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0050 SUN HILL ROAD
OxfordNO. 152 1/3 ORA_ ESSELTE 10% Town of Barnstable BUlldll PostTFiis•Carc!So That�it�is V,isib.le from"the Street;iApproved Plans IVlustbeRetained on Job and`this Card MusU'b'e Kept ,1 Posted:Until Final-Inspection Has Been Made • - Permit R - Wher<<e a Certificate of�Oceupancy is Required;such Building shall Not,be Occupiedruntil a Finallnspection has been made. Permit No. B-174151 Applicant Name: YARDSCAPE LANDSCAPE& IRRIGATION,INC. Approvals Date Issued:. 05/31/2017 Current Use: Structure Permit Type: Building-Pool-Inground Expiration Date:. 11/30/2017 Foundation: Location: 50 SUN HILL ROAD,WEST BARNSTABLE Map/Lot: 196-007-004 Zoning District: RF Sheathing: Owner on Record: MURPHY,DEAN ROGERS&MARIE ANNE Ontr ctor N YARDSCAPE-LANDSCAPE& Framing: 1 b _ IRRIGATION INC. Address: 62NELSON LANE ' `' _ 2 .._ ' MARSTONS MILLS,MA 02648 , Contractor Ucense "149188 Chimney: Description: IN GROUND POOL Est P oject Cost: $45,000.00 Insulation: - PermitFee $175.00 . -- '. ._ _ NOTE: � Fee aid:- 5 175.0 -- - - _ P Final: ---BLACK MINI CHAIN-LINK-4 FT TO MEET-POOL BODE,POOL DOOR ALARMS AND COMPLIANT POOL COVER RE WIRE � Date: 5/31/2017 Plumbing/Gas Rough:Plumbing:. . Project Review Req: IN GROUND POOL Final Plumbing: NOTE: F .. Building Official a Rough Gas: BLACK MINI CHAIN LINK 4 FT TO MEET P-,00 -CODE;POOL DOOR . ALARMS AND.COMPLIANT POOL COVER REQUIRED-RMCK Final Gas: This permit shall-be deemed abandoned and invalid unless the work author d by t�his-permit is--commenced ithi sizmonths f W issuance. Electrical., All work authorized by this permit shall conform to the approved application and the'approved:construction documents for which this permit has'been granted. �� s� �£ *� service: All construction,alterations and changes of use of any building and str�u u.8ishall:be n,compl nice w h th c�o"ningby-laws and codes. This permit shall be displayed in a location clearly visible from access street or road andshall beimaintained open;for;Public inspection for the entire duration of the Rough: work until the completion of the same. Final: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Low Voltage Rough: 1.Foundation or Footing u 2.Sheathing Inspection Low Voltage Final: 3.All Fireplaces must be inspected at the throat level before flrest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Health 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Final 7.Final Inspection before Occupancy - • Fire Department Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final:-.. Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do-not-have access to the guaranty fund"(as set forth in MGL c.142A):,, Town of Barnstable Building Post This Ca"rd So Thet it�is Visible From the Stceet�-Approved�Plans Must be.Retained on-Job and this•Card Must be Kept Posted Until Finalln'spection HasBeen Made, , Permit Where a CertificateofOccupancyis Required,'such B"uildirigshall Not be Occupied until`a Final Inspection has�been made. Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT - QlN / a y� MC � � k TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map- � Parcel Do6 Application #RILD'VG !� 1 Health Division D_PT. Date Issued Conservation Division Zn!!!5! MA 112017 Application Fe Planning Dept. TOIAIN 0 8-ARArc7 Permit Fee Date Definitive Plan Approved by Planning Board �$�� Historic - OKH _ Preservation/ Hyannis Project Street Address sQ SL)fi Village w es+ g1.6'fw tom Owner Ns nur Address 50 cSUVI Telephone Ur©� ' :Va I - (Qq.sp 1 Permit Request uJ�-w�� it\�Yav ��.��Mw..rm!zr" '�F�' 1Q1� WVl N nil9n.C� ,"�ed ! c�► sal w�11 d�I. Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation e-l5� Construction Type " Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 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 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: 0 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 - - � a IS Telephone Number Address 929 J4Cs PCIA License # &z( GV Home Improvement Contractor# ` Email 1 'SGiAge�P.�I CC, MY1 Worker's Compensation # WWC ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE � I 4 i ' FOR OFFICIAL USE ONLY ' APPLICATION # DATE ISSUED ' ' MAP/ PARCEL NO. ADDRESS VILLAGE OWNER i i" DATE OF INSPECTION: 1 FOUNDATION 't FRAME , INSULATION !' FIREPLACE r. ELECTRICAL: ROUGH FINAL - PLUMBING: ROUGH FINAL GAS: ROUGH . FINAL ! FINAL BUILDING f DATE CLOSED OUT ASSOCIATION PLAN NO. �. A FCC ?ad Const-aciorr in Hr;614 Frrad Areas:110 azplr end Zane Mas&-acAusetts ChecklLqt fQr Coln lance('f80 chiRsm. m)1 1.1 SCOPE- - Wind Speed{3-sect gust) _ _ _ 110 mph Wind E=P=re gDTY — __ _B Wind Exposure CafagorY---•-------_Errguheering Required For Entire led-------- 12 APPLICABIL[-lY - -N=ber of 5bries(a roof vlhidl ems B in 12 slape shah be=sidered a story) stories 5 2 stories - Rnof Fish _--_- _._.--(Fig'2) s 12.12 Mean RDDfHeight _ _-- _._ (Fig 2)— Building Wid6tf W (Fig 3) -_ ft 5 ao, Buffidu?g LEngt1,L - --—. (Fig 3) — ---- —ft s So` . Buuding Aspect Ratio M+d) -- _Fig 4) -- 5 3_i t _ Nominal Height of Tallest Dpening2 _ (Fig 4)-- - BIB, 1-3 FRAMING CONNECTIONS ' General mmpl-ranee wr�h framing D6nnadDns_.-.—_ (Table 2) 2.1 FOUNDATION FoundafiDn Walls meeting ret L&wnenfs of 730 CMR 5404-1 Concr _..._•------ -•--•-----------..__.._._._....----•------------ ---------------------•-------�..---- - ----- Concretax Masonry..-___.- - -- -- --_ 22 ANCHORAGE TO FOUNDATION113 518'/ndinrBotis*rmbedded or 5/8"Prapriefaiy Mechanic Anchors as an alfemaffve in aonameb--anfy BDIt Spacing-general----_----_---------------- In. BoltSpacing from end/Joint of plate— --(Fig 5) -- in.5 6`-1F e- . Bolt Embedment-mnmmt _ —(Fig 5).-� — in_y 7' Bolt Embedment-masonry--- __ —(Fg 5) _ _ in->_15" - Plate Washer_ (Fg 5) -->3`x Y x Y,' 3.1 FLOORS Ffoorfrarcing member spans checked (per 7B0 CMR Chapin 55) Ma)d=m Floor Opening D-unw slon_ —(Fg 6)_ _ fr<_1z ' Full Height Wall Studs at Ffodr Openings iesss than 2`from Exterior Wan(Fig 6)_•---.............._--- __--- Mk*mr:an Floor Joist Setbacks Suppoifing I-Dadbearing Wails or SheanuaIl_— (1=ig 7) — Tft 5 d Maximum Canflevered Roor Joists Supporfing Lbadbeadng Walls or Shearwall--(Fig 8) -- —ft s d FloorBracing at Endwan& —(Fig 9)- Floor She_aifiing Type _ -(per 730 CMR Chapter 55) Floor Sheatfung Thiidmess -(per 730 CMR Chapter 55)--_- in_ Floor Sheathing Faste4mg-_—_—.— '_(Table 2)_ d marls at in edge/—in field Q f WALLS Jan Height: I.Dadbearing walls —. (Fig 10 and Table 5) NDn--.oadbearing waft_-• (Fig 10 and Table 5) Wall Stud Spacing --- (Fig 10 and Table 5) —in-s 24 n-r: Wall Story Offsets - --(Fgs 7 B) _— —ft s d 42 LKTFRIOIi;WAl L& Wood Studs - , Non-Laadbearingwaiis __ 2x --ft_in_. Gable End Wag Bracing t Full I-Ieight Endwall Studs WSP Atfc Floor Length _F1.9 11) - — ft z:M _ 'Gypsum Ceiling Length[rf WSP not used) -=(Fig 11) --_------—_It z 09W - and 2 x 4 Cbnflnuous Latei�al Brace Q 6 ft o_c_(Fig 11)__..__...._.___. or'I x 3 ce ing furring strips @ 16`spacing-rnni_with 2 x 4 btac:kihg L_4 ft spacing in end Jo&t or truss bays DDabfe Tbp Ph& - 5pfire Length (Fig 13and Table 6) - - _ft _ Splice Comacfon (no_of 16d common mail=)!---(Table 6) _ - -- ATVCGrzide to I-Vood Caastrucdan irc lligfr endAreos: 110 Ariph WT-rrd Zene ' Massachusetts Checklist for CoMpROLace MO c�xs3or.zrs)j Loadbammg Wall Connec5ons - Lateral (na_of 15d common naffs) —(Tables 7) -- Non-Ltadbearing Wall Connections Lateral(nix of 16d common naffs) (Table 8) -- Load Bearing Wall Openings(record largest opening but check all openings for colrtpliance to Table 9) Header Spars — _(Table 9)— Sm Plats Spans If_in.511' Ful height Studs (no.of'&Ods) (Table 9)-- Non-L ad Bearing Wag Openings(record largest opening Wit check all openings for compffanr-to Table 9) Header Spans_--___ (Table 9} —ft_in.s 12' S-#Plate Spans--- (Table 9) _ft in_:! 1 Full Height Studs(no.of studs)— (Table 9) - Ex±exior Walt Sheathing to Resist Uplift and Sheaf Simuffaneous:V lri'mimum Buildng Dimension,W Nominal Height of Tallest Op ning7 _..._ Sheathing Type (note 4) Edge Nail Sparing (Table 10 or nuts 4 if less)— U- FeJd Nail Sparing—_ -(Table 10) in. ShearConneciion (no_of 15d Common nails)CTabte 10)_ __ ---- Percent FUH-Height Sheathing.---(Table 10) 5%AdMDral Sheaff-dng for Wall with Opening>-S'l7(Design Concepts).--.——. Niacdmurn Building Dimension,L - Nominal Height of Tallest Opening----------------------__-_-------- — ' Sheathing Type_ (note 4).— Edge Nail Spacing—_ (fable 11 or note 4 if less)— Feld Nall Spacing (Table 11) - U'- Shear Connection(no.of 15d common nails)(Table 11)—r Perrot FuMeight Sheathing—_ (Table 11) 5%Addifionai Sheathing for Wall wrlh'Opening>Ta'(Design Concepts)_-- - Wall Cladding _ Rated fur Wind Speed? --- - 5_t ROOFS Roof framing member-spans checked?--.(For Rafters useAWC Span T(?ol.see BBRS Webstfe) Roof Overhang _—_—_-- --(Figure 19) _--- fts srr►aller of 2"or IJ3 Truss or Ram Connections at L oadbearmg Walls - Proprietary Connectors _ - UPuft ----- _(Table 12)- _ L1= plf 'Lateral_ _—(Table 12)_ pff Shear_ __ —(Table 12) Ridge Strap Connections,if collar ties not used per page 21__ (Table Gable Rake Ot.rfiooker__._--_ _ _ (Figure 2D) ft 5 smaller of 2'or L12 _ Truss or Rafia-r Connecfions at NoatDadbearing Walls - Proprietary Connecters Uplift _ (Table 14) lb. Latand(no_of 16d common nails)—(Table 14)------ L = . - 16, Roof Shea_jhhg Type _ (per 7a0 CIAR Chapters 5ti and S9)---__-__-- Roof*Sheathing Thickness h?7118'WSP Roof Sheathirig Fastening--_ (Table 2) P •1. _ This chadcEst shall,be-met in r-Es entirety,excluding the specific excepfion noted in 2,to comply wrfth the requirements of 7BO CMR530121A Item 1. If the checklist is met in Fts ennrety then the following metal straps and hold downs are.not required per the WFCM 110 mph Guide: a. sbm4 Straps per Figure 5 b. 2b Gage Straps per Figure 11 - - 4 Uplift:Straps per Figure 14 . cL Ali Straps per Figure 17 e, Comer Surd Hold Downs per Figure 1Ba and Ftgum 1Bb - 2 'E=eptiwc Opening heights ofup$o s ft shall be permftbad when 5%is added to the percent full-height sheathing regUkernenis shdm in Tables 10 and 11. The batinm sill plate in extErior watts shall be a minimum 2 in nomkrel thfdaiess pressure treated#2-grade. -ATVC Guide tv Wbod Con_rrrLradoa irr Bf-,fr IrMdArevs_ 110 rrrpfr HroudZq ae Massachusetts Checklist for Compliance nso CKIZ53A1 2 r_I)I 4- a . From Tables ID and 11 and location of waU sheathing and 13ur&Mg Aspect Rafio,datermine Peet Fwff-Height Sheathing and Nall Spacing raquuemenis - b. Wood Strud ual Panels shall be minhum thidmess of 7I16*.and be insthlled as fallow.- L Panels shall be itrsWed lvh strength axis parallel to studs, ; I All haimntal jo'tnfs shaU occur over and be naiad to framing RL On single stniy construcfion,panels shall be attached to bottom plates and top member of the double top plate. iv. On two story canstruaSon,upper panels shall be attached to Ni top member of the upper double top plate and to band Joist at bottom of paneL Upper affadunant of lower panel shall be made to band joist i and lower atiachment made to lowest plats at fast floor framing. v. Horh mntal nall spacing at-double top plates,band joists,and girders shall-be a double row of 8d staggered at 3 inches on mnlar per figures below:Verfiml and Horimntal NarTrng far Panel Attachment 5_ Glaang proiacfion:a)-new house orhorimntal addrOon—required ifppJect'is_ i mule or doserto shore(generally,south of Rte 23 ornorffi of Rfa 6) b)varfical adcOon—not required unless there is extensive renovafion to the first floor c)repiacementwi6dows—needs energyconsaivatlon campUahr~only(Chap 93) S.Wood Frame Construction Manual(WFCM)for 110 MPH,Exposure H maybe obtained frdm the American WDDd Council (Awb)wehsif-_ • 1�rt�IDs�r-�s'rsco-t - iu�sd - 11 • u r, ' • - u y [i 11 1 rl t a [ . K H ii ii•K } I � t • F ii It m i i v. r I,[ t t Ill f l I 1 tI Lf i t 14f1 II - � U _ 1EDGEBlr .fl ,1 Lk If It •S tr .I s t � � I 7•i Ll - [ 1 •� � �r�Ft t ll �v{ L�[AEA>:k7G TL,.tL?fQZER[J Z PAI113 "t =U EUU S-ZSPACM DErA_ - See DaiB$on Next Page - Vertical and HorizorTW HarTrngfor Panel Attachment v�riigl and 7 falimnthl NarTa�g fDr Pasted Afthrdunent r Town of Barnstable ..� Regulatory Services yMASS. Richard V.Scali,Director r6.19. 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 ABuilder' L m U( � ,as Owner of the subject property herebyauthorize nn_ �, e.�.t Pa-fI �_ to act on my behalf, i in all matters relative to work authorized by this bolding permit application for. I (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. A Signature of Owne Siftle of Applicant Print Name Print Name 0 D to Q:FORMS:O WNER?ERMISSIOIe00LS Town of Barnstable Regulatory Services THE ro Richard V.Scali,Director Building Division i RARwrcrARrF « Tom Perry,Building Commissioner MAIM 200 Main Street, Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE ExEMMON ' Please Print DATE: JOB LOCATIOR number strut village "HOMEOWNER name home phone# work phone# CURRENT MAILING ADDRFS S: cityltown state rip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of silt 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 ofBarnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. " SignahueofHomeowner Approval ofBuDdingOfficial 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 ExEMMON 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 109.11-Licensing of construction Supervisors);provided that if the homeowner engages a persou(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 Iack 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 Iast 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:1wPFII ES\FORMS\bw1dmg permit fo=\ERPRESS.doc Revised 061313 Tlie Commomveakh of Massadjusetts DepaTi7ment of industrial Accidents Ofiilce of him iga ms. I 600 Washington Street Boston,M4 02111 >Evrvaummmgov1dia Workers' Compensation Insurance davit:B•mlderslContracturs/EIecEricianslPlumbers AppEcantInfilirmatim p Please Prim Leaibl Name(BnssMe941' MiZ3tiGnffib yidaa1)_ Iti 6 FF41.x-x 1C. (4i Addrew.. kle-S CitylStatetZi ArPq6 Mone DSOI3 Are you an employer?Cfr ekthe appropriate box: Type of project(required}: L gI am a employer with 92-- 4. ❑I am a general contractor and I . 6- ❑New cons�uoa employees(full and/or part-time).* have lured.the sub-contractors 2.❑ I am a sole proprietor orpartner- Listed on the attached sheet. 7. ❑Remodeling ship and have no employees . These sub-contrac#ors have 8. ❑Demolition. working forme in any capacity. employees and have workers' . [NO arlcecs' comp.insurance comp.insurance.$ 9. ❑Bulling addition �- required-] 5. ❑ We are a corporation.and its 10'❑Electrical repairs or additions 3.❑ I arm a homeowner doing all work officers have e=cised their 11.❑Plumbing,repairs or additions myself[No workers'camp. right of exemption per MGL 12.❑Roof repairs innwduce required.]T c.152, §I(4�andwe have no employees.[No workers' 13.❑Other comp.msurauce required.] 'Aayap Hmatdwtchedmbox#1Estalsofalcultheswdonbg wshmeiagdmirwo&erecompensati npoRcyinfnemation_ fi a,am owners who sabmit dii.s af5dat if UUfftZbn_4 they axe doing RU wa&aadl then bar outside contractors Est submit a new affida¢it indicating sucT, ICo , ' is that cherY this boat Hurst attached an addilianal sheet showing the name of the sub-cauxscOo-a and state whethet or not those entities ha►� emplayees.If the zub-contmctars have empleyees,theymustprvvidetheir workers'camp.policy number- I am art eniploFer that ispr4n ding workers'congmLsation imurance for my*eiripLayees Below is the poticy arid jots;&e informafiom Insurance Company Name: W e3 CD p i Policy t or Self-ins-I.ic. . C 3AD 3 I DxpirationDate: Job Site Address: l^�'D 1, Jul CitylStatel7,ip: !s N Attach a copy of the workers'compensationpolicy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section.25A of MGL a. 152 can lead to the imposition of criminal penalties of a fine up to$U-00OD ird ror orie-year imprisonment as well as civil penalties in 1he form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be ad i ised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance-coverage ve fication. I nfo hereby c E)5 tder he pains andpenia£tt',zs ofpei:uiy f iatfhe informafiortrpmiiW abm e is true arid correct Signature: J�ps /JD�p f n Date —1 — Phone C5y OBkiai use orr£y: Do not svrike in thh;area,ter be campWad by city artoton officrat City or Tot~m PermitUcense# Issuing Authority(tide one): L Board of Health 2.Buil&ing Department 3.City1rown Clerk 4 Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone.#: - ormation and Instructions Massachusetts Gen aalLaws chapter 152 req=:es all eupIoyers'tn providewoII-Leas'compensation fortheir employers. PM7S`aXnttD this ,an eTlvyee is defined as."_.every person in the service of another under any conira.ct of hire, express or implied,oral or written.." An mwroyer is d�fmcd as"an indiivid al.partnership,association;corporation or other IegaI earthy,or any two or more of the foregoing engaged in a Joint enterprise,and inclndmg the legal representatives of a deceased employer,or the receiver cr trustee of an individual,paztoersbip,association or other legal entity,employing employees- However the' owner of a.dwelling house having not more than tbree apartments and who resides therein,or the occupant of the - dwellmg house of another who employs pexsons to do mamteaancc,constrac-'h on or repair wotic.on such dwe; ing house or on.the grounds or building appuatenat¢thereto shall not because of Bach employment be deemed to be an employer-" MGL chapter 152,§25C(6)also sfatts that"every state or local licensing agency shall withhoId t$e issuance or renewal of a license or permit to operate a business or to construct buildings is the commonwealth for any applicant Who has not produced acceptable evidence of compliance with the insurance.coverage required_" Additionally,MGM cbaptar 152, §25C(7)states"Neither the eommaawealth nor any.ofits political subdivisions shall enter into any contract for the perhuna ace of public work until acceptable evidence of compliance with the insurance.. rez,;,-eTrients of this chapter have been presented to the contracting aoihoiityf Applicants Please fill out the woii ='compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-ontractor(s)name(s), addresses)and phone numbers) along with their certificate(s) of msai-ante_ Limited Liability Companies(LLC)or Limited Liab, Paruerships(LIP)with no employees other ti n the members or partners,are not rbgui rd to carry workers, compensation insurance If an LLC or LLP does have employees, a.policy is required. Be advised that this affidayit may be submitted to the Deparment of Industrial Accidents for conffimatiou of insurance coverage- Also be sure to sign and date ithe affidavit The affidavit should be retommed to the city or town that the application for the permit or license is being requester not the Department of Industrial A ccidemts. Should you have any questions regarding the law or ifyou are rimed to obtain a workers' compensation policy,please call the Depar�ent at the number listed below Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sine that the affidavit is complete and printed Iegibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office ofluvestigations has to contact you regarding the applicant Please be sure to fill in the pen� it/licema number which will be used as a reference number. In addition,an applicant that must submit multiple peranOicense applications in any given year,need only submit one affidavit indicating coxrent policy information of necessary)and under"Job Site fi_ddrese the applicant should write"all locations in (city or. town)-"A copy of the•affidavit that has ben officially stamped or marked by tine city or town may be provided to the applicant as proof that a valid affidavit is on Or,for fulm permits or licenses A new affidavitmust be filed oit each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial vent im (i.e. a dog license or permit to bum leaves etc.)said person is MOT requited to coluplete this affidavit The Office of Investigations would l&a to thank you m advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Departmenfs address,telephone and fax number . with of Masachussem . . Degarinmt cif ladutdal Accidents Qffioe Of 1uVe Ugafi0= 1504 wawmgtan BQAon=MA 0�11F TeL 4 611' -4900 Qxt 406 Or 1-977-MASS.AFF Fax#617-727 7M Revised 4-24-07 ��� Office of Consumer Affairs and Business Regulatio0/ 4&"ac� 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 149188 Type: 'Private Corporation #t Q € Expiration: 12/2/2017 Tr# 272848 ARDSCAPE LANDSCAPE & IRRIGATION, ? e JEFFREY FANARA 327 WHITE'S PATH S YARMOUTH, MA 02664 sca i t', zone-osiii > Update Address and return card. Mark reason for change. � Qj [] Address Renewal El Employment Ej Lost Card e �Paini��LaruuealCL o��lac/zuaeCld Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: .'49188 xpiration: 1212%2017. Type Office of Consumer Affairs and Business Regulation Private Corporation 10 Park Plaza-Suite 5170 YARDSCAPE IANDSCARE,&,IRRIGATION,INC. Boston,MA 02116 JEFFREY FANARA fi`' ::? + '•' 327 WHITE'S PATH S YARMOUTH, MA 02664 � Undersecretary Not valid without signature I YARDLAN-01 TBROWN ACORO" CERTIFICATE OF LIABILITY INSURANCE DATE /24120Y 0324I207 17 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER CONTACTAME - Rogers&Gray Insurance Agency,Inc. PHONE art, nAic,No:(877)816-2156 434 Rte 134 South Dennis,MA 02660 E-MAIL gEssa INSURERS AFFORDING COVERAGE NAIC N INSURER A:Arbella Protection Insurance Company,Inc. 41360 INSURED INSURERB:Wesco Insurance Company 25011 Yardscape Landscape&Irrigation Inc& Bella Pools INSURERC: 327 Whites Path Road INSURER D: South Yarmouth,MA 02664 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR INSD POLICY NUMBER POLICY EFF POLICY EXPLTR MMIDDNYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE CLAIMS-MADE �X OCCUR 8500046547 03/18/2016 03/18/2017 DAMAGE TSESO R(EaENTEDPREM occurrence) $ 100,000 MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 POLICY❑JECT LOC PRODUCTS-COMP/OP AGG 2,000,000 OTHER: MBINED SINGLE LIMIT 11000,000 A AUTOMOBILE LIABILITY lEO ANY AUTO 1020015747 03/1812017 03/18/2018 BODILY INJURY Perperson) $ OWNED SCHEDULED AURRTEEO��S ONLY X AUTOS BODILY Ep BODILY INJURY Per accident $ X AbTOS ONLY X AUTO-ONNLY Perr acEcident AMAGE A X UMBRELLA LIAB OCCUR EACH OCCURRENCE 1,000,000 EXCESS LIAR Hx CLAIMS-MADE 4600046549 03/1812017 03/18/2018 AGGREGATE $ 1,000,000 DIED I X I RETENTION$ 10,000 B WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN C3205361 06/07/2016 06/07/2017 1,000,000 A LITE ER ANY CERIMEMBER/PXCLUDE/EXECUTIVE � N/A E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Landscape&Gardening Contractor Workers Comp Information-Officers Included CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 367 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTHORIZED_REPRESENTATIVE �/ ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD i 21'-114' fw 10,-4„ R8' R6' 18' ' R10' 15'-112' r--1` 21'-51" 3„ 14'-114 15'-114' 14'-3" e Did cortrro 4 12'-44 R8 A R9' s o 0 1 9' X 14'-04' 10'-721' 1 a 16'-62, FFR sii�5� 14 13,�4 o�iStiSNUVO J0 NM R6' R4' 24-84' 10Z T T AM 10 12' R8' 8,-31„ Ld3(] JNI 17'-41' 15'-72„ 4'CONCRETE DECK COPIBACKFING ECONCRETE 3/NU 8*0 BOLTS THIS POOL CONFORMS TO CURRENT CUSTOMER SIGNATURE REQUIRED DATE PANEL END FILE NUMBER: 17040452APSP/ANSUICC-5 2011 & ISPSC 201 SA-FRAME BRACE STANDARDS FOR RESIDENTIAL I Perimeter: — INGROUND SWIMMING POOLS VINYL LINER HORI20NTAL r DEALERBRACE SUrfaCe Area : -- 33 Wade Rd. NAME:rPOOL Volume : — Latham,NY 12110 CUSTOMER BorroM POOLS NAME: phn:518-786-1200DRAWN ddllff�/ n/a fax 518-786-0954 t-2'�'OVERDIGJ BY: rn 1 . i I� it I� �p t,� N 4 N N�a �ry I Nj N 9, O? CN ' `P" SeIV � I 1 I CO I i I A I 13'-911 I a'CONCRETE DECK COPING BAOKPILL WITH 3I0'0 BOLTS CLEAN EARTH p NUTS EA.A El END FILE NUMBER: 17040452 THIS POOL CONFORMS TO CURRENT CUSTOMER SIGNATURE REQUIRED DATE APSP/ANSUICC-S 2011 & ISPSC 201 S 1 CONCRETE A-FRAME BRACE STANDARDS FOR RESIDENTIAL COLLAR Perimeter: — INGROUND SWIMMING POOLS (2500 psi) VINYL LINER BRACEHORIZONTAL e m p e ri a i DEALER -- 1 srAKE -BRACE Surface Area : 33 Wade Rd. NAME: Z'POOL Latham,NY 12110 j•: POOLS CUSTOMER -- ' BOTTOM Volume : -- - phn:518-786-1200 NAME: DRAWNW fax:518-786-0954 C`.� L-7.6"OVERDIGJ BY: dduffy 9 n/a BEAD RECEIVER SPCL01846 +++/76 39'-10." a Cr 4'-47116" -BEAD R8 2,8$7 6 • 1 2's9 1 0 BEAD) 4' 7/16". 10R RECEIVER O O RY RECEIVER 10R 3'1 1/2" 10R 1 6"© s/T 1 " 7.3 61+6' O I a 4'7 1/4" 6131, RB' 4' R6' RF-6" 4'-2 1/4". 1 • 4'-2 1/4 8RR 7" b� 3s lriTs. \ I?fib•� 8R 5'2 1/4" 6RR 9R 1'-11• ? BEAO 6' 1'-,1• 2'3" ' " / ® RECEIVER '+' O 16 \ 5 2 1/4 3'1 1/2" R2' SPECIAL 8'R R2• /\\ /__2'47/6' WEDDING CAKE 7-47/e 72" 6'3'STAIR w/BENCH LEFT& RIGHT DEEP `8N lot 15'-9" � _ � _ 8 � v I3 II 10� '2' 2' _ " 6 DEEP 2' 2' 2 - - 2' 6 uu m gran, a 'THIS POOL CONFORMS TO CURRENT CUBro ER SIGNATURE REQUIRED DATE �"/N r .--� 4 vu+¢ero FILE NUMSER: 17040452 Ala Nd' cU �'''� 4' APSP/ANSUfCC-5 2011 d/SPSC 2015 I Wrwee a M'MY6¢PAG¢ STANDARDS FOR RESIDEMIAL 1 �'-� �N Perimeter:— - INOROUND SWIMMING POOLS r'-1� N �O �l ,, a epan�ce K Surface Area:— 33Wa&Rd. ®Imperial NMER - R5' r row Latham•NY 12110 W cusro,IER em*ou Volume:— pM:slsae4-12oo POOLS NA4/E: — L—?d WEnaMi� BY: ddua„ n,G Ta><:519-754-045. 3 9R 6 R9' '3" GENERAL NOTES: 8R 2'_31" 4" N 4 1) POOL CLEARANCES TO BUILDINGS AND PROPERTY LINES SHALL BE IN 3"' 6RR 8RR ACCORDANCE WITH LOCAL AND STATE REQUIREMENTS. 5'2 1/4" 8RR 3,4 1'6" 9R 2) THIS PLAN DOES NOT INCLUDE POOL LOCATION ON PROPERTY,GRADING, 5'2 1/4" 2 9R 6'3" FENCING,WALLS OR OTHER SITE INFORMATION. T9 3/4" 3) ALL CONSTRUCTION SHALL BE DONE IN ACCORDANCE WITH ALL LOCAL 4R AND STATE REGULATIONS. 6'3" 'CONCRETE DECK 4) CONTRACTOR SHALL VERIFY BURIED UTILITIES WITHIN SURROUNDS OF 4 COPING INSTALLATION AREA. ECONCR/ETE 3 B m BGLTS170404rJ2 THIS POOL CONFORMS TO CURRENT CUSTOMER SIGNATURE REQUIRED DATE PANEL END FILENUMBERAPSP/ANSLgCC-52011 & ISPSC2015 ANSI/NSPI—TYPE II POOL—.DIVING PERMITTED A FRAMEBRACE perimeter — STANDARDS FOR RESIDENTIAL COLLAVINYL LINER INGROUND SWIMMING POOLS POOL COMPLIES TO NSPI-5 —_ ____ HOR120NTAl � DEALERBRACE Surface Area 33 Wade Rd. �er1aNAME: ADDIT[ONAL NOTE BOTTOM VOIUrTIe : Latham,NY 12110 CUSTOMER ---- phn:518-786-1200 POOLS NAME: IF POOL IS FURNISHED WITH DRAINS OR SUBMERGED SUCTION OUTLETS, DRA1�' 7-6'OVERDIGJ 8Y ddu n/a fax:518-786-0954 � THAN COMPLIANCE TO THE VIRGINIA GRAEM:E BAKER POOL AND SAFETY ACT IS REQUIRED: Qy DRAIN COVERS ASME A112.19.8 2007 AT 3'-0"MIN APART AND ENTRAPMENT AVOIDANCE MUST BE INSTALLED. -- 0 CODE COMPLIANCE �+ A. MASSACHUSETTS �t� .�` p COMMONWEALTH OF THE MASSACHUSETTS BUILDING CODE --- ® [MA JAMES'rt4�yI� 41K780 CMR(8 ED.) tNogc � ldaaccta a Elaad, Haa eteey O1E56B. ELECTRICAL&PLUMBING --- � Nm .tRMSft M/1R�Cdf THE CONSTRUCTION AND INSTALLATION OF ELECTRIC WIRING,GROUNDING OJA1tCSA.0RX,.iR 3. : CSStOii &gi =36365 _ cn - AND BONDING,AND EQUIPMENT ARE SUBJECT TO THE STATE CODE AND TO ` ; yp.36365 THE CURRENT-ADOPTED NATIONAL ELECTRIC CODE REQUIREMENTS. ______.-ALL-P-LIJMBING-MUST COMPLY-WITH.THE CURREN.T_ADOP_TED-STATE CODE._._ I!. _ .. __-- -- - ----=-'- - -- ----- ��-SSTT _ . _ . I SsrolvA- �� J 7 i i 178.77' LOT 4 r\ DRAwAc F jzc' N LOT 4 r IV 4 �~ N 45, 07:05F Z �= 50SUN HILL ROAD 3� 3�•4't CONCRETE FOUN 104.46' TF=67.4 LOT 6 - / £ i� N/F w. INDIAN SPIRITUAL ' AND CULTURAL 43• b !c LOT 6 JOB # 89-091 C 'R TIFIED PL 0 T PLAN f MON SUN HILL RD. W. BARNSTABLE, MA PREPARED FOR: .E : 1" = 50' DATE : JUNE 10, 1998 . :RENCE LOT :5 PB 420 PC :92 MICHAEL MACHERAS EBY CERTIFY THAT THE STRUCTURE tM OF _ N ON THIS PLAN IS LOCATED ON THE VD.AS SHOWN HEREON. MNE s� of 505-362-45+1 3 03N" f= 508 set-OM A 1.78.77' LOT 4 n DRAl#7gGE �zcl clq LOT 4: Loj5 . � /'4 s, Cl v` SUN HILL ROAD 3�• CONCRETE FOUN 104.46' TF=67.4 LOT 6 ! -n l N/F INDIAN SPIRITUAL AND CULTURAL 19 CIV Ia. co LOT 6 JOB # 89-091 C TIFIED PL 0 T PLAN )N SUN HILL RD. W. BARNSTABLE, MA PREPARED FOR: 1" = 50' DATE : JUNE 10, 1998 'NCE LOT 5 PB 420 PC 92 MICHAEL MACHERAS ' CERTIFY THAT THE STRUCTURE tN OF )N THIS PLAN IS LOCATED ON THE AS SHOWN HEREON. ARNE y 1 1.78.77' LOT 4 r\ jzo N S+SEMepj1 LOT 4 Loy 5... N , 0.70 5 F.. �% N 50SUN HILL ROAD �, o �, �� 31.4�f CONCRETE FOUN 104•`�6� TF=67.4 LOT 6 / � r, " N/F + INDIAN SPIRITUAL AND CULTURAL co LOT 6 JOB # 89-091C �e4� 15" ? TIFIED PL 0 T PLAN SA'Oe )N !SUN HILL RD. .T. BARNSTABLE, MA PREPARED FOR: 1" = 50' DATE : JUNE 10, 1998 :NCE LOT 5 PB 420 PG 92 MI�HAEL MACHERAS , ' CERTIFY THAT THE STRUCTURE ih Of )N THIS PLAN IS LOCATED ON THE. AS SHOWN HEREON. ARNE y� j s ISC2031 REV B HAYWARD: SWIMCtear' Owner's Manual Models C2030 C303o C4030 C5030 C7030 TOP MANIFOLD CARTRIDGE FILTERS DESIGN FLOW RATE MODEL EFFECTIVE FILTRATION RATE Residential Commercial FT2 M2 GPM LPM C2030 225 84 318 C3030 325 30.2 122 462 C4030 - 425 39.5 150 568 C5030 . 525 48.8 .. 150 568 C7030 68o - 63.2 150 568 MAXIMUM WORKING PRESSURE FOR ALL MODELS 50 PSI (3.45 BAR) ATTENTION INSTALLER: THIS MANUAL CONTAINS IMPORTANT INFORMATION ON THE DPERATION,AND SAFE USE OF THIS EQUIPMENT. THIS MANUAL IS INTENDED FOR THE END USEROF THIS PRODUCT Hayward Pool Products 62o Division Street, Elizabeth, NJ 07207 Phone: (908) 351.5400 www.haywardnet.com TriStar VS I Pumps I In Ground Pool Pumps -Hayward Pool Products Page 1 of 1 v� HAYWARD® TriStar VS (Requires Automation) Item#SP3202VSPND Product Description Variable-speed pool pumps are the ultimate way to save energy.TriStar®VS variable speed pump is specifically designed toreplace most high performance pumps installed today,providing ding incredible energy savings that result in an � even faster return on investment compared to other oversized models. Offering up to 90%energy cost savings over single-speed pool pump alternatives via an integrated variable-speed drive and totally-enclosed, permanent magnet motor,TriStar VS is an ideal pool upgrade for those looking to reduce energy use and save money. Upgrade to TriStar VS and save your customers energy and money! Designed to replace most full-rate high performance pumps up to 1.5 full-rate or 2.0 max-rate HP 4i Can pay for itself faster than larger and more expensive variable-speed models Permanent magnet,totally enclosed fan cooled(TEFC)motor offers incredible efficiency and reliability Integrated,programmable digital interface with a 24-hour programmable clock and up to 8 custom timer functions(SP3200VSP only) A second model(SP3200VSPND)connects directly to Hayward automation for even greater versatility 2"x 2.5"union connections make installation and servicing fast and easy Second base included to align TriStar VS with Pentair®WhisperF109,for easy retrofit upgrades(SP3200VSP only) Other Views D Energy Calculator ! f j11111111111A Am D Utility Rebates toi Specs ' Brochures �i Manuals pG Parts i 6' Select 2-4 items to Compare Compare Ctn.city. 1 Ctn.Weight50.O lbs http://www.hayward-pool.com/shop/en/pools/tristar-vs-pump-for-automation-sp3202vspnd 4/20/2017 t M th 4. Electrical Wirina 4 wire connection between PS-16 and-EXP Remote Displal1rr/Keypad 7o PS-16.Display/Keypad Connector Connctr Wireless Base Receiver Connector 3 Temp O 0 O "Local"Display 0 0 Sensor Inputs O®-<F 8 High Voltage Relays For use w th 2.Heater Outputs a for PS-8,PS-16 as�s onry o (4 relays for PS-4)* ' 4 Valve Connectors -0 ICU 10 Flow Switch 4 Valve Connectors Connector Control Power 8 High Control Power CeILConnector ® Input. Voltage Relays ® Input Subpanel Subpanel - u u u u Ground Bus Bar Ground Bus Bar Bonding 0 0 0 Bonding Lug(s) 0 0 0 Lug(s) Aqua Logic Expansion Unit Control.Center AQL-Ps-16 only) The Aqua Logic Control Center and PS-16 Expansion Unit require both high and low voltage connec- tions. Low voltage connections will be made to actuators,sensors,remote keypad,etc. High voltage connections will be made to pumps,-lights,etc.,as well as providing direct input power to the Control Center. Always: -Ensure that Power is disconnected prior to doing any wiring -Follow all local and NEC(CEC if applicable)codes -Use copper conductors only Main Service (Power to the Circuit Breaker Subpanel) The Aqua Logic circuit breaker subpanel is rated for 100A service. Run properly rated conductors(L 1, L2,N,and ground)from the primary house electrical panel to the main power connections on the Aqua Logic circuit breaker base. The connection at the main house panel should be to a 240VAC circuit breaker rated at 100A maximum. Grounding and Bonding Connect a ground wire from the primary electrical panel.to the Aqua Logic ground bus bar. Also ground each piece of high voltage(120.or 240VAC)equipment that is connected to theAqua Logic control relays or circuit breakers. The Aqua Logic should also be connected to the pool bonding system by an 8AWG (6AWG for Canada)wire. A lug.for bonding(2 for Canada)is provided on the outside/bottom.of the Aqua Logic enclosure. Circuit Breaker Installation and Wiring Circuit breakers are to be supplied by the installer. Seethe chart below for a list of suitable circuit breakers that can be used. Follow the code and the circuit breaker manufacturer's rating requirements regarding the size and temperature rating for wiring. Note that some pool equipment may be required to be connected to ground fault circuit breakers—check local and NEC(CEC)codes. SUITABLE LISTED BREAKERS Manufacturer Single Double Twin :Quad GFCB Filler Plates Cutler-Hammer BR BR. BRD :.BRD GFCB BRFP Murray MP-T MP-T. MH-T MH-T MP-GT LX100FP Siemens QP QP QT QT QPF QF3 Square D HOM HOM HOMT HOMT HOM HOMFP Thomas&Betts TB TB TBBD TBBQ. GFB FP-IC-TB 13 General Purpose Outlet If desired,a duplex receptacle with weatherproof cover(supplied by installer)may be installed in the knockouts on the lower right side of the Aqua Logic enclosure. Per code,the receptacle should be a GFCI type. Alternatively,connect a standard receptacle to a GFCB. Aqua Logic Control Power The Aqua Logic requires 120VAC,2A power to operate the control logic circuits and the chlorinator. This power should be connected to one of the circuit breakers. Q WARNING: 120VAC only(permanent damage if connected to 240V) OD ® Daso 0 0 on Factory eFE771 Prewired m 120,2VA 00 00 Fief� � ire High Voltage (120/240V) Pool Equipment All Aqua Logic relays are double pole(they make/break both"legs"of 240V circuits)and are rated at 3HP/30A at 240V (I'/,HP/30A at 120V.). Refer to the diagram below for typical relay wiring. 00 0e 240 VAC. 120 VAC 120 VAC Load Load Load 0 0 0 =0 ■ 0 0� �0 0 -0 i Wiring relays for 240 VAC Wiring relays for 120 VAC Wiring GFCB.for 120 VAC_ Pool Equipment Pool Equipment Pool Equipment QWARNING Do not use the Aqua Logic to control an automatic.pool cover. Swim- mers may become.entrapped underneath the cover. 14 SECTION 3. INSTALLATION Plumbing connections: - � 1.The H-Series heater is equipped with CPVC SCH-80 flanged pipe nipples, union nuts, neoprene O-rings �s for use with 2"pipe connections. Figure 22 shows the method for installing these parts on the front header. ©NOTE:Assemble these parts to heater prior to plumb :CONNECTIONTO HEATER ing.Tighten union nuts securely before gluing fittings to OUTLET FLOW METER ends of pipe nipples. �I f 2.The CPVC SCH-80 flanged pipe e nipples must be CONNECTION RETURN TO 9 PP TO HEATER POOUSPA installed on the heater inlet and outlet without modifica- 0 INTLET tion. CPVC SCH-80 plastic has an ASTM rating of F441 . and is NSF approved.The opposite ends of the pipe nipples should be attached to the filtration system as PP Y particular installation dictates. Jill 4 3. Pipe,fittings,valves and any other element of the filter 1 ~VALVE system may be made of plastic materials,if acceptable by the authority having jurisdiction. 1 1/2"plastic pipe if FROM PUMP used,will slide directly into the flanged pipe ends. AND FILTER 4. Heat sinks(heat traps),fireman switches and check Figure 24: Manual By-pass Valve valves are not necessary on the H-Series heaters. However, if there is any chance of"back-siphoning'_'of hot water when the pump stops running, it.is suggested that a check valve be used on the heater inlet pipe. To Pool �. 3.WAv VALVE RELIEF 5.The vari-flo by-pass that is built into the front header VALVE will maintain proper flow through the heat exchanger AIN OPTION . if the flow rate is within the range for the heater. See DRRAIIN SPA- MANUAL HEATER Figure 23. �; Pool By,PASS U � VALVE r 1 (H necessary) l.. 1 RECOMMENDED FLOW RATE:IN GPM 0 . FILTER PUMP Model Minimum Maximum H 150-H400 25 125 Pooh 3-WAY BALANCING VALVES VALVE FOR SKIMMER Figure 23. AND DRAIN Figure 25: Typical Plumbing To Pool 6.If the normal pump and filter system flow rate exceeds 125 gpm then a manual by-pass valve,as shown in Figure 24, must be:installed as follows: Install a flow THERMOMETER IQ meter on the outlet line of the heater.Adjust the manual 2" I � THERMOMETER by-pass valve until the flow rate is within the rates re- �.. quired for the heater.Once the valve is set,the position TO P OOL should be.noted and the.valve handle.removed to avoid FROM FILTER further adjustment. 7. Figure 25 shows a typical pool piping diagram and lay- THERMOMETER.—".— —9 out for pool equipment. Figure 26 shows multiple heater , usage for very large pools with and without an external 1 j! 2" THERMOMETER r-- _ —')")'•�' :ADJUST by-pass(balancing)valve. ) —��' 1 BALANCING VALVE ( __ TO OBTAIN A F 2n ............ ••. 207 ACROSS DIFFERENTIAL THERMOMETERS �► FROM FILTER t TO POOL �► BALANCING VALVE Figure 26: Multiple Heater Hookups HAYWARD" 1 SECTION 3. INSTALLATION REMOTE CONTROL CONNECTIONS: 3-Wire Remote Switch: A terminal block is provided in the H-Series heater control A 3-wire remote allows for the"Pool"or"Spa'modes of the compartment for connection of a remote control system. Remote heater to be remotely selected.The heater uses its internal ther- wiring should be run in a separate conduit. Do not run remote mostat to regulate the water temperature. wiring parallel to high voltage wires. Connect Pool/Low of the remote to terminal 1, Common ELECTRONIC HEATERS: to.terminal 2, and Spa/High to terminal 3. Do not remove the jumper clip on terminals 4&5.The bypass dipswitch should be Use 22 AWG wire for runs less than 30 feet. For run over 30 kept in the off position. feet, use 20 AWG wire. Runs should not exceed 200 feet. To operate the heater with a remote 3-wire switch,the The terminal block for connecting:remote switches is located heater's control must be in the"Standby'mode.The Standby to the right of the electrical junction box.The dipswitch for dis- LED will be illuminated.When the remote switch is set to"Pool/ abling the heater's temperature thermostat is located on the cir- Low",the Pool LED will be energized and the display will show cuit board.The setting of this dipswitch may need to be changed the Pool water temperature.When the remote switch is set to depending on the type of remote that is connected to the heater. "Spa/High",the Spa LED will be energized and the display will show the Spa water temperature.The heater will use its internal 2-Wire Remote Thermostat: thermostat to regulate the water temperature to the set point of This type of remote has its own temperature sensor for regu- the mode selected. lating the water temperature.To disable the heater's thermostat, MILLIVOLT HEATERS: set the bypass dipswitch to the"on"position.Wire the remote to terminals 1 &2 of the terminal block. Do not remove the jumper A terminal block for connecting 2-wire remote thermostats or clip on terminals 4&5. switches is located on the Intermediate Panel To operate the heater by remote thermostat,the heater's con- Use a:high quality 22 AWG wire with corrosion resistant con- trol must be in either the"Pool"or"Spa"mode.The heater's dis- nections. Runs should not exceed 25 feet. play will show"bO".The"Pool"or"Spa"LED will be illuminated. After hook-up complete,turn thermostat to its maximum The heater will fire when instructed by the remote thermostat. P is com P The heater's thermostat will function to limit the.water tempera- setting and move the system switch to on. ture to a maximum of 104'F. 2-Wire Remote Switch: This type of remote allows for the heater to be remotely turned off or on.The heater uses its internal thermostat to regu- late the water temperature. Connect this type of remote to terminals 4&5. Remove the jumper clip from 4&5.The bypass dip-switch should be kept in the off position. The heater's internal thermostat will regulate the water temperature.Whenever the remote switch is off,heater will be disabled and the display will show'LO". HAYWARD m Town of Barnstable Old King's Highway Historic District Committee �e 200 Main Street,Hyannis,Massachusetts 02601 (508) 862-4787 Fax(508) 862-4784 G�� 01p<�'1? �A , 01j CERTIFICATE OF EXEMPTION Atl-Arq G �? Application is hereby made,with four(4)complete sets,for the issuance of a Certificate of Exemption under Section 6 and 7 of Chapter 470,Acts and Resolves of Massachusetts,1973,as amended,for proposed work as described below and on plans,drawings, p accompanying this application: gs,or photographs Date '. (- �� Address of Proposed work, Assessor's Map and lot# 1 00 t�_ Q v 1 House#��Street .Syxi 141 Village: A, This application is.for an exemption of the proposed construction on the grounds that work: ❑/Will not be visible from any way or public place Is within a category declared exempt by the Old Kings Hig hway ghway Regional Historic District Commission ❑ Other i Description of Proposed Work: tj 5 wcl, q ' agent or contractor lease print): ; ( aq mif r� , Tel.no. I`ddress oc` � iZ$ 3 a r a� )weer(please print): �,hJ f n�j;ph Tel no. 6 Cif 6 ►wners mailing address: SD sun ki i.( 0 igned,Owner/Contractor/Agent. or Committee Use Only This Certificate is hereby Approved/Denied Date: /� Committee Members Signatures: C APP�(�"OVE MAY. 1'6,2017 Town of Barnstable Old King's Highway Committee Any conditions of approval: �ocu"'eats and SettingsldecolliklGocal ServingslTemporarylnternelFI,-,IOLLIIOKHEx wt."Form 07.d6c s � r �� _ - ,. o r. �� �� r a m, d . . + ., c , �� ,_ -- :.ryrrc .. ; �, F ^�"� .1� {, m i 178.77' LOT 4 N K DRr+�N4GF Imo, N SASENt�,�T� LOT 4 1 -P Ay :m s. 04 N SUN HILL ROAD o o � 31.4�f CONCRETE FOUND. 104.46' TF=67.4' 0 0b o ^ c LOT 6 N/F INDIAN SPIRITUAL AND CULTURAL o�2? c g�• 4 co LOT 6 JOB # 89-091C CERTIFIED PLOT PLAN LOCATION : SUN HILL RD. W. 'BARNSTABLE, MA PREPARED FOR: SCALE : 1" = 50' DATE : JUNE 10, 1998 REFERENCE LOT 5 PB 420 PG 92 MICHAEL MACHERAS I HEREBY CERTIFY THAT THE STRUCTURE 1N OF SHOWN ON THIS PLAN IS LOCATED ON THE ARNEy� GROUND.AS SHOWN HEREON. H. off 505-362-4541 3 QwJ1 fox 608 362—OM J No. o cape engineeriag, inc. 0 9 I I S CIVIL ENGINEERS / / NO LAND SURVEYORS DATE REG. LAND SURVEYOR 919 main sL yarmouth. ma 02675 TOWN OF BARNSTABLE r CERTIFICATE OF OCCUPANCY = - PARCEL ID 196 007 004 GEOBASE ID 37076 ADDRESS 50 SUN HILL ROAD PHONE W BARNSTABLE ZIP (� LOT 5 BLOCK . LOT SIZE DBA DEVELOPMENT DISTRICT WB PERMIT 40457 DESCRIPTION SINGLE FAMILY DWELLING (BUILDING PMT #31391) PERMIT TYPE BC00 TITLE, CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health,'Safety ARCHITECTS: and Environmental Services TOTAL FEES: BOND $.00 CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE 1 PRIVATE P. Q ►xrtsrABi.E, +' MASS. 16,39. � . _,_._� ED Mp►l A i BUILDI DIVIS BY DATE ISSUED 08/17/1999 EXPIRATION DATE Lk TOWN OF BARNSTABLE BUILDING PERMIT PARCEL ID 196 007 004 GEOBASE ID 37076 • ADDRESS 50 SUN HILL ROAD PHONE W BARNSTABLE ZIP - LOT 5 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT WE PERMIT 31391 DESCRIPTION SINGLE FAMILY DWELLING SEPTIC NO 98-338 PERMIT TYPE BUILD TITLE NEW RESIDENTIAL BLDG PMT CONTRACTORS: PROPERTY OWNER Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL BOND FEES: $46$$.00 CONSTRUCTION COSTS $150,000.00 101 SINGLE FAM HOME DETACHED 1 PRIVATE P Q ; • fA�N3TASIE. • 1639. MA88. BUILDING BY DATE ISSUED 06/05/1998 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED 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 FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD'KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLE.POST THIS CARD SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION tAPPROVALS 2 2k� / IrH 2 1 HEATING INSPECTION APPROVALS m �� 9 Z7 BOARD OF L r7�v-lop OTHER: E LILI SITE PLAN REVIEW APPROVAL vq�1 �Ji WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. ;. :..�c,�u,o.,y1�,-sr,s,.,,,v„rr -,v,"n<�.vr*.a....ys...,...�.os.ydya,..�=-.v::u.. :.-- -�. .. - ;.�.'�vT-.rrs......`..�+'�.+✓c-.:.v'c�..,.«....--���•••`Y�'-k{, BIKE A The Town of Barnstable BARNSTABLEDepartment of Health Safety and Environmental Services t639' �Fc► Building Division 367 Main Street, Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection A---Je - Location „� Permit Number Owner Builder One notice to remain on jobsite, one notice on"file in Building Department. The following items need correcting: n3110-,,` 1Z__ n(-1f A P P lsC '�F Co--L" C le? Please call: 508-790-6227 for re-inspection. Inspected by Date r/✓nf/ �l�c� l�V/wfwQ- c� ��'�� 1�� �� ��G�-�4 � � ., �' ��� � 1 I 16 l i i i 1 " t Y s I � I • 0 \ �I vo, - - - ---------•_l. ' ' _`_.../� .__c,r=:b.-.-------. ... •--_-.._ _._ ;fir / 'YJ¢` 'r:e,�`r^ +...+'���n.-r`r r.�..q� , -tc.. -.`1�' 'c...•.-• —v" ' 1 I _ I f Engineering Dept.(3rd floor) Map { 6 Parcel 0 gb Permit# �-- House# Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4 )� ���� 33 Fee/ Sep�'BGb Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) Yv1 ;la <<EQ/N���v7 J/Planning Dept. (1st floor/School Admin.Bldg.) v�. �V/�0 � L/A N � Definitive Plan Approved by Planning Board Ll 19 "(F f . TOWN OF BARNSTABLEf° `p •vim 1• Building Permit Applic iop Project Street AddressS -ra , tj Village Owner Address' Telephone dk Permit Request G VV• 10" �i,i First Floor square feet Second Floor �, o square feet ., Construction Type YR(a p .e� M G Estimated Project Cost $ Q ,Q .O 0 Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House VYes ❑No On Old King's Highway Q Yes ❑No Basement Type: 1(Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 3pc7 Number of Baths: Full: Existing = New Half: Existing New No. of Bedrooms: Existing New '44 Total Room Count(not including baths): Existing New — First Floor Room Count Heat Type and Fuel: �d Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) �.Cj �e , ❑Barn(size) ❑None ❑Shed(size) +. ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use k eoo Q o no e 4 c e_ _ Builder Information S. Name 1�7 W Telephone Number Address License# 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 SIGNATURE _ DATE — BUILDING PERM90�D&IIIED FOR TH F LOWING REASON(S) i FOR OFFICIAL USE ONLY n r PERMIT NO. => DATE ISSUED ; v MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME 1 INSULATION 0 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: °% ROUGH FINAL GAS: CROUGH FINAL FINAL BUILD.INO DATE CLOSED O-U') � " r ASSOCIATION PLAN NO. QM :dii.',r;w�•'r'y,.;,.-�¢+t"til�Ca .. �,4�..yJ�ht`i,U"r'�ilVyiwkir"6""{�Fg'�. - Y - .r i is �,HE r The Town of Barnstable . BARNSTABLE. • Department of Health Safety and Environmental Services• MASS g t639. �0 �EONay° Building Division 367 Main Street,Hyannis, MA 02601 r Office: 508-790-6227. - Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection P r Location � V i-j aL to Permit Number OwI A 44&t!/,-' Builder_ One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: L) ` 4 41A . r F Please call: 508-790-6227 for re-inspection. r n r . Inspected by Date PP_ ........... ................... ............ .... .... .... ............ DATE(MMIDDIYY) .. . .. ....... . ... ... .... .. ... .. ..... 06/04/1998 COR .... .I ............. NOE' ............... ......... ... ..... .......... P PRODUCER (508)775-5830 FAX (508)775-6688 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION organ-James Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 474 Barnstable Rd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO Box 250 COMPANIES AFFORDING COVERAGE ...............6................................................................................. Hyannis, MA 02601 COMPANY Commercial Union Attn: Sandy Cincotta Ext: A ..........................................................................................................................................................I............................................................................................................................................. INSURED COMPANY Legion Insurance Michalis Macheras B PoBox 714 ................................................................................................................................................... Hyannisport, MA 02647 COMPANY C .................................................................................................................................................... COMPANY D ................... ..................... ... ....... .................... ..................... ............. ..................................................... ... .... .................................. .. ...................... . ....... ........................................................................... ........... ........... ... . . . .. ...... ................. •THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ................................................................................................................................................................................................................................................................................................. CO POLICY EFFECTIVE POLICY EXPIRATION: LTR TYPE OF INSURANCE POLICY NUMBER LIMITS DATE(MMIDDIM DATE(MMIDONY) GENERAL LIABILITY GENERAL AGGREGATE :$ 600,000 ...................................................................................... COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 600,000 ....... ........ ....................................................................................... ...... X OCCUR:CLAIMS MADE PERSONAL&ADV INJURY :$ 300,000 : 05/20/1998 : 05/20/1999 ..................................................................................... A ....... TBI OWNER'S&CONTRACTOR'S PROT: EACH OCCURRENCE :$ 300,000 ..........*........ ........................................ FIRE DAMAGE(Anyone fire) $ 100,000 ....... .................................................... ........................................... ...........*...........11........ MED E)(P(Any one person) $ 5,000 AUTOMOBILE LIABILITY ...... COMBINED SINGLE LIMIT :$ ANY AUTO .................................. ........................................ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS Per person) ......................................................................... HIRED AUTOS BODILY INJURY :$ (Per accident) NON-OWNED AUTOS ...................................................................................... ........ .................................................... PROPERTY DAMAGE GARAGE LIABILITY AUTO ONLY-EA ACCIDENT ................................................. . .............ANY AUTO OTHER THAN AUTO ONLY: ................. .....1. .........................................................%............................. ......... . ..... ....... EACH ACCIDENT:$ .................................................... ....................................................................................... AGGREGATE:$ EXCESS LIABILITY EACH OCCURRENCE :$ ............................................. ....................................... UMBRELLA FORM :$ AGGREGATE ................................ ..................................................... OTHER THAN UMBRELLA FORM WC gym- ............................. .. ....................... ..WORKERS COMPENSATION AND ....... ......................... ....... ..... . .......................................................... ...................... EMPLOYERS'LIABILITY EL EACH ACCIDENT :$ 1001000 B ........ :TBI :: 05/20/1998 05/20/1999 ...................................................................................... THE PROPRIETOR/ : : INCL EL DISEASE-POLICY LIMIT s 500,000 PARTNERS(EXECUTIVE ...................................................................................... OFFICERS ARE. EXCL: EL DISEASE-EA EMPLOYEE. $ 100,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESISPECIAL ITEMS ....................... ...... ............................... .......... ......... ..... ....................... .. .............................. ........... .... ............ .......................... ... ................................. ............................. .............X.:.......... ........................... ... 0, ..N , ..... .. ........................ ...................... .......... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. Town of Barnstable AUTHORIZED REPRESENTATIVE Sandy Cincotta .... .. .. . ..... ..... . .............. ...................................... . ................. ........................... ..:;... . WOMMMA ... ......... . ......................... ............ . .... f / r � _ � � t Al - t MCURAppemft j ' Table ALlb(condoned) Fmcriptive Packages for One and Two-Family Residential Bolldinge Heated with Fossil Fneb MAXIMUM MINIMUM Glazing Glazing Ceiling Wall Floor Basement Slab Heating/cooling Areal(4'•) U-valuc2 R-value' R value' R vaiIm Wall pr:timeter Equipment Efficiency' Padmge R-value° , It value' $701 to 6500 Heating Degree Dare' Q 12% 1 0.40 38 13 1 19 10 6 Normal R 1251& 0.52 30 19 19 10 6 Nona! S 12% 0.50 38 13 19 10 6 83 AFUE T 15% 0.36 38 13 25 WA WA Normak U 150% 0.46 38 19 19 10 6 Normal V 15•/0 0.44 38 13 25. WA WA 85 AFUE W 15% 0-52 30 19 19 10 6 85 AFUE X 19% 0.32 38 13 25 WA WA Normal Y 19% 0.42 38 19 25 WA WA Normal Z 18% 0.42 38 13 19. __ 10 6 90 AFUE AA' i s% 0.50 30 19 19 10 6 90 AFUE 1 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: D 3. SQUARE FOOTAGE OF ALL GLAZING: �SO 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL' YES: NO: q-fomts-080303a 780 CMR Appendix J _ Footnotes to Table J5.2.1b: ' ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights,.and basement windows if located in walls that enclose conditioned space, but excluding opaque doors)to the gross wall area,expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 W of decorative glass may be excluded from a building design with 300 ft'of glazing area. Z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.3.3a. U-values are for whole units: center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be.substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example, an-R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. `The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value�requiiements�are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3,4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall, floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 '�� : — ....�+owe..'�f'lF�-•y�K'r'��'.`AOR�*s�Wl'R"lT�-+a'+�apnaS Tfbi'f:*�.'Cr1�..A,'.li�F`j 1"'�v:;! ';�i.., �, ,�. �,F•':i�•��� Engineering Dept. (3rd floor) Map 196 Parcel 10 ' / lY'Vb Permit# ., 2•,! House# Date Issued U 2 Board of Health(3rd floor)(8:15 -9:30/1:00- ) ON— 33 _Fee V6 Ck3 Conser;;a n Office(4th floor)(8:30-9:30/1:00-2:00) .,'Planning Dept.(1st floor/School Admin. Bldg.) / DIME Definitive Plan Approved by Planning Board '7 — 19 7 CY\ BARNSTABLE. f -P MASS. TOWN. OF BARNSTABLE Building Permit Application Project Street Address t F U S N L ( � S Village .�- Owner M 1A L4 C N ,�Q S Address 20 guy, 1 IL� I \I A W N ISPO g I Telephone Penriit Request ✓v N o M�: First Floor _ square feet Second Floor 12 n c7 square feet Construction Type O Q i�,R►4 H G Estimated Project Cost $ I ,® O O Zoning District Flood Plain Water Protection Lot Size 0 A C Grandfathered ❑Yes ❑No Dwelling Type: Single Family 51 Two Family ❑ Multi-Family(#units) Age of Existing,Structure Historic House V Yes ❑No On Old King's Highway NrYes ❑No Basement Type: .g Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 3pc�• Number of Baths: Full: Existing k • — New Half: Existing New No. of Be l ooms: Existing New Total Room Count(not including baths): Existing New g First Floor Room Count Heat Type�and Fuel: ' Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing- New j j Exist n&wood/coal stove ❑Yes El No I Garage: ❑Detached(size) Othei DetacheilStructures❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals•Authorization ❑"Appeal# Recorded❑ <r Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use �,�o c 4 ��P.vi C Builder Information Name /�GlJ,/7 P_ Telephone Number Address License# 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. r` 'ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 17 SIGNATURE < / DATE BUILDING PERMI DEkIED FOR TH FO`LLOWING REASON(S) • V FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED, MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION _ FRAME INSULATION FIREPLACE i ELECTRICAL: ROUGH - FINAL + PLUMBING: ROUGH FINAL ; GAS: ROUGH FINAL i FINAL BUILDING ' l • i DATE CLOSED OUT ASSOCIATION PLAN NO. 1 C The Commonwealth of Massachusetts _-_ - Department of Industrial Accidents '� Office 01/ayesff9ations 600 Washington Street , Boston,Mass. 02111 Workers' Com iensation Insurance Affidavit i i iiiio name: n location: L Q 41 Ll R.� city �2 phone# I g � ❑ I am a homeowner performing all work myself.. p /❑ %%%% %/%%%//%%///%%%/////// /// %I%%%/////%////%////%//%%%%%/////%%/%%//%///////%/%//%////%%%%%�%%%�//�/%�///%%/%//%//, acty ❑ I am an employer providing workers' compensation for my employees working on this job. company name.. . address• city: hone#. Q insurance co. �� olicv# I am a sole proprietor, ge eral contractor, or homeowner(circle one)and have hired the contractors listed below who `have the following workers' compensation polices: company name 1% . :::::..::::•:. _. .. .....:..... a:: ,...... ;:. ....:. phone#... .. :. insurance co olity# <:: ;,...... company name• Y. address: _. .: phone#. insnrance co:. plied#..: / Failure to secure coverage as requited under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a tine up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify un the 'ns d penalties o erjur hat the information provided above is truo and correct Q� Signature Date Print name Phone# official use only do not write in this area to be completed by city or town official city or town: pernrit/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required. ❑Selectmen's O1Hce ❑Health Department contact person: phone#; ❑Other (revised 9195 PIA) r l Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. '} r 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;aiid;iricluding the legal representatives of a deceased employer, or the receiver or rr; • 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 therem,,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 section 25 also states that every state or local licensing agency shall withhold the issuance or renewai of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance 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. 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 pernut/license number which will be used as a reference number. The affidavits may be returned io 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. f` please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Imlestlgadons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 ............ ................................ .............................. ... ........... ... .. .... ................................................... ........ ... .. ........... .. .......... DATE(MMIDDNY) .......... ..................... .................................. ..CY1. XL............... ...S ....... 06/04/1990 PRODUCER (508)775-5830 FAX (508)775-6688 THIS CERTIFICATE IS ISSUED AS A MVTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE organ-lames Insurance Agency, Inc. 0 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR LT T 44 Barnstable Rd. THIS THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO Box 250 COMPANIES AFFORDING COVERAGE .................................................................6................................................................................. Hyannis, MA 02601 COMPANY Commercial Union Attn: Sandy Cincotta Ext: A ........................................................................................................................................................................................................................................................................................................ INSURED COMPANY Legion Insurance Michalis Macheras B PoBox 714 .................................................................................................................................................... an Hyni sport, MA 02647 COMPANY C .................................................................................................................................................... COMPANY D ........... . .... .... ....... .............................. ......................... . .......................... .......................... ........................... .. ... ---- ... .................................... ............................ ..... .......... ...... ......• • ..• ........... ........................... . .... ................................................ .. . ....... .. ......................... THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW BEEN ISSUED TO THE INSURE'D' NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ................................................................................................................................................................................................................................................................................................. Co POLICY EFFECTIVE POLICY EXPIRATION: TYPE OF INSURANCE POLICY NUMBER LIMITS LTR DATE(MMIDDNY) DATE(MMIDDNY) GENERAL LIABILITY GENERAL AGGREGATE :.$ 600,000 X ..................................................................................... COMMERCIAL GENERAL LIABILITY ................ PRODUCTS-COMP/OP AGG $ 600,000..................................................................................... X OCCUR $ 300,000 CLAIMS MADE PERSONAL ADV INJURY ..................................................................................... A .............. ...... TBI :: 05/20/1998 : 05/20/1999 OWNER'S&CONTRACTOR'S PROT: EACH OCCURRENCE $ 300,000 ..................................................................................... FIRE DAMAGE(Any one fire) $ 100,000 .................................................... ...................... ....................................... MED EXP(Any one person) $ 5,000 AUTOMOBILE LIABILITY a COMBINED SINGLE LIMIT $ ANY AUTO ...................................................................................... ALL OWNED AUTOS....... BODILY INJURY SCHEDULED AUTOS (Per person) ..................................................................................... HIRED AUTOS BODILY INJURY (Per accident) NON-OWNED AUTOS ...................................................................................... .................................................... PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ...................................... ...................................... ............ ANY AUTO OTHER THAN AUTO ONLY: "." :.......................... . ........ .......................... .......... .. ................ .......... ........... EACH ACCIDENT:$ ........ .................................................... ..................... ....................................... AGGREGATE:$ EXCESS LIABILITY EACH OCCURRENCE : $ ................................. : .............:........................................ UMBRELLA FORM AGGREGATE : $ .............................................. ....................................... OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND WC STA i u- U I ..................... ........................................ ........................................ TORY LIMITS ER .......... ............ EMPLOYERS'LIABILITY ........................................................................................................ EL EACH ACCIDENT $ 100,000 B :TBI 05/20/1998 :: 05/20/1999 ............................................... ....................................... THE PROPRIETOR/ i INCL EL DISEASE-POLICY LIMIT $ 500,000 PARTNERS/EXECUTIVE ...................................................................................... OFFICERS ARE: X EXCL: EL DISEASE-EA EMPLOYEE: $ 100,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESISPECIAL ITEMS ........................................................................................ ..... .......... .............. , * .- ................................. .................. ................................. ................ ..........****"*....... ........**,*,.*............ ...... . .. ................ .............. ........ ............. .............. ..................... ................ .................... ............... .................. ............ ...........1. .......... ............................ R.T. --M." 9 .......... .................. ....... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. Town of Barnstable AUTHORIZED REPRESENTATIVE ... . 11 . ..........................................-...-...:........................................................ ........................... Sandy Cincotta........................::`,.:::.*--- ....... ......... ........................................... ......................... R ......................O . ............................................. . ......... ........... Application to Old Kin 's Hi hwa Regional 8isibl c Dist'ict`Committee g g y .._ s. . in the.Town of Barnstable fora CERTIFICATION OF EXEMPTION .y, x Application is hereby made, in triplicate,for the issuance of a certificate of exemption under Section, 6 and 7 of Chapter 470, Acts'and Resolves.oi Massachusetts, 1973, as amended for proposed work as described below and on plans,drawings,or photo- .graphs accompanying this application. ;�:.•" , _- .,TYPE OR PRINT LEGIBLY /b DATE MAR 2 6 1998 ADDRESS OF PROPOSED WORK �V'' ^^����ASSESSORS MAP NO. t: 1 7 S OWNER �'� AQ try � � ASSESSORS LOT-NO• HOME ADDRESS - TEL. N0. ' t .� =r'"• •' ' - f yr` N- s�'..., x.. -,. •,'AGENT OR CONTRACTOR , .iiCfo M 1 .tt;%°• ,y ..�r�,.7�t r -1 ,.t: ADDRESS �.t^41�,,_.. TEL'.NO. �� k ,This placation is for exemption of proposed exterior construction.on the ground.that + : t :_ „4 (1) It will not be visible from any way or public place. (2) It is within a category'dechared entitled to exemption by Old King's Highway Regional Historic District Commission: .(Check applicable box) ra - .. '.PROPOSED WORK: Describe and.furnish`plan of proposed.work,showing location.on lot,and, if an addition Is involved,show- ,Jng location of existing building. �. , sf lt6-It' S. n: U' Own ont a for < SIGNED Space below line for.Committee use.'. 0 r•C r Agent ; �Recewed y Ili �C�T � 1 P 1,�The Certificate"is reby (Date a _ .. C TGth�N O 3t+Yty 1 Date Approved ' 0:• ; The categories of work entitled to exemption are listed on `'Disapproved' �. ! the back of this form: r Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET FOUNDATION "Y CJ C> SIDING TYPE COLOR Mv • CHIMNEY TYPE COLOR ROOF MATERIAL COLOR P,L PITCH g / WINDOWS O �,( SIZE TRIM COLOR DOORS O SC_o COLORS SHUTTERS (' COLORS GUTTERS ,l� rw�r1 COLORS �. r DECKS �i. MATERIALS P I GAR.AGE .DOORS " COLORS �f COLORS kliSIGNS FENCE: COLOR NOTES:. . Fill ,out completely, including measurements and materials/colors to be used. Three copies of this form 'are required for submittal of an application, along 'with three copies of the plot plan, landscape plan and elevation plans, when applicable. .SPECSHT' ' s7 +636 p unuN LOT 4 O CLUSTER It GRATE ELEVATION = 52.42' -> > 178.77' _J 54.6 0 Z 55.3;38 �t N 54.8' 387 j 3' .8 458 6 dray age, / + area s.a+5 3 54.2 3 c 5 a+5 4.3 53.4 57.o 460 5 * / 60.8+552 �. .4+457 3 57.2+461 � // 59.9*551 S' j:.5, 417 �o,� �• i . �r / ,/-- / 56.:; 467 ` 515. LOT 5 ED E `5 6 :`.9 \ �. / Area 4.5,�70-sgft- �? I PAVEMENT 55.51 I 415 " -58 % 1.03 Acres �3 \ +554 NO BERM ]' 378 s5.a - \ 56.6 466 si.o,547 3. 553 6�.e + 55.6ri 5:,+455 '� �1` 56�414 56 0 65 +555 cr � 1i.454 � --� 1 04.46' 56.4 376 45 �� r ^i; fib: •� ��/ /: �y � 4. -46 4 i / /, ) i 61. O i ✓:` / O ,'.\/ 7 � 631'���i ` ss. 55� � sy.4+558 157.7+541 67.2 564 /� 69.3 W32_ 67. � 590 �9- NSF INDIAN SPIRITUAL 3 � AND CULTURAL 63 72- r.- 0 - 72.8 563 4' -72 7 73- A 1'5' (p / N --74,- ��/�� 00 Y LOT 6 75.+J61 � � 62 i 178.77' LOT 4 N n NDRo, ugC�E Imo, �++SeM ✓i 1 / LOT 4 L • � oi' 5 SUN HILL ROAD �, o 0 31•4f CONCRETE FOUND. 104.46 V=67.4' o � 0 0 LOT 6 °' N/F INDIAN SPIRITUAL ,y AND CULTURAL 72?4co ,�• � ' LOT 6 JOB # 89-091C t CER TIFIED PL 0 T PLAN LOCATION : SUN HILL RD. W. BARNSTABLE, MA PREPARED FOR: SCALE - : 1" = 50' DATE : JUNE 10, 1998 REFERENCE LOT 5 PB 420 PC 92 MI CHAEL MA CHERA S I HEREBY CERTIFY THAT THE STRUCTURE Of SHOWN ON THIS PLAN IS LOCATED ON THE GROUND.AS SHOWN HEREON. ARNE s� H. off sos-as2-4s41 g O�lALA — tmc aoe as2-oeeo I down cape engineering, inc. CIVIL ENGINEERS LAND SURVEYORS - -----------/ ------ t9 main sL yarmouth, ma 02675 DATE REG. LAND SURVEYOR Application to �0 �P1$plPt.MS�NpP` Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a CERTI FICATE 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 r] Alteration Indicate type of building: [Z House Garage ❑ Commercial ❑ Other 2. Exterior Painting: QJ 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' ' ATE ADDRESS OF PROPOSED WORK �-C S ►"`'�^'� �' ASSESSORS MAP NO. 00�. OWNER ��' ASSESSORS LOT NO. 00 HOME ADDR ESS TEL. NO. <n K �Q FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). :7 C41ZI/►' %Gd I�S11�(1M ��/RPY 3 h 1 djYff/GL RIO d&-S L/9,8 AGENT OR CONTRACTOR TEL. NO. X 212` ADDRESS4 �� U. 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). �J V LO Signed O .er- ntractor-Agent ., Space below line for Committee use. ` Received by.H.D.C. r �i l7 �( C4 ( - Date :The Certificate is hereby� �IS I �""�'Date e To ell Approved ❑ IMPORTANT: If Certificate is approved, approval is subject to the 10 day appeal peri d provided in the Act. TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE S JOB. LOCATION sC� �� Number Street address Section of town "HOMEOWNER" e Home phone Work phone . - ..,• PRESENT MAILING ADDRESS it town State Zip code The current exemption for "homeowners" was extended to include owner-occupies 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. e 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 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 Offic'_ on a form acceptable to the Building Official, that he/she shall be resuonsib for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes responsibility for compliance with the St Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said Vures an re uirements. 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. HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for which, ""-building permit is required shall be exempt '-from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that ii Home Owner engages a person (s) for hire to do such work, that such Home Owr. shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see 'Appendix 0, Rules and Regulations for . licensing Construction Supervisors, Section 2. 15) . This lack of awaren 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 Owner ac-. as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware ' of his/Fier responsibilities, m. c,=unities require, as part of the permit application, that the Home Owner rtify that he/she understands the responsibilities of a, supervisor. On t . ..ast page of this issue is a form -currently used by, several towns. You may care to amend and adopt such a form/certification for use in your community. to co OALf.a s• S Ao{., ter i� t BE RE f910'I tLEYllTI OM w1Y00w6 LIST Jul — �fSJAl02:.QaG4S_.— 6YCM ri:-_im I,61N.� FM LOT 4-S svMMltt,/r0 {, AWL 6LE OTION _ A.H'•Iw MSYAHL6; Y - . .. l RicxT eiey 511 Ol . 1 /) LEFT EL6rM1TI0M RC1 S. SUMN/« ,vu . _ w•B4arar4.,. .49 Y • ;� 8�zY (bo%�� 24� U 0 `tl 3o' .b 1 F 20 1 1 LaT FPS sa"Ilt Ro ti Z• w. n �4! Y r LN tea. I .44L Lw y:lL Jr. I W _ Lot �1�O I 14YL ❑ S44L I • St rrLY �. Psi�P for I M _______—____—_____ i • . I 11 iv4L tO.L tb:L So•� iB,rL X. t ifi �s riYy 0 dor NSw -54B9krs D. ll2 Y I - El 144E � 1V Yt .441 .b �I O h I IS6 eL I . 1 1 la - I I LYhi 9ott 16ri .rat { . u Sy.�Rl R. N'B�/RNftfBlC. . i Y r 17 TV FIL C,�._Rmo E EP S TI (NOT JO SCAL At; T W"IN 6 . -TIN. 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PEIIWOR o '5Y,',6 X TH2 :2 5Y`'6 6 'd �V, area, F IRM FIR M 'A :0, 54.8 --F-47 29, 3 192 Z, ff 0 WA F .070 i4- TES 1 03 , 7., BENPHMARK SAS RED" i�a';ot'45 -LOT 5 Z T-f? �'ENGOVNTEI N, DATUM IS 'H GRATE�.EtVATION 53.3 7 YAN N IS, -SEPTIC DESIGN:," Ek I' -NOT �ALLOWED ATED 0 APPROXIM '(WBAGE DISPOS S p PROP WELL _F D ES I G N,-: DROOM D MUNICIPAU�' ATER JS ��`NOT, pD) 440 AVAILML�',' W, J 5T A �-'GPD ESIGN f7LOW �X �b -PIPE,�PITQH TO,BE" 1 t:�K,�,J-QOT.�,'� R FF"52.50, �MINIIMU AOOMT "U N IT GPD 2 0 ES I G N �,`LOAN N 0 :;FO R',--�ALL`P 8 10 '13 �4 §tPTIC TANK: 446 880 _�,tO?48TRUCTION DETAJLS;"T- USE"A �,,GALLON S EPT AVLM"1 660 -�`` `-"' TANK:, Ic -'A E�,JOI TS 70�`8 E �VrAl)Er W . . . NO SEW 6 0�"B :.i�M ASS o -HING: 7-7-- _�!V."`_ LEAC 0 '4 H IS,�`PIFA "IS`FOR::�PROPOSEO'VORK'ON LY�-MD�i;',NOT:�,,`,TO 56 2(505 �l 0.,6� 6.3 STAKII A-, - , � R, , J, r N E U USE6"�0,6' 'LOT _4'Jo, OV C E3bTTOM- "FOR 8 Z 6 92''. P M '-G D' -ACMEr'�'O Q tj N E d'"f-AND ��'Pt MiSSI'0 !'PONENTS,�.-.",NOTL"10�'-,,BE�BACKFIL M��,�:'OR:,,�CONCEALED:�-- U T 4 WELL 7 443' 0 TOTAL. f WTHO K§Ptbllb� 6y ��Or�,H tH USE'1(5) 500� L'. ING rHAMBERS P, WITH `AND Z' 4' �STONE," END E _�VEMDING JHE V_ GROUND,, & TILITIE5, �Rj()p tR tt 0`,_�!SHAL �',RESP0NSIBtE"F0R -AT S % 7 7, )dAllQN0?i --Aj b 6VERH NCE EN' 70:'CON % tEGEND. �-SEW 6F_ -ELEVAP AND L x `l 50 U , �: X EVATION', 1��OO PROPOSED'�z.SPOT, '�j AL IND 00' 0, TH TY R�mi 1. 7 T �,F `B tRNS A� E PROPOSED',tONTOUR -,�LLF� - 7��,,:��,, , I- I` "I - - 100 THI Oki t� J zwl ZJ!, * HRUS SUTTA13LE 'SOIL REQUIRED,�' CHERA' `7 N' `-'tO NT6'U R 100 AU, PARED OR P: -0EklM E`TER�OF,',,`SYSTM-DOW 4 OP. S �L�-�-AROU D� N JO (0 'LOAM LAYE 7; R 0 _��SANDY� WITIFF1 LEAN .1. IF, ��REPLACE CO SAN % k� -4 J "M D E D i 4., �6A, M�F� F.i t=Tk 1 '7, t -21 7 U N (VACANT)-� 2,r,, 7�p DATE APPROVED,�,, T". fT _F Z �V T 60"Z-4541 ;!2 k_' w J�, 1A V W� 7r EV s �Q 7 lFFAN'Dl;`_l'stTR VEYOT F." f `V arm 0 u 75 in Ar Au p V,