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TAKEDA PHA MACEUTICALS AMERICA,INC.
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TAKEDA PHARMACEUTICALS AMERICA,INC.
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TOWN OF BARNSTABLE BUILDING PERMIT LICATION
Map Parcel O LI O u Permit# � Z
Health Division 3-3 7/ /� 0 ��<— AEG 1 7 Date Issued �'� 6
Conservation Division �,� 09!/ ee 06
Tax Collector 8�7/0/
- MUST OBTAIN • �p
t 4; �a , , _(� _ (�L ,,��1 f J A ROAD OPENING PER IV. SEP= SYSTEM MUST eE
Treasurer -� 7WW .1 C��' /I / '®j PRIOR ENGINEERING4 COSRUCTIOn INSTALLED
Planning Dept. IN COMPLIANCE
WITH TITLE 5
Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND,
Historic-OKH Preservation/Hyannis
CA
Project Street Address c. i rC14 _ (-
Village s
APSE SOGl74
Owner ;)C a ,i I k t% 7 Address sbw�
Telephone q o
Permit Request 1��e)l i t 22, 11 r Y o sa�� 0-,o„1. 71� 1 ._e Pws /-,>j e�
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Valuation Zoning District Flood Plain Groundwater Overlay
Construction Type LC V I V 1
Lot Size Grandfatfiered: O Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family Ef Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House: O Yes ❑ No On Old King's Highway: ❑Yes ❑No
Basement Type: ❑ Full ❑Crawl O 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 O Electric O Other
Central Air: ❑Yes ❑No Fireplaces: Existing New / ,Exxitiisting wood/coal stove: O Yes Cl No
Pool:Detached garage:❑existing ❑new size existing Ynew size 1°"x Barn:O existing ❑new size
Attached garage:O existing ❑new size Shed:Cl existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
__Commercial ❑Yes o j If yes, site plan review#
Current Use P S�/1 p 1.►co i Proposed Use p C o c�
BUILDER INFORMATION c
Name42 Telephone Number 1To C
Address License# oY3
CA k, N 0Z S?z> Home Improvement Contractor#
Worker's Compensation# ?EP 4
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TOVgkr- -f
SIGNATURE LV� 1'"`'�'� DATE
i
FOR OFFICIAL USE ONLY ,
PERMIT NO. ;
DATE ISSUED F.
MAP/PARCEL NO.
ADDRESS �` - VILLAGE `
4
OWNER
DATE OF INSPECTION;
3 FOUNDATION
min
FRAME o�„ t i
L INSULATION' ►+,"—c4 , r
x
FIREPLACE �?
ELECTRICAL: ROUGH FINAL
` PL'UMBING: ROUGH FINAL 1 -
GAS: ROUGH," — FINAL
FINAL BUILDING
DATE CLOSED OUT • .
ASSOCIATION PLAN NO.
AUG-14-2UUl 'fuL 11:Ul Fm KLALfY LXLUU11VL5 bUU JbZ 1JlJ V. U2
LOT 8 / LOT 7
i
S88*49 20'E / N86 3210"IV
154,87' 44. 00'
IN LIONC
h
/ wG LOT 9 -c7e ti
J01-
y w
DSO.,: o
�s
I o 131, 71'
IVTE
'YIIRGR
/ EN CIRCLE
RES. ZONE. RC" This MORTGAGE INSPECTION Pian ie For FLOOD ZONE- 'C"
Use Only
TOWN: _Q.YTffHFJL&K _ REGISTRY OWNER: LF Y.SQUUZA:
DEED REF �27Z�____- .M_BUYER: �F.FIN6NG�_ -��--------+--
DATE: �2f� _9�_ .__ _______ PLAN REF: IB9 _ SCALE:1'•= 30
I HEREBY CERTIFY TO ,,.4� J
THAT THE BUILDING YANKEE, SURVEY
SHOWN ON THIS PLAN IR LOCATED ON THE GROUND AS
SHOWN AND THAT ITS POSITION DOES ____ CONFORMt � �; CONSULTANTS
TO THE ZONING LAW SETBACK REQUIREMENTS OF THE f :"r,: 40B INDUSTRY ROAD
TOWN OF ____Rd$lYS7_aBJW-------------AND THAT 0b,aml MARSTONS MILLS, MA. 02648
IT DOES_ NOT LIE WITHIN THE SPECIAL FLOOD HAZARD TEL 426-0055
.AREA AS SHOWN ON THEH.U.D.1 OOTED_Z/_R/_2Z__
IB D FAX 420-5553
THIS PLAN NOT MADE FROM AN INSTRUMENT 26231 DAF
SURVEY NOT TO 9E USED FOR FENCES ETC.
RREPTAL 6' x 32' - 2' Radius
I � 32
28'
4 8 8 8 2,�
2'K t
4'
2 2
4 / 4 111
16' t
LIGHT 8, 32'3" STEP
PANEL /
UNIT
OPTION 8 8
2
�4
ZR 2'Iz
,4 8 8 8
3'4"
8' WATER DEPTH MUST 13E y
MINIMUM 76"
2"MINIMUM
PREPARED BOTTOM
6; �I 14,
NOTE:On pools with a thermtipla'stic step;an:
"A-frame is required on each side of step unit.-._.4
NOTFS ,'` r. F COPING LAYOUT 16 x 32
I. Structure is designed for use below grade and only in areas where die groundwater
table is a minimum of 4'6'below the proposed finished grade: >< ,.,' .`"`' 12 12 4 16 x 32 w/Center Ste
2. Backfil l with clean earth,free of roots and debrii,Do not allow the height of backfill
to exceed the height of the water in the pool by more than 6"nor watei to exceed backfi11. DESCRIPTION PART#
by mom than 6". -• ; __�-. ;"�s1.t ' 4-RADIUS CORNERS
3. Pour 2500 P.S.I.concrete footing around entire perimeter,minimum 8';deep 12 6-12'SECTIONS 12 5 4 8'PLAIN PANEL 05102
4.,.3'wideconcretedeckistobepouredatleast3"thicknessandaslopeof114-,to1 aweyfrom+' 1 1 8'SKIMMER PANEL 05104
the pool. ''a. .1� ...F: t - � 1-&SECTIONS
5. Finished bottom is to be 2"minimum of"suitable material or undismrbed earth ;'.,4' 2 2 8'RETURN PANEL 05108
6. A safety line,with buoys,is to be permanently attached IV'to the shallow side of 1 12 12 4 7'PLAIN PANEL 05110
the point of first slope change. s •r 6'PLAIN PANEL 05112
7.. Coping:'.coping lengths are approximate:Cuts may be needed on straight sections,
for proper fit.Radius comers ans 2'x 2 i,, - ,; •,;1. •_,«„' 5'PLAIN PANEL 05118
8. Construction Drawings:These drawings and notes.eie for illustiative purposes;I ADJUSTABLE A-FRAME 4 3 4'PLAIN PANEL 05123
only.Different methods and precautions may be dictated by various ground conditions. 3'PLAIN PANEL 05128
This is to be determined by and is the responsibility of the contractor who is not an agent of the-,
manufacturer of the component parts:: - '`� ..r. tH., 2 2'PLAIN PANEL 05129 _
9. Installation is to bb done in accordance with all federal,-state,and.local building 1'PLAIN PANEL 05132
codes,as well as N.SPI.suggested standards. ^'• - 7.
: r t`' r , 4'RADIUS PANEL 05160
SAFETY NOTE' �t +'' "' 4 4 2'RADIUS PANEL 05161
Pool bottom configurations are for illustrative purposes only.?.The configu- 8"MIN. 8 9 A-FRAME 05188
ration shown conforms with torrent N:S.EI-suggested minimum standards , 2500 P.S.I.
for pools approved for use with manufactured diving equipment.If,divirig CONCRETE 1 1'6"PLAIN PANEL 05131
equipment is installed,follow the equipment manufacturer's.installation,use FOOTING EL FILLER
and safety instructions r .. ,w t, :. 1 1 NUT&BOLT PAK 05202
77'
r : D1777
VIIIg perm><tted 5,x Y'; 2'6" 1 1 RADIUS CORNER COPING PAK
1 STRAIGHT COPING PAK
only from designated diving area:
�—OVERDIG
-' 23 Per. 92'6" Sq. Ft.508 Gallons 21611
°Ftne r
. . ° The Town of Barnstable
. �xtvsTeat.e. ,
MASS. g Regulatory Services
`gyp 059' •`0 Thomas F. Geiler, Director,
Building Division
Peter F. DiMatteo, Building Commissioner
367 Main Street,Hyannis MA 02601
Office: 508;862-4038 .Fax: 508-790-6230
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 orbuilding be done by registered contractors,with certain exceptions,along with other
requirements.
Type of Work:
o(IEstimated Cost Z 0��
Address of Work: l�-' 1 Y`' r e
Owner's Name: r D 1 h
Date of Application: "
I hereby certify that:
Registration is not required for the following reason(s):
E]Work excluded by law
❑Job Under$1,000
❑Building not owner-occupied
❑Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
WORK DO NOT HAVE
CONTRACTORS
FOR APPLICABLE HOME IMPROVEMENT
ACCESS TO THE ARB TRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A.
SIGNED UNDER PENALTIES OF PERJURY
*Dat
ply fora permit as the ag of the owner:
Contractor Name Registration No.
OR
Date Owner's Name
q:forms:Aff-idav:rev-070601
-- �le -C�ar�vnzaiuuea�z o�✓�aclucaetta -
BOARD OF BUILDI G REGULATIONS
License: CONSTRUCTION SUPERVISOR
Number: CS 059199
Birthdate: 07 .
pires:07119/2002 Tr.no: 27474
Restricted o:. G
RICHARD J THOMSON
PO BOX 1671 �, %
ATTLEBORO, MA 02703 Administrator
• / 272w'I�ariwiea�eeueal�a�=.Gnne!!a
HOME IMPROVEMENT CONTRACTOR
Registration:
Expirati 07/29/2002
Type: Individual
RICK THOMSON
Ric Thomson
Box 1671/ 350 Pleasant
ADMINISTRATOR
Attleboro MA 02703
I
0
"'�" The Commonwealth of Massachusetts
: .-_=---
--.. -- Department of Industrial Accidents
_. ` 600 Washington Street
--:ems; Boston,Mass. 02111
Workers' Com ensation Insurance davit
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name �,,,LA C e �'�a--�
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location �/
city C 1 `r u I l� phone#_ O 6.6 Z 1 P(
�[ Yam a homeowner.performing all work myself
am a sole rietor and have no one worku in anv ca achy
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❑ I am an employer providing workers'compensation for my employees working on this job. :: :.:::::::::::::::::: :::
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am a sole propriet eneral contract , or homeowner(circle one)and have hired the contractors listed below who
have •
the following workers' compensation polices: . ..:::.**.*.,::,.".",.,,.,:*,.M..,.,......-.-.-.,-.
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Faflnze to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a flue rap to S1,500.00 and/or
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a flue of S100.00 a day against me. I understand that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. .
I do hereby certify the pain;'and enalda of perjury that-the-information provided above is.7170)
-
Signature L , � DazeJ''l�
s , PIQ'7 J -'
Phone# -,F Fri� - 2—�'
Print name
official use only do not write in this area to be completed by city or town official
city or town. peradt/license# ' ❑Building Department
❑Licensing Board
❑check if immediate response is required ❑Selectmen's Office
so
. 1 , Health Department
contact person: phone#; - ❑❑Other
Ormod 9/95 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, Partneher legal entity, employing employees. How
rship, association or other ever the owner of a
and who resides therein, or the occupant of the dwelling house of
dwelling house having not more than three apartments
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 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 in the workers' compensation affidavit completely, and
by checking.the box that applies to your situation
' address and,phone numbers along with a certificate;oof insurance as all affidavits n+ay be
supplying company names,
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 o Industrial Accidents..Should you
f 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.
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/license number which will be used as a reference number. The affidavits may be returhR to
the Department by mail or FAX unless other arrangements have been made.
I1ie 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.
PER
The Department's address,telephone and fax number.
The Commonwealth Of Massachusetts '
Department of Industrial Accidents.
Office of Investigations
600 Washington Street
Boston, Ma. 02111
fax#: (617) 727-7749
phone #: (617) 727-4900 ext. 406, 409 or 375
i
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b�Q�OFTHE T TOWN OF BARNSTABLE
12388BSTAELE, i
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p Y BUILDING INSPECTOR
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APPLICATION FOR PERMIT TO .Add. to dwelling . 16x24
...... .................................................................
TYPE OF CONSTRUCTION ..........W.QAd...frame............................................................................:....................
.................MM...3.►................1 97.�...
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .YW .htergreen Circle , Osterville , Ma. 02655
Proposed Use ..�l0jj.jng-bedroom„and bath........................................................................................................
Zoning District R...Q. ..............................................................Fire District ...Centerville-Osterville
Name of owner .James Deforest .........Address .Wintergreen Circle , Osterville , Ma.
............................................... ...................................................................
Name of Builder Rogers & Marney, Inc. Address ....P�...O. Box 10 Osterville , Ma.
Nameof Architect .... No21e „........................Address......................... ....................................................................................
Number of Rooms ... ne,,,and...bath...............................Foundation ......C@ncrete slab
.....................................................................
Exterior White„cedar shingles................................Roofing .Asphalt shingles
....... ....................................................................
Floors .................P.
Car et.........................................:...................Interior .......Sheetrock
.............................................................................
Heating ........POt water ...Plumbing .,One and one half baths
..... ...................................................................
Fireplace p No ......Approximate Cost 4 2 0 00
Definitive Plan Approved by Planning Board -----------__________________19
Diagram of Lot and Building with Dimensions
SUBJECT TO APPROVAL OF BOARD OF HEALTHt
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I hereby agree to conform to all the Rules and Regulations of the Town
ave
of rnstae he construction. Name .. . ................. .. .. ..... .
DeForest, James
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I�O]�> add to
No -��..��-- Permit for -------..-~-'�_-
family dwelling
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Jmzuaa leFormst
Owner ---------.--.---------,
frame
Type of Construction ..........................................
. .
----.—.—.--.-------------.--- -
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Plot ............................ Lot ................................ -
-
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� Permit Granted ..............V. ------lg 72
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/ Dote of Inspection 19
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/ Date Completed . .
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PERMIT REFUSED '
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^---^''_---..---------- 19
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Approved ................................................. 19 .
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L-Aay EI_ CorIVEIt �s Z G R
�Htt .t�lC t[
•. d••• LT•tL •� .V.-OV GL rxt vmtLA?IOA� �� j ' 4•t'••N.GeIiG.VCGK
,4y1MU1UH tAIOTt:IrID wn i-- ------f--} /,t�tn.twJJN ��t�suwt►ON
/L �(1 •_+ Ger.wl
' , vtuvl u.tee� eor�la q. n !-�ir+-tleL.n .:•;.. � -• -
? PANEL 904A
VIAOW"L MACE
5- s�a�4 fuw.E VI►+YL UueR ll�•w�'• � , • 7DGGLt LDuc tD/tLL.Tf J�ocoo
FLANGE MW �`s >,+a f2 `
' $NUTS. _ BOLTS t NUF Ts •y YZ - O
•« — --- N TyRUL. War 6�O1T5 a�etu�bwf�+aM ow" t 11 l264
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4OIL•!IL aM61j•�A11%II
° ' •� - \..._ ��R.AN6E t'�OLTS - • �m AI,Wlt -. � 6,,,L�/,yrl, lbll♦bt �•la(,q�.clYlx�-�
•: .; .. �.•t+�. ?�c.TrvwL � if' d aL'i� E t�uPs.EACH �.�ea TYr t ss E /
PILLGR Mil swk4a LINE ..
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01 "0 EL Go2NEtZ 1 oval_ , ON 5TAI2 CORtJEP,n '►yfK 004"%l' it,�---- -+� a m
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1tKT1tKTAt1,tT1011� • .rzo 7= v.J.ti.NtIGc . Oeelwtst i.OF
. to.l�.+er�
�c A►t �"►IC"'L GALV. Z y
ti 00lLPOtIOfT IIOI73 L THE UM DE RM OF TIE POOL IS t+R®MUW ON A TM M DG AILATION OE DC IN SAtlS i .•r L e.Ma. . l aR wtli�tKtna.1 - IV&C.LE LOCK •-�.OFt� •� >
` • NOT WMrADON6 ORGAMC OATS PEAT,1MRb SOIL OR IOGILT E)VNGM SODS- lM•MP tawNi.P •
L ALL GAUGE STEEL IS fORl1®fRAMI MATEWAL�M'ORMmIG TO ASRI M52S
• Wflll A G435 GILYAf®Q7ATDIG. _
2 I16TALL AN rTma cmawTE wuAR AT TIE&M OF THE om-EwAVAT[ON ARE& 2f M bl.IIIL :? • �•p • !G!J+
AROUND TIE FULL�ER OF THE POOL. 2 L'N•I.Mt< ►•A -t• ,. •'1
• L ALL STEEL AMGU°S(PN*L STIIii316K AT BANE ORACB)ARE MADE fRON .
�
NA Q>�RM01G TD ASTN A325 MRfl1 NI AST14215 GALVAM@Ffl . tiAOEiLL WfTH OF/W ENRH fREE OF ROOIS AND OEiR6:lI6TAl1ID DI 1A16t5 NOT • - t •I , • !• p ••• O
ammm MIMING 9'.EAM LAME S IMLL BE R MLED AM CAR nUy TRAM M TO"CUM VOD]S r
"I PODI I WAT9t -� I•.
• S ALL f101TS Alta TMRFADEO OOMPONBffS ARE NAM�ACTUftEO FROM OLitDMr illOffIIl[NG-WATER lAlEt S?IALL MOT LNffM fIEDN LACIffflL •s•' � •�� •� �� S�braPv�tMITi 1 ,
tLi�OM MIOItE THAT OME fOOr
fMTEMOAL CMORlmIG TO ASTN M]07,NUIS ASfi3GIL ANO ARE mIC PLATED.
• FASTEImIr MPA9ER5 ARE STANDARD aliC t;/1TE0. (Le4.A OINCREIE WA MAT OR fiMW GRADE SHALL SLOPE AWAT fWm COPLMG AT A RAPE 2i�LL -O• t�lRati�. , ♦ sr" 3
a WAUM'V CM SHALL LE ZAW Ps COM PRESSM STRE PIM COMCMI� MOr LEM THAT JA it FEa FWr. OVAL 4 KI DWY (24 T PI CAL WALL STIFF Ia
z-o
Q- OVER EXCAYATTDML
! NOIOt<i1,Lnr OL' I S.THIS POOL HAS MOT i®L o®aEo FM A alaowlcE LAADnMG. 5c4LE: 's• AMID-PANEL� - � — - . TY>�caL WALL SEG - R 3 •
SGgLt?: l y� - a
' a GILADE 4TE AROlfO roaAnD LLSE itBLT iAOO S1 Tp L1/4T�UIVALBfr tuaD PRBSLlRE 6GALE: -
'' OF RETAVED SOIL TO SO LL POOL R.OR LEI -