HomeMy WebLinkAboutBuilding Permitsof rt TOWN OF YARMOUTH Building Department BUILDING
(508) 398-2231 exf.261
PERMIT NO 6-04253 _ PERMIT
ISSUE DATE : _ - 8126103 _ _ : PROPOSED USE , _ _ _ .. _
APPLICANT -'dart Foley JOB WEATHER CARD
ADDRESS :894 Boston Post Road PERMIT TO ; New Constructor ;
AT (LOCATION) 100004WHALE RD ZONING DISTRIC R-25 Bldg. Type: Residential
SUBDIVISION MAP LOT BLOC 1014.128.2 BUILDING IS TO BE:
LOT SIZE
CONST TYPE 5-B USE GROUP R-4
new construction: 4 bath, 4 bedrooms, 2 open decks,1 diningroom, 1 familyroom, 1 two bay
REMARK garage, 1 greatroom, 1 kitchen, 1 taundryroom, 1 Iivingroom, 1 utllityroom as per plans submitted
08/0=3.
AREA (SO F) EST COST ($ $463,000.00 PERMIT FEE ($) $2,294.00
OWNER IMarcello Mallegnl B LDING DEPT BY
ADDRESS 1894 Boston Post Road
Marlboro I MA 101752
CONTRACTOR
LICENSE 066858
Foley, Bart
2 Williams Ave
Pocasset MA 02559
7748360704
Certificate Issue Date-�.,,(,u,� G �y "-" CVRITIFCATE of OCCUPANCY"
l
Departmental Approval for Certificate of Occupancy and Compliance
Inspector
Date
Permit Number
Approved By
Remarks
BUILDING
e'
PLUMBING/GATlt
ELECTRICAL
k(D
&
ENGINEERING
OTHER
A.yfuw
z 4-
0 5 -zy�
10 De nnea in oy eacn arsion inoicaiea nereon upon compieaon or ns unai mspecnon.
r
TOWN OF YARMOUTH Building Departmen BUILDING
s (508) 396-223 xt.261
PERMIT NO _ .......3 _ _ PERMIT.,
-
�e ISSUE DATE 8/261 3 • • ; PROPOSED SE
APPLICANT "Bart Foley " " " " " " " " " " " " " " " " " JOB WEATHER CARD
ADDRESS '894 Boston Post Road PERMIT TO ; New Construclion ;
..........................
=
AT (LOCATION) 100004WHALE RD ZONI G DI IC R•25 Bldg. Type: Resklential
SUBDIVISION MAP LOT BLOC 1014.128.2 BUI ING IS TO BE: CONST TYPE 5•B USE GROUP R•4
LOT SIZE
CONTRACTOR
new construction: 4 bath, 4 bedrooms, 2 open decks, 1 diningroom, 1 familyroom, 1 two bay LICENSE 088858
REMARK garage, 1 greatroom, 1 kitchen, 1 laundryroom, 1 livingroom, 1 utilityroom as per plans submitted
08/05N3. Foley, Bart
2 Williams Ave
AREA (SO FT) EST COST ($ $463,000.00 PERMIT FEE ($) $2,294.0071Pocasset MA 02559
OWNER IMarcello Mallegni BUILDING DEPT BY 7748360704
ADDRESS 1894 Boston Post Road
Marlboro I MA 101752
INSPECTION RECORD
FIELD COPY
Date
Note Progress - Corrections and Remarks
Inspector
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FILE COPY
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/ cos• / '' ; ,
FOUNDATION A yO, /
T.O.F.=11.0'�
P. /
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\ \ 21.2 0 15.0 ?O. 7.0 /
wmjr
R NCRYA
TOP OF WATERGAT\
AREA�6,5� SF.
FLOOD ZONE '41:_-:£2"
TO TVN.• YARMO UTH
FO UNDA TION
SCALE. 1 "=30'
I CERTIFY THAT THE ABOVE
FOUNDATION IS LOCATED ON
THE GROUND AS SHOW,AND
IT'S POSITION_ _D_OE,�_____
CONFORM TO THE ZONING LA )
SETBACK REQUIREMENTS OF
YARHO UTH
CERTIFICA TION
PL. REP 14426H SH2
TACK IN POST
(SET)
n
LOT 84
STAKE
i
RES ZONE: "R-25"
ELEV SEE PLAN
YANKEE SURVEY CONSULTANTS
atA OF P. 0. BOX 265
ya` STEPHE
SEPPE N � UNIT 1, 40B INDUSTRY ROAD �
gJ.AfARSTONS MILLS, MASS. 02648
DOYLE TEL.- 428-0055
l Au FAX 420-5553
STEPHEN J. DO YLE, R P. L. S.
JOB
DATE.9Z09103 NuaraE1�534B3FND
BUILDING -
TOWN OF Y A R M O U T H ELE[TRIG%L
1146ROUTE28 SOUTH WUNIOLTH MA SACHUSETTS(1'L6 W-W51
Telephone (508) 398•`�?31. Ext. 261 — Fax (508) 39B•2365
BL•ILDING DEPARTMENT
BUILDABLE LOT INQUIRY FORM
I:AS
PLUMBING
SIMS
1 '
Lot No. - 33 Assessors' Map No.'L.Street La-e ;20a aP
Endorsement Date of Subdivision Plan aFFrontage
('if applicable) `�t/a 6 - /•7
jy�oo
Total Land Area (sq. ft) �0904-9 .O
dot Mus�o 7&
Name of Current Owner -rrcAr4,e e' Address arou krrw 02-YV6 Telephone N(o.
Inquire'? Name cif different finm owner) Telephone No
Inquire's Mailing Address P?9 `/ 41Jask*=::57'�- S7<atjg7 o zr o�—
Building Intent Adioming Lot Numbers 91'i l of
Signature of Applicant Date of Inquiry 3 r� o
o
FOR OFFICE USE ONLY MAR 16 2001
Does not conform with M.G.L. Chapter 40A, Section 6, sin -efinitive
Plan Exemption and/or the applicable zoning bylaw, as per information provided
Reason
ZConforms. with M.G.L. Chapter 40A, Section 6 single lot exemption{ and/or applicable
zo ' J1AWV as Pei infornmo provided.
Protected pursuant to M.G.L. Chapter 40A, Section 6, Definitive Plan Exemption.,� yf
Application is incomplete. Comments: tiw-ov c`e'"4 /`� /30,V � f/
Adequate road access mustbe present. Determination of access shall be determined by the
Planning Board ('if applicable).
.Must satisfy Title V requirements. �• ��'=`�'j �"�'� ���./t'-��
Must satisfy Conservation r1W"J2tions, if applicable.
note 3 -., or - d
OF •YqR
lit
�I aG
i M•TTwcnt[{� "�
ONE & TWO FAMILY ONLY - BUILDING PERMIT
APPLICATION TO CONSTRUCT, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
Town of Yarmouth Bu7ding Department '
1146 Route 28 • Yarmouth, NIA 02664-4492
Tel: (508) 398-9-231 x261 - Fax: (508) 398-0836
Office Use Only
Planning Board Information
Assessors Department Information:
Permit No. Date
Plan Type
Map tot Ma
Permit Fee $ 14-i',
Deposit Rec d. $1 ate IL
Endorsement Date
ecording Date •r
Plan No.
'
Old New
roperty ensions:
1 :L9fAreaksq
Net Due $/,577, —
other
Fro (ft) Lot rage
This Sectickq for NlceXQAly
Building Permit Number,
D t ISSu
Signature:
Building Official Dat
,•Ce ' atef Occupancy
�/
is is not required
Section 1 - Site Information
I Use Gr : R-4 T p .
1.1 Property Address:
1.2 Zoning Information:
Zoning District Proposed Use
1.3 Building Setbacks (ft)
Front Yard
Side Yards
Rear Yard
Required
Provided
Required
Provided
Required
Provided
3
-�o . '
l 'i5"
-.;a
13-7, 6
1.4 Water dupply (M.G.L e. 40. S 54)
1.5 Flood Zone Information: Comments:
ublic Private
Zone: -AltL— BFE:
Section 2 - Property Ownership/Authorized Agent
2.1 Owner of Record:
Name (print) AMailing Address t ✓Ct. CiO�p v-'t(iZ>)�75
1 6 ^6 41 4L
Signature (/ Telephone
2.2 Authorize Agent:
Lit l L'g L l c,'
t) Mailing Address
a-C>
Signature Telephone
Section 3 - Construction Services
3.1 Licensed Construction Supervisor. Not Applicable ❑
) i.l C.Gy T O7R—S i u 1
License Number
Ai1dress J Ua
g5 Expiration Date
gna ure Telephone
3.2 Registered Home Improvement Contractor. ( FA SO 3GG -��
Company Name
OCT 2 A20OZ
NotApplicable�
License Number
Address
Expiration Date
Signature Telephone
9- 15-99
1 of 2
OVER
Section 4 - Workers' Compensation. Insurance Affidavit (M.G.L. c.152 S 25C (6)
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure
to provide this affidavit will result in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes .... No ..........
Section 5 - Description of Proposed Work (check all applicable)
New Construction No. of Bedrooms No. of Bathrooms
Existing Bldg. ❑ Repair(s) ❑ Alterations ❑ Addition ❑
Accessory Bldg. ❑ Type
Demolition
Other Specify:
Brief Description of Proposed Work:
U
,, .4 9 F pA n, f
h r `-
Costs
Estimated Cost (Dollars) to be j Check Below
completed by permit applicant
❑ Conservation -Commission Filing
1 (if applicable)
.p ❑ Old Kings Highway & Historical
Commission approval
3 ' (if applicable)
Oa
To be Completed When`/�
for Buildin Permit 7 [ �G 7.
Section 6 - Estimated Construction
Item
1. Building
2. Electrical
3. Plumbing / Gas
4. Mechanical (HVAC)
5. Fire Protection
6. Total = (1 + 2 + 3 + 4 + 5)
7. Total Square Ft. (new houses 6 additions)
Section 7a - Owner Authorization -
Owner's Agent or Contractor A plies
I, D 1(k3 YL tz I r`A,`,�i t F1 l 4' �bU 1P , as owner of the subject property
hereby authorize �y'.) Slt2,t�Q CCyLp to act on
my behalf, in all a ters relative to work authorized by this building permit application.
I n, low
Signature of O er ate
Section 7b - ner/Authorized Agent Declaration
as Owner/Authorized Agent
hereby declare that the statements and information on the foregoing application are true and accurate,
to the best of my knowledge and belief.
Signed under the pains and penalties of perjury.
^, �E DYES ► i.� -r�� ,
Print name
low � oa
Signature o er gent I Date
• 6
9-15-99 2 of 2
04
3r°FYgk�e TOWN OF YARMOUTH
O
.:...s�sy BUILDING DEPARTMENT
• CONSTRUCTION SUPERVISOR FORM
PLEASE PRIA7. '-O'e-3s' �(T ✓���O�n'L� t
job Location: el 071k'GA-C t 6%-RQ
Number Street Village
Owner of Property: IDWL C7 -�
Construction Supervisor: UIWr-L06M CD'611-31 C2011A3 �7rxb 3LG -7&11
Name License No. Phone No.
Address: (ICI Ml ' Ll< S 1 . li• % T G ��, } c��1 Y 1Tel1 E5 1
Licensed Designee:
(If other than Supervisor)
Name
2.15 Responsibility of each license holder:
License No.
2.15.1 The license holder shall be fully and completely responsible for all work for which lie is supervising.
He shall be responsible for seeing that all work is done pursuant to the state building code and the drawings
as approved by the building official. -
2.15.2 The license holder shall be responsible to supervise the construction, reconstruction, alteration,
repair, removal or demolition involving the structural elements of building and structures only pursuant to
the state building code and all other applicable laws of the commonwealth, even though he, the license
holder, is not the permit holder but only a subcontractor or contractor to the permit holder.
2.15.3 The license holder shall immediately notify the building official in writing of the discovery of any
violations which are covered by the building permit.
2.15.4 Any licensee who shall willfullyviolate subsections 2.15.1, 2.15.2 or 2.15.3 or any other section of these
rules and regulations and any procedures, as amended, shall be subject to revocation or suspension of
license by the board.
2.16 All building permit applications shall contain the name, signature and license number of the
construction supervisor who is to supervise those persons engaged in construction, reconstruction,
alteration, repair, removal of demolition as regulated by section 109.1.1 of the code and these rules and
regulations. In the event that such licensee is no longer supervising said persons, the work shall immediately
cease until a successor license holder is substituted on the records of the building department.
2.17 The license holder shall be responsible for requesting all required inspections. Failure to do so may
be deemed a violation of the permit conditions.
I have read and understand my responsibilities under the rules and regulations for licensing construction
supervisors in accordance with section 109.1.1 of the state building code. I understand the construction
inspection procedures and the specific inspection as called for by the building official.
INSURANCE COVERAGE:
have a current liability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch.152
Yes 0 No ❑
If you have checked M, please indicate the type coverage by checking the appropriate box.
A liability insurance policy Other type of indemnity ❑ , Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by
Chapter 152 of the Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
of Owner grOwne4s Agent
Owner ❑ Agent
Signature:
Building Official Approval:
t
For Office Use Only
Permit No.
Date TOWN OF YARMOUTH
AFFIDAVIT
Home Improvement Contractor Law
Supplement to Permit Application
MGL c. 142A requires that the `reconstruction, alteration, 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 structures which are adjacent to
such residence or building' be done by registered contractors, with certain exceptions, along with other
requirements.
Type of Work: C.01-JSTYLL.GT100 Est. Cost ,5J00
Address of Work t J tun l C nn
Owner Name: EyL—vuz i
Date of Permit Application:
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job under $1,000
Building not owner occupied
Owner pulling own permit
Other (specify)
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH
UNREGISTERED CONTRACTORS FOR APPLICABLE HOME
IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION
PROGRAM OR GUARANTY FUND UNDER MGL c. 142A.
Signed under penalties of perjury:
I hereby apply for a permit as the agent of the owner:
1IS a EvGO_C3T coV_75T. 00 1lri_"�,
ate JContractor Name Registration No.
OR:
Notwithstanding the above notice, I hereby apply for a permit as the owner of the above
property:
Date
Owner Name
The Commonwealth ofMassachusetts
Department of Industrial Accidents
excePUBMStlpIMS
600 Washington Street
Boston, Mass. 02111
Workers' Compensation Insurance Affidavit
n•tm ••
lortion•
� nhone N
0 1 am a homeowner performing all work myself.
0 1 am a sole proprietor and ha%e no one working in any capacity
I am an employer pro% iding workers' compensation for my employees working on this job.
111 �, a �� � i■�
address (q I,ttlit< ST, SLA t-rS -O-V
city, phone a• 508
insur•tnceco ' "rn P policyN
0 I am a sole proprietor. General contractor. or homeowner (circle one) and have hired the contractors listed below who have
the foliowing workerscompensation polices:
company
n
address,
phone N•
Sit}
oolicv0
insurince
co.
. — ----
Failure to seeure coverage as required under Section 25A of MGL 152 cam lead to the impositioa of erislnal penalties of a One op to a■ or
one years' Imprisonment as well as civil penalties In the form of a STOP WORK ORDER ands floe of 5100.00 a day against me. 1 understand that s
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage veriflcadon.
I do hereby cerfij nder fh paint aatend penalties er/u that the information provided above is true and correct
r 16 1 t7�
Signature /� --t--
Print name 1 (/Is�r'fsiyT l Ovt�s 1u 1 BTU Phone# Sn$ , cAS -des 5
official use only do not %rite In this area to be completed by city or town official
city or town: YARMODT11
p check If Immediate response is required
contact person:
permitAlcense N riBuilding Department
pLlcensiog Board
261. OSelectmen's OMee
OHealth Department
phone N: _ (508) 398-2231 eat. 1-10ther
Imosed 3,95 PJAi
PLEASE PRINT:
DATE:
JOB LOCATION:
"HOMEOWNER"
TOWN OF YARMOUTH
BUILDING DEPARTMENT
1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 260
HOMEOWNER LICENSE EXEMPTION Ik
0
. NAME STREET ADDRESS SECTION OF TOWN
NAME
PRESENT MAILING ADDRESS
HOMEPHONE WORK PHONE
CITY OR TOWN STATE ZIP CODE
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 Section 108.3.5.1)
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 structure 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 Hermit. (Section 108.3.5.1)
The undersigned (homeowner' assumes responsibility for compliance with the State Building Code and other
applicable codes, by-laws, rules and regulations.
The undersigned `homeowner' certifies that he / she understands the Town of Yarmouth Building Department
minimum inspection procedures and requirements and that he / she will comply with said procedures and
requirements.
HOMEOWNERS SIGNATURE
APPROVAL OF BUILDING OFFICIAL
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 }des, please indicate the type coverage by checking the appropriate box.
A liability insurance policy -❑ Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: ' I am aware that the licensee does not have the insurance coverage required
by Chapter 142 of the Mass. General Laws and that my signature on this permit application waives this requirement.
Signature of Owner or Owner's Agent
Check one:
Owner ❑ Agent ❑
hfiomoowndiaxemp
BUILDING
TOWN OF Y A R M O U T H ELECTRICAL
GAS
1146ROUTE28 SOUTHYARMOUTH MASSACHUSETTS02664-4451
Telephone (508) 398-2231, ExL 261 — Fax (508) 398-2365 PLUMBING
SIGNS
BUILDING DEPARTMENT
DEMOLITION DEBRIS DISPOSAL AFFIDAVIT
Pursuant to M.G.L. Chapter 40, Section 54 and 780 CMR, Chapter 1, Section 111.5,
I hereby certify that the debris resulting from the proposed work/demolition to be
conducted at Q t.a HA L.C— P-0
Work Address
is to be disposed of at the following location: l J �1S'c� E'�A ►sAG l�-�lG+�
Said disposal site shall be a licensed solid waste facility as defined by M.G.L.
Chapter 111, Section 150A.
Signature of Applicant
Permit No.
Date
_ACOM. CERTIFICATE 4F LIABILITY INSURANCE 3/27/02 DATEDILUOWM
PRODUCER THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION
U S 'I New England ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
1130 Ten Rod Road Bldg A205 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
N rth K" ALTER THE COVERAGE AFFORDED r3Y THE POLICIES BELOW
o ingstown, RI 02852
401 8 8 5- 7 5 0 0 INSURERS AFFORDING COVERAGE
INSURED NSURERA' Tudor -insurance Company
Everest Construction Co., Inc. NSUR;Ra; Evanston insurance Company
69 Milk Street PMUnRfERD.
The Travelers P&C
Westborough,MA 01581 En e:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTFICATE MAY Be ISSUED OR
MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 13 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR
TYPE OF INSURANCE
POLICY NUMBER
DATE r o�
DATC 1
UUM
A
GENERALLIAERM
COMMERCIALGENERALLIABLITY
CLAUS MADE FRJ OCCUR
GL00002501
.
11/29/01
11/29/02
EAmOCCURRENCE —
f1L000, 000
RREDAMAGE (MYoft fife)
S50.000
MED EXP µcry on pww)
f 5� 000
PERSONAL AADVrUUIIY
fl 000,000
^.
GENERAL AGGREGATE
s2,000,000
17 GENL AGGREGATE LIMIT APPLIES rem:
POLICY Fx1 PRO• i LOC
PRODUCTS •COMPNPAGG
$2 000 000
DOLE LIABILM
Y AUTO
L OWNED AUTOS
HEDULED AUTOS
NON -OWNED AUTOS
.
COMBINED SINGLE LIMIT
(ES acid"
f
THIREDALMOS
BODILY INJURY
(Per Pena)
-
f
BODILY HAIRY
(Per &=IdvT)
f
PROPERTY DAMAGE
(Per emmenry
f
GARAGE LIABILITY
ANY AUTO
AUTO ONLY • EA ACCIDENT
f
OTHER THAN EA AOC
AVIO ONLY: AGG 19
f
B EXCESSUARMITY
X OCCUR J CLAIMS MADE
i DEDUCTIBLE
X RETENTION $10000
Binder266174
01/31/02
01/3103
EACHD=MRENLE —
35-L000, 000
AGGREGATE
f 5 000. Goo
.•_—••�.'
f _••.•. _.
$
f
C WORKERS COMPENSATION AND 6KUB721X673502 02/17/02
EMPLOYERS' UA8ILTTY
Ij I
02/17/03 ;X we sTATu- TR-
EL. EACH ACCIDENT
EL DISEASE -CA EMPLOYEE
E.L. DISEASE• POLICY LIMIT I
$500 000
f500000
t500 000
OTHER
I
I
DESCRIPTION OFOPERATIONS/LOCATIONSNEMCLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
GREA f ISLAND ROAD
TOWN Or YARNIOUT11
SHOULD ANYOFTH E ABOYE D ESCRIBED POLICIES B E CANCELLED B EFORE THC EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL31I—DAYSWRTTTEN
NOTICE TO TH E CERTIFICATE HOLDER NAM EO TD TH E LEFT, BUTFAILUAE TO DO SOSHALL
IMPOS` NO OBLIGATION OR LIABILITf OF AYYKINO UPON THE INSURER,ITSAGENTSOR
REPRESENTATIVES.
A1R110Po1EO REPRESENTATIVE
\VVf�V YJMIIJ/Il vL t S42 OACOROCORPORATION1988
.d..,,�y ::. ✓h6 tLMnt)nOMnP.Ylll/t O`a ��n,AXn'�ItJeflJ j
BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
Number. CS 001193
B irthdate: 09105/1957
Expires: 09/05/2003 Tr. no: 4949
Restricted: 00
VINCENT T CORSINI 111 j
4 BAR13ARA RD re" —�
HOPKINTON, MA 01748 Administrator
TOWN OF YARMOUTH
Building Department
Town Hail
Yarmouth, MA 02664
(508) 398-2231 exL261
BBUILDING PERMIT
APPLICATION RECEIPT
Temp Permit No.: T-03-207
Applicant Name: T. Vincent Corsini
Location: 00004 WHALE RD
Owner's Name: DBR Financial Group
Owner's Addres 896 Boston Post Road
Marlboro MA 01758
Owner's Telephone: (508) 481-6844
(OFFICE USE ONLY
Recorded By.
Ic
Permit Fee:
$0.00
Deposit Rec:
$50.00
Payment Type:
Check ChkNo.: 3278
Net Owed:
($50.00)
Application Date: 10/21/02
Issue Date:
Expiration Date
Comments:
new construction:
This is NOT a building permit. Application subject to plan review. Contact Building Department for permit status. Official
Building Permit will be issued upon plan review completion, approval, and complete payment of Net Owed on Permit Fee.
Date Printed: 10/23/02
TOWN OF YARMOUTH BUILDING DEPARTMENT
PLAN REVIEW &BUILDING PERMIT APPLICATION REVIEW NOTES
ADDRESS: it wy,44,e
Map / Lot: /1/ALp, y
Date of Initial Review: /2/jG �L Other: Approval Date:
Inspector. �JJ-A IL
NOTES: �.�Nsrir atn $s "is i F d-0
2s -3 oss /o vrhe c �//i R/L�uiRdD
Ao0 /—OU
3� i�fc C'.c.aw s/.acrr
FGoort ZS 3caow G'izrapz. O.v AcG S/DEs
k�. rkiu ;1y"QF ,q �o oZA.uo s18oz,c A
64 72us Pefdn
,E11 Ano /r%7/ c[s� R2k l�lo Aex_
-7p /t o // r D/t
f'P4 /0KS F✓/�[c�G 404T// / O let
�'`�• LUMDt2
PeAw. r Rsa'a) AND/OR i%�n va Sysrrt n
f7�4-rrt.
9) Ao D Gv i /`l D $C-GGkS O.v TvP Orr
�T0P/r/e PL..��
/G A10,,45: CAM',- 3'P4cE vo eu�
QkJ.iJk-rr-1{itf• :;rR. ,L4/o�/
Zoning Denial (if applicable):
Section 104.32, pares Change, Extension or Alteration (pre-existing,
nonconforming)
- --The proposed
m
Building Code Denial (if applicable)
requires a Special -Permit froarthe-Zoning BoardofAppeals:-
Rev. 11-01
TOWN OF YARMOUTH BUH.DING DEPARTMENT
PLAN REVIEW & BUILDING PERMIT APPLICATION REVIEW NOTES
ADDRESS: %
Map / Lot:
Date of Initial Review:
Inspector:
NOTES:
Other:
Approval Date:
Zoning Denial (if applicable): .. r: •,.
Section 104.32, pam Change, Extension or Alteration (pre-existing, ,
nonconforming)
--- - ---The proposed -- --- regwiresaSpeciaMrmitfrom the -Zoning Board -of -Appeals:---• ._.. ------
Other
wilding Code Denial if -applicable)
Rcv. 11-01
• .?o��_a_k TOWN OF YARMOUTH
BUILDING DEPARTMENT
1146 Route 28 South Yarmouth, 111 A 02664
� ou t a rmou t, c
508-398-2231 ext. 261 Fax 508-398-0836
Everest Construction Corp.
69 Milk St., Suite 200
Westboro, MA 01581
Attn: Mr. Vincent Corsini
Re: 4 Whale Rd. W. Y.
9.
Dear Mr. Corsini:.ry- 0ouproposeto
I am receipt ofyour building permit application received, October 21, 2002, on whi
perform the following work:
"New Construction — Construct (4) bedroom house per plans dated 8/14 & 9/25, 2002."
Having reviewed said application and associated documents I have determined that a building permit
cannot be issued at this time due to the following reasons: Section 3107 — Flood Resistant
Construction.
1. The plans are not stamped.
2. The crawl space floor is below grade on all sides.
Therefore, you are required to contact this office before proceeding with said work pursuant to
780CMR Chapter 1, Section 110 of the State Building Code.
Finally, your application package will again be reviewed upon resolution of the foregoing.
Ve truly yours,
James D. Brandolini, C.B.O.
Building Commissioner
7—a A— v3
JDBls COPY
H:denialbldgcode
CERTIFJEDMAIL- 7001-1140-0002-9388-8295
" V `f
'TOWN OF YAIiMOiJT1i IiilIL.DING IDEi-A3FkZTV1IEi43r
PI.^r4 REVIE77W ds XILX"MDIlYG PERMIT AI 1'LICA'TiON 1XIUVLEW NOZ'S:S
iRTi.SSz /{ �j(7 /zFAL L� It .ate
o£Initial L Othi : APprovnl Dade:
xiW= SprL
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67 To•++E+� A�v �i-•rt �-Cf'� R.r..wf K.r f .c �s-.r�i�.friors.
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Zan s Ddol CLf eppUl ble):
Sectlon 104.3.2. peso. Qmtaq £tot 1v a Altsratim (prs-otl.tl�
nmconLortning) . _._. _.
The proposed twquirce_a 6peoiel Pa it ft�ttte-Z.onb Hoerdo[Appaeis
OILar
Iiailding Code Denial ri£applicable)
*** 1fl=ISSE[oons UNHS ***
NO
I00
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wd9i:50 91-380
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Pugs A.Sawaw—;aodab uol;ewaljuo::)
I
I CERTIFY THAT THIS SURVEY AND PLAN MERE MADE NOTES:
IN ACCORDANCE WM 771E PROCEDURAL AND TECHNICAL
STANDARDS MR rHE PRACTICE OF LAND SURVEYING IN THE HOUSE SHALL HAVE NO BASEMENT.
rH xx TII of ASSACHUS6TIS�A 40 MIL •LINER SHALL BE INSTALLED ALONG ROUTE 28
/;�
PA u 7 THE INSIDE OF THE RETAINING WALL
PAtlt, � � STRIPOUT ALL UNSUITABLE .MATERIAL BELOW
#L AND- WITHIN 5' OF THE%EDGES OF THE Q Na LEACHING FIELD AND REPLACE WITH MATERIAL W cn
s E O w THAT CONFORMS TO TIT ='5 STANDARDS.
6* r:
EWIS BAY..
EAT s°
C j`! �� , I ' I/ I •O+ �,; / \ 11• ! 1\ ' j30°O' n ..I; -,: ,,"r,,r..LOCUS� • _
R MAP
of, ALO \ ' LOT 8
16,508 S. cs ASSESSORS MAP.• 14.128
O \ .• PLAN REP 14426H SH2 I
ZONING._ "R25"
�� �' °, \ \ `FLOOD ZONE. "Al2 ; EL 10
/ 29 \ CM. OA PANEL)f j
1250015 0005 D
w / J DATED.- 7/2/92
PROPOSED I I
9 P 32.04.BEDROOM �.oF 1
HOUSE /
.. T O.F.=11.0' JOHN
.. '
GE NO BASEMENT / O� uLer
A . i
n GAR / 0:35101
\ ' 10.5 0 �� o
I 1.5 _ ISi E
16.0 I O s
�•_ SITE & SE'TYAGE PLAN
w. OF : LAND
_ CB I ��0 •s D CAL / ^ _ LOCATED AT
\ / ! o TANK \ LOT 84 4 WHALE' ROAD
B NCHr�fAR�C 9 p YARMOUTH, MA.
TOP OF WATER GATE\ �q �'0 \ •h .
EL = 6.4'(NGVD) % \ D-erg°
PREPARED FOR
GE'ORGE MA UNTANER
TTAATT r 4' A 4 j 9 9T o cy� JUL Y 22, 2002
GRAPHIC SCALE
YANKEE SURVEY CONSULTANTS
UNIT 4 40B INDUSTRY ROAD
\ \ `S°" P. 0. BOX 265
\ MARS7uNS MILLS, MASS. 02648
\ TEL• 428-0055 FAX 420-5553
40 Mil, POLY LINER �j� 4' TALL
TO BE CONTINUOUS rC01VCRETE WALL 53184A DCB
IN FEET )
1 inch = 20. M
F*
EL. = ]1.0
7OF OF 1VUNDAT/ON
EL=10.2'
INVERT
EL.=_9.13___
4" CAST IRi7N
I EQUAL! All
P/71^H I/4 PE
20, MIN.
CONCRETE COVERS
i
B MAX
in/ 4
FLOW LINE
10' 14"
MIN.
OAS v LINVERT
INVERT aAf�7s EL, = 8 54'
EL. =_8.. 79'
(M BE PLACED ON FIRM BASE)
MLL•HAN/CALLY COMPAC7EO OR 6" OF S7VNE
__l0JZ__GALLONS
SEPTIC TANK
PROFILE -
SEWAGE DISPOSAL
NOT TO SCALE
OF
SYSTEM
4" CAST IRON PIPE 4' SCHEDULE 40 P.V.0
POIf W V A 1 PER FT MIN. P%ICH 1116 PER 17
CONCRETE COVER
i
2'LAYER OF
1/6 -1, 2-
WASHED STONE
\ EL= 9.8'
CLEAN SAND
rzIA
°O 00 ° O O°O 00 O °O _ O °� ° °'O
LEVEL ° o•O °o = io•O °
INVERT 6 S INVERT o °° o ° oe e ° �1 u m °° o°° ° ° o°° - °° = 7.5
EL. =_8. 37 _ EL. = 8 20_
— INVERT
"DB— 9 " DISTRIBUTION
BOX 'f-1T—,20 30 X 20. LEACH FIELD
To 9E WATER mgrm 3� SOIL ABSORPTION
IF MORE THAN ONE OUTLET BASH D 1 NE
PLACE ON 6" S719NE SYSTEM (SAS)
OBSERVATION HOLE 1 ELEV.=5.4 _
PERCOLATION RATE Ste_ MIN./ INCH AT _36.7_ INCHES
GENERAL NOTES
1) ALL WORKMANSHIP- AND MATERIALS SHALL CONFORM:. TO REP.
TITLE: 5 ,AND. THE TO #N'.OF _ZARMf111TK-' RULES AND '
USGS PROBABLE `WATER TABLE ELEV.
OBSERVED WATER TABLE (01123102) ELEV. =LI!___
ADJUSTED:: PTO MHW AT 2.0
OBSERVATION HOLE 2 ELEV. __ - 3_
DEPTH
. HORIZ
TEXTURE
COLOR
MOTT.
OTHER
0-8"
0/A
LOAM
e"-220:
B
LOAMY SAND..10YR5-8
22'-78"
C
FINE TO MED. SAND
10YR5-6
PERK
H2O 04
=5"
NO MOTTMNG.:.
A
DEPTH
HORIZ
TEXTURE
COLOR,
' MOTT
OTHER
0-6"
0/A
> SLOAM .
6 =14"
B
LOAMY SAND
IOYR5-6 -
14 =120
C ';INE
TO MED. SAX
.Yw
10
,
REGULATIONS . my, THE -SUBSURFACE DISPOSAL OF. SEWAGE,
'•
^ ' ;
SOIL TEST
2)
ONE COVER ON SEPTIC _TANK SHALL BE BROUCHT_- 710 ;'
" 't °�-
A7THIN 6" OF. FINISHED . GRADE, OTHERS WITHIN 12" �` '�
i
SOIL' TEST `DONE . BY ✓E LANDE$- ,E
.
DATE OF SOIL TEST. ,4 a I/23/2002 f Irv.
3)
ALL' COMPONE) 75'OF THE SANITARY SYSTEM SHALL,;BE CAPABLE -'OF
WITHSTANDING H=70 LOi1&W UNLESS: THEY ARE UNDER OR. WITHIN
t ` °: _'S -• -+i -.1�4 1,
�TNESSED: BY
10 FT.. OF DRIVES - OR ^PARKING: AREAS. H-20 LOADING SWJ LL BE.
DESIGN CALCULA
TIOl VS
USED. UNDER; OR :#7THIN 10 FT. OF DRIVES OR. PARKING AREAS
`
. -.
NUMBER BEDROOMS
4)
ANY NASONARY UNITS ; USED TO BRING COVERS TO, GRADE SHALL :-
:OF, . . . .
GARBAGE DISPOSAL .
" N0.
5)
BE MORTERED IN PLACE
NO DETERMINATION; HAS BEEN MADE AS • TO COMPLIANCE WITH
INSTALL 30` X.20' X 6" ,' . . . . . . .
LEACH FIELD .., ' TOTAL ESTIMATED FLOW
440
GAL/DAY
DEEDED OR 'ZONING REGULATIONS. OWNER/APPLICANT -IS TO,
TIE ENDS TOGETHER (_110 GAL OR/DAY x ._4 BR)
OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY.
REQUIRED SEPTIC TANK CAPACITY
1500 -
GAL
6)
UTILITIES SHOWN: ARE, APPROXIMATE ONLY, EXCA VATION CONTRAC70R
"DIG-
SOIL_ `CLASSIFICATION
I
IS'70 CALL SAFE" AT 1-800-322-4844 AT LEAST 72 HOURS
.
DESIGN PERCOLATION RATE
2
MIN./IN
PRIOR TO COMMENCING WORK ON SITE
EFFLUENT LOADING RATE .
• 74
GAL/DAY/S. F.
7)
CONTRAC7OR IS 70 VERIFY GRADES AND ELEVATIONS AS WELL AS
. . . . . .
LEACHING CAPACITY AREA XRATE)
(
444
CAL
/DAY
SITE CONDITIONS PRIOR : 719 COMMENCING WORK ON SITE
RESERVE LEACHING-. CAPACITY.
- 444
GALIDAY
8)
PARCEL IS IN FLOOD ZONE___ "A_ 12 ___.
(30 X 20; X 74J
9)
LOT IS SHOWN ON ASSESSORS MAP 14 _ AS PARCEL _1_28 __.
sHEEi':2.``DF
JOB NUMBER__ 5Q18-4 _-----
r r }y
..3•r 1 t ,. 5X , :.R w,5 �t�'=.4r��i�¢z 'Y Y, .. •.
04/04/2003 09:07 5083667664 EVEREST
, r
EVEREST CONSTRUCTION, INC.
69 MILK STREET SUITE 200
WESTBOROUGH, MA 01581
PHONE: 508.366.7862 FAX: 508.366.7664
FACSIMILE TRANSMITTAL SHEET
TO: KEN BATES FROM: VIN CORSINI
COMPANY: TOWN OF YARMOUTH DATE: 04/04/03
BUILDING DEPARTMENT
FAX NUMBER: 508 398 0836 RE: 4 WHALE RD
PHONE NUMBER: 508 398 2231 X261 TOTAL PAGES INCLUDED: 2
PAGE 01/01
OURGENT ZFOR REVIEW ClPLEASE COMMENT ❑PLEASE REPLY t7PLEASE RECYCLE
NOTES / COMMENTS:
I received your fax "Plan Review 8 Building Permit Application Review Notes" for 4 Whale Road
With 10 points requiring a response from the applicant.
Please be advised that Everest Construction Is still negotiating with the owner for the changes
relative to these very Issues noted In your plan review. The owner has not authorized the
changes nor had his drawings revised for resubmittal to address the Issues. Until such time, I
cannot respond.
We ask that you keep the application open, until further notice. I do anticipate a resolution
within 30 days and once authorized, we will see to revised drawings and a response to your
review notes.
If you have any questions, do not hesitate to contact me at your convenience.
Thank you
Sincerely
Vincent Corsini
Everest Construction
Confirmation Report— Memory Send
Date & Time: Apr-03-2003 12:32pm
Tel line
Machine ID
Job number
931
Date & Time
Apr-03 12:31pm
To
15083667664
Number of pages
001
Start time
Apr-03 12:31pm
End time
Apr-03 12:32pm
Pages sent
001
Status
OK
Job number : 931
*** SEND SUCCESSFUL ***
TOWN OF YAI MOiTl'H I T33 rING DEPAR'T1KE.NT
PZ-AN REVZRW 6r BUILDING PERMIT APPLICATION IMArIEW NOTES
ADDRESS: /yl
MAP/ Lot:�-
Data of Inhlal Tkoe !e . Othet•: Arq s wal Date:
Inspector
NOTEss �..rvsr..a at S�.sri FG v.s.et %r=.�a� Ss•a 36 ess.s- •�� ��„��
Sbiai 7S� /!f! rQir�...i .re•a
Seta
CAL /.2Gs9tt 0.s. r..iwe 3�/'�Q/ q'D rsoi�Aivo /'16�..s A
l7.�'rI T7/D A%viT Bi--
/ROO Lt./N a Qom. Grf O..t Ti I' yr Tit /ra/ %GN�ac�Bs Tw.rtN riiw.
�' �/:�✓iOs S�rPL leas ��.s� Ow rw �e2
•♦ /><vfie �/71kr. s-i.^w. r H..ek> low Olt /�fot riri vF srar+
0 v .
`� fy Gv • ow o r
/b�erp4ds6 Cor.s.....L ./fct Fr_e+.+. T f�. /a" ?bMa-.cr' deeri"
Z: Ine O..a a (ltwpUC.Ul.>:
9ectloa 104.3.2. Para. cmh t ffa. ELC�Ioa o Alteration cx a mtletmY.
oaacontbrralng*)
Tb. pw p...4 --- - - se¢.Srae a specfav P�ft Sra tL zjcx as 13wva�ofAppsls
O1hQ -
DLdld.nS Code DUIal (ifspplloblc3
•4
19
I CERTIFY THAT THIS SURVEY AND PLAN MERE RUDE
IN ACCORDANCE M)TH THE PROCEDURAL AND TZ'L^HNICAL
MADAMS' FOR THE PRACTICE OF LAND SURVEYING IN
TH d/Y TH OF ASSACHUSEMV -�
PA U 3 `ADL/T,LIry/�' 1
P .
MEWHEW
.Ii4s Ti�2,l/I[t1W�
/ rn
I
""
CB
TOPE NCHMA K�
OF WATER CATE
EL = 6.4'(NCVD)
� • �� �S6B30
c\�
GRAPHIC SCALE
IN FEET )
I Inch = 20, M
L�
b
z
32.0
NOTES:
THE HOUSE SHALL HAVE NO BASEMENT.
A 40 MIL LINER SHALL BE INSTALLED ALONC
THE INSIDE OF THE RETAINING WALL
STRIPOUT ALL UNSUITABLE MATERIAL BELOW
AND- WITHIN 5' OF THE `,EDCES OF THE
LEACHING FIELD AND REPLACE WITH MATERIAL
THAT CONFORMS TO TITL :'`5 STANDARDS.
Boo fo 4� .
�.,.
li
LO
,A 16,508 S.
15•0,1;:. 2g 0\
o_ o_
PROPOSED
4 BEDROOM
HOUSE
T.O.F.=11.0.
.NO BASEMENT
10
.�0_
w o�
N ��• DECK
\� A-WTCAL
..x
i —4; •
I ; t9. 6p q .
7' \
40 MIL POLY IJNER
TO BE CONTINUOUS
O
YARMO
ROLr7A' 28
WIS, BAY p
UCKET
y REAT I NANT SOUND::
:.•; 'LOCUS *MAP
LOT 8. 1 . s
ASSESSORS MAP- 14.128
.PLAN REP 14426H SH2
` ZONING: "R25"
FLOOD' ZONE:"Al2 ; EL 10
' COMM. PANEL#
250015 0005 D
'DATED.- 7/2/92
,f
SITE & SEWAGE PLAN
OF , LAND
LOCATED AT
LOT 84 4 WHALE ROAD "
o YARMO UTH, ILIA.
� PREPARED FOR ;
GEORGE MA UNTANER
4 P TALL
^RETE WALL
JUL Y 22, 2002
YANKEE SURVEY CONSULTANTS
UNIT 4 40B INDUSTRY ROAD
MARSTONS MILS ASS. 02648
TEL• 428-0055 FAX 420-5553
J,¢t 53184A DCB
I
i
40
/ IEL. = IL 0'_
7t9P OF FvUNDATION
EL=10.2'
INVERT
£L.=_9.13'
10' MIN.
I
20' MIN. -
CONCRE7E COVERS
B MAX
OW LINE
u talflN. 14-�
OAS IN
INVERT �� EL. = 8.54
EL. = 9 79'
(7n BE PLACED ON FLRv BASE)
1LECRAWCALLY COMPACTED OR B- OF SMNE
__15QC__GALL0NS
SEPTIC TANK
PROFILE -
SEWAGE DISPOSAL
NOT TO SCALE
GENERAL NOTES
�-� a
SYSTEM
40 CAST IRON PIPE
(OR EV UAM MINIMUM
PITCH 1/4 PER FT.
EL. =_6.
40 SCHEDULE 40 P. V.G
MIN. PITCH 1/16 PER FT.
CONCRETE COVER
EL.
"DB-9" DISTRIBUTION
BOX "H--20 "
7V BE WATER TESTED
IF MORE THAN ONE OUTLET
PLACE ON 6" S70NE
OBSERVATION HOLE I ELEV.=5.4 _
PERCOLATION RATE tom_ MIA./ INCH AT _36== INCHES
1) ALL WORKMANSHIP: AND MATERIALS SHALL CONFORM 70 D. E P.
TITLE 5 AND.'THE TOWN. OF _YARMOIITK_____ -RULES AND"' -
2""LAYER OF
1/8 =1/x"
I SHED S7ONE
\ EL= 9.8'
i i, , e e
CLEAN SAND
o 00 0 0o 0 0 = o00 oe o oo° o om� ono
e- 00 o e feu u o0 0
INVERT o eo e o eo o°o �+ o B °e a o e o o =
° o 0
-- INVERT
£L. =_8.1
h Z
30' X 20' LEACH FIELD
// - SOIL ABSORPTION
31i'ASH D 1 NE
SYSTEM (SAS
USGS PROBABLE `WATER TABLE ELEV.
OBSERVED WATER TABLE (01/23/02) ELEV=L11___
ADJUSTED; TO MHW AT 2.0
OBSERVATION HOLE 2 ELEV. _- 4_3 _
DEPTH
HORIZ
TEXTURE ' '
COLOR
M07T.
OTHER
0-8" i,
0/A
LOAM
B
LOAMY SAND:
10YR5-8
22 =78"
C
FINE TO NEV SAND
10YR5-6
PERK
H2O ®
4 -5"
NO MOTTLING,-
7
,l
_.
DEPTH
HORIZ
TEXTURE
COLOR",
- MOTT.
OTHER
0-6"
0/A
LOAM
6 =14"
B
LOAMY SAND
IOM5..6
14'-120
C
PINE TO MEIX SANZ
10
N"Lv
REGULATIONS . FOR-. THE -SUBSURFACE DISPOSAL OF SEWAGE
' `
SOIL TEST
2)
ONE COVER ON SEPTIC TANK SHALL BE BROUGHT TO j'
4 .
##THIN 6" 'OF FINISHED GRADE, OTHERS AUTHTY-12" '`'`L
'`
"' ` s ,
DATE OF SOIL TEST : <.1/23/2002 SOIL' TEST' DONE BY ✓E LA11jDE r,
E
3)
ALL COMPONEN7S''`OF THE"SANITARY SYSTEM SHALL. BE CAPABLE"OF
1... -
`IO
Y ..
WITNESSED -BY ;- ,
_ ,� . �, jlr! , L
1': :, �..� ,
.. .
WITHSTANDING H LOAMIG- UNLESS, THEY ARE UNDER._ i?. WITHIIIl
DESIGN CALCULATIONS
���:
10 FT..OF DRIVES, bR'PARKING AREAS. N-20 LOADING SIfALL BE :'
OR,
' j
USED UNDER. OR :077HIN' 10 FT. OF DRIVES PARKING AREAS*
'USED
�.
NUMBER 9EDROOMS
4'
4)
ANY MASONARY -UNITS TO BRING COVERS TO -GRADE SHALL `':.
.OF, r . . . . .
GARBAGE DISPOSAL..
r
5)
BE MORTERED IN PLACE
NO DETERMINATION; HAS BEEN MADE AS - TO COMPLIANCE RUTH
INSTALL 30' X.20' X 6"
LEACH FIELD _.
. . .
?OTAL ESTIMATED FLOW
440-
GAL/DAY
DEEDED OR ZONING -REGULATIONS OWNER/APPLICANT 7S 7O
TIE ENDS TOGETHER
( 110 GAL%BR/DAY x ._ 4 _ BR)
OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY.
REQUIRED SEPTIC TANK CAPACITY
1500
GAL
6)
UTILITIES SHOWN: ARE, APPROXIMATE ONLY, EXCA VATION -CONTRACTOR
"DIG-
SOIL CLASSIFICATION .
I
IS -7O CALL SAFE" AT 1-800-322-4844 AT LEAST 72 HOURS
DESIGN PERCOLATION RATE
MIN. AN
PRIOR TO COMMENCING WORK ON SITE.
EFFLUENT RATE.
74 .
GAL/DAY/S.F.
7)
CONTRAC719R IS 7O VERIFY GRADES AND ELEVATIONS AS WELL AS
CALOADINGCIT(AREA . •
LEACHING CA PA X RATE)
444 ' >`
GAL/DAY
SITE CONDITIONS PRIOR., 7O COMMENCING WORK ON SITE
RESERVE' LEACHING CAPACITY
- 444
CAL/DAY
8)
PARCEL IS IN FLOOD ZONE ___=A=13=__.
J �• `
.
(30 X,20X ?4)
9)
LOT IS SHOWN ON ASSESSORS MAP !4 _ AS PARCEL 128 •
sHE'En 2, np
JOB NUMBER__ 01a4
r.
I cemitr rHAr TWS SURVEY AND PLAN MERE A(ADE
IN ACCORDANCE MITH THE PROCEDURAL AND TECHNICAL
STANDARDS MR THE PRACT/CE OF LAND SURVEYING IN
TH,m,CO fAlQXMtrH OF KASSACHUSA77-s_
S Ay C /�
PA. 6
MERfTHEW � j
No. woes O
6J5T1FE
4/0
ta S BIN\
pd
CB
B NCUMAR
TOP OF WATER GAT\
EL = 6.4 "(NGVD)
o
GRAPHIC SCALE
0
( 1N FEET )
1 inch = 20 M
W40
%
2-.
c
NOTES.-
THE HOUSE SHALL HAVE NO BASEMENT.
A 40, MIL LINER SHALL ` BE INSTALLED ALONG
THt' INSIDE OF THE RETAINING WALL
STRIPOUT ALL UNSUITABLE MATERIAL BELOW
AND- WITHIN 5' OF THE'�EDGES OF THE
LEACHING FIELD AND REPLACE WITH MATERIAL
THAT CONFORMS TO TITLE '5 STANDARDS.
LO:
s'A It;;508 S.
15 , 0'
o 0
O. '
pROPOSED
4 HOUSEOM
7:0.F..=11.0 „
"NO BASEMENT
�_ ti� r, ��• DECK
9
S°icL
O TANK \
cb-
d�Bo
ll� . �� *?Z
40 MIL POLY LINER
719 BE CONTINUOUS
. 6,
Cz
9
LOT .6
YARM[
ROU�_
WIS: BAY
t� ,
ET
,.aEAT I 14 50�ND
LOCUS `MAP
ASSESSORS MAP.• 14.128
PLAN REP 14426H SH2
ZONING- "R25"
COMAE. PANEL#
r250015-0005---D:�
DATED.; 7/2/92
SITE & SEWAGE PLAN
OF LAND
LOCATED AT
LOT 64 4 WHALE ROAD
o YARMO UTH, AEA.
PREPARED FOR
GE'ORGE MA UNTANER
15�
CONCRETE TALL
r r
JUL Y R?,, Rooe
YANKEE SURVEY CONSULTANTS
UNIT 4 40B INDUSTRY ROAD
MARSTONS MILLS 265
ASS. 02648
TEL• 428-0055 FAX 420-5553
✓ 1 53184A DCB
R. = 11.O'—
MP OF fVVNDA770N
EL=10.2'
INVERT
EL.=_9.13___
10' MIN.
4' CAST IRON PIPE
MUM
P17CH /OR /4# PERT". r
S ~I
20' MIN.
CONCRETE COVERS
e MAx
FLOW L/NE
1� N. 14"
OAS y `ur ron,
INVERT awns EL. = 8. 54'
EL.79'
(rO BE PLACID ON f7RM BAST)
MECHANICALLY COMPACTED OR 6" OF SMVE
__1,rLQ_Q.__CALL ONS
SEPTIC TANK
PROFILE
SEWAGE DISPOSAL
NOT TO SCALE
GENERAL NOTES
OF
SYSTEM
4" CAST IRON PIPE
P//7 it 141 P T.MINIMUN
4" SCHEDULE 40 P. V.0
MIN. P/7L'H 1/18 PER fT.
CONCRETE COVER
0., 1w .
2"LAYER OF
1/8 --1/2'
WASHED S7VNE
\ EL= 9.8'
CLEAN SAND SIN
`2.0 a oo a oo ° o eoo°oo o eo 0 om o 000
6 S LEVEL oo °'eoe°�O ° 000.!.°oo eoo00 o
INVERT INVERT o o o 0 0 0000 o m e o o° o o° o 0 0 =
EL. =_8.37 _ EL. =-8_20
- /NVERT
"DB- 9 " DISTRIBUTION
BOX IV 20 » 30' X 20' LEACH FIELD
7V BE WATER TESTED SOIL ABSORPTION
IF MORE THAN ONE OUTLET ?`H D 1 NE
PLACE ON 6" SMNE SYSTEM (SAS)
OBSERVATION HOLE 1 ELEV. =5.4 _
PERCOLATION RATE _ MIN./ INCH AT INCHES
1) ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO IR E P.
TITLE 5 AND THE 70WN OF _YARd{OUTK_____ "RULES AND
REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE.
2) ONE COVER ON SEPTIC TANK SHALL BE BROUCHT.,TO
WITHIN 6" OF FINISHED GRADE, OTHERS WITHIN'12"
3) ALL COMPONENTS OF THE SANITARY SYSTEM SHALL,,BE CAPABLE OF
WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER,, OR WITHIN
10 FT. OF DRIVES OR' PARKING AREAS. H-20 LOADING SHALL, BE
USED UNDER OR WITHIN 10 FT. OF. DRIVES OR PARKING AREAS-,
4) ANY MASONARY UNITS USED TO BRING COVERS TO, GRADE SHALL
BE MORTERED IN PLACE.
5) NO DETERMINATION HAS BEEN MADE AS - TO COMPLIANCE WITH
DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO
OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY.
6) UTILITIES SHOWN: ARE APPROXIMATE ONLY, EXCA VATION CONTRACTOR
IS TO CALL VIC- SAFE" AT 1-800-322-4844 AT LEAST 72 HOURS
PRIOR TO COMMENCING WORK ON SITE.
7) CONTRACTOR IS 70 VERIFY GRADES AND ELEVATIONS AS WELL AS
SITE CONDITIONS PRIOR 70 COMMENCING WORK ON SITE.
8) PARCEL IS IN FLOOD ZONE____A_L2" __
9) LOT IS SHOWN ON ASSESSORS MAP 14 _ AS PARCEL
USGS PROBABLE WATER TABLE ELEV. =2 Q'__
OBSERVED WATER TABLE (01123102) ELEV. =L.Q __
ADJUSTED TO MHW AT 2.0
DEPTH
HORIZ
TEXTURE
COLOR
M07T.
OTHER
0-8"
0/A
LOAM
8 =22"
B
LOAMY SAND
IOYR5-8
22 =78"
C
FINE TO NED. SANL
10YR5-6
PERK.
H2O ®
4 =5"
NO MOTPLING
OBSERVATION HOLE 2 ELEV. =- 4.3
DEPTH
HORIZ
TEXTURE
COLOR
M07T.
OTHER
0-6"
0/A
LOAM
6 =14"
B
LOAMY SAND
IOYR5-6
14 =120
C
"INE 70 NED. SA NL
10
N ✓'
LEY
SOIL TEST
:. DATE OF SOIL TEST ; IM12002 SOIL, TEST DONE, BY J.E LANDERS .E
WITNESSED ' BY:
DESIGN CALCULATIONS:
NUMBER OF BEDROOMS ........
INSTALL 30' X 20' X 6" GARBAGE DISPOSAL . . . . . . . . . NO
LEACH FIELD TOTAL ESTIMATED FLOW
TIE ENDS TOGETHER ( I10__GAL/BR/DAY x _ 4 _ BR) 440 CAL/DAY
REQUIRED SEPTIC TANK CAPACITY 1500 GAL
SOIL CLASSIFICATION . . . . . . . . I
DESIGN PERCOLATION RATE . . . . . < 2 MIN./IN.
EFFLUENT LOADING RATE . . . . . . • 74 GAL/DAY/S. F.
LEACHING CAPACITY (AREA X RATE) 444 GAL/DAY
RESERVE LEACHING CAPACITY . . . 444 GAL/DAY
(30 X 20 X . 74) '
..... ...Winn. n 41710i
r
PROPERTY ADDRESS:
ALCULATION FOR PERMIT COST
;19-5�' x 17 =
so
i �:sX ad
y� x i s'=
G o
y r if z
�(y
X-Ay
ysG
N
1/1
X
y
1/7 X
/s=
-) 05'
7.5-x
Z
aiy
/7, s—k
io =
g- ro
/:� X
3• s _
43.
7,5'k ➢= z =
36
32-
/g�I
)V,90.
373
G'Aa- sr. -
DIU" EGG:
7731 X 91._
G#-r,-fax Z3XYP.-
UEUts/oi { X as- aG G a
OF ROOM, ETC NO
ADDITION
ALTERATIONS
BATH
BED ROOM
CERTIFICATE OF OCCUPAN
COMPUTER ROOM
DECK OPEN �: sr ii3 g t4N6°
DECK WITH ROOF
DEMOLITION
DINING ROOM
FAMILY ROOM
FIREPLACE EET9
FOUNDATION ONLY
GARAGE NO. OF BAYS
GREAT ROOM
KITCHEN
LAUNDRY ROOM
LAUNDRY ROOM
LIVING ROOM
MUD ROOM
OFFICE
PORCH CLOSED
PORCH OPEN
REROOFING
STORAGE AREA
SUN ROOM HEATED
SUN ROOM UNHEATED
SWIMMING POOL ABOVE GROUISD
SWIMMING POOL INGR�QUND
WINDOW REPLACEMENT
u7,t.171 Rm i
Building Site Location:
Proposed Improvement:
0--� /I I
Address:
03' �
TOWN OF YARMOUTH
BUILDING DEPARTMENT
BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF
TRANSMITTAL SHEET
0
No: Lot No: AV#
'Y/ z;yqy
�sY
yy Tel.No.: 4 4 J A-3 5 Date Filed: O�3d_
The Building Department will be responsible for assisting the a p icantby dis?atching your plans and or application to the following
applicable departments.
RESIDENTIAL AND/OR COMMERCIAL BUILDING
WATER DEPARTMENT: Determines Compliance of Water Availability and or existing location.
ENGINEERING DEPARTMENT: Determines Compliance for Parking and Drainage.
CONSERVATION COMMISSION: Determines Compliance to Wetlands Acts; i.e., If Lot(s) Border any Type of
Wetlands, Streams, Ponds, Rivers, Oceans, Bogs, Bays, Marshland, Etc
HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements
For Septage Disposal and other Public Health Activities.
FIRE DEPARTMENT: Determines Compliance to State and Town Requirements for Personal
Safety, Property Protection; i.e., Smoke Detectors, Sprinkler Systems, Etc.
.....................................................................................................................................................
REVIEWED BY:
1. WATER DEPARTMENT: DATE: N/A:
2. ENGINEERING DEPARTMENT: DATE: N/A:
3. CONSERVATION: DATE: N/A:
4. HEALTH DEPARTMENT: DATE: N/A:
S. WIRING INSPECTOR
INDUSTRIAL AND/OR COMMERCIAL PERMITS
N/A:
6. PLUMBING INSPECTOR: DATE: N/A:
7. FIRE DEPARTMENT: DATE: N/A
COMMENTS:
RECEIPT OF COPY:
PLEASE NOTE
SIGNATURE OF APPLICANT:
DATE:
White copy - Building Dept. - Pink copy - Water Dept - Yellow Copy - health DepL - Pink copy - Engineming DepL - Goldenrod - Fire Deanconcvstton
Day \l TOW BUILDING OUTH
NG DEPARTMENT
BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF
TRANSMITTAL SHEET
Building Site Location: y
I/V
No: _Lot No: MS. a
Proposed Improvement: CllyL4/ �if►!.!_!SL( / 07.rlwJ . %�/31e
n / �lLtc/,!�
Applicant: /. //./4L_'2d&14e:�zj i
Address: �Te1.No. Z!c4 "<�S'
� 3 5 Date
0/7 v�
The Building Department will be responsible for assisting thep s apcant by atspatching your plans and or application to the following
applicable departments.
WATER DEPARTMENT:
ENGINEERING DEPARTMENT:
CONSERVATION COMMISSION:
HEALTH DEPARTMENT:
FIRE DEPARTMENT:
REVIEWED BY:
RESIDENTIAL AND/OR COMMERCIAL BUILDING
Determines Compliance of Water Availability and or existing location
Determines Complianm for Parking and Drainage.
Determines Compliance to Wetlands Acts; i.e., If Lot(s) Border any Type of
Wetlands, Streams, Ponds, Rivers, Oceans, Bogs, Bays, Marshland, Etc
Determines Compliance to State and Town Regulations; i.e., Requirements
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 Systems, Etc.
1.
WATER DEPARTMENT:
DATE:
N/A:
ENGINEERING DEPARTMENT:
DATE:
N/A:
{f2.
�i.
CONSERVATION:
DATE:
N/A:
4.
HEALTH DEPARTMENT
DATE:
N/A:
S. WIRING INSPECTOR:
INDUSTRIAL AND/OR COMMERCIAL PERMITS
N/A:
6. PLUMDING INSPECTOR: DATE: N/A:
7. FIRE DEPARTMENT: DATE: N/A:
COMMENTS: .
PLEASE NOTE
/iA
RECEIPT OF COPY: SIGNATURE OF APPLICANT:
i.
DATE:
White copy - Building Dept - Pink copy - Water Dept. - YdtowCo" - Health DeM - Pink CM-Engi gDept. - Gotd=W- Fire Dept/Ca minim
9
TOWN OF YARMOUTH
WATER DEPARTMENT
99 Buck Island Road
West Yarmouth, MA 02673
Telephone: (508) 771-7921 • Fax: (508) 771-7998
Date of Issue : Oct 25, 2002
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) 128.2 Street 4 Whale Rd.
as shown on Assessors sheet/map # 14
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.
Reference
T. Vincent Corsini
4 Barbara Rd.
Hopkinton, MA 01748
Owner (Sign)
Yarmouth Water Department
Building Site Location:
Proposed Improvement:
Applicant: /. i%
TOWN OF YARMOUTH
BUILDING DEPARTMENT
BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF
TRANSMITTAL SHEET
No: Lot No: Aa1.
Address: v_./�r�/ Tel.No.: 1�i3 J �t 3 Date Filed: u �l3 t' Z
T
-2)it / -7�
The Building Department will be responsible for assisting the app icant by d s�atching your plans and or application to the following
applicable departments.
WATER DEPARTMENT:
ENGINEERING DEPARTMENT:
CONSERVATION COMMISSION
HEALTH DEPARTMENT:
REVIEWED BY:
M_:LiluiLl=r/.I►`t�I�I3411)atu11;L*iMaulLri
Determines Compliance of Water Availability and or existing location.
Determines Compliance for Parking and Drainage.
Determines Compliance to Wetlands Acts; i.e., If Lot(s) Border any Type of
Wetlands, Streams, Ponds, Rivers, Oceans, Bogs, Bays, Marshland, Etc
Determines Compliance to State and Town Regulations; i.e., Requirements
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 Systems, Etc.
•......................................................................................................
1. WATER DEPARTMENT: L
JCJ-- ' � DATE: /G .W-OIN/A:
2. ENGINEERING DEPARTMENT:
DATE: N/A:
3. CONSERVATION:
DATE: N/A
4. HEALTH DEPARTMENT:
DATE: N/A:
INDUSTRIAL AND/OR COMMERCIAL PERMITS
S. WIRING INSPECTOR:
DATE: N/A:
6. PLUMBING INSPECTOR
DATE: N/A:
7. FIRE DEPARTMENT.
DATE: N/A:
COMMENTS:
RECEIPT OF COPY:
PLEASE NOTE
SIGNATURE OF APPLICANT:
DATE:
White oopy - Building Dept. - Pink copy - Water Dept - Yellow Copy - HaM Dept - Pink Copy - Engmeaing Dept - GoUkzrW - Fim Dept Comcruion
MAP/LOT -14 — l Z 8.2 ADDRESS_'4_' W K ALE -------
PLAN INFORMATION
PLAN TYPE 6A„_
--------------------------
ENDORSEMENT DATE ._ $� 24_I (e 0--------------
RECORDING DATE _%�Z6(j_o----- _ - _-- -__
ASSESSORS PLAN # _____________.
PLANNING BRD. # __I (Q j_ RS--------------- --
PLAN. BRD. RELEASE .--- Sl 2��,--------___.
L.C. * 144 2`G K
0 e
��MTTKna•/�
Building Site Location:
Proposed Improvement:
/'
Address:
TOWN OF YARMOUTH
BUILDING DEPARTMENT
BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF
TRANSMITTAL SHEET
The Building Department will be responsible for assisting the aVppTi�t
applicable departments.
No: Lot No: 1074
/ Csaofti t yry
Te1No.: *1-3 S Date Filed: O - z_
yYsfatcWng your plans and or application to the following
RESIDENTIAL AMOR COMMERCIAL BUILDING
WATER DEPARTMENT:
Determines Compliance of Water Availability and or existing location.
• ENGINEERING DEPARTMENT:
Determines Compliance for Parlcing and Drainage.
CONSERVATION COMMISSION:
Determines Compliance to Wetlands Ads; i.e., If Lot(s) Border any Type of
Wetlands, Streams, Ponds, Rivers, Oceans, Bogs, Bays, Marshland, Etc
HEALTH DEPARTMENT:
Determines Compliance to State and Town Regulations; i.e., Requirements
For Septage Disposal and other Public Health Activities.
FIRE DEPARTMENT:
Determines Compliance to State and Town Requirements for Personal
----------------------------------------------------------------------------------------------------------------------------------------.
Safety, Property Protection; i.e., Smoke Detectors, Sprinkler Systems, Eta
REVIEWED BY:
1. WATER DEPARTMENT:
DATE: N/A:
ENGINEERING
7DEPARTMENT:
— ....._
TE: O O NiMr
3. CONSERVATION:
DATE: N/A
4. HEALTH DEPARTMENT:
DATE: N/A:
INDUSTRIAL AND/OR COMMERCIAL PERMTTS
S. WIRING INSPECTOR
DATE: N/A:
6. PLUMBING INSPECTOR.
DATE: N/A:
7. FIRE DEPARTMENT:
DATE: N/A:
COMMENTS:
RECEIPT OF COPY:
PLEASE NOTE
SIGNATURE OF APPLICANT: DATE:
WhiftW"-BmIdinsDcPt - Pick CM -WdwDePL - YcHowCopy -Hahhlkptt. Pink Cwpy•Goldruod-FhDepW==vadm
ll�
I CERTIFY THAT rHIS SURVEY AND PLAN WERE MADE NOTES.
IN ACCORDANCE WITH THE PROCEDURAL AND rLrHNICAL
STANDARDS lR7R THE PRACTICE OF LAND SURVEYING IN THE 'HOUSE SHALL HA VE NO B
Mv1 rH of AssACHusErrs ASEMENT.
A 4C, MIL LINER SHALL BE INSTALLED ALONC
7V�v THE INSIDE OF THE RETAINING WALL
PAM ell
� STRIPOUT ALL UNSUITABLE -MATERIAL BELOW
AND- WITHIN 5' OF THE' EDGES OF THE
"M H 0 / - LEACHING FIELD AND REPLACE WITH MATERIAL
sE w THAT CONFORMS TO TIT 5 STANDARDS.
.9
LO
F :-
AREA 16 508 S.
A'
� .1 2910
�t?ROPOSED '
0 P. 2, 0 4 . BEDROOM I /
/ ®3 HOUSE '
rn
ROUTE
EWIS.. BAY rZ U
UCKET
all
AT J NpNT SOGND+
RE
' ?4 V= —"LOCUS `ilfAP '
LOT 8 13.1
ASSESSORS MAP.• 14.128
. PL4JV REP 14426H SH2
ZONING: "R25"
FLOOD ZONE.• "Al2 ; EL 10
r 1 L COMM. PANEL,¢ f
250015 0005 D
DATED.• 7/2/92
T.O,F.=11.0, / GOA
q,,,o,
xmN
GE "NC BASEMENT O U "y
�\ 6 10 .ti 351010
0Orst aE
�, I N o �' �N ,�� DECK �' SITE & SEW
AGE PLAN
CB~� OF :LAND
\- a s o GAL / _ LOCATED -.AT
0 TANK \ LOT 84 4 WHALE' ROAD
B NCHMARK. YARMOUTH MA.
TOP OF WATER CATS ``�q "O" � '
��; PREPARED FOR
\
"� �sse�o jp y ,�i �q��, ' • GE'ORGE MA UNTANE'R
JUL Y ,22, 2002
GRAPHIC SCALE
i
40 MIL' POLY LINER jCj -4 TAJ,L
TO BE CONTINUOUS !`{1CONCRETE WALL
( IN FEET
I inch a 20. fL
YANKEE SURVEY CONSULTANTS
UNIT 4 40B INDUSTRY ROAD
MARS719N0. Lls MSS. 02648
TEL 428-0055 FAX 420-5553
JI53184A DCB
F
EC.=11.0'—
7VP OF I VUNDATION
EL=10.2'
INVERT
9.13'
10' MIN.
4' CAST IRON PIPE
011PRIP/CCH/4f7: r
20' MIN.
CONCRETE COVERS
MAX
FLOW LINE
10'
MIN.
CAS V �....�...
INVERT BAFFLE EL. = 8.54'
EL.=_8.79'
fJV BE PLACED ON,"" BASS)
,VErlfANICAUY COMPAC780 OR 6' OF SMNE
__15-0—__GALLONS
SEPTIC TANK
PROFILE -
SEWAGE DISPOSAL
NOT TO SCALE
GENERAL NOTES
OF
SYSTEM
4' CAST IRON PIPE
POIn'H I/MUM
41 PERMINFT.
4' SCHEDULE 40 P. VC
MIN. P/7CH 1/16 PER FT.
LCONCREZE
EL.=_8.37' _ EL.=_8_20' —
_
"DB- 9 " DISTRIBUTION EL.
BOX "H--20 "
TO BE WATER TESTED
IF MORE THAN ONE OUTLET 9/t 7V
PLACE ON 6" S717NE 11ASRED
. OBSERVATION HOLE 1 . ELEV=5.4__
PERCOLATION RATE _sV_ _ MIN./ INCH AT INCHES -
/ /
2"LAYER OF
1/8 =1/2'
WASHED S717NE
\ EL=9.8'
CLEAN SAND
° 00 o ee ° e a Oeo 00 O ee o - e Om� oae
0 0 ° �o o e °e �O ° �eoo°o• o 0 o e o o o
o 0 0 0 0 0° + o B a o e o e o°e °° _
to Z
-30 X 20 LEACH_ FIELD tj 2
SOIL ABSORPTION
SYSTEM (SAS
VSGS PROBABLE :WATER TABLE ELEV.
OBSERVED WATER TABLE (Ol/23/02) ELEV.=LI7___
ADJUSTED ,TO MHW AT 2.0
OBSERVATION HOLE 2 ELEV. =_ 4_3 _
DEPTH
HORIZ
TEXTURE
COLOR
M07T.
OTHER
0-8".
0/A
LOAM
8 =22'�
B
LOAMY SAND
JOYR5-8
22 =78"
C
FINE 717 MED. SANL
10YR5-6
PERK.
H2O 0
4 --5"
NO MOTTLING-
1) ALL WORKMANSHIP. AND, MATERIALS SHALL CONFORM, TO D. E P. .
TITLE 5 AND'. THE 71DWN.';O.F _YARMO1IT1i"RULES AND
REGULATIONS FOR:. THE -SUBSURFACE DISPOSAL OF' SEWAGE;_ '
2) ONE. COVER ON SEPTIC -TANK SHALL BE BROUCHTz T . _ A• SOIL TEST'
WITHIN 6 OF,. FINISHED?, GRADE, OTHERS WITHIN '12 F
DATE .OF SOIL TEST ? ,., �e 1/23/2002. "SOIL' TEST` DONE BY r J.E 1:.91VDE E
3) ALL'.' COMPONENTS - OF :THE jSANITARY SYSTEM ShfALL�BE CAPABLE 'OF _ »
R77H5T4NDINC. H=70 L0;9DING. UNLESS, THEY ARE UNDER�O.R. WITHIN '' WITNESSED3Y �, b r h,�i r
10 FT OF DRIYES_:DR.OTARKINC: AREAS. _ H-20 LOADING_ SHALL BE. M DESIGN CALCULATIONS
,1y4
USED :. UNDER OR WITHIN 10 FT OF DRIVES OR, PARKING AREAS _
4) ANY MASONARY UNITS :USED 7O BRING COVERS TO�GRADE SHALL NUMBER .OF�'BEDROOhfS . .
BE MORTERED IN PLACE - GARBAGE DISPOSAL ` . > NO.:
INSTALL 30••X 20, X 6 �-TOTAL ESTIMATED FLOW
5) NO DETERMINATION; HAS.BEEN MADE AS -TO COMPLIANCE WITH LEACH FIELD <' : • - .440 •CAL/DAY
DEEDED OR 'ZONING REGULATIONS. OWNER/APPLICANT IS 7V TIE ENDS 70GETHER('110 _GAL%9R/DAY x _ 4 _ ER)
;
OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. REQUIRED SEPTIC. TANK CAPACITY 1500 GAL
6) UTILITIES SHOWN: AREtAPPROXIMATE ONLY, EXCAVATION 'CONTRACTOR
IS 110 CALL "DIG- SAFE" AT 1-800-322-4844 AT LEAST 72 HOURS SOIL .CLASSIFICATION . . ... . . . . 1
PRIOR TO COMMENCING WORK ON SITE. DESIGN PERCOLATION RATE . . . . . 74 MIN./IN
7) CONTRACTOR IS 719 VERIFY GRADES AND ELEVATIONS AS WELL AS EFFLUENT LOADING RATE . . . . . . GAL/DAY/S.F.
SITE CONDITIONS -PRIOR 7V COMMENCING WORK ON SITE LEACHING CAPACITY (AREA X RATE) 444 GAL/DAY
8) PARCEL IS IN FLOOD ZONE____A_ 12=__. .-RESERVE LEACHING -CAPACITY . _. 444 GAL/DAY-
9) LOT IS SHOWN ON ASSESSORS MAP 14 _ AS PARCEL 12B . (30 X 20; X . 74)
SHEET 2�; oF 2 JOB NUMBER---5316-4 -------
.1 i
DEPTH
HORIZ
TEXTURE
COLOR",
' MOTT.
OTHER
0-6"
0/A
LOAM
6 =14"
B
LOAMY SAND
10YR5'' 6
14 =120
C
PNE 7o MED. 'SAN
10
?
Vb - U
'iMT�-"~•'LIf
Building Site Location
Proposed Improvement:
TOWN OF YARMOUTH
BUILDING DEPARTMENT
BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF
TRANSMITTAL SHEET
No: Lot No: 1af.
. A_ ' •
It Csofrlyi t sty
Address: y— ele" .,-At Te1No.: J ;L3 S Date Filed: D 23 d z.
The Building Department will be responsible for assisting the a plic ant by Xs atching your plans and or application to the following
applicable departments.
RESIDENTIAL AND/OR COMMERCIAL BUILDING
WATER DEPARTMENT: Determines Compliance of Water Availability and or existing location.
ENGINEERING DEPARTMENT. Determines Compliance for Parking and Drainage.
CONSERVATION COMMISSION: Determines Compliance to Wetlands Acts; i.e., If Lot(s) Border any Type of
Wetlands, Streams, Ponds, Rivers, Oceans, Bogs, Bays, Marshland, Etc
HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements
For Septage Disposal and other Public Health Activities.
FIRE DEPARTMENT: Determines Compliance to State and Town Requirements for Personal
Safety, Property Protection; i.e., Smoke Detectors, Sprinkler Systems, Eta
REVIEWED BY:
1. WATER DEPARTMENT: DATE: NIA:
2. ENGINEERING
3. CONSERVATION: DATE: A
4. HEALTH DEPARTMENT`. DATE: - - NIA
INDUSTRIAL AND/OR COMMERCIAL PERMITS
S. WIRING INSPECTOR: DATE: NIA
6. PLUMBING INSPECTOR: DATE: N/A
7. FIRE DEPARTMENI% DATE: N/A
COMMENTS:
PLEASE NOTE
RECEIPT OF COPY: SIGNATURE OF APPLICANT: DATE:
While copy - BuflfB Dept - Piok aW - Wdw ^"�
DepC - YdlmrCoP9-}ieahhDePf- - Piol:Capy-EopjneeingDept - -F6e
MECcheck Compliance Report
Massachusetts Energy Code
MECcheck Software Version 3.2 Release la
CITY: Yarmouth
STATE: Massachusetts
HDD: 6137
CONSTRUCTION TYPE: 1 or 2 Family, Detached
HEATING SYSTEM TYPE: Other (Non -Electric Resistance)
DATE: 10/03/02
DATE OF PLANS: 9-25-02
PROJECT INFORMATION:
83 Great Island Road
COMPANY INFORMATION:
DBR Financial Group
COMPLIANCE: Passes
Permit Number
Checked By/Date
Maximum UA = 701
Your Home = 649
7.4% Better Than Code
Gross
Glazing
Area or
Cavity
Cont.
or Door
Perimeter R-Value
R-Value
U-Factor UA
Ceiling 2: Flat Ceiling or Scissor Truss
2265
28.0
0.0
84
Wall 1: Wood Frame, 16" o.c.
4285
19.0
0.0
215
Window 2: Wood Frame, Double Pane
580
0.350
203
Door 1: Glass
124
0.330
41
Floor 1: All -Wood Joist/Truss, Over Unconditioned Space
2263
19.0
0.0
106
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 Massachusetts Energy Code requirements in MECcheck Version 3.2 Release 1 a.
The heating load for this building the cooling load if appropriate, has been determined using the applicable
Standard Design Conditions e o e ITVAC equipment selected to heat or cool the building shall be no
greater than 125% of the si oad specified i Sections 780CMR 1310 and J4.4.
Builder/Designer Date /0/ Aka
• MECcheck Inspection Checklist
Massachusetts Energy Code
MECcheck Software Version 3.2 Release la
DATE: 10/03/02
Bldg.
Dept.
Use
Ceilings:
1. Ceiling 2: Flat Ceiling or Scissor Truss, R-28.0 cavity insulation
Comments:
Above -Grade Walls:
[ ] 1. Wall 1: Wood Frame, 16" o.c., R-19.0 cavity insulation
Comments:
Windows:
[ ] 1. Window 2: Wood Frame, Double Pane, U-factor: 0.350
For windows without labeled U-factors, describe features:
# Panes Frame Type Thermal Break? Yes [ ] No
Comments: AU1�G 13�it-r1cl� l La?J��
Doors:
[ J 1. Door 1: Glass, U-factor: 0.330
# Panes_ Frame Type Thermal Break? [ ] Yes [ ] No
Comments:
Floors:
[ ] 1. Floor 1: All -Wood Joist/Truss, Over Unconditioned Space, R-19.0 cavity insulation
Comments:
Air Leakage:
[ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air
leakage must be sealed.
[ J When installed in the building envelope, recessed lighting fixtures
shall meet one of the following requirements:
1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture
and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space.
2. Type IC rated, in accordance with Standard ASTM E 283, with no more than 2.0 cfm (0.944
Us) air movement from the the conditioned space to the ceiling cavity. The lighting fixture
shall have been tested at 75 PA or 1.571bs/f12 pressure difference and shall be labeled.
Vapor Retarder:
[ ] Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors.
Materials Identification:
[ ] Materials and equipment must be identified so that compliance can be determined.
[ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating
equipment must be provided.
[ ] Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications.
Duct Insulation:
[ ] Ducts shall be insulated per Table J4.4.7.1.
Duct Construction:
[ ] All accessible joints, seams, and connections of supply and return ductwork located outside
conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed
using mastic and fibrous backing tape installed according to the manufacturer's installation
instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted.
[ ] The HVAC system must provide a means for balancing air and water systems.
Temperature Controls:
[ ] Thermostats are required for each separate HVAC system. A manual or automatic means to
partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided.
Heating and Cooling Equipment Sizing:
[ ] Rated output capacity of the heating/cooling system is not greater than 125% of the design load as
specified in Sections 780CMR 1310 and J4.4.
Circulating Hot Water Systems:
[ ] Insulate circulating hot water pipes to the levels in Table I.
Swimming Pools:
[ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20%
of the heating energy is from non-depletable sources. Pool pumps require a time clock -
Heating and Cooling Piping Insulation:
[ ) HVAC piping conveying fluids above 120 °F or chilled fluids below 55 °F must be insulated to the
I levels in Table 2.
• Table I: dfinimum Insulation Thickness for Circulating Mot Mater Pipes.
Insulation Thickness in Inches by Pipe Sizes
Heated Water
Non -Circulating
Runouts
Circulating
Mains and Runouts
Temperature ( F)
Up to 1„
Up to 1.25"
1.5" to 2.0"
Over 2"
170-180
0.5
1.0
1.5
2.0
140-160
0.5
0.5
1.0
1.5
100-130
0.5
0.5
0.5
1.0
Table l: Minimum Insulation Thickness for IIVAC Pipes.
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Piping System Types Ranee F 2" Runouts l" and Less 1.25" to 2" 2.5" to 4"
Heating Systems
Low Pressure/Temperature
201-250
1.0
1.5
1.5
2.0
Low Temperature
120-200
0.5
1.0
1.0
1.5
Steam Condensate (for feed water)
Any
1.0
1.0
1.5
2.0
Cooling Systems
Chilled Water, Refrigerant,
40-55
0.5
0.5
0.75
1.0
and Brine
Below 40
1.0
1.0
1.5
1.5
NOTES TO FIELD (Building Department Use Only)
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INSTRUC71ONS:
1. Refuting to pbcto at right. make sure the 1,14"
, ube Start Pier is hLLII inserted into the Swivel
Connector on tb: back of'bo Cvap cabinet as
shows. Note. In tb: event you need to rcmov:
the robing Crow a Quick Disconnect. Backflow
Prventer, or Swivel Ccane:tor, tun off watcr
supply to cabinet, with your fingms hold the
small pray, red• or brass bushing gat against the
Winston Jndvstrip - 2344. Camon Dr. - Louisville - Krn!ucky - 40299
www.cvap.com I•s 214-s286 fax502-495-S459 www.wi:Lgton;n&CQn
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TOWN OF
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AT:
New'5"
Plans Submitted
Renovation ❑
Yes ❑ No ❑
APPLICATION FOR PERMIT TO DO GASFITTING
(OFFICE USE ONLY)
By h ' -
Fee: $7 av
PERMIT NO.
Replacement ❑
Type of Occupancy
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SUB•BSMT.
BASEMENT
1ST FLOOR
/
l
2ND FLOOR
3RD FLOOR
(PRINT OR TYPE)
Installing Company
Business Telephone
Name of Licensed Plumber or Gasfitter
Check One:
❑ Corp.
❑ Partnership
bO Firm/Company
Nl' /r QG //
INSURANCE COVERAGE: Check One
I have a current liability Insurance policy or its substantial equivalent. Yes 0 No ❑
If you have checked yes, please indicate the type of coverage by checking the appropriate box.
A liability insurance policy 9 Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of
the Mass. General Laws, and that my signature on this permit application waives this requirement.
Check One:
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
I hereby certify that all of the details and Information I have submitted
(or entered) in above application are true and accurate to the best of
my knowledge and that all plumbing work and Installations performed
under Permit Issued for this application will be In compliance with all
pertinent provisions of the Massachusetts State Plumbing Code and
Chapter 142 of the General Laws.
Signature of Licensed
Plumber or Gasfitter
License Number
TYPE LICENSE:
Pd Plumber 0 Gasfitter Y' Master 0 Journeyman
12/182014 SI1pGen- Portal Home
Town of Yarmouth
Template [Building Dept]
Slipsheet Identifier [sg12174]
Document Category Building Permits
Map -Block Number 014.128.2
Street Number
0004
Street Name
WHALE RD
Department
Building
Parcel ID
101456
Backfile Batch Scan
No
Document?
Additional Naming Info
Index Operator
Operator, Yarmscan
Date - Time
2014-12-18 - 08.33
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