Loading...
HomeMy WebLinkAbout0012 TOWNHOUSE TERRACE UNIT BLDG 8 UNIT 12 - HOTELS/MOTELS f 'ccL h4� An ry c aAl 4C , o n 4t.. yY a ..drF .r' .. I• 't' � - Y � y r a L x 4 - t;• r r' Ian. [ .�Yr k�, _. F .. � ,x ,r ,•�.; .- .. L, ,r s w ° • N �.i 4' ., r + �,!7 a Iw'.�}• ... � 1 Fd� % �a ....: ' n t"i'}. •. ^ `rl :T:sy ,., :. < , f) a .. VIA" �y I) 4.. Y, ..: , .. [. f1i * ,c ,.7• r/'. T:r Y ..kt � � r:,' � s r,. - r' .. fit. '. s -., .. .. . rr " l is n a r , f t,• r r Y tp � �� d• 3 ,F n yp 7 ,r.r .5 �. ,tdi irt. .• .. - •i a Ir: �r,- k y r, , < • !n a,c.'dwi a ', •... .�5,r. r y �. v° M � rah,JSy{( �, �'E tyry., F 7� A � J .» \ ?' ' a�,:�� C N, t�. ..r ....,y .rA. !E fyir i � .. •i.' c� Y _ ,. � .. i � e x ' w��44 .o ,:+ rf. r: ,4 "V,. ...v..s � r' + I � � f r.. - , ���i �`� ry. I • .. , - r , F et. . e a a ' Iu 1 ` e , f � S ti '.`�. - ✓Y.:t' k i 3 y i w.d -N"�� r* } � t0 , n r : 4 21., t a A " t r Y v � , r .r, ., �. n ri r t 11:. ..' :. '{ .., w • -+ F, ^ ' F• a- -:i f • ':a .a 9 t : .<1'. w -J - I A ) yM L i r Ir 'lh f1 x. ( '( , r - � � ,. 1 -' Y. a - •. • � .. J ,.r { , r a , is r;. • ,. ,. .. - ,, ..._. , �a. .1 ,5 t_ 'al IFt,.` �' ^r 11 t r` n +• ,r ` r r <. tr t* - • ` - 4, ' , ,+. - ` - 1 ` y; - t - r • Town of Barnstable RAMST AB , = Board of Health 1639. �•�A 200 Main Street rFD MA'S Hyannis, MA 02601 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi May 29, 2008 Penelope Green Pinebrook Condominium Trust 25 Townhouse Terrace Hyannis, MA 02601 RE: Pinebrook Condominium Trust, Lifeguard Modification for the Swimming Pool Dear Ms. Green, We will allow you to employ "qualified swimmers," in lieu of the requirement to employ fully certified lifeguards, at your swimming pool located at the Pinebrook Condominium Trust, located at 25 Townhouse Terrace, Hyannis, MA. This includes persons in your pools and includes all other persons within the pool enclosure. The following conditions must be complied with: (1) The pool must be supervised by a "qualified swimmer" all times the pool is open. We wish to make it clear that this swimmer must be at the pool and cannot be observing from the desk unless another swimmer is provided and physically present at the pool. This swimmer must be certified in adult, child, and pediatric CPR by the American Red Cross, American Heart Association or equivalent, be familiar with lifesaving equipment and knowledgeable in first aid procedures. (2) All qualified swimmers shall wear orange colored hats or orange colored visors with the words "POOL STAFF" in 15 millimeter (5/8 inch) black colored lettering on the front of the hats. (3) The maximum capacity of the swimming pool is reduced to nineteen (19) persons. (4) You shall maintain a permanent record on a form prescribed by the Board of Health listing each swimmer supervising the pool when it is in use. The Q:\POOLS\QUALIF.SWIMMER LETTERS\Pool Modifi Pinebrook Condo w SwirnTest 2008.doc attached form must be posted at the pool site in a convenient location to be viewed by the Health Inspector any time inspections are conducted. (5) You shall submit a copy of the applicant's insurance policy naming the Town as coinsured in the amount of$1,000,000. (6) All other regulations contained in Chapter V, Minimum Standards for Swimming Pools, must be strictly complied with. (7) The qualified swimmers must hold a current American Heart Association, American Red Cross, or equivalent CPR certificates with training in adult, child, and pediatric CPR. (8) The swimming pool water must be tested for coli form bacteria at least monthly by a certified laboratory. Please be advised that if you exceed this capacity of 19 persons, your modification will be invalid and you will be required to cease operation of the pool. This modification expires December 31, 2008. It is your responsibility to ensure that you request renewal of the variance from the lifeguard requirements each year prior..to opening the pool. Sincerely yours, Thomas A. McKean, CHO Town of Barnstable Public Health Division Attachment QAPOOLS\QUALIF.SWIMMER LETTERS\Pool Modifi Pinebrook Condo w SwimTest 2008.doc APPLICATION FOR.A-PERMITTO OPERATE�A SWIMMING POOL Application is hireby,made foc a.petigit to operete a public`or'semL ubiic*swimming--pool. This pool is to be operated in accordance with 105 CMR 435.00:Minimum standards for swimming pools(State'Sanitary Code: '. Chapter V)and the Town of Barnstable Code. L! OWNER: /nn ine Aiennk EMAIL: PHONE: d08-88S-9 V99 POOL LOCATION ADDRESS: 0`�5 own J�au�� ?��2� �/annJ' ii'►i�'" �_'•``ioZGQ/{.,, ' ( j � -.: a3l/ ry ..�. '.t�aj'.• -. lN.+ .��, .`1.Y,•., i �. • \'.` JS•. a . ! 4 MAILING ADDRESS: m e nn ar0e)FM. 11C @ MAIN CONTACT NAME: /".4 1/ �ARon/ EMAIL: PHONE: 50 8 POOL TYPE:(circle one) INDOOR POOL UTDOOR P,OOL,' SPECIAL PURPOSE(ie.hot tub) SAUNA SKETCH: Please attach a LegibLe detailed sketch with dimensions,depths and detailed pool volume calculations .J ! ' ��,.; ,. •.:'i ;S 'i r! :: ,� e" arr.- s.r1 t 3` ..'.... t?.. �S • 4s''-:. i 1 t r• i z••. - 4 t jj r' f SIZE: Swimming area(>S'deep) o G sqA. Non-Swimming area(<or=5') OO - �, MAXIMUM BATHER LOAD:Swimming area:,_people. Non-Swimming area: people Bather load caics per 105 CMR 435.27: 15 sq.ft,of surface area per person for non-swimming area 20 sq.ft.of surface area per person for,swimming area= T - IO:sq.it:.of'surface area per cersori fo special purpose pools ` POOL SUPERVISION:(circle)` 'Lifeguard' �Qq'alified Sw.immer!`j. Lifeguard Exemption*** f *See Page 2,Box I - **See instructions on page 2,boz Z and agreement=form on page 3., :j ***See instructions on page 2,box 3'and agreement form on.page,_4., I , CERTIFIED,POOL.OPERATOR_; e o la_ s Sa teach copy of CPO certificate)✓ t DISINFECTION(type of chemical;meth6d,capacity,etc )' "' 'C'��o f� �� g FILTRATION(type,size,etc) -SOB NUMBER OF MAIN S if>1,drain cover:centers at-least 3'tapart? DRAIN( ): _ ADDITIONAL SYSTEWDEVICE FOR ANTI-ENTRAPMENT ANSIIASME'A t 12.19.8 COMPLIANT,DRAIN COVERS? • (unblockable drauts exempt if they are at least I X! 23"or at least 29"diagonal measurement) ' ,// SPECIAL NOTES: �- -s.5 CC. r rir, s l oa C'L�`f n n `czn nA DATE: b _,o - oa J .SIGNED: *NOTE: You must file a separate application to each swimmingispecial°purpose pool. " - .,; , t '.r !i, • y. . .r f.. _ ! ,tr 11k IKCOMPLETE-APPLICATIONS WILL NOT BE ISSUED A PERMIT FEES: Swimming pools,special purpose pools(ic.hot tubs,whirlpools),wading pools $100'Y Saunas=$30 Motels=$50 Q.kAppficwton Fomsftol Xpp1jcwi6h Revised oc i 'c � R r M 41 ,LIFEGUARD'/LIFEGUARD MODIFICATION OPTIONS-I. ...'.", r LIFEGUARD'/OVALIFIED SWIMMER/NO LIFEGUARD OPTIONS . .` �,. : r� � �? a ..' " �} .. .,pry} i•..,t.�r:t ' _, � ,. - .. `) 11' P ..fa'.-i t� THREE OPTIONS: t) LIFEGUARD(see below).,..._ 2):QUALIFIED SWIMMER(see below) 3) LIFEGUARD DEREGULATION—no lifeguard,no qualified swimmer(see below) LIFEGUARD OPTION �. Please provide the following when submitting Pool Application(s). I. - CPO CERTIFICATE II. LIFEGUARD,CERTIFICATES—Fully Certified Lifeguard and Current CPR and First Aid Certificates III.WATER TEST:RESULTS e ..y • p�.1,ki4''",;,'t" `! .?•v�i .�.. ., i't ,.r `P r ..i f,7• 't� -! .... ;x.+r r '!r t • h t t7• 11 QUALIFIED SWIMMER OPTION, The Quali'fibd Switrimer Option requires a.variance granted from,;the Board of�Health A) If the owner/operator has already been before the Boar&of Health and has-been kranted z ; their initial lifeguard modification variaAm-SKIP'STEP,ili and MOVE:TO$TEP,II.14 B) If the owner/operator is interested in employing qualified swimmers and has nevercome,,' before the Board of Health for a lifeguard modification,variance, START)WITH STEP . , l., I:- SUBMIT A VARIANCE REQUEST FORM TO THE BOARD OF HEALTH FORA LIFEGUARD MODIFICATION VARIANCE. The owner/operator must submit the Variance ' Request Forms along with the documents'required for'qualified swimmers;(Variance Request Forms , are on Town's website under the Department"Health") II. SIGN,THE ATTACHED.QUALIFIED SWIMMER AGREEMENT FORM AND FOLLOW 't LIST OF REQUIREMENTS'(on page 3}and submit along!with the requested attachments. III. WATER TEST RESULTS ,3) LIFEGUARD DEREGULATION OPTION (No Lifeguard,No Qualified Swimirier) THIS ONLY APPLIES TO ESTABLISHMENTS WITH 75 OR LESS UNITS IF CHOOSING 'THIS OPTION; PLEASEySEE SEPARATE SHEET rt one a' de`4)�—L--'if' •ward'Zxein tion. QMpplic;6 FormslPool r l APPLICATION FOR A PERMIT TO OPERATE A SWIMMING POOL �a Application is hereby made for a permit to operate a public or semi-public swimming pool. This pool is to be;V operated in accordance with 105 CMR 435.00: Minimum standards for swimming pools(State Sanitary Code-M Chapter V)and the Town of Barnstable Code. � 000 OWNER: /01ne,01,000k EMAIL: PHONE: SOS-��s:gsr49 POOL LOCATION ADDRESS: o9S - r�hai)S-Z ��oY`. 7V '. ���,n a.3 0 ZGD( 4•�; all, MAILING ADDRESS: 6 0//c /-Co rPi �� f MAIN CONTACT NAME: PA0l2'qROe'/ EMAIL: PHONE: Oe--3w-/S5-7 POOL TYPE: (circle one) INDOOR POOL OUTDOOI, POOL SPECIAL PURPOSE(ie,hot tub) SAUNA ,y SKETCH: Please attach a le ible detailed sketch with dimensions, depths and detailed pool volume calculations SIZE: Swimming area(>5' deep) sq.ft. Non-Swimming area(<or=5') 00 sq.ft. MAXIMUM BATHER LOAD: Swimming area: people. Non-Swimming area: people Bather load calcs per 105 CMR 435.27: 15 sq.ft. of surface area per person for non-swimming area 20 sq.ft. of surface area per person for swimming area 10 sq.ft. of surface area per person for special purpose pools POOL SUPERVISION: (circle) Lifeguard* ualified Swimmer * Lifeguard Exemption*** *See Page 2,Box 1 **See instructions on page 2,box 2 and agreement form on page 3. ***See instructions on page 2,box 3 and agreement form on page 4. CERTIFIED POOL OPERATO assac- Jne.. attach copy of CPO certificate) DISINFECTION(type of chemical,method,capacity,etc.) CA to eln. ,. � �` % FILTRATION(type,size,etc) C�� �n�l�1 ;/,�e� _ L5-0c -cq NUMBER OF MAIN DRAIN(S):�_If>1,drain cover centers at least 3' apart? ADDITIONAL SYSTEM\DEVICE FOR ANTI-ENTRAPMENT: ANSAASME A112.19.8 COMPLIANT DRAIN COVERS? (unblockable drains exempt if they are at least 18"X 23"or at least 29"diagonal measurement) SPECIAL NOTES: .o -ssa ca DATE: SIGNED: kz— *NOTE: You must file a separate application for ach swimming\special purpose pool. INCOMPLETE APPLICATIONS WILL NOT BE ISSUED A PERMIT FEES: Swimming pools, special purpose pools (ie. hot tubs, whirlpools), wading pools=$100 Saunas= $30 Motels =$50 1 �oFz"ErO`tti Town of Barnstable BAR„S.,BLE. * Board of Health i639• aim 200 Main Street, Hyannis, MA Hyannis, MA 02601 Phone: (508) 862-4644 Fax: rE�Mp� (508) 790-6304 Permit To Operate A Swimming Pool In accordance with the provisions of Chapter 1 1 1 , Section 127A of the General Laws, and Regulations established by the Massachusetts Deparment of Public Health ( 105 CMR 435.00) permit is hereby issued to: Pinebrook Condominium Association Corporation or Individual Is Granted A Permit To Operate A Swimming Pool At: 2 UNIT 2 TOWNHOUSE COURT, HYANNIS U For the Operation of: Health - Pool - Outdoor Pool Permit Number: PO-1 7-50 Method of Water Treatment: Chlorine 3" Tablet Feeder Bathing load not to exceed: 19 Effective Date: 1 /1 /201 8 Expiration Date: 1 2/31 /2018 _ Fee: 100.00 Outdoor Pool. Pool location is 25 Townhouse Terrace, Hyannnis, Thomas McKean MA 02601 . Public Health Director Qualified Swimmer must be at pool site all times pool is open. When using no lifeguard, due to exemption, bather load is limited to 19 people. POST CONSPICUOUSLY �� GENERAL SPECIFICATIONS SIZE: DEPTH: REFERENCE NUMBER: TILE: COPING: DECK:TYPE: EXISTING PATIO: 18'-2' �11 FINISH:TYPE: .1 PUMP:TYPE: SIZE: t i FILTER:TYPE: SIZE: Appl—Ladder HEATERTYPE: SIZE: ' © —9' ® � '; Location SKRAMERS: LIGHT:TYPE: REOD: CLEAMNGSYSTEM: Appro..Ladder/�. �— , T POOLCONTROL: L ocation • 1 SAMTIZA110N SYSTEM: II `^ OTHER: i SPA SPECIFICATIONS SIZE: ELEVATION: THERAPYJETS: THERAPY PUMP: I CONTROLS: LIGM: � SPILLWAY: OTHER. I- Appro..Ladder/� f � — Locallon ❑ �' �% � 'i I- 43. O i s-S 3/B. 15. 7. : I f _: -----------._.._-_.---- - --._._ --- ® o P1 SCALE: Y4"=1' Approx. Water Height P1 34'-3" NAME: Pinebrook Condos 4'-0" ADDRESS:Townhouse Terrace I __-------= Gm:Hyannis zip: 02601 7'-5 Slope REP Rus PHONE. — CUSTOMER SIGNATURE DATE VIOLA SCALE: 3/8 ASSOCIATES 3'1 Slope 110 ROSARY LANE,HYANNS MA 02601TA, 1 p (508)771-3457"OLAASoSOCIATES.COM (MAX) LlJP 7,25.17 SCALE:AS SHOWN ,aco CERTIFICATE OF LIABILITY INSURANCE6LEMM/D"YYYY) /2O/2018 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 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 endorsement(s). PRODUCER CONTACT Laura J Murphy HART INSURANCE AGENCY, INC. PHONE (508)759-7326 FAX 508-759-7366 243 MAIN STREET c o E AIC No PO BOX 700 ADDREAJL SS: Imurphy@hartinsuranceagency.com BUZZARDS BAY,MA 025320700 INSURER(S)AFFORDING COVERAGE NAIC N INSURER A: Arbella Protection Insurance Co INSURED Pinebrook Condominium Trust INSURER B: _ PO Box 314 South Dennis,MA 026600314 INSURER C: INSURER D: 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 POLICY NUMBER POLICY EFY MM/DD VYYY LICY EXP LIMITS LTR A GENERAL LIABILITY 8500038326 09/02/2017 09/02/2018 EACH OCCURRENCE $ 1000000 DAMAGE TO RENTED SOOOO COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS-MADE IV OCCUR MED EXP(Anyone person) $. 5000 PERSONAL&ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1000000 POLICY PRO• LOC $ AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT _Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident)_ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE - AGGREGATE $ DED RETENTION $ WORKERS COMPENSATION - WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N YLIMITS ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N I A (Mandatory in NH) E.L.DISEASE•EA EMPLOYEE $ II yyes,describe under — DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,it more space is required) Operations as provided for by the Terms&Conditions in the policy. Town of Barnstable additional insured under General Liability as respects Operations of Pool 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 HEALTH DIVISION ACCORDANCE WITH THE POLICY PROVISIONS. 200 MAIN STREET HYANNIS,MA.02601 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD