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0022 BLANTYRE AVENUE
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I n a; n n 7 'i R, S 6 I ® r s i u N �; a j��,i aI T; M A , Y k . r� o ,� r t4 .q u _ -�, 4 s e' I wfyy :C e', t .' d - > . s ,, . n f l � own of a`grn able *Fermi# �,� E�ires 6 r�wntlu fro a slate 8 R latory Services 1~ Richard V.Scaii,Interim Director 163g• Building DIASIon 'Tom Perry,CIS,Building Commissioner JUL 5 ��16 200 Main Street,Hyannis,MA 02601 L ww%,.town_barnstable.ma us / a a�o k Fax: 508-790-621 o ee. so g6 , oWJAOL T D B' >� -�� PE T APPLICATION RUMEN Not Valid without Red Press Imprint Map/parcel Numbea Property Address residential Value Of Work ��®� minimum Yee of$35.00 for work ttnder.Sb001P.00 Owner's Name&Address 0 t'�"' e kt e-- Telephone Number --5 08 ,1111 95�� Contractor's Name Home Improvement Contractor License#(if applicable) 3/ 7 = Email: Construction Supervisor's License#(if applicable) Z ZC ❑Workman's Compensation Insurance Check one: I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name Q n�� Workman's Comp.Policy r '�O ,0 Z Copy of Insurance Compliance Certificate must accompany each--permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) all construction debris will betaken to ❑Re=roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side. aximum.3 m5 #of windows ❑ Replacement Windows/doors/sliders.U-Value ( 4 of doors: (II.F,rnoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Whrre required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Consen'ation,etc. ***Note: Property Owner must sigrt Property Owner Letter of Permission. copy of the Home Improvement Contractors License&Construction Supea visor s License is re uired. SIGNATUR E. E: T:\KEVIN-D\Building Changes\EXPRESS PERMMEXPRESS.doe Revised 061313 II Client#:21641 2SEASIDEAL ACORDna CERTIFICATE OF LIABILITY INSURANCE OATE(MMIDDIYYYY) 2/23/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER c CONTACT NAME: Dowling&O'Neil Insurance Ag a4";,Ekt:508 775-1620 FAX 973 lyannough Rd,PO Box 1996 E-MAIL ac,No): 5087781218 ADDRESS: Hyannis,MA 02601 508 Hyannis, A INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Lexington Insurance Company INSURED INSURER B:Associated Employers Insurance Seaside Alarms,Inc. INSURER C:Travelers Insurance Company 1265 Route 28 South Yarmouth,MA 02664 INSURER D: ` INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERRA OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS TYPE OF INSURANCE ADDL SUB POLICY EFF POLICY EXP LTRINSR WVD POLICY NUMBER MM/DD MMIDD LIMITS A GENERAL LIABILITY X X 269551208 D212512016 0212512017 EACH OCCURRENCE $1 OOO 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $5O 000 CLAIMS-MADE 51 OCCUR MED EXP(Any one person) $0 X BI/PD Ded:2,500 PERSONAL a ADV INJURY $1,000,000 GENERAL AGGREGATE- $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY M PRO" LOC $ D AUTOMOBILE LIABILITY 6222107 2/25/2016 02/25/201 ED aBccidentSINGLE LIMIT 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED id P BODILY INJURY(Per accent AUTOS AUTOS ( ) $ NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS Per accident $ $ A X UMBRELLA LIAB X OCCUR 724987508 2/25/2016 02/25/2017 EACH OCCURRENCE $1,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $1,000,000 DED I X RETENTION$10000 $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY WCC50050128332016A 2/25/2016 02/25/201 X AND STATU- OTH- ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED?- N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 ff yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule.H more space is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL-BE DELIVERED IN Regulatory Services ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main St. Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S165734/M165580 CBD Commonweaith of Nlassacnusers �J Department o�Public Safety 4rauritc S%,trrm•1-Lirmw a ' �cense.SSCO-000046 ; µ. ROBERT K BOTCHER ,- � Cq 1265 ROUTE 28 S YARMOUT>sI M Expiration: C�lt,n,ssraner 01/05/2017 h�W ' .<i SSUES Tk� E FOLLOWING .tftf AiSE A 3�• ; E #3T> RED SYSTEM- CONTRACTOR °C S05— E ALARMS ,I NC Y 1265 ROtt'fE 28 S.; ARtoUi 3rA 026b4 443 ' :734.03 .` "OM7777 MONELTH o • - o • 1 SSUES TI# , FOLLA. OW{PtG` fi 1 NSE A ' Ai~(szTEtEO 5I!5 TECFtt�}1�1 Ate 'f t 4 f f€3R3' K BOUCHER 218 SETt3£KET 'RE A Yil1tM0UTH PO#t� 02675 22g IfN The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name(Business/Organization/Individual): Seaside Alarms Inc. Address: 1265 Route 28 City/State/Zip: South Yarmouth,,MA 02664 Phone#: 508-394-0599 Are you an employer?Check the appropriate box: Type of project(required): I.[ I am a employer with 19 employees(full and/or part-time).* 7. New construction 2:QT am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 3 f Im a a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. ❑Demolition 10[l Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.[]✓ Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑ repairs Roof re rs These sub-contractors have employees and have workers'comp.insurance.t p . 6.n We are a corporation and its officers have exercised their right of exemption per MGL c. 14.D Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Associated Employers Insurance Policy#or Self-ins.Lic.#: WCC50050128332016A Expiration Date: 2/25/17 Job Site Address: All sites in „r;� ��r4r City/State/Zip: MA Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under thepains andpena/ties ofperjury that the information provided above is true and correct Signature: gL"�AA €5 0 5-r' Date: Phone#: 08-394-0599 Official use only. Do not write in this area,to be completed by city or town of ciaL 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#: Town of Bor s1e �bg VIV. a� ; Mtlding Thomiis Sr CRO i :must V - - W140 of.amp 'Yaw, 'sc : . fit nv&" _ (Addro ) 1 i DOW F P6r - 1w Owner's Opp! lu I , qti G 06131 I - j ' f IV lG' 1 SMOKE DETECTORS REVIEWED A7b6l 3wE BUILDING DEPT DATE FIRE DEPARTMENT DATE AOTH SIGNATURES ARE REQUIRED FOR PERMITTING 4 D ®P _ va ®P T op _r ak GfJOKEDET PIZ ei1�/ oa ��. - CO �oETECTOR ® � � NBAT DET RJR FT SPEAKER/HORN ❑4 .._.....M_._.... .....�,.._,....---,..., ,.gym ; t ®P /Ghr ®P ` s TOWN OF BARNSTASL e R I S E ZC13 1�A Y i Q A,;,, !1: 18 Division of Thielsch Engineering,Inc. 1341 Elmwood Avenue ENGINEERING Cranston,Rhode Island02910 f May 1, 2013 Thomas Perry, CBO Town of Barnstable Building Division 200 Main Street Hyannis, MA 02601 Re: Insulation permits Dear Mr. Perry, This affidavit is to certify that all insulation work completed for 22 Blantyre Avenue has been inspected by a Building Performance Institute (BPI) certified Professional. , it All work performed meets or exceeds Federal and State requirement. Sincerel Erik Nerstheimer Supervisor of Installations; BPI certified Building Analyst Professional and Envelope Professional, RISE Engineering, a division of Thielsch Engineering,Inc. 1341 Elmwood Avenue Cranston, RI 02910 401-784-3700 •800-422-5365 •Fax 401-784-3710 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel - OA3 Application# 30Cr7 b7>%>Sd Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 22, Village Cr r.��n► �1� Owner t-X S titl2z� Address 5'Cl—vu [l , 4,%J %-rl 4pj2k_�% Telephone so9� 4,15- p -- `(�sy' / c�!( i�-i a 6► `t bb Permit Request Fvr a VJdv L Nbv cs-0 �,,, ;�� \ T�i+'S a-exCA 5►' c 1\ 'k -�-� 0 ✓l S, i�'S C L oC�cl'R� l 7 L4 Square feet: 1st floor:existing / Z proposed 2nd floor:existing proposed Total new 6 2, Zoning District (� 'D-�\ Flood Plain Groundwater Overlay "o Project Valuation Construction Type Lot Size c<<Y`f-S Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ti4 Two Family ❑ Multi-Family(#units) Age of Existing Structure yS��S Historic House: ❑Yes ^o On Old King's Highway: ❑Yes >2No Basement Type: W Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) (a �z Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing 3 new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas 2kOil ❑Electric ❑Other f f P� Central Air: ❑Yes A No Fireplaces: Existing l New Existing wood/coal stove: ❑ems No Detached garage:❑existing ❑new size Pool:❑existing )a new size ' Barn:❑existing ❑n.� size Attached garage:Rexisting ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ r Commercial ❑Yes 92 No If yes,site plan review# r- Current Use Proposed Use �` BUILDER INFORMATION �b"1� (0l¢ - Name �1-c.)C .xi(o car Sr- Telephone Number Sic 8 43 S"'SLS"� Address License# k�n�-� Y►� d t `i Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE __ "�� 07-- FOR OFFICIAL USE ONLY PERMIT NO. f DATE ISSUED i MAP/PARCEL NO. ADDRESS VILLAGE ~ y OWNER DATE OF INSPECTION: t FOUNDATION y FRAME INSULATION FIREPLACE ` ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING <6-17,7107 t _ DATE CLOSED OUT ASSOCIATION PLAN NO. r, I - f The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations d 600 Washington Street W= Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organizatio dividual : tk S4O✓'c�s ` Address: i K�C City/State/Zip: A,,P N,, M 6 1) `tg Phone.#: 5'0 S `f Are you an employer?Check the appropriate box: Type of project(required):. 1.❑ I am a employer with 4. ❑ I am a general contractor and I r 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 8. ❑ Demolition workingfor me in an capacity. employees and have workers' Y P tY• 9. ❑Building addition [No workers' comp.insurance comp.insurance.# ' required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.M I am a homeowner doing all work officers have exercised their 1 LF]Plumbing repairs or additions myself. [No workers' comp. ' right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site information. Insurance Company Name: 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 statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify u der the pai n penalties of perjury that the information provided above is true and correct; Si ature: Date: D Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of health 2.Building(Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 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 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, 425C(6)also states that"every state or local licedsing 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 t 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 Arith 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-contractors)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 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 burn 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 Revised 11-22-06 www.mass.gov/dia °FTME?I Town-of Barnstable Regulatory Services Thomas F.Geller,Director i639 a b Burl�1II•� Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-862-4038 Fax; 508-790-6230 Permit no. 0�-- AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c.142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, -improvement,removal, demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: &�Lt �►^e� A- �Gj/r�uncQ �°,� Estimated Cost AS pfl Address of Work: �``�1 4'\Ty (fe vt� nC VW►�` c7 L(��L Owner's Name: 1'�7CCt tl fb.S C �- Date of Application: 6 "8 Jq I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 QBuilding not owner-occupied a3wner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONIRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HkVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES.OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. Date O Owner's N e Q:forms:homesfMdav t)FTHE 1p� Town of Barnstable Regulatory Services BMWSTABLE, : Thomas F.Geiler,Director y Muss. i639• Building Division tfD MA'I A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 ------------ HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: �� +�1 et A.► ` <n ie V number c street village "HOMEOWNER": 41�x Jet ✓I��SG t\ f"t' 5coT_`f3r-S 2.S 2� (o/.?- 56 `9W. name (( home phoned# 1 work phone# CURRENT MAILING ADDRESS: y Corl/,e- l C � 1 J` tc 1 �,-)o_x4 9 b I K i n4ry r, 6 y city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1). The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws, rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and,requirements and that he/she will comply with said procedures and requireme ts. Signature of Ho eowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt LOT 21 LOT 20 S85 33'14„W . 148.40' \ h ti • 4'1" a, -� c� ,,,6. 0 . 2. zv o � LOT 23 ?v 16. :16 p DECK LOT 22 ;;; 28. 5 ;;; 31 ' C9 . o` cz 0, 93. 74 S82.31 p LOT,E3 51. p0 I1V8 1 00 E 50729"20'E 5. 00 LO T B2 RES. ZONE.- 'RD-1" This MORTGAGE INSPECTION Plan is For FLOOD ZONE.- "C' Bank Use Only TOWN: _CENTERVILLE REGISTRY OWNER: MICHAEL PUSATERI____ DEED REF: ------BUYER: -R-M? LVCE-_---------- -- ----- DATE: _12123 98________ PLAN REF: _L. _C.- 17678K I I HEREBY -CERTIFY TO -HOIIIEVEST MORTGAGE _____-- v;'r� <3 THAT THE BUILDING t s�`= '_ YANKEE SURVEY -------------------- ---.-- �Q. �,:.. SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS CONSULTANTS SHOWN AND THAT ITS POSITION DOES --_= CONFORM TO THE ZONING LAW SETBACK REQUIREMENTS OF THE 40B INDUSTRY ROAD j TOWN OF _ RARNSTABLE-------------AND THAT aa'cr <�3�,� MARSTONS MILLS,-MA. 02648 IT DOES- NOT _ LIE WITHIN THE SPECIAL FLOOD HAZARD } � TEL:, 428-0055 AREA AS SHOWN ON THE H.U.D. MAP DATED 19�85._ .r. FAX. 420-5553 Com nit -Pa el 250001 0005 C THIS PLAN NOT MADE FROM AN .INSTRUMENT. 25818 CB PAUL A. MERITHE4V,. PLS SURVEY, NOT TO BE USED FOR FENCES, ETC. r _ The Comnnaonwealth ofMassach:usetts 13epartrmtent ofmtdustria.l�9ccidents Office of Investigations - 600 Washington Street E Boston, Mass. 02111 www.mnass.gov/dia Workers' Compensation InsuranceAffidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl pp >; y Dame(Business/OrganizatiorAndividual): RISE Engineering a division of Thiehsch Engineering Address: 1341 Elmwood Avenue City/State/Zip: Cranston, RI 02910 Phone#: (401)784-3700 or 1-800-422-5365 Are you an employer? Check the appropriate box: 'Type of project(required): 1. N I am an employer with h 4..0 I am a general contractor and I 6: D New construction employees(full and/or part time).* have hired the sub-contractors ❑Remodeling 2. 0 I am a sole proprietor or partner- listed-on the attached'sheet. ship and have no employees These sub-contractors have 8. D Demolition' working for me in any capacity. : employees and have workers' 9D Buildi 11 ng addition [No workers' comp.insurance comp. insurance. 1 , required] 5.0 We are a corporation and its 10. D Electrical repairs or additions 3. D I am a homeowner doing all work ." officers have exercised their myself [No workers' comp. right of exemption perm MGL 11. ❑Plumbing repairs or additions insurance required] t c. 152, § 1(4),and we have no 12. D Roof repairs employees.[no workers' 13. N Other Insulate comp.insurance required.]{ *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. tHomeowoers who submit this affidavit indicating they are doing all work and then hire.outside contractors must submit a new affidavit indicating such. $Contactors that check this box must attach 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: The Preston Agency : Policy#or Self-ins.Lic.#::- 3730961-00 - Expiration Date' h/1/11 Job Site Address: C2 C/� 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,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 $250.00 a.day against violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. I do herby�rti and 'fhe insenalties of perjury that the info'rinationprovided above is true and.correct. Si nature: . Date: 15 •--10 Print Name: `Erik Nerstheimer Phone#:(401)784-3700 or 1-800-422— 369 x 113 Official use only Do not write in this area to be completed by city ortown official City or Town: Permit/license#: Issuing Autbority(circle one): F 1.Board of Heath 2..Building Department 3.City/Town Clerk- 4.Electrical inspector 5.Plumbing Inspector 6:Other Contact person: Phone#.. . a ACQl? CERTIFICATE OF LIABILITY INSURANCE 'Op lb 47. DATE(MM/DONYN) THI EL_1 04/13/10 PRCiDUCER _ THIS CERTIFICATE IS ISSUED AS.A MATTER OF INFORMATION _ The Preston Agency, InC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1350 Division Rd Suite 303 HOLDER'.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR PO Box 8'10 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. East Greenwich RI 02818-0810 Phone: 401-886-8000 Fax:401-885-1700 . INSURERS AFFORDING COVE RAGE NAIL$ U4SURED IMSURERn: Zurich-American Ins CO. Thielsch Engineering, Inc INSURERa Aa wsToot.c s Ll.birity — H iielsch 6altyGiOlLip Inc. INSURERC: . North American Capacity Hi Tech Realty Inc. _ 19S Frances Avenue INSURER 'o Hartford Insurance 'Com Cranston RI 0291.0 party INSURER E' _ - COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE 00-ICY PERIOD INDICATED.NOTWTtHS'TANDING ANY RECUIRUL ENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH.RESPECTTO 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. IfiSR�f.UU - LTR JNSRC TYPE OF INSURANCE - POLICY NUMBER DATE(MM/DDlYY) - .OATE(hLTCS'E DOOR LIMITS GENERAL LIABILITY EACH OCCURRENCE._ ($1,OOO,OOO ` A I X COMMERCIAL GENERAL LIABILITY -37 RETSTEr-- 3096 -0 2 0 0 4 O 1 10•// 1 11 I PREhISES(Eaoccwenia) T300,000 CLAIMS MADE OCCUR MED EXP(Any.ono person) $.l 0,000 PERSONAL&ADV INJURY Y 1,0 0 0,O 0 0 GENERALAGGREGAIE s 2.,000,000 - GEN'L AGGREGATE LIMIT APPLIES PER: F,_.. PR - .r . PR ODUCTS C AMP/JP AGG 0 00 000 POLICY X JET LOC Emp Ben. 000 000 AUTOMOBILE LIABILRY " SINGLE usIT A X ANY AUTO 3730963-00 04/01/10 01/01/11 (Ea accident) 2 000,0.00 ALL OWNED AUTOS SCHCOULED AUTOS - BODILY INJURY (Rer person) S HIRED AUTOS - - - -- . BODILY INJURY NON-OWNED AUTOS - p (Per ecvdgnll PROPERTY DAMAGE. •ry' (Per acci0enl) GARAGE UABILIT`C AUTO ONLY.-EA y ANY AUTO. 9 CA ACC $ cti - OTHER THAN/ - P.UTO.CNLY: AGG. y —_ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE S 10,O0O,000� B X ocCU CLAIMS tJDffi 9263637-00 09/O1/10 OT/O1/11 AGGREGATE - S10 000,000 s — 0DEDUCTIBLE- RETENTION F 3-0 ,000 y WORKERS COMPENSATION AND X TORY TIMITS- EP, EMPLOYERS'LIABILITY - A ,t4l'PROPRIETOR/PARTNER/EY.ECUTIVE 3730961-00 04/01/10 01,/01/11 E.L.EACH ACCIOEI,T g1,000,000 — -- OFFlCER/MEM6ER EXCLUDED? E.L.DISEASE-EA EMPLOYEE 1,000,000 If yes,aesc(ibe'under - � •- - � � � _ SPECIAL PROVISIONS bolo - E-L.DISEASE-POLICY LIMIT,- 5 1,0 0 0,0 0 0 C Professiopal Liab. DVL000026800 04/01/10 '04/01/11 Prof 'Liab 2,000,000 D � Leased/Rented Eqp 02UUNTD5678 04/01/10 04/01/11,1 Equipment 100,000 DESCRIPTION OF OPERATIONS I LOCATIONS;VEHICLES/EXCLUSIONS ADDED:BY ENDORSEMENT/,SPECIAL PROVIu""IONS - - - CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE'CANCELLED BEFORE THE.EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 OZYS WRITTEN -' 'NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.BUT FAILURE TO 00 SO SHALL - IMPOSE NO OBLIGATION OR LIABILITY OF AN'Y KIND UPON THE.INSURER,ITS AGENTS OR REPRESENTATIVES' - - - - AUTHORIZED-.REPRESE V - - - - ACCORD 25(2001108) cDACORD CORPORATION 1988 a di j I f S.i If9� 7+p LSd fflf f�fl if Y rfr f. ` Also for , _. RISE Engineering, a division of Thielsch Engineering,' Inc. °. _ Gaskell Associates.; a division .of Thielsch Eng veering,- ,Inc. BAL Laboratory; .a division of Thielsc. Engineering Inc. ESS Laboratory, a divisign -of'Thielsch"Engineering; Inc: ALCO Engineering, a division of. Thielsch Engineering; Inc. , Water Management Services, a division of Thielach .Engineering, Inc. e i and usiness e u ationO ice oftn=sum�& Cg p - x 10 Park Plaza - Suite 5170. p Boston,:lV, ssachusetts 02116 'Home Impro actor Registration.: Registration: 120979 ' Type: Supplement Card 4 T 9~ Expiration: 3/25/2012 *p THIELSCH ENGINEERING , 4 ERIK, NERSTHEIMER - r t 1341 ELMWOOD AVE.'. ,. E CRANSTON, RI 02910 } s. Updat , change. e Address and return card Mark reason for w Address Renewal Employment Lost Card .. DPS-CA1 0 50M-04/04-G101218 ✓�ee �o�.vrrcaaiuea�llc o�/�aaocaclucaelta - 4n Office of Consumer Affairs&Bu mess Regulafion License or registration valid for indrvidul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: g � Office of Consumer Affairs and Business Regulation Registrationg;=Q79 ;Type: 10 Park Plaza-Suite 5170 Expiratt12 Supplement Card Boston,MA 02116 THIELSCH ENC , E� . . ERIK NERSTH 1341 ELMWOOD � CRANSTON, RI Undersecretary k Not valid without signature rd9eI0II The Official Website of the Executive Office of Public Safety and Security (EOPS). a Mass,Gov Home Public Safety Department of Public Safety Lecensee..Complaents License Type Construction Supervisor License# 100459 Restriction WS,IC Name Erik Nerstheimer City, State, Zip North Scituate, RI,'02857 Expiration Date 3/28/2012" Status Current No complaints found for this Licensee_ Back To Search w 14 Board of Bi,ilding Regulations and Standzrilts ` Li:eens"r registration yalyd foi individul use on)y HOME IMPROVEMENT CONTRACTOR before the expiration date: If found return to:` Registration 120979 I Board of IBuilding,Regulations and Standards. Ezp:iTat,ion_3z25/2010 One Ashburton Place km 1301 TYpe .Sppplement Card IELSCH ENGINEERING` IK NERSTHEIMER= <; =_= 11 ELMWOOD ANSTON, RI 02910 Admmistl to Not valid without sign�#�>re . i t ht-tp://db.state.ma.us/dDS/lir-detAil.I�'a:n?t,rfQ.�,,I-,T 1KT_i-C,I 1 11 RISE ENGINEERING Federal I#05-0405629 RI Contractor Registration No 8186 A division of Thielsch Engineering MA Contractor Registration No 120979 CT Contractor Registration No 620120 r I�` 1341 Elmwood Avenue,Cranston,RI 02910 (401)784-3700 FAX(401)784-3710 CONTRACT �s7 � Page 1 THIS CONTRACT IS ENTERED INTO BETWEEN RISE - - ENGINEERING AND THE CUSTOMER FOR WORK AS ENGINEERING DESCRIBED BELOW CUSTOMER PHONE DATE Client# Alex Saporoschetz (617)966-1466 03/22/2010 108051 SERVICE STREET BILLING STREET 22 Blantyre Avenue 4 Connelly Hill Rd SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Centerville,MA 02632 Hopkinton,MA-01748 JOB DESCRIPTION RISE Engineering will provide labor and materials to seal areas of your home against wasteful,excess air leakage. This work will be performed in concert with the use of special tools and diagnostic tests to assure that your home will be left with a healthful level of air. exchange and indoor air quality.Materials to be used to seal your home can include caulks,foams,weatherstripping and other products. Primary areas for sealing include air leakage to attics,basements and other unheated areas(windows are not generally addressed.) This work will be performed at the rate of$66 per man per hour,which includes materials and testing., 14 man hours.This measure is available for 100% rebate from the Cape Light Compact. $924.00 RISE Engineering will provide labor and materials to install a 8"layer of R-30 Class 1 Cellulose added to 1366 square feet of open attic space, leaving an area of approx.250 s.f.for floored and stored. $1,502.60 RISE Engineering will provide labor and materials to insulate the back of the basement bulkhead door with 2"rigid fiberglass board and seal the door edge with weatherstripping to restrict air leakage. $100.00 RISE Engineering will provide labor and materials to install an easily moved,rigid foam insulating cover for the attic access folding stair. The cover has integral weatherstripp ing to restrict air leakage. $160.00 RISE Engineering will provide labor and materials to install Insulated exhaust hose w\roof mounted flapper vent to exhaust existing bathroom fans) $200.00 RISE Engineering will provide labor and materials to install(7)8"diameter roof.vent(s)to increase intake ventilation in attic areas. The vent can be supplied in(circle color)black,brown,grey. • $490.00 RISE Engineering will provide labor and materials to install 168 square feet of R-19 faced fiberglass insulation to the basement perimeter sill. . . $184.80 RISE Engineering will apply all applicable,eligible incentives to this contract. You will be billed only the Net amount. Currently,for eligible measures,the Cape Light Compact offers 75%incentive,not to exceed$2,000 per calander year. t f _ RISE ENGINEERING Federal ID u 05-0405629 RI Contractor Registration No 8186 A division of Thielsch Engineering MA Contractor Registration No 120979 mom: CT Contractor Registration No 620120 1341 Elmwood Avenue,Cranston,RI 02910 -, (401)784-3700 • FAX(401)784=3710 , " CONTRACT Page 2 1- • •y,. THIS CONTRACT IS ENTERED INTO BETWEEN RISE .. - ENGINEERINGWORK AND THE CUSTOMER FOR WO AS ENGINE.ER.INta' - - ` DESCRIBED BELOW - CUSTOMER PHONE DATE Client It Alex Saporoschetz (617)966-1466 03/22/2010 108051 SERVICE STREET BILLING STREET 22 Blantyre Avenue 4 Connelly Hill Rd SERVICE CITY,STATE,ZIP _ BILLING CRY,STATE,ZIP Centerville,MA 02632 Hopkinton,MA 01748 JOB DESCRIPTION t -$2,902.05' • - WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Six Hundred Fifty-Nine &35/100 Dollars $659.35 UPON FINAL INSPECTION AND APPROVAL BY RISE ENGINEERING.CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL.INTEREST OF1%WILL BE CHARGED MONTHLY ON ANY UNPAID BALANCE AFTER 30 DAYS.SEE REVERSE FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND CONTRACTOR REGISTRATION. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK C S AUTHORIZED SIGNATURE-RISE ENGINEERING CUSTOMER ACCEPTAN} NOTE:THIS CONTRACT MAY WITHDRAWN BY US IF NOT UECUTED WITHIN DATE OF ACCEPTANCE ACCEPTANCE OF CONTRACT-THE'ABOVE'PRICES,SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO DO THE WORK DAYS. - -, •AS SPECIFIED.PAYMENT WILL BE MADE AS OUTLINED ABOVE - . 1080'51 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION_ Map Parcel Application Health(Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee t2 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 22 Blantyre Avenue Village Centerville Owner Alex Saporoschetz Address 4 Connolley Hill Road Telephone 617-966-1466 Hopkinton, MA 01748 Permit Request air sealing, attic insulation, install 2 insulated exhaust'hoses, 7 roof vents insulate basement perimeter sill - Square feet: 1 st floor: existing : proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 3561 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas I ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name _RISE Engineering Telephone Number401-784-3700 Address 1341 Elmwood Ave, Cranston, RI 02910 License # 1004519�'; k' Home Improvement Contractor# R�120979=, - Worker's Compensation # _ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE f DATE 5`1 'j O Erik N2stheimer for RISE Engineering FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED y MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING; Z��lO 712,? (a DATE CLOSED OUT ASSOCIATION PLAN NO. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION S�Map Parcel "J g Permit# ` Health Division Date Issued 9 Conservation Division Fee Tax Collector104044044 Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village Owner e f,�Q.Q. CS C ,V ?`7 Address Telephone Permit Request e Ono s— Square feet: 1 st floor:existing proposed 2nd floor: existing proposed Total new �O Estimated Project Cost Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new �@ Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name,)-' Telephone Number �" 3, 26 Address «l SJ,'� License# � 4 X,r//� 4 �t�� Home Improvement Contractor i /6EE;. / Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY a ~ PERMIT NO. ` DATE ISSUED - r MAP/PARCEL NO. ADDRESS s ` VILLAGE OWNER* , , , t DATE OF INSPECTION: FOUNDATION Ya , FRAME r INSULATION FIREPLACE X • ELECTRICAL: ROUGH FINAL - PLUMBING: ROUGH FINAL GAS: ROUGH FINAL x v* FINAL BUILDING • DATE CLOSED OUT 'e ASSOCIATION PLAN NO. r , r4 The Town of Barnsta le a" V, Department of Health Safety and Environmental Services 61 P Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building'Commissioner a Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. r -r Type of Work: SS-r12' , � S Estimated Cost , 600, Address of Work: ' J� T is 4 Owner's Name: f r.�J 0 0 r, Date of Application: 5 19 r I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job Under$1,000 ' Building not owner-occupied 00wner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Con'tractol4ame Registration No. OR Date Owner's Name q:forms:Affidav The Commonwealul of Massachusetts Department of Industrial Accidents - �s; --- .... 600 Washington Street Boston Mass. 02111 davit / �Worke�j satin ance` Y����%%� ��%��� %����%%: name: tf�G location "`1"`*J city t)hone# ❑ I am a homeowner performing all work myself. [ I am a sole proprietor and have no one workin in espy capacity ❑ 1 am an employer providing workers compensation for my employees working on this job. comnnnv name: addre:is: city phone#: i n s u r:t n ce cn. nnl iicv//# ///////!///////.------/////��w. �► I am a sole proprietor eneral contractor. 'r homeowner(circle one)and have hired the contractors listed below who have , the follon•ing workers' compensation polices: comanv name• addrets- dtv phone insornnce cn. comnsnv name: address: phone#i ituarnncc R0JiCV to ...:..:.: ... .. . FaIIure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penailin o[a tbte up to 51300.00 and/or one years'Imprisonment as well As civil penalties in the form of a STOP WORK ORDER and a line of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Olnce of Investigations of the DIA for coverage verMcation, I do hereby certify'under the pains and enalties of perjury that Ae information provided above is tru,-and correct Si>ctature Date Print ne am Phone o1Mcizl use only:dorite in this area to be completed by city or town otntial city or town: permitNcense q ❑Building Department QLicensing Board checkitlmmse is required ❑Selectmen's -Unee ❑Health Department contact person: phone#; ' ❑Other�� mLwo v,95 PJAi Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for th:.: employees. As quoted from the "law", an employee is defined as every person in the service of another under any cc�- 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 a: the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the rec:..i•e: 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=the grounds c. 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 Iocal Iicensing agency shall withhold the issuance or renew 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,neid=..the commonwealth nor any of its political subdivisions shall eater into any contract for the performance of public work mr—? acceptable evidence of compliance with the inm=ce requirements of this chapter have been presented to the contracts= authority. , Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and :date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the`law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out is the event the Office of investigations has to contact you regarding the applicant. Please be sure to fill is the permit/liccnse number which wink be used as a reference number. The affidavits may be returned io the Department by mail or FAX unless other arrangements have bees made. The Office of Investigations would IOce 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 0mce of Imlestlpatlons 600 Washington street Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 exL 406, 409 or 375 C, ' owe � 9� ONE IpIPR0V NEAT CONTRACTOR ' ��Re�istratslo� 108251 ` �ExplratM." 08%14/00 CpDY i 1 wis Dr t` ails NA 02054 as ADMINISTRATOR arc ' -7/. eammon�u�a e a�✓ raaaa�i DEPARTMENT OF PUBLIC SAFETY I CONSTRUCTIQN SUPERVISOR LICENSE Neer _ Expires: Hsfc f 00 "ROBERI „_CAOY� 2 LENIi OR;I;VE """�� MILLIS, . MA 02054 . 0 D 3 � Assessor's map and lot numberr�............��................�... �0'�< y�F TH E T��f Q / ` a � Sewage Permit number +................................................ n Z BABHSTODLE, i House number .....z' -......::.......................:.......................... B'Oi �lS`��A��"g03 N1 3 ss'���oa.l.Mb"3x9^, m' TOWN- OF BARNSTABLE � BVILDING ' INSPECTOR . j APPLICATION FOR PERMIT TO ...../r�. 1...�.L. .�1...^:..D''U ;:j�h he TYPE OF CONSTRUCTION .....:� �r .............-................ ..................................................................... .:........ �........19.....e . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...... � ...... .trR ? .�'- .... ............. !..... ....; .................. ProposedUse .......IC SJ�t7CMT/!9L............................................................................................................................... Zoning District ..........................................................:.............Fire District .......4 '� ��! ,1 ��-�- �...... Name of Owner ............... t .......1.....:.Y.:...... Ad dress ...ZZ........../.....G...a...y... czc- .............................................. Name of Builder ....Address Nameof Architect ..................................................................Address ...............,.,...................................................................... Number of Rooms ......LOVE................................................Foundation Exterior ....&)1 .0b......r.:e 4)A4.— .........................Roofing ......00.VX.1?.f.08% .-.r.....lS-. 044azr........................ Floors co..O .........................................Interior ..... P_.j . Heating ......f.... .. '.. ...................................................Plumbing .......& 00C' Fireplace ..........V.0...............................................................Approximate Cost . . . ....................................... Definitive Plan Approved by Planning Board ________________________________19--------. Area ... .:/..�.....��t:..h:� Diagram of Lot and Building with Dimensions Fee t-- SUBJECT TO APPROVAL OF BOARD OF HEALTH i �. 11_ -- - I' �x rs I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. • Name .45%�'rl�li....� .1:L'F�.�..:..................... l SMITH, DENIS R. & JEANNETTE -2"6628 NoPermit for ...Puj-.ld..Addi.ti0n... Single FaiY4 .................... ......................... 22 Blantyre (Avenue Loccition ................................................................. 47 . .'Centerville..................................... ..... . ................... .Denis R. & Jeanette..Sna Owner .. ........ ....................................... ......th Type of., Construction. .....zum......................... I tj � . .................................................. ............................... J_� Plot ............................ Lot ............................ une Permit Granted ........ 261, 84 'Date of Inspe ction ... D6te Completed/.O.e.6,..W-�...... 9<;e PERMIT REFUSED .................. ........ 1 .......................... ... 19 '5 .... ....................................... .................. .................. ......................%.................................. ................... ............... .. .............................If?............... ...... ........ t ............................................................................... Approved ......................................::.�e 19 11 41 V1_ ........................................................ ................... 6 ...................................................................... l�f Assessor's map and lot number ........... .�.......�� ' f� . �./�_ -Z`1 Boa toy G' THE Sewage Permit number ......:................................................. ' Z BA"STOIILE, i House number 9 M^8a ................................................................... .. �p 039. \00 Q MAI a' f TOWN OF BARNSTABLE j a BUILDING INSPECTOR . ; Jl r APPLICATION FOR PERMIT TO ..... ...................................................., l>QZ .x/.......,........ 0.v . ' TYPEOF CONSTRUCTION ...............:...............T......cp....:.....:........:........................................................................ ..........�...... U!U...._.........19....�R-T TO THE•INSPECTOR OF BUILDINGS: The .undersigned"hereby applies for a permit according to the following information:. Location ....................... .! �tJ7.`��. U E........ ..:1 4JT6:�.Cf��. ........ .......... -�'" ................. Proposed Use ....... 5/17 ti�/ Il_ ................................. ................................. Zoning Distract .................... ..... Fire 'Distract /Z�✓/�L�• ......................G �A�r� R��� T7Ekt /Yl/7// �-`.... tiTc%2t//�.E Name of Owner ......5� ....... ......... ........ .......Address ......... m/71 Z� L /l-� �U� �t1��7Lr/I�LL Name of Builder ............................................ ........: .........Address .............................. s Name of Architect .............................................................::..`.Address Number of Rooms ...... !U...................................................Foundation .. N� Exterior ....�.)0 0.�....... ,`f�!�iU C L I� Roofing ...... f�]f/h�G T S.. U��L .................... �(�U r .. Floors .....:...�....................................................._...... ......;Interior .....•... J.t�•... Heating ... . ........ . .. .......Plumbing A) d�U ............... .................................. 'I . .. proximate ..U...7..�..C� ......Fireplace ............ . ...... ........Ap Definitive Plan Approved by,Planning Board ____________ _____ _____19_______ �` Area 51' r. firDiagram of Lot and Buildin with Dimensions j� g 9' Fee ....: .V..... ... .......... SUBJECT TO APPROVAL OF BOARD OF HEALTH 3 ` } 'v•x ` 4 /' J r) t "^�Im.hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above conVructlon. t' Name .......... .... L ..................... SHE ucuNIu R. & uEeNNElVdJ 8-023 °��� Permit for ���xma+~ **w�+�Locohon .�Z. .�4�vau�..Centerville .---..—.. .. .. .� � .. ---------- Owner ... QA-1�5..R....&..Jeanmtte.. | ..... ' Type of Conotrucho n ...�XEAJ��--------_ � � —~--^---'------------------'' Plot ............................ Lot ----------' ` ^ � . June 26 �� Permit -------.�-----.]A � Dote of Inspection ------------lP Dote Completed ...................................... - ' � PERMIT REFUSED ........................... ..... lA ---------' -------------' � .................................. ............................................ ~ ---------- —'---^^--~^—'---'—'' � ---------' -----'-----~—'---' K � } Approved ---------------- lQ ' � -----------------~^---~'—'-- -------`--'-------^--^—'--^^— . � | - ALL OPENINGS IN THE FENCE AND FENCE TO POOL CDNPONENTS NOTE ARE LESS THEN 0 FENCE C ONPORMS TO IS 1 C SECTION 310 DECKS flT5 SPe f S } CfffC dODESAND 5ES 3876'tom top 4 DEW ARE DESTGNOTOWITHSTAND ALIVE LOAD OF100LB1SF. FENC E w17N6TAND A200LB LOAD CONr'ORM3N0 T0 IBC 1tff7,7•t Fpy� offene�totop VRMUCTMrrTSOREXCr $ALL RE BITS IBC E ofdd QUIREM OF S=CT.3fO9 M FENCE WL.AITHSTAND A4OLQ HORIZONTAL UNIFOIUA.YDtSTAIBUi®LOAD. 8875Mex PAPODECMWY 5rMAX 6475Min ORH97NOUTWA!ADECK SPACE D4' NOT W MIN. LADDER 'D' EXCEED DECKSITUATION S4 P D FENCE HAS SAME PARAMc �9 I V-V 57 MAX REFERS TO POOLS SOLD AS A 52'HIGH POOL, 48'MIN.REFERS 70 POOLS SOLD AS A 48'HIGH POOL BE DECK SUPPORT DETAIL POOL SIZE'D M FT. FENCE 36.75 SUPPORT 31175 18, 2•5' 94 POST h'a tw of Gam tap of 2027Y30' 1'-r ms Wf THOUTW&MECK SHOWN COPING feWcu b tP WA.KDECK fence to top AWL0POSTSVPPORTDETR�I C orcop�g COPING of vra kdedL FENCE POST POOL POOL WN.L WALL POOL WALL LINER 08.75 Max 88.75 Max DECK UPRIGHT 84.75Mim �NER 80M>h CHANNELS SAND STMAX - UPRIGHT BASE 48°MIN. SAND Sr MAX POST BASE 48'FAN. tI SUPPORT I f�CR05SSEC710NOFPDOI FENCE CROSS SECTION OF WALK DICK � =. DECK UP SIDE DECK WITH OR WITHOUT WALKDECK SELF LATCHING LADDER DECK CLIP LADDER•—• 1=PATIO DECK }—' ��z z COLUMN 2'X8°X18'PATIO BLOCK L "[CAL ALL SUPPORTS) 23' L-43° WTHOUTWALXDECK W 2ANDSP15CEFANDELY( s1RAlcHTPosr SHOWN (2P/ECESH0I4fJJ 43'1' SUPPORTDETAiL I--Is'�--� �' \\ FENCE SEE DECK SUPPORT DETAIL 12X813 END ° ' , I-P �• rDECK T10X DECK A 15N810XENDDECK B' WMN LADDER �. LADDER F DECK L x PATIO x , 23' � 23 � - �� �,✓''G BLOCK "43w r 43' .8. IX QECK 'E' SEE DECKSUPPORTDETAUL SEE DECK SUPPORTDETAL,IOXSH WN �•D' S'2' 1pm 97 FENCE POST DECK SIZE°A° SIZE°B" SIZE'C' SQ,FT o"Q� Q. ��,''''y.,,, DELAIR GROUP LLC 6'SIDE DECK 6'•0' 6'•1" NIA 39 �i 8600 RIVER ROAD 9'SIDE DECK 6'•0" 9'•1° NfA 59 G6 yv' G,�5 DELAIR NEWJERSEY081103398 I SIDE DECK ev 12'-0' N/A 77 . 15SIDEDECK s'-0^ 15.0" N!A 97 E = _ SE CONSULTANTS,INC, 12Xi13X END DECK°A° 6�0° 13'-1° 6'•0° 104 c�,` PE `�� ScolEdd4 Mmna 1 SX END DECK'B° 6'-0° 17'•7° T-6° 152 �,� -�% �s °�',y�g PODL FENCE,WALK DECK AND DECKS 18XEND DECK°B° 6'-0" 20'-7" 8'-1° 1� Fs " .`.....a�� ��a FOR, ESTHER XUAMS POOLS, OPERATIONAL WATER DEPTHS 9A °a�ira�}m`� �oo��" Lg' JOHNNY vassMULLER POOLS 46°IDGHPODLs=42' PATRIOTS SYMPHONY SERIES POOLS, H P e PA SPECOWI SCALE;NTS 08A3191 DRAM-JD CON �co.,.R oidin anon ..Above i 6 ks xsri a� r / {..e. 3 '"'M ` s`� -��rr,� s 'fir �.�` rrt� °�{ �. a-� r «. �`,�, ."fir ,�, r •' �.. �." -^":g , ...wv. if �• mac" g A,.. � � �'� �� &' ; -�.« ;�. �„�,�, .�r".' �M p « / / nF -y lv r / r, s `§ ✓/r Ml /,w .q v RogU � � Y 1 14 : tenBh grid stt. d t M St -. .... LAN ' 3. COrrup ed ste l 1 rr t ets r� � sx ,w ice and impact dama e. 0 , CONCORDE ' Atlantic's Exclusive Su l' S'ttem, c bIn '' re " ibrd l- , IBRACTA BUTTRESS-FREE.SYSTFM 1aacz Gi ralt: r T3+sstrexx»pry as In OVA Persil tlr:°as 40es aia�t r�z}siar�,an!k si��saapport t(bt3trr.wz),9Y131��s$eke a tel rm'd wrilga c sy—x'texrr dtl;vcft;OrkIvrpTUdd Ufucttsr4l mmngtla wtt mit hu:are ut"utiv .str rratrg d.a arsnec and 00",Up feu ha*W :paet..• e azxzarr0"a 15'.x W.oval.pcol withtwumssfu s<s alas V'x 0 rake iarxtxllc A W x 30' f1 ,0cw.o"l OMY rogwr'�. i5'X 180 frer €,°rmtif a`wol.'or.a lh%w gi 3, brar( raE ;v �'d t• a 'r �, � � ;¢ taai$i$I f$ ��$ per sft�« �Y i1�k3b 3hK1wr�"'k vi�v�s�c�Otis z'e,i t�a 3aaar ele ark c�h me a$a�tG R. All V rher-Prc to tlaa . Ye r Q r I ty l�u .kr ;.. 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A l I" T AT Pool: duct: Oto w Nonho'a L40%f OVIM 0A fit% x arm y3 r na �W-vYsYa €. 1t�YlYl.t91�ia39$$C 5l IEYF¢t$E E .Ci?$n Kimn.consiant .,burn ing, Above ground pools pe d 9' ""ed or su+rir+tt tnl viollancewhen cWHdren tire in. r around the `oo1.. A IN 0IM7 r Pool Component to tcd1c[fion Mcmdcd A All Round Pools • ❑Part No. 1920283 General rev 4 Instructions A. Introduction to Installing your Pool Read all instructions completely before you begin, These instructions explain how to install your pool, Simply follow the step-by-step directions. Start with this part, SECTION 1 and use the other instructions, SECTION 2 to 4 to put together your entire pool, SECTION 1 also has Safety Rules and instructions to help you keep your pool clean and in good shape, year after year. Be sure to read the Safety Rules, and make sure everyone who uses your pool reads and understands them, B. Determine a Location for your Pool 1. The Terrain Pay special attention to choosing the right location for your pool: • Choose a large area, as flat and level as possible, ` • Choose a spot on dry, firm a E ., ,,; E,M earth—do not install the pool E on concrete, asphalt, tar pa- per, sand, gravel, peat moss, wood or chemically treated soil, • Check with your pool dealer to see if Nut Grass grows in r your area, This type of grass may grow up through your pool liner. Your dealer will be able to advise how best to No treat the site, No • Sloped areas will need to be of ;„ 8 ' made level by digging away E high spots, not by filling low spots—be prepared to hire Yes earth-moving equipment if necessary. EEx i 1-1 No DivingorJumping. Observe all SafetyRules, 2. Things to Avoid .� . L. Do not locate your pool near or a No No on any of the following: • Overhanging tree branches. • Overhead wires and clothes- k lines. • Buried pipes and wires-con- tact your gas, electric and telephone utilities to find No buried pipes and wires be- fore you dig. Hilly and uneven terrain, • Areas with poor drainage. • Grass, stones and roots. Grass will rot underneath the pool liner, and stones and roots will damage the pool liner. • Areas recently treated with oil-based weed killers, chemicals or fertilizers. 3. Plan Ahead • Will you be adding an adjacent deck later? Be sure to leave room, • Will you be using pool accessories or other appliances that need electricity or gas? Locate your pool near these services or plan to have them installed later by a licensed contractor. . C. Prepare the Foundation of , your Pool 1. Mark out the Area a, Drive a peg into the ground at the centre of the area ------- where you want your pool Size of foundation circle b. Use a length of string tied Size of pool between the peg and a can - ------------ of spray paint, and mark a , circle on the ground. Choose ' the length of string you need for your pool from the chart on the next page. The circle will be 6" (15 cm) bigger all „ round than the pool. (ls cm) 6 1-2 No Dieing orJumping. Observe all SafetyRules Pool Size Length of String Length of 2-by-4 12' 6-6"(200 cm) 6-6"(200 cm) 15' 8'-0"(244 cm) 8'-0"(244 cm) 18' 9'-6"(290 cm) 9'-6"(290 cm) 2 P I P-0"(335 cm) I P-0"(335 cm) 24' 12-6"(380 cm) 12-6"(380 cm) 27' 14'-0"(426 cm) 14'-0"(426 cm) 2. Remove the Sod a, Remove all sod and plants from the circle. b. Remove any sticks, stones and roots from the circle, " 0 3. Make the Area Flat and Level Remember: Your pool must be a. Replace the centre peg with a perfectly level. flat-topped stake, at least 1 4 Take the time you need to be sure (25 mm) square and 6" your foundation is (15 cm) long. Drive it down O perfectly level. flush with the ground surface, k�� Yi Ft� b. Nail one end of a straight 4 a " 2-by-4 to the top of the stake. .. u�r Choose the length of 2-by-4 you need for your pool from the chart above. Use a nail long enough to hold the end of the 2-by-4 to the stake while Oyou rotate it in a circle, Hint: c. Put a carpenter's level on they Use a surveyor's transit instead of a 2-by-4 and swing the board in carpenter's level, if a circle to find the high and : one is available. low spots. M 1-3 No Diving orJum,ping. Observe all SafetyRules I d. Remove all the high spots with a shovel, hoe or rake. Be prepared to hire earth mov- ing equipment if you need to level a large area. Remem- ber, your pool must be level „u within 1" (25 mm) across the diameter of the pool. 1 (zs mm) MAX i- 2 e. Do not fill in low areas, Filling Remove high spots will create an unsafe founda- Do not fill low spots tion for your pool. Small dips _ _ _ _ _ __ and hollows may be filled in but the soil must be hard- packed with a tamping tool, �t. W . . . _. . . Remember: f. Recheck the outer 12" (30 cm) ` The outer 12" of the circle, where the pool (30 cm)of the wall will be. Make sure there circle must be perfectly flat. The are no high or low spots. The bottom edge of the g p bottom edge of the pool wall pool must rest flat .' " on the ground and must rest flat on the ground have no gaps and have no gaps under it. ,z under it. Take the (30 c time you need to be sure this area is perfectly flat and level. 4. Patio Stones (Optional) a. Concrete patio stones may be placed at the base of each vertical column of your pool. This is optional, but makes a better foundation for the pool wall. Patio stones 12" (30 cm) or larger will do, Round patio stones will also work. Choose the number of patio stones you need for your pool from the chart on the next page. 1-4 No Diving or Jumping. Observe all SafetyRules Pool Size Number of Patio Stones(Optional) 12' 10 15' 10 18' 12 21' 14 24' 16 2 7' 18 b. Temporarily lay out the base rails and base plates around ��-� , the circle. Each base plate will show the location for a w ' patio stone. Make a mark in " the ground at each base plate, nv� 4. c. Remove the base rails and base plates and lay out the patio stones around the circle � 40 where the base plates were. IT � o d. The patio stones must be sunk into the ground so the tops are flush with the soil around them. Use the carpenter's level to make sure the patio stones are perfectly level and Yb� flush with the ground. Use the carpenter's level and a 2-by-4 between patio stones to make sure the stones are level with each other, e. Remove the centre stake and 2-by-4. 5. Proceed to Section 2 a. Continue with Section 2 to assemble your pool b. The rest of Section 1 contains information you can use after you finish assembling your pool. 1-5 No Diving orJumping. Observe all SafetyRules. r Pool Component Installation B • ❑Part No. 1920401 rev.2 Manual Assembling the Pool Base O A. Assemble your Pool Base 1. Lay out the Base Plates and Bottom Rails Note: a. This step is optional; Place sheets of 1"or 1-1/2" (25 or 38 mm)thick If you want,in- Styrofoam on the ground first. Place the bottom rails and base plates on stead of using patio stones you top of the Styrofoam. Do not leave any gaps between the ends of the can make crushed bottom rails. Using the inside face of the base rail as a cutting line, cut out limestone pads. the Styrofoam with a knife. Prior to removing the Styrofoam from inside of Dig a 12"x 12" (30 x the pool perimeter, number each piece with a marker to make reassem- 30 cm)square hole bling them fast and easy. Remove all of the Styrofoam from under the 2"(5 cm)deep and base plates and from inside of the pool the S fill the hole with P P ( Styrofoam trimmed off outside crushed limestone, the rails can be discarded). Neatly stack the Styrofoam removed from packing it down inside of the pool it will be required later after the pool wall has been hard, Spray the installed in Section 3, not before, crushed limestone b. Place the base plates equally with water as you spaced around the perimeter of pack it down. your foundation. If you are using Othe optional patio stones, place one base plate on each stone. Hint:Bend the first 1/8" c. Slide the curved bottom rails ' (3 mm)of the end together with the base plates. of the bottom rail Leave a 1/2"(13 mm)gap be- slightly with a pair tween the ends of the bottom of pliers to make rails. " sure the rail 2. Spread out Brick Sand doesn't slide out of a. Spread a 1 the base plate p layer of fine brick �, trr 11 gy U) when the pool wall sand(no pebbles)over the , Baps s , is installed. foundation area, 2"(5 cm)deep. M, Use a rake to make the brick o Qsand flat and smooth, Instead of �. ' Remember: brick sand, use the sheets of Spread brick sand Styrofoam previously cut out in or sheets of Step 1 a. Reassemble the sheets Styrofoam out over in the centre of the pool and join the entire pool them with duct tape along the foundation area s ; whole length of each seam. inside the base rails. This provides Remember to wait until the pool wall has been installed in Sec- a protective sur- face for the pool tion 3 before installing the liner to rest on. Styrofoam. Pools with a styrofoam layer must still have a cove. 2-1 No Diving or Jumping. Observe all Safety Rules, Pool Component Installation Manual SECTION 3 AssembWntn the Pool wall & rep O A. Assemble your Pool Wall Hint: Bring the following This section is for Round and Oval pools (Round pools are shown). items onto the pool foundation before 1. Set the Poor Wall in place you start uncoiling a. Wait for a calm day. Do not attempt to install the pool wall in the the pool wall:the wind pool liner,some extra brick sand to b. Unpackage the coiled pool make the cove in wall and stand it On a piece _ za Step 5,and a ladder of cardboard r 1 f. to climb out after the O plywood at wall is assembled, the centre of the pool. The o' O cut-outs for the through-the- s 2 wall skimmer should be to- Caution:Do not attempt to wards the top of the wall. install the pool wall Look for a THIS WAY UP label r in the wind,Wait for and arrow. a calm day C. Start uncoiling the wall, guid- Q ing the bottom edge into the Remember: curved bottom rail. The start- For best results, ing end of the wall must be .. mount the skimmer on the downwind positioned over a base side of the pool plate, and the skimmer and w (that is, directly return holes should be posi- across from the tioned where the pump andy. ° most common wind filter will be. direction). .: Wind d. Set lengths of slotted tube �r Onto the top edge of the wall as you uncoil it and join the % slotted tubes with connectors as you go, leaving a 1/2" (13 mm) gap between each, ,, Locate the skimmer on this side Mahe sure the gap is directly ,, (Retainer O above the base plate (this beaded applies to round pools, oval liner Hint: pools and Gibraltar Style m only) Secure the slotted pools), (If you have a beaded tube connector to the wall with a piece pool liner, set lengths of liner of duct tape after retainer on the top edge of installation to pre- the wall first, then the slotted vent it from lifting off tubes and connectors,) the Waft 3-1 No Diving or Jumping. Observe all Safety Rules, r e, Work around the foundation until the entire pool wall is uncoiled into the bottom rails and the top edge is covered with slotted tubes and connectors (and beaded liner retainers if you have a beaded pool liner), 0 2. Join the Ends of the Pool Wall outside a. Line up the holes in the two Hint: ends of the pool wall. Stick a screwdriver through two of the Inside holes to help line up the ends of the wall. i b. To line up the holes, make the circle bigger or smaller by nudging the base plates in or out with your foot, - - c, Join the ends of the pool wall Remember: with a bolt and nut through Outs;de The bolt heads must each hole..Place each bolt Inside be toward the inside of the pool.Cover the head towards the inside of bolt heads with duct the pool and each nut to- tape, wards the outside, d. Tighten each bolt and nut securely, e. Cover the seam and bolt heads on the inside of the onts;de pool wall completely with 2" Inside (50 mm) duct tape, 3-2 No Diving or Jumping. Observe all Safety Rules, 3. Make sure the Pool Wall is Level a, Use a length of string and a line-level to check across the p33 top edge of the pool wall to see if it is level. Check the wall in several different directions, The wall must be level, If the level is 3.. off by more than 1" (25 mm) across the diameter of the pool, O take the wall apart and level Wy the foundation again, Caution: The pool must be level within 1° 1"(zs mm) (25 mm)across the MAX diameter,A pool that is not level is dan- gerous and may g g collapse. 4. Make sure the Pool Wall is Round a. Using a tape measure, measure across the circle at each base plate, The pool wall must be round within 1" (25 mm) (all of the measurements must be within 1" (25 mm) of each other), � ,fi, Adjust the circle by nudging the base plates in or out with your foot. >> b, Adjusting the pool to the proper shape may causeCea the base rails and base plates to slip out of align- ment a little. Recheck all of the base plates to o make sure each one is centred where the base rails meet, . u I 1 5. Install the Styrofoam Sheets (optional) a, If you chose the option of using Styrofoam instead of brick sand, you can now install the sheets of Styrofoam previously, cut out in Step 1 a, Reassemble the sheets in the centre of the pool and join them with duct tape along the whole length of each seam, Remember to wait until the pool wall has been installed in Section 3 before installing the Styrofoam, 3-3 No Diving or Jumping. Observe all Safety Rules, Q 6. Make a Cove �w a. Make a curved cove about 6" k Remember: (15 cm) high and 8" (20 cm) Earc(SfCv The cove is an wide all around the bottom " �r � � important part of the 6"(15 cm)�� � .�� 3 � of the pool wall on the inside -� pool structure.Take y s your time to make a b. Use fine earth or brick sand _ Pool Wall complete, full-size to make the cove, and pack it firmly into shape. s"(20 cm) Base Rail Brick Sand 7. install the "Wail-Saver" Gasket or styrofoam a. The Wall-Saver gasket pro- vides a water-tight seal around the skimmer cut-out Cut-out for skimmer Caution: g The"Wall-Saver" for the through-the-wall skim- f< . gasket is important mer. Gently spread apart the for protection two layers of the gasket and against corrosion,Failure to install this insert it into the skimmer cut- Wall-saver as e gasket properly on out so that it sandwiches the the cutout for 6"or wall, Be very careful not to 12"skimmers may tear or damage the seam in void the warranty of g your pool wall. If the the gasket or the gasket gasket is damaged, may leak. Take extra caress: ; get a replacement not to cut or damage the from your pool g dealer, gasket when you are install- s u. Note: The'Wall- ing the skimmer later, If the Saver"gasket is not gasket is damaged, you required or provided et for walls using 14" must g a replacement from skimmers, your pool dealer. Dote: The°wall-Saver°gasket Curved Seam Straight Seams Is not required or provided for walls using 14"skim- -- a mersu .a '-KAU BN 'insAa"11 Pool YOM Hint: Limr .. TdF, If possible,unfold the liner on the grass one to two hours l. Set the liner in place before installation. a, Open the carton, Do not use Be careful not to anything sharp to open the leave the liner too Pool Liner long or you may carton, �3 , Seam is damage the grass. b. Unpack and unfold the liner centred in middle of and spread it out in the sun Earth Cove to warm it up. Inspect all the seams and surfaces for holes. Pool Wall .—Base Rail Earth Cove 3-4 No Diving or Jumping. Observe all Safety Rules, 0 c. Spread out the liner, smooth side down. The curved seam . Hint: should be centred on the To smooth out the cove at the base of the wall, wrinkles in step 2(c), The other seams will form ; use a er: block n straight lines across the bot- cle�o:: block the tom of the �skimmer outlet with pool, cardboard and tape and put the vacuum d. Smooth out all the wrinkles in fl hose through the the bottom. skimmer return hole, between the liner and pool wall.Seal 2. Fasten the Liner in place the hole with tape (Overlap Liner only) y, and keep the hose 4" to 6"(10 to 15 cm) This step applies only if you have an Overlap above the sand cove h if a See the next, page you have a Beaded 'so you don't suck up Liner, • any sand. Start the Liner or V Bead Liner. vacuum and run it until most of the a. Lift the sides of the liner and drape them over wrinkles are gone, the top of the pool wall. If you have a 52" (132 Then,stop the cm) high pool, pull the liner up until there is 2" vacuum and add 1" (5 cm) overhang; if you have a 48" (122 cm) high (2.5 cm)of water to the pool, Finally, pool, pull the liner up until there is 6" (15 cm) remove the vacuum overhang, hose and unplug the b. Fasten the liner to the to of the wall with plastic skimmer hole, p coping. Let the liner hang slack for now. Do not pull the liner tight. c. Start filling the pool with water, As the pool fills, work out all the wrinkles and smooth the liner to the wall. Remove the plastic coping around the top edge of the wall one piece at a time and adjust the liner. Keep smoothing out the wrin- kles. 3. Trim the Plastic Coping and Roll Up the Excess Liner Qa, After all the wrinkles in the liner are removed, trim any extra length of plastic coping so there is no overlap.Remember: Do not trim off the excess liner. (If the liner ever needs to be removed,trim- ming the liner will b. Roll up any excess liner hanging below the make re-installation plastic coping and tape it in place near the top very difficult.)In- of the pool wall. important: Do trim stead,roll up any o no m off the excess liner and excess liner, to tape it in place near the top of the pool r excess line wall I 3-5 No Diving or Jumping. Observe all Safety Rules. 3. Make sure the Pool Wall is Level a. Use a length of string and a line-level to check across the3 ' 3 top edge of the pool wall to see if it is level. Check the wall in several different di- rections, The wall must be level, If the level is off by more than 1" (25 mm) across O 0 the diameter of the pool, take Caution: the wall apart and level the The pool must be foundation again. level within 1" 1°(25 mm) (25 mm)across the MAX diameter,A pool that is not level is dan- gerous and may 2 collapse. 4. Make sure the Pool Wall is Round a. Using a tape measure, meas- ure across the circle at each base plate. The pool wall must be round within 1 (25 } mm) (all of the measure- ments must be within 1" (25 3, mm) of each other), Adjust the circle by nudging the base plates in or out with your foot. b, Adjusting the pool to the proper shape may cause the base rails and base plates to slip out of alignment a little. Recheck all of the base plates to make sure each one is centred where the base rails meet. S. Install the Styrofoam Sheets (optional) a. If you chose the option of using Styrofoam instead of brick sand, you can now install the sheets of Styrofoam previously cut out in Step 1 a. Reassemble the sheets in the centre of the pool and join them with duct tape along the whole length of each seam. Re- member to wait until the pool wall has been installed in Section 3 before installing the Styrofoam. 3-6 No Diving or Jumping. Observe all Safety Rules, I Pool Component Installation Manual SECTION Installing� the Top Rails & Verticals A. Attach your Verticals and Top Rails 1. Continue filling your Pool a. Continue filling your pool with water. Do not put in more than 12"(30 cm)of water until the top rails and vertical columns are all attached. b. Keep working on the top rails and vertical columns while the pool fills. • See the drawing on the next page for an overview of all the parts used to install the verticals, top rails and top connectors. 2. Install the Vertical Columns r a. Line up the bottom of one vertical column(key 1)with the O two small tabs on one base r f, tt gt ¢z t Hint: plate(key 2). The tabs must be o In step 2(b), make on the inside of the vertical t � sure the two screws column. The end of the vertical y s (key 3) are exactly , with three holes must be near- straight and per- pendicular to the est the top and the end with vertical column,or two holes nearest the bottom, t 0 2 else the foot cover b. Line up the scre w ho les es and will be difficult to fa sten with one self- ta-t apping PP g install later, screw on each side(key 3), c. Hook a top plate(key 4)over the top edge of the Opool wall(key 5), Place the top plate down over the a •. m top of the vertical column with the front tab on the � OF�•Q� Hint: outside of the column. Make sure the vertical 07 Use the ridges in column is straight up and down. the pool wall to e 5 make sure the d. Line up the oval screw holes and fasten with one r vertical column is self-tapping screw on each side and one on the straight up and front(key 6).' down. e, Repeat the last four steps for each of the vertical columns around the pool wall. 4-1 No Diving or Jumping. Observe all Safety Rules. f Overview of Vertical,Top Rail and Top Connector Assembly 8 I 7 �12 ' 11 13 e`e F � e �Oil 01 woo 10 3 j jig 4-2 No Diving or Jumping, Observe all Safety Rules, 3. Install the Top Rails a, The double plastic washers are shipped attached to the foot covers and must be cut apart, Care- important: fully remove the double plastic washer(key 9) Be careful not to fr om the foot cover(key 15 with a sharp( Y ) arp knife damage the dou- ❑ ble (place the plastic parts upside down on a hard plastic washer 9 or foot cover when surface to do the cutting), Remove any excess separating them plastic from both parts with the knife, with the knife. b. Place a top rail(key 7)with one end on top of the FE top plate, The side of the top rail facing the centre of the pool is shorter than the side facing the out- side of the pool.The side of the top rail facing the outside of the pool will form a large overhang, 7 c, Line up the holes as shown; Fasten through the two 9 oval holes into the holes marked'A'in the top plate below with two self-tapping screws(key 8),and with one double plastic washer(key 9)over the hole A farther from the centre of the pool,as 14 Pzo® Oshown in diagram 4.Do not tighten the screws yet, Leave the screws slightly loose until all the top Note: rails are in place, The double plastic eat ste d, Re washer is needed p P(c)for the other end of the top rail, only with the screw e. Repeat steps(a)to(d)to install the rest of the top rails around the top farthest from the of the pool wall, centre of the pool. The other screw f, Make the pool settle into a does not need a perfect circle by pushing the washer. top of the pool wall vigorously inward at each vertical(this will help make the bottom of f the pool wall shift into a perfect f _ circle), g. Adjust all the top rails to line up evenly with each other and y tighten all the screws. ° Push u�gorously: Important: You will find the self-drilling 'Teks' screws in the Top 4. Install the Top Connectors Pack, in package number 184232.Do a. Fasten the upper and lower halves of a two-piece not confuse these top connector(key 10 and 11)with two self-drilling to with the other self- 'Teks'screws(key 12). Be sure to hold the two parts tapping screws. together very tightly to make a tight joint with i the two screws. 11 4-3 No Diving or Jumping, Observe all Safety Rules, b. Line up the assembled top connector(key 10 and 11) above the ends of two top rails, 1 c. Hook the upper half under the y inside edges of the top rails and hold the hooks firmly in place,Bring the lower connec- tor down into place under the T,' top rails by spreading the sides t I out,as shown in diagram 8, and gently stretching it across ' F' IT and down,as shown in dia- grams 8,9 and 10, d, Line up the two screw holes in the lower half connector with l s "i T , y ' the two 0 holes in the Caution: vertical Be sure to spread column, V1 the sides of the Fasten the lower half con- connector in nector before stretching it across place with the top rails or the two self- AM 1o+ connector may be tapping damaged. screws(key 13).Tighten the screws. e, Important; when each top , connector is properly installed, there should be a small gap between the connector and a k' the pool wall. Make sure the i Oconnector is not touching the pool wall;if it is touching,re- " Note: move the screws and the top If necessary,the t connector and slide the ends of s i XI1 plug covering the „ screws can be the top rails outwards from the i centre of the pool to the next removed by prying p it out with a knife, available hole in the top plate, Be careful not to Reinstall the top connector"" damage the edges after the top rails are adjusted , ., of the plug. and the screws are tightened .P again. 11 ?: f. Insert the plug(key 14)into the holes in the lower half connec- tor(key 11)to hide the screws (see diagram 12). Press the ' plug firmly in place, 14 961 g, Repeat the last six steps for the 7 rest of the top connectors, 4-4 No Diving or Jumping, Observe all Safety Rules. r h. For oval pools only; at the y �� Move�the Side'�RRail Transition Rail transition points only,where Side Rail slightly to centre the Connector the end rail meets the side rail, make sure the side rail lines up = __ properly with the end rail. If it doesnt line up the connector . will appear crooked from oo above(see diagram 13). If the boo ed Connector Centred Connector connector isn't centred be- 0 tween the rails,temporarily remove the Hint: connector and loosen the screws on the side rail. Shift the side rail in or In step 5(b), push out from the centre of the pool until the connector can be properly the sides of the foot centred between the rails(see diagram 14). cover inward while you slide the S. Install the Foot Cover cover down into a. Loosen the self-tapping screws , place,to make (key 3)on each side of the sure the two long side tabs hook onto vertical column by two turns, the screws. b. Slip the foot cover(key 15)onto s the vertical column and slide the foot cover down the verti- 17 cal column to the bottom so the hooks in each corner of the Important: foot cover(as shown in dia- s The pool wall may gram 16)locate in the two bulge and shift a notches in the column, Press little while filling with water. This is down to make the hooks fasten normal. into the notches,the centre tab on the foot cover(also shown in diagram 16)fasten into the Corner Orectangular slot in the vertical Hook column,and the two long side centre Caution: Tab Before anyone uses tabs hook over the screws, your pool,read and follow all the c. Insert a screwdriver through the holes in each side of the foot cover to Safety Rules in re-tighten the two screws loosened in step(a),as shown in diagram 17, Section 1. This pool d. Repeat the steps(a)to(c)for each of the vertical columns around the is not for diving or pool wall, jumping. B. Fill your Pool with Water 1. Finish filling the pool a. Fill the pool with water to 2"(5 cm)below the lowest opening. Next, follow the installation instructions for your skimmer. 4-5 No Diving or Jumping, Observe all Safety Rules. r D. Maintaining Your Pool After you have finished installing your pool, follow these instructions to keep it clean and in good shape, O I. The Liner a. Check the liner regularly for leaks. Caution: b. Minor repairs can be made to the liner with a repair kit. Chlorine can damage your pool 2. Pool Wall and Vertical Columns liner and metal a. Keep the pool wall and vertical columns clean. Wash down every parts.Wash any so often with mild soap. Do not use abrasives, chemicals or spills right away p cleansers. b. Wash off any spilled pool chemicals right away, Q c, Recoat all showing screw heads with clear outdoor varnish. d. Check all metal parts for rust regularly, at least once per season. Remember: e. Touch up scratches and rusty area on metal parts with matching Any rusty areas on anti-rust paint. Follow the directions on the paint can, the pool wall must be repainted f. Every two years, lower the water level in your pool to 12" (30 cm) quickly with anti- deep. Remove the top edge of the liner from the pool wall and rust paint.A badly look for hidden rust on the inside of the pool wall. rusted pool wall can collapse. g Pay special attention to any leaks at the skimmer and return openings. Leaks must be fixed immediately. E. Winterizing Your Pool At the end of the swimming season, you must follow these directions to make Oyour pool ready for the winter. i. Lower the Water Level Caution:Do not drain all a. Lower the water level in your pool until it is about 6" (15 cm) below the the water from water return fitting, your pool for the b. Remove all hoses attached to the skimmer and return fittings. Make sure winter, and do not all water is drained from the skimmer housing, and make sure the hole remove the liner. at the bottom of the skimmer is left UNPLUGGED, An empty pool may collapse in 2. Check all Joints and Screws the winter, a. Make sure all the frame joints are fitting together well. Make sure the pool wall has not shifted from the bottom rail. b. Make sure all screws and bolts are tight. 3. Check for Rust Paint any scratches or rusty areas with anti-rust paint. 4. Check the Liner Make sure the top of the liner is still attached to the pool wall with plastic coping. Do not remove the liner from the pool. Removal of the liner will void the existing warranty. Do not drain all the water from the pool for the winter. 5. Finding Leaks Make sure the liner has no leaks. Check the liner for leaks and repair any holes with a vinyl patch. Leaks in the winter can cause severe damage to your pool. Continued next page 1-6 No Diving orJumping. Observe all SafetyRules. r 6. Pool Accessories Remove all pool accessories from the pool, including the ladder. Leave the skimmer and filter parts attached to the pool wall. Ensure that the skimmer lid is installed and the opening at the bottom of the skimmer is open so that accumulated water can drain immediately. 0 7. The Filter Disconnect the filter from the pool. Follow the filter directions for winterizing Remember: your filter, Failure to install the"pool Kit"pool Winterizing Important Winterizing Notice and follow the winterizing proce- dures, in accord- All Pools: ance with theses The water level must be maintained at least 3" below the skimmer instructions,may opening throughout the winter. Surplus water must be removed by void the pool warranty pumping, draining or siphoning so that it doesn't enter the skimmer during the winter. Remove all hoses attached to the skimmer and return fittings. The opening at the bottom of the skimmer MUST be kept open so that accumulated water can drain immediately. Pools with 12" skimmers: In addition to the above, the Pool Winterizing Kit (Part Number 1370138) must be inserted into the 12" skimmer (see illustration below) Failure to install the "Pool Winterizing Kit" and follow the winterizing procedure, in accordance with these instructions, may void the pool warranty. The Pool Winterizing Kit (Part Number 1370138) is also available from your pool dealer, All Pools: Do not attach the fool cover to the top rails, connectors or any part of the skimmer, Maintain water 12"Wide Mouth • level at least 3" Skimmer ' below skimmer • opening throughout o the winter o a o / 3„ Pool Wintering Kit Insert the Pool Winterizing Kit (Part Number 1370138) into the skimmer until it fits flush with the skimmer flange. On some skimmers, it may be necessary to trim the foam to make a friction fit and/or use a wooden wedge to keep it in place during the winter. 1-7 No Diving orJumping. Observe all SafetyRules. E Safety Rules For Pool Owners iYour pool contains a large quantity of water, and is deep enough to present inherent dangers to life and health unless the following safety rules are strictly observed. First-time users run the highest risk of injury. Make sure everyone understands all safety rules before entering the Pool. Post NO DIVING and NO JUMPING Signs beside the pool. For additional safety information please read the enclosed booklet The Sensible Way To Enjoy YourA.boveground/Onground Swimming Tool 1. No Jumping or Diving The top rail of your pool is not a walkway and must not be used for jumping or diving. Do not permit jumping or diving into the pool from a deck or the top rail of the pool. Diving or jumping into the pool can result in serious injury. • 2. Never use the Pool Alone f Never permit the pool to be used unless it is attended by at least one person other than the bather. Someone should always be avail- able to lend assistance in an emergency. 3. Never Leave Children Unattended Never.leave a child alone and unsupervised in or near the pool— not even for a second. There is no substitute for constant adult su- pervision. 4. No "Rough-housing" Do not permit "rough-housing" in and around your pool. Surfaces can become slippery and hazardous when wet. S. Light the Pool at Night If the pool is used after dusk, adequate lighting must be provided. Illumination in the pool area must be sufficient to clearly judge pool • depth and all features in and around the pool. For lighting recom- mendations, consult your local licensed electrical contractor. 6. Restrict Access to the Pool Do not leave chairs or other furniture beside the pool that could be used by a child to climb up into the pool, Ladders must be removed whenever the pool is unattended. A fence with a lockable gate around the pool or yard is strongly recommended and may be required by law in some jurisdictions. 7. No Alcohol or Drugs ' The use of alcohol or drugs does not mix with pool activities, Persons who have been drinking alcohol or using any drugs should not be 00 allowed in the pool, and should be carefully supervised in the sur- rounding area. 1-8 NoDivingorJumping. Observe allSafetyRules.