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Home My WebLink About0014 GRAYTON AVENUE _A� /� _ �- �- I�� , �;� y ,I `� ,�I . -. __ �. PESCE ENGINEERING & ASSOCIATES, INC. 451 Raymond Road Plymouth, MA 02360 t Phone: 508-743-9206 Cell: 508-333-7630 epesce ancomcast.net March 18, 2017 Mr. Paul Roma Town of Barnstable Building Commissioner 200 Main Street �DOIVG Hyannis, MA 02630 AfAY �T ro Subject: Retaining4 Gra Construction MAons N®'�BAR//Srq� Yton Ave HY Port, Ct Dear Mr. Roma, On behalf of my clients, Tim Martin and Lan Xue, I would like to confirm that I have performed multiple inspections of the construction of the concrete retaining wall for the new pool under at 14 Grayton Ave. I inspected the footings and walls in September of 2016 (before concrete was poured), to ensure the steel reinforcing bar was installed properly. I further conducted follow-up inspections after the concrete was poured, and when the wall was backfilled. See some attached photos from these inspections. I-wantto report that the retaining'wall was constructed properly and in substantial conformance with my original design plans (Proposed Pool Grading Plan, Sheet 2 of 2, . Dated 20 May 2016, and revised 27 May 2016). Thank you for your help with this project, and please contact me if you have any questions. Sincerely, Edward L. Pesce, P.E., LEED °AP Attachment (construction photos) cc: John Hill, Joyce Landscaping __ I 14 Grayton Ave., Hyannisport, MA Construction Photos A � C bs • �* • Footings and re-bar placement (8 Sept. 2016) " 7':�' sJ r a *; r„ ✓ „ Walls poured and pool interior forming (22 Sept. 2016) 4 ,.a. ems.. �� .� �_� t "�'�--ale � j�k "`, ,4` Yy� �' � K�Pa7�l��N►1/ _ Concrete and pool work complete (13 March 2017) PESCE ENGINEERING &ASSOCIATES, INC. Phone 508-743-9206 451 Raymond Rd., Plymouth, MA 02360 �J r Roma, Paul From: Ed Pesce <epesce@comcast.net> Sent: Tuesday,March 21,2017 12:45 AM To: 'John Hill'; Roma, Paul cc: 'Eric Dare'; 'Kerry McNamara' Subject: 14 Grayton Ave - Retaining Wall Construction Verification fetter Attachments: Bldg. Insp. Ltr-14 Grayton-18 March 2017.pdf Hello Paul & John, hope all is well. „ I'm writing form Seoul, So. Korea. I'm on active duty for an exercise which simulates N. Korea;;`.. invading So. Korea (which we do every year). It's pretty cool working with the ROK Army,tthe other UN countries, and various DoD agencies on this — planning the Army Engineer support of the counter offensive. Not something I do every day for sure. I'm out here now and then to Germany & Italy at the end-of the.week to visit 3 other Army Commands there — I'll be back in the US on April 3rd Please find attached my letter for you Paul —documenting my required construction inspections, and confirming that the retaining wall for the pool was constructed properly, and in substantial conformance with my design plans. The team from Bay Colony Forms were great to work with; and did a great job — no issues. Let me know if you need anything else. Thank you, ED E ... ar L. a Edward sacs, ,�..�.s LEE AP Pesce Engineering &Associates, Inc. 451 Raymond Road ` Plymouth, MA 02360 office: 508-743-9206 - Cell: 508-333-7630 epesce(a)-comcast.net 1 PESCE ENGINEERING & ASSOCIATES, INC. 451 Raymond Road Plymouth, MA 02360 Phone: 508-743-9206 Cell: 508-333-7630 epescea-com cast.net 4 March 18, 2017 Mr. Paul Roma Town of Barnstable Building Commissioner 200 Main Street Hyannis, MA 02630 Subject: Retaining Wall Construction Inspections 14 Grayton Ave, Hyannisport, MA Dear Mr. Roma, On behalf of my clients, Tim Martin and Lan Xue, I would like to confirm that l have performed multiple inspections of the construction of the concrete retaining wall for the' new pool under at 14 Grayton Ave. I inspected the footings and walls in September of 2016 (before concrete was poured), to ensure the steel reinforcing bar was installed. properly. I further conducted follow-up inspections after the concrete was poured, and . when the wall was backfilled. See some attached photos from these inspections. I want to report that the retaining wall was constructed properly and in substantial conformance with my original design plans (Proposed Pool Grading Plan, Sheet 2 of 2, Dated 20 May 2016, and revised 27 May 2016). Thank you.for your help with this project, and please contact-me.if you have any questions. Sincerely, .t, Edward L. Pesce, P:E.,.LEED ®AP Attachment (construction photos) ..,John Hill,,Joyce Landscaping a i 14 Grayton Ave., Hyannisport, MA Construction Photos 6 . w a t 9 jj u Footings and re-bar placement (8 Sept. 2016) U, ' E Yy�a r - � Walls poured and pool interior forming (22 Sept. 2016) Concrete and pool work complete (13 Marc!h.2017) PESCE ENGINEERING,&ASSOCIATES,INC. Phone 508-743-9206 4:51 Raymond Rd., Plymouth, MA 02360 !3 F cK-l4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION , I pp OWN OFBARNSTABLE ii Map, arce Parcel Application # I I, Health Division M116 A.UT' I I °6j q: 1. 6 Date Issued, Conservation Division Application Fee P Planning Dept. Permit.Fee �506 DTV71 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Village rly��✓l3� Owner Address Telephone _ Permit Request C Square feet: 1 st floor: existing proposed 2nd floor: existing - proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 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: 0 Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION r (BUILDER OR HOMEOWNER) Name &1VIAl A&W Telephone Number 7 /'�' ��✓� Address /o �c License # �if' 441 ?G � j' �ip�j�►g /l�. 0?,6G8 Home Improvement Contractor# Email ?;A4 yf014 �fSOG/9Te�, Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO !/J�� GQo Aaw`.�,1�; f y� SIGNATURE Azin DATE YO AG FOR OFFICIAL USE ONLY z .' APPLICATION # DATE ISSUED A _r t MAP/ PARCEL NO. ADDRESS VILLAGE OWNER ' r DATE OF INSPECTION: FOUNDATION FRAME L45 INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL _ PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING r DATE CLOSED OUT ASSOCIATION PLAN NO: i f —�F August 5, 2016 Dear City/County of Barnstable Building Department- As the owners of 14 Grayton Avenue; Hyannisport, MA, we Lan Xue and Tim Martin authorize both Joyce Landscaping and Viola Associates to act on our behalf with reference to our swimming pool and landscaping project. In addition, we are no longer working with our previous pool company Shoreline Pools or any other company regarding either the landscaping or pool except Joyce Landscaping and Viola Associates. Thank you for your assistance. Please let us know if you need any additional information. Best, V { 8/5/16 Lan Xue Tim MartinlU' Date -- � The Commonwealth of Massachusetts ;i Print Form Department of Industrial Accidents 1" ` Office of Investigations I Congress Street, Suite 100 Boston, MA 02114-2017 _ www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Viola Associates,Inc. Address: 110 ROsary lane, Unit A City/State/Zip: Hyannis, Ma. 02601 Phone #: 508-771-3457 Are you an employer? Check the appropriate box: Type of project(required): 1.21 I am a employer with 35 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4), and we have no Swimming Pool employees. [No workers' 13. ✓❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Acadia Insuraqnce,Inc. Policy#or Self-ins. Lic. #: WCA0218000-16 Expiration Date: 4/29/17 Job Site Address: 14 Grayton Avenue City/State/Zip: Hyannis, Ma 02601 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi under the pains and penalties o e!2uLy that the information provided above is true and correct. Signature: —..------ --_ ___ ____ _.___._-- _-� .____......_ _...._.. Date:_ ........ --__.___...__' Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: i A�® CERTIFICATE OF LIABILITY INSURANCE 8/11/2016' 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 NOrthboroll h Construct West NAME: g Eastern Insurance Group LLC pHONE 800-333-7234 (FAc No:. 155B Otis Street E-MAIL INSURERS AFFORDING COVERAGE NAIC# Northborough MA 01532 INSURERAAcadia Insurance Company 31325 INSURED INSURER B:Flremenrs Insurance Cc Wa DC '.. Viola Associates Inc INSURERC: BOX 389 INSURERD: INSURER E: Centerville MA 02632-0389 INSURERF: COVERAGES CERTIFICATE NUMBER:2016 Master 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 SUER POLICY NUMBER MM/DDY EFF/YYYY MPOLICY LTR DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X DAMAGE ToRENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) $ 250,000 A CLAIMS-MADE N-1 OCCUR PA0217962-19 /29/2016 /29/2017 MED EXP(Anyone person) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GENE RAIL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY X PRO F I LOC I $ AUTOMOBILE LIABILITY (Ea accidentSINGLE LIMIT 1,000,000 ANY AUTO BODILY INJURY(Per person) $ B ALL OWNED SCHEDULED 0217963-19 /29/2016 /29/2017 AUTOS X AUTOS BODILY INJURY(Per accident) $ X X NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 2,000,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 2,000,000 DED RETENTION$ UA5047783-15 /29/2016 /29/2017 $ A WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? N NIA A0218000-20 4/29/2016 /29/2017 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 _ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ' THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Xue/Martin Residence 14 Grayton Avenue Hyannisport, MA 02647 AUTHORIZED REPRESENTATIVE • John Koegel/CLUl ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. INSn25/gninnsi m Tho Ar npn name and Innn arc roniefcrorl m2r4e of ar opn ivi ass acnusetts Department of Public Safety , i - Board of Building Regulations and Standards License: CS-076332 Construction Supervisor 3{i KEVIN BOYAR PO BOX21 WEST BARNSTABLE MA>-02668 Expiration: Commissioner 09/05/2017 .F &21 e.YLO 16,,eah'A.c�C%��000daclZCGle b p n _ f lice of Consumer Affairs&Business Regulation License or registration valid for individul use only �„ c ME IMPROVEMENT CONTRACTOR ' y before the expiration date. If found return to: li Office of Consumer Affairs and Business Regulation e istration 146436 s =i 9 �. Type: 10 Park Plaza-Suite 5170 •_ Expiration 4— 2Q17/26/ ITIf Supplement Card, Boston,MA 02116 VIOLA ASSOCIATES' is F KEVIN BOYAR ; 110 ROSARY LANE UNIT::+ 10 A :=- HYANNIS,MA 02632 Undersecretary T No alid without signatu 4 r T TOWN'OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel „��'® ` t Application # - C),C)6 f 1 Health Division Date Issued Conservation Division I Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address d n v Village an^ ,'f e) r4 Owner L V /7j /Yx �^� c\ Address Telephone 4!�i'(7 > / 7 7 & Permit Request Square feet: 1 st floor: existing ro osed 2nd floor: existing ro osed Total new q 9-proposed g-proposed Zoning District Flood Plain Groun water Overlay 000' Type �� '� ��/A 4/e� Project Valuation 81 Construction 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: ❑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) T r v C ,77eY- Name n 1 Telephone Number Address U �� A license # /0 d- / 1 - Home Improvement Contractor# U 5_6 Email �/1 C�'-LC'< -A OWorker's Compensation #0 4�/) 30 �T ALL CONSTRUCTION DEBRIS R SULTIN FROM THIS PROJEC_�WILL BE TAKEN TO SIGNATURE DATE 1 AM FOR OFFICIAL USE ONLY t APPLICATION # DATA ISSUED MAP/ PARCEL NO. :4 t ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION s FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL Y GAS: ROUGH FINAL FINAL BUILDING C6 DATE CLOSED OUT ASSOCIATION PLAN NO. I ; AWC wide to $food Corrsfr-uc ji irr H'rydr Wimd ri I_1 D xph Wrrd Zone Massachusetts CheckN&t for COMa ffanCa(gall CMR5301-?Ll)` 1.1 SCOPE• t10 h V&d speed•(3•-s �)-- mp �+iFurd Expcsvre Cafeg❑ry B �. `:tea.�...r,��r��.-�;�Wig .�,r�r��)e� _ •-�` - 12 APPUCABII-r Y - ---- --=lrl5m5ar ce (a iaofivadf ends B in-;I2 sb --hal bem¢sdered a story}- sbdes-!9 22 s� - Rnaf Fitfi - Tig 2) _ !912:Tz " Mean R=fHeight (Frg 2) -ft-`IiX BuUd}ng Widff,,W (Fig 3) ft 9 w gt�ld'mg Lengfh,L (Fg 3) _-tt s BEf Bu3ding Aspect Raf a(LW (Fig 4) c 3:1 tl=T*-al Height afTah!st Dpenfngt _ {Fig 4) 5 Gti' 13 FRAMMG DONNECTIDNS _ General Mn?rsnM YAP irarf g canneg zD= (table 2) 2-1 FOUNDAMN Foundafian Walls mee&g regckemerds of 730 GMR 5404.1 • Canes______._-_--.---�-.._._-_ -_ - -- . •----- -___._.._.._---,._�_.�-_. , . conmrate Masonry 2 2 A MJORAf.-E TD FDtlh[D1 MOR - 518'Rnchor B❑�sdmbeddegi or'S/B`Ptvpriefaiy l+dechanit�knchars as an alfati�safive in rxina�te only . Soft Spacing-general. [fab{e 4} in Bolt Spa cuig from esrd!PM cf Plain (Fig 5) F in.5 B`-I V, _ Bolt Embedment-concrete in_y r _ Bol Embedment-masonry (Fig 5) Plafe Washer - {Fig 5) 3`x 3'x - 3.1 FLODRS - Floorfi'anung memberspans diacked [peg 7M GMR Chap 55} Ma)dmum Fbor Opening¢i nw=' n (Fig - Fug I ieght Y►ral(Studs at Floor Openings lea f rm Z from Exlari❑r tall[Fig 6')- h4bxkm1n FborJalst 5effiarks Suppvf'fing Inadbearing WWrt-ar Sheer (Fig 7} -r--tt 5 d Maxunum CanfOemred floor Jossfs Supporfing Laadbearing Kraus arShearwaM (Ftg 8) �loorSra�g ai:En�'`r�alis (Fg 9) • Floor She aNng Type (per7Bo CMR Mapfar J5) Floor Sha id i i Thidmess (pares Gm chaPt�r�' in- Floor Sheathing Fasferimg - (Cables 2)__d r acls at in edge f in field , 4.1 WALLS - Wafl Height - waIIs - ' (Fig 1.0 and Table 5) hI ring waifs [Rg t0 and Tables 5) wax stud 5pacang � _ (Frg 10 and Table 5) _¢t ss Z.q ar- � waT<Story D$sefs (Figs 7&B) --ft `d ` 4-2 L TE1:U DR VRL.Ls3 lhrnod�Sds t - . Loadbeariag albs (Ta1?le .___.2c irL futon-C madbea ing waDs.+ {Ta6}e� Zx -_ft_ir� Gable End Wall Bracing t ' ' . FuS Heig�t Ends A 81Wds (Fg 10) _ - WSP,A&-Mxx-Lan—Pt {T tg 11) — ft LAM 'Gyps=CaMg LM19t[Jf MP nat UMd) "(Fig 11} _ft?_Q 9W aiid Z x 4 rbrff m Laical Grab:Q B ft❑_cr-(Fig 11)_-_._............ _.._ Dr 1 X 3=Tmg fig ships @ IT spac g•m*-tit 2 x 4 bbcfdng f_4 ft sgacuig in e:nd jDld ck-tvt s brayr _ D�tT L _ (Fyg'13 and Table E} — . �.r n... „" ►nn•rf-fM"%Arr nn rraYh_V.- (Table 51 r A FYC Ga de fo IFaod CotUfr-tZcfion in 1- igfi KIrid Ar'e-4•: 110 REPh WM- d Zone Massachusetts Checklist far Com pkance mo ciTRoor 7 r_W � IManaming Wau Doriner.SDns - - 1:4 d(na.of 16d common ro&) (Tables 7) Dion-Luadbnaring Wan Connections Lai�saJ(nn.of 16d ca►=on Hans) (Vale B) Lead Bearing Wan Openings(� ord largest QPWMg buf all ppenings fir MJT?franca fn`fable 9) Header Spam If (Table 9) _' in if, SM Plaice Spans (Table 9) _it_ . FLA Height Sfnds fry Qf-slvds� (fable 9) Nm4 aad Berg Wan Openings(reoard buged DPwng btit check an Dpermgs fr r canrpMom to Table 9) HeadeeSpan c __ (Table 5) _ft_in.S Iz SM Plate Spans.— - - (Table 9) _tt_in 51 T Fun Height Studs(no.of sfznds) (Table 9) adj�rior Wan&haabl ng in Resist Upint and Shea[S"iMIARneDus ly - Wu&==Budding D"unansion,W f4Dr kpd Height afTanest Opening= ..... - SbeafWng Type,-- (note 4` - - Edge Nall Spacing (Table 10 or note 4 if less) r1L Field Marl Spacing - (Tattle 10) in. ShearConnecflDn(no.cf 1Sd minmon naffs)(Table 1 D) _ — PanDent Fran-HeightSheaihing - (Table I D) 5%Addffonal Shea$ing fnr Wan with Opening;-VW(Design Cancepfs) Maxinnum Bruldung Dimension,L - Nran*ol Height afTanestOpening? Sheathing Type (nDfs 4)� --- • Edge W Spacing (Table 11 Dr nDfe 4 Mess) - Field Nail Spacing (Table 11) UL Shear Conneclian(hm of 1Bd common nails)(Table 11) _ _ peiverit FulkHeyght Sheathing (Table 11) �_% 5%AdMonai Sha3ffibg fDr Wag x9h-Opening a-6'3'(Design Concepts) Walt Cladding - - Rated fDr Wind Speed?5-1 FODFS_ _ RDDf framing members chedmd7 (For Rafters use AWC Span Tank see BBRS Websi e) RDDf Dung --(Fgr u-19) ft s srralfer of Dr L13 Truss Dr Raft Connec5ons at Loadbearung Walls - Proprietwy Conners _ . Upgt (fable 12) lt= pIf l�f�-al (Table 12)_ r= _ pff Shear (Table 12) 5= pff. Ridge Strap Connecgorzs,1F cDltar ties Wt As6d per page 21-_ (Table 13) T= Plf Gable Rake attiiDDker fF9wT--2D) ft_<smarter Df 2•Dr LlL . Truss Dr R-afiet Cannec8oizs at NDn 4zadbekCr g Walls Pmpriefary CDrmednrS - - UpM— . (Tabie 14) t6. - Lateral(nD-of 15d common nalls)—(Table 14�____.—_—_w.—.._.—.._i_= lb. RDDf sheafhwrsg Type {per78D CuR Chapters 53 and 59)........ , RDdthsaff-ing Tg kkness _uL>_Tt16,WSP RDDf Sheathing Fastening (fable 2) _ — •1. - This checkm shall be met in Is a n5rety,o=Udmgthe sparfrc exception nDted in 2,to comply wffh the 2guiratnerft Df TBD CMR 53D1-_2.1_t ltern 1. If the checkEst is met in cgs enf>n fy ftten the:MOwi ng me!W stajn and hDid dDwns am not required per fhe 1rVFCM 110 mph Guide_ a. Steel Straps per FU m b. 2b Gage Straps per Figure 11 - - 14 d Ali Sfnaps per Figure7 e. Caner Stud HDId DDyms;per Figum 1 Ba and Figure 1 Bb - 2. -Ex=eptibrt Dpar¢ng heights Dfup.m 3 ft shall be peiinffted when 5%is added fn the percent full--height sheathing •requker erds shaia in Tables i D and 11. 3- The bofbm sff plate in edifiDrwalls shall be a nt-faTM 2 in-nDrnfnai fW6mess presoze taateq fZ-grade. -AFFC Guide to Wood COns&rjc:iotf hi#�f h k u7.dAreus. 110 Inph fK=d 40a P- Massachusets Cheek for Compliance[no c1mmS3s I 1.1)r - a: From Tables ID and 11 and locaSon of wall siieaHng and Suildng Aspect Rdo,determine Pwaant FL Height Sheafizing and M 5pad V its - b. Wood Structural Panels shall be n*d mun thickn em of 7116'and be brmb&d as follow,- - - L Panels shall bs insWed'tt strength a=s parallel to stuns. I M ho b=W joins shall=r over and be nailed to Wig_ Ili On single stoty mns uc ion,panels shall be atiached to bottom plates and tnp.inember of ffa double ------- --_.-..-- -._ _Dnt .sfcuY .uPP P �shalLbedit-acb foAhe top member-offfie upper double top ------ pla and b band jolst at bo4iom of pansL Upper of lower panal shall be nm to band and loweraffachment trade to lowest phda at fust fioorfrarrring. v_ Horrmnial nal7 spacing at dole fop pbafes,band joists,and girders shalt-be a double row of ad ` staggered at 3 inches on cerder per figures below:Vmfad and Horizontal NmTing for Parcel Attachment S. Gkdng"profec5orr a)'new house or hoitonfaf addrlion-required if prnjecf'f-1 title or closer�shore(geneiagy,south of Rte.23 or n_orlh of 6) - � b}verfiral add�5an-not re�ttit�d unless fheia b e�an�ve ion to fire first floor c)rephmmeritiMclow-m-needs muTgy r-onswYation cwnpWc:c only(chap 93) S.We od Frame Cons uc`oon Manual(WFC&,q for 110 MPH,Exposure S maybe obUmedfrom the Arneticn Wood Council (AWC)webSU3'- V . Rol= Far t tt II - i i Q O K tt !1 n •� 1 91ff 6 1•9 ti r z a'4Er II=_ t- -Li it o J - d L iL +i 1[ tr .. ' m ii iiii- ii IV to '' [ F376F EQFFtiiTlt7= ,l L. • [Y ii fl� - y � - � . 1 E h a }f fs l r L 1 • [yr [ � f,�� -�?+ p• 1 i AtStLPF�T�iN - � PJSI•L� ' See Dala t3ri Kart Pagt: - - Deba - Vergco3l and HntmniabNaEm-g , V�rn�al Ord H ntal Hai g . • for Panel Aflarl� for Feel After harm - 'Ire Cazzmoymeal&af.Merseac zr_vei s Deparaffmt afrudas&id Acrideut� ' Office 00M.WaWatlans 600 Washirsem Streret Boston,A" 02111 •. . wrv�sma�.grrn��ra . Workers' Can3pensatiffnIusirmceAffidavit:Bmlders(Eouftuckw../E6c i " nsOumbers Appliumt Iu6rm2f,nmu Please Prhd :Name - l( G�e C Are you an emglayer?Chek the app priate bay 'Type of project(reldred)- I_❑ I ant a employer wi. 4. ❑I afa a gaunt coafzsctor and I. 6. ❑New oohs iorz employees(fall wlbr parWime)_* Rave hiredtfse S*_cam 2.❑ I am a style PrDI3detar arpartuer- fisted c7atlre attaitbed�lzeet I- ❑' io g strip and have no employees' . - These sub-coaftwi rs have 9- ❑Denali ba wod-ing far mein.any rapacity. emplayees and have wodmrs' ' jPd4 iGPCg onmp_invxa„r-R cam-%ncmarrrr g- ❑ addition , d 1 I E] We are a cmpora3ion and its 10-❑Electrical repairs or adddious officers Dave a xEmised f3seir 3_El am.a bQmecumer doing all work _ 1L0 Plumbiagrepaiss or adchlians mysiel€[No was'ooxop, riot of==Pf m per MGL 17 p Fob ins re ed.)y c.=§l(4).andwe"fie no P f Q Cci4 emplayem ING vodoe& 13.0 oilier • off- � l #EV.�SabidaSxffldav&7 g8�epu aam,egt¢a�C�d�l�o- ec [rasa suhmicanet��d tmdi �rS =Ca�a�affi�tcbECYr3rz56mcmustattadse�ffisddig shws1m6ngthen—offtmxlsc��sadstafewhefim Girnot&nsee hs� agftyem If6aM&C====h=e MlpiQ9ear,& FUM&&W WMkEWP•gulicy aMMb- I am au emphier f7se�is prauidirrg workers'comperesrdirrrr iruurarrca fnr ii�eircp�}�x $edosv is risteprn8ey eusd jerb sits i8�or-ez�as. -��-� f� • ° In= ce Company Name- p — P4ficy 41 Cr Jeff ems.Iic_ J ®o Q I3af Job Site Addres ,' CitglSt�fet ""l At#26 a eayp of the the>rkers' atioagolicy decl ratiaa page(lowingthe porky srtmfber acid expiration date). Fare to secure overage as required under Sew 25A of MGL e` 152 can lead to Sie imposition of eirnical praighies of a figs up to l,SQO.OQ agdfor arse-yesrimisriso a as we}1 as ciurl peua�i es sr'the form of a STOP WORK ORDERand a fine. of up to$MCC a dap againdffieviolainn Be adlised&d a copy of this zbk ma t maybe forwarded to fire Offix of lmvest4phons of1he DIA for msuamc#coverage vedficafica. I do perjnjy that die in or maiim pro i&f abom is tram cur — 0,Okial asw only. Do not writs in ffds area,ter be cmapTetesd by CRY orlown oficiat Cy or TbmR n: Pe-rudffIce=se;9 Ling Aaffioriip(Cii i one): L Board of$eat 1BuTdmg Depwbnent 3.# roars cwk 4L IIec&cal F S.Phmmbiig]motor - Cess�ct Fersnsi: Pho��: l/ �: _■ttA�.■. ■�= .t_.■ii! �■■.t�. 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O n • l •.,�■•a■m -••■ • .• n n_n. •.. n .■•.n r u ••n ►••r� .n m :n t ■.W • •. ■_ .n• ■r w t u■ Ile n■rtAN :■t1 R r iW■■n n■ r. ■nm r Is fail VIA a a SINAI � 'Il as ' �• s ; ; ' ti► ' • I J Office of Consumer Affairs&Business"Regulation (,%HOME IMPROVEMENT CONTRACTOR .;Registration 158158 T Expiration:. 12/17/20]7 Type: DBA DANIEL JOYCE CONSTRUCTION DANIEL JOYCE 14 DOLPHIN LN. HYANNIS,MA 02601 = '" Undersecretary Massachusetts -Department of Public Safety o ,at any •ds Board of Building r.2yu� IO�rs and �t License: CS402512 Daniel J Joyce,Jr - - PO Bog 117 W est.Hyannisporr MAa02672. �c �,,(,,.� ; Expiration 12/13/2016 Commissioner o THE Town of Barnstable Regulatory Services BMWSTAUE, MAea. Richard V.Scali,Director �a MAC Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 1, Lan Xue/Tim Martin , as Owner of the subject property hereby authorize Daniel J.Joyce to act on my behalf, in all matters relative to work authorized by this building permit application for: 14 Grayton Avenue Hyannisport,MA (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to blel lled or utilized before fence is installed an all final pec ' s performed and accepted Signature of Owner Signature of Applicant Lan Xue t C Print Name Print Name 7/25/16 Date AC6 CERTIFICATE OF LIABILITY INSURANCE DATE 12/20/YYYY) 16 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 NAME. Berkley Assigned Risk Services Atlantic Insurance Group Agency Inc 530 Adams St A/c.No.Ext:(800)634-4589 (A/c,No,): (866)215-8118 ADDRESS: PolicyServices@berkleyrisk.com Milton MA 02186 INSURERS AFFORDING COVERAGE NAIC>I INSURER A: Acadia - 31325 INSURED Daniel Joyce INSURER B: DANIEL JOYCE CONSTRUCTION INSURERC: PO BOX 117 INSURER D: INSURER E: West HYannisport MA 02672 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 POLICIE&DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. S TYPE OF INSURANCE ADDLISUBRPOLICY NUMBER LIMITS LTR INSR WVD MM/DD/YYYY MM/DD/YYYY GENERAL LIABILITY AUTOMOBILE LIABILITY $ WORKERS COMPENSATION Y/N X WC STATU- ❑ERH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT $ '-100000.00 A OFFICE/MEMBER EXCLUDED? N/A MAARP300574 12/1/2015 12/1/2016 (Mandatory in NH) It yes,describe under E.L.DISEASE-EA EMPLOYEE $ 100000.00 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500000.00 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Election Category Election Status Name Issue State: All Entities/Insureds: Sole Proprietor Exclude Daniel Joyce MA Daniel Joyce CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis MA 02601 AUTHORIZED REPRESENTATIVE s ACORD 25(2010/05) BRAC3139 TOWN bF BARNSTABLE SUILDING PERMIT APPLJCATION MaP1,10 I Parcel Application # 1 Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee /7 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis eO4a Project Street Address �1 G2 aV As J�Ve Village �V��vi�ym 2i Owner %1A1 Mr4ert,u-i 1A,u XuL Address SOS '/SrS�Q�i_ B2oo�clyn. �lJY Telephone %n/7 331 _ T2 34 Permit Request TO &,..d A 2D XqS &cAo-o5tr- �v^.� Ts Qom l I SOa SPa w«/ gf �ti5i�e- 71, Fk �.itsz o! n4SW/AtNr/�} poa�. A&&l w xd/ 11iQue ITA.JCC Ay r to S v M<< n4- �t 0 f STaEr Poo( 9ac(v s �-� C A )J� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 00 Construction Type Lot Size or Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# unit s) ) 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 RoomFount Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other '~= ' Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove::❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing Urlhew size _ Barn: ❑ existing 31new ?size - Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: o. a Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# li Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name. t� lov 5 2zalely Tele hone Number Address 2..o Z auto-0 License # RAA-,,, M Home Improvement Contractor# J 6 12 D Email_CN�IS�.�wP�<<Np,�no�5.i1��•Con�l Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE � ��/„ FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL , PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ( BOOK 04AGE ' J ' HYANNISPORT ' RECEIVED AND RFCORSED• . re�H ' RF°IS `� .. o bib AIR 51 P 2 20 Locus N N IB3' 0• 19872 4 UE 1 SOUND MASSACHUSETTS (SO WADE PUBLIC) AVENUE LOCOS MAP 1 _---r---T---_ ASSESSORS PARCEL ID:235 Ot&02 137.33' PUN REF:226/86/B3 � 3 DEED:28847/188 A,194 11 N88'33'30•E 258.22 �1 I' I V ZONING:"RF-1" 1 9.W I DRIVE I N88.3SWE (B1o) LOT „A„ _ GARAGE DEEDS:28647/188&194 • " AREA-30,0654 S.F. l!) DECK 10.8•m o o ry IB PLAN,OF LAND AVHE" /9a20H ` N2�1G HYANNISPORT, MA. 4 LOCATED AT: I #)a 14 GRAYTON AVENUE 13 S'/ I F� 29.9' 'O PREPARED FOR: - 9 6 GRAYTON AVENUE,'LLC L__J PORCH I SHELL i SCALE:1".20' APRIL 4,2016' o ' ... ' I DRIVE I � �s12699 _----__5.0' -N8376'JO"W" ' 91.61' I 68376'30"E - NOTE. THE PURPOSE OF THIS PLAN IS TO COMBINE p\S 5.0' -__L__---1___IJ6 oB I LOTSFORM 1"LOTDA2 ON PUN BOOK 226 PAGE 03 TO. m GRAYTON MB) (40'WIDE PUBLIC) AVENUE - - . GRAPHIC SCALE Pao' 7).39• FOR REGISTRY USE ONLY I CERTIFY THAT THE PROPERTY LINES SHOWN ON THIS PLAN , ! 1 mcn 20 a •° ARE THE UNES DIVIDING EXISTING OWNERSHIPS.AND THE LINES r OF STREETS AND WAYS SHOWN ARE THOSE OF PUBLIC OR PRIVATE \ STREETS OR WAYS ALREADY ESTABLISHED,AND THAT NO NEW LINES FOR DIVISION OF EXISTING OWNERSHIP OR FOR NEW WAYS ARE SHOWN. _ F1 I FURTHER CERTIFY THAT THIS PUN WAS PREPARED BY THE MacDougall Surveying PROCEDURAL AND TECHNICAL STANDARDS FOR THE PRACTICE OF LAND SURVEIING IN THE STATE OF ASSACHUSETTS. & Associates PF^ w P.O. Box 2428 N CONFORMITY WITH THE RULES THIS PLAN HAS BEEN PREPARED I pWApp Mash pee, Mo. 02649 AND REWUTIONS OF THE REGISTERS OF DEEDS IN THE COMMONWULTH OF MASSACHUSETTS. roNe PH.((508))419-1086 oo"xacao 6 f..(508)419-1087 ��,//-�r� t¢•ra , .ate +. em,: R GISTERED PROFESSIONALLAND SURVEYOR DATE ? +t w ,/�.� mactlougallsurvey®comcostnet ^ / HYANNISPORT r I fff MARSiONS AVE. / MASSACHUSETTS AVENUE Locus . _ GRAYTON H AVENUE HARBOR 4'SCH.40 PVC RETAINING WALL UPOLE _ 1 LOCUS MAP DRAIN LINE TO TIE INTO DRYWELL nz, 116 78 - I CONC.., 141.44'' SBB'33'30'W DRIVE , 1 _ LOCUS PLAN SB8'33'30"W �/ 9.9' I 1. \ GALLEYS APPRO%.LOC. - / — 30"PINE / — —� ' r f-T-TTT-T O-1 j w J - 1 -PROP.2'VED NDS,L)SURROUNDED BY EE(OR v. APPROVED EQUAL)SURROUNDED BV 3 FEET OF / NOTES: -- I 3/4'TO 1-1/2"DOUBLE-WASHED OR STONE / I 2s0o caL. I r GARAGE (SET BELOW TOP SOIL.&SUBSOIL) r 0-, I 2.1' / ' o \ _J I I 1. LOCUS IS SHOWN AT LOTS 35-001&35-002 ON 1.5"SCH.40 PVC POOL \ q0P TANK (51 Ip.g' BARNSTABLE ASSESSOR'S MAP 287 I FILTER DRAINLINEJ 1 •PO4L DECK EL._ / --- ICI. , • 11 - —600 s DECK 2. OWNER OF RECORD: NEW CONC.RET.WALL • )a I ROCKLAND TRUST COMPANY& Ln I w a 5.0' TIMOTHY MARTIN&LAN XUE (wl STONE VENEER) /4' Jul 5051 ST STREET : I HIGH FENCE ON TOP 5'0 H POOL 10.01 - I - BROOKLYN,NY 11215 b 3. DEED REFERENCE: ( b oo I I k0 PARCEL l0: DEED BOOK 22680,PAGE 175 , - 287/039 ' AL 4. PLAN REFERENCE: PLAN BOOK 226,PAGE 83 C I PROPOSED WATER& #1 4 z II •K ELECTRIC UTILITIES) / PARCEL ID; 30.0' C , 287/035-001 &002 IT\ AREA-30A863 S.F. h I PROPOSED POOL 1 J I SHELL (1 ; R=136.00 i - LAYOUT PLAN L=43.8 5'O,SB3'26'30-E GAS WATE„ 0'5. I DRIVE -----.----__ Y I. I LOCATED AT I � 81.6 14 GRAYTON AVENUE i 'GRAYTON ---�-- __ HYANNISPORT, MA \ _ RA Iv TON AVE IC � PREPARED FOR: UL -- \\ '' I V TIM MARTIN&LAN XUE L \ � ,ENGINEERING BY: I B0 39 .'' C ENGINEERINGy &ASSOCIATES,INC. Edward L Pesce,P,E.,LEED'AP 451. RAYMOND RD PLY.MO UTH, MA 02360. epesce@comcast.net Phone:508-743-9206 c 11:508-333-7 30 FAX:508-743-0211 SURVEYED BY: MACDOUGALL SURVEYING&ASSOCIATES EDWARD L. PESCE P.O.BOX 2428 GRAPHIC SCALE 999 CML MASHPEE,MA 02649 - $N0.32001 lo 20 Vw'�'I21EM1�`r SCALE:1"=20' DATE: DECEMBER 21,2015 (IN PEST> REV.1(5-20-16): Pool design changes In"h 20 It, SHEET 1 OF 2 - JCEp3356 li FOOLS ❑ If located in OKH, fence only requires Certificate of Appropriateness If located in Hyannis Historic'Waterfront District, pool & fence need Certificate of / Appropriateness. V1 Map/parcel number Sign-offs fro Health Conservation ❑ Tax Collector ❑ Treasurer Dimensions - Estimated Cost -Owner's name & address Complete dwelling information for the Assessor's dept. Applicant's telephone number Signature Construction drawings or factory brochures & specifications ❑ Heated Y N If yes, cover information required in application description Certified Plot Plan Workman's Comp form. Copy of Insurance Compliance Certificate must be on file. Application fee ❑ Permit fee Property Owner must sign Property Owner Letter of Permission In-Ground ools Home Improvement Specialist's License OR Homeowner's license exemption Check expiration date&attach photocopy of license(s) Home Improvement Contractor Affidavit ❑ Show placement of fence,list description of fence and materials used Above-Ground pools No license required. Any pool equal to or greater than 2' deep, or minimum of 250 sq. ft. (18'diameter for round), needs a building permit NOTE: INGROUND POOLS MUST BE FENCED WITH A 4' HIGH,NON-CLIMBABLE FENCE WITH A SELF-CLOSING, SELF LATCHING GATE. FISH PONDS; Any pond or pool equal to or more than 24" deep MUST BE FENCED WITH A MINIMUM 4', NON CLIMBABLE FENCE WITH SELF LATCHING GATE q-forms/bld perm its/perm itch eckIists rev.080410 0216 02:53p Shoreline Pools Inc. 5084320110 p.1 T1ext &� ° ° This letter confirms that I give permission to Shoreline Pools, Inc. of Harwich, MA authority to act as agent with regard to the installation of a private in-ground swimming pool located at the address of: 14 Grayton Avenue,Hyannisport,MA 02647 Any questions please contact me at Eric Dare- (917) 33 I-7736 Lan Xue. - Print Name Shoreline Rep. Customer P ame horeline ool Rep. Customer Signature Date: (� 4/27116 V. Date: e , . t =; Office of Consumer Affairs and Business Regulation - 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 m Improvement Contractor Registration Home Im P g Registration: 161240 Type: Private Corporation Expiration: 10/7/2016 Tr# 257480 SHORELINE POOLS INC CHRISTIAN DITTRICH 202 QUEEN ANNE RD — —�— HARWICH, MA 02645 ----- Update Address and return card.Mark reason for change. �❑ Address. U Renewal ;; Employment Lost Card 20na•05111 — _ Office of Consumer Affairs&Business Regulation License or registration valid for individul use only - before the expiration date. If found return to: OME IMPROVEMENT CONTRACTOR _ gistration• 161240 Type: Office of Consumer Affairs and Business Regulation piration: .10/7/2016 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 SHORELINE POOLS INC :.HRISTIAN DITTRICH 202 QUEEN ANNE RD ARWICH,MA 02645 Undersecretary 1'. , tho signature The Commonwealth of Massachusetts = Department of Industrial Accidents R I Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERNHTTING AUTHORITY. Applicant Information Please Print Le ibl Name(Business/Organization/Individual): It A.)e — Address: 2 0 2 0 V A- t /4 ti ti P City/State/Zip: ��l G Q Y�Phone#: ,�(�Q' 7 2- 3 Are you an employer?Check the appropriate box: Type of project(required): ].[]Kam a employer with _employees(full and/or part-time).• 7. E'r5ew construction 2.❑I am a sole proprietor or partnership and have no employees working for me in $, ❑Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3 . I am a homeowner doing all work myself.[No workers'comp.insurance required:]t " 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10❑Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repair These sub-contractors have employees and have workers'comp.insurance.t 6.❑We are a corporation and its officers have exercised their right of exemption per MGL a 14.❑Other (TO 152,§1(4),and we have no employees.[No workers'comp.insurance required.] Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. n Insurance Company Name: e sco S `Q . Policy#or Self-ins.Lic.#: �11� 3 8 tS� Expiration Date: -Z 10 2 O/ Job Site Address: ' Ce City/State/Zip: AWl 5 OZG? 7 Attach a copy of the workers'Compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cer the pains and penalties of perjury that the information provided abo is tr a and correct Si ature: y Date: 20 Phone#: V . .S77 2- 'Y- ? =„ Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ,aco CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD"YYY) F4/15/2016 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 endorsemen s. PRODUCER CONTACT NAME: Rogers&Gray Ins.-Dennis Branch AICONro Ext:508-398-7980 AAfc No:877-816-2156 434 Rte 134 E-MAIL South Dennis MA 02660 AODREss:mail ro ers ray.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA.WeSCO Insurance Company INSURED SHORPOO-01 INSURER B:Arbella Protection Shoreline Pools Inc INSURERC: 202 Queen Anne Road Realty Trust INSURERD: 202 Queen Anne Road Harwich MA 02645 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1266236287 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 ADDL SUBR POLIC POLICY EXP - - LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDDY EFF MMIDD LIMITS - B GENERAL LIABILITY 8500052096 7/26/2015 7/26/2016 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $100,000 CLAIMS-MADE a OCCUR MED EXP(Any one person) $10,000 PERSONAL 8 ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY PRO- JECTLOC $ B AUTOMOBILE LIABILITY 1020013830 2/9/2016 2/9/2017 Ea accident $ ANY AUTO - BODILY INJURY(Per person) $20,000 ALL OWNED SCHEDULED BODILY INJURY(Per accident) $40,000 AUTOS AUTOS NON-OWNED - PP Oaa DAMAGE $ HIRED AUTOS AUTOS B X UMBRELLA LIAB OCCUR 4600052138 7/26/2015 7/26/2016 EACH OCCURRENCE $1,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED X I RETENTION$10,000 $ A WORKERS COMPENSATION WWC3182657 2/10/2016 2/10/2017 WC 8TATIT OTH- AND EMPLOYERS'LIABILITY Y/N ITORY LIMT ER ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEd$1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1.000-000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Additional Insured status is included under the General Liability Coverage when required by written contract CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN .Lan Xue&Tim Martin ACCORDANCE WITH THE POLICY PROVISIONS. 14 Grayton Ave Hyannisport MA 02647 AUIHDJLIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD [. 1 X y ' Use the safest... Y • •Magnettcalty triggered latching �, •Key lockable safety(two_madeis) ; t dby `� Adjustsfioriinntatly nrrdverticatly _ Patented"lost Motion'TOW eagy { •Quack apd easy to iestait a&t raf,ki h {sow with wavenieat set(ridging saewsl �ridro�� Kfr latKaetEl i Features getteffts .; �`,' •Named Wf-Im No OwhmW m drs &WO •Est Aim¢nwvf6rdborriet/wfetpcads q+gm�ced reGoE y& ; w •Qaa2fly arotded 01ymm&siawab steel. Na rgsriag,biadfig aslaxrmg : Adp=ftrain 'NeY fodrobk faop Pa@&Yrrtkd Pif Added wf¢rp and p�aca of mind etc r . .OWAYAt OW ISO 9WI mOafadW-"t�atun-w4 Taaty le ! r •Engin¢er¢d for¢sse_of iostiation d¢ded ias#aHatron irtsa fwshi `< •taicfnn 1n the"ticked position fic�ibaot saf¢ry&reGabiSlp •d 3 t •N1an t dis¢n�ge from shakrng&W 9 fall be forcrd 6W ` 'u precedomed Obstabdity Eery to irataU sari irwir" •feted to d�t i Pfovim Io ks1 tiro tal of tug • Magna tie i iC}RItt7. A[. .;` rriggerrag " 'b mesas no t resistance AW%kto ttasurat � ( i :t$�$llat :�. �EtuWtr _ �Wtf-. MRfl6ASE crrGre . 2 �a g top MU I IAGNA-LATCHI Safety Gate.Cmebes area: meat revolutionary lrtrakibmugb in latching scewityter gates around sxtnming pttols,homce artd child sarcry areas Powered by sugar-strung"Permanent hlaggnets" i which never tose poixtr,tbeseguality}atcltcs incur nomechaniealimerfem=toClosumransi,00ffer s e} t . bnprccedcttEed reliability;safr.-ry uiul ebdd . resistance: - 7catflcllc►tlt►oadYt The gnpula"Top Pull"mode[is delmvaxl � twn untw teeeen eeput iR11 ftlf v"ftntrtiugguulatec$ttt Cats 67 ro any gao where cbild safws importatm 'ilme shorter^Yerticafi fanif mnttel is tacornm+mdcd forptes at}east S.'tiSmt li,TAi mt>del is also known as_the"Pet Lat'ela",atr it pr4Ftid�s seeurity for pet safety gates. ` stile runt , All ltdches'adapi readily to most newitr Oxiititi m9at gates and arty gate material.Two models are.key- lockable foradded safety. The tales"&ries 2"latches cao tn.adjusted a tertfczrkj a tdCeyrt_w;rolA tacrosuresakrcliahle [ lotchingatanytirneduringoratJtrinstRilartotm.. nin!Rdiu rent is quick and c asy teeeause ilte 446WAltH hat bean' latch body'stidesup and downdovewil-style tracks tandia more do Far c�sicv ttaattiier}uiallntio». 401J )tyda:Na# 110dignial Wdusbim is achieved by adjusting a 9tva1 serecv within tiro StriktrBody,sa that thestrikcr lodesraquLegatestcbe can be ad limed across daps moging fmm' is t�' fi itgdads TtmtorrhhM 19-37trun). deegta�� yafestRdfo x, The"Series 2."msadt4s prgtit a extra impaxx meets7trtiaterrmtiRaat spferyoades. resistance and durability oat larger gates and alsti c t •c a. a' I agninstheaxy prdcstnan rmftic _t *:/y� trhC"it+.ttar+d Pa?tAclsptzrr 7�Nt um7wtrdad»tu�w .. .. i7l��I ORAIRTwti1 Kit is m,�atxiat:�tkae u baai:era-atktshnaa.4 us6m . } �a *Wuntis Mawsra•tatch . ' ;t*,xta¢an clW t ;..Ondiii1k, { Pet Pair+i,@tUrit "roPPwt w ctr„cat pt y Pairtoictsiiwos ssr,d t � NtiA K,t><A PGFtf a y MAGNA•LATCII is ► qa F! ? < t ; also suitable#or hause and gantengatts § pet scCurity and}mt 1 s�Ccss contr+!arb �' i, ampunant, t tzb Preraag pea assapYg and k ar "Pea 41.Mm,tW-•a Anm5 4s r z t?mm} than tvfhmTiiiga!adint9*d 0, Gxac6Mkna1a is mXta lntum�ta.z�+taa; mt .., rartw�, ,s,ateAarar�,F`r.�,+e �t'&F.r . Quitk.and easy instillation A � ` INSTAUATION REQUIREMENTS � z # SAFETY NOTE ' pq Pali YeNkd Po8 am&hl 01i kdam d s fors Pool and whir d dsele(y �taestatc #s gdB,menBaiierfa�sa�5twdurds "all 4f dloseigregairemooh: +'. j ado",�ehe}oanb` •The psi gate amst apes oalvrard Way from the PO4 so the latch awst t w be Rft#d to the outwo of the pad gme effedvdysdWmrmsl- " •The latch relom Imoh is to be at loaal 3 t` seN latch.. b0°ilS00taal above(WSW ground •Feace het�t to he minimem 48' # t � AIleswldwA�ts�`. t1200mm1 above Ratshed grotmd ( ` Akvpsm�iUmlhaeraqulrememsalib� _ ".= j �� apgapiiatebcalpaolarsafc4yaathoriGeskr° � � �, 1 , put aft o as t*kfin s ee4 my fiam fhs laldt m otcadance+rith lad fentelbarcer derma ., ` regalmiaas. A > t�l� ra�tbeaed +ef °h=I'hs't+�eesesdvtaiwfed�a►Ipr y ; l:; 1!`ei(��t4bWiodfo€'"YP'et*/rf'tisci. � .. tl `\shikee6mfeme=Y t ,rarve�eeace � � a* + 6e�kdPwpes�wraaWros ,�� k 1�� i �f�°` � 9ara�5emdgmdea.LbkWoisae+�ewrtey `" L � ca 1 �usms�hemanen=�rylxko6Mi�k�+�d 3la k+M' ' -. ! efhaHeeoadako6aushe. w�. 1�► s,� Wkamzdwpdtlr�bsnBRoJAaJe�am�k }1 od*AW=kleusedtoq lmdkwjnibytoddlm.oq �' � 1 ca�AbrAla+t6airakFafegiem�rtein�/r�be�'. Code k *Ik l AIM WA wwe {' w 11 Desarviiakas4N�rof�,op�k°6prer kAOdO) fA sAaC SO1k 6iunsmd 6 ideDi lor.v 7y � � aoksaiandsaenmmapmkadshddsulee�oims.aAoldeal. ' MA fa Om bla yekd tuft1 < alyldres�auwo�ikla�egAkoaad H tio6w,to*anL.kqWdAkr died,IK04h#q 3,' � Ph matp�esad apgok awwieb 3ded lcrgaulfeme E .� sow k443RAG Eke Ji+A'kJfli M•3ip�5E a�d0`(1��I1A11a�-etee. F;,y . ,,,"^{�. y sAm c 4 1. CAssAAlceafa�wbissfaA�htaeas�a�rtjraprr ', lip Mlaae�= Cakr Y1TK26FA1 SwiingfmEbUd�Syfmkes tAd Y(bbe' o�uiptioctAemm�da �def.l6ei�ol f keddy gees awlkoidojcare teams q 1PgNgt6ildr�ke�u,reay�etirksdvaQimssud�cdra+ iu' -- { rodansd,key 6&"f tad lmmdY,Wow"two- ._.,._- P� f�prA+lde+sasR aKrorra�'ms�AF�kandlaig Arm ks - re5ob4 � 'sac �` 'f'>amm�a�ad��tetiab.Wstmsegataflatca '- � �� bei�klsAq&idmlAtdb`112bQamlgeka,�Imter�erlbaAAi�• � 9tl�kP � .,';1 Al faa Ael75fnradsed>ol dkeideomkkko6a�taf keah of sad . - i W (I d" ��IAa11GaS 1aAll�kpEdRR�I f CL+IYM& pw •">•�k^--4_. sml+zr�ev�au�kevr�J �:. �;d, ��atAa�1$s II PG DAPT-2 Manual 122208:Layout 1 5/14/09 12:42 PM Page 1 - — When the 9-volt battery is low,the door alarm horn will chirp once every -Supervise children at all times. CONNECTING DOOR ALARM TO SENSOR SWITCHES 10 seconds-this means it Is time to install a new battery,Battery life is -Never permit swimming alone.Never leave a child alone,even READ THE DOOR ALARM MANUAL FOR INSTALLATION ON ONE DOOR FIRST: I I lei approximately 1 year.Test your door alarm weekly by opening the door to answer the telephone. THE SENSOR WIRES ARE PERMANENTLY CONNECTED TO THE DOOR ALARM.CONNECT BOTH SENSOR WIRES COMING FROM THE DOOR ALARM and allowing the alarm to sound. -Always.remove the entire solar cover from a pool before TO THE SENSOR SWITCH ON THE DOOR FRAME.THEN USE THE SUPPLIED MODEL DAPT-2 SIGNALING swimming.. JUMPER WIRES TO CONNECT TO THE SCREEN DOOR SENSOR SWITCH _ MEETS UL 2017 • - •Remember that alcohol and Water Safety do not mix. (SEE DIAGRAM BELOW,THE TWO SENSORS SHOULD BE HOOKED UP IN ----_ -• '' •Have your pool area fenced and the gate locked to prevent PARELLEL WITH EACH OTHER.�WAARANTYAN oY` Unauthorized entry to the pool,and Install a gate alarm. •THE PLASTIC COVERS ON THE SENSOR SWITCHES&SENSOR POOLGUARD is sold with a limited warranty to cover defects in parts •Lock and Sao ure all doors in the house which permit easy MAGNET MUST BE REMOVED BEFORE INSTALLATION (5FI and workmanship for one year from date of purchase.(Retain proof of access to the pool,and Install a door alarm. •SWITCHES GO ON THE FRAME BY THE DOOR LISTED purchase).If Poolguard exhibits a defect,please call our Customer •Have a responsible adult teach swimming and water safety to •MAGNETS GOON THE DOOR ITSELF-SEE PICTURE IN MANUAL `Service department at 1.800-242.7163.Unauthorized returns will not be your children. EQUIPMENT NEEDEDaccepted.Proper repair is only ensured when the unit is returned to the -Maintain clean,clear water in the pool. A.ONE DOOR ALARM AND 2 MOUNTING SCREWSmanufacturer. Visit our website at www.pooiguard.com to fill out your. -Do not swim during electrical storms. B.ONE SET OF SENSOR SWITCH AND SENSOR MAGNET AND 4 SCREWSzssrHpuwarranty registration information. -DOhot permit bottles, glass, or sharp objects to be Used FOR DOOR FRAME&DOOR \ wn.around the o01. C.ONE SET OF SENSOR SWITCH AND SENSOR MAGNET,JUMPER WIRES,P AND4SCREWS•Ask your pool dealer how you can improve your pool NOPNsafety—they will be glad to assist you. FOR SCREEN DOORFRAME AND SCREEN DOOR•Aboveall: remember that common sense, awareness, and IF YOU HAVE ANY QUESTIONS CALL US AT 1-900242-7163 �caution will allow you to enjoy your pool. - MAIN DOOR SCREEN DOOR ,;9 ENSOpSEN50I6"1CH SWITCH DOOR ALARM - Figure �°ISugia(.1 The horn is 85dB at 10 feet PBM INDUSTRIES,INC. _"'_ P.O.Box 658 r _ •_ c c LED O PASSTHRU • e RTANT NORTH VERNON,IN 47265 0 W w • SWITCH • THOROUGHLY BEFORE 812.346.2648 x•�00��+uard,.`" a 1 Q ® The product has been designed to aid in the detection of unwanted ® - - JUMPER HORN intrusions into unsupervised areas. POOLGUARD DAPT-2 IS A •� PBM INDUSTRIES,INC. POOIgua E� WWW.pOOIgUBrC�.CO1Ttl WIRES� SAFETY ALARM SYSTEM AND NOT A LIFE SAVING DEVICE. It MADE IN THE.USA should be used in conjunction with the safety equipment currently in use REV.5-09 Figure 5 SENSINGJ. and should not affect existing safety procedures. WIRES � � IF ! I PG DAPT-2 Manual_122208:Layout 1 5/14/09 12:42 PM Page 2 —VtV— A.Determine the best location.The door alarm must be installed at least k' INSTALLINGBATTERY54"above the threshold of the door. 0 0I9 V d td DAPmA • _ No� ,r B.With a pencil,mark 2 spots 21/2"apart vertically(up&down)where The POOLGUARD DO ay modes OR ALARM uses two delay which allow the alarm will amounted.These 2 marks are where the 2 larger .a• A.Remove the assembly screw from the back of the door alarm and supplied screws will be inserted into the wall to hang the door alarm. the user to exit and enter the door without the alarm sounding.These ' remove the top cover.(See Figure 2) C.Insert the 2larger supplied screws into the wall on the 2 marks.Leave two modes are explained below. B.Pull down the battery spring and install the 9v battery(see figure 2). A. FIRST DELAY MODE: When the door is opened the alarm about 5/32"(not including the head of the screw)of the screw from •� NOTE:If the battery spring is not In the correct position under the the wall, automatically goes into the first delay mode which gives you 7 battery,the alarm will not balk together. I D.Hang the door alarm on the mounted screws and pull downward until _ seconds after the door is opened to push the pass thru switch. If the F C.When the 9v battery is installed, alled,the LED will flash once every 10 the screws are positioned in the small end of the hanger holes in the pass thru switch is not pushed within 7 seconds the alarm will sound seconds.When the alarm sounds,the LED will flash once every back of the alarm. with the door open or closed.. To silence the alarm close the door P_ _ second. - E.If you purchased the OPTIONAL Screen Door Kit see section 6. then push the pass thru switch. • D.Reassemble the door alarm with the assembly screw.NOTE:Once (Figure 5) B.SECOND DELAY MODE:When the door is opened and the pass thru the battery is installed the alarm may sound accidentally until the switch Is pushed within 7 seconds,this puts the door alarm in the sensors are connected properly. INSTALLING DOOR SENSOR', ' second delay mode which allows you 14 seconds to go through the IG door and close it. When the door is closed within 14 seconds,the 12. INSTALLING PbOLGLIARD '• A.The Door Alarm comes with one sensor switch and one sensor alarm will automatically reset If the door is not closed within 14 + - ABOVE GROUND POOL ALARM e Only magnet;remove the Covers from both of these parts by using your seconds,the alarm will sound. WITH REMOTE RECEIVER Your Pool uard Door Alarm is designed to be installed within 22"of the fingernail or small tool to unclip the cover from the bottom side and IN GROUND POOL ALARM 9 9 'Each it off the sensor. Figure 4 SENSOR WITH REMOTE RECEIVER sensor switch for the sensor wire connection.To mount the door alarm 9 9 SWITCH ER on wall next to door: B.Each sensor has two holes for mounting,the sensor magnet usually eAT}EAY;; goes on the door and the sensor switch is usually mounted to the Q Y '.e�rltRr sPRao .�; SS TNH _ door frame. y PAU St'IIiCN S KNOCKOUT C.Metal framed doors may need a space between the sensors and the u � Figure FI 2 a m Leo door using a small piece of wood or double sided foam tape. f 9 D.The Sensors must be installed parallel to each other with a spacing r between them of approximately 3/4".The.sensors can be.mounted a '. Horizontally or Vertically as long as they remain parallel. e. - 'F E. Loosen the two terminals on the sensor switch by loosening the ® Poolgusrd•s screws then place either wire end coming from the door alarm GATE ALARM Family of Products between each of the terminals.It doesnY matter which wile goes to Helps Protct Your Family) :AssuAapscaiw Nol.0 which terminal Replace Plastic Covers. „ Note:If the cover for the sensor switch does not lock into place because - WN/W.poolguard.COrTI :`.��NnNcsRHo�e of the sensor wires,remove the knockout from the side of the sensor Y».gwv H switch cover(See Figure 4) -11 I �� H AY1NA R D EcoStaroand EcoStar SVRS 9 (B , VARIABLE SPEED PUMPS 9 eD The most 1 \` energy efficient pumps at any speed. WA 0 O w C� � JO r. to System: Pumps 0 Filters 0 Heating 0 Cleaners 0 Sanitization 0 Automation 0 Lighting 0 Safety E, coSta'r@a.nd Ec o ar SVRS are the ideal choice for energy savings . s . EcoStar's efficiency saves up to $1,500* in energy costs year after year. With EcoStar's family of pumps, money flows back into pool ,, # owners' pockets. EcoStar is the industry's most energy efficient variable speed pump,thanks to a super-efficient permanent magnet,totally enclosed fan cooled(TEFC) a motor and industry leading hydraulic design.Tests prove . , o " « • that EcoStar can save pool owners up to 90%on energy costs compared to ordinary single speed pumps. EcoStar ` can match pump flow to a pool's needs,versus running at full power 100%of the time. 1. •�' '' .,J 21. EcoStar SVRS ' Safety and peace-of- mind in a pump. The EcoStar SVRS model features an integrated Safety Vacuum Release System(SVRS)that helps prevent suction entrapment without additional devices, plumbing or wiring. It meets or exceeds all relevant ASME/ANSI standards as required by the Virginia Graeme Baker Pool and Spa Safety Act(and similar state and local requirements. Q EcoStar and EcoStar SVRS }. install easily and work with a wide variety of equipment. Customers can save significant time and money by installing EcoStar,without having to buy additional equipment or accessories. Its fully programmable,self-contained 24-hour time clock with up to 8 custom speed and timer functions allows EcoStar to manage flow throughout the day. EcoStar can alternatively be controlled by Hayward controls such as Pro Logic®,OnCommand®,and E-Command®4 or other third party pool and spa controls.Whether used in new construction or aftermarket applications, EcoStar is the perfect choice. y Quiet by design. Sunday afternoons and soft summer nights are never interrupted. EcoStar's variable speed control assures that the water flows at the rate needed, and because EcoStar's advanced hydraulic design moves water more efficiently,the motor can run at even lower speeds for incredibly quiet operation. Revolutionary digital control interfacet rotates to 4 different positions or mounts to the all. 1 • {�3 �5 k l i\� i •" '-..V ,fir 4� L r � � rI III I' .w' �\< #00. � 1 1 1 1 f 1 1 1 1 • 1 1 1•'1 . 1 �� The digital control D .— interface nTalso be removed from the ®y pump and mounted to the wall. -. +J. • _ ��+ }� � - �,.'y - � fir i �, �4 kk ED b t _ r tWt � (i 913 9 mad C , O f maw POWER CONSUMPTION(WATTS) ' .lam ....,; ..r I LID. t • • ,..N •tf • I" � ,tom_ „y CD FILTRATION AUTOMATIC SPA MODE POOL CLEANER 0 Single Speed EcoStar Pump User and environmentally friendly. A pump that creates a cleaner pool? 'I ,( EcoStar is extremely easy to use, even for a new pool When operating at lower speeds, EcoStar moves water owner. It has a next-generation, integrated digital control more efficiently through the filter,which means more interface that's intuitive to operate and always faces a particulate is removed from pool and spa water,for convenient direction as it can rotate to four different positions clearer water. For added convenience, a no-rib basket on the pump or can be removed and wall-mounted.That's design ensures easy debris removal. especially important if the pump sits in a tight space. EcoStar also provides on-board diagnostics and automatic protection for priming failures,temperature extremes and "Assumed speeds measured in revolutions per minute.EcoStar can be voltage fluctuations to ensure seamless operation. "dialed in"to the specific speed needed for the given application. �o -.T- Fr. j-rk p�l y. Y I 4� y JL`t- •Y t i f �PVWARG OInnovative multi-position digital y m control interface o' , an d' _ 4 N ® Permanent magnet,totally enclosed ', fan cooled JEFC)motor ) ® Industry-leading hydraulic design _ "Savings compared to a single speed pump running 12 hours per day,on a 20,000 gallon pool,at an average electrical rate 2"X 2Yi"union connections of$0.15/kWh.Actual savings may vary based on comparison i pump model,hours of operation,electrical rate and other hydraulic aspects such as plumbing size and length. ® No-rib basket ensures easy debris removal OWN -- 1 Application and Installation Additional EcoStar° Features and Benefits In-ground pools of all types and sizes, pool/spa combinations •Automatic protection from priming failures,temperature • Ideal for water features such as waterfalls and fountains extremes,voltage spikes and brownouts • Fully programmable with a self-contained 24-hour time clock • Includes digital control interface wall-mount kit with up to 8 custom speed and timer functions • 2"x 21/2"CPVC union connections provide easy • For enhanced pool management,can be controlled by installation and service Hayward°or other third party pool and spa control platforms, • No-rib basket design ensures easy debris removal without the need for additional accessories • Extra leaf-holding capacity basket extends time between cleanings • Pressure testable to 50 PSI maximum •Auto-priming capability,with suction lift up to 10' above water level SP340OVSP EcoStar 600-3450 RPM 230V Single Phase 2"x 21/2" ......................................................................................................................................................................... SP340OVSPVR EcoStar SVRS 1000.3450 RPM 230V Single Phase 2"x 21/2" ...................................................................................... ECOSTAR PERFORMANCE DATA �� 100 1�J1�l�JG!!1 D • 90 15.94 11.53"-- —10.18"-- " - I - - LL 70 �` -- �- -- - 60 — tZ I 13 61"I oaoreata�o G¢ 40 —�-- — — —— —-- > 8.16" u7 30 __�—. ._. .-_._._ -}3450 RPM - ar- I13000 RPM 207.6 10 1J — —� 240o RPM --4 4 — —8.74"—^ ( I 1000 APM 1725RPM t i ................................................................... 0 0 20 40 60 80 100 120 140 160 180 FLOW(GPM) EcoStar runs efficiently in all of these ranges. 1 s i i To take a closer look at Hayward EcoStar,go to EcoStar Series Pumps www.haywardpool.com or call 1-888-HAYWARD. are listed by: C Et! US C�IQ�LaG�D° NSf. 620 Division Street I Elizabeth, NJ 07201 Hayward,Hayward Energy Solutions,EcoStar.Pro Logic,E-Command and OnCommand A are registered trademarks of Hayward Industries,Inc. © 0 2011 Hayward Industries,Inc. LITECOS8I 1 C�Q QG�D E3 Universal H -Senes B POOL AND SPA HEATERS 0 Right for so many _ L reasons. Perfect for so many applications. v WA y A a N li %w@MM RMW a GW 0 4s a 0 0ftuffaB 0um 0Oft 0 so ao i Haywardo Universal H -Series Heaters: Energy e i i ent and universal fit �pV Wg9O OS '-tea i t Y — -_H250 -D O �' . H2O0FD K ; Hayward is always looking for ways to make pool and spa ownership as affordable and effortless as possible. Our Universal H-Series pool and spa heaters combine advanced technology with universal-fit flexibility, making them a smart choice for virtually any new installation or system upgrade. They deliver state-of-the-industry performance, save up to 18% on energy costs, have extremely low NOx emission levels and a legendary reputation for durability. They're offered in 150,000, 200,000, 250,000, 300,000, 350,000 and 400,000 BTU/hr. models. Exclusive to Universal ® ' H-Series Heaters STANDARD Cupro Superior Hydraulic State-of-the-Art Finn Dual Voltage Nickel Heat Exchanger Performance Plate Heat Exchanger Installation is simplified Totally Managed Flow Industry-leading hydraulic State-of-the-industry Fin with voltage that adapts provides exceptional performance saves Plate heat exchanger with to either 110V or 220V corrosion resistance and energy by reducing special V-groove design erosion protection.Ideal for circulation pump run time. for faster heating and t today's salt-based electronic longer life. chlorination systems. i for ultim,ate convenience , I , ' r 0 r '� I'��i- � .!� � �r �.�--'rw - � • -• ,"'S- 'ter _ 4 k Easy installation, simple operation. A choice of left-side or right-side electric, gas appearance and front-panel only access and water connections gives Universal H-Series required for both installation and service- heaters unprecedented installation flexibility. ensures compatibility with virtually all This enhanced adaptability-coupled with new or existing systems and equipment a lightweight design, a modern low-profile pad configurations. Universal Wiring Hot-Surface Silicon Digital LED Control Panel Insulated FireTile® Low NOx Emissions Junction Boxes Nitride Ignition System Electronic control Combustion Chamber Environmentally High and low voltage Exclusive silicon nitride display maintains water Unlike older forms of responsible;complies +y connections are easy and ignition system for temperature;monitors insulation,FireTile securely with all current California convenient with left-and dependable lighting and heater performance with traps the heat,delivering and Texas air quality right-side junction boxes. reliable operation. self-diagnostic capability. the most performance emission standards. from each BTU. ,l �I r Selecting the correct-size' Specifications and H-Series heater: Dimensions: For Your Swimming Pool Universal H-Series Heater Determine your pool's surface area in square feet: 11 1 i 1 i i 1 1 1 11 1 1 1 l 400,000 350,000 300,000 250,000 200,000 150,000 A B L / 83% 83% 82.7% 83% 83% 82.7% L R W , , 36" I 33" I 30" i 28" 25" 21" 1 1 29Y2" 29'W' 29Yz" i 291/2" 29Y2" 29Y2" Area=(A+B)x L x.45 Area=R x R x 3.14 Area=L x W 24" f 24° 24 24 24 24" 1 1 2"x2Y2 F 2"x2/z" 2"x2/2' 2"x2/z 2"x2/z' i. 2"x2/z" In this table,locate the surface area that Cupro Cupro Cupro Cupro - Cupro { Cupro Nickel '' Nickel Nickel Nickel Nickel Nickel is equal to,or just greater than,the pool's ; H400 1,200 surface area.To the left of this number is the "' • ' 8" g^ 8" 6' 6 6" I H350 1,050 I appropriate H-Series model that will fit the 1 H300 900 selected area. 160 158 145 1 134 123 110 I H250 750 I For indoor pool installations,divide the pool's 3/a° 3/a" a/ 3/ 3/4 3� H2O0 600 surface area by 3. Gum H-Series heaters are available in a comprehensive range of BTU sizes for natural or propane H 150 ', 450 Table is based on a 30°F temperature dse,3'�mph average wind velocity and etevanon of up to 2,,000 feet above sea level.. gas.All units are certified by the Canadian Standards Association and carry the exclusive Hayward®warranty. For Your Spa or Hot Tub Millivolt Heaters Determine your spa capacity in gallons(surface area x average depth x 7Y2). l 210,000 The reference table lists the time required in minutes to raise the temperature of the 27" spa/hot tub by 30°F.In the table below,locate the column with the spa/tub size in gallons MOWN 27Y2" that is closest to yours.Select the desired time to raise the spa/hot tub temperature 30°F, Comm 28Y2" read to the left and select the appropriate H-Series model. 1 Yz"x 2" This guide can be adjusted for other temperature rises.For example,if you desire a 15°F Cupro Nickel increase in temperature,simply divide the time for 30°F rise by the ratio of 30/15,or 2. 111 • 1• 1 7" Note:Heat lost and/or heat absorbed by spa walls or other objects will add to the time , 17Ya" it takes the spa to heat up. 144 Spa sizing is based on an insulated and covered spa.Always cover your spa or hot tub �n+Wad when not in use to minimize heat loss and evaporation. 3 1 0� jam 1 l 11 11 III 11 .11 11 :11 'II 111 TO H400 9 14 i 19 23 28 33 37 i 42 47 I H350 11 16 21 27 32 37 43 48 54 H300 12 19 25 31 37 44 50 56 62 f H250 15 22 30 37 45 52 60 67 75 H2O0 19 28 37 47 56 66 75 84 94 �.._ H150 25 37 50 62 75 87 100 112 'I 125 Efficiency. Performance. Innovation. Whether you want to extend your swimming season or swim year-round,Universal H-Series gives you comfort with efficiency.It's the perfect addition to your Totally Hayward®System. To take a closer look at Universal H-Series Heaters or other Hayward products,go to www.hayward.com or call 1-888-HAYWARD ]/� QGD 620 Division Street I Elizabeth, NJ 07201 A Hayward,Hayward Energy Solutions,Totally Hayward and FireTle are registered trademarks of Hayward Industries,Inc.02013 Hayward Industries,Inc. LITHSI3 1 NO YOU CAN [20 7777 L M ITM WITH I i I OmniLogie OmniLogic. The sim lest and most intuitive . .�s �,• a'ter p pool controller ever. , I ..yam"WtT �t t - f f p i ^�t 0 y� a i NI k ^ x� , t s F L M . c l l m rtD a�� 1 t " ytv qZ� x Total control over dramatically expanded backyard themes, all with one button push. � r a r B nJV� �'��', •�y,;z,� r. ��;��• --.,,� Future-proof:Gain fast and easy access to the latest software ;'} updates via USB key.When ' "' , " ,, automation technology advances, y 4 F so does OmniLogic.iip DI •� - ' _+* ~" .� :• s.' Customizes to fit you.Set up familiar names for controlling e features and automated activities to eliminate guessing games. �r t .j Access your backyard from re anywhere via any computer, a remote or mobile device. •» „� ' - IFY S " , Easy to use and simple a • � � � ,� �` '*�`""" �,. ,,,, �w to customize,it makes everything about controlling your backyard easier. K_ ` "'I t F' P-_ _ m • l TOTAL BACKYARD CONTROL IS RIGHT AT YOUR FINGERTIPS. CONTROL MADE SIMPLE. Now you can AS FLEXIBLE AS WATER. OmniLogic's PLUG INTO THE FUTURE. Forget control nearly every aspect of your backyard from modular configuration gives you the ultimate costly and time-consuming upgrades— one device.The OmniLogic user interfaces are intuitive in flexibility and scalability.Never again will adding OmniLogic is future-proof thanks to its USB port, and easy to use thanks to an icon-based graphics a feature or enhancement require complex system which allows you to upload new capabilities as well as touchscreen and iPhone®iPad®AndroidT'°and web apps upgrades.Want to add a heater?A porch fan? install and restore configurations quickly and easily that are designed to do more with fewer button pushes. Landscape lighting?Now you can seamlessly and so you're always on the cutting edge.{ Customize it to fit your family's needs and preferences. painlessly add devices with plug-and-play expansion. r Set up to 5o Favorites icons and 25 customizable Themes you can change with the touch of a button. f a, OmniLogic°-5-Step Modular Configuration HAYWM&44 �r Q OmniLogic Base Panel Q OmniLogic System Expansion > Any pool or pool/spa combination (optional) rya > I O.expansion board I y ""�� k > Single, Shared and Dual Equipment / pugs direct) into � base unit and provides 4 additional €I Standard Features: high-voltage relays, 4 additional low-voltage x > Built-in touch display for easy relays and 4 additional temperature sensors ? j configuration and programming > Expansion panel adds an additional ?t > Fully programmable,automatic control system panel with the same capabilities of every output as the base unit* I( > 4 high-voltage relays(upgradeable to 10) *Expansion Panel available Spring 2016 e "F0 > 4 valve actuator relays(upgradeable to 8)> 4 low-voltage relays/heaters(upgradeable © ChOOSe Remote COntr01 � ., mm to 8) > Wireless antenna for web use > 5 temperature sensors (if wired ethernet unavailable) > Controls up to 16 EcoStar'or TriStar' > Wired full-function touch screen variable-speed pumps without a relay wall-mount display for indoor or OmniLogic Specifications > 125A sub panel with 12 breaker slots protected outdoor use g p > 50 favorite one-click buttons > Wireless waterproof full function touch . Part Number Description > 25 unique programmable Themes screen remote for pool,spa or indoor usei > Salt chlorination ready > Free app for Apple iPad,iPhone' HLBASE OmniLogic 4 Relay Base Panel and Android'" HLRELAYBANK OmniLogic 4 Relay Bank p` > Free website for backyard control from HLRELAY OmniLogic 1 Relay Q. Identify Control Needs any internet device HLIOEXPAND OmniLogic 4x4x4 Valves,Sensors, Inputs >Ability to add a relay bank and 2 individual HLWLAN OmniLo Ic Wireless Network Antenna relays for a total of 6 additional relays for Q Identify Sanitization Needs g further feature control HLWALLMOUNT OmniLogic Wall-Mount Remote > Salt ready-Optional TurboCell®:15,000-, 25,000-or 40,000-gallon depending on HLWIRELESS OmniLogic Wireless Waterproof Remote pool size HLEXPAND* OmniLogic Expansion Panel 1 > Optional Sense and Dispense'-fully integrated GVA-24 Hayward Actuator-24 Volt , chemical automation T-CELL-15 Hayward 40,000 Gallon Salt Cell r P-KIT Hayward Salt Plumbing Kit HL-CHEM OmniLogic Sense&Dispense AQL-CHEM4-ACID pH Dispense,Acid Feed System 'Available Spring 2016 1 To view the OmniLogic video, visit thepowerofsimple.comMAL! VVQLf�1Dc,1-888-HAYWARD Total System: Pumps I Filters I Heating I Cleaners I Sanitization I Automation I Lighting I Safety I White Goods Hayward,EcoStar,OmniLogic,Sense and Dispense,ToStar and TurboCell are registered trademarks of Hayward Industries,Inc.©2015 Hayward Industries,Inc. All other trademarks not owned by Hayward are the property of their respective owners,Hayward is not in any way affiliated with or endorsed by those third parties, , LITOMLOBRO15A m L. f__7� SwImClearTM P QUAD-CLUSTER CARTRIDGE FILTERS High performance. Operational convenience.. Hayward SwimClear reaches new horizons in cartridge filter technology. Industry leading hydraulic performance with maximum flow through all cartridge elements via a rt_ top manifold configuration ensures superior water clarity, extended time between maintenance and maximum energy savings.A cluster of four reusable polyester cartridge elements provides a choice of 225,325,425, 525 and �J now 700 square feet of heavy-duty,dirt-holding capacity and extra-long filter cycles.SwimClear filter tanks are made from a reinforced co-polymer material for the ultimate in strength,durability and long life—even for the toughest applications and environmental conditions. Discover the crystal clear results and reliable performance of SwimClear by Hayward—the first choice of pool professionals. tpvw4q� 1_r_ ____ Tom-- • � _. ..w+ ,- �� ' � Manual Air Relief 'y -' Combination Pressure and Cleaning- is a high capacity,rapid release Cycle-Indicator Gauge manual air relief valve that bleeds air gives visual indication when cartridge with a quick quarter turn of the lever. , filter elements need cleaning. To Manifold Quad Cluster Cartridge Elements P g provides industry's best energy saving hydraulic r l" provide 225,325,425,525 or industry's largest performance and utilizes the entire cartridges IE; 700 ft of filter area and extra dirt-holding capacity surface area to maximize time between cleaning ' ; ) I for long filter cycles.Precision engineered core �V tH provides extra strength and superior flow. Heavy-Duty,Tamper-Proof,One-Piece Clamp securely fastens tank top and bottom together _ Self-Aligned Tank Top and Bottom and allows quick access to all internal make access to servicing Quad- components without disturbing piping or Cluster cartridge elements quick connections. i 1 and easy. High-Strength Filter Tank I It is made from durable,glass reinforced co polymer to meet the demands of the i • 'u CPVC Union Coupling Connection �� 9f� I,. toughest applications and environmental provides plumbing options of 2" conditions,including in-floor cleaning systems. u n f( or 2Y2"plumbing with 2"full flow internal plumbing for maximum Uniform Low-Profile Tank Base Design hydraulic performance. makes removal of cartridge elements fast and simple. Noryl'Bulkhead Fittings Full Size 1 Y2"Integral Drain for extra strength and heat resistance. provides fast clean-out and flushing. �. Quad-Cluster cartridge elements: �_. FILTER TYPE 225,325,425,525 and 700 ft2 total(20.9 30.2,39.5,48.8 and 65.0 m) FILTER TANKS '¢ 4 _YInjection-molded glass reinforced co=polymer FILTER ELEMENTS Reinforced Polyester PERFORMANCE RANGED '/z'to 3 HP(30 to 150 GPM):37ao 2.24 kW(114`to 568 " C2O3O—23"W x 32 Y2"H(58 cm x 81 cm) ' C3O3O—23"W x 34 Y2"H(58 cm x 87 cm) li DIMENSIONS C4O3O—23"W x 40 Y2"H(58 cm x 102 cm) «° C5O3O—23"W x 46 Y2"H(58 cm x 117 cm) 1i t C7O3O—23"W x 52 Y2"H(58 cm x 134 cm) CPVC Union Connections Iglu �' 1 30 or +yr 4.�qw LWI C203O 225 20.9 84' 318 40,320 50,400 153 191 ' C3030 z 325- ° 30:2 122" _ 462 a.58,56O73,200� 222 °277,- Ps °� V bo HAYWARD C4030 425 39.5 150" 568 72,000 90,000 273 341 C5030. t ,525 ''a 48:8 ,150—f. � 568 '-72,000 "9Q,000, :{ti .273 341' C7030 700 65.0 150** 568 72,000 90,000 273 341 Pressure and Cleaning Gauge 'Based on NSF recommended rate for commercial use at.375 GPM/ft 2 —Determined by pump size and piping system hydraulics;2"piping is recommended for flow rates equal to or greater than 90 GPM(341 LPM).Hayward doesn't recommend flow rates above 150 GPM. NSF To take a closer look at Hayward Filters or other Hayward Products,go to www.hayward.com or call 1-888-HAYWARD aaa�D 620 Division Street I Elizabeth,NJ 07201 ®Hayward and Hayward Energy Solutions are registered trademarks and A SwimClear and Noryl are trademarks of Hayward Industries,Inc. 02013 Hayward Industries,Inc. LITSWC13 TOWN OF4BARNSTABLE BUILDING PERMIT APPLICATION Parcel #Map 00F j ' Health Division =Date Issued r Conservation Division Application Fee Planning Dept. Permit Fee: 1046 Date Definitive Plan Approved by Planning Board Historic = OKH _ Preservation /Hyannis Project Street Address Village T • Owners � �"� .1', Addressf' Telephone , ptPeerrmit Request �i�'� �s ' 'w c7 e rl o� .P d��'/�✓-e'll ,�' m�a i.N 9, `wq � �" " �G s1� � �� i f6��,•��r�' JC'fr c!vtG� G`C��jl''"� /�� V..9�Q��CO f��✓L�� /Sl cnR�xx�6��LG, L'e..rG'sc�i � �� Square feet: 1 st floor: existing proposed :2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction 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: UTFull ❑ Crawl 'Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) �' '` <Jl Number of Baths: Full: existing d new o° Half: existing new Number of Bedrooms: existing 0 new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: 8'Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No N Detached garage: ❑existing ❑ new size Pool: ❑ existing ❑ new size _ Barn: ❑e sting $new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: J M. Z � ry 1 Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ x, Commercial ❑Yes ❑ No If yes, site plan review# c.3 Current Use Proposed Use rra APPLICANT INFORMATION r - (BUILDER OR HOMEOWNER) -� `�q 'K3(p Name ��,,-,5 ��O G'� Telephone Number ?7!e ® >0,2 Address 7 � ' License # 4 eras Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE a �� DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. I ADDRESS VILLAGE t t OWNER i '1 -DATE OF INSPECTION: FOUNDATION FRAME 1 INSULATION FIREPLACE 'ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL I :s GAS: ROUGH FINAL FINAL BUILDING I DATE CLOSED OUT ASSOCIATION PLAN NO. i if The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' d 600 Washington Street Boston,MA 02111 '.. sV www.ma%ss.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): J Address: City/State/Zip: Phone.#: S`o `P ?7 5' C? 70-'T Are.you an employer? Check the appropriate box: Type of project(required): C&I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner-' listed on the attached sheet. 7.. ❑Remodeling ship and have no employees These sub-contractors have. g; ❑ Demolition working for me in any capacity. employees and have workers' $ 9. ❑Building addition [No workers'-comp. insurance comp.insurance; 10. Electrical repairs or additions required.) 5. ❑ We are a'corporation and its ❑ P. - 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right ofexemption per MGL 12.0 Roof repairs insurance required.] t. c. 152, §1(4),and we have no employees. [No workers' 13.Ej Other comp.insurance required.] *Any applicant.that checks box#1 must also fill out the section below showing their workers'compensation policy information.. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp:policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job:site information Insurance Company Name: t� Policy#or Self-ins.Lic.#: Expiration-Date: Job Site Address: City/State/Zip: " Attach,a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to.$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statemelit may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do herehycerti_fy under the pains and penalties of perjury that the information provided above is true and correct � O - Signature- Date: / Phone Official use only. Do not write in this area,to be completed by city or town official , F city or Town: Permit/License# Issuing,Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector. 6.Other Contact Person: Phone#: ' , Information and Instructions r Massachusetts.General Laws chapter 152 requires all,employers to provide workers' compensation'for their.employees. Pursuant to this statute,an employee is defined as"...every person in the service of another.under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,.partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shallnot because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." ' . Additionally,MGL chapter 152, §25C(7)states"Neither,the commonwealth nor any of its political subdivisions shall'. enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to-the.contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-confractor(s)name(s),address(es)and phone number(s) along with their certificate(s)of 'insurance. Limited Liability Companies(LLC) or Limited Liability Partnerships(LLP)with no.employees other than the members or partners, ate not required to carry workers' compensation insurance. If an LLC or LLP does have r . employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly: The Department.has provided a"space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. . Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permitilicense applications in any given year;need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"1he applicant should write"all locations in__(city or town).".A copy.of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a calla The Department's address,telephone-and fax number: The Commonwealth of Massachusetts Department of Industrial Mcic ents Office of Investigations, 600 Washington Street Boston, MA 0211.1 Tel. # 61.7-727-4900 ext 406 or..1-877-MASSAFE Fax# 617-727.774 Revised 11-22-06 www.mass.gov/dia RightFax N3-1 1/15i2009 7:;00:34 Air PAGE 3/003 Fax Server ACORDe CERTIFICATE OF .NSUIRA'INCE DATE(i,5h5\W�YY) 01-15-09 PRODUCER TIPS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE BRYDEN&SULLIVAN INS AG HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 88 FALMOUTH RD ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE HYANNIS,MA 02601 COMPANY 232MY A TRAVELERS I NWiN'Trvf i Y CONIPANY INSURED COMPANY B LFBOEUF TAMES DBA BARNSTABLE COUNTY CONSTRUCTION&SEPTIC COMPANY 71 BETH LANE C HYANNIS,MA 02601 COMPANY D COVERAGE THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODIIDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WRTN RESPECT TO WHICH THE CERTIFICATE MAYBE ISSUED OR MAY PERTAIN.THE DASLRAIICE AFFORDED BY THE POLICIES DESCRIBED HEREIM G SUBJECT TO ALLTHE TERMS EXCLUSIOtAS At.D COPlD.r MS OF SUCH POLmES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO POLICY EFF POLICY EXP LTP. TYPE OF INSURANCE POLICY NUMBER DATE(MMIDDINY) DATE Llmtl S GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL PRODUCTS-COMPIOPAGG. $ CLAIMS MADE OCCUR. PERSONAL&&ADV.INJURY $ OWNER'S&&CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE(Anyone fire) $ MED.EXPENSE(Any'one person) $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS BODILY INJURY(Per Person) $ SCHEDULEAUTOS BODILY INJURY(Per Ac,�idenF) $ HIRED AUTOS PROPERTY DAMAGE $ NON-OWNED AUTOS GARAGE LIABILITY ANY AUTOS AUTO ONLY-EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGREGATE $ EXCESS LIABILITY UMBRELLA FORM EACH OCCURRENCE $ OTHER THAN UMBRELLA FORM AGGREGATE $ WORKER'S COMPENSATION AND A EMPOLYER'S LIABILITY UB-88IX7864-08 05-14-08 05-14-09 STATUTORY LIMITS X THE PROPRIETOR( EACH ACCIDENT $ 100,000 PARTNERSIEXECUTIVE INCL DISEASE-POLICY LIMIT $ 500,000 OFFICERS ARE: X EXCL DISEASE-EACH EMPLOYEE $ 100,000 OTHER. DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIRESTRICTIONSISPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUE)TO TIM CER.TL9CATE BOLDER AFFECTLNG WORKERS COW COVERAGE THE WORKERS'COMPENSATION POLICY DOES NOTPROVIDE COVERAGE.FOR LEBOEUF JAMES. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE.ABOVE DESCRIBED POLICIES BE.CANCELLED BEFORE THE TOWN OF BARN5TABLE EXPIRATION DATE THEREOF,THE ISSUING CONWANYWiLL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE.TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT BUILDING INSPECTOR FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION ORLIABIUTYOF 397 MAIN STREET ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. I HYANNIS,MA 02601 AUTHORIZED REPRESENTATIVE ACORD 25-5(31W) Charles J Clark oFzTgti Town of Barn-stable Regulatory Services . HARNsK sABiE � Thomas F.Geiler,Director 16.39. �C11. � Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize —J;-v,n L z J&�.H-� to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) 1 i� Signature of Owner Da Are-A S Print Name If Property Owner is applying for permit please complete.the Homeowners License Exemption Form on the reverse side. Q:FORMS:O WNERPERMISSION THE Town of Barnstable PROF Tp�� „�. Regulatory Services • t;wuuvsu-gate, Thomas F.Geiler,Director '4, .•� Building Division PTfD a Tom Perry,Building Commissioner 200 Main.Street,_Hy_annis,MA 02601___,______._ www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 .`� HOMEOWNER LICENSE EXEMPTION k� Please Print DATE: \� A JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: cityhovm state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that.be/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION .The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor.,, Many homeowners who use this exemption are unaware that they are assurning the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a.form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR ONE- AND TWO-FAMILY DETACHED RESIDENTIAL CONSTRUCTION (780 CMR 61.00) Applicant Name: Site Address: print Town: �y�✓i✓.�/1'p�oca P C�T Applicant Phone:,e�;,,:r. Applicant Signature: Date of Application: NEW CONSTRUCTION: choose ONE of the following two options) 780 CMR TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE-AND TWO-FAMILY BUILDINGS MAXIMUM MINIMUM Ceiling or Basement Slab ❑� Option 1: Fenestration exposed Wall Floor Perimeter U-factor floors R-Value R-Value Wall R-Value AFUE HSPF SEER R=Value R-Value and Depth National Appliance Energy R-10, Conservation Act(NAECA)of .35 R-38 R-19 R-19 R-10 4 ft. 1987 as amended;minimums or eater as applicable Note: This form is not required if you choose either of the two versions of REScheck as listed below. ❑ Option 2: REScheck Version 4.1.2 or later variant software analysis must be completed (780 CMR 6107.3.2) REScheck—Web which can be accessed at http://www.energycodes.gov/rescheck/ ADDITIONS OR ALTERATIONS,TO EXISTING BUILDINGS OVER:S YEARS.OLD* *Buildings-under 5 years old must use option#1 or#2 in New Construction section above. Complete the following formula to determine the % of glazing: (a) Gross Wall & Ceiling Area equals Formula: (100 x b-a)) /P-7.7 SF � ��3� — � l00 x 6'— — '° 7 % of glazing (b) Glazing area equals .�O/ SF 6 a If.glazing is.<40% use.the chart below. If glazing is> 40.%o proceed to "SUNROOM"'section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING LOW-RISE RESIDENTIAL BUILDINGS MAXIMUM MINIMUM Fenestration Ceiling and Wall Floor Basement Wall Slab Perimeter Exposed floors R-Value U-factor R-Value R-value R-Value r- R-Value and Depth .3.9— R-3.7 a R-13 R-19 R-10 R-10, 4 feet a R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area(i.e.not compressed over exterior walls, and including any access openings), SUNR00M7 An addition or alteration to an existing building/dwelling unit where the total glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of the addition. Note: Owner to fill out Consumer Information Form (found in Appendix 120T) �T, Board of Building Regulations and Standards HOME IMP'tOVEMENT CONTRACTOR y Regist4�n\159015 I Expicafron 4'2010` Trli 265640 • BARNSTABLE COUNT C©N... CTION_CO: • JAMES LEBOEUF ` 7-1 BETH LN ` y` HYANNIS,MA 02601 Administrator —. -_-- Mussachus Board of Buil, Dcl)artment ol•p Constr dingy.Rey ublic Safeh uction Su ''mlations and Standart/s License: CS 60349. Pervisor License 1 Restricted to:-00 DAMES T LEBp 71 BETH LANE EUF` j HYANNIS Mq.02601 • Jam_ � �: g1g111S1U11P� Expiration: 1/5/2011 rr#: 9302 • aan;eugis;noq;lm Pllen;ou 80IZ0'ew`uo;sog J 10£i wN aJeld uo;anggsd aup • splepue;S pue suol;eingag gulplmg 3o p.ieog :o;u.rn;aa puno331 •a;eP uol;ealdxa aq;aao;aq (Iuo asn lnpinlpu►-ao;Pilen uol;e.i;sl201 ao asuaal,i i t � 1 M.�ssachusctts- Department of Public Safc" . Board of Buildin Rc erlvisor s and License�nd`trds Construction Sup License: CS 60349 Restricted to::00 ; f. JAMES T.LEBOEUF 71 BETH LANE HYANNIS,'MA 02601 Expiration: 1i5Q011 ('ununissiuncr Tr#: 9302 r R r I l ,. 4L R-E.� AqR�4 & �� PLANNELIONC, ' B I 11l NaAW�mfm l.g."- -"'IISH! n- Q m I T 00 I Q _ 0 4 STUDIO APARTMENT EXISTING BASEMENT AREA 1-71 09204.20 -'• EDWARDS RESIDENCE OEXISTING FLOOR PLAN _ O PROPOSED FLOOR PLAN IH� _ FIRST FLOORL APARDAENf . S(YdE 1/4'=1'-0- SGfE: . :..., ...:'............. ...p 14 GRAYTON AVE - .. HYANNISPORT, MA . l;� �� .1 �(�}/� •. �•,� E7�IRIG CONOII10N5 FIDOR PIAN , I, LEGEND . FA CALCULATION .•`'»--._••. ..-•.•..-. ., _� ,Inv- uu4 IE5 N_UE 5 000NnlmMartwo _ m,mwcml m a�m u xmm — ommc mlmea,nli m vu,w _ ' 4V IR MENi 'R REOU E 5 ^^®"a;•""•a""° 'm""s� J 780 CMR 7TH EDRION—TARLE 6101 3 _— ®.a mmis eulrs wvaun .�, .01 ,�. 'y�,,,,,""�;"q _ ua wu / 1 om,.c oom m mIw . E><ISfING BUILDING RENOVATIONS P/780 9307 CMR.M EDITION' Al ' — '.�[mulnt rux 16 xm Iaalmmk as,w(nc �row - aawl t v wwtm ul�mn�w ...� ti 0 R.E.Dmam ARCHrEcrs&. PLANNGRS,INC uma,vaexwp,v.e.m..l�.mm,,.s,u QL 0 OSECOND FLOOR PLAN .O THIRD FLOOR PLAN - srsiP SCALL. I t r 08204.20 (A GO •,. ___ �• «-- _ �'r EDWARDS RESIDENCE �- it=j �i —� •\ LOWER LEVEL APARTMENT a m ; 14 GRAITON.AVE e \ �� FIYANNISPORT• MA . am SY01E OETECIOR IAYOUf OFIRST FLOOR PLAN ® FOURTH FLOOR PLAN SCALP SCALE I EGEN ` - om,.c mwTnxmx m imuw� lam. r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATIOIti OZ4 Map 2 7 Parcel Application # 5 Health Division Date Issued ?—-( 01 i Conservation Division s Application F Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address I'� y1 4y e Village 44A V V\ S `l Owner i 1Vn )(Le Address J� l " S . 6 0 Y�1, g}/ 112-(S— Telephone °7 Is at 6149 7 Permit Request New R.bA -c" frew Fc _ � vN 2 8 moms Square feet: 1st floor: existing RY-5$roposed 2nd floor: existing proposed Total new C� Zoning District _ ( Flood Plain 60 Groundwater Overlay n Project Valuation Construction Type Lot Size 3 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: Vull ❑ Crawl ❑Walkout ❑ Other �- �r)1 '_ Basement Finished Area (sq.ft.) Fob Basement Unfinished Area (soft)` `3 CA Number of Baths: Full: existing l- new Half: existing ( new Number of Bedrooms: L4 existing -Onew c� UJ 5.4 Total Room Count (not including baths): existing new First Floor Ro Count— �v r� Heat Type and Fuel: b G//as ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes 'No Fireplaces: Existing A New Existing wood/coal stove: ❑Yes VO Detached garage: Vexisting ❑ 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 G Telephone Number Address ' ll� License# QG 6- o Wn Home Improvement Contractor# e� Email Worker's Compensation # ALL CONSTRUCTION EBRIS RE I M THIS PROJECT WILL BE TAKEN TO r SIGNATURE DATE L{.� FOR OFFICIAL USE ONLY r. .APPLICATION# r DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION `.l ` FIREPLACE t. ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING \ - DATE;CLOSED OUT '' ASSOCIATION PLAN-NO. 47 ram_'✓i � a .l'.?..'' � T Town of Barnstable .� Regulatory Services 9MASS ` Richard v:Sca%Director Building Division ,N Tom-Perry,-Buff-ding Commissioner - E '200 Main Street,Hyannis;MA 02601 • www•town barnstable.ana us'° Officer 508-862-4038 $. ; ,N° ' '` Fax:°508-790-6230 Property O�wn6r Must :# r V Complete acid Sign This Section ilf Usffi 'A Builder, • •'•' Y o Pa' r + i , " ,,.. < S` A ��"••' �C •' + •„ � - � !ry -• t'�a • I, '. h79 AV7 ,Y as Owner of the subject'piopeity hereby authorize @C�e✓ .� to'act on my behalf, in all matters relative to work authorized bythls bmldm permit application for. ° - `(Address'of Job) x Pool"fences and alarms.'are the responsibility of the.applkant• Pools .',,are not to be-filled or utilizedbefore fence installe all final a '� inspections are performed and accepte {' y 41 Signs of Owner x ' Ap t • /fW1.Av'/�l�r�l'� • a a N' `�,. `•r afi � /�' � l `,.'f,� ,.' Print Name Print N p .. Date `z , Q:F0RNS:0wNERPERMISSI0NP00LS } Office otCoosu �ir�Jz2fyrr{fe�f+/ �erAffaris&Busing��ii.. y' ME I10R01/E egulahon is MENT CON y e9 tration TRACTOR 116331 on, 6!1/20i$ TYPe r - rf ._ GEORGE drtdiwdual J CYR.JR GEOROE'CYR ei ° 52`PLAIN .. 'ST UFTON,'MA_01568Sg 4� �L� r, s • . d`" e w is e• � cretar� T. Massachtesfs_�Partrrtent Of Ptibtic Safetpi 4 ti Board Of BuitCling Regulations and Standards C'onstructiore Super'isor , License: CS4)49619 •.GEORGE J.CYR, 52 PLAIN ST Upton MA 01569 Expiration . r Commissioner r-,` 02rA=16 t'�'O�O��tTSStlflil� . 600 Wwdl3f►tree — B00a fy MA 02I 11�f1.7f�7Jg��IS WurkerSa C�ensa6IIIIlsur;mciie Affi&vik a �Ci�i<15tFIr1II1 reIS Applicant Infer latiam r' Se Print Iy Name _ .C� `� CCwct� G C,Q.. Address: c ytstatr-rZ _ �'�`c9 t� Yyt.q O 1 S �Phone �'` .`�1S ( 363 Are you an:emPloyer?Checkthe appropriate ba= 1.[Rama employer With- , 4 []I apt 9 geuetal cnnfmk ctar snd I Type of P Ri'64 OvgUired}. Y employees(fall andtorpa uime)" havehiredthe sub-contracibm 6 ❑Nei�COMSkUdiDU 2-❑ I am a sale proprietor orpartuer- listed on the tttiacied shee • -'. EfRgnodeling ' ship and have no employees Thee sub-contact=have g- ❑Demolition worlang for me in any capamty_ employees and have wo*ers' [No worlces'comp.insurance comp-tnsmatrct=-4 9- 0 Buikimg addition regaked"] 5-❑ We are a corporationaud its 10-0 Electrical repa$s or additions 3.❑ I.atn a bomeGnuner ciciab ail tarorl. officers pace tercised iheir 1 3L.0 ghwabing or additions Myself[No warlares comp- ried0feMMVfioaperMW insauance requized]f c-15Z§I(4} and we haLne-tD employees-[No wo&e& 13-0 Other ' comp-:+.Q..ance requim&j *Any�"U-uttbatd ke box*1tmastalsoManthesecfmbelow 8eir Vrodpns'mMPens�aa� a Homeowners vrbusubmitthissffidsvifn they—�911vu and6 bEre tsidecout�ctacs .ZCbmIact=stbxtcharttWsbaxnw tsttedsebasadditiuxWsbeetcboowicgtheaaawaffseboaem3atate nrhett aruo2thase�besbsvE-RPtnyees If thesab•coatactars}rave dwymastF.�&6b 'tip•pp,,ymmm IT : run an emplojw aw LypMV&uW H Orkers'compmmftyr&MMUM fm.vol y Betotr is BieguTicg arfd b site ii?forrrratiQ 10. Ice Compaul•Iriame: YY1 v^t$� y I r� �. Pcficy#Cr self €1 i 1,5S ' 0 l Q G te_ Job Site Add>ass __ 1 �{ (4 a"��4ov-, y City/S#atel7ap_ ti c!y1�1 t �� ci Mach a copy of fht<warkems'colupeasation Policy decbwaticm the �— Farinre to secatt±covers $s 1 « P0HcY number and m*z ion date).. , &e �l�edunder Seclicrt25A of c. 152 can lead to the iMpoxition ofcrimittal paaatties of a. fine up to SL 50D OD andlta•ow yearim as mil as cart p=fties in the form of a STOP WORK ORDERand a fine' ofup to$250-00 a day agate tie violator_ Be advised g of a cagy of this Stdemtwtmay�hrwardedto the Office of Investigations of the DIA for itSance coverage verffic=ftion_ I do' iefeaY under" and afg�hay thetBre injor+uutiarrprorideriabot�' ii us sari corr�t siEnafnrze: F}aEe ,�-, t �J q ut use onFK ti F [? Uo trot tvrita4 in this area, be�d by city or town o,�aaLCity t or Town:. P� .icense# r Issue AuffiW g{circle ones 1.Boai d.of Healthi 2 B> g Department1 CyQWf Clerk 4.Eegy ical ispect6.Other $� or` . coatact perva Ph&IIe 9: `6 'Name f - vt� i « yFATE(MaN7t7iY'fm 15 Ta IS �rfWI A,E IS ssusD ;s A N14TTER OF lNF©R[%1A'nON ON(V'AND CONFERS 140 RIGHTS UPON THE ceRT1FiCATE F3O€DERL 7141S i CI RTIFIQAT'E 00E.S NOT AFF1R IATIVELY.OR•NEG:ATIVELY P+OttENP, EXTEND Ql ALTER THE COVERAdE AFFORDED BY THE FCI(i AES BED QW_ THIS CERTIFIGATE OF INSURANCE DOES iVOT CONSTITUTE A'rONTIRACT BETWEEN TtiE ISSUING INSURER(S),'AUTHORIZED REPRESENTATIVE OR PRODUCER,ANI)THE CERTIFIOATE HOLE) 1^R: i'!'?ORT NT; tP Ehe G¢rtiEic Le ticsider to an':AI3DfTl(3PlA.L t{ Uf ED§$[ia pollclr,ies)must be enc(jrsed. If�.UBR.Q13AT'IOtd IS WA14��O;�1a�ja i g fibs bflftiBS:end conditions of the p3ollcy,certain poill a�s Mayrequitre an endorsement. A statement on this certificate does not confer rights to the t;s�ElflcaQ ell endOrgemenos) ' ,. r CONaA4 .Jy� 'v Palil.ciNAF°E '�.E 11E te�1t SCr. (A/CO RO'xF%, (.871 253 9020 }EJ13trerldta Drive, Suite .3 ADot3E s jPA--l1lC0@?Complete�aYtra11S'017UtlOris:cOm t _ 3ft�aU7c OJEPA Spra.f 9f-.eld fJa,2O y� r J'�_m `I SU�FJ2 A 30a ' RI$}t3FFO�tila�.�L U'C 1�A IC Ff N ri;' INEURED . INSURER 6 R< " Beoxg4a Cy=, PEA: Cyr Contracting, Company INSURERC 'r • - �� ----- , , R - ` _ 4 v P33.%1 StY@@t - INSURER.D: ERE Upton 1A Oi568 < y INSUR R F, Ci+klfEi ES CERTIFIG��'E t�lU B CtI5596i660. •' RE`l 64dt1 NUMBER. THIS IS 1O CEP.TIFY iiAi Tr1E.r'C?L1C.FES dr INSURANCE�1•SFI*D VE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE,POLIGI'PERIOD INDIr,ATED. NOTVtfllHSTAI�I¢I17r3 ANY'RECIU:REMENT, TERI,'OR CONDITION OF ANY CONTRACT OR OTHER DOC:lMENT'AITH RESPECT TO WHICH THIS CcRTIFlCr1sE MAY BE ISSUED:O'i. ptAY ?fi: IN, THP INSURANCE P.FFORDED We THE POLICIES DESCRIBED hERERN [S.vUvJECT TO ALL THE TERMS. tLLUSIONS,AND CONDI T IONS.OF SUCH POLICIES.LIMITS SHOWN.MAY kAVE.BEE1�REDUCED$Y'PAt13 CLAIMS. R {NSA. __ :-_.._._-._._ ._ .- .. .. ADpL SU9R1... _ Mj ' --- R LT52: TYPE OFINSURALaCE S 'u 1 POLICYmurt!L_R nm1�1 '1�ti7 fiS.eI�ODYIt' .P ( LIMITS . :G�I1RtERCDLGEYERAt LWSFLf Y „ 1 (EACH OCCURPENCE. $ f I t,s1AGE 1 O FrfEG �?tiytS lyACf �._._ 1 3L UR PREMISES(Ea.3=tt:En $. i EKP(iNrs a•a person) �5 -- -- ?EqsvNAJ:a ALTV INJURY S GE�L,r`GGREG_P_TE LIMIT APPLIES POi,. :GE�JGPRL:gryRE3P:TE S � Pg7LIW jE LOC t y PRO UCTS•C� 41P)OP AG G - - AU1'OkF[?EILEEJ$BW7Y' - ?Cf+'4Eitd J��l ;.F;3rF= 5 - • , 1 i(Eeacc 9r(li j_. ANY'.tJTO .- ." , I (SML Y INJURY tpe-person) P.iL OVA3EU i .SCHEDULED I 1 AUTOS" -AUTOS 60DR- IIJJUF!(pu ecc den) S �tCr OtY.IVEG PPCfPEf-Y e r V,t GE' R -_ :-SIRED A-UTOS - 4UTG5 .. ,! { _.� t P a-�9on'J S t nG IJP ! I OCCURRENCEEACH S . f -- E)f ESS LIA® CLPJNS 1tiPE:' I j r I A n CRTC ! Dfir, RETENTI0 3 L'dGkS*cpS COMMSA•lON „ g P P OTH Na si 6P O fERz ABILITY Y f Pt S kTUTc EP 4Y R:OPRIETOPUPAFTM -.-X. .1VE { E.L.En AC DENT O IvEF?B' Ie9EP,.EYCLUOE 1.�;fIlF ! - - �$. i G:F.5:,a4�(zE5 ," :it is 201 ,11J15/2015.£ DISEASE fr?P-NiPLOYEE S lOir,001) tt yE"de:site urU1r.. DE;,'C:RIF'T{ON OF OPERATIONS trF{roe- ' ' ?E.L.GI,-VSSE-POLICY LINlI r S 50 C O ca ` � is •T Y` ., - 4 � �• - - CrESCRt f nOP{OF OPERATIONS r LOCAT[QRS! PHICI:ES.{ACORD 905-At lawami Remaism Schedu'le,may:be ettaelseti!P more space Is reciter") RE: .14 Grayton Ave,' located iT1 Hyannis._Part �fi2lagc � ,• d'PERTIFICATE f'IOLDER, , CANCELLAT,]ON SHOULD A"Y OF THE ABOVE DESCRIBED POLICIES HE CANCELLE11BEFORE' Tc urr, of Sa"x'z stabs e W T14E EXPIRATION. "DATE THEREOF; N{3Y10E W1Lt BE DELIVERED IN AEtent:i.on HuildzYg Dr pt . ACCORDANCE W1T1I THE POLICY PROVISIONS. � A AUTHORIk REPRESEKTATIVE' ' 7 r tctI*E'� 201, AC�bRDCORF'OR.ATiON. All riq€vtsreser,.Rd. t OCt&tD a(2O-14f09}' Tlso ACOF#E�Iialaae send logo are►� i:�t react ."_ AC�Df .' Gi- 9 9 inl:irt(a'of " r I Town of Barnstable Building Department - 200 Main Street B ssBLE. * Hyannis, MA 02601 �63A,O�' (508) 862-4038 D MA Certificate of Occupancy- Application Number: 200903418 CO Number: 20091316 Parcel ID: 287035001 CO Issue Date: 07/23109 Location: .-14 GRAYTON AVENUE Zoning Classification: RESIDENCE F-1 DISTRICT a q Proposed Use: SINGLE FAMILY HOME Village: . 'HYANNIS Gen Contractor: LEBOEUF, JAMES T. Permit Type: PCCO PRECODECERT OF OCCUPANCY Comments: � O Building Department Signature Date Signed ' C w TOWN OF BARNSTAB�LE Bufldihgt�E T Application Ref: 200900146 • * sARNSTABLE, * Issue Date: 01/30/09 - Permit 9 MASS Applicant: LEBOEUF,JAMES T.pP Permit Number: B 20090138 Proposed Use: SINGLE FAMILY HOME Expiration Date: 07/30/09 Location 14 GRAYTON AVENUE Zoning District RF-1 Permit Type: RESIDENTIAL ADDITION/ALTERATIO Map Parcel 287035001 Permit Fee$ 1,020.00 Contractor LEBOEUF,-JAMES T. Village HYANNIS App Fee$ 50.00 License Num 060349 Est Construction Cost$ 0 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND REPLACE WINDOWS,DOORS,DRYWALL,FLOORING IN EXISTING LOWY*CARD MUST BE KEPT POSTED UNTIL FINAL LEVEL APT.UPGRADING&ADDING SMOKES&CO DETECTORS INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: TD BANKNORTH NA 8i BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: TRS OF THE LICIA S EDWARD 1985 INSPECTION HAS BEEN E. PO BOX 1180 S YARMOUTUTH, MA 02664 Application Entered by: SS Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANYSTREET;ALLY OR SIDEWALK OR ANY PARVTHEREOF;EITHER TEM_PORAPLYJ61R'PERMANENTLY'. ENCROACHEMENTS�ON PUBLIC PROPERTY,NOT SPECIFICALLYTERMITTED UNDER-THE BUILDING CODE;MUST BEAPPROVED B THE JURISDICTION. �.•. r... STREETOR ALLY,tGRADES 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;THECONDITIONS OF ANY APPLICABLE SUBDIVISION-RESTRICTIONS MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL,INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND.VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH.UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO,GUARANTY FUND(as set forth in MGL-c.142A). PH` vlll BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS_ ELECTRICAL INSPECTION_APPROVALS klaed 3 1 Heating Insjpection Approvals Engineering Dept w Fire Dept 0 `' 2,— �y2 S .. Board of H alt ` �� 7 o .1-1 . 01 say TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION vo Map Parcel Application #. 66 J Health Division Date Issued (0 Conservation Division Application Fee Planning Dept: Permit Fee g� _ d Date Definitive Plan Approved by Planning Board x ! 9 Historic - OKH _ Preservation/Hyannis s Project-Street Address � ,, ��/®'�'! �✓ �d.4�Z�` �' ��1L$J' Address Owner �' �1' �f� lephone 5 /�' �� tPer`mmit Request_ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District. Flood Plain Groundwater Overlay ProjectValuation, ..S`�;�c` Construction Type Lot Size ' Grandfathered: ❑Yes ❑ No If yes, attach supporting dgcurr tatior . Dwelling Type: Single Family , 0 Two Family ❑ Multi-Family(# units) i y l CD Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway:�!J YeR? ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Y O i Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ftj' Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing 0 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) - Telephone-Number ® P �7 ®�� Address .�� '�°7 �'''• License#_© Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ft DATE.. .,, I� FOR-OFFICIAL USE ONLY jb ,APPLICATION# ' DATE ISSUED . MAP/PARCEL NO.. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION .FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL j GAS: ROUGH FINAL FINAL BUILDING U G . i 1 r DATE CLOSED OUT' ASSOCIATION PLAN NO. f The Commonwealth ofAfassachusetts Department of Industrial Accidents Office of Investigations' 600 Washington Street Boston, MA OZIXZ www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Na\ I c—(-Busin s/Organization/Individual): Address: ��City/State/Zip: Phone.#: Are you an employer? Check the appropriate box: Type of proj Ect(required): • 1.KI am a employer with 4. [] I am a general contractor and 1 6 0 New construction employees(full and/or part-tim.e).* have hired the sub-contractors 2. listed onthe attachad sheet. T. 0 Remodeling 0 I am a sole proprietor or'partner ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9 0 Building addition [No workers'-comp.-insurance comp• insurance. required.) 5. [] We are a corporation and its 10.0 Electrical repairs or additions 3.El I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself.[No workers' comp. right of exemption per MGL 12.E]Roof repairs insurance required.] t c. 152, §1(4), and we have no 13.0 Other employees. [No workers' comp.insurance required.] *Any applicant.that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. y Insurance Company Name: Policy#or Self-ins. Lic.#: �O� 'i / Expiration Date: Job Site Address: � �yT��'Yd City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure io secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment., as well as civil penalties in the form of a STOP WORK ORDER and a fine. of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify der the pains and penalties of perjury that the information provided above is true and correct. Si afore: Phone#: 7 Official use only. Do not write in this area, to be completed by city or town officiaL City or Town: Pern-it/License# Issuing Authority(circle one): 1.Board of Health '2.Building Department 3. City/Town CIerk 4.Electrical Inspector S.Plumbing Inspector 6. Other Contact Person: Phone#: Inf®rat �� and Inst �xct ®ems ' Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as ".:.every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual,partnership,association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the.occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7) states"Neither the commonwealth nor any of its political subdivisions shall . ublic work until acceptable evidence of complian ce vzth the insurance enter into any contract for.the performance of p requirements of this.chapter have.been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary, supply sub-.conk actor(s)name(s), addresses)and.phone number(s) along with their certificates)of insurance. Limited Liability Compar ies'(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be retained to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials .Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space 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 pemrittlicense number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current Site Address" the applicant should write"all locations in (city or policy information(if necessary)and under"lob town);".A copy of the affidavit.that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone-and fax number: Tie Commonwealth of Massachusetts Department of lndustri.al Accidents Office of Investigations. 600 Washington Street Boston, MA 02111 Tel. # 617-727-4.900 ext 406 or 1-877-MASSAFE Fax# 617-727-774 9 Revised 11-22-06 www.mass.gov/dla ajn;eu3ls Inoq;let Pllaa)ON 1 s0IZ0'81H`uo;sog / loci tag 33e1d uoy(nggst+aup sPepue;S Pull suoyuln3ag3mPBnfi3o P�eoB :o;u(n;ai puno33I 'a3gP uope.ndxa aq;ajo3aq t' Sluo asn Inpinlpul.103 p118n uol;ejlsI3aj jo 6sua3l l a j • Massachusetts-Department oI Public Safeh' Board of Building,Rcgul.itions,and Standards Construction Supervisor License • License: CS 60349- Restricted to:.00 JAMES T LEBCEIJF' 71 BETH LANE HYANNIS,MA 02601 Expiration: 1/5t2011 ('ununisimu,r Trtt:9302 - - RightFax C1-2 7/9/2009 9: 04 : 45 AM PAGE, 2/002 Fax Server ACORD. CERTIFICATE OF INSURANCE - DATE(MM\DD\YY) 07-09-09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE BRYDEN&SULLIVAN INS AG HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 88 FALMOUTH RD ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE HYANNIS,MA 02601 COMPANY 232MY A TRAVELERS INDEMNITY COMPANY. INSURED COMPANY B LEBOEUF JAMES DBA BARNSTABLE COUNTY CONSTRUCTION&SEPTIC COMPANY 71 BETH LANE C HYANNIS,MA 02601 COMPANY D . COVERAGE 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 0 SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - CO POLICY EFF: POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM\DMYY) DATE LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL PRODUCTS-COMP/OP AGG. $ CLAIMS MADE OCCUR. PERSONAL&&ADV.INJURY $ OWNER'S&&CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $. MED.EXPENSE(Any one person) $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS BODILY INJURY(Per Person) $ SCHEDULE AUTOS BODILY INJURY(Per Accident) $. HIRED AUTOS PROPERTY DAMAGE $ NON-OWNED AUTOS GARAGE LIABILITY ANY AUTOS ' AUTO ONLY-EA ACCIDENT . $ " OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGREGATE $ EXCESS LIABILITY UMBRELLA FORM EACH OCCURRENCE' $` " OTHER THAN UMBRELLA FORM AGGREGATE $ WORKER'S COMPENSATION AND A EMPOLYER'S LIABILITY UB-0498N149-09" 05-14-09 05-14-10 STATUTORY LIMITS X. THE PROPRIETOR/ EACH ACCIDENT $ 100,000 PARTNERS/EXECUTIVE INCL DISEASE-POLICY LIMIT $ 500,000 OFFICERS ARE: X EXCL DISEASE-EACH EMPLOYEE $ 100,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE THE WORKERS'COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR LEBOEUF LAMES. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE BARNSTABLE TOWN HALL BUILDING DEPARTMENT EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT " 397 MAIN STREET FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. HYANNIS,MA 02601 AUTHORIZED REPRESENTATIVE ACORD 25-5(3/93) Charles J Clark fvq ' INSTALLATION TIPS ® Round.or Square PERNCast /PermaiLte Columns Note 1:Ornamental Capdals When installing a round Installation Instructions Fiberglass column with an ornamental capital,subtract , "�' ► - �, �� the"T"dimension(distance from top of ornament to top of " Y neck mold)an add the height f FRONT of the ornamental capital,this t can lengthen or shorten then height of the column.You can find the"T"dimension in the 1.Measure open ing in four places: f; u products brochure. front,back,left and right of column ` (see drawing). ' r . z Mark column N accordingly.If col- 3.Slip base over top of column shaft and umn is too long, 2.Use an abrasive saw(masonry or car- allow to slide to base of shaft.Slip cap -. shorten lengthfrom bide tip blade).Fine trim top and bottom over shaft and allow to rest on neck mold. bottom. with rasp to assure flat surface contact. Some sanding may be required. Note 2 Required Loadingy�p� Ensure concentric loading of y m ' the column.100%of bottom must contact substrate and 75%of top must contact sof it. s Note 3:Hand Rail When attaching hand rails or � � corner irons to round or square PermaCast columns,holes must be pre-drilled. 5.Put assembly in place and plumb.Make 6.Mark and drill holes in floor and column P 4.Apply construction adhesive"to top and sure load is centered over column shaft and shaft for corner/angle brackets(not includ- bottom surfaces of column. evenly distributed around the bearing surface. ed).(HB&G column installation kit available Note 4:Cap and Base ; , #17040) Light sanding may be needed PAINT TIPS: for correct fitting of base. • Follow paint manufacturer's x instructions for priming and Note 5: P 9 Columns are not designed to s' y finishing of fiberglass be set into masonry. - composite column and polyurethane cap and base. Note s: y • Do not paint using dark colors (dark colors are considered Do not fill with concrete. �� x any color that falls within the Concrete can be used with a � � L values of 56 to 0).L is a barrier such as sonatube. measure of the lightness of t Leave minium 1/2" gap to 7.Apply construction adhesive;to top of ""' an object,and ranges from cap press against structure,and screw or 8.Apply construction adhesive*to bottom , allow for expansion and nail into place. of base and nail or screw to floor. 0(black)to 100(white). contraction of the concrete. Note 7 Installing,neck molding to Square PHNcast®/PermaLite Columns Columns are not designed to be used in a free standing li s application.If used in free =' standing applications a structural support must be Y used. b L _ , - 9.Mark location for supplied neck molding. Measure and cut neck molding to a 45° 10.Pre-drill holes through neck mold into angle.Apply construction adhesive'and put column.Screw neck mold in place:or pre 11.Set screws or nails and use caulk to neck mold in place: drill and use finish nails. cover holes. "Use a non-acetone based exterior grade construction adhesive. PermaLfte neck mold is one piece and slips over.column. Phone (8..00)264-4NBG Fax (334)566 4ls29 WARRANTY IS VOID IF INSTALLATION INSTRUCTIONS ARE NOT FOLLOWED www hhgcoiumns comp :; 4 55 ALL PRICES SUBJECT TO CHANGE WITHOUT NOTICE•ALL PRICES SHOWN ARE LIST PRICES• EFFECTIVE DATE:AUGUST 7,2008 V11.0 � T Town of Barn-stable ti ` Regulatory Services M 4 BAAKSrAEM r v KAss. $ Thomas F. Geiler,Director F1) Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using .A Builder , T, Ap,Vt& Ss�'w NHS , as Owner of the subject property hereby authorize `J+ w1 1..� p� to act on my behalf, in all matters relative to work authorized by this,building permit application for. (Address of jot) J 1 Signature of Owner Date Print Name If Property Qwner is applying for permit please'complete the Homeowners Licerise.Exemption Form on.the reverse side. Town of Barnstable Regulatory Services Thomas F. Geiler,Director Building Division �PrED Tom Perry,Building Commissioner - -200 Main=Street—Hya�tis;Ivf.4 0260 0 www.town.barnstable.rna.us arnstable.tna.us Office: 509-962-4038 Fax: S08-790-6230 HOMEOWNER LICENSE EXEMYT70N Please Print DATE: JOB LOCATION: number street village "HOMEOWNER': name home phone# work phone# CURRENT JAA LING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as_ supervisor ' DEFINITION OF HOMEOWNER Persons)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 strictures. 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' cerdites that.he/she understands the Tpwn ofl3arpstable,BuildingDepartment minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signati=of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code statrs that "Any howne;r performing work for which a building permit is required shall be exempt from the provisions mco of this section(Section 1om.1 -Licensing of construction Supervisors);provided that if the homeowner rngages a parson(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 assuirung the responsibilities is a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness lira srd p.s in serious problems,particularly when the homeowner hires unlicensed persons to 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 th2Lt hdshe understands the responsibilities of a Supervisor. On the last page of this issue is it form currently used by several towns. You may can t amend and adopt ruck a fmi-rJcertift cation.for use in your community. Qi oFt Town of Barnstable *Permit# Expires 6 months from issue date . RAMMA11M . Regulatory Services Fee t 1. Thomas F.Geiler,Director X-PRESS PERMIT Building Division Tom Perry, Building Commissioner S E P 2 8 2004j� 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 TOWN OF BAR"NST'ABLE Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 1970 3-600 1 Property Address 1 4- �-fl A V TO /j fi-U r H yAAJAit S 10o ®Residential Value of Work 4 C 0 OA O7 O Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address (' L S Q fV-4 e b S I-IfF. 14 Yll-;VAli s Ids I Contractor's Name A s C4 14-! Telephone Number 7-2 Home Improvement Contractor License#(if applicable) ?70 Z Y Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance i Cb ck one: a X. I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name _ �C�c LbAZ V—��f Workman's Comp.Policy# Copy of Insurance Compliance Certificate'must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows. U-Value (maximum.44) 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: 45romerty Owner must sign Property r Letter of Permission. me Improve m ntr tors required. Signature F h iJ xw BOARD OF BUILDING REGUlgTjOnJs } License CONSTRUCTION SUPERVISOEi r = Number 066582 � . ,� ' � Expires 03114/20U5 j i Tr.no: 12852 :Restrtctetl. 00 THOMAS C WHITE ` 415A MAIN;°ST N CENTERVILCE, MA 02632 01 a Administrator i � ✓�ie t�aminzaruuea�i a�✓�aavczc�ivaelta Board of Building Regulatioons and Standards HOME IMPROVEMENT CONTRACTOR t Registration: 123702 Expiration: 3/28/2005 Types Individual Thomas C.White WOODWORKER LLC Thomas White 415A Main St. L____Cent,ville,MA 02632 Administrator �� Town of Bar stable vp4•�Krt rok,�c Regu7.atoxy S erylces •� Thomas F{Gatier,'Director, SAO j°rFc tN�'� Tomperry, Building Commissioner 200 Main Street, gyan %NIA 02601 '. _ �,tawn.�arnstable.ma,us •- pax: 508-790-6230 pffice: 5p&s62-4038 pfoperty Ovmex Must - _• -Comp lete and sign This section -- . . if Using .A.Builder �, CC CA- 4,,: -. ,as Owner of the subject property ' f f to act oil mybiw -- 6reby authorize • , ' o work authorized bytUS building permit application for. -_ shatters relatrve t / -F —VC, _ - tAddrese of Job) - Sip,=of Ovn.er C�,b;�.c.� ' ��. �caw��-�s ... • — ... •�xintN me t u TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION, Map SEPTIC FIE = Parcel 0® 1 w INSTALL74.0 Ivy COMPLIANd ermit# Health Division `I It . 6V\!gn V�I GI.�°I'�L'�5 ate Issued I�VII C I' I�ITAL CODE AN Conservation Division � �°f � d mOa�l Fee Tax Collector • I��' v' J� ~ r Treasurer " Date Definitive Plan Approved by Planning Board 1tt» =6fEH:. Preservation/Hyannis }� Project Street Address 6rkh (-7W Aygmu E Village Owner ��e�_ES 1��9-Q�S Address R6. AOX ,3WE 140 &tS^ Awr Telephone 6 "3�8(0 Permit Request RePL-- ,� r�t,_.eln >6U4 OFF �cA 1- r 9 'JC Square feet: 1st floor: existing , proposed 2nd floor:existing proposed Total new Estimated Project Cost A 33,, 9g!500Zoni6g District If 40 Flood Plain Groundwater Overlay Construction Type Cab Lot Size Grandfathered: ❑Yes �o If yes,attach supporting documentation. Dwelling Type: Single Family U�_ Two Family ❑ Multi-Family(#units) > Age of Existing Structure Historic House: ❑Yes allo On Old King's Highway: ❑Yes &1qo Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count - Heat Type and Fuel: ❑Gas , ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:O existing ❑new size Other: Zoning Board of Appeal�;71f tion ❑ Appeal# Recorded❑ Commercial ❑Yes yes,site plan review# k Current Use ' Proposed Use BUILDER INFORMATION ® �qs Name-* Telephone Number ' Address 16 (5 Ate:&)ti a)A_1 License# 25 0 7Q I (26 TU.u", MAJ 0.?-63-5, Home Improvement Contractor# LOd 7qQ Worker's Compensation# G�LI° R(010/S ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE `!° &&Xe DATE _ `l / D� f!. ,FOR OFFICIAL USE ONLY _ •:PERMIT NO. • t _ - ` . DATE ISSUED MAP/PARCEL NO. .. ,?„, �� .3 a. l r � '.> t if Kt s3 - .' _ � _ • ; 4 ,.. ADDRESS `_ ..T -,VILLAGE A R OWNER" DATE OF INSPECTI©N: , FOUNDATION*::, FRAME 1 - ` INSULATION FIREPLACE I . F } ELECTRICAL:- ROUGH FINALOF PLUMBING: ROUGH FINAL ., GAS: ROUGH FINAL ! t •, + FINAL BUILDSSING DATE CLOSED OUT < i ASSOCIATION PLAN NO. , G � jF M T N r ha I C7t 'W O to � r .e x � 3 e 03 Rd r. a --- _,r C i r � I" I O - YA Ptl nL i e F03 S i i M Rd cr Ilk- �P, I .J ' x O � J � 1 4L \^ LLIca o a 0 3 v�. r r 144: Ns � t 1 e i cO Q z B NS) . kk \ 0 toll if Cesspools Homeowner's Records Cesspools are not allowed in new construction. A Sketch your house, septic tank, and leaching facility, cesspool is a large pit with an earth bottom and side- indicating distances between the septic tank cover walls constructed of concrete blocks. Sewage flows and the nearest house corner. directly into the cesspool. The heavier solids settle to the bottom, the lighter solids and grease float and the liquid seeps through the openings of the sidewall. A cesspool has a limited life span. The soil pores sur- rounding the cesspool gradually become clogged with � LI 7 organic solids and the system overflows. A failing cesspool should be replaced with a proper septic system. h O O q o Regulations 0 o ° On-site treatment and disposal of household sew- SL pric r�sa11C age in Massachusetts is regulated by the State Envi- b yYy 9 wtleYs wIY_oNE ronmental Code (Title 5). Design criteria may be ob- tained from the Department of Environmenal Quality Engineering or local Boards of Health. Any altera- tions in your present on-site system are subject to -viaGi prior approval by the local Board of Health. t—i�x1 Tank Service Record Date Contractor Remarks !I' V n-. --- - The Commonwealth of Massachusetts ^�+ _-=.. -- Department of Industrial Accidents M OlficC 011RYBs119811flos 600 Washington Street � y� Boston,Mass. 02111 Workers' CombeensatCiGon In�sruurance davit aii�lcriir��oiaii��ir�.....raiaiiia�i�i�/��/��E�aia4E~�Gt�.��S�l%� rr��r�/��%,,•<..... It C�nE�;tTffQrIIYIIEi name: location city ❑ I am a homeo� r performing all work myself. ❑ I am a sole roprietor and have no one working in any capacity �Q I am an employer providing workers' compensation for my employees working on this job. comnnnv name: /u.!i Hzwer =*V address: �!S '/legi MaJ Al 9C� . city: 0 ! 7— r Aato 3S phone Al- C.S1040 insurance cn. , V))� / �� _ f� CV nnliev ❑ I am a sole proprietor, general contractor. or homeowner(circle one)and have hired the contractors listed below who have t the folloi%ing workers' compensation polices: company name: address: city phone#- insurnnce cn. ... . ohty#.. .... ..:::..:......:... :. .::..:.:.:.::.: :.::.... comnanv name- address: city phone#� hunrance co. :..;.;. -...olicv# Failure to secure coverage as required 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 flee of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage verification. I do hereby certify'under the pains andpena&ies�qfperjury that the information provided above is tru:turd correct Si�tature� �l.�-e Date 7—/1 -0 O r Print name �/Q Ei)EL/C1L V. Q 14 S C HIZZFDk Phone oMcizl use only do not write in this area to be completed by city or town oMcial city or town: permitillcense# ❑Building Department ❑Licensing Boatel ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other w::.:......,.:., ([vvuea 9l95 PJA) ti The Town of Barnstable • BARrrsrAsM - 9 MAC Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. j� p Type of Work: De I— 0`�iP� Estimated Cost Address of Work: UI Owner's Name: // S L Q✓�� Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name j*2 04Pizz; )bMFX,tgf gistration No. OR Date Owner's Name q:forms:Affidav HOME I i{h^�.ox t ,i: I ✓flPV007L� ��,� /uQ � . ENT_:CONTRACTOR R891Stratl0n BOARD OF BUILDING REGULATIONS , TYPe I0074p �� } PRIVAT License CPNSTRUCTIQN$IJPERVISOR E C0RP0RATi0N xPiratlon 06%23/00 } 1sr I, Number ICS 057032 f. "' 4.. ', I, CAPIZZI HOME r IMPROVEMENT„ ZNL� � �i xpir@s. .9/26/2901 Tr:,no; 5,Za2; �Mw, "", as CaPiizl, r .:: ' , l STRATOR :. 1b45 Newto 4 • , R�atrictedrTo.::00 n Rd # Cotult Mq 02b35 it "°A� THOMAS X CAP'IZ71 JR . �•,;s ,,, _280 PERCIVAL;DR W BARNSTABLE, MA 02,6 Administrator 4 i �I �, cu%�ivael�i? �3 � q 'i',i DEPARTNENT OE::PUBLIC SAFETY ' DEPARTMENT OF PUBLIC':SAFETY` LFf "'� ; , i CONSTRUCTION SUPERVISOR Al USE t M CONSTRUCTION SUPERVISOR LICENSE Number Expires'. 1956RestTa Restricted Toy I lweeu' TPNACA�It� a FRE0E RASH III __.� I, ',� 1645 NPWTOWN R0 t � W ef 1060 BOURNE•'RD 1� COTUIL; NA 02635 Y� PLYMOUTH, NA 02360. ... .4 i•w+. '+�/G��.�j r---�s. ,.p,C-yam:—�-.. r +.r m v"�"�'C=!�N /^/�/��"/� 'S--•-r.T ma.!-. .r. uryc/ Assessor's map and lot number' tr. ''• / , �y 4 Sewage Pe number. \r //LL4 l� Qyo*t{ ETON ' OFFBA'RI�T'STfABLE. ' tz ,, b(y O�" 7 ,+•Y .r, ? 111 '� , + 1'� rv.. T- ,1A 1 ' i t� 1' u ) J' s f 4% C j i( '1, t t, T4A )', ♦. �� Y- '.; fi,f 'MAD& ,t e. }9 �•� r, ;' �,UI`LDING INSPECTOR a' . ,° a A n ' 'ED AlY t b. a' at 1 , a r. ) ..{Y. u '.t 4 ' •' y �a ' v. .. 1 ) a ).. I':•� ,jl..t •' i I , Y 1' r 1 i APPLICATION;:FOR PE < t, RMIT TO.. t t . d ? . OL TYPE`OF CONSTRUCTION .....:. r " r r� F" , ,, , . i.. j t � .fir 1 ♦ .5�.... /S. ..... 74 .`- TO THE INSPECTOR:OF`BUILDINGS a'.`The undersigned 'hereby applies' fora permit according. to th`e.'following,information #' Location l •n2 sItC.j(t . b •. .i a 7 n1 �...dJ 1� ^apt T1 Iz /1 try ri /f J Proposed: Use 4!' ' �r , C, n.( YL e + 1k n �a EP ... .. •. . r Zoning' Disincf':.:. . C Fire 'District ............................... .......: ..... .A& y........................................ :1 ... ... .. .... Nome'�of Own)erf. E � .II ,ZLffC � 'GA. n61 ,25 Address ::�1.gA i1 ... .. it ..� ! !,�...t I. . r r%l' f, ' • � 1 , { '! A . . .: d ': fi ................�.::.. ANome of 'Builder l IN . Arss3 C , Name of Architect T vl }""h,r'.. .,...11,5. :r....... Address r Number of Rooms `f ..... :Fouridationr"fft"5: 1" ." ... .. .k LJA.!/ oa . Lv(`;,.( t,.., �� .. l ::-: :Roofing- , GSy{........ i-� 5..,.. t'.. C } .. )- . �. Exterior ... -, . ; • J f' F, r Floors �• �,.,�'^.- .... .....: ' , ..'.:..'Interior It. r-4? ... ...:. r 2 ` 1 gip. "t' l l -' - J� Heating. . c...... 4 f I' t? . `"'.* ' + g., ^'^S' ta--� . .. , e. �» .�. . Plumber Fireplace ......•... ..... .`... .: ....... ...�, ..:.:Approximate Cost ........ . ... d ... J.. Definitive Plan Approved by•Planning`Board _= ____ -----A 9_: __ 1 + Area .. ✓ S Diagram of Lot and Building-with ;Dimensions • r'y: * ; 2 Fee ... :. SUBJECT TO APPROVAL OF iBOARD OF FIEALTHIN 4" . L tea:, 1 _T._.._w_ - .__. ... "- Ta =(. )' - �t r it ^.�yt Y,-. '`� �" �_ i -'..✓:t v it _ . 1'>' .r .�� x (r;,� t �Z.tl..bN .+++^�' 'r....r-+^y-r`^.�'^-..+i.�.v+-.•.�.-.:. , r-,: , S'�y l(�V tri:�� '✓1i ♦7'F ., r C ) f f rr,, I hereby agree to conform to all the Rules' and, Regulation? of the Town of.Barnstable"regarding the above ' construction. Name VHAREES, WARDS, 2Fi_ 7 55_6 6 NO SEWAGE Itio Noit for ......r. r a a. .ave................. .... '1�sflf .......... Rve Locatio" _ .. Hyainnisport................... Owner Type of Construction ..Wo ...o..d....Fr.....a..mP.... I ...................................... ................................. , Plot .......28......3 ..... Lot ................................ Permit Granted ...Octob.....ex.........25............19 74 .. Date of Inspection ....................................19 Date Completed ............19 .......................... PERMIT REFUSED .................. .......................................... 19 ............................................................................... ........... .. ........................................................... { Approved .....................:........................... 19 ............................................................................... ............................................................................... t No Bf uag,,6 �+� : � / FEE � Q. � $ TOWN'_ OF BARNS TABLE;_ MASS. �a es „ .. 19 THIS IS TO CERTIFY.THAT'A PER IS HEREBY GRANTED,TO ,. I$� _ CS^ x�sn P., dwazais _ 2to6, $f3g8S� 41: ' �1Ele�CIM Tt� , (PRO PE RTY OWNERI (ADDRESS) TO �raxs.4da a _f x r . r a F I= C "F �'D a' �IALTERI Er,y.'i t, ♦l IREPAIRI �A � $Q $c 1 ,,. h.`S< S�' d r M fi ♦ N (TYPE OF. UILDINW > IAPPROXIMAT! 9IZl1 ' LOCATION: _•COT-I$CtdddeGYi3'�C:OJ S!(3T11 �`J�i41iF r> 1 rA p r S- s c 1 ISTRlEb AND YN MBERI'=f CI IvILLAOl1 Ic NAME OF BUILD ER.OR=CONTRA TOR`. H. APPROXIMATE COST �iS �a-aj K1+ � «a I �� i -. :,' _ : •' -•_ , }'_ 1 �� tS glCt £ I HEREBY AGREE TO-CONFO OFACL THEPRULES ANDraREGULATIONS OF THE TOWN 9.�., •- OF -BARNSTABLE, REGARDING THE 'ABOVEICONSTRUCTION. } r � ,. S. {f 'k l f Y�".'r7 •�3 J�.d c..r'�'..f IOW NERI -- t 'sk" µ f t�� . 1� .� * ICONTRACTO RI.'r 'r w ' 1�•,.,.a..Y - t a r , F. ' :�' O N. t'r •.. t! ••k%fe.i jY�'If (H JF- I/��` BUIIDINF IN3PECTOR ♦ L ) f Subject to Approval-of Board of Health •� r,- �.t � � "\� ' , �� I� v �.--,�._ .---,. 1 i TOl,VN OF BARNSTABLE BULK RATE COUNCIL ON AGING U.S. POSTAGE PAID 198 SOUTH STREET NON-PROFIT ORG. HYANNIS, MA. 02601 PERMIT NO. 2 y� r` _ Nsl �t _ T Y m MM �w -177 p , C B1F11Q C _50. W.1 DE _ -, 1s CLAY0UT OF FEB 2. 7, 1950. N. .. 8 3 3�: . 3 0 E 3 9t5. 5 5 I2v ! IP( , _ o� 15., 0 4'0 5 F. 1 5,04 6 i(c f A=4 3. $ e 1 A 0 0 Ib 3 6 P. ST co T o A NOFu .�f k - -, r _J-' .. .,,�..q.✓-..y. Yi• .rw '�-.`4.,.... ...r.N`vK�-..y.�,,..+w t... �r�.a..yN . 'r r'II.—x .....F '•..+r 4.r .r-'w'wrrf «.-..�.'r r'+.wr .rr...,,p y+...ti�r. .^.�.-.-'...M .. y. r Assessor map and lot number f.Y.... /....�................ .� ' �T BE s.. INSTALLED IN COMPLIAKE WITH AID e I"'PLE It STATE Sewage Permit number .............. � d. SAKITA;RY CODE kW TO= ' R THET TOWN OF BARINSABLE i BJSBSTADL$ 16 9 DUILDI�HG INSPECTOR , am a' ••EEtt APPLICATIONFOR PERMIT TO .... : i:!�...................... . ............................................................................... TYPEOF CONSTRUCTION .......6.&M. ..�.C�.........................:................................................................................. ........... S/..........19.7.Y. I TO THE INSPECTOR OF BUILDINGS: ' The undersigned hereby applies for a permit according to the following information: Location ....... .�.t l?! .......... s!F.....: �A..�A>t ...��. ..... ........G.!/In. Ii:T o?(.. Via............................ f(� ProposedUse .......... .O..th 5: � ........ .l ....... ................................................................................... ZoningDistrict ......R.0:........................................................Fire District ............... .. ... ....... .................................. Name of Owner ..........Address .................. :.............. ti.... x 36 4. iV tS �f Name of Builder .��Z�.�t.....�t�1�3..F�.:Q-.�..........................Address ..��.Q............�..............................�......r...1. lw>... !�.7'7�7.f? �r................�.,.................. r Name of Architect ......�. :t�........r�v.7.. D�..............Address ........................ ..................... ii 33 P e_ Number of Rooms ..........:... ...................................................Foundation .R....... . .... Exterior ..... ?f ?: ...... ......................................Roofing ....... JA ............... �...................... Floors ......... ......................................................Interior ...Al.a.'-� .................................................................... Heating ....tan.ad.......S4-?.-p............. -...............Plumbing ..:. ... .... Fireplace .......i/�D.,r,12,., ........................................................Approximate Cost ...... �.Q.q.o..`S 0.�......... Definitive Plan Approved by Planning Board ________________________________19________. Area ... .. r Diagram of Lot and ,Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTHfo x , I„ 0 I ' Ce L - CL I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. - _ Name .. .. .l•�G��c ........................... r I _E ' NO SEWAOE 17396 � . ....................... .............................................. . LocotionCP�.,S ...Alre.. ay-ton'',�ve-. ' ........................................Byaon iap�rt— _ i ---- — _..^--_.. / | Ovvner .X'bazles'� e»aa r.Wa........................ . � Type of Construction _ —Wmmd ��---_— --- . � ---------^----------------' Plot --..��7--.��— Lot ................................ ' ' � Permit G,on/u6 ......Oc '25...... .....lA 74 | - , � Date of Inspection ------------lP � �. !' �^~—' , Dote Completed `/,��.,�»-----.]g ^ ` �. ' '^ ' PERMIT REFUSED � -----`--------.-------. lV ' ! . .. - ` � ------------.-------------- � � ' '---~—.~.—.--------.—~------.. ~ , > '—'------^---^--'—^^--^^'—~''---' ` .------.-----------.—..—..--. � � � Approved ................................................. lA ^ -------'---------^^'--------' ' � � -----------------^^~^~---'-- | ' | ( HYANNISPORT �MARSTONS ` AVE. LOCUS PROP.2'DIA.,NDS,INC.R O SURROUNDED DRYWE E(OR M A S S A C H U SE TTS AVENUE 14 GRAYTON HYANNIS APPROVED EQUAL)SURROUNDED BY 3 FEET OF AVENUE HARBOR 3/4"TO 1-1/2"DOUBLE-WASHED CRUSHED STONE (SET BELOW TOP SOIL&SUBSOIL) . ———————— ———————_-————— ———_—————--———————————— T 4"SCH.40 PVC RETAINING WALL UPOLE I I LOCUS MAP / DRAIN LINE TO TIE INTO DRYWELL gyp, 1 CONC. I / 741.44' S88"13730"W I DRIVE I I. LOCUS PLAN ' S88"33'30"W 9.9• 1 .� / GALLEYS APPROX. LOG I, / a 30"PINE / ----� --- '( F FAT-r -Tp' I r o/ I 2500 GAL rl— GARAGE NOTES: `I EDGE OF PLANTING BED / o �� L° r `, I I I y 1 J 2.11 I d TANK I f 1. LOCUS IS SHOWN AT LOTS BARNS TABLE ASSESSOR'S MAP 28 35A02 ON J 1.5"SCH.4o PVC POOL ?OOL I¢I' 1 o.s' FILTER DRAIN LINE I DECK 2. OWNER OF RECORD: NEW CONC.RET.WALL, ROCKLAND TRUST COMPANY& I (w/STONE VENEER)w/4' t c 5'0 • r= ___ cal TIMOTHY MARTIN&LAN XUE I HIGH FENCE ON TOP 5 0 N POOL / 10. l`' J I 505 1ST STREET G I r c l 0 R BROOKLYN,NY 11215 "rr M o Ii : 3. DEED REFERENCE: PARCEL ID: m I t r t`ti . of DEED BOOK 22680,PAGE 179 v '''rrr,�xrrx a a ai�ralrr:e-'- NEW T WIDE ENTRANCE 287/034 =` TO POOL w/GATE Z 4. PLAN REFERENCE: v ' ��(CUT INTO STONE WALL).; PLAN BOOK 226,PAGE 83 c`e�` i PROPOSED WATER& OAS � `°mac v i• ) #�4 4' o ELECTRIC UTILITIES '' I ' 5 r 30.0' II PARCEL ID:, /N ,. I -a PROPOSED POOL 1287/035-001 & 002 ``O I AREA=30,086t S.F. _ /hQ ;' L____ I - , -LAYOUT PLAN /co ��oo __J ,..... I SHELL / O .. .. I. ....... Pp I I LOCATED AT Ft= 5.0'_S83°26'30"E GAS/WA'/" I DRIVE 14 GRAYTON AVENUE L=43. 5 I I ——— ——— s,sr5.0 I HYANNISPORT, MA _ 1 DEPT.I ! EOP— —— _/ G PREPARED FOR: GRA YTON '-- s TIM MARTIN.&LAN XUE . AVENUE _ ENGINEERING BY: . i BENCHMARK: i -fo BARNST�BL� PESCE TOP OF BOTTOM STEP WN�� r ENGINEERING ELEV.=63.00 (GIS) { ' »•39 &ASSOCIATES,INC. Edward L_ Pesce, P•E,LEED`�AP 451 RAYMOND RD PLYMOUTH, MA 02360 tI ,,-.,1C1-333r cenet 'Phone:508-743-9206 -7630 FAX:508-743-0211 1 SURVEYED BY: MACDOUGALL SURVEYING&ASSOCIATES 1H OF M4,T - P.O. BOX 2428 - EDWARD L. MASHPEE,MA 02649 PESCE GRAPHIC SCALE CIVIL NO. 32001 SCALE: 1"=20' DATE: DECEMBER 21,2015' - REVA (5-20-16): Pool design changes ( IN I 1 REV.2(5-27-16): EL.&design changes 1 inch = zo rL SHEET 4 OF 2 JCE#3356 MASSACHUSETTS AVENUE �\41,6 k HYANNISPORT -----._--------------- ' ---------- -—T------ SILTFENCE._._.. uP� I CONC. II -kl. 116.78' 1 MARS70NS / 141.44' / AW I S88°33'30°W / S88°33'30"W DRIVE 1, / 9.9, 1 I Ph ' GALLEYS APPROX. LOC. ?A,N.l 30"PINE / — T—m59.0 'S50�( - BW=55.0 t j�2 ' gWm ------14 L-------� rJ.5a 2500 Gql I I- GARAGE HYANNIS EDGE OF 3 r—_--1 I I HARBOR PLANTING BED i 1 o 55 LI IA SLOPE FOOI nr�it a'°Tc/r' TANK II � 10.8' � . / DECK EL— x, C ,_: 56 I 59. �`x r; i rx=Sao' ; DECK' -1�i .1 BW-56.0 I I LOCUS MAP NEW CONC.RET.WALL I cf) ^/ r t x' S i o l n r ' p (w/SIGHFENTONE NEON.TO' p rt ' / � LOCUS PLAN . HIGH FENCE ON.TOP wI rr= I POOL/�/ / err c$ I Q I Z� kW xr I / / / :�� , I W C ¢xx. ,..�. ��« S.r.�,..� - - . .• .M PARCEL ID: _ NOTES: J = _ Ci'xA /t' °' �carZsr NEW Y WIDE ENTRANCE$ a 287/034 ;0 I al BW=55 0 w 5 rx, I' / TO POOL w/GATE ; Z 1. LOCUS IS SHOWN AT LOTS 35-001&35-002 ON v .`"; /9 BARNSTABLE ASSESSOR'S MAP 287 4 v pO ,�(CUT INTO STONE WALL).', II - 1�\ / 51 I v�v� , I 2. OWNER OF RECORD: ' I #1 4 ROCKLAND TRUST COMPANY& �-c to x TIMOTHY MARTIN&LAN XUE I " / �C3° /�(` 30.0' 605 1ST STREET C. I \/ 0 / / ,_ I I ; f-__-. BROOKLYN NY11215 I PARCEL ID: / l //j /�/��/ 3.'DEED REFERENCE: I 287R035-001 & 002 �'° ,,,.,, I I ;; I . DEED BOOK 22680,PAGE 179 AREA=30.086t S.F. / 5�/ �/ ��• / /^/ a I � - . —__J ..... / �%�. � :...,.. PO �H I SHELL 4• PLAN REFERENCE: 1 . J36.00 .,,,.� H,,. I i PLAN BOOK 226,PAGE 83 43.85 5.0'S83°26'30"E cAs......i I DRIVE I 1 \ 4/,- EDF----- ___, PROPOSED POOL GRAYTON AVENUE ----� GRADING PLAN LOCATED AT �\ I 14 GRAYTON AVENUE / BENCHMARK: TOP of BOTTOM STEP HYANNISPORT, MA \ ell�8 / ELEV.=63.00 (GIS) PREPARED FOR: \ T�:39 %� TIM MARTIN&LAN XUE4 " ENGINEERING BY: _ r ` 1 r 4 Fr HIGH Pool FENCESIC ENGINEERING (SELECTION BY OWNERS) I &ASSOCIATES,INC. Edward L Pesce,P,E.,LEEDO)AP 451 RAYMOND RD 1 PLYMOUTN, MA 02360 TOP OF POOL DECK(EL=59.0) 1-1/2"COVER -I ePesce@comcast.net "'Phone:508-743-9206 ce11:508'333-7630 FAX:508-743-0211 FILTER FABRIC SURVEYED BY: * . 6 OF 3/4"-1-1/2" CRUSHED STONE MACDOUGALL SURVEYING&ASSOCIATES . SILT FENCE- e v 18" P.O. BOX 2428 o''d 4"PERF.SCH.40 PVC TO TIE INTO DRYWELL MASHPEE, MA 02649 is #4 @ 14" U #6 cQ 18" w CLEAN, EACKFIAIVE tN o<K+e n_ o ` SCALE: 1 —20 DATE: MAY 20,2016 b Z a] U - EDWARD L. y.. PESCE (REV.1: 5-27-16) Ft in-"' NO. GRAPHIC SCALE #4L Q 12" 2.0' , 0 10 20 u so 32" 4.0' ( 1N FEET ) RETAINING WALL DETAIL C��/'%`�X 1 tach 20 rL N.T.S. / SHEET 2 OF 2 JCE#3356 HYANNISPORT MARSTONs -�2 AVE 0 BPS LOCUS M ASSACH U SETTS AVENUE 14 GRAYrON HARBOR AVENUE HARBOR PROP.6' DIA., 1,000 GAL. H-20 LEACHING PIT _ iV SURROUNDED BY 3 FEET OF 3/4"TO 1-1/2"DOUBLE-WASHED CRUSHED STONE I ' LOCUS MAP UPOLE CONC. 88'33'30' E 116.78 c �/o� N DRIVE LOCUS PLAN N 9.9' I GALLEYS APPROX_LOC 01 F 30"PINE N .� I---- .� � AGE� 2500 GAL — GAR NOTES: I � /U �o -- _J I 1. LOCUS IS SHOWN AT LOT 35-001 ON 0 NEW STONE WALL BARNSTABLE ASSESSOR'S MAP 287 POOL FALTERIN LINE I 1 ��p� TANK J 10.8 A — 3I DECK00 2. OWNER OF RECORD: ao ROCKLAND TRUST COMPANY& 0.0' N o I TIMOTHY MARTIN & LAN XUE A RC ' J 505 1ST STREET 5.0 POOL o 000 �. I BROOKLYN, NY 11215 PROPOSED ACCESSORY USE EASEMENT AREA(3,803 S.F. ±) co PARCEL ID: 3 DEDDEED BOOK 2680, PAGE 17 r- is � �.iiiii� •i SPA �. PARCEL ID: • - 287/035-001 9 AREA=15,046f S.F. 287/034 E 4. PLAN REFERENCE: E ! PLAN BOOK 226, PAGE 83 W PROPOSED WATER& E .E /; #1 q ELECTRIC UTILITIES 8 I ;� 3 r' 30.0' oC° mum"' RAFT ,� � _ Z L PARCEL ID: I I 287/035-002 co SHELL I �. .� ...,, PORqH R=136.00 5.0' :rrrrr.rri DRIVE PROPOSED POOL L=43.85 GAS/WArE I N83 26'30toW 5.0' _ _ _ 91.61 LAYOUT PLAN — -1 _ ----- LOCATED AT GRAYTON AVENGE -� - -- 14 GRAYTON AVENUE HYANNISPORT, MA PREPARED FOR: TIM MARTIN & LAN XUE ENGINEERING BY: r ]� A ' 'ES, .INS:. Af z, PLY'MOU H, MA 0 3 0 epe-qce@comc.asi.net Phone,508-74i-9 0 ell:508-333-763°0 FAX.508-743-0211 SURVEYED BY: MACDOUGALL SURVEYING & ASSOCIATES GRAPHIC SCALE P.O. BOX 2426 20 U 10 20 40 80 MASHPEE, MA 02649 ( IN FEET } SCALE: 1" = 20' DATE: DECEMBER 21 , 2015 1 inch = 20 ft. ' HYANNISPORT �MARSTONS AVE. O GJO P� PROP.2'DIA., NDS, INC."FLO-WELL"DRYWELL(OR �/� C H U S E T TS AVENUE LOCO S APPROVED EQUAL)SURROUNDED BY 3 FEET OF `�' A S S A " t4 GRAYToIv HARBOR 3/4"TO 1-1/2"DOUBLE-WASHED CRUSHED STONE AVENUE HARBOR (SET BELOW TOP SOIL&SUBSOIL) ----- - - - - - -- — -- - - - -- - -- -- - -- - --- - -- - - T----i- .- 4"SCH.40 PVC RETAINING WALL uPDLE I I LOCUS MAP. DRAIN LINE TO TIE INTO DRYWELL 78' I CONC. 141.44' 0 S88°33'30"W 9.9' 30 I DRIVE I LOCUS P LA N / S88°33'30"W / GALLEYS APPROX. LOC._ •\ � "PINE —r o—' / 2500 GAS + GARAGE NOTES: EDGE I PLANTING BED 21' `' �-, _ _I ( , 1. LOCUS IS SHOWN AT LOTS 35-001 &35-002 ON -"r \ �p0 TANK 10.8' BARNSTABLE ASSESSORS MAP 287 & �, 5 II `C `' *` 1.5"SCH.40 PVC POOL �� €��tpoOL DECK E�, =59.0' __ _��-_ 131 DECK 2. OWNER OF RECORD: \ FILTER DRAIN LINE 1 = ,,` r . l I ROCKLAND TRUST COMPANY& .3 NEW CONC. RET.WALL 5.0' Ors lc�i� TIMOTHY MARTIN&LAN XUE �g —4 (w/STONE VENEER)w/4 = o s .. J 5051 ST STREET ) 5.0' / -. € HIGH FENCE ON TOP _ POOL / 10.0' _ o BROOKLYN,NY 11215 1. - M Capp i:: '� ku _Q _s I c•, - '3. -DEED REFERENCE: W DEED BOOK 22680, PAGE 179 r- �. ../��>�� !:Y c PARCEL ID: Go p x° ` ' NEW 3'WIDE ENTRANCE : io 287J034 r , 4. PLAN REFERENCE: • �► f TO POOL w/GATE / bp. • • PLAN BOOK226,PAGE 83 (CUT INTO STONE WALL)., `° PROPOSED WATER& 0 ., + #1-4 ,. ELECTRIC UTILITIES %' I r--- PROPOSED POOL PARCEL ID: 28�/035-001 & 002 �/�o I , LAYOUT PLAN AREA=30,086f S.F. Q Oppo �� - I / oo -—_J ,/.. , SHELL / O ::.,,. . POR H % I LOCATED AT + DRIVE 14 GRAYTON AVENUE I _ L=4 •, S 9�'30"E Gas WA 5,0' I I _ 1.61 ► HYANNISPORT MA PREPARED FOR: —— TIM MARTIN & LAN XUE GRA 1,To o N A VEN U ENGINEERING BY: BENCHMARK: TOP OF BOTTOM STEP r ELEV.=63.00 (GIs) 39 t ASO7 ATES, INS k w 451 RAYMON D RD o� PLYMOUTN, MA 02360 pesce@comce$t.net Phone:508-743-9206 e : - 6 FAX:508-743-0211 SURVEYED BY: MACDOUGALL SURVEYING & ASSOCIATES tN of M�s9 P.O. BOX 2428 scy MASHPEE, MA 02649 �o EDWARD L. Gv� PESCE GRAPHIC SCALE CINAL y No. 32001 SCALE: 1 = 20' DATE: DECEMBER 21 2015 20 a 10 20 REV.1 (5-20-16): Pool design changes REV.2 (5-27-16): EL & design changes IN FEET ) 17/7� ,1 inch = 20 ft. . e SHEET 1 OF 2 PROP.2'DIA.,NDS, INC. 'FLO-WELL'DRYWELL(OR C H U S E TTS AVENUE . nAA SSA -APPROVED EQUAL)SURROUNDS M Q ) D BY 3 FEET OF 3/4'TO 1-1/2"DOUBLE-WASHED CRUSHED STONE (SET BELOW TOP SOIL&SUBSOIL) ° HYANNISPORT --- - -- -- -- - - --- --- - ----- -- --- --- - - -------- -- -- - - -- - - -4"4"SCH.40 PVC RETAINING WALL uPOLE j i DRAIN LINE TO TIE INTO DRYWELL �, 116.78' CONC. _ �MARSTONS_ � 141.44' S880 33'30"W j Q<v� A VE. i/ DRIVE � S880 33'30"W 9.9' I ' wJ�S per' J / GALLEYS APPROX. LOC.' 30 PINE / �-r-r LOCUS / 2500 GAL I GARAGE 14 GRAYTON HYANNIS I EDGE OF \ 4 / / c \ �p� I ►� -1 I I AVENUE HARBOR PLANTING BED j 1.5"SCH.40 PVC POOL ." k POOLr_ j _: FILTER DRAIN LINE 3' -' � °- DEL DECK LOCUS MAP NEW CONC. RET.WALL 5.0' _ i j (w/STONE VENEER)w/4' C7 I HIGH FENCE ON TOP 5.0' N c POOL 10.0' o /./. I LOCUS PLAN j y o00 1 I W j wW / O � r PARCEL ID: TES' -, i r 7 P x A r a- � / • '// M Cp NEW 3'WIDE ENTRANCE ; 287/034 , 1. LOCUS IS SHOWN AT LOTS 35-001 &35-002 ON I E.,,.,E=v / qY G, o� TO POOL w/GATE Z BARNSTABLE ASSESSOR'S MAP 287 oo ,k(CUT INTO STONE WALL)., 17 J, Z�. 2. OWNER OF RECORD: C j c'r PROPOSED WATER& O I ll L� i ROCKLAND TRUST COMPANY w o 7C TIMOTHY MARTIN&LAN XUE ELECTRIC UTILITIES W N- 3 _ 5051 ST STREET BROOKLYN, NY 1 1215l�[V o� N� PARCEL ID: 3. DEED REFERENCE: o O287/035-001 & 002 / . DEED BOOK22680,P AGE 179 AREA=30,086f S.F. , O o00o Q __ / I /co� oo '' — - I '""' I SHELL 4. PLAN REFERENCE: l / PORgH /////// I i PLAN BOOK 226, PAGE 83 R-136.00' ///e////:/ I DRIVE 5.0 - L_4 S83°26'30•E GAS WAT 5.0' 91.61' j PROPOSED POOL CR,q l'T _ --- --_ __ GRADING PLAN N A VEN U E LOCATED AT 14 GRAYTON AVENUE ` I � BENCHMARK:\ TOP OF BOTTOM STEP � HYAN N I S PO RT MA \ �.��39 i /,i ELEV.=63.00 (GIS) PREPARED FOR: TIM MARTIN & LAN XUE ENGINEERING BY: ,4-FT HIGH POOL FENCE EIIEER I (SELECTION BY OWNERS) & ASSOCIATES, INC. Ec7t>rra'krl P F-,1EED0AV 101, TOP OF POOL DECK(EL=59.0) ® PLYMOUTH MA 0 360 1-1/2"COVER pence@comcast.net Phone:508-743-9206 . . - - FILTER FABRIC SURVEYED BY: 6"OF 3/4"-1-1/2" MACDOUGALL SURVEYING & ASSOCIATES c CRUSHED STONE +1 �* . . @ 18" P.O. BOX 2428 SILT FENCE +� o \ o (6 4"PERF. SCH.40 PVC TO TIE INTO DRYWELL MASHPEE MA 02649 #4 @ 14" #6 @ 18" w CLEAN, NATIVE ZN of , o BACKFILL- �' sue. SCALE: 1" = 20' DATE: MAY 20, 2016 M N M qo EDWARD L. (REV.1 : 5-27-16) d PESCE CI ' EL. 1.0' NO. 3200i H GRAPHIC SCALE #41-@ 12" .0' 20 0 10 20 40 so 32" 4.0' IN FM RETAINING WALL DETAIL � l inch = zo tt N.T.S. �` SHEET 2 OF 2 Jnuvir vi-i -Irmo DRAWINU QUALIFIES THE STRUCTURAL DESIGN ONLY AND CONTINUOUS BOND BEAM @ ASSUMES THAT THE FOUNDATION/FOOTING TOP OF WALL W/O 3 #4 BARS BEARING SURFACE IS UNDISTURBED, OR PROPERLY COMPACTED, NON-ORGANIC SOIL POOL DECK& CAP BY4 (TYP.) WITH A MINIMUM BEARING ALLOWABLE OF 3000 OTHERS (TYP.) PSF AND THAT ALL CONSTRUCTION WILL BE WATER SURFACE PERFORMED BY QUALIFIED CRAFTSMEN IN ° ACCORDANCE WITH THE 8TH EDITION OF THE MASSACHUSETTS BUILDING CODE. ALL CONTINUOUS BOND BEAM @ DIMENSIONS AND ELEVATIONS ARE FOR DESIGN TOP OF WALL W/ (4) #4 BARS �a %" MIN. WHITE 'MARLITE' AND REFERENCE PURPOSES ONLY AND SHOULD (TYP.) �, '' '' POOL FINISH (TYP.) BE VERIFIED AND APPROVED BY THE OWNER, POOL DECK CAP BY O �. : , ' :' CONTRACTOR AND FRAMER. ON SITE OTHERS (TYP.) f 1 411 VERIFICATION OF CONSTRUCTION IS LIKELY WATER SURFACE REQUIRED. IT IS THE CONTRACTOR'S OR m 2"MIN. CLR. OWNER'S RESPONSIBILITY TO EMPLOY PHELAN ::::. 3/6" MIN. Wh ITE 'MARLITE' (TYP. -WATER SIDE) ENGINEERING TO PERFORM ON SITE a POOL FINISH (TYP.) VERIFICATION IF REQUIRED OR DESIRED. IT IS FREE-DRAIN ALSO THE OWNER'S OR CONTRACTOR'S 2" MIN. CLR. STRUCTURAL RESPONSIBILITY TO ASSURE THAT TIMELY op #3 @ 6" O.C. (VERT. AXIS) NOTIFICATION OF THE PROJECT PROGRESS IS N v.4" (TYP. -WATER SIDE) FILL (TYP.) PROVIDED so THAT ADEQUATE ON SITE #3 @ 12 O.C. EACH WAY ENGINEER PRESENCE IS OBTAINED. LIABILITY IS 40, (�'P ) #3 @ 12" O.C. (HORIZ. AXIS) SEVERELY DIMINISHED IF ENGINEER ON SITE VERIFICATION IS NOT PERFORMED. IN ADDITION, NOTHING IN THIS STATEMENT RELIEVES THE FREE-DRAINING 3" MIN. CLR. CONTRACTOR OF HISMER RESPONSIBILITY STRUCTURAL (TYP. - SOIL SIDE) n� REGARDING THE S ONS OF 780 CMR 107. FILL (TYP.) ^�. �P�SN OF MgSS 3" MIN. CLR. :; PAUL A. (TYP. - SOIL SIDE) PHELAN JR. STRUCTURAL No.42538 ' �o�s PROVIDE ROCK PACK. SEE SE 10" MIN. 'GUNITE CTION 8" MIN. 'GUNITE' S�oNA� THICKNESSTYP. (TYP.) t � 4 '1 1/5-I ' FOR MORE INFO. THICKNESS (TYP.) DESIGN&PLANNING � . LOW WALL DETAIL �� o O O O O REv1S10Ivs 8_MP OX.SCALE: -0° PROVIDE ROCK PACK. SEE SECTION O DATE DESCRIPTION ' 1 1/5- 1 ' FOR MORE INFO. " 13 TYP. HIGH WALL DETAIL APPROX. SCALE. COPING PLASTER TIGHT TO RING —ANTI-VORTEX COVER IK lit � y SEE DETAIL'12 & 13'FOR " TYP. POOL WALL REINF. PROVIDE#3 TIE BAR AS SHOWN �' w HYDROSTATIC VALVE PROVIDE ADD'L#3 BENT BARS AS SHOWN ' (3 EA. WAY-6 TOTAL) PROVIDE%4" O CONDUIT STRUCTURAL & TO DECK BOX 12" MIN. j ABOVE WATER LEVEL CIVIL CONSULTANTS ° . �COLL�cTIONTUBE 12 SLEIGH ROAD - 2" LINE VACUUM BREAKER NEW POOL LIGHT / TO 2nd MAIN DRAIN OR %2" STONE CHELMSFORD. MA (110V SOOW). / SIDE SUCTION NOTE: DRAIN COVERS GROUND PER LIGHT PROVIDE ADD'L#3 BENT MANU. SPECs. BARS AS SHOWN(2 EACH SHALL BE VGB COMPLIANT TEL. (978) 256-4014 WAY-4 TOTAL) MAIN DRAIN DETAIL FAX. (978) 250-3764 15 APPROX. SCALE: N.T.S. 14 POOL LIGHT DETAIL NOTES: APPROX. SCALE: N.T.S. 1. FOR ADDITIONAL POOL INFORMATION SEE POOL SUBMITTAL PROJECT FILE BY THE POOL INSTALLER. 2. POOL TO BE CONSTRUCTED IN ACCORDANCE WITH THE 8TH SWIMMING POOL EDITION OF THE SHORELINE POOLS MASSACHUSETTS BUILDING CODE, APPENDIX'G'. 3. POOL STRUCTURE TO BE CONSTRUCTED ON UNDISTURBED PROOFROLLED NONORGANIC X UE & MARTIN AND NON-EXPANSIVE SOIL WITH A MINIMUM BEARING RESIDENCE ALLOWABLE OF 3000 PSF AND A MIN. 4" LAYER OF 1%2" COMPACTED STONE. ALL WORK TO COPING SKIMMER CAP SHALL BE FLUSH BE IN COMPLIANCE WITH 14 GRAYTON AVE WITH COPING& CONRETE SLAB THE AMERICAN CONCRETE INSTITUTE ACI-318-02. HYANNISPORT, MA 6x8 16" SKIMMER WEIR 4. SKIMMER, MAIN DRAIN, POOL LIGHT&RELATED DETAILS @ POOL STRUCTURE TO BE WATER LEVEL±3" DESIGNED BY OTHERS AS REQ'D. SKIMMER BASKET 5. THE SHAPE AND DIMENSIONS OF THE POOL MAY BE ALTERED WITH THE FOLLOWING CAVEATS: A. THE MAXIMUM LENGTH WILL BE 45'-0". PROVIDE (2)#3 TIES B. THE MAXIMUM WIDTH WILL BE 20'-0"• SCALE:AS NOTED AS SHOWN C, THE SHAPE MAY BE RECTANGULAR OR IRREGULAR. D. THE DEPTH SHALL NOT EXCEED T-0"• DO NOT SCALE OFF DRAWING E. THE RADIUSES SHOWN FOR THE DEEP END AND SHALLOW END SHALL BE AS SHOWN ,BUT MAY BE INTERPOLATED TO DEPTH. DATE: 04/25/2016 2" 0 PVC PIPE F. THE PITCH FROM THE SHALLOW END TO THE DEEP END DRAWING TITLE EQUALIZER OUT TO PUMP SHALL NOT EXCEED THE PITCH SHOWN. (COMMERCIAL ONLY) PROVIDE ADD'L#3 6. THE POOL CONSTRUCTION IS TO BE IN FULL COMPLIANCE POOL PLAN BENT BARS AS SHOWN -: WITH THE 8TH EDITION OF THE MASSACHUSETTS @ 6" O.C. Y BUILDING CODE,APPENDIX G. LISTED IN SECTION AG108 OF APPENDIX G ARE THE ADDITIONAL SECTIONS, STANDARDS THAT WILL BE ADHERED TO, INCLUDING BUT NOT LIMITED TO THE FOLLOWING. AND DETAILS AG 104.1-ANSI/NSPI-3, STANDARD FOR PERMANENTLY SKIMME�RE CTION INSTALLED SPAS.AG103.1-ANSI/NSPI-5, APPROX. SCT. STANDARD FOR RESIDENTIAL IN-GROUND SWIMMING POOLS.AG106.1-ANSI/APSP-7, STANDARD FOR SUCTION ENTRAPMENT AVOIDANCE IN SWIMMING POOLS, CONSTRUCTION DRAWINGS WADING POOLS, SPAS, HOT TUBS AND CATCH BASINS.AG103.3-ASCE/SEI-24,FLOOD RESISTANT DESIGN AND DRAWING NUMBER CONSTRUCTION.AG105.2,AG105.5- STM F 1346, PERFORMANCE SPECIFICATION FOR SAFETY COVERS AND LABELING REQUIREMENTS FOR ALL COVERS FOR SWIMMING POOLS, SPAS AND HOT TUBS.AG105.2-UL-2017, STANDARD FOR GENERAL- 16104—S- 1 I PURPOSE SIGNALING DEVICES AND SYSTEMS SKIMMER(TYP.). SEE DETAIL '16/S-F FOR MORE INFO. LOCATION PER POOL CONTRACTOR. I I � I POOL WALL (TYP.) I 11 POOL STAIRS. LAYOUT PER POOL — CONTRACTOR. SEE SECTION'l1/S-P PROPOSED POOL FOR MORE INFO. w MAIN DRAIN. SEE DETAIL '25/S-1' SPA BENCH LAYOUT PER POOL FOR MORE INFO. CONTRACTOR I 12 MAIN DRAIN. SEE DETAIL W Q '25/S-1'FOR MORE INFO.I ('13 I I w I PROPOSED SPA _ I I SHARED SPA/POOL WALL PROVIDE 12 MIN. THICK WALL WITH(2)LAYERS OF TYPICAL WALL REINFORCING - � °° O LIGHT (TYP.). SEE DETAIL'14/S-1'FOR I I Q MORE INFORMATION. LOCATION PER I I w POOL CONTRACTOR SKIMMER(TYP.). SEE DETAIL 'l6/S-F FOR MORE INFO. LOCATION PER POOL CONTRACTOR. 8'-011 ! EDGE OF GUNITE 45'-011 loor EDGE OF GUNITE NOTE: SEE SHORELINE POOL SUBMITTAL FOR ADDITIONAL INFORMATION 10 POOL PLAN APPROX.SCALE: A 5'-0" MAX. LENGTH 20'-0" MAX. WIDTH 6'-011 MIN. 9'-0"�MIN. DEEP END Of 40 SHALLOW END TRANSITION EQ. TYP. WATER LEVEL con 11 »•n Ilt lJ `1 YYff MAX. SO L PE CONC. WALL/FLOOR(TYP.). 3 SEE DETAILS '12 & 13/S-l' FOR MORE INFO. oomm ROCK PACK: PROVIDE 4" MIN. THICKNESS OF 1%2" STONE @ FLOOR OF POOL (TYP.) 1 POOL SECT ION APPROX.SCALE. 4