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Home My WebLink About0120 COTUIT BAY DRIVE �� _ � . . . �� C.�r;T �,� �, ,. . _ .. ,� ww.n.eea�yrr rw ,/ . I { i d r �: li r i �; ,4 I i I I %0 AID 7 e r �4- " Town of Barnstable' RECEIPT rinaxareat "' 200 Main Street Hyannis MA. 02601. 508-862-4038 Application for Building Permit Application No: TB717-3178 Date Recieved: 9/14/2017 Job Location: 120 CQTUIT DAY DRIVE,CQTUIT Permit For: $gilding-Insulation-Residential Contractor's Name: TODD LEDUC State Lic. No: CSSL-106019 Address: East Greenwich, RI 02818 Applicant Phone: (401) 965-8578 (Home)Owner's Name: DAVIS,J H DOW& SIUSAN HART Phone: (508)428-1525 (Home)Owner's Address: 120 CQTUIT DAY DRIVE-, CQTUIT,MA 02635 Work Description: Air sealing and insulation of attic flat,common walls,and garage ceiling. ' •rye. �� .� n.�.g ry J' , CD t Total Value Of Work To Be Performed: $7,000.00 w Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is.a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: todd leduc 9/14/2017 (401)965-8578 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $7,000.00 Date Paid. Amount Paid Check#or CCN Pay Type Total Permit Fee: $85.70 I 9/142017 $35.70 XXXX-XXXX-XXXX- Credit Card 8065 Total Permit Fee Paid: $85.70 9/14/2017 $50.00 XXXX-X)9a-XXXX- Credit Card I 8065 . ZliRN T�APEIT' .,. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION TOWN OF B�RNSTABLE Map v Parcel r9e '�j Application# �z I� Health Division 'R fl 9 Date Issued Conservation Division Application Fee Planning Dept. C)I� � ��! Permit Fee Date Definitive Plan Approved by Planning Board EmwL- SEA Historic - OKH _ Preservation / Hyannis Project Street_Address `__:{/2Z) GC�j �1 T �L7 1�IZ illage. C07-tim t1h 02&-qr Owner S J6 t DgV QAV1,S Address /20 COTJ/T 13A' Pg, Telephone, L/ 2-r- PermitTRequest S wiNlrl i�l� Po 0t '20 'x ,'3� " FE WC E Ll S�� A(_Oy Id L)jq -SC L F LATC dlIV& 4A-rCS o ffd i iJ& n c)-T u/AQ D Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District , Flood Plain Groundwater Overlay Project Valuation' 6UZoac Construction.Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new 'Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing. ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 61_EA S Poots Telephone Number Sob-S-7� - -71-/i6 Address & elVI(7f1r`S Vl License# 1-791511 yt1la H- - 02,r(03 Home Improvement Contractor# Email Q/erS Q LS1 Gmgj/ -GOrr\ Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO cA PE RCISOLXCES SIGNATURE , DATE /s i FOR OFFICIAL USE ONLY r APPLICATION # DATE ISSUED MAP/ PARCEL NO. 1 - AbDRESS VILLAGE OWNER { DATE OF INSPECTION: J ' FOUNDATION FRAME t INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL } GAS: ROUGH FINAL ? FINAL BUILDING DATE CLOSED OUT ASSOCIATION,PLAN NO. i rGLEN'S,7POOLS ' S'08) 5t7-7410 Glen Larsen Licens-L- ed glens`pools@g� il.com_ Unsure r r Sg r lSAr-KK Y 30 , ss GOtL)IT SAY OR rvE %5-Q to rAdt 0 02 I ��OYjr ' .�y M7 JN „ �OT / O-$ ^ F C3 10 S' 9 03 Ilk rn S5'� i3 [TEl1 (10. . 2r 0 F/t rep_u//4-L 96' c,A(kT-ZOGE' L o 7 /,0 l�rEs ;,�ic� oPE� o�'T�✓AtZDf`t CERTIFIED PLOT PLAN ac sEt-F tA;u1 rlrG LOCATION 4'0.7..4/1.77 ....../?7 SCALE : /..��.-.y� .. DATE PLAN REFERENCE 1 CERTIFY THAT THE&,,V4frA. G'.a/ysT/EC/CT. qt_ ;�'•`-' i, SHOWN ON THIS PLAN IS LOCATED ON THE GROUND .. "j AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF WHEN CONSTRUCTED. DATE' L. .DAG 19 — .10 REGISTERED LAND SURVEYOR Commonwealth of Massachusetts Form - - Title 5 Official Inspection , _ s Subsurface Sewage Disposal System Form Not for Voluntary Assessments Drive Property Address -. _...... �.,.._.. Charles Allen -- - -�--� "" Owner Owners Name Ma. 02635 Information is —.�. COtUIt -------- pate of inspection► required for eve►Y --.--_..-._.- ,_._. _.. ._ State Zip Code page- Cityrrown D. System Information (cont.) including ties to Sketch Of,Sewage Disposal System:Provide a view of the sewage disposal system, at least two permanent reference landmarks or benchmarks.Locate all wells within 100 feet. Locate where public water supply enters the building.Check one of the boxes below- ® hand-sketch in the area below ❑ drawing attached separately A K0 .000 ---� e�r r rr 3("r 7, ``J „y 1. 00- Title 5 Offldel Inspedlon Form:Subsurfeoe Sewage DPosd System•Page 15 of W Wns•3/13 'm e ri a I FROM A To: FROM B To: FROM C TO: mu TO: FROM T To: FROM U TO: D 39'-10' ' C 39'-I(r B 39'-70' I(r N1 27.41/4" N1 28'-W N1 33'•11/4 N1 38-Y Jr, 78-101/4" 1/4" P 17'3" P 24'•73/4" RING P 17s 1/4" P -IT-2 1/2' P 18'-01/2' 12• Pf 13'81l4" P1 25'•9114" Ot P1 10'-T P1 24'4 1/4" Pf 19-012' 12' Q 25'8"4' Q 13'-7 3/4- January 2013 a Q 24'3• Q 10'4r Q 29'8' 11" R .70'•912' R 24'-01/4' ;`q U R 19'-4 W2" R 29'3 114' R 70'-9" 1/4' R1 17.7 314- R1 25'3 3/4" R1 27-7 3/4• R1 31'-61/4' R1 10, 1/4- S 25'-2 1/2 S 12'-812" t in Pond S 31's' S 27-0 S 24' 1/4" j o. T 17.6 314• T 38••4 1 4• T 8' 1!4' Jot ® ?d CO)> U 36'-0 1/4' U t7B 3/4' U 35'-01/4" ' DUSCRIPTION PART# z m io J ., • 7K rNOANOL L-e'3" 04162 7 4 5 AN •8'3' 04476 1 1 1 A OR OR IN,-8'3• 04167 2 1 2 B 1.•4'7" 04"'! 2 RV RB •3'1 1!7' 04133 2 2 2 BRR 9RR 8'RADIUS PLASTIC STEP OPTION 8'RCENTER LIGHT 52 1/4" W W'8' S21/4" BRL•73_ 04184 2 BR BR-B2 114" 04300 2 2 2 PANEL OPTION 3'1 10 P1 Q 34 117 3"1 12" DIA WANRL-8'2114- 04072 2 2 2 3'-11• L A-PRAMS 05168 7 7 9 8R 8R 8R qQL STAIR _ 040100 1 8R 8'3' NIT 93' 93" TIiW-N•REBT 07418RSNR 1 7 �P `. 10'4r' AI1.70>oa PAK-76 1 1 io l PEAK-100 s PAK-100 2 2 2 1'-11 �, yo p.11 15-1}" I NT PANIIL-8'3' 04134 S 3'8' 8'-0" 2' 7 7 7 2' 7 7 10-7 + 8R T 18 - - - - - - CENTERLINE (I 73' ,1. 8R - - - d 53• B3 T E ` .�a b V 8R LIGHT R4'-8" to i7 UY T 8'3" RV 13'$�" R8' Ra Fr tD 8� R RV 8R 3' 7'-11 8'3" 8R R1 fi2R. 5OR. S 8R 8'1 - 6'3" 8 3' C' OR ORr D OR BR 53' R1f7 87 8,3. 73' 4,2- 73�- R74' 7.2• T-A-FRAME BRACE ZING PERMITTED ONLY FROM N1 3'-7' H IRSIGNATED DIVING AREA. 34'_, • �IV- 3 ", 1,concrete footing around ontirc porimoter,minimum 8" 33'-1 `1 dill otsell urlh,Res of roots and debris. �� P 7AN RED 3'�° 3'4• Innrels dsok Is to be poured at least 3"Ih canes and a Slope `; 1 •L-0an of P hl ag Bo Tcm 1'eway front lite ltcel, I 8 amwaua onvowo pal 8" pout d1 itsnalons arc to bo fptlehod dimensions. A1ISYAPSFnCC6201t 3nllcm Is to ha 7"minlmum of suitable material or undisturbed .1mci cis. Ins,wllll buoys,Is to be permnnmtlly allochod 1'0"to Iho -3'8"-I—B'-0"—I 14' 10-1 3'p•-I p' I- Ids of Ilia polnt of first slope chango, 31.8-- Inn Orawulgi 11lffaranl mnlhnde and pmanuthria cony be BACK BOTTOM SLOPE SHALLOW BIDE 801'1'OM SIUL q varluus gruund uuodllluns, Thls la lu bo dolmothlod by end WALL PAU END WALL PAU WALL 30nsiblllly of Ilia oontractor Wlw Is nol an agent of the drat of Ills onlnlustcnt Imrls, 11 Is to he Julie III ae0erdallue WIIII all federal,stata chit lunal ALL DIMENSIONS ARE FINISH DIMENSIONS odes,as wall as A.N,8,L1A.11,0.1°.suguestad standards. enlgryuelNpl Iau1Wn Ialnhums Willi minwil ANaYAPAP a YuY11 nlNlpmuu ' aherJantsaAallswllhmumraauul„IIINYWaIN1,0un rd�hYIy}lalpl4unYlq VOIUMO: 17700 lot 07000 L Porlmotor, Go,- 10,1 27,38 11''r�,,f•,a�p p 5 5 n A 3 mq I r YF dluWllasialMmYmIIIY1111h14111N'Y11wr1un,lulseNIHAIYYWIIIINIIa,Y p / 1 ®4111Ya®��1®�1 {�1®,Q(� ,1 r / �Y®,11� 111� p,ln®1 ® 1 Ft.: 04 4 � .. v` Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 178511 Type: DBA j E_-�r 9'i � Expiration: 4/24/2016 Tr# 251304 GLEN'S POOL ,��i'E : :„.,. ,? GLEN LARSEN " 6 KNIGHTS WAY - SANDWICH, MA 02563 `'U date Address and return card.Mark reason for change.. SCA 1 % 20M-05/11 --h ❑ Address Renewal Ej Employment Lost Card �e cpar�vnaoaaureall�aP�/�ccaaac�c�eG� __. Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: glegistration: 1,7$511 Type: Office of Consumer Affairs and Business Regulation piration: =;4/24%201,6, DBA 10 Park Plaza-Suite 5170 Boston,MA 02116 GLEN'S POOL GLEN LARSEN 6 KNIGHTS WAY `'' °t"~ SANDWICH,MA Undersecretary Not vali without signature Ile tvommorrivealth of Hassachusetts Depar trmLvit o,f lnd-usbiat Accidents Ore ofInsnestigaticrns 600 Washington Street y Boston,CIA 02111 ivvP t.}mass gov/dia N%Tork-ers' Ccimpensation Insurance Affidavit:Builder-JC;ontractnrsJEIectr cians!Plumbers Applicant Inf4rmatian Please-Print f e�l�bly Name PCOLS Address (/ KIf l G W rll 1✓,A Cityl5tatel : .�A/�17t✓lc/f �lA Q_VS Phone sos'-sr7�-�yia Are you an employer?Check the appropriate b= Type of project(required): I_❑ I am a y�with employer 4. ❑I am a general contractor and I * have lured.flee sub-contractors 6. [�I*ieui construction ,�,�Ioyees(full andfor part-time)- 2.L� I am a sole proprietor or partner- lis;ted on the attached sheet I ❑Remodeling slip and have no employees. These sub-contractors.have 8. ❑Demolition w Q for me in an employees and have woricers' orls7nb Y capacity. _ 9. ❑Building addition [No 1,4 oil.7t, comp.insurance Comp.m¢nrance-1 required-] 5. ❑ We are a-corporation and its 16❑Electrical repairs:cr additions 3.❑ I am bomeoumer doing all work officers have 4rcised their 11-0 Plumbingrepairs or additions m,sid€[No workers'ommp- right of exemption per MGL 12.❑Roofrepairs ins,m-duce required-]1 c.152,§1(4),and we have no employees.[Na workers' 13.0 Other comp.insurance required_] 'Any appPicsntthatchedcsbosr1umst also fill out the sectionbelowshnsdugtheirwo$cem compe7sationpea7imfonm2tion_ I Hameawners who submit this d5d2[i6 m&czdn%they are chin;all wadi and then luxe outside contxactum mmst submit anew affidavit indiroin saclL zcou r ictrnc IE=rhxir this boa mast attached,am additional sheet showing the name of the sub-cm=dins and state whethes or mat those entities have employees.Ifthesub-ceatnac mmhave employees,they must pm%d&their workers'comp.p.olicy number. lam art euiployer that is prvuiding workers'eamvertsaliort iitszirance for my*cncplo3.ves Beloty is flee policy and job.site itformalion / tt// InsutancecompanyAtame: Dot,✓LIlI& 'f' O'N/EIL INS. A&CA- C Policy#or Self-ins.Tic.# f'o o qg'7 8'0 O Expiration Date: S/29/l 4P Job Siite Address: /2 o COTU/7— BA� DPI City/StaW25p:Caryl7_/,-/A, 02(o3S Attach a copy of the workers'compensationpolicy declaration page(showing the policy number and expiration date). Failure to secure coverage as required.undet Sec6ion 25A of MGL c. 152 can lead to the imposition of criminal penald s of a fine up to$15,00-OU an1tor one-year imprisonment,as well as civil penalties in the farm of a STOP WORK ORDER and a fm of up to$250-00 a day against the violator. Be adiised drat a copy of this statement maybe forwarded to the Office of lavestigations ofthe DIA for insu=ce coverage tie:dfiraticn- I do hereby cewfarjr n er the pout and penah es ofpetJurp that the inefornwifou pros-v bm�a is tx�rs aped correct Sionature: /'H Date: Z�S �fi0 Phone ik S-O fr- S-7 7_. IWO 027cial u€e enly. Do itat write in M&area,to be completed by city artottn o,, iciaL City or Town.: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.BunTding Department 3.CityiTo n.Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: Wormation and Instructigns Massachvsetts Geheral Laws chapter 152 reqaires all employers to provide wol-I-eas'compensation for their employees. pa saaat to this sib,an err ployee is defined as.'--every Person in the service of another tinder any contract ofhae, express or implied,oral or wriftcm" An empIoyar is defined as"an individual,partnership,association,corporation or other Iegal entity,or any two or more Of the foregoing engaged is a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or txn st=of an individnal,partners:14,association or other legal entity,employing employees. However the owner of a.dwelling house having not more than tbree apa din,ea s and who resides therein,or the occapa at of the- dwelling house of another who employs persons to do maintenance,cous traction or repair work on such dwelling house or oa the grounds or building appur&maxit thereto shall not becanse of such employment be deemed to be an employes." MGL chapter 152,§25C(6)also sfaios that every state or local licensing agency shall withhold the issuance or renewal.of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the incnrari ce.coverage required-" Additionally,MGL chapter 152, §25C(7)states-Neither the commgawealth nor ally ofits political subdivisions shall . enter into any contract for the performance ofpublic work until acceptable evidence of compliance with the insurance, req rH-eii eats of this chapter have been presented to the contw ing authouty_" Applicants Please fill oIIt the woik='compensation affidavit completely,by cherkinoR the boxes that apply to your situation and,if necessary,supply sob-eontractor(s)name(s), addresses)and phone numbers) along with their certificates) of nnsrn-arce. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,ale not regda ed to cant'workers' compensation insu -mce. If an LLC or LLP does have employees,a policy is rupk,d. B e advised that this affidayit maybe submitted to the Departmmt of Industrial Accidents for confmnalion ofm- s'arance coverage. Also be sure to sign and date+Ire affidavit The affidavit should be rc-trmmed to!He city or town that the application for the permit or license is being requested,not the Department of Lnd strial Accidents. Shouldyou have any questions regarding the law or ifyon are regnm-ed to obtain a workers' compensation policy,please call the Department at the number listed below. Self-inSLIIed companies should enter their self-insurz ce license number on the appropriate line. City or Town Officials f _ Please be sore that the affidavit is complete and printed legibly. The Department has provided a.space at the bottom of the affidavit for you to fill out in.the event the Office of Investigations has to contact you regarding the applicant Please be sine to fill in the permit t licrose number which will be used as a reference number. In addition,an applicant that must submit multiple peaaitllicense applications in any given year,need only submit one affidavit indicating con-ent policy information(if necessary)and under"Job Site Address"the applicant should write"all locations n (city or town)-"A copy of the-affidavit that has been officially stamped or madctd by the city or town may be.provided to the ' applicant as proof that a valid affidavit is on file for fotnre permits or licenses- Anew affidavit must be filled out each year.Where a homeowner or citizen is obtaining a license or permit not related to any business or commercial venture a dog license or permit to bum leaves etc.)said person is NOT req�d to complete this affidavit The Office of Investig'adions would like to thank you in.advance for your-cooperation and should you have any questions, please do not hesitate to give us a call- The,Depariunenfs address,telephone and fax number_ The f owmmweal&of MassachLnse is Department of I Ustdal Accidents �t�e of�e�g�tia� �Q4�ashmgtmn S`[re�t ' Ba,,, MA GI I II Tt,-L 4 617' -4900 cxt 4-06 car I-V-MAS AFFE Fax 9 617-727 7M Revis ed.424-07 T.s5 gotr1drd. r �THElph� Town of Barnstable Regulatory Services • saRNsz BLF. MA-R. �+ Richard V.Scali,Director i639• �0 16 Builcling Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, 00LJ Ojg VI-S ,as.Owner of the subject property hereby authorize (2 L COZ�I f�oo�S to act on my behalf, in all matters relative to work authorized by this building permit application for. 120 . Co ru r 7- I W OR, (Address of Job) i *'-"-Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final Lpect-tons are performed and accepted. ignature of Owner IS )ture of Applicant J . i I .'Dd w J r-1 .Vow VA'vIS Print Name Print Name Date QYORMS:O WNERPERMESIONPOOLS Town of Barnstable Regulatory Services oFitte rory,� Richard V.Scali,Director Building Division ! RiRNC1'ARr.Ey « Tom Perry,Building CommissionerMAS . 9Q� i & 200 Main Street; Hyannis,MA 02601 pTE° �a www.town barnstable ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER': name home phone# work phone# CURRENT MAMING ADDRES S: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,-attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned`.`homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. - The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor. (see Appendix Q,RuIes&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the Iast page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFnXSTORMS\building permit forms\EXPRESS.doc Revised 061313 r i RAJ Ze �o ~�° / 03 a J 47 ,t e.1 tj � J Q ` � s5 a• ty o ( a " 9 �I`PI►o bo C) w/L gE L o T joy C-4IL774/ Ml•� w art r Pa3 � y�A FEtIce CERTIFIED PLOT PLAN GATES wac OPOW cvrwAOJ> A0 17C j6e.,oc 0-rcrVIA/6 LOCATION .�'Q.T.�1�.T.. ..../?719SS. .. . ... SCALE : yp ' : /...... .... DATE ..,1 , �• PLAN REFERENCE •Q /.!?�.�#. .f Q 7'•/03 0-,N .,5'&9 eV A. a ti./oL FX1ST/ti lt. •C3UiLp/ivQ I CERTIFY THAT THE vl214-O/.E• coNs�/�vcT/r�.�. SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF WHEN CONSTRUCTED. DATE J" pyy ,Df9C9 ?'/T REGISTERED LAND SURVEYOR . HAYWARU - ISWG1048COC Rev D CERTIFICATION OF COMPLIANCE Contains: WGZ048E, WGZ048EBLK, WGZ048EGR, or WGZ048EDGR Description: 8" Round Suction Outlet Cover Ratings: Floor: izs GPM_Wall: 72 GPM Open Area: 8..1 sq-in Certified to Comply with Section 1404 of the Virginia Graeme Baker Act (VGB) Pool & Spa Safety Act codified at 16 CFR part 1450. Initial Certification May 2011. Manufactured: After September 10, 2oo9, by a Division of Hayward Industries, Inc. at K4-A, 214028 Block K4- A, Export Processing Zone Wuxi New District Jiangsu Province PRC 214028, China; or at One Hayward Industrial Drive, Clemmons, NC 27012. Certified by Hayward Pool Products, 62o Division Street, Elizabeth, NJ 07207, Phone 9o8-355-7995 Contact at www.haywardnet.com Record Custodian is Customer Service at www.haywardnet.com. Hayward Pool Products P.O. Box 51oo Clemmons, NC 27012-5100, Phone: 336-712-9900 http://www.hayward-pool.com/pdf/literature/8inroundCOC.pdf Date of Mfr: The Lot Number shown on the product label contains the Year& Month of manufacture. The first number represents the year (ex 1 = 2o11) and the second character the month (A=Jan, B=Feb, H=Aug, I is skipped, l=Sep, etc) Tested to: ANSI/APSP 16 (ANSI/ASME 1i2.19.8-2007 (addendum 9b-2009)) per Section 1404 of the Virginia Graeme Baker Act (VGB) Pool & Spa Safety Act. Tested by NSF International, 789 Dixboro Road, Ann Arbor, MI 48113, Phone 734-769-8o10 in April 2011. Certificate at: http://info.nsf.org/Certified/Pools/Listings.asp?Company=21600&Standard=ASME19o8 Date of Installation: Suction outlet components have a finite life, the cover/grate should be inspected frequently and replaced at least every 7 years or if found to be damaged, broken, cracked, missing, or not securely attached. Hayward Pool Products acknowledges that it is a federal crime to knowingly and willingly make materially false, fictitious, or fraudulent statements, representations, or omissions on this certification. 6" SPACING BETWEEN MOUNTING HOLES USED ON FOLLOWING SERIES: s 00 O 00 WG1030AVPAK2 SP1030AVPAK2 g0000000 WG1048AVPAK2 SP1048AVPAK2 ¢ 000000 e0 WG1049AVPAK2 SP1049AVPAK2 07 3/4" 0000000� 0000 DOOOO WG1051 AV PAK2 SP1051 AV PAK2 SUCTION OUTLET 0000p 000000 WG1052AVPAK2 SP1052AVPAK2 COVER WGI048E 000000 WG1053AVPAK2 SP1053AVPAK2 000000 WG1054AVPAK2 SP1054AVPAK2 000 00 0 WG1153AVPAK2 SP1153AVPAK2 WG1154AVPAK2 SP1154AVPAK2 I A Warning— Suction Entrapment Hazard. Suction in suction outlets and/or suction outlet covers which are installed in a small area and/or below the surrounding surface can cause severe injury or death due to body entrapment hazard. To reduce the risk of body entrapment, installation of the field fabricated sumps must be such that the top of the mounted cover is a minimum of i 1/2"above the finished pool surface over an area larger than 40"on a diagonal. Page 3 of 8 DUAL SUCTION OUTLET SET ISDUALSWG REV.D • RECOMMENDED SYSTEM SPECIFICATIONS: ACCEPTABLE PIPE SIZE FOR MAXIMUM lo RECOMMENDED 15 25 35 45 55 55 65W � 75 85 55 106 715 125 SYSTEM FLOW RATE PER APSP-7 -0.5 (6 FT/SEC IN THE BRANCH LINE) COVER ONLY Pipe Size Flow rate Pipe Size Flow rate [mm] GPM [mm] GPM[Liter/Min] :� COVER IN 2"su�a [Liter/Min] _ - 1 ''/2" 40 2 'V2" 90 's [50] [150] [75] [340] U .3 2" 63 3" 138 •3.5- [63] [240] [90] [522] 4....._.................................................................................................---.._.....:___...__._.................. --- — _4{ Chart.1 5 Flow vs Pressure Drop WGX1048E Suction Outlet Covers are rated for Floor Only at 125 GPM FIG 1 Note:1"Hg=1.13 Ft of Head. WG1048EW Suction Outlet Covers are rated for Wall or Floor at 72 GPM In the event of one suction outlet being blocked,the remaining suction outlets serving that system shall have a flow rating capable of the full flow of the pump(s) for the specific suction system. Example: In the System shown in Diagram 1,two(2)"Floor Only"suction outlet covers are selected and mounted. These covers are individually rated for 125 GPM. For a desired flow rate through the pump of 100 GPM,a minimum pipe size from the Chart 1 is selected at 3". At the desired flow of 100 GPM one cover could be partially blocked and the other suction outlet flow would be below the rated 125 GPM of the"Floor"mounted suction outlet cover. Since there are two outlets flowing in normal operation,and the allowable velocity in the interconnecting piping is only 3ft/sec,the same pipe size is required in the interconnecting piping. Example: In the System shown in Diagram 2,one(1)"Floor Only"suction outlet cover,rated at 125 GPM,and one(1) "Wall or Floor"suction outlet cover,rated at 72 GPM are selected and mounted. For a desired flow rate through the pump of 50 GPM,a minimum pipe size from the Chart 1 is selected at 2". At the desired flow of 50 GPM either cover could be totally blocked and the other suction outlet flow would be below the rated 72 GPM of the wall mounted suction outlet cover. Note:'Flow may be limited by entrapping force in dual suction systems. Minimum distance 3 feet Dual Outlets on t3ifferent' lanes (Elevation or Plan Vice) (Pipe Centerlines) Floor Outlets, Total system rated flow 125 GPM Wall 72 GPM rated Total System rated c{ � s+ flow 72 GPM / Interconnecting .. r Interconnecting piping piping r .,.,. System branch piping System 125 GPM Rated Branch piping ................ , ••... Floor .,.. : .� Diagram 1 Diagram 2 PHAYWARD"PooiProducts www.haywardpool.com A Kiyw a!B 1r4i7tne-,in,!.COmDanv a I3 /A/s/ /L 1-10 S —� Assessor's map:and lot number........ .6, a>.e:.. F THE T SpTIC SYSTEM COMP Sewage Permit number ...... � s..`...�.�. �..................... INSTALW TI H IN 5 ENVIRONMENTAL CODE A BBSHSTADLE. House number :.....:.................:?lf..� o...,......................'..... ro M"& TOWN OF -,BARNSTABLE BUILDING, .;. INSPECTOR APPLICATION FOR PERMIT TO .......CO ..f !...} .�'. Q ..... ..�.v.`(. ....... .... .. .. . ............ ..... TYPE OF CONSTRUCTION .......... .`.? \ ............. ............ .� /....... 19.a...� - •ti TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 0 ProposedUse ....................e:I..II Lt L................................................................... ....................... ................................. Zoning District ........... � ...................... ........................Fire District Nameof Owner ..................................j...!........11...............Address ..................................................... .............................. Name of Builder .....LT .`04.1...... �- � ...................Address .�.�1.... i ... I2./`�...... :.... ......'`... �� y _ Nameof Architect ..................................................................Address ............................./�...................................................... 4 ��p v�--e-C �v i-I Cee-fe Numberof Rooms ..........(.......................................................Foundation . ............................................................................ Exterior .S? �.4-Y� ......Roofing ..... t� � /.... ........... ........................................................ Floors1........................................................Interior .:. /4Stl"...................................................... J Heating .... !..e.4°�..f'..... �,i.u!�t .............................Plumbing .Y.ar.�...'.,.l..�t.l..i......�.:.(........?.......... vL yt........ / Fireplace ..... ......................................... ............Approximate. Cost f b o ov Definitive Plan Approved by Planning Board /___ _ ___ ______ �b - ---- . Area t� .. ....A........ Diagram of Lot and Building with Dimensions r Fee ! �!?C.r SUBJECT TO APPROVAL OF BOARD OF HEALTH P PA OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town qf Barnstable regarding the above construction. :.. 1.`Name .Ilk--% ....... .�.�.�...�..�.4................................o Construction Supervisor's License ..0.4. 5............... ALLEN, CHARLES 2885 2 One Story .............. No - .. Permit for .................................... Single Family Dwelling ............................................................................... Location ....Lot...103, 1.2.0...C o.t.u.i t...Bay y..D.r.ive Cotuit ............................................................................... Owner Charles Allen .................................................................. Type of Construction ....F.r.a.me........................... ................................ ............... �........................... Plot ............................ Lot ................................ January 15, 86 Permit Granted ........................................19 Date of Inspection .....19 Date Completed ................. p o2 . IYI�Ogg � � . SL7' v L. o7- io3 511 Q14 0 . r t 0 ' CERTIFIED PLOT PLAN LOCATION .4'P.T.</1.T.. .... ASS. .. . ... SCALE : /..�'.=,yo�.. DATE PLAN REFERENCE .44rAT.O. .. . ,P3 P�1N Of EDVJMRD r ( E. 1CM. CELLEY cn y No. 2610O ri1$�ERE� -','l$T//v L. AQU14,o1, dt li. I CERTIFY THAT THE&,VP4'2 SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF , /� S?i5?t�J=!�.• WHEN CONSTRUCTED. I' DATE J'ohy/✓ .DEC 19 100-0717T1 REGISTERED LAND SURVEYOR . jl sH�'7- i of Z sflc-ors c,. Lo,T Lv / Q1 _ •� 30' 2,61 zz Z4/ 8g' I -pRlViAN l 1 Z8 i 1 ♦lace � 1 pi f Jr. 2Q L t�9cN l IO I N I O A PST \ � 32. bIM6 pp�1 seven Box � "` , 3st, WA tj .3 .Lo 7- /a 3 cl 38-- I I i q7•, 3e, 188. 9z ' "7- 0-10 I S�TL PL A•N . A/orL-- &Z&V,09)-"VA15 46456-7> CPA/ LOCATION . .,CoTui 7— SCALE . . PLAN REFERENCE . . ?.v!Ci. 4oT 0/0 3. . os a.v o EDWARD// do. 26100 �`ss C1ST Ea`�� . . . . . . . . L LWIiD I CERTIFY THAT THE ' 1 SHOWN ON THIS PLAN IS LACATEO ON THE OROUNO AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF WHEN CONSTRUCTED. DATE . . . . . . . . .. . fib �ACA P&?77-ivN REOISTEREO LAND SURVEYOR i sN��sr Z o` Z SO/67a7s I � rf`tC4 37 So FOUNDATION CONCRETE COVER CONCRETE COVERS IRON II2"MAX. 12"MAX. DULE 40 4°SCHEDULE 40 P.V.C.(ONLY) PE4"PER. PIPE- MIN. LEACN PITCH 1/4PER.FT. PITPRECASTT a :.�'' LEACHING •0 EL L.••?7-- INVERT INVERT p . ; PIT OR o'. SEPTIC TANK z c DIST. w ) .e INVERT EL 4" BOX EL.u.7�f • ; >_ ;.; EOUIV. /Soo ►_►- 0: .. GAL. IEL ZR INVERT 6 Ww a: :�. 3/4 TOIV2 EL u:!4 :' �. WASHED ' f w STONE /o / ••• PROR LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE SOIL LOG _ WITNESSED BY : DATE Nov zG /�8S TIME.!�:°r'�!?. . �'4'74,:5. COA/46^! BOARD OF HEALTH TEST HOLE I TEST HOLE 2 W47zD Lf �! , ENGINEER ELEV.. !?. . . . ELEV. . sloe.So/ DESIGN DATA NUMBER OF BEDROOMS 4. . . . . . . . . TOTAL ESTIMATED FLOW . . ��. , GALLONS/DAY CoAzse BOTTOM LEACHING AREA 78 r. . S0.FT. /PITIC,PD. CoiYeS� SAID. SA�� SIDE LEACHING AREA . . /B6'So SQ.FT./ PIT/47/G,P.D GARBAGE DISPOSAL ./�A/4 .(50% AREA INCREASE). TOTAL LEACHING AREA SQ.FT PERCOLATION RATE 55. !?L✓a : MIN/INCH LEACHING AREA PER PERCOLATION RATE SQ.FT�Cp.D, .�� .WATER ENCOUNTERED NUMBER OF LEACHING PITS . 7!V9. P17:5 .W17;-V APPROVED . . . . . . . . . . . . . BOARD OF HEALTH • ?�'tl�. T'tT o�c 5�.�/ ��• `s/D�S DATE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . AGENT OR INSPECTOR �N OF Afa All OF 1 4v7— /0 3z E• v V R.HALL • KELLEY no 527 `o7't!!T, B/�j/• e/2GLG�• No. 26100 0 �,�j✓ c 'Ar .$iER�A .r �C1 TEA�O . �. .'4L Ll.M J'�NRAR\P� PETITIONER : .Toffy/ Bf)c 4 �it+Er Town of Barnstable aO /S7Z�;IZ Exp" 6me=i suedare AHM Regulatory Services �cb 63 Thomas F.Geffer,Director d�l��ll�l 16 �15� Building D"ion l I Z5 V JA N 20 Tom Perry.CBO, Building Commissioner 2015 200 Main street,Hymmis:MA 02601 TOW ' nF ,8p Q�'a3sABLE www townbamsrablemoaus "(fie_ 508 862 4 Fax:508-790-6-)30 EXPRES P APPLICATION - R SIDS NT I L--,ONLY [Voz Valid withourRedX--Psess Inrpnsrr Map/parcelNumber TT PropettyAddress ZIO N6,Residertial Value ofwork S -60 (YCjrN Mini-pra fee of S35.00 forwork underS6000.00 Owner's Name&P,ddres ! SL�L Coxaractor's Name Telephone NumberRr Home Ixuprovemeut Co aactorLicense r(ifapplicable)I 1 d 53 Etrnii CorisYrnctionStupervisor'sLicense r(lfapplicable)�� WOzkt�s ConVensationhn ranee Cbeck one: ❑ I ama sole proprietor the Homeowner E/lizveWorkee atianInsurance & mm=e Company Name i � (3 (a�e �Ils raV, CO � WorknmWs Comp.PolicyT WC o Copy oflnsurance Compliance Certificate must accompany each permit Pen ¢Re (check box)-roof(hurricane nailed)(strtpaq--old sbiaa_]es) AIL construction debris wMbe taken to ❑Re-roof(haondcaue nailed)(not strippiab. Going over layers ofroo#) ❑ Re-side ❑ Replaceme=Windows/doors/sliders.U-Value (=Ud=tm.35)n ofwindows U ofdoots= ❑ Smoke/CatbonMonoxide detectors 4 floorplans marked with red S and inspections regtiized. Separate Electrical&Fire Permits required- . MI=c required:Issu==o£this pam$does===Wtcoap7raace_kh other zown dgnztweatregu ,i.e Riszori Coffiervatim eze ***Note_ Property Ownermustsign.PmpertyOwnerletterofPermission. A copy of a Home Improvement Contractors License&Construction Supervisors License is required. , STGNATiTR1~ ,, t1 C--kUsers\dxolEkiAppDam'I,ocabNliaros*:M iadowslTempo=yImaaezFOM\Ca¢a=OatIook-NM-i6BD,rAIEXPq,ESS.doc Revised 061313 i Fraser Construction, LLC 31 Bowdoin Rd. Mashpee, MA 02649 Email: info@fraserconstructioncapecod.com www.fraserconstructioncapecod.com FAX 1-508-428-0123/ PHONE 1-508-428-2292 HICL#112536 CS#97668 RE-ROOFING .& SKYLIGHT PROPOSAL DATE: December 22, 2014 PHONE: 508-428-1525 NAME: Dow Davis EMAIL: sivadvt@aol.com MAIL ADDRESS: JOB ADDRESS: 120 Cotuit Bay Dr. Cotuit, MA 02635 FRASER CONSTRUCTION hereby proposes to perform the following services in a neat, professional like manner in accordance with the manufacturer's specifications and local building code. -Remove and Haul away all of the old roofing material -Re-nail all plywood sheathing as needed. Fraser Construction will include a 4 Star Upgraded warranty with the selection of any 30 year shingles or any Lifetime shingles. 4 Star Warranties have a 50 year Non-Prorated Coverage in case of any warranty repair, labor and materials, shingle tear-off and disposal fees. CertainTeed SureStart Plus- The extra measure of protection when a credentialed company installs an Integrity Roof System. ASK US ABOUT OUR OVERHEAD CARE CLUB! 1 Roof Options Supply and Install - CERTAINTEED LANDMARK ARCHITECTURAL ASPHALT SHINGLE - Lifetime, Limited Transferable Warranty - Class A- Fire Rated - 240 lbs. per square - Two Piece multi-layered Laminated Fiber Glass Construction - Durable, Beautiful Color Blended Line to match any trim or siding color - Manufactured with Self-Adhesive Strips and fastened with six nails in common bond, large nailing area - 10 year warranty against Algae containment causing discoloration and streaking - 15 year wind-resistance warranty up to 130 MPH Color: PRICE-$16,150 Initial Supply and Install - CERTAINTEED LANDMARK PRO ARCHITECTURAL ASPHALT SHINGLE - Lifetime, Limited Transferable Warranty - Class A-Fire Rated - 250-270 lbs. per square - Two Piece multi-layered Laminated Fiber Glass Construction - Classic Shades and dimensional appearance of natural wood or slate - Max Def Color Selection offer a more vibrant, brighter appearance with a richer mixture of surface granules that provide a more profound depth of color - Manufactured with Self-Adhesive Strips and fastened with six nails in common bond, large nailing area - 15 year warranty against Algae containment causing discoloration and streaking - 15 year wind-resistance warranty up to 130 MPH Color: PRICE- 16 995 Initial * Price includes blocking, flashing and roofing new screened porch area on back Skylights K)4 L rz-- ��GoFi�` � � �//f�oaJ Z__ - Remove and replace (4) existing units with Velux M08 skylights (options below) Option Supply and install Velux M08 Fixed Skylight Price: $, 5 each Initial: 2 Option 2) Supply and install Velux MO8 Manual Venting Skylight Price: $2,250 each Initial: Option 3) Supply and install Velux MO8 Venting Solar Powered Skylight with Factory Installed Solar Powered Blind Price: $3,250 each Initial: D_ - 300/6 Federal Solar Tax Credit( $975) Total Investment after Tax Credit: $2,275 each - Remove and replace (1) existing skylight with Velux SO6 unit (options below) Option 1) Supply and install Velux SO6 Fixed Skylight Price: $1,750 Initial: Option 2) Supply and install Velux SO6 Manual Venting Skylight Price: $2,375 Initial: Option 3) Supply and install Velux SO6 Venting Solar Powered Skylight with Factory Installed Solar Powered Blind Price: $3,325 Initial: - 30% Federal Solar Tax Credit($997.50) Total Investment after Tax Credit: $2,327.50 -Add Factory Installed Solar Powered Blind to MO8 and SO6 Fixed and Manual Venting skylight options Price: $500 # of units: Initial: - 30% Federal Solar Tax Credit($150) Total Investment after Tax Credit: $350 each *If solar skylights are installed, portion of roof where units are installed are also eligible for 30%Federal Solar Tax Credit, additional savings by shingle type below Landmark: $382.50 Landmark Pro: $405 * Please note that the 30% Federal Solar Tax Credit is only applicable to Solar skylight units and Solar blinds. The Federal Tax Credit is credited to the homeowner when he/she submits their taxes at the end of the year. Federal tax Credit is contingent upon Federal Tax eligibility. Please consult with a tax professional for more information on solar tax credits. For more information on Federal Tax Credit please go to www.veluxusa.com 3 i Skylights installed with Velux Manufacturer's warranty for the duration of 20 years on the glass, 10 years, No leak Warranty on the unit and 5 years on blinds and controls. Sun Tunnels installed with Velux Manufacturer's warranty of 20 years on the reflection-enhancing material on the unit. Roofing Product & Installation Details Supply & Install - (Soffit Venting) Hick's Ventilated Drip Edge or 8" Aluminum Drip Edge with existing soffit vents. Smart vents over white drip edge. Protection against damage to the roofing materials and structure. The most effective system is a balance of air intake and exhaust that creates a uniform flow of air through the attic. This system creates a condition in which the roof temperature is equalized from top to bottom, supplying a uniform air flow along the entire underside of the roof deck. Supply & Install - Ice &Water shield Waterproof Underlayment System (3ft. on eves and valleys, 18" on rakes, walls, and skylights) Ice and Water Shield is a self-adhering roofing underlayment used on critical roof areas such as eaves, rakes, ridges, valleys, dormers and skylights to protect roofing structures and interior spaces from water penetration caused by wind-driven rain and ice dams. Supply & Install - Surround Underlayment (A Typar Brand) A smart alternative to felt, it is water's toughest opponent, creating a secondary water barrier that reduces the incidence of leaks caused by storm damage, wind-driven rain, ice dams and worn roofing materials. It is a waterproof, synthetic polymer material that will protect your home against moisture intrusion. Supply & Install -CertainTeed Swift Start With self- adhering asphalt starter course on all eves, and rake edges. CertainTeed requires this product for Integrity Roof Systems and upgraded wind warranties. Supply & Install-Aluminum & Neoprene Soil Pipe Flashing Supply & Install -CertainTeed Ridge Vent High performance ridge vent with external baffle. Supply & Install-Pre-Cut CertainTeed Hip & Ridge shingles 4 Shingle Ridge meets the hip and ridge accessory requirements for the CertainTeed Integrity Roof System which is comprised of underlayment, shingles, accessory products and ventilation all working together. The Integrity Roof System is designed to provide optimum performance--no matter how bad the weather conditions are. (As recommended by CertainTeed) Clean & Remove -Debris from work area daily. PAYMENTS ARE DUE IMMEDIATELY AFTER JOB COMPLETION. 1/3 initial payment, remainder to be paid upon completion Payments accepted are: CASH - CHECK -MASTERCARD -VISA-AMERICAN EXPRESS *Any payments not immediately paid upon job completion will be charged 0.005%for every day after the given 5 day grace period upon day of job completion. * Please note that roof prices reflect removal of(1) layer of existing roof unless otherwise indicated in contract. If additional layer or layers are removed additional charges will be assessed. Possible Extra-After the shingles are removed from the roof, we will lift one sheet of plywood to make sure that the insulation is not up against the plywood sheathing preventing ventilation from the eaves to the ridge. If it is, ventilation panels will be installed by; removing the plywood sheathing, installing the panels, turning the plywood over and then re-installing the plywood. If needed, this would be charged for as an extra at the rate of$6.00 per panel including Materials & Labor. There are 6 Panels per sheet of plywood. Possible Extra-Any rotted or otherwise deteriorated trim boards, plywood sheathing, lead flashing, or other carpentry needing replacement will be done and charged for as an extra at the rate of$75.00 per hour, plus 20% mark-up materials. FRASER CONSTRUCTION Warranties the labor for LIFETIME of roof. FRASER CONSTRUCTION Warranties the shingles against Blow-Offs for 15 years. CERTAINTEED Warranties the shingles and labor 100% through the Sure Start Warranty duration. 5 i CERTAINTEED Warranties the shingles to be ALGAE resistant for the duration of the Sure Start Warranty depending on the shingle that was purchased. Please note that all pricing is contingent upon current market pricing. If contract is not accepted within thirty days of date of proposal, change in price may occur due to deviation in material price. Any deviation or alteration from above specification will be executed upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our control. Owner should carry fire, tornado and other necessary insurance upon the above work. We, if not accepted within thirty days may withdraw this proposal. FRASER CONSTRUCTION, LLC: Carries Workman's Compensation and Puublic Liability Insurance on the above work, certificate available upon request. DATE OF ACCEPTANCE: Homeowner FraselConstructicn, LLC Jl4."i 6 vXe ;V---": Ofce o Affairs and B Relation�j Consumer usin= ea, 1 O.Par&Plaza- Suite 5 170 Boston,Massachusetts 02116 Home Improvement Contractor Registration Regis:Monn 1125W TYPe: DBA FRASER CONSTRUCTION CO. Expiration 3wi2ols 7rR 237059 DEAN FRASER F.O. BOX 1 W COTU IT, MA 02635 Update Address and retnra-rd-Markreason for change. -AA I xu ,, C Address El 12enevval Em :o p yment p Lost Csrd _ -�-`- Ofi-xc of Co.aaaccAffair do$�basRcsuh$oa /� L'aCeDtsc or • IBE 1M PRpvEM CONTRACTOR registtasOA valid for iad'rridnl CSC only _ RACtOR before theexpiratiaodata 7f found return to: n-•Et �S'trdtlon: +'��,'•ExpiraSon: 3r23 Type= o$"iceofCansumerAfturs and Business Reovwon DBA 10 Park Plan,-suite sj70 FRASER CONSTRIje nOM Co. Boffin,-NTA 01116 DEAN ERASER 504 TwiNN VIEW LANE � E FAI.MOUTH,mA 02536 uaaasecrcury� lNot w lid without sio tatare t MassachuscttS •I)epevtmenl of 6'ub11c Safety 130avd of Building Roplatlons and Standoreia cnnsh'ucitun Supersisnr License: es-00 "rV 7sse D�ANCT+itASLrTt,— + rr BAsZ TALMQIU ][*4 Cummlasloner 08/07/2015 t FRASCON-01 PAAS CERTIFICATE OF LIABILITY INSURANCE Da9129/DDlYYYY) 9/29/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER (508)676-0309 NCAAME CT Ashlev Paiva Vive375Airp Insurance Agency,Inc. PHONE xt•508-689-2713 Ac,No): 508324-4553 375 Airport Road Fall River,MA 02720 ADDRESS:APaiva@V-jveirosinsurance.com INSURER(S)AFFORDING COVERAGE NAICt INSURERA:Granite State Insurance CoINsuREo Fraser Construction LLC INSURERB: PO Box 1845 INSURER C: Cotuit,MA 02635 INSURERD: INSURER E: IN SURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HOCEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. s LTR TYPE OFMSURANCE INS WVD POUCYNUMBER C 0 P MMIDD MIDD LIMITS GENERAL LIABILITY I EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence S CI;IMSIADE OCCUR MED EXP(Any one person) S PERSONAL&ADVINJURY $ GENERALAGGREGAT= $ GEN'LAGGREGATELUT APPLIES PER: PRODUCTS-COMPOPAGG $PRO POLICY AUTOMOBILE LIABILITY h1 b NG P:II Ea acadent) S ANYAUTO BODILY UJURY(Per psrson) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per arldent) $ KREDALITOS AUTOSWNED (PERACCIDENT) $ I S UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIM&MADE AGGREGATE $ DED I I RETENTION S $ WORKERS COMPENSATION VIC STATU- OTH- AND EMPLOYERS'LIABILITY YIN X TO Y UM.S ER A ANY OFFICRROPRIE ERPAR ER(E EXCLUDED) N!A 0009930601 9126/2014 9/26/2015 ELEACHACCIDEPrr $ 500,000 (Mandatory In e NH) E.L.DISEASE-EA EMPLOYEE $ 500 000 If yes,desa)be under , DESCRPTION OF OPERATIONS below EL DISEASE-POL'C"L'MTr $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable Building Division THE EXPIRATION DATE THEREOF. NOZICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis, MA 02601- AUTHOR=REPRESENTATIVE O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks ofACORD The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations r 600 Washington Street r. -:•r Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bI Name(Business/Orga7* ationflndividual): Address: (11, City/State/Zip: r`� Phone#: Are y u an employer? Check the appropriate box: Type of project(required): 1. 1 am a employer with 10 4. ❑ I am a general contractor and I employees(full and/or part-time). have hired the sub-contractors 6. ❑ New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling shipand have no employees These sub-contractors have g ❑Demolition working for me in any capacity. employees and have workers' [No workers' comp.insurance comp.insurance.* 9. ❑ Building addition required.] 5. ❑ We are a corporation and its ME] Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. o workers' co right of exemption per MGL y � �• 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. 00 �CLIYJI' Insurance Company Name: ] L a(A hS l l,i UL o Policy#or Self-ins.Lic.#: ULC V 0( q waQ 1 Expiration Date: , Job Site Address: ZD City/State/Zip: � _flJ� t iyy� �cz G Attach a copy of the workers'compensatio olicy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties ofperjury that the information provided above is true and correct Si afore: Date: Phone Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#• � jV 039. TOWN OF BARNSTABLE * BRILDING ANSPECTOR TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Zoning District ............4cr�.........................................................Fire District ......�/a.............................................................. Nameof Owner ... ......./ ................Address ................................................... ............................... Name of Builder .....TPA,...../ 1).C,..../-4/ ,e5 A 14 k ff .y f'l,- — , /,/. — . �L./4 ......A/ SUBJECT TO APPROVAL OF BOARD OF HEALTH � . J� � - - �� PERMITS REQUIRED FOR NEW DWELLINGS ' - | hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. . . Name ` .�!�� .--..�—_----.. . . , �_' Construction Supervisor'sU ��cense ��.��=.��-----.. ` ^ ^ ' ' ' ' ALLEN, CHARLES A=56-21 No ..... Permit for ...One Story ...................... ........... .................... Location .....Lot 103,......1.2.0...Co.tui t..B.ax..Drive Cotuit ............................................................ .................. Owner .......Charles Allen ....... ................................................. Type of Construction ......F.r.ame.......................... ............................................. ................................. Plot ............................ Lot ................................... Permit Granted ..........................January 15,..........19 86 Date of Inspection......................................19 Date.Completed .....................•...................19 0 o Over DEEP ENDANS04SPI-5 POOL SHAPE&S17E Fun nFPTH DEPTH POOL TYPE6-Radius Rectangle 2'Radius Rectangle i7 Oval Radius Rectangle-17 x 24' 12'x 24' 12'x 24' -d Keyholq i-itadiusijen' 16 x 32 . _. Rectangle- 4:,�ff_ 14'x 28' 6'x 32' 18'x 36' 6'x 32' i-Radius Rectangle-16 40" 16'x 32' 6'x 36' 118'x 36' 6-Radius Rectangle-1lr x 36' 8 20'x 40' 18'x 36' 18'x 36' 20'x 40' 'i-Radlus Rectangle-20-X 40- 20'x 40' li-x"3W*x 24' U 20'x 40 -4- a A 6-Radlu_STa_Zy EL-18-;_4_S'___ tl Z Radius Rectangle-1Zx24' 0 ' 2'Radius Rectangle 1_6'_X-32F. 8. ]E[ T T Z Radius Rectangle-16'x 36' 40" 8 ii6diusR—ectan—g*Te'-I*F-xii:---.----..-.--,fO;;- G OL) 40" .- _.d_... . Edney i*Fi;iFL�s_Re�ngle-20'x 40- 40" 8. 6"Radius Lazv EL 4'Radius Rectangle 15'x 26' 7 Radius True EL-IV x 3r x 24� ___40" 18'x 45' 2'Radius Lazy EL 18'x 43' 16'x 32' 16'x 30' dius True EL-IV x 37'x 2V__ 18'x 36' 16'x 33' 7 Radius True EL-20'x 43'x 2Ir 40" 20'x 40' 18'x 36' • 8* II 20'x 38' 4.Radius Rectangle:16'X 32* 40- I L 4'Radius Rectangle-18-x 36- 40- 40" 8:4'Radius Rectangle-20'X 40' 4*Radius Lazy EL-IT X 43* Jewel-IVx 28' 40- 1 6' 1 0 7 T T T 7 Jewel-IV x 37 40" 8. II 2'Radius True EL ewe -16 X 6"Radius True EL 16'x 37'x 24" Lagoon Jewe;-18'x 3W 40** 8' II 0 4'Radius Lazy EL Patio-21'x 21' 40** 51 16'x 38'x 24' 18'x 37'x 26' 1 16'x 34'x 25' Patio-24'x 24' 40- 5- 0 20'x 43'x 28' 18'x 43' 18'x 37'x 29' Patio-26'x 26' 40" 6* 0 - 20'x 42'x 31' Grecian-15'x 29' 40" 7' 0 Grecian-IT x 33* 40" 8. 11 Grecian-IT x 3T 40" 8. Grecian-Ilr x 3r 40" 8. II Grecian-2V x W 40" 81 II Grecian-20'x 40' 40" 8. II Grecian Lazy EL-IT x 39* 40- 8. II Grecian T T Roman End Grecian Lazy EL-20*x 4V 40" 8. II Jewel 5 2 16'x 35' Oval-ITx 37 40- 8. II 9: Mountain Pond Oval-Is'X W 40" 81 II 16'x 28' 117:X 33 16'x 37' 18'x 30' oval-20'x 40' 40- 8* U 16'x 32' 17:x 37: 18'x 39' 20'x 34' Roman End-IV x 3S" 8. it 16'x 36 18 x 37 18'x 41' 22'x 36' Roman End-IV x 3r 40" 8. II 18'x 38' 20'x 36' 20'x 41' i 24'x 40' Roman End-111'x 37 1 8. 20'x 40' CIL 20'x 43" L Roman End-18'x 41' 01 8' Roman End-20'x 41' 40- 8. if Roman End-20'x 43' 40" T I T Mountain Lake lRoman End Lazy EL-ilr X 40" lKeyhole-IV x 37 40" 6- 0 20'x 32' Keyhole-tax 36' 40" 6*6 0 Patio Grecian Lazy EL Roman End Lazy EL 21'x 32' j'Ke yhole-20'x 40* 40" 8. 11 21'x 21' 17'x 39* 18'x 44' ---P-21'x 40' Kidney-IF x 2r 40" 6- 0 24'x 24' 20'x 44' 23'x 37' Kidney-IV x Ur 40" 6' 0 26'x 26' CE T 23'x 42' Kidney-16'x 33' 40" 6. 1 A a 25'x 40' Kidney-I Ir x 36' 40' 8. 24'x 44' Kidney-20'x W 40" 8. Mountain Pond-I ir X W 40" 6* 0 Mountain Pond-20'x 34' 40" 81 1 Mountain Pond-2Z x W 40- 8. 11 ADJUSTABLE A-FRAME PANEL BRACE iMountain Pond-24*x 4(r 40** .8. 1[ GENERAL INSTALLATION NOTES Mountain Lake-20'x 3Z 40" 6- 0 Mountain Lake-21*x 3Z 40- 0 TNOMINAL 1) Installation is to be done in accordance with all Federal,State and Local building codes as well as ANSI/NSPI-5 Standard for Mountain Lake-21'x40' 40- 8 II —CONCRETE DECK Mountain Lake-2T x 37" 40" 8 COPING Residential Inground Swimming Pool s. Mountain Lake-23'x 47 410- 2) Pour 2500P.S.I.concrete bond beam around entire perimeter of pool, minimum 8"deep X 2'wide. Mountain Lake-26'x 4V 40- 5"FLANGE AT ;7 3) Back fill with clean porous earth free of roots and debris. Care TOP&sorrom fully tamped, in layers not to exceed 12"thick. Fill pool with water Mountain Lake-24'x 44' 40" OF PANEL THREADED during back filling.'Water level should not differ from back fill level by more than 12". Lagoon-IV x 34x 2W 40" • 0 ROD Lagoon-18*x 3T x 29' 40" 8' 11 4) Pool system is not designed for earthquake or surcharge loading (i.e. neighboring structures,vehicles,trees, equipment, etc.). Lagoon-20'x 47 x 31' 40" TO BE ZV2'BEND ALL BACKFILL / EA.PANEL , UNDISTURBED 5) The basic design of the pool is predicated on a typical installation being soils not containing organic clays, peat, humus soil or highly END NON-EXPANSIVE SOIL EARTH expansive soils;also any uncontrollable groundwater within the depth of excavation. If site conditions such as these exist,the pool James A.Mm Jr. Imperial Pools, Inc. III M Y870 BOLTS purchaser/installer shall contact a local Geotechnical(Soils),Engineer for additional guidance and direction prior to pool installation. Ptoresskmol 8_#rww 33 Wade Rd &NUTS TYP.EA. -.—A-FRAME BRACE 10,Mh mauntd Road Latham, NY 12110 PANEL END 6) Finished decks and/or grades shall be constructed so that they slope away from the pool coping at a rate not less than 1/4"per foot. NVwoadNewJ%wy07455 VINYL LINER 7) Grade site around pool and use inert back fill to limit equivalent fluid pressure of retained soil to 501b. per cu. Ft.or less. .............. 18*STAKE HORIZONTAL 8"CONCRETE BRACE--, COLLAR AROUND Jamm A.M=Jr. STEEL WALL POOLS FULL PERIMETER COMPONENT NOTES i MA Profession&W" icense 36365 CCIIkIOII 2"MIN.FILL 0 OFPOOL PO OL BOTTOM 0 1) All gauge steel is formed from material conforming to ASTM A-653 with a G-235 galvanized coating. 0 OF A4AS 0 15�� LEVELING PLATE 2) All steel angles(panel stiffeners at frame braces)are made from material conforming to ASTM A-653 with a G-235 galvanized coating. 1 3) All bolts,threaded components and washers are from material conforming to ASTM A-307, nuts A563GA, and are zinc plated. cti� 'I R- ? V'.A-yL\•L 4) Concrete decks shall be 3000 P.S.I.compressive strength concrete. minimum by design. ==1 = ==M 2'-0" 6" CODE COMPLIANCE JAMES A.MARX,JR. REVISION 0 U) DATE PAGE 2'-6"OVEREXCAVATION MASSACHUSETTS cJ NO.36365 1 3-15-10 1 COMMONWEALTH OF THE MASSACHUSETTS BUILDING CODE I <D 2 780 CMR 0"ED.) _j -Tr r,- I - — — 0:1L] ELECTRICAL&PLUMBING ONAL EN THE CONSTRUCTION AND INSTALLATION OF ELEqTRICAL WIRING,GROUNDING AND BONDING.AND EQUIPMENT ARE SUBJECT TO THE STATE CODE AND TO THE CURRENT ADOPTED NATIONAL ELECTRIC • CODE REQUIREMENTS.ALL PLUMBING MUST COMPLY WITH THE CURRENT ADOPTED STATE CODE.