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0119 BLUE WATER DRIVE
ITO 'J�?l Piz, 4k ii4 1W 14 i, j "VI-i'M 'F""J"q; f,I),, 'i gs"pv Wif,, if q`�irA I ,.,, J Xl� �n�, JA t."4 z�,4, It!,t f.) ffij Vw�-"N i. "z Z�d tri, Ny 'R 4 IN j i f,14AIUN 41 W1 FA, IN V;M �v j WN ,N1 ,,1 A, �10. sax ?M 1111111h, g A "i"; V.�w,�i F;f f i Y, "IN iq�q 14;- m .. ... ,,," --1 -Ilt"'Y , oi , [': , , �t I "1 0 A- 1�4 R1'W Nil w" I"em t 3 iv Eli �2j, �ME ................... I v,&I,WIIAIA�fil T� KM JVA 'P f:111 IM Ila ff �4 V N Y,41 "t y At f f MAIT, l:J Mg- 45 'AP U N ,R, , t; Iff, ;f , �' -�,- .I,-,,- q.�,;,;-, - ,,"�. , 101�1:4�i�ii I-e, V ,-"i--, A V1 r .—I W"Iff'' Ms ,;I; fit 'I ji, s om JA 4 11 4P Z Ij iq��,v A �vv n,i4 IiAi`�I, ,j�g�tvg I v 1v �q �11!1 i tp, �41: ZJ`A,�tTl Vmg r4 Win �lml YU;l?" MYR j N, 1,r 2 i ,"IN. t I 01.1� v , tI I k,; q�g bij g NU A�li i4a"T",,;,K gp �q;gg. IW"i WIT �RVib i;_ 1'.x 0 I P 44 NO "fit d", 'HO" I it *I-P Im. TPiP ij IN, xll, PWR V,f,�vi�jp'kt YR I Ri FW"'t; J5 I P NO ��jj 4 �V'R ','I wl( gg if ON V"U" Ij, Ik, t T, "'NNIF 10-IfTmg, f0i "T f UN �f "IM 5".11 r� il���ilp,,�', f 7 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map- Parcel 3 6 Permit# �� t 12 Health Division L 0 Date Issued 0 1 -� O - U 3 Conservation Division �' �� V 1/Z3�d 0� Application Fe D ©� ys �'y Tax Collector Permit Fee 95 2.3 Treasurer G -.: .fC Planning Dept. 1h'13TA1 Lrt1D El C'" 'PLIGANCE •R pi ., Date Definitive Plan Approved by Planning Board E6` %1: , 3 AL C001E AND Historic-OKH Preservation/HyannisZ2�jw. TO',7f _ 1 k rIO'4S Project/Street Address ) j v E Lu 471rr 1/1 Villager on 476✓V l l� OwnerDttL), ����� i�l ��9'�"'r C Addressi4'!�?� Telephone S'Of 367— —/1� 7-7 Permit Request ICJ b[�r'M U14 �0 l � ttij Square feet: 1st floor: existing 32 p,0 proposed 2nd floor: existing proposed Total 9w 44 Zoning District "7 ( Flood Plain Groundwater Overlay I -?€ c:) Project Valuation�5.0,00, Construction Type _uJ ooc—i N) `—" `n Lot Size %!, 2o-7 Spa Grandfathered: El Yes ❑No If yes, attach supporting d mentaticE Dwelling Type: Single Family tT Two Family ❑ Multi-Family(#units) C W rn Age of Existing Structure r Historic House: ❑Yes Blgo On Old King's Highw y: ❑Yes Imo Basement Type: Gull Ll Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) xtc Basement Unfinished Area(sq.ft) 41 Number of Baths: Full: existing Z_ 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: QG s ❑Oil ❑Electric ❑Other , Central Air: 4P6�s ❑No Fireplaces: Existing T New Existing wood/coal stove: ❑Yes 44-Pdo Detached garage:❑existing ❑new size Pool: xisting ❑new size (6 x 3 ZBarn:❑existing ❑new size Attached garage: sting ❑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 c Telephone Number SD � " 3G Z—�� 7 7 Address A, License# i;� Er Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE v -� FOR OFFICIAL USE ONLY PERMIT NO. , f DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME `7- !le 'oz. i INSULATION i FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH, ." '^ FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT „ IN. ASSOCIATION PLAN NO. ., RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 � Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE !/ square feet x$96/sq. foot= O x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0031= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) 1 Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee projeost R a p fly - 1 i \ 779 o " z �ti �� a•g8 � p' p a V ` I 1 ' L t t ' { i i i n I I I • -fir :., ------------ Mf I i. Y r - t i i(fiG I IGsa fi Li, ikl� { s f 1✓ c 11 , I G? r 7 i iGl .�TJIa+' —� s I �•3g,FT t - , , l _. ILI ------------- PC fa-la' \ t , G � e l/ fi { it V The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: q U�kl y`►'T�r V2: (i'��i -�number street village "HOMEOWNER": iJ I'I/ 2ol- II vi Cg'!"i Jrd� 3�Z " �77� SUS -7F0 —C 90 name home phone# work plione# CURRENT MAILING ADDRESS: ' ZIU17 o n_A_� _D21 VG C&/L Vl/I a ?a 6 3 z 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 4 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 niiinum.inspection procedures and requirements and that he/she will comply with said rocedFre� d r uirements. / _/ 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. ne Commonwealth of Massachusetts Department o Industrial Accidents —..s p .f „ ' � =; ; '� , Olrfctollarastl0�i�oas 600 Washington Street ' Boston,Mass. 02111 Workers, cow easation Iasaraace Affldavit /��n, name 5 0'9 36 Z—'l'7 77 [R'J am a homoawner PedC=ag ail wmk myself: ❑ I am a sole vr=etor and have-no oae woridng is aav apaai� ❑ ��P wat ° {m tm3pioyees amkiag an this job. I am as •: : K }:..�.. :.x.n..: ... ...a.. ... ............................r..,.,. 2YdiA4°"•�:. ov..?a. ', . 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Lo )' 4 w�:::;y:}y,»���4+:•Y.'•}.<a.\`.C.,xf '�o-r..nv S?: ..»;?-r::b'G?}t.:d,}e?•J' Jki?rraYi }L V:•T` •,a.. .».w .Va,'t. r:»'.: n,•.rr.-. +k.. bCr -\ '.xo, A.-r\x u..)•:.v. r. ,.'{:K•::•{}.ry?.'ji.^+ Kai;;:C........rn n•.:•- .. ..;.;:...a+.v:'•`.fm,•::a. .J... .\+,Al`}:. x}^4,-. ,_ : <.:•:Y:.,..�..: ). Nb•�:6 .>.<•.#gY.a.r.,.).....:...5??2•lro.^... ..., •'....' ;ao,. ,Y�,\;tis>axGv..,:..»:�:cew..•�,: 'i{J}1,•1M'}RMCa!F_,»YT.SM:Y.... >u�,,."{'YS?�C : .{0y. \ M L,,•'J•Xe00[" Fa4me to Secure eo►e:a�d �r tieetloat 2SA otMQ.L4 eslead is theme ota Qaa up to S],SOo.Oo aad/or oG Imo) as wea as Chu pmaufar fa the torn ors to i�OP WioBS OSDFSaai a lbm o[i10a.00 a elan apimd ats ItmdastsDd that• ca"of this statmmt mq be torwardsd to the OIDre otIarnttptlaw of fie ffiALo co vuaP vu'a=*M I do hereby under du a=' =d pardda ofpgliy p�vtsdtdtlbotwe ii> and carrcd . Pffit name '/. i �U� �i .Ytn l� - - . . Phaoe� Sd�'- 3�•�—17�7 oindai use a* do not wrfta is tWx area to be completed by city or taws o@dai c ty or town: - P �ISemsint Board Qseleconews Old" cheticlf Sttoaedtats response is required _ ❑Health Depar'aamt pbooe M' �Other �I contact person: ' 4prq 9/93 PlA1 Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for than emplovees. As quoted from the."law", an employee is defined as every person in the service of another under any coax- of hire, express or implied,oial or written. An emplover is defined as an individual, partnership, association, corporation or other legal entiTY, or any two or more of -mver Or the-foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the ro fa trustee of as individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apar==and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, comstruction or repair wane an such dwelling house or on the gmunds cr building appurtenant thezcto shall not because of such employment be deemed to be as Culpioyer. MGL chapter 152 section 25 also states that every state or Iocal.liceasing ageaep shall withhold.the issuance or renewal of a license or permit to operate a business or to construct buildings in thecommonweaith for any applicant who has . not produced acceptable evidence of compliance with the inanr=ce coverage required. Additionally,neithtrthe camaroaweaith nor any of its political subdivWonss shall eu =into nay contract for the performance of public work until acceptable evidence of compliance with the insurance requires afthis chapter have been presented to the ^ authority. - . . Applicants Please fill in: the workers' compensation affidavit completely,by cb dkin the that applies to your srtm�tion and supplying company names,address and phone ambers along with a certificate-of insurance as all affidavits may be submitted to the DepartmeMt of Industrial Accidents far c e coverage. Also be sure to sign and - !: date the affidavit. The affidavit should be.returned to the city ortowathat the application for the permit or lice is being requested,not the Department of Industaal Accidents. Should not have nay questions regardingthe"law"or if S-au are required to obtain a workers'caempensmd a policy,please can the Departmnat at the member listed below. . City or Towns _ _... _. .... . Plcasc be sure that the affidavit is complete and printed legibly: 'Ibe Department has prQvided a space at the bottom of the affidavit for ycu to fM out in the event the Office of -bas to cm=ct you regarding the appliza= Please be sure to fill in the permrtllicense atmmber which will be used as a ref The affidavits may be rcannea to the Department by marl or FAX unless other ammgmz=1s have bemmade. The Office of Investigations would IrZse to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. M MEN IF The Dep araneat's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Me of layesduadods 600 Washington street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 exL 406, 409 or 375 °ptHETO�ti Town of Barnstable Regulatory Services SrAsa MASS,�' ' Thomas F.Geiler,Director 9�p i6�; `fig TEp ,(a Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 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. Type of Work: if A ?ob 1 ,ern �,,C) L41 Estimated Cost�`J.U�6), 00 Address of Work: 'Au 9 lu Owner's Name: P, j_ Uyl 41,0 tr Date of Application: `Z I hereby certify that: Registration is not required for the following reason(s): 'Work excluded by law ❑Job Under$1,000 F' , Building not owner-occupied , 20wner pulling own permit Noticels 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 fora permit as the agent of the owner: Date _ Contractor Name Registration No. -a -a Date' Owner's Na e w Q:forms`.homeaf 1dav _ ' TOWN OF BARNSTABLE Permit NO. .. ...... BUILDING DEPARTMENT ( ZU." I TOWN OFFICE BUILDING Cash ................ 6SV• \ HYANNIS.MASS.02601 Bond ......X........ CERTIFICATE OF USE AND OCCUPANCY Issued to David Burlingame Address 119 Blue Water Drive Centerville USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID. AND THE BUILDING SHALL .NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. November28, .. , 19....94.•....•.... .... ... ...... ...... .... ........ .... Building Inspector ; �..� °•.ew TOWN OF BARNSTABLE BUILDING DEPARTMENT TOWN OFFICE BUILDING rua i039 �� HYANNIS, MASS. 02601 �o r�r►• MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized by Building Permit $.....................`�.. 1,4? ................. ............................................._._....... ............................ ... »..»... . . » issued to < ......��Vfot,» GGZ ,.�?' 'tQ.................................................. ... ...... .».. Please release the performance bond. THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M DATA "WILDING ' PERMIT -6lTo,,oA bF-BARNSTABLE, MASSACHUSETTS 3-036 DATE 19 93 PERMIT NO. Owner ADDRESS APPLICANT C 1- INC.) ccN-,v,,s PERMIT TO _NUMBER OF STORY -DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) 11.9 Blue Water Drive, Ceiitervl.Lic ZONING —DISTRICT— RD-1 (NO.) (STREET) BETWEEN( AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISIOW LOT BLOCK —SIZE BUILDING IS TO 8 —FT. WIDE BY—FT. LONG BY FT, IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE' USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) i IPMAIK Sewage #93-33.4 r q� Bb nd j'AROEAMER"...: t4� 604 sq. f t. ESTIMATED,COST 50,0002.06 FPEEREMIT 130.25 t (CUBIC/SQUARE FEET) OWNER David Burlingame BUILDING DEPT. 1:?_ ADDRESS ' Same BY L-r *,um _w THE CO N0!` TI8N5 OF A N Y A P P L I C;WL7�IJ 0D'1 11'IS'I'oj lI'LR E ST'R'175 10'mN S. MINIMUM OF THREE CALL -APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN :ERMITS ARE REQUIRED FOR _LECTRCAL, PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL OUIRED,SUC H BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(REAIDY TO LATH). FINAL INSPECTION HAS BEEN MADE.3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET — BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVAN.cu tc f 4p u 2 2T 2 HEATINa INSPECTION APPROVALS "ENG14EE �r DEPARTMENT 0<-4- -Z,3 '? 1 OhHER IS E LAN 11EIN A::=ROVAL r,-V J -emu A 4 WORK'SHALL NOT PROCEE_- UNTIlL THE INSPEC PERMIT BECCmE NULL AND VOID IF VO'NSTPUCTION INSPECTIONS INDICATED ON THIS CARD CAN Blz,� TOR HAS APPROVED THE VA.RiOUUS STAGES OF WORK 15 NOT STARTED wITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. PERMIT ;S ISSUED AS NOTED ABOVE. NOTIFICATION. t. RESS PERMIT �64r ,oFj' r° Town of Barnstable -permit# D C6 (` 4 .2008 Expir- 6 morsths rom issue date U Regulatory Services �e 9 F BARNSTABLEThomas F. Geiler,Director 1634. a,$ Building Division - rFn ra't Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.tovrn.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number b3�P Property Address residential Value of Work 1341- O j. -N4inimum fee of$25.00 for work under$6000.00 Owner's Name&Address ICA-r Cl l�f Contractor's Name p _Telephone Number 5� 5 fv Z Zy Home Improvement Contractor License#(if applicable)_�_� Xorkman's Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name C T 4A`1-�T; �Z�, r! Workman's Comp'. Policy# . �LJ -Copyof Insurance Compliance Certificate must- be on ile P Permit Request(check box) Re-roof(stripping old shingles) All.construction debris will be.taken to 4�)p, ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum..44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Noie: Property Owner must sign Property Owner Letter of Permission. A.copy of the Home Improvement Contractors License is required. SIGNATURE: QAWPF[LESTORMS\building permit formsEXPRESS.doc The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations + a 600 Washington Street Boston,MA 02111 M, www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl r Name(Business/Organization/Individual): . 4L5.w\,-e.f Address: -e-o —�; 0 City/State/Zip: wt L T IM L Phone.#: Are you an employer?Check the appropriate box: Type of project(required):_ 1 am a with employer 4. ❑ I am a general contractor and I � 6. ❑New construction . employees(full and/or part-time).*. have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. ❑Demolition workingfor me in an capacity! employees and have workers' Y P h'� 9. ❑Building addition [No workers' comp.insurance comp. insurance.t required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12. 00f repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#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: . . //-(�T_F�e- —4-• LL ✓' Policy#or Self-ins. Lic.#: _ -_ > - Expiration Date: ' = t Job Site Address: •P T`_ City/State/Zip: E_N►TrP✓ts!Ile VtZ_ +. 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 under the pains and penalties ofperjury that the information provided above is true and correct. Signature: Phone# Official use only. Do not write in this area,to be completed by city or town offcciaL 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, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states`Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants e fill out the workers' compensation affidavit completely,b checkin the boxes that apply to your situation and,if Pleas p Y g PP necessary,supply sub-contiactor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials , Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications_in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or 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 02.111 Tel. ## 617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass..gov/dia W nd Stand 9.1 oNTRACToR wilding R B°oM i MPRoVENIENT C H E p�.:�• .115g71 Ttik 268149 Reg�strat�o._n� gyration 5l41Tp10 FIAMEL C0' Y E R.J MEL . 6ERT HA i DT RD ` Administrat°r Ft0 543174 DEp�'"L. / . CAPO Bp,U ET,MA 02534 . IvIassachusctts- Dcpairtmcnt of PuhlicYSarctN Board of Building Regulations and Standards Construction Supervisor Specialty License License:,CS SL 98778 Restricted to:.RF,WS <� ROBERT HAMEL 74 DEPOT ROAD BOX 543 CATAU MET, MA 02534 Expiratiow 5/6/2011 ('onunissiF,ni,i, Tr#: 98778 F a.rn�nu�rs�noyar .Ine 70A,801z- ; sP.repue;s Pun[Or[w�aar'd uo0 �W�uo7sog *ofi uari�aa su°f7etn�anggsb au , �tuo asn tnP►nrpu p9aa P uor e.{►d' a aeog or)ea)sr�a.r oja9 ao asua�►Z *= IN:issachusetts- Department itf Public Safety Board of Building Re!(fulations and Standards Construction Supervisor Specialty License License:.:CS SL 98778 Restricted to:.RF,W.S ! ROBERT HAMEL 74 DEPOT ROAD BOX 543 CATAUMET, MA 02534 Expiration: 5/6/2011 ('ununissiuncr Tr#: 98778 ROOFING PROPOSAL Hamel Roofing R.J. Hamel PO Box 543 Cataumet, MA 02534 (508) 563-6092 HIC-115971 Richard Jergens 631-697-8415 7/11/08 119 Blue Water Dr. 631-331-2766 Centerville, MA We hereby submit specifications and estimates for: Strip approximately 4,000 square feet of roofing and apply vented drip edge along eaves and ice &water barrier along first three feet of bare roof deck, in all valleys and under all step flashing. Apply synthetic roofing underlayment to rest of bare roof deck. Remove and replace all vent flanges. Roof, using GAF Prestige (lifetime warranty) algae resistant roof shingles. Install ridge vent on all ridges:Remove all debris from job site. � J We Propose'hereby to furnish material and labor=complete in accordance with above specifications,for the sum of: Fourteen Thousand Sixty Five Dollars. ($141065) Payment to be made as follows: $7,000 in advance, and.$7,065 upon completion All material is guaranteed to be as specified.All work to be completed in a workmanlike - - k .manner according to standard practices.Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate.All agreements contingent upon.strikes,accidents or •. ___ delays beyond our control.Owner to carry necessary insurance.Our workers are fully. f - - covered by workmen's Compensation Insurance. -".Authorized Signature Acceptance of Proposal—'The above prices,specification and conditions are satisfactory and am hereby accepted.You are auttwrizea to do the Note;This proposal may be withdrawn by us If not accepted within work as specified.Payment will be made as outlined above. Date of Acceptance: days' Signature Signature COM. CERTIFICATE OF LIABILITY INSURANCE OP ID DAM(*M AWY) HAMBL-2 07/03/08 PRODUCE THIS CERTIFICATE 13ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Macintyre Fay & Thayer ins Agy HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 77 Accord Park Drive Unit B-1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Norwell MA 02061' Phone: 781-261-2000 Fax:781-261-2099 INSURERS AFFORDING COVERAGE NAIL# INSURED INSURER A: American International Co. INSURER 8: Gemini Insurance Company Robert Hamel dba Hamel Roofing INSURER C PO Box 543 INsuRERo: Cataumet MA 02534 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOMM MAY HAVE BEEN REDUCED BY PAID CLAIMS. wwMDT FOLIVY LTR TYPE OF INSURANCE POLICY NUMBER DATE(MWDDIYY DATE M LIMMITS GENERAL LIABILITY EACH OCCURRENCE $1,0 00,OOO B X COMMERCIAL GENERAL LIABILITY VIGPOO9317 05/13/08 05/13/09 PREM S1 EeIr 650,000 CLAIMS MADE FX]OCCUR NED EXP(Any one person) $5,00 0 PERSONAL SADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMP/OP AGG $2,000,000 POLICY X PRO- POLICY LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS NON OWNED AUTOS BODILY INa1HY(Per accident) $ PROPERTY DAMAGE $ IPer eccfaent) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO CRY. AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND X TORY LIM EMPLOYERS'LIA ITS ER A BILITY FNYPROPRIETOWPARTNEREKECUTIVE WC6923771 05/13/08 05/13/09 E.L.EACH ACCIDENT $100,000 OFFICER/NEMBER EXCLUDF.D1 I'm I yes.describe under E-L.DISEASE-EA EMPLOYEE $ 100,000 SPECIA L.PROVISIONS below E.L.DISEASE-POLICY LIMIT $500,OOO OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENTI SPECIAL PROVISIONS Operations usual to insured CERTIFICATE HOLDER CANCELLATION FA7,MOUT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAL DAYS WRRTEN Town Of Falmouth NOTICE TO THE CERTIFICATE HOLDER MANED TO THE LEFT,BUT FAILURE TO DO SO SHALL 59 Town Hall square IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Falmouth MA 02540 REPRESENTATIVES. RE A71VF�,� ACORD 25(2001l08) /�� 0 ACORD CORPORATION 1980 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION J v Map Parcel Permit# Health DivisionWAEOI� Date Issued Conservation Division Fee �° 7 %-�0 Tax Collector Treasurer Planning Dept. SEPTIC SYSTEM MUST BE Date Definitive Plan Approved by Planning Board INSTALLED IN COMPLI�4NCp TITLE 5 Historic-OKH Preservation/Hyannis ENVIRONMEftjTj _f .Project Street Address Q IO'L WX-re e DP,I U e- 3 Village CC',xTaq I L L- Owner DA UP, f J_4rJ - 3 ukb�JG A-hi L Address 11 q Blue- WA)YC D4 Telephone 3 6 a ` r 7 7 Permit Request I NS TA-L-L- X 3a) 1A)go UAJQ W/ Al f o0�- Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Estimated Project Cost 15, Coo.°0 Zoning District . Flood Plain Groundwater Overlay Construction Type creeL wALL 11/ti yL L eD 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: PTO ❑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: 4Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes &o Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size- Attached garage:WLexisting ❑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 II Name Se,)05k1 Telephone Number Address_ 3 ulI 3 wl A-W S7" License# 13A-2,js r,-c.l,e_ PA OA4,3 0 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 7�10a SIGNATURE DATE - FOR OFFICIAL USE ONLY , PERMIT NO. 4 DATE ISSUED406 , MAP/PARCEL NO. Altt ADDRESS ;. ` VILLAGE OWNER . - s DATE OF INSPECTI , s FOUNDATION FRAME ' � INSULATION FIREPLACE `' ELECTRICAL: Rb"UGH tyl FINAL PLUMBING: ROUGH FINAL GAS: ROUGH Pu. O FINAL - FINAL BUILDING in A � DATE CLOSED OUT { ASSOCIATION PLAN NO. t r 0-VE A The Town of Barnstable s,►stvsrnHi.E. : '� � Department of Health Safety and Environmental Services rEcr�e�s Building Division , 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 ' Building Commissioner Permit no. Date 3— 1 ` O b 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 residerice or building be done by registered contractors,with certain exceptions,along with.other requirements. Type of Work: f NSTAU- -S W 1"wL t hJC1 POOL Estimated Cost T /S DU0. Address of Work: q )Ue-. W&I-e4— 2 C z° Ud I Ile— MA Owner's Name: Qq U I f) f TA N r (,3 Uk L I nl!G!A wt I° Date of Application: 3 - 7 ` b O I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job Under$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as three agent of the owner: "Q -TEN 65/c-( 106 6b g Date Contractor Name Registration No. OR Date Owner's Name q:fbnns:Affidav I The Commonwealliz of Massacizuseas Department of Industrial Accidents ��=�_ .�=== Olfica nfl�yestigatians =PEW 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit ME name: location 481U °e W,47"ee QQ. C eti_-e a u/ �Ge city Cf-tV rLolQ o( L 'e- nhone# 340�` q 7 7 9 ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in anv capacity �I am an emplo}•er providing workers' compensation for my employees working on this job. comnnnv nnme: address: 3 q/3 koo-W ST city. I7 ►�S u/l phone insurance co.t9SSM,4.7e,0 l NA157Z1eS fit' MA dyl utP N& CO. nniicv# LOC 7 0 b 5-5� SD l I q q�L G %/////UMMA////////////////////////�///////////..::il..... ❑ I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have . the follo«ing workers' compensation polices: comnanv name: addre�s• dtv phone#c... . insnrnnee CO. poiicv camnanv name- addresr. ciri- ... phone#' insvrnncc co. go cV // Fzaure to senor coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification 1 do hereby c under t ptpe ies of perjury that the information provided above is tru,-and correct Sigman— Dace Print name �i C S��OS L� none# L 2^ cI 7 7 9 ofnCW use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department C3Llcensing Board check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other��� _. .. ;messes 9,95 PIA) Information and Instructions f'+ 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 ca..._--, 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 the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the recc z•e: trustee of as 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 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 local 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,neither.the commonwealth nor any of its political subdivisions shall eater into any contract for the performance of public'work u=1 acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracr= authority. ,,,.. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your summation 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 Departlneat 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 pejmitlficcase number which wM be used as a reference number. 'The affidavits may be rcturned io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Invesduadoas . 600 Washington street Boston; Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 9T02 :a/1]/99 Mf•M001C111w5 Ix OMa IMGS OI OTiTA IMIMG M alGl.y YAAT Tdu• 1P�l ivffO�M Mi MUi1P1!�V[1RA AM�ARpll[[ _ ' V �•3 is/L �fSEE .13/2 A!m 1 5• 1 - PLANS FOR LOCATIONS w O'RPPD• ',.� 6 OTHER ITEMS M 9' 1 BRACE) i RnNEI PqE-Fi18RICJTED i OIMCA/4L BRACE S-5/B•.M.BOLTS1, 80L75 NV15�1W • 2D wb T?11a965. R6¢WG4LV. TYPI2cVLAS" s I I Lrnv�Rs TTF el Y9FYL LIFER LASE FOR��TIONS �� 1pRE-IiBRIC4TED 5-L1ro M.RDLTS 1 6OTHER ITEMS N&UCE -- STAIR LIE STNR ASSOIBLI' NUTS AND WABIfStS TTR J i PRE-F ASS'E TED 20 ML71ILlDFSS STAIR ASSEMBLY .1 �n v*m LIFER 14iA1R LR� Iu.RALx STEEL SFYi LFIE IFtn3Y9oM2m78 .S 009E71 F"EL . W EA sK . T SERIES 550 6 650 STAIR CORNER SERIES 750 STAIR CORNER r1 SERIES 850,950 61 1050 STAIR CORNERI%IM n < : � moT A� MER UDTM O SNYQt S 5 MOTOR �UCTTgI YDTOR cps I L ^�`• fiTE J-,-//�/T���"J _ ,i FLTETYt 1t �� _ ►f —►Z — ASSEMBLY .v LYPIGAL WHERE SIN . I FLTE —►---►— — ► 1 RETURN Po;nA^EMTLY s - ASSEA ] - TTACT® s .w Y ffmkcmm SAFETY VE I 4 r+ I5I-ADEDSHAMO PDRnaa � 1 ! n Y = Poff""am ^eee I EL s PIAFP AIm i� �+,�� Molar+� s�6i I•RESERT ,�n. AREAS ED T I : ,ma sTA/6 ARE CINAL OR MAY BE 0 ¢'F2't SF SURFAIEA6 GAL.. LOr'dTFDAT I sucr�io�il �p� �p 0 O 52E SF109iir�i5xv 5o9..bF SLOW AREA b yIEQQ"i m TONS �.. M36 Raa SF SLOWAREA L 2QDO.GALFAP 'x YOFY2' I TI91M m 20.0'S85.SF S19BAREA b..GAL.GP L—-- ►.—_—J 2 co SERIES 2000 8 2050 INGROUND A'FPAMI WHO`S/YV TYPICAL I LE H . 24800 GAL.FIR o nw AND-- >s sf sM9if AREA E p m TER MOTm - - - ,,,`ri - PERWIEMLY A7T00 SOIRS ARE OPTIONA SYiT1f LME ►—— ~ ——r9( ~ —, SERIES 210O 9 2150 INGROLIND SUE SW" FO.26•S8 90•EL_822 Sr SLXW AREA 6 26928 GAL.CAP PERMILINIENTLY SONS ARE r, I �9 SERIES 2000 9 2050 INGROUND' i1ON4L ATTAOND Mai SAFETY LINE rgiLDW POMONS A, +3`:A4'T A A&AAA FLAQ AREAS :'•' j ,'" � M,)SS - I C, N D I N 4 e Rcrupm 'FRAME ASSE1 81-Y LIP,— �--1 22 T CAL WHERE SHOWN S NAL Ea/ SZE SHOVM:16a3r WT SF SUFF AREAL 2OT2O GAL.CAP ALSO AMULAFLE,b•MAI'TIS SF SURF AREA.L24955 GAL.CAP 21; W iF SURF.ARE"29223 GAL CAP SERIES 210 9 2150 NGROUND I3/13/8E •CNBOPKTNN6 a PLA,._NNR cw,..,i M a1LI.A: - GA.GALV.S[L_PANEL 1:7 BR CE L _ SIGATW tl Ta[faGlt[S N YTDN AE 101 OIgRK[D le u FK.Na An nNUNs[. N GA.iALY STEEL SEE SECT. I3/2 AND G Of1ER REELS N BRACE JAT I TSC MIIEL --f I - 1'IAKS iCR LGCJITIDNS Lr5-4,e*Y BERSOLTS AND IiBOLTS.ILlTS . Y YGALV. I- j•T� tauNNuv I AND 2 WASHERS TYR ST'ICLBy%py EA.PANEL ENO J b-'1B o ILBOLTS.Nun �w GA.GAtx aTEEL I I AND 2 RASHERS TYR .. I EA.PANEL END r.BOLTS.NUTS o - � i I AND 2 rLA9ERs TYP. M?oo \ .II Ew PANEL oD v I I A -.�, T.__I__l ••.I LL I Gw+Oi�ER�PECE mm a aw - O 2D rL TMUO65' s i w V QA.GALV SYM / VINYL tliER I CanER PIECE J \ b: c a/i of - S'RAO CORNER \\`l. ^' 20 Mg-TMLTOESS C�BOLTS - I VNYL LPER _ 5110 ILL.TNOOESS d' Il-- 120.L.TNBCNOESS SERIES _ VWYL LINER nL LPFR J 700 8 750 I N OCTAGONAL CORNER n SERIES 800 8 850(90.OORPER)n SERES 900 a 950(90 CORNER) /1 SERES 550,1000 81050(TYE CORNER) + .A z z 2 z z w GA.GALV STEEL II AND 2 E BDLTG.(ANTS - 2D'7D END a:PANEL _ I • CORNER PECE TIr.9QtOs TW ®[GAWANfZE MnPLANS FOR LOCA-T.YD e. Ij w GA.WLK•-TFa7 - N k.SIL O[/ER RO[S N B)U�B ) e♦.. PANEL SEE SECT. fAMEL (Y �: SIM TYPICAL � ��• �hX S-�d1 Y.BOLT'IlJ 5 .. / \ INLT)BLIOESS AID 2 BIL91IFF5 T§P. y=8 T� I I BITL L1E7t EA_IANFl DD S-wo Y.BOI75.YIJTS ., 7R rrww I I w�y�.ghtl FAM 2 A MIQWA9�5 TT W �' I J VV20 wvLLoanS {L _ �• 20 YL_TIBOOESS Iw GA.G..v SPEa r?? VNYL LINER CORNER PESE t s _ ®HhIKx GS. ^l Yao'P[T EECT.T -> AI.G:�.SEE SECT. 5�' KIO.1[T eECLTL '+ PLANS FOR f \/ R m O�fSLTS01/ ; WIBONLL eR/1�RGtIKiPu 2D rLTRLTOFSS `\ PANELGLLY sTEEL�J 1 zh' EN _ _ (GALY)ANfLE.g.E 152 ATO _ VINYL L1ER j] O LLl�f YS N RRAC (j con _ D m a — SERIES 1000 8 1050 EL CORNER n SERIES 700 8 750 EL CORNER SERIES 7 T A ) SERIES 700 STAR CORNER n ; p5- -II K GA GALY.STEEL Y .. �GA.GALY STEEL ? rNt cow-DECK 4 2 wtJrANN COP.6} S-D'nolwl Y 1 3 m 7 I n� 6R TYPICJIL 0 PANEL SEE SECT. L4 L T�x R. �8 � E ACT N2 j l•S"•� S NIK COW-DECK E BSTALIATION It Fops , COPE" .. �].�.. - 1 1 I I NOTE NO. I '_ °'a T2OiBaa�Ess EppSEEprt' LAw•i mum - �� = ITr cALIL ual� c 0 O VNYL t1ER NNOTE:IEZ SECT. rm r -PANEL[7D •.• - •. u 0/2 NaR DLAGOYAL5_y.•jVX-LomSWA P[oRaoRTALt'cudaA ANACES, GUSSET w GA.GALV.BOLTS.NUTS PLATE LCONC. EA.fAREL ,J 5.%**CARIBAGE - avl OOLLE BEORr- ALV STL W131sf11[S TW ATIQY. TPI[/1L TOTEIO BE kX tOLC-0NAL BRACE) i O ENO.SEE Oft-tALLATICHL-IMt)HSt I2G4G►lY.6jw GA.GAV.STEEL �S-M•s&.BOLTS.NOTE w Ga GALV.sTEEL 1 N GA.GAL1L STEEL A ..FLI" PECE � �AND2 IML4ERS Tw.. FLIER PECE � PANEL SEE SECT. b-'•rY M.BOLTS7 H �.I AM 2 E1NIA9� � A GA..GAIY AMU �- S' 1 I IS/2 TYPICAL NUTS L II MMs699EEJ/ttfs TWY_Y EAO/ I W•%h' TYR EA.PANEL Em_j SERIES 800.900.1000 81050 OORNER /s1 SERIES 600 8 1000 STAR CORNER w RA"'E'�DD �`"^A[{��' I i C DEEPLAR CODE I COVIOENT NOTES 2 INSTALLATION NOTES 2 FYI.,TtsCNOE55 I ADD(M�ySTiFENER) i NfV�I IPE TEA OF POOL I L ALL BAUM Vlm E PDRMb W NATLLBLL mMNO[rNR TO I.M YY=ODSN d M POOL a aTIEDCRLD DI A TTFNJL NSW10101 L-Y')[Y'x GALV I I6TA[.LATION NOTE NO.I AETY A-Bp RTpMA-RS i11LYtlr2m OWTwi. ![IN w FPN NV[Of1RLwr.ORMNOO dLTL FEIT.MUW3 BOIL O% I AT Q OF PANEL.PE7L I TVRC/L w GA. 2 • _ z n11 STD ANN83 tAMd STTfDE7fs+T AANL YtACp I. YSNLT IDPeJMVE sari. ¢/2 IOYfI-TED FOR GLLV.PANEL ETD -_ -_ - _._. .. �- AIRE IIOLIiD iP0•N WTLRIAL WMFprY,i 10 ASTN A-B+ L.NBTAIL AY s'7/POc OOtNtIllE CIX1M OM BAZ OFM OVpEaET01 G LVxPANEL ENO CLASRTV) I BE7D OPA}7151011� ORTN AN ASTL A-Ns--,IAa®COATINIL AA4 MOLD M Al VIXMV D NF M NOOL.TIB Y NN�IN oN bCYL ta1EE2 NEED OYE7f91011 I I 2' INN/Fil eP 'O 'M A Au POL15 AM TNRAOfD iwvoRn tlE rxwsACTIwED 5.PAN]RNM1 Nrn�atAr G1RTV sTEE v Nome AND ouua IalTAElm Y LJROR 1 « awor rATEIeAL ml.Owuwc l0 AST&A-:qT PNTf-AawiA) KNOT pltt�INi•.FI.OI LAYDN awu BE-vub M�aTJJ1EFVU.T TAINPEO TO t wt Fu-�-�. ^—t _ ... AID AM aNC NL n RIeTD. NAfRQS Mt i'fANDA1D ZK ELWIrAT[WW.FILL FOOI.B[Tll N[TDt OtRM Nl�Lt IEVEL (+ RATm tNALL ION tl.'VDI NROI BN�L.L LEVEL BT YOE TMLN OIE FOOT. I 5. a ALL V40ED A1.RTS[AT ANQ sTt/FOot AID AOANTABIi mwi 1CCM �1{T[�I iii T~NIM�v��Fv1 F00.BtaF[INLT Aor 2�S' IT4.70P a NOT. I 0[OI Td(T)1L�t.OL�) I~~• I �M fLEVELNG PIJOE) A.HIAW MACI).AM OD•TE)1.NTN M AII.PMAN INYff AFTER ..TYs POOL NAM NOT BEEN MINED-A sURCNME IDIOBIC L-Y 1NY'.LB'%2-O'GYJ - I-- J 5u 51/2'awfA NE.ONNt 1.6 s IAAts�tKGt eNwll s NYPIAsa LOGO A mlrlOmK l aA¢rT[ANOr lm NOOL AND<R IERT BLORIIl TD LBBf fLMNNAI.OR 2=0'. b' I as AIIOLE STIYNFTN..NI[1CIL ntm -•a IETABED a TD w Nv as Lm. TYPICAL WALL SECTION TYPK'AI_ V461J- STIFFENER 12=s•OVfJE.7NSJB47ON T. Ar�rI�o`m""'REv`�`""F`o"`�ra wmc R ""T"'ED FOR 2 Nis PANEL AT MIQ PANED TYPrAL WN L SECTION AT A FRAME �_ a s_. +a p .q ,r �0 a71iytpnt�Q� ..�ZCa60¢d[uGe INPROUEME lT OhTRACTOR sir ion 106009 U. r._ Pe RDIVIDUAI ky zp>ra 011*1-17/21/00 x YC IgRDNOSKI �h 6 10' d lee toa Rd a M ,WMINISjRATy 3 Z1 . _ ...a Y[ �✓:R.tiif.�i .".f 77 [.,.i'-_;ixJ ...T.�.'_zf: .E ...... z ✓fee {�omnea�zureea�e a�✓�aaoac><u.�ael� BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number.,CS 009635 Birthdate:-07/26/1953 Expires:07/26/2001 Tr.no: 2640 `.Restricted To: 00 RICHARD T SENOSKI _ 10 PEEP TOAD RD (�.•��i CENTERVILLE, MA 02632 Administrator BLUE wA TER DRI VE DRAINAGE 1 1 14 EASEMENT I 8 22' 20'X120' 1 1 I 1 1 1 1 I c LOT 3 I o 49207 S.F.f LOT 4 I I � 1 I � I 1 1 1 1 I 1 I I �48.291 24' N 28 60, 39.69' " O \ O \ 1 �i SHALLOW \ \ I POND \ 1 8/6/93 INITIAL ISSUE CF THIS PLAN IS NEITHER INTENDED �� N0. DATE DESCRIPTION B'r FOR, NOR SHALL IT BE USED FOR AS—BUILT FOUNDATION PLAN—LOT 3 I MORTGAGE LOAN PURPOSES. BLUE WATER CIRCLE BARNSTABLE, MASSACHUSETTS FOR I H OF M4ss9c DAVE BURLINGAM-E ti SCALE: 1" = 50' 1257PER I I CERTIFY THAT THE FOUNDATION P a u l JOB NO. 1257/ SHOWN ONFN IS LO ATED a' 0 50 tooLEVY.ON THE GRI D A D. ANo:10050�0 Q 8/6/93 ° ONAL LEVY', ELDREDGE & WAGNER ASSOCIATES INC. SI DATE . R E S TE R E D LAND S U R R ENGINEERS LANDSCAPE ARCHITEC15 PLANNERS LAM)SURVEYORS 889 WEST MAIN STREET CENTERVILLE, MA 02632! ,= Assessor's office(1st Floor): ' 9 kf��^ PTIC SYS T EZWV� iUS 7 @� �o To`Assessor's map and lot number `TME / �J _ `IALLED IN COMPLIANCE Conservation(4th Floor): WITH TITLE 5 � � e Board of Health(3rd floor): ��Vk9ONMtNTAL CODE AND Sewage Permit number ��� J : ssaNAr�nrtt TOWN REGULATIONS ��' o6 9' Engineering Department(3rd floor): �o Y�Y►� House number ' Definitive PlamApproved by Planning Board ? 19 APPLICATIONS PROCESSED 8:30-9:30 A.M'and 1:00-2:00 P.M.only TOWN OF BAR ABLE BUILDING ' IH T CSPE OR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit accorrddiing_to the following information: L Location �/`� � 1' /L, �Wt✓ i' Proposed Use <10 Zoning District Fire District 4 Name of Owner 1 4/ �(lt2 l i YIS�'GVt G Address e t Name of Builder �� Address Name of Architect Address Number of Rooms Foundation F r( I o ycV e_ Exterior C`_`�' �� �`�� Roofing t4.5A"'Js . Floors I Interior Heating �'!�w Plumbing Fireplace Approximate Cost Area 2 6,0 y' Z� Diagram of Lot and Building with Dimensions Fee V OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardin he a ve construction. Name Construction Si ip6Nisor's License 162eW _ _ yy - p . BURLINGAME,'' DAVID 447 \ No --3=6@-8-±— Permit For ONE STORY Single Family Dwelling { Location 119. Blue Water Drive _ _- Centerville Owner` - David Burlingame Type of Construction Frame \ Plot Lot Permit Granted "',August 9 , 19 4 y 3 Date of Inspection: ` f. -Fran a 19 ,InsU[ ion - "Fireplace 19 Date.Compl'eted � 119 t ' t r_ r t �p 4 _ F c S AF .300 Lo M n - G_gZ/Z ,gym r. � oB•j5. H/ /// j-- b . 4 • 8 , 2 • ^ NEW41' /o/ , ti •i° 9 N D�eL 0� y� '',' b How 2°�3 I' \ �• _ - " -A/CED sE \ •RER/ME72R A N j6 ''• /... 398 56 i j q(. -!. S/TE OCAN Of LAND }'¢ PREPARED?'elf y % -^.• lJAV/IJ AND JA•vE BURG/^/O/+NE 1� 30 �t lLG. 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