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0224 BUCKSKIN PATH
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Posted Until Final Irspection HasBeen Made Permit �t619- � p y q g p nal�lnspection has been made: Where a Certificate`of Occu anc is Re uiretl,suchBuildin shall Not be Occu ied until a F� Permit No. B-19-2914 Applicant Name: Dean Fraser Approvals Date Issued: 09/06/2019 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 03/06/2020 Foundation: Location: 224 BUCKSKIN PATH,CENTERVILLE Map/Lot: 171-031 _ Zoning District: RC Sheathing: Owner on Record: MALTBY, MATTHEW H&ELLEN H Contractor Name: Fraser Construction Company Inc. Framing: 1 Address: . 224 BUCKSKIN PATH Contractor License: 194747 2 gin»-,.P.•,�...; CENTERVILLE,MA 62632 Est Project Cost: $5,675.00 Chimney: Description:' Re-Roofing of home Permit Fee: $35.00 Insulation: Project Review Req: JJJ Fee Paid:, $35.00 . Dater 9/6/2019 Final: Plumbing/Gas Rough Plumbing: Building Official y Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after,issuance. All work authorized by this permit shall conform to the approved application andtheapproved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall bee in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street.or road and shall be maintained open for,public inspection for the entire duration of the Final Gas: work until the completion of the same. i Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing Rough: 2.Sheathing Inspection „,,Minimum �__ 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MGL c.142A). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final- Tow_ n of Barnstable din sv€rrw )Post;This Card So That it i Visible From the Street-Approved Plans.Must be Retairiedon Job and his Card Must be Kept M" Posted Until F�naf Inspection Has Been Made. el �� �.: _ i b � IWhere a Certificate of Occupancy`s Reqwred,such Building shall Nof be Occupied unt I a Final Inspection has been made Permit NO. B-19-922 Applicant Name: MALTBY, MATTHEW H &ELLEN H Approvals q Date Issued: 07/26/2019 Current Use: Structure Permit Type: Building- Pool-Inground Expiration Date: 01/26/2020 Foundation: ��lffff Location: 224 BUCKSKIN PATH,CENTERVILLE Map/Lot:_171-031 Zoning District: RC Sheathing: Owner on Record: MALTBY, MATTHEW H&ELLEN H Contractor Name':;:" Framing: 1 Address: 224 BUCKSKIN PATH Contractor License: �' 2 CENTERVILLE, MA 02632 ( ^ Est. Project Cost: $30,000.00 Chimney: Description: Inground Pool 16x32 Roller Pool cover, Pool Guard Gate Alink i Permit Fee: $ 175.00 chainlink 6'fence surround. Fee Paid:... S 175.00 '- Insulation: E: �, Project Review Req: NO ENGINEERED PLANS FOR POOL SUBMITTED. Date; 7/26/2019 Final: Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months afterissuance. All work authorized by this permit shall conform to the approved application and the{approved construction documents;for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. } ' Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: ` Service: 1.Foundation or Footing 2.Sheathing Inspection. Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: I Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site Fire Department . All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: ------------ .Nk4Y,1,n4 4):IME Application �.!�J........ �..�,q t., P Numbe°r........................ .... TOWN OF B RNSTABLE b[A89 g Permit Fee.. ..................................Other Fee........... ........ 03 ZI M .17 22 PM Total Fee Paid . ' ....�26..... .... �1 T) �°� �1�9 } TOWN OF BARNSTABLQovatby. on..... ..................... i BUILDING PERMIT Map............... .kl.. .........Parcel....... ................ APPLICATION S Section 1 - Owner's Information and Project Location Project Address 2 lJ ViHag onAJS •4 J l Owners Name AQ 4 7 T 11-15- ff410, Owners Legal Address //S . �✓ �'¢ City �Q�,-->�u c11 State zip® �3 :2 708 Owners Cell# ® -/LE-mail -4 6 rZT O M q► (� Section 2 -Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet ❑ Single/Two Family Dwelling Section 3 —Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ® Sprinkler System ❑ Addition ❑ Retaining wall ❑ . Solar ❑ Renovation Pool ❑ Insulation Other—Specify. Section 4 - Work Description • �� = , s .J.av /�C' y ✓ er'o oA� Last undated: 11/15/2018 Application Number.................................................... Section 5—Detail Cost of Proposed Construction Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing t Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section —Project S 6 P ect Specifics J ❑ Wiring ❑ Oil Tank Storage �, Smoke Detectors ❑ Plumbing Y Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney n ❑Add/relocate bedroom Water Supply R�Public ❑ Private Sewage Disposal ❑ Municipal On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed ,F Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes _ No , Last updated: 11/15/2018 Application Number........................................... Section 9- Construction Supervisor Name Telephone Number Address City State Zip License Number License Type Expiration Date Contractors Email Cell # ( I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 r CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and 'documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date Section 10—Home Improvement Contractor Name Telephone Number Address City State . Zip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date Section 11 —Home Owners License Exemption Dome Owners Name: 1!QA-?ti�l►-c'J /' 114 Telephone Number rO 8-73 7-2 76 Cell or Work Number -5 P4-`'"e I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code I and a construction inspection procedures, specific inspections and documentation re b 780 CMR and Town f ble. Signature Date APPLk*NT SIGNATURE Signatur Date 2z Print am - - . Name Al���t�Lt elephone Number.,�O 73 7 Z 70 E-mail permit to: 11W dL1 .4 e,_rZ 4/08 M e,4 ' L_ C O YV7 Last updated: l 1/152018 'z Section 12 —Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ` For commercial work,please take your plans directly to the fire department for approval { t f Section 13— Owner's Authorization L , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date Print Name Last updated: 11/15/2018 Lauzon, Jeffrey To: mmal tby408@gmaii.com /Jor Cc: au Subject: ViewPermit, Permit No: TB-19-922 Applicant, Please be advised that the above application has been reviewed and the following is noted: 1) Incomplete construction documents submitted. Engineered plans required for pool construction and design. The application is denied pending the submission of the required documents. And, if aggrieved by this notice;you may file a Notice of Appeal (specifying the grounds thereof) with the State Building Appeals Board within_ forty-five(45) days of the receipt of this notice. Respectfully, Jeffrey Lauzon Chief Local.Inspector (508) 862-4034 Jeffrey.lauzon(o)_town.barnstable.ma.us (D �rn j V 1' ��ti� L�r'��(S 1 Gti �S ����tl� (�V� 'T� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 1'2! Parcel 031 Application #b Health Division Date Issued ^�? Pilo- Conservation Division Application Fe Planning Dept. Permit Fee `F+' Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 22A gUUC SKIN &k Village WE Owner fll U4 M&) w Address 22� BUCK IN PAk Telephone <d4- Permit Request IdSW14IOJ dC W V 32' IN JMM 6VJJA-NS PQJ ': Skck Ad [ 00-f- Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 34.DUO, 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'NAAFWArea (sq.ft) Number of Baths: Full: existing new MAR ftlf2Uftting new Number of Bedrooms: existing —new 'TOWN®F Total Room Count (not including baths): existing new 8A"NS'Agloor 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 gnew size1( )e32_ Barn: ❑existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing 0 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) p Name I �U d�l' Telephone Number 569 TY7-Jq8g Address .��F� o1C ,��£•1dUL License# Ot.)� �� � DZIv�3 Home Improvement Contractor# Iv1c 81a Email ° rbQ_ `t t ®kiCASf n e+ Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 2NA n FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. wADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Pool Guard Gate Alarm BUILDING DEPT MAR 02 2017 TOWN OF BARNSTABLE: :.k���; • � �• •v,ram iZ,���¢ ,` � ., .' ^ .. 1. • .`♦ � �. Y` ,• � � irk /`� � ♦�* ♦ � • � � �� '�� ,�� ,�, $+ ti. •� � '�. v •`� ��� is a<�,� _. .. ��� • r , 1 1 00 ►Amazon.com : 18-Feet x 36-Feet Rectangle Crystal Clear Swimming Pool Solar Heating ... Page 6 of 7 By Iggy on July 14,2016 Size:16-Feet x 24-Feet Color.Clear Diamond verified Purchase Great cover!Much better than a big sheet of bubble wrap.Will be much more durable. Comment 3 people found this helpful.Was this review helpful to you? res No Report abuse See all verified purchase reviews(newest first) Write a customer review Customers Who Viewed This Item Also Viewed t _ r r 4 / " y Best Choice Products® 18-feet x 36-feet Rectangle Blue Wave 16-Feet x 32- 12 Mil Swimming Pool 20'x40'Rectangle Supreme Swimming Pool Cover Reel Crystal Clear Swimming Feet Rectangular Solar Solar Blanket Cover 18 x Blue Solar Cover-12 Mil 21'FT Stainless Steel Pool Solar Heating Cover Blanket for In-Ground 36 ft.Rectangle 270 Inground Solar Cover Blanket-12 Mil Pools 14-mil,Clear 255 $127.96 254 270 253 $92.94 $139.99 $116.91 $107.99 16 Mil Ultra Clear Swimming Pool Solar Blanket Cover 20 x 40 ft. Rectangle 88 $179.99 No More Second '01 Large Floating Pool Thermometer By Aquatix 0.quatixPro Guessing Your Pool . Pro Premium Water Temperature Thermom._ Temperature 89 519.99$10 95 Add to Cart �..dlblack Pages with Related Products.See and discover other items:cover pool TO o°?, Back to top ® . ( f Get to Know Us Make Money with Us Amazon Payment Products Let Us Help You Careers Sell on Amazon , Amazon Rewards Visa Signature Cards Your Account About Amazon Sell Your Services on Amazon Amazon.com Store Card Your Orders Investor Relations Sell on Amazon Business Amazon.com Corporate Credit Line Shipping Rates&Policies Amazon Devices Sell Your Apps on Amazon Shop with Points Amazon Prime Become an Affiliate Credit Card Marketplace Returns&Replacements Advertise Your Products Reload Your Balance Manage Your Content and Devices Self-Publish with Us Amazon Currency Converter Amazon Assistant Become an Amazon Vendor Help >See all https://www.amazon.com/18-Feet-36-Feet-Rectangle-Swimming-Blanket-16/dp/BO I BKSS... 2/27/2017 Page 1 of 1 h 3 t r x� V dl glow http://www.homedepot.com/catalog/productImages/1000/85/854e570d-f9f5-453f-99de-ee6... 2/27/2017 Allure Aluminum Magna Latch for Gate Black-DT2553-13L - The Home Depot Page 1 of 2 Home / Lumber&Composites / Fencing / Fencing Parts&Accessories / Fence Gate Latches&Slide Bolts Model#DT2553-BL Intemet#100491521 Allure Aluminum Allure Aluminum Magna Latch for Gate Black --Magna Latch for to Black ****Ik (13) Write aReview Questions& Lifetime warranty Answers(6) mment } I 'A 1 Save to List Not in Your Store-We'll Sh w Clicker®BAR Add to cart Free Pickup Free Shipping Available for pickup Expect it March 16-March 21 March 13 Change Pickup Store See Shipping Options f We're unable to shipthis item to: Easyreturns i Or buy now with AK,GU,HI,PR,VI Lean about our return store returnpaolicy nd online Product Overview Magna Latch-safety gate latch for most gates around swimming pools,homes and Info&Guides other child safety areas.Powered by the latest Permanent Magnets these quality Instructions/Assembly latches offer great reliability,safety and child resistance.Key lockable. P� Warranty 13UILIDING O� • Formulated to exactly match factory finish You will need Adobe®Acrobat®Reader to view PDF documents. Download a free copy from the Adobe Web site. • 17-5/8 in.Long MAR 0 2 201� • Magnetically triggered(self latching,no jamming) [, • Child resistant -TOWN OF BARNSIABU • Planning Guide: http;//www.homedepot.com/p/Allure-Aluminum-Magna-Latch-for-Gate-Black-DT2553-B... 2/27/2017 Allure Aluminum Magna Latch for Gate Black-DT2553-BL -The Home Depot Page 2 of 2 How to Plan • Create a sketch of the area. Allure Aluminum Establish all gate(s)and/or Magna L l O iack transition locations. tuber of six foot 15. tuber of posts. li FENCESECRON GATE Click Image to Zoom Specifications Dimensions Arm length(in.) 18 Assembled Height(in.) 17.625 in Assembled Depth(in.) 2.625 in Assembled Width(in.) 1.375 in Details Builders Hardware Product Type 'Gate Latch/Slide Bolt Finish Family Black Duty Rating Standard Material Plastic Fasteners included Yes Returnable 90-Day Finish plastic Warranty/Certifications Manufacturer Warranty limited lifetime p u Ho w can we improve or product information?Provide feedback. E y � w 1004 http://www.homedepot.comp/Allure-Aluminum-Magna-Latch-for-Gate-B lack-DT25 5 3-B... 2/27/2017 Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement C ctor Registration Registration: 166861 Type: DBA P w Expiration: 7/16/2018 Tr# 419201 BELLI LANDSCAPE CONSTRUCTIb PAUL BELLI 4 JEFFERSON AVENUE W WEST YARTMOUTH, MA 02673 �'�iy eye Update Address and return card.Mark reason for change. Ej Address .Renewal Employment `Lost Card SCA 1'* 20M-05111 _ _ Office of Consumer Affairs&Business Regulation License or registration valid for individual use only � NTRACTOR before the expiration date. If found return to: HOME IMPROVEMENT CO Office of Consumer Affairs and Business Regulation Registratione',166861 Type Expiration2018 DBA 10 Park Plaza-Suite 5170 m ,h Boston,MA 02116 BELLI f LANDSCAPE G:QNSTRMION r PAUL BELLI �-. L<?� 4 JEFFERSON AVENUE" WEST YARTMOUTH,MA. 73 Undersecretary Not valid without signature Dvmoxwt q I rsc&'id AcdAi=3tr ` OffWC Of0dvW moon,MA.02HI • rortre�gaovf�a . Wwkers' CamvenszffimInsm-aum Affiixvit Brul;Prci en ApprYi ant InfUrmu-.2—fiam— Please prim F Nye AU Q 8�111' Addre= � I��l�sorl �4✓f Nu ti r i t 1 �d�Y1Dt1�IH- DWIS Phmeak- 509 -BSI. qg P8, Are pu an en player?fheckthe appropriate ban Type of prajeet(rejuired)_ L❑ I am a=Plogerz itk 4..❑I air a gesie conkac ar and I emglagees(:Calr gai#-lime)* hm tfie� fi. ❑lde�ooas I I am a w1e prop6eta€orpar Fisted as the attached sheet 'F. ❑RF-vnadeling sbip and have no employees These sub-cantiactam.have g. []Demd1ffba ' wading fnrme is aag comfy. aadhave vas' 9. ❑Suil�addifion. [No vadm 3'gyp-i 1smM„c a�P-ir+e�erarerr -1 5. 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Fa 1ze to secuw eavemge as required Hades Secti=25A of MGL cL 152 cau lead So Sze imposition.of aiasinai penabaes of a fmemptDSL50a-00amVorone-yearimpdsmmEnt as welt as civil peuakies m the fa=of a ST[7P WORK€1BDIlRaad a fame of up to SrMM a clay aft the violator. Be achiwd tld a copy of Szis statement n aybe ftasvarded to the Office of Irvestiga�aftize DIAL liar i auce coverage VMCE5Matian_ T do herby curler tits attd - °, pzdW y fhatths kfarttizri€im pr ov&W abates is frog and cw7ecat ew -Dam akat use awly. Da Hat wife in dib wwa,m Fie ca npfeted by cdg ortmvu OffId L M'or TaRw. Perm#1 Ic.em;e;9 IksmingAxffiorfty(ch-de one). L Board of Heal* M Buffffing Dot 3.Cdylrown Qr rk 4.Electrical Fnspeetor S.Phmlag Emspecfmr c,.tamer , Coact Faison.: Phi A: 6 life 4- la:`•. .ns,.�■F �•i_ ...o cr •ss.G.. �121 ••i.F a ■1 .• ■' ^•7■1rF rn■O.�'..6`I:e■*Is t.1 i• ■ rinu ••�w •■. /Y.■( s• !•■�. 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I r\I■1p ter" .n• /1■11/Ia• a'J. 6- 1 r•H n■r•1 me 1`1 ••isi-a er.10 J U /•■l•la • •■- .[t•._ t la IRS U 01 •a /1 11 - as n- 0�•r- • II-.+■-:n a• •: n rant_V ••■ .■ ■ n ■. ../•1••:.[t ' - • .. - n 7 .i■uat ra:• .Pn■• ••U t I ■ •L a. - lay rI tlnO.•! t •n1■•1. :n J•isr:nl 1■A ■I■ `••.lnl ■■ s 1■1■ - .�•ll It Yrl - :11. r:1\a/ 1/ 11 'J 'r. r:l ■ai. .1■ ■.ln•1 .3.- ■■•.•1 ■s• ►:■1■: In :+l •• n •nn ■■n 1 tar:. .. :n• 1n• •. tilt' ■a :.•+ n- :n• rrul •• . •••a- .I •v.■ ■ n w1 1•-'■ •.• • o- .•i\1_• 1 O.I •. ..-:•1 • ■■M1:If• Y.Itn•►• •, a•.■.•i• .• t\- .tI a as 114pplar. •- .1 •• •i1 16 O :... .rn_ a •• o-1 _ • : u•.•I .. 7 w nun .�•.. 1� a .a.■ . _G■a.•1 na . 71 r. •a r: ■ K• s�I r ■•n •••1 r ■1 Mn Ia+t ••Ylsnt■ ►r1� •; r r••.1 /• :n�■ [• J■• .•Y.1 aA. • ran.•�. w •irn\al •. rai\ . •af•tl 1 1s ■•I■! �. Y:1• .wF•It � �•1n at .1 r•t1/11 it' ■II ■■• / ■- , /■ • ■ •^\•:1s at ••.I • !.•- 1. a-n. •.t t. f'..■r: 1•) ■a r••/r .n f1■ :s•• ■.■ ■ •.• ._ • :s■ .•�+\as 1•- •:1 216 M•I :.of ww In�+•..n- .■•t Y--►. ■nlll•r! ■_- •`■Yids._■ • : I�/ r :ww. ■ r ti.•t�. /•i1rGt lr■�/ i.. ■Ii�3i.V�■r !N r r;t 6 is INS Town of Barnstable Regulatory Services ��` « Richard V. Scab,Director Building Division. Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must _ Complete and Sign This Section If Using A Builder . as Owner of the subject property hereby authorize to act on my behalf,w in all matters relative to work authorized by this building permit application for. 214' 6ua Skm &K en�V'Jdlt .(Address of Job) **Pool fences and alarms-are the responsibility of the applicant~ Pools'_ are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Sigha.tute.of Owner Signature of Applicant Print Name C Punt Naive Date it QXORM&OWNERPERMISSIONPOOLS Town of Barnstable Regulatory Services Richard V.Scali,Director 6 Building Division MAW t Paul Roma,Building Commissioner 639. �� 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: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less.and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who,owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. " Signature of Homeowner Approval 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 6. 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 this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for.use in your community. Q:\WPFILES\FORMS\building permit fomis\EXPRESS.doc 06/20/16 � . fNty r ' :"0n.r dk[ �' `` "� .,.<�/� � ` ���,.� x > • M a m a .. 1406 1 �F/QERG(A55Y G- d. e 1 s> Y 4 _ ■■ �� NOW 44 kll 14. DOW Al ix s w m _ aw nunas s w 0!!t 13aNOl� -+o r a mom" s ar4' a U IV a ire$ �r ti —.e• s F n 4 � e r Y y a •.xu r,s.; s I meFiI I II I ■■®N■NMMMMM■MMMMMMMMMMMrffNI , OEM 4 MMMMMMMMMMMM. ■ e ------f - ail MOMMMMMEE■� LIFETIME Why invest in a Lifetime pool? Have the comfort of knowing your kids are safe in their own backyard, having fun and , staying healthy! Avoid the expenses and headaches of traveling for a getaway —just grab your towel and go! Give ro r b your pet a healthy, comfortable place to-relax too! Make the most of your home and enjoy every bit of your property, inside and out! Studies have shown the benefits of aquatic therapy as it can help to increase your strength and mobility. Swimming also builds up endurance, increases muscular flexibility and balance, and helps the heart muscle become stronger. Let's not forget what happens to families when people gather in the backyard. We start to unwind, relax, and enjoy the moment. Backyards are where we can put down technology and enjoy spending time with those we love, or just relax the day away reading a good book. 94 ' Your pets will enjoy your backyard pool as much as you will. Fiberglass pools are the preferred choice for pet owners. Whether you want to create a backyard that reflects your personality and style, or one that reminds you of your favorite destination spot,your Lifetime Fiberglass Pool will be built to last for generations. or'2P, _ oil _ r .-II-MM 1 ilerg as sh di i fl A • Ca.J V�J ; VINYL ESTER BARRIER COAT WITH CHOPPED ADVANTEX®EC-R FIBERGLASS LAYER Osmotic blister and roven wooing Wa print through protection.Best combination for excellent surface finish and pool quality. Endura Shimmer or Gel Coat Finish I When you invest in a Lifetime Fiberglass Pool,you are MULTIPLE LAYERS OF CHOPPED; ADVANTEX@ EC-R FIBERGLASS 100%Vinyl Ester Resin � investing in your family's Provides multidirectional strength Chopped Strand mat future. Create fun filled days because of the random orientation of the fibers. in your backyard filled with ` WOVEN ROVING ADVANTEXO ! laughter and excitement. EC-R FIBERGLASS LAYER I Lifetime's pools are Provides both tensural and \,\` Endura Bond'" i flexural strength. Honeycomb Core constructed in a controlled 3foz= factory environment using CHOPPED ADVANTEX@ EC-R Roven Wovm ` FIBERGLASS ■ only the finest raw materials, Excellent exterior surface quality and corosion barrier.Impact 3 Layers of 36 oz knitted material with so you can rest resistant. layers of Chopped Fiberglass in between I MApEtNtNE® assured that "ll HONEYCOMB CORE your pool is STRENGTHENING designed to Applied to key zones to add additional strength.Used in wall last a lifetime. areas,seats,safety ledge,and 3600 around the coping. w � r A A O 9 Installing your Lifetime Fiberglass Pool is fast, easy, and hassle free. A Lifetime Fiberglass Pools dealer will help you create a perfect space where you can start making decades-of memories. And there's no reason to worry about craftsmanship with your Lifetime Fiberglass Pool, ,•,, because it comes with a Limited Lifetime Warranty, so Q - you can focus on the thing in life that really matter. Lifetime dealers are trained to do turn-key installation or do-it yourself projects. l 11 i "i 3 Life Nb • � � IIIs com I t �, �"�• *Non-Diving Pool (WeW R%qtd* 14 yaw is 16, T 34 3 6 =err ? a= 5'6" 3'6 `. 5 6" 3 3 - - — 3 6Y i 5]6.. I „. I ds 6'6" r I cf'/L2UGG * (Sot &A/_ LCldwC (5cwamma �* gVi 8 r u 13F 12 �` ' � ;� i 13 � . ° � ." '-R. ..�s yamar' r ; 17' 26' 28' 29' - 4'6" r.r 510" 'I'c J 5' a a 5'6" I I I u e I Drawings are not to scale.Measurements are approximate maximum outside dimensions and may vary up to 3%. r 10' Xi-1 Y ¢ 12 q r, E +as 20 - 2 4'6" *pfl!tTSITT 113131 Chn r 'LILG;1 t TMJIQf1tl�� 0""0 nEt81 �p 1OEpp110 _ 11 ]CttlCiQ�CO:II' GRD � `° '+ �� 13 13013KEx� ? 1 -- y QIvE FI nF• Cl :�o� "'"w 14' �ano� orraa - - - rI] LQ — 26y ,► MIMMMMMMM MMMMMM 12' 12' r,. der, 13 :se P + 14 24' 25' 26 32' :4d 315 k 5�6" 316 � . 5'6^ 3'6"Iy 1 � " ysi ,M i 4�6" X.i � ~r a{� -_ 1 ✓4� �F.�" n� � ~ p 8 .M�M4:A�.�.� N . —. mY'M •.� -.. •iw.rWV ii urp'f .e rnus s 14 16�� a� ;p 4�, .. r h tY " 5 32' 32 — - 32 33' 34 t if, WIN, 6 418 6, _.� c: 1.u. 314 e�lraFeLj� T�l :T Y' :: I 314 z xir.`®ii sr ry j e " 81 �> 9a R� Spy" & ago �* S'ya rre= 1 , p aes 16' '";.t m r 1rr6 16 # "� � 18 � Yn nT�a'f` f' 1 .-• 11 ll 37' 43' 43' 37' #.. Ctrs »r. «R�r ,, • 3 4 �` �a �` _ � 34" as �, a `"' 34"' ��+ iIIR;,�rfl�3�t 3 6 amtr�:2rdx>�r I 8 I �� '.;> 8'� o..•; w, 4 6'2 ( 6.3• �y m 18' r �iwa�s 18 ���Li �€�:, TF ..+^ 37 — 4' - a� I I 3I6 i 400 a w 6. Oev4 LWA' ** l *Non-Diving Pool **TYPE 1 Diving Pool:Diving/ :Rz, Sliding equipment shall 16 t .� 11 .€ ` �„ � designed for swimming pools and 18' , x shall be installed in accordance ` ��,�. ;- ��• � ' �y,. with the diving/sliding equipment 33 t 25 manufacturer's specifications. 3 4 r I �, Please contact the diving/sliding sum 5' 81 6" 3 4" 5'6" equipment manufacturer for their 3!g" � I w I --- I _ h ' z , I specifications. � I OM®MME I HHHOOMMMMMMMM MEN � D D i . � I � r � 11 f 36' 36' 1 3I 1 I px 36 w.: I 36 n 3 3,6" I ] 6 8 ] I i • v> M D R " FE 10 12 r +wac yt 11^e 7 I' �' 4'10 � I L 11" ""a¢ - 341/2" *Non-Diving Pool ,r (mom( **TYPE 1 Diving Pool:Diving/ Sliding equipment shall be I ti , designed for swimming pools and - IF S X shall be installed in accordance " with the diving/slidingequipment 13 r.., manufacture specifications.cations. ! r / ze i q tr P rr ° 7 6 10'2" zU' 8 2 L c � t ; Please contact the diving/sliding zs'� 25 equipment manufacturer for their / 30 specifications. 37 91. 6'6" Drawings are not to scale. 10 6n Measurements are approximate ] 10 2" ® I maximum outside dimensions and 34"_ may vary up to 3%. 3'4" ' '. 34" " 1 • ] ,. " -, - Various step heights so children and adults alike can enjoy.! Single or multiple spillovers can be added to any spa model on virtually any side. Contact us ' about more details. 9 S T Pools-am a loon A Qn. k+est 1Frfw ppl${uR r �iwr � �3- +mot^ s:..tom-IL.� >.,�'. ,}f�4•leans �7rr.,'W.bass �''..�K>+wk r• ` �� '«°sue s � � v ,,��'`� — . . " i « •:w` , "'"+ � , "�� � �;T�C7 �' � s+ '�"i � r� pr��*n"` y� [ � �m• t + a�"3 l9Cl`1 C# /�`�g'T3 ra �.t, �� ■ «e w 96" 13 " �iilEx��rsr,.�, ,�#} "-� �,�ria�s-,.�`�4Y,IYtsd. "�srt a.•- �a ns,� +MtK*sr r�:�6=. 10 12' 12" 12" 12" 12" NA Ak 3. � a , r x - - «e `LLB- L0FVT''R(tea e e ` When you decide to invest in a Lifetime Fiberglass Pool, we want F . - your pool to Iast.....A LIFETIME. We want you to have a LIFETIME of fun, a LIFETIME of memories, a LIFETIME of enjoyment, and a LIFETIME of relaxation for decades to come. Your Lifetime w Fiberglass Pool comes,with a limited LIFETIME warranty, so you x ` '< can focus on the things in life that really matter. ti -efib-ergl'as Po.ols.-com ■r _ There are numerous different types of Patio options for your backyard. Popular options include broom finished concrete,stamped concrete, paver stones, flagstone,,travertine,matb'le, exposed,aggregate,and brick. 1 I p x° ' Creating garden areas iin your.backyard�a:dds natural beauty and gives you a!reason,to,s,pe,nd;qual.i"ty-time o.ut-,side..[Many people find that gardening =i very:therapeutic and ireduces stress. -g i W'ater:features:are,a.,perfectway-,to:add the tranquil sounds of moving water to helpyoulrelax. `1.aterfalis also:punctuate an outdoor space in a stunning way when used:as:standal:one.,features-that offer an eye-catching focal point. 'W.Ww me �j li�fetfl - Rb6rgI9SS'POOIS-,COm n �8� ��iil:siiin��ii. .s..u. S 2\ ■Zn. eoi �.aii�®.i d wMR ONIN �• c■ oppet�txrriil�iii° aNH I i! IN t Our ENDURAshimmer,colored'finishes addi sparkle and shimmer to your pool's water.,We like to call it"Pool' Bling". On:a:sunny day the light,will bounce off the pool's,surface anal create a! light show to stimulate your senses. EE . A A. *11A, Standard Gel Coat www.UnitedPoolTile.com 4 _ Aqualina Cielo Cobalto Twilight Series- Twilight Series- Volcanic.Series- Watercolor Series- Black Brick Turgouise Brick Midnight Brick Blend Brown Brick in M �istryihmosaicsmc. m = ° 40 integrity in product and people `k 44- www.ArtistryinMosaics.com MMIME ■�■■ ■■ wool,■■�■■■■'■■ ®®®®® Visit www.LifetimeFiberglassPools.com ■ �■ � �■ � �. �� for more tile options. e®�r Accent.Inlaid Tile Inlaid Mosaic°Tile, astryinmosaicshc. iey.oy in p,oe�n e�doeopie vit 4 � fptimefibe I 1[agpin INN N _ OEM r ' The-sound of water seems to sooth the mind, body,and soul. =% " When you have cascades built into your Lifetime Fiberglass Pool,you can let your imagination run wild while listening to the tranquil sounds in your backyard. ` ��Liill��C/Cdll i Your Lifetime Fiberglass Pool can be built with bubblers in a bench,step,or shallow floor to create an elegant masterpiece. I i Traditionally the only way you could enjoy streams of water in your pool was to have your pool builder install deck jets that pointed into your pool. Your Lifetime Fiberglass Pool can be built with streams that are built into the coping of your pool. Many people prefer Lifetime streams over traditional deck jets because the water is kept inside the pool. Swim Jets transform an ordinary pool into a fitness center. a y Swim in place and increase your heart rate and improve muscle y g �' $ "� strength. i p V. ka it etim' eFibdrg1ass1P001S-,C0M � , : R Al 04, S,'.* ESN Ole,""Ba+m.^"''(�3" i V '--r, fi w -.,w ;,,,.. ,¢ _, .,...-zc• 40 OPP T!�� O D 0 w ;. 40 K - "--, 4 Pentair's GloBrite® LED Lighting offers a dramatic and affordable way to highlight your pool's best features with bright, " ! energy-efficient lighting,ensuring that you can enjoy your pool V 6�4 safely anytime! �I -b. .. • �' y PENTAIR Enjoy the security that comes with a safe,responsible choice when you choose a Coverlon pool cover,designed with the newest technology and your famil 's safety in mind. COVERLON , I i Create a child-and pet-proof barrier over your pool and give yourself peace of mind with just the flip of a switch when you ---"" choose an automatic pool cover. Automatic Pool Covers,= } �Pent adhrWater Lifetime Fiberglass Pools offers custom equipment packages from Pentair that can ship with your pool.www.pentairpool.com. T When it comes to sanitation,we recommend My CL Free,which +I is also able to ship with your pool. My CL Free is an excellent - ; Vt. alternative to salt systems and actually turns you pool water into $ drinking water. Nothing is more pure than water that is sanitized by ® a CL Free system. lf,etiqe-Fi ' .11 1 I I I t • I � 4 e J , .r, © �- o , tA • Wk., i �h ," '+ m. a m [a n s, - a♦+1r " .. .y .. „fyk t �1 / 6 4 /. '.. a �s � • r a s w -t — i q�r m a m N s + 4n. �a .�. • # , w p .�. 1 , 4 i To Ia- az • uw,w•g 9: �l .., k m 4'1 _i q�r rr. �* �, to � '; � �,. ti � - ,.. ,�. , ..w � � .+ w a a a • � a .� ,.. - , - �� �N., aka rn v, . . �,. �� a� � ��' du �. "� •� a ♦ ta,. � .. , Town of Barnstable W `••, Post This CardSo:That it`i�Uisible From=the 6#reef,=A roved,Plans IVIUst be• ,,,stained„on:Job and,tF�is Car"dMust.be - kAAR�TITI'AHI.E. �.,,. t v •': ..a ..,' ..: , p ', '.1w aMasa Posted Un#I16 9. .F nai Inspection Has Been,Made: ..., R '. '' ;- 1 :r Where a Cert!.ip a of Occupancy�s Required,$uch.Bu�Iding shall�Not be 0ecup�ed uittti a Final Inspection has been made er l AA Permit No. y B-17-533 Applicant Name:,- BELLI LANDSCAPE CONSTRUCTION Approvals ` Current Use: Structure [Sate Issued:. 03J06/2017' ' . Permit Type: Building-Pool Inground - 3 Expiration Dater 09/06/2017 Foundation: ,- Location: 224 BUCKSKIN PATH,CENTERVILLE= Map/Lot: 171 031 Zoning District:- RC x • Sheathing: Owner on Re MALTBY, MATTHEW H&ELLEN H z •�Gontractor Name , BELLI.LANDSCAPE Framing: 1 * " `� ONSTRUCTLON Address: 224 BUCKSKIN PATH - 2 CENTERVILLE, MA 02632 Contractor License 166861 � � � Chimney: Description: Installation of 16x32 in ground pool fiberglass pool Stocked Fence Est Project Cost: $30,000.00 W' Insulation: and Solar Cover. 1st Extension to expire 3/6/20182nd ExtensionPe.rmit-Fee: $335.00 t expires 9/6/18. Fee Paid': _. $335.00 Final: � .. Contractor removed himself from permit • • Date: 3/6/2017 7/31/2018. � � Plumbing/Gas 8/2/2018 Homeowner;was in.to replace contractor Change of Rough Plumbing: V Final Plumbing: Contractor to Matthew Maltby Building Official Project Review Req: �. g _ . .. Rou h Gas :, Final Gas: ' �.. �. Electrical Service: �. � . Rough. v.. y :Final:' Low Voltage Rough Low Voltage Final: Health x = Final.. -. . Fire Department ' a a Finer „ Town of Barnstable BU11Cilllg `�i -� ^,"`. r fi' �.., y, _ gas,; .,.ssffi sum. ,:; a >:' Post Th S Card 5o Thai rt is�/�s�b1e.;From;the Street,,_ A roved Plans Must be.,Retamed on"!ob and°#hlwufd Must t►e Kept . :; PAP .. ; • -K" r Posted Until Final Inspection Has�BeeMadeu R '�" anC 'is Re tired -su'ch Building shall N t be Occu red°untiLa Frnallns"`eciion:hasbeen maa.de Permit Where a Certificate of Occup y cl g o p A r, ... , ... :.v® ,'F ,; .,, •; .,_:'_. . a,-. . . emu.. :, ,, ., .,. . This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. - This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. The Certificate of Occupancy will not be issued until all applicable signatures by the Building and�Fire Officials are provided on this permit. „d . Minimum of Five Call Inspections Required for All Construction Works 3 r 1.Foundation or Footing 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection ���.. . 5.Prior to Covering Structural Members(Frame Inspection) jV "�" 6.Insulation 7.Final Inspection before Occupancy @ t where applicable,separate permits are required for Electrical,Plumbing and Mechanical,lnstallations Work shall not proceed until the Inspector has approved the various stages of"eonstruction "Persons contracting with unregistered contractors do not have acces to the guarantyfund"(as setforth in MGL c.142A). Building plans are to be available do slte tt All Permit Cards are the property ofthe APPLICANT-ISSUED RECIPIENT; AV i x 06 41 .; `' Application Mmmber.......N '.l�."..S ........... x .4 Pemut Fee.........:�.�...:............Other Fee...........:............ MASS. Total Fee Paid............. . ermit ....._...............................9:./.....r.�...... TOWN OF BARNSTABLE P Approval by............ c ...... .V BUILDING PERMIT ' Map.......................................PsIVel............................................. APPLICATION Section I— Owner's Information and Project Location Project Address &/1 Owners Name 14A7171, e,.,, C.l Owners Legal Address ?- cJS /'✓ 34/g f Ci 4 c Ile. State zips'2� f Owners Cell# �' '7 3 2-70 —E-mail /4114 .4 4_ f, Section 2—Use of Structure Use Grtou �i�(aa��� m ❑ Commercial-Structure over 35,000 cubic feet ❑PT Commercial Structure under 35,000 cubic feet AUG 02 2018 ❑` Single/Two Family Dwelling 191,8LE Section 3 —Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify ©c� Section 4-Work Description t� T act 1mdRhed_-2/9/2019 Application Number.................................................... Section 5—Detail Cost of Proposed Construction Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ W"'ring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas, , . _ ❑ Fire Suppression N _ ❑ Heating System ❑ Masonry Chimney '-'[]'Add/relocate bedroom Water Supply _ a'y ❑- Public_ ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I an using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last=dated:MOMS The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Worke Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Appliccaan- nformation Please Print Legibly Name"(Business/Organization/Individual): Ptl H Address: /City/State/ZiP:Co.1,,14e �' 1 ®2 C.3 2—Phone#: 50- 73 7 Z 7 6 U 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 * have hired the sub-contractors 6. ❑New construction employees(full and/or part-time). 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 workin for me in an capacity. employees and have workers' g Y P ty. 9. ❑Building addition. [No workers'comp.insurance comp.insurance.: equired.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions Sam a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions /. myself. [No workers'comp. right of exemption per MGL c. ❑Roof repairs �{ insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.[1 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 contractor;must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: 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 verificatio I do hereby c er the pains and e 1 ' jury that the information provide ore is 7truand correctSi .ature: Da /hone#: 41 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 r �y 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^peisons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-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 maybe 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 lice 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 Dgwtment of Industrial Accidents Office of investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.mam.gov/dia Application Number........................................... Section 9—.Construction Supervisor Name Telephone Number Address City State Zip ' License Number License Type Expiration Date Contractors Email Cell# I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CUR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and k documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date Section-10—Home Improvement Contractor l Name Telephone Number Address City State zip t Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your EUC... Signature Date F---/ - Section 11—Home Owners License Exemption Holt Owners Name: L t Telephone Number� ��--?3 2—Z-;t:PF Cell or Work Number Iumderstand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 AMR the Massachus State Building Code. I lyiderstand PIPconstruction inspection procedures,specific inspections and documentation y CMR and e o a table. Date Qom. APPL T SI ATURE Suture Date z 1Z Print Name/�f4�� �J /� ,a L hone umber 5-6S-7" Z T� E-mail permit to: 4 L{ p ` C'o� Section 12—Department Sign-Offs Health Department © Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ , Conservation ❑ For commerdid work,please take your plans directly to the fire deparbnent for approval Section 13—Owner's Authorization I, , as Owner of the-subject property hereby authorize to act on my behalf in all matters relative to work authorized by this building permit application for: (Address of job) ' a Signature of Owner date i 1 Print Name all 4 _ � • .� � � ,:�� �� ���ia '� �r eta 1� a ` ` . "``. } \ Lest wdeted:2192018 QFIME ram, Town of Barnstable Building ]Department ServicesILDiZ W"Aruvsrnsr.E, Brian Florence,CB O v� 16.39. Building Commissioner JUL ��. m Ares A 200 Main Street,Hyannis,NSA 02601 TOWN®' www.town.barnstable.ma.us " ; ' SARKS7AGLE. F • Office: 508-862-4038 ; Fax: 508-790-'6230 NOTICE TO THE BUILDING DIVISION OF WITHDRAWAL OF f LICENSED CONSTRUCTION SUPERVISOR FROM PROJECT' , Construction Supervisor License } « # h ,hereby certify that I am no longer the Construction Supervisor listed on the application for the project under construction as authorized by building permit issued to-(property address) 1 C_y'_ I�Y1 rat A on ;201 . ^ r I also certify that on `° , 201 , I notified the property owner,that the project under construction must cease until a successor licensed Construction Supervisor, is submitted on the"records of the Building Division. LICENSE HOLDER DATE q/forms/newcontr reference R-5 780 CMR rev:08/23/17 1 From: Maltby, Matthew H. 056 Maltby.Matthew@boston.sysco.com Date: Jul 12, 2018 at 1:30:40 PM To: Maltby, Matthew H. 056 Maltby.Matthew@bost.on.sysco.com Matthew Maltby 224 Buckskin Path Centerville Ma 7/12/18 We were planning on doing our pool last spring, but we kept getting runaround from our installer. We sought legal advice from Michele Hayes who sent a registered letter To Paul Belli. He then agreed to do it after all then vanished again. We are now in agreed to get this done next week, July 18tn We would like to get a extension as we had lost all hope in getting this resolved. Any help to get a extension would be greatly appreciated. Thank You, M hew Maltby http://www.syscobostonllc.com/catalogs.html »»click the link above to access a wide range of our catalogs««« Matthew H. Maltby SYSCO BOSTON Cell 508,737.2708 Sysco VM 800.669.7770 ext.8408 Town of Barnstable Builds n t PostThis Card So That it is Visible From the Street Approved Plans Must be Retainer!on lob and this Carol Must be Kept NAM a X Posted Until Flnai Inspection Has Been Made ,3, ' ' fM ' ":: 1 Y4 1 * Ihl�herea�Certificate of Occupancy is Required,such Building shall Not b}e Occupied unt�i a Finat Inspection ias beemmade. Permit Permit No. B-17-533 Applicant Name: BELLI LANDSCAPE CONSTRUCTION Approvals Date Issued: 03/06/2017 Current Use: Structure Permit Type: Building-Pool-Inground Expiration Date: 09/06/2017 Foundation: Location: 224 BUCKSKIN PATH,CENTERVILLE Map/Lot 171-031 - Zoning District: RC Sheathing: Owner on Record: MALTBY,MATTHEW H&ELLEN H f " �z Contractor Name:: BELLI LANDSCAPE Framing: 1 yr ,a > CONSTRUCTION Address: 224 BUCKSKIN PATH 2 Contractor License: 166861 CENTERVILLE,MA 02632 «r Chimney: Description: Installation of 16x32 in ground pool fiberglass pool Stocked Fence Est.Project Cost: $30,000.00 Insulation: and Solar Cover. 1st Extension to expire 3/6/2p18 , W" Pefmit Fee: $225.00 r' > fee Paid: $225.00 Final: Project Review Req: li dE Date: 3/6/2017 Plumbing/Gas Rough Plumbing: x Building Official Final Plumbing: Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized yAl",his permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the;approved construction documents for whichahs permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structuresshdll be in compliance with the local zoningby-laws acid codes. This permit shall be displayed in a location clearly visible from access street or`l-oad and shall be maintained openfor public inspection for the entire duration of the Electrical work until the completion of the same. �b� � �� - Service: ., X ix The Certificate of Occupancy will not be issued until all applicable signatures by the bu�ldtng and Fire Officiais are provided on this permit Minimum of Five Call Inspections Required for All Construction Work. J '; a , R ,m ..,.,,.' Rough: 1.Foundation or Footing Final: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed priorto Frame Inspection S.Priorto Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation 7.Final Inspection before Occupancy _ Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department .,Persons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MGL c.142A). Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT f Cape Cod DIVORCE & MEDIATION ' Law Office of Chantal Hayes Rice, Esq. November , 2017-service by deputy sheriff Paul R.Belli Belli Landscape Construction and Leisure Pools of Cape Cod 4 Jefferson Ave. West Yarmouth,MA.02673 BUSINESS: Paul R.Belli,Individual)Y and Belli Landscape Construction and Leisure Pools of Cape Cod CLIENT: Matt&Ellen Maltby DESCRIPTION OF CLAIM: Purchase,delivery&installation of a swimming pool at 224 Buckskin Path, Centerville,MA 02632 DATE: Novemberl3, 2Q17 RE: Chapter 93A Demand and Request for Relief Dear Mr. Belli, Be advised that this office has been retained by Mr. Matthew Maltby in connection with a demand for relief pursuant to M.G.L. c. 93A §§ 2 and 9(hereinafter"Chapter 93A") including the Massachusetts Attorney General's regulations promulgated thereunder, for unfair or deceptive trade practices relevant to a contract for the purchase, delivery and installation of a Phoenix Style pool at the dwelling house located at 224 Buckskin Path, Centerville,MA. The unfair or deceptive trade practices include,but are not limited to,the misrepresentation given by Mr. Belli that he was a licensed and insured contractor,the misrepresentation that the deposit of$23,435 was to be used to purchase the Phoenix Style poos,the utilization of a deceptive warranty concerning a custom order the pool,the failure to deliver such pool and the failure to perform under the written agreement in violation of the Massachusetts Home Improvement Act. 23 EAST MAIN STREET,WEST YARMOUTH,MA 02673 I W W W.CAPECODDIVORCEMEDIATION.COM PHONE:(508)221-6677 FAX:(508)775-0693 EMAIL:CHANTAL@CAPECODDIVORCEMEDIATION.COM A. LEGAL AUTHORITY 1. Failure to disclose relevant information or misrepresenting material aspects of a home improvement contract is a violation of M.G.L.c 93A 4 2W as well as the utilization of a deceptive warranty M.G.L.c. 93A§2(a) states: "[U]nfair or deceptive acts or practices in the conduct of any trade or commerce are hereby declared unlawful." Pursuant to 940 C.M.R.§3:09, the Massachusetts Attorney General has declared that:"In connection with [a] ...home improvement contract,it constitutes an unfair and deceptive act or practice for any seller to: (2) Make any representation,in the sale or offering for sale...including the failure to adequately disclose additional relevant information,which has the capacity, tendency or effect of misleading or deceiving[customers] with respect to any material aspect of the product or transaction or any service to be performed in conjunction with the purchase of the product or service to which the seller is ...selling..." In addition to the above,940 C.M.R.§3:16(2) states that an act or practice is a violation of M.G.L.c.93A§2 if:"Any person or other legal entity subject to this act fails to disclose to a buyer or prospective buyer any fact,the disclosure of which may have influenced the buyer or prospective buyer not to enter into the transaction...." Pursuant to 940 C.M.R.§3:08(2),"it shall be an unfair and deceptive act or practice to fail to perform or fulfill any promises arising under a warranty. The utilization of a deceptive warranty is unlawful." 2. It is a violation of Chanter 93A to abandon a home improvement contract and fail to purchase materials or supplies rendered in connection with the contract where Ravment was received and allocated for that liuMose. Pursuant to 940 C.M.K 3.16 (3),an act or practice is a violation of M.G.L. c.93A§2 if."It fails to comply with existing statutes,rules,regulation or laws,meant for the protection of the public's health, safety,or welfare promulgated by the Commonwealth or any political subdivision thereof...." M.G.L. c. 142A § 1-21 also known as the"Home Improvement Act" was enacted as a means of protecting unsuspecting homeowners from contractors who perform substandard residential construction work or fail to perform under their agreements, and therefore fall within the purview of 940 C.M.R. 3.16 (3). The Home Improvement Act provides a statutory basis for personal liability for contractors operating under organizational forms specifically designated to limit such liability. M.G.L. c. 142A § 9(c). Section 17 states that violations of any of the provisions of Chapter 142A shall constitute an unfair or deceptive trade practice under the provisions of Chapter 93A. Section 2 of the Home Improvement Act states,"Every agreement to perform residential contracting services in an amount in excess of one thousand dollars shall be in writing and shall include the following documents and information:(2)the full names,social security numbers,addresses...,registration number of the contractor...(7)the signatures of all parties shall be affixed to the contract; (8)there shall be a clear and conspicuous notice appearing in the contract:that all contractors—must be registered by the administrator and 23 EAST MAIN STREET;WEST YARMOUTH,MA 02673 I WWW.CAPECODWORCEMEDIAnON.COM PHONE:(508)221-6677 1 FAX:(508)775-W93 EMAIL:CHANTAL@CAPECODDNORCEMEDIATION.COM i that any inquiries about a contractor...relating to a registration should be directed to the administrator;of the registration number of the contractor...;of all warranties and the owner's rights under the provisions of this act; in ten point bold or larger,directly above the space provided for the signature,"Do not sign this contract if there are any blank spaces." Section 9(a)of the Act states,"No contractor...shall undertake,offer to undertake,or agree to perform residential contracting services unless registered therefore with the approval of the bureau of building regulations and standards. Section 17 of the Act states,"The following acts are prohibited by a contractor or subcontractor: (1)operating without a certificate of registration issued by the administrator (2)abandoning or failing to perform,without justification, any contract or project engaged in or undertaken by a registered contractor or subcontractor...(4)making any material misrepresentation in the procurement of a contract or making any false promise of a character likely to influence,persuade or induce the procurement of a contract, (14)failing to pay for materials or services rendered in connection with his operating as a contractor or subcontractor where he has received sufficient funds as payment for the particular construction work,project or operation for which the services or materials were rendered or purchased. In addition to receiving an administrative penalty,a contractor may be fined or imprisoned for violations of the Act. A contractor who knowingly,willfully, or negligently operates without a certificate of registration,operates during suspension or revocation,or fails to renew its registration, may be punished by a fine not exceeding$5,000 or imprisonment not exceeding two years,or both. M.G.L c. 142A §19. A contractor who knowingly and willfully violates a provision of M.G.L c. 142A may be punished by a fine of not more than$2,000 or by imprisonment not exceeding one year,or both.Icy B. FACTS The salient facts are as follows: 1. In September 2016,Marianne Sprague,who overheard Matthew Maltby (hereinafter"Matthew") discussing with a friend the possibility of installing a pool at his primary residence located at 224 Buck Skin Path,Centerville,MA, informed Matthew that her boyfriend Paul K Belli (hereinafter"Paul') installs pools and provided him with his business contact information. 2. Towards the end of October 2016,Paul met with Matthew and his wife Ellen Maltby(hereinafter"Ellen") and represented to them that his business names was Leisure Pools of Cape Cod and Belli Landscape Construction and that he was licensed and fully insured. 3. During the initial meeting,Paul provided Matthew and Ellen with a booklet of display pools from Leisure Pools USA and advised them to select a pool so that he could draw up an estimate of the total cost for the price of the pool, the delivery of the pool and the installation pf the pool. 23 EAST MAIN STREET,WEST YARMOUTH,MA 02673 I WWW.CAPECODDIVORCEMEDIATION.COM PHONE:(508)221-6677 1 FAX:(508)775-W93 1 EMAIL:CHANTAL@CAPECODDNORCEMEDIATION.COM 4. Matthew and Ellen indicated to Paul that they desired a"Phoenix'style pool with skimmer,2 suctions and 2 returns included and 2 Pentair Glo-Brite LED lights,Factor Installed fittings, 16'by 32',3'4" depth by 6'deep. S. On or about Mid-November of 2016,Paul then drafted and provided the Maltbys with a proposal totaling$44,725.00 which included the pool itself, the delivery and the cost of installation (see exhibit"A"attached hereto).The written proposal on letterhead of Leisure Pools of Cape Cod contained the following: 1. A brief description of the pool including the price as delivered 2. The cost of the installation parts and material. 3. Fuel costs for excavator equipment,etc. 4. Cost for a Crane to lift pool over the home. 5. Cost of labor 6. Subtotal 7. Electrical hook up cost 8. Natural Gas hook up cost 9. Total cost of pool,delivery and installation 10.Also included are quotes for additional services 6. Matthew yer. bally accepted the proposal on or about mid-November 2016 and Paul assured the Maltbys that the pool should be installed and ready for use for the summer 2017 season. I sgnedhis copy 7. Matthew and Ellen were never presented by Paul with a formal written contract for their signatures. S above 8. As part of the installation the property required a survey to determine the size,location and deep of the pool.The Maltby's by Baxter Nye Engineer& Surveying for approximately$2,500.00 on December 13,2016. 9. As part of the installation,Paul indicated to Matthew that the trees in the area where the pool was to be installed need to be removed and referred Matthew to Vetorino's Landscape&Irrigation,LLC to perform the work 10.Matthew promptly contacted Vetorino's who provided him with a contract to remove the trees on March 15,2017 which was executed by Matthew on March 20,2017 (See Exhibit"B"attached hereto). 11.Mr.Maltby shortly thereafter paid Vetorino's$2,300.00 to perform the work 12.The tree removal by Vetorino's was complete on or about March 23,2017. 13.Mr.Maltby was informed that if his property were to have a pool he would need to fence the area the pool would be located. Mr.Maltby commenced 23 EAST MAIN STREET,WEST YARMOUTH,MA 02673 I WWW.CAPECODDIVORCEMEDIATION.COM PHONE (506)221-6677 I FAX.(508)775-0693 I EMAIL:CHANTAL@CAPECODDNORCEMEDIATI ON.COM l building the fence around his property and to date has spent approximately $5,500.00 to have the fence installed. 14.On March 20,2017,Marianne Sprague emailed Matthew with instructions to send a check payable to Belli Landscape at 4 Jefferson Avenue,West Yarmouth,MA. 02673 in the amount of$23,435.00 representing the cost of the pool and delivery($23,250.00)and the cost of the building permit ($175.00) (See exhibit"C"attached hereto). 15.Matthew promptly delivered the check to Paul as requested by Ms.Sprague. 16.Check#5789 in the amount of$23,250.00 cleared in Mr.Maltby's account on March 30,2017 (See Exhibit"D"attached hereto). 17. Paul applied for a building permit from the Town of Barnstable on March 6, 2017 (See Exhibit"E"attached hereto). 18.The building permit applicant was"Belli Landscape Construction"and the contractor name as it appears on the permit is"Belli Landscape Construction"with contractor license No. 166861 (See Exhibit E). 19.It should be noted that the permit contains an estimated project cost of $30,000.00 (see Exhibit E)which was significantly less that the amount of $44,425.00 that was provided to Matthew by Paul (see Exhibit A). 20.The expiration of the building permit issued is September 6,2017 (see Exhibit E) and with an extension option that would extend the permit until March 18,2018. 21.In May 2017,Paul verbally indicated to Matthew that the delivery of the pool and its installation would be completed before July of 2017. 22.On May 17,2017,Ellen sent Paul a text message to find out the status of the pool delivery as summer was approaching and no work had commenced(See Exhibit"F"attached hereto). 23.Paul failed to respond to Ellen's request for an update on the status of the work that was to be done(Exhibit F). 24.On June 14,2017,Ellen sent another request for the status of the work to be done,again Mr.Belli did not respond (Exhibit F). 25.On July 22,2017 Mr.Maltby sent another text message requesting the status of the work as it was promised to be complete by the end of July 2017 (See Exhibit"G"attached hereto). 23 EAST MAIN STREET,WEST YARMOUTH,MA 02673 I WWK CAPECODDIVORCEMEDIATION.COM PHONE:(508)221-6677 1 FAX:(508)775-0693 1 EMAIL CHANTAL@CAPECODDIVORCEMEDIATION.COM for the Phoenix Style Pool as required by the agreement. Mr.Belli abandoned the project and then refused to refund the Mr.Maltby's deposit for the cost of the pool. The blatant disregard of the Act and Chapter 93A and the knowing and willful misrepresentations should result in an award of triple damages in court. Be advised that multiple damages are the appropriate punishment for forcing plaintiffs to litigate clearly valid claims under 93A. See Fidelity 443 N.E.2d at 1318. Based on the foregoing,Mr. Maltby has a strong and compelling argument that a clear violation of Chapter 93A and the Home Improvement Act has occurred as a result of the conduct of Mr. Belli and Belli Landscape Construction and Leisure Pools of Cape Cod warranting the imposition of multiple damages. My clients and I look forward to your response. If you have any questions regarding this letter,please contact me directly or retain counsel. Very truly yours, Chantal Hayes Rice,Esq. CHR/cp/enclosures #10,501-Maltby v. Belli 93A/Breach of Contract cc: Maltby,Matthew 23 EAST MAIN STREET,WEST YARMOUTH,MA 02673 WWW.CAPECODDIVORCEMEDIATION.COM PHONE:(508)221-6677 1 FAX:(508)775-0693 1 EMAIL:CHANTALQCAPECODDIVORCEMEDIATION.COM 26.Paul responded,"We are trying to get it all worked out right now the portal of a company is trying to get a routing from the and promenade to bring the pool up" (See Exhibit G). 27.Matthew replied to the message from Paul and requested a time for the delivery on that same day(See Exhibit G). 28.Paul replied the same day that he would know more on Monday(See Exhibit G). 29.During the month of July of 2017,Mrs.&Mr. Maltby continued to send text messages and phone calls to Mr. Belli for the status of the pool. 30.Ellen sent a message to Paul on July 30, 2017 expressing she and her husband's disappointment that there is still no pool installed. (See Exhibit F). 31.Finally on August 12, 2017,Matthew send a text message to Paul demanding the return of the deposit of$25,000.00 for the purchase of the pool and permit fee (See Exhibit G). 32.Paul did not respond to the August 12,2017 text message. 33.Matthew again tried to contact Mr. Belli via text message on August 15,2017 (Exhibit G). 34.Ellen sent a text message to Paul on August 23, 2017 noting that the building permit would expire in 2 weeks (Exhibit F). 35.Paul replied to Ellen's text message with,"I will put in an extension.The last update I got regarding the pool was they were getting ready to install the fixtures and the pool was coming in the next load.And when they could get road permits from" (Exhibit F). 36 Paul has failed to contact the Maltbys since August 23,2017 He did putSrn a pp'-" di: Building,Department 37.To date,Mr.Belli has not complied with the written requests and the demand for the return of the deposit for the pool in the amount of$23,435.00. 38.According to the Secretary of the Commonwealth of Massachusetts Business Entity Summary,Belli Landscape Construction,Inc.was dissolved on 6-18- .2012 and is not in existence. 39.There is no record of Leisure Pools of Cape Cod ever existing in the Secretary of State Business Entity Database. 23 EAST MAIN STREET,WEST YARMOUTH,MA 02673 I WWW.CAPECODDIVORCEMEDIATION.COM PHONE:(508)221-6677 ( FAX:(508)775-0693 1 EMAIL:CHANTAL@CAPECODDIVORCEMEDIATION.COM L Based on the foregoing,Mr.Belli's failure to provide Mr.Maltby with a sufficient contract as required by the Act,the failure to order and pay for the purchase of the pool and the abandonment of the work to be performed,constitutes a clear violation of Chapter 93A and the Home Improvement Act. D. INJURY As a direct result of the unfair and deceptive acts of Mr.Belli and.Belli Landscape Construction and Leisure Pools of Cape Cod,Mr.Maltby has sustained the following actual damages to which he is entitled under Chapter 93A: (1)the initial deposit in the amount of $23,435.00;(2)the cost to remove the trees in reliance of the installation of the pool in the amount of$2,500.00; (3)the cost of the survey of the land in the amount of$2,500.00; (4) the cost to install the fencing$5,500.00 and(5)attorneys fees and expenses rendered to date in the amount of$2,500.00. The total demand is for$36,435.00. E. DEMAND Pursuant to Chapter 93A § 9(3),Mr.Maltby hereby demands that you immediately provide compensation in the amount of Thirty-Six Thousand Four Hundred Thirty-Five and 00/100($36,435.00)dollars reflecting total monetary damages as a result of your unfair and deceptive trade practices. Please forward a bank check or certified funds made payable to"Chantal Hayes Rice,Esq.Attorney for Matthew Maltby"to my office as soon as possible. F. FINAL REMARKS In accordance with Chapter 93A,you are hereby notified that failure to respond to this letter within thirty(30)days and offer a reasonable settlement will result in further action by Mr. Maltby. You should be aware that pursuant to M.G.L. c.93A § 9(4) attorneys fees and costs will be imposed by a court of law upon the finding of an unfair and deceptive trade practice. Based on the facts and relevant legal authority, several clear violations of the Act have occurred with respect to the re-shingling contract triggering the imposing of attorneys fees and also multiple damages by a court. Should you fail to comply with this demand,Mr.Maltby will be seeking an award of triple damages as a result of your willful and knowing violation of Chapter 93A. The assessment of double or triple damages against the violator will depend on the level of culpability determined to exist.See Int'I Fidelity Insurance Co.v. Wilson.443 N.E.2d 1308, 1317 (1983);and Kansallis Finance ltd.V. Fern.659 N.E.2d 731,739-740 (1996). A false representation made either knowingly or in willful disregard for its truth or falsity comes within the class of"willful or knowing" rather than in the class of relatively innocent violations of Chapter 93A. See Computer Systems Engineering eering v Quantel Corp 571 F.Supp. 1365, 1376 (1983);see also,Shaw.19 Mass.App.Ct.at 711. According to the facts,Mr.Belli knew or should have known that he entered into an agreement for home improvement services without a license as required by Massachusetts law. Mr.Belli failed to order and pay 23 EAST MAIN STREET,WEST YARMOUTH,MA 02673 I WWW.CAPECODDIVORCEMEDIATION.COM PHONE:(508)221-$677 1 FAX:(508)775-0693 1 EMAIL CHANTAL@CAPECODDIVORCEMEDIATION.COM yofT�Ero�� TOWN OF BARNSTABLE Q 2 • i BARNSTABLE. i 9° "b 9� BUILDING INSPECTOR O,�F Yf1Y a • APPLICATION FOR PERMIT TO .. .............. ": TYPE OF CONSTRUCTION ...... .. .. .... .................19..7.`'ry"� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for permit according to the following informs ion: azlz Location ��.... y........11 ` —a..:. ._Xe ProposedUse a.................................................................................... ....... . Zoning District ................................:'®..................................Fire District ......... ............. Name of Owner ........ �C .................Address ....... 2 1 1'............................. Nameof Builder ....... f..�.............. .................................Address ......:............................................................................. Nameof Architect ...........�......................................................Address ........................ ..................................,.....,................... Numberof Rooms .......... !.....................................................Foundation ........,r ?! .. ....... ......,...,/.................. J ' Exterior � ..................................Roofing ,< ..............y... ,. -14 Floors ...........................`.....'.'................................................Interior .........�........�.1�s-.�+. .....f�' ............................................... r . Heating ..............4�.....A�:....................................................Plumbing ..........t� "� Fireplace ... � C? �:•.......................................Approximate Cost ....... .:. �.......... Definitive Plan Approved by Planning Board -------------------____________19 Diagram of Lot and Building with Dimensions Da SUBJECT TO APPROVAL OF BOARD OF HEALTH Uj U' a n _r- Z_ a� �" i-- w Ca p G� < cn Lij ® (D r, r� �L it LL-• �jJ r)..\ 0 <� w �•; W v3 y� � LuR F— C!) F-.-LJ cn cn C] < `' G 0 < � Z I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .� � % '•E.« ��� ............. . 8oxaII* Alan *s= v No .-----.. Permit .---..---.--.-- olrugIe family dnnaIIino ^ ..----.--...,..----.-.—.—,-.—.---.,.- ^ qBuckskin ----'_ Path—.--~------.---~--------. � ' Centerville ~-------~~---'—^^'~^—'---^---'--' Alan Soa]LI ' Owner '----------'--''---'---'--' � frame Type of Construction .......................................... \ � —^—'—^-^^''~^^'---'—'-'--^--^`----`'- #36 . Plot ............................ Lot ................................ ' � | Permit Granted --D�n'..g-------]9 73 . . Date of Inspection ..................... lg ^ --- Completed— —'' ~ ' / PERMIT REFUSED ' --------..---..--.-------- lA -------.—.-----------.--.---.- —'-----``---'—'--'—'---'--'—'—'----' -- ' —.----.—...----.—.--'—.--.-_-----.-_ '---^-'~'^^''^^~^~~^—''''^`^'``—^'----^—^ Approved ................................................ 19 ' � ' -------'--------'-^^'`—'`^^-----' -------.---..-----..—~.---.--.' , | i Barrows, Debi From: Barrows, Debi Sent: Wednesday,July 25, 2018 3:19 PM To: 'maltby.matthew@boston.sysco.com' Subject: 224 Buckskin Path Good Afternoon,Your extension request for permit b-17-533 has been granted. The amount owed is$75.00. Any questions please call 508-862-4038. Thank you, Debi Barrows Office Manager Town of Barnstable Building Department f � 1 Town of Barnstable 6�111d1i1 9� g •' �• h `Card�So,Tha t rsUisible rom the Street roved Plans 11AuSt- eARetamed on•Jgb and,,this rd Mst be Kept � Post T rs t� � pp. 9 * �Posteci nail Final inspection Has.IBeen Made �' � s � � , f u % � � �� �% Permit R i639: �.: r " k r a. %�,� <� '-- 3:�ccu art 9.: sARe aired such;Buildi shall;Notbe Oecu ied'untrl�a Final:;Ins ection;has-been made k :,` ;ate Where aYCertrficate of 0 p cY q ng p P .. -' ,,. ....¢�.�,,, ,.s�_._... \....ma' s. ..eta:..•. .....'. -::a,a`�, ,:3; y,.�a.';,,.���». ....,.....ar<u ,: 'c'?�,.>. ,. .�._.,,3s:'.�...r.�. .... _W.. _.:, ,. ..��-: ` ; ,..:." :'�. :�: Permit No. B-17-533 Applicant Name: BELLI LANDSCAPE CONSTRUCTION Approvals Date Issued: 03/06/2017 Current Use: Structure Permit Type: Building-Pool-Inground Expiration Date: 09/06/2017 Foundation: Location: 224 BUCKSKIN PATH,CENTERVILLE Map/Lot: 171 031� Zoning District: RC Sheathing: Owner on Record: MALTBY, MATTHEW H&ELLEN:H Con tractor Narne BELLI LANDSCAPE Framing: 1 1 CONSTRUCTION Address: 224 BUCKSKIN PATH t 2 �� ----contractor License166861 CENTERVILLE,MA 02632 ;' Chimney: Description: installation of 16x32 in ground pool fiberglass;pool Stocked Fence and 'Est,Project Cost: $30000.00 s r a Insulation: Solar Cover. 1st Extension to expire 3/6/2018 Permitl"Fee: $225.00 Project Review Req: Installation of 16x32 in ground pool fiberglass-pool tocked Fee Paid: $225.00 Final: Fence and SolarLover. lst Extension toexpire /6J2018 Dete 3/6/2017 �—] Plumbing/Gas y Rough Plumbing: f 3 _.._..__ _,.. �� Final Plumbing: x Building Official This permit shall be deemed abandoned and invalid unless the work auto ied by this permit is commenced within six monthsaftef r'ssuance. Rough Gas: All work authorized by this permit shall conform to the approved application'aridxthe£approved construction documents four whh this permit has been granted: Final Gas: All construction alterations and changes of use of any building and structures fiall§b in compliance with the local zoning by law"s,and codes. This permit shall be displayed in a location clearly visible from access sheet or road a`nd shall be maintained open for publk inspection for the entire duration of the work until the completion of the same. - � Electrical Service: The Certificate of Occupancy will not be issued until all applicable signatures byAhe Building and Fire Officials are pros de'd on this permit. Minimum of Five Call Inspections Required for All Construction Work , Rough: z v 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation low Voltage final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. 'persons contracting with unregistered contractors do not have access to the guaranty fund°(as set forth in MGLc.142A). Fire Department Final: Building plans are to be available on site S All Permt Cards are the property i h of the APPLICANT-ISSUED RECIPIENT ; -v u,)t. 2q Zola -lo Bu,I d,rYt. bly)M u!wolgt/ �1 kt&ac mYG BUIId1N6 OVMII $• I'1 •�33 22V 13ue lc.�lu� PA►L C`c/`Ilt�l��lt .(Ylo 021e32 �fd/ l�omM ty c scf o� lt9LJ tJi trt &CC E.ul tt(l ml( or( ; kt. ,j,)w t I OUN pkl rn�1 C3 • I'1 .'S 33 10i C� 0� f,brls l A-1J P oJ) ad 4� CJ>I-V t add(tZ3 . ')Kt 900 1.,, biA r4.t--0 d 4,1 I JV r-a- w61 L..t rC J LL t f V•J IA n� qut--J ioa., of C-o4CAMIs R1tbl t. C KJu.1 - g`Gl1� •L..Anf ds t..o(� l:.D��•I/'uc.J w� , Zrnot) : O XONtn1 P. CoMCI9.c,— r q: . i oFIME r Town of Barnstable d *Permit y�Pv ti� Expires 6 mop hs from issue date Regulatory Services Fee * BARNSPABLE, 9 MASS. Thomas F. Geiler, Director �al6D 039. �A O t 14o/o.0 RESS IT Building Division Tom Perry,CBO; Building Commissioner NOV 1 4 2008 200'Main•S tree t,Hyannis,MA 02601 www.town.barns table.ma.us Office: 5T9WQE BARNST Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - R.ESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number /����� ` Property Address 2 Z-- � c1G Z AlV,Q A '7 H �.t'�✓►�f �/�/ . �f e XZesidential Value of Work �f. (/ Minimum fee of$25.00 for work under$6000.00 Owner's Name & Address _ /-q 7 !JAL Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable)____ Construction Supervisor's License#(if applicable) ❑Workinan's Compensation Insurance �{ Check one: - ❑ I am a sole proprietor ® I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy Copy of Insurance Compliance Certificate must be on tile. Pcrmit Request (check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) . Re-side ❑ IZeplacement.Windows/doors/sliders. U-Value (maxi m .44) *Where required: Issuance of this permit does not exempt complian with other town department regi ations,i.e.Historic,Conservation,etc. ***Note: P erty Owner must sign Pro Owner Letter of Per ion. A cop f the Ho elm r e t Con ct License equired. SIGNATURE: Q: WPFII..F..S\FORMS�.huilding permit forms\EXPRESS.doc Revised 100608 The C'omrr'onwealth of Massachusetts .fment o Department Industrial Accidents P Office of Investigations d 600 Washington Street Boston,1" 02111' WWW.mass.gov/dia ' Workers,- Compensation Insurance Affiddvit: Builders/Contractors/Electricians/Plumbers ly Applicant Information Please Print,Leib Name (Business/Organizationfindividual): . 14,711 Address: City/State/Zip: C aiA JJ 4,,y Phone.#: S C> -- .77 � .-� 1 }lam Axe.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 * have hired the sub-contractors 6 ❑New construction employees (full and/or part-time). Remodeling - 2.[] I am a'sole proprietor or partner= listed on the attached sheet 7, ❑. ship and have no employees These sub-contractors have g• []Demolition working for me iii any capacity. employees and have workers' 9 B ,g addition comp. insurance. [No workers comp. insurance 10.[].Electrical repairs or additions required.] 5. �] We are a corporation and its qu 3. I qu a homeowner doing all work : officers have exercised their 11.[]Plumbing repairs or additions myself,[No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance.required.]t c. 152, §1(4), and we have no 13.❑ Other employees. [No workers comp,insurance required•] 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 ornot 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: lob 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 G.152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment, as Weais civil penalties in the form of a STOP WORK,ORDER and a fine of up to$250.00 a day against the violator. Be advis that copy-of this statement play be forwarded to the Office of Investigations of the D for insurance covers e virificatiod I do hereby ce a ains-a d en erju at ormation provided above is ue an'd correct. Si afar Date Phone#: --. Official use only. Do not write in this area, to be completed by.city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3, City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.. Other Contact Person: Phone#: 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 hiie, 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.accep table evidence of compliance with the insurance coverage required." Additionally,MGL ehapter..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 soropliauce with the insurance requirements of this chapter have been presented'to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-conttactor(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 Inqustrial 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 fo any business or commercial venture (i.e. a dog license or.permit to burn leaves etc.)said persort 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,. �COMMORWealth of M.U_Sarhus.l�!tts aunt ofndtra Accicots Office of It-vest gationa 604 Washinat.6 Street Boston,_MA 02111 TQL #f 17-727-400 ext 40b or 1-S-77-MASSAFIJ Fax#6.17-727-774 Revised 11-22-06 WWW.mas, .—gov/dia SHEr � Town of Barn-stable Regulatory Services. • seaxsTws[ y NAB& $ Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property r hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for (!Address of Job) Signature of Owner Date -Print Name If Property Owner is applying for permit please complete the Homeowners License ,Exemption Form on the reverse side. n•CnD hXC.r)11 1.TCD DCD1.A TO Qlnl.l Town of Barnstable �oF z�r�ti y�P Regulatory Services swxtvszesr a Thomas F.Geiler,Director HAS& Building Division PrfD hM't a Tom Perry,Building Commissioner 200 Main.Street, Hyannis,MA 02601 - vrww.town.b arnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION / Please Print DATE: 11/�r7 [ d JOB LOCATION: Z Z ,number /street / ,/ village e� � "HOMEOWNER":,/ �[R �� L l[�L/ .� P-77 1-6 1 7 Sd d 7�7—2 70 d name / home phone# / work phone# CURRENT MAILING ADDRESS: 2'( �Ci� �� .�`✓ `� 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 DOMEON'VNER 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 co Iiance with the,State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned."homeowner.."certifies.that he/s unders ds the Town of Barnstable.Building Department minimum ction es and requirem an. he/she will comply with said procedures and re Si rc of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are 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 fomr/certifi cation.for use in your cornmunity. Q:forms:homeexempt °pTHE T Town of Barnstable *Permit# _ Bzpires 6 months from issue date O �..� °.\ „,WSTAB� n Regulatory Services Fee v� MAM poi Thomas F.Geiler,Director . s6?9� �0 '°rfo 59 Building Division Peter F'DUNIatteo, Building Commissioner 367 Main Street, Hyannis,H MA 02601w , � S EP Office: 508-86..-0�8 0 1 0 100 Fax: 508-790-6230 Tp�A, EXPRESS PERMIT APPLICATION - RESIDENTI12&44/ (� Not Valid without Red X-Press Imprint STAeC� Map.,parcel Number I I , 02� I , Property Address C y S ( )t PA A h C E A)+f R L) (L 1.f (V]'Residenrial Value of Worl � �00 Owner's Name&:Address r—L-LE 0 Pic.ckskviy C_EroW Contractor's Name R Q 0 Pndab( L< Telephone Numbe Home Improvement Contractor License#(if applicable) a Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ® I have Worker's Compensation Insurance Insurance Company Name 11.E 09 I){n Worlanan's Comp.Policy L 0 1 fir) ANY Permit Request(check box) P"'Re-roof(stripping old shingles) ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value ( •44) ❑ Other(specifv) *Where requited: issuance of this permit does not exempt compliance with other town department regulations.i.e.Historic.Conservation.etc. Signature Q:Forms:expmtrg:rev-0-060 i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Invesdgations 600 Washington Street Boston,MA 02111 www.mass.gov/dia ' Workers' Compensation Insurance Affidavit: Bulders/Contractors/Electricians/Plumbers Applicant Information /V Please Print Legibly Name(Business/Organization/Individual): A747—It{G l L �� Address: 2 2—V ;?L2104_5-41-41 City/State/Zip: 4 e/-u,l t o PAL- Phone#:__ 6-0-Y 73 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 employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. 0 Demolition working for me in any capacity. employees and have workers' 9. El Building addition [No workers'comp.insurance COMP•msurance.s ,�,�equ. d.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.e I am a homeowner doing all work , officers have exercised their 11.❑Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have'no employees.[No workers' 13.❑Other ?OQ L 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. tContcactors 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 nW employeeL Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: 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 verif1 I do hereby cartiol#erthepains and pen pe ' e information provided above' true and correct. Signstore: Date: 2— C Phone#: Official use only. Do not write in this area,to be completed by city or town gfjiciaL 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(o 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." r 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 r 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 incnrance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town maybe 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 bike 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 Dgwtment of Industrial Accidents Office ofInvestiptio s 600 Washington Stmt Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFB Revised 4-24-07 Fax#617-727-7749 www.mm.gov/diaL - r Amazonxom : 1$-Feet x 36-Feet Rectangle Crystal Clear Swimming Pool Solar Heating , Page 6 of 7 By Iggy on July 14,2016 Size:16-Feet x 24-Feet Color.Clear Diamond Verified Purchase Great cover!Much better than a big sheet of bubble wrap.Will be much more durable. 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RONNIE- loot � if in T J gulp * Sr 4 V e-t � � K 4 . `. r i .. x% h to� .. fir, 407xv --a BUILDING DE PT MAR 021 T®WN OF EAVINST BL -`'3 '` v f C 'v {' r k IF 'r Fix wn 12 EA, Is ; • i Allure Aluminum Magna Latch for Gate Black-DT2553-BL -The Home Depot Page 1 of 2 Home / Lumber&Composites / Fencing / Fencing Parts&Accessories / Fence Gate Latches&Slide Bolts - '- Model#DT2553-BL Intemet#100491521 Allure Aluminum. . Allure Aluminum Magna Latch fo..r Gate Black iVla na Latch for to Black #ir�r�riA (13). . Write a Review Questions&' g Answers(6). • Lifetime warranty mment r • Save to List { Not in Your Store-We'll Sh w clicker ® fit Add to Cart Free Pickup Free Shipping Available for pickup Expect it March 16-March 21 March 13 Change,Pickup Store See Shipping Options Or buy now with We're unable to ship this item to:, Easy returns in store and online AK,GU,HI,PR,VP Learn about our return policy Product Overview Magna Latch-safety gate latch for most gates around swimming pools,homes and Info&Guides other child safety areas.Powered by the latest Permanent Magnets these quality Instructions/Assembly latches offer great reliability,safety and child resistance.Key lockable. �-1r Warranty BUJUDING7 OF -( • Formulated to exactly match factory finish .You will need adobe®Acrobat®Reader to view FDF documents. Download a free copy from the Adobe Web site.. cy (g° • 17-5/8 in.Long MAR 02 20 j • Magnetically triggered(self latching,no jamming) • Child resistant TOWN OF SARNIS(j",B'r_E . Planning Guide: hop;//www.homedepot.com/p/Apure-Aluminum-Magna- ,atc -for=Gate-Black-DT2553-B... 2l27/2017 Allure Aluminum Magna Latch for.Gate'Black=DT2553-BL-The HomeDepot . Page of 2 Howto,.PlAn Create a sketch of the area. Allure Aluminum � 'F • .Establish all gate(s)and/or, Magna L o ! �(ack i �' � transition locations. - (l i Pber of six_foot .nber of pasts. ! ! FENCESECTION r 1 1 - GATE Click Image to Zoom Specifications Dimensions Arm length(in.) 18 Assembled Height(in.) 17.625 in - Assembled Depth(in:) 2.625 in Assembled Width pn.) 1.375 in Details Builders Hardware Product Type Gate Latch/Slide Bolt Finish Family Black Duty Rating Standard Material Plastic Fasteners included Yes Returnable 90-Day Finish plastic Warranty/Certifications Manufacturer Warranty limited lifetime �'� OF How can we improve our product information?Provide feedback. CO http://www.homedepot.com/p/Allure Aluminum-Magna-Latch-for-Gate-Black-DT2553-B... 2/27/2017 C 0 General Notes General the pool.The over excav n ation is minimum 6 inches(152mm)on the sides . 2.Electrical and plumbing installation comply with the Fespective bodes/t ,iias The swimming pools and spas consist of one-piece fiberglass and ends.The over excavation at the pool bottom is minimum-i inches in effect at the construction site. ( N construction shop-formed over a mold.The material is fiberglass (102mm).The backfill for the pool or spa bottom is a layer of 3-inch-thicker 3.That all pools are installed in accordance with manufacturers reinforced plastic(FRP),a minimum of 1/4 inch(6.4 mm)thick, (76mm)bedding sand or%"clean gravel matchingthe col or spa recommendations. ^t a ;t,l ^ ° `0 d P4.The pools and spas produced b Liberty C x, i tJ ( ;� a c�•� composed of isophtalic resin,vinyl ester resin,and fiberglass.The profile. p Y rty Composite T76 Viking o m surface finish is a neo pentyl glycol gel coat.Liberty Composite Pools,a This backfill layer is compacted using a manual tamper and water. Drive Industrial Park,Jane Lew,West Virginia; Liberty Composite Pools, Q J fiberglass division of Latham Pool Products Inc.(LP)produces various The pool or spa is then set into place using a crane,excavator or 121 Crawford Road,Williams,California; Liberty Composite Pools, -� styles of swimming pools and spas.When installed in accordance to LP manually and be within 1 inch(25mm)of level.Simultaneous waterfill 40119 Country Road 54E,Zephyrhills,FL are manufactured under a o m Pools installation procedures,the pools and spas comply with applicable and backfill operations then commence.The backfill is compacted with a quality control program with inspections by Columbia Research requirements of the following codes: tamper and water.The installer must ensure that the backfill level and Testing Corporation(AA-527). %,fI y 1 ..)N °' 2012/2015 International Building Code®(IBC) water level are approximately the same throughout this procedure. U 2012/2015 International Residential Code(IRC) _ After completion of the backfill and plumbing,the decking is placed. Z �t t 2015 International Building Code New Jersey Edition Decks are prepared as indicated in Figures 1 though 4: U a 2015 International Residential Code New Jersey Edition 1.Cantilevered concrete decks are constructed as noted in Figure 1 O Uniform Construction Code(NJAC 5:23) in all cases. CO 1997 Uniform Building Code(UBC) 2.Cantilevered decks are constructed with brick or stone as noted o Y a BOCA@ National Building Code/2003(BNBC) Figure 2 in all cases. 3 2012/2015 International Plumbing Code®(IPC) 3.Raised bond beams are constructed as noted in Figure 3 in all m 2012/2015 IAPMO Uniform Plumbing Code(IAPMO UPC) cases. - 1 N� Q 2011 ANSI/APSPACC-5 Residential Inground Swimming Pools 4.Aboveground installations are constructed as noted in Figure 4 in a 2014 ANSI/APSP/ICC-3 Permanently Installed Residential Spas all cases. and Swim Spas Barriers are required where pools are on premises of UBC Group R, 2013 ANSI/APSP/ICC-7 Suction entrapment Avoidance Division 3,Occupancies or IBC Group R Occupancies.The barriers must 2011 ANSI/APSP-16 comply with Appendix Chapter 4,Division 1,of the UBC or Section I 2012/2015 International Swimming Pool and Spa Code- 3109.4 of the IBC ♦ y� (ISPSC-ICC) CODE COMPLIANCE v 2007 ANSI/ASME-Al12.19.8 Expansive soils: i 2017 National Electric Code(NEC) For installation of pools or spas in expansive soils,the following A. MASSACHUSETTS 2015 Uniform Swimming Pool,Spa,Hot tub Code(IAPMO) additional installation details must be followed subject to code official's approval: COMMONWEALTH OF THE MASSACHUSETTS BUILDING CODE � The overall pool dimensions,depths and capacities are shown in 780 CMR(9th ED.) 64 rn N Table 1 and Table 4.The units comply with"ANSI/NSPI-5,specked in 1. All surfaces adjacent to the pool or spas must be excavated to a INTERNATIONAL RESIDENTIAL CODE -2015 ♦� Q r rn M coo Section AG103.1 of the IRC,and IAMPO IGC-2000',specified in the minimum depth of 12 inches(305 mm)beneath the pool bottom INTERNATIONAL SWIMMING POOL&SPA CODE -2015 Q W A M UPC. and minimum 6 inches(152 mm)behind the pool walls. t , U) Co m 1 Models described in Table 2,Table 3,and Table 4 can be placed up 2.Any soft or loose soils'exposed by step 1 must be removed until � B. ELECTRICAL&PLUMBING Q W o po N o 00 to 19-1/2 inches(49.5mm)above ground.These pools and spas may be exposed material is solid.If the soil is still soft and loose,the upper o Cl) placed with or without concrete or wood decking.Unless elevated 6 inches(152 mm)of all horizontal excavation surfaces must be L Co portions of the units are protected from sunlight by soil berms,decking, scarified and compacted with mechanical equipment.The THE CONSTRUCTION AND INSTALLATION OF ELECTRIC WIRING,GROUNDING AND �cl)= N ``) x M tCo Co Cd etc.,these portions must be coated with a UV-inhibiting opaque paint compacted surfaces and the excavated wall surfaces must be BONDING,AND EQUIPMENT ARE SUBJECT TO THE STATE CODE AND TO THE CURRENT ca to Q ao ri tL that is compatible with the laminate. maintained in a moist condition until the first lift of backfill or fill is ADOPTED NATIONAL ELECTRIC CODE REQUIREMENTS. o rn M rn v All plumbing must comply with the IPC or UPC.Electrical work must placed against the surface.The term compaction implies any ALL PLUMBING MUST COMPLY WITH THE CURRENT ADOPTED STATE CODE. C z 5 to rn M co comply with the code in effect at the construction site.The pool and spa method necessary to consolidate the native and fill materials.to + must remain full of water at all times.A permanent sign,bearing the keep the pool or structure from settling. + o c^ 'D following statement,must be attached to the pumping equipment: 3.The excavated bottom area of the pool or spa must be backfilled ;+ Reviewed by: Q O d M N M Co Notice-The pool or spa is designed to remain full of water at all times. with granular import material to approximately 6 inches(152 mrr.`) i v The pool shell may be damaged fthe water level is allowed to drop below the bottom of the pool or spa,wetted and compacted. a ;3olumbia Research&Testing O O z c ti c below the skimmer.When appreciable draw-down is noticed or if it 4.The remaining 6 inches(152 mm)must be backfilled beneath the SELECT �Y ASHI �I GTON 10140 Starr Road,P.O.Box 933 O -c o o t becomes necessary to drain the pool or spa,contact LP Pools or its \ pool or spa and outside the pool walls with compacted clean sand. Windsor,CA 95492 C E a- a a a dealers for instructions. The pool or spa must be filled with water as backfilling progresses Phone/Fax 707-838-1680 Q O s Q LL A permanent label must be installed adjacent to the above sign to a level equivalent to that of the backfill.The backfill must be I [AS and[CC/ES Aproved Testing Laboratory }' C �"CU indicating the LP Pools dealers name,address and telephone number. placed in compacted layers of approximately 6 inches(152 mm) while a uniform height of backfill is maintained around the pool or I Table of Contents Seal: J Co J � � E L (� J L Page 1 -� `µ_' E Q � >+ Installation Procedure: spa. �� ri* � "�. surface drainage away from the perimeter of the pool and ) 5.Positive P installed without a soil investigation b a9 Y P LP pools and spas may be 9 Y registered design professional(RDP),subject to the building official's surrounding deck is required and critical to installations in highly , Expansive Soils W c Q a°e. ; - approval,provided none of the following conditions are encountered at expansive soils.Surface area drains and surface drainage swales Page 3 -- figures 1-4 0 the site: or subdrains must be placed as needed to prevent ponding or Page 3 _ Figures 1 4 U N 1.The existence of uncontrollable groundwater within the depth of saturation of the soil around the perimeter and vicinity of the pool to f' Pool Mode{ r the pool or spa excavation. prevent excessive shrink-swell or volume changes in the soil. I Spa Models 2.The existence of an uncompacted fill in contact with any portion of AlteTttatnc Rectr�Ulabon Sys the pool or spa. Identification: tt 3.The existence of any soil types with an angle of repose that will not LP pools and spas are identified by the following information support the walls of the excavation at desired slopes. imprinted on the top step of the pool or spa:manufacturers name( LP ��' OF M pl "4.Danger to adjacent structures posed by the proposed pool or spa Pools)and address,pool or spa model designation,a coded serial �c s DNS F > location. number and the evaluation report number(ESR-2014). G Page 5.The existence of any cracks or openings in soil that would not The units also bear the label of the quality control agency,Columbia G��r, y'f'm confine sand or Y2"clean gravel bedding. Research&Testing Corporation(AA-527). MARX f i t o' JAMES A. ,JR. w If any of the conditions above is encountered,excavation must cease Findings: That the fiberglass one piece swimming pools and spas are NO.36365 m immediately.The specified conditions at the site must then be in compliance with the above listed codes as noted in ESR-2014 subject i reviewed and recommendations made by the RDP.The building official to the following conditions. GISTS G� must approve the RDP's report before work is completed. 1.The construction and pool/spa installation comply with this report and Length,width and depth may vary up to 3%-all ASS/0NA1-LN of 5 E dimensions are to outside edge of coping,measured �v The pool or spa excavation profile must coincide with the contours of the manufacturers instructions. Z from parallel lines. 1,2519 ru LL t N V ' O - - LO a N - - - . 17 TABLE 1 - POOLS TABLE 3- SPAS M POOL CODE SIZE- m J SPA CODE SIZE- DEPTH GALLONS WIDTH x LENGTH APPROX. NUMBER SURFACEAREA U WIDTH x LENGTH SHALLOW,DEEP APPROX- NUMBER _51IRTACEARE.A. TYPE LLI C itoi VIE SY-6,X Ir 36 4 12 Ir TYPE,€3 Jefferson LOS T-6"x 7'-6" 3' 450 4 37 F- lefferson Ft. shi fSR 22'x 3'-W,3'-6`1 SIM 4. 240 �P60 Mayflower M 10 x 10 3-4 550 4 64 Ma flower Etlwa MSW 30'x 11 3-A: 550 ' Ay stony Chhal 7 '- T 4 11 TYPE Monument CS 8'x 12'-5" 3' 700 1 4 73 ji VNT ,' , ,;..zw d._ ;ate, ..� �•. .T i�.- ,,' `,":'f�" r -�'; #f ; Monurrte;ntS•► twa .CSSVVf 9x�12,-5. � 3s s . _M,_._. �". .._ � Ira� ri�E 4rdCC'}ti �6 »9�' S 4 V7 TV'PEQ Republic RY 8'x 10' - 3'-4" 600 4 63 - : .; r. WOO* CRUD 12i 29 . ._ . � �''� _ 4 T5'P'0 Stonewall LRS Tx T 3' 420 4 31 - .., . �# Stonewakl.SpEllway LRSSW��.7x:8'., �'3'.- Princeton 08 16•'X*Y Y;6"kF4 IM 4 WS TYPE Union 4 BOS 8'-4"x 8'-4" 3' 475 4 45 _ ... <, r ..�;t:-- �.. �Z rr �'„-:� ."� „r ;:::• - - _ _ _ Union SpFptiway BOSSW;nz g„4.ax =; ._ 5. , . Rushmore. CD 16'x 3' T=7",Y-5„, 14= 4 480 TYPED ,� U 'W as<hbn n SG lS'=�=x35' 3=�,F-Sr 1-4= 4 4X: � TYPE ♦♦^^ Cnco V♦ O N N rn M n V Cn Go � � � Cn TABLE 2- POOLS w o M RCn M SERIES SERIESO E m ABOVE GROUND INSTALLATION " F ZE GRf tD Q z CO `° rn v L? c� FSP PRTco 00 ti2DXL u . i (� M Cl) CO a Z c y iv c ^O E a s a a Reviewed by: cc I-+ � F-cc U Columbia Research&Testing J J Cn 10140 Starr Road,P.O.Box 933E 4) C L j Windsor,CA 95492 Q � _5 cB _cu 9+ li Phone/Fax 707-838'1680 co C m W CL [AS and ICC/ES Aproved Testing Laboratory 0 U cc ?j N Seal: r. � N 4-0co Py-�N O F A4"q Page JAMES A.MARX,JR. fi Z NO.36365 m sS�oNAL�N Of 5 z FIG.1 Length,waft and depth may vary up to 3%-allLo dWwAions are to outside edge of coping,ffwm and TYPICAL CANTILEVER CONCRETE DECK from parallel Ines. 67C6'-W1.4 X Wi.4 3'MIN. WIRE MESH OR Cm REBAR NO.3,ON Z O.C. m g' EACH WAY. SLOPED 114--1' yl m I n 12' 6 10' O t Z I _ 'L 1/4'GALVANIZED FOR CLAY f CHAIN 1 3"THICK COMPACTED (ADOBE) FIG.2 SAND(TYPICAL) t 4"MIN.THICK COMPACTED CONCRETE DECK GRAVEL FOR CLAY BRICK OR NATURAL WITH BRICK OR STONE (ADOBE)SOIL ONLY. STONE 7.r 6'X6'-W1.4XWIA SAND OR 1JY CLEAN GRAVEL 3' WIRE MESH OR MIN, REBAR N0.3,ON 7 O.C. FIBERGLASSEACH WAY. --� 6° �•-- POOL SHELL ED 1/4"=•Y • 12' FOR CLAY CD 00 v vi 1/4'GALVANQED (ADOBE) V) N Im co n� 3'TH IN COMPACTED SOIL ONLY. °F°+ O � (TYPICAL) SAND U Lu ,V MIN.THICK COMPACTED c� To FOR CLAY —0 � (ADOBE)SOIL ONLY. ^+ W x x LL FIG.3 SAND OR Ire CLEAN GRAVEL O _ u ffi U. ' s' FIBERGLASS L Q p^ cn co TYPICAL$OND BEAM FOOL SHELL Z CONSTRUCTION BRICK,FILLED BLOCK. 3'Mom• a_ O Q N c = OR POURED CONCRETE $" V Q. BACKFlLLED DIRT O A z o C c p jL =T n i 1f tL 2 6"X6"-W1.4XWIA fi 0 Jr < LLL- MAXIMU WIR E MESH OR Reviewed b co I— V rr? 24• REBAR NO.3.ON Z O.C. Cattunbia Research Testing =; 3 = i e EACH-WAY. FIG.4 10140 Starr Road,P.O.Box 933 M E VWndSor.CA 954W E TYPICAL ABOVE GROUND INSTALLATION Phone I Fax 7074838-1680 m W _ — Q IAS and=tES Aproved Testmg Labord" Q W a 1 sea! Co COMPACTED MAXIMUM J 3'THICK OPTIONAL 1' I SAND(TYPICAL 191 MOUND DIRT WOOD DECK �N OF MgS`cq 4'MIN.THICK COMPACTED AROUND POOL GRAVEL FOR CLAY APPROX.6' r (ADOBE)SOIL ONLY. In ���� Vo r r r � JAMES A.MARX,JR. c . SAND OR 1/2'CLEM GRAVEL O z N0.363G5O W FIBERGLASS A FGlsl*- 6' POOL SHELL �SStONAL EN m ti n LID 35' 30' 30' 25' 33' a N ti 9 � R N V - M ;oil C: t I J � 3,�„ � - T-7" rn n fn m LIJ WASHINGTON-WSG FREEDOM-FDM 3 6 CONTINENTAL-V E 13,00o Gal.Approx. 12,000 Gal.Approx. LINCOLN-LCN FLAGSHIP-FSP 11,700 Gal.Approx. M 10,800 Gal.Approx. 8,070 Gal.Approx. z CL 8 - 33' m 23' 18' 18' 26' rn 3a � E m iv L m W ® N v _ Na� N O O N m G 3' c LO E o PATRIOT-PRT MEMORIAL-LBML CAPITAL-WGE 3-7 6,700 Gal.Approx 3,000 Gal.Approx 3,600 Gal.Approx. NORFOLK-CRUD RUSHMORE-CD 14,000 gal.approx. 4,400 Gal.Approx. • C: .� 40. 25'-5' 27'-7" VJ Co CnCN rn Cc,)) � 14'_7. o - O NN1 ��}} V ��J op A W M W M Cl) av RADDISON-B v u- u- PRINCETON-OB Approx. NEWCASTLE-ST KEYSTONE-CM rn 8,100 Gal. rox. O o '� r� °� M SOMERSET-BHBI 9,800 Gal.Approx. 6,000 Gal.Approx. L o m 18,900 gal.approx. rn 10,000 Gal.Approx. E Z V rn a1 }.r � r- O r L p In U ° ate " � Co Q � v � O � W cc nO CL 0 M a s � a 4 � X QIJi 7'-6^ 10, Reviewed by: -�_ I.- C) Columbia Research 8r Testing cf3J C Cn 16' 10140 Starr Road,P.O.Box 933 E N J E L �4 o Windsor,CA 95492 Q co ~ n ao 81 Phone/Fax 707-838-1680 AS and ICC/ES Aproved Testing Laboratory E 0 U > N E Seal: M m m ih M v L10" 4-j U o a j U MICU 2 o STONEWALL-LRS JEFFERSON-LOS UNION-BOS • 450 Gal.Approx. MONUMENT-CS 475 Gal.Approx. REPUBLIC-RY MAYFLOWER-M SEMI CIRCLE TANNING LEDGE -TSCr >a 420 Gal.Approx 700 Gal.Approx. 600 Gal.Approx. 550 Gal.Approx. 300 Gal.Approx OF NI t Dq d 7' T-6" 10, �S 12'-5„ 4" 10' c�`�P �yG 'O O Vl o m Page n r JAIAES A.MARX,JR. t `m U NO.36365 w o f 2'-6" m Eo° ih 3 IS-1 J M M �SS/ONM- ui E STONEWALL SPILLWAY JEFFERSON SPILLWAY-LOSSW MONUMENT SPILLWAY-CSSW UNION SPILLWAY-BOSSW REPUBLIC SPILLWAY-RSW n � of 5 -LRSSW 450 Gal.Approx. Approx. MAYFLOWER SPILLWAY-MSW / Z 420 Gal.Approx. 700 Gal.Approx. 475 Gal.Approx. 600 Gal. 550 Gal.Approx I N li O 0- SWIMMING POOL WITHOUT RECIRCULATION MAIN DRAINS ( aDEBRIS REMOVAL SYSTEM D- SUCTION OUTLETS IN SERIES - 2-90°ELBOWS J�LOW J�HI W VENT COVER MAY (OPTIONAL)DEBRIS J BE GUTTER DRAT CONTAINMENT - Q CANISTER a Z WATER LINE - ` TO PUMP t ANTFVORTEX LOOR DRAIN 2ND DRAIN 2"O OR LARGER \� \7 I ' 1Y"0 VENT LIN (SUCTION OUTLET) (SUCTION OUTLET) CIRCULATION LINE HI LOW f L HI FILTER ATMOSPHERIC VENT PIPE LENGTH - < MINIMUM=16'MAXIMUM=30' 18"MIN 24"MAX (EXAMPLE) -- �-O OR EQUAL TO 3:= PUM I CIRCULATION LINE ` OUT TO OPTIONAL WATER FEATURE(5)OR SPA - - � • • u I1 GENERAL NOTES STANDARD NOTES* '1.USE2•SCHEDULE 40 PIPE.. LEGEND t� 1.THE DEBRIS REMOVAL SYSTEM IS TO BE INSTALLED IN ACCORDANCE WITH DRAIN MANUFACTURER'S RECOMMENDATIONS. 2.DO NOT USE 90 DEGREE ELBOWS ON SUCTION SIDE. 2.CONTRACTOR TO INSTALL VACUUM.RELIEF BACKUP SYSTEM IN ACCORDANCE WITH 2O16 CALIFORNIA BUILDING CODE. 3.CHECK VALVES MAY BE NEEDED IF EQUIPMENT IS M (L`F. 3.ALL PIPING TO BE SCHEDULE 40 PVC BEARING NSF APPROVAL UNLESS OTHERWISE NOTED. " MORE THAN 18'ABOVE WATERLINE. ) FIBER OPTIC LIGHT T�01t'IT �/j O `; 4.THE FLOOR DRAIN MEETS THE REQUIREMENTS OF ANSI/ASME-A11219.8.2007 AND DRAIN COVERS MEET THE - 4.KEEP VALVES WITHIN s of THE PUMP AND/OR FILTER. REQUIREMENTS OF ANSI/ASME Al 12.19.8-2007 FOR ANTI-HAIR AND BODY ENTRAPMENT AND 2013 ANSBAPSP/ICC-7 SUCTION ENTRAPMENT ro SKIMMER 3"MAIN DRAIN 20AVOIDANCE. LU to C" r j 5.THIS DRAWING WILL SUPPLEMENT CONTRACTOR'S SPECIFICATION DRAWING ON FILE. FOR METHODS AND '„> RETURN 3-WAY VALVE IIYYII.... a N MATERIALS OF CONSTRUCTION.REFER TO CONTRACTOR'S ENGINEERED AND SEALED SPECIFICATION DRAWING ON \\\ FILE WITH THE BUILDING DEPARTMENT. JJJ -PLUMBING a) L v ;✓ 6.ATTACH PLACARD WHICH STATES THAT VENT IS A SWIMMING POOL SAFETY DEVICE AND SHOULD NOT BE TAMPERED WITH. 7. THE MAXIMUM VACUUM WITH ONE SUMP PLUGGED AND TO RELEASE A BODY ENTRAPMENT ON THE OTHER SUMP WILL NOT EXCEED 4.5 INCHES SPILLOVER f �U Co X X LL OF MERCURY IN 3 SECONDS 0 V, -000_ LL ti 8.MAXIMUM SUCTION PIPE VELOCITY SIX(6)FPS OR 59 GPM o E 9.AN APPROVED VACUUM RELEASE SYSTEM SUCH AS THE VAC-ALERT SVRS SYSTEM IS AN ALTERNATIVE TO THE OTHER SYSTEMS SHOWN. S W coo CID Z CDCID °' Omati � o r � � CL 00 SUGGESTED DETAIL O V } VENT COVER MAY BE GUTTER - Z D (D C O DRAIN SUCH AS HAYWARD �F� C L� O O L (COVER MUST COMPLY WITH MODEL SP-1019 0.E a ANsuASM=A112.,BS W MI Reviewed by: ^ mot, a LL - f0 sucnoN Dun-er iL m i (MAIN DRAIN) 2-90°ELBOWS Columbia Research 8.Testing j Co IM .,.J 3 E —j _ �NRS 10140 Start Road,P.O.Box 933 g' �¢�No T 0 Windsor.CA 95492 (a J i 7 S 2'T MUM DISTANCE 2"MIN Phone 707-495-0420 > a Z`O TO VENT TEE - 0 m sucnoN OUTLET 2'0 CONNECTION=r FINISHED GRADE AS and ICC/ES Approved Testing Laboratory ca M W C Q m m (MAIN ORAIM 2"6 �\ �\ `Seal: ■Q E 9) ALL SUCTION typ"0 VENT LIN / L:2 PIPING TO 4*4 a G ALL VENT •0 ;/{�� T] O yi PIPING I/e' i71� W m YY0 OF MgSs� to LL m E o Y2 0 NOTES: O� Gcp ALTERNATIVE SUCTION OUTLETS SYSTEM - i t � � x MAY INCLUDE 1 ON THE BOTTOM AND ONE ON JAMES A.MARX.A. e --OPnONA ATMOSPwERICVEpr-..._.T__.--.--THE-VERTICAL-WALt--OR-ONE-EACHflN--,-....- .__._,_ VENT TO ATMOSPHERE$O VENT TWO(2)SEPARATE VERTICAL WALLS NO.36365 ' Z WILL NOT BE BLOCKED BY DEBRIS. 4 LU INSECT INFESTATION,OR D- MICROBIOLOGICAL CONTAMINATION OPSI 4. DUAL SUCTION OUTLETS IN PARALLEL WITH OPTIONAL ATMOSPHERIC VENT SYSTEM aca 'ONAL J TO BE INSTALLED IN ACCORD WITH 2O16 CALIFORNIA BUILDING CODE. /f E of 55 Z m UL Certified Plot - PLan in Barnstable, MA . 1 Address 224 BUCKSKIN PATH Prepared For : MATTHEW MALTBY Assessor's Map: 171 Lot: 031 Baxter ' Nye Engineering & Surveying Zoning District: RC Community Panel Number 250001 0561 J, Effective Date July 16, 2014 Registered Professional F.LR.M. Map Zones: X (un—shaded) Engineers and Land Surveyors Plan Reference: Plan Book 244 Page 67, Shown as Lot 36 78 North Street, 3rd Floor Deed Reference: Deed Book 9322 Page 108 Hyannis; MA 02601 Phone - (508) 771-7502' Fax (508)-771-7622 Owner: Matthew H. & Ellen H. Maltby Job Number: 2016-101 Scale. : 1" = 20.' Date : ` 12-13-2016 _ — -------- _ -- EOP BUCKSKIN PATH 6� Q9 UP/LP 965-14 T y I A_105.63' j I R=937.20' EXISTING I PAVED I oNo DRIVE PARCEL 171- 031 I a 159029f S.F.! ri I W z �r f a W T II) ZLO It 'N z�� Oi :n za0 �Z W n ' 48.7' EXISTING -i O Q N'_ DWELLING. z� Q) w #224 21.2 N OW awo z �. . .. 0 BK Z Lo L � z EXISTING 3 L ; I DECK u� 0LU w Z �Fq, t FIRE PIT �'• "l Q ;p 9.3' p q?1F�0 00 �0 1 EXIST ! O �. / SHED �� � � 3 - �o1�i Prods t v Fy 121.00' S 28' 8'05 W SIMON, TRUSTEE m — — N/F JANET M. � TRUSTEE ROBE E. SIMON FAMILY TRUST Q N/F MARGARET J. MACLEOD, DEED BK. 23996 PG. 212 � MARGARET J. MACLEOD 2001 TRUST PARCEL 191-217 DEED BK. 28565 PG. 61 ' PARCEL 191-216 Notes: LO 1.. A TITLE SEARCH HAS NOT BEEN PERFORMED FOR THIS SITE. THERE MAY BE RIGHTS BY.OTHERS, EASEMENT, TAKINGS, MORTGAGES, RIGHT OF WAYS ETC. NOT DEPICTED. IF DETERMINED TO BE NECESSARY, A TITLE SEARCH SHALL BE PERFORMED BY OTHERS AND SUPPLIED TO BAXTER NYE'ENGINEERING & SURVEYING. N - is 2. 'THE PROPERTY LINE INFORMATION SHOWN IS BASED ON CURRENT AVAILABLE RECORD INFORMATION CONSISTING OF PLANS AND DEEDS. THE EXISTING FEATURES SHOWN HEREON WERE OBTAINED FROM AN ON THE GROUND FIELD SURVEY,PERFORMED BY BAXTER NYE ENGINEERING & SURVEYING ON DECEMBER 8, 2016. a a CERTIFY THAT. TO THE BEST OF MY KNOWLEDGE THE EXISTING STRUCTURES SHOWN HEREON IS LOCATED IN'RELATION TO THE MONUMENTS SHOWN AND IS NOT LOCATED WITHIN A SPECIAL �NOFPgq o FLOOD HAZARD AREA. o�� SHANEcyG 0 THIS PLAN IS NOT TO BE RECORDED NOR -IS IT TO BE USED TO ESTABLISH PROPERTY LINES. o nryq ON y / ANo.48687LU v > �Ess� suPN o REGISTERED PROFESSIONAL LAND SURVEYOR.N BAXTER NYE ENGINEERING & SURVEYING DATE } O V Certified Plot Plan in Barnstable, MA Address 224 BUCKSKIN PATH Prepared For : MATTHEW MALTBY Assessor's Map: 171 Lot: 031 Baxter Nye Engineering & Surveying Zoning District: RC Community Panel Number 250001 0561 J, Effective Date July 16, 2014 Registered Professional F.I.R.M. Map Zones: X (un—shaded) Engineers and Land .Surveyors Plan Reference: Plan Book 244 Page 67, Shown as Lot 36 78 North Street, 3rd Floor Deed Reference: Deed Book 9322 Page 108 Hyannis; MA 02601 Phone - (508) 771-7502' Fax — (508)-771-7622 Owner: Matthew H. & Ellen H. Maltby Job Number: 2016-101 Scale : 1" = 20.' Date : 12-13-2016 _ -------- — —EOP BUCKSKIN PATH QG EOP UP/LP 965-14 A=105.63' R=937.20' EXISTING PAVED I DRIVE b PARCEL 171-031 I 15,029f S.F. a I oy I w W - In N U 'm N z to 50a Cn g�N ocoo LP zao z 48.T EXISTING -;o _ a N DWELLING z r- N w #224 21.2 o rn Xc 8 Q W AC uJ o ::PJ z Uj w L z EXISTING 0 3 l I t DECK • (0 Ncd — W tp Q Y0, 2 i-�(OV1'I I G Z FIRE PIT �E o C8 m � 9.3' � u T O � ❑ G w �Q q Z 2F � 1 EXIST � 9 0 SHED <J �ra M' 4 0 LL \,,i cQ 121 105 W SIMON, TRUSTEE N/F JANET M: p1 TRUST ROBE E. SIMON FAMILY TRUST a N/F MARGARET J. MACLEOD, TRUSTEE PEED BK. 23996 PG. 212 MARGARET J. MACLEOD 20 PARCEL 191-217 DEEDK.PARC 285 965 216 81 Notes: 1. A TITLE SEARCH HAS NOT BEEN PERFORMED FOR THIS SITE. THERE MAY BE RIGHTS BY OTHERS, EASEMENT, TAKINGS, MORTGAGES, RIGHT OF WAYS ETC. NOT DEPICTED. IF DETERMINED TO BE NECESSARY, A TITLE SEARCH SHALL BE PERFORMED BY OTHERS AND SUPPLIED TO BAXTER NYE ENGINEERING & SURVEYING. 2. THE PROPERTY LINE INFORMATION SHOWN IS BASED ON CURRENT AVAILABLE RECORD INFORMATION CONSISTING OF PLANS AND DEEDS. THE EXISTING FEATURES SHOWN HEREON WERE OBTAINED FROM AN ON THE GROUND FIELD SURVEY PERFORMED BY BAXTER NYE ENGINEERING & SURVEYING ON DECEMBER 8, 2016. a a I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE EXISTING STRUCTURES SHOWN HEREON IS LOCATED IN RELATION TO THE MONUMENTS SHOWN AND IS NOT LOCATED WITHIN A SPECIAL OFPdq o - , FLOOD HAZARD AREA. SHANE q�yG o THIS PLAN IS NOT TO BE RECORDED NOR IS IT TO BE USED TO ESTABLISH PROPERTY LINES. o MAL ON y 10NO-48687LU SSN � " 42-/ 311(, ND SURN� o REGISTERED PROFESSIONAL LAND SURVEYOR N BAXTER NYE ENGINEERING & SURVEYING DATE o t N N 0