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0015 WOODLAND ROAD
`V 1!I/d oa�l cu?C� 1 IL EO jp #15 I g L I \ °i ai •o l _ o O� i / SO r 2 Sty w1f / / E Meter IF. e� . \ Dwelling �.ag�`. �e�`•�5 5� oy � eck Cle 15 Section of Garage ; \ \. SIN n . To Be Eliminated�; oho\ 1 i o Proposed Sgti 1 I ........ c \ )®o 4'' - �ro ^C� —�� ►ed � .''. ::.0• ..•x•.•:•• ..:::. �. � / / Aso°/ I �. nity,Edg ��� / /Q 1 / o RICHARDIb `rca 934312 t1Pg A •..... '.... 90 `Oe� �`2/i Eoru' �t _ FESS 4 4oposed Siltation 0' From `• "`— F4nc w,�Hay fails . N. `3 68'. 0 5 10 15 20 30 N 70 N 6v3'1•Q"W \fie 0• /{llowoy - - I Sheet'# •.Title: an .Showing. Proposed Pool Prepared or: PI p CapeSury Nicholas & Pamela La 7 Parker Road At 15 Woodia' d Road 101 summer street 1 of 1 Osterville MA 02655 Boston MA 02110 Barnstable, (Hyonnisport) Mass. (508)420-3994 (508)420-3995 fox capesurvacapecod.net �1 OFIKE r� Town-of Barnstable { Regulatory Services t BMMSrnaLe. 9 MASS. Thomas F. Geiler,Director re1639.. Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601. www.town.barnstable.nia.us Office: 508-862-4038 Fax: 508-790-6236 RE: 15 WOODLAND ROAD HYANNI S ; OUR RECORDS THE-, FOLLOWING ELECTRICAL PERMITS DOES NOT. HAVE A FINAL INSPECTION, #91475 -, ELECTRICAL PERMIT EXPIRED FOR THE WIRING OF SECURITY AND FIRE CO/ALARM SYSTEM . WE rq� Town of Barnstable ti ' Regulatory Services • BARNSfABLE, maSS. Thomas F. Geiler,Director 039.rFor�o+' t. Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis, MA 0260.1. www.town.barnstable:ma.us Office:. 508-862-4038 Fax: 508=790-6230 RE 15 WOODLAND ROAD HYANNI S x a RDS THE FOLLOWING OUR RECO ELECTRICAL PERMITS, DOESr-,NOT HAVEA FINAL INSPECTION #200'60432 xrt ELECTRICAL PERMIT EXPIRED FOR THE WIRING OF THE POOL Town of Barnstable *Permit Expires f months from issue date Regulatory Services Fee . _ Thomas F. Geiler,Director Building.Division Tom Perry, CBO, Building Commissioner 200 Main Street,Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY (n 1�-o((� Not Valid without Red X-Press Imprint "� o C Map/parcel Number r L Property Address �oud, Iond 1 [Residential Value of Work Jt Minimum fee of$25.00 for work under$6000.00 Owner's Name&Addressl.-Q^7.(� 1 0 I Sur�m�r- i- . CS1 Contractor's Name h�1V'U�' kl Telephone Number I 4�� Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Ch one: PERMIT I V1 ,am a sole proprietorX. I am the Homeowner ❑ I have Worker's Compensation Insurance MAY — 9 Z008 Insurance Company Name - VVM_GF BA NSTA13LE Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) 'EERe-ro.of(stripping old shingles) All construction debris will be taken'to P A_ W_N_K )L4 ❑Re-roof(not stripping, Going over existing layers of roof) ❑ Re-side Replacement Windows/doors/sliders. U-Value (maximum 44) WhcreYcquired: Issuance of this permit dots not exempt compliance with other town department regulanofls i e„13jStori'c dins' anon,etc. ***Note: Property must sign Property Owner Letter of.Permission. A copy fth orn rovem nt Contractors License is required •- SIGNATURE: yr �;. Q:Forms:expmtrg Revise061306 - The Commonwealth of Massachusetts Department oflndustrial,4ecidents Office of nvestzgations 600 W-ashington Street Boston,MA 02111 ` M-m m ass..gov/dia Workers"Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl Name(Business/Organization/Individual):• w�vLs -Address: )X �3 City/State/Zip: mn S �a 0 Phone:#: . Are you an employer. Check the appropriate box: ; 4. I ani a general contractor and I Type of project(required):. 1.❑ I am a employer with ❑ mployees (full and/or part-jime).* have hired the stab-contractors 6• ❑New construction 2. I am a'sole proprietor or partner- listed on tha-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• El Building addition required.] 5.❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs o' additions MyselL [No workers' comp. a, right of exemption per MGL �; insurance required.]t c. 152, §1(4),and we have no 12•u ��°frepairs employees.fNo workers' 13.0 Other comp.insurance required.] *Any applicant that checks box#1 must also till out the section below showing their workers'compcmation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then lure outside contractors Trust submit anew affidavit indicating such. 1Contractors that check this box must attached an additional sheet sbowmg the name of the sub-contactors and state whether or not those entities have employees. If the sub-contractors lave employees,they must providt their workers'camp,policy number. ; lam an employer that is providing workers'compensation.insurance Information, for my employees Below islhe policy and jab site Insurance Company Name: Policy#or Self-ins.Lie.#: ' Expiration Date: v Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date), Failure•to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to S 1,500.00 and/or one-year imprisonuteni; as well as civil penaltirs 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 statemeilt'may be forwarded to the Office of Investi Ao c overa e verification• zdo her th ai penalties ofperjurythat the information provided abov is trueacid colrect:SienaturDate:Phone -77 FOther only. Do not lvrite in this are11, be completed by city ar town official n: Permit/License# hority(circle one); of. Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector" son: Phone#: OfTHE,p� 'Town of Barnstable. Regulatory Services a,t�wsreezE, y MAC Thomas F. Geller Director lFD Mj`�A Building Division Tom Ferry,.Building Commissioner 200 Main Street, Hyannis,MA 02601 wf'w.town.barnstable.ma.us r Office: 508-862-403 8 Fax: 508-790-6230 Propelty Owner Must Complete and Sign.This Section If Using •A-Builder as Lreo as Owner of the subject property herebyauthorize � �-Q� to act on my behalf, in all matters relative to work authorized this building Peru application for: , (Address of Job) 5 0 Sig tore of er Date Cho Ld-g (QZ-P-S'' Print Name — QTOR.MS:OWNERpERM1S S 10N h .. � GTleePamm�u�rea� b�� acc`�ivaP,l7a ' Fx Board of Building Regulations and Standards License or registration talid for.individul use only _ HOME IMPROVEMENT CONTRACTOR_• before the expiration date. If found return to:' w RegisteafJon __1-24310 ding Regulations Standards Board of Building tions and Ex iration One Ashburton Place Rm 1301 ' P 6/1/2009 Tr# 130873 Type Indniidual Boston,Ma.02108 James Curley James Curley _ Y, 287 Fuller Rd. Centerville,MA 02632 Not valid without re. Administrator k I � r r .. 4� FtY �fr � •� � '� �i � :4 i N4 i3 Y t"� t ax ZW 41 ls4r 'SRq 2'� c x"�i• a^t ' '. �'"�' � a �'a k A Town of Barnstable *Permit# ���37/l Expires 6 months from issue date Regulatory Services Fee' 00 Thomas F.Geiler,Director Building Division �( Tom Perry,CBO, Building Commis kO 0 5 1 0 - 011-- Y 200 Main Street,Hyannis,MA 02601 OC �S,Pv_e y www.town.barnstable.ma.us gNFZ Office: 508-8624038 00 0 " Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number �0�_( Property Address I W b pA lon�) __7-(� Y,✓Li 5 ,C�r ��j esidential Value of Work S-®i ODD Minimum fee of$25.00 for'work under$6000.00 Owner's Name&Address t' �"�r5 —!" `c_kipI n s Contractor's Name M LQI�rvcyLd tip v'ry tom,, Telephone Number HomcjImprovement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) `, ❑Workman's Compensation Insurance Check one: ^r' ❑ I am a sole proprietor ❑ I the.Homeowner '" I have Worker's Compensation Insurance Insurance Company Name Workman's Comp:Policy# S �, 45 0 Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) 2-1 re-roof(stripping old shingles) All construction debris will be taken to 19 CON Pt(Q ❑Re-roof(not stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. SIGNAzm �� m Q:Fors:e Revise061306 Department of Industrial Accidents Office.of Investigations . 600 Washington Street y Boston,MA 02111 - °�M www.mass.gov/dia _. Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers applicant Information -= Please Print Legibly_ lame (Business/Organization/Individual): J cu,s",ol1LJ .,_0Jy,d�`Y�^2a'y'f' address: -� SCI-No ' amity/State/Zip: � ( Phone #: E;��o an employer? Check the appropriate box:: Type of project(required):` - I am a employer with 3 4._ ❑ I am a general contractor and I 6. ❑ New construction employees (full and/or part-time).* have hired.the sub-contractors I am a sole proprietor or partner-- listed on the�attached sheet. t - 7 El Remodeling. . ship and have no employees These sub-contractors have 8. ❑ Demolition __. working for me in any capacity. , workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑,We are a corporation and its required.] officers have exercised their 10.❑.Electrical repairs'or additions. 17 I am a homeowner doing all work right of exemption per MGL 1 l:❑ Plumbing repairs.or additions m self. o workers' co c. 152, 1 4 ,and we have no. Y � mP, § � ) 12. Roof.repairs insurance required.] t employees. [No workers' 13.❑ Other - comp. insurance required.] iy applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: - :,meowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :ztractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. man employer that is providing workers compensation insurance for my,employees. Below is the policy and job site ij,rmation. ranee Company Name: ��//�d f� v, S C'p .icy#or Self-ins.Lic. #: 12 /c' -s o �7 x 2 d&xpiration Date; Site Ad dress: state/zip:. 2. J - :ach-a copy of the workers'compensation policy declaration page(showing the(policy n umber-and expiration date) _ lure to secure coverage as required under Section 25A of MGL-c..152.can lead to the imposition of criminal penalties of a,:- t up to$1,50QM and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORD ORDER-and a fine - - .ip to$250.00 a day against the violator. Be advised that a copy of this statement may be-forwarded to the Office of .es tigations of the DIA for insurance coverage verification. 9 hereby certify under the pains and pen of perjury that the information provided above is true and correct ature: - Date: )ne#: 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#: Information and Instructions F^+ [assachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their errVlo�eS::, - JA arsuant to-this statute, an employee is defined as"...every person in the service of another under any contract of hire, li {press or implied,oral or written." .n employer is defined as"an individual,partnership, association, corporation or other legal entity,or any two or more f the foregoing engaged in a joint enterprise, and including the.legal representatives of a deceased employer,or the . ;ceiver or trustee of an individual,partnership,association or other legal entity,.employing_employees. However the wner of a dwelling house having not more than three apartments and who resides therein,-'or the occupant of the o employs persons to do maintenance, construction or repairwork-on such dwelling house welling house of another wh r on the grounds or building appurtenant thereto.shall notbecause of such employment be deemed to be an employer." 4GL chapter 152, §25C(6)also states that`.`every stateor local licensing agency shall withhold the issuance or enewal of a license or permit to operate a business or to-construct-buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with..the in coverage required.". additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall Inter into any contract for the performance.of.public:work until acceptable evidence of compliance with the insurance equirements of this chapter have been presented to the contracting authority." V kpplicants ?lease fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation-and,if iecessary,supply sub-contractors)narne(s),address(es)and phone numbers)-along with their certificate(s)of nsurance. Limited Liability Companies(LLQ or Limited Liability Partnerships(LLP)with no employees other than the nembers or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have ,mployees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. . Also be sure to sign and date.the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department,at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. - City or Town Officials Please be sure that the affidavit is'complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number.. In addition, an applicant that must submit multiple permit/license-applications in any given year;need only submit-one affidavit indicating current policy information(if necessary)and under"Job Site Address"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 provided to the .. - applicant as proof that a valid affidavit is on file for f4ture:permits or licenses. A new affidavit must be filled out each -. year.Where a home owner or citizen is obtaining a license.or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.).said person is NOT required to complete-this affidavit The Office of Investigations would like to thank you in advance for your cooperation and-should you have any questions, ..please do not hesitate to give us a call. _- The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial.Accidents Office of Investigations 600 Washington Street Boston, MA 02111: Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 :vised 5-26-05 www.mass.gov/dia ACORD -..-CERTIFICATE OF LIABILITY INSURANCE DAioi4io6 TM PRODUCER ' THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION Chisholm Insurance Agency, Inc ONLYAND CONFERS NO RIGHTS UPON THECERTIFICATE PO Box 399 HOLDER THIS CERTIFICATEDOES NOT AMEND,EXTEND OR Wayland, MA 01778 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# - INSURED INSURERA: Travelers Insurance Co. ' MacDonald Development Inc. INSURER B: 140 School Street wsuRERc: Wayland, MA 01778 INSURERD: INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN SR AD D• POUCYEFFECTIVE POLICY IXPIRATpN LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MWDD/ LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES Eaoccurence $ CLAMS MADE OCCUR M ED EXP(Anyone person) $ f PERSONAL&ADV INJURY $ GENERALAGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG POLICY n PRO- LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANYAUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ I (Per accident) 7ANYELIABILITY AUTO ONLY-EA ACCIDENT $ AUTOOTHERTHAN EAACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND X STATU TORYUMITS ER T1 A EMFLOYERS'LIABILITY 7PJUB5532CB7606 8/17/06 8/17/07 ANY PROPRIETOR/PPRTNER/D(ECUTIbE E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLU DEEP E.L.DISEASE-EA EMPLOYEE $ 100,000 If yyeess descri be under SPECIALPROVISIONSbelow E.L.DISEASE-POLICYLIM IT $ 500,000 OTHE R D ESCRIPTION OF 0 PERATIONS/LOCATIONS/VEH ICLES/EXCL USIONS ADDED BY END ORSEM ENT/SPECIAL PROVISIO NS i CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE,EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS W RITTEN Town of Barnstable NOTIC ETD THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TOD OSO SHALL Building D1v1SlOn IMPOSENO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 200 Main Street REPRESENTATIVES. Hyannis, a MA 02601 AUTH �ESENTATIVE .✓. ACORD 25(2001/08) ©ACORD CORPORATION 1988 R-I .a„ �''YN`o::.ca c4£��: f'afi�:rns; ,• -'; "3°�a 3 �,r ut�'°�* , r �` #" ° .,a }"Y-,.,. c• - &E�a m �.� �qX � t h x':'R s �x.,r- ac �•s.#� � �; t a ,. �. -, THE COMMONWEALTH.OF MASS`ACHUSETTS 9 Present Re istCation No: 02 r Board of Building Regulations aid `Standarps Home Improvement Contractor Registration Program Effective Date:, One Ashburton.Place,Room 1301 ' Boston,MA 02108 Application for Renewal of.Registratton as a=Some Improve Y Contractor or Subcontractor-.MGL Chapter;;1"42A,789 CM. 6 ate ntered: (PLEASE REAR BOTH SIDES CAREML 1. BUSINESS NAME:. Print the name.in which the apphcan:is Conducting busin s (SEIr Bf+CKK OF F�Rta1 2. Mailing Address: Area Code1. a Numbe 3 —City: h/ State ZiP. ' _� 1 4. Street Address(if different): (Print street and Number,a P.O.Box is novacceptable for address)Ci S e Zip $. Applicant type; .. - Individual O•.PBA . _•Partnership O Trust . e Private rporati e P oration r O'°Limited Liabiltty Partnership x q Luntted Liability Corpo. Please Check One (See instructions on back re#arding enclosing a city'or town registration un f6BA or"ti a awv•MGL c 110,§5 8 6) 6. �� a ) 7 Num er of Employees . - . _. .. (See back of Form) g. Have you registered previo 1 under this If so,under what? . Registration No: • 9.' Individual responsible for Home Improvement Contracts �107� (See back of:form} • : First MI 10. Title of individual responsible for Home Improvement 11. Does the applicant.or responsible individual hold er cons elat d state,city,town licenses or registraritips? >�es 8 No. T e of License or re istration Itue e.gr,,re istrationa# Expiration Date Name of License Holder 12. List all partners officers,`dir s major rs(i0%or greater of ownership)' and of an applicant partnership or corporation below. Use additional a See:in. bel heck herc'if. ou wish.to,.receive an;$ hcaUon for additional ID cards for k ey ersons,..6: ast rst a in IicanfBuslness' %thirti`er` Address 13. Is the applicant claimi, from the registration fee?(See the tnstnictions on the back) „may� „} , ...,..Nt•4 ...f;y�q.,c-w,1' a;a...,w�y„g�aa,�.., nA4. k,�'a:� �*.y"TT+r;' see note#2,on back) 14. Registration fee enclosed: l see note#1,on back) Guaranty Fund fee enclosed.$ ( A Fund". See instruction: " "ed"Guaranty' a If necessary,include two sepa a certified checks or.money orders one marked'`Reg�stration Fee ; on back for amount of fees.Make all certified cheeks or none,orders ayable.to Commonwealth of Massachusetts". NO PERSONAL OR , Y ,.�P r . +wr BUSINESS CHECKS WQ,L BE ACCEPTED UNLESS THEY ARE CERTIFIED. Pursuant to Massachusetts General Laws Chapter 6 ' §49A,I certify'under the penalties of perjury that I,to my best knowledge.aud belief bAW tiled s11 state tax returns an't paid off sta xes required under law: . Title held with a licant Date ignature of applicant or applicant's representative Pp -7lae�ommwouuealC� o���craaac�ivaeka Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registratn 130090 Exkcratian /2008 � e J�tlfuiduaI JAMES MacDONA Crf-7g JAMES MacDONALD (. 140 SCHOOL ST. WAYLAND, MA 01778 Deputy Administrator oFt Town of Barnstable Regulatory Services + 3ARNSTABLE, 9 MASS. Thomas F.Geiler,Director E 639. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 1, tV l C�1'���CtS Gu►�t� ��r��°�C�l L-AQpr��, as Owner of the subject property hereby authorize An„ac� , O Hall P�) to act on my behalf, in all matters relative to work authorized by this building pemut application for: , rvym 4 '.�4 (Address of Job) � 0 S Jignature of Owner ate J Print Name Q:FORM&OWNERPERMISSION TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION s Map l Application # Health Division ��2 eJn v I 4= Date Issued 1'1 Conservation;Division Application Fee Planning Dept. Permit Fee (OD Date Definitive Plan Approved by Planning Board Historic OKH _ Preservation/Hyannis Project Street Address I5 W0'0a1�C1' ?oaC1 Village 4q ann%SPQ(_ - Owner IviC6\4s Address c-6 101 :Sof-A7mer Bostl Telephone MA 0 2 i 10 Permit Request Ex�-e d e-Y_is 1 mar &P tip r (leW der- k addS d � 00 S4 . Square feet: 1 st floor: existing proposed 2nd floor: existing _proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation -70 000 Construction Typed Lot Size 43 ,S(o 0 51F Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. 1� Dwelling Type: Single Family LJ-/ 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 0 Other Basement Finished Area(sq.ft) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing Oew Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: w; Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ .Commercial ❑Yes ❑ No If yes, site plan review# r xiu Current Use f'eGlAe fl al Proposed Use cry APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name -g-71> Reath & :DQGeaoaMe4 Sit1C_ Telephone Number O 3- 9 •- 77 -qq--13S-7 Address 7 O • B6)( 2t License # CS -7!o 332 Q2-W A Home Improvement Contractor# 152AO-7 Worker's Compensation # 6� C'_on4(acACq- ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO RecYf_d `I a 8v to SIGNATUR DATE 4 J4/08 s ,r FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MIAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION -' FRAME ; INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL Y i, PLUMBING: ROUGH FINAL ' GAS: ROUGH o FINAL FINAL BUILDING oil311 'r DATE CLOSED OUT ASSOCIATION PLAN NO. r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street ` Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information e t Pleas Print Legibly Name(Business/Organization/Individuat): E� �e&kA:q a onnaL_ zqc Address: Pp Z0k Z City/State/Zip: _5 aAM StaJ 6_ MA 0?4&6 Phone.#: 50b 33-(o N= ° CcU,' _221 Are you an employer?Check the appropriate bop,` Type of project(required): 1.❑ I am a employer with 4. n4 am a general contractor and I 6. ❑New construction . employees(full and/or part-time).*. have hired the sub-contractors 2.❑ I am a"sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have g, 0 Demolition workingfor me in an capacity. employees and have workers' .Y P tY• 9. ❑Building addition [No workers'comp.insurance -comp.insurance$ required.] 5. 0 We are a corporation and its 10.❑Electrical repairs or additions 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 1.2.0 Roof repairs insurance required]t c. 152, §1(4),and we have no ll employees. [No workers' 13.0 Other �G1-t ex"S1 comp.insurance required] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowner;who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. rContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date:. Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine 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 statcmerit may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify u r the pains-and penalties ofperjury that the information provided o e is true and correct Si ature. Date: _ Phone# ��. 83 — CFC.e--:. -13�7 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#: Information and .Instructions { Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees: Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representative's of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states`Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies'(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or to A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each Year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number: The Commonwealth of Massachusetts ,Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 i Tel. #617-727-490.0 ext 406 or 1-$77-MASSAFE Revised 11-22-06 Fax# 6 17-727-774 1 9 www.mass.gov/dia THE Town of Barnstable Regulatory Services' swsM t.e AS& Thomas F.Geiler,Director 'D�Fn ram" Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 4 www.town.b arnstabl e.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This `Section If Using A Builder, 15 i A ic- as LazaIUS , as Owner of the subject property hereby authorize 'rb &-a t-Li e-'Peupdq�P n2Q d1 ,-, to act on mybehalf, in all matters relative to work authorized by this building per nit'application for. '- W BCA` CI, -dA In 5 (Address of Job) z Signature of 6vner D to Print Name If?ropeity Owner is applying for permit please complete the R Homeowners License Exemption Form on the reverse side, ;. 4 Q:F0RMS:WN NERPERM!SS10N- r ` Town of Barnstable �OFTHE Tp�� Regulatory Services BIARNSTABLE, Thomas F.Geiler,Director MASS. 1639. .0� Building Division fFD �A Tom Perry,Building Commissioner I 200 Main Street, Hyannis,MA 02601 vtviv.town.barnstable.ma.us Office: 508-862-4038 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 be/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 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 l 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 homeownef 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 four✓certification for use in your community. Q:forms:homeexempt AAA K rn. .. 4 j - e fr:? 101 \N[5kYt �4Ew I FXI,?T( kZT TocTIEr►-t PEK, 0 I 9EVV — i -C� 5-0 11 �I�TLN FO AQ PP2L vEP-'l Y _ I .N ,d . S AM MA z� p ON I Ex��n► y 2�1 U'�GICv C7�C.�C' EXI�T' �ND4 c Qj 4�0 12 P - v t�l�! COI�IC_MM rAP ool u �� z:)T/ i -n w 1 ooL �5) T`1(�llf^L TIE ILA` I Cv CA U -W4- \1 �Px6v 170c7re2 Alc? MOUI KEP w/cam c� ALL fVc?Tr W1 MIT OAe-;E .+ Fbe?T M4 COPq CGTF-J. FOu[4P/_ ria4 MP rV l Wc4 FLAO LA 4M/0�5 101 L u N lu OLD To�r�-t VEDz f E _ _ j 2IQ'�GIC�� I n . Val F1' .00 _ I . - TIN . 1 CD�E7� Pip , 7�11Ck. PL a- I Lv` !CPS Gilu C4� I V POD _pCnT g Cod 1 CGT �` � T1 a� , e L A . Ch1lIR FRS cl_Q P ILI .a 4 F t i 1 � - `�--�- �`� i� -� ��. i {'. fit•- � � i !� �- I I 2i it i i L1ZK. 5G ----- .414 s ! •t •ice U.L z v i ILJ `J Ll .... .... .... . -- _ I u I - -_ _ � U F f �t1 .ILI N d Y ( 1 . � J1JV Q f �.... __ ............ El i _ ..: • � a I; -- - I ._.. � to 1n1.,1 II-b N - cJ , v Q� _ Z f 7 O 17T7 IJ w O _- o is i ^W^ I! l L U ' t _. .L W Otz , v N ea[tj elQ�:rh�ent, Inc. Subcontractor List Re: 15 Woodland Road,Hyannisport Christopher Dougherty DBA CMD Construction, P.O. Box 70, East Sandwich,MA Post Office Box 21 0 West Barnstable, MA 02668 Ph: 508.833.6189 0 Fx: 508.771.3496 www.bdcapecod.com 08-07 4t - 02:59;z from-AIG +973 331 8599 T-998 P.001/002 F-231 I , CE-RTI: /'CAVE .0'F. INSURANCE s�srzoo7 PRODUCER. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Paul Peters Agency-Inc HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR U0 Falmouth Rd ALTER THE COVERAGE AFFORDED BY THE POLICIES 13ELOW Mashpee;MA 02 COMPANIES AFFORDING INSURANCE COMPANY A GRANITE STATE INSURANCE COMPANY INSURED Christopher Dougtae rty DBA'CMD Construr en PO Box 70 East Sandwich,MAK2537 COVERAGFS_ `,;--77.7 THIS IS TO CERTIFY T'MTTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOpIINDICATED,NOT WITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY_PERTAIM.THE INSURANCE AFFORDED THE POLICIES DESCRIBBDIREREIN.IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN RE:D`UICED BY PAID CLAIMS. co LTR TYPE OF INSURANCE- POLICY NUMBER POLICY EFFECTRIE DATE POLICY MXpIRATION DATE A WORKERS COMPENBATNYN D EMPLOYERS•LIAISL AY LIMITS E PROPRIETOR/ ARTNERS/E*CUTNE "r FFICERS ARE: NCL❑EXCL `4470494 1 7/13/2007 1 7/13/2008 ITATUTORY LIMrrs r•..' , THER ^ _. ovemus Applies to MA Opf60one Ordv, CH ACCIDENT $ 100,000 ISEASE POLICY LIMIT $ 500,00 DISEASE-EACH EMPLOYEE $ •.1QQ pp ._ DESCRIPTION OFmPfRATIONSNEHICLESISPECIAL ITEMS E: 166 HOLLIDGE RD,MARSTONS MILLS MA-THE WORKERS COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR CHRISTOPHER N itlGHERTY. CERTIFICATE Fi OOLDER CANCELLATION TOWN OF BARNS7ME LE SH6UL.D ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE BUILDING DEPT EXPIRATION DATE THEREDF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 200 MAIN ST DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,.BUT NYANNIS, MA 02601 . . FAILURE TO MAIL SUCH NOTICE SHALL.IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPDN THE COMPANY.,ITS AGENTS OR REPRESENTATIVES, AUTHORIZED.REPRESENTATIVE • J i i ;oard of Building Regulations and Standards lit C �. is onstruction Supervisor License . License CS 76332 ' f t xpir91=91 2009 Tr# 4218 � �t b Res-intion� fl0 !fi KEVIN BOYAR PO BOX 716 W BARNSTABLE,MA 02' 8 Commissioner q 67{LP lll'.Y,� /6��/L ✓NLICOOCLCIOF'.GC4 i; . Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registrafron „.52407 e Expiration 4 8/2 ./2008 Type Pn'ate Corporation ` B&D REALTY DEVELOPMENT A 1 3 KEVIN BOYAR 1050 MAIN ST. WESTBARNSTABLE,MA 02668 Deputy Adrninistrater, ; 8 L TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION (7 - Map 7 Parcel Application# Health Division Conservation Division Permit# Tax Collector Date Issued 2a d Treasurer Application Fee S Planning Dept. Permit Fe Date Definitive Plan Approved by Planning Board Historic-OKH 6)a ram• Preservation/Hyannis Project Street Address %6 I400VA,1600 Ad• Village A",n15_/_3r,1 Owner L.7-Sres Address /®/ J5(IMiY)e -6;t &O-5-kn,�f� Telephone (6/7) 320 ` /7,93 � 02 fI® Permit Request 6wiMr*hq rw/ L10d) W` .5Da 2 knee, square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ,$4so lC Construction Type &Oik, I^sgm nd swl,mmm¢ POO = ' Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting docurrfe tation. = + .�, tv Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes YCO NQ�' Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other cn m Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing S new size 20 x 6 Barn-❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Uther: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use - - - BUILDER INFORMATION Name �jO�&50c,"9+5 Telephone Number Address //0 R.0-s w 4.10e License# G S 07632W e yla &dar ann rs ZM 624661 Home Improvement Contractor# IL5 6 2 2l kyin r�r� Worker's Compensation# x(3921 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Via la Assoc a`ks SIGNATURE lef DATE f9�D7 r I d �i j FOR OFFICIAL USE ONLY v ` .,PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE , I tl i OWNER ' w 4' r F `�• r• { DATE OF INSPECTION: FOUNDATION r FRAME r , INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL " PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ` ASSOCIATION PLAN NO. I R VIOLA ASSOCIATES, INC. Pool Division Renovations • Custom Installations Repairs -,Maintenance PO Box 389, Centerville, Ma 02632 Ph: 508.771.3457 Fax: 508.771.3496 Date : 5/8/2007 Fencing Requirements Building Department/Permit Process Customer Name : Lazares,Nicholas Customer Address : 15 Woodland Way Map : 265 Parcel: 020 Parcel Ext: Fence Type : Chain Link With respect to fencing or barrier requirements for private swimming pools (including hot tubs and spas), the following criteria shall be.met: 1. Height: Forty-eight(48") minimum above grade (780 CMR). 2. Maximum two inch(2") clearance between grade and the underside of the barrier. 3. Openings in the barrier shall not allow the passage of a four inch (4") diameter sphere. 4. Where the barrier consists of horizontal and vertical members and the tops of the horizontal members are less than forty five inches (45") apart, the horizontal members shall be on the pool side of the fence. Spacing between vertical members shall not exceed one and three fourths inches (1 3/4") in width. If the tops of the horizontal members are more than forty-five inches (45") apart,the vertical members may be spaced up to four inches (4") maximum. 5. Mesh size for chain link fences shall not exceed one and one-quarter inch (1 1/4") square. . 6. Openings for diagonal lattice fences shall not exceed one and three-fourths inch(1 3/4"). 7. Pedestrian access gates shall comply with the above. Gates shall open outwards, away from the pool, and shall be self-closing, with self-latching devices. Release mechanisms less than fifty-four inches (54") from the bottom of the gate shall.be located on the pool side, at least three inches (3")below the top of the gate.No opening greater than one-half inch(1/2") shall be allowed within eighteen inches (18'.') of the latch mechanism. 8. Where a wall of the dwelling serves as part of the barrier, an alarm is required to sound when the door(s) leading to the pool is opened. The alarm shall be equipped with a deactivation device (for a single door opening action) located at feast fifty-four inches (54") above the threshold of the door. An alarm is not required when the pool is equipped with an approved power safety cover. ' a a � f F S n� s T 5 � c E •.i V T T is v a. r..n►a a►,....�..... REgu]ator'y S&vfces Thomas F,Geiler,Director. .MASS, Building Division Tom.Perry,Budlding Commissioner .200 Main Street, Hyannis,MA 02601 ' wwy�,towA,barnstable,ma'.us . Fax 508-190-6230 Fsce: 508-862-403 a permit no, Data ' AFFIDAVIT HOME IMTROYEMENT CONTRACTOR LAW .SUPPLEMENT TO PERMIT APPLICATION lyIGL a 142Areq'as thatthe"reconstruction,alterations,renovation,repair,inodamization, conversion, it 3L 0, 142 removal,demolition,or construction of an additior to any pre-existing owmex-occupied building containing at least one but not more than four dwelling units.or to structures which'are adjacent to bt 1ILlu be done by registered contractors,with certau exceptions,along with other ce or g \ such resrden 1equirements. . Type of work. Im m� Estimated Cost_ �� Address of WOIk OvIser'sName. - �Za2/e.S Dato of Application I hereby certify that: Registration is not required for.the following reasons); []Work excludeclby law []Job Under S1,000 QBuilding not owner-occupied ❑Owner pulling own permit Notice is hereby given that: O�YI�ERS RTJI,I,ING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED • CONTACTORS F01 APPLICABLE HOME IMPROVEMENTYORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTYYUND UNDER MGL c,142L SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of owner; ' Dae Cantrac ignature. RegistrationNo, OR Date Owner's Signature Q�,�fues.fsr ho7rneafiid2Y gey; O606D6 • ' May 12 07 07: 49p Alexandra 6175551234. p. 1 _... No. ..,� � Town of Barnstable , Regulatory Services 3 aerMABM • MAM g Thomas F.Gener,Director Building Division Tom Perry, Building Conunissioner �w"aW Street, HY&unis,MA 02601 www.town.barastable.ma.us Office: 508-8624038 Fax:. 508.790-6230 Property OwnerMust Complete and Sign This Section If Using A.Builder Y, Al/eho/a'5 as Owner of the=bject.property hereby authorize My SGi to act on behalf,^_ , in all matters relative to work authorized by this Building pemut application for: (Address of Job)' Signature of Da e LVI Lj , Print Name Q FoRMs:O'D,QQERPERM15SIoN r PR-17-2007 14:13 From:.MARK SYLVIA. INS 5084209227.. To:1 508 771 3496 P.1/2 DATO(MMIDWYMI r CERTIFICATE OF LIABILITY 1NSURANC 04/1.712007 PRODUCER_ 508 429.0440 THIS CERTIFICATE.19 ISSUED A5:.A:MATTER OF'INFORMATION MARK SYLVIA INSURANCE.AGENCY ONLY AND .CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER-THIS CERTIFICATE'OOES NOT AMEND .,EXTEND OR 989.:MAIN STREET.` ALTER-THE COVERAGE AFFORDED BY THE POL CI S BELOW. 969 MAIN STREET OSTERVILLE, MA02855 INSURERS AFFORDING COVjEF2AGE NAIC l iNeuR9D NSURI as`FARM FAMILY CASUALTY INSURANCE - VIOLA ASSOCIATES INC 2006 j iNBuReRn: COLONY INSURANCE COMPANY PO e0X 3BA INBUROR c CENTERVILLE,MA"02832- INSURER INSURER G.. . C01fERAQES . . , T14111POEICIE6 OF.INSURANCE LISTRD BELOW HAVE BEEN ISSUED.TOT.HE.INSURED.NAM.ED:ABOVEFOR THG POLICY PERIOD.INDICATED.NOTWITHSTANDING ANY..REQUIREMENT,TERM OR CONDITION,OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY DE ISSUED OR MAY'PERTAIN,.THE INSURANCE,AFFORDED.BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS;EXCLUSIONS AND CONDITIONS OF SUCH POLICIES..AQGREOATE LIMITS SHOWN MAY HAVEBEEN REDUCED BY PAID CLAIMS. 'PO CVS P Vp .POY x RATION POLICYNUMBdR L C LtMtTB 06NBRALLUU911,ITY` CAOMOCCURRl;NC6`. S. 1;000;000 - : I I A00TORGNT60X GALLIADII-IT GL3082992 .08/1712006 06/�712007 DAMIOD(3oo . ! " 100;000-.N PRDM 5,000CAIMB MADE X;I OCCUP. MCD O%P(Any nn0 parson) - PERBONAL6.ADVINJURY 3 . - I GENQRAL'AGORqGA7G a 2r000.;000 OCMLAGGR@6ATGUMITAPPLIL'GPBR PRODUCTS 0 COMPIOP AGIG , 1 20000,000 POLICY P 0, LOG AUTOMOBILq:uAOILITY COMOtNGD OINOIA LIMIT a i ANY AUTO IEe amMenll ALL OWNED AUTOS I PODILY INJURY a OCHDOULED AUTOS (Per person) NIRDDAUT06 j I BODILY INJURY NON rO WND D AUTOS fPeragoIdenq . I PROPGRTY DAMAGG` a (Para=ldent) GARAGG LIABILITY;. . AUYO ONLY ICAACMDE"NT 3 ANY.AUTO I OTH11R THAN - ACC-6 AUTO ONLY'._ AGG: m CIIC9BOIUMBR9LL.ALIABury :, DACHOCCURRPNCp a OCCUR CLAIMS MADE A13ORGOATC ®, OEDIICTIOLG 3 ,. RiifFNTION .:'.S § WORKERS COMPISNBATIONAND `70KY LIMITS s X'4 � A ®MPLOYERBILIAEILJTY .:._:• 2001W8208 04/29/20.08 04/29/2007 LeACHACCIDENT a 500,000 gptYPROPRICTORIPARTNf R1fiXE`CUTIV4 I 9/2008 OFPIC6RIMQMDtSf+U'fCLUpBD� G L DIBOABG r GA BMPLOYLC iOO,QOO 04/29/2007 04/2 OVIRIO R'Delow I O L DISDASB r POLICY LIMIT I_a 6OO GOO.' . . ,..[9THqR,:, 0E6CRIPTION OP OP9RATION B I LOCATIONOJ VENICLEO I UXCLUBION4 ADDED.OY 9NDOROSMSNT 1 BP901AL PROVIBIDNB 'L<tNDSCAf�E GARDENING.- -- - -- G CANCELLATION CERTIFICATE _ BNOULD ANY OP TNB ADOVQ DBBCRIBOWPOLIOIBIll CM ANCOLLdMBdP0R9 TM9 UP914T10N OATS TMRREOP,TFip IBBUINITiNBURBR'.WILLlINDRAVOR 7 .'MAIL DAY O WRITTEN': TOWN OF.BARNSTABLE NOTICp TO THE CERTIPICATQ'.HOLOpR NAMED TO:THE LEFT is PAILURE 70 DO fj0 DMALL BUILDING DEPARTMENT IMP600 N0 OBLIGATION iOR,WABILlTY;OP ANY.'KIND UPON:THE INSURER ITS AQENTS OR MYANNIS.MA 02601 R9PR�eNTArnaa' FAX:609 771.3488 EMIK AU TMORIZSDRBPR9ti9NTAM9: ACORD�S(20Q17Q8) Q PORP:ORATION 1960 i �'/ze �ominaomcueall� o�✓ aaaac�ivae �. ... BOARD OF BUILDING REGULATIONS 1 License CONSTRUCTION SUPERVISOR i . .. .' NumberCS,k 076332 j ! 4 Ezp�resT 09�05/2007 Tr.no. ,7566 a Restricted 04 + s i PO BOX 716 W BARNSTABLE, MA 02668 .. Commissioner 'l �/�ie l�amnzonure ✓�aaaacffivae��. Board of Building Regulations and Standards I. HOME IMPROVEMENT CONTRACTOR I Registratf n: 155622 �. . Ztto�26/2009 Tr# .255175. yp ndvidual KEVIN M BOYAR KEVIN BOYARY 1050 MAIN ST �. WBARNSTABLE,.MA02668 Administrator The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations. ' a f3 600 Washington Street_ Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information 1- Please Print Ledbly Name(Business/Organization&dividual): ��(��� 44'$OGa AS Address: City/State/Zip: PM OZ66/ Phone.#: Are y an employer?Check the appropriate box: Type of project(required):.. 1. I am a employer 4. ❑ I am a general contractor and I with� 6. New construction . employees(full and/or part.time).* have hired the sub-contractors 2.❑ I am a'sole proprietor or partaer- listed on the-attached"sheet.• 7. El Remodeling ship and have no employees These sub-contractors have g, E]Demolition workingfor me in an capacity. employees and have workers' Y P tY $. 9. ❑Building addition [No workers' comp.insurance comp,insurance. required.] ` 5. F] We are a corporation and its 10:❑Electrical repairs or additions officers have exercised their 11. Plumbin repairs or additions 3.❑ I am a homeowner doing all work ❑ .Plumbing ep i 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' 13.0Other JZ- comp.insurance required,] Al s LIZLAPE) *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. lam an employer that isproviding workers'compensation insurance for my employees. Below is.thepolicy andjob site information. Insurance Company Name: r COS Oa� CD Policy#or Self-ins.Lic.#: ('L 3082 992 Expiration_Date: 6JI 7 ®'7 2 6Q/C.p 20� 2 q o8 Job Site Address: d Q /)MCity/State/Zip: 0 2&4 7 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure.to secure coverage as required under 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!)IA for insurance coverage verification. I do hereby certify and the pains-and penalties of perjury that the information provided above is true and correct. Si afore: Date: Phone#: 7� S Official use only. Do not write in this.area,to be completed by city or town officiai City or Town: Permit/License# Issuing Authority(circle one): -1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employef,or the TP�P,urer nr trustee-of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling.house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to'operate a business or to construct buildings in the commonwealth for any applicant who has not produced.acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for,the performance of public work until-acceptable evidence.of compliance with the insurance requirements of this chapter have been presented'to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit: The affidavit should be returned to the city or town that the application for the permit.or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or.if you are required to obtain a workers.' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or.Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact.you regarding the applicant. Please be sure to fill in the permittlicense number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"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 provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves-etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,- please do not hesitate to give us a call. The Department's address,telephone-and fax number: The Commonwealth of Massntwotts , Department of Ind-tsbdal Accidents Off ee Of Investigaho 600 Washington Street Boston,MA 02111 Tel.# 617-727-4900 ext 406 or 1-$77-MASSAFB Fax##617-727-7749 Revised 11-22-06 www.mass.gov/dia �F[ME� Town of Barnstable *Permit# qo Expires the from da-- • Re ulatory Services x - saxsrrn: _. - g Fee' M"sa �' Tliomas:F.Geiler,Director -Building Division Perry, Building Commissioner •200 Main•Street,- Hyannis,MA 02601-- Office: 508-862-403814> :.. Fax: 508-790-6230 :: : ,.:. ..... EXPSS:PER1Gr['T. I�Y;IA�'LON - RESID�NTI�� .SAF�NSI"A�3LE Not Valid without Red X-Press Imprint 4ap/parcel Number Il 1 11 v J 6 'roperty Address sidential Value of Work �� Minimum fee of$25.00 for work under$6000.00 owner's Name&Address U N o , �- �Q ry. �q 7 C re S -2-5s mS �- i Contractor's N Telephone Number �_ ( �J�-7` `7 Home Improvement Contractor License#(if applicable) 1�OO9 0 Construction Supervisor's License#(if applicable) ❑Workmen's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I Pa the Homeowner [91I have Worker's Compensationlusurance Insurance Company Nam �ry P�s` Workrnan's Comp.Policy# \1 �l d 1-(_ Copy of Insurance Compliance Certificate'must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement C s License is r ed. Signature Q:P :expmtrg Revise063004 The Commonwealth of Massachusetts Department of Industrial Accidents office efinuestlgatlons 600 Washington Street, 7r Floor Boston'Mass. 02111 v Workers'Compensation Insurance Affidavit: Buildin /Plumbin /Electrical Contractors 11c: NJ:0W ai _;W..OWN 6 H a name: MCA C: CLJ address: � city state: "C� zip: phone# I ( `3,0'4 (A work site location full address): ❑ I am a homeowner performing all work myself. Project Type: ❑New Construction model ❑ I am a sole ro rietor and have no one working in an ca acJR! 4.ldin Addit i ❑Buiion ❑,I-stn an employer providing workers' compensation for my,employees working on this fob eoninanv name 'Ch r"�,r � } s a r Al y f`. `H 4v '•Stk i` .'l.. 11 cps ,�1 R,t��r .�7 .{ 1 S�af,X:d:� ,M��#.�-�5°` msurahce_ci: J x nr5L6Y �4� ik v ❑ I am a sole proprieto,,�general contractor ar homeowner(circle one)and have hired the contractors listed below who have the following workers' compzrrsatr es coriiaany name777:7 ( I ( � ,a- dressil phone t comaany.natne. addxe§s. .. c�txc yh0ne.#. q. in e co. c aildy gal"hee.` a ' Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me, I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of '�ry that the infor ation provided above is true and correct Signature Date Z— � 7 Print name J 3 L M a t/ vR Phone# ��!' < / official use only do not write in this area to be completed by city or town official city or town: permit/license# —[]Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (revised Sept.2003) - - Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law",an employee is defined as every person in the service of another under any contract of hire,express or implied,oral or written. An employer is defined as an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. 2 Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. i City or Towns Please be sure that the affidavit is.complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number:The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street,71h Floor Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext. 406 Utu-Li-CUU4 In IC.,9! rri GIIIW1ULI1 1I`0=111611 PHA IYU. JU0JJ033L4 ACORD CERTIFICATE OF LIABILITY INSURANCE °12/2�3/4 l PaoDvcra+ THI6 uwnFCATE IS ISSLEDASA MATTER OF RSORMATDN ONLYAND eoNFEwK0NGH7S U Chistwlm insurance Agency, Inc PONTfEC EICATE ERT HUL DBt THIS CERTIRCATEAOBN10T AMt]►q EXTEND OR 80 aox 399 ALTER THE= AffDRDED HV THE POUr-1118Bd OVki. 79ayiand, b47► 0I778 1N8L] W API NO COVERAGE _— NAIC S__ IfaJUR® - - - - NNRM*Norfolk & Dadhm- ---- `° UgLeMonald ContraCti.ng, InC- INsumfkcraaite State Xna. 25 Cushing street - Wmlthzm, }ILL 02453 WSURgiD - V1MIR�� COYEI<tA� THE POUCIE8 OF INSURANCE L167M 6EWW H EE AVE 8N I85tJED TCI THE INSURED NAMED AROVE FOR THE PDIICY PERIODINDICATED.NOTWITHSTANOINIa ANY REQUIREMENT,THRMOR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RSSPECTTO WHICH THIS CERTIFICATE MAY Be ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DSSoftIHED HEREIN 16 SUBJECT TO ALL THE TERMS,E)r"SIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MNAY HAVE BEEN REDUCED BY PAID CLAIMS. 1 , IJ TYPE 0FROIRAMP POLICY NUIffd6t sr f xAa.�LrrY Faces OCGURRBK:E 6 i t 000 000 ED A X �t coMMEI vLGf3�RuLum m R0404464A 10/27/04 10/27/05 PR9t�t aRET s 100,000 ,j C"Ns MADfi }�OCCUR ' M®FF]'PIArWaeawxn} i- 5.000 PEJi50NALAAMMURY i 1,000,000 GENEILILA nT s 2,000,000 GFN'LAGWISATGUNRAPPMPER pftoOUCTS-C IFIOPAGG i 1 , IPOLICY LDc AUTOMMI1.6UA61LITY CONSWEI SINGLE UMI► t ANYAUTO - �- ALLONMAt1T05 IPa)XV M RY ED S _ S01,15'DUIEDAUT08 - HpIiDAUTOS I e tlfd�an) ; GARAUUANW" AUTO ONLY•H►AC'q%EEN'f 3 -- . ANVAUTO NJT00k EA ACC S pljl'� t AGG i f7CCE8SfU711eRELLAI fABLITY EACH OCCURP2= i AGWGAT6 s< _J OCCUR CLAIMS MAPS DEDUCYaF - S - RETENTM S Ulm WORK 8tBCOMf fWNAND Y - - -- >0 eMFI�IArr3t9'w106RY 1-)BA 12/10/04 12/10/05 kFL „cnaccm9+tT : 100,000 _ tcFlus1 �au �Ui1 :�Af�ulrv> , 100,000 a as 1�L olleAse-f�OLICYLBAIT s 600,000 OTTER DE9C RD"ftOMOF 6I♦"RATIQNS f LOCAlI0ff3llaal CLFSlt7ICLl>aloHa wODf'Ji GY IatDCIgL'AEENT►�LCIAL pppNmo►F, CEWIRCATEHMM CANCS.LATION amuwANYoFTMEAa&-tofiiCRimPOuenseirc Ncm=Bu<wTHE61mm= Town Of surnotable amTMWF.THE 01SUINGWISNORWIL 009M RT0MAL 30.DANIVOTTEN Building Diviolon KOMgroTNeeFpTIFICATEHOLGERpmwTOTNE WT.sUrii AWTODDSODUU 200 Main StreetINpOS@NDOBLWATONCutLfAiLITY�MIYNINO THEM AGEN780R S'yannis, VA 02601 RimomyoTN' AUTR0pI2�RRPRE�IiATIVE !Ar ion 25(200VOO) QfW COI�RATMN �l Town. of Barnstable . °�. Regulatory Services we,$ Thomas F.Geier,Director . 9� ��� ��• Building Division RFD MPt Tom Perry, Building Commissioner 200 Main Street, $y'aanis,MA 02601 www.town.barustable;ma.us Fax: 508-790-6230 Office: 508-862-4038 Properly Owner Must Complete and Sign This Section If Using ABuilder r • as Owner of the subject property. hereby authorize. ., '. . to-act on mybehalf-, in all matters relative to work authorized by this building permit application for. (Address of Job} Signature er Date Print N t , " la��Ml - �92� i�I6�/77//%20%EUIP,fLLGl2 6Z✓��Q.Cf?tildC1�6. 2(c _ BOARD OFBUILDING REGULATIONS r License;.CONSTRUCTION SUPERVISOR is Numbers CS 022236, �{ r , 1 Expires; 12/16/2005 Tr.rid:, 13175 Restricted 00 .. JAMES G MACDONALD ;( 140 SCHOOL ST _ mlrn o WAYLAND MA 01778' Ad " •strat r r y s 00 35,000 cf enclosed space '+ Itl (MGL C.112 S.60L} i 1A Masonry only t 1G-1`&2 Family,-Homes i. Failure to possess a current edition of the ; Massachusetts State Building Code t e. is cause far revocation.otthis IiG�nse;::.. . DIG SAFE CALL CENTER (888)344 7233 _ - I i i.1 V YW U/C�!Y,�Y,i2P�/'LU/P.CLLG�G (/. � .ldC2'�f2AJ PS x Board of Building Regulahods an tandarus q 'i HOME IMPRO!/EfiflEi�T CONTRACTOR. j = Registration, 130090 a� Expiration;_ 1,1412006 r Type Individual DAMES MacDONALD ;: i. DAMES MacDONA.LD 140 SCHOOL ST. tl11AYLAND,::MA 01778 Administrator . i } - i' - a - i�._ License or registration valid for individul use only �}yl before the expiration date. If.found return to: i / Board of Building Regulations and Standards One Ashburton Place Rm 1301 r .� Boston,Ma.02108 j + I Not valid without signature 1 to and lot number O... ..... ... ....-.. STHE Sewdee Permit number ................3 3C SYSTEM Yid CO (�' a Z BAHBSTABLE,INS i F House number •.................... .................................. ���WI i< TITLE 5 9 MABa �S�l� G,.4� G� i639. 0� ON$�s�ENTA'L ' : DYAKa� TOWN. OF BARK V47ABIE.E'���' BUILDING INSPECTOR APPLICATION FOR PERMIT TO V..�. ...... eC-'C ................................. ............................................................... TYPE OF CONSTRUCTION .....eV,050N........2�G4.,?c......................................:.......................................... .......... :..�'y.........196R3 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...........4�4QD /Ct,r?.A.....12d......... .614 1..... ........... ......./..T..1..- ................. ProposedUse .....:C.... er.<� ..................................................................................... .......................................................... �1,1411 Zoning District ........................................................................Fire District ......... ......................................... Name of Owner ......12 .M .n.Q.............................Address ......L..7 .. ......... ....l Uj Name of Builder .T��.. �/�� -....................Address(51../7D/ �wUGrJ P�!.. ............... .... ....... ......... ......... Nameof Architect ..................................................................Address ...................................:................................................ Number of Rooms �" 1 de ...................................................................Foundation �,�.).�...:.........�'.../..��.......'�.......................... Exierior ...Roofing ................................................................................. ......................................,................................. Floors ......................................................................................Interior .................................................................................... Heating .:................................................................................Plumbing .................................................................................. Fireplace ..... .. ................ .......................................................App'roximate Cost Qoc).................................... Definitive Plan Approved by Planning Board _______________ _____ ______19________ . Area � ..5. ...�T`..... Diagram of Lot-and Building with Dimensions Fee pZ. ..aP� ........... SUBJECT TO APPROVAL OF BOARD OF HEALTH COOODL./INO ZOA .1 41&o / p-tpo � Z 3 o OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town Barnstable re' di the above construction. Nam ...... .......... .. ............... .............. - Construction Supervisor's License 4.9..$ 9............ J. ROMANO 25105:- ADD DECK/ ................. Permit for .................................... Single Family Dwelling . .................. L Wobdland Road, Hyannisport- ocavon ......................................... .. or annisp t . ...........Hy ............................................................... Owner ..J. Romano .............. .................................................. Type of Construction ....Frame.......................... .. .. ....... ................................................................................ Plot ... ......................... Lot ...................... May 24, 1-9 83 Permit Granted .......................................... Date of Inspection ...............19 Date Completed .....19 7 Al 4 L 0 no Assessor's map and lot number ......... .................................. c THE o Sewage,-`Permit number e................................. Z 13AUSTODLE. 1 House number mum ♦� • '�o ePY a` TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO r ' . TYPE OF CONSTRUCTION .....:..:.1........ •'�r................................................................................................................ ........................w:..: TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for af�permit according to the following information: Location ............ 0.:P/a ....!K rl........ az....'isrll 4?1.:0........................:... ......................... _ ...... ProposedUse ..... ................................................................................................................................................... Zoning District ' 'z:' ...........Fire District 1T� i% Name of Owner ... .. .Mf^,. .r,J.............................Address ..T .t��7.r. �� ....../. !. ....&Lz.zezof �� /Y /p�. .U1Gcf / Name of Builder . .... .. ...... .. .................................Address C..� ......................................................�.�.�' 1 .. Nameof Architect ..................................................................Address .............................................�.......................................... Number of Rooms ...."""'..................... Foundation . Exterior ....................................................................................Roofing .................................................................................... Floors ........_ ......Interior ......................................................................... .................................................................................... `" ...............................y .•:..................Plumbing _ Fireplace ..................................................................................Approximate Cost �. ....................... r/.J t----- ....R . ..�. L Definitive Plan Approved by Planning Board ____________f f_____ __19________. Area ...�1. :..... ��Diagram of Lot and Building with Dimensions Fee ....?....................... . SUBJECT TO APPROVAL OF BOARD OF HEALTH }.°[rp.` 00 0441 N p �Z U(� ►_ �a GZ , i A•,� iA �xlSrlN� lyo(A5P Y � � M1 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the.Town Barnstable re cr-ding)the above construction. o j Nam ...... .......... .. .......... .. . .�-- .,� ............ Construction Supervisor's License ............ J. ROMANO A=265-20 25105 ADD DECK No ................. Permit for .................................... . .......Sing-le...Family...DwelljD.g.............. Woodland Road Location ................................................................ Hyannisport ............................................................................... J. Romano Owner .................................................................. Frame Type of Construction .......................................... ............................................................................... Plot ............................ Lot ................................ May 24, 83 ' Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed .......................................19 Assessor's o!fioe (1st floor): � ��� pi THE To Assessor's hap and lot number .. �„ � ....... � ���( � �♦ Board of Health (3rd floor): �( o Sewage Permit umber ..................................... eoa�S !1(d �e��� B aa`sr�nLt. Engineenng pp rtTOt (3rd floor): %ht,���l�tnv��� �-0 rb o• ♦� House n'�rnber ............................................................. AT� tea: pY � Y APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only ���� f TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... I Glva.� /'.......�J�.... �i��- ...................................................... TYPE OF CONSTRUCTION ....1R`? h.......o/1..r1!`!4...... I�+T.!a....../..0�11�.!!17 ./J!?.............................. ................+[ 4.,e...--.........19.6'.7- TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .. p` "....4 ......W addlvid.......I Y.............. .......�.S.I.Q.t I.1�........ ......................................................... 1 t. ,►�......A.kl �).t.-.4.........f !16.U.cc.I°?r1h..—...I St:e '�h.t. ................................ Proposed Use .... ..................... Zoning District ..J.beS.1. P(!���lJ.............................................Fire District.. .............................................................................. r Name of Owner l.(:dw�rzj..... ..!....bt. S..............Address ...b) 1?l4kj1 .......8 4.:.......� A.h.�f•.. Name of Builder.!' kr.....Ay..... .)!P.t4..1 ......04Y+ .41-Address ?.............................:.................................................. Name of ett .....1.IJCj .........f!1.....J.q.rV..C.!�...................Address ou �0.. Numberof Rooms ....../V/X........................J.....................Fouridation .............................................................................. Exterior ...:................................................................................Roofing .................................................................................... Floors_ ......................................................................................Interior .................................................................... 'Heating ..................................................................................Plumbing .................................................................................. Fireplace ..................................................................................Approximate Cost 4.7,S-OP......... .. .. ........................ Definitive Plan Approved by Planning Board ---------------------19-------- • AreaU. (. :... Diagram of Lot and Building with Dimensions Fee ........ .................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to. all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ............. ............ ....... ........................................ Construction Supervisors License .................................... LAZARES, NICHOLAS W. ALTERATIONS No;k.J9AP.8.. Permit for .................................... Sip.g.le family Dwelling .......... Locot i 0 n , — R. k .....�%.J�?�r......Wo.o.dl.and...Road .......... .. .... .. .... ..... .... -S—qu—aw -t-5nd, Hyannisport .. ...................................I.................................I......... Owner Nicholas W. Lazares Type of-)Construction ....F.r.a.m.e.......................... ................... Plot ....................... Lot ................................ Permit.Granted .......June...2.2...............19 87 Date of. Inspection ..........�/Z.........:......19:: Date Completed ......................................19 Assessor's offioe .(1st floor): ^, 7�� O�fNEtO Assssscir.ss'Anap and lot number .. .:�(.� ............... Board of Health (3rd floor): 3 3�l / "Ti�l( IUo Sewage,.,P,ecmif. number ................................... 339Hd4T&BLE, i En meerin :: ,,,'.artm,wt Ord floor): �o rb a ♦� B O 39- House n'n,,,, .;:.;".':.:................................................................ 'EpMAYa� it p';Ii!";; APPLICATIONS' PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF, BARNSTABLE BUILDING INSPECTOR 1 APPLICATION FOR PERMIT TO-,.... Il��l /ter . TYPE OF CONSTRUCTION .... 1. 1n......O r► !.....hh..... 'JI" ....../.�. 1!�.1!*!. .!Ji°?.......... uh. ..... .....19AP'7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: flLocation .. n ...< .......))O.dd.�gk,4.......PW............. 01,t,•J.......!..5.14n..d................................................................ ProposedUse .... .. .1... W.).............. ..........................4..............ew U....���............... ...............•......P............................... - Zoning District ... . es.!An ............................................Fire District .............................................................................. ,f - f J ` ' l fj f 1 Name of Owner x.c.4.14i.....!^:..t....�.. °! ..............Address ...j1444!'1af,......�T,4 ........ .. ..V!�:h1...!.�./�!3.�1... � A Name of Builder !per..... f.....t.�•P.nt!'A(!.Lye f.-A4..rAddress1 '} f ................................................a: �hS4eet s �4 �U(Ve �� ...d.dt1(•iM....J.l..a.... 1���. ... Name of A�ehmhe@t ..:.. a....... ! ....:.............Address . Number of Rooms ^e .......�.....................................................Foundation .........:.................................................................... Exierior ...:................................................................................Roofing .....................................:.............................................. Floors ..............................................................:.......................Interior ............................................................. Heating ............................Plumbin ................................................ r Fireplace ...................................................................................Approximate Cost ....... .. `Ga..................,..... ................. . �) Definitive Plan Approved by Planning Boar'd _______________________________19________ . Area -V�.. Diagram of Lot and Building with Dimensions Fee ......... ................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH a OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. C...�� Name .........................: ................................a........................ Construction Supervisors License .................................... LAZARES, NICHOLAS W. A=265-020 No ..3.08.8.8.. Permit for ,.ALTERATIONS ....................... Single Family Dwelling Location 15 Woodland Road - - Hyannisport Owner Ni%cholas W. Lazares ....................................................... Type of Construction Frame ............................. .:............................................................................. Plot ............................ Lot ................................ 1 . Permit Granted .....June...2.2.,..............19 87 Date of Inspection ....................................19 Date Completed ......................................19 Assessor's .offioe (1st floor): TNET Assessorr''s map and lot number ..:.., .�.�. .�..... �C SYSTEM MU�� Board of Health (3rd floor): 'T-7 � v% ® IN C®MPL o� Sewage Permit number ......................... A`{r � ����.� 9 Z BAUSTAM Engineering Department (3rd floor): r �;,so rasa \� House number 1. 3 , tG1L .,,_ oo�p py'a 9 �.. `I L n , Y APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN, OF BARNSTABLE BUILDING , INSPECTOR APPLICATION FOR PERMIT TO ...../ ll 0 1 �w.0 �U ................... .. ........... ... .............. ............. ... ............ TYPE OF CONSTRUCTION ......... ©.®. .........� v�.. :.. .................................................... ......�. .. .................................19..../ TO THE INSPECTOR OF BUILDINGS: The undersignedq hereby applies /for a permit according to the followinginformation: / Location ...........W©�5. ..F-,l.'j!!J ..... ..` ..................." .7 ..... .�.... ....t7Y.. tU�, ................ ProposedUse S��..... .............e................................... ........ ...................... ZoningDistrict ............ .......................................................Fire District .................................................. Name of Owner .... lg77>.......`. .Address .....r .a©. .. .....RD Name of Builder .jj ` ����n t~..... ..Address lT " L v U.................... ... ............................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ..............`.v............................................Foundation .�Q.. ...... 91 ��Jv�-J Exterior ... '7. Roofing .... ........................ ...s................ ...... . Interior .....!.... U� Floors ' �................ .. Heating ..... ��1 �.7........do..�.C.�.1.�...f?141umbing ...�.�f ............tV...`........................................ Fireplace ............1.�����....... Approximate Cost ....... . 1C fi.,C, r�...........................-............ Definitive Plan Approved by Planning Board _______________________________19-------- . Area ....... ..1.. .`............... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations e.Tow of B nstable regarding the above construction. I Nam ........... ..... .................. ......... 0� 3 Construction Supervisor's License .................................... J-7 j A/jZARES, NICHOLAS No ... Permit for ot Sin le Dwellin ......... ............................................9.............. Location ....1...5.....W...o.p....d...1.a....n...d.....R...o.a.. ,...(Lot H y4XI�ji ............. ...S en�.. .......................... • Owner .....I...N.i.c.h o.1.a s....L�K�A.Tes .. . .. .... .. .... ...................... Type of Construction .... ........................ ,'If .........................I..................................................... ti Plot ............................. Lot ................................ ,4v -`2 , Pei�mij:'-Grante'd ..... November:" 19 8 7 'Finspecti6n ......... 19 Date ;5f F, f Date Completed ......................................19 4 r L 7 S Assessor's offioe Ost floor): /, �, o�IWETo Assesso's map and lot number .............. ....... .�.............. � ��, Board -of Health (3rd floor): r7 l�' d Sewage Permit number .............................................. Z BiBa9TOBLE, i Engineering Department (3rd floor): < moos,rb 9. House number ....................................... .�.. ,).•.......... 'Ep YPY d' APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR 4` APPLICATION FOR PERMIT TO ....., .)2. 0.... wC� G!1GU1� / � , %.... ............. ...................................... TYPE OF CONSTRUCTION ........ ..P P.0..............`.. ..lLf:......�"-:.................................................... i _.....�.l....:.............................19 .7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location WOG.�.�--. !v.Q..... ..` .. .....�.�..... ....f !t!N/ ................ ..................... ........................... .... . Proposed Use .......... G ...... .'.............. ............ ........................................................ S! � C..�' .......................................... ZoningDistrict 4........................................................................Fire District .............................................................................. Name of Owner: ..../,"iC. C) ,CA..t'.................�. Address ..... ...... ........l. t -"f c ti Name of Builder !?..?�Ci� .....1� �f� !�'v.-5 ddress ..........�� .U.`�.... ......................... Nameof Architect ..................................................................Address .................................................................... ................. t Number of Rooms � h / � ..............�.�............................................Foundation ..� ..................d....................(��!............... .. E X 1 e r i o r ... .e�'�. t' dl ....................�,......................................... y........ �....c�............... .......,..........................Roofing C Floors .....................................................................................Interior .....�:v......6�1' � �C44-VZ '!' -s Heating 11�./?.�7G+°:k� "l� �..�..�.�r...�,�"Plumbing ���........ t k `� �.......................................... Fireplace ..................6... ........ .<.--:.......................Approximate Cost .......216).Y ).Y ...................................... Definitive Plan Approved by Planning Board ____________________19________ . Area 1� . ........... Diagram of Lot and Building with Dimensions r r Fee l .....Q......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 V � z m OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations f the Town of B rnstable regarding the above construction. .Nam .......... tl ............I........... ......... Construction Supervisor's Licensee.................................... L LAZAR S, NICF OLAS �,� A=265-020 No ,. 31373 permit for , Build Additio.,i .......... " Single Family Dwelling ......................................................................... Location 15 Woodland Road ((Lot #2) ........................................ Hyannis ............................................................................... Owner Nicholas Lazares .................................................................. Type of Construction Frame ................................. ............................................................I.................. Plot ............................ . Lot ................................ Nov. 2, 87 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ......................................19 P { s IZ72 hh T NIF I Anthony,F.-& Dorothy W. Balzebre. p y1 10 ' D (30' ide Private W70 ,"R I�/�/ aOO _ ._. . -0�--o Post & Rdil Fence r _� r O I O� 3 i I ' Ldge of Pave �\O O—O lo' 8' i ' \ R�26.9 . S40'19'20,.E ^ -�� \ -- is �=1 00. or i ± v�Ca \ ".• ` ,".' \ yx0`\e ' '.,,.r . § hk � ' a"s ix,.,E p, Y':''"` J � �x l ` �O} �0 .,,. ;.••x-�'3. '^ bx�'.;L•�,(r j € - \ QQ t?�c° ,,., � 3 •.— � �s `eY* ;g� ��'°'t 4� a �� `�, � xa•� ¢`3`£"`v`��i kt4..""�itx.: ',. '� 5`ye.' r � .. : "•s.� �'a„��3`"E�• � 2Q• „rx;:" 'e '� ",�kyi,� -- ..., (/J( � �s. a n d'�ag '"tt' a.. ° •,fir�r �` °�`�' �" i , U LOCATION MAP: '� �"' �i � ' 30' Front rd - -- -- - ZONE: Scale: = 200 Cj O 1 i \ o i \ a RF-1 &I \ Area (min.) 43,560 SF Frontage (min) 20 - z ASSESSORS REF :(min) 125' �50 Setbacks: Map 265, Parcel 020 o i #15 / " °r Fron t 30' 2 Sty w1f / E Meter '� F e�" Side 15' � , � '.� '\ Dwelling ,�ae�°`a � ��e�``5 Rear 15'' - i 5 OVERLAY DISTRICT. � I � i�h 0� rF, � yf 4 2 i °eck 'LO AP - Aquifer Protection District FLOOD ZONE: 15, "28: ' •, Section of Garage�;, a' • To Be Eliminated CC Proposed S Zone B & C ao 7.4' Community Panel No. -�N / 1 #250001 0008 D July 2, 1992 i Traveled JOY i y . '.'^ NOTE. 1' �@ f Fe 15,'� o° / 1.) The property line information shown was �7' �Q n_ compiled from available record information. rnity\Edg" �Q° YAS QJ 2. The to o graphic information was obtained ... .j:;. from an on the ground survey performed on R. URElin =" 31 or between 05/DEC/00 and 28IFEBIOZ ,� / t` A �a� t 3.) The datum used is NGVD '29, a fixed mean Proposed' Siltation ES��� sea level datum. P FA wfHay f33ails 4.) The location and size of the septic system � w e`�N ` \ v ���'Qf' �7 components is approximate (from town os—built card). '.31 68' � sl , 0 5 10 15 20 30 40 FEET NIF 7p, N36 CJ3'1 Q»Hr � lie D. !/away ` l �, hr Sheet # Tine: Plan Showing PrOpOSed POOI ��� repared or: Notes Revisions: Scole:1 11_20' CapeSU Nicholas & Pamela Lazares 1 of At 15 Woodland Road 7 Parker iRood 101 Summer Street Dote: Osterville MA 02 655 Boston MA 02110 02/MAY/07 Barnstable (Hyannisport) Mass• (508)420-3994 pesurv20-3995 fox W ^,tC�7 9 capesurvCn�copecod.net g C453G2 STRUCTURAL NOTES F y4 I. All construction is to conform to the Massachusetts OAS State Building Code and all applicable product and design standards. Absence of specific items from these Y �" drawings does not infer that the contractor is relieved N E IG from the statutory code requirements. , 2. All materials and methods of construction shall . QI PAC, conform to the approved rules and standards for ADDITIONAL #3 Cs? 12" O.C. VERT. PP 9 BEYOND TRANSITION PT. STAY 18" materials, tests, and requirements of accepted 260CranberryHwy. leans,MA02653 BELOW TOP OF BOND BM. DOWN engineering prcctice as listed in Appendix A of the 508155.651t Fax:5 8.255.6700 THE .COVE & LAP 1'-8" MIN, Massachusetts State Building Code. #3 0 12" O.C. E.W. INTO FLOOR AREA THROUGH OUT ENTIRE POOL WALLS Pool Notes - o #4 DWL. 12" O.C. TYP, 1 Assume maximum safe soil bearingpressure - 4,000 (3)#4 CONT. TYP. psf. TYP. _ 2. All pools are to be placed on natural undisturbed ------ ---�- -• --------ff ----- --�-- --�- - � - I -- � � material or compacted granular fill. Subsoil bearing � 2'-6" MAk, BACK 4" INCREASE TO 6" II FILL ALLOWED IN EXPANSIVE SOILS I o I r m a vegetation, a and FILL strata shall be free'from o eget 'on, loom organic rnateria . " BACK 4. Do not ,place backfill against pool walls until all walls h a,� -•-• •. -- -_- - - -- __. _ �_ _.___. _ ____. ___ _��.`�-- _ i _ '" -:_._--" _' obtained 7 day cure strength. have ob 'ned o X _ - _ _ _ _ __( _ .r,__ y- y ----" 5. All pool floors shall be placed on a 1'-6" layer of Q NOTE: INCREASE SHOTCRETE �. �^ , - w crushed stone compacted to 95% Standard Proctor _ Density where expansive soils are encountered. ix THICKNESS TO 9 IN FREEZING y . TRANSITIONy PT. cc r OR EXPANSIVE SOILS. y= 6. Pools floors shall bear on natural undisturbed soil or cn on controlled compacted fill. Remove existing fill material ADDITIONAL #3 x 5'-0" E.W, P g ..,•. - - --•-�-• - - � where necessary and replace with clean granular fill 0 FLOOR TRANSITION PT, PLACE 1" FROM TOP OF SLAB compacted in 6"-8" layers to obtain 95% standard proctor density at the optimum moisture content. ti Shotcrete w HYDROSTATIC RELIEF VALVE #3 0 12" O.C. E.W. - INSTALL PER MANUFACTURER'S 1.Shotcrete mixture, form-work, delivery, placement and THROUGH OUT ENTIRE SPECIFICATIONS reinforcement shall conform to all requirements of ACI POOL FLOOR Z 5U6.2-95 (latest edition), unless otherwise noted. 2. Concrete materials shall be: AAA C Type 1 Portland p cement. Sand and gravel aggregates shall be normal Z TYPTYPPOOL R E I N FO R C�/� E� T � C T1 ®� weight and conform to star Cds Standards. Aggregate SE�.L . ��-✓�e u a not meeting .ASTM C33 standards may be used provided , pre construction tests demonstrat the shotcrete can SCALE: = 1 —0 meet specified requirements. All c rete sholl be �fNOFAils. air-entrained. Concrete compressiv strength, (f'c) in 28 9p days, shall be in accordance with 1318-02 as follows: o OHN A. �L , All concrete work — 3,000 p ''• lo, 337 6 3. All mixing, transporting, placing and curing of '�e •P concrete "shall be done in 'accordance with the a� `�aisTP_ recommendations of the American Concrete Institute. �SS�ONAL - 2 Reinforcing steel 'shall ,be deformed bars conforming to ASTM A615, grade 60, except where noted. No. 3 bars may .conform to ASTM ,A61.5,_.Grade 40 -Al! _ - reinforcing bars welded to a steel section should be of welding grade 40. SYM. S- 1 S--1 ., 2'-6" MAX. BACK FILL ALLOWED � �? 5' RADIUS 2'-6" MAX. BACK TRANSITION PT. 2'-6" MAX. BAC FILL ALLOWED oX - FILL ALLOWED I � �- 5' RADIUS in< 7 ---- T o a' �e �-•� 1 00 HYDROSTATIC ..J in RELIEF VALVE Qry L MAX. SLOPE a� til C SCALE: oa = V-0„ LU t EL HYDROSTATIC RELIEF VALVE _ { INSTALL PER MANUFACTURER' SCf,!-E SPECIFICATIONS AS NOTE. DEEP END SHALLOW END SYM. LATEST REVISION 8'-9" DEPTH MAX. 5'-0" DEPTH MAX. DATE f � 3-11--051 2'-6" MAX, BACK o © DRAWN BY FILL ALLOWED I - N E4 �� "� d CHECKED BY TYP. POOL CONSTRUCTION SECTION 2' RAD. �� (9 SCALE: ►' — it—oft PN N Q SCALE: 1" = 1'-0" 0 i Note: All pools shall be constructed to assure � dimensional compliance with section 421 of the Massachusetts State Building Code 760 CMR. �°TI ®� SCALE: 1» = 1'-0" 4 0 1 OF 1 SHEETS UPROJECT NO. - C15965