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0033 QUAIL LANE
33 Q ccai-`�-. _.���_� I I l _ .� _ �--___ j Adi Town of Barnstable uil di"n g ' » nb', .�;, r 'Y,'.x.' �.�.�r- � ,t�; fir., , .,. �. .y a Sxp ;� ;:.. ,. , .. «. . `. .PosL This Gard So That rt is 11/isible',Frorm the..Strept�A1'roved�Plans--Musf be Retained,on;Jo and thI r M pp s Ca,d Must be Kept -z,��as .. 4 M" Posted UntIlFinal'Ins ection Has Been-tVlad'e ` , Y, Q; Permit +° _ ,here fie a<Gertificate of Occu anc <is Re aired;such Buildm shall Not;,be`Occu led unt�I a Final lns ectionFhas=been made: « ,.e Permit NO. B-17-206 Applicant Name: GCI BUILDERS INC Approvals Date Issued: 02/14/2017 Current Use: Structure Permit Type- Building-Detached Garage-Residential Expiration Date: . 08/14/2017 Foundation: Location: 33 QUAIL LANE, HYANNIS Map/Lot 287-107 001 Zoning District: RF-1 Sheathing: Owner on Record: MEHM,EDWARD F TR Con ra o tctr Na me: GCI BUILDERS INC Framing: 1 AN Address: 448 BAY ROADxr ,Gontractor�Lic�ense� 152253 2 SOUTH HAMILTON, MA 01982 Est 'Oct�Prof Cost: $ 150,000.00 Chimney: Description: build on 2424 unheated.pool house ` Perrnrt Fee: $865.00 i AN Insulation: Project Review Req: build on 2424 unheated pool house Fee Paid: $865.00 t Final: Date ` 2/14/2017 F �1� 7 i"Cx Plumbing/Gas r Y Y •�� ` Rough Plumbing: 4. 1 Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work allth`orized by this permit is commenced within sR months after issuance: ft Rough Gas: All work authorized by this permit shall conform to the approved application and thelapproved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures�shall b in compliance with the local zoning by IawsMan' codes. • Final Gas: This permit shall be displayed in a location clearly visible from access street or roadltand shall be maintained open for"' is msp coon for the entire duration of the work until the completion of the same. Electrical es,."X > The Certificate of Occupancy will not be issued until all applicable signatures by,the Building and Fire`,Otticials ari: rovided on this'permit. Service: Minimum of Five Call Inspections Required for All Construction Work: 5 ' z g 1.Foundation or Footing 4` ... Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. .- Final ''Persons contracting with contractors do.not.have access to th.e guaranty fund" (as sef forth MG c.142A). Fire Department: Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT I TOWN OF;BARNSTABLE BUILDING PERMIT APPLICATION Map 7 Parcel (OVO& Application # Health Division Date Issued Z-)/41 Conservation Division Application Fee Planning Dept. Permit Fee ; Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis t-M WX-� Project Street Address QV 041 L L al.�a Village VOL"Nis PaeT Owner FWAZ-b F =�A M Address QOA►L VA4,,JP Telephone 6 I r7 - S�� 3 61, (1 Permit Request —6ul 13 ola��a 4� U I.t 1� A,-�-�rx �C��.. 1� ►.�q Square feet: 1 st floor: existing X proposed 576 2nd floor: existing proposed 7'—'--Total new �7b Zoning District Flood Plain Groundwater Overlay <0 Project Valuation Construction Type 0, �_ , Lot Size COO.4 a� F/' Grandfathered: ❑Yes ❑ No If yes, attach.supp6rrting d.ncumentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes & o On Old King's Highway: ❑Yes 0<0 Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing__ new Half: existing X new�4 Number of Bedrooms: X existingXew Total Room Count (not including baths): existing C9 new AA oZ First Floor Room Count 3 Heat Type and Fuel: ❑Zo ❑ Oil ❑ Electric ❑ �Other IV Q� Central Air: ❑Yes Fireplaces: ExistingNew �_ Existing ❑Yes �o � 9 wood/coal stove: 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 A orization ❑ Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review# pp Current Use Y"D Proposed Use 7guJ Vx,AL4!a APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name RuL. A-42-& �Itl , ,,,Ot&A 1 elephone Number Address es 531 Mill) MA License# C51-4-06g47 3+ Home Improvement Contractor# / 6V053 Email C i Worker's Compensation # ALL CONSTRUCTION LBBRRIS RESULTING F THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE /�� l 4 ti FOR OFFICIAL USE ONLY z APPLICATION# DATE ISSUED MAP/PARCEL NO. - ADDRESS VILLAGE --OWNER DATE OF INSPECTION: FOUNDATION FRAME 0 J INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL-., PLUMBING: ROUGH FINAL GAS: ROUGH FINAL - FINAL BUILDING DATE CLOSED OUT - ASSOCIATION PLAN NO. The Commornvealth q,f Mmsssncl=e fs Department ofb trfal Acridem!v OJTWC of�rt, gafis 600 Washington Street. Boston,ZMA 02111 twrPmmaxLgov1dra , 'Warkers' Campensation Insurance Affidavit:Buflder-s/ContractarsMec icianslPlurabers Applicant Infarmaftan Please Print fey Adages (po -i6 o x so, efst N1 1h�t�s 6aG�!-2 one g-- Sad Are ya employer?Check the appropriate bo=: Type of project(reguiredj:4_ I am a contractor and I 6. ❑New coast uc ibn I.LyfI am a employer mitil � ❑ , . employees(fish andfor part-ime).* have hired the sub-coatractors 2.❑ I am a sale psnpdetar or partner- listed on the attached sheet. I ❑Rem dedsug ship and have no employees These sub-contractors have g ❑Demolition m forme is employees aaidlnre wars' tx� � � 9. ❑Builcftu addition �gg' camp.immuanre comp-insuran�[Sp i l Di a [itlS required-] 5- ❑ We are a corpojaticn and its ❑Electrical officers have exercised tiieFr 3:El am a homeowner-doing all work 11_❑Plumbing repairs or'additions ;m € o workers' right of a tiou per MGL ter .e&j T c.152,§1(4h andwe have no 1�El Roof repairs employees.[No wow' 13.❑Other comp- -j ,. '�tayapp&=ffistchetImboxR m also Moutthe�aubelowsl�suiag&eirwa&execomptrsatiauparcyinvmmaiia�i Homeowners Yft submit this dfidaeif indkxtiag they axe dome all wart and flies bim outside caut•mcmrs Est submit a new affid2vitt mdicafia;surIL ICdn=cWn fW ched[t1d boa mast wed an additional shy sbcaiag the name of the and stare whew ar oat thaSe eUrtkSbRVe employees.If themff—tradaeshave employees,dleyamstp ndde rbek xwke&comp.palm nUmber- I am an srrtpToyer fltatrspnnzt%irt;;yvork¢rs'cotrrperesafian insztra>rce for my eurpl43tee.� Betoav is riite paticy aJtd jab she information, `-n Cog Insurance Compmy Name:_ S AArzJ Tti S+v49dC�C.� C U t p ' Policy 4 or Self ins.Ile-# 1�1Co i a.3 FbxgiratiauDate � A 444 A A Jab �i ddress � , L_ L Al.e� CitylStatet[�p: S 44 4 Attach a copy of the workers'compensationpolicy declaration page(showing the policy,member and expiration date). Fair to secure TDIAirtrinsurmancec ge as ection 25A of MOL c"157 can lead to the imposition of criminal penalties of a fine up to 51,SQ0z One-year iMpris as well as civd penalties in the farm of a STOP WORK ORDER and a fsme of up to�0_00 gainst the violator_ B ad dsed that a copy of this statement may be ti xvuded to the Office of luvesfigations aa ge,veCEE cm.: I do FFersby cerirjy under thepains tf penahfw oJ"perjury that the iaforrua€conpm abo w is bus and correct Date: Phone 197 OOkiai use only. Do not write fry this area,to be coampTeted by eiip artonmi er,{Jrciat City or Forma: PernFitlLieease Issuing Authority(drde one): ` 1.Board of Health 2.Building Department 3.cityiroiwnC1exk 4.Electrical Iuspecior 5.Plumbing E mpecter 6.Other Contact Person: Phone#- 6 Wormation and Instmetions lya.r3n�Credal Laws chapter M rcgo all eruplvyeas to provide warkeas'compensation fX'f==employees. Pmsaant-to this side,aa.mpkyw is deemed as-6.every person in the service of another under any contract ofbire, esgress or iEmplied,and or wrifira." An.eznpFay�is defined as"an indiyub al,partnmsh3p,associafi-om,cmparaiion or affim legal entity,or any two or more of the foregoing in a joint etrterp din,and mch�dmg the legal representatives of a deceased employer,or the receiYer Cr trastee of an indi:vich L pa=fnerstup,association or other legal eniitp,employing employees. However the owner of a dwelling house having not more than three apmtn=is and who resides therein,ar the D=gxmt of the - dw Hin house of aoo'.er who employs pMsons tD do maiafzmance,conSUT Ct on or repay w011C on such dwelling house or oa the grounds ar bmldimg appmtme thereto shall not because of such emplaymezit be deemed to be an employer." MGL chapter 1.52,§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 b smess or to coristruc, ugdiags in the com-DmVealth for any applicant Who has not produced acceptable evidence of cdmpBanm with the fn mrance.coverage ui reg ed Additionally,MM chapter 152,§25C{7)stags`�NeRher the commonwealth nor ay of it political subdivision Shall enter into any contract for the•pyerfaannaaw ofpnb3ie wadunt�I asx piable evidence of fiancewifii the insm-a d._ f ts b te o the a�homiyregrm=e�s o 1pevn AppHcan-ts , Please fia out the workers'compensation affidavit completely,by checking the boxes tha±apply to your situation and,if necessary,supply sub-conixactar(s)name(s), addresses)and phone numbers)along with their certificates)of „cmance. Limited Liability C,ompames(LLC)or Limited Liability PartnersEps(LLP)withno maployees other than the members or partners,are not regv>red to cauy workers'compensation insa ante_ If an LLC or LLP does have employees,apolicy is required. Be advisedthatthis a$daykmaybe snhmittt d to the Department of Indnsfrial Accidents for confrrmafion Of mmz1m3=coverage- Also be sure to sign and dat�the affidavit The affidavit should be retumed to the city or town that the application for the peonit or license is being regnested,not the Department of ladastrial Accidents. Should you have any quesdans regarding the law or ifyou are rcq=rd 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 lime. City or Town Officials . t _ Please be sai-a that the affidavit is complete and printed Iegi'hly. The Department has provided a space at the botbam of the affidavit for you to frll out in the event the Office oflnvestigati=has to confact you regarding the applicant- Please be sure to fill in the pen iL l crose number which will be used as a reference number. In addition,an applicant that must submit multiple pemitllicense appli-cafions in EMY given year,need only submit one affidavit indicating current p olicy inffbrmafion Cif necessary)and under'Job Site.&�the applicaDf should 7atm-all>lomfions in (citY or town)_'A copy'of the affidavit that has ben officially stamped or maked bythe city or, in maybe provided to the applicant as proof that a valid affidavit is on file for fatm permits or licenses Anew affidavitmust be tilled out each year.V,here a home owner,or citizen is obtaining a license or permit not=elated foamy busine ss`or commercial Ycnture (L e_ a dog license or penait to burn leaves etc.)said person is NOT required to complete tins kffi&k The Office of Investiga ims would him to thank you in advance for your cooperation and should you have any quesfions, please do not hesitate to give us a caZ The Department's address,telephone and fax number . . , Depa��t�o�lad�tzi�lA�dent-� It Bow YA Ell 11 Tf,-1.4 617727-4 cit 4-06 or I-9 YASSAFF Flax 617 727-7M WW Revised 4-24-07 .U590T/dim i Massachusetts-Department of Public Safety §}$ Board of Building.Regulations and Standards - l.If 1111�\LIH 1U UCrY��1�'1 . License: CSFA-057934 , PAUL J MAZZOIA . `NX, 11 PO BOX S09 !� 3 r MMWTIIS Mips A { ' ;a�: .J..L.�J1.J/-"�• µ.:Expiration I Commissioner OW1912017 ill �e tPo�wv�aanueallf �uareffj office of Consumer Affairs&Business Regulation ; HOME IMPROVEMENT CONTRACTOR - a g 152253 - Re istration:;�`. Type: Expiration=$«�2018 Private Corporation r'7 GCf BUILDERS INC = ! S ., PAUL MAZZOLA 644 RIVER ROAD `j� MARSTONS MILLS,MA 02(r48` Undersecretary 4F RestnctedR;Oiie-and two-family,dwellings or any accessory btiiilding thereto,irrespective of size.. Failure to possess a current edition of the Massachusetts State Building.Code"is cause for-revocation-of-this-ioense. _ For DPS Licensing information visit: www_Mass.Gov/DPS License or registration valid for individual use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 of valid without signature r - 9� Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.maus Office: 508-862-4038 - - Fax: 508-790-6230 Property Owner Must Complete and Sign This Section - If Using A Builder ; I C-d (—CAe ✓✓� , as Owner of the subject property hereby authorize �r &"OJ4 to act on my behalf, . F ^ in all matters relative to work authorized by this building permit application for: 33 Lmy� e � j' is Poi (Address of Job) � f 1�11 Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side." QAWPM ESTORMSUilding permit forms\1TRESS.doC Revised 040215 " Town of Barnstable N Regulatory'Services �THE r� Richard V.Scali,Director Building Division BARNSTABIA Tom Perry;Building Commissioner MASEL %65 �m� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.maus Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# . CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures.'A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. ! The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval ofBuilding Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner,shall act as supervisor.." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules &Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in- your community.. Q:\VJPFILES\FORA%uildmg permit forms\EXPRESS.doe Revised o40215 ACORU® - DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 1/11/2017 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 Kat:h Silvia NAME: Y The Fair Insurance Agency Inc. A/CN o (508)775-3131 AIC No:(508)790-1677 619 Main Street E-MAIL kath @thefaira en ADDRESS: y g cYcom Spite 1 INSURER(S)AFFORDING COVERAGE NAIC# Centerville MA 02632 INSURERAE33eX Insurance Co INSURED - INSURER B:Safet_X Insurance Co. 39454 The Waquoit Group LLC,. DBA: GCI Builders DBA Paul INSURERC:Savers Property 6 Cas.—ARWC 31771 PO BOX 509 INSURER D: INSURER E: Marstons Mills MA 02648 INSURERF: COVERAGES CERTIFICATE NUMBER:16-17 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 LTR TYPE OF INSURANCE INSID ADDL S VD POLICY NUMBER MWDDPOLICY EFF MPOM DD EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS MADE 1 OCCUR DAMAGE TO RENTED 500,000 PREMISES Ea occurrence) $ 2CW6103 5/28/2016 5/28/2017 MED EXP(Any one person) $ 10,000 PERSONAL&AOV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑PRO ❑ JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: Individual Risk Mod Prem $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident B ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS X AUTOS 5052134 6/3/2016 6/3/2017 BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Pera.dZI Medical payments $ 10,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 C OFFICER/MEMBER EXCLUDED? El NIA (Mandatory in NH) WC0002374 5/28/2016 5/28/2017 E.L.DISEASE-EA EMPLOYE $ 100,000 If yes,describe under - - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Ted Mehm THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 33 Quail Lane ACCORDANCE WITH THE POLICY PROVISIONS. Hyannisport, I-% AUTHORIZED REPRESENTATIVE Jackie Stewart/FAIMTI ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025(2014011 ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION r Map Parcel Application # Health Division Date Issued X i 5 Conservation Division Application Fe as:Q-- Planning Dept. _ Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address n-!:) LXL2RJ L La cLA Village ��XlliltSk Owner (LYv` Address ?`3 01 Ze►L )Telephone �p Permit Request aim � Law LJ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project ValuatiA 11 oQ Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood coal stove.... ❑4s ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing Xnew size _ am existing 0 newz size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:, F' Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes %Ao If yes, site plan review # w << , rn Current Use Proposed Use APPLICANT INFORMATION a (BUILDER OR HOMEOWNER) 1 p.u�Y em& s I, - Name [ anr� �_ IM►rytr3, Telephone Number L01 -'233•-9 230 Address iRCKLicense# 01SgL_A_1 yval -1 Y, Home Improvement Contractor# �r�g�e( Email Lczga a, 6DY orker's Compensation # "PALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 7 SIGNATURE DATE �� �� FOR OFFICIAL USE ONLY l APPLICATION# t DATE ISSUED RMAP%PARCEL NO. t. i ADDRESS VILLAGE d Iy p OWNER k DATE OF INSPECTION: y FOUNDATION t FRAME INSULATION FIREPLACE t ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING Y w s DATE.CLOSED OUT ASSOCIATION PLAN NO. tt f ATLAS INSURANCE AGENCY,INC. ONLY AND CONFERS. NO RIGHTS UPON THE CERTIFICATE II R.O.BOX 322,ACCORD STATION HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.HINGMAM.,MA 02018-0322 PHONE(781)331-9000 INSURERS AFFORDING COVERAGE NAIL# INSURED AQUAKNOT POOLS INC INSURER A; PILGRIM INSURANCE COMPANY 21750 55 WOODROCK ROAD INSURER a' ASSOCIATED EMPLOYERS INS COMPANY WEYMOUTH MA 02189 INSURER a INSURER D: INSURER E; COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REOUIREMENT,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 POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLI,ISIONS AND CONDITIONS OF SUCH ria POLICIES,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LEM L TYPE OF INSURANCE POLICY NUMBER POI I E ECTIVE PpLI Y EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCECOMMERCIAL GENERAL(ABILITY DA QE TO RENTED CLAIMS MADE El OCCUR -F IS_EXP An one reon S PERSONAL&ADV INJURY £ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMPlOP AGO POLICY P r�- LDC I nlrrDmDBILE LIABILrIY PGCOOOD1017792 4/26/14 4/26/15 A ANY AUTO COMBINED SINGLE I,IM17 a 1,000,000 ALL OWNED AUTO; X SCHEDULED AUTOS BODILY INJURY a (Per peronn) • X HIRED AUTOS X NON-OWNED AUTOS BODILY IrnlIURY S (Per ncolnnnr) PROPERTY DAMAGE feet nenlnnnq a CIAWiGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER 1 HAN EA ACC $ AUTO ONLY- r AGO R EXCESSNMBRELLA LMBIUTY EACH OccLIRRENCE $ OCCUR CIJNM;MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ a a WORKER'S COMPENSATION AND WCC5005677012014 4/12/14 4/12/15 X c rnT . 0 B EMPLOYERS'UABILrnr L ANY PROPRIETOR/PARTNE"*,4ECUTIVF- EL EACH ACCIDENT $ 1,000 000 OFFICERIMEMBER EXCLUDED? R yoa,tlrrr antler FL DISEASE•EA EMPLOYEE a 1,000,000 SPECIAL PROVISIDNS bolow pISEASE-POLICY LIMIT $ 1,000 000 OTHER EL 'ESCRIPTION OF OPERATIONSILOCATIONSNEHICLEBIFd(CLUSIONS ADDED BY ENDORSEMENTISPECIALPROVISIONS IROJECT: NEW POOL CONSTRUCTION VORKER'S COMPENSATION COVERAGE APPLIES TO MASSACHUSETTS EMPLOYEES ONLY, IERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES DE CANCELLED BEFORE THE EXPIRATION TOWN OF BARNSTABLE DATE THEREOF,THE ISSUING INSURER WILL FNPEAVOFI TO MAIL_70 DAYS WRITTEN 200 MAIN STREET NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEPT.BUT FAILURE TO DO SO SHALL HYANNIS MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINI:)UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES, AU,T,IHORRMED REPRESENTATIVE CORD 25(2001/08) 1i ACORD CORPORATION 1988 � rET ti own of Barnstable: o� p Regulatory Ser is f ♦ ` 3 ,�� Richard V.Scab,Director B.uilding Division Tom Perry,Btiilding Comrnissioaer 2N,Main Street.:Hyannis MA 02601 'W.*vW tawn.barnsfabie rria.ias. Office: 508-862-4038 Fax: 508-796-U30 Property Owner Must Complete and:Sign This Section .If Using A Builder I, rnG4W itrr,{ M!i 9A ,as.C.}aMer of the subject.propezty bereby authorize . ' to act on my behalf, in all matters relative to work authorized by this building pezrnit application£or 1.5 u r M 4- (Address of Jab) 4 Pool fences and la .atersponibiitrh y of the applicant. f oals .A are not to be. filled orutilized before.fence is :installed and all final inspections are perforrned and accepted / . Signature of Owner S tLire of:Applicant Print Name �► Print Name Date Q:FQRtvf$:OVJN EItpERMISSIpNYpQLS I t Massachusetts -Departrne Board of Building Re nt of public Safety Construction Su gulations and Stan Pen•isor lard License: CS_095947 18 pashard , Abington °e �51 = P.. ev �o Commissioner Expiration Oy10/2016 • de�v���z�Z�uealt�����a�r��. � � _ Mee of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration 108396; Type:; 10 Park Plaza-Suite 5170 Explragpn g/18/2016. i. Supplement Gard Boston,MA 02116 AQUAKNOT KRISTINE UHLMAN 55 WOODROCK RD Weymouth,MA 02189 Undersecretary Not valid without signature 1 i � OIS01>3� A ;Y, Installation Instructions Series 3 ProcedfmleMos de lnstiWdn O Top Poll model ^® DO Technologies Instructions d'insull"On '1L✓J']] HMerrormanceHardware Altaays rOrrfl M and Install tfds fetch In accordance whh your local fence bander codes 9 mpra conAmwra hratalareste asnofn de at wW can sus c6fgar locales Para/a barren de le cane Instellez at virtflez toujours I'hurtallatlon do ce loquet an conformb am lee codes locator pour lee cl8tures For pool gates 480(1200mm)or higher 5/32°(4mm) Para puertas pare plscfnas de 48"(f=mm)o mks altas 3"(75mm) Pour lea partitions de piscine de 1.20 m(48 pouces)ou plus GAPVARIANCE 113/4"(300mm) A Dfferencla de espacio O to -5/32°(4mm) kart d'espacement ;{ FENCE Posr 1/2"-11/0 03mm 38mm) Paste do awwr l r f GATE FRAME Poteau do cif ne ; 59"(1500mm D D Macao do to p� � 40 FMCE POST �r Cadre de pwtltlon Paste de cams _ Zlie FENCE POST Poleau de cloture Posh de cams Maximize dance I'Potsau de c1l8ture between braGcels i 1Naaimlzarto dla l enbe Joe soponas I ,I low 3 Ispacez les supports 1 D r. au maximum D LN ti .�_ 4 Position Striker Body o Align marks for proper f ' I onto bottom of itch ® M Vertical alignment Colorer on poslra6n la co � �t lUinearlas manes pare!a + GATE FRAME �1 d9�mrradwa hembra on 1/8°(3mm) °conecta posld6n verhral i 1 Marw de h pm fa j +; o� Alignez les marques pour 1 . Cadre de porallon Positionnez la barre de butte botanic un bon alignment ur le bas du loquet �_►= _ E} f GATE FRAME O pu © Fbc screw B at bottom Maw de/a eo Cadre de pordllon E Rar el tomlllo B en la base I _ r Vissez la lds B sur le bas E 4 i ¢' $D _z B Y, D 5 8 ?.ems ? ,y 5/32°(4mm) _ OAlign marks for proper ® - ( horizontal alignment } � ANnearlas maw pia la ' oormcfa posld6n hTibmwntal IT, Alignez les marques pour obtenir un bonement a g � horizontal _� IF Installation Instructions Series 3 ® MAGNALatch Tip Pug model �® Da1rD Tech I10IOgIeS Protedimienbs do irflsf keffin Fe-Perfwmam Hatmm Instmelons drin bPatlon ® CAUTION:Magnal-atch provides vertical&horizontal adjustment for correct alignment.It Is the Installer's/owner's responsibilgly to ensure the gate properly latches at all times.See Step 5&9. PTrMGlUet6At Afagnkatah ohm a/uste wficol y honzarrtal pars una owrecta atineacfdn. Es rewnsabfad der lnstaladorlpmpletWo megumm de qw el pestillo de la puerta Berm w ectamente en todo momento. Verftx 5y 9. ATTENTION:MagnaLatch permet un riglage vertical et horizontal pour obtenir un bon alignment l.'instalateur/ propridtaire est responsible de garantir quo Is podllon se verrouille i chaque foss.Cona tez les Mapes 5 et 9. Unlocked - Locked Key Tag supplied as reminder to malntaln e C(x2) proper alipment Dnftb8do �'; Thftdo lM pars to rteve eurrdn&hMb pars rscordar ° 016verrouigb t WTIM111l� '69W1 _ que se debe manterrerla eaaeacldn coreda ' D(zip (Mquette de cM tournle pour rappeter A( ) ,weve 1Importance dun bon allgnem nt Red ' ' _ 1 001deye 1 ROf p (x1) 'Rouge r� 4 �• ,1.. � jai• g G(M Swimming pool fences,gates and latches cannot substitarDs for aM lea ce►casl powtones ypesb/10 de to prise=no ahm corm substIM de In supervisiom supovfsfdrr por parre do adultos.Sf on raa esto peaNto an an pwkfn de plot If using this latch on a swimming pool gate,mmsufl OR appropriate local eonstft a Ww rs aml orkbdw lacafes core.porrdlenlss can re4mb a hue su9rodties for safety requirements. rerpdsftn de segwidad.ApeaVo fiacanar.4 detridamerrAr sdlo sl se habda y The latch will operate properly only If Installed and maintained in accordance msWm de&van*a Moo his0vadarea with these InStRICHOM MANM MrMA7 RETMR LA LLAVE DE LA CSM4DDRA DMW Of MA MAIR M+lAMP RptllM KEY FROM U)CK AFTER USE.Do not lubricate the No/ubrrcar el cerrojo can rubrkantes a base de pBhdkw en nholn momerm,usar latch with Petroleum-based hhbricaMs at any time;use only powdered graphite. graflfo err poft rb*wrrerde Aseguram de quo Was hrs tomM s so ancum0an Ensure all screws are tightened firmly and that the Magnalatche Is Inept tree of flmremente 4fustados y que Hutch"no co fenge ahem hfere nr obw esnd Ice and other debris which could Impair per formance. dwahoa que podm enpsdf es Gwxabwn1ente, For a downloadable Adobe Acrobat(PDF)version of our Limited Para ftv rnra msldn wAdMeAa0M M9 de nunflor aMINTfA DE LIFETIME WARRANTY,go to our website at wanvAd"globaLrwm PM M IhnMadn dhfprw a nuesbo afBo web www dMuft lobslcOm La protection apportie per In berrlbres de ptadw,pond Ions et sutres semires 1 ne remplace on aumnt one la swvellience ehoerode par un adulte.Si vous dishm CONSEIL DE StORIT11 installer calla serturs sur Is porb'llon(rune barriire de piscine,renseigrnez-vows A Ore attenfivement at i conserver pour une consultation ultideure sur lee ardgences de sbcudti mwbs des outsft locales concemges.Le tan - La piscine pout consfibner un danger grave poor ves erdants.Une noyade est trio tonctlamemerd de Is semue dipand w* mint d'une Installation at dune vita arrlvie.Des enfants prbe dune piscne niclament votre constants vigilance at maimanance emdormes anal prisenh lihstrucliow vatre surveillance active,mime 9%savant nags - One baniire no se substhue pas au bon sere ni i In responesbM Individualle. MTRETiEN:MBEZ LA CLt DU VOROU AW.S UttUSAMI Ne Mbriflez Ble We pas pour but non plus de se subsgtuer i Is vigilance des a(ultes responsa- f amals le loquet avoc des IWWants i base de pitrols,u6Rsez unlquement de bles qhd rests Is facteur esserdiel par Is protection des Jeunes ehdants. la poudre de graphite Assure:-vous quo I es les vIs cord blen sambas at qua -Attention I Is simviti nest assuris gieavw Is moyan d'accbs fermi,verroullti. Is Magnalatdh•nest pas wuvert de sable.glace,ou de but outre dibdo qui - Le moyen d'ac*dolt Mrs sys9matiquement fermi an mas d'absence,mime pourrait mire b son foncgonnement momerdanis du domicile. Vlsltez noire site web b radresse wwaddtechglobaLcem pour abtanlr ime - Atindre tortes lea mom=affn d'empfich r Pamnbs du bassin amr Jeunes entente version titichergeable au format Adobe Acrobat(�F)de nobs twARANTR A VlE atce'Jusqu'i Is riparation de Is barribre ou du moyen d'souis lore Min censtat de ilmie ("fanctiommment ou fore du dbmomage de la barribre empechent M s6curin ion o ® du bessim m I La prisence d'tm parer(at/ou d'un aduhe respensable ad indispensable lorsque s to bassln eat overt. Virfrher('absence Wab)et i pmKim i de is bane powamt filler ou fam'lltey DOTechnologies . Peamdadedolabarribre. HI-Pertbrmance Hardware [i -Le tarmelure du moyen d'acces pour In sgstimes i fennebnre outomadque dolt We systimaHquemort v6fff . • i AUSTRALIA:Unft 6,4.6 Aquatic Dr,French Forest NSW 20M -Apprenez In gestes qui seuvent a l USk MI Woodwind Drive,Huntington Beach,CA 92647 - Mimorlser at dWw pros de k plocine les numiros des premiers aeceure e Pornpiere 08 pour Is France) EUROPEc Nlawftat 1,3531 WR Utrecht,The NofWends. a SAMU(15 pour M France) G wwwAdtK*gMal.com •Centre ardipison »r Installation Instructions M� SMiES3 ® `D&DTechnologies PTIOW&M18005 dE 1nS018d6n Regular models-Use 1 Og st m Instructions d'installation Heutry Duty models-Use 12g screws #2 GATE GAP � Y#72 ' 2 ALIGNMENT LEG models(L2) l Og.5/92°(4mm) ESPAL70 DE LA PUERTA[ON 12g-11/64°(43mm) 3 1/2'i90imnP 1/4°(bmm)straight edge 2 PATAS DEALINEAMIM - gPACUYIENT DE FOR ILLON O 0 INSTALL HINGES TO GATE FIRST MODkB AVEC 2 PATTES WAUGNEMENT(L2) USE tNSTA[AR 81SA6RAS PR1WO 3/4°(19mm) 56A ® • A la PDERTA INSTALLER LES CHARNIMS EWIE ® SUR LE PORIILLON EN PREMIER HINGES -- r wM&M0 ESPA00 ttT1tE 8lSASXAS I UTILISER LE PLUS VESPA(E POSSIBLE ENIRE ® � LES(HARMIRES ® f ® INSTALL HINGES TO FENCE PAST O TRIMS/COVERS INSTALAR RISAGRAS RIRETES/CURIERTAS AL POSTEDELA BOROURES/COUVERCLES �e LES NST CH RNIf!RES AU l 5 ; POTEAU DE LA CLOTURE Id p o a o To remove covers ® Raw hscabie w Retrait des'bordures/ t ''- muvertles a ADJUST TENSION WITH GATE CLOSED Opt(onal Safety Cap prevents Taparan as de seguridod**n a preW* AIUSMR LA 1E1RS16N COMA PUERTA CERRADA hinge being used as a foothold 4ue k ftlQ so amb cm punlo de 060 LA TENSION AVE(LE PORTILLON FERMI by toddlers. amp Pam*on!as nift peovef r 3,d r's Le copuchan uptannel de skudt6`empIche los e*nts de se tank sur to chamilre. See other side for tension adjustment V, r Ver al remso sobre d ajasle de In terrsibrr Consulter le verso pour le rioage de In tension e 0 I Iorpertarrt:For gates over 30I6(14kg),support gate why adjusting tension. Impodautle:Plrrnkspuer z de,mdsdo 36(149)sosteaerbrpuerta I mientras se ajosta b teasft. - Important:Supporter tout portillon de plus de 14 kg(30 livres)durant ReWar-TCWPS3 le rbgloge de In tension. H"4)*-T(Ho(APs3 _ _ 4 I I t� r. HHIIGE RANGE Mmdmlrot Mmrimum SeN-Qosilg Wright Gate Dlnreestons Maintenance Requirements REGULAR RANGE 66%(30kg)per pair '5'Hx3V(1524x915mm) Note:The hinges wall operate properly,and warranty 4 valid,only N insia8ed in HEAVY DUTY RANGE i S41b(70kg)per pair '6'Hx4V(1830xi 220mm) ounce with the instructions and specifications shown herein. 'Always spore fire birds as for 4W 6amW odw a poz%bu madw hft strew A •Use only two(2)Truam hinges on arty one gate. •Remove all other types of hinges and seH-clOsing devicess. BRACODEAelRIM NLA ets M Yearn o RMA*=xsmlIsrdo •Each hinge must have equal tension at all times. wrodurs drtopmk •lire the gate does not swing through the line of the fence.Use agate stop° VARIA06N REWLAR 66A(304)par par '37br31V(1S24x91Snen) or a latch(with striker)to provent this.. 6RADD DEABMURA REFOUADO 154(70W par par `671x41V(1t130x1220mm1 •Do not lubricate these hinges with polmleum-baW Nbriamts of any time. *R"MxPWff1zbkWff1smerpRbteencdeoaopmoohene lammdm Now** dent Use a*powdered graphite. •Ensure the hinges are kept free of sand,ice and other debris that could impair RAM DE LA CHARMRE Polls maxinwlr poor Dhoosim nombsa s effective operation. lonoetere a lonintigee do perHBon •Do not dimssemble the hives at my time. RAYON NORMAL 30 kg(66 Itvres)par palm 'S114V 0524x91 Smm) •Do not point or apply an additional finish to the hinges. RAYON POUR PORTILLON LOURD 70 kg 1154 Ryes)par pairs`6'Hx4V(1830x1220mm) •Never remove lieges from gate until spring tendon Is released. 'hr lss dwA s A phapeaM rmn de rooms poor ob le maw nAw •Do not phy*olly art,drill,countersink,madame or grind any part of the hinge leaves. For a downloadoble Adobe Acrobat(PDF)version of our Limped LIFETIME QUICK&EASY WARRANTY,go to our websne at wwwAdlednglobatcem TENSION ADJUSTMENTI Re aM0!de mante"ento 1 -Depress Observod6n:Las Micros 9wanarfin correctarnente y In gcnantfa serfs 2-Turn v r a�camente si su instalad6n se realm de aaerdo can has instrucdones y 3-Release espedficedones aqui descritoa •Usar fmicamente dos 12)b as Trotlnse par puerta P�USM f �N O AaL •Retiror wolquier otro 4o d sagra erdstente y aparatos de outoderre. •Cada bisagro debor6 tenor In misma tension on todo momonto. l- O •Asegurarse de quo to puerin no se baloncee a haves de 6 Gnee de to carry Presimw Usairesto oars paro puertos o cerrojo(con cerrodura hembro)paro evitor quo 3-S� 0 •No lubricar estce b1salras can lubrimmes a base de petrbleo,an rdngOn mornento. User Onicememe grofito en polve. RIGLAGE RAPIDS ET FACILE •Asegurorse de mantener Ins b'nogras do are;b)elo ni ningirn olro tipo de DE LA TENSION l escombro quo podria dificultar is efectividad do In operadbn. •No desarmor estas bgagras en ningun momento. 1 -Appayer O e •No Oft ni oplicarr s sabre estos biswc& 2-Towner •No retirar nunce las btsagras de In puerto hasty we se mob In lonsf6n 3-RelBeher del resorts. •No cortar,perforar,how un ovellonado usar una m6quina ni esmerllor fisiannents n'mguna parts de has hgce I Ice bgagras. •Par rezones de segurldad,retirar[as pemas o tomrllos sebresaGerdes O despuis de In Umiak me&w to su carte,esmenlodo a l'imado. Para un version de mrestro garonfra hmhdo do par ride descargable en Adobe Acrobat(p:10,vayo a mresto sWo Web on wwwddtechgIchal.com Ins ant: Adjust tension on each hinge from the top odjuslor only Eftnees d'eaWen { Remy Les c arr ires fortdiarment cerrectemerd,st la gorantie est valide,seulement d sites sont installios en accord aver les insindons of Alzior la reasi6rr de a*hwgra dole k parte supeder bakarrrente si iaficetions deaDes id. •Ut'hsez umquement deux(2)damliresTnraos®sur dhaque pardon ortant: •Retirez tout outre Type de charoiire ou dispoof de fermeture automatique. Rf gler 6 tension sur claque ckmiire uniquement 6 portir du haut. •Claque dhamlire doll aWr In mime tension b tout instant •Assurez-vous quo Is por611on no s'ouvre pas as-dd6 de la d3th re.Utilim un 'butoir de partition'ou un loquef(aysc uns We)pour 6viter tea •Ne.gramez lama's ces charni es aver des likittrants 6 base de pitrole. Ufilisez umquemem de kr pon-M.de����� •Assurez-vows qul n'y wit pas de sable ea glace ou d'outres Ads dons les cf rarnieres qui parrraient on affecler ie fonc6ormome nt. •Ne dimonlez pas ces daroi6res pour le momerri. "J •No peignsz QQos ou appliquez de revilement aux dhomieres. �J+ •Enlevez les dnarmires du portiillon seulement s'il n'y a pas de tension daps lesresseris. DOTechnologies •Aucune partie des paumelles de hr dharniere ne devraH sere caupie,percie, HI-Performance Hardware (raisie,ud*,on meul6e. Or a •Pour des roisans de gets,retires les i rous at vis qui depassehd suite 611nslal AUSTRALIA:Unit 6,4-6 Aquatic Or,Fends Forest NSW 2086 • lotion on les ceupant,et/ou on les Gerard. USM M1 Woodwind Drive,Huntington Beach,lA 92647 ❑� Pour obtenfr uae version Adobe Acrobat(PDF)tilithargeable de noire EUROPE- Niastroof 1,3531 Wit Utrecht,The Netherhmds.www ddtechglabal.cam GARANTIE b VIE Gmbe,visila noire she Web 6 wwwddtechglobolcom TCAiNSTR004PA •h0 hV=Hmgs 111212 ;4iiiii cation InshuicHons Series 3 Provedlmie bsdelnsia►aci6nh -A Top Poll model 1p D&DTechnologies Instnu tlons('Installation HI-Performance Hardware Always confirm and Install this bdch In acconlence wmt your local fence banter codes %empre coallrmara barbtaraft ci de aGterdo Corr sus c6fgas locales pare to banes de to mw Installez et vAdHez toujours Phrslollatlon de ce loquet en aonformlt6 avec lee codes locanc pour lee c18tures 42 For pool gates 480(1200mm)or higher 5/32°(4mm) Para puarfas pawplachras do 48"(1200mm)o mds alias 3"(75mm) Pour les portillons de piscine de 1,20 m(48 poi ou plus GAP VARIANCE 113/4"(300mm) A ' Dlferenda de espado O (© °{4mm) ECart d'espacemeltt FENCE Posy GATE 1/2"-1t/2°(13mm 38mm) Patenado t clifture `59-(1600mm Marco de Ya jowls FENCE POST ate'- - a Cadre de porttUon Poste de ;1' lI '` FENCE POST `\ 6 Poteau de cldture Posar de caca bobveenMaift disffince I'Poteau de d0ture C between breckels lI enhe lbs scpartas 3 Espacez les supports ! , 1 D au mWftum l Position Striker Body © Align marks for proper onto bottom of lath ® Vertical alignment Colas on pasld&la co i, �;Ahear/as nww pars la GATE FRAME , � �+�lrembra� 1/e"(3mm) � , do la rvr"poslcOn vertical i MsMaw do to p i ��def ° PAlignez les marques pour Cadre de portlUon +' -1Positionnez la bame de butAe ��,abtenir Lin bon alignement �sur le bas du loquet wetdce►. � i �,_n1 rXl � tiI i, E �a OGATE FRAME O Fix saew B at battOm A4vw de Is PU" Cadre de portUbn E FW el tomillo B'en/a b2Sa Vissez hd els B sur Is la E 4 t. 1 I �r D 8. ll N 5/32"(4mm) 5 t3 Align marks for proper Anaarhds marcas Para la AJIgnDz les marques pour � if_ _ - ♦ 1 I. s' ! obtenfr un bon aliignement horizontal F r: r Afimilatlon Instrueflons Series 3 n ® UP Poll erode) J DsD Technologies /fl/kd$* dda Fa-r'arom once Hardware Insfinetiolis d'Instabdon ® CAUnON:Magnal-atch provides vertical&horizontal adjustment for correct alignment,It Is the Installers/owner's responslblilty to ensure the gate property latches at all times.See Steps 5&9. PRWECA(IC1611b MagnaLatab obm aJuste mrdcal y horizontal pare um Etorrecfa affmw& Es respoosabNidad del kwhdador/pmpletarJo asmguraise de que el pestlllo de la puerha clone correctamente en ado momerrto. ver Pesos 5Y 9. ATiOMON:MagnaLatdi permet un reglage vertical at horizontal pour obtenfr un bon alignement Urtstallatetu/ propridtalre est resporaable de gararrdr quo le portillon se verroullle h chaque Cols.Consultez les stapes 5 at 9. Unlocked Locked Key Tag supplied ee reminder to malydetn C proper alignment D ►e1ftroUl 4; Ve�rTe b Paw t�Ja thm surrdnW eta pare recordar ° 1 fi, que so debt manfeneris efimckin corrects D(x12) o Afquetts de clb toumle pour rappeler AM) Red Pbnponance dun bon alignment �Re jo (xl) G(4) x Shimming pal fences,gates and lures cannot substitute for adult Las cen:og portom ypesWw de to ptsr=no sfrm aomt subafte do to supervision supervisiok par part dt adatt e.Sl ss use aste pedltM on un patdn do pheft N using tits)atom co a ew m r ft paw gate,conetdt an appropriate local ewreulte a Wo to autarfdadtts IbcaAw exrespornfltntts can rres cb a Jos authorities for safety requbaments. regrrlsltos do segwfdad.6 peaffilo hawknard dafti i manto sdM sl so inhale Y The latch will opemte properly only If Installed and maintained in accordance mentlene de acuuerdo a mates insbu cbms with theseInstrrctlona AMNY WHIMMREMMLALLAVFVE[A0010101OEWM!SDEWAIi: MAINTT MCE: RMDVE KEY FROM LOCK AFTER USE.Do not lubricate the Ro hrbrtcer at cerro car to ftntas a bye do pebdfeo en drrg(m towneop,user latch with petroleum-based lubricants at any thna;use only powdered graphite. graAto en,polls fttomerde Asegwarse de qua brdos nos fum fJos ss arararrban Ensum all screws are tightened firmly and that the Magnat.oW Is kept tree of fi memtrrte#tMft y quo Afrt rab&&no cm teW arana,hhdo nl ohms sand,ice and other debris which could impair performance. desechos qua poddan kw*su fu mbnamlenta For a downtoadable Adobe Acrobat(PDF)version of our Limited Aare tea r Erse v wa*onAdoboAcrobat(PO7 de nuestar @ARAMLO DE LIFETIME WARRANTY,go to our websfte at wwwAdleftlobal corn POR W124 tlnrltada dMgfrse a waft Who web www.ddtedrglsbsl cam Lo pi ctactlon apportEie par tes budhrea de pisdne,poOm el autras semuas ne remplace an aucun ces fa surveillance exerche par un adulte.Si vous deshoz CONSEIL DE stcORITit Installer oette comae srd le portilo n dune barrlim de plsan0.renseignez-vows A Pre attendvement at i conserver pour me consultation ultbrleure smu lea adgerces de s6cudt6 agft des eutortths loades caneernies.Le born - La pla"peat cons6hrer un danger grave pour 1os onfards.Una noyade est tft fonctIonnemerd de Is semrre depend uniquemert d'une Installation at dune vft ardvee.Des emdants pits dome plscine reclament votm com*mte vigilance at maintenanf a eOnformes Burr presentes instructions. vabe survemi m e active,mime S'RB saw nagGE Et1QRETl�1:RETIRQ LA q l'_DU 1lERliDll APRtwS 11TLUSATION.NB lubritiez - Una barrike no as subsb'Lte pas au bon sens rd i to mspmsabMth indivfduel ®le We pas pour but non plus de se substibrer a Is vigilance des aduftes resporsa- jamafs le loquet aver des lulrttianto i base de pet cle,u6lisez uniquement der bias qui rests le facteur essential pour Is protection des Jeunes erdeft. Is poudre de graphite.Assurez-vmrs qua toutes lea via sort blen ser. at qua -Attention t Is secuing West assuree qu'ano le moyen d'at*fermk vwWlte. le Magnkatchm West pas couvert de sable,glace,ou de burl sutre debris qua - Le moyen d'acohs dolt itre systemati"emo t femme an cas d'absence,mime pour alt noire i son fonctlonnemarL momenbmie du damIde. Wsbz notre site web i radresse wwauddtechglobal com pour abtanir une - Pm ndm touter[as mum arm d'empecher P=ft du bassln aux Jeunes enlents n tNechargeable au format Adobe Acrobat(PDF)de rrotre GARANTIE A VIE at ce,jusqu'i is rdparation de Is barrfire ou du moyen d'scohs lore d'un cronatat de Cn version atia c dysfonmement ou lors du dAnonlage de la barrihre empe hart is sfiCutsallon c ® du bassin. �_ 1 La presence dum parent at/ou d'un adulte respsnsable eat indispensable loreque `o �s le bassln at ouvert. Isom -detFfiar('absence d'objet i prmdmiti de is ban9hre pmwd Infer ou Miller D&DTechnologieS . PascaladedoIsbarrlhre. HI-Performance Hardware 0 -La termeture du moyan d'acL*pour lea syethmes i fermetu►e sufamadque dot r' atre eysbimatiQUBmert Wfflde. -Apprenez lea gestes qui sawent AusTRaua:urtrt s,4^t3 Aquatic Or,lFrenchs Fermat New 2d88 a - Memorisar at of her prhs de la pleeine lea mantras des premiers sacours: o USA:7731 woodwind Drive,Hfmdngton Beads,CA 92647 •Pompiers 08 parr la France) " EUROPE: Nlasstraat 1,3531 WR UbWM The Netherlands. •SAMU(15 pour la France) •Centre andpolson tivww.ddlledlglobal.lh3m � {i Installation,Instructions M � • - s RI s3 [R® D&D'Technologies Pr=d1m1ent0S de instaiaci6n Regular models-Use 1 Og strews Instructions drinstallation Heavy Duty models-Use 12g strews ON #2 GATE GAP �2 AIJGHMENi LEG models(L2) l0A-s/31°(4aon) 7#2T �y♦® Level SPAGO DE M PUWA(ON 121-11/64"(4.5mm) 3 r/�{gA ) ►/4"(6mm)straight age ?➢ATMS OEALINEAM16i1TO ESPACEMENT DE POIMLLON 0 © INSTALL HINGES TO GATE FIRST MODULES AVEC 2 PATfES D'ALIGNEMHf1(L2) USE tNSTALAR 8tSA6RAS PRIMERO WAN A LA PUfETA 3/4"(19mm) S ® INSTALLER LES CHARNI{RIS WEEN—� NI ® SUR LE PORIILLON EN PREMIER use Aw BPAaOBOU B)SAGAAS MUD 1 UMBER LE PLUS � DTSPA(E l POSSIBLE ENIRE LB CIMR05 I i © INSTALL HINGES TO FENCE POST O TRIMS/COVERS 1NSTALAR BLS GUS RLREI ICURLERfAS AL POSTE OE LA BOROURES/COUVERCLES CFRCA r' INS R lE5 ® � CNARNUr I AU POW DE LA q QWRE p r p/�m a o L_! cup D Q To remove covers ® Retlrwfasroblerta"s t Rmitdes'bordures✓ L touvertles ADJUST TENSION WITH GATE CLOSED Optional Safety Cap prevents Tap nfics 6 a preveW A111SU R LA IM16M(ON LA➢UERTA aWA hinge being used as a foothold 4w k b*m sea f 6vb C w p'"'r0 da &LER LA TENSION AVE(LE POIMLLON FERMI by toddlers r', '-.opoyo pOro pies en!as sinks peg0etws Le mpuchon optiamel de skunh empBrhe Ies enfants de se tenir sur to thomi8re. See other side for tension ad`psbtrert Ver al mom sabre el a{aLste 6 h tons on Consulter le versa pour ls rLgtage de la tension o o Ialportant:For gates over 301b(I AW,support gate while adjusting tension. li p wote:PissIns puwas demosde 36(16g)sa werla puerta miemras se rrpm b termn ImporiaM:Supporter taut portMon de plus de 14 kg(30 Uvres)dnnt ReWar TUtAPs3. le re *de 6 tension. Nervy-0uly-T(ADfAPS3 R - HINGE RANGE lttlanheus itlmrieo, SeN-Qoslag Weight Gate Dlmenstons MamtetrQece Regulrements REGULAR RANGE 66%(304)per pair *5'Hx3V(1524x915mm) Note:The hingges xn11 operate properly,and warranty is valid,only If installed In HEAVY DUTY RANGE 1S41b(70kg)per pair *6'MV(1830x1220mm) accordance white the Instructions and specifications shown herein. *AkVs spare the hirgia as ha oparr Gam eat,other os poser 6n moxrnxmr bof dtag ere no. •Ilse only two(2)Truaose hinges on any one gate. •Remove all other types of hinges and self-closing devices. ORM Of ASDt M At1A BiMM Pen aidso tttasaMhou er6xbar dr •Each hinge must have equal tension at all times. •„icim dr i pork •Ercarre the gate does not swing through the line of the fence.Use a`gate stop° VAR1A7 N Rft►UR 666130Irg)par par *37br3V(1S24x9TSram1 or a latch(with striker)to preventthk GRADODEARElY1URA Rfi(NP1ID0 1S4N(704)par par *67br47V(1g30x122Dhen) •DDoo a��e�esp hinges with petroleum-bassd lubricants at any time. 'SfengaesepwAskraskn*pam�teaaadoohapamobtawirng&wred*n*doszb* k •Ensure the hinges are kept free of sand,ice and other debris that could impair RAYON DE LA CHARLNIRE Psi&vax tom poor Dlmensloss asaxiaues effective operation. femhetsrs aatamoBque rla pertiAah •Do not disassemble these hinges at any time. RAYON NORMAL 30 kg 1661 ivres)par pahe *S'Hx3V 1152491 Smm) •Do not paint or apply an additional finish to the hinges. RAYON POUR PORTILLON LOURD 70 kg 1154 Dvres)par pairs*6'Hx49li(183Ox1220mm) •Never reprove hinges from gale urdl spring tension Is released *urea cos ks s le pffpadk tan do l'a ft poor obhrrrrle=Nw mpa •Do not physically art,drill,awnter",machine or grind any part of the hinge leaves. For a downloadabh:Adobe Acrobat(PDF)version of our Limited LIFETIME QUICK&EASY WARRANTY,go to our wehshe at www.ddted#baLmm TENSION ADJUSTMENT! RegabRos de monteoWento 1 -Depm 06 rvad6rr.Los bisogros fundanarbn corredamente y In poft ser6 2-Torn v adaM 6nicameme d so Instalad6n so rook de acuerdo con his Instrucclones y 3-Release espedficadones aqui desa8as. •User bniaamante dos(2)b1sagros Tnrdase par puerfa. Aim DE 1wi tl •Retiror wo*ier otro fipo do h*ro u1stente y aparobs de ahrtoderre. RAPlD01►MaL •Codo bisagro deber6 toner la misma won on todo momenta. 1-� (-ON •Asegurarse de quo In Puerto no se baloncee a trov6s de ka linen de In cerco. User her lope poro puertos o terrojo(can cerraduro hembro)porn evitor quo 2-Mw 0 esto oarcra. 3-SoeUe •No lubdcor WE bisa can lubriamtes a base de petr6loo,on ning6n momehrto. Usar 6nicameme grofita en pohro. RiGLAGE RAPIDS ET FACILE •Asegurarse de manteiner hs itisogras sin arem,lhislo ni ning6n oh Npo de DE LA TENSION! escombro quo podrio dfiarltar In efectividad de In operodon. O e •No desormar Batas bisaggmross an ning6n momerdo. 1 -Appuye •No piniar ni oplicar aarbados sobre aim bDayros. 2-Tooreer •No refiror nunca Ins blsagras de to puerta haste quo se suelte b fend6n 3-Relddier del resorte. •No cortor,perforar,hater un oveNmmado user una m6quina rill esmenlar fisiamherrte n.quno part de 6hgas I Im blsawn •Per rezones de segur dad,retirar[as pemas o tomiilles sabresalientes O despu6s de to InsWed6n media*su carte,esnedlodo o I'hmado. Para un version de mmora garan6o Dn b&de por ride descorgabke en Adobe Acrobat(pill),vayo a nuestro sitio Web on wwwddtechglobaLaam Ica ant: Adlust tension on each hinge from the top adf stor only Exjamoes d'eetretkn Remy*Los dhamlires fouNannent carrectemerd,et la gann& est slide seulement si efles son iralall6es on accord over lee instructions of AAWor to toaWn de a:b 6ls p des&k patio superior•fs>ltome do sp6aficafrtors dbcrDes id. •90m oniquement deux(2) resTruCkue sur dhaque pardon. archer •Retina tout auto type do chardire ou dispodtif de fermetmre automafique. Rbgler In tension sur thaque drornibre uniqusment 6 parfir du hoot. •Chaque dharei6re dd avoir In milme tension b tout iristmrt •Assurez-votes 4ue In por101on no s'mwe pas ao-del8 de In dBture.Ut$sez un 'butok de pwdon'on un lagaot(aver une g' e)poor biter tea. •No gra)ssez f amais aes chmnl6res avec des i J ants 6 base de p6trale. Ufllhez uruquemerrt de ka pous.Mm.de te. •Assures-vote qu'1 n'y aft pas de sable glace ou d'aotros d6bris dons les ehamibres qui pearratero an effecter to fanchn nemermt. •No d6montez pas as dhornibres pour Is averment. V Ne peignos pas ou aWlquez do revilement aux thon*es. •Enhivez les dmami6res du portillon seulement s'ml n'y a pas de tension daps lessee m D&DTechnologies •Auame perfie des poumel)as de b dharrdbre ne dev M be moo,pede, HI-Performance Hardware fralsbe,usinbe,on me916s. Or a •Four des rahmtts de sM16,retires les 6crous of v1s;qul tfbpassenf suite 6 I'irstal AUSTRALIA•Unit 6,4.6 Aquatic Dr,Frends Forest NSW 2086 • lotion en les toupont,et/ou on les Ilmord. USA:7731 Woodwind Drive,Huntington Beadm,CA 92647 EUROPE: Now 1,3S31 WR Utrecht,The Nother)ands. MIN Pour abtentr uam version Adobe Acrobat(PDF)f6i6dhorgeable aka none www ddtethglobol.com GARAIME b VIE limitbe,visrlez nah site Web awww.ddtecyobal.com Y TCAIRSTRO04PA •in*UuQose Hinges 111212 , TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel l #l4 ► �'_� RARNSTABLE Application �J Health Division Date Issued/Z—/—/,Y 4 �` t 2 a �t!i 6. Conservation Division Application Fee Planning Dept. Permit Fee 47 Date Definitive Plan Approved by Plan Qinyy 90 r:VIJ Historic - OKH _ Preservation / Hyannis Project Street Address Village 14 Owner Address Telephone_: 1 7 _ S 13 -- 3(, `Z S— Permit Request Square feet: 1 st floor: existing ro osed V 2nd floor: existing ro osed Total new q 9—proposed g—proposed Zoning District Flood Plain Groundwater Overlay Project Valuation ,P Construction Type Lot Size %y Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family L11' Two Family ❑ Multi-Family(# units) Age of Existing Structure /9 76 Historic House: ❑Yes 2*&o On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full d rawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full--,.existing new 'ram Half: existing L new 0 r Number of Bedrooms: existing _new Total Room Count (not including baths): existing ' new First Floor Room Count Heat Type and Fuel: ❑ Gas wrbi ❑ Electric ❑ Other Central Air:L ❑Yes C"Nor Fireplaces: Existing ? New Existing wood/coal stove: ❑Yes ❑ No Detached garage: dexisting, ❑ 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 RrNo If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION ( R OR HOMEOWNER) Name � �-.� ��. Telephone Number /$ "` —Z 4 Address L,/el �o A Fit License # rtV ALL ��4 Home Improvement Contractor# Email C m �a � M,e�� Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATU DATEf 12 fi 1+Y Y f"F 1 FOR OFFICIAL USE ONLY rAPPLICATION# it DATE ISSUED a MAP/PARCEL NO. `� 1 Ip 'ADDRESS VILLAGE I OWNER f DATE OF INSPECTION: FOUNDATION c FRAME- — INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL < PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING E DATE CLOSED OUT ASSQCIATION PLAN NO. The C,9,ZMOnVWIfii a,, + ZssfftJrrrsmff� f# �Oan meet .frtstart,Mt 02M - xvfcnu.xrxussga�r�iar . Cuurpeusa iu Lmm-anceAfHavit$mltiers!C�an€radurs/RecfriciansJ umbers APPEc t F�ormaug fi Please-�f Legibly _ J _ dress 33 Quc- t L.e, +...cityfstat&2HP: Phonf-;g'- -?( 7 l Am ycf-a art employer?Check the-a=pprupriate ba= Type of Ilrpiejzt r E❑ I am a employer With 4_ [] I am a gweral cbnfraLbr=d I 6- ItTe¢�r earglagees{€a3lazfdforga�time�* l��hir�.tbe 53�b�confra��rs. 2_❑ I am a sole pragrietQr orpartnet listed an the attached sheet `- ❑Rrmad +** ship and have no,employeas Zhase sob ooufrar ozg have g- ❑I hfaag worming forme m asy,capacity- eQtpinyees and have.Workers' 9_ Burddmg additionLN6 Wa1�ffi= camp-ingLi=V Camp-mettrar� J 5_ ❑ We are a eorporatranattd its I0-0 Electrical repass or adddsons c _j' am a hrrm er doing an w offf=have em rri sed their I I-E]Plumbing repairs or additions. Myself [No'Wort='=up- ht of esempiad per I a I2-0 Roof repairs i-ncrxs_vnrE��-I-F C_1$Z §I(4),and Tie SISva nD� employees_INcy wo6m ' 131:1 0acr comp_tar& cc refuiresi_j 'Any-Plicmtdhat chacksbartl=astal-miMcuttiesecfioaheIawch�aiheirwo�s�Y�o�easatioupo� E63a Lwne:m ahr,subrt 3vs rfd<--„-n,-<+r thl=y 22 doing _n i 6—hie uat� de.coat lLa=must snbcok a nzw smdacst mnr-sti such.. BLS"t ixt this bar must xUachad m SddiGrool sheaf dux -11 e rL L of Ea&?�c> s mfl StatE Shadier ocmt thn5E havn omPlayees- If the.soh-castiadus hxm m plbTEes,thtT nrt giocfide thek wurk-eEs'comp.p uRCY m=bez brim atz�rm�Inpes rhr�isgrfrs�xg trar�ers'r-ot�rz�rlion azcsr�rrrgc$far ttc,�=ers�nyees. �eTnrr is fFtepa�c}raid job sits . 1 Tstsm-anrp GompanyNarne: Policy 9 or Self it<s_Lich FxppirafibaDate. .lob S�Ad&Trss �itg}Stai�(T�g: Attach a copy of the WGrkers'compe-nsation'palirT declaration gage-(showing the poEc'number said ration ilafe). Failure to secmc-cckvcrage as.requir under Section:SA of MGL.c_ 152 can lead to the impasition of criminal pews of a fine ug to L500.Ot?andlor one�earimg ,as u�Il as cizrsZ gcnalfies M- the,form of a STOP WORK OR-DFF aad a{me of up to S-250.00 a daT against the violator_ Ike advised that:a copy of this ststP*nR+ifi maybe fx-warded to the Office of Invegftg tio=of the DIA for rnincz;caveiege vM±Ecafion_ 1 do FaRrebi c�rtEfp rcr s uttrfPsrz gS vfpet, my f3rntfhe uEjor Mir nprat d ubaq a cs has rind car Fact r s' Date 1I / ' E�,�-rciaL use.r�rl£f. IJ�r rrat tpriix ii<i this area,fa bs caxrp�eted by�3`rxr fntt?u a,f ftciuL City or Town: tlf,;crose# L Boni c f Health 2.$mIding Dept2almmi mt I af. u C�crk 4_Electrical ectar 5.Pfuml�utg fit ector 6.Other Comet geesnn: Ph uv#r . 6 I l iassar�rns ne:ral Laws chapter 152 requites all employers to provide workers'compensation for t ri;Mpployees. Punsami to fiats st jtott, an anp£ayee is deemed as'__eve person in the service of aother under any cone act ofhrze, express car implied, oral or written An anp,gyea-is deemed as"an in�panne-_ha p,association, corporation or other legal enfity,or any t<vo or more of the faregoiag engaged in.a joint enterprise,and including the legal representafives of a deceased employer,-or the receiver or trustee of an individual,paxtnciship,association or other legal entity,employing employee;-. _110wever the owner of a dwelling house having not more than three apartments and who resides therein,ar the occupant of the; . dwelling house of another who employs persons to do main�ce,construction or repay work on such dwelling house or on the grounds or budding appurtenant thereto shall not because of such employment be deemed to be an emplo51a." MC.rL chapter 152, §25C(6)also status that"every state or IQcal Frcensing agency shall withhold the issuance or- renewal of a license or permit to operate a business or to construct bnildings in the common;vcalth for auy applicant who ziot produced acceptable evidence'of compliance with the iasmr ance.coverage required.' . Additionally, MCTL chapter 152, §25C(7)states"Neither the commonwealth nor any'of its political subdivisions shall enter into any contract for the perfDn ante of public work until acceptable evidence of compliEmce with the in srrrance re qc s rm.ents of this chapter have been presmtzd to the contzactiag authority.' - A-ppTicanis • . Please fill out the woikers' compensation affidavit complete ly,by checking the boxes that apply to your situation and,if necessary, supply sub-contractors)name(s), addresses)and phone number(s)along with their cerbEcatr-(s) of inern-ance. Limited Liability Companies(LLC)or Lim-_d Liability Partnerships(LLP)withno emp10ye4 s other Than the members or partners,are not required to carry workers' compensafion insurance_ If an LLC or LL`1'does have employees;a policy is required. Be.advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation o f insurance tove:a-e. Also be sure to sign and date the affidavit_ The affidavit should be retvaned to the city or town that the application for the permit or Iicense is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obLin a v orkers' compensafion policy,please call the Department at the number listed below. Self-insured companies should enter their self-rosin-.=-,license number on the appropriate line. City or Town Officials Please be sure tliafthe affidavit.is complete and printed legibly. The Department has provided a space at the br�1i�� of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applican"t Please be sore.to fill in.the pen itllieense number which will be used as a reference number. In addition-an applicant that must submit multiple pmidtllimnse applii:aations in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Addmss-the 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 proN ided to the applicant as proof that a valid affidavit is on fle for future permits or licens(--s. Anew affidavit must be n T1 e;d out each year.Where a home owner or citizen is obtaining a.license or permit not related to any business or commercial venture (Le,a dog license or permit to bum leaves eta-)said person is NOT required to complete this affida)dt 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 TheDrparfinenf's address,telephone and fay,number 'h�C-oTgIzkaaWf_,K t ofM&Machv__1Q�b 6;aG aLsMn a st=t B a�MA G21II TeL W 617 727-4900(;xt4-06 ar I-977 1\E4,'�S�. . Fa:,-9 617-727-7749� Revised 4---24-0 � go� dia Town of Barnstable Regulatory Services ��pF tttE Totyy Richard V.Scali,Director ' Building Division anxNSTAars. Tom Perry,Building Commissioner Mass_ �Q? 1639. 200 Main Street, Hyannis,MA 02601 ArED �A www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION ! Please Print DATE: JOB LOCATION: 1-1c number street village "HOMEOWNER:': -75'- `��9; 7C-7 7--513-36 7S— name home phone# work phone 4 CURRENT MAILING ADDRESS: —-- --- _ -- - - -- --- - - - --- -- -- -- city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor_ DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be,a one or two- family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner" shall submit to the Building Official-on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. - The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection pro d re is and that he/she will comply with said procedures and requirements. Signature of Hor;6wi4ier Approval of Building Official Note. Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109-1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see.Appendix Q,Rules &Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fuIIy 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:\WPFILF-S\FORMS\building permit forms\EXPRESS.doc Revised 061313 s r y Town of Barnstable Regulatory Services BARNSTABM _ v MASS. �, Richard V.Scali,Director 1639. 16. 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 er of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized bythis b�lding p rmit application for. (Address of Job) 'Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q:FORM&O WNERPERMISSIONPOOLS I - 01 77 Lo • - W...�rv� - � i( �. .�' Y - �J •' LL ,+Y+ gt' Ir fr r ME y 1 ' 1 ' N LOT 34 ----- 1 .1.39 acres - U U E'ST..DWELL. TOP FNDN. 61.2' `\ \ GARAGE PAVED DRNE. •- 8.01 - SPA FORMS AS-BUILT - ELEV. 5Z9' �•� `.� POOL FORMS AS-BUILT ` ELEV..56.25• 1'4-302 POOL FORMS AS-BUILT PREPARED EXCLUSIVELY FOR THE BUILDING DEPT.; NOT ANY OTHER USE' LOCATION 33 QUAIL LANE,HYANIMSPORT SCALE : 1" = 40' DATE APRIL 7; 2015 PREPARED .FOR: REFERENCE MAP 287 PARCEL 107-001 EDWARD MEHM, YR.- HEREBY S AfA HOWN ON TH S PLAN IS LOCATED ON THEURE � tH OFss9c _ GROUND AS SHOWN HEREON. `' DANIELA. y� i:sae psi-e�eso OJALA N downoape.eom e tk.40980 JOWS cope foymeerina,inc. civil engineers -�-��1��- ^_- land surveyors __ --_ _ 939 Main Street(Rte 6A) YARMOUMPORT MA 02675 DATE .. REG. LAND SURVEYOR•. _ O 31.5 -U- Mly.N Elm 4' : 1 c rl 9 I ReWk;Road Plymau#f. MA o2369 (608)73Z- 933- (508)732-8934 Fax: t 5/8/15 Town of Barnstable Building Department Permit Cancellation To Whom It May Concern, I would like to cancel the electrical permit pulled for the pool bonding and equipment at 33 Quail Lane in Hyannis as the customer has cancelled the job. There will be no work performed at this location by Glynn Electric as of now. Please let me know if you have any questions. TY Sincerely, Amanda Ouimet A Service Coordinator 'Glynn Electric, Inc: F 508-503-2234 desk 508-889-5722 cell amandaouimet@glynrielectric.com" , Assessor's map and lot number d.4..?..... 0..7..'�'..1... TNET w..w Sewage Permit number---.... 'Bow m • +a fr' � STABLE, i ,� /�A s�1y �iOUSe number .................... .. ,1.................................................... UW� W 6 By PUA '6 9. �00� wN TOWN OF BARN 1 !CODE IV REC AIV® .ATIONS BUILDING INSPECTOR #-... _. APPLICATION FOR PERMIT TO .......I ,14� ..... ...... :\ \� ............. ....................................... TYPEOF CONSTRUCTION ..................................................................................................................................... ..................4.v./ea..........19........ TO THE INSPECTOR OF BUILDINGS: The undqrsigned hereb applies for /a permit according to the following information: Location ................... C.9. .> ..... r.U. .....� 4� .4�5: ............................................................. ProposedUse .... 0-M................................................................................................................................................................................................ /1 Zoning District .... 5. .........Fire District .... . . :V�\1..1.,......... Name of Owner ....w.L.�J.L.CJ..I ... Q. �1 ..................Address r ). ci�..... .k� ...... . . it`f.�... .. ........ Name of Builder .�\Q. `�.. .. Q,... ....,�A�- ......Address ...... .a......... .rul.!. . ................... .Name of Architect ly,1 :..L1�. .t .S ................Address ...(G. ,./�. ..... r3�'.fk1�?U� �..A'112t. ! '.... ........................... Numberof Rooms ....../.........................................................Foundation ..... G4`.��i........................................................... Exlerior .............................................................Roofing .... ... .. ...................................... Floors ....1... ..G ....................................................................Interior ......................... Heating ..... ....... .1.�.............................Plumbing .........f .y Fireplace ...... ,...................................................................Approximate Cost ........................�© 6cacs Definitive Plan Approved by Planning Board ________________________________19________. Area �.9. }...:�.�............ Diagram of Lot and Building with Dimensions Fee �'. . ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Nam ..L.s` ................... .................. 3 , ` ` . ^ � < ' ' . , .. ~ ' /. ~ ' . . ^ - ,^ | ' { ` ~ . ' � . � | ' ( | ' ^ X - ^ \ ' � � � . - ^ , / ^ � Campo2 William FIERMIT REFUSED 19 - ` �� ----' .............. ��. ............................................ .................::�................. ` - ---.-. . ' ' \ ' Approved`�.... ........ ................................ lg ^ . - --------.------------'..---. � . \ --------------------'------ \ . \ �} / � \ Sii,'Wage Permit number .... TOWN OF BARNSTABLE Assessor's map and lot number T E - ~ BUILDING 0 N �� 0 ���� INSPECTOR ������ �P �� ��NN00-N� N ���� N �������°Nm0NN �� ` ^ APPLICATION FOR PERMIT TO ,—.. —.\_ .. \���.----.{].��..��.z----._____' ' ) TYPE OF CONSTRUCTION ------.--------------------.--.-------------- _ n BUILDINGS: -----.../!./J ....lQ..-- TO THE INSPECTOR OF �- The undersigned hereby applies for o permit according to the following information: t7 Location --..----,�/�k{����—..!���\��i---.--..\���� \—'' ~-------------------. ` Proposed �� Use —.-l�A.—�..I ...... .�� .M--------..------------------------.-------- | ` �� Zoning Didh�� -.�i..1-----....-----------..Rns �� \�_�� ,_____ __.. . � . . . v ' ...... �--..---'A66 Nomo of Owner — � / - � Nome of Builder � .�L' �C-......Address . . ......... Q/\ /{»................... 4�` Nome of A�6i�c� .��—�J �\_-----A66n�� —��/��--.� ..�.....�J---____. / ' Number of Rooms --/............................................. .............Foundation —l.c14.5�.--------.----------. y_' Ex|e,in, '/^> --------------------..RooHng —]' -------------'_-----.— ; � Floors --TI-P —_--._--------------.—]n�ricv ' __________. ' \ \-.� Heating —��c��—'4��/\����---' l---------P}um6in0 --- ............................................................ -_- Fireplace ' -------------------.Approximote Cost ------.—.. ...................... ' DefinitiveP|on/Approvo6 by Planning Board l9----. An�o —/.��. —. �.`---. �J Diagram of � and Building with Dimensions Fee --..1L----------. ' 0J083 TO APPROVAL OF BOARD OF HEALTH ~t , ' � l ' ' / ' ' - ` ~ ` _ Y ' ' . . ^ ' ' ' � | hone6v agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above � construction. ' � .L_,y.� ' —�----... ` -r Campo, William ' '8=287~I07~1 � No -~2~~I 9_9.~~7.— Permit for ........ -------------------— Location ^ 5..QouI.] ane-----. — -- . � . � ...........................3yaruz1sA.art............................ Owner ..............Wi.UiaM..QaU1D.0-------.. Type of Cnno ,vp/pn rm/ 4bruary 20 80 ~~'~ of Inspection^ ~~'~ Completed �`_".... � � ---' ~^^ , —.+.°.~~. ,~ ---. X ...............................................................° ................ ,'`-.......................................... . 7 Approved ....................../...................... lV .....................'........................................................' ' -------------^-----^—^—^~''`—' U � ? Z J e! ofT Town of Barnstable *Permit# Expires 6 :oaths from issue date Regulatory Services , Fee • RAxxysnst ef4 Xq o XP ���toss. P ib39 Thomas F. Geiler,Director ,""rt:o. ��ASAY rlMIT Building Division Pr OCT 05 ')tw Tom Perry,-CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 TOWN OF BARNSTABLF www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 1 Property Address �. C(,( ae/sidential Value of Work a l7 t Minimum fee of S35.00 for work under$6000.00 Owner's Name&Address S Contractor's.Name cJ - � Telephone Number rg q'l 1i •1-�C'j�� Home Improvement Contractor License#(if applicable) 1 1 V G G. Construction Supervisor's License#(if applicable) "oran's Compensation Insurance - Check one: ❑ I am a sole proprietor ❑ I am the Homeowner M-fhave Worker's Compensation Insurance Insurance Company Name - /J Workman's Comp.Policy# 0_ 3 8 0 9 I . Cop of Insurance Compliance e Y Certificate must accom P pang each permit. 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 - �, ) C #of doors Replacement Windows/doors/sliders. U-Value.�lN� "axi um .44)#of windows *Where required: Lssuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Pro erty Ownei must sign Property Owner Letter of Permission. y of the Home Improvement Contractors License & Construction Supervisors License is ired. SIGNATURE: 11-711f Q:\WPFILESTORMS\buildi g ermit formAEXPRESSADC Revised 070110 F cl+e tom, . MMSTABIE. . r i679• Town of Barnstable � •0 . g�D1"P`p Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Sireet, 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 I �{�©co as C a njjao as Owner of the subject property p " hereby authorize ,� J • ,1r, &-'-"2✓ �'`� to act on my behalf, in all matters relative to wort:authorized by this building permit application for: ,J Q V 4 t ' �t+.i t� ��f Gl►1/1 L pig ;J (Address of Job) f Signature of Owner Date PrintName If Property Owner is applying for permit,please complete the Homeowners License-Exemption Form on the E reverse side. - C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary lnternetFiles\Content.Ott(look\DDV37gAZ\EXPRESS.doc ; Revised 072110 �f The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600.Washington Street , s Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information / y/ _ Please Print LeLribly J. ' Name (Business/Organization/Individual): r• • Q K/L/j�f — R)Y,�l/(6 r, Me . Address: IX g f�Os � City/State/Zip: e tk_/•f S M1 02(,.�0 l Phone#: (6-0S9 I 1 .0 4�9 l l Are you an employer? eck the appropriate box: Type of project(required): 1.[I am a employer with aO 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.❑ l.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' [No workers' comp. insurance comp.insurance. $ 9. ❑Building addition required.] 5. ❑ We,are a corporation and its IO.❑Electrical repairs or additions q � 3.❑ 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.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' - 13.❑ Other comp.insurance required.] *Any applicant that checks box 41 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. Q.Insurance Company.Name: B6-U-6 t04 7W,7?0K( I Al cs C Q . Policy#or Self-ins.Lic.#: �J� gO d -- Expiration Date: Dn � Job Site Address: J J C��� City/State/Zip: (/(/' d d-6T,/ /. Attach a copy of the workers' compensation policy declaration page(showing the policy nun er 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 r the.pains and penalties ofperjury that the information provided above is true and correct Signature: Date: "{ 2 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 Office of Consumer Affairs and vusness Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration:. 110609 Type: Private Corporation Expiration: 11/3/2012 Tr# 205399 E J JAXTIMER, BUILDER, INC. ' - ' i ERNEST JAXTIMER 48 ROSARY LN HYANNIS, MA 02601 J '`Update Address and return card.Mark reason for change. Address Renewal E] Employment [].-Lost Card DPS-CA1 is 50M-"04-G101216 , Off, 67 o�me�t rs fi ines�nZ`on License or registration valid for individul use only. HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 110609 Expiration: ,1<aY3Z2012 Private Corporation Type. Office of Consumer Affairs and Business Regulatidn '^ 10 Park Plaza-.Suite 5170 _ _ — Boston,MA 02116 E TIMER, B171L�l n ERNEST JAXTIMER {= >�= 48 ROSARY LN HYANNIS; MA 02601 Undersecretary Not valid without signature Massachusetts- Department of Public S ifet-, Board of Building Regulations and Standards d Construction Supervisor License License: CS 3251 Restricted-to: 00 ERNEST J_JAXTIM:ER 48 ROSARY.LANE HYANNIS, MA 02601 , Expiration: 1/14/2012 IL i Ciinmiissi,iner Tr#` 13122 • r 'r . AC R® CERTIFICATE OF LIABILITY INSURANCE DA 31TE D7/2011 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 holderis.an ADDITIONAL INSURED,the policy(ies)must-be endorsed. If SUBROGATION IS WAIVED,subject to i the terns 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 endomement(s). PRODUCER Erica H.O'Connor HART INSURANCE AGENCY,INC. PHONE (508)759 7326 (508)759 7366 FAX 243 MAIN STREET ruc Ne: PO BOX 700 ADDRESS: BUZZARDS BAY,MA 025320700 INSURE S AFFORDING COVERAGE NAIC o INSURER A: ARBELLA PROTECTION INS CO - 41360 'INSURED EJ Jaxtimer Builder,Inc _ - - INsum,. ARBELLA PROTECTION-INS.CO 41360 - 48 Rosary Lane ARBELLA PROTECTION INS CO 41360 Hyannis,MA 02601 INSURER c INSURER D: ARBELLA INDEMNITY INSURANCE COMPANY 10017 .. INSURER E: - e1SURER F: - - _,COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS'IS TO CERTIFY THAT THE POLICIES OF INSURANCE.LISTED BELOW.HAVE BEEN ISSUED TO THE INSURED.NAMED.ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR ' AUDILTYPE OF INSURANCE NSR SUER POLICY NUMBER .POLICYEFF PMMOrOLICYYYXP _UNITS `A GENERALLIABn.m - - 8500042039 01/01/2011 01/01/2012 EACH OCCURRENCE $ 1000000 COMMERCIAL GENERAL LIABILITY DAMAGE T. RE EO E►al S 300000 CLAiMS-MAD.E ®.OCCUR - - : MED EXP(Any arm Portion) $ 50O6_ . PERSONAL 8 ADV INJURY- S 1000000 GENERAL AGGREGATE $ - 2000M GEML AGGREGATE LfMR APPLIES PER: - - _ PRODUCTS-COMPAOP AGO . S 2000000 POLICY LOC I - - S B AIITOKOBRE LIABILITY- 2166240D004 01l01/2011 01l012012 COMe. sI LE uM1T 1000000 ANY AUTO ) - - BODILY INJURY(Per person) S ALL OWNED SCHEDULED ,• AUTOS AUTOS BODILY INJURY(Per accidem S HIRED AUTOS AN AWNED - PROPERTY,DAMAGE(per acogent) S . C UNIBRELLA EMS OCCUR 460D042040 0110112011 01/0112012I EACH OCCURRENCE s 2.0D0,0D0 EXCESS LIM CLAIMS-MADE. - - AGGREGATE. - $ 2,000,000 DED RETENTIONS S . D WORKERS CORIPENSATION 005.3890111 01/01/2011 O1/D12012 WC STATU- OTH- AND EMPLOYERS'UABUJTY YIN - ANYPROPRIETORIPARTNERIEXECUTNE ❑OFFICERIMEMBER MIA E.L EACH ACCIDENT EXCLUDED.? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S 500,000 B yas do—lbu under DESCRIPTION OF OPERATIONS belay - - EL DISEASE-POLICY UMrT S SOO,000 DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES(Attach ACORD 101,AddlOonM Rwmrb Sctaduls,if mwe space at requbed) . CERTIFICATE HOLDER CANCELLATION TOWN OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ' 200'MAIN.STREET THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELNERED IN i HYANNIS,MA 02601 ACCORDANCE WM THE POLICY PROVISIONS- " AUTNOR¢ED REPRESENTA .- � .. W7 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD .: Andersen Windows -Abbreviated Quote Report Andersen Project Name: Jack Campo -#33 Quail Lane Hyannisport, Quote#: 8931 Print Date:' 0 9/01/2011 Quote Date: 08/22/2011 iQ Version: 11.1 Dealer: Shepley Showcase Customer: E.J.JAXTIMER 216 Thornton Drive Hyannis MA 02601 Billing - cfischer@shepleywood.com Address: Phone#508-771-7227 Fax#508-862-6097 Phone: Fax: Sales Rep: CRAIG FISCHER Contact: CSR Name: Trade ID: Promotion Code: Item Qty Item Size(Operation) Location Unit Price Ext.Price 0001 2 TW2846(AA) Hall $ 430.28 $ 860.56 RO Size=2' 10 1/8"Wx 4' 8 7/8" H Unit Size=2' 9 5/8"Wx 4' 8 7/8 H Unit,Equal Sash,White/PI White, (Top Sash) High Performance Low E4 Glass, Divided Light with Spacer,Colonial,3W2H,3/4",High Definition Chamfer, Chamfer, Ext Grille-White, Int Grille-Prefinished White(Bottom Sash)High Performance Lov-E4 Glass Insect Screen,White 0002 5 TW2846(AA) Bed front right $ 430.28 $ 2151.40 ® RO Size=2' 10 1/8" Wx 4' 8 7/8" H Unit Size=2'9 5/8"Wx 4' 8 7/8" H Unit, Equal Sash,White/PI White,(Top Sash)High Performance Low E4 Glass, Divided Light with Spacer,Colonial,3W2H,3/4", High Definition Chamfer, Chamfer, Ext Grille-White,Int Grille-Prefinished White(Bottom Sash) High Performance Low-E4 Glass Insect Screen,White 8 0003 1 TW2846(AA) _ Bath $ 430.2 $ 430.28 ® RO Size=2' 10 1/8" Wx 4`8 7/8" H Unit Size=2' 9 5/8" Wx 4' 8 7/8" H T High Performance Low-E4 Glass, Divided Light with Spacer,Colonial,3W2H,3/4", High Definition Chamfer, Unit,Equal Sash,White/PI White, (Top Sash) g , q Chamfer, Ext Grille-White, Int Grille-Prefinished White (Bottom Sash) High Performance Low-E4 Glass Insect Screen,White 0004 2 TW2846(AA) Bed front middle $ 430.28 $ 860.56 ® RO Size=2' 10 1/8"Wx 4' 8 7/8" H Unit Size=2'9 5/8" Wx 4' 8 7/8" H Unit, Equal Sash,White/Pl White, (Top Sash) High Performance Low-E4 Glass, Divided Light with Spacer,Colonial,3W2H,3/4",High Definition Chamfer, Chamfer, Ext Grille-White, Int Grille-Prefinished White(Bottom Sash)High Performance Low-E4 Glass Insect Screen,White Quote#: 8931 Print Date: 09/01/2011 Page 1 Of 6 iQ Version: i 11.1 J Andersen Windows -Abbreviated Quote Report ,4ndersen. Project Name: Jack Campo-#33 Quail Lane Hyannisport �� a w.. Quote#: 8931 Print Date: 09/01/2011 Quote Date: 08/22/2011 iQ Version: 11.1 r Dealer: Shepley Showcase Customer: E.J.JAXTIMER 216 Thornton Drive Hyannis MA 02601 Billing cfischer@shepleywood.com Address: Phone#508-771-7227 Fax#508-862-6097 Phone: Fax: Sales Rep: CRAIG FISCHER Contact: CSR Name: Trade ID: Promotion Code: Item Qty Item Size(Operation) Location Unit Price Ext.Price 0001 2 TW2846(AA) Hall $ 430.28 $ 860.56 71 RO Size=2' 10 1/8" W x 4' 8 7/8" H Unit Size=2' 9 5/8"Wx 4' 8 7/8" H Unit,Equal Sash,White/Pl White,(Top Sash) High Performance Low-E4 Glass, Divided Light with Spacer,Colonial,3W2H,3/4", High Definition Chamfer, Chamfer, Ext Grille-White, Int Grille-Prefinished White(Bottom Sash)High Performance Low-E4 Glass Insect Screen,White 0002 5 TM846(AA) Bed front right $ 430.28 $ 2151.40 LHRO Size=2' 10 1/8" Wx 4' 8 7/8" H Unit Size=2'9 5/8"Wx 4' 8 7/8" H Unit,Equal Sash,White/Pl White,(Top Sash) High Performance Low-E4 Glass, Divided Light with Spacer,Colonial,3W2H,3/4",High Definition Chamfer, Chamfer, Ext Grille-White,Int Grille-Prefinished White(Bottom Sash)High Performance Low-E4 Glass Insect Screen,White 0003 1 TW2846(AA) Bath } $ 430.28 $ 430.28 ® RO Size=2' 10 1/8"W x 4' 8 7/8" H Unit Size=2'9 5/8"Wx 4' 8 7/8" H Unit, Equal Sash,White/PI White,(Top Sash)High Performance Low-E4 Glass, Divided Light with Spacer,Colonial,3W2H,3K', High Definition Chamfer, Chamfer, Ext Grille-White, Int Grille-Prefinished White (Bottom Sash) High Performance Low-E4 Glass Insect Screen,White 0004 2 TW2846(AA) Bed front middle $ 430.28 $ 860.56 ® RO Size=2' 10 1/8"Wx 4' 8 7/8" H Unit Size=2' 9 5/8" Wx 4' 8 7/8" H Unit, Equal Sash,White/Pl White,(Top Sash) High Performance Low-E4 Glass, Divided Light with Spacer,Colonial,3W2H,3/4", High Definition Chamfer, Chamfer, Ext Grille-White,Int Grille-Prefinished White(Bottom Sash) High Performance Low E4 Glass Insect Screen,White Quote#: 8931 Print Date: 09/01/2011 Page'` 1 Of 6 iQ Version: 11.1 `i WIN OR ASSIMIM FWRHO :. • X-V ON FBOM �A0f11P0 L N BOfO R PO p 4�'IM �-0' W 7Y-0' N1®IIN®INOL Lamm - S'�T 1�1 +• N BOiO BFAY MYOFJI 1M ti 1a U011I OAI W-W OAR dd am NM RIM WHOM TOP or em so" r R MAX%W aRv V-W um YERr >» r TAIARM o 1r oc r 01r ac Yrols Ir a,P aP oav a AmT SASS �►s� b tr 6 �I OLv e-o' � OaII a� - MOF PSAs Not® am OP-W �. eiav OW MHwa11oN POSR - - saa-W'. , . oases' ' o°MIMet.r M WMXIDSOa1O%Mule m MAIN DONN1 h ^�'. my e°s sa s� 6 as>•-e To PISP e pp w`Oav err r Lel RLOOR d Oa s� f91P�A0 OF a i N01! oa er-r ooYm Ii11 voal Y/IX sum r am X Tw f HAI WINMwE1�ROOP YRIN BLOW Tr YN " �1r ac we POOL SEC710N TYP , ALT ewe �'TANd4RD WALL'SECT/ON `.�., NDA770N SURICHAR�GE'WALL SEC710N , P S 9 � O fi dINc10H1 soot � - ' v t D sa .s O Ir OC A _ cP HRDV —+ � STR a. No. Il ''�GOIERAL + 3 A Ti +. ooNenaw'11oN swMil aafaN TO aeolaHH 4aoo A10 APPDAEI 12D,Y ai 7K eiMlnll e8111oN a F � M COMMONMAM a WMAC1 UWM SS=8M8OSp Co@,ALL APPt==on on WN ImetI/M1awB 'j A�ENG� AND 0IlOM1wlrFs NA M SIA OAW FOR ROTaMK SRSRSIIS POMA UffW EOM MI, " • AS PIISIIem a M NORMAL VIA AM POOL.NAME"M , ' CON= S OMq 80ARDs INc N0P COI0001lD N 716 PaOL OSSISSIL NIl11 Oslsp 8011ROB ARE 1D NSWIEO M SRF111 OP Mt Pool 8HA11 STRUCTURE ONLY • a • BE HOT IESS TITAN 8'-r FM TM1 MOM TYPE IV POals AM 0-W RON TMY.AT M 80AM AS SET FOINIII IN M NSM SOVISMRM plRp :.. 'J. 'AMNS SHALL BE OONSIelO18D 80IWW TW AM PRRFD W ONOM ALL SINRICE IMR At W FROY.M FOOL , OROeO UM r Pllpl SIMLL W A IeMIY oP olE Npl N FM RIEY � a 4. I11 INK�118�11 HAM PROM �a/m im FOOL fl10aS m TO OO vm um APpom N 7==mmo8 OP 718C SOENIN +C aP Tn H n d oasM • 4- dWS 0. SAFWYSAFEIY W&M MOM FAA,w�r. s m AAlnelmot Pool, Ito. lsl ARIIO<E aeo M IIA88ApMISE111s RIFJOIIMGRL 000E m7 ISt .. y. -... s.. .. .. '• ,... '�: _..•..e ._ - - IMF 11�.�i AYE , ALOAGITIC SURFACE SK/A/MER UNDERWATER L/GHT : . _ Pool. Ito. a 'STRUMRE t I. ALL SRt,SHALL O POM TO ANY oF81g1IS1oN8 A-18•& AM LAPS BWMLL S!A Is08R1 OF JO.OIA18:10{S OOftOOt z,'oroNC M c ISXRSIE 8llwl BgE�1 '�N 1 PARR ISIOR 70 4 �W888 A OONCIIEIE Sliwl Me NI _ _ waymon��08is,➢ 1LTMIIOE COMPAISSAM SI�IOIM W 3M PSIS sal S. -IIM/Ct am NAIL Nor MCM D+/A OKiANS PO SAM of CMM - o�c •� 4- OpO ALL O M SINIL BEOJ=a TIE APPIIOII M OF LOW YATOt MW WLMD MM TSE!A SAY �+rn ad�= PLANa PRE FOR A POiIOO OF 8E1I01 OlOfB. 1[eLm Reddeaae, • .. .„ 88 anefl Lu, . HnonMMMalo Iuosr a► a, . �amtle Past, 1lA. C. GPADM .4 1. POOL SHALL 8E OOIeIAIICIFD IPd1 A ILNO.811E Y8R1 IIOISAL ORAOE Wr ANY/WM DWi 7-0'EtON • °o M TOP,OP M 11PPOMIOBP®�OP M POOL Ea1n 8[AIL ND EwEpnM AIIaINO E1 am O r a0 7. NO ORO=YSOFR SHALL SE AT PaOLi4Y L WAV WE 7"rl%d-`/ err w e ONIr�C110N T118E sRMILa11�E p QF 18RAML SINP „ Engineersdesign .i.c NW 15 J"N otmEr. f]/l.'3�ur' ' CM)me-mv xo Bode , N Qrr4Il { 00 LOT 94 rn 60,422 sq.ft. ---=- 1.39 acres U i 1 U � j NEXIST. DWELL. `\ �\ TOP FIVDN. 61.2' \ \ �----- GARAGE PAVED DRIVE Ile 0' ' \ SPA FORMS AS-BUILT ELEV 5a 9 POOL FORMS AS-BUILT ELEV. 56.25' 14-302 POOL FORMS AS-BUILT , t PREPARED EXCLUSIVELY FOR THE BUILDING DEPT., NOT ANY OTHER USE LOCATION 33 QUAIL LANE, HYANNISPORT SCALE 1 " 40' DATE APRIL 7, 2015 PREPARED FOR: REFERENCE MAP 287 PAlICEL 107-001 EDwARD MEHM TR, HEREBY CERTIFY THAT. THE POOL STRUCTURE �H OF Mass SHOWN ON THIS PLAN IS LOCATED ON THE q� GROUND AS SHOWN HEREON. DANIEL tiG� off:508-362-4541 A. N fox 508-362-9880 to ( A(, downeape.com ® V,40980 OWN ca a civil engineers - land surveyors ------ ------- .. - ------ 939 Maln Street ( Rte 6A) YARMOU77LPORT MA 02675 DATE REG.. LAND SURVEYOR FRAMING NOTES REVISION : DATE 1aALL BEAMS TO BE SUPPORTED WITH FULL BEARING AND SHALL HAVE SIMPSON PC'S MINIMUM OR EQUAL, UNO. 2. ALL NAILING IS TO BE PER 780 CMR TABLE 5602.3(1) OF THE MASSACHUSETTS STATE BUILDING CODE 24'-0' 0 EIGHTH EDITION. 3. TOP PLATES OF ALI STUD WALLS SHALL BE (2) PIECES THE SAME SIZE AS STUDS. 5'-10' 4'-10" 4'-10" 8'-6' SPLICES TO LAP 4'-O" MINIMUM. 4. SPLICE PLATES OF EXTERIOR WALLS AND SHEAR 4 WALLS W/ (10) 16d AND 4'-0" SPLICE, UNO. 5. STRUCTURAL MEMBERS SHALL NOT BE CUT FOR A3 O O PIPES, ETC., UNLESS SPECIFICALLY R-------____ ____ _________ _ _ __________� I 1 DETAILED. 6. PROVIDE 2X SOLID BLOCKING BETWEEN U ' I JOISTS, RAFTERS AND TRUSSES AT ALL j �� ...... (3) X6 fi.... n l3) 2X6 1 ' I ♦. •' • � • •:�- °�,.• r ` • • s � .� I SUPPORTS. BLOCKING SHALL BE ONE PIECE - A �►♦ C� I `� I AND FULL DEPTH OF THE JOIST OR RAFTER. 1 �......_,... ,. i- ------ 7!1 . �-� �- 7. PROVIDE DOUBLE FLOOR JOISTS UNDER 201609 4i ! ! CHANGING INTERIOR WALLS PARALLEL WITH FRAMING. CHANGING (a STORAGE WALLS PERPENDICULAR WITH FRAMING R Lo 8. PROVIDE SOLID BLOCKING UNDER INTERIOR PERPE , m 9.` PROVIDE MULTIPLE STUDS UNDER MULTIPLE ... I , 1 k 8 i �' I �� co JOISTS. w 1 cry ,Q I TALL A31 ' i 1 1 BA 10. PROVIDE STANDARD JOIST HANGERS A j c-n I i G �' �' 43 i j cv O O O JOISTS TO FLUSH FRAMING, UNO. 1 i S `l' 1 ; 11. ALL F FRAMING NTH ESMPSONBHUS HANGERS MARK A LUSH FRAM ............... I 12. PROVIDE 4 X 4 POST AT ALL PA, ST, & HD XI� I I ------ --- --- --�I HOLDOWNS. I Ej , , McDOWELL � ? I 13. PROVIDE 4 X 4 POSTS AT EACH END OF n I " 4 X 10 OR LARGER MEMBERS; (2) 2 X 4 AIA STUDS AT b'C'i > i jr'„ ��' 'I N I I N MEMBERS, UNO. END OF 4 X 8 R SMALLER I J J I I f I � � �•" `•"" •"' •• � i I I I I 14. AT CALIFORNIA FRAMING USE 2 X 6 RAFTERS j 1 i ,43 I I 6 I I I I AT 16" O.C. , MAXIMUM SPAN IS 9'-0". Q U �` i 1 A3 I' 15. ALL SHEAR WALL PLYWOOD SHALL EXTEND FROM BOTTOM OF SILL PLATE TO TOP OF PLATE OR r " I ROOF PLATE LINE, WHICHEVER IS GREATER. CALIFORNIA • \ I N 9 -Or 6 -0 9'-0 cv a 16. ALL MICROLAM DBL JOISTS TO BE FASTENED MASSACHUSETTS c i 13ARREL VAL�.T CEILING I i "'' CONNECTICUT 1 _ ' WITH 2 ROWS OF 16d NAILS AT 12" O.C. UNO. 1 I I I I ; O I j B 17. ALL (3) 2 X OR MORE JOISTS & (3) MICRO-LAMS OR MORE TO BE FASTENED WITH » '" ------------------� I n m. `----- -- '- 1/2" DIAMETER MACHINE BOLTS AT 18" O.C. ' 1 I ' -------- --------------- ----------------- ------- ' 1 I I -- I STAGGERDED, UNO. 1 _ 1 ♦ I _ I j Lit. ------ ---------- --- -----�- ----- 1 18. INDICATES LOCATION OF SPECIFIC BEAM 1 / 0 - - ♦ I OR FRAMING MEMBER CALCULATIONS / O[ 10 ♦♦ j IREFERENCE ONLY).LCS (FOR BLD. DEPT. I ;;,• S� �S» � 838 O �0 - - A3 » ... .... ♦♦. . I -------------------- -------------------- - 19. P2O4 BRAG SINATAME SIZE S ADJACENT FITM ,,J'' " ��8'385-32�7. /' „ 1,�.•_.,•,; _ ,..... mA .,.� ♦ I STRUCTURAL BEAMS AND BEARING PARTITIONS. s------- ------ -------------- -----a 20. BRACES SHALL BE A MINIMUM OF 45 DEGREES 5 O FROM HORIZONTAL. 21. PROVIDE MIN. 2X4 RAFTER TIES AT 48" O.C. POOL HOUSE FOR; FOR MAXIMUM LENGTH OF 8 FEET,OTHERWISE '43 USE 2X6 TIES AT 48" O.C. The Mehm's 4'-O" I6'-0" 4'-0' 22. BRACE HIP AND RIDGE MEMBERS TO ADJACENT STRUCTURAL BEAMS AND BEARING PARTITIONS. 24'-0" . t 'r 23. ALL STUDS TO BE W.C.D.F. #2 OR BETTER. 24. PROVIDE MULTIPLE FULL BEARING STUDS AT LOCATIONS WHERE ROOF BRACES ARE KICKED. 25: PROVIDE MULTIPLE FULL BEARING STUDS UNDER FL R PLA ROOF FRAMING- PLAN " _ OO N MULTI-STUDS AND POSTS ABOVE. SCALE: 1/4' = 1'-0" SCALE: 1/4' = 1'-0" 26. PROVIDE DOUBLE TRIMMERS UNDER 4X10 AND LARGER BEAMS, U.N.O. j 24'-0" 27. ALL STRUCTURAL DRYWALL SHEAR PANELS MUST BE PRE-HUNG PRIOR TO FURRING AND TO BE EDGED NAILED AT TOP AND BOTTOM PLATES. 28. PROVIDE "MSB" UNDER DOUBLE JOISTS. ANCHOR BOLTS AS S1•-10 COORD. WITH FRAMING 29. TYPICAL FLOOR SHEATHING: 4 3/4"" T&G CDX GRADE PLYWOOD, P.I. 32/16. BN: 10d AT 6" O.C. EN: 10d AT 6" O.C. FN: 10d AT 10" O.C. ------ 30. TYPICAL ROOF SHEATHING: • � �.• .�..... • .. m �! 1 2" CDX PLYWOOD P.I. 24/0. € - BN: 8d AT 6" O.C. --- -- -- - --- ----------- '� I EN. 8d AT 6" O.C. ANCI-IC)R I I I I ANCI-IOR FN: 8d AT 12" O.C. ������� �8 SOL TS As I I 1 I BOL TS AS USE CCX PLYWOOD AT EXPOSED EAVES. •: SHOWN I I I I SHOWN 31. HEADER SCHEDULE (UNO): I I I O I V FIRST FLOORCenterville NA 026XX _ 1 HEADER SIZE MAX. SPAN JACK STUDS � 9 0., :-....... _ , «V. ' . . .wn., »,Q'-0• 1 .I I �3�2X8 5'-T. 2 32X10 6'-3" 2 32X12 7'-3" 2 I I I I I SECOND FLOOR SHEET TITLE : I I 1> F I I HEADER SIZE MAX. SPAN JACK STUDS �- '--- -----J I �3�2X8 5-9" 2rn32X10X12 8- FOUNDATION I m �, I 32 7,-2„ 2 ANCHOR I r il - i € 1 I � ; `c: ; Q I € ( ANCHOR 32. CEILING JOIST SCHEDULE: BOLTS As PLAN BOL TS A$ i I � I I .' MAX. SPAN JOIST SIZE/SPACING S14OWN I , Y , '. .�,,a I........,. .:...... ....., ...mm..,,. I E I; I - I SHOWN r_ n2X4 AT i i 15'-9" 2X6 AT 16" O.C. N I>, 6. .............---- ---�y� 1 . 1 N 19'-9" 2X8 AT 16" O.C. I ::.: «, . I STRUCTURAL SYMBOL S FLOOR PLAN A3 I I 8' TN�ICK X 42' NIGH i 1 I I REINFOPCED CONC. FOLNOA TION 1 1 } 2 I I WALL O/ 16' WIDE X 10" THICK 1 j m A3 FOOTING j INDICATES SPAN AND W I I I DIRECTION OF ROOF 1 1 TRUSS W I I N I 10' TRCK X 48 NIGH �, j I U WALL WC 6.,....SHELF p L pA.TION ..:.... � .... .... _ I 1 ,R I 1 INDICATES SPAN AND DIRECTION OF WIDE x 10' THICK FOOTING CONVENTIONAL FRAMING 1 INDICATES SPAN AND DIRECTION OF CEILINGS 1� I ------------------------------- ----------� JOISTS 44 MASS, ---- ------------------------------- - �\�- -�\� INDICATES SLOPING ANCHOR BOL TS ANC14OR BOLTS �"�-� � CEILING AREA AS SHOWN AS SHOWN ��- - - `,_ m �. AI�� B•TS TO BE 5✓8• D1�4 VM WITH T � INDICATES SOFFIT Z OR SHELF Q INDICATES SOFFIT 0O 24'-0" AND SHELF INDICATES CALIFORNIA PROJECT NO. ::<...........:>:::_..._...:..::._:.:...................''....._....._..:: FRAMING FOUNDATION PLAN INDICATES BEARING SHEET NO. : WALL SCALE: 1/4' = 1'-0' INDICATES CEILING FLAT SLOPE SYSTEM PROFILE NOTES LEGEND SYSTEM DESIGN: - ALARM AND CONTROL PANEL GARBAGE DISPOSER IS NOT ALLOWED TO BE INSTALLED INSIDE (NOT TO SCALE) NAVD 88 99— EXISTING CONTOUR BUILDING. ALARM TO BE ON 1. DATUM IS SEPARATE CIRCUIT FROM X ss.1 CONVENIENCE BATHROOM PROPOSED IN POOL 2,� MUNICIPAL WATER IS smith EXIST. SPOT ELEV. PUMP EXISTING 99 PROPOSED CONTOUR HOUSE. NO INCREASE IN FLOW. USE A 1500 GAL. H-20 DUAL COMPARTMENT SEPTIC ACCESS FOR ROUTINE MAINTENANCE H-20 24"s� CAST IRON MUST BE PROVIDED FOR ZABEL FILTER. COVERS TO GRADE 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. 99 PROPOSED SPOT EL. TANK/PUMP CHAMBER COMBO AND PUMP TO INSTALLER MUST FOLLOW ALL EXISTING LEACHING FIELD AS SHOWN. 500+ GAL RESERVE THE MANUFACTURER'S SPECIFICATIONS FOR 4. DESIGN LOADING FOR ALL PROPOSED [ocu TEST HOLE PROPER FILTER INSTALLATION PRECAST UNITS TO BE AASHO H-20 � G WO 2� SLOPE OF GROUND \ 59.0' 59.0' 5.•-PIPE JOINTS TO BE MADE WATERTIGHT. �Q� UTILITY POLE 6. CONSTRUCTION DETAILS TO BE IN MIN. 2 WALL THICKNESS WATERTEST D'BOX FOR LEVELNESS CID I N V. I N 55.0' 4"0SCH40 PVC o o FIRE HYDRANT POOL HOUSE ...• 2" PRESSURE LINE PIPES LEVEL 1ST 2' ACCORDANCE WITH • ZABEL FILTER 310 CMR 15.000 (TITLE 5.) Nantucket NOTE- NOT ALL SYMBOLS MAY APPEAR IN DRAWING 55 72'* (A100) 19" TEE SLOPE TO DRAIN BACK 7EOE. SOl[)llI FLOAT SWITCH ALARM ON OUTLET TEE W/EXTENSION WEEP HOLE' TO EXISTING LEACHING 7. THIS PLAN IS FOR PROPOSED WORK ONLY SETTINGS: PUMP ON CHECK VALVE 0 57.33' AND NOT TO BE USED FOR LOT LINE STAKING OR ANY OTHER PURPOSE. 5" WORKING RANGE 6" MIN. 500 GAL. ;MIN. SUMPTHIS SIDE MYERS SRM 4 57.5' MIN. INT. DIM. °°O°°°°°°° ° °0^0°° 5" OF BAFFLE SUBMERSIBLE 4/10 HP PUMP 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4 PUMP OFF 12 SYSTEM (OR EQUAL) 52.17'* PVC. LOCUS MAP THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL ono 00 0 0�0 0 (ON BLOCK) UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS 9. COMPONENTS NOT TO BE BACKFILLED OR NOT TO SCALE PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM 6" BAFFLE CONCEALED WITHOUT INSPECTION BY BOARD H-20 1500 GAL. SEPTIC TANK/ 6" CRUSHED STONE OR MECHANICAL OF HEALTH AND PERMISSION OBTAINED FROM ASSESSORS MAP 287 PARCEL 107001 'PUMP CHAMBER COMBINATION " COMPACTION. (15.221 [21) BOARD OF HEALTH. POOL HOUSE ( 2 x SLOPE) (NOT TO SCALE) (5 7 % SLOPE) 10. CONTRACTOR SHALL BE RESPONSIBLE FOR LOCUS IS WITHIN FEMA FLOOD ZONE X FOUNDATION 36' SEPTIC TANK — 76' D' BOX 90' D' BOX CALLING DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF WORK. ZONING SUMMARY 11. EXISTING SEPTIC SYSTEM INSTALLED 1/2015. LOCATION PER TIE CARD ON FILE WITH ZONING DISTRICT: RF-1 RESIDENTIAL DISTRICT TOWN. MIN. L T SIZE 43 µL w � � 1 � MIN. LOT FRONTAGE 20�560 S.F. 45 44 2 LOCUS IS GREATER THAN 400 TO 45 s AROXI CLOSEST WATER BODY (SCHOOLHOUSE POND). MIN. LOT WIDTH 125, A/C APP MIN. FRONT SETBACK 30' 40 MIN. SIDE SETBACK 15' 44 MIN. REAR SETBACK 15' MAX. BUILDING HEIGHT 30' " AN IN QUAIL LANE �' - A LpCA � �Q � $ / APPRp � o W s W W —W 46 7 9 -46 , 0 50g 5� �s� a8 OWNER OF RECORD � s2 kg s2 �26 OAK x LEEV 53 T 3 EWARD F. MEHM 448 BAY ROAD 53 x * \ OF TER" L 60,4 sq.ft. SOUTH HAMILTON, MA 01982 f50 _--= - -I 2 PR OSED 9 aC 'S 4 �_ -BOXCp - . �T -REFERENCES 1 __ s� " pAK 53 s" oA s9 0 5g pf \5jo CERT 204349 LCP 19844 M GRAVITY FEED \ EXISTING R /F O �� 57 ECESSARY. h� 5� ALL E G GRADES O - - E• i \\ SAWCUT A� PATCH PAVE NT 4 PAVED DRIVE S REQUIRED CD \\ GARAGE \ 52 O SLEEVE SEWER Sp \ h LINE WITHIN 10 > 1 2, 13.4 � \ OF WATER LINE 151- _ \\ EXFNpN 6. � w \\`\ \\ PAVED DRIVE TOP PATIO w \ \ 1� BENCHMARK\ COR PATIO I "2,0 (a x \ \ 5 1 EL. = 58.0' s2 P Ou"L H O U SE 59 /x PATIO s SITE PLAN 41 x PROPOSED \w x SPA POOL HOUSE O F X w 33 QUAIL LANE f EXISTING POOL HYANNISPORT i " WATER 3 6 _SS \ AIC ROXIMATE x \ \ 3 LPP pDpTIoN PREPARED FOR PATIO �, 3 GCI BUILDERS -p �� \ TION S� 51 p \ 2" W OX MATE I \ 5o s3 JANUARY 19, 2017 49 - 0 Scale: 1"- 20' 47mm s� N0 5 0 10 20 30 40 50 FEET Fz, e 57 C 6 k I gs � W t� MAS'sgc ��jN of MASS9Cti fax 508-362-9880 6 QQ o� ti� o DANfEL �� I downcope.com © 4q k DANIELA. A. r� • • 56 h �5 OVA OJALA down cape enghneering Inc. h Q ,� No.40980� 1 gk 3 �0- � Q civil engineers 4 land surveyors 47\ ' n r '-�'`��� ONAL �, ~ 939 Main Street ( Rte 6A) ; DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 > 6-350 REVISION : OATE ............ k 7� ........... . . ............. ................ ............. w MARK I MCDO WELL AIA 2XI0 ROOF RAFTERS AT 16' O.C. CALIFORNIA MA ETT SSACH US S 2X4 WALL CONST. CONNECTICUT ........ y �� r A\ r "` � , k ......... .............. 12 5 12 TE - 1 3-7/16 TOP PLA TOP PLATE I - TOP PLA TE ...., ��8 '��►���� ��� ,.,^2838 ' LjS0�-385-3207, _ I U " I ; i MASOIQY POOL HOUSE FOR: FIREPLACE �' CHIMNEY 2X6 WALL CONST. The Mehm's ( W/ R-19 INSLL 3 W/ VAPOR iEL FIN. F TOP OF FOUND. BARRIER TOP OF FOUND ------- :=7 R-10 RIGID INSULATION 5ULATI R-10 RIGID IN ' ON I RIGHT ELEVATION SCALE: 1/4" _. 1'-0' SECTION A SECTION - B SCALE: 1/4" 1'-0' SCALE: 1/4" = 1'-0' XXXXXXX Way s T01�E MASONWY Cen fer ville, NA 026XX CHIMNEY SHEET TITLE : r 30 YEAR ASPHALT �`�' �' SECTIONS 11JU, SELF-SEAL SHINGLE 0/(2) LAYERS 15tt ELEVA TIONS ASPHALT FELT PAPER . ' �,r 3 TOP PLA TE TOP PLATE } m �.��,;7 ^, a k x pp k t-.fi:, \ ,�,...`,a 'w..s,.,xr.: < W.C. SHING S O � ! LT FELT I 1 I ASPHALT 2 : EXPOSLRE '5 PAPER W/ 5 MAX. 'I I I I:: g : � „ FIELDSTONE VENEER ' FI . FLOOR LL FI . FLOOR In REAR ELEVA TIONFRONT ELEVATI N SCALE: 1/4' = I,-0" LEFT ELEVATION SCALE, 1/4" = 1'-0" SCALE: 1/4" I'-0" 0 r �O PROJECT NO, 2016i39 SHEET NO. : A 2 30 YEAR ASPHALT SELF-SEAL Z--\ REVISION : DATE 2XI2 RIDGE CALIFORNIA FRAMING SHINGLE 0/ (2) LAYERS 15# 12 ASPHALT FELT PAPER 3-7/16 3-I/2" THICK CONC. 2X6 WALL CONSTRUCTION 1/2' CDX EXT I/2" PLYW'D BLK'G W.W.M. 0/ A6PP20VEO GRADE PLYW'D AT RAFTER LOCATIONS 18-1/2" 6 MIL VISQUEEN I/2' CDX PLYWOOD MOISTURE BARRIER 0/ 26 GA. GA. DRIP 12" COMPACTED FILL 2X10 RAFTERS EDGE 2X6 P.T.D.F. SILL PLATE AT 16" O.C. v ..v 5/8' DIA. ANCHOR BOLTS AT 32" O.C. W/ 3" X 3" ' X 1/4" GALVANIZED WASHERS ... AND 7" EMBEDMENT ri 4 1/2" f ' I 5 I/2 IX3 O/ SHAPED 2X6 O/ -- 10" THICK CONCRETE WALL IXIO FASCIA ' 2X BLK'G IX SOFFIT WITH VENT 2XIO ROOF JOISTS AT 16" O.C. APPROVED R-10 RIGID INSULATION - EXTEND TO I/2' CDX PLYWOOD 0/ 2X4 W.C. SHINGLE 0/ 154 ASPHALT TOP OF FOOTING —� WALL FRAMING FEL T PAPER 10" vr BARRIO. VALL T ROOF FRAA" FASCIA DETAL 5 A TION STEP DETAL 1 MARK A7 INTERIOR WALL SCALE 1" = I'-0" SCALE.- 1-1/2' _` I'-0" - " _ '- " MCDOWELL (2) LAYERS 1/2' CDX PLYWOOD W/ 30 YEAR ASPHALT SELF-SEAL 1 " AIA SLOT CUT FOR EA. CONT. ROOF JOIST SHINGLE 0/ (2) LAYERS -S 12 10" THICK CONC WALL 1/2" CDX EXT. GRADE ASPHALT FELT PAPER 5 W/ (2) 45 REINFORCING PLYWOOD ASPHALT BARS AT TOP 6 DAMPROOFING BOTTOM 12" 26 GA. GA. DRIP a CALIFORNIA EDGE MASSACHUSETTS 20' WIDE X 10" APPROVED R-10 RIGID CONNECTICUT DEEP CONC FOOTING W/ (2) INSULATION - EXTEND 2XI0 ROOF JOISTS #5 REINFORCING TO TOP OF FOOTING . BARS AT 16" O.C. w -c o 5 .. �r�s��1 ���ree 2X BLOCKING �" r w6rr�r""ir�rS...... A..»OWN 3 508485-3207 2X4 WALL FRAMING W/ L R-13 INSULA TION W/ VAPOR ; BARRIER :P ... .••.. . ,•� ' ..: •. °.. •„ • . :;... . IX3 0/ SHAPED 2X6 0/ a d a a 2X SOLE PLA TE IXIO FASCIA POOL HOUSE FOR.- (2) I-3/4" X 9-1/4" LVL IX SOFFIT WITH VENT BEAM Mehm (3) 1-3/4' X 7-1/4" LVL KEYWAY AT FOOTING 2XI0 ROOF RAFTER HDR. A T SLIDER 20" SARRM VALLT ROOF FRAA" FASCIA DETAL AT FOOT�V�G DETAL 10 : " _ I- " SCALE: 1-1/2"@ ►'-0'_ __.?_YPJCAL-- z._ SCALD I-1/2" - i'-0" 2' AT ...EXTERIOR WALL SCALE 1 I 0 _ __ _ _ _. r. m. 30 YEAR ASPHALT SELF ASPHALT SELF SEAL 10" THICK CONC. WALL SEAL SHINGLE 0/ 15a SHINGLE RIDGE CAP W/ (2) #5 REINFORCING ASPHALT FELT PAPER BARS AT TOP 6 TYPE A APPROVED RIDGE VENT ° :o ••. BOTTOM STRUCTURAL RIDGE BOARD 2Xi2 RAFTER AT SEE FRAMING PLAN 7' LONG X 4' b 16" O.C. WIDE X 12" THICK CONC. FTG. W/ #5 REINFORCING BARS AT 12" O.C. ° 12 xxxxx Way ;. Centerville,;� 0 „. . : Y SHEET TITLE : ARCHITECTURAL CUT ROOF PLYWOOD KEYWAY AT FOOTING BACK FROM RIDGE WALL CONNECTION DETAILS AS SHOWN 11 RIDE VENT 7 FMILACE FOOTM DETAL 3 SCALE: 1-1/2" - 1'-0' SCALE: 1-1/2" - 1'-0" 30 YEAR ASHPHALT SELF SEAL SHINGLE 30 YEAR ASPHALT SELF-SEAL 12 SHINGLE 0/ 2) LAYERS 154 36" WIDE ROLL ROOFING ASPHALT FELT PAPER 5 50u OR HEAVIER 12" co 26 GA. GA. ,DRIP W EDGE01 Y ���,D ARcl C MASS QFNP` . � m IX3 O/ SHAPED 2X6 0/ 2XI2 JACK RAFTER IXIO FASCIA Q (3) 16d NAILS AT EACH RAFTER R-30 INSULATION W/ IX SOFFIT WITH VENT VAPOR BARRIER W.C. SWINGLE 2XI2 VALLEY RAFTER I/2" GYPSUM WALLBOARD ELT PAPER 0/' 15tt ASPHALT PROJECT Nr7,0/ IX3 FURRING SHEET NO. 12 vAuEY FRAMMIROoFG DEAL g FAscIA DEAL 4 A 3 TYPICAL STRUCTURAL VALLEY SCALE: 1-1/2" - 1'-0' _ -- SCALE:_1-1/2" Installation InstruOtion V" Installation Instructions Series 3 HINGES .......... 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P..It,'t'jics,&1�fe�w k, 10,11 10 D&DTechnoloi PROPOSED CONTOUR SIR 1010 11 91 9 amaAs. ies Iplat f.,Vt. 301(1 fig), pmo go"h.*d* w, C86�& .1111.1w" I AUSYRAILIA.9.0 6,46 Aw.11,U;F-h F..O NSW M A,—1.�W 110 demur d.30 04g).1..k N" FOROPE Nmm.m 1,3531 WE ihdd,T6 W"�& + 10.0 SPOT GRADE M�M_ liRpmant: We xmil.&pi.d�14 ki;Ili)fY.)d1 h.91.v -k1.Aik6 Avvhl(FEE)sk!iwg.hl�9, fr, EUROPE:NiasWidt 1,3531 WIR W&M,The Naftdarids. wwildiahliloliol.awn Mir If A VIE I.mj0,, nA 0.Web 6-Mdq6W. 10.0 BW BOTTOM OF WALL + 10.0 TW Top OF WALL POOL GATE LATCH DETAIL AND INSTRUCTIONS POOL GATE HINGE DETAIL AND INSTRUCTIONS C� FT_ POOL FENCE STYLI + 10.0 TP Top OF PIER TS TS SC SCALE: N ()SLCALE. N SCALE: + 10.0 BF BOTTOM OF FOOTING (D s + 10.0 TF Top OF FOOTING + 10.0 TC Top OF CONCRETE + 10.0 CB CATCH BASIN REVISIONS: ALL POOL GATE'TO OPEN OUT M POOL AREA AND HAVE TKUCLOSE HINGES AN GN A LATCH EE DETAILS) RESIDENCE EXISTING DRIVEWAY 9 4 FT.ARcf-uTECTuRAL:FENCE 0 MEET-POOL CODE ENCLOSURE C ........... . A AND HAVE TRUTI-6-ST+ilN-GFS AND_."_A_GNA LArC+I- ALL POOCGK--L TO OPEN OUT FROMROGLAREA (SEE DETAILS) 41 99 -- -------- ---- BIN 3 k A A 98 Z--------7- ------------ 96.52 96 96 9( T.A HITECTURAL FENCE 0 MEE POOL CODE ENCLOSURE SY le - -- - - - - - - - - - - - - - - - - - - - - 96.47---------------- -------- DIN 3 1 96.62 Swimoul 94.81 -- ALL POOL GATE TO OPEN OUT FROM POOL AREA lz AND HAVE TRUCLOSE HINGES AND MAGNA LA EE DETAILS) fi�_VAIJLT POOL TEPS F s - 96.47 ALL PLANS ARE PROPERTY OF SUDBURY DESIGN GROUP.UNAUTHORIZED USE OR DUPLICATION .. ........... OF PLANS WITHOUT PRIOR WRITTEN CONSENT IS STRICTLY PROHIBITED. COPYRIGHT 0 1999-2015 BY SUDBURY DESIGN GROUP Swim OU I 4 FT.ARCH ITECTURAtF CE ON TOP OF WALL TO, P:OOL CODE ENCLOSURE - - - - - - - - - - - - - - - --T_ A DN 3 -------------- ------------ =,- ------------ SCALE: 1 /8" = 1' - 0" w. A POOL GATE TO OPEN OUT FROM POOL ARE AND HAVE TRUCLOSE HINGES A NA LATC DATE: 2-24-15 9. (SEE TAILS) + 0/1 DRAWN BY: PF CHECKED BY: mc y"I'll )z Y y I Y,A - - - - - - - - - - - - - - - - ---- POOL ERMIT POOL EQUIP_,-�1� �E_T.ARCHITECTURAL FENCE ON TOP OF WALL 92 0 Mfj T POOL CODE ENCLOSURE 913 1-1 PLAN - - - - - - - - - - - - - - a. 90 -- -- - - - - - - - - - - - - - - rrT NON-C_,LL&,tBABLE WALL TO SERVE AS POOL El`<C!"LQS'yRE C\q 'NA1 'k A IS' , F,7*L64 ST FINLEGEND: D:10 A 100 LEGEND NOTES 99 _ EXISTING CONTOUR 1. DATUM IS APPROX. NAVD '88 2. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO X 99•I EXIST. SPOT ELEV. BE USED FOR LOT LINE STAKING OR ANY OTHER Smith 99 PROPOSED CONTOUR PURPOSE. for a n 5�J JO 3—CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING 99 PROPOSED SPOT EL. DIGSAFE (1-888-344-7233) AND VERIFYING THE TH1 LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES Locu TEST HOLE PRIOR TO COMMENCEMENT OF WORK. oywo Cl- 4. POOL FENCE SHALL HAVE SELF—CLOSING SELF—LATCHING 2� SLOPE OF GROUND GATES, SIZE AND MATERIALS TO MEET LOCAL AND STATE BUILDING CODE, ALL DWELLING DOORS OPENING TO POOL ` rvwng UTILITY POLE SHALL BE ALARMED TO CODE. o o 5. SEPTIC SYSTEM�4 FIRE HYDRANT CARD ON FILE WITH TOWNLED 1/2015 LOCATION PER TIE Nantucket NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING Sound LOCUS MAP NOT TO SCALE ASSESSORS MAP 287 PARCEL 107001 LOCUS IS WITHIN FEMA FLOOD ZONE _ X s2 6.68 —` -- � 53 , x 54 \ L L 55 — / L_ T— 1T -`53 —� --52 54 ) 6 -- _I I —57 EXISTING s PTIc \ \ 00 59 PER TIE CAD \ \n \ �_ co 60 O J \ I LOT 34 0 60,422 sq.ft. I\ 1.39 acres � N w \ I \ EXIST. DELL. \ \ I TOP FNDN,. = 61.3' \ I GARAGE POOL ENCLOSUR \ / PAVED DRIVE -- \ 60 FENCE\ DEMO EXISTING WALL �\ I 57 i 56 �� PROPOSED POOL P 5 FUTURE 55 POOL HODS �. SITE PLAN RETAINING WALL DESIGN BY OTHERS 3 ~' -- \� \ \\\ \\� ' l� OF \s I IRRIGATION 33 QUAIL LANE \\\ \\\ POOL EQUIP. RETAINING WALL 4' \ \s3 s WELL \\ \ v NON—CLIMBABLE \ ��! HYANNISPORT s \ \ 2 THIS SECTION \ \ PREPARED FOR EDWARD F MEHM TR FEB. 20, 2015 j Scale: 1"= 20' 0 10 '2-0_.. 30 40 50 FEET �N OF iygs ��cF M off 508-362-4541 �Ssq �ya ��H aF MASS9 �ZH OF Mqy fax 508-362-9880 DANIELA. c��r o� DANIEL A. ° DANIEL DANIEL fir, downcape.com o OJALA m OJALA A. o A. CIVIL CIVIL OJALA OJALA down cope engineering, kC. No. 46502 0.46502 o No.4098 o.40980„ Y civil engineers 01 s T eR ��``' �'°�� c,s re aa`` qN�� ���� q Fs s�°�\� 0 �N s ON AL N O Rv o S, land surveyors . ' 939 Main Street ( Rte 6A) 4-302 DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675