC-L c III, S 156A. The debris will be disposed of in: .c,V& iI� (Location of Facfiry) Si�-a:t re of .-_...... A-67l=,1: 1--zo-q9 Date AFFiDAViT As a result of the provisions of MGL c 40, 554, I acknowledge that as a condition of Building Permit Number all debris resulting from the construction activiry governed by this Building Permit shall be disposed of in a properly licensed sblfd waste disposal facilin, as defined by MGL c ill, S 150A. I certify that I will notify the Building Official by (Two months maximum) of the location of the solid waste disposal faaliry where the debris resulting from the said construction activity shall be disposed of, and I shall submit the appropriate form for attachment to the Building Permit. y—zo —9 `i Date (Print or type the following information) Sc. 'It've-s of Firm Name, if any BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION / h PLEASE PRINT: 47 DATE 4 _ 20 JOB LOCATION 19 G:'c1e- - - mnuru "HOMEOWNER" day "" N-. `c'ss oS NAME PRESENT MAILING ADDRESS 9-75-391 -06zG 6 113 WORK PHONE THE CURRENT EXEMPTION FOR "HOMEOWNER" WAS EXTENDED TO INCLUDE OWNER - OCCUPIED DWELLINGS OF ONE OR TWO UNITS AND TO ALLOW SUCH HOMEOWNERS TO ENGAGE AN INDIVIDUAL FOR HIRE WHO DOES NOT POSSESS A LICENSE, PROVIDED THAT SUCH HOMEOWNER SHALL ACT AS SUPERVISOR. (STATE BUILDING CODE SEC- 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 ATTACHED OR DETACHED STRUCTURES ASSESSORY 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 109.1.1) THE UNDERSIGNED "HOMEOWNER' ASSUMES RESPONSIBILITY FOR COMPLIANCE WITH THE STATE BUILDING CODE AND OTHER APPLICABLE CODES, BY-LAWS, RULES AND REGU- LATIONS. THE UNDERSIGNED "HOMEOWNER' CERTIFIES THAT HE/SHE UNDERSTANDS THE TOWN OF YARMOUTH BUILDING DEPARTMENT MINIMUM INSPECTION PROCEDURES AND REQUIRE- MENTS AND THAT HE/SHE WILL COjSpLY WITH SAIPROCEDURES AND REQUIREIIENTS- HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING INSURANCE COVERAGE: // I have a current liability Insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ❑ No if you have checked yes, plese indicate the type coverage by checking the appropriate box A Ilability Insurance policy ❑ Other type of Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does nyt have the insurance coverage required by Chapter 142 of the ass. General Laws, and that my signature on this permit application waives this requirement. Ch one: . / Owner EY Agent n cr (_mner s Acc-: a EPUCH MSS C t 04RiL PA&Z 01 �04/201193'3 13:06 1_NL'7754570 ' i!,':ChEC$ C'•_•MPLIANCE PFPCRT M„<Sachuaetts Energy Cove vnscheck Software Version 2.11 C'.',Y: Yarmouth 7'.TE: hlassaChU: ettS HI'": 619' CC)NSTRUC'TION 'ry'E: I Or -' Family, Leteched HF.WING SYSTEM TYP:: OLhalr (Nan -Electric a.¢:;i.stanco) DArE CF PLANS: •1/21J/99 Tl'I'LE: * 2-43 ;r-'Je.r,7 'UNFIRMATICIN: .7aoles Paa sics 2P'X38' vii' imner cape C.^"'FAJJY INF'JRKlkTION: tic theaaa�l "o I permit U I I I � I i Checked byiD I � I Ct�':e 1,InNC.E: FASSe,S i Rr ;uired UA = .3, 9 ycnx Aroa or Cavity Cont. Glazing/boor Puri.met.er R-Value R-valuel U-Value ;;A ------------------------------------------------------------------------------- :.71 L'iJGS 106< 38.0 C O 32 Whi LS: Wood Frame, 16" O.C. 1316 19.0 0.0 7Q GI,!\ZING: W-ndowq or noora 420 0.310 110 DP, 14S 29 0.440 13 over Unrundilioned Space 1064 19.0 0.i± 51 J{tt,C EQUIPMENT: Furnace, a 0 AFUF '----------------- ------------------------------------------------------------- G0:'FGIA.'vCB STA77*iE'.T: The prepo6ed "Wilding design described'he-e ,S co�msistent with the building pl;,ns, and other C5-!riUIelitD6 submitted with the permit appii:ation. T1:0 proposed bulldir.g'has been de; igned to :nee' the requlremett.s of the Masnaehusett^ Energyi Code. Thr heati.^.a ;.Cad for this bui:ding, and the roc:iny load if aypr,pria:e, h,:; been d.eter:nined u5im, the applicai.:e S.andnrd Gesi9n ccnalrions found in :he Cnae. 'rh3 I'.VAC equipment .-selected to heat uI ,;vQl the b:.Uldinq sr.,Il be no grp5ter than 125 �yf the dcsigr load 115 specified)in se, t;icr.s 78CCN9 131 : and 14.4 IV G,; ✓ i •04/9-011999 13:06 150^u7754573 EPOCH HMS C HE;45EL PACE 02 M.A:;check :MSFECTION CMECKLIar M,L'SaChusettS Energy Cede M.4:<check Software version 2.01 N '.i93 r^re: 4-?0^LS> ! I I i i CEILINGS: 1. R-3a I WALLS: 1. Wood Frane, 15" O C., R-19 Cocv^.entS: L,cat ion I WINDOWS AND GLASS 'DOORS: 1 1. V-value: 0.11 Tor w'ndows •withour laHaled U-Velaes, describe felu:ea: Thermal Break? i[ ] Yes DOOR:: 1 U-vale:e, 0.44 FLOORS: 1, over. Uncand=tioned Space, R-19 Comments/Location [ ! Nn i I Y.VAC EQUIPMENT: I 1. Furnace, 85.0 AFUE or higher Make and Model I 1 I AIR LEAIQ+GE: I feints, penetrations, and all other such openings in �hs building I eavelope ttat are scur,:es of air leakage mast be sealgd. Whet i inst.alied i.n Lho e::_ld.ing envelope, recessed light:ng;fixtures I shall meet one cf the :cllow?ng requirements: i Type iC rated, manufactured with no penetrations between :he I inside c` the recessed tixtur- and ceiling cavity and sealed or I gaskete^- to Prevent- air Leakage into the unconaittoned SPactr. 1 2. Type IC rated, in accordance with Standard ASTM E'283, with no mere than 3.0 c`m (0.944 L/s) air movement from + the condltioned space to the ceiling cavity. The 11,94ting fixture shall have teen tested at 75 PA nr 1.57 lbs/ft2 p#essuro I diffrence and shall be labeled. I VAPOR FE:ARD£R: I Feguiren on the warm -in -winter side of all non-vented1framed I eclllogs, walls, and flocrs. i I MAT£FIALS f^ENTIFICATIOW: i Materials and e ulpxanr. must be identified so that, uorftpliaace can i I 041-.011999 12:06 15087754578 EPOCH WS C HEI4SEL PA(Y03 fl be determined. Mansfecturer mar,jala for a!l installed heating and ccolinq equipment and service: water heating equipment must bn provided. Insuistion R-values, glazing U-values, and heating equipment efficiency must be clearly marked on the building plans or specificat.cns. nUC" Ik5UL1tTION: Ductn shall be insulated per Table J4.4.7.1. DUCT CONSTFUCTI.I.N: All accessible lolnt seams, and conneccirns of supphy and return ductwork located outside conditioned space, ircludinaj st::d bays or ;oist cavities/spaces used to transport air, shall be•scaled using mastic anal fibrn!ts backing tnoe installed accorring to the mane;facturer'S installation instructiaris. Mesh tape hay be emitted whore paps are Lac!; than 1/9 inch. Duct tape iu not I peralt:ted Tne HVAC system maul t provide a maans for balancing a:r and water systems. i TEM2E'RX7VRF, CONTROLS: I Thermostats are regt.ired for each separate 4VAC Syste!n. A :manual I or e:utomat:c rears to nartia)IY restrict or shut off Ehe •eatino I and/c- cooling input to each zone or floor shall be pi"ovided. I i HVAC EQUIPMENT SIZING: P R,tt:d output capacity of the hcatinq/cooling system i� ! not. greater than 125 cf the design load as specified I in Sections 7SOC14R 130 and J4.4. I SWIIVING POOL.`'.: ' All heated sw4aining pools must have an on/off heater §witch and require 1 rover unless over 20a of the heating enerav;is from 1 ncn-drplotable. sources, Poo: pumps requir^ a time clock. i 1 HYP.C. PIPING INSULATION; t HVA'oloina ccnvevina fluids above !20 F or chilled f+uids below .55 F nuat be insulated to the following levels tin.): I PIPE SIZES (}n.) i HEATING SYSTEMS: TEMP IF) 2" RUNOU'('S 0-1" 4.25-2" 2.5-4" I Low pre3s'ureltemp. 201-250 i.0 1.5 1.3 2.0 Low t.emperat:lre 120-200 0.5 1.0 1 0 1.5 I Steam condensate any 1.0 1.0 1.5 2.0 I COOLING SYSTL'.S: Chilled water ;r 40-55 0.5 0.5 0.75 1.0 refri7erant below 40 1.0 1.0 1.5 1.3 CIRCULATING HOT WATER SYSTMS: Trselate c!rculat!.ng got: water pipes to the to -lowing levels (in.): P!YF, SIZES (in.) ' NON -CIRCULATING I CIRCULATING MAINS s RUNOUTS HF.ATE^ NATZR T-MP (F): RUNOUTS 0-i" 1 0-1.25" 1:5-2.0" 0. F. 1 1.0 jI.3 2.0 140-160 0.S 1 0.5 1.0 1.5 100-120 n,', 1 0.5 i0.5 1.0 i •84/28i1999 15: 86 15087754578 EFCCH HMS C HENSEL PAGE 94 ----NOTES "0 F:F.I,C) (eai:dinq !?epnrtncnt Jse Cr.:y)------------------------- T_m0T� MI ELEVATION CERTIFICATE O.M.B. No. 3067-0077 'JIAY 13 1999 FEDERAL EMERGENCY MANAGEMENT AGENCY Expires July 31, 1999 NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this cert'rf to does not provide a waiver of the flood insurance purchase requirement. This form is used only to pro - I ry to ensure compliance with applicable community floodplain management ordinances, to determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR). You are not required to respond to this collection of Information unless a valid OMB control number Is displayed in the upper right comer of this form. Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION I FOR INSURANCE COMPANY USE BUILDING OWNER'S NAME POLICY NUMBER STREET ADDRESS ((IIncluding Apt., Unit. Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER OTHER DESCRIPTION (Lot and Block Numbers, etc.) COMPANY NAIC NUMBER STATE ZIP CODE DI SWT+-4 Y<Vz Hz.QTF- MA c-5Z.C6.64- SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): t. COMMUNITY NUMBER 2. PANEL NUMBER 3. SUFFIX ♦. DATE OF FIRM INDEX S. FIRM ZONE 6. BASE FLOOD ELEVATION (in AO Zones, use depth) Z5CO15 00o6, aoLY Zr 1,11111Ack2 1 O 7 Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): IKNGVD'29 ❑ Other (describe on back) 8. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate the community's BFE:I I I I ' I,L feet NGVD (or other FIRM datum -see Section B, Item 7). SECTION C BUILDING ELEVATION INFORMATION 1 Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level _a_ 2(a). FIRM Zones Al-A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation of-i___I(Lj.L9 feet NGVD (or other FIRM datum -see Section 8, Item 7). (b). FIRM Zones V1-V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of I I I I J.L feet NGVD (or other FIRM datum —see Section B. Item 7). (c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is ".0 feet above I or below ❑ (check one) the highest grade adjacent to the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is I I LLJ feet above ❑ or below __I (check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference level) elevated in accordance with the community's floodplain management ordinance? n Yes ❑ No ❑ Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: X NGVD'29 F Other (describe under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on the FIRM (see Section B, Item 71, then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: [AYes ❑ No (See Instructions on Page 4) 5. The reference level elevation is based on: ❑ actual construction 14 construction drawings (NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which case this certificate will only be valid for the building during the course of construction. A post -construction Elevation Certificate will be required once construction is complete.) 6. The elevation of the lowest grade immediately adjacent to the building is:V feet NGVD (or other FIRM datum -see Section B, Item 7). SECTION D COMMUNITY INFORMATION 1. If the community official responsible for verifying building elevations specifies that the reference level Indicated in Section C. Item 1 is not the 'lowest floor" as defined In the community's floodplain management ordinance, the elevation of the building's "lowest floor" as defined by the ordinance is: I I I I I.0 feet NGVD (or other FIRM datum -see Section B. Item 7). 2. Date of the start of construction or substantial improvement FEMA Form 8131, MAR 97 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION SECTION E CERTIFICATION This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones At—A30, AE, AH, A (with BFE),V1—V30,VE, and V (with BFE) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an owner's representative may also sign the certification. Reference level diagrams 6. 7 and 8 . Distinguishing Features —if the certifier is unable to certify to breakawayinon-breakaway wall, enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not included in the certification under Comments below. The diagram number, Section C. Item 1, must still be entered. I certify that the information Sections B and C on this certificate represents my best efforts to interpret the data available. lypdeFstand that any falsif sta nt may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001 CERTIFIER'SNrtid�' , ` LICENSE NUMBER (or Afhx Seal) TITLE COMPANY NAME AD SS CITY STATE ZIP SIG T4 E DATE PHONE Copies should be made of this Certificate for: 1) community official, 2) Insurance agent/company, and 3) building owner. COMMENTS: ON SUB A v ZONES ZONES o, LE�EL GRAN AWJ C..T G.De WRN BASEMENT A tr ZONES .E FLOOD ON PILES. PIERS. OR COLWNS The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. Elevations for all A Zones should be measured at the top of the reference level floor. Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member. Page 2 05/13/99 15 18 FAX 6032253907 EPOCH CORP rd 01 The Commonwealth of Massachusetts Argeo Paul CelluCci Governor Jane Swift Lieutenant Governor Jane Perfov S e: reta ry May 1, 1999 Executive Office of Public Safety Board of Building Regulations and Standards One Ashburton Place -Room 1301 Boston, MA 02108 Tel: (617) 727.7532 Fax: (617) 227-1754 Epoch Corporation Route 106 - P. O. Box 235 Pembroke, NH 03275 MAY 13 1999 I U RE: Annual Re-Certifieatioa is the Massaebusetts Manufactured Buildings Program MC# 089 To Whom It May Concern: Kentauro Tsutsumi chairman Thomas L Rogers Administrator This letter is to confirm that your certification in the Massachusetts Manufactured Buildings Program as a producer of Manufactured Buildings has been approved for the period of May 1, 1999 through April 30, 2000_ This approval is contingent upon compliance with all previously listed conditions of your approval, and compliance with the provisions of the Massachusetts State Builing Code, Electrical Code and Fuel/Gas Code. Yours truly, STATE BOARD OF BUILDING REGULATIONS AND STANDARDS C.f � Thomas L. Rogers Administrator �C r cc: MA Board of Examiners of Plumbers and Gasfitters MA Board of Examiners of Electricians 0 • TOWN OF YARMOUTH BUH,DING DEPARTMENT PLAN REVIEW & BUILDING PERMIT APPLICATION REVIEW NOTE Address: Map/Lot:° Approval Date Date of Initial Review:S�Other ' Inspector: Notes: Zoning Denial (if applicable): :Section 104 a2, para Change, Extension or Alteration (pre-existing, nonconforming) The proposed the Zoning Board of Appeals. :Other Building Code Denial (if applicable) requires a Special Permit from 3�' y GYM _;Pj. /.0 33gll499 -0077 ELEVATION CERTIFICATE O.M.B. No. 31, 199 FEDERAL EMERGENCY MANAGEMENT AGENCY Expires July 9 NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to pro- vide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR). You are not required to respond to this collection of Information unless a valid OMB control number is displayed in the upper right comer of this form. Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION FORINS URANCECOMPANY USE BUILDING OWNER'S NAME POLICY NUMBER TAMSS PASSIQ)S STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER OTHER DESCRIPTION (Lot and Block Numbers, etc.) NAIC NUMBER Cm SbLqjk Y*teHZ"-f-1 MYA OZ( 6+-- SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION r_n:.... r.e.., !he .canner CIRLI IRne In0ructlnns): 1. COMMUNITY NUMBER 2. PANEL NUMBER J. SUFFIX d.L0TFF1X 5. FIRM ZONE 6. B^ AEDIzoODD eEdeppth)NZsG,I� d�� z�Z ZM ►o 7 Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): UsyNGVD'29 ❑ Other (describe on back) 8. For Zones A or V. where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate the community's BFE: I I I I : I •❑ feet NGVD (or other FIRM datum —see Section B, Item 7). eeeTlntd n Rim n1NG ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level S . 2(a). FIRM Zones At-A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation of k A. n feet NGVD (or other FIRM datum —see Section B, Item 7). (b). FIRM Zones V1-V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of I I I I .L feel NGVD (or other FIRM datum —see Section B, Item 7). (c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is ".0 feet above: I or below ❑ (check one) the highest grade adjacent to the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is I I.0 feet above ❑ or below ❑ (check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference level) elevated in accordance with the community's floodplain management ordinance? n Yes ❑ No C Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: K NGVD'29 F_ Other (describe under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on the FIRM (see Section B, Item 77, then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: X Yes El No (See Instructions on Page 4) 5. The reference level elevation is based on: peL actual construction El construction drawings (NOTE: Use of construction drawings is only valid it the building does not yet have the reference level floor in place, in which case this certificate will only be valid for the building during the course of construction. A post -construction Elevation Certificate will be required once construction is complete.) 6. The elevation of the lowest grade immediately adjacent to the building is: &LII� feet NGVD (or other FIRM datum -see Section B, Item 7). SECTION D COMMUNITY INFORMATION 1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1 is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest floor" as defined by the ordinance is: I I I I.0 feet NGVD (or other FIRM datum —see Section S, Item 7). 2. Date of the start of construction or substantial improvement FEMA Form 81-31, MAR 97 REPLACES ALL PREVIOUS EDMONS SEE REVERSE SIDE FOR CONTINUATION SECTION E CERTIFICATION This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones At—A30, AE, AH, A (with BFE),V1—V30,VE, and V (with BFE) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an owner's representative may also sign the certification. Reference level diagrams 6, 7 and 8 - Distinguishing Features —If the certifier is unable to certify to breakaway/non-breakaway wall, enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered. I cerlify that the information in Sections B and C on this certificate represents my best efforts to interpret the I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Soy, CERTIFIER'S NAME TITLE COMP CITY AlDDAR'ESSr_At i `t ' VO Ty DANIEL LICENSE NUMBER for Affix Seal) iP' W>`a]aeaC NAME A ZIP DATE PHONE Copies should be made of this Certificate for: 1) community official, 2) Insurance agent/company, and 3) building owner. COMMENTS: ON SLAB A v ZONES ZONES WITH BASEMENT A tr ZONES BASE FLOW ON PILES, PIERS, OR COLUMNS The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. Elevations for all A Zones should be measured at the top of the reference level floor. Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member. Page 2 The Commonwealth •oJ Massachusetts Dcpo fmrnr of Public SoIcfY «<w-.r a ret o.«e<. '• ` DOARD OF FIRE PREVENnON REGULATIONS = CALR I2o0 3/90 G.<.< a..a .: . uP APPLICATION FtA ORpPERMITrTOthe PERFOOt o MirkIELEi TR12.00 ICAL 1IVORFC ip,r'ASE PRILIr Ili INS IIL OR ME aLL O'Q=IO •ARCS(. Io ch" spc�tys��T'a City or Sovn of Yarmouth /,�l\ 1 L Tha undses Lg.ed applies for a Perak ro pcefom the eleetelul work do d Lautloo (street t. Humber) 19 Barkentei wncr or Tcoinc James .Passios a56-1 Is tlds permLc is .Coa)uncciot with a building perOIC: Yes ® !to 0(mitt p Wc) pu rposa ai aulldfnL UL111Ly Auts.oc!."ttoa N0. _... N CIO,, ng Service Raps _ volts Overhead ❑ Undgrd r��l' ' to. of tteeecs exEsc tow Sccvfce -Oi1 J-ps 17I1//�d/l volts OveNeid ❑ Uodgrd Cif M. of tfeters. 1 K,saber-of-Fccderr-aad•HpaeLey Locaeton sad Nscure of proposed Elceatul Nock INSTALL UND cnr_annrun 4FRVTCF. Iotai go. of Transformers tcvh No. of Llshcing outlets go. of Hoc Tubs Ito: of Lighting Flexures Above ❑ [a' ❑ Swlming pool md, grnd. Ceneea[oes - KVA �UetisMy Lighting No. of -mceptaele Oucltts No. of oil Burners Batt." . Switch Outten Ko. of Cam Burners FIRE AWACS No. of Zoncs fb. of DcccccLon and Total No. of Ranges go. of Air Cond. cons InitLaeing DevLees No. of Samdlni'Ocvtces p sts Tout XOtAl go. of DisposalsTong KuNo, of Ko. of 6e1ff Contained Ito. of DLshwsshcrs Space/Area Lkatlng Iktcc Loa/SoundLng DcVLCef ["cal ❑ ❑Other ' i� Ito. of DryersLkstLng DcvLees corv,eeelon og o Low Voltage Ito. af•Wat" heaters i1 SIs Ballasts Wring No. Hydro tLssage Iubs Ko. of rotors Toeat Kp .• alum, IKSURANcs ODVU=, Pursuant to tbe.requlreaents, of Naseachusetts Ccnersl Laws. I have a ��rtr,creae L1abLlIt Insurance Pol1SXJ11e1u4L1g CosplecC* Opera clone coverage or lta substanc Lal equlvaleatb: 1�5.®�—I�EcItted vitid prco[ of eau co this offLce. YESQ Ito Q' IE Y041aia checked TES, plea as indicate the Hype of tartrate by checking the appropriate boa. INSURANCE 0 ium ❑ onwt ❑ ([lease Speel(y)Ali. < p raglan ac•. GeLoated value of Electrical Work S Work to Snrc Inspect!". Date Requested: ►dwgn Flnal��� Zzz Signed under the peoalties of per)ucy: a` FRUEAN UTILITIES Ltc. No A1�3 P[tW NAME U Licensee SAME Signature LIC. NO,---- .J t Bus. Tel. No. r W 1 N Address 18 FRUEAN WAY S YARMOUTH. MA )02664 545-3�8 -691�� Alc. tat. W. is sac i 1 OWNE6'S INSURANCT WAIVER, I as aware that the Licensee does not halt the Lnsuranee eOvera[a or stsax[al avuLvlttat as raqui``ed by Massachusetts Ceneeal wa. a that ay •Canacura on this permit epplLeatioa valved Nis requLreaeac. Owner Agent (Plume check one) . ys t Telephone No. PEMIT FEE S Slg,utura o OwcC oc Bca LN Lit U WIRE INSPECTOR'S OEPARTMENT YARMOUTH TOWN HALL SOUTH YARMOUTH, MASS. 02664 • I I Fee J�.d Date Name of Job Name of Electrician Location FOR PERMIT TO INSTALL �ijs!}y' APPLICATION FOR ELECTRICAL SERVICE AND REQUEST InspeE o of Wires Toxin of Y n r: rn t❑ Massachusetts Wiring Permit x `"'N COM/Electric x 316 218 Building Permit x 333 Date Fj 2') j Q 9 Customer: Jau,es Pa SS1C3 I on (Street x) 19 Earkentei ne Lot x in the village of R utility pole number or underground number Customer's billing address 7 ijn Iri rill '?O.dClr C^tf n," '"3 J18(iG i Temporary New installation X. Change of service Starting date Job description I Service entrance voltage 1n83311 1 20/RnW ge 200 Phase Wire size (cu. or aL) d 1 n a 11 Conductor per phase i Number of meters 1—water heater ' Off peak: Yes —No— / Estimated load: Electric heat kw, lights kw, Range dryer Motors, UP & Phase Ready for first inspection F 12 919 9 Ready for final inspection 6 / 2 9 / 9 9 Electrical Contractor F�liGA:l 1j1T7,T"T11—Lic x Al 3463 Telephone x 398-6911 Address 18 FRULAN iiAYr S. YARt]OUTIfr MA Additional Remarks: I iI I Do Not Write Below This Line ELECTRICAL WIRING INSPECTION CERTIFICATE I INSPECTOR OF WIRES INSPECTIONS Temporary Service Roughing in Service and Meter ,[i, el 1 OR Peak Meter y I Final Approval (2 Disapproved' 'For the following reasons Fi7 trill FEE CHARGE CERTIFICATE OF INSPECTION - C Date / To the COMMONWEALTH ELECTRIC COMPANY. The installation described above has been completed and has this day been inspected and approval granted for connection to your service { l� 0 6� n Inspem.of Wires {� WIRING INSPECTOR TO BE NOTIFIED WHEN WORK IS READY FOR INSPECTION CA 46 Permit Good For One Year From Date Of Issue INSPECTOR'S COPY TO COWELECTRIC The Commonwealth of Massachusetts Q Department of Public Safety Occ urznq 6 Fee Omcae< BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12U0 3/90 et,,,,, ctena) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed In accordance with the Massachusetts Electrical Code. 527 CM 12:00 (PLEASE PRINT IN INR O`R'1REE ALL INIIFORMATION) Date `GJ 2-5-Q l City or Towa of .q�lr, nie�tvp,,. - '` 11 To the Inspector of Wires: The undersigned applies for a permit to perform the electrical w%o� describe low. , Location (Street 6 H m r) V�IK: L (2CL(L_ (� j/{1L]�\1` Owner or Tenant &-N 11P JIM < Ower's Address / n Is this permit in conjunction with a building permit: Yes RL No ❑ Bt Annronriate Box) Purpose of Building ? JW �iC— Utility Authorization NO. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters_ New Service 2PO Amps k Lo / Z ,�(>Volts Overhead ❑ Undgrd ®- No. of Meters Number of Feeders and Ampacity, Location and Nature of Proposed Electrical Work C0AS1S FLT PAL-T62V4 1 �S"�'on L% o LJ \ 0-1 4 (c I AS m0 0 Uu ,A /L 'b VJ I AJ L . OC 3 t,l tT o s �1 `J (J) V , L. Q. Lei w` w No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimmin Pool Above In- 8 grnd. ❑ grnd. ❑ Generators KVA No, of Receptacle Outlets No. of Oil Burners BaN. of Emergency Lighting tte No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones Nof Detection and - Ttons No. of Ranges No. of Air Cond. In icia[ing Devices No. of Sounding Devices No. of Self Contained Detection/Sounding Devices Local ❑ Municipal Other Connection No. of Disposals No. of pests Total Total Tons KW No. of Dishwashers S ace/Area Heating KW p g No. of Dryers Dry Heating Devices KW g No. of Water Heaters KW No, of No. of Signs Ballasts Low Voltage wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Li ilit r Insurance Policy including Completed Operations Coverage ofts substantial equivalent. YESNO U I have submitted valid proof of same to this office. YES Lj NO ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE BOND ❑ OTHER ❑ (Please Specify) d � Expiration ate Estimated Value /Iof Electrical Work $ ( U J O Work to Start tP 1 Inspection Date Requested: Rough CALL` Final L.It I.L Qr(._ Signed under a penalties of (.p�erj_ury: n FIRM NAME ✓L2.10L_ \ .l.��M \ L �// 42.LIC. N0. A 14� Address Bus. Tel. No.�=�s2c o 6s I- A[. Tel. No. C�'�£{.3 `j�j _ OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage orb stantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE $ Signature of Owner or Agent Map Sheet /s '31 Parcel �G7� Plan G9y di - OWNER BOOK PAGE DOC. CERT. PROBATE ceo r A 72 d/' D Iq g a t Map Sheet Pa Plan 6r?s%r `ol �66 u f i; ��, �WMAIM �ta■t�t� Ma Sheet �9y p /� C§I c, Po, , , lc Parcel6 , I V Plan I RO- ffiffiff'r. Irf "NALP751m m-mompff'sm Map Sheet — Parcel ,GP.. Plan /Fv OWNER BOOK PAGE O CERT. PROBATE ram- rf G. ,eoa .cTs /Y7S- 77-- Y�l Map Sheet is Parcel 6 � Plan 6 yy r d p�tH OF y9 YOr DANIFL I. SSAMAN GN CIVIL ti v N.. 32606C y y O P L „ TOP OF FOUND. iQEL. ll-t0 TEST HOLE LOG DATE: OCTOBER 3, 1998 SOIL EVALUATOR: DAVID MASON, CSE WITNESS: C. PELLY PERC RATE: <2 MIN. / IN. (BY SIEVE ANALYSIS) VA¢IA41jor- AppaLs./33157 ti G,2 Cam. FILL AWAX F., 8{, Z. PEAT (ORGANIC) IZGi -I. MEDIUM -COARSE SAND ISYRY2 17+ PILL TEST HOLE 13 USED FOR WATER TABLE 3(0" DETERMINATION WATER ��' WATER �. FILL -PEAT QQ�� vlN FINE -MEDIUM SAND 2.5Y02 , ly'S j7.I BASED UPON OBSERVATIONS IN THIS AREA, THE S MAXIMUM GROUNDWATER HEIGHT IS AT ELEV. 2.50 �Z 't13#h Et_. 7,33 TdP � GaIJG� �buL� % q�l L'o ram\ Na(I%: "nits p¢o ry ues 163 - op;se-L. lo.o i 1. ALL PIPE TO BE 4"DIA SCH 40 PVC. 2. PIPE TO BE LAID LEVEL FOR 2.OUT OF DISTRIBUTION / BOX. 3. RAISE ALL APPLICABLE MANHOLE COVERS TO WITHIN/ (' 6" OF FINISH GRADE 4. SEPTIC SYSTEM IS NOT DESIGNED FOR THE USE OF A GARBAGE DISPOSAL S. SEPTIC TANK AND DISTRIBUTION BOX TO BE INSTALLED ON A 6" LAYER OF STONE. 6. INSTALL GAS BAFFLE IN OUTLET TEE. 7. 0oY. J;tz t +DvJ 9.Zn <9' 13 SEPTIC SYSTEM PROFILE SITE - SEWAGE PLAN FOR 19 BARKENTINE CHICLE SOUTH YARMOUTH, MA. LOT 68 - PLAN BOOK 203 PAGE 17 PREPARED FOR JAMES PASSIOS DATE: MARCH 18,1999 SCALE: 1" = 20' 1 - JLL. 2sirill n ay 5, 1" --- --- DESIGN DATA DAILY FLOW:,+) BDRMS. z 110 GPD =41.0 SEPTIC TANK.} f OJGPD z 200%=07 GPD USE: 1500 GALLON PRECAST SEPTIC TANK LEACHING FACILITY: USE: (¢.)4' X 8' FLOWDIFFUSSORS LINED w/4' OF WASHED S_ TONE • 21 0� STcsk CAPACITY: �� SIDEWALL: 104y4, 1.33X 0 Ic"Z •¢ BOTTOM: A0.-7+{ 355'Z 7TAL: J.57. (� GPD 2' LAYER OF LP PEASTONE OVER L4'.11/2' WASHED STONE ALL AROUND -raF a 1 - 9.33 8dTTw-1= s1-.7, 50 8.83 5' -Pwa E'.-Z.5 GENERAL NOTES 1. CONTRACTOR TO BE RESPONSIBLE FOR THE LOCATION OF ALL UTILITIES, ABOVE AND UNDERGROUND, PRIOR TO ANY EXCAVATION OR CONSTRUCTION. 2. SEPTIC SYSTEM TO BE INSTALLED IN COMPLIANCE WITH 310 CMR 1& 00: TITLE V. 3. THIS PLAN IS NOT TO BE USED FOR PROPERTY LINE DETERMINATION. 4. ALL DISTURBED AREAS TO LOAMED AND SEEDED. S. CONTRACTOR TO PROVIDE 24 HOUR NOTICE FOR ANY REQUIRED INSPECT IONS 6 ¢Er{o � q r( In�RvioLLS M4'`"AL. rarZ A 5 P-� U S 4aoU b AZA*s lsp* F_sIL'z -a�stca F�J N�- >� .•f�J4l -�- I� - cp�� �Uql- 42ATyrYy, WELLER & ASSOCIATES 1645 FALMOUTH ROAD -. SUITE 4C CENTERVILLE, MA. 02632 TEL: (508) 775-0735 FAX: (508) 775-0754 APPROVED BY: TOP OF FOUND. @ EL• 11. '�)o @�bj7 0 AY 13 1399 I I 1 I G•Z —4.3 mr-M TEST HOLE LOG DATE: OCTOBER 3,1999 SOIL EVALUATOR: DAVID MASON, CSE WITNESS: C. PELLY M PERCRATE: 'IN'LY nqlpA-it, 23357 VA 4�a�Fro S-IB-`11i F1 ILL FILL 86� w E+� WATER ' Z, FEAT FILL -PEAT (ORGANIC) • -I, Fwe-MEDIUM MEDIUM.00AR]e •AND SAND 1•Y0.Y1 I%A SSYN I J+A f7•I rEJr"Zin I•LD DEIIMMATION BASED UPON OBSERVATIONS IN THIS AREA' THE MAXIMUM GROUNDWATER HEIGHT IS AT ELEV• 2-50 1'&A= EI•• 7.33 lap cf _17 DESIGN DATA DAILY FLOW: +) BDRMS• 1110 GPD =+'I* 4w SEPTIC TANK 4fO' GPD :20()% w07 GPD USE: 1500 GALLON PRECAST SEPTIC TANK LEACHING FACILITY: USE: (4)4' X 8' FLOWDIFFUS L> /4' OF WASHED STONE CAPACITY: SIDEWALL: 1corK 1.33x o.A=' 1°Z'4 BOTTOM: x 0.7+= 36S TATAL: ,}57. L 'GPD 1. ALL PIPE TO BE 4" DIA. SCIi 40 PVC. i/ G V,�� r 2. PIPE TO BE LAID LEVEL FOR V OUT OF DISTRIBUTION V li y I BOX. 3. RAISE ALL APPLICABLE p1AN110LE COVERS TO WITHIN/ \ 6" OF FINISH GRADE. 4. SEPTIC SYSTEM IS NOT DESIGNED FOR THE USE OF A GARBAGE DISPOSAL Y LAYUZ OF N• PEAeTONe OVER S. SEPTIC TANK AND DISTRIBUTION BOX TO BE INSTALLED y,, lus WAs�osrore ALL ON A6" LAYEROF STONE. AROUND 6. INSTALL GAS RAFFLE IN OUTLET f6aT TEL J� } ^ 4 7. Mlol��•T�`3 S � ice" SEPTIC SYSTEM PROFILE SITE � SEWAGE PLAN FOR 19 BARKEN 1 6C�� BOOK 20H ARMOUTH, MA - LOT 8 GE 17 PREPARED FOR JAMES PASSIOS DATE: MARCH 18,1999 SCALE: 1" - 20' y Avv.% . 26,nl IaAy 5, 1 1 -rpo �• 9•'s3 V.;'a a G -. Z,5 GENERAL NOTES 1. CONTRACTOR TO BE RESPONSIBLE FOR THE LOCATION OF TOANYEXCAVATION ON OR CONSTRUCTION.ABOVE AND 2. 2. SEPTIC SYSTEM TO BE INSTALLED IN COMPLIANCE WITH 310 CMR 15.00: TITLE V. 3. THIS PLAN IS NOT TO BE USED FOR PROPERTY LINE DETERMINATION. 4. ALL DISTURBED AREAS TO LOAMED AND SEEDFA. 5. CONTRACTOED R TO PO PROVIDE O24 HOUR NOTICE FOR ANY�c/ 6 t?br(o4✓ A►r( (H�aH«ls t��ax RaU� RAp q¢oil'� -1a �,ua�, aec�r�lxy• W LE LER & ASSOCIATES 1645 FALMOUTH ROAD -• SUITE 4C CFENNTER0I 7 E, MA 02632 TEL: (508) 775.0735 APPROVED BY: OF Mac 9 DANIH 1. yG F MA CINR m^ N" � 1 N.. 32686C N 90 1 �• L .. TOP OF FOUND. ®EL ►I.t)� C I I 6 1 fir% Arz' _ to� I TEST HOLE LOG DATE: OCTOBER3, 199E SOIL EVALUATOR: DAVID MASON, CSE WITNESS: C. PELLY PERCRATE' �N� LB ,ff,i Z33157 VA¢7ow1�- S-IB-9ii FILL G Z nLL Tzs[, UUD FILL FORMATZRTAUX " DZTZRKWATM FIAT (ORGANIC) IAeomMcDAR.°s ]AND uVRsn 17•j-� -&3 FILL -PRAT FDIZ•MZDIUM UND 23T6n I,�•( BASED UPON OBSERVATIONS IN THIS AREA' THE MAXIMUM GROUNDWAT•ERHEIGHT IS AT ELEV. 2.50 --StA: EL. -133 �f e.,*IGzar- '�bLj1.Y, _'7 DESIGN DATA DAILY FLOW: t+) BDRMS• 1110 GPD =4ib 470 SEPTIC TANK.4{O%GPD z 200% _00 GPD USE: 1500 GALLON PRECAST SEPTIC TANK LEACHING FACILTPY: USE: (4)4' X 8' FLOWDIFFUSSORS LINED w/4' OF WASHED STO ' a" Of CAPACITY: SIDEWALL: 104+� 1.33xD•�'''IdL.''r X 0.7 {-��,Z BOTTOM: \2>`'� •rnTAL: 46%. GPD NOTES: +i I. ALL PIPE TO BE I"DIA SCH 40 PVC. RIBUTION 2. PIPE TO BE LAID LEVEL FOR 2' OUT OF DIST/ y I A . V F ;, RAIBOXSE ALL APPLICABLE MANHOLE COVERS TO WITHIN / \ 6" OF FINISH GRADS 4. SEPTIC SYSTEM IS NOT DESIGNED FOR THE USE OF A GARBAGE DISPOSAL S. SEPTIC TANK AND DISTRIBUTION BOX TO BE INSTALLED Y6u,� WUXMTONOZMO.IV.F.R ON A 6" LAYER OF STONE. AROUND 6. INSTALL S BAFFLE IN TEL • f "-A l-- mc=mm==A=o• r7 911M 7- q,Zn I \ T7 7 8.83 SEPTIC SYSTEM PROFILE SITE � SEWAGE PLAN FOR 19 BAR .ENTINTJC� LAN BOOK 203AGE 17 yARMOUTH, MA LOT �• PREPARED FOR JAMES PASSIOS SCALE: 1" - 20' DAT�MgApR9CH�In 1 A MAY 'i, -rho s••' q.33 glsrfy-1 •. £�•7.50 GENERAL NOTES 1. CONTRACTOR TO BE RESPONSIBLE FOR THE LOCATION OF TOEXCAVATION ALL ABOVE AND OR CONSTRUCTIORNOUND,PRIOR 2. SEPTIC SYSTEM TO BE INSTALLED IN COMPLIANCE WITH 310 CMR I5.00: TITLE V. 3. THIS PLAN IS NOT TO BE USED FOR PROPERTY LINE DETERMINATION. 4. ALL DISTURBED AREAS TO LOAMED AND SEEDER S. CONTRACTRTO REQUIRED INSPECT ONS. PROVIDE 24 HOUR NOTICE FOR ANY P 4O ASZo11.47 plaa�. a�aa�y. W LE LER & ASSOCIATES 1645 FALMOUTH ROAD - SUITE 4C CENXTE SVBI) 7 E, MA 02632 TEL' (508) 7754735 APPROVED BY: TEST HOLE LOG DATE: OCTOBER 3, 1998 SOIL EVALUATOR: DAVID MASON, CSE WITNESS: C. PELLY PERT RATE: <,2,MIN. �Vo,� (BlSIEVE�� ANALY��S L3357 " Z D G. FILL FILL 36• WATER ' 2.'L E $ • Z. LG FLAT FILL•PLA7 (ORGANIC) 0 MEDIUM -COARSE FINL•MLDIUM LAND ]AND NYE= • �� Iq� ND BASED UPON OBSERVATIONS IN THIS AREA, THE G' MAXIMUM GROUNDWATER HEIGHT IS AT ELEV. 2.50 I , vbua •�,��'� ��� Tam wry. u�_ At 7 TOP OF FOUND. ® EL, 1 I.5o DESIGN DATA DAILY FLOW: 4) BDRMS. 1110 GPD .+40 GPO SEPTIC TANIL� f o, GPD z 200% •610 GPD USE: 1500 GALLON PRECAST SEPTIC TANK LEACHING FACILITY: USE: (4)4' X 8' FLOWDIFFUS� LINED /4' OF WASHED STONE, CAPACPI Y: MIEAR SIDEWALL: 1(*K 633-" BOTTOM: \2>`4b ><O �-` 855,Z T•)TAL: L}Cj7• (p 'GPD 1. ALL PIPE TO BE 4"DLL SCH 40 PVC. 2. PIPE TO BE LAID LEVEL FOR 2. OUT OF DISTRIBUTION V v BOX. I 3. RAISE ALL APPLICABLE MANHOLE COVERS TO WITHIN/ 6" OF FINISH GRADE. 4. SEPTIC SYSTEM IS NOT DESIGNED FOR THE USE OF GARBAGE DISPOSAL- S. SEPTIC TANK AND DISTRIBUTION BOX TO BE INSTALLED I' LAYER OFN•FEAL7UNL OVER 6. ON A6' LAYER OF INSTALL GAS BAFFLE IN OUTLET TEE 1 AROUND •w��D]iW1EALL 7. SEPTIC SYSTEM PROFILE SITE N SEWAGE PLAN FOR 19 BARICENIIN68 �� THRMOUTH, MA. LOTBOOK zAG PREPARED FOR JAMES PASSIOS DATE: MARCH 18,1999 SCALE: 1" - 20' f,Z,,. AP191L Zs,n'll A N Ay 5, 1cAq -rdp G G�-• 9• '7.;IAja st..- Z-S GENERAL NOTES 1, CONTRACTORTO BE RESPONSIBLE FOR THE LOCATION TOF OAANY EXCAVATIABOVE AND ON UNDERGROUND, PRIOR ON OR CONSTRUCTION 2. SEPTIC SYSTEM TO BE INSTALLED IN COMPLIANCE WITH 310 CMR 15.00: TITLE V, 3. THIS PLAN IS NOT TO BE USED FOR PROPERTY LINE DETERMINATION. 4. ALL DISTURBED AREAS TO LOAMED AND SEEDED. X RRDRTOPROVIDE 24 HOUR NOTICE FOR ANY REQUIREDINSPECT IONS. r�y OEHor-, A'( InFE�a naus �Iax p Aa 115 q¢oil� OvI Awo rzrpl `d m - by _f*� 1�s1Gp WELLER & ASSOCIATES 1645 FALMOUTH ROAD - SUITE 4C CFENNTERVI 'E, SA4. 02632 TEL: (509) 775-0735 APPROVED BY: TEST HOLE LOG DATE: OCTOBER 3, 1998 SOIL EVALUATOR: DAVID MASON, CSE WITNESS: C. PELLY PERC RATE: �d M�D�L (By �STEVE �IyANASik-"Z 3357 VAWN3Q .l, iro"'rt'S-I8.9z- G•ZR G,Z FILL 4. TMBDLEOIIFED FORWATERTAYl 3(•oR DETERMINATION Z yZ. 2. WATER r Z. WATER 1 I, G FILL -PEAT MEDIUM -COARSE FINK -MEDIUM SAND SAND -&3 T BASED UPON OBSERVATIONS IN THIS AREA, TINE C GROUNDWATER HEIGHT IS AT ELEV. 2.50 MAXIMUM �c I1-13M: EL. 7.33 �1:` / LArz- TOP OF FOUND. ®EL, 11.50 1. ALL PIPE TO BE 4" DNA. SCH 40 PVC. 2. PIPE TO BE LAID LEVEL FOR 2' OUT OF DISTRIBUTION 4 BOX. 3. RAISE ALL APPLICABLED1ANtIOLECOVERSTOWtT11IN 6" OF FINISH GRADE. 4. SEPTIC SYSTEM IS NOT DESIGNED FOR THE USE OF GARBAGE DISPOSAL S. SEPTIC TANK AND DISTRIBUTION BOX TO BE INSTALLED ON A 6" LAYER OF STONE. 6. INSTALL G�A3� BAFFLE If ET TEE. Ja' v } _� 7• ��.v oJ� 06);' � SEPTIC SYSTEM PROFILE SITE - SEWAGE PLAN FOR 19 BARKENTIN 6CIRCLN BOOK SOUTH AGER17 OUTH, MA. LOT8A PREPARED FOR JAMES PASSIOS DATE: MARCH 18,1999 SCALE: 1" - 20' IL 26,rl'll T •5, I DESIGN DATA DAILY FLOW: 4) BDRMS, 1110 GPD =+io SEPTIC TANK.$}C%GPD :200% zoo GPD USE: 1500 GALLON PRECAST SEPTIC TANK LEACHING FACH.TPY: USE: (4)4' X 8' FLOWDIFFUSSORS LINED wd4• OF WASHED STO ' "V of CAPACITY: SIDEWALL: 104A 1.339o' '-102•¢ BOTTOM' \ZxA-C> X 0.7+- 3`S'Z TnTAL: 4r,-7 (i GPD 2• LAYEROF yS• PEAsTONe OVER y4..l DY WASHED STONE ALL AROUND -roFa a— 9-" sdII.-A-- v--75o •v.4w141 e-L . 2.5 GENERAL NOTES 1. CONTRACfORTOBERESPONSIBLE FOR THE LOCATION TOF O ALLUTILITIES, EXCAVATION OR CONSTRUCTIONVE AND OUN0. PRIOR 2. SEPTIC SYSTEM TO BE INSTALLED IN COMPLIANCE WITH 310 CMR I& 00: TITLE V. 3. THIS PLAN IS NOT TO BE USED FOR PROPERTY LINE DETERMINATION. 4. ALL DISTURBED AREAS TO LOAMED AND SEEDED. S. CONTRACTOR TOPROVIDE 24HOURNOTICE FOR ANY REQUIRED INSPECT IONS. IN Na1S Mts(9@AL. R 5, fo. 7EM 114 h2'i � La-4ckkN.y,..�AG11„YI�/ 1zAa L1S 45zoil.�fq �ua� aeAcanry. WELLER & ASSOCIATES 1645 FALMOUTH ROAD -• SUITE 4C CFEANXTE VI 7E, Mu 02632 TEL: (508) 775-0735 APPROVED BY: — — — — — — d4��