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0097 CARLSON LANE
0 i Oxford NO. 1.52 ORA ESSEL'TE 10% 'L.e......:ifiiu�r:GML�YuD10.rud.L�.L••-,c+••'-rr:.6.i�.a..�e:�1ouJ.o.:.i...h.'.�'�._.'"'>"^._��..s.._ �....,.:.t.:.....�-. �.��exwdl�'r�L..,.��.:.i.r -yir�:v.+M..r'tiw...�ir�i�.:_:Li'cau_._.+.. .WeYL�a.n.eA.� �e•�tlW'"i�`�Sru+"�."eu.'.�1II.uE:@.1f'• 1 t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Q Parcel Application # Health Division ` Date Issued �� -,Z— Conservation Division Z('a!� Application Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board v , Historic - OKH _Preservation / Hyannis s - Gl�roject Street Address Village �C� �(il.S-�zc Hu-• Owner� �y� �y �� t U Address L iT lephone �— "� ,i,P �rmit Request Pe_-�c A& r Vn Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay i Project Valuation Construction Type " Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 0 Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Q 1 �d Basement Finished Area (sq.ft.) Basement Unfinished Area (s'q..34 Number of Baths: Full: existing new Half: existing `-'I new Number of Bedrooms: existing _new , Total Room Count (not including baths): existing new First Floor Room Counter Heat Type and Fuel: ❑ Gas 0 Oil ❑ Electric ❑ Other � m Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: 0 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 0`Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name l� � �a � Telephone Number Lp Address License # ' Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO .;SIGNATURE gffiAA_ Ak& DATE D-O� FOR OFFICIAL USE ONLY 'APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE -_t OWNER r DATE OF INSPECTION: t� FOUNDATION '4 FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL 1 GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED.OUT ASSOCIATION PLANNO. s f �,r r TOm i• Of Barhstable . . Regulatory Services Thomas F. Geler,Director $vEcHng 1 iym' 'on Thomas Perry,CB 0,•Bm7ding CornmiMonar 260 Main S r6c:t Hyannis,MA D260I' - ��.Eown.barnsfabla.ma_tts . fi038 - fax: 508-790-6230• 'Offices 508-862PLAN REY-EW P. 0 'projcct Address �� • Buildcz: _v_ The faIIowing items were noted on revie-wing: cz- 4r, c4tL / �oiVcEEo�2�4f-sE Regie Wed by ' ✓J .�/ The Commonwealth of Massachusetts Department of Industfial Accidents Office of Investigations 600 Washington Street Bostorti MA 02111 - www.mass.govidia Workers' Compeiasatidn Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/oro nl7ah /In ondividna.[): 1.Address: . �,V►�Sc�: City/State/Zip: �• Phone#: Y 61D 216 � F-01 you an employer? Check the appropriate box: Type of project(required); I am a employer with '�• ❑ I am a general contractor and Iemployees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity, employees and have workers' coin insurance.$ 9. ❑Building addition [No workers'comp.insurance comp. i uired.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3. r I am a homeowner doing all work officers have exercised their ❑Plumbing repairs or additions � g 11. Plumbin re myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'.compensation policy information. 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-coufractors and state whether or not those entities have employees. If the sub-conhactors 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: 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$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. 11 do hereby certi under the pains and penalties of perjury that the information provided a ove is true and correct 1 Si ature: Date: Phone#: `7 1_� 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): I. Board of Health 2.BuildingDeparbnent 3. City/Town Clerk 4.Electrical Inspector. S.�Plumbing Inspector 6. Other Cont#ct Person: Phone#: of lti Town of Barnstable Regulatory Services + 3AItxsrn M • MAM Thomas F.Geiler,Director . Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder , as Owner of the r subject o P PAY. 4 hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit Ca-A15"el ee-11, (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 =� (f� . Pant Name Print Name V Date QTORMS:OWNERPERMISSIONPOOLS 6/2012 Town of Barnstable Regulatory Services ' SrAW Thomas F.Geiler,Director MASS. Building Division �prED MA'!A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 W W W Aown.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION ]� 'Please Print DATE: JOB;LOCATION: number; street village HOMEOWNER": I � n r10 ju 3 2� i name home phone# work phone# CURRENT MAU-ING ADDRESS: to, { city/town state zip coddy 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. "i DEFINITION ORHOMEOWNER 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,ja one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A Ft rson 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. i The:undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and req ' ements and that he/she will comply with said procedures and req,. e Signature of Homeowner Approval of Building Official Note; Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, 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 forni/certification for use in your community. Q:forms:homeexempt QN �t `` W a o. u.0 y.l O r 56,320 sq.ft. EXISTING 0 CONCRETE FOUNDATION I CERTIFY THAT THE STRUCTURES ARE SHOWN ON THE PLAN AS THEY EXIST ON THE GROUND DATE PROFESSIONAL LNANVSURtYOR PLOT PLAN PEPARED FOR: STEVE BOTELLO V.%,tH oFM�sr LOCATON: LOT 28 CARLSON LANE, WEST BARNSTABLE ��°� STEPHEN �cyN DATE: 2/10/95 c J. SCALE: 1" So " DOYLE H FLOOD PLAIN DATA: LOT 28 DOES NOT LIE IN A FLOOD HAZARD "ZONE No. 37559 PREPARED BY: STEPHEN J. DOYLE AND ASSOCIATES �qN SuR . yo 42�'CANTERBURY LANE, EAST FALMOUTH, MA. T€LEPHONE: 508/540-2534 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 64,�� Parcel 2 Permit# 53�- ,IS Health Division =(��7 � 5/z /—�G� Date Issued s /Zo l � Conservation Division . e /ate/o Fee y�so Tax Collector Treasurer41 4I IC PSTEM MI UST Er Planning Dept. /2�7 M INSTALLED.-IN COMPLIANCE WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND TOWN REGULATIONS Historic-OKH Preservation/Hyannis } Project Street Address 97 Co. s o nit Village ey. t3G. b 1 e-- Owner . S fe✓ ,e_ 6 o lc,_ 11 n Address 2 2 a c,r ) so h o- �. TelephoneO — 1-1 ' 7- / 3 2 n Permit Request /6 X 3 .G ,�„ h _S w , hn Y ©n�. Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Valuation 15,G�G Zoning District Flood Plain Groundwater Overlay Construction Type j f�_e/ j!06 , V i n y l t,n e— r Lot Size Grandfattiered: ❑Yes O No If yes, attach supporting documentation. Dwelling Type: Single Family Q Two Family O Multi-Family(#units) Age of Existing Structure 92 Historic House: ❑Yes &Ao On Old King's Highway: &(Yes ❑ No Basement Type: R�Full O Crawl O Walkout O 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: IdGas O Oil ❑ Electric O Other Central Air: ❑Yes O No Fireplaces: Existing New Existing wood/coal stove: O Yes O No Detached garage:O existing ❑new size Pool:O existing ❑new size Barn:O existing ❑new size Attached garage:O existing O new size Shed:O existing ❑new size Other: Zoning Board of Appeals Authorization O Appeal# Recorded O Commercial O Yes O No If yes, site plan review# Current Use Proposed Use QA-11 BUILDER INFORMATION Name , c— k 1 ka ri p s o n Telephone Number .50 e G 6 _2 515 6 I Address 9 y /flu ;� s 7f License# 0 .5 5 1 , r- v e— 2 3 3U Home Improvement Contractor.# /O 7 li� n Worker's Compensation`# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE „ ;f�� � _ DATE' /� o s _ FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED fCj MAP/PARCEL NO. ADDRESS `+ VILLAGE OWNER 44 DATE OF INSPECTION- FOUNDATION s- 1 FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT s F ASSOCIATION PLAN NO. =' i 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 0 2 I I 5 6 } 7 I i I 8 i I I 10 12 13 i ,I IAPPRO --- 15 16 JAN 10 2002 ; 17 18 i 2 3 4 5 . 6 7 8 9 10 11 1-2! 13 14 15 16 17- ,, 18 19 20 21 22 23 24 25 26 it I I i i I I it gig 2 . - LL 3 -T 5 4- -T------- 7 .- 8 it Ito I 77— 9 " It till -7- --4--- 10 12 13 I it 14 15 tilt FIJT It 16 -T7 7MI -4-4- 17 7- 18 4 -1 F.'i I -4 fill r 19 --L-441 H T L -_ - 4I 1 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 0 1 2 3 5 it._ /• .___, . . ._.a 9 10 j 12 t- .... ...... ( f 13 i 14 f 15 Ar ri-OVE L 16 17 JAN t I ?nog 18 19 0 .1 . 2 3 4. 5 6 7 8 9 10 11 12, 13 14 15 16 . 17 -./ 18 19 20 21 22 23 24 25 26 0 If 4 2 3L 4 5 , 6 ,z if 8 9 ' + M_ _T1 112 13 Ht + _+L4_L_ F F 14 15 4 16 17 I Il FJ-I ...... .... -44.4-- _T_I -17 18 If J." -Ti F-j - 1 -4 _1T F-7 19 if rji It-l 'i 1 4. - - - P 4! _4_4_ if `4-44-'L-�FITT- 0 1 2 3 4 5 6 7 8 9 10 11 12 , 13 14 15 16 17 18 19 20 21 22 23 24 25 26 0 1 , 031 2 2 3 4 � �, • 5 f 6 7 8 9 10 I i 12 13 14 15 16 JAN 10 2002 17 , -""PR 18 ■ `�4'�' i .ED 19 I 0 1 2 3 4__ 5 6, . 7 8 9 10 11 12.. 131- 14 15 _ 16 17 18 19 20 21 22 23 24 25 26 It 0 . 21, 4 5 _T_ ITj 61 7 - fit 8 4- 9 12 13 -4-4- 14 _4 .15 HH ----------------------- E# 16 t t j7 I 17 18 FT Ell 4 _T -117 th-1-4 • • 4.4dj _4 T 4-4- 19 Ell' _P4 747�1 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 0 1 2002yU3I 2 3 4 j 5 6 7 8 9 10 11 ; l � 12 � 13 14 15 16 17 1 �.� � JAN 10 2002 19 0 1 2 3 4 5 6 7- 8 9 10 11 12 13- 14 15 16 . 17 18 19 20 21 22 23 25 -26 If if if 0 If 4: 2 -4-4- 3 , if 7- 4 if 5 , 4: 6 8 9 10 If I 12 13 14 15 -4- 4-4-- 4--- 17 -18 4-4- IJ Ti I + -ZIF -41 F-4E i 4- 19 H+ 4+ 44-+ 1 4 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 2 er 4 Fr 5 6 I F f CLoSG-T ! + 7 ( $ '2 8 3 t 9 � Y 10 3 f 4 12 13 I . 14 15 16 17 18 �p 19 1 2 3 4 5 6 7 8 9 10- 11 12. 13 14 15 16 17 18 19 20 21 22 23 24 25 26 If I if if if if fill -14 2 -- 3 ,_ 5L t-4F 6 8 .......... 9 10 ZZ 12 T_ 13 if 14 15 16 t1I I if _T I I I 18 pill L I'd T-I LIL 44 -4-t- -t- 19 _T�T_F r + , y u\ C y 1 y` tt s J y - 1• wo I fft tl Y 1 Id I ` w e ,- D6/ 66 /SQ Town of Barnstable Permit: Regulatory Services FZHe r ate: °ky� Thomas F. Geiler, Director Building Division Fee: 3, • BARNSrABLE, v MASS. Tom Perry, Building Commissioner Eova`� 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 TOWN OF BARNSTABLE Fax: 508-790 6230 SOLID FUEL STOVE PERMIT Owner: .i1 ,(� 1 e-- \ "'7c?1—o �i-o Phone: (:So$ 1 SIPS r3 �ob Install at: — �'� r� S o Map/Parcel: stove Date:_ A. Ew/ Used B. Type.- Radian / Circulating C. Manufacturer: �� � D. Model No.: Lab. No. t\ �ay.s.�i-e.ad Chim ev - A. Nei /Existing (If existing, please note date of last cleaning) I3. Fill-,Fill-, Size C. Are other appliances attached to Flue? _ D. Pre-fob Type and Manufacturer E. Masonry.- ine /Unlined Hearth Cr'� x A. Materials: B. Sub Floor Construction: Installer Name.- Phone: Address: sn Location of Installation: H.I.0 Registration A' Construction S�y�ervisor T OR check V. Homeowner Installing, o license r ed APPLICANTS SIGNATURE APPROVED BY: Please make checks payable to the Town of Barnstable iThis constitutes an official stove permit after inspection,photographed, and approved by the Building Inspector Q:forms:stove The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations - ' d 600 Washington Street Boston,MA 02111 wrvw.mass.gov/dia Workers} Compensation Insurance Affiddyit: Builders/Cottractors/Elettrician.s/Plurabe�rs Applicant Information I Please Print Le>?ibly Name(Business/Organization/Indi!•dual): . Address:q1 City/State/Zip: \_0 _ ►.� Of- Phone.#:T(Se(_1 Are you an employer? Checkthe appropriate box: ;Type of project(required):, 1.❑ I am a employer with 4• ❑ I am a general contractor and I 6. El New construction . employees(full and/or part-tin e).* • have hired the sub-contractors 2.0 I am a'sole proprietor or partner- listed on the'attached sheet 7. ❑Remodeling shipand have no em to es These sub-contraciors have p Ye. 8. ❑Demolition '-;working for mein any capacity. employees and have workers' [No workers' comp,insurance comp, insurance.#' 9 ❑Build.m g addition �,Aquired.] I 5• ❑ We are a corporation and its 10.❑ -lectrical repairs or additions 3.E I am a homeowner doingall work. . officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]f c. 152, §1(4), and we have no employees. [No workers' 13.0 Other comp, insurance required.] *Any applicant that checks box#1 must also filli 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. $Contractors that check this box must attached an additional sheet showing the name of the Sub-contractors and state whether ornot those entities have employees. If the sub-contractors have employees,they must providt;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: Policy#or Self-ins.Lic.#: Expiration Date: lob Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page•(showing the policy number and expiration datl). Failure.to secure coverage as required•j der Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK,ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance 1covera e verifi lion. ' I do hereby certifyun er the pains an enal 'es o r ury that the information provided abo cg its true and correct. Si mature: 9 Date: Phone#: Official use only. Do not write in this area, to be completed by.city or town offciaL City or Town: Permit/License# Issuing Authority(circle one): 1,Board of Health 2.Building Depi tment 3. City/Town Clerk 4,Electrical Inspector 5.Plumbing Inspector 6, Other t �t r Town of Barnstable Regulatory Services snrttasr"U, ; Thomas F.Geiler,Director 16 9 .•� Building Division rEn �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: / / ho id /�� ��QQ JOB LOCATION: / Z earkao &ne-, GyZ.f number //fj ,7 street villages �//�"HOMEOWNER": 601Z11L ,0?" . Z'Z' —d A114 name home phone# work phone# CURRENT MAILING ADDRESS: 27 0Cr 1c,6n" 440k-- r�� 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 minim pection procedureLdrir nts and that he/she will comply with said procedures and require en Signature of er Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control.. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a fomi/certification for use in your community. Q:forms:homeexempt °FSHETgy, Town of Barnstable ti Regulatory Services 9anx[vwsi.E$! Thomas F.Geiler,Director �p .q s6 g �0 TF16 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.to.wn.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 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) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. QTORM&O WNERPERMISSION IF �'Tort.— r r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 2- Parcel ' f Permit# �- Health Division 0-4-' Poo/ 'i���-anal Date Issued `)4 O 2 a Conservation Divisi 'L Z. Fee Tax Collector Treasurer - �- Planning Dept. y Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis ProNct Street Address 'j cci Village` a, o Owner �, ,� P. ,} � Address SAMrT Telephone IS4vI y'77 Permit Request T,0\ I ko Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Valuation Zoning District Flood Plain Groundwater Overlay Construction Type ' Lot Size 1. 33 Grandfatliered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family Cl Multi-Family(#units) Age of Existing Structure o Historic House: ❑Yes 2 o On Old King's Highway: a es ❑ No d Basement Type: Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) as ae-3 Number of Baths: Full: existing L 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: 4! Gas ❑Oil ❑ Electric ❑Other Central Air: des ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing ❑new size Pool:❑existing &new size43�ItaBarn:❑existing ❑new size Attached garage:Cl existing ❑new size Shed:❑existing 21(new sizej2ut i... Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION ` Name O V YfN 1z Telephone Number S,63 I' Address i License# IHome Improvement Contractor#� i Worker's Compensation# ALL CONSTRUCTION DEBRI ESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE ov DATE 0/2-( 0-2- FOR OFFICIAL USE ONLY j y A; PERMIT NO. _ DATE ISSUED i MAP/PARCEL NO. ' f' ADDRESS VILLAGE _ i C OWNER J DATE OF INSPECTION: FOUNDATION FRAME ' INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL a PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ae ���a z, I DATE CLOSED OUT ASSOCIATION PLAN NO. r + I i 17 i l Y 4 f , r R I 1 /r.\ .i rl._'._/�- .I �`�f�l_r�Y k,-Jfcl �T_ _ r, 1. '• . I { _ I RESIDENTIAL: SHEDS - POOLS -DECKS-OPEN PORCHES- GAZEBOS DETACHED GARAGES FEE VALUE WORKSHEET ACCESSORY STRUCTURES >120 sq.fL(Sheds,detached garages,gazebos,etc.) >120 sf'-500 sf $35.00 $ >500 sf-750 sf 50.00 $ >750 sf- 1000 sf 75.00 $ >1000 sf- 1500 sf 100.00 $ >1500 sf—USE NEW BUILDING PERMIT APPLICATION DECKS x$30.00= $ (Number) PORCHES x$30.00= $ (Number) IN GROUND SWIMMING POOL $60.00 $ ABOVE GROUND SWIMMING POOL $25.00 $ RELOCATION/MOVING $150.00_ . $ (Plus above fee if applicable) PERMIT FEE $ I Q:fonns:dkcost eff:0823.01 The Commonwealth of Massachusetts Department of Industrial Accidents . Ofllco ollarest/®atloos • ' , 60O.Washington Street -- Boston,Mass.' 02111 Workers' Com ensation Insurance davit e .ocation: 7 CcK i 1%:_d o shone# S o I am a homeowner performing all work myseM ]. I am a sole 'etor and have no one woddn in am S LI7?— 3 13 2-. UPIAMMM ] emp Dyer providing-workers' on for mp employees worlds on this.'ob. 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I aadeistmd that a ppy of thin statement be forwarded to the OMce of Investigations of the DIA for Menge verification, do hereby certify the p to as ofpeduq that the information provided above is correct Z 2- Pate — tint name P •Phase# ' otSdal use only do not writs fa this area to be completed by tiff or taws omchd city or town: perulli ieeme o - rIBWtliag Department ❑eheeleifttamediate response is regmred C)Itccuidn;Board ❑Selectmen's Ot1,ee contact person: O Deparfnnent (t�iid 9NS PII y ' • - • ill•1 • . - • •U . • 1 w I i•I/1• • . . • . - • .1/1•.1• .0 •11 • • • • • �• • •Ie1 •/ 1 � /r / •.1.1/�• .1 • • 1 / / :1 • {• •w /11•.1 / •111• . 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Hof • 11 • • ✓111 I. I • •II II I sell • .• •1 1 I love-1 • all.•/1 • • 11 •1 III • /1.1 .Iv ••1 • w/1 .•Ill 1 •�.•1 11✓. •• • 1 w • •Y.1• •11 •• 1 • II .11 • 11 • • .11 V • •1 V•• 1.1 .1• •II 1 e 1 • • • I •11 • / w • •• • lee-11 •e • stele( .el • Y••' 11 le/ •.1 1 1 11 11 1 1 1 , 1 ' 1 •11 1 1 1 1 � 1 1 A' I 1 I I 1 1 1 1 i 1 1 1 1 1111 1 • II II I11 •�F I ns rpm . : . The Town of Barnstable 9`"M `erg Regulatory-Services �'°rEo {► Thomas F. Geiler, Director 'Building Division Peter F. DiiiMatteo;Building Commissioner 367 Main Street,Hyannis MA 02601 . :e: 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 or building be done by registered contractors,with certain exceptions,along with other requirements- Type of Work: Estimated Cost Address of Work: Owner's Name: Date of Application: I hereby certify that: Registration is riot 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. . r Date Contractor Name Registration No. OR Date Owner's Name '• 0:forms:Afridav:rev-070601 The Town of Barnstable MRNsrABL& Regulatory Services rEo►�+° Thomas F. Geiler, Director Building Division Peter F. DiMatteo, Building Commissioner 200 Main Street,Hyannis MA 02601 . office: 508-S62-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 2/z ( I d Z JOB LOCATION: Q 1 C 0,PA&:<Y-, number street village ,HOMEOWNER": 40110&n � G �c y 3'Zl�� Sb?i name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an.individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than.one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersi "homeowner"certifies that he/she understands the Town of Barnstable Building Departure um insp on procedures and requirements and that he/she will comply with said procedur d q ' e I SigpaQoAH6eo er Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states.that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:FORMS:EXEM"IN i r ( VOW A*d,,-A a Q E3 t � u N-52- "f �! CK py 2��y `{. �v The Commonwealth of Massachuse= L Department of industrial Accidents • >d ==��� , '� , � 01flce alla8estlBatloos 600 Washington Street . 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I• • of 11 YI•• .Ir •1• ••t• I• • ' 11_ «•1111•%11 • •Y.111 • •1 �y .It • • I •UI IIU•I •yw •111• Il/ y H• •+.0 ♦1 11 1• J•« I .1•• • 1� •• Million law 1 •III1111_• /• •• • .• •••�•II •1 111•II lY•r/: ••• • «•II. 1.1 ••IIIIIr/l✓.1• •Il •1 Ill 11 Y.11 V V• •y •1 1 / 11 1 JI 1 0046 I 1; w1110I -•0,61111 _ «1 ••1 •r 1• I •r✓.1 •l .I• • V+S1. •u 1•I •1 •.•I••nl •1 ••y •yU • _• 1-� 1_/ 1 1 It • .l••••�•II •1 1 IUl ••✓. « / _.nl 11 • I • • • 1 1 .II • • 1 • •u w•!.1 ul• • •I •t _• lu -• 1• • • r.u• •u..-.w .••IIu•-.•w�.:u •11 • • • ✓. I t• �.•r.♦ •n-.Il .. •I •nN• •ti l_• . .•• • 1 1.1 • • I t• III • 1/ 1• It yt1 11 � �• « •1 1 �Y• •r.0 •Ill t I• «•HI•'. M • 11 I• :7I It I• •y•1111 «y• tllltl 1 y ' 11 «, I 1 1 Y-• -•1y �•• V 1111It •y • .• • Iw 1/Y. 1 •p•1�• U 1 • .• •••y•1 • • /I •1 11• �k • •I y •1•r=1• ywu y•1• 1✓. •Lw• ••Y. • , i1 .• • I w • •K•• •It •. 1 • I• U JI • I 11 • ' .It « 1.1 • • I v•• 1 y .1• •It .l• • /• • • t • .It • w••1 •. •••-•u ••• v. 1 *total .0 1 ry n•u1 •y 1 1 11 11 1 1 1Me1 4 1 • . •11 ' 1 one 1 1 • • 1 1 1 1 I I I - 1 • ' I l � 1 1 1 ' , DETAIL A I \ / WALL BRACE ASSEMBLY DETAIL X 11 GA. / h--2' 7— �aLv�waEo Arun E I I I 1STEEL4 GA.w u PG&VANEL I M I I er I CONCRETE I 42" FOOTER UNDISTURBED EARTH I rNAll BRACE ASSEMBLY I � � T BOTTOM MATERIAL-> 7 1 2 , 4 1 PLATE x I T BEA�iNG S 3/er REBAR 1 1/T . 24' . 1♦ GA. GALVANIZED ANGLE NOTE:BACKFILL TO BE SAND. GRAVEL. OR OTHER NON EXPANSIVE MATERIAL B DETAIL A A - -- - - - - - - - - - - - T T T —NOTE— THESE DIG DIMENSIONS COMPLY MATH THE NATIONAL SPA AND POOL INSTRUTE SUGGESTED MINIMUM STANDARDS FOR O B ETUSE POOLS. WARNING PO - 1X1 Nor lc � TNF DW END. 1F DIVING BOARDS CARDINAL SYSTEMS OR SLIDES ARE TO BE USED MATH THESE POOLS OONSULT TFE MANUiACTURES INSTRUCTIONS AND THE NATIONAL SPA AND POOL INSTITUTE'S MINIMUM STANDARDS PRIOR TO offA L NG DIVING BOARDS OR SLIDES ON THESE POOLS. FOR INFORMATION SANG NSPI Mwum STANDARDS. wRf c 262 S. Rr. 61 (717 Wi-4733 NATIONAL SPA AND POOL INSTITUTE. 2111 EISENHOWFR AVENUE. ALFXQl)RlA, VA 22314 (703) 516-0083 SCHLf L KU HAVEN. PA. (717) 383 1318 FAX. POOL SIZE A 8 C D E F "G 0 J K L M N DATE` — ` TRUE ELL 16•xM'.26'x12 16' 3s' 12' 14' B' 4' 8' 4' 8° 3' 26' 37' 25' 3 4 IMAGINEERING SCALE: ,,._,,.._,,,. ,,. 1 R• An' Ill' 1 A• 1 nt A' R' 4' t 0° 3' 30' 40' 26 10 DRAWN: le W FTLE NAME TO 1F1 ?RC DETAIL A I \\ WALL BRACE ASSEMBLY DETAIL VIA I I I PANEL_ i M I I CON BETE I ( 4r FOOTER UNDISTURBED EARTH f I I WALL BRACE ASSEMBLY L f � \ r BOTTOM MATERNAL — z . ♦ 1/z : ,r NG PATE 3/er REBAR x 24' x 14 GA. GALVANIZED ANGLE ROTE:ORR OTHER O NON EXPA BE NSIVE GRAVEL O MATERIAL 6 DETAIL A A �\ _F 1 � K - - - - -- - - - - -- - _ _ ^� G - -- - - - -- - - - - -�- c D— --E---+--F J---+- -NOTE- THESE DIG DIMENSIONS COMPLY MATH THE NATIONAL SPA AND POOL INSTITUTE SUGGESTED MINIMUM STANDARD FOR RESwENTuI POOLS. WARNING _ Oo NOT N THE f,� END. IF O�IG BORDS CARDINAL SYSTEMS OR SLUOES ARE TO BE USED WITH THESE POOLS PIFASE CONSULT THE MANUFA0URE'S INSTRUCTIONS AND THE NATIONAL SPA AND POOL INSTITUTE'S MINIMUM STANDARDS PRIOR TO INSPUING WING BOARDS OR SUM ON THESE POOLS. FOR INFORMATION CONS�YNG NSPt MINIMUM STANDARDS. WR11E: 269 S. RT. 61 (7,7 385-4733 NATIONAL SPA AND POOL WST1TUTE• 2111 EISENNOWER AVENUE,AIJr WWRK VA 22314 (703) 638-0083 SCHUYUOLL HAVEN, PA 017) 38S 1318 FAX. POOL SIZE A B C 0 E F .G• , H J K L M N aT` 4— - ' TRUE ELL 16 x38 x26•x,r 1 s' 38' 12' 1 a' 8' 4' 8' a' 8' 3' 2s• 37' 2s' 3 4 IMAGINEERING wA-E. 1B•x4o•x3o•xtr 18' 40' 12' 14' 10' 4' 8' 4' 10' 3' 30' 40' 2s' 10 KK F11E NAPE TRUEL2RC The Town of Barnstable 5Eo9. Regulatory Services ' �� Thomas F. Geiler,Director Building Division Elbert Ulshoeffer, 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 or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: S w e. a P n n L Estimated Cost 15. ooc) Address of Work: cx P Owner's Name: —S c=.1 e— Date of Application: �� S/0 t , I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under S1,000 ❑Building not owner-occupied []Owner pulling own permit , Notice is hereby given that: OWNERS PULLING THEIR OWN PERMTI'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. i t i Jr 42 SD / Da a Contractor game Registration No. I Dad Owner's Name q:fornu:Aff&v l x.. Y• a `' .4 W c Z16•°i 1 O �► L_ O 7— 0 56,320 sq.fL •°s m_ 6 rw EXISTING 3gq,00 ''- CONCRETE FOUNDATION f I CERTIFY THAT THE STRUCTURES ARE SHOWN ON THE PLAN AS THEY EXIST ON THE GROUND DATE PROFESSIONAL 4ND SUR YOR PLOT PLAN PEPARED FOR: STEVE BOTELLO s 0�`' �t;GIST LOCATON: LOT 28 CARLSON LANE, .WEST BARNSTABLE ERE� ..Clay gTEPHE N DATE: 2/10/95 c J. SCALE: 1" = 80' " DOYLE H FLOOD PLAIN DATA: LOT 28 DOES NOT LIE IN A FLOOD HAZARD ZONE N0. 37559 sl PREPARED BY: STEPHEN J. DOYLE AND ASSOCIATES �qN SUR . yo 42 CANTERBURY LANE, EAST FALMOUTH, MA. v - TELEPHONE: 508/540-2534 BOARD OF BUILDING REGULATIONS Licsnsr. CONSTRUCTION SUPERVISOR 1 Number: CS 059199 Blrfhd t: 07/19/1942 Expires:07/19/2002 Tr.no: 27474 Restricted To: I RICHARD J THOMSON PO BOX 1671 CA ATTLEBORO, MA 02703 Administrator �. ;;q HOME IMPROVEMENT CONTRACTOR Registration: 107180 Expiration, 07/29/2002 Type: Individual RICK THOMSON Ric Tholson ��712p '-'f Box 1671/ 350 Pleasant ADMNISI'RATOR Attleboro MA 02703 04/22/2001 19:43 FAX $005950222 THE POOL DEPOT �10Z -2 12" 11'-v, '-2 1 Z2„ 2s1. 3" _a LT 3„ 2'6„ Tr- 8 4-0" •V V A � •-•--- -8'-2"---------lot j B' DEEP 1 v, 7'-9 1 k" 1 .i ' 1 ; � 1 8 I I 1 , 14'-0- STEEL STAIR gDow �^ --------------19 - +---Flo----- ----------------- •xecels- --- -- -----...._ ..." AWN ®.ti Dlag, ) .._.. Inturn 1 1 4- lie, 1 i I 1 I ; bl 17;0" 4W FINS 1 i 4 1 slow Ir.RC 6�-- 36'-0" Date:4/24101 I06 P00101_ Inc."� TItlo:Tru Ell 20'x 43'x 36 j ' 7RCW'-re,nv���r'� - Nwnmkw ttl►1 0�6� Drafter:pc File Name: Area:A I I I .ft- Vdn.AWRENC�OTELLO " Perlin r. lt9Pl T II WA=32" 23' - r i TM micpomcleap C 0 VERTICAL GRID D . E . FILTERS a " P Micro-Clear is a high-perform- ance filter series that provides superior water clarity, efficient flow and large cleaning capacity for pools of all types and sizes. o - _ Micro-Clear filter tanks are now molded from PermaGlass XLr,' 9?0 x=- r: a glass reinforced copolymer, P .� _~ - '�' providing the ultimate in strength, =:0 durability, and long life. Micro-Clear rf filters also combine high technology 50 features with a ft "service-ease" design for dependable • ,�, SYS01 operation and °° low maintenance. Plus, Micro-Clear filters are avail- able with the unique SP-74ODE H Selecta-Flo control valve, the only filter control valve designed specifically for D.E. filters. For the quality conscious pool owner, Micro-Clear filters are an _ unparalleled filtration value. S DE-6000 Micro-Clear Vertical Grid D.E. filter with optional SP-740DESelecta-Flolm4-positioncontrol valve. s 2=a d � Featuring PermaGlass:=K=� A r Filter Tank Material 0 HAYWARD Hydrogen,Oxygen and Hayward. The elements of clear water m r MICI'0- IearTM Vertical Grid D . E . Filters Automatic Air Relief purges any trapped air during filter operation. • Screenless design eliminates clogging. NSF® Integral Lift Handles and Uniform Low Profile Tank Base make removal of grid nest fast and simple. High-Strength Filter Tank molded of PermaGlass Xr provides extra 0 durability for dependable,corrosion-free performance. --_�,: ' —��` `, High Impact Grid Elements designed for up-flow filtration and i top-down backwashing for maximum efficiency. Heavy-Duty Tamper-Proof Bolted Center Flange Clamp ' securely fastens tank top and bottom together.Allows quick access to 2, all internal components without disturbing piping or connections. I Union Locknuts make disassembly and reassembly of filter from piping fast and easy. ya Noryl®Bulkhead Fittings for extra strength and heat resistance. Inlet Diffuser Elbow distributes flow of incoming unfiltered water upward and evenly to all filter elements.Parabolic tank base design I provides for even distribution of D.E..to grids. Full-Size 11/2"Integral Drain provides fast, 100%clean out and easier f flushing of tank. Convenient Valve and Plumbing Options allow for customized control.2"internal piping and plumbing for maximum flow performance.- r • " " �r117 `�' . LaJ:b1Al� ' • FILTER TYPE: Vertical Grid Diatomite:24,36,48,60 ft'(2.23,3.35,4.46,5.58m'). FILTER TANK: Injection molded PermaGlass XLT"^ FILTER ELEMENTS: Monofilament polypropylene cover fitted over 8 curved, high-impact grids CONTROL VALVE: 1 Y2"or 2"6-Position Vari-Flo'"2"4-Position Selecta-Flo'"" 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) DIMENSIONS: DE-2400—31 W H x 23"W(800 mm x 584 mm) DE-3600—36W'H x 23"W(927 mm x 584 mm) DE-4800—42W'H x 23"W(1080 mm x 584 mm) DE-6000—48W'H x 23"W(1232 mm x 584 mm) Above dimensions are for filter only.Overall width with slide valve is 30'(762 mm); overall width with either 4-or 6-position multiport valve is 33'(838 mm) �i'rrre Model Effective Design Turnover Filtration Area Flow Rate 8 Hours 10 Hours Number ftz m' GPM LPM gallon kilo liter gallon kilo liter DE-2400 24 2.23 48 182 23,040 87 28,800 109 Plumbing Versatility.Select from a wide array DE-3600 36 3.35 72 273 34,560 131 43,200 164 of valve options for customized control of your DE-4800 48 4.46 96 363 46,080 174 57,600 218 filtration system,including Hayward's 2;'2-position DE-6000 60 5.58 120 454 57,600 218 72,000 273 slide valve. "Determined by pump size and piping system hydraulics. 2'piping is recommended for flow rates of 90 GPM or more. Flow rates above 120 GPM are not usually required for residential pools. HAYWARD POOL PRODUCTS, INC. • Hayward Pool Products,Inc. Hayward Pool Products,Inc. Hayward Pool Products Canada Hayward S.A. 900 Fairmount Avenue 2875 Pomona Boulevard 2880 Plymouth Drive Zone Industrielle de Jumet Elizabeth,NJ 07207 Pomona,CA 91768 Oakville,Ontario L6H 5R4 B-6040 Charleroi,Belgium 8-97 ©1997 Hayward Printed in U.S.A. Application to 2 0 0 1 d 8 b (9rb Ring'o Joigbbiap Aegional jt)igtoric 30l%otrtct Committee - e ' F0V%`N CLERK r In the Town of Barnstable BARNST/ RL MASS. CERTIFICATE OF APPROPRIATENESS09± HAY 15 P11 2: 52 Application is hereby made, with four complete sets, 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 E Addition ❑ Alteration Indicate type of building: ❑ House ❑ Garage ❑ Commercial d Other . '„� .o u„�/ Sw'�,�, "9 P�v 2. Exterior Painting: El 3. Signs or Billbo rds: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign / 4. Structure: Fence El Wall El Flagpole ❑ Other Sc;rcpu,,,cX j'nc S tr 1300" TYPE OR PRINT LEGIBLY: DATE ht/ > i J o / ADDRESS OF PROPOSED WORK 27 (L r son f✓a . ASSESSOR'S MAP NO. // OO OWNER _S fe_V e- C> e- U ASSESSOR'S LOT NO. O 3� HOME ADDRESS y u_r j.s cs +� �u , a . F�.r n 5t,61 • TELEPHONE NO. ,V2 l-- 31.3 2 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any public street or way. (Attach additional sheet if necessary.) 'J 7 63 AGENT OR CONTRACTOR TELEPHONE NO. r9 2 -2 Lq7 ADDRESS //0 DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please include locations of proposed signs. �J 141 - �/ZOe>NO ��✓j�//7liivG /'�oG, ��G. 7 lye e-e-,; e2mne� Signed bL�eL�.*Lvrre� 3 ►-moo Owner-Contractor-Agent For Committee Use Only Wid This Certificate is hereby Date FM 0 W Approved/D Hied. omm tt e Members' Signatures: APR 18 2001 TOWN-OF E 960AA M OLD KINGS HIGHWAY 2 001 , 0 $ 8 Town of Barnstable Old King's Highway Historic District Committee i SPEC SHEET FOUNDATION _��X .1 "A 16 , Z.,L4 >1c�pc L n - - ...d ui;e" ,inG Po-o L SIDING TYPE COLOR CHIMNEY TYPE COLOR ROOF MATERIAL /Y/q COLOR PITCH WINDOWS COLOR SIZE TRIM COLOR DOORS COLORS SHUTTERS- /Y�¢ COLORS GUTTERS COLORS DECKS _'3�(&rn 12 e d .•,n(Irc TZ. MATERIALS ,3ODC7, nS.i Co.,Cre_4z GARAGE DOORS COLORS SKYLIGHTS iy% SIZE COLORS - . od ' SIGNS COLORS D 18 2001 •- ARNSTAB�E TO�� pr B • ., . , Lc G S ►-i1GHW AY FENCE !f lt�c)n�p P;t_k,-t COLOR ,f b NOTES: Fill out completely, including measurements and materials/colors to be used. Four copies of this form are required for submittal of an application, along with Four copies of the plot.plan, landscape plan and elevation plans, when applicable. SPECSHT Revised 11/98 �16, JA SfICI ,54c-p � Av Sob - '737 - G � 63 coil 2 g62 38y '�'. Y�r w� O t1 � .'')?c.. 01 t i APR 18 2001 h� TOWN OF BS HIGHWAY 1. 5 OLD4 .. -- Pcture a clear/arkling, inground swimming pool right in your own back- , yard. A place where you can lounge and relax, leaving your daily stresses behind. G , Where you can escape the heat of the •� ��� _ � summer sun,and entertain family and - friends within the comfortable JJ� surroundings of home. L � TRUE' Wth Ah-Tibe Cm 0 0 _Hmic I I I. I I ( I aly your imagination limits your , '"! ability to create a gracious outdoorpool o , environment you'll look forward to coming home to. And,when it's com- plete,you'll find your inground pool toy'�,{ 44rr be durable,easy to maintain and built to a �� `� •��` 1���'�r � , stay beautiful,season after season. ?I * ►= ;; a 4� _ ; .' '3• a � '� ''�� ,,�r'�''tali � � � - _ � _ -.,'_ � i - .� . • vr� �j � 1 l^ .ham.._ •�� .=r ��:�� m •.art_ .ter. -I _. .. . A,���.,1-. s ".. - Ia k`.i'cn�aa- . .... _ �1 � ._...- �_�f•y _ � - - -s"'-- f - wx win - — _ - � �t � �F •_ice. _ '� PW -- - PAM W. _. _ _ .X ter.` �:•� `�J .' __ .s -.?�- c�'�.a.�'ti.'•n� .. + ���'.:`1 _ w �-r;, Co �a . � bu4 Y iA y �y r _ ' , - .��Y,.:..---- ------ __�.,,�...:.�•..x-. 'vxsa,�...._,.---.tee .�..- — ----.._--...��' � _ - - - r � y a war s � 2pp N OF N\G -c� tir LNG' S The Town of Barnstable i639.� `0� '0ri�o ono Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner February 14, 1997 To Whom It May Concern: Please be informed that a Certificate of Occupancy has been issued for,97 Carlson Lane, WestBamstable, MA_02668 on August 8, 1995.The Town of Barnstable has no further interest in any performance bond for this property. Sincerely, Tom Perry C J Building Inspector TP:lb 6 bondrele PAUL R. BOTELLO BUILDER INC. P.O. BOX U m OSTERVILLE, MA 02655 (508) 477-3132 January 31, 199.7 Town of Barnstable Town Hall 230 South Street Hyannis,MA 02601 Attn: Planning Board Gentlemen: RE: Street Permit Bond-Western Surety#42688921 Effective January 27, 1995 All work having been completed for the above,we hereby request release of the above referenced bond. Sincerely, Paul R. Botello TOWN OF BARNSTABLE -,� CERTIFICATE OF OCCUPANCY PAAOEL ID 110 032 GEOBASE ID ; 31.965 ADDRESS•, 37 CARLSON LANE PHONE _ Barnstable ZIP - LOT 28 BLOCK ..LOT SIZE DBAf DEVELOPMENT DISTRICT WB PERMIT TYPE ECOO DESCRIPTION CERTIFICATELOF 066-oparrt lent of Health,-Safety CONTRACTORS: and Environmental Services ARCHITECTS: • I TOTAL FEES: �TNE BOND $.00 CONSTRUCTION COSTS $.00 + + t + BARN3rABM • iMASS. OWNER BOTELLO, STEPHEN P p ADDRESS P 0 BOX V OSTERVILLE MA BUILD D - S DATE ISSUED 08/08/1995 EXPIRATION DATE BY v DIVISION APPROVALS FOR CERTIFICATE OF OCCUPANCY TO BE SIGNED BY,EACH DIVISION HEAD UPON COMPLETION BUILDING: _ DATE: r /• _ Y r } d `COMMENTS:! — •`PLUMBING: DATE: 'COMMENTS: ELECTRICAL: DATE: COMMENTS: GAS: DATE: COMMENTS: CONSERVATION: DATE: COMMENTS: OKH: DATE: COMMENTS: HISTORIC: DATE: COMMENTS: t FIRE DEPT: DATE: COMMENTS: OTHER: DATE: COMMENTS: TURN THIS IN TO THE BUILDING COMMISSIONER AFTER ALL SIGN—OFFS.ARE • COMPLETED.A CERTIFICATE OF OCCUPANCY WILL BE ISSUED AT THAT TIME. TOWN OF BARNSTABLE', MASSACHUSETTS LpimG 1-f 19 �^ PERMIT NO. N `37401 APPLICANT RESS I ��//�L �•���` 1��� � - - INQ.) (STREET) ICONTR'S LICENSE) PERMIT TO 1ht �(�/J NUMBER OF STORY �Y DWELLING UNITS (T .PE OF IMPROVEME• 1 NO. —(PROPOSED USE) // AT (LOCATION) & ^l_ l ZONING DISTRCT (go.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) - LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE' USE GROUP BASEMENT WKLS OR FOUNDATION ' (TYPE) REMARKS: \ AREA OR PERMIT VOLUME ESTIMATED COST $ F E (CUBIC/SQUARE FEET) OWNER ADDRESS � //� �� LOI P m1R� THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT' SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PRO V ED BY THE JURISDICTION.-STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL -APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPEC ALL CONSOTNRUCTQIONRED WORK:R CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SMALL NOT BE OCCUPIED UNTIL MINAL INSPECTION TI TO LATH). FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. , POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPE TION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS J 17( ems' - 2 7 -8-SS 3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT l0 QS p 2 'J-8—�J S - — /S BOARD OF HEALTH OTHER SITE PLAN REVIEW APPROVAL 6/Zy�9S i WORK SHALL NOT PROCEED UNTIL THE INSPEC• PERMIT W!L L BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF I WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. _ r TOWN OF BARNSTABLE ' TEMPORARY CERTIFICATE OF OCCUPANCY PARCEL ID 110 032.. GEOBASE ID 31965 ADDRESS 97 CARLSON LANE " PHONE W. Barnstable ZIP LOT `,28 - •$LOCK`: : ` LOT SIZE DBk DEVELOPMENT DISTRICT WB PERMIT ' 9173 - DESCRIPTION SINGLE FAMILY DWELLING ' PERMIT TYPE BTCOO a TITLE TEMP. OCCUPANCY 3DEVA'tment of Health, Safety CONTRACTORS: and Environmental Services ARCHITECTS: , TOTAL FEES:' BOND $ Ob - CONSTRUCTION COSTS $.00 Q� BARNSTABLQ MASS. 039. OWNER BOTELLO., STEPHEN P ADDRESS 'P O BOX •V -� OSTERVILLE MA `BUILDING DIVISION DATE ISSUED 07/20/1995 EXPIRATION DATE B-09/20/1995 DIVISION APPROVALS FOR CERTIFICATE OF OCCUPANCY TO BE SIGNED BY EACH DIVISION HEAD UPON COMPLETION BUILDING: DATE: COMMENTS: PLUMBING: DATE: r COMMENTS: ELECTRICAL: DATE: COMMENTS: GAS: DATE: COMMENTS: CONSERVATION: DATE: COMMENTS: OKH: DATE: COMMENTS: HISTORIC: DATE: COMMENTS: FIRE DEPT.: DATE: COMMENTS: w - 4 OTHER: DATE: COMMENTS: TURN THIS.IN TO THE BUILDING COMMISSIONER AFTER ALL SIGN-OFFS ARE COMPLETED.A CERTIFICATE OF OCCUPANCY WILL BE ISSUED AT THAT TIME. Assessor's Office(1st floor) Man M Lot 6 Permit#:' / Conservation Office 4th floor Date Issued-14 Board of Health Ord floor - Engineering Dept.-Ord floor) House# !Z 7 /1k"'7 Plannin' Dept. Ist floor/School Admin. Bld . : Cb, WrABMYKAM Definitive Plan Approved by Plarm�ing Board a.� 19 (Applications processed 8:30-9:30 a.m. & 1:00-2.00 P.M.) ,Ld f 42-e/1:'GsP TOWN OF BARNSTABLE ; `� i Building Permit Application, Project Street Address Ink- � Z� l ('i n �S G:n, "hl\9- Village U)C,:sV Fire District - Owner p� �� Address f o .&k V 01; 12 1 'U M04 0 ST Telephone . f Permit Request: �&L►L}-��MCy a Zoning District Flood Plain Water Protection Lot Size ( + Grandfathered Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Eaistine Information Dwelling Tyye: Single Family Two family Multi-family r Age of structure Basement type Historic House Finished Old King's Highway Unfinished Number of Baths No. of Bedrooms Total Room Count not including baths First Floor Heat Type and Fuel GA5 t Fort ce At a Central Air Fireplaces Garage: Detached Other Detached Stnictures: Pool Attached ✓ Barn None Sheds Other Builder Information Name -fie tp e, i&�LbTelephone number 5-OQ�^V 17 1 *2- AddressO ( }t, ✓ License# O'?_.b Srt Home Improvement Contractor# Worker's Compensation # NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Project Cost =')00 Y°Gp ' Fee 302 0 SIGNATURE \ DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T 590� FOR OFFICE USE ONLY ADDRESS VILLAGE N� OWNER DATE OF INSPECTION: FOUNDATION FRAMEAr INSULATION Y 1 FIREPLACE ELECTRICAL: ROUGH FINAL 8 PLUMBING: ROUGH FINAL 9 GAS: ROUGH FINAL e FINAL BUILDING: DATE CLOSED OUT: ASSOCIATE PLAN NO. ti e 4 TOWN OF BARNSTABLE ' BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE 0 fT JOB. LOCATION J o. 2,eCn fdssayl b). � . Number Street address Section -of.'. own' .: "HOMEOWNER" Icy ` 190 y(0Z.1 9TZ '319-Z- Name Home phone Work phone PRESENT MAILING ADDRESS �b ' 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 such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner' acts as supervisor DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides or intends to re- side; on which there is, or is intended to be, a one to six 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 wor Derformed under the building permit. (Section 109.1.1) The undersigned "homeowner" assumes responsibility for compliance with the Stat Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" cert' fies that he/she understands the Town of Barnstable Building Department nimum 'nspection procedures and requirements and that he/she will comply wi a ' edures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. I r HOME 011NEA' S EXE.'•?PTION The code state that: "Any Home Owner 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 Home Owner engages a person (s) for hire to do such work, that such Home Owner shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are .assuming the responsibilities of a supervisor (see Appendix Q, Rules and "Regulations for .licensing Construction' Supervisors, - Section 2. 15) . This .lack of aware often results in 'serious problems, 'particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against-.the-: inlicensed person as it would with licensed Supervisor. The. Home'�bwiier-actin as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of. his/her.. responsibilities,. man communities require, as part of the• permit' application, that the 'Home _Owner certify that he/she understands the responsibilities of a supervisor. On the last page of this issue is a form currently, used by several towns.. You may care to amend and adopt such a form/certifi cation 'for use in your community. 1 •i l ;T 1i_ — tu4zcssessac gilding u ttassachusLt3s'�a2e8 DEPARTMENT OF PUBLIC SAFETY ;odelscauzsa4orretlo �� COMMONWEALTH __..-. QK,ASHB-OATQN_PLACE. 9-1 _...�.._�. Yg,ntsJi� BOSTON,MA 02108_MASSACHUSETTS LICENSE CAUTION 0 CONSTR. ' SUPER VISOR EXPIRATION DATE FOR PROTECTION AGAINST 0 3/19/1996 THEFT, PUT RIGHT THUMB EFFECTIVE DATE UC N0. PRINT IN APPROPRIATE RESTRICTIONS r 0 6/3 0/19 9 3 037506 o BOX ON LICENSE. NONE G STEPHEN P BOTELLO o BLASTING OPERATORSz 80 O I N RD C MUST INCLUDE PHOTO. SS 017-44-4124 z�IASHPE.E MA .02649 m m PHOTO(BLASTING OPR ONLY) 00 , NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY • STAMPED-OR•SIGNATURE OF THE COMMISSIONER . HEIGHT: / DOB: 0 3/19/19 6 4 SIGN NAME IN FULL ABOVE SIGNATURE LINE " THIS DOCUMENT MUST BE ENSEE CARRIED ON THE PERSON OF THE HOLDER WHEN EN- CDMMISSIONER OTHERS-RIGHT THUMB PRINT GAGEDIN THIS OCCUPATION. IS I,t . t ti dFTMf'+�rrl, Town of Barnstable Old King's Highway Historic District Commission BAMSPABM * 230 South Street,Hyannis,Massachusetts 02601 MAS&i `0 (508)790-6290 Fax(508)790-6454 MEMORANDUM V October 6, 1994 TO: All Applicants: FROM: Peter Freeman, Chairman SUBJ: Approved Plans Please be advised that the Old King's Highway Regional Historic District Committee approved your plans on October 5, 1994. There is a ten(10) day appeal period before you may pick up your approved plans at our office located at 230 South Street, Hyannis MA. When picking up your plans; you are expected to submit the second set of plans to the Building Department and obtain your permit to continue the project if necessary. Please check with the Building Department to see if you need to file a permit. Since the loth day falls on a Saturday a your plans will be available on Monday, October 17, 1994. PIKUPNOT N in I ~� P < `v, a a <u�. ,9 .h Zj("a �► L— OT 2g 6 c 56,320 sq.ft. NW EXISTING 3a�,no . CONCRETE FOUNDATION I CERTIFY THAT THE STRUCTURES ARE SHOWN ON THE PLAN AS THEY EXIST ON THE GROUND DATE PROFESSIONAL LMkNVSURFEYOR PLOT PLAN �,\1N OF',yq PEPARED FOR: STEVE BOTELLO .���' �EcisTERfo�s�o LOCATON: LOT 28 CARLSON LANE, WEST BARNSTABLE STEPHEN tiN DATE: 2/10/95 0 J. SCALE: 1" So " DOYLE H FLOOD PLAIN DATA: LOT 28 DOES NOT LIE IN A FLOOD HAZARD ZONE N0. 37559 ss►oN°�' PREPARED BY: STEPHEN J. DOYLE AND ASSOCIATES �qN SUR .yo 42 CANTERBURY LANE, EAST FALMOUTH, MA.- TELEPHONE: 508/540—2534 TOWN OF BARNSTABLE PLANNING BOARD RELEASE OF LOTS UNDER COVENANT Barnstable, Massachusetts: Z�- 19 , The undersigned, being an authorized agent of the Planning Board of Barnstable, Massachusetts, hereby certifies that the following lots =' owned , b securing the . Covenant dated �-� �y 19aa, and recorded in Barnstable District Deeds, Book L, Page do�__,, (or registered on Certificate of Title No. , Documents ) , and shown on a plan 5 entitled"_ yv, ': and•x recorded ,witti said Deeds, Plan Book.�. z Page (or K registered in said Land Re �t- gistry District, L. C. + ) , are hereby r� released from the restrictions as to sale and building specified in said�... €; •Covenant. Said lots are designated on said plan as follows: SUBDIVISION # 540 " Authorized Agent Dougla Bill, Chairman Planning Board of the Town of :ry y Barnstable µ COMMONWEALTH OF MASSACHUSETTS ' Barnstable, Massachusetts, ss .; 19 Then personally appeared nf.IGi/g an authorized agent of the Planning Board of the Town of Barnstable, Massachusetts and x. acknowledged the foregoing instrument to be the free act and deed of said Planning Board, before me. 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M rF �::1�.#F'r'M'�•.L� - a1.:.1�i.�:,�'�kS.:-�T:�Vr..�.U.Tf�'l.-1.C:4 �1�a�„�•��-�r• r� j- ,, ,i APPLICATION FOR PERMIT TO INSTALL AND REQUEST FOR ELECTRICAL SERVICE Inspector o ires ! _ Wiring Permit# �COM�, ectric# Town of Massachusetts Building Permit# Date 2 ' i 95 j Customer: �'Lhln r �• t>A�IAG 1(rs f/� on(Street#) q �a r S"' �"A M�.► Lot# � in the village of pb'r"S �u5`Gutility pole number or underground number 3 S'3 b y o Customer's billing address S'� e,r i3' t�llo P n �,x yS�trvil�" 026SS Temporary `! ew irystallation Change of service Starting Date Z--14� 15 Job description a Service entrance voltage f Z` 2�{u Amperage 2 o v Phase Wire size(cu.or fi) 2So MCM Conductor per phase Number of meters � Water heater Off peak:Yes— No— / iH 1- ti ~• Estimated load: Electric heat kw, lights kw, Range ✓ dryer ✓ Motors, H.P.& Phase He W` Ready for first inspection - t S- S Ready for final inspection Electrical Contractor r—oc K 11".C. Lic.# A 12 Lf4 E Telephone# 41-1 o 61<Z Address p o 'Z-03 Q tn1 A.s 6. a h�-� . J ZG!{ 9 Additional Remarks: Do Not Write Below This Line ELECTRICAL WIRING INSPECTION CERTIFICAT n nnn 1 INSPECTOR OF WIRES 1, �" I'("Jr�, INSPECTIONS DATE `FE9A GE Temporary Service I •, Roughing in Service and Meter 2�y Off Peak Meter `Y Final Approval Disapproved' �S 'For the following reasons v�N�� �y CERTIFICATE OF INSPECTION ��Corirc��irlr./oual�' � yQ7-NAT�rt• DATE o the OMMONWWEA H ELECTRIC COMPANY.The installati6n described above has been completed and has this day been inspected and Jj approval granted for connection to your service. o�'0 Ins ctor of Wires WIRING INSPECTOR TO BE NOTIFIED WHEN WORK IS READY FOR INSPECTION Permit Good For One Year From Date Of Issue CA as-, White—COM/Electric Green—Inspector Canary—Town Receipt Pink—Inspector's Copy Goldenrod—Electrical Contractor to COM/Electric " �+ Office Use ' ra The Commonwcolth of Alossoehusctts PenrritNo' �! Department of Public Sofcty ooev w"&FoeChocked Pn-RC) OF FIRE PREVENTION REGULATIONS S27 CMR 12U0 3N0 (leave blank) APPLICATION FOR. PERMIT TO PERFORMhELEGTRICAL,WVORK. All%ork to be performed In accordance with the Massachusetts Ehettiul Code."S27 .MR 12 00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date TOWN OF BARNSTABLE To the Inspeetor'of Wires: "'`'° `' The undersigned applies for a�,lpermit to perform the electrical work described below.`"1 Location (Street & Number) -1 Glit J,,nnI r,10y, U-�, ___ Owner or Ienantt 0 Owner's Address 0 v 0 k?i,✓i Is this permit in conjunction with (a building permit: Yes No ❑ (Check Approprlate,Box)_ Purpose of Building ) t cn w T iM�• I"� _,42D 1 r4_Utility Authorization NO. (Y D�+'o Existing Service Amps / Volts Overhead ❑ Undgrd❑ No. of Meters` New Service Z D D Amps 1 1 O 0 Volts Overhead ❑ Undgrd ✓❑ No. of lfeters 1 Number of Feeders and Ampacity ,tf Z 5 M C, Location and Nature of Proposed Electrical Work No. of Lighting Outlets <0 No. of Hot Tubs No. of Transformers Total No. of Lighting Fixtures Swimming Pool Above In- No. 0 g grnd. ❑grnd. ❑ Generators KVA No. of Receptacle Outlets ' o No. of Oil Burners No.Bat of Emergency Lighting Units No. of Switch Outlets -1 9 No. of Gas Burners 3 FIRE ALARMS No. of Zones Iotal No. of Detection and No. of Ranges No. of Air Cond. 3 tons Initiating Devices No. of Heat Total Total No. of Sounding Devices No. of Disposals Puy s Tons KW g No. of Dishwashers Space/Area Heating KW No. of Self ContainedDetection/Sounding Devices 1 Municipal No. of Dryers 1 Heating Devices KW Local❑ Connection❑Other No, of NO-7—or— Low Voltage No. of Water Heaters Signs Ballasts Wirin No. Hydro Massage Tubs No. of Hotors Z Total HP 7— OTHER: INSURANCE COVERAGE' Pursuant to the requireeents of Massachusetts General Laws I have a current L bllit Insurance Policy including Coopleted Operations Coverage or s substantial equivalent. YES NO I have submitted valid proof of same to this office. YES NO ❑ If you have checked YES, please indicate the type of coverage by cnecking the appropriate box. INSURANCE d 50.1•D ❑ OTHER ❑ (Plea/se Specify) (Expiration ate Estimated Value of Electrical Work S G OOO 1'orY, tc Start 2' 1-f-qS I^spcct:c- riacc Fcq,:csted: Reu 2-�5 -�17 Final Signed under the penalties of perjury: rjt FIRh N LIC...IO_- ! /�".` (joc !O S 6' lGci� 2 [J'� 1 `J • G'oo (� J'r, Signature LIC. N0. 7-5 3 oZ Licensee M�� pp / Bus_ Tel. Ho. `-1r1r1 O(o Address �O �0< Zo�ilr UfG�loet/ Alt. Tel. No. O�KER-S INSUR.AN'CE WAIVER: I as aware that the Licensee does not have the insurance coverage or its sub- stantial equivalent as required by Kassachusetts General vs, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FE; S�— Signature of Ovntr or Agent � _, „'�.� .:�.' .F ll l-�..'2'in++:.r-._ ..--.�..a..- l�y,"Sey•-3"r.,.^i•--s.-ar1''a^^Y+r'..^'��.r��� •1.4�34�"''fY+'jf i�Vy�V*rS��..Wl*,�-✓ ��r,�ni �"r{i�liirFi.�r APPLICATION FOR PERMIT TO INSTALL AND REQUEST FOR ELECTRICAL SERVICE S a 9 Inspector of Wires Wiring Permit# COM/Electric# Town of bay- 4 Massachusetts Building Permit# Date Customer: Sic v� o'E�t14 on(Street#) Lot# in the village of SQL'B-c Jr. utility pole number or underground number Customer's billing address , Temporary New installation -Change of service Starting Date Job description ��� 14 F i c e- •14 c—. 636 e Service entrance voltage Amperage Phase Wire size(cu.or al.) Conductor per phase Number of meters Water heater Off peak:Yes— No— Estimated load:Electric heat kw, lights kw, Range dryer Motors, H.P.&Phase Ready for first inspection Ready for final inspection Electrical Contractor Lic.#�^ �- L Telephone#:IS—(C 3I CO Address 20NF- OI i a M.lot1%a�Q L4 S, yc . w.6v4-1, = Additional Remarks: Do Not Write Below This Line ELECTRICAL WIRING INSPECTION CERTIFICATE o O INSPECTOR OF WIRES INSPECTIONS DATE III�I�l�lc9�U Temporary Service .Roughing in Service and Meter Off'Peak Meter Final Approval -��'�� J Disapproved' 'For the following reasons -c'0-"*§�sde ob CERTIFICATE OF INSPECTION DATE To the COMMONWEALTH ELECTRIC COMPANY.The installation described above has been completed and has this day been inspected and approval granted for connection to your service. Inspector of Wires WIRING INSPECTOR TO BE NOTIFIED WHEN WORK IS READY FOR INSPECTION Permit Good For One Year From Date Of Issue CA as-, White—COM/Electric Green—Inspector Canary—Town Receipt Pink—Inspector's Copy Goldenrod—Electrical Contractor :'" , to COM/Electric Office Use Only The Commonwealth of ]Massachusetts Permit No. l� J Deportment of Public Safety Oecvpancy&Fee Cheeked BOARD OF FIRE PREVENTION REGULATIONS S27 CMR IZW 31" Qeaveblank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All Work to be performed In accordance With the Mauachusens Electrical Code. 527 CMR 12:00 (PLEASE PRINT IN INK OR TTPE ALL INFORMATION) Date __V-Z 1 $�-- 4aa TOWN OF BARNSTABLE To the Inspect Jr of Wires: The undersigned applies for t a ++permit to perform the electrical work described below. Location (Street 6 Number) "�� / y�CG r ( Sci Owner or Tenant S J- e -c_ Owner's Address Is this permit in conjunction with a building permit: Yes No ❑ (Check Appropriate Box) Purpose of Building _Utility Authorization NO. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA Above In- No. of Lighting Fixtures Swimming Pool grnd. ❑ grnd. ❑ Generators KVA No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total No. of Detection and tons Initiating Devices No. of Disposals No. of pumps Total Tons ToKWl No. of Sounding Devices C�- No. of Dishwashers Space/Area Heating KW No. of Self Contained —L— Detection/Sounding Devices No. of Dryers Heating Devices KW Local❑ Municipal �ther C C Connection ,C.A t No. of Water Heaters W No, of No. of Low Voltage pp Si ns Ballasts WiringBo! 1Ct! Arlan-.` No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liabilit Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES❑ NO LJ I have submitted valid proof of same to this office. YES❑ NO If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE ❑ BOND ❑ OTHER ❑ (Please Specify) (Expiration ate Estimated Value of Electrical Work S Work to Start Inspection Date Requested: Rough Final Signed under the penalties of perjury: FIRM NAME Ce-n e_ ea Ale, <v%,%- LIC...vo__ 6 52 � Licensee (3p-ION.4e Gvr V_.t Wr Signature LIC. NO. I S,(1-7 L3 Address_76 4- OIL lbw 1, 6y:se- !Q S, Bus. Tel. No. C, Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its sub- stantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE S Signature of Owner or Agent • B.M C/BASIN RIMM �® EL. 60.0' J J t«` O+ \ r � Go kr i. i LOT _ 29 All 1 i A >o EXIST/L ' - ' .---_ ---„ \s.�1"R F a:! •+ ,�.t 3 tiv j++�.A , ..P::: s -�y r.,-.• ' +f rrr ,.-.... .�.'� � , _ .._.. . „.. � • - - .f•,.. 4 A .�._,.} .: ,ti...' T v.Y:.•.�aw• w•.. 1 v. i+r'.., !•-• aI'4 - .. ... ..: ,:_,y..: .+1' . a- i.. •sr. ,.s;., . • ., ...>.;?uM - . .._nd _.: :..... .. ,....... ,.vM ,i'S•'tr.":F1a:n :... .Nt, ,...r.,... ,t .,x A-4. ..... :�..a5!'. ,.. . .. - "K:oA•,:. 6dAi ,.9 ' _"' CJ - ILto ^R•r _ ,;,, , , ,._ . ;. ,:. jp0 rt:r ' a L1.O V F_ t,,.�IK F, t.1 N� . 5$ 6• NJ ...--• „ S t t'bi ie MAN, �G• Q• / J / 1 0 2 • n ,h' a S z / PROPOSED WELL .rlp , EXIST/WELL I PROPOSED I 1 • 'E5. i / 11 . PROPOSED �_ A • R S0, _ — 8• L/PITS (2) '� + ` 1500 GAL/TANK � ` � r I d • ING/ �, f 1 rn PROPOSED \ DIST. BOX , 4. cs OIL w +, 18w MAPLE N \ \ 231\ LOT 27 ; i TP N q\ 56,320 s .ft.. ,Z SET l eF 7- 1 1 EXIST/WELL SITE PLAN OF LAND E I ► \ .A516 � ,',. �-�, EXIST./LEACHING 2 s3 s- 2 I N WEST BARNSTABLE, MASS. • ^,lo OF • LOT 26 �' - LOT 28 CARLSON LANE �h —. \ .•- ��. DEPICTING THE �r ,;:,,,rt D BOTELLO RESIDENCE ,. �,,<(. n �, . PROPOSE C: M r;z llf rl r• I r i r N+! `,�r'�" 0� DC)YLE w; SCALE: 1" = 30' DATE: 11/11/94 • ' 1 +�• A >•1 S. DOYLE AND ASSOCIATES 42 CANTERBURY LANE, FALMOUTH—HATCHVILLE, MA. 02536 TELEPHONE: 508/540-2534 __