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0093 BARNHILL ROAD
0 - ����� /1 <J�aECrCtEbCo2 UPC 12543 -No. 3L�OR. fi'�srco tt�9�tlNQ9•.dl�l. c UV G / -P MIT Town of Barnstable *Permit# P� ~O Expires 6 months from issue date i 2'A.. Regulatory Services ., STABLE • 4, (//� TOW E� TABLE Thomas F. Geiler,Director «77tt"�,11 Building Division.. �f Tom Perry,CBO, Building Commissioner / 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number L y 6 Property Address 9 3 -f Y1 t\ SA—X to e— 2-&(o rS Residential Value of Work" a a Minimum fee of$25.00 for work under$6000.00 Owner's Name&AddressGL� �� Contractor's Name l— Ck�- �• r ,t j � � e"er p� Cal I (91 Home Improvement Contractor License#(if applicable) C Construction Supervisor's License#(if applicable) zWorkman's Compensation Insurance ' " Cheok one: Ell"I am a sole proprietor ❑ I am 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) 2 R-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum .44)#of windows *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. A copy of the Home Improvement Contractors License & Construction Supervisors License is required. SIGNATURE: �'' t�i.• Q:\WPFILES\FORMS\building permit forms\EXP /doc Revised 090809 t The Cornrnonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 rvww.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly PgROMIJR, Name (Business/Organization/Individual): rn �� Address: l6 C JT f City/State/Zip:�eSfi l,�"'�Y��j Dl �P�� : Are you an employer? Check the appropriate box: Type of project(required): 1,0'1 am a employer with 4. I am a general contractor and I 6 ❑New construction j employees(full and/or part-time).* have hued the sub-contractors 2.ElI 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 ❑ Building addition [No workers' comp. insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions right of exemption per MGL ........... .. .. _. worlC �s..co�?P,..... v... ....._.. ..._..._..._-.._._.... -...... 12 oof.repairs _... .,._ r insurance required.]t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. 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 isproviding workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name(_,, ` -I� s V y�-' Iota a� : 01 S Policy#or Self-ins. Lic.#: ��a� Expiration Date h�` VA Job Site Address: t�^� l�` �`�`S� � �S � i-10, tp� 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 Lip to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and enalties ofperjury that the information provided above is true and correct. Signature: _-• � �^� ` Date:. Phone# Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority (circle one): 1. Board of Health 2. Building Department 3, City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6. Other Informati®n and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for.their employees. Pursuant to this statute,an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair.work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states.that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any Applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary, supply sub-contractors)name(s),address(es)and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships;(LLP)with no employees other than the ^� members or partners,are not required to carry workers compensation msurance. If an LLC or I I:P'does have employees, a policy is required. •Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space a[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. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write "all locations in (city or town)."A copy of the affidavit that has been officially stamped or,.marked by the city or town maybe provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents f Office of Investigations 600 Washington Street Boston,MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 4-24-07 Il www.mass.gov/dia v 00KETp� Town of Barnstable Regulatory Services a,�xrisrAai.E. ' Thomas F. Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.b arnstable.ma.u s Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder i I Mel�� V as Owner of the subject property mybehalf, hereby authorize pGl in all matters relative to work authorized bythis building permit application for: 1,, I 2 D2h6 b �j �j�.r•N y�L�` �� �W�5� �JQ-r Y��� (Address of Job) 6. 2q l D A1Ena=e of Owner Date ISSCi� e��� Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Forth on the.reverse.side. Q:FORIviS:OWN ERPERMISSION Town of Barnstable � o Regulatory Services ' Thomas F. Geiler,Director ' BARNMBLE, >vrAss 9� 1639. ��� Building Division Alloy a Tom Perry,Building Commissioner. 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 LOCATION: number street .village "HOMEOWNER": name home phone#! work phone tl CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and' requirements t 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 i State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFLLES\FORM S\homeexempt.DOC MAY-28-2010 14:35 PAUL PETERS MASHPEE 5084776498 P.001/001 6o� CERTIFICATE OF LIABILITY INSURANCE OPID LT PATE(MMIDDrYyyYi 05 28 10 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: the certificate holdor Is an ADDITIONAL INSURED,the pollcyites)must be endorsed. ATI N IS WAIVED,subject to the forms and conditions of the policy,Certain policies may require an endorsomont. A statement on this certificate does not confer rights to tho certificate holder In lieu of such ondorsomont(s). PRODUCER LUNIAUI NAME: Paul Peters Insurance Agency A/C No,Ext), (aC, A4 Y . Ax ` 680 Falmouth Rd. ADDRESS: _ Mash ae MA 02649- -PRODUCER''- P cusTorwER ID a:: MACKTOl Phone:5 0 8—d 7 7-0 0 21 INSURER(S)AFFORDING COVERAGE NAIC 0 INSURED -r INSURER A: Charter rOak Fire Ins Co. Thomas P M,ackey INSURERB: N.tionrl Union Fir& rno Co. 135' Cedar St W. Barnstable MA 02668 INSURERC: INSURER D: INSURERE' M . INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED 13ELOW HAVE BEEN IS,%UrD TO'TI•IC INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCUMF,NT WITH RESPECT TO WHICH THIS CERTIFICATE.MAV BF 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. ILTR ~~A TYPE OF INSURANCE INBR =0 POLICY NUMBER (MmlowYYYV) (PM DDT) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A COMMERCIAL GENERAL LIABILITY 16808422LB4000P10 01/oino 01/02/11 PREMISES Ca occurrence s 300000 CLAIMS•MADE t --1 OCCUR MED EXP(Any one parson) _$5000 -PERSONAL SADVINJURY S 1000000 GENERAL AGGREGATE 3 2000000 GEWL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s 2 000 0 0 0 X POIICv P RO LOG JECT $ AUTOMOBILE LIABILITY COMBINED SINOLE LIMIT $ (Ed occldonr) - ANY AUTO —• • BODILY INJURY(Der person) S ALL OWNED AUTOS BODILY INJURY(Per accldenl) S SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUTOS (Poraccldon $ q NON-OWNED AUTOS $ UMBRELLA UAB 1] OCCUR NCH OCCURRENCE S EXCESS UAB CLAIMS-MADE AGGREGATE S DEDUCTIBLE S RETENTION S -- —.-..—. -D•----...--.__ $ WORKERS COMPENSATION WC Q 14 of/25/10 01/25/11 b AND EMPLOYERS'LIABIUTY TORY LIMITS OCTR YIN ANY PROPRIETORIPARTNERIEXECUTIV� N�A E.L.EACH ACCIDENT S100000 OFFICER/MEMBER EXCLUDE 07 (MundAtory In NH) E.L.01$FASE-EA F,Mr'LOYF. 8 100000 If yea,describe under DESCRIPTION OF OPERATIONSDeImv E.LDISEASE-POLICY LIMIT $500000 DESCRIPTION OF OPERATIONS/LOCATIONS IVEHICL.ES fAttioh ACORD 101,Additional Remarks Schedule,it more apace is required) RE: MEECE, BARNHILL ROAD, WEST BARNSTABLE, MA CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE BARNT01 THE EXPIRATION DATE THEREOP,NOTICE WILL BE DELNERED IN ACCORDANCE WITH THE POLICY PROVISIONS. TOWN OF ASTABLE Building Dept. AUTHORMED REPRESENTATIVE NIS STREET HY HYANNIS MA 02601 Carol J. Grace I ®1988-2009 ACORD CORPORATION. All rights rosorved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD TOTAL P.001 Department of Public Sufct� ivlass.►cl►usctts- `s Rcoulations and St;uulartls Bo;trd of Buildin., ervisor License , Construction Sup License: CS 94616 ' • Restricted.to 00�.},•,, THOMAS P MACKEY''. 135 CEDAR,ST W BARNSTABLE, MA 02668 Expiration: 8131/2010 Tr#: 17359 ('ummissioncr , r registration valid for►ndividul use only i�c�uuea/C/z ��2ax�tiae 1 License or Regulation i` ✓`� �6� ulation before the expiration date. If found return eg I &Bus CTOR t Office of Consu Suite 5170 and Business Reg O{{ree of Consumer Affairs $usiness Reg ` ark Plaza- , iHOME IMPROV,EME 10 P MA 02-Su Registration 157765 Tr# 290784 Boston, 1 -2011 Expirati < TYP n,92-1. TOM EY FRA THOMAS MACKEYr g �" �- ';` i Not valid without signat/' 135 CEDAR STREET UndersecretarY W.BARNSTABLE,MA`02668 I TOW1 OF BARNSTABLE BUILDING PERMIT APPLICATION i ^fit Map s • Parcel 0 1 q Z.oT 5-1 Permit# D Health Division l9 . s Date Issued Q Conservation Division vO Fee G i Tax Collector SEPTIC SYSTEM MUST EE Treasurer INSTALLED IN COMPLIANCE WITFe TITLE 8 Planning Dept. ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board TOWN R{EGULAT10HS Historic-OKH Preservation/Hyannis Project Street Address 93 BA RN O i LL ROAD , WFS'f A R f i S i r}g MA , O Z(-6 s Village W Eg T 13 A R N S T A;13 LF- Owner Ro8FjR-r + DErso2,AH MAGK097-1 Address 93 .RARN t{jtjL QeAO Telephone (5o8) 362- y 59 9 J1 Permit Request -TO TN5TALL AN IN Q (ZOy/V D 12 A Z4'x 6" Sw ,n�A�t , <h L moo/ cz:: _ �/, -J Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Toil n e wz> V Valuatione 6,40o Zoning District Flood Plain Gro dwaterGverlap `a rn Construction Type IN S Qo 0 N o Lot Size Grandfatliered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 14 Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: 0Yes )(No On Old King's Highway: XYes ❑ No Basement Type: 14Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing ti new Half: existing new Number of Bedrooms: existing 3 new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: 0 Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes M No Fireplaces: Existing I New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing ❑new size Pool:❑existing O new size Barn:❑existing ❑new size' Attached garage:Q4 existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ :r Commercial ❑Yes -3 No If yes, site plan review# Current Use ��S'r(J ��� Proposed Use ��sr0 .rr�L kEV i P 6AV AhJA V,:Z -} BUILDER INFORMATION Name SrF_va ►-3 SF-+J/VA-0- - A _RF_ SwrmM�44 RbL+ IATelephone Number _C51, H 57 -18� Address 435 VJAQuD r r - tA7v License# -7$i 3 LA E, FALMarJ,- .4 19 A 02 53(, Home Improvement Contractor# 130 G jr,, CIRAN LT& STAVE G M D,4&q Worker's Compensation# RT9 yi(�O ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO t ALYv o STOFLE Ov mo 5TFL fL SIGNATURE DATE Y1;2_9L0 Z L, A II a FOR OFFICIAL USE ONLY y- PFRMITNO. DATE ISSUED c I , MAP/PARCEL NO. ADDRESS VILLAGE OWNER . DATE OF INSPECTION: _ Q FOUNDATION `I— FRAME' t INSULATION FIREPLACE sr;. ELECTRICAL: ROUGH FINAL PLUMBING: ROUGHy FINAL d� GAS: Ro bGg t_� FINAL FINAL BUILDING tz f . r � - DATE CLOSED OUT :J t ASSOCIATION PLAN No-J_ n I The Commonwealth of Massachusetts Depiartm t of Indtistyial Accidents — :Ofl/ce olladestleatloas �� . 600.Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit lame: �Qbfie2T . 1- Drz,130A A64 rnRG E ocation:: aZ 13h2m R ILL 2p FF f7 :itv phonefll���� 3bZ- 955f ] I am a homeowner performing all work Mysel£ .. ]. 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I •/ • Ir. e/ • •It•• _• I •11-so • • 11 el 111 • s1 .1• .t1 ' wet wll♦ 1 •_wl 11✓• 1 • •• • 1 w. • •Y.Ie •19 • • • s/ .1/ . • 11 . I • .11 .• • • 1 r•To .01 • / - • •e •• 1• 1 rIY.I • _J ✓• t 1 • see.9 •• wyMt • e •/1 .91• r.' 11 Ir9 •.1 1 1 11 11 1 1 1 • 1 1 1 •11 1 1 1 1 . / 1 l' I � I 11111 t l l e 1 1 I I • 1 1 1 1 III1 � 1 ' ll I / 1 ' 1 � TM '� �• , ro ri ; VERTICAL GRID D . E . FILTERS Hayward Pro-GricITM is a high- performance filter series that provides v superior water clarity,efficient flow - � and large cleaning capacity for pools v of all types and sizes. HAYWARV _ Pro-Grid filter tanks are now molded - from new and stronger PermaGlass XL m sr•.y,,,L_ 0.1 an improved glass reinforced copolymer, of providing the ultimate in strength, t durability,and long life. Pro-Grid filters also totally aar r combine high A' e�sysemS. technology features Poal Wat with a "service-ease" design for dependable operation and low maintenance. ' Pro-Grid filters are also available with ' the optional SP0740DE Selecta-Flo control valve,the only filter control valve designed specificallyfor D.E.filters. For the quality conscious pool owner, Pro-Grid filters are an unparalleled filtration value. ■ DE7220 Pro-GridIm72 ft.'Vertical Grid D.E.filter with optional SP0740DESelecta-Flo TM 4-position control valve. Large capacity filter,made of durable PermaGlassXC, j r can be used in both commercial and large residential applications for years and years of non-corrosive,trouble-free performance. Featuring , PermaGlass. Filter Tank Material +� HAYWARD Americas # 1 Pool Water Systems. dt Pro-Grid" Vertical Grid D . E . Filters 0 Innovative Automatic Air Relief purges any trapped air automatica I ly during filter operation. — Screenless Internal Air Relief provides continuous air venting and eliminates clogging. _ Improved High-Strength FilterTank molded from new and stronger PermaGlass XL" material for extra durability for dependable,corrosion-free performance. High Impact Grid Elements designed for up-flow filtration and top-down backwashing for maximum efficiency. Self Aligned Tank Top and Bottom make access to servicing grid elements fast and simple. 4 Heavy-Duty Tamper-Proof One-Piece Clamp securelyfastenstanktop and bottom together and allows quick access to all internal components without _ disturbing piping or connections. — — e Marked Short Element and Manifold provide clearguidelines for re-assembly of grid elements during cleaning. Inlet Diffuser Elbow distributes flow of incoming unfiltered water upward and evenly to aIIfilterelements. I U,- Noryl®Bulkhead Fittings for extra strength and heat resistance. Full Size W'Integral Drain provides fast,100%clean out and easier flushing of tank. L Union Locknuts make disassembly and reassembly off ilter from piping fast and easy. Plumbing Versatility.Select from a wide variety of valve options for customized control ofyourfiltration system,including Hayward's 2",2-position slidevalve. FILTER TYPE: Vertical Grid Diatomite:24,36,48,60,72 ftz(2.2,3.3,4.4,5.5,6.6 M2). _ FILTER TANK: Injection molded PermaGlass XL11 FILTER ELEMENTS: Monofilament polypropylene cover fitted over 8 curved, high-impact grids CONTROL VALVE: 1%2"or 2"6-Position Vari-FWm 2"4-Position Selecta-Flolm 2"2-Position slide valve.May also be plumbed singularly or in series with quick-connect union couplings(less valve). PERFORMANCE RANGE: %2 TO 3 HP(30 to 120 GPM) Fully Automatic Air Relief with double seal DIMENSIONS: DE2420—32"H x 23"W(81 cm x 58 cm) DE3620—34"H x 23"W(87 cm x 58 cm) eliminates the need to manually ventfiltertank DE4820—40"H x 23"W(102 cm x 58 cm) after system start-up and prevents backdraining ® during pump shut-down. DE6020—46"H x 23"W(107 cm x 58 cm) DE7220—52"H x 23"W(132 cm x 58 cm) Above dimensions are for filter only.Overall width'with slide valve is 30'(76 cm); overall width with either 4-or 6-position multipart valve is 33'(83 cm) Model Effective Design Turnover Filtration Area Flow Rate' Gallons Kilo Liters Number ft2 m2 GPM LPM 8 Hr. 10 Hr. 8 Hr. 10 Hr. (I 1 DE2420 24 2.2 48 182 23,040 28,800 87 109 DE3620 36 3.3 72 272 34,560 43,200 131 164 DE4820 48 4.4 96 363 46,080 57,600 174 218 DE6020 60 5.5 120 454 57,600 72,000 218 273 DE7220 72 6.6 144 545 69,120 86,400 261 327 Removable Clamp Tool makes tightening and 'Determined by pump size and piping system hydraulics. 2"piping is recommended for flow rates of 90 GPM(341 LPM)or loosening of clamp quick and simple,providing more. Flow rates above 120 GPM(454 LPM)are not usually required for residential pools. easy access to filter Internals.__ _ ---------�� NSF is a registered trademark of the National Sanitation Foundation. �— The Swimming Pool and Spa Group ){ Route 28 435 Waquoit Hwy HAYWARD" 1 E508)45717800h, MA 02536 Americas * I Pool Water Systems. 1-888-HAYWARD www.haywardm—.-.c,;,,i. ©1999 Hayward Pool Products,Inc. PG99 (•1�i L�jU'....I. N - FYI , }. 4 200, G , ,bE Lo d`S7 S . 04r7_7 ,� a o .� z sA ;-�33•.� S -{ `�? -..,�Ise: �; 'I A. s 54 top ZZ�F. Z3 t3C7 � I certify that this property is located CERTIFIED PLOT PLAN in flood hazard Zone 0 (outside the 500 year flood) as identified by the Depart- 'LOCATION .'WET:.Cl -�fi� � .••••- me_nt of Housing and Urban Development(HIID) . SCALE � � g B�in/G A.Z. Date �IA.e 3 /y87 - PLAN REFERENCE ..... .............. .. Reg: Land Surveyo . .. . . .'. . .. .. .. 1 CERTIFY THAT THE I certify to its title insurance company SHOWN ON THIS PLAN IS LOCATED ON THE GROUNC that there are no visible encroachments AS SHOWN HEREON AND THAT IT CONFORMS TO THE j SETBACK REQUIREMENTS OF THE.TOWN OF or easements except as shown and that this . 474w isr!�aLE;,.•, • ,, ,WHEN CONSTRUCTEE plan was prepared under my immediate DATE' 3/987 �1�?ir..�. . .....� Board of Building Regulations and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 130666 Type: DBA Expi rat on-z 41.6104 The Swim Pool Spa gale & Ser, MaketGrp Steven Senna P.O. Box 3612 E. Falmouth, MA 02536 — Update Address and return card.Mark reason for change. [� Address Renewal (F- Employment F-1 Lost Card SOARD OF SURWIG REGULATIONS CONSTRUCnom SUPERVISOR Number 07� Birtlldab=05/0'IH959 " Tr.no: 78934 `� ... �Fxpices:-051012005= To: w Resbicbed KEVIN F CAVANAUGHJJy7 435 WAQUOIT HGWY �,••� E FALMOtT K MA•02536 AdminIt is;hilr*= tions � uia;Pt of Building e Board place, m 1301 t rton llud One Ashbu Boston, Ma 021 08'1618 OpU1959 Btratd�: CONSTRUCTION SUPERVISOR UCENSE ResUtcWd To.. 00 Number: CS 078934 EiPimW-05/0U2M KEVINI F CAVANAUGH 435 WAQUOIT HGWY ` E FALMOUTH$ MA 02536 78934 of address notificatl "• Keep top for rewipt and drar�ge 41' ;1 77• e /4' a2• Ilk 1/4' B 1/4' 7C 1/4' 8 1/4' IB.1/4' r, 96' 8` STEP REST a�0 Non+IN`T N PROFESSInKA� Osaa .w:usw• 0 3'-0" DECK AROLTD EN'TH 2E POOL C.4,R ' :. �—_- ---• ------- •-- --••----...-..-•--•-------- ..tea,..,,...... 24' EtiGlr~IEER 20' Qa1655- 4' 8' 8' 2' PticT NO. LWER-B2-2Sl6 25'-3 9116" LJ.C:F2.2416 U) 12 go 8r. 26'-1011 GALLONS• 9343 2' SWIM-ARSA SQ.FT. 284 4' 8' PEIUMETER 68' INSTALLATION SHOULD BE IN ACCORDANCE WITH FOX POOL CORPORATION RECOMMENDATIONS O ALL RIGHTS RESERVED NO DIVING ALLOWED N.S.P.i.TYPE 10' 3'-6"DIG FOXXX. POOL CORP. -- 1224 RECTANGLE DIG 5'-8" 5+ WATER GARDEN SERMS z O date 12-7-99 Id.g 02- I2 0 1 1/2" BOTTOM TOM Der. 66' sd.ft. �4 SURFACE NOTE: cb N - !.x-BRACES ON 4'-0"sPAcING c 2' �--- 6' 7'6 916 2..SAFETY LINE!2"FROM BREAK 24' i 6• Maximum mesh size for chain link fences shall be a I%inch(32 mm)square unless the fence is provided with slats fastened at the top or the bottom which reduce the openings to not more than 1 % inches(44 mm). (see diagram.below) e�a�rffrct rQaxsoat<+uwit sseoas 7. Where the barrier is composed of diagonal members,such as a lattice fence,the maximum opening formed by the diagonal members shall be not more that 1%inches(44 mm). 8. Access gates shall comply with the requirements of 780 CIVM 421.10.1 items 1 through 7,and shall be equipped to accommodate a locking device. Pedestrian access gates shall open outwards away from the pool and shall be self-closing and have a self-latching device. Where the release mechanism of the self-latching device is located less than 54 inches (1372 nun)from the bottom of the gate: (a) the release mechanism shall be located on the pool side of the gate at least 3 inches(76 mm)below the top of the gate;and (b) the gate and barrier shall not have an opening greater than'/:inch(13 mm)within 18 inches (457 mm)of the release mechanism. 9. Where a wall of a dwelling serves as part of the barrier(fencing),one of the following shall apply: House Fence Pool 9.1 All doors with direct access to the pool through the wall shall be equipped with an alarm which produces an audible warning when the door and its screen,if present,are opened and shall sound continuously for a minimum of 30 seconds. The alarm shall have a minimum sound pressure rating of 85 dBA at ten feet(3048 mm)and the sound of the alarm shall be distinctive from other household sounds shall as smoke alarms,telephones and door bells. The alarm shall automatically reset under all conditions. The alarm shall be equipped with manual means,such as touches or switches,to deactivate temporarily the alarm for a single opening from either direction. Such deactivation shall last for not more than 15 seconds. The deactivation touchpads or switches shall be located at least 54 inches(1372 mm) above the threshold of the door. 10. Where an above-ground pool structure is used as a barrier or where the barrier is mounted on top of the pool structure,and the means of access is a fixed or removable ladder or steps, the ladder or steps shall be surrounded by a barrier which meets the requirements of 780 CMR 421,10.1 items 1 through 9.(see diagram below) Pool Madder Pool ence A.removable ladder shall not constitute an acceptable alternative to enclosure requirements. ® C - ,mall enough to enhance limited areas STRQMT W= tm now ...large enough for all family swimming, P. O. Box 549 York, PA 17405 Ph: 717 / 764-8581 THE STRONGEST NAME IN POOLS water exercise and in pool games. ROMAN LAGOON - � �.- - A Jy,.,• �tr.> - tit.° 'CZ /' ? ., . B M} �► W RECTANGLE _ s' POOL I A 1 B 1 C ITYPISOST. PER. POOL A B C TYP SQ.FT. PER. F15G1428R 2T7" 14' 13'8" 0 1 351 76 IF15G1729LI28'9"I17'I13'8" I 0 1351 176 RECTANGLE KIDNEY F15G1729R IS THE OPPOSITE OF SHOWN OVAL LAZY "L'51 z ? IONIC I— AL C 5 F A .� . A POOL A B C TYP SQ.FT. PER. POOL A B C YP SO.FT. PER. I s �_ s F15G1020 20' 10' 6'6" 0 200 56 F15G1324K 24""113' 10'7" 0 243 62 F-- A C=A F15G1224 24' 12' 8'6" 0 284 69 F15G1527K 26'11" 15' 11'5" 0 323 70 -� �� F15G1228 28' 12' 12'6" 0 332 76 POOL A B C TYP SQ.FT. PER. ROMAN F15G1729K 28'11" 17' 1. 5" 0 381 76 3'. _- F15G1830ZR 30' 18'6"16'6" 0 360 79'' - r F15G1428 28' 14' 10'6" 0 388 81 F15G1324KR-F15G1527KR F15G1729KR a ARE THE OPPOSITE OF SHOWN F15G1830ZL IS THE OPPOSITE OF SHOWN 1 OVAL PEAR 90 "L" A �. KIDNEY Std.or Rev. B - - . - A 5• 5, C.� -- — A—� - A I C s A L c "R PEAR POOL A B C TYP SQ.FT. PER.- x ;. F15G1324 24'7" 13' 9'1" 0 283 64 POOL A B C TYP SQ.FT. PER. POOL A B C TYP SQ.FT. PER. F15G1530 29'5" 15' 13'11" 0 393 76 F15G1729P 29'1"17' 12'4" 0 400 76 F15G1624LR 24' 16' 12'6" 0 296 75 _ ''` '.• �i g _ F15G1624LL IS THE OPPOSITE OF SHOWNZ. IONIC TIFFANY `S v� TIFFANY A The Swimmin p B Ro 9 00l and Spa Group B ute 28 43S Waquoit / Hwy }}) ,1.: �,,.-• � �\+ .� East Falmouth, ' (SU8) 457-7800 MA 02536 I -, LAGOON Left or Right Web: www. i poolandspagroup.com 5 A n`+� POOL A B C I TYP SOFT. PER. A �� F15G12241 23'7" 12' 7'7" 0 266 66 POOL A B C TYP SO.FT. PER. F15G14281 27'9" 14' 11'9" 0 370 78 F15G1729T 29' 17' 12'6" 0 1 382 1 76 LAZY"L"Left or Right - - Now every home can enjoy a beautiful backyard resort ! Form No.SA-907 1/99 Litho in U.S.A. 901L"Left or Right A Few Of The Many Pools In Tbe ,,Fox World-Famous Fox X-BraceTM Pool Design and FoxGard°Protected Components ' GARDIJEN PO L SlEiRIE c o o Ga de oo 't ese �ecial s The Fox Buddy Seat° Lounge Center IT, The Fox Buddy Seatm In-Pool Lounge Center gives you two, contoured lounge seats so you can sit inside your pool and cool off or just relax in real comfort. Rotating hydrother- apy jets let you enjoy a complete back massage.And, the adjustable umbrella provides a welcome oasis of shade from ""NOW the scorching summer sun.The Buddy Seat will prove to be the most popular spot in your pool! Fox Wall-PakO Filtration System The Fox Wall-Pak©In-Ground Filtration System eliminates long, under-the-deck or around-the-pool plumbing lines. Two cartridges are concealed under a white cover located on the / pool's deck.They are readily accessible for easy cleaning. Two 41 Center 0L The Fox 9 Pool simple plumbing lines run directly to the remotely located uddy �oun9e Seat Q t Ionic With B pump and motor. Because there's no back washing, you save ox +• � water, chemicals and moneyl i ® y The Fox Fun Kit, Ballet Bar and Aquatic -_ Exercise Program �a I JIIIill I ., «�► Fox offers you a complete Fun Kit that ;.. - 4 I i t I• J includes a Fox Ballet Bar, ideal for in-pool i Il aerobic exercises, volleyball net and acces- sories and other products for a complete r water workout. Fox even supplies a fitness t program with Guide Book with water exer- f �rIN '. <; '• 1 cises (on water-proof paper) and a special 20-Miler Club program. Yes, your Fox pool becomes a complete, all-family recreation Tihe.F.ox Lagoon Pool The Fox Tiffany Pool with Buddy Seat®Lounge Gente and health center! - Other Accessories: • Fox Automatic Cleaner CROWN �. • In-pool Lighting• Fiber Optic Lighting • FoxSmartTM Control Center• Fox Heater r f '+' '� t''' "` �ry •�; •White Rails•Lock-InO Winter Cover eq. n _ ` ? • Fox Socializer®Spa• Fox Walk-In®Stairs '� ^ en' I Td!i f.;. The SwimcizorTM OIV Workout Station The Swimcizor turns your pool into a lap pool, a �- gym, a hydrotherapy spa or a playground for kids. n " You "swim in place"against a fully adjustable cur- © Y t rent.The AQUA Saddle"' included, is perfect for low impact weightless exercise.The kick board allows wonderful exercise for legs and lower body. Ask you dealer about the many features with this .'^^ US. easy to use product! Pat.No.sss2sse ',u •=�' Other Worldwide Th 9'�a Patents Pending. stc angle R ,. Rect ool Kidney- Standard or Reverse ©1999 Fox Pool Corporation.All rights reserved.Reproduction in any form,in part or in whole,is prohibited. ��FZHE rq�� Town of Barnstable Regulatory Services BARNSCABLE, ' Thomas F.Geiler,Director 9 KAss. �pleDMA' A`0 Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date Z AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type of Work: Estimated Cost Address of Work: 9.1 Q091Z 14/6L P—O A (� Owner's Name: QMfa✓-T Qf tlDQPAN /'i'1 GI�FNZ Date of Application: 'S O �— I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: S a� 40A1 C vA��ri�eZf T 3 Date Contractor Name Registr tion No. OR Date Owner's Name Q:forms:homeaffidav .•, TOWN,OF BARNSTABLE BUILDING PERMIT APPLICATION Map t l/ D Parcel n Permit# ��0 Health Division Date Issued, Conservation'Division Fee s 00: Tax Collector Treasurer'0 � Y Planning Dept. -' Date Definitive Plan Approved by Planning Board ' Historic-OKH Preservation/Hyannis Project Street Address 93 304,Y) �fl tl . Village - ✓ '� }a b� Owner F"(T yi, %_�Obe✓T M9�K 5 i� Address 9 Kien ► / Rd . Telephone qSJ Permit Request e-zr� Square feet: 1 st floor: existing 2 O proposed 2nd floor: existing 7 (,R proposed Total new Estimated Project Cost 12 mod- Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family t/ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑•Yes GYNo On Old King's Highway: ❑Yes VNo Basement Type: E3 Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Ia D Number of Baths: Full: existing .2, 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 J Central Air: ❑Yes t�'No Fireplaces: Existing New Existing wood/coal stove: ElYes U'N0 Detached garage:❑/existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:M existing ❑new size Shed:3/existing ❑new size ' Other: Zoning Board of Appeals A horization ❑ Appeal# Recorded❑ Commercial El Yes No If yes,site plan review# Current Use Proposed Use OlriistR41411 BUILDER INFORMATIONName J. Telephone Number 0�7 �D6�os Address 710 License# C S A, ✓ � l 5� 1 �e�� W Home Improvement Contractor# 1 261 Worker's Compensation# ALL CONSTRUC N DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO !J�?'�'It�S �✓ 5 �,. SIGNATURE DATE 6"V• / / / a a r. FOR OFFICIAL USE ONLY , PERMIT NO. �� V e i DATE ISSUED ' r , -MAP/PARCEL NO. - - - ADDRESS _ VILLAGE OWNER ��� DATE OF INSPECTION FOUNDATION ' l ' FRAME INSULATION FIREPLACE ' ELECTRICAL: ROUGH FINAL - �} j PLUMBING: ROUGH FINAL , - GAS: ROUGH FINAL - FINAL BUILDING, O d ! DATE CLOSED OUT ASSOCIATION PLAN NO. r ... The Commonwealth of Massachusetts Department of Industrial Accidents Office al/oYest/gatloos 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insarance davit name: r; e)n DJO-4I ' location: city ll`� ✓ ri V�-l� hone#65 ❑ am a homeowner performing all work myself. I am a sole ritKor and have no one worlds in anv achy CO] I am an em 1 roviding workers' compensation for my employees working on this job. co anv nam . ........ city •'. ...... .: .......... ' uran ce'co. >` cv tns ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the followingworkers' compensation polices:.:. .................................:.:.::.::::::::::::.:::::.::.:.::::::::.::::.:::.::.::.:.:.;.._:::::::::.;:.;;:.;:.;;:.;:;?.;;;;:;??.;;;:.:??:::;;;;:>:<.:.:.»:« .................:::..::::::::::..:....:::.:::.:.:::.:..:::.....: ix ' :::2 y :;?:::;::; ... ::: tb in a nv name- .. a care ........... .............................. ............................................... XX 46ti* :one iil X. FU one: ci t�h tv- n] g. ar8nt e'CO .:..' .:;.:?.:?.;::.:.:::. :.::.::.:.:::::.:;.::.;:.;;;:<:. ::.:.:::»;:::.>:.;::.:;.;;:;.:;.;::.:?:::.:.:::.::.:;:. Oki Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penaWes of a fine up to 51,500.00 and/or one years'imprisonment as weft as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this may be forwarded to the Once of Investigations of the DIA for coverage verification I do her y cerd a an¢penalties of perjury that the information provided above is✓&w.and correct Signature l _ Date �Q� �' Ckr;5fe' ►� Phone# ���� Print name official use only do not write in this area to be completed by city or town official city or town: permit/llcense 0 ❑Buflding Department QLicensing Board Adwomm ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#,. 30thu;_ (revised 9195 PJA) e i own G 9 Department of Health.Safety and Environmental Services Building Division 367 Main Street,Hyannis MA•02601 Office: 508-862-4038 Ralph Crossen Building Commissioner Fax. 508-790-6230 Permit no. Date 12- AffIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. i Type of Work: o �7om- QpDC , Estimated Cost 0 � � � t � 1 Address of Work: r n �1 n r� Owner s Name: Date of Application:_T2-I i 1 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job Under$1,000 Building not owner-occupied [30wner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. r Datef Contractor Name Registration No. OR Date Owner's Name q:for ms:Affidav ✓!ee TOomvmoncuealb� ;. BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR • i p� Number:;CS, 074330. fi : . `: Birthdate ,09/03/.1960 I Expiresl09=/03/2002 Tr.no: 74330 +=Restrieted_To: 00 DALE J CHRISTENSEN 710 UNION STREET.> MARSHFIELD, MA 02056 Administrator a< 77 . •. (C\ +. , ✓AE .700A19Jt07NL�6LlR O` U4cuO ` NONE IMPROVEMENT CONTRACTOR i ReOistratioa: 129413 Type: OBA Expiration: Oale J: Christensen Renova s /011e Christensen ADMINISTRATOR 110 Uaioa Street Marshfield MA 02050 O i 11 i J t z 4� zy � - | ' � - ' ~ � -'-----T ���� Application to 1 9 9 9 292 Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS A:. Application Is hereby made. irf triplicate. for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts. 1973, for proposed work 'as described below and on plans, drawings or photographs accompanying this'application for: CHECK CATEGORIES THAT APPI. 1. Exterior Building Constructio ❑ New Building ❑ Addition Alteration Indicate type of building: House Garage. ❑ Commercial (] ether Z Exterior;Painting:. ❑ . 3. Signs or Billboards: .❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence. ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE Z f99 , 1 ADDRESS OF PROPOSED WORK 9-3 M I .adablf,ASSESSORS MAP NO. log •-_ OWNER IC /f!�"� G_ C��7��D© h I � -Kllfil .Q ASSESSORS LOT NO. 9 HOME ADDRESS- TEL.NO. 5C`� 3( �;f� l 9 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS.. -Include name. of-adjacent property owners across.anypublic street -or way. (Attach additional sheet if necessary). Sf•1�� ��Grl�-aC �. C � . AGENT OR CONTRACTORDa - `� • ��Ir`r5T�5R�r'1 TEL N.dMj) 237 ���.5 ADDRESS 7/() U,hrDrl ' I Sht►Gfc i 11A . 0265o DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done(see No.8,other side),including materials to be-used, if specifications do not accompany plans. In the case of signs,give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). . ��©c�F-� • e-x�5-f�' w�n�e� amp doo✓ , signed - _- . - Space below line for Committee use. D Owner-Conirmor-Agent rte_ Certi ' to is hereby! ��?��L�YJ Date OA WN OF BARN —51. Approved ❑ IMPORTAN : If Certificate is approved,approval Is subject to the 10 day appeal period provided in the Act. Assessor's office(1st Floor): G '��TOC SYSTEM�� �� Assessor's map and lot number �dD d�� S+c- e�Q�O�TEE j0`, � Board of Health(3rd floor): INSTAUED IN COMPLIANCE ` Sewage Permit number _ o wM T=`J Engineering Department(3rd floor): ENARONMENTAL CODE AND = BAHd974DLL, J NAB& House number TOWN'REGULATIONS �° 'a39- \e�' Definitive Plan Approved by Planning Board 19 �Fo YAY d APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only I TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ADarrtot3 + A1Ef?ATio(J isTifJ(o'' TYPE OF CONSTRUCTION19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location /3 Ai2N 1-41(.L 12� j�j2.q_S?-7*L 3G4. Proposed Use 074 e-*G£- L!Vj M.(0 -ST01>1 0 j 6FFF)6) Zoning District Fire District !n1 SST /=q 2NS796C,� Name,of Owner � oHP-61.4 EtJT H41- Address ! ZgZ2 H4Lc. �-'� Name of Builder ✓�I-b Cilg EtN"T441 - Address -54L-J"t E 04 S �f��E Name of Architect J>,V L Address Number of Rooms Foundation tgofz� Exterior G�1J�t o�fZ� - C9a�AE,SNf10reLf: S Roofing 14,504 L,7 14I-E-S Floors --Sa�7K>z� �lF��do� �NE- Interior ;�yfj Heating 7 Plumbing o Fireplace Approximate Cost TZ o Area tie Diagram of Lot and Building with Dimensions F re ?4iEAsS— 5ex- VACffIF-:�i Grs}i2IST� `��I �N�(fyLs �rJq� OSF- 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. S Nam 6� Construction Supervisor's License OU �� LILIENTHAL, DAVID & CHRIS-TA f I „ 'No 32783 Permit For Add To & Alterations Single Family Dwelling Location 93 Barnhill Road West Barnstable Owner David & Christa Lilienthal , Type of Construction Frame F . Plot Lot April 7, 19 i Permit Granted 8Q— Date of Inspection 19 DatgCom IV ted 19 ter. ; w cc 1 o3Y �4C) � � s� 0 sti 3 r I • 4 Zco, ~� a° GA�b� Lo 7- ��7 •. Z1==* J � � I 3S o,�.$ s�• � � Q 7-3 ' J 1IDDTion4 F.XIST►06 I certify that this pro�erty is located CERTIFIED PLOT PLAN in flood hazard Zone C outside the 500 year flood) as identified by the Depart- LOCATION ment of Housing and Urban Development(HUD) . _ � SCALE DATE .!`?:`�•. :3�9g7 Date MAe 3 /987 PLAN REFERENCE . Q n/G. . T�': 7• Reg: Land Surveyo I CERTIFY•THAT•THE•. '�.`T!'�G DWu!NG • . • I certify to its title insurance company SHOWN ON THIS PLAN IS LOCATED ON THE GROUND that there are no visible encroachments AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE.TOWN OF or easements except as shown and that this WHEN CONSTRUCTED. Qgzv.s-rs�e«- plan was prepared under my immediate • • supervision. DATE .31907 7�Hvi� E L�Gi�wT.yAG .4T'!JX- f��T/T/o�/E� REGISTERED LAND SURVEYOR r } Application to E H H ♦�I�.� � t 6PPN +OEHE�'Hp' EP S t I Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a APR CERTIFICATE OF APPROPRIATENESS Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: ❑ New Building ❑ Addition ❑ Alteration Indicate type of building: ❑ House ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting: ❑ " 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repain i g existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole (z4the.r (Please read other side for explanation and requirements). l TYPE OR PRINT LEGIBLY 11 6�CV Oa Gas DATE D ADDRESS OF PROPOSED WORK y ASSESSORS MAP NO.I —O/ OWNER ASSESSORS LOT NO.J 7 HOME ADDRESS „���2rip TEL. NO.,�2 U — ne(?-J FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street-or way. (Attach additional sheet 'f ecessary � ,�,/J o?071,5 y s- MI ai$ Qxa•o a 60 � o 2 6 o;t a a P c� p AGENT OR CONTRACTOR TEL. NO. ADDRESS t-/� L '��-'� sf/� '�'�6 d� DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8, other side), including materials to be used, if specifications do not accompany plans. In.the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). Ir Signed Owner-Contractor-Agent Space below line for Committee use. Received by H.D.C. Date The Certificate is hereby Date Time By Approved ❑ IMPORTANT: - If Certificate-is approved, approval is subject to the 10 day appeal period provided in the Act. _ Disapproved ❑ Assessor's office (1st floor): QQ FTHET Assessor's ma and lot number. ........./��0..`�. 7.. o o� P . .. SEPTIC SYSTEM MUST Board 'of Health (3rd floor): INSTALLED IN CCIIAPLIA6� � Sewage Permit number . .... .... �...� � WITH TITLE 5 BaSa9Ta' Engineering Department Ord floor): 3 ` �o "6a House number ..............................` ....................................... ENVIRONMENTAL CODE ,Q�&�11L'°Ai�oM a. APPLICATIONS PROCESSED 8:30-9:30 A.M. and, 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO . .. . . . .... . .. ......................................................... ' TYPE OF•CONSTRUCTION �/Xl... ... .. ......................................................................................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... .. ........................................................................... ProposedUse ........ .....4j.v..... ............. .................................................... . .......................... Zoning District ..... .. .................................Fire District .... .. Name of Owner .. . . .... .... Address ��� (!'�!• 'V C Nameof Builder ..............................................Address ....'�............................................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..............................................Foundation ...........:.................................................................. Exlerior ....................................................................................Roofing .................................................................................... fFloors ......................................................................................Interior Heating .......Plumbing ................. .......................................................Approximate Cost .....p n Fireplace ........... pp U.f.Q..� ..61..��.�.................................... ............... Definitive Plan Approved by Planning Board ____ ---------1973__ . Area 2 x..�.......... ... ............. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH b - r 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. Name .... Construction Supervisor's License. JACKSON, JIM No ...29312 Permit for ...... ........... Accessory to Dwelliag....................... Location ...93...Barn...Hill...Road........................ West Barnstable ................................................................................ Owner .......Jim .................... ............... Type of Construction ......Frame........... .. ........................................... .................................... Plot ............................ Lot ................................ may 8,9 86 Permit Granted ........................................19 Date,of Inspection .....................................19 Date Completed ........... ..............19 I � S33 ° 41'-45`'E 1-74. 00 L o-r 5 7 . � 3S, o585F N N w 6V FOWUOArl. lL V) o\ . CEIM-I `Y`THAT.THE FOUNDATION. " �A -Abell�L S/9�3 SHOWN DOES NOT VIOLATE ANY.. �014.. 0. MMTwG ZONING-REGULATION OF THE TOWN OF Ei A20 STt��LE t�A R N S F�>LE IVi-ASS. P J Iv1 G7S J t k so � E --at) 7 Q ,Assoc INC, Ra�T&jj, �/l4 er, ..Ji fuC,2.77 ti . M Application to SPPpN`'+Ppt„StEP�`�9 6 OE E„S�pP EPNM 0P OP`t�P. j Old King s Highway Regional Historic District ComrrL>> . ' Ep5 00►nsr,nlst in the Town of Barnstable for a eaeitsrneti: 0� CERTIFICATE OF APPROPRIATENESS Application is hereby made, iri triplicate, for the issuance of a Certificate of Appropriateness unc tion 6 of-Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawing 61*tographs accompanying this application for: �oi7 HECK CATEGORIES THAT APPLY: 1. Exterior Building Construction New Building ❑ Addition ❑ Alteration Indicate type of building: House ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE /-7/ ADDRESS OF PROPOSED WORK ""� "'`G�O A/"&ASSESSORS MAP NO. A�:? OWNER �/ P� �' v ASSESSORS LOT NO. HOME ADDRESS / %s��e "N " 2 TEL. NO. FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). SQL Bow �y �4 , � . 4V. "4S?7, 42� �A tee, AGENT OR CONTRACTOR _(701V S ;lam TEL. NO. ADDRESS DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done(see No. 8,other side);including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). Signed Ow r-Contractor-Agent Space below line for Committee use. . Received by H.D.C. Date The Certificate is hereby , Date Time �r��'/► tiV� By 4z �. Approved X IMPORTANT: If Certificate is approved,approval is subjec to the 10 day appe I p eriod provided-in.the-Act.-- - - — _�.._-... -Disapproved ❑ 1 ADDITIONAL INFORMATION FOR MAKING AND FILING AN APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS The four categories for"twhich a Certificate of Appropriateness is required are: (application for demolition or removal is a separate_form). A 1. EXTERIOR BUILDING CONSTRUCTION (new or existing buildings): An application is required for any exterior of a building to be erected or altered including windows, doors, siding, roof, light etc., that will be visible from any public street, way or public place. The following scale drawings are required in duplicate with application: plot plan (if addition — show existing buildings in outline), floor plan and elevations. Also required are snap shots of existing buildings, where additions or alterations are to be made. No plot plan is required for addition or alteration which does not touch the ground. 2. EXTERIOR PAINTING: An application•is required for any portion .of a building, structure or sign to be painted that is visible from a public street, way or public place. Color samples must be attached to these applications. An application is not required when repainting existing colors, changing to,white, or using colors approved by'the Town Historic District Committee. 3. SIGNS OR BILLBOARDS: An application is required for any sign or billboard to be erected within the District, with the following exceptions: a. Existing signs or billboards on November 27, 1974 shall have until November 27, 1977 to secure an.approved Certificate of Appropriateness. b, Temporary signs for use in connection with any official celebration or parade or any charitable drive as long as they are removed within three days of the event. Certain other temporary signs that the Committee feels does not detract from the Act may be allowed with the prior permission of the Committee. c. Real Estate signs of not more than 3 square feet in area advertising the sale or rental of the premises on'which they are erected or displayed. d. A single sign of not more than 1 square foot in area showing the name, occupation or address of the occupant of the premises on which they are erected or displayed in a residential zone. 4. STRUCTURE: An application is required to build or alter any structure within the District which is defined by the Act as a combination of materials other than a building, sign or billboard, but including stonewalls, flagpoles, hedges, gates, fences, etc. GENERAL REQUIREMENTS 5. Work on projects requiring approval shall not be star_ted.until.the Certificate of Appropriateness has been.filed with the Town Clerk by the Committee. Approval is subject to the 10 day appeal period provided in the Act. 6. No changes shall be made from the original approved specifications without advance approval of the Commission on an amended application filed with the Committee. 7. A separate application must be filed with each project requiring a Certificate of Appropriateness. 8. Under heading of "Detailed Description of Proposed Work" give detailed data on such architectural features as: foundation, chimney, siding, roofing, roof pitch; sash and doors, window and door frames, trim, gutters —leaders, roofing and paint color. 9. Unless application is complete and legible and all material required is supplied, application will not be accepted or acted upon. Copies of the Act establishing the Regional Historic District may be obtained at the Town Hall. I i Ass6ssor%i'hap and lot number....../(/..S... ... ....... ........... 1 `/ SEPTIC SYSTEM MUST B pi TN E t0 Sewage Permit number .. 4%L.... .,J`r .. I NGTALLED 0 ; . I BAHHSTAXE, i House number ENVIRONMEWAL CODE "tea 3........................ ........:: tb}9• ♦� NGiN£arc/r�6 L TOWN REGiULATIONS �cyAra` TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......�Gl//�......... TYPEOF CONSTRUCTION ..........................G(S :.......:................................................................................... ................�Oe......... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following informs ' n: A/ Location .... ...... L...'f r�......B ...w/.. ��j�.............�40. .... ..:........................................................ ProposedUse ............ ..le......................................................................................................................................... Zoning District .... ..: ..............Fire District .1/`�..f. N✓a -��............................................ .. ..... . .................................................... Name of Owner ... .! 5... /9C%l�Is'0�........Address / ......��sI .... ... .......................... ;. r Name of Buil' �'��J�r ....................................Address ............................................... ................. ............ Nameof Architect .... ...... ...............................Address .................................................................................... 4 Number of Rooms ..............07................................. .............Foundation / / ....... .I. ................... Exterior ........ 1.wv(e5............... g .......... �C + ..................................... Floors . ?-!kW..........Interior ........................... ........................................................ Q � Heating ......( r/5..........................................................Plumbing .............................. / .. .................................... Fireplace ............x. ..?. ......./..............................................Approximate. Cost ..............1............................................. . ..... 1,5 6 s/ Definitive Plan Approved by Planning Board -----------_------_-----------19________ . Area .................... Diagram of Lot and Building with Dimensions Fee 25 Cam................................ SUBJECT TO APPROVAL OF BOARD OF HEALTH .7 b OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS .I hereby agree to conform to all the Rules and Regulations of the Town of Barnstabl gardin a above construction. Name ........ . .. ..... .................... ............ Q Construction Supervisor's License 4 ........... kson, James • 28119 11/2 ........... Permit for ........ .,..... single family dwelling......................... Location ...........9.3...Barnhill. ...Road..................... . .......... ...... ........ West Barnstable ............................................................................... Owner ............James Jackson................................ . .. .. . . ........ Type of Construction ....................frame...................... . ................................................................................ Plot ............................ Lot ........f� 7.................. July 1 85 Permit Granted .........................................19 Date of Inspection 19 ................................. Date Completed .... .......19 M 4L CID C; M ti TOWN OF BARNSTABLE Permit No. 28119 s Building Inspector CashFMIL A OCCUPANCY PERMIT Bona Issued to James Jackson Address Lot 57, 93 Barnhill Road, West Barnstable Wiring Inspector �/- �. Inspection date Plumbing Inspector r j �rnlJ. Inspection date f/ Gas Inspector Yt` q �C Inspection date r xEngineering Department ` / �� Inspection date Board of Health L - Inspection date /—.27—,F4 THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL 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. - . 7 .,....................... r!. _............_.� �� Building lding Inspector TOWN OF BARNSTABLE BUILDING DEPARTMENT TOWN OFFICE BUILDING NAS& HYANNIS, MASS. 02601 MEMO` TO: Town Clerk FROM: ' Building Department DATE: j. y �d building authorii6d by An Occupancy Permit has teen issue' for the b BuildingPer it A-E-Y-1-9-e.................................................................................................................. ............... issuedto ...... ........ .. ......... ........................................................................................... Please release the performance bond.0� ti..<+�'s'3rS i. .. . �3r' ...mow- - '..-,,t:;4 .'!,'-'✓.::F.'/iK#`,'`C'-,Rrv,=�syy�w. . ,. .. .. � • TOWN OF BARNSTABLE Permit No. 28119 1�,..n.n i Building Inspector Cash -----_---_-__-- ...► ,eta "'' OCCUPANCY PERMIT Bond f Issued to James Jackson Address Lot 57, 93 Barnhill Road, hest Barnstable Wiring Inspector Inspection date Plumbing Inspector *_ r Inspection date ����►^�' Gas Inspector Inspection date xEngineering Department Inspection date Board of Health r. Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL 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. � - .... _.. ....._._._ J/I/ Building Inspector