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0045 FIELD STONE ROAD
it �� �� '1 `� a :,� �:i i �� �r +: �� �%� -� i �I - i �a � �� ��1 +,,II '1' Ij �{ ll 1� 4. r r ;�' - � '1 'i -1 i ;, z� S� .� ..r t .� Y o +i Jones Deck - 45 Field Stone, West Barnstable Simplified Plan 32'8 SEPTIC TANK X=Footing_ 01 Oj ., M treated framing on 16 inch rn centers w/simpson oist han ers &o EXTENDED DECK 1!1►_-l!�!-J!1!- EXISTING DECK w UP io -� Cl) N m cn z O LL; p X � an O o • N 10' 10' 12'8 I 20' 'I 32'8 _I ,_ — Co.v v�-s�-Ti�.�r ��� �•. you�s Soy- :137 57,?7 /O'p y � � I I�cc W&T?— In e vie cetr • .. - ,lam � .1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map. , 11 A' Parcel 0�-a Application # Health.Division Date Issued 1 Conservation Division Application Fe Planning Dept. Permit Fee �d Date Definitive Plan Approved by Planning Board Historic- OKH Preservation/Hyannis Project Street Address Village Owner 1Q C Address S A IMf Telephone Uo l-MA Permit Request ac Square feet: 1 st floor: existing proposed 2nd floor: existing proposed To net ~O �n Zoning District Flood Plain Groundwater Overlay—�1_ o co -� Project Valuation amo Construction Type ! -0 In Cot Size Grandfathered: ❑Yes ❑ No If yes, attach suppo ing doeumegation. Ln � . Dwelling Type: Single Family Q. Two Family ❑ Multi-Family (# units) rr� Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's High ay: ❑Yes ❑ No %f Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name JUS-E ray Telephone Number .Soa 36z - t yL Q Address (fS Fikll :� M�.eaCJ License # Home Improvement Contractor# Worker's Compensation # ±6. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO i SIGNATURE L,2 DATE 4 • FOR OFFICIAL USE ONLY APPLICATION# y DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: ; FOUNDATION �on1dS oa CC 4 FRAME I 1 INSULATION- 41y - FIREPLACE r ;ELECTRICAL: ROUGH FINAL +' PLUMBING: ROUGH FINAL GAS: ROUGH2 FINAL t FINAL BUILDING $ DATE CLOSED OUT ASSOCIATION PLAN NO. + A Ly IHE I; Town of Barnstable Regulatory Services R"R'' Thomas F.Geiler,Director x;►`�� Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnst2ble.ma.us 'Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: >1NEs Map/Parcel: Project Address SAS E<d f7u�vE Al W&. Builder: jt c Fo CArAJI—rc- The following items were noted on reviewing: SoAuos- .V ;D ro 6E 5/? u51Du r /mcgew-f.,Ar6- Fo o ri°n 1Aj r -►'�v xr aAI (.axe-A of 4,6+rrid) �osrTr 4 7ri9c�fs �aJr /llL-- -• S S ct2 = . .. i 0 5 is (� �Y2►4-ylti-E ��: N/l�T'F}�- �i p2�9-o-KtE'c S• o t� CW�rit rt�� l3 o ccs�e'er, T � - fo WC 5 c e tY�T.S �tIF . I�IS�A r_.y.2..� C�ci Ps CDC . . •• �0 t s'C� To ��5 6 �' aa��,� � �lS-r G�LI.S T• 6�,4t,-s Reviewed by: Date: ro S A Q:Forms:Plnrvw 6 The Commonwealth of J fags achusetts Department of fit dustrialtfccidents Office of Investigations 600 Washington Street Boston, M-A 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information 1 Please Print Led jName (Business/Organization/Individual). uL kN Jo f"" Address: �lA! City/State/Zip: �1J ,arn�1�1�� MVO 6 Phon.e. >!: Stk3 ?4X 0AU Are you an employer? Check the appropriate bore: Type of project(required): 1.❑ I am a employer with 4. I am a general contractor and I 6 New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a'sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have g. Demolition employees and have workers' working for me in any capacity. 9. [] Building addition [No workers' comp.-insurance comp•insurance. airs or additions required.] 5. � We are a corporation and its 10.E] Electrical rep 3. I a homeowner doing all work officers have exercised their l l.[]Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 1�.0 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 shovring 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 or not those entitirs have employees. If the sub-contructors have employees,they must provide;their workers'comp.policy number. I am an employer that is providing workers'compertsat!Dn 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 fine tip 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 a er the p i sand penalties of perjury that the information provided above'is true and correct. Si afore: Date: Gjj� — Phone#: Official use only. Do not write in this area, to he completed 6y 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 S.Plumbing Inspector 6. Other Contact Person: Phone It: Information and Instru,etions 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 bire, j 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 cornpliance with the insurance coverage required." Additionally,MGL ohapter 152, §25C(7) states 'Neither the commonwealth nor any of its political subdivisions shall enter into any contract for,the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s)name(s), address(cs) and phone number(s) along with their certificates) of insurance. Limited Liability Companies.(LLC) or Limited Liability Partnerships (LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be.sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for.the permit or license is being requested, u6t 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 nur4ber listed below. Self insured companies should enter their self-insurance license number on the appropriate line. City or Towp Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. . Please be sure to fill in the permit/licensc number which will be used as a reference number. In addition, an applicant that must submit multiple permit/licensc applications in any given year,need only submit onp affidavit indicating current policy information(if necessary) and under"Job Site Address" Lho applicant should write "all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future pormits 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 comm.crcial venture (Le,a dog license or-permit to bum leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would hke to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a calL 'Me Department's address, telephone-and fax number: Thtr C6mmoliw(G4th of Massachuse-m D(-,pazt=jat of Industrial Arcid(�ntS Qffitcc of luYestigafioas 600 Washington Street Boston, MA 02111 Tc1. # 617-727-4900 ext 406 w 1-V7-MA.SSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass..gov/dia Town of Barnstable y�Q pF THt r�yo Regulatory Services swtwsrwBce, Thomas F.Geiler,Director MASS. $ . q, 16yg. Building Division PIfD �a Tom Perry,Building Commissioner 200 Main Street, Hyannis, NIA 02601 www.town.barnst2ble.ma.us e.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTTON Please Print D ATE: c 'r n t JOB`LOCATIOTf: „_�\ �� I��e� I O.>rtll " . � - village numbcr street ` ) 1L10QJ 8 ^1 2' HOvEOWNER": ( �� �`j 1 name home phone# work phone# CURRENT MAruNG.ADDRESS: city/town state zip code The current.exemption for"homeowners"was extended to include otuner-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. T)EFITVTTTON 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 insp ction procedures and requirements and that he/she will comply with said procedures and requirements. Sign roof_ o.EownE -�J �� 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 Constriction Control. FTOMEOWNER'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 1o9.1,1-Licensing of construction Supervisors):provided that if the homeowner engages a pcason(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption a're unaware that they are assuming the responsibilities of a supervisor(ice 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 personas it would Hith a licensed Supervisor. The homeowner acting as Supervisor is ultirnatcly 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. ow�HEr ']Coven of Barnstable . do Regulatory Services $hLAS Thomas F. Geiler,Director i639. rFb. �a Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder r , as Owner of the subject property hereby authorize to act on my behalf, in altmatters relative to work authorized by this building permit application fog: (Address of rob) Signature of Owner Date Print Name If Property Owne is applying for permit lease omplete the Homeowners License Exemption Fo on th'e�e-s-icle-se �. I t . Barnstable Old Kings Highway Historic District Committee ° BARNSTABLE. ; 200 Main Street, Hyannis, MA 02601;TEL: 508-862-4787 Fax 508-862-4784 y MASS a �p 039. `fro rEDMPt� APPLICATION, CERTIFICATE OF APPROPRIATENESS Application is hereby made, with four(4)complete sets, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470,Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings,or photographs accompanying this application for: Check all categories that apply;, �rn 1. Building construction: ❑ New ❑ Addition IYAlteration �, b - al U, 2. Type of Building: ❑ House ElGarage/barn ❑ Shed El Commercial El her ram- 3. Exterior-Pairit r ;roof❑-new roof-❑color/material change, of trim, siding, window, d�r 4. Sign : ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sigr� 5. Structure: El Fence ❑ Wall ❑ Flagpole ❑ Retaining wall ❑ tennis court ED Other 6. Pool ❑ swimming ❑ Other man-made pool Type or Print Legibly: Date: 15 f 1 !0 Address of proposed work: House# q�, Street: . 4K' tj,&l �"tA_ a Village W, 2OfN,h, y Assessors Map Lot# Description of Proposed Work: Give particulars of work to be done: ni 4L At. 61 iuo 11 6q k cr �� QVWL ld ���1�► � l��'19L�_C71V1�PQ�C CVY11�1/lifiy 7� p 1 W�v Agent or Contractor(print):-a���- l�n.s Pa ," t a Telephone#: CSa$) Address: �'�,t a� Contractor/Agent' signature: NOTE All applicatio s must be signed by the current owner Owner(print): ` 3-�t `e(��-S Telephone#: Owners mailing address: (m . Owner's signature: f or committee use only. This Certificate is he APPROVED/DENIED _ Date (/C6 Members signat s VAIUG � �1gC 2 1'2008 �, ' ��p _ ► a { TOWN OF BAi�NSTA.; .c Any conditions of approval: HISTORIC_PRESI- ON' r - o��. OHO CA' 1 t Q.•IGMD-Gro ups IOld Kings High wayl OKH New App I OKH Cert Appropriaten ess 07.doc i Townes gas Highway Regie a ast6rir.DlstrigtC^ommitte CERTIFICATE OF APPROPRIATENESS SPEC SHEET Please submit 4 Copies Foundation Type: (Max. 18"exposed) (material -brick/cement, other) Siding Type material: Color: Chimney Material: Color: Roof Material: (make& style) Color: Trim material Color: Roof Pitch: (7/12 minimum) Window: (make/model) material color Size(s): Door style and make: material Color: Garage Door, Style Size Material �olor Shutter Type/Material: Color: CO 1 <<2p�e�_ Ok 9 Gutter Type/Material: Color: �qmc�`�ee Decks: material Size 4f63 SS �V- Color: Lek wogt Skylight, type/make/model/: material Color: Size: Sign size: Type/Materials: Color: v Fence Type (max 6') Style , material: Color: Retaining wall: Material: \ � Cf<r Lighting, freestanding on building illuminating sign Please provide samples of paint colors and manufacturers brochure of style of windows, doors,gar ,g,doo~r, fences, lamp posts etc ADDITIONAL INFORMATION: Signed: (plan preparer) print name \J.1 (Af ,1 /",] tel.no. C-09 - o ati n of application: Street no. ' Street Village os, czet'UA�W 2 Q:IGMD-Groups101d Kings HighwaylOKH New AppIOKHCert Appropriateness 07.doc ` /' I 16 ` LOT 4 j LOT 3 '�1ctaS 4og I a LOT 5 tV j ci CD 0� �.r. r<ga� R Q Gom U: O -5r rJ' .O V FIELDSTONE LANE FCOQQ Z�t,1 ` r... - -ro ui i;L .L is g PLAN REF. DATE• SCALE I" = So ' ELEVATION I HEREBY CMaFY THAT THE ABOVE L FOUNDAT%OI`f I5 LOCATED ON . THE GROUND AS . SHOW N. AND 5'u.�VE S I Ts P05Irlo" DOE PAUL A. s Con . uLTZmT CONFORM To THE .ZONING MERTHEW = •]'p RptSpgER-tzq LN. LAW SETBACK RE IPLEME1vT OF'. _l3 A��TaRLE °�F�� p`c`jr.,',yJ�W MmA#tSTo�y:S f� iL,LS � � M r I ro 1� AUK G 2 1 2008 PAUL A. mr. ITHEW R•P.L.S. �_ 25'11 V O ( i A i W I - 1 N i C6 � m m x x (=m z f o ��v 10'2 — n n 7'7--� W 8'2 �. 6-9 f- o • f- ( n N 7 U) ( 00 m a n ( �a0) - I N D ;,:,3 Z ( o:o T. ( mua s _ N (r I - �O 10'2 25'11 Qr do e 4 elZ '`r�a� O\ G, � r t JAW Aw 4 ` •e S -.-Wr Ilk;, vujw a- wr ! r �. ,. ' f ' 'gip �;�, F � •. Simi Ad 4 • yJ�{k1 f♦ +� WA } +r c a . s BOR i z qnv K 44 ti (o i _ lase- - Ar rt� 9 3Ft. ��� Oti� �0 • Yam. 0 lS�}- �o,�yc�R_YS O� �pcsw \CS LSD �J U QUA vjw&,a�� us �KQ ,J 2Y Z, CYQ,5SCkt-4� V- SoNt�A6�s Aw ffo��f � J 2611 w N 1T`��• ca i w N 1 m I z P o o 10'2 3 rn W w 6'9 i � o CD X f• °D mM NCD CL rn 0 1 t r 3 n t la rr o =• rI Q 0 /\ 7 VV 0 j C 10'2 ® 25'11 Q ` �Q �� o a�0 O SR Al 1 j 5 r ,L1 lovo �� G _ � 7 -oS V v n u: x r a T� _. 1 >r r Town of Barnstable Perinit.y70%S— A Regulatory Services ate:q—��)-cS Thomas F.Geiler,Director B&ARMNMASS.ie, i Building Division ee:d�dU `bpl 039. ,.•� Tom Perry, Building Commissioner Eov 200 Main Street, Hyannis,MA 02601 www-town.barnstable.ma.us Office: 'S08-862-4038 Fax: 508-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT Owner: U 4( �6UO Phone: �'�08 R�o Z ( 4 2Q) `'�' YccAY -►o _Install a �� r��� ��o{� oc�c� Village: Map/Parcel: [ I 0 �` a Date: Stove A. ew/Used B. Type: Radiant/ Circulating C. Manufacturer: U��(� Lab. No. ram; D. Model No. j Chimneys A. New/ ,is4ti—1 existing,please note date of last cleaning o ' Q .B. Flue Size C. Are other appliances attached to Flue? No D. Pre-fab Type and Manufacturer E. Masonry: Lined/Unlined Hearth A. Materials: B. Sub Floor Construction: Installer Name: (L)Q- n_N k-LW pw�A�S Address: Phone: -T�,sLJEW�� I Location of Installation: 6 �° APPROVED BY: `1 E Please make checks payable to the Town of Barnstable *This constitutes an official stove permit after inspection,photographed, and approved by the Building Inspector Q:forms:stove Rev 122801 ' Parcel Permit# /490? 7 Conservation Office(4th floor)(8:30-9:30/1:00- 2:00) Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:4/5) L 6 .7M Fee Engineering Dept. (3rd floor) House# BARNSTABLE, ` g MASS mn 19 _ , .e,9. TOWN OF BARNSTABLE Building Permit Application Weedress Village •w,e�T- 13A&JS a Owner ,fly, 4--j0 O l 1 c-Ae L kV c Ae-o1--77 —Address -1�41/ ,�_. - -Telephone Permit Request 7 X,-3 JA -s w l Ift a First Floor square feet Second Floor square feet Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size , -7 Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type �o�1Cr /E Z,S/f--,!f�/ Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure CJ V15 Basement Type: Finished Historic House Unfinished Old King's Highway y,ej Number of Baths No. of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel A4 tAAP8R OIL- Central Air Fireplaces 5 Garage: Detached / Other Detached Structures: Pool Attached 1/ Barn None Sheds Other Builder Information NamePum, se, Telephone Number � p Address !o ApP nfliq 719/) License# 0 O 9 (0 3.5 C P,4e,e1)116P _ !k4 dp, Home Improvement Contractor# l0 `o 0 q 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 G�),) SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY P MIT NO. r + D TE ISSUED 1M P/PARCEL NO. DRESS ' VILLAGE OWNER DATE OF INSPECTION: a FOUNDATION , FRAME' ` INSULATION FIREPLACE - LECTRICAL: ROUGH FINAL PLUMBING: ROUGH 'FINAL GAS: ROUGH FINAL - FINAL BUILDING y - DATE CLOSED OUT + ASSOCIATION PLAN NO. t +! (ii({{' The Comm�nwealth of Massachusetts is -- . •.!:1: _... _ Dc partmcnt of Industrial Accidents • OfBceol/m�estlgatloas ;!:.._r_:� 600 fi ashingtan Street •I •' •� Fir - Bunton.Mass. 02111 `- Workers'Compensation Insurance.AlTidavit ;�--�-' ...:.... Pleflse PRiNT`l•-�h -•••t,,,-, - 'B.RI?l��nt tntor•mation• �; • ' .. .' . .. ."- .: name. city CO-A,?YX!J1 4e 6'y[& nhnne J! 1 am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity 'l-w.Jr 1 am an employer providing workers' compensation for my employees working on this job. camnnm•nnme• address• nhone# incur�nce co .•JLIs3'# ..r.. s..,.::w�-,»;.:--„r.; ..�.�•...p�n...-.+es:. . ..ram_. 1 am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: comanns•unme- address• c tY• phone#t insurnnce co ppliey# I.: �:sb�: «.-:-r::-• -- •_ ..e.-n-'•s-,.-•:1-mr.«sPn•cC+�•r_�, - - - -- 'Ts°F�T7�1'*J�^r` %T+`=r. ,r�„•[!+�.Y�..e+r3*sTT+^�---_.#r ctimnam•game• address• •• phone#* insur•)nce co noliev# .Atiach additionai'sheeit if aeiessa •*. •ram Eailurc io secure coverage as required under Section 25A of MGL 152 can lad to the imposition of criminal pemides arm fine up to S1.500A0 and/or one years'imprisonment as well as civil penalties in the form are STOP R'ORI:ORDER and a flue of SI00.00 a day against me. 1 understand that a Copy of this statement mar be forwarded to the Once of Investigations of the DIA for coverage verification. I do Jierebr under t e pains a pe ties of peduq•that the information prosided above is true atul rrreb y 3a/ Signature Print name �l C-Lt�2OPhone# official use oniv do not write in this area to be completed by city or town official city or town: permit/llecose# riBuilding Department C)Ucensing Board ' ❑cheek if immediate response is required OSeleetmea's Once (311aitb Department contact person: phone Imised'3.D5 P3A) information and Instructions Massachusetts General Laws chapter 152 section-25 requires all employers to provide workers' compensation for their employees. As quoted from the "law",an emphtwe is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An enrplityer is defined as an individual, partnership,association.corporation or other ; gal entity, or am'two or more o: 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 o+vner of a duelling 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 liouse or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 1.52 section_'5 also states that every state.or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally.neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter hav been presented to the contracting authority.qu - `;...�...�-.w.e-••:,:•--mow..=�.- -.�..n „i �..a �'�.. i. �.: :rar:� w'z,..,�,f,�.;:;r,�,i. .' .. '--- Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying-company names, address and phone numbers as all affidavits 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. 77 7 7 7 na.-.r ....,..o-.e..«n--.. .,..;,•,i, ,,;."^t .�, - '«yam;^.'wea - - City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be retumed to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. Wit,....-......v.—s!!n.•R� _ •�:-�:::::;'.q�.r; .i..«• .:;'e 7. The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street — Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 7274900 ext. 406, 409 or 375 The Town of Barnstable BAFONTABIX KAMDepartment of Health Safety and Environmental Services ` Building Division 367 Main Street,Hyannis MA 02601 Ralph Crosstn Office: 508-790-6n7 Building Commis F= 508 775-33" For affix use only Permit no. Date AFFIDAVIT HOME MoROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c 142A requires that the"ncanstrucdon,alterations,renovation,repair,modernization,conversion, improvement,.removal, demolition. or construction of an addition to any pm-edsting owner oer-rpied building containing at least one but not more than four dwelling units or to structures which=adjacent to such residence or building be done by registered contr =M with certain exceptions,along with other requirement& /�/ /�tl / t7 � Est.Est.Cost �d Type of Work: Address of Work: yS lqe%- A) // �/1/j� �t?vc l�f Oarer.Name: J-1 {' (.ke 'e Date of Permit Application: 3d I hereby certify that: Registration is not required for the following rrason(s): Work cmduded by law job under S1,000 Building not ow=-aoarpied Owner ping own permit Notice is hereby given that: R DEALING WITSUNREGI3 CONTRACTORS OWNERS PULLING THEIR OWN PERMIT O 'i FOR APPLICABLE HOME IMPROVEN04T WORK DO NOT HAVEE A 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 own i • - y�3D � �C� DO Date Contractor rtame Registration No. OR T;,,P Owners name . '"•;✓fie �arrmao%iuu .a�,/�iaouc�uiaet7d - DOARINENT OF PUBLIC SAFETY CO.NSIRUL:T;ION_SUPERVISOR LICENSE -Expires: • + �.Restricied: o;c �00 =ItICHAR 0 T SEHOSKI `• ���.10'PEEP TOAD RD _ CENTERVILI, HA .02632 r i.����' ����� �i d�xero�uuealGG ✓ua°°a�/+��� ' yr fTgl4E'iMPROVEMEN[ CONTRALTO ; a`n 106009.'���' �'fzMv- P_iratioR 07/31/96 a ' < 9 G � x TSenoski � �f ° .4g Ry, ce„io- eryille NA�b1026.3 3''i AnmINIS7RATORT ' � �` �'d R ', LOT 4 y j LOT 3 `c 0 Kph C� r 6N -7(NV- ' a ` a 5.4 ' Y LOT 5 c R=55 FIELDSTQ LANE 3 J � ,� ,'� FovNflATLaN C� F� T� �' = � ,�►"rY ©A1 TOWfed �►AA... `n-Aa �E PLAN REF. P - OA7r J7„•I%') SCALE ELEVATION I HEREBY CERTIFY THAT THE .480VE n; FOUNDATION 15 LOCATED ON � N OF ydt•Rj,�EE Su,RVEL ' THE GROUND AS SHOWN. AND =�' pAULyc� CO�LSt�CL'T'd?'LTS r ITS Po$ITIOP4 DOES CONFORM ' O THE ZONZNCs MI..HEW 70 RptSPgEtzc�y LN• . . ' LAW SETBACK REQUIREMENT rlo. 3of`9 o� MARsTaN 5 N11LLS> A 0 Al • „r, PAUL A- Mr ZTHEW R•pL•S- :wiSzS 1 ..,, _— �o�. oY.o.u .n rvrr.., ...•r-±� .. MO f OR n ''F. .. ..• ,�, l..f { _;v-- ,�..., • s •' __ 9 *Tv�e.L r�,E ray a.c — TYVW-AL s Ene �+owr`j JAT— Tfc. —{u'resrvr•owTrprAL Orr � _, \ J ; Isar-rv •.. -.c.cx vaxz ss.cnr.J swciry c� wvivw` —CAL Arr 3 rx_TE• ! 1`r ss. { go - :�cr"'v ►- - ►=OCT.coprAm 7'°xA' sees /OWAIlOIT1f _.1 1 W 5M•CYp _ ��pp _ _ �� •!'' n,.: ~'� SAFETY LLfG - �• '- POFMCM i lCr fTty ow-~ +I ! il/lT,y�4S!f ` ''•' "* 1 ATTACaEp �' X (c �.:: t ,� '�+� SHAD ►CRT1O11 s _ _ ( � O � ED IM1 1° 1 SAFFTY tCJ ...a�'l••,. f Tint fir, I Ji - �...� A _ j I •�!�' 9SeOlD M�7TI , g 1 surwst ! .. ARE0 Aur ARCAs 1 ! _• ' 43 twos ALSO 4ti ar• ir.9UWSUW AREA a u�GA► �7 - 'STARS ARE ( 9 XTION ._':s'- • t!-.>K_0 l.r. 9tAr Aa[.A a iAl_BAR � L ..••� OPT7ow.l �\ `SVCT7ON �` ^x-.••• HAIR! ARE E_ r ■ti Dn' Alf AGLZ AL" Y 1 -- y �ffr CORAL �'!�_ W a W AFWA L GL-CA* i< N.R.s AR[A l j GL CM —- - ��r OR a _. _..— ZO'1A0•i sn Sur!Aa[w a�aggy�e ti eNe w' `` 2944 sA. MAW AaA L A}�,QO M�rre � t A POJT Y�OR � 11 � . .� 0E lOC•TFD' 1 ; ( j• StJGTOI �r•Fn AAE OPr•+owAL �, 77RaY v. AHA a stop ar_u. L_ swArt T 1 OR auT 9£tOCATm F'oR ea]37•a L n s r rYPW-At WHEW sw p •r Posrrgns•x;Y'oR•z: SE J RIES 800 A 850 INGROUND sa sno.w ALSO rrxzr s..�.AREA a SERIES 9p0$950 iNGROUND Aft rwcsr z,,,,,r oa w. AA4 a GAS so:Sow AL}D � Oa c... 1 � u w*TA � pp �cAR zft� {i�iu lM.M[wa 29M w �l 17YT'� NQA �IiaDO- aAt_CAP ' p� Awe v. aa.c ARU c -..a.cA► $ 1 rJ. saws POMA.n AND INGRQUN moo —FRIES 000 9 (O O —Q Ys3t sF.nVRF.AREA s�+�eaa eat sow.we wwmar.7i,wo .we wsm - Oat Avvkf wq.w ADO U sAc wi0 7�0 aAuats r •• —SERIES 700 A 750 Wc�rcrilNn �— o►,��,w� ,_ram, FT!-relR ee _ TYP A7 OLT rRRtTUgW � rYPW.AL AF r—— '♦"-—'_�--7 2%� 1 r c�O arn,wi i , rw.rvTOR 1� .cf - I 'g cn�. (J�'Eruw+�4 o, I ��� �� ■DTOIt rl .. � � R•p A►O R[rUON PO ACHED 7 .c YD}OR PFAMA/E7►7Ly t• 'y"c""�'" `\ 'Z„ 1-•�,,l c�� s C14 E yea: J �- AT 499 3 l SAFETY SAFETY LLW t _ I \ PE a SCRRS t i ' J• _ - -x N``.;.w S/tADID O'OR'TlOf7 :�,ap•- i�_:-� 1 7 TVLTY U tr} ; ati... .:..+•� A SDI) AaeEzEsrrS 1 +R ., saws t SMAOED P'ORi10fi l�r _ T GSO �UFLAT ARLaf .7 .: �•: ,...a. ?DtrCS -, �,. SUCTIOW 700 �1 ~ ,N •�- Sri: ---�_ *C::ti. _nwis .Rc �.o _ .•_ _y ' A• ;AS�E74T I '•.a'� {y �f� 1 LO►TiOR� 3 n SUCTIDR MERE 940 ti-- Vf•.- r-f'c'�hi=' �` 1 o O �' FTdRR ICS.' ly-� •, .:.. `_'.... SYL VPCK V _ Sm sm7 U w�t4i 3w wm"z3x �s 1•Yy1GN.WwERRC OF �.."' .-.r-..:� RETVIR XFtAw ASSUlL7 SlgYfl • 0 A sus AREA at awv c�:,.^.•_ • °C .Ltb+brae a'.!Yr a0.[IT OR RxxY w�O'-frf-•sae t aRew b.�i.0 OQ OM- w p�L� •T 000 QD�• �Y•z♦nfurrr m rr,wr wAwp� sr y,..�AAYw a'�YBa cti CAP STtftS ARE o n SERF$ 7Dp 7'.50 1 Lmn •' F v �eeA T S g00 a 850 yzc s.or acr.zas.+..a F.aR.ARtn. a��A. 1 0 Lwr raa�r�ons�r.ti onY IlVC#�OUND SERIES 600 8 630 ►Np(�D 1 --�'�4.=-►-__..�—— ►—--� -�-'nFnAs+ Fx.Tfr+Y;-��.'��—•—.� ——�wog �� �r�rc���-l— ww ar�oiew-�— -�-——►- PUW AND i K f j;sucr�on T 'i sxndk" - " iiKrTVRw 1 ''•J•� ,Y'.�'!.4'�r '•.:'. �I.. 7 ?Tt�p AR( 1 ' -�' d MAW ASSE�y �3�- T1►sExas '. • ..R j rwIcA:.WVWJW PEpwA.�.Tt, A"MC ED - - I ..renu� 1 SHAM P'CR71t7F4 � •..A4%L-- � 1 _ ETY LW 0 Swo® 1 s R'F7FESM. � 'y:ri 9iOED PG7tT101s� ,,RAT rrd Ar 600 1' FLfr ARE" .:ii' IEP TS ��•:•`- ( w. STR1f5 "� `'%•d..r ,.. 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P f t '-_-fr_ •c�2c+1!MBE�i7s ' t�r "' �f2O rV•.TDOOMSS I Mfrt LlER f�tSL.T1a0Of�i5 •/• �rf— �`r2p►LTwsoac= SERIES 700 ei 750 "'E" OCTAGONAL CORNER c SERIES 800 a 8501W CORNERVi1 SERIES 900 A950 U-COFLWRS /1 SERIES 550 I000 8k 1Or30 TYP CORNER ,A N Gl E.AL�! STEED ;,-�•�r f10LTY,1f;Jr5. 2tY ro EHO OF f.Ml� _ _ - 7 2 tr�f�t 2 MfL9EllS Te'P --__ \ '�/ `EJ.1ef� E70 \ - IeflYf Al/Q£•4F O/2 AfO \ 'D »eta.sAllt 57T>ta � � Res ivf Loca*lofes e � d. .. SECT.S pMeF •\ .1 \ Ir.._;` +.vct,,,�,Gtt rL •7[ltlt fTOq f1�tl� \^ \� ,a- i. gE , tlr2 71'PfCAL I ' '•� / 64 GAAAAX MGM T—. Tl�t �M 0 o w CA cxr STUD f I wo•2 �TNMoomms ' L � Illl_ �•� 'n GA-GLV S•EFl AM LMA L a _ 2=+0'IIg'C[T _I ► •.n i (7 On fat � //J. `�� �__� `l�- � I i l•Y��/� .•- P -. / �LAMY�L.S+Z r7/2 AleL-_ 2p MIL Lp�^.Jl�t STEZ1� 12� i 1 !, t' .-r.• rl !1 G'l.Afl6 FO*LOCAT1olr,a rtwl 117EEt - 1 ' - a 3 SERIES 1000 A 1050 EL CORKER s SERIES 700 &750 EL CORNER /s1 SER 7 r SERIFS 700 STAR CORNER ` W vi m o. p N u finLY STEEI r V co" STffi Imm CATS.� AEI •._ ME so-I g� �ti1..610M ,2• M ills e>Xtl� t_ s _1�OMYL 19► 3 `n *mom J—=W MO WC7 6/2 S A'Irlt OOIG OZGK o ,W teal. -1 r �%v+,ye 4s .1 . ' .--f"ts s ti e MY%.mm } �3 �Li az'wor`"n°" o � ++ ' 3 moo z wsew rT� -.. 9 _ lLAII = I Apt.8e ears I I a 20 YL.7IMOOIFSf 1 •�-�0.42 O Sm SECT- '�. T fMNd 6o r • .'•-�_• .•. �- _ 3 3- ', ; vtifl'l bpEA 1 Af0�otftx �A, =1+• •--1 �' ' M Ci GAM 1=.�l�IN'C114q! m GOLr "in LlrflAea BOLT• f eU53" TrR WS ALLTMXM Tee.o J ,.,.-.CAAA/►�-7 i / .. AOILliTi Fw PWNX J I eiw, nun a I uL.ALar. srL. j�:,...... - •• ....�.�.i_ "1 f T°'afG#s TMa —�" "r"°°a ; R.feL rrs.r�eL 7 IWOL To OAKCXWPLL fa an."Lr Wrvs \-Ir I I eras S"WE ri V i loom wn9 �t \ e {2Qkc.uX& v R1Eat t•F3:E 3-�' et =Lm Burs >• -j}� VA PLM L 2�K T" fOA�eDe�rPll� �'� �t s-i-e ee►ooLTs Aec natf . —1 s- s saYfaeaLea:wrsi iWxl3A*%se'�.� T1'}Ott vas r.e 'O� I "t- our A!O :YpIlML atavfer7es 5 66E� &�E?90 SFNR-f�9f�C'FR [�61 r"c-- bra -- cofs�OrnvT et�ES 2 2 to cart ir- oafL7e[T! D I.ILL MIRaZ awa a>vtab wefr Yp!►L aleRtata A 9llrALL�� � a0 T>tOOe♦1.9t I AOD �}7t+FtlK7fT �5 It vwv J ��OOtI I OOLLJeR A/tONO i3Jli Awn Anew<teTRata!s anLwe>r tefeaeri, LTf�tam sL7w art T1�fool C rO[Llurw a A rtncaL►4'Oa.e+me7lt Merl 11'EJt _I I•L-2"ti2'=A tAL1L � II t \ fl7�TDr Of POOL SEt: eow ea eeas.oE mt...e aeawe es.Ant RAr.fAAwe,oL GM or t as 1�PIM t — ; r�aoouwrOf MOVE Ra, i AtA.tt7i Aleeas enissaefeses AS Atlwa MiSL MST tt]OgMUM[7OLi TT11[SSL w�► aR(OrrTE�s� I' t T1?CALv11 w I ..'t - �•\ t Afa r1E..:...a..t.a..L gdwRw q Asm A•iI t.t.esr+ILL Aar frTlao[ePICKrF WtA/�t.C�tti 1M}alnt o A O�eIK►T�L OO Y) I: dam J _ •�, ..j eReM Aw.tnt 4o far►1teYtf eaferafa wtA wweAfe Tle faa IB1+ResOlt es tls fe1pL. -saow at slL2 eteato oieetaeow - --- a ALL OtTS Ate T"IWA P tsltaplrs uftlt awewnTneo �• �►a�nirA p►+w fiMest faaesf ms.ws ar�fQ.�atE►mY tArw ,'•ti I: i Z, t!!e fiL i .T'�-L w fO a/etcw�GeMf�net A feat ei.ao'f earn_-.�Y-• noT teAOR LACOf fen.e.ft/Ytd fel FILL I t e• A/0 Awe tea:nAft wlaTvw Yssetls TRA eieloo a aK '`"I•'-R.aea.fea MOIL 119111 vvm gwmn e+reoauwa loan"VIEL ` P ATM SMALL WT UWTW Meat glop%&12%n Rr eleE T7 OE fOYr. - . :•:.t'••. / ,;) A ALL>AAs aaefs Mr IIrR WMPP am AND eef+Alstilet •A tefew[r� aerator Cltf� SfwLl s><prc AMr froee 3• •. � � / S-���. - I � K. aorfe Ara Aaec am%zm TtetR WWI~f m, : \ TT►_Trp a e0a � ' l ••ft+.Ae>~R L..c G1SlTO AM== r� ew SOL?$ S.TTs fosL 1tN ter fine t+eeae�os faw•P1RC11r!mfoeaa MORE'Ow}L tlleK•E►` ( � v_Y�� f ocsow"a'Hamm►4"G7 eJ�� aMfK /OOL MeY� eOK71T<L To eif e3'I�R1dT 4:11:-t wy�-O'Ctt�l J i. s .s vt.� e..age oie�es.aL m"�ores Pt gym. fYp1CAL VKAIt S�C7'f0N •vcs=4 T.� .� ..�,.....LAlw�e.wlwf.•,..... TYPICAL W%l- S FFENIER x ag ,eci.rnta, 1_ �R C:D) a: 16 FT. x 28 FT.* 17 FT. x 33 FT. 12 FT. x 24 FT.* 21 FT. X 21 FT.* 16 FT. X 32 FT. caV7ZFT.'X.37_FT-'% 16 FT. X 32 FT. 26 FT. x 26 FT.* 16 FT. x 36 FT. 20 FT.-X 36 FT. 16 FT. x 36 FT. wt- Wt- 18 FT. x 38 FT. 20 FT. x 40 FT. 18 FT. x 36 FT. _ 17 FT. X 39 FT. LAZY L 20 FT. X 40 FT. � 20 FT. X 43 FT. LAZY L 18 FT. X 26 FT. X 37 FT. 90° L LEFT OR RIGHT 18 FT. X 43 FT. LAZY L •� —'`�- �, �;,,,,�� _ �, y r+ LEFT OR RIGHT 0 . o ao a 9 - + '�S I A G�oG3�;c�t ' � °� C::9 k.r . y_ 17 FT. X 33 FT. 16 FT. X 35 FT. 16 FT. X 32 FT. 15 FT. X 26 FT.* 20 FT. X 32 FT.* t 19 FT. x 37 FT. 18 FT. x 39 FT. 18 FT. x 36 FT. 16 FT. x 30 FT.* L 20 FT. x 37 FT.* 21 FT. X 41 FT. 20 FT. X 41 FT. 20 FT. X 40 FT. 16 FT. X 34 FT. 21 FT. X 40 FT. j� ✓_ ''� > 19 FT. X 44 FT. LAZY L 18 FT. X 44 FT. LAZY L 20 FT. X 38 FT. LEFT OR RIGHT LEFT OR RIGHT ALL AVAILABLE LEFT OR RIGHT. 24 FT. X 44 FT. J - - ALL AVAILABLE REGULAR OR - REVERSE. D O O MEMBER Pools Pools with one-piece step are 2'6"longer. (Except Lary L) All pool sizes depicted in[his brochure am approximate.Ask your dealer for blueprints. Imperial pools are intended for private residential use only. Caution:The use of diving and sliding equipment can be hazardous.Imperial pools,Inc. G does not recommend the use of these appliances.If used,ram should be exercised ro use MADE IN NATIONAL only equipment meeting the recommrndcd safety coda established by the National Spa USA - SPA&POOL INSTITUTE and Pool Institute. Corporate Headquarters:Imperial Pools Inc.•33 Wade Road•Latham,New York 12110•Phone:(518)786-1200•Fax:(518)786-0954 Code No.25116 'Diving boards nor allowed 'J , _ � �II� R �33 bI� pG3 © � R C� RWf��i � �ilGWq [� � P (n1W �IC� GYIWDCG M �3 W LaGW � GG3 Ui�l Si Cz1G Q � C► dD4 WORLDWIDE EXCELLENCE w w f_ 4, »S.r• p 7FOF t] C42 44 f , STEEL. TRIPLE BEND A—FRAME CONCRETE Of course,it's not just our FOR STRENGTH DESIGN FOR SUPERIORITY. RECEPTOR materials that are solid performers. ��. AND DURABILITY. MAXIMUM COPING. The people at Imperial Pools STRENGTH. r Imperial Pools only uses quality made For more than 35 years,we've been -Throughout the pool industry,Imperial is bring a fine craftsmanship to each �� ) zinc coated galvanized steel.Ultra strong The top and bottom flanges of our steel designing and fabricating pools with a heavy- known for its meticulous workmanship and :1.=41 and every pool they design and 41 rll , u with 200%more zinc per square foot than panels measures 7" for the utmost in strength. duty steel wall construction.Why steel? attention to every detail.Following years of commercial grades. Couple that with a unique bolt inter-loc system Because,just like bridges,high-rises and extensive testing and exhaustive research, make. Our quality control is i R Jf '. Base steel is protected indefinitely from at the side flange.And for extra support,the interstate guardrails,inground pools demand we've determined that the best way to lock second to none. ! 'S 7 the elements by a 2-3/4 oz.coating of zinc. full flange dual stiffners are also of triple bend solid support. the cement deck of a pool to its steel wall is Y' c This galvanic action combats corrosion by construction. Our A-frames,with their 2"x 2"x 1/8" with our innovative exclusive concrete And our careful attention to detail !` providing a barrier between the elements and ANGLE IRON,are the strongest braces in receptor coping. and exceptional dealer support [ 1 the base steel. BENEFITS: the industry. ■the more flange BENEFITS: have earned us a reputation as the f> a� ✓?%� BENEFITS: ! 1 angles...the more the BENEFITS ■extruded aluminum,not PVC or plastic. -�/� � strength. �' "People Company." Maybe that's i [' ■super strong walls g <7 ■2"x 2"x 1/8"ANGLE IRON (not sheet ■smooth,baked-on white enamel finish. r capable of holding ■33%more strength j why pools are installed world- tons g than double bend �" steel typically used). ■allows the concrete deck to be supported Y our tons of water. ""` tt ` panels., ■large 90 degree leveling plate with drive by the pool walls. 11 ■durable and flexible to P 1 �Ll stake to ensure locked-in strength. wide,from Martinique to France »"` ■steel wall strength i — 9 � ■excellent safety grip. resist even extreme ■adjustable double nut threaded 5/8" to New Caledonia to Spain. S ground shifting. „� increases in direct pro "a�E portion to the width ME> rod,adjustment guarantees plumb wall of its flanges.Imperial alignment. �. flanges are a full 7"on the top and bottom. n . Application to Old Kings Highway Regional Historic District Co{"i-n'! t1=.0" in the Town of Barnstable for a - 174 2 ILL, 25 Pal Q: 39 CERTIFICATE OF APPROPRIATENESS Application is hereby made, id 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 K 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 Zl? ZIP ADDRESS OF PROPOSED WORK � �—L��S��F B1 /ILst ASSESSORS MAP NO. -OWNER_i9 'P'.S /yy,�1 e—b6aLZr ASSESSORS LOT NO. HOME ADDRESS/15 6"9MAIL a (A 2*"150946 01,160 EL. NO.c &e2 945,;2, FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). i AGENT OR CONTRACTOR t-�'�/1�/�hf7%Yh� .��99 A —TEL. NO. -1-2y _q5 ADDRESS 11D46 AIC&)IDAW in, )TU47— Do2.(o3,5' 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). Ski P/kCftor— (60 56t) , d0 ° ° Signed V OGEGgP�2Z!/ ►rE�jW-Contractor-Agent Space below line for Committee use. Received by H.D.C. � �l r.." r 2 Date `rv -�% =°—the �tIf i, e hereby Date °G J Timef:, By Approved:- `�''r! a IMPORTANT: If Certificate is approved,appr al is ubject o the 10 day appeal period provided in the Act. Town of Barnstable Old King's Highway Historic District Committee wei f 1T - /.ti- rc)j)5 eAx, SPEC SHEET FOUNDATION SIDING TYPE COLOR CHIMNEY TYPE COLOR ROOF MATERIAL COLOR )qQ Tic m.cl �aUlti! PITCH WINDOWS COLOR SIZE TRIM COLOR DOORS COLORS ` SHUTTERS COLORS GUTTERS COLORS DECKS MATERIALS GARAGE DOORS COLORS SKYLIGHTS SIZE COLORS SIGNS COLORS FENCE COLOR NOTES: pill out completely, including measurements and material a/colors to be used. Four copies of this form are required for submittal of an application, along with pour copies of the plot plan, landscape plan and elevation plans, when applicable. SPECSHT Revised 11/98 Itl "�4e ve idle k e vlkl k, '� �L"C-L 00 35 �lEc.v��R�E J�� v?�Co4� woo 4s6 .teiVC, 14e335 L) � �r 1�iQosl6e., 3046 77i y �s7EX,MA visa $4A oa5�3 7 icy- t3l9 sl ��•44A Od 19 16 (34 :rgio�J a), 6apixs sM73A..C, 44R9 balo!v T Lo v r-k, RSA o.,e113 o F Application to Old Kings Highway Regional Historic District Com mitt O O SS. in the Town of Barnstable for a fT, ;:j f2;3174 CERTIFICATE OF APPROPRIATENESS Application is hereby made, iri 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 R Alteration Indicate type of building: ❑ House ❑ Garage D 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 ADDRESS OF PROPOSED WORK 46 C1F0SDA1E Q &J B,r9�itLSr. ASSESSORS MAP NO. OWNER1q'JYl`�S �J�JLZ� ASSESSORS LOT NO. HOME ADDRESS/75 f 1kQ9Z f, Ph 01, 8129 ALISI$46&I�n�OTS'rEL. NO'A FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). AGENT OR CONTRACTOR l A'�/7�/�1"175rn,r— V699 kJPk1T-TEL. NO. -y--2ff _951F ADDRESS kQ46 At gwnl l-43�j Q., �()TZ1.L`f 0°2.(o 3"5' 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). STRi P/Rc"bF Signed OGCs�,oitra/�YhEft-Contractor-Agent Space below line for Committee use. Received by H.D.C. Date ;T� =the r�tf i4 to is ereby Date � r � Time%i Approved-- '`[�j IMPORTANT: If Certi(i/cate is appr ved, a royal is subje6i to the 10 day appea period l provided In the Act. r-, Town of Barnstable Old King's Highway Historic District Committee T - a'j- rje�j)S-DAJE, SPEC SHEET FOUNDATION SIDING TYPE COLOR CHIMNEY TYPE COLOR ROOF MATERIAL COLOR )4u T4 MAI & a AJ PITCH WINDOWS COLOR SIZE TRIM COLOR nh. I Pi I Pi J f m1 14�r1 rc nR �U Ll L Elm Uf LI U DOORS COLORS SHUTTERS COLORS GUTTERS COLORS DECKS MATERIALS GARAGE DOORS COLORS SKYLIGHTS SIZE COLORS SIGNS COLORS FENCE COLOR !TOTES: Fill out Completely, including measurements and materials/colors to be used. Pour 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 11198 I)? rT Old e. e ve ; lie y;�711 k, 44Wjc 35rlat)s-MNE �" $ s �� C(�Ov sE y i VC, � �ays M Z ge335 111 r3 Sl s my 5A4003L04, MA 0a5-37 III (( A-nfE ,Z : ct C� Ala/ (34 �Rv)d sib P,o: 8a- u�d 6api-,s sm73kC, MA 6av(v T MA 4-?63 0 .. ..,-.r'y_.v^y�^+'v'•""tJ`'�/`.L_'�„v.�;r'P!`Ivr�'"�,,,,"a/t/'r`--'+,.d�.+.�r.r�"'t^�?'ti"'t,.-�".,'".1'�..-�'",+'.'�"ti'„Jr •.-»,rr�-.. _ ti <, . . i p77P[>, TOWN OF BARNSTABLE Permit No. .,,,,. 31050 t BUILDING DEPARTMENT 4 ""'r TOWN OFFICE BUILDING Cash Y� 9 ,67V• X ''tour HYANNIS.MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to JAMES McDEVITT Address 45 Field Stone Road, West Barnstable USE GROUP FIRE GRADING OCCUPANCY LOAD 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. October 2 w ..0 Y9 " �* .......................... 19.... ........... Building nspector _„y r Assessorls offioe (1st floor): E / Assessor's map and lot number Board of hlealth (3rd floor): Sewage Permit number ....F.7...../(.........................�. l9 •'•"•" Z BAS39TODLE, i House Department (3rd floor): N 'oo NAM Engineering � ,ems number .............................. N�...... .... ...... . CFO NO a. i APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:O0"�,P.Mk only TOWN OFj �BARNSTABLE . BUILDING- INSPECTOR APPLICATION FOR PERMIT TO .... .L..!'....,,�W L...vcp................ ................................................................ TYPE OF CONSTRUCTION t� t ,t G TQS : Z L A-A....-6...0 p'.d J`.,J il.d AA-(................... ........................ ....... .....^.. .....a.................19.�Z TO THE INSPECTOR OF BUILDINGS: c J The undersigned hereby applies for a permit accordiIng to the following information: Location ..........................C.�.11........ .... .... .....mil................ .... Proposed Use ........ :. i�1c Car µ� f Zoning District / .....................................":<...Fire District ......0 /....................I.......................................... T = M � 9v7 S�7Ld cc W: s Name of Owner Address . .......................................... ............ �'..Address .. ¢✓C'S. ...............`.......,..f..............................5.......... Name of Builder !.!��=......P �!'zS C t�.............:::. G/.. G�• ... Arb'LC� Name of Architect ...................M.C......................................Address S .................... .. SA ................................................. Number of Rooms �...+a. .. Foundation / k �n... /���.. X�a�� J�L/G (ri'J6 ... ....s ' .................. Exterior .K...( ..�.&7.)F L.... .AQ��f# ,.�.. .. ...........Roofin .......................... g Floors "ItiSn.......................................................................Interior ..... sc�z.' ............................................................... Heating ................................................Plumbing ..... ..,.............................................. Fireplace " .........................Approximate Cost ............ ../.5f . ...................................... Definitive Plan Approved by Planning Board ----------------------------•---19-------- . Area ......!�-Q.Y. ...5�. ............. Diagram of Lot and Building with Dimensions Fee. ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH --� 1� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all 'the Rules and Regulations of the*Town of Barnstable regarding the above construction. t Name ........... ............................. Q..................... Construction Supervisor's License .©�5 MCDevitt, James A=111-"0 0 31050 1 1/2 story No ................. Permit for .......... ........................... single family dwelling ......................................................;................... Location 45 Field Stone Road ................ West Barnstable ............... ............................................................... Owner James McDevitt ................................................................... Type of Construction ..........................frame................ ............ ...................................................... ............ Plot ............................ Lot ................4.50................ Permit Granted ..........AIA9!4§t... ............19 87 Date of Inspection ....................................19 Date Completed ......................................19 Opt /3 /R7 Assessor4-p*�ve B�d.(1st floor): •-3171CSYSTE 3�Ly��'�i y_;. �9��Sr �EL���� ASsessor'f map and lot number .../Z. .� ... .`.K.'.,..,�i�h�+�LL�® IN ® PLI "i' :C' ' ' � Tort Board of Health (3rd floor): WITH TITLE 5 Sewage Permit number ...$.7-..y19.......................... . :.. e , Z ZA"STsnLE,� .—LciVRONMENTAL CODES X.— _ Engineering Department (3rd floor): / TOWN RECULATIOMa oo t639- \0� House number .............................. .. ...Yn.. ........ 0 MAI 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 ...:N. t.. c \ �, .................................................................... TYPE OF CONSTRUCTION .......A1'V... -r,►G ..Q05. ...3� ...,-d Qgff Jt�d,4A-1, .............. ................. .................................... . .........T0 n1.L..... -S ..............19. E. ,J TO THE INSPECTOR OF BUILDINGS: C. II The undersigned hereby applies for a permit according to the following information: Location .......................... '# ../..f..L?.i�.. 'U'JC.� ��e�i! .....1 /... .... .. ....... .. Proposed Use ....\.&A:G.0 F. :... ........R458 ....................................... ............................................ Zoning District �. t..........................................Fire District ,. ......(... ........................................ q 9 ,? Name of Owner .��.�-5.......RC�l�..G1f1.1..J..........................Address ,,�.1..y7....S-�JICLS......�....�.... Name of Builder .l ft ...... Address 16.l�5l./4y ..6A...... :.. 2iSS}A .. ... Nameof Architect .........SA!4L'r......................................Address .................... ................................................ Number of Rooms .. ... +. ��.. ................................Foundation ....!.......?....R........ ..../.,!..K�o�.....)v4:-ygP..f�.Fv/r�6 ` Exterior �f? ..C.f)�L....0�Ala� '..................Roofing .....1�. � ... 1. -.. lnlf�.G ..................:....... Floors .... ........................................................................Interior ...../.'.. k-72- ........................................................... Heating '�'�.�C?!jC:. ... ../. ................................................Plumbing .... .... .................................................. FireplaceS : . .. ..� .�.. �..........................Approximate Cost .........�.../.. ,.....y ............. �.: � ....... Definitive Plan Approved by Planning Board ---------19 lo.� Area .S� Diagram of Lot and Building with Dimensions Fee / SUBJECT TO APPROVAL OF BOARD OF HEALTH AL ,f a � 01 �3 a� � b1�b 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 ©or� �� McDevitt, James 31050' 1 1/2 story No ................. Permit for .................................... single family dwelling .......................................................................... 45 Field Stone Road Location ................................................................ West Barnstable .......................................................:....................... James McDevitt Owner .................................................................. Type of Construction ............frame.............................. X .......................................................................... Plot ............................ Lot ................................ Permit Granted ............. .........19 87. Date of Insp-e--ction/a::l/**�*�,/-,.-:$��7.......... 19 Date Completed ......./c?N.:7 ..... -.22 163.20 LOT 4 LOT 3 N ul (V •Q s ae �n a 5.4 ' o � LOT 5 N 00 N • N D, R=55.00 <... RLs:ziz)k3 F R S FIELDSTONE LANE C FOUNPATZON CFRTZFICAOrl (O J TOWN 6AP, ITAa PLAN REF. DATE SCALE ►" = so ' ELEVATION I HEREBY CERTIFY THAT THE ABOVE FOUNDATION I5 LOCATED ON of 411X{4EE IK S�RVELi THE GROUND AS SHOWN, AND �`�H 'Ass y �`a q`ti COt'LSIrCLTd?1T'S ITS P05ITI0N DOES oho PAA' �^ CONFORM TO THE ZONING: MERITHEW 70 RASP LN, LAW SETBACK .R&QUIREMLNT 9 No. aERtz y OF'• C3A,kK)cTAKLG 'F�i�T� ` : /` MARSTOl�15 MILLS MA All �_..-. At PAUL A. MERLTHEw P. R• L.S. - _ ` v 1 -E ,1 r O R t 1 R i TOWN OF BARNSTABLE Permit No. .?::1.. : '. BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash �1 n't u ` HYANNIS,MASS.02601 Bond ................ CERTIFICATE OF USE AND OCCUPANCY Issued to Jam--a :.cDc yitt Address Lot �.50, 45 Field Stone Road .1est Burn ;tubli, I'lass. USE GROUP FIRE GRADING OCCUPANCY LOAD 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. v�r .....J ceml........2.,..., 19.... �......... . Building Inspector I TOWN OF BARNSTABLE Permit BUILDING DEPARTMENT I TOWN OFFICE BUILDING Cash 7 .... .eso. U'f HYANNIS,MASS.02601 Bond ................ CERTIFICATE OF USE AND OCCUPANCY Issued to Address USE GROUP FIRE GRADING OCCUPANCY LOAD 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. .... ................... Building Inspector ar ��.° °•.ew, TOWN 'OF BARNSTABLE BUILDING DEPARTMENT = rA" � TOWN OFFICE BUILDING � NAM °8 '679• \� HYANNIS, MASS. 02601 �OIUV M. MEMO TO: Town Clerk FROM: Building Department DATE: q P f. An`&eupancy Permit has been 'issued for the building`authorized by BuildingPe it #......_.»......./..»�....�.»....�..»»»»».»..»»............»...................»...............:......».......».»..»......».........»»..».._.»...».............».»»..»»»». issuedto , ........... .............................._...............................» ...»».»»..»»».....»».»......».»»..»»»»» V I Please release the performance- bond. I *Mt9 TOWN OF BARNSTABLE Permit No. ..... 31050 BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash Y�'679. X HYANNIS.MASS.02601 Bond ................ CERTIFICATE OF USE AND OCCUPANCY Issued to JAMES McDEVITT Address 45 Field Stone Road, West Barnstable USE GROUP FIRE GRADING OCCUPANCY LOAD 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. 19 October 23, 19 90 ..................... ......Building nspector............. i TOWN"OF BARNSTABLE, MASSACH.USETTS A=11150' DATE -B S7 PERMIT APPLICANT mp'inA Post .—ADDRESS L1�' --O2S.2�11 INO. S .a ,ICONTR.'S IICE,NSEI PERMIT TO Rlli Id r]W 1 1 i n • NUMBER OF' �, (1,�1 STORY Sjllb f;l Tni l v duml 1 ing DWELLING UNITS 1 (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) lot #50 45 '1 1 d 'Stone Road W H' Rnrngtnhl P, ZONING (N0.) (STREET( ' 1)ISTR ICT— RF _ BETWEEN AND . (CROSS STREET) ('CROSS STREET)"'' SUBDIVISION. LOT BLOCK L E BUILDING IS..TO BE FT•,WIDE BY FT, LONG BY FT;.'IN HEIGHT.AND SHALL;CONFOR(Y1.IN" 4ONST.R.UCTJON' TO TYPE' USE GROUP BASEMENT'WALLS OR'FOUNDATION !.TYPE) REMARKS9 Sewage #87-419 . . • . AREA ORBOND•.'.•.. .. ... VOLUME 1280 sq. ft. ESTIMATED COST $ 145,000 FEE MIT ) � (,(`'�2r,. (CUBIC/SOUARE FEET OWNER James McDevitt ADDRESS 1947. Service Road West Barnstable 1AA BUIL,OING DEPT'• BY FR�'}NY I OF'1'_HISPERMI D S N,OT RE EAS• THE�A •PLTCAN• ,F• OM H CO DID•IONS �� OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED IONS REQUIREDCALL ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECT ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR I. FOUNDATIONS OR FOOTINGS. ELECTRICAL, PLUMBING AND MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL M EM9ERS(READY TO LATH). 3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVA ) �/� LS ELECTRICAL INSPECTION APPROVALS 1 n u!n� J/) J���Ala 2 HEATING INSPECTION APPROVALS ENGINEER( DEPARTM T 1 , OTHER ` BOARD OF A H 'qb RK SHALL NOT PROCEED UNTIL THE INSPEC• PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION ' R HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SI,' MONTHS OF DATE THE INSPECTIONS INDICATED ON THIS CARD CAN BE NSTRUCTIOn ARRANGED FOR BY TELEPHONE OR WRITTEN PERMIT IS ISSUED AS NOTED ABOVE, NOTIFICATION.