Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0036 MOON PENNY LANE
YN Lk W, 8 h " 3 Town of Barnstable 1 1 g a erA dPost This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept MAS& ;Posted Until Final Inspection Has Been Made. �y� 11 �� rasa .� _ - Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made Permit No. B-19-565 Applicant Name: MARK D GRANT Approvals Date Issued: 03/14/2019 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 09/14/2019 Foundation: Residential Map/Lot192-008 Zoning District: RC Sheathing: Location: 36 MOON PENNY LANE,CENTERVILLE Contractor,Name MARK D GRANT Framing: 1 Owner on Record: WHITMAN,JON T&JOAN E BEGG l Contractor License: CS-063172 _ 2 Address: 112 EMERSON WAY Est. Project Cost.: $90,148.00 . Chimney: CENTERVILLE, MA 02632 ( ' y � � , Permit Fee: $509.75 Description: Remodel the Kitchen, new cabinets,counters,appliances. see plans. Insulation: 1 s Fee Paid:. $509.75 Final: _ Da,te: 3/14/2019 1 Remodel master bath, new shower,new vanity new flooring see - plans. ( ' ' Plumbing/Gas Rough Plumbing: Project Review Req: ENGINEERING NEEDED FOR LVL BEAM '1`"Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after;issuance. All work authorized by this permit shall conform to the approved application and the`approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire.duration of the Final Gas: work until the completion of the same. -- -- - — -Y'` . - Electrical The Certificate of Occupancy will not be issued until all applicable signatures b`the$uildin and Fire Officials are provided on this permit. P Y PP g L Y g ; Service: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed , Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection - 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site All Permit Cards'are the property of the APPLICANT-ISSUED RECIPIENT Final: ~G Application Number. ............. * BARNSi'ABLE, � , MAS& Permit Fee.......................................Other Fee........................ 039. fp MA'S a Total Fee Paid........... -7,b............... ...... TOWN OF BARNSTABLE Permit Approval by.... . ...................on....3 Il..I j°l.•.... BUILDING PERTWIIT Map........ .8'a. .............Parcel...........0.0. ............... APPLICATION Section 1 — Owner's Information and Project Location Project Address VillageAl Owners Name Q ���� — Y l T Owners Legal Address .City State MA Zip CZG :�� Owners Cell# _ 8 � E-mail .����% C r(�CC\-Si-• r & Section 2 —Use of Structure Use Group r ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet 91�single/Two Family Dwelling S Section 3— Type of Permit ❑ New Construction. ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm �LIi1 DINS DEBT Rebuild El Deck Apartment • Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar FEB 22 2010 I'7 Renovation ❑ Pool ❑ Insulation iTOWN 9F BA N'6:TF,SLz Other—Specify ernadtA � _ F�A ' ILY)G rock i Section 4 - Work Description t(v4s (ix 1 Last updated. 11/15/2018 Application Number.................................................... Section 5—Detail Cost of Proposed Constructio 1�8 Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms (proposed) 0 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics LD `"iring ❑ Oil Tank Storage ❑ Smoke Detectors Plumbing ,_0 Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply Public ❑ Private Sewage Disposal ❑ Municipal Site Historic District ❑ Hyannis Historic District ❑�Old Kings Highway Debris Disposal Facility: �X�o r �vs I amusing a.crane ❑ Yes tJ No Section 7—Flood Zone Flood Zone Designation o� Within or adjacent to a wetland, coastal bank? Yes ❑ No � IA Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? '❑ Yes ❑ No Last updated: 11/15/2018 4 Application Number........................................... Section 9- Construction Supervisor s Name uwlcocofw Telephone.Number Address ���.3�/` g City - i S State Zip License NumberC,5-OG3 r79 License Type Cs Expiration Date 1.-2-( Igo t Contractors Email GC= LQ���C`.� CxS'�o (1� Cell # ,c 6-6B 731 CQCc(�> k I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation req . ed by 780 CMR and the To of Barnstable.Attach a copy of your license. Signature Date oZjqjZUf Section 10—Home Improvement Contractor Name �ti n� Telephone Number ` -]7�;-1 —6 W(o Address City )eY State Zip 02G'f Registration Number Expiration Date C o2 02� I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. i understand the construction inspection procedures,specific inspections and documentation re ' ed by 780 CMR and the To f Barnstable.Attach a copy of your H.I.C... Signature ILI Date O Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature Date Print Name �� ��(' `�' Telephone Number. O�j E-mail permit to: c,CC,cp Last updated: 11/15/2018 Section 12—Department Sign-Offs Health Department El Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ' For commercial work,please take your plans directly to the fire department for approval Section 13— Owner's Authorization i i I, , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of j ob) Signature of Owner date Print Name Last updated: 11/15/2018 I Barnstable Bldg.Dept. Approved by:. 4114 e existin 9 existing ------------ I _ I • I 1 I i I I i i ry i a I I D I ' I m new closet with sliding I � i I 120, barn doors(2),interior P shelving I i I I OEM" (A) w I I i i i TY ROOM C I I 281/2" I G CABINETRY&COUNTERTOPS Bm •Showplace'Pendleton 275'door style •full-overlay frameless,Blum hardware I •perimeter color:'soft Cream' •island color:'Dovetail' •countertops:51lestone'Ocean Jasper' s KITCHEN REMODEL �I c •demo entire kitchen including tile flooring b FP •new cased opening Into TV room(LVL) A L •new cased opening-TV room into living room •new specialty closet in dining room w/sliding doors 10 1-:IE 48 91/8 •new wiring/plumbing as per layout Tii��e a •new the floor j f- '� 154 11116" •install all new fixtures,cabinet tile,hard �. ware A 4Y E.BRITTONi CKD LYING ROOM •Subzero to remain In place Desig Ps"MA02632 CeNEed NlertDer NMA ALL DIMENSIONS AND SIZE "°PaOveD er DESIGN PLANS ARE PROVIDED POR THE SCALE: DATE: F2TISAN ITCHENS INC. Begg FAIR USEDYTHECLIENTOR N[S AGENT. DESIGNATIONS TO GIVEN ARE 1 l" e�, SUBJECT TO VERIFICATION ON � J l'i A 36IRMSREMAIN THE FUSE O REUSE 1N FIRM AND CAN NOT eE USED OR REUSED NANONM, JOB SITE AND ADJUSTMENT 2/5/2019 „ 1 937A Main Street Os YVIlle,MA 02655 508-428-8828 Ce +ITMW*PERMISSION. KITCHEN-BATH TO FIT SUE CONDITIONS. ASS(N;IA11ON Aban NOT TO SCALE ld30 JRIICI�!lf�8 ZZ-ar- 'm ax . I 1 ELEVATION A ELEVATION B ❑PP❑ aim Re MEMER NERRee 00waO D 12 Sib' 0 515 N :D o o c 0 o double boo k Z pulloutE 11 c case trash Q ELEVATION G ELEVATION E book PLUMBING FIXTURES case c c Whitehaven® Sensate TM door by door by Self-trimming Apron Front Sink Pull-Down Kitchen Sink Faucet owner owner K-5827 K-72218 ELEVATION D o cooktop cabinet 0 o mcro � t book � drawer dg` r _ case )� —he 6ped,Qv For: Cert�E�'Uambar —ED Er: �7�. DESIGN DUNS ARE PROVIDED FOR THE ALL DIMENSIONS AND SIZE SCALE: DATE: �RTISAN 6 ITCHENS INC. ee36 Moon Residence FAx0.VSERYTNECLIENTDRT(OFTNT. 113ECT OVERTIONS GIVEN ARE PUNS REMAIN THE PROPERTY OP TNxE SUB3ER TO VERIFICATION ON A 36 Moon Penny Lane FIRM AND CAN NOT BE USED OR REUSED 308 SITE AND A03USTMENT 937A Main Street Osterville,MA 02655 508-428-8828 WITHOUTPERMxSMON. NACOHENALN+ TO FIT SITE CONDITIONS. Centerville,MA 02632 KICMEN*ION ASSOCIATION Vox®Round MASTER BATH REMODEL MASTER BATH Above-counter Bathroom Sink •demo entire bath K-14E00 •leave existing 1/2 wall,reconfigure shower •save existing tall white cabinetry units r •new 1/2 wall,new seat •change hinged door to sliding barn door 90 DEGREE- 90 DEGREE" _ •new tile throughout(+underlayment) Single PunrnoRHB Hower Single-Handle Vessel Lavatory Faucet with •Install all new fixtures,cabinetry,tile,hardware Function Bar CABINETRY&COUNTERTOPS 1403/8° _ •5howplace'Chesapeake 275' 57 Tl16" 27 1/4- •full overlay,frameless w/legs and shelves •Red Oak,stain color:'Autumn' •countertop,bench etc:remnant c m 17 7/3" shelf 'I l El. I t l � � 611/4" � ILlexisting exlsdng ry re-using re-using r° I o 1-0 m i 00010 _op0•o 000•o I �' r o.80°a,.89°009 c,0, oQ0Do 0$ tl0o OoO° Oo °00F OQO D 00•0 000.0 0 _ °8°OD 10.o8°p0 0 0�00°0 0 00 m o 0 to Og oo O oo Od t o o°a�o°o o• J 0*9 c,°o •aOO.O ,000•0 p p 43" 4 1lT 4 ELEVATION A 15" 52 3l4" i5 3/4°26 5/161, 34 9eeprc°EepatlePv For: CerllEetl Mem09r H7/A�� ALL DIMENSIONS AND SIZE FmovE9 BT: DESIGN PLANS An PROVIDED FOR THE • V �J7 SCALE: DATE: RTISAN ITGHENS INC. Beg_-Whitman Residence FAIR USE BY THE CLIENT OR MIS ACBNT. DESIGNATIONS GIVEN ARE c o 0 oO�fO 36 Moon Penn Lane PUNS RE CAIN THE PROPERTY OP THIS SUBJECT TO VERIFICATION ON 937AMainStreet Osterville,MA 02655 SOS-420OVGV Y FIRMANOGANNOTBEUSEDORREUSED NATIONAL JOB SITE AND ADJUSTMENT r 2/S/201q Centerville,MA 02632 WITHOUT PERMISSION. KITCHEN+BATH TO FIT SITE CONDITIONS. ASSOCIATION Boise cascade Double 1-3/4" x 5" VERSA-LAM®2.0 3100 SP* PASSED FB01 (Floor Beam) BC CALC®Member Report Dry 11 span,I No cant. March 21,2019 12:54:11 Build 7133 Job name: Begg-Whitman Residence File name Address: 36 Moon Penny Lane Description: City, State,Zip: Centerville, MA,02632 Specifier: Customer: Mark Grant Designer: Kevin Lonkart Code reports: ESR-1040 Company: Mid Cape Home Centers 1 1 1 1 1 t " i 12-00-00 B1 B2 Total Horizontal Product Length=12-07-00 Reaction Summary (Down / Uplift) (Ibs) . Bearing Live Dead Snow Wind Roof Live B 1, 3-1/2" 535/0 B2, 3-1/2" 535/0 Load Summary Live Dead snow Wind Roof Tributary } Live Tag Description Load Type Ref. Start End Loc. 100% 90% 115% 160% 125%. 0 Self-Weight Unf. Lin.(lb/ft) L 00-00-00 12-07-00 Top 5 00-00-00 1 Gable Wall Load Unf. Lin. (Ib/ft) L 00-00-00 12-07-00 Top 80 n\a Controls Summary Value %Allowable Duration Case Location Pos. Moment 1563 ft-Ibs 41.9% 90% 0 06-03-08 End Shear 475 Ibs 15.9% 90% 0 00-08-08 ` Total Load Deflection L/256(0.568") 93.7% n\a 0 06-03-08 Max Defl. 0.568" 56.8% n\a 0 06-03-08 Span/Depth 29.1 %Allow %Allow Bearing Supports Dim.(LxW) Value Support Member Material B1 Column 3-1/2"x 3-1/2 535 Ibs n\a 5.8% Unspecified B2 Column 3-1/2"x 3-1/2" 535 Ibs n\a 5.8% Unspecified Notes Design meets Code minimum (L/240)Total load deflection criteria. Design meets arbitrary(1")Maximum Total load deflection criteria. Calculations assume member is fully braced. Cut from: 1-3/4"x 5-1/2"VERSA-LAM®2.0 3100 SP BC CALC®analysis is based on IBC 2009. ,Design based on Dry Service Condition. Member has no side loads. Connection Diagram: Full Length of Member •.I b �--d a c Page 1 of 2 Boise Cascade Double 1-3/4" x 5" VERSA-LAM®2.0 3100 SP* PASSED FB01 (Floor Beam) BC CALC®Member Report Dry 11 span No cant. March 21,2019 12:54:11 Build 7133 Job name: Begg-Whitman Residence 'File name: Address: 36 Moon Penny Lane Description: City, State,Zip: Centerville, MA,02632 Specifier: Customer: Mark Grant Designer: -Kevin Lonkart Code reports: ESR-1040 Company: Mid Cape Home Centers Connection Diagram: Full Length of Member a minimum=2" c= 1" b minimum=3" d=24" Member has no side loads. Connectors are: 3-1/4 in. Pneumatic Gun Nails 5 Disclosure Use of the Boise Cascade Software is subject to the terms of the End User License Agreement(EULA). Completeness and accuracy of input must be reviewed and verified by a qualified engineer or other appropriate expert to assure its adequacy,prior to anyone relying on such output as evidence of suitability for a particular application.The output here is based on building code-accepted design properties and analysis methods. Installation of Boise Cascade engineered wood products must be in accordance with current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions,please call(800)232-0788 before installation. BC CALC®,BC FRAMER®,AJSTM, ALLJOIST®,BC RIM BOARD-,BCI®, BOISE GLULAMTM,BC FloorValueO, VERSA-LAM®,VERSA-RIM PLUS@, Page 2 of 2 f Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Constri�:ti'br�SiSpjrvisor CS-063172 FLA E' ires: 09/21/2019 MARK D GRANT PO BOX 8/39 PLEASANT;ST EAST DENNIS MA 026�41,' 'r Commissioner C4 'A Office of Consumer Affairs and Business Regulation One Ashburton Place - Suite 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration t Type: Individual Zl = Registration: 129461 MARK D.GRANT iflz i-- Wt P.O.BOX 8 ; �� Expiration: 09/24/2019 E.DENNIS,MA 0264111 i Update Address and Return Card. SCA 1 0 2OM-05/17 e �r�rrrza�racu�l�a ✓f�aysa�u�e�fs Office of Consumer Affairs&Business Regulation' HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE;Individual before the expiration date. If found return to: Re i stration Expiration Office of Consumer Affairs and Business Regulation =129461- 09/24/2019 10 Park Plaza:Suite 5170 i'= 1ff MARK D.GRA Boston,MA 02116 NT=F'� E U MARK D.GRANT 39 PLEASANT ST k 1, E.DENNIS,MA 02641 Undersecretary ' Not valid without signature i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Eleadcians/Plumbers Applicant Information Please Print Lemoibly Name(Business/Organization/Individual): PC _- &C1 Address: e 6X A City/State/Zip: 1::5-c 9 Phone# 7•v ZJ CUB, Are y an employer?Check the appropriate bog: T project 4. I am a general contractor and I �e of ect p J (required): 1. I am a employer with- g 6. Zodeling 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. ship and have no employees These sub-contractors have g. 0Demolition 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.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees.[No workers' 13.❑Other comp.insurance required.] *Airy applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their worker:'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: A Policy#or Self-ins.Lie.#: VIJ 66- (Y6 xp E cation Date:. (4//6 Iti Job Site Address: 1"lQ® i 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 c nder the airs and a aloes of er'Ur that the information provided e' true and correct Signafore: Date: Phone#: 737 .!rQ 60ro Official use only. Do not write in this area,to be completed by city or town official City or Town: PermitlLicense# 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•Afficials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington.Street Boston,MA 02111 Tel.#617-727-49M ext 406 or 1-877-MASSAM Revised 4-24-07 Fax#617-727-7749 www,mass.govidia Town of Barnstable Building Department Services Brian Florence,CBO ! 1 E 639. Building Commissioner 200 Main Street,.Hyannis,.MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using, A Builder I M94' ,as Owner of the subject property hereby authorize LA Cl�� �(CA.��l to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of J **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. x 480in "t rnun Si a e of Owner Signature of Applicant Prin Name Print Name. ®t"l a OL 9 Date Q:FORMS:OWNERPERMISSIONPOOLS Rev:08/16/17 GRANT-1 CERTIFICA E OF LIABILITY INSURANCE D 021211201 YY, ��— OZl21I2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFO MATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIR ATIVELY OR NEGAT VELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES OT CONSTITUTE A.CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCE ,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate hol or Is an ADDITIONAL INSURED,the policy(ios)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,eu Oct to the terms and onditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer ri is to the certificate ho der in lieu of such endorsements. PRODUCER 508-385-2 0 07 E.J.McGrath Insurance Agency Edward J.McGrath Insurance PHONE50 -385-2454 Fax 508-385-5991 P.O.Box 1003 AIC,No Ext: A/C,No: - Dennis,MA 02638 E.J.McGrath Insurance Agency INSURERS AFFORDING COVERAGE NAIC to INSURaa-:Western World Insurance Co 131961 INSUR - INsu1RB:AIM Mutual Insuranco Company Mark D Grant Ruality Construction INSUR�g c POBoXB E Dennis,MA 02641 INSURER D: INSURER E. , INSURER F: COVER IFICA E MB REVI 1 THIS IS TO CERTIFY THAT THE:POLI IES OF INSURANCE LI TED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING AN REQUIREMENT, TERIV OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR A AY PERTAIN, THE INSL RANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF S1 JGH POLICIES.LIMITS St OWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR IJR TYPE OF INSURANCE AD93L 5UI3 POLICY NUMBER POLICY EFF POLI P LIMITS ' A X COMMERCIAL GENERAL LIABILITY _ EACH OCCU E, g 1,000,000 CLAIMS-MADE OCCUR NPP847 126 11107I2018 11/07/2019 DAMAGE O eNTED $0,000 �o 5,000. ly)FD EXP fMv one pereonl S PERS00 2 &ADV INJURY S -. ,000,000 GENLAGGRE ATE LIMITAPPUES PER: GENERALAGGR• ,000,000 POLICY J Cf IOC PRODUCT$-COMP/ A , 7,000,000 OTHER: COMBINED SINGLE LIMrr AUTOMOBILE LIAR WTY ANY AUTO BODIIx INJURY fPef waon) 8 OWNED SCHEDULE AUTOS ONLY AUUTNO.$ - 130DILYINJURY Pere AUTOS ONi �oup, AMAGE MOPS ONLY $ UMBRELLA LIAB OCCUR EACH OC RRENCE S EXCESS LIAR CLAIMS-1 ADE AGGREGATE DED RETENTION S B WORKERS DOMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY N C60 7067012018 04/16/2018 04/1612019 r� 100,000 ANYPROPRIErOR/PARTNC111 XECUTIVE E-LEACH, nPNT S 0�ICERlM%M EXCLUDED? Y N/A 100,000 IMgndatory E.L.DISEASE-E LOYEE II yee describe tmder 600,000 DE FOPERATIONSbelow E.L.DISEASE-PO DESCRIPTION OF OPERATIONS I LOCATIONS I EHICLES (ACORD 101,AddItI nal Remarks Schodulo,may Be eltaehed If more spaeo is roqulrcd) CERTIFICATE HOLDER._ CA BARNT01 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. Attn:Building Dept 200 Main Street AUTHORMED REPRESENTATIVE Hyannis, MA 02601 E.J. McGrath Insurance Agency ACORD 25(2016/03) (D1988-2016 ACORD CORPORATION, All rights rase The ACORD name and logo are registered marks of ACORD T/T=e&2d 0EZ906L805T:01 T66999£909 e:)u12.1nsulu}a.zc03yjrg:wo z3 8'v:9T 6TOZ-TZ- J.zL ...... C Application Number .. s ; * 1 , MA88. Permit Fee..........................:............Other Fes.................:...... TotalFee Paid....................................................................... a Q N TOWN OF BARNSTABLE ' P=aftAp wal ............. BUILDING PERAM Aa .per. 1viaQ........ ............ ....00Z............... APPLICATION L Section I- Owner's Information and Project Location Project Address_; b image (C.e�cat t 1 - OwnersName mein Jon �1�/ 1 man Owners Le al Address g -- City State � Zip 0��3'2 m Owners Cell# `,n Li 4 ke) cl�7 E-mail 2 C©rncC;LJS\, (1 l Section 2—Use of Structure Use Group ❑ Commercial Structure overr35 0000B cubic feet ❑ Commercial Structure under 000 cubic feet '�IV�� 1018 ❑ Single/Two Family Dellmg A ry Section 3 —Type of Permit eril 6 fABLE ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alam1 Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify Section 4-Work Description --Ft-- Cl ri Q 2 o-r r fN CZ 0 T Act nndatru_7192019 Application Number.................................................... l Section 5—Detail Cost of Proposed Construction Square Footage of Project Age of Structure F Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design . i Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors Plumbing Gas -❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal "❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway 3 Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last undated 19/2018 i Application Number........................................... Section 9—Construction Supervisor Name Telephone Number Address City State zip License Number License Type Expiration Date Contractors Email Cell# I understand my responsibilities under the rules and regulations for Licensed Construction`Supervisor in accordance �P with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date Section-10—Home ImprovementContractor Name Telephone Number �- Address City State zip Registration Number Expiration Date f I understand my responsibilities under the rules.and regulations.for Home Improvement Contractors in accordance with.780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation.required by 780 CMR and the Town of Barnstable.Attach a copy of your EUC... Signature Date Section 11-Home Owners License Exemption a s Home Owners Name: c)o a Teleph ne umber--- y 1 ,�ffiCell or Work Number I understand my responsubulities under the rules and regulations for Licensed Constluction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation I b 780 CMR and the Town of Barnstable. Signature 2. Date - c) •l APPLICANT SIGNATURE Signature _ Date -((�- - Wl��t rn� Print N � �e�Cj Telephone Number E-mail permit to: �� o�C \113 Section 12—Department Sign-Offs Health Department © Zoning Board(if required) ❑ Historic District ❑ Site Plan Review Cif M;Ored) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire department for approval 1 Section 13—Owner's Authorization L , as Owner of the-subject property hereby authorize to act on my behalf j in all matters relative to work authorized by this building permit application for: . (Address of job) i Signature of Owner date Print Name i i Last wdatea:2/9/2018 i -- 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): YV t(�' k Cyrvc ' Address: 36 V.ten n �a City/State/Zip:.C_ _2e V �`R_ Phone#: '�7�-► ' `-1 Frlt ��1�3 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 5 El 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 I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions U myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.❑Other 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-contractor;and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: . Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce ' under thepains andpenalties ofperjury that the information provided above is true and correct. afore:Si Ct�l Date: 1 FS t Phone#: `� cl 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-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to cant'workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.mass.gov/dia f TOWN OF BARNSTABLE PERMIT CHECKLIST M� Sign off hours for Health and Cnnservatia : are -9s30 a. . and 3 30-4:30 p A complete permit application includes section Q 3 1. NEW STRUCTURES/REMODELING/RENOVATION/ADDITI Site Plan showing setbacks of proposed and existing structures ❑ Commercial—One complete set of full sized plans one reduced 11"x17"(plans may require a stamp by an architect or engineer). ❑ Residential - 5 Sets of floor plans no larger than 11"x 17" smoke/co detectors marked ❑ Worker's Comp. Affidavit and policy(if required) ❑ Res Check or COM check from the 2015 International Energy Cod Council (IECC) ❑Letter of financial Interest for new houses only(not required for rebuild after teardown) ❑ Performance bond made out for$4.00/foot of road frontage(new construction only) 2. DEMOLTION OF A BUILDING (NOT PARITIAL) ❑ Everything above plus shut off letters from following utility companies: ❑ Gas ❑ Electrical ❑ Water ❑ Sewer(if required) 3. DECKS/PORCHES/GAZEEBOS/INSULATION/SOLAR/POOLS/SHEDS ❑ Site Plan showing proposed location ❑ Construction plans showing framing detail (if new framing), Pools—Barrier details,pool specs (engineers design) ❑ Workman's Comp Affidavit and policy (if required) FAMILY APARTMENTS ❑ Section 1 Plus: ❑ Family Apartments are subject to approval from the Building Commissioner. Agreement must be signed, notarized and recorded at the Registry of Deeds and returned to the Building Department. i Bldg. Dept. S�P�Opo' 200 Main St. Hyannis, Ma.02601 Al. 7 Z PRTNEY BOWES 02 1 A $ 00.390 0004606238 JUL25 2006 MAILED FROM ZIPCODE 02601 I Jon Whitman 112 Emerson Way Centerville, MA 02632 X 02.9 N0 X 405 1 00 07/ 3:/06 i FORWARD TIME. EXP RTN TO SEND 36 ITMAN MOON PENNY L.N CEN"f ERV:IL.L.E MA 0 6-32-.2311 RETURN. TO SENDER _ _\ _ - `' i � �� �` -.\ i i' � �� i-" �.�,,. I .. - s �'\ ..� f,,, // \! / i f f i i i� � i j 3 j F � i � j j i j j ; - € �j 3 \ ` //f � i. a pFTHE loq, Town of Barnstable O Regulatory Services BARN STABLE' ' Thomas F. Geiler,Director MASS. A i6gp. ,�� rFDMp`lA Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 July 24, 2006 - --Jon-Whitman - 112 Emerson Way Centerville, MA 02632 RE: 112 Emerson Way, Centerville, MA, Map: 189 Parcel: 107 Dear Mr. Whitman: This letter shall serve as notice that a stop work order has been issued on the above referenced address. It has come to the attention of this office that construction has taken place without the benefit of a building permit. You must obtain a building permit for the work being done. This must be done by August 7, 2006 to avoid further action by this office. Thank you for your anticipated cooperation in this matter. You may contact me at (508)862-4034 with any questions. By Order, Are . Lauzon Local Inspector k Q:zoning5 ~ ' . Ais-essor's map and. TEM MUST SEPTI� HE PLIA INSTALLED IN com MAGIL TMIVN TOWN OF BARNSTABLE ' . . BUILDING N �� ������������ �� 0N0N-N0N ���� N �����= ��0mNNN�� - . �� - � - �� . ����� ��� Mr. APPLICATIONPERMIT[ --�'��*j.3�P�.u[:r ��UJt -.~J ��.��./uJ _ .��_____.__�. . . .����. �___. �- /. �' TYPE OF --..�z'L,4��E��_��+�.LL'_.________._________...______.�.��. . , ^ / ' . ) --.�����---..��.�-.---l9����� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for o ponnh according to ,the following information: �� /�-- Location ---���^-..�'�.�}����^G�&J�/.��.. ��-. - LL�^-----..--------------..--.. Proposed Use ..... .Ey�. .��.�____.'___`_____..______________________^________. �� Zoning District -'��.���------------------..Fins District ..... .............................................................. None of Owner � 8��-�..��.. -------�A66,ex � ��� .�� ..��»�-f. NLL�� � � . Nome of Builder 'Ho�C.N�^2�L' � ------�A66,es 'AJ.A./�..��.^�.1.10-S\�'.. -���.I- ---. � Nome of Architect ...........................................................:......Address --_------------------------- Nunnber of Rooms ----------------------Foun6otion -------------------------- Exlerior ----------------------------Roofing ............................................... ` Floors ----------------------------'|nte,icv -------------_-.-.---__-_____ . . Heating -----------_---------------^Mum6ing ----..�----------------.�_-___. � . . � Fireplace -------------'.-------------.App,oximote Cost ��4 0......................................... /�� ^�9� Defn�veF1on by Planning 800n6 - l9'---'' Area -.1�!'������..-'.--. 00 . Diagram of Lot and Building with Dimensions Fee .............................................. SUBJECT TO APPROVAL Of BOARD OF HEALTH � � � -To E�:\jwQp,16_ 3E-r1SACsS-. r � OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the own of Barnstable regarding the above | U � V Nome �- K � -.-.--.-~.....- ...-..�---------... � j ~ Construction Supervisor's License ... M+11 =---- 41. BUR-KE, JADES M. 28031 Swirm-Ling Pool NO ................. Permit for ...... Accessory to Dwelling ............................................................................... Location ...3.6..kboapenay.zane....................... .................... .................................. Owner ...Jams..M...Burke................................ Type of Construction .....Fmanv........................... ................................................................................ Plot ............ ............... Lot ................................ June 14,Permit Granted 85 ........................................19 Date of Inspection .....................................19 .Date Completed .........................Z.�..19,9 WITH STEP ASSEMBLY 4' 6' =e 6' 6 4' �- -- B -- ---.{ r----- A 4- K 6 NOTE: TYPE 1 - - i Ia'x ze' I POOL INSTALLATION 4 OF DIVING EQUIPMENT IS PROHIBITED. 8'STEP 67 'PANELS 2 4 7-6'PANELS 4-CORNERS �E—�' _N --_�.—ML �. g —H a-6 4 QUICK-LOK '76 BRACES POOL DIMENSIONS 4' 6' 6' 6' 4- NOTE: NOTE: - r A B 1 E 1 0 N J N L M N I GALLONS I-8'STEP INSTALLATION ALL CORNERS ARE 6"RADIUS EVERY JOINT USES A BRACE. 16 X 32 16 0 32 6 O 8 6" 4'6' 7 O 4' e O 4 5'6' 13 6 I6 t 74 ALL CORNER SECTIONS ARE I'eY 1'. IB X 36 18.0 36'0 12'6 46 9'0 3.4" 8'0 7-6 S'6" 13'6" 20 499 20X 40 20'0 400 14'0 60 8'O 34' 8 6" 40 7'O 15'O 25 334 14 X 29 14' 28' a' 4'6" 5' 3.4" 7- 4' a' 12' 13 284 18 X360VAL 180 36'0 II'D 4'6" WO 3'4" 8'0 4'6" 7'6' 130 12815 WITH STEP ASSEMBLY 6' 6' 6' 6' 6' 22X400VAL 22'0 40.0 13.0 3 0 12.0 3.4" 8.0 3 O 8'O 14'O 27.706 1B ROUND - IB'O - - - 3'4" - 7 - 6.679 22 ROUND - 220 3'4' - 4' 4• 18X2B OVAL 18'0 28'0 - - 34" 10035 8' STEP 0 16'X 32' 6, 12-6'PANELS 4 4-4'PANELS 4-CORNERS 2V-QiIICK-LOK'76 BRACES i NOTE: 6 8 6' 6' I- INSTALLATION - 2-3'3'FILLFILL ER PANELS B �'--A +� WITH STEP ASSEMBLY 6' fi 6 6' 6- 4 J 4 6 T K 6' 16'X 36' e'STEP 4' a' 6' 6• 14-6'PANELS 4' 4-4'PANELS 4-CORNERS 14'x 28' Wedge Dimensions 22-QUICK-LOK'76 BRACES PpK Mq�, A B G H J K L N p\;;�atsrry.:n, 6' 6' 6 6' 6' 4 �'•'� NOTE. 14r 28 2-6' 9 3-4" 6r 2r-6 25-fi I-8'STEP INSTALLATION t Me.45D5 j NOTE. ' ti't'Ot"M�/\tom INSTALLATION OF DIVING JfyONA`L�4 EQUIPMENT is PROHIBITED WITH STEP ASSEMBLY 4' 6' 6' 6' 6' 6' 4 ---- �J - y' �7 DESCRIPTION -- _ s' 6' 6- Rectangular pools MATERIAL—STRUCTURAL FOAM MOLDED jP VYAYNSCALE Noted DATE 1/29/80B.STEP 6' 20'X 40' 6 THIS BROCHURE IS FOR ILLUSTRATIVE PURPOSES ONLY. - 00 LS The manufacturer,Fort Wayne Pools.Inc..makes only those represen- rations which are stated in its'written warranty,Any other representations. - 6 statements.a contracts made by the dealer and/or the contractor to the 5' - 6 I6-6'PANELS customer regarding any materials produced by the manufacturer are ---- 4-4'PANELS attributable to the dealer and/or the contractor only.The dealer or contractor PIONEERSOF— ' 4-CORNERS whosellsor installsyour poolisan independent contractor endnotanagent NON-CORROSIVE POOLS AND STAIRS. 24-GUICK-LOK 76 BRACES or empbyea of Fort Wayne Pools.Inc.The construction methods illustrated HOME OFFICE J NOTE: 4' 6' fi 6' 6' 6' 4 are suggestions and apply wily to normal ground conditions.There may be 1-8'STEP INSTALLATION additional precautions and/or methods of construction.Theres sibdit s 510 Sumpter Drive 2-STILLER PANELS the contractors. Don y� Fort Wayne,Indiana46804 t SERIES OF 4 QUICK-LOX PANEL FASTENERS PANEL PIODEAD-MAN O STRUCTURAL OPTIONAL: WALL PANEL STRUCTURAL f CORNER PANEL STANDARD./4'AND 6'LENGTHS � ®� BRACE 7, �—ADJUSTMENT PIN 1 � FRONT T --REAR LEVELING STAKE ' LEVELING STAKE SERIES OF 4 ' SERRATED WEDGES FILTER_,, PUMP _.�J 1 SKIMMER-SUCTION L INLET 1 RETURN'_ - 1 2-IS GENERAL NOTES: I 4°CONCRETE DECK 1.ALL VERTICAL DIMENSIONS ARE FROM LINER REINFORCED W/6X610/IOW.W.F. EXTRUSION ON ALL POOLS. ALUM.COPING 2.UNLESS OTHERWISE NOTED ALL POOLS ARE N.S.PI.TYPE II AND TYPE31 EQUIPMENT IS TO BE USED.TYPETZ DIVING EQUIPMENT TO BE MOUNT- EO NO MORE THAN 2 ABOVE WATER 8 TIP OF r NOTES ,I BOARD SHALL BE 3Q pK M 3"FROM DEEP END WALL. 4 I.FILTRATION EQUIPMENT WILL VARY WITH POOL SIZE. /P•• '7 BACK BRACE 2.QUANTITIES B LOCATION OF INLETS AND SKIMMERS C+t;•�Wsrrq`^EXCAVATION NOTES: r`S MAY VARY IN SPECIFIC INSTALLATIONS 1'i° ya'"v•, 42"X6'84' g I'' BANK RUN,GRAVEL OR 3USE OF AMAIN DRAIN (NOT ILLUSTRATED) IS RECOMMENDED ! ND•4505 j LSOIL TO HAVE MINIMUM BEARING CAPACITYOF PANEL —fILL SAND ON ALL POOLS THIS IS AN ITEM AVAILABLE AT EXTRA COST. :4 ` 2000 P S.F. I /. p4 oTArr w I:a•a/. t •t.. ,SURROUNDIING LA D OF OELEVATION.L AT I ABOVE fig ° UNDISTURBED �dJ f•.......• 6 .EXCAVATION SMALL BE 2'LARGER THAN POOL � EARTH ALL AROUND,FILL VOIDS UNDER BASE OF I �� USE NO EXPANSIVE PANELS STAMP WELL. ° MATERIALS FOR 4,BACKFILL SHOULD NOT EXCEED WATER VINYL LINER BACKFILL HEIGHT BY MORE THAN 12�WATER LEVEL r SHOULD NOT EXCEED HEIGHT OF TAMPED A BACKFILL BY MORE THAN 12". 2"VERMICULITE OR ` r;,� ,-;•; �.,--3/8"REB R OPTIONAL-Only Required in Certoln Stotes .f - Y- 17 S.BACKFILL.TO BE SAND GRAVEL OR OTHER SAND CONCRETE NON-E%PANSIVE MATERIAL. _ `� )f 7, I TOOTER DESCRIPTION _ 6^DevrHMIN. Rectangular pools — - /FOR 3/8"REBAR MATERIAL—STRUCTURAL FOAM MOLDED WAYN E. _ NOTE:USE 3-3/8"REBARS @ SCALE ' DATE 9"OC CONTINUOUS AROUND Noted 1:29/80 ��O■` - INSTALLATION NOTES: PERIMETER IN BOND BEAM —_ 1.BACKFILL WITH SAND,GRAVEL OR SIMILAR NON-EXPANSIVE MATERIAL-INSTALLED THIS BROCHURE iS FOR ILLUSTRATIVE PURPOSES ONLY. _ - I IN LAYERS NOT EXCEEDING V. LAYERS TO BE MOISTENED a TAMPED TO The manufacturer. Fort Wayne Pools. Inc. makes only those represe:t ELIMINATE VOIDS. tations which are stated In Is'written warranty Any other representations. 2.FILL POOL WITH WATER DURING BACKFILLING. WATER LEVEL SHALL NOT DIFFER statements.or con'raels made by the dealer and of the contractor to the -— - _ FROM BACKFILL LEVEL BY MORE THAN ONE FOOT. customer regarding any materials produced by the manufacturer are ------ .-.-. .— 3.FINISHEO GRADE SHALL SLOPE AWAY FROM COPING AT A RATE NOT LESS THAN - aunbmable to the dealer and:or the contractor only The dealer or contractor PIONEERS OF ONE INCH PER SIX FEET. WOOD DECKS SHALL BE INSTALLED TO INSURE PROPER who sells nr installs your pool isan independent contractor and not an agent NON-CORROSIVE POOLS AND STAIRS -" DRAINAGE AWAY FROM POOL. or employee of Fort Wayne Pools,Inc The construction melhodsdlustrated HOME OFFICE 4.DURING WINTER STORAGE WATER LEVEL SHALL BE AT LEAST ONE FOOT BELOW are suggestions and apply only to normal ground conditions Tlrere may be SKIMMER a INLET LEVEL- additional precautions and.or methods of construction.The responsibdhfyrs 510 Sumpter Drive the contractors Fort Wayne.Indiana 46804 ��rjh Assessor's map and lot numbber......................4...................... �F THE Sew a Permit number SYSTEM DVS House number ............. r ,.„ asanea L ' // 9� 0 e Or 9. � LAT10�� Y TOWN OF BARN BUILDING INSPECTOR APPLICATION FOR PERMIT TO ... T AL A $, -TYPE OF CONSTRUCTION ...... .... 1�.!6� .�?9. 1. .......................................... ' ....................../!................19........ TO THE INSPECTOR OF BUILDINGS: " '`' The undersigned hereby applies for a permit -according to the following information: Location .....X ............... ... ....../4�.1.:t............ c !................. ProposedUse ..rv. ....... .........:........................................................................................................... ZoningDistrict ....Y`' .......................................................... District .................................:............................................ Name of Owner...4 !'.-..1.CI A.... .....Address .3&.....!/.'� 5��✓ �1- .e!�I/�......(ry7�UJ�I L Name of Builder.awz.s.'.....M......T ). ��y...............Address 24....Yl'd(� It�.��. .F✓ y.. .... f. .v![`G7 Nameof Architect .............� ................................................Address .................................................................................... Numberof Rooms .......1.........................................................Foundation Z� �I..VA.................................................. Exterior . .. ... ..................................Roofing ...... ..............................................:..... Floors170..............................................................................Interior .....1_`:.. ..-C ............................................ Heating ..?.4.___�,.................................................................. Plumbing ....../.......................................................................... Fireplace ..............0..............................................................Approximate Cost .....syg0p0............................... . ............. Definitive Plan Approved by Planning Board ________________________________19________ . Area .......................................... Diagram of Lot and Building with Dimensions Fee �2Z e� SUBJECT TO APPROVAL OF BOARD OF HEALTH 80 I i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of theITo� n of Barnstable regarding the above construction. Nam .. ... k...:. . . ........................ Construction Supervisor's License(Q.099.............. BURKE, PATRICIA J. 211 -,pdd to d elling'ellin,, No ................'+ermit for ............................ ........ ............:..........(...garage).............................. ......... ........... .... .. . .... .. ........ .... ..Location ..............36..Moon Penny .La e........... Centerville . ............................................................................... Owner ........ Patricia J. Burke ............... • Type of Construction ......................frame.................... ................................................................................ Plot ............................ Lot ..................... ............ July 9 85 Permit Granted ............................... .........19 Date of Inspection ....................................1 9 Date Completed ......... ............1 1f' � �� Y�Y � � r Cz M 41 C ell