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0042 WHEELER ROAD
� a c���e 1 er col, �. z __ — - .�^�s.ila au�---- �W Town of Barnstable Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept Shed AS& Posted Until Final Inspection Has Been Made. Registration Mr+' Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Registration Number: 0-20-2458 Applicant Name: Arthur Doherty Approvals Date Issued: 09/04/2020 Current Use: Structure Permit Type: Building-Shed-Residential-200 sf and under Expiration Date: 03/04/2021 Foundation: Location: 42 WHEELER ROAD,MARSTONS MILLS Map/Lot: 104-012 Zoning District: RF Sheathing: Owner on Record: DOHERTY,ARTUHR P Contractor Name: Framing: 1 Address: 42 WHEELER ROAD Contractor License: 2 MARSTONS MILLS, MA 02648 Est. Project Cost: $5,000.00 Chimney: Description: 192 sq ft Pool House Permit Fee: $35.00 Insulation: Fee Paid: $35.00 Project Review Req: Final: Date: 9/4/2020 Plumbing/Gas Z Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within-six months aftelr�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. 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 Final Gas: work until the completion of the same. 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 2.Sheathing Inspection ,_"11/ Rough: ng 3.All Fireplaces must be inspected at the throat level before firest flue lini is 5-sst`alled 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 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. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Town of Barnstable Building - s u ; Post This Card So That it is Visible From the Street-Approved Plans ust be Retained on Job and this CardRNnAl" Must be Kept `� Posted Until Final Inspection Has Been Made. - ,. r '", .. Permit �ar•x�• Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Vispection has beenJmad^ e.-, Permit No. B-18-2826 Applicant Name: Craig Orn Approvals Date Issued: 09/10/2018 Current Use: Structure Permit Type: Building-Solar Panel-Residential Expiration Date: 03/10/2019 Foundation: Location: 42 WHEELER ROAD, MARSTONS MILLS Map/Lot: 104-012 _ Zoning District: RF Sheathing: Owner on Record: DOHERTY,ARTHUR P Contractor Name CRAIG M ORN Framing: 1 1 e� Address: 42 WHEELER ROAD i Contractor License: CS-080034 2 MARSTONS MILLS, MA 02648 i� T 'may Est. Project Cost: $7,600.00 Chimney: Description: Installation of an interconnected rooftop solar system. 14(290w) Permit Fee: $88.76 Solar Modules 4.06 kW DC } j I Insulation: 1 ( Fee Paid: $88.76 Project Review Req: 1 J w - r Date: �� 9/10/2018 Final: Plumbing/Gas Rough Plumbing: ---- - ___ \.Building Official Final Plumbing: Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within siz 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. Final 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. 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 Electrical work until the completion of the same. 1j �T Service: 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: , Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: i 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. r:l,`L Final: Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Town of Barnstable v » Building : 1Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept m M" . aPosted Until Final Ins pection Has Been Made. PerJ<llit Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-18-1591 Applicant Name: SHORELINE POOLS INC Approvals Date Issued: 06/12/2018 Current Use: Structure Permit Type: "Building-Pool-Inground Expiration Date: 12/12/2018 Foundation: Location: 42 WHEELER ROAD, MARSTONS MILLS Map/Lot: 104-012_ Zoning District: RF Sheathing: Owner on Record: DOHERTY,ARTHUR P Contractor Name- SHORELINE POOLS INC Framing: 1 Address: 42 WHEELER ROAD Contractor License: 161240 2 MARSTONS MILLS, MA 02648 } Est. Project Cost: $0.00 Chimney: Description: BUILD A 20X40 INGROUND POOL WILL BE HEATER AND SOLAR Permit Fee: $175.00 THERMAL BALNKET PROVIDED.A F4'ALUMIN l UM FENCE t Insulation: ENCLOSURE Fee Paid:` $175.00 � r r Date: 6/12/2018 Final Project Review Req: y �/X, Plumbing/Gas Rough Plumbing: - w 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. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. 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. - --- - ft Electrical r Service: 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:1 ! Rough: 1.Foundation or Footing g 2.Sheathing Inspection - Rm Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. 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 I i f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel �G 1V/�G� Application # II Health Division sloe ����,� Date Issued I'L1l Conservation Division 6;l Application Fe Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board 0KAFT L S F 3— Historic - OKH _ Preservation / Hyannis Project Street Address !Y- 2 e- eic Village m M U -- nn Owner Address �2 "ederl- 1�c1. k.)l t(k , 4 Telephone Permit Request Q ual) ,/lJr 20 "D 1 46aouti•cQ S wr.rr."a j.) Poo/ V tNr/ou t S7ft C 61 a P_o-td IS"ILem fkpy-Arl J4 q1 IOAC(40u.4-7 �,, PCe FuC(0 Jlc Square feet: 1 st floor: existing proposed 2nd floor: existing - proposed Total new Zoning District 1` Flood Plain Groundwater Overlay Project Valuation A�B-6Qo Construction Type Lot Size l. O /aceeS - Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.' Dwelling Type: Single Family EY Two Family ❑ Multi-Family (# units) Age of Existing Structure /Y95" Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑ Walkout Other poo l 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 oltjl lve. is C_ V1 ZTAL4 Telephone Number 508-98? •1029 Address , Z NMer jtAx�, (,,tW License # S.DQ NNlS . MA 0-266Q Home Improvement Contractor# /612 yD Email 11.C..P1l61 Mr.C6M Worker's Compensation # A Wr 3327 28 S ALL CONSTRUCTION DEBRIS RESULTING FROM THIS/PROJECT WILL BE TAKEN TO Leo SIGNATURE i DATE �'�r FOR OFFICIAL USE ONLY. APPLICATION # DATE ISSUED' _ MAP/PARCEL NO. 1. 'ADDRESS VILLAGE OWNER i DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) m A , / "- L DA T A TherM1 ' INFRARED rr r H"T, rMG NE ING' ' OVERPOOL r. 4'f ,.i✓,i) 'A r for r I f , t f r l i o iiar� pool water .gyp to ]r5 degrees in season! � Ex#end your swims ping season by up #o six weeks! � C,:� heating bills by f3�1 or more! • �= = � _� Evaporation! 5aue water and costly ch>Qmicel5! � Ke=� oaol cleaner too! 0 o 4.2-6 �,8b/3 �sr7' °T t I� !; 4, � L0-T N N W M Ll ' h a i ems• - 4' N - z7 'J A c �- H - 3U�/S/�5 Sr-'TTs�ct�S i l Y 5 CERTIFIED PLOT PLAN .' \N OF 'arm i I• y,`pt SaCyo T �' �ltL L�'LC2 /L17• ROB Al a� Al A RS -O 7 S H/L LS =4 ELDRED6E rNo.19367 i IN �AgAS f A,9L J4!JASS* SCALE, / "_ 46' DATE, 4 /7 a t- GE F GI fE ING C0.1 Wet 1 CERTIFY THAT THE CLIENT SHOWN ON THIS PLAN 13 LOCATED EGISTERED REGISTERED JOB N0. P3289 ON THE GROUND AS INDICATED AND CIVIL I LAND CONFORMS TO THE ZONING LAWS ENGINEER SURVEYOR DR.BY A A'�' OF BARNSTABLE, MASS i 712 MAIN STREET CH.By, R•�'�' 8s I. HYANAIS, MASS. SHEET-LOF_ ATE REG. LAND SURVEYOR �r I�IA ARD m i a z Technologic-ally _;� advanced for the - ����'� ult�imat�e in comfort. _ r i a i .......... d.��t 1 ,\ '� Jt� iliv ,•:T�'� Ret#�Fpi s I. Owfie Mika i. I v _ s ' w is 1 ¢ .. a���•} r' _ f? ,��. {;Ir r'`i • �1+.�. . 'nil jok I •� L � Universal H -Series - POOL AND SPA HEATERS Total System, Pumps I Filters I Heating 1 Cleaners 11 Sanitization I Automation 11 Lighting I Safety I White Goods r . n Syr , •, � � � r -- - - � � •�- ' _` HaywardR Universal H -Series Heater: - . __ Su � error comfort rel iabi I it �� ��. p � Y - {� and energy eff�icienc . ` �v v }j .......................................................................................................................................................................... EASY TO INSTALL. EVEN EASIER TO OPERATE . ......................................................................................................... .............................................................. PERFORMANCE & VALUE Standard Cupro Nickel Heat Exchanger The Universal H-Series' unique + Totally Managed Flow provides exceptional ' advantage lies in its commercial grade corrosion resistance and erosion protection.Ideal for + cupro nickel heat exchanger. This today's salt-based electronic chlorination systems. i 'i distinctive feature defends against , Superior Hydraulic Performance damaging water chemistry conditions, Industry-leading hydraulic performance saves resulting in long-lasting value and energy by reducing circulation pump run time. dependability at no extra cost. ................................................................................. + FLEXIBILITY Universal left- or right-side electric, gas and water connections provide Dual Voltage Installation is simplified with voltage that easily t Universal H-Series heaters unprecedented adapts to either iiov or 220V. installation flexibility.This exceptional r Universal Wiring Junction Boxes adaptability, coupled with a modern _ High-and low-voltage connections are easy and low-profile appearance and front panel convenient with left-and right-side junction boxes. only access required for both installation ................................................................................. and service, ensures compatibility = with all new or existing systems and ENVIRONMENTAL equipment pad configurations. Low NOx Emissions 1 ® Environmentally responsible and complies with California air quality emission standards. ' ................................................................................................................................. ................................... i `_. An efficiently heated pool or spa lengthens your swim season and creates luxurious - -- - �! comfort you can't afford to do without. The Universal H-Series Heater from Hayward is - -- - simply the most reliable, hydraulically efficient q solution for any pool or spa. Our heaters are S � - s designed for ultimate performance, comfort and _ durability, and with environmentally responsible low NOx emissions, you can enjoy efficient 1- luxury and peace of mind—season after season. 1 �r wgpO *1 Yq?oi*oam H40oFD 1 "1 SELECTING THE CORRECT SIZE H-SERIES HEATER: FOR YOUR SWIMMING POOL FOR YOUR SPA OR HOT TUB Determine your pool's surface area in square feet: Determine your spa capacity in gallons(surface area x average depth x 7.5). The reference table lists the time required in minutes to raise the temperature B of the spa/hot tub by 30•F.In the table below,locate the column with the A L R L spa/tub size in gallons that is closest to yours.Select the desired time to raise W the spa/hot tub temperature 30•F,read to the left and select the appropriate Universal H-Series model.This guide can be adjusted for other temperature rises.For example,if you desire a 15•F increase in temperature,simply divide Area=(A+B)x L x.45 Area=R x R x 3.i4 Area=L x W the time for 30'F rise by the ratio of 30/15,or 2.(Note:Heat lost and/or heat .•.........................................•.,,••,•,•••,•,•,••, .................... absorbed by spa walls or other objects will add to the time it takes the spa to heat up)Spa sizing is based on an insulated and covered spa.Always cover In this table,locate the surface area that is your spa or hot tub when not in use to minimize heat loss and evaporation. MODELAREA equal to,or just greater than,the pool's H400 1,200 surface area.To the left of this number SPA/TUB SIZE IN GALL6NS is the appropriate Universal H-Series 200 300 400 500 600 •• 800 900 ••• ! H350 1,050 model that will fit the selected area. H300 900 For indoor pool installations,divide the j pool's surface area by 3. H400 9 14 19 23 28 33 37 42 47 t H250 750 H350 11 16 21 27 32 37 43 48 54 t Table is based on a 30°F temperature rise, H2O0 600 3-7/2 mph average wind velocity and elevation H300 12 19 25 31 37 44 50 56 62 of up to 2,000 feet above sea level `H150 , i450 J H250 15 22 30 37 45 52 60 67 75 H2O0 19 28 37 47 56 66 75 84 94 H150 25 37 50 62 1 75 1 87 100 112 125 SPECIFICATIONS AND DIMENSIONS: UNIVERSAL H-SERIES HEATER H400FD H350FD H300FD •• • f r• 400,000 350,000 300,000 250,000 200,000 150,000 Q�. 83% 83% 82.7% 83% 83% 82.7% 36" 33" 30" 28" 25" 21" @Maas= 29-1/2" 29-1/2" 29-1/2" 29-1/2" 29-1/2" 29-1/2" 24" 24„ 24" 24" 24" 24" . • • 2"x 2-1/2" 2"x 2-1/2" 2"x 2-1/2" 2"x 2-1/2" 2"x 2-1/2" 2"x 2-1/2" Cupro Nickel Cupro Nickel Cupro Nickel Cupro Nickel Cupro Nickel Cupro Nickel •��•� • 6" 8" 8" 4" 6" 6" 8" 8" 8" 6" 6" 6" 160 158 145 134 123 110 3/4„ 3/4„ 3/4„ 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. MILLIVOLT HEATERS MILLIVOLT HEATERS CONT. E 210,000 17-1/4" © Q 27"x 27-1/2"x 28-1/2° U 1-1/2 x 2 In Cupro Nickel } 144 ... .- • 7, 3/4" f HAYWARD� To take a closer look at other Hayward products,go to �'•"-' hayward.com or call 1-888-HAYWARD. C Hayward and Hayward Energy Solutions are registered trademarks of Hayward Industries,Inc.©2014 Hayward Industries,Inc. All other trademarks not owned by Hayward are the property of their respective tune (1 ® O owners.Hayward is not in any way affiliated with or endorsed by those third parties. ® ® ® ® ® �!/�/��) LITHS14 �] t nn C:3 co eD SwimCtearr- QUAD-CLUSTER CARTRIDGE FILTERS High performance. Operational convenience. Hayward®SwimClear reaches new horizons in cartridge filter technology. Industry-leading hydraulic performance with maximum flow through all cartridge elements via a top manifold configuration ensures superior water clarity, extended time between maintenance and maximum energy savings.A cluster of four reusable polyester cartridge elements provides a choice of 225,325,425,525 and now 700 square feet of heavy-duty,dirt-holding capacity and extra-long filter cycles. SwimClear filter tanks are made from a reinforced co-polymer material for the ultimate in strength, durability and long life—even for the toughest Yapplications and environmental conditions. Discover the crystal clear results and reliable performance of SwimClear by Hayward—the first choice of pool professionals. ZZ 1 �h� S4 a { p / Q !1 anlaNa laaa.!lIINlIPININIINfIPlN !aNN2Pa11aNNa1Ns11HN_.. lie, �. �_�.r-f� � '�C�,yI��� `•-. ��?tf:. ll- Manual Air Relief is a high capacity,rapid release valve Combination Pressure and that bleeds air with a quick quarter turn Cleaning-Cycle-Indicator Gauge gives visual indication when cartridge of the lever. ► filter elements need cleaning. Top Manifold ' provides the industry's best energy-saving hydraulic 1k Quad-Cluster Cartridge Elements performance and utilizes the entire cartridge I 11 provide 225,325,425,525 or(the industry's surface area to maximize time between cleaning. - Jr largest)700 ft2 of filter area and extra Heavy-Duty,Tamper-Proof,One-Piece Clamp ti dirt-holding capacity for long filter cycles. securely fastens tank top and bottom together Precision-engineered core provides extra and allows quick access to all internal strength and superior flow. components without disturbing piping or connections. 6 4 Self-Aligned Tank Top and Bottom make servicing Quad-Cluster High-Strength Filter Tank cartridge elements quick and easy. is made from durable,glass-reinforced ) co-polymer to meet the demands of the It _� toughest applications and environmental EI CPVC Union Coupling Connection conditions,including in-floor cleaning systems. provides options of 2"or 2Y2" plumbing with 2"full flow Uniform Low-Profile Tank Base Design internal plumbing for maximum makes removal of cartridge hydraulic performance. elements fast and simple. Full-Size 1/2 Integral Drain ' 7 �;_ Noryl®Bulkhead Fittings provides fast clean-out and flushing. provide extra strength and heat resistance. r FILTER TYPE Quad-Cluster cartridge elements: ' 225,325,425,525 and 700 ft2 total(20.9,30.2,39.5,48.8 and 65.0 rn) CPVC Union Connections FILTER TANK Injection-molded glass-reinforced co-polymer FILTER ELEMENT Reinforced polyester �,- PERFORMANCE RANGE Y2 to 3 HP(30 to 150 GPM).37 to 2.24 kW(114 to 568 LPM) 30 .� 20 40 I C2O3O—23"W x 32 Y2"H(58 cm x 81 cm) l0 „ 50' Pressure and C3O3O—23"W x 34 Y2"H(58 cm x 87 cm) Cleaning Gauge DIMENSIONS C4O3O—23"W x 40 Y2"H(58 cm x 102 cm) C5O3O—23"W x 46 Y2"H(58 cm x 117 cm) PSI "® p so C7O3O—23"W x 52 Y2"H(58 cm x 134 cm) r+nrwn"° �• m MODEL EFFECTIVE FILTRATION AREA DESIGN FLOW RATE' TURNOVER A NUMBER _ ___ _ GALLONS_ _ KILOLITERS ft2 m2 GPM i LPM 8 hrs. 10 hrs. 8 hrs. 10 hrs. C2O3_O 225 20.9 84' 318 40,320 50,400 153 191 C3O3O 325 30.2 122` 462 58,560 73,200 222 277 - - - - C4O3O 425 39.5 150" 568 72,000 90,000 273 341 C5O3O 525 48.8 150** 568 72,000 90,000 273 341 ---- __ C7O3O 700 65.0 150" 568 72,000 90,000 273 341 Based on NSF recommended fate for commercial use at.375 GPM/R.s "Determined by pump size and piping system hydraulics;2"piping is recommended for flow rates equal to or greater than 90 GPM(341 LPM).Hayward doesn't recommend gow fates above 150 GPM. SwimClear Filters are listed by: NSf. To take a closer look at other Hayward products,go to hayward.com or call 1-888-HAYWARD. Hayward and Hayward Energy Solutions are registered trademarks and 015 Hayward is I trademark of Hayward Industries,Inc. o 2015 Hayward Industries,Inc.All other trademarksrespective not I n\\"I\1l.1!I�►�► LJ/D owned M'Hayward are the property of their respective owners. u V U���1 LfTSWC15 Hayward is not affiliated with or endorsed by those third parties. co co C�]Q�QG�D 0 TriStare STANDARD EFFICIENT, MAX- RATED, HIGH-PERFORMANCE 4 PUMP SERIES TriStar is the most hydraulically efficient pool pump that provides superior flow and energy efficiency. Easy to install, service and maintain, TriStar outperforms the competition when it comes to flow, efficiency,and value.A super- sized, no-rib basket with extra leaf-holding capacity is a snap to clean.Whether for new construction or aftermarket installations,TriStar is the superior choice. z i os C RW�71,A� P 4 m9%9= GP0@M 0a" 0 0 r No-rib basket design Cyrstal clear strainer cover ensures easy debris lets you see when the basket removal.Extra leaf-holding- needs cleaning capacity basket extends Heavy-duty,high time between cleanings. r performance motor with dynamic airflow delivers cooler operation Tri-Lock cam and �rw; ramp strainer cover seals with less than a 1/4 turn - - Service-ease design: = power-end assembly(motor/ impeller/diffuser)can be removed without disturbing " plumbing or mounting connections,simply by 2"x 21/2"CPVC removing six bolts union connections of makes installation and servicing fast and easy � r ............................................................................................................................................................................... Additional TriStar Features & BenefitsMAX RATE 0 DIMENSIONRATE SERVICE VOLTAGE PIPE MODELS• Advanced fluid dynamic design delivers superior FACTOR. flow, energy efficiency and value 2P3205X7 0.s4 0.75 1.25 115/230 2 x 21/2" 13"3/h° SP3207XIO 1.25 1 1.25 115/230 2 x 21/2" 13 7/8" • Higher flow rates allow for stepping down in SP321OX15 1.65 1.5 1.10 115/230 2 x 21/2" 131/s" pump horsepower for even less cost and SP3215X20 2.20 2 1.10 115/230 2 x 21/2" 15 V/a" energy consumption. SP3220X25 2.60 2.5 1.04 230 2 x 21/2" 14 7/8" • Pressure testable to 50 PSI maximum. sP322sx3o 3.45 3 1.15 230 12 x 27 1s 7 • Self-priming (suction lift up to 10' above ' ' DIMENSION water level) I FACTOR SI "A" rP32 X152 [��2.40 1.5 I 1.73 230 2 x 21/z" 14 3/s" �X202 _ 2 1.20 230 2 x 21/2„ 14,�.. SP3220X252 2.70 2.5 1.08 230 2 x 21/2" 141/8" ns3 , tote 100 .A ® / 0o 13.61� �„y� 1 &16 d �° 80 r+ l9 y 3 a —a74--1 a1 c l �— '° �4 v3 so TRISTAR 2-SPEED � TO 7OO/O 4)LL L SP3225X30 + d'S A V I N G S N 3D l �P322OX25 ON YOUR ENERGY COSTS C SP322OX252(Low Spd) SP3215X20 10 �l \ SP3207X 03210X15 TriStar Pumps are listed by: SP321OX152(Low Spd) SP3205X7 SP3215X202(Low Spd) °0 10 20 30 40 50 60 70 s0 so 100 110 120 130 140 160 160 no 160 100 200 U` NSF. C ® Flow(GPM) To take a closer look at TriStar Pumps or other Hayward products,go to hayward.com or call 1-888-HAYWARD HAYWARD® 620 Division-Street I Elizabeth, NJ 07201 Hayward and Hayward Energy Solutions are registered trademarks and TriStar Is a trademark of Hayward Industries,Inc. 02015 Hayward IndusMes,Inc. LrrrSMR15 I t ~'a Quick and easy installation wml •_. (t ; wt.oees+.r>:� +fie` INSTALLATION REQUIREMENTS SAFETY NOTE For swimaig Ved and athu de1dl sdety j,' vb Ahm gpd id idaw Ar '' � } aobmmmsr del Y's Am4 pie,most terrier(ode erd Slmldim ( revoAfty le MH ar wid e b spaify rile(olo+rig repdrwrlas ? The pat gate most M.esfiaerl4 41, + e�erwiet d�eM sf away fnw Ito pool so fire W1 most so rime ds pb meows b be fitted to Ibe oo$*of the pal gale � eReoMly ssNdaeael •The back rdmmse Iwb b to 1e at teal (`1 srf Peel 6r II SOOom)above IWAad grwod I i • QLU Lan�tobe�W k A&sdsmI W (I YOOm)a(seve fWsbed groad { �a AI%rA nafvm�rq*mwes wdb tM + OWOPW feral PDd w solely all&K&III yam UK oe ngdatioo mat rap.hwdl ds tees 1) r I�III p auadsme ayb lad feae/Imrier devwd r � 1 M A Vtem 1 ARaili& fixalhtimbseele{Ilaanlof , h Ilw'n-u.andwrilde�elNr 'I►'dt'/e'la..eadM•vr.ty,•n*.,t E i � I VERTICAL r + ftY�•` � ..x' I � _ ? \sM►w.djusatmmlM ' ,? heMb/ImifeMietB (sera am. 'Rl )wslt WTAL Velisd ME model I 77�— - - Cde Appaw-im Odor -y rwr IILSRi Gersnd•►ai w Hw Gases UAW* I a"�� (rti'� w Uesaiptiecll�i�d.._ _ Iddllu - i I� oft maw INfom *b of bsa w1we a a**Imt"IDI&b meded.RAW 9 dC�tiea and onv6vmim 7e�1'kr�s� - M �°' �- Whan used m piddNyle sssnaauq pd�e ramp6aA udi svy&dddd ma 6e usad to pnvA Wch asrs by loddlos. r ` c I I Camud lad anhonft 6 beipM measamroiUrcp*m ms >r*Wq Pod p- -- tsr v7 istrYr ra;z tsi Apomtias Wer t41yfSM.Poi,Peal A OW Safap G to wzk Whb tsxl � Desai�t�A 3AaMt.6rsiDe d dr popular"fop iLl' Y moddbahgaa&a m [mum mdbded for wldy rpo r1 Pdmmmrdia6m�ilgpxkaedeh�safNparmtAhoided gig, !' as o pd pa4 hfr5 La iim hohlwd mvn*/ 7s Ei gldy c6pd re>islmp,m*dA hdrk Im mdmnisal HA tesedeue to domreb let Iadle fa added sesudy,hAy -pis dwpn flea pmdm emy at— • } j embow and bog•M rile perlamm¢ taw fds amsl pores and d gole aaeriok lded fw gaialLeae 9 H tatAYn 4a}reFI U71�.£-I/�IC.19•�7#! of fV LISM1a11ef ObXL an Mm*pod phi �„J --�N�-- yr� 1 tasakbcda�horil'snlatad�tmmaa�mNiegoumdiin y Code A*,.41 es Cola �f 'I_ YLlKYBGA SrfmmEg W&ON Safvh Gdo 04 WM, r um . . Dem}tium%mopopWa MqMakh amkSteided gmIffdi for mierypaesaatdswaahppmkadM iafely aces wdl m dopa:e orders: ad+ M dmael,hey fa&*IN added s<N4 tw "mau pmr de*go prow&my,aaurot k*hf wd bap• mm tm niath Wofm=L gm ad mneik R9 ma pme/Ima Imn k*h W h Ad la 4r IlMtoml let Omm as&6& msheW"soIWkrdmm6AboddemchalgW v 'vim, 4 Co roAl W Wl sftfor he*WA wmrom/repmmm on, galm ;*. w r • rt r all VIA lekisnn4m seG ' WA u— n 7�I.Ufp 3F�-UAt'IM1.Vy i t Tor►au MAGMA•LATCH'Safety Cate Latches tar a � Wit" ( revolutionary breakthrough in latching security for gates around swimming pools,homes and child safety areas, t Powered by super•shung'iPemtanent hiagncis', t which never lose potter,these quality latches incur no mechanical interference,to closure mtd so offer unprecedented reliability,safety and child resistance. trtmtat rou.attW The popular"7'up Pull"model is designed Pm uTcx•m.af1 especially fur swimming pool gates but can be fitted to any gm:when:child safety is important, The shorter"Venical full'model is recommended for gates at]cast Y(1,5m)tall This model is also known its the"Pet Latch••,us it prat idc5 security for pci safety gates. SIDE rW! All latches adapt readily to most new or existing w o"I gates and any gate material.Two models urc key- lockable for added safety. The latest"Series 2"latches can be adjusted twrrically and horizontal/,to ensure safe,reliable latching at any time during or after installation. Vertical adiustment,is quick and easy because the llAGNA•IARNfas beto � latch body slides up and down dovetail-style trucks wadto more that for easier.sturdier installation- 4GG,000rydamoo Horizontal adiusiment is achieved by adjusting a srirrailgPodbarria screw within the-Striker Body"so that the striker (odesreq Ja OUT tabe can be adjusted across gaps.ranging fminMr-l'ith" sa(ltl*V Call seKaatdirg.lb hitch has (9-37mm). beendafWatd amlytestedto The"Seacs 2"models provide extra impact react htd intemtnndtofety codex resistance and durability on larger gates and also against.heavy pedestrian tmlrc. ROUND •t ST ADAPTOR Kit y/� /� /�*/tY Tht`k,wud Pact Adtjr v The kit itcludew Wrptar NAON11-L9f`fit Kh"LanopiaiW kit far bmicuuWwhim}It,firmv rtuntndrytltlagoa•Latch i:oa ncmchitialid id+uiing Pet Security Va••ApPuIP'or"tenieW pandiamnm, /► m lach.s a gates and Gate Latch - f�:nith round puat3, t� .I . MACNA•LATCH is I also suitable For house r and garden gates where t pet security anti pet f i access coniml are important. t ti PtetmtbpehhoalSfaplllgmldheeps ►midiwtne»:P%a-?'ti&-!Ommt,:sh'(611nan1.2's"(iioaol &MSafebaarmtrmttediabttchir6 Cdedhmnrrc:tt?°():mmliti>'{Jtnm),I'� ( !Ikmo} +tb l+h'.u!{w•w wwdmpw(..rr yfb:i.w{gvi Kl'.i:' �LKiI►!!llb7 Use the safest... !� } Q •Magnetically triggered latching - = } '* •Key lockable safety(two models) ' t;&wdby . •Adjusts horizontally anQvertically _ iM former t AustraAnti°'n •Patented"lost Motion"TechnologyformerTw COoaha�b,,„ „,. •Quick and easy to install t f . a9yremgrfaeddild (maw with convenient self-dnMing screws) water �.aare rrrr, IaCI AM q � '. r Features Benefits ®� { •Patented mognetic self-latching No mechanical forming during d; e t t •Exceeds iniamionol barrier/sd(ety codes-Unprecedented reGatil'iry S safety t •Quality molded polymers&steinlass steel No roving,binding or staining ! VERTICAL by lockable(Top Ptdl B Vertical Pull) Added safety and,peare-ai-mind 4 ♦_/ •Qua ttty Assurmrce I50 9001 manutaeurer Iifetnno Worra ly }{ +.Engineered for ease of installation Reduced installation time Icosisl !_ •tatehes in the locked,position Exceptional safety&reliability •Won'I disengage ham shaking&pulling Can't be forted open 1 •unprecedented ad{e ustabili t ty Easy ro install arts maintain •Tested io 900,000 codes Proven to last the test of time Adagnat r 10R1Z0 L rriggerlag © � means no t s osr !, iorlo>rvrol t Iq imp ♦ ISO Oil'AR MUJ1 Yarn- CIUMIelR IRMwY yMwY rirRdMnil kwNsN .. - I i CERTIFICATE OF LIABILITY INSURANCE s/�TE(MMI D/YYYY) 8/2018 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 endorsements. PRODUCER CONTACT NAME: Rogers&Gray Ins.-Dennis Branch PHONE 508-398-7980 FAX 877-816-2156 434 Rte 134 South Dennis MA 02660 E- AIL .mail@rogersgray.com INSURERS AFFORDING COVERAGE NAICTt INSURER A:ArbeIla Protection Insurance Company, Inc. 41360 INSURED SHORPOO-01 INSURER B:Wesco Insurance Company 25011 Shoreline Pools Inc INSURERC: 32 American Way South Dennis MA 02660 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 1311092479 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 ADDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YWY MWDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY 8500052096 7/26/2017 7/26/2018 EACH OCCURRENCE $1,000,000 CLAIMS-MADE ❑X OCCUR DAMAGE O RENTED PREMISES Ea occurrence $100,000 MED EXP(Anyone person) $10.000 PERSONAL&ADVINJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY a PET LOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY 1020013830 2/9/2018 2/9/2019 COMBINED SINGLE LIMIT $ Ea acelderrt 1,000,000 ANYAUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS ONLY Ix AUTOS ( )HIRED NON-OWNEDPROPERTYDAMAGX AUTOS ONLY AUTOS ONLY Par. er acciderrt $ A X UMBRELLA LIAB OCCUR 4600052138 726/2017 726/2018 EACH OCCURRENCE $2,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $2,000,000 DED X RETENTION$10,000 $ B WORKERS COMPENSATION WWC3327285 2/10/2018 2/10/2019 PER OTH- ERAND EMPLOYERS'LIABILITY Y/N STATUTE ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (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 I 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 Bob Doherty THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 42 Wheeler Road ACCORDANCE WITH THE POLICY PROVISIONS. Marstons Mills MA 02648 AUTHORIZED REPRESENTATIVE I t ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD r The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street, Suite 100 Boston, MA 02114-2017 www mass.gov/dia AVorkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual):Shoreline Pools Inc. Address: 32 American Way City/State/Zip: South Dennis, MA 02660 Phone#:508-432-3445 Are you an employer?Check the appropriate box: Type of project(required): 1.0 I am a employer with 15 employees(full and/or part-time).* 7. ❑New construction 2. I am a sole proprietor or partnership and have no employees working for me in ❑ l ❑ iany capacity.[No workers'comp.insurance required.] 8. Remodeling 3.am I a a homeowner doing all work myself.[No workers'comp.insurance required.]t El Demolition 9. 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 ❑Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑ p Roof repairs These sub-contractors have employees and have workers'comp.insurance.t 6.❑We are a corporation and its officers have exercised their right of exemption per MGL C. 14.❑✓ Other Swimming Pool 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 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. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Wesco Insurance Co. Policy#or Self-ins.Lic. #:WWC3327285 Expiration Date:2/10/2019 Job Site Address:42 Wheeler Road City/State/Zip: Marstons Mills, MA Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify d e pains and penalties of perjury that the information provided abgve is ue and correct F. Signature: Date: / 4901001 U Phone#: 50 3 5 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#: Town of Barnstable t Regulatory Services Richard V. Sea%Director - �� Building Division. Patd Roma,MIding Commissioner 200 Mob Street,Hywmiis,M.0260.1 www_town.barnstable.mums Office: 508-862-403 8. Fax: 508-790-623 0 Property Owner Must Caznplete and Sign This Section If Usi=A Builder Arthur P. Doherty Jr , as Owner of the subject property- hereby authorize Shoreline Pools Inc. to act on may behA in all matt=relative to work.aatb.orized by this buflding permit application for 42 Wheeler Road - Marstons Mills, MA 02648 (AAddress'of Job) '"Pool fences and alarms are the responsibility of the pplicant Pools are not to be filled or utt7.tzed before fence is ins d and all final ' inspections are performed and accepted. Signztuxe of Owner Signor of Kppyicxnt Arthur P. Doherty Jr dc Print Natiae Print'Natlie 5.18.18 Date Q:F0M&-0WNMZPMUMM0Ie00LS IF6 Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvemen Gontractor Registration Type: Corporation SHORELINE POOLS INC - i � �-- u Registration: 10/062018 202 QUEEN ANNE RD HARWICH, MA 02645 W GA 1 0Update Address and return card. Mark reason for change. 20M-05/11 C-lJ/L(� n9JJgJT,O?![UBC(,��-1al Ma aC/Ie4effsJ :x Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only 2- Type: Corporation before the expiration date. If found return to: "`.ARegistration Expiration Office of Consumer Affairs and Business Regulation '! 10 Park Plaza-Suite 5170 -1'61240 10/06/2018 Boston,MA 0211E i _ SHORELINE PO:O.LS�INC='== CHRISTIAN&FNE ATRICH i 202 QUEEN AND HARWICH,MA`•626245'-. ' Y- U Undersecretary Not vo thout 4ignature I Al'19 r Bamstable Bldg. ept. Approwed by �7 Permit l " Lv-TS as 0 v w 1 �� t ° /-v-r 3 s. v 2-7 3..st � r ,� a �- =.�k ��� ��..� : -� - 'su�rs�•s �:���u<s <! 9 14, '� FeoQ®m1 W.g a Ewa '0 VTR j CERTIFIED PLOT PLAN OWN , I ' ELDHEDUE f?pgr u SCALE r rr� fib' mA7E . _bmw GE E•N&I EE ING RTfFY THAT THE%°Z,4;&0Arlon/ CLIENT SH4dYM ON THIS PLAP, IS L9GATEp EBISTER£ R Q19TER O '3�f 9 CBS THE f3ADUND A3 INDICATED Ar�ip �! CIVIL LANb ,i06 DID . T,^ ENGINEER flUR1iEYOR ©R.Ily A._fl m. CONF04i1�i8 TO THE ZONIkO LAWS OF RARKSTABLE, MASS CH-By' NIYANRIS.SMASS.r SHEE-rlOF aylt e"q 9 A. o aw�V4F n i 13 Barnstabl g.Dept. Appro veyy i P mit#: i 4 o-r 3 fJ 27 at y?-Fp FmxwubIamwLM am_- i f.��1 cJ �� • ems.+ _ _ . 1 a��Jr3[t C'ipT� G£RTIFlEb PLOT PLAN fig' ��--rr f'. < � ioAt� 1 u .I. _ SCALE- !'`' 4," DATE- 411?1"U I CERTIFY THAT THE:�,�'Ns'JAi+�+✓ a CLIENT SHOWN ON T1113 PLAN 13 L=—ATIEp 1 £BIS7£R£ R 19fi�k f3 b'32 89 CCVIL LAND , � NQ.°� �N THE GROUND AS INDICATED AND ENGINEER SURVEYOR DR.I3Y► A,-km. CONI`{1RJa5 YS THE ZONING LAWS_ OF BAaNSTA9L1r, bbASSrfL By' _ 712 'MAIN STREET _ py �• r�—� NYAhr9i5Z Unfit euec5• ! ne� _.-________ GENERAL NOTES: Barnstable Bldg.Dept. I 1) POOL CLEARANCES TO BUILDINGS AND PROPERTY LINES SHALL BE IN I ACCORDANCE WITH LOCAL AND STATE REQUIREMENTS. FILE 05150912 Permit#: 2) THIS PLAN DOES NOT INCLUDE POOL LOCATION ON PROPERTY,GRADING, FENCING,WALLS OR OTHER SITE INFORMATION. 40' 3) ALL CONSTRUCTION SHALL BE DONE IN ACCORDANCE WITH ALL LOCAL 30 +1" AND STATE REGULATIONS. 2 3�_72�� 4) CONTRACTOR SHALL VERIFY BURIED UTILITIES WITHIN SURROUNDS OF INSTALLATION AREA. CF 8 8 8 6 6'4 1/2" 5"SS ANSI/NSPI-TYPE II POOL-DIVING PERMITTED POOL COMPLIES TO NSPI-5 4' ADDITIONAL NOTE 6 IF POOL IS FURNISHED WITH DRAINS OR SUBMERGED SUCTION OUTLETS, THAN COMPLIANCE TO THE VIRGINIA GRAEME BAKER POOL AND SAFETY ACT IS REQUIRED: DRAIN COVERS ASME Al 12.19.8 2007 AT 3'-0"MIN APART AND 12' ENTRAPMENT AVOIDANCE MUST BE INSTALLED. 8' 20' LIGHT DEEP 44'-83" 40" 20' PANEL 12' 4 DEEP STEEL CODE COMPLIANCE STAIR A. MASSACHUSETTS 4' 10' 14' 8��12„ COMMONWEALTH OF THE MASSACHUSETTS BUILDING CODE 780 CMR(8"ED.) ; B. ELECTRICAL&PLUMBING 6 THE CONSTRUCTION AND INSTALLATION OF ELECTRIC WIRING,GROUNDING 4' 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. CF 8 8 8 6 6'4 1/2" 5"SS LIN FT 112'-9" CF-6" RADIUS CORNER FILLER 5"SS-5"SIDE STAIR PANEL I COPING \ / DOCK \ �• Wit'• POOL WALL ADJUSTABLE G CUSTOMER DATE PANEL A-FRAME !I! SIGNATURE \ REQUIRED COMPLETE ! • IMPERIAL POOLS I 2"PREPARED 0:1DWG_2005105150912.DWG,03/15/05 09:15:38 AM BOTTOM 8"MIN. 2500 psi :•,:;,; :_,`: / CONCRETE ::•: < BOND BEAM Job Name: Howarth Residence _ 36 Crosby Lane JAM6SA. =JR.• . 4•` o Brewster,MA I iQ IWt�Eota t�a� ��ate. 2'-6" OF rAIISS�q 0 OVERDIG i JANIES A.RIARX,JR. MA Pr a al knew 3065 UNDISTURBED EARTH NO.36365 SGislE�NG���� / S/ONAU GENERAL NOTES: t Barnstable Bldg.Dept. ' 1) POOL CLEARANCES TO BUILDINGS AND PROPERTY LINES SHALL BE IN Approved by: ACCORDANCE WITH LOCAL AND STATE REQUIREMENTS. FILE 05150912 2) THIS PLAN DOES NOT INCLUDE POOL LOCATION ON PROPERTY,GRADING Permit#: FENCING,WALLS OR OTHER SITE INFORMATION. I 40' 3) ALL CONSTRUCTION SHALL BE DONE IN ACCORDANCE WITH ALL LOCAL 36'-42" AND STATE REGULATIONS. 3'-72" 4) CONTRACTOR SHALL VERIFY BURIED UTILITIES WITHIN SURROUNDS OF INSTALLATION AREA. CF 8 8 8 6 6'4 1/2" 5"SS ANSI,NSPI-TYPE II POOL-DIVING PERMITTED POOL COMPLIES TO NSPI-5 4' ADDITIONAL NOTE I 6 IF POOL IS FURNISHED WITH DRAINS OR SUBMERGED SUCTION OUTLETS, THAN COMPLIANCE TO THE VIRGINIA GRAEME BAKER POOL AND SAFETY ACT IS REQUIRED: DRAIN COVERS ASME A]12.19.8 2007 AT 3'-0"MIN APART AND 12' ENTRAPMENT AVOIDANCE MUST BE INSTALLED. 8, 20' LIGHT 81 DEEP 44'-83" 40" 20� PANEL 12' 4 DEEP STEEL CODE COMPLIANCE STAIR A. MASSACHUSETTS 4' 10' 14 8-41 COMMONWEALTH OF THE MASSACHUSETTS BUILDING CODE 2 780 CMR(8"ED.) B. ELECTRICAL&PLUMBING 6 4' THE CONSTRUCTION AND INSTALLATION OF ELECTRIC 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. CF 8 8 8 6 6A 1/2" 5"SS LIN FT 112'-9" CF-6" RADIUS CORNER FILLER 5"SS-5" SIDE STAIR PANEL COPING POOL r ` DECK ��• POOL WALL ADJUSTABLE CUSTOMER DATE SIGNATURE PANEL A-FRAME REQUIRED \ COMPLETE 04223 PERIAL POOLS 2"PREPARED i [1�7005\05150912.DWG,03/15/05 09:15:38 AM BOTTOM 8"MIN. 2500 psi CONCRETE BOND BEAM` Job Name: Howarth Residence 36 Crosby JA MSS A.UfflXJR- . o;. ... Bre M� Ssyc' 10 •074% 2'-6° OVERDIG o I JAMCS A.MARX,JR. , � a \ O AL& 3065 NO.36365 UNDISTURBED a. 0 — I Q��FG/sj.FCiL _ EARTH ASS/ONAL ENG ....y .�. 't. .Ti - . ,� - `r p. < +l'} -..^•a }, (�9 �-�"J�i�,. ; � '~r' �� +k'�y{". � � .f rs�� ��":f'�:.. � t I..YZ � F TOWN OF BARNSTABLE BUILDING DEPARTMENT = r �T TOWN OFFICE BUILDING MYL HYANNIS, MASS. 02601 MEMO TO: Town Clerk �. FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized ,by BuildingPermit. #.». ..e�����» ....................».......................................».... .»»» issued .to ............f..;r—bboo �.................................................. ......» Please release the performance bond. i TOWN OF BARNSTABLE permit No. _______2778� Uun� Building Inspector CashMMIL -- ' '�i°n,Y� OCCUPANCY PERMIT Bond Issued to Herbert Wells Address lot #4 42 Wheeler Road, Marstons Mills Wiring Inspector `�I /� '" Inspection date 41 P - . Plumbing Inspector Inspection date Gas Inspector / i' Inspection date Engineering Department Y / , j yJ Inspection date Board of Health Inspection date -7 1 i l THIS PERMIT WILL NOT BE VALID, AND THE BUILDING MALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. .: :. ..... 19 _ Building Inspector Al71 zo% c y 134. z6 lq '/6 6,h I OT 4-. d 74 crz�s , L0 -T•S l N N s � M : � z7 • ) 2y.' r t 3S • V1 /Lt vr✓ A'C/LG I r 6 i o l s- f . S OF CERTIFIED PLOT PLAN A1gs� SEA any yfEz L�2 �� o� ROBE g B. /�I A 2�ST0�-s 1`?/LL5 ELDREDGE ,. No. 19367 IN ��Fss�o If,GfSTERE�v'��� SCALE 46 DATE(aARM + GE ENGI EE ING CO.l CLIENT I CERTIFY THAT THE fav✓�ATo.✓ SHOWN EGi9TERED 3 ON THIS PLAN 19 LOCATED D JOB NO. 9___?,$9 ON THE GROUND AS INDICATED AND • � CIVIL IREGISTERE LAND ENGINEER SURVEYOR DR,BY• 4.A CONFORMS TO THE ZONING LAWS OF BARNSTABLE , MASS 712 MAIN STREET CH.By, R-�•E • . y H YA N hl 15, MASS. . ,• . SHEET—L_OF% ATE REG. LAND SURVEYOR Y Town of Barnstable *Permit#�J ' Regulatory Services fee from issue die aABrrsrABM MASS. Richard V.Scali,Director i639• �� Building Divisioii Paul Roma,Building Commissioner � � 200 Main Street,Hyannis,MA 02601AVG www.town.barnstablel—f a.us " 01 Office: 508-862-4038 CJlK1IV 0,,r- ?016 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTI m, "QNLY Not Valid without Red X-Press Imprint Map/parcel Number J Property Address [j 'Residential Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address �i�t1 d M/eWV J 4" _ o U Contractor's Name Telephone Number < Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor the Homeowner ❑ I.have Worker's Compensation Insurance Insurance Company Name. Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re- oof(hurricane nailed)(not stripping. Going over existing layers of roof) ( e-side [t-replacement Windows/doors/sliders:U=Value (maximr.32)#of windows ts.)c�CJ1S doors: je ❑ Smoke/Carbon Monoxide detectors 4 flo tans m r wi red S and inspections required. Separate Electrical&Fire Permits required. •Where required: Issuance of this permit,does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Prope Owner must signyroperty Owner Letter of Permission. co of the HoFpe Im rove nt Contractors License&Construction Su perviso6'License is re ed. SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 06/20/16 cp Ile Commomrealth of Ma"adr=et& Department of 1nd-mslnid Acc idmtts 600 i asItutgim Street Gaston,MA 02111 iPFo-vma&&gvv1dza Wkwimrs, CanzpEnsaf an I ce affidavit:Bider Cmtra ftws Elecfricia timbers AppUcant Iafmmafsan _Please Print Name tee= c4/sttrt1 o� l Phi Are you an employer? heckthe appropriate bom Type of project(required}: I.❑ Lam a 1 with. 4. ❑ 6.I am a general contactor and I ❑New oa�frocEio�x employees(agdfor part-timej* have hired the sub-coat 2.❑ I am a sole proprietor orpartaw- listed(.tire attached sheet. "I- ❑RF-Tnodeliug. ship and have ao employees These sub-contractars have g- 0 Demoaon wod ng for roe is any capacity- employees and have wod=s' 9..0 Building addition LN4 ibpdmrs' Comp.Vie: comp.Msu ante 1 r j 5. ❑ We are a corporatim and ifs ME]Electrical repairs or ad�iaas 3. am a be uner doing all worm officers have exercised ureic I L❑Phu Bing repairs or adfMiems myself[Ida w=keCs'oamF- rim of exemphou Per MGI. L-❑Roafrepairs imcarc=e r &]1 C.152,§I(4X andwe have im emgloyem(Ito workers' 1.3-0 Other cones insurance mqdredL] OAnyapp5rmtd=tcbedab=itmast also ffilomitheswff=b9wshmsiagtheawadereappensadoupeHcyinf rms imL t Hamemnes who submit sties of ul2vk mirk—:dmy axe daim.-&U waal;arA dxea his autside camtRcemsmast submit anew affidavit mcid—rin rnrx ZCa=mtaff=cbeclthis b=must aftch anaddiliamal sheet dwwiag tbenmmeof the sub-ccm=tcb=and state vhethec aanat9mse eozrtiesba-e employees.Ifthesdla-amt�daxshare empIayee%diet PmvidL-thek wudEeW gip•paRU mmilrer- I am an suiPIayer flint is prQuiding workers'aotrgrerLsrdian h=ranmfbrmyeHW&Pyem Bdoiv is 1fie prrrhicy=d job sde infarraaliata. Iflsurance Company Name- P4ficy-or Self-ins_Ile-4k Expiration Date: Job Site Address= City/State/2 p: Attach a•copy of the workers'compensationpolicf declaration page(showing the policy number and expiration date). Failnre to secure coverage as required under Section 25A of MGI,c.1572 can lead to the imposition of criminal penaltaes of a fine up to$UOQ 00 iud+'or orie-yeir imprison as weg as rind peaalties,in the form of a STOP WORT£ORDER and a f m of up-to$250_00 a day against the viola or. Be adsdsed firaf a copy of this statement smy be forwarded in the Office of Irrvestegations of IAA Ida Iteraby d arajkw ifiatthe vaformdiarrpnni&d a wig and correct Sites= Date Ph==ik OJftcitd uw wily Do not write in dm area,fc be conipTeted by city artown neat City or Town: PernritlLicence;9 LamingA f1writy(drdeone): L Board of Health r.BmTd"mg Department 3.CitylTosrn Clerk 4.Electrical Inspector S.Phxnibmi gg Enspecfar *Chher Contact Person: Phone 9: - - 6 Taformation, and Instructions Maceachasefs Gebeaal Laws chapter 152 requires all employers'to provide woIIeas'Ca3Veasation for their employees. Pur3a=t-to this statt3b,-,an mipkyw is&.fined as=everyperson in the service of another under any coxtmd ofhur., express or implied,oral or " ' - association;crnpora ion or o hr=.r legal entity,or any two or more An�Iay�is defined as as mcpxviduz�],partnexsb.�, of lff:Le,foregoing=gaged is a joint else,and inclndmg the legal reF7Cseaf dives of a deceased=3pl yer,or the receiver or trustee of an individual,pa tamship,associafim or ofherlegal entity,employing employees However the owner of a.dwveIling house having not more than three apm1mearts and who resides therein,or the oc RXmt of the - dWeIlmg house of ano$er who employs persons to do mami±a ce,constrain on Cr repair wu&on such dweIIing house or oa the grounds or baildmg appvrEeu theaetn shall not because of sash employmr be deemed to be as employcr." MQ,chapter 152,§25C(6)also states'that¢ever f S'tate or local U=xsIng agency shall withhold file issuance or renewal of a Tcense or permit to operate a busnaess or to construct buildings is the commonwealth for any applicant Who has notproduced acceptable evidence of compliance with the insurance.coveXage reguh-ed_- AdditioxmaIIy.IMQ.chapter ISZ,§25C(7)sues¢Neiir the co nor au ofits political snbrfivLsions shall enter inin any contract for the performance ofpnblic work u afa acceptable evMmm of carnplignce with the fi=rance._ reents of this chapter have beta presented to the oomxact>ag a�h� 3=" q� A pPlicaats Please fill out the wows' compensation affidavit completely,by d=ck ag the bones that apply to YoUr citxmten and,if necessary,supply sub-conixacmr(s)name(s). addresses)and Plume nr— ez(s) along wih then cestficate(s) of mmn-ance. Limited Liability Compames p-q or Limited Liability'Partnen�s(LU)wiffino employers offier than the members or pmtam-,an not required to raay wPo*=e compensation fimmm . If an IJ C or LLP does have employees,apolicyisrapi ed. Be advised that this affidayit may be submitted tothe Department of Industrial Accidents fur conEMnation ofiD �p coverage Also be sure to sign and date the af$dzVit The affidavit should be re 3=cd to the city or town that the application for the penxiit or liceuse is being regaesbA not the Department of hidn ch-ia1 Ac ec:ft Should you have may questions regarding the law or ifyon ate requm'ed to obtam a W03:k rs' compensation policy,please caIL the Department at the number listed below. Self-insured carapanies should enter their s elf i ern an ce licaaso number on the appxmslsiate line City or Town Of Ficials Please be sure that the affidavit is cm3pleta and prayedlegiibly. The Department has provided a space at the bottom of the affidavit for youth fill otrtinthe event the Office ofluvestigaiionshas to comxctyeuregnIBn9th0 ap�Iicant Please be sure to fill m the pen it cense m— er which vM be used as a ref=aco mmlber. In-addition,an applicant that must submit multiple permit c Se appliEaiions in any given.ycmr need only submit one affidavt mdicatmg east policy information(if necessary)and uudea"Job SitL-Address"the applicant should wiit---aU locations in (citY c r town)--A copy of the affidavit that has been officially s mxped or mm3md by the city or town maybe provided to the - applicant as proof that a valid affidavit is on flee fw fmnre permits or IicCnses A new affidavitmust be filled olt mark year.' hem a home owner or citizen is obiaiui g a liccnse or pe=it not rtlatzd in any bust=or commercdal vm3t= Cie. a dog license or putt to bum Ieaves etc.)said person is NOT required in complete this affi davit The Office of Iuvc-stigidion would Iiae to thank you m advm=for yams coopeatiacL and should.you have any gaesiions, please do not hesitate to give us a caIL The Departmenf s actress,telephane-and fax number: CEMXM-V E of Massach Dent cif li�al Accidents Basto-a4 MA Oil I I Ted i�617- -49 0 eat 4€6 ar 1477 M S,3` Fag#61'-'2'-7M B.evism4-24-07 ,tea gta i � $ Town of Barnstable Regulatory Services ` BEAM ' Richard V.Scab,Director 1a<�s Building Division. Pant Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.towmbarnstable.ma.ns Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I , 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 Job) **Pool fences and alarms are the-responsibility of the applicant Pools are not to be filled or utilized before`fence is installed and all final inspections are performed and accepted. Signature-of Owner Signature of Applicant Print Name Print Name Date Q:FORMS:OWNERPERMISSIONPOOLS Town of Barnstable Regulatory Services Richard V.Scalt,Director ' Building Division t Paul Roma,Building Commissioner 6sq. �� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCA ON: " manMer ,� /1 street village "HOMEOWNER": e t�f l ®f7C 2 cP3,6 name no phone# work phone# CURRENT MAILING ADDRESS: 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 d i e own ce es that he/she understands the Town of Barnstable Building Department minimum inspection 7ce s r e e/she will comply with said procedures and requirements. 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,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 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:\WPFILES\FORMS\building permit forms\EXPRESS.doc 06/20/16 Town of Barnstable *Permit# Regulatory Services F�6 npdssae a s . RARN47'eRiF_ • i,> Richard V.Scali,Director 9.1 dW Mla Building Division --jom Perry,CBuilding Commissioner 200 Main Street,.Hyannis,ARIA 02601 www.town:bamstable.ma.us 6ffice: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY O O/Z of Valid without Red X-Press Imprint Map/parcel Number //�� Property Address `1 ,2 C L Lz 8D M A J Residential Value of Work$ - •IX t/100,120 Minimum fee ofL$35.00 for work under$6000.00 Owner's Name& 1� 1 Address P 0 P� / Contractor's Name y 2 h/�j L gd ITO 14 lys Telephone Number . 6 Dg .7 Dl tQ / y 2 Home Improvement Contractor`License#.(if applicable) ' �d O 7 y Email: "14 �„,/yr.ZOf1-j Construct n°Supervisor's License#(if applicable) 0 .'u �Workman's Compensation Insurance 6a Check one: ❑ I am a sole proprietor JUL 2 9 2016 ❑ I am the Homeowner I have Worker's Compensation Insurance T O V U O F BARN STABLE Insurance Company Name IV t-1 ay p L 6 l%A/L-6 � ✓ (J A L l Ad S y tjWA/G Workman's Comp.Policy# Au CL`S 00 4 90 9 .20 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) Re-roof{hurricane nailed)(stripping old shingles) All construction debris will be taken to 1V`G d, A IVP ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum .32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. ge coyof the Home Improvement Contractors License&Construction Supervisors License is quired. SIGNATURE: CAUsers0ecollik\Ap L\Mcrosoft\Windows\Temporary Internet Files\Content Outlook\2PIOIDHR\EXPRESS.doc Revised 040215 o � a�rrsrws>B. : • `* �,0� Town of Barnstable Regulatory Services• Richard V.Scali,Director Building Division Thomas Perry,CBO 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 a I, �V �i ,as Owner of the subject�ioperty hereby authorize �r;1�'h-ro L V k., to act on my behalf, ' in all matters relative to work authorized by this building permit application for: . (Address'of Job) a ignature of Owner Date Print Name ; If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.0utlook\2PI0IDMEXPRESS.doc Revised 040215 The Commonwealth of Massachusetts �'f VJDepartment of Industrial Accidents `! Office of Investigations 600 WashingtonStreet Boston,AL4 02111 nn%tntass gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractorsfllectricians/Plumbers Applicant Information Please Print Legibly Name(Businewowni2 tiondndividnal):6Y L6 L a✓ r L l c. S /� �,r� s moo. Address: 9 � �n, S L 8A S:t/,a It, 10 d .S- City/Sta&Zip: AiD il- yll N A 0-1,64 Phone##-- s 06 90/ 0 l to Are you an employer?Check the appropriate box: Type of project(required): 1.M I am a employer with T 4. ❑ I am a general contractor and I 6. ❑New construction employees(fall and/or part-time)-: have.hired the sub-contracton 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- ❑Demolition working for me in any capacity- employees and have workers' 9_ ❑Bailing addition [No workers'comp.insurance cam-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.❑Roof repairs - insurance required.]I c. 152,§1(4X and we have no employees.[No workers' 13.❑Other s comp-insurance required] •Aay applir=tbat cheats bom nl m=also fill out:*2 section below showing their WDAers'compernsation policy Mfotmatie 0- i Homeowners who submit this afhda rk indicating they are doing all work.and then hire outside contractors most submit a new affidavit indicating snob. j Unu: mrs that check this bent nEust attacbed an additional sheet shorting the name of the snb�rs and state whether or not those enffities luxe employees. If the sub-contractors have employees,they must pr nn&their workers'comp.policy number. lam.an employer that is providing►corkers'compensation insurance for my emplo ieex Below is die policy and job 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 up to S 1,500.00 and/or one-year imprisonment,as well as civil penalties in the farm of.a STOP WORK ORDER and a fine of up to$250.00 a tray against the violatas Be advised that a.copy of this statement may be forwarded to the.Office of Investigations of the DIA for insurance co�eml ge.verifiritidm. I do hereby certify ni t u and penalties of pe►piry that the veforvnation provided above is true and correct Signature: Date: Phone#- / Official rue only. Do not write in this area,to be completed by ciiy or town official. City or Town: PermitUcense Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact:Person: Phone#: Regulatory Services of Richard V:Scali;,Director Building Division anaNsrnsM ' Tom Perry,Building Commissioner &639. A�� 200 Main Street, Hyannis,MA 02601 ` t www.town.bar6stAble.ma.us Office: 508462-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Piease Print DATE: JOB LOCATION: number street 1• + village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual;for hire who does not possess a license,provided that the owneracts as supervisor. DEFINITION OF HOMEOWNER Person(s.�who owns a parcel of land on which he/she resides nor 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 m a,two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptably 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"honietiwnee'certifies that he/she understands the Town of Barnstable Building Department: iinimum 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-thats'"Any homeowner performing work for which a building permit is required shall be exempt from.the provisiotis`of Mis section(S0%,vdt'109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages'a person(s)for hire tdtido 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;problemmg particularly when the homeowner hires unlicensed persons. In this case,our Board,cannot proceed against the 'N ensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately respousitiie.' To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as; rt of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. C:\Users\Decollik\AppData\L...l\Microsoft\Windows\Temporary Internet Files\Content.Outlook\2PIOIDHR\EXPRESS.doc Revised 040215 ( • !i Client#:38860 2EXCELBU � DATE(Op—"; ACORD CERTIFICATE OF LIABILITY INSURANCE 3/29/2019 -' 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 POLICES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:tl the certificate holder is an ADDITIONAL INSURED,the policy(les)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 CONTACT Dowling&O'Neil Insurance Ag PHONE 508 775 1620 A/C No E:1: ! ,No>:5087781218 9731yannough Rd,PO Box-1990-- - E-MAIL ADDRESS: Hyannis,MA 02601 INSURER(S)AFFORDING COVERAGE NAICd 508 775-1620 INSURER A:National Grange Mutual Insuranc INSURED INSURER B:Associated Employers Insurance Excel Building Systems Company,Inc INSURERC,Safety Indemnity PO Box 436 INSURER D Forestdale,MA 02644 INSURER E INSURER 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 CONTRACTOR 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 TYPE OF INSURANCE ADD UBR POLICY EFF POLICY EXP LIMITS LTR IN SR WVD POLICY NUMBER MWDD/YYY MWDD/YYYY A GENERALUABILT/ MP02774T 2/2=016 02/2=017 EDDACHGGOEECTCURppR��ENCE s1 000000 X COMMERCIAL GENERAL LIABILITY PREM18ES(&Eo euErrence)_$500,000 CLAIMS-MADE a OCCUR MED EXP(Any one person) $1 O OOO PERSONAL&ADV INJURY S 1 OOO 000 GENERAL AGGREGATE S2 000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG s2,000,000 POLICY JECTPRO- LOC COMBINED SINGLE LIMIT $ C AUTOMOBILE LIABILITY 6231596 2/09/2015 12/09/2016 Eaaccident $1,000,000 ANY AUTO BODILY INJURY(Per person) S AALLOOWNED X SCHEDULED BODILY INJURY(Per accident) S AUTOS NON-OWNED PROPERTY DAMAGE S X HIRED AUTOS X AUTOS Per accident S UMBRELLA LIAB OCCUR EACHOCCURRENCE S / EXCESS LIAB CLAIMS-MADE AGGREGATE S DED I I RETENTIONS S B WORKERS COMPENSATION WCC50050098182016A 3/05/2016 03/05/201 X H WORT u-S FR OTH• AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE Y/N E.L.EACH ACCIDENT s500,000 OFFICER/MEMBER EXCLUDED? � N/A (Mandatory in NH) -EL DISEASE-EA EMPLOYEE s500,000 If yes,describe urWer E.L.DISEASE-POLICY LIMIT 5500 OOO DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD etct A77O.VU1 A77o9 r.Rn �. 0ITce of ConsumerAffairs S Business RcffuIation License or registration valid for indiv idol use only �. t-'JHOME IMPROVEMENT CONTRACTOR before the espiratign date. If found return to: y'Registration: 1g20g4 Type: Office of Consumer Affairs and Business Regulation 1._,. 3' F 10 Park Plaza-Suite 5170 x ;;;,Expiration: 5/26/2017 Corporation Boston.-NIA 02116 EXCEL BUILDING SYSTEMS COMPANY INC. RENATO DA SILVA 8 JAN SEBASTIAN DR.STE25 _ SANDWICH,MA 02563 ljodersecretan^ Not Valid_-W-4bout signature Massachusetts-Department of Public Safety Board of Building Regulations and Standards Ccrosi.ru.tic,r..Sure�:1:�.r _ License:iCS-098849 O�r. RENATO F DA SWVA`�``� ' 8lan Sebasdan'Drive.^rf�5'�� Saedwicli.MA 02363 ,r19 ` Expiration Commissioner 06/20/2017 r+ - 1 Assessor's map and lot number ......./1�Y:.7....�, ...........CA—, 6 g� 3 O 01� c? e G SEPTIC � TC`., °c TO�o T E • Sewage Permit number ........................................................ t '} B�S�TALLED IN Cot Z AWS`TAD E, i House- number WITH 1!i P � V. rnea L ENVIRONMEWT/ 'FO Yp'' ' TOWN OF SARNST'A�BLE BUILDING INSPECTOR -� APPLICATION FOR 'PERMIT TO ` '..�`,��'' .• . TYPEOF CONSTRUCTION ........ .. ..P.0.D... ................................................................................... f'lC....'-.......................19.9- TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ................l...O... ......W gp-&--&Z....90Ttu...j.� } 5.... .................................................. Proposed Use ....... .....F/q .... 1F -1!Ve.'......................:. Zoning District ........F.A.17 ...................................................Fire District ... r�iL4�T Utz. .. ...Cl 1i iZo.L!. ................ Name of Owner/ t/L K .. ./ ......A....�..ffoGPox+*:.........&.�.............Address Name of Builder Td /J.....`.`.l...U.t'Lf ......................Address eL/ a/f ....... y� Name of Architect A..............Address ... ....W041.0-- r Number of Rooms ..................................................................Foundation ............................... Exterior ?-?. ..5'IfING L /�SQ T' ......... ............Roofing .... .........ft -........................................................ Floors ...WqoaD#1,14eP!�E........................................Interior ...Pj Ujg ....................................................... F� .w.... Q��-.......................................Plumbin ��zz.F1..� S...................................................... Heating . . g ... 1 � Fireplace .......y��..5...............................................................Approximate. Cost .....J.. ............... ; ................... Definitive Plan Approved by Planning Board ---------------—---------------19_____--• Area .... �.�....... ( C`r — Diagram of Lot and Building with Dimensions Fee LQ2 ! (,3� �Z ........................... .... ......... SUBJECT TO APPROVAL OF BOARD OF HEALTH ►1 ,B 4 y/1 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable garding the above construction. t� NaCe ... . I.i... . ......... .. ..................... Construction Supervisor's License ..1.13........ ,---S, HERBERT jNo ...2Uk�. Permit for ...i.�4...��tf?K'y............ .ly Dwelling ........... ..Single .. Location .....Wt ................... ...................... Owner ....Herbert. . . . ........ .. .Wells .... ............................ .. .. .... .. .. Type of Construction ....Frame ...................................... ................................................................................ Plot ........................... Lot Permit Granted ...April 19,....................................�9 85 Date ofInspection ............................ .......19 Date "Completed ............ ...19 ................ Of 4 Assessor's map and lot number .......9..h.�/�......... :;............�.� o K c7 8 G s ..oF roe ��P�♦„ Sewage Permit number ....... - o 1 ................................................. // 1 BJB39TOBLE, i He7use number ....... .... ..L............................................ soo M & 0� 3 �0 L/ 'E11 MAY a .TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... �,.i•?S> ..> nJ, !!rr.... ! !`+/L ,.................. <.. TYPE OF CONSTRUCTION ....... 0 OC..:.17..... ...........................: �y ...................19.��5 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location % .. ....�Q�l-� F� .{7.... . ...�...�.e1,5?�Jn)5...�- /G,�r ...... ................................... ....................... .. .... .. ..... .... Proposed Use .......5�/nI i il.Gi...l�G�/�tLlNlr .......fir.�......�t`�..`7.... .............................................................. ............................................... n (.;1�,arr?f.���e:T, r? / rT =rZtl? Zoning District ...✓....................................................................Fire District ... .. Name of Owner/►!Z$ QS„� �i�P1 ,.I. Address �.�...gs...........,/i��. �' , �� m Name of Builder S p,Nj....R........C�!?..<........................Address � ,�5 /�l�i�aTU/Z � 17Gu/� Ej Name of Architect W •S�S'c >t �v...........Address ...�ys ..,,./.M../? !!1.. •...1�/ Number of Rooms ..........................................Foundation ... 00.- '.41 ........................... Exterior ...........Roofing .... T.............•...... Floors W dl?.. �� P�1 ,.........Interior ... L!���."6PXD t?. .......f '............................................ ..................................................................... Heating ... / ....7?��-f,CU/L. .............Plumbing ...z,4 -,F, TY:5 .................................. ........:.................................................... Fireplace ......... 5...............................................................Approximate. Cost .............................�O ( ....................................... Definitive Plan Approved by Planning Board -----------_------_-----------19________. Area .�.7 v.�'... .......................... Diagram of Lot and Building with Dimensions Fee L�Z . ............................................. 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 regarding the above construction. j!J Name ......... ��.,..; .. ................. . 'C-.................... Construction Supervisor's License ..1 ...........`.!{... ........ WELLS, HERBERT A=104-12 No ....2778..'..:.......... Per 'm it for ...PI..5.tQXY............ Single ' Family...pVg.jjiXjg............ ......................................... Location ....Lot. 4.t......A2...Vb.ee.ler..Road Marstons Mills ............................................................................... Herbert Wells Owner .................................................................. Type of Construction Frame................... .. .. .... .. .......... ................................................................................ Plot ............................ Lot ................................ Permit Granted .......April. . . ...19 851 Date of Inspection ....................................19 Date Completed ......................................19