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0023 SHERYLES WAY
�� f . �` .� :t, .z .. x }. 6 t ,, • , �.s�/� e,.,�.;--.�fi--f••-�*;�..�..+•�.- _-_ '--------�- --Rw/""_ .�..�� �'w.+�s�.n_-��...*-,-...v+�'_..++.—..¢_.... .n.._-...,... �-..�»+.:....o a-�e-..<.�.>.+� - n'..•..� ...e^....��-a.,-�+.�e_-•_ .�w�!.-. _ N -?,q .. ..r ., • _ A`ssessor's offioe (1st floor): - ` Assessor's map and lot number lt�- oFTNETO Board of Health (3rd floor): Sewage Permit number ....�d� �.-7 l ?5 ..... ............ Z BAHII9fsDLE, Engineering Department (3rd floor): -0 �((/ �oo�2b 9a �+ House number 3 `e.............. ......•.................,..... p MA-4 APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M.-only' u TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO Allaf N.. �...... ...t.:5. ,:...... TYPE OF, CONSTRUCTION ....... <....lf.� .......... Z=.�e/.�...N ................... U.�..0 ..........444.19..Q.� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: /YlA/5 fo&,j Location ...L,.�..1................�.......K....l..Aq.... ..�.�.......:1 1..�.+..u..�-...........a ...... G,!1 GO..C.......�.�.�e CT " r r ProposedUse ....... .......... CT..°'!..Q>.............................................................................. Zoning District ....> ". ..A.�.!7lf...e..........,f .A.......... .........Fire District .............................................................................. Name of Owner ....Aw..1....... � /!JN in�e� CQ�rJ.� �N �f,' C+1...... ........1��.....Address .. ....................... ......... �.C'................. Name of Builder l.[ .la.lr.. .R..L..!4./�e,......Z-5.Al ddress . .. ...:Q;�...uf1<.r�1 YN:..�.�....�.a .... .... iName of Architect ..................................................................Address .................................................................................... Number of Rooms ..................................................................Foundation ........... GX LQ -1 .................................................. Exterior .e... a.r..,S.�►.!.!v�.��.�.! -.0 ./.....��4 Roofing . ?. .... AJ.I. �.�E' ................. / . ... / Floors ...1..e n'I e n/t .................................Interior / C i /d P Heating ...... ...1���`'� t1:R.1...........Plumbing .�5..(.. ..!��.......-P......69 7� �+ � ' Fireplace .!. f.:. Approximate Cost �� OD© - .................................................... �., ....................0 6..................... Definitive Plan Approved by Planning Board-7— _-------a9__19 Area f � �... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I ` r_ 1 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to,all the Rules and Regulations of the Town of Barnstable regarding the above construction. �i Name .......... !� 1 Construction Supervisor's License ...w ��.....�...... _ . PENNAMPEDE, PAUL A=46-15 00 30008.... Permit for ..... StPXY............. No ............. Single Family..Pwell ll* ................................ Location Lot #2 .....23.�; ....................? ..... . ..... Marstons Mills ................................................................................ Owner Paul Pennamp!eAe........................... .......................... Type of Construction ......Frame.................................... ................................................................ Plot ............................ Lot ................................ Permit Granted ............................October 6,............19 86 Date of Inspection ....................................19 Date Completed .......................................19 Assessor.'s lbffioe. 1st floor): Assesso'r-si mcip, and (at number ...... ......... C Board of Health (3rd floor): Sewage Permit number :....... --1 47 Aj .................:........................ BAdSTABLE. Engineering Department (3rd floor): NAB& O t639- Housenumber ...........�:............. ........................................... 0 MAY 6'. APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.W only TOWN OF TABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..... Fie I C�l...... 0 f�d W.t.��.+.A'A]............. .......................................... TYPE OF CONSTRUCTION .......... I.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies/for a permit according to the following information: Location ..... S4.tr ./.�c.s......�t/A............f�Y1A�,s-�onJ0-C4C 5'c too .......................................... ProposedUse ...../Vor.e......... ........SPia.c .............................. .......... .......................... Zoning District ... Fire District ......................... . ......... ...................... ..................................................... Name of Owner A.1.11...A.�q.�Va. ................Address :��el...C-4�X...06 .......L Name of Builder IjUir:174....1r.,9.K.,1..... .C.41.77.................Address 10......C�?.... . ............................ Nameof Architect ..................................................................Address ..................................................................................... Number of Rooms ............... ..................................................Foundation ..... ..........k...0..1...A....g ..................................... Exlerior .............................................. ............... ...... ............................................Roofing .......ri,!V........ Floors ........<I— e.....................................................Interior ..... 7.. -,L) to 14 C ..........................:.................................................... Heating ...................................................Plumbing ....:T'nJ...........tt ............ ............................................. ...... Odd.490 Fireplace .... ...........................................Approximate Cost ...................................��i................. Definitive Plan Approved by Planning Board -----*---------------------------19-------- - Are. ......... Diagram of Lot and Building with Dimensions Fee .............a.......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH /V Ar OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to allj,he Rules and Regulations of the Town of Barnstable regarding the above construction. Name,,4 11A' .... ........................................................... Construction Supervisor's License .................... PENNAMPEDE, 7 L A=4 6.--15 Finish 2nd FlogNo ..3057.9.. Permit for .. ................................ .. ....... .. Single Family Dwelling .......................................................................... Location ..2.3....She.ry.l.es...Way .......................... . ....... .... .. .... ..... .. Marstons Mills , ............................................................................... Owner ........I Paul....Pe.n.na.m.pe.d.e..................... .. .... .. .... .. .. Type of Construction Frame .......................................... ............................................................................... Plot ............................ Lot ................................ March 30 8-11 Permit Granted ............................ ..........19 Date of Inspection ....................................19 Date Completed ......................................19 Assessor's offioe,(1st floor):. �U// / �S�E�TO�+, SYSTEM MUST BE Assessor's map-and lot number.......Tr.................1..P-.� :, ST�+I-LE® IN ©MFLI^lam b `INEtO�� Board of Health .(3rd floor): / �j Sewage. Permit number ,;-:.:..,a.b..�.. ............ WITH TITLE 5 Z B9BII9YSDLE, Engineering Department (3rd floor): I DEcNIVIRONMENTAL COI M 0.la , House number .......:....................•........................................... TOWN REGULATIONS 'oO•�� 39-A,00� APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE > � • BUILDING P INS ' '� ' . ECTOR d APPLICATION FOR PERMIT TO ......F.F.-ful-es-A........ N......... ............................................. P ,,I n TYPE OF CONSTRUCTION l�..(f,t .. .,U.. .!�l. .t..A..l..............�r'�C�..M...P�..................:..................... ...1.....'I.4r.;nk........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... "lA f......,v.lr5.�. 1.' .....�',o/.s.....(®�'� ...c..5.� r�f....�.*,✓...... ProposedUse ..... 0r...........L y........ 14 .......................................................................................... Zoning District ... /.!. .!! . i. #..1........................Fire District ............. ....................................................... Name of Owner .. ..�`7.W.1...L.k'.H.!e✓ ! +��.. 4................Address ... lJvr. ...1( il..40 4...... �4. t Name of Builder � ..11Ke.....r..N.. ............Address' .....4r's'.... ..11k�:ssJU�./►t.tfh .../4n/le_.. Name of Architect ........................................I..........................Address .................... Numberof Rooms .........,►..3..................................................Foundation ...................... . ... ..�.................................... •s Exterior ......... N......jP1.✓�.c. .............................................Roofing ..... .l,n/.........b"...p /qC.(............................................. ` Floors • 4 ..A..r.ft,—t�.................................................Interior eP14rC'_ I Heatin - g �.•. .....fi(J..................................................Plumbing ... !v....:..... ........,................................. ,O om Fireplace. .... .tlf....../l. /.44.0. ........................................Approximate Cost .....i.0.®D,........................ ................. Definitive Plan Approved'by Planning Board ________________________________19-------- . Area !::`.!.(P'�......... .... !L Diagram of Lot and Building with Dimensions Fee SUBJECT -TO APPROVAL OF BOARD OF HEALTH i + OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I ' I hereby agree to conform to all the Rules.and Regulations of the Town of Barnstable regarding the above construction. I Name ..... Construction Supervisor's License PpwPP 'PEfP........ ..... DE, PAUL 3 F-YESIT 2nd FlOor No .057.9.. Permit for ........ .......................... . ....... .. Single Fam-; 1y Dwelling ..............................t...................................... Location'. .....23 Sheryie�; Wav ............................................................ Marstons Mill: ................................................................................ Owner ......P.a 14 1...P.e.nn.amp.e.d.e .. ... ... .. .. .... ....... .. ......................... Type of Construction ......Frame .................................... ............................................................................... Plot .............................. Lot ................................ March 30 , 87 Permit Granted ...........................:............19, Date of Inspection ... .................................119 Date Completed ........ . .........19 Town of Barnstable *Permit# oce b316� Expires 6 months from issue date Regulatory Services Fee Thomas F.Geiler,Director Building Division Q Tom Perry, CBO, Building Commissioner 200 Main Street,Hyannis, MA 02601 www.town.barnstable,ma.us Office: 508-8624038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDE FLALL ONLY ( � Not Valid without Red X-Press Imprint ��LA Map/parcel Number t O 5 —U--T1�1� �1Vy Property Address -� �r ►� 1,L� AjMinimurn beResidential Value of Work V fee of$25,00 for work under$6000.00 Owner's Name&Address GUA-1 eJ Contractor's Name J Telephone Number t O ' •�`✓� Home Improvement Contractor License#(if applic 1 ) 10 6 J I O Construction Supervisor's License#'(if applicable) I ❑Workman's Compensation Insurance 611'T Check one: If" ER I am a sole proprietor ❑ I am the Homeowner JU N 12 2008 ❑ I have Worker's Compensation Insurance ,.ABLE Insurance Company Name oWl�l �� BARNS Work nan's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) dRe-ropf(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping, Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: 4Ayof w�er fsi Property Owner Letter of Perm1 sion e H e rovement Contractors License g? rAV z r Nnr 800a SIGNATURE: till SNP, V9 j NA0 I,• Q:Forms:expmtrg Revise061306 - ' The COntlnonwealth ofllMassachuseas .Department oflndustrialAccidents Office ofInvestzgations - 600 MzThington Street Boston,MA 02111 www.m ass..gov/dia Workers" Compensation Tlasurance davit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual) U-OtQ.,g •Address: X. City/State/Zip: n�s �� �� phone.#: 190 - `i R rj Are you an employer? Check the appropriate box: Type of project(required): I.❑ I am a employer with 4. El I am a general contractor and I employees (full and/or part-time),* have hired the stab-contractors 6• ❑New construction . 2. I am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. Ej Demolition working for me in any capacity, employees and have workers' '[No workers'comp.insurance comp.insurance,#' 9• El Building addition required.] 5. [] We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers' comp. right df exemption per MGL insurance required.] t c. 152, §1(4),and we have no 12.plRoofrepairs employees, [No workers' .•13.❑Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their warkcrs'compensation policy information. t Homeowners who submit this affidavit indicating they aia doing all work and tben hire outside contractors must submit a new affidavit indicating such. ICrintractors that check this box must attached on additionalshcct showing the name of the sub-contractors and state whether or not those entities have er'Vloyces. If the sub-contractors trave employees,they must provide their woflers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees Below islhe policy and joh site information Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date),, Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.60 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the bIA f insurance coverage verification. I do her y a er 1 e p ins• d penalties of perjury that the information provided ah v4 i true and correct: G Signature; Date: W 1( 0 V Phone • FOther only. Do not write in this area,Yb he completed by city or town offciaL n: Permit/License# hority(circle one): Health 2.Building Department 3. City/Town Clerk 4,Electrical Inspector S.Plumbing Inspector son: Phone#: Town of Barnstable. Regulatory Services M�►ss Thomas F. Geller,Director 1 79, Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 WTt'w.toWn.barnstablb.ma.us Officc: 508-862-403 8 Fax: 508--790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Clwwner of the ero subject J P P riY herebyauthorize to act on my behalf, in all matters relative to.work authorized bythis building permit application for: . ddress of J 41gnatuiYof Owner Da e Print Name Q10PU fS:OWNERPERMISSION Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registra4 on Board of Building Regulations and Standards _a_24310 One Ashburton Place Rm 1301 Ezpirafon�_6Z1/2009 Tr# 130873 Boston,Ma.02108 - Type _Individual James Curley James Curley 287 Fuller Rd. Centerville,MA 02632 Administrator Not valid without re Massachusetts- Department of Public Safety Board of Building Relrulations and Standards Construction Supervisor Specialty License License: CS SL 99138 ' Restricted,to:,,.RF,'WS.. JAMES CURLEY+ 287 FULLER ROAD:.. CENTERVILLE, MA 02632 Expiration: 1/28/2012 ��� Conmiissiuner Tr#: 99138 � Q M J■ M ■ r' i a3 S h y I� U 1 4 3 0 5 a o 8 5 - - _ FULAROIDU The Town of Barnstable ♦ J • Department of Health Sa ex v}ro 'ental Services w 9v� i639. 10 rl:. l !.�n�:� a Build :l JJ b, ion 367 Main Stre _t Hyannis MA 02601 tl�u NOV 2 1 2001 Office: 508-862-4038 �.� �` Ralph Crossen LY Fax: 508-790-6230Building Commissioner TOWN OF BARNSTABLE Pernut: SOLID FUEL STOVE PERMIT D? , q OWL) Fee:4a5,00 Owner: _)1Afj 1%L. klt Phone: +a s,-(b�8 Address: Village: ft"S ib O 's M(LLS Map/Parcel: 0 4U LO I_S 06,7, Date: c2, dc:)(D stove-- A. ew/Used B. Type: adiant �,n cu0L_ C. Manufacturer. t=• ►•E`T"CS`i-i►�l(S Lab. No. I -�D. Model No.:�r,3�2r✓ chila.ney A. New/ istin (If existing,please note date of last cleaning) ( 2 p In B. Flue Size C. Are other appliances attached to Flue? 96 D. Pre-fab Type and M04cturer NA- E. Maso %,, knlined Hearth A. Materials: B. Sub Floor Construction: CdUC Z i� Installer �o Name: 5PdqV_>W%C.tk Address: 0 Q Dw`c,'t Phone: IS6 2 S(14 Location of Installation: h vt 9G 24cM APPROVED BY:_� �l 9 Please make checks payable to the Town of Barnstable i *This constitutes an official stove permit after inspection,photographed,'and approved by the Building Inspector •Stove.doc L TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION s Map Parcel Permit# Health Division Date Issued Conservation Division A S =77- 0C.> Fee D� Tax Collector Treasurer Planning Dept. All J Date Definitive Plan Approved b tanning Bo Historic-OKH Preservation/Hyannis Project Street Address a3 51tU E3 (.i AJ Village Mke S•TDK�s M(L(Z Owner 0— +} Address L Telephone 40`` I D7 Permit Request iD �i2� �k�Sl'rr�l(� 1�C- Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Estimated Project Cost 600� Zoning District r Flood Plain Groundwater Overlay 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 BUILDER INFORMATION Name (A,�� �-- Telephone Number, Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE a 4 FOR OFFICIAL USE ONLY r ' E PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS — VILLAGE OWNER DATE OF INSPECTION: C FOUNDATION n ` FRAME _ INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL .. GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT 1 ASSOCIATION PLAN NO. r • c f "�......... - Department of Industrial Accidents _ ,= Office of1108S� INVOs . - - :600 Washington Street Boston,Mass. 02111 _ Sits : Workers' Com ensation Insurance davit / i ii ii oiiiiii i i �� n ffiffiEffffzM��/�% name -DAIq la- Ae') location A3) YCES UAI 1,��- city 1'1 I�L-s hone# 8 I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any capacity X"O 11 "...%%%%/�%%%%%,,%M � %O/////%%///%/%%/%//////////'/////%/////,%/------%/////%----- /////%//0//%/%%/�/%/%///////%/%%,5055M%O%%%%%%%%%%///////////%%%/ rovidin workers' co ensation for my employees working on this job.::::::::::::::: :::: : : ::::: :.. :: ...... Iam an em foyer P g comp...... .:::.::..:::.;;:.:.:::._::::::::::::.::;:.:;...:::::.::.:._::::.;;;:..::::::::._:::::::.:::::::::::::::::::.;;;:.;:.;:.::.>:.>;;:.:;;.:;;:>»>>::,>:.;. ❑ P.........::::::::..:::::.::..:.:::::::::......:::.:::::... .....::::.:. :.:::....:.::._::.:::.::::::::::` .:::::::::::::._:::::::.:::::.:::::.::....:::::.:.::::.:.......:.::::::...::._:: -IX comaanv nam ..............:..:..::................ ;.':i;iare ad ``hors it >:: cv oli Insuranc WE// ❑ I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have • ' compensation olices: workers' ..........:::..::::::::.:.:::.:::;.;:.:<;.:.;:.::.;:.:;::.::.::..;:.:.;:.;:.::.;:;:;:.-,:::»:::<:::>:>::::<:x-:.::«<:>:::<<:::>:<::»::;: the following wo P...........:::..:. ::::::<.::::::.::::::::.::.:;:.::::::.:::::.::::.::::.;:.::::::::::.:::::::::::.:::::::::::::..::.;;:::.::::::.:.:.:.;:.::...;:.::.;:-`-,:.::.:..... .: g..........:::..:::::::: -,......:.:............:::::.::::..:... ..::.:::.:::::.:.:::::::::::.::::::...::::.:.:::.:::::.:::......:::::::::::::::...::.:._::::::::::.:..:.:.::::::::::::....::::::::::.:::::::......::.:: % cowman ..........:. ..................... :::::::::::::::;::::.............. ... ........................... 1. :.....................:.................,................... ................................. ... dress ::::>«:>::>:<::;<::<:::::•;•;•:<:;:::::<:«::<>:.>::;:>::.:::;:; :•:::.- ::•:.�::..:::::. . ... .........................;:•::;•:;::•:.:: >;>•>:;>;..::.:: ......... ....... . .:.................................................................... :.... :::::•:. ci :.::::............... »: ai icy ///%i :'>:::::.>::::>::::: %/ insuranc .%: ::::.:., .."'-........... -'... -- -. ""*""*'*"*"'LEMill...'....*.-... NOW co .:..::...:......:...:.... ::::::::::... .....::::._:...................::....................... add ress:-- es ........... .:......... ::::::::.: ::::::::.::.::.:::.:...:..,.:: : h en e. :.......::...:;..:.:::::.::::.::::..:::::::::.::.:.::...:.... city.. . .. 11 0 Ii : ► iatnrance c / /%/ of MGL 152 can lead to the imposition of etintinnl penalties of a fine up to s1.500.00 and/or Failure to secure coverage a,required wider Section 25A one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and s tine of S100.00 a day against tne. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verl8cation. 1 1 do hereby c fy wider the pains d penalties of perjury that the information provided above is true and a rrect. Date c� O - . . Signature -T I. _. . Print name \ r - V , �r7 L) Phone# � 'T x 16 / oinciai use only do not write in this area to be completed by city or town official 1.city or town: permitAicense# ❑Building Department ❑Licensing Board ❑Selectmen's Of>ice ❑check if immediate response is required ❑Health Department contact person phone#; ❑Other (revised 9195 PJA) . Information and Instructions ' Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on.such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall eater into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names,address and phone numbers along with a certificate of inn rance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of incnran_ce coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the'law' or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. I City or.Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/licease number which will be used as a reference number. The affidavits may be ret<nmmed t^ the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. ' The Department's address,telephone'and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Imlestlgatlons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 ext. 406, 409 or 375 °F THE T The Town of Barnstable � MA � Department of Health Safety and Environmental Services �Ec 59. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the`reconstruction,alterations,renovation,repair,modernization,conversion, ' improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: �0 �kt S7�C� (Lc.:C_L Estimated Cost lid_r Address of Work: �� � � t-�S � � VM 1 kY,%,— N ILLS Owner's Name: ` A4,Q 10- 7:S-, Date of Application: I x7 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law []Job Under$1,000 F]B341ding not owner-occupied [HOwner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Contractor Name Registration No. i OR aInn 1 + Date Owner's Name I q:forms:Affidav The Town of Barnstable tME'O`''o Department of Health Safety and Environmental Services Building Division. UMMSPABM 367 Main Street,Hyannis MA 02601 NASS. 9� i639. ATFO MA'I a Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION WOO Please Print DATE: JOB LOCATION: Z Mu-S �� number �street Q village "HOMEOWNER'--) gq IEL�• +6Q �\ `r D-1— 1870 7T6- 0-73 name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of 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 requirem ts. Signature of Homeown 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,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMPTN i 08 coo o� 0131t Lc_ { 22.2 �•G �C O _ c� O ,4:c I Z.7g �_C* ZO?1J,E ' RF (A.K. ,, SNERY FES WAY FT..s�t ►.� THIS MORTGAGE INSPECTION PLAN IS FOR BANK 'IJSE ONLY TOWN: F34Rf.1SiAP 4 REGISTRY OWNER' - DEED REF: -,40) ,5 g BUYERi�"RCF_3FEPZ'T W.E. CA,11 2fd%a P. Cd&JN l DATE: PLAN REF: SCALE: 1 '= �O' ere y certi y that -the ui ing shown on this plan is located on f VANKEE SURVEY the around as shown and it _ CONSULTANTS position does conform to the : ; ' 70 RASPBERRY .LANE zoning law setback requirement of �A.=:. MARSTONS MILLS MASS 02648 and does not lie within the special flood hazard area as shown on the . u. d. ` flood map ;dated 4 , z_< is plan not made from an instrument Paul A. Merithew, RPLS survey, not to be used for fences etc 2ErI S R7 F/©© R a sT F(VDS r v l 1144& SC�t�C CJS 7�os T S h'lf�k 7 C, . . 14 1UU() Imi - — 1.;300,000 psi 131pic".1I v�ilucs 1'01* SOLIHIcri1 -Yellow Pine #2 (Pressure; 'a'rcatc(l) Exterior use; (c.b. (leeks) .joist e k is(. ---, -- Spacint'l i 2x6 2xS WO U 2x.1.2 9-6 1 1 -7 .14-3 17-4 774 1 U-U 12-4 15-0 20" 6-7 g-1 .i 11-0 13-$ 24" 6-U -2 to-J. 12-3 tjHEN 015TF l S 3c �OIST4NGE'I�S N SDN0 T ISF3 rg14). yF C_ ti . The Town of Barnstable ��� Department of Health Safety and Environmental Services 'OrF1 39. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner SHED REGISTRATION Location of shed(address) Village Ar- 49Z __i o'Z g Property owner's name Telephone number. lax � o n V 0 5 tyo-;L- Size of Shed Map/Parcel# e -- /v Signature Date Hyannis Main Street Waterfront Historic District? P Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature required) 2, PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg G�S.I6 L� A! Z, ' I / DEC I I M 34.? `i C 2D• i I r, I A- i -3i.724 - 112.78 RF (A.K.4, SNERYLES W4Y P,.�DOC ZOt. THIS MORTGAGE INSPECTION PLAN IS FOR BANK 'IJSE ONLY TOWN: EAR M S:1 - REGISTRY OWNER: DEED REF: �I� BUYER: ROF-%EFZT •E, ��G:F�"E-:7 R, DATE: PLAN REF: I :A SCALE: I '= CIO' ere certi y t at -the in VANKEE SURVEY shown on this plan is located on Tl �� CONSULTANTS the ground as shown and it +" position does conform to the �; ��. � � ;; 70 RASPBERRY .LANE zoning law setback requirement of �� I MARSTONS MILLS MASS 02648 and- does not lie within the special flood hazard area as shown on the .u. d. • flood map .dated � . � S is plan not made from an instrument Paul A. Merithew, RPLS survey, not to be used for fences etc Z.. 1 U.. �.d,5...M-: r., � � a,.. `� �.V.,..7 ;..+�,i' ✓ � ,�..;^�..�s ld#w�;iih, ✓°� i�1..� iL"..vt'�(�•�L .�A(Y -.y�.i ..�Y�'rt ti � t lj. r Yr.rq.. _ "if 1% e► pf THE ro` TOWN OF BARNSTABLE Permit No. iqq 8....... { BUILDING DEPARTMENT Cash �""'$�6.B..Q©� B°Hon TOWN OFFICE BUILDING HYANNIS,MASS.02601 Bond ................ r, CERTIFICATE OF USE AND OCCUPANCY Issued to Paul PE3:''IT1aITlpade Address Lot 02, 23 Kialoa. Dkive a USE GROUP FIRE GRADING OCCUPANCY LOAD } THIS PERMIT WILL NOT BE VALID, AND,THE BUILDING SHALL NOT BE OCCUPIED UNTIL r SIGNED BY THE BUILDING INSPECTOR-UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE , BUILDING CODE. „ 87 644 .......................'.`.. 19................ ....... ............ ...... Building Inspector r 1 FROM TOWN OF BARNSTABLE Northlake Enterprises BUILDING DEPARTMENT Route 28 at- Windmill Lane 367 MAIN STREET HYANN.IS, MA 02601 Cotuit, MA 02635 Phone:775-1120 SUBJECT:FOLD NERE lot #2 23 Kialoa Drive, Marstons Mills/Building Permit #30008 DATE January 16, 1987 = MESSAGE The dwelling located at 23 Kialoa Drive, Marstons Mills as shown on a plot plan by R. J. O'Hearn, Inc. dated 10/6/86 conforms to all the rules and regulations of the Town of Barnstable Zoning By-law. i I ' Hjosenh DATE REPLY .SIGNED .. N07-RMI RECIPIENT:RETAIN WHITE COPY,RETURN PINK COPY SENDER:SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. I I ,r TOWN OF BARNSTABLE, MASSACHUSETTS �i"46-15 UCLOIJ-2f 6, 19 66 PERMIT � LT DATE North Lake EnC• ADDRESS ate laifldwill Lane, CotLtlt 11;026429 APPLICANT (ryp,) (STREET) yyyyt (CONTR'S LICENSE) 11 ��•� 41MBER OF Build Uwellin6 ( 1'j) STORY single Vula11/ D1 elliTlb �D{YELLING UNITS PERMIT TO NO (PROPOSED USE) (TYPE OF IMPROVEMENT) � Lot #2, 23 hialoa Drive, tLiiLUIIU M ill; ZONING rl T "F AT (LOCATION) lryo.l (STREET) ---• BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE — BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION --- _ (TYPE) REMARKS: SawaEu #86-713 — trartlT Lake F:,►irarprisea .ltiii.UU) . ktu. 28 at Windmill. Ln. CJ cli.t S2,Ulju.UU PERMIT $ lUil.St) AREA OR 1SSO 8q. ft. ESTIMATED COST $ FEE VOLUME (CUBIC/SQUARE FEET) _ Pc.ul Pr►ll.dul,eda ;- �- -.::, OWNER BUILDING DEPT. WWII: Drive,r' ve, O U1 BY ADDRESS �1 i �f THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR LLY PROVEDEBY ENCROACHMENTS ON JURISDICTION. STREET OR PUBLIC ALLLEY PROPERTY, GRADES AS WELLAS DEPTH ANDTED LOCATION OFTHE PUBLLI�C SEING WERS MAE, MUST Y B Y BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. — MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JO7SR ERMITS AATE PPLICABLE REQUIRED FOR INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTIOELECTRICAL, PLUMBING AND ALL CONSTRUCTION WORK: 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPAMECHANICAL INSTALLATI N . 2, PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCU MEMBERS(READY TO LATH), FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. • POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 Z 2—--_----_— - 2 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT — 3 t. OTHER 8 ARD OF llE LTH Al -.—�- WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!L L BECOME NULL AN D V 01 D I F CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN Slat MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTIOP I PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION...,- �� O _ � N I �; �b 1977 _ "AS BUILT" PLOT PLAN TO THE BEST OF MY INFORMATION, ���`�si� c �� MASS. KNOWLEDGE, AND BELIEF THE Lam,; Z' SHOWN ON THIS PLAN HAS BEEN.." " , ::: ,ED ON . THE R. J. OHEARN /N� Sr+ or'� SWAN RIVER PLAYA GROUND AS IN 1Cy` ("E f'sss 35 ROUTE 134, UNIT 2 SOUTH DENNIS, MASS. 02660 DATE : /o G �G /"=Ya o\ , SCALE 1/� 9 0�1 JOB NO. 1�0 0 - o CLIENT: .�Jv2��7.� 77 -� FO �i DATE REGI D SURVEYOR- DR. BY: SHEET OF As sor's offioe (1st floor): 1�/ l sN011dinM NM01 Asseswr's mop, and lot number ....7..Sv.-.../.s................... 3NV 3®03 1d1NMNOUTAN-��Q o�THE To1.0 Board of Health Ord floor): S 31111 H11M Sewage Permit number .... ?�?. .1...3..... ................. q3NV11dW03 NI a3'11t/is 't 13AH39TODLL, Engineering Department (3rd floor): � - 7q sn�fa w31sAs o B�"S °o,,�2a 9.MAI a House number .......... 3 `e APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00. P.M..only TOWN OF -BARNSTABLE f BUILDING' 'INSPECTOR r APPLICATION FOR PERMIT TO [f:�3r.f. ....L..A..K ......�FtV.....{.C. .r..!.<�.C't...., .�..r....... TYPE OF CONSTRUCTION .......t!,.. �5....��. .�a.lV. .ti..L............a—.V.L.+/�.�.��✓�................... 4�./....v........../.4.19.1 6 1 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: jYlt�/�te,�5 � 'As " Location ....4�-.�! f .......6r . Q.. ..... 0 .'!C7o. ...... .....,�e+ ........... J � ProposedUse ....... ./...,at' ... ...!. .�.......... .............................................................................. I Zoning District ... �..�i.. :..6JL... .�✓.... .Z..4L..�.........Fire District .............................................................................. Name of Owner .... . C ...Address �clfva�� Nome of Builder .......t ddressr � f �.A r� ..�. .. .. .... ........ : Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ................!✓.............................................Foundation .......��...G.X..40................................................ Exteriorj�G ./.....�X.�,�..Roofing ., ? l,!. .... /l.J.�.!`v�./.,5................. Floors ....C..l.:.rne4 ./...W.O.04.................................Interior .... Heating ...1.-.�%.`. / ..... .../rVi4" .........Plumbing .�1 � . f......� .................. .0 1.... .f Fireplace .......tEa.....I..C. ...................................................... pproximate Cost ../. ...,.Q.Qd Definitive Plan Approved by Planning Board --T,4A)_______ 19.5?6. Area .... . ........... Diagram of Lot and Building with Dimensions 'Fee / ! SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable egarding the above construction. Name ./ ........ .................................... Construction Supervisor's License PENNAMPEDE, PAUL s 11 Star -- o 30008... Permit for ..... .. . y Single Family dwelling t. r�...................... ............. .. Location Lot #2, 23 Marstons Mills Owner ........Paul. . ...Pennam. . ede. - . . .... . . ......... . .............................. Type of Construction .Frame ............. .............................................................. ;Plot ............................ Lot ................................ Permit Granted October 6......19 86 Date of Inspection ....:......d./................19 Date Completed ....171/.......o. ...........19 P is Town of Barnstable Building Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept g • anx3vsrABM esa p`� Posted Until Final Inspection Has Been Made. Permit 39. Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final In has been made. Permit No. B-19-1172 Applicant Name: SHORELINE POOLS INC Approvals Date Issued: 04/29/2019 Current Use: Structure 2019 Foundation: Expiration Date: 10 29 Permit Type: Building- Pool-Inground P / / Location: 53 SHERYLE'S WAY, MARSTONS MILLS Map/Lot: 045-050 _ �y Zoning District: RF Sheathing: Owner on Record: LIMA, MICHAEL L& RUGGIERO,AMANDA L Contractor Name: SHORELINE POOLS INC Framing: 1 Address: 5 SAVINELLI ROAD Contractor License: 161240 2 COTUIT, MA 02635 ` .� Est. Project Cost: $51,400.00 Chimney: Description: Install Private Pool w/Pool Code Fencing. i Permit Fee: $ 175.00 Insulation: Project Review Req: } Fee Paid:; S 175.00 Date: 4/29/2019 Final: Plumbing/Gas I Rough Plumbing: i - ------ ----- �� \Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within'six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. i Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. r Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work:< Service: 1.Foundation or Footing ��� Rough: 2.Sheathing Inspection .__ __ - - 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Vi- ram' �yG DEPT. ApplicationNumber. I MASS. • APR 0 9 2019 Permit Fee • BAMMABLE, . s639. & TO N OF BA Total F aid... .. .............. TOWN OF BARNSTABLE Permit Approval by...... .... . ................on...... ..!.l. l.�. BUILDING PERMIT . ... ... .. . APPLICATION Section 1 — Owner's Information and Project Location Project Address Village Owners Name_ Owners Legal Address City State Zip Owners Cell# �'RZ! it CZor'l CG E-mail 5 �7 74_��_ 6�� Section 2 —Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet ❑ Single/Two Family Dwelling Section 3 — Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment 0 Sprinkler System ❑ Addition E] Retaining wall ❑ . Solar ❑ Renovation b/pool ❑ Insulation Other—Specify Section 4 - Work Description / Last updated. 11/15/2018 Application Number..................................................... Section 5—Detail Cost of Proposed Construction LI M Square Footage of Project 3-3 2 Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Waxer Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed i Rear Yard Required f S Proposed �2 Side Yard Required Proposed L Q'� go r I Has this property had relief from the Zoning Board in the past? ❑ Yes No Last updated: 11/152018 Application Number........................................... Section 9= Construction Supervisor Name Telephone Number Address City State Zip License Number License Type Expiration Date Contractors Email Cell # I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date Section 10—Home Improvement Contractor i Name 141Z�0 rrWO SdZ4*- _ a ep one Number Address City -J eo State /-1 Zip d Registration Number Expiration Date I understand my responsibilities and the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State uil g Code. I understand the construction inspection procedures,specific inspections and documentation required b 7 C and the wn of JBarnstable.Attach a copy of your H.I.C... `y Signature �_ '�✓✓ Date �� 1 i F7Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date Ayf�LICANT SIGNATURE Signature Date �r-r-rzrGH Print Name Telephone Number E-mail permit to: C �'�1�2 i-`' AoLS'-r . C ` Last updated: 11/15/2018 Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation For commercial work,please take your plans directly to the fire department for approval Section 13— Owner's Authorization I L , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of j ob) Signature of Owner date Print Name Last updated: 11/15/2018 . .... ..... . . ... The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations IF 600 Washington Street Boston,MA 02111 www mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): S rl tJ•G��� ��(�� S� G Address: 2 A-r, City/State/Zip: S-- 6 6uN-<--I rs Phone#: 43 G 3 y Are you an employer?Check the appropriate bog: Type of project(required): 1:E] I am a employer with- 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- wed m the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp•insurance.: required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers'comp. right of exemption per MGL 12.❑R repairs required.]t c. 152,§1(4),and we have no employees. (No workers' 13. Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors most submit a new affidavit indicating such. tContractors 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. 1 am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: SyLC� ���/ City/State/Zip: /ylfV) Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for' verage verification. 1 do hereby certify un p ' tdL ofperjury that the information provided above is Oe aV correct. Signature: Date: d� / Phone#: Official use only. Do not write in this areg 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 M Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person iri the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificates)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of 1nvestipflons 600 Washington Street Boston,MA 02111 - Tel.#617-727-4900 ext 406 or 1-877-MASSAM Revised 4-24-07 Fax#617-727-7749 www.mass.gov/dia I - .4co v® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) llk. � 4/9/2019 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 have ADDITIONAL INSURED provisions or 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 CONTACT Rogers&Gray Ins.-Dennis Branch PHONE FAX 434 Rte 134 •508-398-7980 A/C No):877-816-2156 South Dennis MA 02660 E-MAIL mail@rogersgray.com INSURE S AFFORDING COVERAGE NAIC N INSURER A:Arbella Protection Insurance Company,Inc. 41360 INSURED SHORP00-01 Shoreline Pools Inc INSURERB:Wesco Insurance Company 25011 32 American Way INSURERC: South Dennis MA 02660 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1503238158 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DDIYYYY MM/DDlYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY 8500052096 7/26/2018 7/26/2019 EACH OCCURRENCE $1,000,000 CLAIMS-MADE M OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $100,000 MED EXP Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2.000,000 POLICY I JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY 1020013830 2/9/2019 2/9/2020 COMBINED SINGLE LIMIT $1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED X SCHEDULED BODILY INJURY AUTOS ONLY AUTOS (Per accident) $ X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ $ A X UMBRELLA LIAB OCCUR 4600052138 7/26/2018 7/26/2019 EACH OCCURRENCE $2,000,000 EXCESS LU\B CLAIMS-MADE AGGREGATE $2,000,000 DED I X I RETENTION$In nnn $ B WORKERS COMPENSATION VWVC3395763 2/10/2019 2/10/2020 X I SPER OTH- AND EMPLOYERS'LIABILITY Y/N TATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBEREXCLUDED? ❑ N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Additional Insured status is included under the General Liability Coverage when required by written contract CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Mike Lima ACCORDANCE WITH THE POLICY PROVISIONS. 53 Sheryles Way AU EDREPRESENTATIVE Marstons Mills MA 02648 7 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 Boston, Massachusetts 02118 Home Improvemen Contractor Registration Type: Corporation SHORELINE POOLS INC z Registration: 161240 32 AMERICAN WAY Expiration; 10/06/2020 ti SOUTH DENNIS,MA 02660 a ry F� Update Address and Return Card. SCA 1 G 20M-05/17 Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individu use only TYP..E�Corporation before the expiration date. fo nd return to: s : N RegistrationExpirationOffice of Consumer Affair an Business Regulation i,16124U 10/06/2020 1000 Washington S et ui 710 SHORELINE P ,' ZINC, _ Boston,MA 02118 . CHRISTIAN DITTRICH dv`' 32 AMERICAN WAYS'*i— U SOUTH DENNIS,MA 02660 Undersecreta NO li ithout signature ry SwimCLear"m »»» Multi-Element Cartridge Filters -� �WAN.NING COVE U •.. �--_, _'-��`.. ��s-'_sue_ k r 1 r� I MAXIMUM FLOW WITH MINIMAL MAINTENANCE. Featuring an assembly of reusable polyester cartridge elements with precision-engineered cores, SwimClear"multi-element cartridge filters provide heavy-duty dirt-holding capacity and extra-long filter cycles. In fact,as the industry's largest filter, the C7030 model offers the longest time possible between cleanings. SwimClear filters'top manifold configuration boasts industry-leading hydraulic performance, facilitating maximum flow through all cartridge elements for superior water clarity and increased energy savings. t Heavy-duty,tamper-proof,one- Reinforced copolymer tank piece clamp provides quick access is durable enough to withstand I� ° to internal components without tough environmental conditions disturbing plumbing connections Low-profile tank base makes , t: removal of cartridge elements ` CPVC 2"or 2-1/2"union connections fast and simple ......................................................................... provide maximum hydraulic performance with 2" plumbing SPECIFICATIONS I Filter Type Cartridge elements: s z i 225,325,425,and 525 ft (4 cartridge elements),700 ft (8 cartridge elements) ....................................................................................................).........................................................................................................................................................................................._....................................................................._..............._..........................................._.........................._..........................................................._ Filter Tank High-strength,injection-molded durable glass reinforced copolymer ............................ ........................................................................................................................................................................................................... .. Filter Element Reinforced polyester ....................................................................................................i............................................................................................................................................................................................_...................................................................................................................................................................................................................... Performance Range 84 to 150 GPM,318 to 568 LPM ..................................................................................................................................................................................................................._ C2030-24"W x 321/2"H(58 cm x 81 cm) C3030-24"W x 341/2"H(58 cm x 87 cm) Dimensions C4030-24"W x 401/2"H(58 cm x 102 cm) C5030-24"W x 461/2"H(58 cm x 117 cm) C7030-24"W x 521/2"H(58 cm x 134 cm) FILTER PERFORMANCE DATA MODEL EFFECTIVE TURNOVER :............................................................................................................................................................................................................ NUMBER FILTRATION AREA DESIGN FLOW RATE* B HOURS 10 HOURS C2030 225 ftz/20.9 mz 84 GPM*/318 LPM 40,320 gal/153 kl 50,400 gat/191 kl I C3030 325 ft1/30.2 mz 122 GPM*/462 LPM 58,560 gat/222 kl 1 73,200 gat/277 kl ............................................................................................ C4030 425 ftz/39.5 m2 150 GPM**/568 LPM 72,000 gal/273 kl 190,000 gal/341 kl C5030 525 ft2/48.8 mz 150 GPM**/568 LPM 72,000 gal/273 kl j 90,000 gal/341 kl C7030 700 ftz/65.0 m2 150 GPM**/568 LPM 72,000 gat/273 kl 90,000 gat/341 kl *Based on NSF recommended rate for commercial use at.375 GPM/ft2 **Determined by pump size and piping system hydraulics;2"piping is recommended for flow rates equal to or greater than 90 GPM 1341 LPM). Hayward doesn't recommend flow rates above 150 GPM. hayward.com >> 1-888-HAYWARD SwimClear Fitters are listed by: NSF Pumps >> Filters >> Heating >> Cleaners >> Sanitization >> Automation » Lighting >> Water Features >> White Goods .................................................................................................................................................................................................................................................................................:................................................................................. Hayward is a registered trademark and SwimClear is a trademark Hayward Industries,Inc.© Hayward Industries, HAYWARD® Inc.All other trademarks not owned by Hayward are the property of theirit respective owners.Hayward iss not in any way affiliated with or endorsed by those third parties. LITSCME17 9 a TriStar ENERGY EFFICIENT, HIGH- PERFORMANCE PUMP SERIES Superior performance Superior energy efficiency Superior value The TriStar pump's advanced hydraulic design optimizes the three essential pump elements to deliver superior flow, impressive energy efficiency and value.The heavy-duty pump and motor run cooler for years of dependability. Featuring a tri-lock cam and ramp strainer cover that closes with less than a quarter turn, TriStar ' also sports a super-sized, smooth, no-rib basket with extra leaf-holding capacity that's a snap to clean. With a variety of bases available, TriStar seamlessly retrofits to existing filtration systems. VEnerayg r fficient } _ A> J w. ram . a s TriStar® Pumps Technology incorporated into TriStar - creates a new benchmark in residential pool pumps and its higher flow rates can allow for stepping down in pump horsepower. Overall,TriStars feature the most energy efficient hydraulics and are the simplest pumps to install, retrofit and service. Features • Save up to 70% on your energy costs SINGLE SPEED TOTAL FULL RATE SERVICE DIMENSION with the combination of an advanced '- VOLTS PORT SIZE "A" hydraulic design and proven two-speed SP3205EE 0.99 h 1.98 115/208-230 12"/2W 13'/8" technology SP3207EE 1.39 I 3/4 1.85 115/208-230 ' 2"/Mi" 131/e" • Higher flow rates can allow for stepping SP3210EE 1.85 1 1.85 115/208-230 I 2"/2Yz" 14%" down in pump horsepower for even lower SP3215EE 2.40 ( 1h 1.60 115/208-230 2"/2W 1411s" cost and energy consumption SP3220EE 2.70 2 1.35 208-230 2"/2Y2" 147/8" SP3230EE 3.60 I 3 1.20 208-230 2"l 2Yt" 171/e" • Heavy-duty motor with dynamic airflow SP320363EE' 3.60 3 1.20 208/230-460 I 2"/2Y2" 171/8" designed for greater dependability and ---�-- -- - - -- SP3250EE 5.0 5 1.00 208-230 2"/2Y2" 171/s" longer life 2-SPEED TOTAL FUILL RATE SERVICE VOLTS PORT SIIE DIMENSION • 2" x 21/2" CPVC union connections make " installation and servicing fast and easy SP32102EE 1.85 I 1 1.85 208-230 2"/2Ya" 143/e" • No-rib basket design insures easy debris SP32152EE 2.40 1Ye 1.60 208 230 2°/2Yz" 141/e' removal. Extra-leaf-holding-capacity SP32202EE 2.70 I 2 1.35 208-23o 2"/2Yz" 141/s" 'Three basket extends time between cleanings Phase 120 • Tri-Lock cam and ramp strainer cover 10 design seals with less than a quarter turn i 100 • Crystal clear strainer cover lets you see _ when the basket needs cleaning 3 a • Pressure testable to 50 psi maximum �-�- ---r- -�--1- • Second base included to align TriStar with 'o other models for easy retrofit installationsM 0) so ISP3205EE y 0) SP3250EE <_ " • Self-priming (suction lift up to 10' above = — 40 SP3230EE water level) o N 30 SP3220EE39WEE`E F iP32202EE(Low Spd) SP3215EE 20 '10 SP321021EE(Low Spd � \ SP3207EE SP3210EE 0 SP32152EE(LowlSpdki 1133 ---IO.IB 0 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150 160 170 180 190 200 210 Flow(GPM) 13.61 KAvwARW TRISTAW 2-SPEED UP 0 B.I4 _ T°70 /o (*-SAVINGS �&43� e43 ON YOUR ENERGY COSTS To take a closer look at Hayward Pumps,go to hayward.com or call 1-888-HAYWARD. • �� NSF. $A AW HAYWARDO Hayward,K7ymrd Energy S"ons.and mstaram 620 Division Street I Elizabeth,NJ 07201 registered trademarks of Hayward Industries,Inc. 0 2015 Hayward Industries,Inc. LfIi5FR15 r rr,q Y. wwwtAhQrP1!ne-PQQ1.s!nc,,Q.QM nc, 32 American Way-South Dennis.MA 02660—PH:608-432-M46 Fax;608.432-0110 Letter of Authority_ i This letter confirms that I give permission to Shoreline Pools, Inc. of Dennis, MA authority to act as my agent with regard to all permit&historical applications for the installation of a private in-ground swimming pool located at the address of. Any questions please contact me at Print Name Shoreline Rep. Customer Print Name Shoreline Pool Rep.. Customer Signature Date: OL Date: Uf l I f A i' i I GENERAL NOTES: FROM A TO: FROM B TO: FROM C TO: FROM D TO: 1) POOL CLEARANCES TO BUILDINGS AND PROPERTY LINES SHALL BE IN D 35'-9 1/4" C 35'-9 1/4" B 35'-9 1/411 A 35'-9 1/4" ACCORDANCE WITH LOCAL AND STATE REQUIREMENTS. H 10'-9 11411 H 22'-4 1/4" H 15'-7 1/2" H 25'-0 3/4" 2) THIS PLAN DOES NOT INCLUDE POOL LOCATION ON PROPERTY,GRADING, FENCING,WALLS OR OTHER SITE INFORMATION. 21' I •1 11' J 26'-4 3/4" J 19'-511 6"R TOP 6"R TOP 3) ALL CONSTRUCTION SHALL BE DONE IN ACCORDANCE WITH ALL LOCAL K 15'-7 1/2" K 25'-0 3/4" K 10'-9 1/4" K 22'-4 1/4" STEP STEP FILLER 8 STEEL STAIR FILLER AND STATE REGULATIONS. L 26'-4 3/4" L 19'-5" L 21' 1 L 11' 4) CONTRACTOR SHALL VERIFY BURIED UTILITIES WITHIN SURROUNDS OF INSTALLATION AREA. 32' ANSUNSPI-TYPE 0 POOL-NON DIVING 14 I CF 8 $ $ I POOL COMPLIES TO NSPI-5 — SF 5"SS B � J ADDITIONAL NOTE IF POOL IS FURNISHED WITH DRAMS OR SUBMERGED SUCTION OUTLETS. 51-$n 4' THAN COMPLIANCE TO THE VIRGINIA GRAEME BAKER POOL AND SAFETY H / ACT IS REQUIRED: 8 8 / j DRAIN COVERS ASME A112.19.8 2007 AT Y-0"MIN APART 40�� ! AND ENTRAPMENT AVOIDANCE MUST BE INSTALLED. r DEEP CODE COMPLIANCE Y - ' 7' A. MASSACHUSETTS 16' DEEP 8' 35'-94" i COMMONWEALTH OF THE MASSACHUSETTS BUILDING CODE 780 CMR(9"E.D.) 4'; 6' INTERNATIONAL RESIDENTIAL CODE -2015 11' 11' INTERNATIONAL SWIMMING POOL&SPA CODE -2015 8 K 8 B. ELECTRICAL&PLUMBING THE CONSTRUCTION AND INSTALLATION OF ELECTRIC WIRING,GROUNDING Al AND BONDING,AND EQUIPMENT ARE SUBJECT TO THE STATE CODE AND TO L THE CURRENT ADOPTED NATIONAL ELECTRIC CODE REQUIREMENTS. CF L ALL PLUMBING MUST COMPLY WITH THE CURRENT ADOPTED STATE CODE. c I — 8 8 8 8 CFJ�3 CF-900 CORNER FILLER (05216) SF—RECTANGLE STAIR FILLER (04206H/04207H) 5"SS-5" SIDE STAIR PANEL(04120) 4'CONCRETE DEG( COPING FILE NUMBER: 19040674 THIS POOL CONFORMS TO CURRENT CUSTOMER SIGNATURE REQUIRED DATE BACKFILL WITH 3/8'0 BOLTS '`• NON DIVING APSPIANSLIICC-52011 & ISPSC2018 I CLEAN EARTH s NUTS Ea ti STANDARDS FOR RESIDENTIAL UM PANEL END Perimeter: 96-0' INGROUND SWIMMING POOLS CONCRETE i Barnstable Bldg. Dept. ONC TE CREETE —A-FRAME BRACE 33 Wade Rd. 'm p e ri a i DEALER COLLAR Surface`Area: 512.00 SQ FT • (25DO psi) VINYL L LINER NAME 1 Latham,NY 12110 STEEL Volume': 15,570 gal. ff4cusroMER ! Approved by: STAKE BRACE phn:518-786-1200 ®®LS I NAME: r POOL DRAWN By: nvonk �t WARNING:SW MMING POOLS CAN BE DANGEROUS WHEN USED IMPROPERLY CONSULT YOUR DEALER FOR SAFETY INFORMATION ON SAFE USE IT IS THE RESPONSIBILITY OF To. 9 1 7 BOTTOM M n/a fax:518-786-0954 OFFICMLS,BUILDERS ANDTHE HOMEOWNERS TO FOLLOW ALL SAFEIY RECOMMENDATIONS OF ANS6APSP.LOCAL ORDINANCES AND EOUIPMENT MANUFACIURERS. Permit#: �� ■ l t ! 2, DEPTH AND SHAPE OF POOL MEET MIMMUM STANDARDS OF THE INTERNATIONAL SWIMMING POOL AND SPA CODE 7018 FOR IN-GROUND SWIMMING POOLS.A MEANS EMRYIEXIT FOR BOTH THE DEEP END AND THE SHALLOW END OF THE POOL MUST BE PROVIDED IN ACCORDANCE WNH THE 7018 INT F.RNATIONAI,SWIMMING POOH,AND SPA CODE.SECTION SM.EOUIPOTF.NTIAL BONDING MUST HE PROVIDED IN ACCORDANCE WITH THE NATIONAI.ELECTRICAL CODE NFPA 70.ALI.AfRAME BRACES ARE TO OF.MOUNDED WITH MIM MUM 81NCH DEEP POURED 2500 P.S.L CONCRETE COLLAR AROUND ENTIRE PERIMETER OF POOL NO DIVING LABELS ARE TO BE INSTALLED AROUND THE PERIMETER OF POOL AS REOUIRED.SUCTION ENTRAPMENT AVOIDANCE IS TO BE INSTALLED IN ACCORDANCE WITH ANSOAPSPRCC•7. 7E'OVERDIG-� ALL WDRK NOT SPECIFICALLY SHOWN IS TO BE DONE IN ACCORDANCE WITH THE REQUIREMENTS OF THE 2018 INTERNATIONAL SWIMMING POOL AND SPA CODE AND ALL OTHER APPLICABLE CODES. I f , _ 1 James A. Marx, Jr. P�,\H OF MjSsq MA Professional Engineer Lic. 36365 Zz o` Gin m JAIYIES A:MARX,JR. - ® Customer O rn No.36365 � Mike Lima o� �cls rc��G,��� 53 Sheryl's Way �SS'ONFi1 �� Marston.s Mills , MA L .I GENERAL NOTES: FROM A TO: FROM B TO: FROM C TO: FROM D TO: 1) POOL CLEARANCES TO BUILDINGS AND PROPERTY LINES SHALL BE IN D 1 35'-9 1/4" C 1 35'-9 1/4" B 35'-9 1/4" A 35'-9 1/4" ACCORDANCE WITH LOCAL AND STATE REQUIREMENTS. H 1 10'-9 1/4" H 22'-4 1/4" H 15'-7 1/2" H 25'-0 3/4" 2) THIS PLAN DOES NOT INCLUDE POOL LOCATION ON PROPERTY,GRADING, FENCING,WALLS OR OTHER SITE INFORMATION. J 2111 J 11' J 26'-4 3/4" J 19'-5" 6 TOP 6"R TOP STEP STEP 3) ALL CONSTRUCTION SHALL BE DONE IN ACCORDANCE WITH ALL LOCAL K 15-7 1/2,1 K 25-0 3/4 K 10-9 1/4 K 22-4 1/4 FILLER 8' STEEL STAIR FILLER AND STATE REGULATIONS. L 26'4 3/4" L. 19'-5" L 21' L 11' 4) CONTRACTOR SHALL VERIFY BURIED UTILITIES WITHIN SURROUNDS OF INSTALLATION AREA. 32' ANSUNSPI-TYPE 0 POOL NON DIVING A I CIF j 8 8 8 TSF 5"SS B POOL COMPLIES TO NSPI-5 . J ADDITIONAL NOTE { 4' IF POOL IS FURNISHED WITH DRAMS OR SUBMERGED SUCTION OUTLETS, THAN COMPLIANCE TO THE VIRGINIA GRAEME BAKER POOL AND SAFETY H 8 ACT IS REQUIRED: 8 1 1 DRAIN COVERS ASME A112.19.8 2007 AT 3'-0"MIN APART 40�� AND � ENTRAPMENT AVOIDANCE MUST BE INSTALLED. DEEP --- 7' CODE COMPLIANCE 16' ri A. MASSACHUSETTS DEEP 8' 35'-94" COMMONWEALTH OF THE MASSACHUSETTS BUILDING CODE 780 CMR(9"ED.) 6' 11' INTERNATIONAL RESIDENTIAL CODE -2015 11' INTERNATIONAL SWIMMING POOL&SPA CODE -2015 8 K t 8 B. ELECTRICAL&PLUMBING THE CONSTRUCTION AND INSTALLATION OF ELECTRIC WIRING,GROUNDING 4' AND BONDING,AND EQUIPMENT ARE SUBJECT TO THE STATE CODE AND TO THE ALL CURRENT UA BIN MUST COMPLY WITH THE CURRENT ADOPTED STATE CODE.ED NATIONAL ELECTRIC CODE REQUIREMENTS. CF PLUMBING — �I 8 8 8 8 CFI EL EL CF-900 CORNER FILLER (05216) SF—RECTANGLE STAIR FILLER (04206H/04207H) 5"SS-5" SIDE STAIR PANEL(04120) 4'CONCRETE DEC$ COPM THIS POOL CONFORMS TO CLTRRENT CUSTOMER SIGNATURE REQUIRED DATE E ..rFILENUMBER: 19040674 IT14 ;VU-0 BOLTS APSPIANSL07CC-52011 & ISPSC2018TH 8 NUTS EA „ N®N IDIdING STANDARDS FOR RESIDENTIALPANEL BJD Perimeter: 96'-0 M INGROLTND SWIMMING POOLS e A+RAME BRACE 33 Wade Rd. ' ���;�' DEALER Surface-Area 512.00 SQ FT • — ) ORWL IZOVINYL TALNER ' NAME: STEEL Latham,NY 12110HORIZONTAL VOIUmet: 15,570 gal. CusrOMERBRACE phn:518-786-1200 POOLS NAME: Barnstable Bldg. Dept. 'Pr DRAWN BY nvonk � n/a fax:518-786-0954 WARNING:SW0.9MINGPOOLS OAN BE DANGEROUS WIZEN USED IMPROPERLY CONSULT YOUR DEALER FOR SAFETY INFORMATION ON SAFE USE IT IS THE RESPONSIBILITY OF TOWN BOTTOM OFFN;MLS.BULLOERS ANO'THE HOMEOWNERS 10 FOLLOW ALL SAFEIV RECOMMENUAIIONS OF ANSVAPSP.LOCAL ORDINANCES AND EOUIPMENI NWNUFACIUkERS. DEPTH AND SHAPE OF POOL MEET MINIMUM STANDARDS OF THE INTERNATIONAL SWIMMING POOL AND SPA CODE 2018 FOR IN-GROUND SWIMMING POOLS.A MEANS ENTRYIEXIT FOR BOTH THE DEEP END AND THE SHALLOW ENO OF THE POOL MUST BE PROVIDED IN ACCORDANCE WITH THE 70181NTERNATIONAI,SWIMMING POOI.AND SPA COOF.SECTION 808.F.QUIPOTF.NTIAL BONDING MUST BF.PROVIDED IN ACCORDANCE WITH THE NATIONAL F.LFCTRICAL CODE.NFPA 70.ALI.A.FRAMF.BRACES ARE TO BE MOUNDED WITH MINIMUM B INCH Approved by: �—rs OUERDIG—, DEEP POURED 2500 P.SI CONCRETE COLLAR AROUND ENTIRE PERIMETER OF POOL NO DIVING LABELS ARE TO BE INSTALLED AROUND THE PERIMETER OF POOL AS REQUIRED.SUCTION ENTRAPMENT AVOIDANCE IS TO BE INSTALLED IN ACCORDANCE WITH ANSBAPSPRCC-7. ALL WORK NOT SPECIFICALLY SHO MI IS TO SE DONE IN ACCORDANCE WITH THE REOUIREMENTS OF THE 2018 INTERNATIONAL SWIMMING POOL AND SPA CODE AND ALL OTHER APPLICABLE CODES. Permit#: James A. Marx, Jr. Mgssgc. MA Professional Engineer Lic. 36365 �H OF �n Customer p JAkgES A.MARX,JR. a Mike Lima NO.36365 53 Sheryl's Way G/STO��SSDNAL ENG\ � Marston.s Mills , MA SELECTING THE CORRECT SIZE UNIVERSAL H-SERIES HEATER ft m mCG3 MD : y 1.Determine your pool's surface area in square feet: 1. Determine your spa capacity in gallons(surface area x Universal H—Series a a ' average depth x 7.51. 2. In the table below,locate the column with the spa/tub size in I »»» Pool and Spa Gas Heaters GMEM DEW RM M9 am KEM@ A g L gallons that is closest to yours. R W 3.Select the desired time to raise the spa/hot tub temperature I + L 30*F,read to the left and select the appropriate Universal H-Series model. AREA=(A+B)xLx.45 AREA=RxRx3.14 AREA=LxW SPA/TUB SIZE IN GALLONS" ._....._.._................_.............................................................................................,.................._,......................_......................... 200 300 .400 500 600 t 700 800 900 1,000 2. Select the model that corresponds with a surface area that ...........I....................I.................._I....................I....................I........................................€................................................ is equal to,or just greater than,your pool's surface area.For MODEL Time in Minutes to Raise Spa/Tub Temperature 30°F*** indoor pool installations,divide the pool's surface area by 3. H500 ' 7 1 11 1 14 I 18 22 I 25 29 32 35 .......:....................:.........................................................._I...................i....................i................_..... . ..:. .............. f H400 1.......9 14 I 18 23 27 32 36 1...41......i........45 .:............................. H35010 ...................._.................:... MODEL* H500 H400 'H350 I H300 I H250 1 H2O0 i H150 H300 12 i 18 24 30 36 42 48 ' 54 ) 60 ................................... . H250.... 15 22 29.......3b...... 43...;....51 ...L...58.......65..... 72 x. ................................. ....._........ .......... .......... .......... ......... ....................:..... ..... - .. - SURFACE ! H2O0 18 27 36 45 54 63 72 81 90 AREA 1,500 , 1,200 1,050 900 ; 750 600 450 i............... L...................................._.............. ....................... -- ..............i........ H150 24 36 48 60 72 84 96 s 108 120 I I 4 SPECIFICATIONS AND H500FD H400FD H350FD H300FO H250FD H2O0F0 H150FD DIMENSIONS BTU/hr 500,000 j 399,900 350,000 300,000 250,000 199,900 150,000 ...................................................................................................................................................................................:....................................................i....................................................i........... ................ .......................................... .......................................... ............................................... Thermal efficiency 83% 84% 83% 82.7% 83% 83% 82.7% ................................................................................................ ................................ ............................ ................................ .................................. .................... ...... _..... Width(inches] 41" 36" 33" 30" 28" 25" 21" .......................................................... Depth(inches] 291/2" 291/2' 29'h" 29'/i' 29'/2" 29'/i' 291h" ...............................................................................................................................:................................................... .....................................................................................................................................................................................................................................................................;.................................................... Height(inches) 24" 24" 24" 24" 24" 24" 24" �-= �^ - ................_.....................................................................................................................................................................................................................................................................:........................................................................................................ Water connections 12"x 21h" 2"x 21/2" 2"x 21/2" 2"x 21/2" 2"x 21/2" 2"x 21h" 2"x 21/2' � l' I ...................................................................................................................................................................................................................................€...........................................................................................................................................................€...................................................................................................... Heat exchanger I Cupro Nickel Cupro Nickel Cupro Nickel Cupro Nickel Cupro Nickel € Cupro Nickel Cupro Nickel �.al Indoor vent pipe diameter(inches) l naturalgas i b b" 8" 8" 4" i 6" 6" ..................................................................................................................................................................................!........................................................................................................i......................................................................................................... .......................................... ............................................... _-- Indoor vent pipe diameter(inches) 8„ ! 8" 8.. 8 b" ; 6" 6" propane gas ................................................................................................................................................................................_......................................................................................................... ..................... ............................................... Heater weight(lbs) 223 160 158 145 134 123 110 ` ..................................................................................................................................................................................:....................................................i....................................................i_..................................................i........................................................................................................................................................... Gas connection at heater 1 ! 3/4" 3/�' 3/�' i 3/4 „ 3/4 3/4 ` �"+. . H-Series heaters are available in a comprehensive range of BTU sizes for natural or propane gas.All units are certified by the Canadian Standards Association and carry the exclusive Hayward®warranty. )"`;6, *Model recommendation is based on a 30°F temperature rise,31/2 mph average wind velocity and elevation of up to 2,000 feet above sea level. r **Heat lost and/or absorbed by spa walls or other objects will add to the time it takes the spa to heat up. ***Based on an insulated and covered spa. hayyvard.com >> 1-888-HAYWARD ® } Pumps » Filters >> Heaters >> Cleaners >> Sanitization >> Automation >> Lighting >> Water Features » White Goods Hayward and Aqua Rite are registered trademarks of Hayward Industries,Inc.©2017 Hayward Industries,Inc.All other trademarks ��IL�11�►���`lr///(/77TAAA,►v`!)_11,vlf/,7�L�1 ® - - �, ! not owned by Hayward are the property of their respective owners.Hayward is not in any way affiliated with or endorsed by those LJ LJLY'il LJ U{JLl�trllJ i1® s1._ third parties. - t 1 LITUHS17 ` a s Universal H-Series heaters provide reliable, long-lasting comfort. n DURABILITY COMES STANDARD 'f ~ . - _ `` - / E�� '�► " _ � � �� - Built with a durable cupro nickel heat exchanger, Universal H-Series heaters offer exceptional protection against corrosion and premature failure caused by unbalanced water low chemistry, ensuring you get season after season of premium - heating performance. FAST,EFFICIENT PERFORMANCE Universal H-Series heaters boast industry-leading hydraulic performance coupled with lightning-fast speed-to-heat capability. In fact, the powerful 500,000 BTU model is the fastest in its class, ' giving you less time to wait and more time in the water. D .�• EASY ON THE ENVIRONMENT Designed with "totally managed"water flow, Universal H-Series i heaters save energy land money) by reducing pump run } time.Their low NOx emissions meet air quality standards in A9 all low-NOx areas, so you can rest easy knowing their y „ _ environmental impact is low. j� PREMIUM QUALITY WITHOUT THE PREMIUM PRICE. i �_� •J While other manufacturers make you spend hundreds of dollars to Front-panel-only access provides easy ii upgrade to the performance and reliabilityof a cu ro nickel heat service and maintenance, avoiding the P9 p exchanger, Universal H-Series heaters include them at no extra charge— problems and costs associated with front- giving you total peace of mind without any added costs. and-back-panel access heaters .............................................................................. r. Universal junction boxes on left and l right sides make electrical and automation 1 ., installation simple and convenient (II ; TRY IT WITH ............................................................................................................................................ .................................................................................... Intuitive control pad with protective cover is Double your comfort by pairing your Universal H-Series heater with a "�,�R1e9O° A uaRite®900—the Longest-lasting version of the world's best-selling salt _•� always easy to read and operate � 4 9 9 9 chlorination system. AquaRite 900 creates luxuriously soft water without harsh chemicals, and with a Universal H-Series heater,you'll et to enjoy H400FD - _. , �� � �, y 9 1 Y incomparable water quality all year long. - G F I TEST �` �' �'0 FT MIN SOIL i S i TOP OF FOIIND _ : r EL 10 FT MIN -- ----- ---- - OBSERVATION HOLE I OBSERVATION NOS E 2 OESERVATIO � HOLE 3 - -_ _- CONCRETE -- +` :SATE OF � , _G�:_f!� _ i)ATF C) rr.S -- - - rcq COVERS - H_._- -_ CLEA�O SAND -4 H PVC ! r- - I �` PIPE MIN PITCH T WITNESSF - ------ -- - ` r ":C E E ! ,z WI ,!vF-SSED BY ice'. ___. WITNESSED BY f / 8 PER r T GUL ERS - RATF' _� __ MIN / INCH PER+ RATE �' ' �^ MIN./ INCH i - 4` CAST IRON (OR ( � .--; v I PE RC , �� � _ �+ F EV = 4. Lam,: : EI.EV EQUAL) PIPE - MIN. 1Z MAX _ s ,f PITCH 1/4 PER FT - ---- c, -- ."� r _ 0'-fi----- _ -2% MINL E vil 46 I`_4 r a - FLOW LINE__._ I ."'� .a 7"�—.�! tj c• 10" -- - ----..,_____._---_ 1 J � tV E L= 5_�-.Q iN _ - EL -- -- i M EL= ��' .S __�_ __� _ .- sue_- - -___, �- - Ji " 4 EL 10 _ w D. D I ST EL- .9 `- BOX j b - LOCATION MAP ! "7 'WATER AT L.- _. EL= �I�? WATER AT _ EL - ___ WATER AT EL -' GAL 1 - ___----------- ------^_ PRECAST LEACHING fa SEPTIC BASIN OR Ei�I;Iv — -- EL = _ �_:1 LEG E N D TANK I EXISTING SPOT ELEVATION 00"o EXISTING CONTOUR -- - -00 - - - - - t FINAL SPAT ELEVATION O. ! FINAL CONTOUR --- a 0_— # PROFILE ---___ _ ___—_ _._—_ _ _ -- --- - - - —____�__-- �+ �++ ,F BOTTOM OF TEST HOLE -� - EL = _ .'{^ SOIL TEST LOCATION SEWAGE ° S a - S -� ADJUSTED GROUND WATER TAB: ': EL _ TELEPHONE POLE ��- T:1C:- _ HYDRANT TOWN WATER W CATCH BASIN m _ --- FRAME d COVER SHALL BE i ! SET WITH MASONRY UNITS ` CLEAN SAND WHICH ARE TO BE MORTARED s ---------- GENERAL- f !N PLACE ,__ NOTES -� 2 LAYER GF ALL WORKMANSHIP AND MATERIALS SHALL 1/8,.- 1/2 WASHED CONFORM T4 D E.Q E TITLE `� 'ANC) T STONE THE TOWN OF .'-� _;,�_.�ERUL.ES a REGULATIONS FOR THE SI..iB SURFAC`E: DISPOSAL I= SEWAGE Ir �' - j 2.ALL COVERS TO SANITARY UNITS SHALL BE. BROUGHT TO WITHIN 12 OF FINISHED GRADE I 1 1 --- --- EXISTING AND FINAL GRADES SHALL REMAIN i I - I $ a >� p WASHED STONE ESSENTIALLY 7HE SAME Ivy NO DETEFMiNAT10N HA r { S BEEN MADE BY , HIS u -, ._ _ _ '=RECAST LEACHING I OFFICE AS TG C'CMPL!ANCE WITH Tf3lAfty _ ZONING + ,. Z G REGULATIONS OWNER / APPIJCANT ,S nlA APPROPRIATE AUTHORITY _A IS J ONLY iF IT IS STAMPED I THIS . _. p'-AN % ' _, l ► ` AND SIGNED IN RED, THIS OFFICE ASSUMES NO RESPONSIBILITY FOP INFORMATION CONTAINED I f � r--.FRAMES & COVERS SHALL --- ^ 1 � ON COPIES WHICH DO NOT HAVE OR!GINA�- BE SET WITH MASONRY UNITS ` .,f � _- _ _ -- . ._ STAMPS AND SIGNATURES / WHICH ARE .O BE MORTARED Y IN PLACE 6 ALL COMPONENTS OF THE SANITARY SYSTEM i SHALL BE CAPABLE OF WITHSTANDING H-10 jj + - _- — i -� .-._.._-__ _ '� ___ __ LEACHING PIT DETAIL LOADING UNLESS THEY ARE UNDER OR WITHIN INLET c ___. ____ '°MIN _ c 10 FT OF DRIVES OR PARKING AREAS H-20 D a ; _._ <, OUTLET NOT TO SCALE I aC/ r / f f --`-'�"` - 6"MIN. _ -� I LOADING SHALE._ 9E USED UNDER OR WITHIN �r FLOW LINE - r -~-REMOVABLE COVER i 10 FT OF DRIVES OR PARKING AREAS ` 2 MIN OUTLET PIPtS �� • �, '� 10"MIN• OUTLET TEE AS REQUIREDI � LIQUID DEPTH TEE . DEPTH f BELOW FLOW LINE S 1 s f MIN. FRONT <�E? 8AC 4 F T 14 INCHES INLET �---- --- _.._ 19 INCHES _ OUtLET MIN REAR ET BACK 5 FT ! a. FT - A FLOW _ f 141CtJID IN 5 FT. 24 INCHES "'�` ( _. + >� _�,' `LINE "J1iN SIDE ;:ETBACK. .. , R, V D BOARD OF HEALTH 3 _ 7 F T 29 INCHES ,� ,a,r ••'` � 8 F T 34 INCHES � 6 � 'a �� •?� `__�^`' _ DEPTH D ��> �a �'.:�.� 1"'1. r-. ° �� I � - • .`- �� �`-`_ � �/'� � �� L• L"- � .� a __--- -------� I DATE ---GE N 1 �' C' -INLET TEE. PROV;DED PER SECTION 15.10.2 I TITLE 5 ;:-;,'N NO. OF OUTLETS .� n P,�z *„ +..A i�. L. CROSS SECTION VIEW ,aL'C.ANT fr-Is SEPTIC TANK DETAIL. DIST BOX DETAIL !LCT `. L SCALE N F � �' f, NOT TO SCALE J. 0 -IT-A RIV, It X I + ; qey Land Surveyi;rs R q anitariors DESIGN C A L_C U L.AT I ON S 3.5 ROUTE- '34 - /Vi /T r - P 0. 8OX 237 4 R _g0bTH 0ENNiS', AAA. NUMBER OF BEDROOMS / GARBAGE DISPOSAL JNIT TOTAL ESTIMATED FLOW - . n GAL/ BR /DAY x -. F3R _ GAL./DAY REQUIRED SEPTIC TANK CAPACITY _ __._ GAL. - -- -- I,� ' D0 - AK �%I�,1 ACTUAL SIZE OF SEPTIC TANK _ GAL - LEACHING AREA REQUIREMENTS SIDE:WALL AREA a� _ GAe_ /S F BOTTOM REA vAt�..-lS,F :.EACHING CAPACITY ( 13')TT9�A SIDEWALL'? t;AL. RFJIS±c�Ns . .,� x RESt ,i`v'{ LEACHING f vAN i�11 ! , �_�_ t.A! f'1 v wi RICIiARD �7 j t r JAE RN APPC 8Y ;RN 94 C '4` r, ;;ram" �„ �; _ SHEET _ OF -- _�- I ♦xeair:eaataa�caaxa+arrwxawgmt.r__-r.:t-ws>:. ,s:•s<.a?p�,: ..,-r:::,.a+s;:•,a,ah.��r:+n«�s.•-;aster,;r�.,,..._.,. i FORM 11/6/ 85 r w