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0034 EVELYN CIRCLE
• J t . k y � s r o 0 { � t e r� - J r � s a t ,s TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application D Health Division Date Issued l Z Conservation Division `�� Application Fe Planning Dept. Permit Fee L Z Date Definitive Plan Approved by Planning Board 0 9l Historic OKH Preservation / Hyannis Project Street Address __ 1, lket : Village of /J ✓rG� ' Owner J C `� �Z �LL,C� Address 3Y EZLF, 1 W LL Telephone w d, qIk U 1`7& Permit Request f X eA At f �ic/S,�'iQG �ie/020L[N,0 4u ill' 7E- Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation d a®® . Construction Type Lot Size / Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Wr 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 r —� 0 0 Number of Bedrooms: existing new Cn r*, Total Room Count (not including baths): existing new First Floor Room Count T .Co w Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stogy ❑c es ❑ No Detached garage: ❑existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ne7 size= r— Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: M Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) r (� Name rexaNa ooLS Telephone Number 5de` 0 / 7 - 5�)OQ Address gQ S B4 eW1AJ&f ® License # 4?q 3 F P—&AJSra�M A- 015YS Home Improvement Contractor# 3g/� Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO e,t. jk-/Zdr�_/ SIGNATURE 0DATE • I :c FOR OFFICIAL USE ONLY 4 "APPLICATION# ! i DATE ISSUED MAP/PARCEL NO. ' t ADDRESS VILLAGE OWNER y DATE OF INSPECTION: — FOUNDATION: I • e ' FRAME - r ti+ l INSULATION;' h FIREPLACE ' 4 • i ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ' GAS: ROUGH f1r, FINAL #FJNAL BUILDING U 1U ' I 911(.t'll 4 r . _DATE CLOSED OUT' `; ASSOCIATION PLAN NO. . ,.• : ,yam The C'ot�xmorcwedlfrc of rrldssdchusetts �\ Depar meal ofludustria cci den ls rA Office of 1"npesdgalions' 600' FYarh�nglon SGreef - �`I3osfo�1, M� 02I11 w rvrs�:m czss.ga vldf d Workers' CornpensationYnsnrance: davit; Builders/Contractors/E+Iectrzceaag/. b) Pleas P A licant Xnformation NaT1c (Business/Organi 2 Phone.#: �- Cit7 tate/Z' Pt- � _ ,. . Are you an employer? Check tale appropriate bor: Tppe of project(required): 6 4, [�:I a o a general contractor and I 6 Ncw construction . 1. am a employer with . haYc b.irod the svb-contractors cmployccs (fuu andlor part-time)• ❑ 7,* , K.cmodzag listed on the attachcda shcct 2:❑ X am a.'solc proprietor of partocr- Thcso sub-contractors Iiavc :g ❑ Dcmolitian ship and b,vc uo,omployces employees and bavc workcrs' wording for me in any capacity. 9. ❑ Building addition corr�p. insurancc.t [No workcrs' comp.•insurancc lo.❑ Electrical repairs or 3 5, Ej W c are a corporation and its r�gvirod] „ofncers have 'exercised ihcix 11 ❑Plumbing repairs or ad- 3,❑ T am'a bomcowncr doing all work- pgbt of exemption per MGL _ 12.❑ Roof rcpzirs mysclt~ [No wort-ers` inc„r�n conlp. 152 (4) d we hy' no. d] c l3. ] Otficrccrtgiure CmIoyocs.'WC)workcrs comp, insurance required.] w,lny applicant thzt clicclr box ffl iuust also fill'out the ccction btlow showing they workcrs' compcnsaaoo policy inforrriabon_ i gomcowntrt who cubrait this s$idavit indicating_thry arc doing all workdnt)en of the uib c n os and A2Ac whether rrr❑tho c YI entities havoc} tCon(raclors fiat check thu'box tnust'attachcd zq additional thcct cbowt g .. employers. Tflhcsub cgntractDrthavcrmp]oy t,°thcymuAprwid6 their workcrs'cOrTTP. poliryrlumbcx. Iarrz an employer thrcl isprbviduigworkers' cvmpensalinrt:'ns -raricefor 1ny employees _Be fs thepoCiry aridjob sit ' ixforrnallon: , Insuiaboc Companyanac:. . 3 ra S 914, Expiration Date: Policy# or Scif-ins. Lic.#: 1 iJ C1pt C) 1 1 `Job Site A•ddres:s:�_ 1 �. i - r City/Statc/ZiP;/ °�r1->r/l yi tF, M Attacll acopy of the workers' competlsation policy declaration.pagc (showing thepolicy number and expiration da Failura to secure coverage as rcquircd under 5cction 25A of MGL c. 152 can Icad to'thc unposition of criminal pcnaltics c Eno Ltp to 31,500;00 andlor.onc-year inrisonrncnt, as well a-s civil penalti'cs in the form'of a STOP WORK ORDER and of'up to S250.00 a day against the Yaolatnr. Ec adxiscd tba.t a.copyof this statrmc.dt may be forvrardcd to the Offcc of Invcsti ations of the bIA forinsurance covcra c verification rdo kereby c der the paiiss•ajtd penaLtLes o erjury that [he irrforrtcation pYovided dbaYe'is due and co1rect Daft; ; Si aturc: — Phone #: Official ure only,..Do not write in Ihir area, fb be comoLeled by city or loin officid . City or Torre; Pernvt/License # Issuing Authority (circle on.e): h Board of Health 2, Building Department 3, City/Town Clerk 4 Electrical Inspector'S, Ilumbing Inspector 6. Other Inforrnation aiad Instructions usctts Gcncral Laws chaptcr 152 requires all employers to provide woGkocf�o�P nati°a Go tra 10 ir, Massach crson,in the scrvz . Pursuant to this statute, an aTrptoyee is dcffincd as "...cycry? express or implied, oral or writtra. co oration or otbcr legal entity, or any hYD or more Ara errcptoyer is defined as "an individual,partnership, association rp cn a cd in a joint cntLrprisc, and including the legal representatives of a deceased employer, or the of the foregoing g g c to ccs. HDWGYGr the receiver or tTRsteo_of an individual, partnership, association Dr other legal entity, employing p y owner of a dwelling bDuso having not more than three apartments and who resides therein, or the occupant of the dwcl_Liu house of another who employs persons to do maintenance, cons h m jeer cat be dcemcPaii Work od to ben such dan c pg°O�c g .... P ym or on the gro+.ands or building a`ouurttnani thcrclo sh-11,n1otybccauc of CTrL cha to ]�52"§25C(6) also •states"that�'cYery stnfo=or\local licensing d nns n thcy ese cornmopT9 aIthsuaact for any r 1�S p renrW211of a'license,or.permif 10 operate a buslness or to construct boil r g a licant fYho has nobproduced•acceptable evidences of,-mpliance tctth the tns fitse olidcal subdivision3 sha11 PP §25C,(7) states 'Neither the �ommonwcalth uoz any_ P Addition-aIly, MGL ohapter 152, liencc a2th the 1�ice cntcr•into any contract for,nc�pciformancc of public worku-ntU a�Pt�lc evidence of�� tcr have bccn presciAcd to the contracting authority. zequiremcnts of this chap Applicants. c th e boxes that apply to your situation and, . b chc �n.g , orkers' co cnsa.tion affidavit completely, y ecrtificatc s of ' the w mp thou' ( ) Plcasc i511 out d ono numbcz{s along with ncecssary, supply sub-contrantor(s)ngmc(s), address(cs) an p b c insurance. Limited Liability Companies(LLC) or Limited Liability Partnerships (LLP)with no employccs other than th members or partners, arc aotrcquLrcd to carry workers' comp�aay bn uubbm�.ittt d to tho DcPn- n of Industrial eployecs, a policy is requxc& 13e advised that this affidavi y cc'dents for confirmation of insurance coverage. Aso be SETS to sign and date rhea stcA not th p��Gto should A a bo rotvmcd to the city ar town that thc'application for.the permit or license�s o magro rq to obtain a wflrkcrs' Ind,1Strial Accidents. Should you have any questions regarding the jaw Or if y �li"r co cnsafion po�iey,p�case call the Depaximcnt at the xrurrtbcr listed below. Self-insured corrtpanics sho!�ld enter thciz self-znsurani�o liccnsc number on the a ropziatc liac. City or To-MA Ot7lcinls c uro thatthc affidayit is'complctc and priatcd legibly. ThC Dcpartznce bottom c has pro u rc aiding thctapph ant cast b s contact g P1 as to y Of rho _fff davit for y9u to fill out in the event the O,Eco of Investigations h • 6° an a licant Please bo sure to fill in the permiVEcense number which wi4ll'jib.lr a ,reference number. In adayi in . Pp cutTcnt ]c crmit/lieense appliceons is any given Ycar, need only submit onp affidavit indicating Ebat must'submit multip P ohc information(if peccssary) and under Job Sitc Address"Y;ho'aPplcd ti the a woxttOwn ley b P�dcd to the or P Y.. tDWd):T,A+cbpy of tho afFda-M that has bccn officially stamped or mar Y cach a l;c�nt as proof that a valid affidavit is on file for`future pc t not r latcd o any iness Or r-Omm 3oYcnh.xc pP aiiccnsc or crml year.'Wharo a home owner or citizen is obtaining P. (Le. a.dog license or'perm-it to bran leaves etc.) said persDA is NOT requlxcd to compl.cfe this a$davrt uestions, �-�L, Of5cc Oflnvcstiga-6Da-S would Lice to daDk you in advapce for your co sh operation andould you heYe any Q .,�11p plcasc do not hcsitato tb give us a call 7b6 Department's address, tclephoar and fax number ' + Tha Commonw,--altli of Ma achustrtts �,1'� ' � �. • � DineAt ILidu�uial Accidents � ., �� oa^ - Office ofjJjiyestipt�QaJ 600 Washin�ton Street Boston, MA 0211 ) 617-727-49-00 ext 406 pr 1-877-MASSAFE Fax# 617-727-7749 Rcvi-scd 11-22-06 Wy,,v.ma-s.S-.goV/dia �' i 12. 2010. �, Nc, (34G � 4A1 I II I I �ws .R '•�,. Op e'i�� aa �,C 43 .: ':• ,'��'.�2 r��L e# � :". It � - '�• •�La a.� � f� Z.S �•Yl • •"!.7�Y��?'•s � �, � ., Fes. 'PROP � � , ''� SEA P►-�� CH q ooj AID, _ crops . CERTIFIED PLOT PLAN SCAM./ .4.' DATE, *pw../SSG ;LIE�I'�. 1 CERTIFY:-THAT THE SHOWN ON 't`4!!ffi PLANIffi 't+D ON THg altoUNa AS IMD9CAjrCD �. �_ - ''S. 'lEli811���1�. � 'Wr AVAYl N96 .:�'I rk• f����I�,�,,,1„ , Of BA>>�I�STA$L � .. .I • ID14 '``RI. ;L IiD aURV IV . DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 0211112010 gDI,ICE•R 00)572A4538 FAX THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION :astern Insurance Group LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE PO Box 1129 HOLDER.-THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Northborough, MA 01332 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC INSURED Ferrari Poo 5 An Pat os, Inc, INSURER II' Acadia Insurance Company Ferrari Full. Circle Service Company INSURERB: Ferrari Span & Leisure, .Inc. INSURERC: :89SI;Boston'Turnpike. INSURER D: Shrewsbury, MA, 0154S INSURERS THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE"FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING .ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR 5R TYPE OF INSURANCE .POLICY NUMBER POLIGYEFFBCTIV✓: POL CY EXPIRATION ,LIMITS GENERALLIABILITYLIABILITY1! CPA013615714 0210112010 0210112011 EACH OCCURRENCE S 100000 151 X (COMMERCIAL GGNCRAL LIABILITY DAMAGE TO RENTED y 30000 CLAIMS MADE. D OCCUR MED EXP(Anyone peraon) $ s00 A PERSONAL s ADV INJURY $ 100000 GCNURALAGGREGATE S 200000 I;GEN L AGOREOATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGO $ 200000¢ • POLICY X JELT LOC AUTOMOBILE LIABILITY M"013615814 0210112010 0210112011 COMBINED SINGLE LIMIT ANY AUTO (Eaeccidmi) $ 100000 ALL OWNED AUTOS BODILY INJURY $ A X SCHEDULED AUTOS (Per pereon) X HIREDAUTOS BODILY INJURY X NON-OWNED AUTOS (Peraceldenl) $ I, PROPERTY DAMAGE 3 (Per accldenl) GARAGE LIADWTY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC '$ OTHER THAN I; AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY CUA013626014 0210212010 0210112011 CAC(I OCCURRENCE _ $ 51000,000 X OCCUR CLAMS MADE AGGREGATE $ 51000,004 Aj. $ DEDUCTIBLE RETENTION. $ $ WORKERS'COMPENSATION AND WC4013615914 0210112010 0210112011 X WC BTATU-. OTM EMPLOYERS'LIABILITY A ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $ 100000 OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA Ei-MPLOYEE S 100000 SPyoEs d9scribSPECIAL PROVISIONS EL DISEASE-POLICY LIMIT $ 100000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS SHOULD ANY.OF THE!ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE �! EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 20 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SMALL IMPOSE NO OBLIGATION OR LIABILITY Ferrari Pools ' 895!10sion Turnpike Rd: OF ANY UP TH E IMPUPER.ITS AGENTg OR REPRESENTATIVES. Shrewsbury, MA 01545 AUTHORI ESE A J I' Franc e ACORD 25(2001/08) ®ACORD CORPORATION 1968 i i * BARNSTABLE, � Town of Barnstable �fD MA'I A Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 - www.to wn.ba rn sta bl e.m a.u s Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, e2r J2�lC� , property as Owner of the subject nn 1 hereby authorize �0.S 6 t� W o.r`�1 to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) i ature wner Date P�T2 r cam: O� Print Name - If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 iNhosachusetts- Department of Public Safetc • Board of Buildin!- Regulations and Standards Construction Supervisor License ` License:.CS 69397 JASON E WARD 10 ISAAC MILLER RD WESTBOROUGK MA 01581 Im ' Expiration`. 6/5/2012 0immissiuner Tr#: 29852 Boar o ui mg egula Pons an tan ar s One Ashburton Place -. Room 1301 Boston, Massachusetts. 02108 Home Improvement Contractor Registration Registration.:.. 123408 Type:. Private Corporation Expiration: 2/131/2011 Tr# 219570 FERRARI POOLS & PATIOS, INC. JASON WARD 19 BRIGHAM ST UNIT4 MARBOROUGH, MA 01752 Update Address and return card. Mark reason for change: Address Renewal Employment Lost Card -'S-CA 1 0.5OM-07/07-PC8490 �1tC"[ppgyvy�L04f�UL o�✓I/��uR6C� - = . , Board of Building Regulations and Standards License or registration valid.for-individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration 123408 Board of Building Regulations and.Standards One Ashburton Place Rm 1301 Expiration: 2/13/2011 Tr# 279570 Boston,Ma.02108 Type:.Private Corporation FERRARI POOLS&PATIOS,INC.' JASON WARD 19 BRIGHAM ST UNIT 4 — MARBOROUGH,MA 01752 Administrator otvalid without signature n r . a « r"rGEIVERAL'SPECIFICATIONS " SIZE ig� x 36+ xDEP..TH a 4 to s" SQ 0T G:418 Pt:RIMETER VOLUME 'D,ot�a „ STUMPS#..--- LOADS#, EXCAVATION ", ROCK4PACK�c�ri'Fk' RAISED BEAM ff�6 rftl2it t$"F r+ LIGHT ?YPE r COPING'ra°".Z_QL4sa atoe.� ry ts>. a NATUR•/,1L STONE' *i4 :. �:, � k;� �E� IPiTERIOR`FINiSklhi�:f.�t. f ';�` ;`r Ye y'v , fILTER ,00 �r �a" r3xxa �rSIZ� 'sr;' ` PUMP. �L. ;SIZE'. Mh SKIMMER POOLCLCANEEF Po\.d.14�SY tir 2 , LEAF`TRAPPER[3 R M IN�DR`AIN'( x FL lbk�RETU NS# G- ", � " � � � �� . VALVE i r s i r ¢ i�1 s� sz . r €y n ter, r $AN IZE ;i T\ 3 y: f y , � 3 � �.-•n \'1x t�\Pi� Z'+� �T1it�, 14 3i a• i p x,„,., a 4s x t .`�'` `�.'.cv<.`•�ja 'r .r ,. } HEATER�b-c c. x �r. � Y •+� s - .� ; �` �; � NAT f:9.�,F?RO❑• "OIL O-CHEAT PUMP O. } rx TIMEjCLOCK"f n 220v r Tl a\..« D11/E BOARD x igDIVE FtOCK'�ii3� CONTROL 4 WATER -ALL., .� WO NL + :LINEWIr P MP r r a , Y H . '}" � x�$;<•esx M1T µ'414n�j ...'.� yi fSI�+ .F it ; 1:- � LIGHT r + ' fl:S Ch ` k6l."I i a ct a€ FENCE by:. s SET„BACKS,,. REAR Y FERRA I NOTES: POOLS & PATIOS S 895 Boston Turnpike Road Shrewsbury,;�MA 01545. }' Tel. 508-719-5202 Fax 508-719=5207 Ko construction@ferrari000ls.com DIRECTIONS - � Df=SIGNER DATE J;DRAWN, ,CHECKED.' DRAW aY. z F k f 1 a { i�. „ �.Gw, ..fi f� ! ny >r r1 f{r9H'S•4 Address Residence Phone ' - d a .:� �•? i�.fix' i< .(.y.k'�Lt Biis,ness Phone t x +s ti „ Cetl Phone �11 I+ � • ;n Y1 �. M i, -� }ti x•tt ti.F G.y y { ' .'9° l4 �fY `w 3° '`' ",�. -« r�SE„ �.,.' F; R c Soowl f 1 vat . , z I - .♦ -c��c.. -car 'SEA., C►2.;'.;bZ'o) W OWNER ELEVATION FILL OR STONE GENERAL NOTES: Wm d rnnwete 0.—to aelanawe twrew elevator.as owed Brw,ghl to job W addendum. I.Ebctr"l,pas and mote wort by m— Do-1 him en pool 6ph,when pool 4 amply ur Niahed on ew;—wn pay pow wog to bo tooted,w C—ty a aly Oeanan 2.Healer.owing by w—. Oo rmt ueo mbbel boas wren td"jro as a wdI mint plaster No pre no unieed w,Nfmd panic m he sell wpslnp wM colt lathing by wvrref. 9.Up m eO hwe pow ait fi-wia ante. oo Bn down plasm;twice dally Iw 14 frays. 4 AdrbdMw wort by addend—oray. c � . , Coe- 5 Tp� 'Town of Barnstable Permit# Expires 6 months m o '__sue date Regulatory Services Fee BAMSTAEM Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barfistable.ma.us Office: 508-862-4038 Fax: 508-790-6230 ' EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY - - �� Valid without Red X-Press I rint Map/parcel Number v Property Address .3`f E C''#2CL�� Residential Value of Wor( Minimum feef o $35.00 for work under$6000.00 Owner's Name&Address PC7_,6_X /. 7O Iqu6at2Aj 7)q L0 '4vi5_,. � N>�Ic�TO'd Contractor's Name f/L' / JTff/�CIZ Telephone Number �/7k-6-9'z .571/4�1 Home Improvement Contractor License#(if applicable) Fq L trO. 77-42C h D g A 00oe_1066- Construction Supervisor's License#(if applicable.) �5 O.(Q lZ.7 ❑Workman's Compensation Insurance X0P1" ESS PEMM, ` Check one: .5I am a sole proprietor MAY=� 7 2��3 ❑' I am the Homeowner ❑ I have.Worker's Compensation Insurance Insurance Company Name TOWN OF-BARN' T"BUz Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be to , ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors Replacement Windows/doors/sliders."U-Value (maximum.35)#of windows ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required: *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.. **.*Note: Property'Owner must sign Property Owner Letter of Permission. r A copy of the Home Improvement Contractors License&Construction Supervisors License is r ed. SIGNATURE: C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\QRE6ZUBN\EXPRESS.doc Revised 053012 The Commonwealth of Massachusetts Department of Industrial Accidents Office of investigations 600 Washington Street Boston,.MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Pg-/L+P �l G� �aR `-�G t 8 4� (__FOOT AH /ai Cq c. Address: 6�D,�Qc E S City/State/Zip:��� t�c��e/Itef 07—`f-7Z- Phone#: 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 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2. I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have `g, ❑Demolition working for me in any capacity, employees and have workers' 9 ❑Building addition [No workers' comp.insurance comp. insurance.: required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152, §1(4),and we have no 13,®Other �'K`fG t4lt7� employees. [No workers' comp.insurance required.] *Any applicant that checks box#.1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they mast provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce and a p penalties of perjury that the information provided above is true and correct Signature: l Date: !7 ' . Phone# lP17 ?— `5 — /2 7 3 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions ' Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written."' An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter.into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please-fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly.. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington.Street. Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 w .mass.gov/dia °p 1IE r * santvsrnai.g. % ' "ASS 3 ,� Town of Barnstable ; FD MA'S A Regulatory'Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barn sta ble.ma.0 s- Office: 508-862-4038 Fax: 508-190-6230 Property Owner Must Complete and'Sign This Section If Using A Builder I, Z �� as Owner of the subject property "4 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 D to Print Name a If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\QRE6ZUBN\EXPRESS.doc Revised 053012 ' Massachusetts - De partment of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-060127 . i.... lye r c PEIMM R STARC 17 GEORGE ST WATER TOWN 113A !4;2i Commissioner Expiration 12/10/2614 7. Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: 116.877 Type: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Expiration:E 7 i/2Q14; DBA Boston,MA 02116 COOLIDGE CONTiZ R`:< , PHILIP STARCK 17 GEORGE ST WATERTOWN, MA 0247Z' '' Undersecretary No valid without signature I + '�PP`pFtHE Ipk� Town of Barnstable BARNSTABLE. Regulatory Services MASS. $. a 1639• Building Division ArED Mpy A 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection POO L F Location-'3 11 E V F L y�J 0 1,Q C L F— Permit Number Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: �Q T C W C� - P P� k c� ST Q �rnu y� ('"lf�g��Fp t=S�Orh C�k'Ii� Na SP��F qn 6(2 G2E � Cz)- RN<k RCCESS GAS MuS-r CE r\sN=r\\-jN 91' M��su�� �►e�� STAB ��' � 5tn�.�/��� n�o S���E `-1"�� G,c���� y N E1715 PASS DNA L L—r cURIC Zi J56r.0 i7 a1kJ ►�� q 031 Please call: 508-86 3-8-for re-inspection. Inspected by l J i� P -- ff ff �f �-- Date�lZZ 1{� Y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel (J�Z " UDS Permit# Health Division Date Issued ► a-3 �( Conservation Division Cvy Moyt Application Fee i Tax Collector Permit Fee Treasurer bK• !�23�1e Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address el flC�rJ �t � Village (2 k Owner ��- c,� a1A Address Telephone �r)Q 0 Permit Request I b X ILA `4-,fewe Q' �nC , 1 ✓ g i 1� `` o �- o o � Square feet: 1st floor: existing proposed 2nd floor: existing proposed Val nWu ►—� Zoning District Flood Plain Groundwater Overlay w Project Valuation /y, d DO Construction Type 3 z CP Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documewbtion� m Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing �Q new size/O(N Other: D Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# � ;urrent Use Proposed Use BUILDER INFORMATION NameC � �¢ Crr Telephone Number oOU Address s (akl 1 1-�Ck License# Home Improvement Contractor# Worker's Compensation# C4U-Daoc) ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TOeenc1(��} SIGNATURE l /!// DATE C� '� FOR OFFICIAL USE ONLY f / C PERMIT NO. DATE ISSUED MAP/PARCEL NO. • ADDRESS 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. ' JOB �S 259 Qagect Anne Rd. QDME PINE �O TiAR�NT ,MA 42B45 (508)4 0 2800 � I rA WOOD PRODUCTS FAX(5 8)430_1115 Mail,• fob ineharbor.com PHONE# __ DATE3'' p' eharbor.caax P� �� �• '"I -�,� LIT 1 'I I 1 I ._._._.L--I-- I I -' - —I - I a I. I 44 i l lip !. I ' RK A.; - I I OVAL � .•-1 I 1 I I t- it , ! I ,°. f! 1 I I 1 i I I I r f I : ...:. .•_—_.L_ __ r��=�lf._.I .—L___t_..� �.I-_ -'�"--•_I ....L_ 1 1._......L._._. � _..l-�.T:• i I'•_ '�..,.,..Y:...�'. T____ -10 1 1...-..� I. c ; ,,.�—. ._._L.._:..__.•�.—_i____t._..f.. ice.. ..-..,r-.__� _J_. -y--...; .,...,.,, ....M�.,-.p ...5—..__ —. •-1•— - I ', � I i � I• I I I�_ I Ik .I I ..I".. 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"w,,,,,.e_•„!+_•.w,�.,,,,,,,t„.w,,.n..,.�_w,.,,..ww � _n f_ 1 wa r �,,, - y^� i; I I 1 _.i._._I 1 4 _. � i .,. ` �- - �--�---'4•-._ I _*�.;1.M.,�„�,..wn,„i_w,w.w.t,. — `_.._..i._ ( ' _ ' + �......�. .... aro I role nwn..� fr_.r-.1.11-1 ' I II 1 i -„•�. .awn• w�+swn�.�nr _ _ I ..�.�...�w.-. ..._.,.�._.. . I 1 I I + I '• I I 7 i �ry ' { - I 1 I _ I i Sono Tube Footings, c.\,r .. lox 14 14 M A o2USa 1f1• a s. toy All measurements are from outside of tubes (not center) Keep top of tubes 3 out of ground at high point of grade Diagonal measurements should be'=y ith in an inch.to make sure tubes are square All tubes should be level to eachfr ether Check with your town hall for s& and depth of tube Place 1 mud sill anchor in center of each.tube Mud sill anchor made by simpson strong tie model # mab 15 a 110/11/2010 16:31 7618990111 PETER BELLA PAGE 02/03 J 2. 2j10 3;21PM No. 0345 P. • • ',�: ,,::.```apt. 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WHAT THE " LENT 3VQWm ON THIN PLAN rN -LOCAM., ores LOIEitE D " bM 'THE 4 fNo At 1"DICAT90, '; .: aS�:' !."'• oI'VIL:;;.` 1.l►Na crow~ "To t� XONrIM. #.11wsr;a.:;; uRv ' r apes : '' Roth►• , XN ►. .' ;n SK99 :`''REq+ L ND 0uRM#1m: ; r 10I13/2010 14:32 5084301115 PINE HARBOR PAGE 01/01 i The Commonwedlth of Massachusetip P.) •Department of fndustrial Aecidenis! . 0.f.flee of XnVestigations 600 Washington Street �+ Boston,MA.0211.1 ' Wi W.Mt0s&goV1dia i Workers' Compensation durance Affidavit;Builders/Comtr"' rs/G)ectrlici�aus/kZnmbe i)c t Wormation please Print Leml,Ly Name Address: . — i City/Statelzi : Are you an employer?Check the appropriate box. Type of project(required): 1.[Tam a Mployer wili.,. � 4..0 I am,a geneirat contz-actor and I employees(full and/or part-time).' have hired the sub-contractors 5 'construction,' 2.© I am a sole proprietor or partner- listed on the attached.sheet. 7. ❑R=&d ing ship and have no employees These sub-contractors have 8. ❑Deniolition working for me in any capacity. employees and have workers' 9. Building addition (No workers'comp.murance comp.insurance.t 5. Wo are a corporation and its 10.(]Electrical repairs or adi itiont. 3.Q I am a homeowner doing all work officers have exercised their 1 E2.Plumbing repairs or a&itions right of exemption per MGL myself[No workers � P p 12.[1 Roof repairs insurance xequired.]t c. 152,§1(4),and we have no employees.[No workers' 13.[Q Other comp.insurilce required.] 4ay aF,Pfiesnt grit checks box#1=st also All out the section below showing their workers'conmpeosation�i w infom�tiou. t Hom�wners who submit this affidavit indicating they are doing all work and then hire outside cm*actors Must submit a new affidavit indicating gut komractors that check this bax must attached an additional sheet showing the name of the sub-conttaem state whether or wt those entities have employees. If the sub-contractors have employees,they must prdvide their workers'comp.policy number. i .i am an employer that is providing workers'compensation rnss A=m for my employe& Below is dtepolicy and job informatio,% Iusmu=CompanyNatne: Ace k113 Policy#or Self-ins.Tic,#; Expimtiou D J (S 1 2r � n Job Site Address p"a t-1 r u► 2 ca,3;e ..Attach a copy of the workers'.compensation policy declaration page(shooing the joli ey number and espiiration d te). Failure to secure coverage as requited under Seebiom 25A of MQL e. 152 can lead to the-i mposition of cftdnal laenalties of a fine up to$1,500.00 and/or one year*risonni t as well as civil penalties i a the£oro*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 scat unent M be forwarded to the Ofiacc of Investigations of the DIA for i mmee coverage ventcation. ; d do hereby fy un the pants and aloes of e ' that the information provided above is true and correct; Date: _ 7CS v Phow#• offrc�al use only. Do not write fn dds area,to be compload by city or town ofJica2`uJ I City or Town: Pertzut/license# Issuing Authority(circle one): . 1.Board of Health 2.Building Department 3.City/Towu Qerk 4.Electrical D,6-pector 5.Pluutbimg Recto 6.Othe>r Comtact Person: phone A. Date: 10/5/2010 Timer 9r46 AN Tor Town of Barnstable ® 9,1508-771-7070 Rogers & Gray ins. •Pager 001 Client* 20245 MCGRPOS ACORD,. CERTIFICATE OF LIABILITY INSURANCE D10105110 Y) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the poilcy(les)must be endorsed,If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER NAME: Donna White Rogers&Gray Ins.-So.Dennis 508 780.4609 FAX AIC No Ezt: IC No 434 Route 134 whitedo@rogersgray.com ADDRESS: gers ra g y P.0. Box 1601 CUSTOMER ID 0: South Dennis, MA 02660-1601 INSURER(S)AFFORDING COVERAGE NAIC R INSURED - INSURER A:Travelers Prop.Casualty Co.of McGrath Post&Beam Corp ACE Property&Casualty Ins.CID IN6URERB: P Y •7 dba Pine Harbor Wood Products INSURER C: 259 Queen Anne Rd INSURERD: Harwich,MA 02645 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LUL TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS A GENERAL LIABILITY 16602016N498TIA10 1/31/2010 01/3112011 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Eeoccurrence $100000 CLAIM,-MADE �OCCUR MED EXP(Any one person) $5 000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMPIOP AGG $2 000,000 X POLICY 7PRO LOC $ A AUTOMOBILE LIABILITY BA448712168610SEL 0113112010 0113112011 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ X SCHEDULED AUTOS PROPERTY DAMAGE $ X HIRED AUTOS (Per accident) X NON-OWNED AUTOS - $ $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ B WORKERS COMPENSATION C46328607 D710812010 07108/2011 X 1wT0cRsyTLA1Tmu1js OTH- AND EMPLOYERS'LIABILITY - ER ANYPROPRIETORIPARTNERIEXECUTIVEYIN E.L.EACH ACCIDENT $100,000 OFRCERIMEMBER EXCLUDED? F_N1 NfA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $100,000 If Yes,describe under DESCRIPTION OF OPERATIONS below I I E.L.DISEASE-POLICY LIMIT $500 OOO DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,irmore space is required) RE: Peter Bella,34 Evelyn Circle,Centerville,MA 02632 (See Attached Descriptions) CERTIFICATE HOLDER. CANCELLATION 10 Days for Non-Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Town Of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE 0198 -2009 ACORD CORPORATION.All rights reserved. ACORD 25(2009109) . 1 of 2 The ACORD name and logo are registered marks of ACORD #S584861M55091 MEE 10/04/2010 13:56 7818990111 PETER BELLA PAGE 01/01 07/05/2009 12;32 5084301115 PINE HARBOR PAGE 01/01 326 Yamo+it.•Rd.' M-iANM-5+ 50-771-50M. 2y519pQ�r t�pttevk AMO R 4.+ WI(Z .•30&430" 800 plil n.- I 'JZO0D ?ROD-V(�TS ` Its ral��bosat rbe o�d SQ(-36MHED' 4$3) �'�vww v indharb r.com Au6ci zati,a �,egne-4 , ' ,as 'f flhi,pmp6r'ty tdcated a ` '{Property addiessy ' ta.sct an.'niylbehO in all matters fefativelo work autharked by thin build pet�'rd s ipflo tloh. 4vwnfies Signilture: 1 . • .pate !� - /Z, A . 6•` - �_ • S0/z0 :3Jad 80EUVH 3NId 0LUT44809 69:00 et®�/O®/0t PINE E 0R Framing: WOOD_ PRODUCTS g 2x4 Rafters @ 2' on center 526 Yarmouth.Road • Hyanhis,MA 02601 • 508-771-5607 • hyannis@pineharbor.com (2x6 for larger buildings) 259 Queen Anne Road • Harwich, MA 02645 • 508-430-2800 • info@pineharbor.com 800-368-SHED (7433) • www.pineharbor.com I x6 Gussets 2x4 Collar ties 1X6.GUSSETS (2x6 for larger buildings) 2X6 RAFTERS 4x4 Top plates (4x6 for larger buildings) 2X6 COLLAR TIES 4x5 Corner & Center posts. 4X6 TOP PLATES 2x4 Purlins 2x4 Door & Window frame 4X4 ANGLE BRACES 4x4 Angle bracing 2x6 P.T Floor frame 4X5 CORNER POSTS 2x4 P.T Ledger board 2x4 PURLINS 5/8 Floor & Roof plywood 5/8 PLYWOOD 1 x 12 S 1 S Pine board siding Note: 2x6 P.T FLOOR FRAME Rafters fastened with simpson H2.5A clips 2X4 P.T LEDGER Or 3 timberlok screws 4X5 CENTER POSTS ' Beams fastened to posts.using simpson 4l4'� v AC ACE or LCE post caps (depending on if the post 2X4 DOOR & WINDOW FRAME Is midspan or at end) installed in accordance with the Simpson C-2008 catalog 4t"- K Vertical posts to be connected to sono tubes using `= Sim ST HD 8RJ straps installed in accordance wit] Simpson P cos The Simpson C-2008 catalog Allpurling, angle braces, and other minor elements to Itowyh gxp e Be connected to posts or beams using a minimum of 3 Timberlok screws Pine Harbor sheds from 6x8 to 12x24 with roof pitches up to 12. 12 ram\ `- PI viR WOOD PRODUCTS It's all about the wood"' N .. CHATHAM LOFT SHED - 10 x 14' (Elevations - Scale: 114"=19 LEFT REAR lox 4 FLOOR FRAMING SPECIFICATIONS FRONT (2 x 8 Pressure Treated @ 16"ac.) RIGNT 03/10/2010 12:49 5084301115 PINE HARBOR One Ashburton Place' R06 l 30V`., t6901 , leas c 02108 con' stmetiola r�- �= B"4 rrig ReFu(ntiost And Stmdm . ', 'Bosisd`bF ut d' Consultation supervisor sense !Lk*nso: CS T3(w ° JAM�S'R MOGRA' TH x rhea dtm 10 204 CRANVILM RD 13REWSTER, MA 02631 MM66 R Mo mili 4c 204 rRANVIEW RD s �+ BRBWSTER,MA02631 £xpira Ion: 3114=12 CommWouaer rx: 19ms 5 . '.Board of Buildrag Rem 'bns and tanda�rds • lane ,bburtoz� 'la a doom 1 01 �1.:C ii_jLii I 4, i,,Cu r w 1` i) Boston,'ivlassaehusetts; 2 08 Home ImP rovemcnt Centiactor Registration i Eon: 1 �A strut 32835 r 'ftirsOon: 1OW1201 rd McGRATH POST&BEAM CO. JAMES MCGRATH _ x .w. . .. . .. ... __ - _. °�- ... 259 QUEEN ANNE RD. '. :... ::. HARWICH, MA update Ad�ress and.return card.Mark reason or change. Addres f - Iteaew [ L? Empioyment fast Card Doc' 1 4ausomWoom ' ✓ns�°o�aa+apncaealAl.o�./Kctd6aA+�Gaa�Q�• . S� tlo9rdof BuOdlog Rsgutsdbbns and Standards cease or rt retlun valid�dr tndividui use only HOME IMPROVO&W CONTRACTOR Deiore the apimdm date. If found refum to: Board of Banding Replatio . and Standards Re i a : 132936 eAshburtonI%= 13 1n of + 10131124Yo Trp 275309 Boston,Ma.O2108:� '. ., - �... -r•j .•i;iAil{Gf' ! is T'!'. t.i . .• - - - �� - McGRAMi P &t: .inMES MccRA*' 2b QUEEN ` .4 .. - •i-. .... ..�... . .. valid w tlt�t s ew KARWICH.MA WA48 /Wpttntstrstet• t THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) A- F-N-c&, - DATA ,�,_u � s•... >. _ � : �-..�,r�. ��.:,:ram, � - � � - ,r. .. ,._ - `pFTME ip Town of Barnstable ' BARNSTABLE. Regulatory Services ` 7 MASS. ,bM a Building Division pif0 '�MP 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice { `Type of Inspection L =l Location ; 11 b!- Y fJ C?-P C "" Permit Number Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: N `t Please call: 508-862-4038--for re-inspection. Inspected by _ ��i��{'._4, Date 4 . 061510C�x Town of Barnstable *Permit#, m$�y Expires 6 months from issue date Regulatory Services Fee / 15 Thomas F.Geiler,Director Building Division X-PRESS PERAA J- 3 ,7- Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 MAY 3 0 2006 www.town.barnstable.ma.us (9�5) Office: 508-862-4038 TOWN OF BARNWASCE23 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Q, (� Not Valid without Red X-Press Imprint Map/parcel Number v 00� - n 5 Property Address Residential Value of Work , 55. Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address -54 Eve]" Contractor's Name �.1��Y� '� Telephone Number Home Improvement Contractor License#(if applic e) Construction Supervisor's License#(if applicable) CD ❑Workman's Compensation Insurance C:)' Che one: [Z I�am a sole proprietor 4 ' C� er ❑ I am the Homeowner p ❑ I have Worker's Compensation Insurance , - r Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) 2/Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side , ❑ Replacement Windows. U-Value •(maximum.44) 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. H ement Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise071405 V, aF�"eroy, Town of Barnstable �P� p Regulatory Services • EAMSTA MASS, Thomas F.Geiler,Director nss i6g9. ,0� ppEo►��' Building Division. Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner lust Complete and Sign This Section If Using A Builder I, wo, ISM l ,as Owner of the subject property hereby authorize v I5 U� to act on my behalf, in all matters relative to work authorize this building permit application for: Evdw uAe C� eryi I I� (Address of Job) 'o, . a(0 o� Signature of Owner Date Print Aflame Q TORM&O VInRPERMISSION The Gommonwealth of-Massachusetts Department of Industrial Accidents 119 Office of Investigations r = 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print L.egibl Name (Business/Organization/Individual): Address: P.D. d_/_2) 1 City/State/Zip: S i wR OZU O I • Phone#: - -.q 0 Are you an employer. Check the-appropriate box: 'Type of project(required): 1.❑ I a employer with 4. ElI am a general contractor and I mployees(full and/or part-time).* have hired the sub-contractors 6• El New construction 2. I am a sole proprietor or partner- listed on the attached sheet. $ ❑ Remodeling ship and have no employees These sub-contractors have Sin. ❑ Demolition working for me in any capacity. workers' comp.insurance. 9. ❑ Building addition [No workers' comp, insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.0 PJtambing repairs or additions myself.[No workers' comp, c. 152, §1(4),and we have no 12.5Aoof repairs insurance required.] t employees.(No workers' comp.insurance required.] 13.❑ Other *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 anew affidavit indicating such tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and,yob 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. 15.2 can lead to the imposition of criminal penalties of a fine up to$1,500•.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certify under a par and penalties of perjury that the information provided above i true and correct Si afar Date: a-U Phone#: -1cl 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.Bop-rd of Health ?.Building Department 3.City/Town Clerk 4.Electrical inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: f ' f i ✓fie TOarr�rrcoizroea� a�✓�aaoacfivae/�a Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR License or registration valid for individul use only before the expiration date. If found return to: Re istratiotis 24310 I Board of Building Regulations and Standards / 2007 One Ashburton Place Rm 1301 .iVidual i Boston Ma.02108 d � James Curley `� =�'��� � James Curley 287 Fuller Rd. Centerville, MA 02632 Administrator Not valid without signature i SEP-30-2010(THU) 08: 11 P. 001/008 895 Boston Turnpike.RdTOWN OF BARNSTAB Shrewsbury,'Ma 01545 3 ZO10 SEP 30 Phone: 508-229-330 8 Pools Fax: 508-7-19-5207 ax- Ton-bvj r.J C C— -j ST)>i h,L-, — From: V'61v4�j Fax: Date: Phone: Pages: Re: �. 1.,"I N ' C. n.L L ci— CC: C4�r� M- 13 Urgent © For Review ❑ Please CommentEl Please Reply ❑Please Recycle- -Comments: SEP-30-2010(THU) 08: 11 P. 002/008 JuL.12: 2010. No. 0345 P. ' 1. - , 'tiff •►: ....1�'r�r,�•' - - i� �'• yRO zu.000 •�+.v •r {I.. ;�4 r cs's' �eRr �"•F-�r' ,p,� P.co£.� I rb To L u, .00 Aj • V-a� PLOD'. PLAN . J4 WA - S CA LE s' %'mac y�' DATE _ 1 CERTIFY;�TAAT THl^WNT ,1 � r�r' �, 41�Y 1 �1 $� Fb ± �, •• > SJMO.WN. '-ON�• IH1 PLM 13 10CA' .. r. s S/d f OM 'THIr'GROUND .�fll. :T;=,; a�0+.'• .• ..Y�s: -�.—»' Q�1� AS INDI�A'Pf:A� • '�' tip ,,,- ; ,.� '�Q T!#� ZOM1t��. WAS ' • _A.. .. r. �. . . • _.� ..._.� l '" Atli '', •� . • •• '.�'�-1-• T/I'/VJ �I•n 1 1v: SEP-30-2010(THU) 08: 12 P. 003/008 V_'U&pool Covers Inc. . Page 2 of 7 •: A typical 70% lower pool heating bill. A typical 70%.lower chemical bill. • A 70% or so lower pool pump power bill. A typical 90% lower pool water bill,' The long-term effects of using fewer chemical canextend the life'your pool plaster, or .liner, as well as,the other pool equipment... A Safety cover Ellis' Pool Covers sells tracked automatic swimming pool cover.systems (versus-floating covers like the "bubble wrap"type). All covers meet the.ASTM standard F 1346-'91. The maim.provisions of ASTM F1346-91 are: The cover system must be labeled with'warning labels. . : The cover must-support 485 Ibs; in a.five foot radius. . . . ; The,cover must be operated from a position where the complete.pool.surface' is visible to the operator. • .The switch,must be momentary and be located at least 5' above the surface where the . operator stands, 'or be key switch operated. All pool cover systems come with some'.sort of locking, or key switch. -An object approximately 4.5" in diameter should not be able to slide under the cover'. . ,. An automatic water evacuation system (self-actuating cover pump) must be used at all . :times. It must be placed on.the cover so that rain'will automatically be removed within 1/2 hour after the cessation'of rain. All outdoor pool cover systems come with an automatic.cover pump. ISEP-30-2010(THU) 08: 12 P. 00d/008 Ellis'Fob1 Covers Inc. Page 1 of 7 What is an automatic pool cover? The`pool cover systems sold by Ellis' Pool Covers are best described as "powered-safety covers". A reinforced fabric Lclick here for the standard colors material rides in 2 tracks, and is pulled back and forth across the pool. The cover i5 pulled over the pool by Dacron cables, and pulleys, which are-hidden in the track. The cover is pulled off the pool by rolling up onto a long- aluminum, tube. Power for the system comes from"an electric gear motor, or from a'hydraulic motor with a remote electric power pack. The fabric material itself.is reinforced with a �� �I YIYI �� liiw9!ulfiVlll ' '191YI�llq 9 Dacron mesh built into the.bottom of it, which makes'it very strong.. At the same time the fabric is quite flexible, and forms a draping seal. � , • over the surface of the entire pool. When the - cover is closed,-,the pool is basically a huge (and soft) water bed. The capacity to support large amounts of weight comes from the pool ° water itself, in the form of.buoyancy. Extra slack,in the fabric forces any load on it to "float", p instead.of being supported solely by:the tracks and mounting hardware. With the water level in the pool is as full as it should'.be,the fabric can easily support the weight.of several adults, . N safely. A child's,-weight is easily handled. Operating the cover'is done via a key lockable electric switch. `Typically, it.takes less than a minute to open or close the pool. A •thermal ba'rrie'r' Keeping your pool covered when not in use will'considerably reduce the amount.of fuel to heat it... Not only does the cover fabri.c.seal off evaporationand heat loss that way,:but it also acts as a solar cover; to.a degree. Here in New England,-the swimming season can be significantly lengthened by keeping the pool water warm despite the cool spring and autumn nights. 74 .7 A typical 10 to 15 degree increase in water temperature, during the swimming season. . At;the same time, keeping.your pool covered when not In use helps in the following ways: I SEP-30-2010(THU) 08: 12 P. 005/008 ... .. .,..... riLbO-•V.L / I°P II1 III r Automatic pool covers for new pools When automatic pool cover systems are`incorporated•into the pool design from the beginning, they work and look best, as well as being the most inconspicuous. Usually, the pool cover . mechanism, and most of the hardware resides underground. Knowing the details ahead of.time is.critical when planning your new.pool. Browse the- . pictures., and don't be afraid to call for help. To , track recessed mmechaid isim http://.ellispo6lcovers.com/Automatic Pool Covers/indek.html • 9/29/2010 ' 1 1 I li 11 � Ili fIlr!_here for fall.iL1i ae I I rE�`! ` + a I f r J1 ,t 1. I . "'•h,,I,',. I I w r ill'. 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GREGOR I.McGREGOR 27 SCHOOL STREET-SUITE 603 JOHN F.SHEA• BOSTON,MASSACHUSETTS 02106 HARLAN M.DOLINER (617)227-7289 LAUREN B.SLOAT GEORGE A.HALL.JR. CAROLYN W.BALDWIN•' Of Counsel RALPH R.WILLMER Environmental Planner Apr i t 24 , 1986 •Admitted in ME also "Admitted in NH only CERTIFIED MAIL RETURN RECEIPT REQUESTED Mr. Joseph DaLuz Building Commissioner Town of Barnstable 367 Main Street Hyannis , MA 02601 . RE: Demand for Enforcement of ZoningwB-ylaw: Subdivsion #-477~-Crosby"C-ircleCentery lle Dear Mr. DaLuz: This is a demand under Massachusetts G.L. c . 40A, Section 7 and the Barnstable Zoning Bylaw Section R ( 1) for enforcement of the Barnstable Zoning Bylaw with respect to subdivision #477 at Crosby Circle in Centerville . We represent Dr. William O'Toole , . who abuts this subdivision. It is our contention that the building permit issued for this lot must be suspended and revoked for = non-compliance with Section J (C) of the Zoning Bylaw. This section requires that a lot must have a shape-number that does not exceed 22. Presumably, this provision was enacted in order to lessen the opportunity for prospective developers to increase density by meeting frontage requirements and extending lots into areas that otherwise could not be accessed by roadways . Lot 5 is an example of this situation. The lot has been extended to secure frontage on Evelyn Circle . According to the plan signed by the Barnstable Planning Board on January 7 , 1985 , the lot then extends approximately McGREGOR, SHEA & DOLINER 2 150 ' southeastward to the area where the house would be built . Using that plan, the shape number could be calculated as follows : 2 Shape Number = Perimeter area 2 Shape Number = 1080.24 ' 40,980 1 ,166 ,918 .4 40 ,980 28 .475 This exceeds the zoning bylaw maximum of 22. If you read this section of the bylaw to exclude the building of driveways to access the residential structure , we take issue with you. The intent of a cap on shape numbers should be to prevent developers from increasing project density merely by taking advantage of every available piece of frontage , as was done here . Therefore, we request that the building permit be ' suspended and revoked until the developer has applied for and obtained a variance for exceeding the shape number requirement. No further construction should be allowed until this has been accomplished. Please inform us as' to your ruling within the fourteen days allowed by the Zoning Act. Thank you. Sincerely, Ralph R. 'Willmer Environmental Planner ' RRW/eh E2/53 it-. JOSEPH D. DALuz a - .• ` TELEPHONE: 775.1 t20 Building Commissioner EXT. 107 . TOWN; OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 d May 20, 1986 Mr. Ralph R. Willmer Environmental Planner 27 School Street Suite 603 Boston, MA 02108 RE: Lot #5 34 Evelyn Circle, Centerville Subdivision #477 i Dear Mr. Willmer: The subdivision plan approved by the Planning Board is located in a Residence C zoning district. At the time of the approval the lot size requirement was 15,000 square feet. The lot in question contains 40,980 square feet. Following my appointment as Building Inspector I sat with the Planning Board to interpret Section J. , Paragraph C. of the Town of Barnstable Zoning By-law. Since that time I have used, as part of my decision making, that same process. If my memory serves me well, I believe I made the same decision on one of your firms cases in the Town. My decision is that within the square footage of the lot 15,000 square feet can be extracted for the required zoning. Therefore, with consistency, I reject your contention as stated in the second paragraph of your letter and further rule that the building permit is legal. 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'; ..�•,S. -.n.a ._ -� --cam r. - � �- -- Ofto i i < •, , McGREGOR, SHEA & DOLINER , 1' ATTORNEYS AT LAW,P.C. 27 SCHOOL STREET-SUITE 603 BOSTON,MASSACHUSETTS 02108 .> Mr. Joseph HaLuz Building Commissioner Town of Barnstable -- 367 Main Street Hyannis, MA 02601 pp P=�301 -Q 0 7 6.15 (I O:STA.G Dui _, 4 y \ { ' .. � 3 i \, .� - - .. _ � F - �- - _ 1; �� / - .. � � _ ,' /� ,. � t j:; -.� ,�' �`• , /� _ _ �. .. . .. ,.. . . _ .. _ �-_ >Cy :f McGREGOR, SHEA & DOLINER ATTORNEYS AT LAW, P.C. GREGOR I.McGREGOR 27 SCHOOL STREET-SUITE 300 JOHN F.SHEA• BOSTON,MASSACHUSETTS 02108 HARLAN M.DOUNER (6171227-7289 GEORGE A.HALL,JR. CAROLYN W.BALOWIN•' Of Counsel RALPH R.WILLMER Environmental Planner •Admitted in ME also May 21, 1986 "Admitted in NH only Mr. Joseph DaLuz Building Commissioner Town of Barnstable 367 Main Street Hyannis, MA 02601 RE: Demand for Enforcement of Zoning Bylaw: Subdivision No. 477 Crosby Circle, Centerville Dear Mr. DaLuz: On April 24, 1986, we sent you a zoning enforcement demand letter regarding the subdivision cited above. The Massachusetts Zoning Act requires a ruling from you within 14 days. Clearly, no ruling has occurred within this statutory time period. As you may recall, our demand letter related to the issuance of a - building permit for Lot 5 even though the shape number for this lot exceeds the limit of 22 set forth in Section J (c) of the Barnstable Zoning Bylaw. We maintain that this building permit was issued in violation of this section. Your continued failure to respond to the April 24 letter may result in the filing of a mandamus suit for failure of a public official to perform his/her statutorily required duties. We therefore again request that you respond to the original letter. Thank you for your cooperation. Sincerely, Ralph R. Willmer Environmental Planner Gre or I. McGregor RRW/dmr cc: Robert Smith, Esq. Town Counsel Barnstable Town Hall Hyannis, MA 02601 D29/109 Assessor's offioe (1st floor): `THE Assessor's map and lot number ,. .. .. ...:.... .. �� Board of Health (3rd floor): .� . .Sewage Permit number ...... ' ..••.•.........:.•... Z B9SII9TADLE, i Engineering Department (3rd floor): + 11A°S �+ GO i639 - House number .......................:........................:........................ APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....1 . leXA10..............5 TYPE OF CONSTRUCTION ..... .........° / .........4D .c.r. " ......................:........................................... .................1.. -. -o.... ...._..19. � TO THE INSPECTOR OF BUILDINGS: The undersigned hereby'applies for a permit( according to the following information: Location ....3.y.......... V�.l.�✓`.....C:.�.!.4..14... . 4. '..!'X!✓ C J I<................................................................................ Proposed Use ............. ................... /e ' Zoning District ........................................................................Fire District ....... Name of Owner ... ...AA.........CAaV .l..1......................Address &A.....��...1y!'.........C.��4..!.............................. Nameof Builder ....................................................................Address ..................................................................................... Nameof Architect ..................................................................Address ...................................1................................................... Number of Rooms .......".......................................................Foundation .... ...Q... ..3.�7'.'.............................................. , Exlerior ....................................................................................Roofing .... .................................................................. .............. Floors ..................................:...................................................Interior Heating .......G.�,1 A5............................................................ ..................../.�........................................................... Fireplace ................Approximate Cost ....1.4..... 0 f Definitive Plan Approved by Planning Board ____________________________+_19_______ - Area .... ... ....................... Diagram of Lot and Building with Dimensions Fee �`� �.................................(3....... ............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations $TO.wn of ar tabl regarding the above construction. \\ Nam ..`.................(........ .................................. Construction Supervisor's license ... ................. ........... COVELL, B.RIAN No 30052..... Permit for ....Build Swimming Pool! .................... Accessory to DwellipR.................. .......................... ....................... Location ....34...E.v e 1Y.n...Ci.r.c.le.......................... ...... Centerville .......................................................... .................... Owner ........Brian Covell .......................................................... Type of Construction ..Frame...........................:............ e ....................... ....................................................... Plot ............................ Lot ................................ Permit Granted .......0.q.t.qb.e.r...2 Q., ......19 86 Date of Inspection ....................................19 Date Completed ..................... ..............19 - i 1 S LOT ¢ tN 'ROSERT s, ± :. EL02U`GE ' " r 8 s ' i ~S -• i... d40.7 Sl lr2S /✓ DT,y s i� ,ry �x t'tf � ,,;, M` qt rE �91ra � ,r° \ �E72 agir ri - 5?9�'/ ZZ 17 N/F SSG✓A . CERTIFIED PLOT PLAN J(o� .✓ E�!EL Yam/ ':Cx/,2� 419 IN EE' lV0 aW44 Asso SCALES DATE# . �DISTE Ep •RE©ISTEREp ti,; CLIENT 2E�v�P - I CERTIFY THAT THE y_,Wb47io,u CIVIL ' �.: 8HQlMN 'Oq THIS PLAN I9::3-LOCATED ENGINEER LAND:;'r , I . l � `g--- � ON THE`GROUND 0 INDICATED- sia .. SURVEYOR ��; QN;�Y� .�:��.. CONFORMS' 3'O ..THE ZONtN :,:lLA1gtN, " ....""' OF AIARNSTA9L CIA . RF�T`Y�k.� P' CH.®YJ / i8. K I S, M g SS. . uva b� ii �' .: �G✓ . , Assessor's offioe (1st floor): y� / { THE Assessor's map and lot number ........//... .(.............................. d�Q�o� Board of Health (3rd floor): 8®C Sewage Permit number ...... .��.� .................... J Z BAHd9T&BLE, Engineering Department (3rd floor): o rasa s House number o 1639• 0� APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO . .............5. ..... ^, ....... D b ......................................... .. .... TYPE OF CONSTRUCTION ..... �.�..........aln A.........L a .C. � t................................................................... .................A�. . 2 a 19..n. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby �applies for a permit according to the following information: Location y L kC.!* �C C �! `�/.!�1. .!1................................................................................. r ProposedUse ......................,.. ............................................................................................................................ Zoning District ........................................................................Fire District .. ..;1;............�...J..�^.h.r!✓k. .�+.e........................ Name of Owner ... .a............C.b.V( 1.)......................Address �..�......�-�'.�...�.1r........C.�"C..��............................ Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .............................`� ...............Foundation ... ... .. .. .. . ............................................... ... Exlerior ...Roofing ..".......... Floors .............`.......................................................................Interior ... ............................................................................... Heating ....... ............................................................Plumbing .................................................................................. Fireplace ..........................Approximate Cost {, a Definitive Plan Approved by Planning Board ________________________________19________ . Area .... . �...0... .............. Diagram of Lot and Building with Dimensions �© Fee ...�......!.............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of B nstab4regardling the above construction. Name .......`.r............! ............... ............ Construction Supervisor's license ...l.J...` " ... ........... i COVELL, BRIAN A187-62-5 No A0052.... Permit for ..Build Swimming Pool ............................. .........Accessory to Dwelling................ Location .....3. J:Vi;�IyR.Cir.q.l.e......................... ....................Centerville................................... Owner .......Br-;*.qA..Cov.e.11................................. Type of Construction ..Frame............................. ............................................................................... Plot ............................ Lot................................. Permit Granted ........October 20,.......19 86 ......................... Date of Inspection ....................................19 Date Completed ......................................19 -Asfessor's office (1st floor): �j Assessor's map and lot number .....�............ ........... p SEPTIC SYSTEM MUST BE �Q`'°%TNETo�♦� 'Board of Health Ord floor): <?b INSTALLED IN COMPLIAN - :Z-S Sewage Permit .number ........:............................. WITH TITLE 5 t BAEMAX&LE Engineering Department (3rd-floor): ENVIRONMENTAL CODE AN o 639. House number .....................................- —'� ..l ��. '°fit a.. D YPY APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only' TOWM REGULATIONS TOWN ;OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO f TYPE OF CONSTRUCTION ....... I-(................................................... ......................... 4 .................. ----- 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the followin nformat• n: Location ..... . ?.. ........ .......4..v.�.(..... .f�.....1_.r: �. ..:......... . .. .................. ProposedUse .......,�, ,z.... 6f.. ..... 1!'1. ...................:................................. ..................................................... Zoning District ...�.. /..........................................Fire District ........... . ....... ................................................ Name of Owner ..�7.s�e. .i'!..��..!.e .... G.r�?s...Address .................................................................................... Name of Builder ..l.l./.(..l..�IGG/' �.�. .�. Q..�ICf .I...L.....Address .................................................................................... Nameof Architect ............................................................:.....Address ........................................................................... .....,.. Number of Rooms .......... ................................................foundation .... .C .e......: ... .n e ` Exterior .....�"��C........5.� ....... ./...... Roofing �� 1 JJ�.�'.`R... �...`�..�.-................. Y � L Floors .....j ..... ... ........ ........ .��1.s� ...............Interior ...... ..�1.. .. ... '. .. ... ........................ Heating .....� . ..../ ....6.. . .....�.�.�..........Plumbing .....c�....�.r%� �L,S fireplace ...�/�!� .�. ... Approximate Cost ...... ................. ... Definitive Plan Approved by Planning Board �_ _______19 Area ........................... Diagram of Lot and Building with Dimensions Fee �l..... .............. SUBJECT TO APPROVAL OF BOARD OF HEALTH ! � dN� scx OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..... 0?� ............... f Construction Supervisor's Licen#ols../...� .......... GREENBRIER CORP. } Nb ..Mp.... Permit for ...One StorY.............. Y - Single. Family Dwelling ................................ ....t................ Zot Locationr#5, 34 Evelyn Circle - r ..._........................... ' Centerville............a....... ...... �• .' _ -� '_ ' y ............. .ii.............................................................. Owner Greenbrier Corp. -..... ....:....................................................:........ •j - s _ ' `• FrameT e`of Construction - Plot .........::.....:........... Lot ......................... ....... , Perrhit•,Pran`ed .......Aptftl...2 �. 19. 86 Date of Inspection ............ .....19• 1 cte Corgi Diet ........A S............. .: .19 `,} -,• j i/ w ; � '.,� 1�r t''"•�� f ;; e yam!"' r,. .. - , r= r r `r' R0licR7 <� " All n•Vl I./9: SS 4 Ell 407 PS c::1�3u7 ��• ri w„ 14 ZI oe 24 ;LET.- W • t J� ��L/G . e� .tea rf ;00�Jl aEo •a y 5 l ..a .aCor. �,eo•raccTivtiy 1 I `�. 'i-, r � �� i �E2 d3ilriCLE rA a � how 9.4 400 „ � s. S CERTIFIED PLOT PLAN `:,,:��F :,�,�L✓t/� - �.� .s (�$o. 1 - zvi= S. :,E✓EL Yam/ .C'/i,2 G L.E ' r b- .✓ CENTFae V/e"4 F is 550 C • �,vC . IN SCALE` / DATE$ AM. AS': G t �l� I CERTIFY THAT THE vL-W04Tio�,/ qL1ZHT 2EF�V8P SHOWN ON THIS PLAN 19 'LOCATED EDISTERED RE®QSTERRD " PIO �S/�%' . ON _THE SROUND A9 INDICATED `Ags wCLY1L LAND ..V. B' t ._.....- ` nFyz_,. EAIQINEER SURVEYOR '3'0 CONFOR14S THE ' ZONING.:LA�IS. t • ^"'�"" OF 'BARNS TASL 2'MA i.N 'S T'R CH:DYE M . . . :REG. L N Mon 91 M _:DA D iJt! E ✓'fie. t. • _ a'r^—'•ter r-- --rr.^.,.a ..-.-r- •.'J w 1. ``' - . ... ._..., .. .. __... . _... . _ _.-. ..-.-r. ,:, ...,-a,... a.,.,.,.- .. . >.:.-..- . 1.....a ,.....i-sSs[, ,.....:• . ya-\.fir ` �- �—a' .tea. - _ ..:� .. .. i.±.y . ...xY ` ,Ik ,) t. r r'� x Cl� � l '%. ,. a 1 .ly t) ',C^�'1 `� f "!!� •>� " y9' t 4 Y.{ i 7,,;�w,* ,,� I:r ka �.I,:.�-,1:-I�.,..-:.d,.I���'.'.�.4",�..,...:�..":".,:�1��������������..:..;):..,:-f,,..,,`````````````:�.;d:I�.���'".-: ':.:'-.,0.1;.-�'...1,-:,-:.........,,;.1t ...f .��'.l.;,I�-..L:'�..d".::.""-,_� ..fi "- ..tt * k l x T - - ..15 :v. �K f +' '7�.. a' e} J F•' t /+ Y F kr rx l. 9-j�. t l PJt>tK 4D 1 FILE COPY1 WHITE FIELQ COP f,,ELLQW,: PPLICANT C( :r ...�4 �°;, rG fi ' r t vl 7 t +�. ._e,rp,.. h '- o l r x O r ?F r� L r d .1 o ,q - t Q p' fr'r r r ;; r k y BU1LDaNGL J ,ry ,TOWN�OF BARNSTABLE,MASSACHUSETTS J '<a ' j't ' .1;' , ' `s ` ' n_'i 1 J, t ti ` VALlDA7l'ON PERMIT i - .fin A it t� sk >A6187 062 b05 aa ", a,,' V Dare April 23 86 v r 19__ PERMIT NO 0 '4f �. , APP! ICANT Owner ADDRESS - t. I. F a 00.1'394 1 • - . (NO ) (STREET) - :(CONTR'S LICENSE) . PERMIT TO Btril(3 dWe111n� ( ) STORY ►S�jn$le family d'wellin>; NUMBLRNG'UNITS 1 I. u - (7YP�OF-IMPROVEMENT) - -N0: -:.(PROPOSED USE)..':' 1 i AT (LOCATION) ZONING lot 4�5 34 Evelyn Circle.' Centerville 1 s s't (NO) (STREET) DISTRICT I .r iI BETWEEN' ANO r - ' (CROSS:STREET).; fCROs STREET) z - e LOT SUBDIVISION ,�/ LOT BLOCK SIZE $ BUILDING.IS TO B� FT WIDE BY FT •LONG BY FT IN HEIGHT AND SHALL',CONFORM IN CONSTRUCTIOt L .-..��',,i,_,.".,,.-�.��,;�,0;�-,�"�:�,,*;:.1"-.-,�...I.;�;:,,:.'.,.,.,*.�,,�--1":�,,�"**.�.I`i.....�.I;..r'...*,-,,".'.�.7-..-...,�,.:..�L*1Z,."�".�._I:.;....._.-�Z,:;--i.-,�1.�;,;�,.jr,.:.,,�',�,.,.,_'.',,:.'�..!:,_.",,:.!�'.-.":,.,.;-"..`..o,,��I';,".�.�,..?-!,.,._�'.,.,.�..��-j�.�:I,:`�.'..;,.�..Im:.�,..�,-.:.-,,.-,'�.;:�,.�..!,_t,-.1..,,�".".t�..�'..!i:,.,:.'�;,,�..,.�.�'.�,;.'.:-..�M.,,.�"..��.".II.`..._-�,. + TO TYPE L < s USE GROUP' BASEMENT WALLS OR FOl1NDAT10N' SS' REMARKS ' v >SeWSEe� '��86=325 ' , ° M S r u� .r t BOND' AREA OR �r 1920 $ ft r/t �' ' 45 NO PERMIT VOLUMEr Q ESTIMATED COST 86 .50 t---. a .t ` `(6UBIC/SQUARE FEET) t FEE '`' 3 Greenbrier .o- . i . OWNER p rT. ADDRESSOR CenerV e f BUILDING DEPT q a h BY PtRMANEN7LY tNI.KuA�nme,V f3k�.v `fvv�rJ"'rnVr'tKt T, NV t `SP�CIPIZALLT'r'teirvN�)eU'"v,.ut,.'PROVED BY,;;THE'JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAIP e FROM THE DEPARTMENT OF PUBLIC WORKS.- THE ISSUANCE OF THIS PERMfT DOES NOT RELEASE THE APPLICANT FROM THE CONDI71c r l OFANY, APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM"OFt'"THREE CALL F... ,Y t '. IN$PECTIONS REQUIRED FOR " } `. APPROVED PLANS MUST BE RETAINED ON JOB. AND THIS WHERE APPLICABLE SEPARATE r x it -r.-;A L'LsCONSTRUCTION WORKS CARD KEPTPOSTED UNTIL FINAL.INSPECTIO.N HAS BEEN PERMITS ARE.REQUIRED FOR R; '" ""'`'` ' ELECTRICAL,' PLUMBING AND t FOUNDATIONS oRYFOOTINGS. MADE .;'WHERE A CERTIFICATE.OF. OCCUPANCY',,IS RE- MECHANICAL-INSTALLATIONS. 2'PRtOR'To COVERING STRUCTURAL QUIRED SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL x` ' .MEMBERS(READY TO LATH) N.- ` 9;FINAL INSPECTION ,.BEFORE FINAL INSPECTION HAS BEEN.MADE. I. 11x 57 ,v r,, OCCUPANCY .. y. : . ST THQS CAM SO !'i' C� V1���L� FRO STREET , y - k ;Y� . BUILDING INSPECTION'APPROVALS -PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS ' r 3" ,` . - xt 3 `/ L R t - t1 c a r e ( r 2 " 2. M ,��r/ A, G Z . '` F S S / '' _ { ti .i ' _ / CJ Sd 6' / f . Y/Y�'"* , 3 ' _ HEATING INSPECTING AP ROVALS I REFRIGERATION INSPECTION APPROVAL a.. ..a ice' ) , .. ......._-.......... fi 1 NEE 1NQ A,a 4: (. 1 �.f / it OTHER 2 1.OL�O�/�r v�C'�, BOARD QF HEALTH - ,:- WORK SHALL NOT PROCEED UNTIL THE PERMIT WILL BECOME NOLL.AND VOID IF'CONSTRIiCTION INskCTIONS fNOICATED ON THIS C '; r :INSPECTOR HAS APPROVED THE VARIOUS • WORK IS NOT STARTED.WITHIN SIX MONTHS OF DATE TH.E CAN BE ARNINGED FOR BY TELEPF ,STAGES OF CONSTRUCTION. � t ::-_._ :•... PERMIT IS ISSUED AS NOTED ABOVE. . .OR WRIT- ,NOTIFICATION. ; , c txe TOWN OF BARNSTABLE Permit No. . 29246 BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash °�qwr HYANNIS,MASS.02601 Bond X...S � CERTIFICATE OF USE AND OCCUPANCY Issued to Greenbrier Corp. Address Lot #5, 34 Evelvn�Circle Centerville, I�iassachusetts USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. January 30,.., 19 87 �41 .�................. .. �` ,?� ..... Building Inspector a'�y ••'. TOWN OF BARNSTABLE BUILDING DEPARTMENT = tAi1°TA ' TOWN OFFICE BUILDING rut i639' HYANNIS, MASS. 02601 �01uY t' MEMO TO: Town Clerk FROM: Building Department DATE: >-`AC . 201 9 An Occupancy Permit has been Jissued for -the building authorized by Building Permit #.. 7 A i�,�'�. -� ......._......._.. ..........................._.................»».»»......»»». it issuedto ............. t .; .lij r r 1 ,�✓t :?�.... ................ ..........................................................»...». .....»».........»..»»..»»».» Please release the performance bond. > Assessor's office (1st floor): _ 0 0 Assessors map and lot number P F THE T Board of Health (3rd floor): Sewade Permit number ..................................... X -.5...... i BASBSTSDLE, Engineering Department (3rd floor): ' M039. °°a Hou,qe number 3. ,�.. a AP `00 APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO �� f��-✓ r !.../.. �"./�.�.��d................................. l J / TYPE OF CONSTRUCTION ..... /C1 r)cJ...:./- . ................................................................................ ........................... ............19--.-.... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following-information: Location .....!.. .. . #.... ....C;,.( 1",/.C1.--17...... ./..c .......... .€�....t �.........'.'..... .............................. ProposedUse ...... ..... .........r� ....7..i../...<.. ......................................................If..................................................... J jZoning District ... ..._1/.........../............................................Fire District ...... ................................................. Nameof Owner .. .N.r�..........!...y...........�i.r :...Address .................................................................................... ( , Name of Builder ..L: . .!..I.!.[.Cn.. ....4.. C...).uI.C.!J /....Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ..........1.,.�:�.................................................Foundation �a.�•A.rx&....�C�S�l„�.� Exterior .....f"�/( Srl/i7 G� /� e� ��/C S ✓ / 3. �1;7r .�... ', ............::............Roofing .............:.,.�"' Floors 1.. ..................t...... ..........:..... ?.... a- ...................Interior ....... ,,......... . Heating .... .��J / .....(, ..... .:.............Plumbing ......r.?�.....-:.....C-'`... ... ..5....................................... C Fireplace ...`/1! ..0 ....ul................................Approximate Cost ,. ..... ....... .............................. Definitive Plan Approved by Planning Board ________________________________19________ . Area .......................................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH i l OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .......... _ .. . ..... .....,................................ . , .......... ff11 , T Construction Supervisor's Licensdv�._�.��....?.... GREENBRIER CORP. A=187-062-005 No ...29246 Permit for ,, One Story .................................. Single Family Dwelling ............................................. Location .....Lot #5, 34 Evelyn Circle Centerville Owner ...,.Greenbrier Corp. ........................................................ Type of Construction ,,,;,Frame Plot ............................ Lot t Permit Granted .....Apr l:. 23, 19 86 ............... Date of Inspection ....................................19 Date Completed 19 t o General Notes °ping PRECAST LID 1 . Construction shall comply with the Seventh Edition, Massachusetts Return WEIR GATE Building Code (780 CMR). Cleaner Patio Pitch 1/4" per 1'-O" 2„ 2. Contractor shall verify all dimensions and conditions (shown on the plan) on site. d •a Skimmer L..,. „ • SKIMMER- Skimmer Add (2) 1'_2» 1 -8 I PLAN 3. See attached sheet for plot plan. Water Line I--12" L°:� • �' ,� Patio to have depth markers 3 O.C. 6 min-I---�- -�-�-6 min 2�� Main Drains Steps to have the trim # 4. Pool deck and yard area around pool shall slope away from pool. behind 5. provide drainage around pool if water is encountered. No ground I-�2" � '' •" ••< . :•..•' �• ' • . Provide 2" color Niche 1 � Deck Box ? ;°' band (contrasting) » 4"MIN 7 water is permitted at pool level. !� ' a on step edges & I---I , ,, 2'-1, min • d P 9 —r- 1 -9 ®2 4# 3 depth. • 0 C 6 Pool shall be maximum d h ° d seat - - k2m '-0" LG7. Pool equipment (filters, pump heater, etc.) shall not be located in Q required front or side yards, if code prohibits. 8. This design is based upon an assumed Soil Bearing Capacity of 4,000 P.S.F. PLAN SECTION 9. Concrete: Pneumatically placed concrete shall have a minimum compressive strength of 4000 psi ©28 days with not more than 4 POOL STEPS DETAIL arts sand to one art cement b volume and 3 gallons of water per PLUMBING SCHEMATIC SCALE: 1 /2" = 1'-0" SURFACE SKIMMER NICHE sack of cement. P y 9 - SCALE: 1/2" _' 1'-0" 10. All concrete to be placed on undisturbed soil free of organic Optional material. Any fill required shall be mechanically compacted to 95% 2" MAIN DRAIN Flow Meter 2" 2„ Deck LINE� Density. WASTE LINE To 11. Reinforcing steel shall conform to the latest ASTM specs A615 PRESSURE DRYWELL OR V/P gage P. gage P. gage TYPE FILTER PROPER Design based on 40000 .psi. Lap all bars minimum 40 diameter „ » RECEPTOR AS VACUUM FITTING' SpIICeS and corners. 6 REQUIRED BY FILTER 2 —0 t0 4 -6 I PUMP do MOTO LOCAL ORDINANCE 12. Provide mechanical devices to hold steel in place and maintain 2" SkimmersT FT " To Pool clearance between earth and steel. 10 �- (3) #4 O.C. 4 � I OP110NAL Q„ „ J PUMP 13. 2 main drains to have VGB compliant drain cover, and all drains Main Drains NO Be ds cost See 6 HAIR & UNT POT *RETURN VA HEATER SUCTION P (2 Required) 2" dia note belowFRESH WATER SECTION E N are to meet ASME A11219.8-2007. 1 HP U SUCTION LINE J E T�O I V Sa2 MAKE UP LINE r , 2" dia Pump Filter Chlorinator ,-0„ 2„ 2'_8" FROM CITY MAIN Note to Owner clear max fill SUCTION WA 1. Wet concrete twice daily for 14 days. ORIGIN VALVE POOL PIPING SCHEMATIC 3/8 typ 2. Do not turn on light when pool is empty. wa er roof DECK TYPE FILTER INSTALLATION SCHEMATIC P 3. Do not use black rubber hose when filling pool (it marks plaster). NOT TO SCALE cement plaster 4» NOT TO SCALE CSK 4'-6" ADDITIONAL RETURN LINES 4•'-6" 1 '-0" � _ (OPTIONAL) — 2" 2" POOL DETAIL 6" 6"'"� / / / / / / / �/ ` / — —————— —-� W FRESH VALVE WATER & BACK FLOW PR EVEN OR �i��UNDER COPING /\ \\�/i\�%\%\\�%\�%\�/ %\%\\%\ 6" FOR s"MAX ,� / /Note\\/\\/\ i\i \/ \ ---------------- —� 6 ABOVE POOL COPING EDGE n/ \ 3#4 RETURN LINE VALVE IS NOT PETER BELLA 2" � Where straight run of `� cont 6" ��� " g NECESSARY IF SPIN TYPE FILTER SEE # 1 ' 6 6" 0 a bond beam is 4 U'—1 " -IS USED IN PRESSURE SYSTEM �— 6"COPING EDGE 3 p , �° to 45' add 1 4 TYPICAL,', PRESSURE SYSTEM PIPING DIAGRAM a, 34 EVELYN CIRCLE 6. 3' 1 Li _ CENTERVILLE, MA 1 rV, ,� 6 45'-1 " to 50' add 2 NOT TO SCALE N : - „ » ItK #4 for full length of 6 1 -5 5'-6 SEE #1 FOR DIET. �. respective side n NOT SHOWN SHUT OFF 2„ FILL LINE OPTIONAL 6 O PUMP & MOTO 0' , RIM FILL . ._ . _ clr ^I PREPARED FOROPTIONAL � F�RRARI POOLS-1� . ...,HEATER #3@12 _ � HAIR & LINT POT �p rc FRESH WATER SUCTION LINE & PATIOS INC. RECESSED BOND BEAM FRESH WATER INLET '��©�� FROM CITY(MAIN 895 SCALE: 1 " 1 '-0" NOT TO SCALE Y� DEEP END STANDARD SOIL r BOSTON TURNPIKE,, DECK TYPE RETURN LINE SHREWSBURY, MA 01545 FLIER SCALE: 1 " = 1 '-0" • 1'_0„ Q" SKIMMER REVISIONS O t I O n a I 2 MAIN DRAIN ADDITIONAL, N 0. DATE Deck 2 2" LINE I RETURNPTIONAINES 3' �� DESIGN CHECKEC r- T I / 6,I' � MAIN DRAINS — —————— —� 1 2 3 L— 3 4 ---------------- -LI 1011 \ \ 4 6 # 5" NOTE: - /\\�/\\�/\\�/\\�/ /\\�/ / / 5 �� ^ O PROVIDE HYDROSTATIC PRESSURE cont see / / / / / / / / / / note below 3 _O CV I RELIEF VALVE AT MAIN DRAIN IN 10 » ' ^ WATER'TABLE AREAS 2'_8" » 3/8" waterproof 2 clear, FIELD BY: 3 -0 typ ►� TYPICAL DECKS TYPE SYSTEM PIPING DIAGRAM 4 Add 3#3 max fill 2" cement plaster DESIGNED BY: 41 NOT TO SCALE min h on z. DRAWN BY: 4 CHECKED BY: #3@ 12 O.C. 21-00' R=6" min 6" 6» E.W » 1 \ 1'-6" max "p" 4" DEEP END RAMP OR 6 -0 MAX FILL SCALE to 1 : ;= 1 -o LAND PLANNING INC Note: Raduis 2'-6" Civil Engineers a Land Surveyor. Where straight run of bond et'`' Environmental Consultants beam is 40'_1 " 8" waterproof G• moo(`' p 3, to 45' add 1 #4 cement plaster ,, 0' G. PLAN , 45'-1 " to 50' add 2 #4 for p �' 6" 5 BELLINGHAM 'S � 167 HARTFORD AVE. 02019 full length of respective side #3@12 4" 12 6" a ,,w " `q 508-966-4130 18" 61 2° 1' � �NORMAN G. tiG #3© 12 0.C. 2 4' 73/4" P Q �Iii GRAFTON SHALLOW END E.W. Schedule " RAISED BOND BEAM SHALLOW END ra° � � 214 WORCESTER ST. 01536 SCALE: 1 " = 1'-0" 4'_6" ��� 508-839-9526 SCALE: 1 „ = 1 '-0" 2'-9" 5' - s~ 5' "'� N min DECCO-SEAL SC#63 SEALER FULL CONTACT SURFACE SHALL BE BONDED W/ WELDON # 101 � -3 �_��_,� HANSON DECK OR GOODRICH #A 178-B ADHESIVE TO BOND �- L 1 1115 MAIN STREET 02341 10� Min \ 781-294-4144 BEAM & COPING (OR AN APPROVED MASTIC) •, 4" MIN - Toe of -'--11' Max �— slope Toe of steeper \ slope 6" than 4:1 steeper HOLDER than 4:1 AIR GAP Max Depth 'D Min �ndt P.O. BOX 508 829 644 3006520 AS REQ'D TO MATCH COPING NOTCH BOND BEAM SECTION JJ„`� 8'-3" 12'-0" 8'-6" 15'-0" 4" PVC 9'-o" 18'-0" DATE SHEET NO. SEALING DETAIL OR CAST IRON OPTIONAL RECESSED LADDER STEP NICH LONGITUDINAL SECTION 9 27 2010 CONNECTION T R 0 D YWELL OR SEWER IF REQUIRED - - - SCALE:- 1 2-_=--1_--0.�_�__ � : SCALE: 1 8 = 1 -0 JOB N0. - 1