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HomeMy WebLinkAbout0048 CEDRIC ROAD �l�An, �n n� d t �� ,ta9,t�;�{ y1�51 � ai � L •"���ref MN'. >fY• '� h 3; �1 a� �.� � 'Y" �}7yry,�,,���*r Ly+t� � �:�fc v'� �h�L �� .... .. .. ,. -u. .,: :., _ :- ..,.,.. .:.:,i•i•.--- ..,. —.� :, r�,,.... ., ,. ,.,..,,. -,,..,�, saki ", '�B�""'R..�' y,,�h? 7'� +�'�;."�"'^;n u� y+.c..�.. : =r � ,y..,nr .ayy ,, -, .,rv... �.. •,,.., r. c1 r �;,,..r ��� �, � � .F�: �., � t �•� ��r4'd,�h ,w,��;��y:� '8+� s e4.�•.r, .+ �.,, ,µ ,,. � A�,�,� �}.r� �•, W rj/ r ,r�: aY.,, .,R.:�1e� � � ' tY�.,, i7 .�� .� ,'.:.� � '�, ., ,{�'��.�fi,� a�'r.,�tr aG`.Y_. !� .�i;�a,�; --gar � a �7 - � re ,��15tY1f' .,,. R.r� � r._�n�'I � yc ,.r.,y, ��! " t ,' ..w,�. e �:,-. , � _ � .`",.'"•fix,' .. lft9�' � ,:� :. . .,,� :fir ,.1 � '�. '�•:rl�a � _+'i. r..,,d,. __. �. +�rt_ ..,, � x , �.,s�`, ,.��.�,�,t.. a r� ,.,aa .:J!.�n �-„� ,�.�� ,..,L..�,ir..., � �'.,w ',��r r`� k� � •. � ��`. t hr .,.n � �y�F.M1 ? Y�a `��✓�*,�w.},�� �f'... f}+t•F, p, Via.�� � "+� { �' ,Y,�.M�n'''y,�}{�.� �I[y�y;;j,,�11�(} � 1�Id�+d'f{ F' 'eY�y Y�r e��l � �(,�J'S,"�f�z1k'•+{(}1� G�; - '•���,:'•'�'�� ,F Pj ^Q i�,Y� 'S r 4 .WY 'roZ' r.�p.�. �.7'-4'-'I,.HL4ki.(�`i1. � -�� t , .mr , e qr � a < --�- � i Dd963� � �i � n � � � ��, j Assessor's map and lot number ...............`. ............. SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE j WITH ARTICLE II STATE 1 Sewage Permit number .......................................................... SANITARY CODE AND TOWN, y�FTNEtp�y TOWN OF BARNSTABLE Z BA"STME, i M6 9 Fb a• BUILDING INSPECTOR �o aar C e1 S APPLICATION FOR PERMIT TO .... ... !L.`...`.!...� ............... ............. .......................... TYPE OF CONSTRUCTION ........... .6........ .................. % ..:. /.......19../.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the followirg formation: Location ......�,0../`.....x.............1 f .........`�................... ....1... ................ ProposedUse .........��L�.�.. ........................................................................... Zoning District . ...........:............Fire District C�4*r**v ......... `... Name of Owner N��1 .... � �r .........Address .....`..f..�7� ..... /..................��r.�...... .- N/IC Name of Builder ...........Address .. y� <. .... ........... � C "".�G� Nameof Architect .................................................:................Address .................................................................................... Number of Rooms ..... .......�......[ —.;r............................Foundation ...Ro.-. .!"°�P.....C161-111c./P ;( /457 r. Exterior ..... ....... /...... .....Roofing ....... ...... .1 ........ .5 ".�� .. Floors � Interior ....... . � (-?............................. .............. ........................ 6�( .................. � .. �.. Heating U .� ... .Plumbing ..... .. ............... �F................................... Fireplace ......... . .. `' .. ................... .............................Approximate Cost ....... -a. .....O.d.e........i .......... .. ` �oe Definitive Plan Approved by Planning Board _____________________________19___-____. Area .......................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH ch VJ • i B I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. 6 .... ... ........[.... ..... Name .. ... ,.,,/�. .. .. .. ..L��!l! `��/ Davis, ~^�^°= [ ` __.~. =p \ � | � | �� � No —������.. Permit --.�—z�».� | ' —' ------- single family------------------''~------'' Location4—Cem�z�ic_ _________.. � . ' —.------.������Y����----------. � | ^ [ � Owner '---------~~--.--------- ' Typo of Construction ................... ............ � . —^—~—~--------------------' ( � . � #8 . � Plot ............................ Lot ................................ ~ , � V L� U �ur�� I Permit Granted ------- ..................1p ,~�� A / � a Date of Inspection . ............... \ ���m. - -- Completed— --@r__. . ~~~~—. ! `7 ' . � PERMIT REFUSED s ,----_—.--.----------- 19 ------------------^-------'' ~ / —'-------------'-----------' 1~ � -------------------------- . � /\ --------.—.-------_.,_.~.___._ | l r ^� ' ^ \ Approved ................................................. lA ' --------------------------' / } � ----------------------..—.-- � ` - ~Engineering De � . 3rd floor Ma \ g g P, ( ) P oZ Parcel L � Permit#" �- � House#' 48 Date Issued "' a-, Board of Health(3rd floor)(8:15 -`9:30/1:00-4:30) Fee a 0 Conservation Office(4th floor)(8:30-9:30/1:00-2:00) - - Planning Dept.(1st floor/School Admin. Bldg.) THE 1p;_ Defi an rov by Planning Board 19 ' BARNSTABLE, 059. TOWN OF BARNSTABLE, Building Permit Application Project Street Address Village Owner 14�5��� = Address Telephone O - Permit Request 57 00 t [ t 1 � t t `First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ ,,7, A O D Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: .Existing New No.of Bedrooms: Existing i New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other.(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded Commercial ❑Yes ❑No If yes, site plan.review# Current Use Proposed Use Builder Information Name �- D t ®���-' Telephone Number 4t Address °7 61 114 0- 124P License# i/ , 0 O 5 LI—c "14 Home Improvement Contractor# d otCv� Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ATE — 9 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) ,,n FOR OFFICIAL USE ONLY 1 6 _ j- IN PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS ^ VILLAGEI OWNER DATE OF-INSPECTION: - 1 FOUNDATION ' FRAME INSULATION z FIREPLACE ELECTRICAL: ROUGH ' FINAL ' `• i " • 4 ' PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE•CLOSED OUT ASSOCIATION PLAN NO. s ; t. ' • v• - ` THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I M -A�C&F 7" L DATA ' 1 c pu ✓fie Pam _ Ly �',AaTY A -2, p D8 fit;. t t,s`i�' t V:'� t I t °•9,'p+,,,•..tavK6� , iw'., V -J •x��,� �t Cv `� ` -7� .. � .. • .7 . ,.., "� t ^7',N.'r e8 .V �� 3't �, ���,�Ala<�y.yF,_:E ty _�; '' ,{6...1� .� �S: �Y ts;•�7�( k 0 E ;.IMPR0VEME 1PC;0NTRACTbRS� REGIS;, ��,(�,pµ ,•, ,1.0` �wtt F j oard. of BU ldi� g�R,egu`latio;ns'f and=�5, Wp `a , �yp�3� .: a '7 s ,.5 4a' �i.•.. o'. i°;'., s F" t r � .} +, �k,nr x r Oner2�Ashbur= nP ice -^ Roofs � ' ;� , « ..,, {g / �f�ra fi y r a+'pp t � r�:^ .! i ticirn a.�a'S' E1 5431 .�' S �' 08 d7, 1 {- N �-?t'IW' w>w+ s,� 7� � �k 3 i'S,�$��+� ti sb�y � F x�q, .n t a ? x 7 ,�a � 3- '•v� S - ,� HOME`ZMPR.OVEMENT�'GO��TR � Rega st�ratas�n160k,x fat one 'a ,z ii per3...k'X, - xra 1 �.. •4 r +' .t s L �' 3. '-i-Az '''�,,,. '>:y�f t�i'( �.�+"�b.�F 2 ��MS�S'�'�°a�r i"> � � r � y �•- � -�.y��`�r '.: a`! ,,vrh - . tv��ai p'�'y'�� 0�����# ; ,.1�.,,��� �," I T. z �`.., :'i� y�,�• ry '�'•�•�� -+^,� ��'`',�'+..� � " 'YNDALL ROOFIN :�R Np y eels A`o G %rclf ' ROBERT A F % ,TYNDLL` � *= 'd , ''°Type tl0 �VNTRA -:.`- . 4 �Y 37.;`'BRIAR ,PAT.CH .RD; � A - �. x t fxr r,:pB _.11606 ,,y.. .a,? ,T;'. �xY�eMVx3` •'€ ,- .: ptratl '� .:1 tJ�'4�r kr>>:rf'�a.�•, . _ iKOS,TE.RViLLEM«0 ,. . •.� k °Ye to F;� sr - .,.,�*�i + ��, rf' �'."A� _. �¢ �.•. G� rR� µ+a,�Ty �} k. Sty„ w,tyn a Fes. It �.lai rE� KP�bg 4i�#F y4• ,: 0 t pP { q ZBJ' r Bf D j y - > � �.���x•. sn ��kshd`�'a�'`�£L+r `'.,�lurT t .r* �J � T d ''' ��..�y.�<..: - .�F� 1 :,"-s ryr;�A �RT f-.t y N6 ^A �F - � z� � �' t\. _y?s3 jir �� `"�fi'#.sS7• rf r T .. Y. it 5. ,i 4" +.'+i. '^'yx s'l`� ice .rr�T ay "/ft IT//,lp - "'• :�,r�•� � �� � ;�4 G.�, ��#�da"t�'yra^�'7.i , _ � �. s� � `'�.c A' .. ... �'k,�OS AR A x��.+��{ �Yyan 'A :s . The Town of Barnstable • .�Rivsrnai.E. • 9� 'M �m�' Department of Health Safety and Environmental Services iOrEo�" Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only t Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: �7T/2//� t �f ®F Est.Cost � a�� Address of Work: (?ZD -1 c- t-= "TEI-A'l L2-6 "A . Owner's Name r) Date of Permit Application: 3� - I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: 3-<3,9P Date Contractor Name Registration No. OR Date Owner's Name The CUrrrrrronircalth of:ltassacliuselfs Dcpurtnurrt of 1»dustrial.4cciderrts 1 Y / ' 1 i Office,Of/ZVOStlgatlnns ';o 608 !f us/iinhturr Sircct ��::.-,;' Bustnn,111rras. 03111 Workers ComP ensation Insurance Affidavit _ A(iliiirint informatinn•- Pose PRINT l -w— Location- ` T cc r) &-IL 4-0 ' ctt � nhnne 1 am a homeowner performing all work myself Ca-1--am a sole proprietor and have no one working in any capacity ['I 1 am an employer providing_workers• compensation for my employees working on this job. cornnativ name: adriresr. n nne#• insnrancc cn. Holley# I am a sole proprietor. beneral contractor. or homeowner(circle ogre)and have hired the contractors listed below who have the following workers' compensation polices: cmmmnm, name* adriresc� cir�•� nhnnc#• incirrnnre rn Holley# cmmninv name- addresc� tin nhnne rt• insurance co Holier # Attach additional sheet if nece3iary --+ ' " — '^�'" •• �'� "' FNiiurc to secure covcraec as required under Jccnon 25A of 111GL 152 can lead to the imposition of eriminai penalties of a lineup to 51.500.UU andiur unc%cars'imprrsnnment:is cretl:is civil penalties in the form of a STOP WORK ORDER and it fine of 5100.00 a day against me. 1 understand that n cope of this statement mac be furnardcd to the Office of investigations of the D1A for coverage verification. /do herchr certify under the pains and penalties of perjure•that the information prorided above is true and correct. Q Signature Date J 97 Print name 6 6F, AJ ® A-G-t— Phone# q,-x-o '•official use only do not revile in this area to be completed by city or town official ` city or town: permit/license# r•tBuilding Department C3Uccnsing Board check if iminediatc response is required U5eleetmen's Orlicr F �• (:111caith Department . contact person: phone#: rJUther ` information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' contpenrtation for employees. As quoted from the "lay%'".an enlptoree is defined as every person in the service of another under-any contract of hire, express or implied. oral or written. An cmph rer is defined as an individual. partnership, association. corporation or other legal entity, or any two or me the foreaoin�_ 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 emplovees. Howevcr :. owner of a dwelling_ house Navin` not more than three apartments and who resides therein. or the occupant of the dwclling house of another who employs persons to do maintenance , construction or repair work on such dA%,c or out the_urouuds or building appurtenant thereto shall not because of such employment be deemed to be an empio,: MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or rencivai of a license or permit to operate a business or to construct buildings in the.commonivealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter been presented to the contracting authority. Applicants Please full in the workers' compensation affidavit completely, by checking the bo:-: that applies to your situation arc supplying_ company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit Should be returned to the cite 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 "taw" or if you are require to obtain a %workers' compensation policy. please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pi be sure to fill in the permit/license number which wilt be used as a reference number. The affidavits may be returnee the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questic please do not hesitate to Live us a call. rya...,..+.. _..- .�...,.... �.-.�..,e..�-.�.w--,�.�...--.. .. . ..._ __.. _ .... _ .. -- .. ..?. .. 2 The Department's address. telephone and fax number: M The Commonwealth Of Massachusetts Department of Industrial Accidents ' .. Office of Investigations 600 Washington Street Boston, Ma. 02111 fax #: (617) ;Z7-'+749 nhone �i: (6I 7) ,._7---'.9f)o ^xt. 406. 409 or 37S / cy st floor) Map +/ �� : Parcel Permit conservation Office(4th floor)(8:30- 9:30/ 1:00-2:00): d'a Date Issued rBoard of Health(3rd floor)(8:15 -9:30/1:00-4:45a.� Engineering Dept. (3rd floor) House# SEPT `� Zang' oo mm. ) INST BUST BE a 19 MPLIANCE EIMRQN E 5 TOWN OF BARNSTABLE ' TOWS 1"EGULATIO SAN® Building Permit Application �, � u ProjeXtreetss ! 8 C. -e,0/2/C__ Village ./� ep�J ,,UU LL(//q koe 0o"?63 f' Owner Li A 4 &CA eS Ne_U4 Address Telephone Y (a D O Permit Request f/lls�l��� l / r SW l s t mt !a✓A � �b�-- n ,First Floor ��t% ��. -5 square feet Second Floor square feet Estimated Project Cost $ 000`�Q Zoning District Flood Plain Water Protection Lot Size , .3 y ` Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type ee, bu ( USN ,L /iU eQ Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Li�S Basement Type: Finished Historic House Unfinished Goy Old King's Highway Number of Baths No. of Bedrooms 3 Total Room Count(not including baths) First Floor t Heat Type and Fuel 0 At2 Central Air Fireplaces S Garage: Detached Other Detached Structures: Pool Attached L Barn None t/ Sheds Other Builder Information Name P'444, � DS�� Telephone Number Address( Ae_ep 40 License# D Q J?5� C�� 063`2— Home Improvement Contractor# U 00 Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRISSULTING FROM THIS PROJECT WILL BE TAKEN TO /-r/,E SIGNATURE DATE 9 BUILQJJWbb MITNN .RV OLL OWING REASON(S) FOR OFFICIAL USE ONLY P MIT NO. f DATE ISSUED MAP/PARCEL NO. 1 DRESS - VILLAGE OWNER � - : _ "• r s s DATE OF INSPECTION: FOUNDATION - r FRAME. i INSULATION - FIREPLACE, ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ' GAS: JG FINALur ~ 1' FINAL BUILDINd= DATE CLOSED OU ASSOCIATION PLmi ISQ n ! ! +e , • to jjp�wnt4�iiaeaCu�o/✓�aaamc�uliselli 9 ARTMENT OF PUBLIC SAFETY CONSIRM.IDX SUPERVISOR LICENSE Ravber ;Expires: -"• - Restricted Ta' ; �04 75 ICHARD T SENOSKI .._18'PEEP TOAD RD G�NTERVIII'; MA .0263 OR "T ON PFCOVENENi� NTRACTOR a Req strat o* 06009 2 s a� 8 � & �O��eep rtoad'�Rd� {> Will A 02632 „ „�t�r+ADMI �$� �`a �+ �'� :fit r 9 !��•� I • - '~` The Commonwealth of Atassachisetts . v- Department nt of Industrial Accidents ;i OlAceollaeeS998loas i; "r•a` 600 If kvidig ton Sircet Boston.Alas. 02111 Workers'Compensation Insurance.ARdavit ,�nlicant nformation:�• Plc-se PRi1VT`,e�j '�""'""` -�° �� name: l L 5 ! - • location- 0 I am a homeowner performing all work myself. (L I am a sole proprietor and have no one working in any capacity 13 1 am an employer providing workers' compensation for my employees working on this job. eamnana•name! r address• cih•• nhnne#: insurnnce ce. en lift'•# r. V., ::w•.- • 1 am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name- address• cotv. phone#• insurnnee Co. Imiley#- i","t •:_ >-:er.- — .. '"c"rrr.a •.aaers-ems- .ns�sr*ces+5�y�', �aaE�sortlE►r,-�s+ ►.;f�!R +� ±!r+- e�tcs!�++^•'.�*Css - r........._' .rats --- cmmlianv name• adidres cih•: phone# inSttr!tnea en •• neliew# •• ;htiach additional•sheet if nee :•..�:- tom: -s�+;�-�+" '�°�—`:• :'� Failure to secure coverage as required under See tion SA of MGL 1S2 an lead to the imposition of erimitud penalties of a fine up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of S100.00 a day spinst me. 1 understand that s copy of this statement may be forwarded to the Once of ovestigations of the DIA for coverage verilieatioo. 1 do hereht•c rfi tier lie ants an �ienaities o per�aq•that the information pttttided above is true and tmt: Signature �/ ate Print name �G"` � '�/ � . . Phone otrtcial use only de not write is this area to be completed by city or town otticial city or town: pe rmitAieense 9 nlluilding Department �Licetuing Board check if immediate response is required OSeleetmen's OMcc (311atth Department contact person: phone#; rnOther (MISedV95 PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employces. As quoted from the"law",an emplityee is defined as every person in the service of another under any contract of hire,express or implied, oral or written. An emplityer is defined as an individual, partnership,association,corporation or other ; gal entity, or any two or more o the forc�:oing 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 1.52 section 25 also states that every state.or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commomvealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally.neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter hav been presented to the contracting authority. _ _. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying-company names.address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. �—""^""^'."fie'!:!."" .._:..:... :. � _ ,a � ...b.s. -�. .Sr,�M►a;;..r"..�°%a;7+' rt�TO►�; Fw.sY;:r!,."�i ': �:� _. . .. _ Cite or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. �-NW­A­— ..4 y.�,- •+l.Vi 7 i/•W : h: -.:N ...T\`..'T•' .: �:�•. +_ The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents office of Investigations 600 Washington Street — Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 7274900 cat. 406, 409 or 375 . ° The Town of Barnstable I,$ Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508 790-6227 Ralph Crossce Fax: 508 775-33" Building Commis For office use only Permit no. ' Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"ttconstruction,alterations,'rzaovation,repair,modernization.,conversion, improvement,.mnotial, demolition. or construction of an addition to any pm-CXiSting owner occupied building containing at least one but not more than four dwelling units or to strncturzs which are adjacent to such residence or building be done by registered comraaom with certain exceptions,along with other tequiremeats. Type of Work: / v` Swtcm`L I AL Est Cosy �` Address of Work: Z U C p���L- `/-� C�'4-4c�L"�`1' `"``� Owtter.Name: h ®Ljs4 &s ),e- Date of Permit Application: A-) I hereby certify that: Registration is not required for the following reason(s): Work excluded by law _Job under, S1,000 Building not owner-ooarpied Owner pulling own permit Notice is hereby given that: OWNERS PULLING TIffiIR OWN PERMIT OR DEALING VtTrff CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. , Sg°�o , l b �Dv Date Contractor name Registration No. OR n,.A Owner's flame / _._.__.......... 13 I � . „ ; ...... :.. ... 7 i 'Od ti CC) f , i O �,. �a N CZ o _ o O o s ��o o - _ F not d = >CD �n 7 z 9 o z m — - _ _� �_ z m '^ n G z zzp � �e A r_ 33p 5 s a s ,� N i A F. F z — — A H .o N L,° x v. n e T ; n aQ c Supep um HIGH - PERFORMANCE PUMP SERIES kn 41 It fie+ ° III I -Wiwi 444milet : a ►a u o a e 3 = 149 i F � e 4x ' �ff' E3 Super Pump:high performance and quiet operation. Hayward's Super Pump is a series For super performance and safe, quiet of large capacity,high technology pumps operation, Super Pump sets a new that blend cost-efficient design with standard of excellence and value. And durable corrosion-proof construction. p you know its quality through- Designed for pools of all types and out because sizes, Super Pump features a large its made by "see-thru" strainer cover, � Hayward NI FOUL super-size debris basketORA fl„ the first " SIOMMEH TOTAL "� L „M and exclusive "service- s '` SYST MO FEEDER c h o i c e of pool - POMP „EAT, ease" design for extra professionals.FILTEfl convenience. `' - F ti HAYWARDr3PU Hydrogen,Oxygen and Hayward. The elements of clear waterTM i= Super Pump° High Performance Pump Series Exclusive,Swing- Lexan®See-Thru All Components Heavy-Duty,High- Aside Hand Knobs Strainer Cover lets you' Molded of Corrosion- Performance Motor make strainer cover see when basket needs Proof PermaGlassTM with air-flow ventilation for removal easy.No tools cleaning and eliminates for extra durability and quieter,cooler operation. required...no loose guesswork.Special self- long life. parts...no clamps. adjusting seal assures Heat Resistant,Industrial Mounting Base provides dependable sealing: Size Ceramic Seal. stable,stress-free support,plus L� I Long wearing,and 100% versatility for any installation drip proof.For fresh or salt requirement.Adapts 48 and 56 : - water use. frame motors. I ' Super-Size Housing has extra air handling capacity to assure rapid �' 3• priming. �" ,x Totally Balanced, - -Service-Ease Design gives Corrosion-Proof Noryl® -simple access to all internal parts. Impeller has smooth,wide Motor and entire drive group openings to prevent fouling or assembly can be removed,with- clogging.Energy-efficient out disturbing pipe or mounting design produces more flow at connections,by disengaging just equivalent horsepower. four bolts. I _' _ S •w k., �.an a. a �,: "�.F".. I � 46 ,,vim"' ,t, ', '; • SP-2600X5 1/2 11/2 111/4.. A, xµ v SP 2605X7 3/4 11/2, 115/8„ . SP-2607X10 1 1.1/2" 112/8„ R H SP-2610X15 11%2 11/2„ 121/4, a,. SP-2615X20 2 2" 131/4, .. tea,.•• I�asm-� SP-2621X25 21/2 2" 133/41, � Irk Super Pumps are also available with dual speed motors. r � 100 90 ~ 80 W 70 Ail - 60 SUPER-SIZE 110 CUBIC INCH BASKET has extra leaf-holding capacity and extends time W 50 S122/z2 P) between cleanings.Rigid construction with load- = 40 extender ribbing assures free flowing operation a 30 for heavy debris loads. v20 sP-261 X20 SIR- 2 H Super Pump°Series Pumps are listed by.- 610X1 10 SP-26 OXS -2 7 1 (1'/z HP) '/z P) SP-2 OSX7 11 HP U _ NSF® S� ('/ HP) 0 10 20 30 40 50 60 70 80 90 100 110 120 130 140 GALLONS PER MINUTE HAYWARD POOL PRODUCTS, INC. • Hayward Pool Products,Inc. Hayward Pool Products,Inc. Hayward Pool Products Canada Hayward S.A. 900 Fairmount Avenue 2875 Pomona Boulevard 2880 Plymouth Drive Zoning de Jumet Elizabeth,NJ 07207 Pomona,CA 91768 Oakville,Ontario L6H 5R4 B6040 Jumet,Belgium 26-93 ©1993 Hayward Printed in U.S.A. � TM � a I�U M1CPo- ear 0 VERTICAL GRID D . E . FILTERS ' 1 P � Micro-Clear is a high-perform- C= ance filter series that provides superior water clarity, efficient flow and large cleaning capacity for u pools of all types and sizes. a Molded of attractive, corrosion- 9FQ 1 proof Duralon TM, Micro-Clear filters combine high technology features and "service- ll - N POOL ease" design for RETURN 'SKIMMER TOTAL CHEMdependable oper-in-0 p +k HAYWARD_ �a A I PUMP B��M HEATER ation and low r n .. FlLTER - a maintenance. 21, Plus, Micro-Clear filters are avail- able with the unique SP-740DE Selecta-FIoTM control valve, the '{ 'R A 0`1 ��.` 0 V, 0 only filter control valve designed r specifically for D.E. filters. For the quality conscious pool owner, Micro-Clear filters are an unparalleled filtration value. a Micro-Clear DE-6000 with 2-position slide valve(left), NMI y' ' and DE-4800 with SP-740DE Selecta-FloIm 4-position control valve(right). 1 t • 1 i HAYWARD° i 0 Hydrogen,Oxygen and Hayward. The elements of clear waterTM Micro-Cleap'm Vertical Grid D . E . Filters Automatic Air Relief purges any trapped air during filter operation. • Screenless design eliminates clogging. Integral Lift Handles and Uniform Low Profile Tank Base make removal of grid nest fast and simple. Heavy-Duty Filter Tank injection molded of high strength Duralon- for dependable,corrosion-free performance. High Impact Grid Elements designed for up-flow filtration and 4 top-down backwashing for maximum efficiency. r :¢ Heavy-Duty Tamper-Proof Bolted Center Flange Clamp o ' securely fastens tank top and bottom together.Allows quick access r ' to all internal components without disturbing piping or connections. ce ' Union Locknuts make disassembly and reassembly of filter from " ` 9 s1 piping fast and easy. . Inlet Diffuser Elbow distributes flow of incoming unfiltered water " upward and evenly to all filter elements.Parabolic tank base design provides for even distribution of D.E.to grids. Full-Size 1 t/2"Integral Drain provides fast, 100%clean out and easier flushing of tank. j Noryle Bulkhead Fittings for extra strength and heat resistance. ^$ Convenient Valve and Plumbing Options allow for customized control.2"internal piping and plumbing for maximum flow performance. FILTER TYPE: Vertical Grid Diatomite:24,36,48,60 sq.ft. FILTER TANK: Injection molded DuralonT" .. FILTER ELEMENTS: Monof.ilament polypropylene cover fitted over 8 curved, w high impact grids TM CONTROL VALVE: 1'/2"or 2"6-Position Vari-Flo;m 2"4-Position Selecta-Floll J n ffi 2"2-Position slide valve.May also be plumbed singularly or in series with quick-connect union couplings(less valve). „ t PERFORMANCE RANGE: 1/2 TO 3 HP(30 to 120 GPM) it DIMENSIONS: DE-2400-31'/2" H x 23" W(800 mm x 584 mm) w DE-3600-361/2" H z 23" W(927 mm x 584 mm) DE-4800-421/2" H x 23" W(1080 mm x 584 mm) its 3 DE-6000-481/2" H x 23" W(1232 mm x 584 mm) Above dimensions are for filter only.Overall width with slide valve is 30"(762 mm), overall width with either 4-or 6-position multipart valve is 33"(838 mm), GO WITH THE FLOW.Unique SP-740DE Selecta-FloT"°4-position valve,with easy-to-use MODEL EFFECTIVE DESIGN TURNOVER(GALS.) lever action handle,lets you"dial"any of the NUMBER FILTRATION AREA FLOW RATE 8 Hr. 10 Hr. valve/filter functions—with a simple twist of the DE-2400 24 sq.ft. 48 GPM 23,040 28,800, wrist.Select from Filter,Waste,Backwash,or DE-3600 36 sq.ft. 72 GPM 34,560 43,200 exclusive Pool/Spa Boost positions.The latter posi- DE-4800 48 sq.ft. 96 GPM* 46,080 57,600 tion routes pump flow directly back to the pool or DE-6000 60 sq.ft. 120 GPM* 57,600 72,000 spa,by-passing the filter to provide extra power to spa jets or pool return fittings. "Determined by pump size and piping system hydraulics. 2"piping is recommended for flow rates of 90 GPM or more. Flow rates above 120 GPM are not usually required for residential pools. HAYWARD POOL PRODUCTS9 INC. Hayward Pool Products,Inc. Hayward Pool Products,Inc. Hayward Pool Products Canada Hayward S.A. 0 900 Fairmount Avenue 2875 Pomona Boulevard 2880 Plymouth Drive Zoning de Jumet Elizabeth,NJ 07207 Pomona,CA 91768 Oakville,Ontario L6H 5R4 B6040 Jumet,Belgium 8-92 ©1992 Hayward Printed in U.S.A. &AT .1 Tom( .�. 1--}ooeen- _� �F .,::+•�� f VLA1�....� �.. _- _— L or+en mots s ~ >e� /-IttaRTaloes TYPICAL _ S � � 'a. s•iL•�RlSOl4S.elrTl YGLV. --e . ERaFYtDD 1'711Al•�1 I - -`T a`i` If.IOLTJ.all,rrs ' �. 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W FAA w•am MR tAn Two w'"M FOOL � x - { i��TYM is i SQL { ----y - �.r � l�jV6�+ 1R.�T�7 ~TRIM SIeaQ).aaf aaRT>m•IrN w wtRr•aw lterrt IIFiOi TNa Pam IwR am��Y Fall A wio"WM tma ) ..<._ . vt a-Im.T[Omwe POOL a,..at Sam aaw%L To tit aaavaoR - :,' - !4'- '. t'Q /• I :YZYAIFva�L� n�I'm t wRs tme A mwprvt ry wo rowt s seams d To a ry a�c® q TYPICAL" LL.. G710PI TYPK'�L VWLL J `-�,3��.-.tstt' TOW cam IMM! VIVOU Li Or Mmra.FMAMM Q.Ia a7. P0N -.r..Wm e alO.l raR.L. F AT MFRAME CFJ4R A �31 .v.a....•.v.....•..nr,.. Nvrwr VW;x .� T1 Pia ws+a MGM". u Ita suT haft /{1M►Almr•- . . I 'I La • r OCT. 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T11PRX . ftl AT r0931'x:�r an 'El SERIES 8008 8501NG'ROUND SERIES 9008 M INGROUND +J.. K4�'+�*r�.w" �-w �A ""O ' ,� I;f.;�." .' ;;. SERIES ICDOO 9 1050 1NGROUI�D IW&ow,M I F.ww.99MA A Oft-W. TlNrlw[w OTPISD me araaMrt�soatl Me rE�rr.lErrlaTr.Aro AIt IrA» • IY�lS w,F1 Si.SIRF.AREa dim GAL CAP, Al Pam olr►�."OPEN Twin-(`i��. �Cp al!!.AID a!�•••••�.IF .. . SE�ME(,S.�LMO A 790. INGROUND avoll"O!"Um A/t&$GLWD r-�Rssaw TYP AT OCT. TYItrCAt. AT .. �+rr I1riT7Alf CovilJts RpTiHM (� ►•MOTOR - '%- � .�Tupr 1 � 'r' > : ncTtlwl� =: ` i• '.` - hA1P AIO � r ,Z'.t:,.i i'•: �A1p s-, c� Y \ ^yi%-x•.• NQ ud S.FI:T ECg LOW s$.gSY+til+.n 4 `""' fAPETY C✓•E .:.it�4.x - sh '�•{� �\� -.a<... *G, t >?:. 09== FYLT NKAS FLAT SASS. :.- u 1 _ - s $k�,�`s_ `' �Z° g. ^<Y•`` _ ~; G :JI�/IF1GI \f 3a - _ =v jAr Ta1a -3 l7n '�'r-"•a--'- 2F`'$fs:�'y�, . M T7woAL w1ERE SHOW - - -- � 90 D XM�M i1rOWM �`, s'��y�a"* _.'i''„ `-s5i. t _ f,�RfTU1M 11111{`Yx�E."MEV,I - - {7s iE)Eol --��'TRe @f'O(LErv, R - �tqp ._ - ... c-..., �f: _ ,°...:: -:vh kM '+ aY,1: ^•. f#a... .--,f«"'��..-' Ole Iarel,EurP�:_ -sF,auls-POu a%1�'NAL:IJF.,,.- .SERIES C .rnT-6E L - �4. 7O0 9 ..M AT posTrows 'x:•T ORS' _ ERIES 900 H`850AKROUN0, >, �- , .r... � .... .. ._...r. .. _ .. .. :. .'.. ..... - -.. •. :-�� .. _ SERIES �� O 8 :R - t ��:� _(..... lIITE Milo An , ♦�—-► ♦—_ ♦—�r1�T11aE1 /�TQ]—-••��—-�-- ' —�� %. ._, _'� -�-� -�--,• ' actirol , -� � ! _. J11 ,000 II3tICT1aN =ia e - OIRIOMAI ;,�r:�a a -,'. ItOOC ot71t♦Q71 ~"f Nr,.c"roo . _- � RrT'�!i`I >:_ ?d,..,-,t�rm ��' ♦ �:'a`-�= I raPCT.FR t sArerr Lire -I ::::.. ;..: ;[.>>_r, I ~•: lAfITT tu+¢ '-`�%i:" .Aft'7'soo tawaeo rolrfwm .may .: 1�>� .. t..,.o. -� -- it..y.i RtrFE?fE7fT5- nkfrx��.m. SFT�ta t�01rT10u6 r:a..- I FLAT AwEA3 ARrAS �':9ihf y , d _ .AT � '''1i��. �1t I � .k.• � I � w®.EE S RETi11E1 - `` It •� I RZ£TIIw11 _,-- ? al� r`C _. ``�, - 1 sc. i`; -Y �.,` -�- f. Wri . T I 1•swANre Aa>soNsrs YtiwArE ws�rtalr x lovable mimic Y�ft >ororwtJ , . • @ rPE OW t:Y aR M Arai • arNPP NIIL aCA► - �a � AEI - -. Al SO A1rJYl1\ �"' G.:.r.�.a-::--%, AIrA/Irt alA�c n tlwar.aawsT v suE AINta a er.caw a Osera' ale Ewl ArEA a Art.oP. Sa3 �afSis� suat��SwEap rvrao ae>N.w w► aAt, w IrxatTsla >r. sF wNt7►-laRppagL.a� m . w SERIES 1000 a M50'INGFMND ` SERlFS 380 111LGROUND -; ALTERNATE 600 0.=630-�.SHAPI Assessor's map and lot number . :r.. .:/.. .. ...... .. / STSTEM MUST BE e STAB L r) !�d C Zp Sewage Permit number ......................................... i�CSTA CE TES S'',6!i4I?ARY CODE AND TOW W �Qy If HE :. TOWN O BA ` M-BLE Z BA"Y1 LE, • "1639. RU11DING INSPECTOR' ''�'eyav a• APPLICATION FOR PERMIT TO ... .fie- ..1 ............ ............. .............................. TYPE OF CONSTRUCTION .............::./... .:' .................................... ...............:......................................... ...,1 ......�! .19.7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following informati n: Location ..0. ..... L-'!!�' ..................aL........................ ............I....... ...k�'.4..v.ti�........e-................... Proposed Use C ........... '�....K......................................................................... Zoning District ....................................Fire District ...........3.;N— . �. Name of Owner W.1.! 4 ............Address ..��? i?. Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation ...........................................................................:.. Exierior ....................................................................................Roofing .................................................................................... Floors .Interior Heating ..................................................................................Plumbing .................................................................................. Fireplace ..................................................................................Approximate Cost ....... .. Definitive Plan Approved by Planning Board -----------__-_---------------19________. Area .....1.. .V... .................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the To n odBarnsta..'Ie regarding the above construction. Name .. - . . ..... . ...... ... ..... :..... .............. Davis, Winthrop 17105 add deck to No ................. Permit for .................................... single family dwelling ............................................................................... Location Cedric Drive ..............:................................................. I Centerville ............................................................................... Winthrop Davis Owner .................................................................. frame Type,of�Construction .......................................... ................................................................................ Plot ............................ Lot ................................ Permit G 1W 23, 9 74 ranted ... ......................... .... .. Date of Inspection ....... Date Completed .7.1 ............ .19 PERMIT REFUSED ............................................................ 19 .................. ....................................................... ............................................................................ .......................................................................... ............................................................................... ,-'ApproVbd ............................................. 19 - ............................................................................. ............... ............................................................ Ifl Assessor's map and lot number 1.7.. ........ z~ ../.. ........ v Sewage Permit number 4Z� ...............................::.... *THE rO�y TOWN OF BARNSTABLE Z HAHHSTABLE, i " 6 0 9 BUILDING INSPECTOR O� YFY Or APPLICATION FOR PERMIT TO �z - ... TYPEOF CONSTRUCTION ..................................................................................................................................... . .... .....19-7� j. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 0 i 6 �.. !f/ r....................y.. ... �1 l, .................... y...t ............................... ........ ........ ProposedUse ...........................................................................:..........I......................... Zoning District ...................Fire District .......... �?1 (�5 ..................................................... .... ..... ............................................... �!.1..V I VI -n........:-4— ul1. .............Address 1 raS ...........Name of Owner( I%, if Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exlerior ..................,...l.................................................................Roofing .................................................................................... Floors ...............1 .C ...................................................Interior .................................................................................... Heating ..................................................................................Plumbing ......................../........................................................... Fireplace ..................................................................................Approximate Cost .......`.. .................................................... Definitive Plan Approved by Planning Board -------------------------- 19 - -. Area /O�1..� ...... ............Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH S I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above Q construction. . , .. Name ..Fey .t. `. v ..... ......... .... Davis, Winthrop pC / a 9 17105 add deck to No ................. Permit for .............. .................. .. single family d= elling Q Cedric Drive Location �?...........................:.............................. Centerville ......................................................... Owner .............Winthrop...............................Davis...................... frame Type of Construction .......................................... Plot ............................ Lot ................................ Permit Granted � 23 ....19 74 .................................... Date of Inspection ....................................19 Date Completed ......................................19 PERMIT REFUSED ................................................................ 19 ............................................................................... ................................................................................ ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... ...............................................................................