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0038 PRINCE HINCKLEY ROAD
g Prince iIle a a a o a o v o s Town of Barnstable *Permit# — -2107o 'b Expires 6 mom hs from issue date apartment Services kee , �,,B�, ; 44 an Florence,CBO s �� a Building Commissioner AUGzgl°200 Main Street,Hyannis,MA 02601 r0INN 'J 6A H ITS-[ S 1 An.bnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY `/► ��� Not Valid without Red X-Press Imprint Map/parcel Number / / Property Address �/L: —�� ,:•c K�.p./ 'r� _ c�...�1-� Residential Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address ,►hP - 3 Y azlj& Z Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) IL4 I T11 Email: by C �`0 QC cad c Construction Supervisor's License#(if applicable) ,/'y5::Z ❑Workman's Compensation Insurance Check one: JK I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ' ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: '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. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Q:\WPFILESTORMSUilding permit forms\EXPRESS.doc 08/16/17 i Town of Barnstable Building Department Services VAMBrian Florence, CBO 5�` 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 o�EPRJ Qk ee JJ ,as Owner of the subject property hereby authorize /lam berzJ— to act on my behalf, in all matters relative to work authorized by this building permit application for: S (A A.0 CVPFrVVA&-q (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. S' a of Owner S' azure of Applicant Print Name P t Name Date Q : 0PJAS:OWNERPERMISSIONPOOI S Rev:08/16/17 Town of Barnstable Building Department Services Brian Florence,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 BAWOMEM KAM www.town.barnstable.ma.us �1639. Fp Mf8 Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EREMPTIO Please Print DATE: JOB LOCATION: number street � village "HOMEOWNER": name home phone# work phone# CURRENT MAnJNG ADDRESS: cityhown stwx zip code The current exemption for"homeowners"was extended�t include owne%occupied dwellings'of six units or less and to allow homeowners to engage an individual for hire who does not possess a lid'ense,provided that the owner acts as supervisor. DON OF OMEOWNER. t i.. Person(s)who owns a parcel of]and on which he/she resi MMor intends to reside,on,which,there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to`such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be resDonsi6ldfor all such work performed under the building ermit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for comp ' with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understan the Town-f Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply wi said proced s and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,00 cubic feet or larger will be r d to comply with the State Building Code Section 127.0 Construction Control. 1, H,MEOWNER'S EXEMPTION The Code states that: "Any homeowner,Performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemptiuon are unaware that they are assuming the responsibilities,of a supervisor (see Appendix Q,Rules&Regulations for Lice sing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when a homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it wo d with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. , To ensure that the homeowner is fully aware of his/her responsibilities,many' communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q.\WPFUM\FORMS\building permit forms\EXPRESS.doc 08/16/17 27m Coln mormeal*oif-Massaclrrusdts Office-Of rMw-srigadem 3�,epr�l�ent af�rr�rfstriatl�cricierr#� 600 WasIdugion Street Boston,AM 02111 wnnumasngapldia Warners' Caffipens3fianI mmni ceA avit:BuffdenICantractm-Mecfd Lane hmibers AppUcaut Tnfia=ti= Please hint Legibly c �ityf Patel ig Phoat: if z t) Are you an employer?Checkthe appropriate boo~ ' Type of project(ruldmfl : L❑ I am a 1 wit 4 ❑I am a general contractor and I ❑ 7am on o"ees(��dfor part-ime * Lweluredt ie sur-contactom 6. ]dery dehngt i2. a sale proprietor orpartner- Tilted oaths ached sheetI- ❑Remod.ae�,"gand have no amployeet: These sah-coadractors hone &,❑Demolifibm waaldag for.nae in any capacity. employees mdhace wodmn' 9. ❑Building additionLNO ors' comp.iasusance camp.insu ante l required j 5. ❑ We are a cmporafion and its 10❑Ek#dcal repairs or additions 311 FamabomeormerdoingallWWk officers haveexexdsedtheir 1L❑M=bragrepaissaradditions. o ort per MGL L- myself[Na varo�rkers ooffig_ � Tight f ❑Roofrepairs i nsmance required-]i §i(�aadwe have as employees.[NowoA=s' 13.❑Other comp.msaunm required] ;Aay apg&c-!:a,cbedmbax�l maw slsa fiIl va�tfa±sec�oabeIax'shatdag lea ara�cexs'cs�peasafia�puycy ffamevwaea�rl90 saber dtis�iidarii i g t3wy axe doing elE�ra¢ic sad f5�briE offside Caatmcmrsnmd sahmit a mwafdavd mdicauen=CIL fCaariscCars$utchea*Rboxmffitachedanaddi6oaal shad sLoaraigflmnmaeofthesub-ca msmdsufavcte marnatftreeatitirshnte employees.If the saUtautraamhnmemplcyee%fiLeymustpim-de•thek Wadm 3 =mp-13ouu n=bm I aru art employer deaf;isprenfhhk.-markers'camp m- ydiivn hz=rarwx br my enT&n ees Mow is Atepolicy and jafi site hiforazalioa Insmance CcmpanyName: -Po-ficy-or Self-ins.I.ic.41k. F piEatioaDate: Job ate Address: Cityfstate zip: Attach 2 copy of the wart ers'compeasadonpoIky-declaration page(showing the policy number and expiration date). Failure to serum coverage as required.nnder section 25A of MGI.m 157-can lead to the imposit' of criminal penalties of a flue up to$L50D OU andfor one-gear impdsoamew,as vtrell as ciO petzalties.in the form of a STOP WORK ORDERand.a fine of up to$2QOO a dap apiast the violator. Be adtdsed that a copy of this statement-mag be forwarded to the Office of liryestigataons.of the DIA,for insurance coverage,%Mdffaation. Zafa hersby cergy udsr thapains andperuddes F drattlis atfarata€iaupravirled a3at�e ig tars and arrrect Siffiature Dater Ida �t PhD=ig: [,►,dal use oral}. Da tint mite in dts ara 4 5e cerrtpleted by city ortoi. u n,outfit City or Town: PertgitUceuse 4 Issuing A fimrity(rude one): L Board of Health r.Building Department s.CitylTown,Clerk 4.Electrical Inspector S.Plhmbh g Inspector 6.Other Contact Person: Phone#: — -- — - - 6' I - laformation and CtiQnS ,-c, �• - � . =np all rks' eosation far$lea employees- Maee3r CSe3leaal Laws cfiapi�I52 regonEs �oY�tO woer F tD fys ,au=17Ivyw is defined as":eveiY peason in.fQ.e smtvice of saothta say cow='d ofIdir, express arjMpljM4'QUd or " An.Moyer is defined as man mdiyiffiA partner,asso�afi on,corpar�ion or legal may,or ZY two or mole of the foreg, . g,d iu a Joint ,a ad inckC'rMg�e legal aepres 'of a deceased employer,or tT - to However the �v�r or of an in.chvidnal,partnership,associafiDn or otherlegal eatitY opiag e�p y ownerofa Ilmgho schavingnotmoretl�tb= arimeotsandwho therma�,ortheocc ofthe- dweIIing hDns of anDd=who employs Persons to do M. or repair work on such dwelling hose or on the pro or btaldmg app th=b sbaRnotbecanse of Ioymedbe deem.edtn be an employer'° MGL d3BptPr ISZ §25C(t7 also stems tbat¢every staff or local agency shall wrt5liold the issuance or or permit to o erate a bIIsiness or to con-sfra bmZdm gs is the COmmoryealfdl for any renewal of a lic p p applicant:wlio has tproduced acceptable evidence of comp with the insurance c iffC a subdivisions sions AdditionaIly,MGL tef 152,§25�states fiTeithcr the commorhvealth nor�y ofits poIrfical sobr&visions shall eairz into any ooatrat the pM an ofpnblio wa'dc rmtl table evidence of campliancmwi$i fie msur�ce. req enGs of this have been presentrId.fD flie anfhomty." Applicants Pleasm flI obi the woidoers'co ^ eusafion affidavit comp ,by g fie boxes t�apply to your sifnation anci,if nay,Supply nalgg). =) pjionennmber(s)alongwitlr�certffic�(s)of k=mce. Lmm=�UB]i i y Came es(LLQ or - I,iabMty Pma=ships(LIP}withno M:rplopees other than tT e members or partners,ate not to cauy warTce& eusatian inset m If an LLC or LLP does have employees,apolicyisreq*=* d. Be visedthattbis da-Y¢ma3'bambmf�dtatboDeparfmmtofIndasfrial Accidents for confnmaiinn of- covexage o be sin a to signan3 date the a�davif: The affidavit should be•reinmed to$e city or town, . -cation a permit or license is being mquestA notthe DepaximeuE of Tr eti ia1 t�scides Shonldyon have aaY m g the law or ifyon are req�ed in obtain a wotiCers' compeasationpolicY,Please can theDep �' of nnmbealis-tndbelovr. Self-ias�sedcompaniesshovIdeu rtheir self-insnr-�ce license m7mber an the e . City or Town.Ofldcials , t Please be sin a that fah affidavit is complete and - Iegilily. The Depar mrathas provided a space at file boitmn of tlse affidavit for you to fM Olt in.the event Office flnvesbgations has to coxdactyou r g the applicant. Please be s=to f M ih. ie pe[it license�nb which. be used as a=5=ce amber In addition,a I applicant cmxmt tbat must submit nniliiple pe nIWHcanse app - 'one M year,need only submit one affidavit indicating policy ftj:5rrnaffan.(if n=ssary)and uadm"J e Q ess"the applicaUt should write'sII locafions in (�Y clz town).-A copy of the affidavitt3zathasheep cially stamp ' ma�edbythe aEy°mown maybe provided to Uaz applicant as groofthat a valid affidavit is on a for fuime'p or ficeuses_ A new affidavit must be tilled oiot each year.V7h=a home owner or citizen is o - - a license or P not related to any bzJsiness or comet ercial vie a dog li= se orpmmit tD btnleaves , )saidpmson is NOT to complete this affidavit Tbzoffl eofavestigt�nnswouldiiiMto. ponMa mcefory \cooper�ianandsbovldyoubaveanY4 =• please do nothesifaiz to gam=a C�z TEe 7}ep mnt's address,iDlephone and fax ex - - Th�C Sth of l , Get C� .A-GC1��fS . -Ted.*617- -4 =t4.06w1-a MA'7Z� FaX#617 72'-7M Rovismd424-07 p W-MI g'Ct dhL 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: Registration Expiration Office of Consumer Affairs and Business Regulation 141991 03/02/2020 ROBERT WALSH P One Ashburton lace-Suite 1301 D/B/A HARBORSIDE REMODELING Boston, o2108 n ROBERT G.WALSH f 250 CAPTAIN CROSBY ROAD ' CENTERVILLE,MA 02632 Undersecretary Not valid without Signature Commonwealth of Massachusetts l' Division of Professional Licensure a Board of Building Regulations and Standards Construction' oeWisbr,1 & 2 Family CSFA-057394 E�Xplres 06/02/2021 ROBERT G WALSH P.O.BOX 713f ; f MILLS MARSTONS MA 02648 R .1tF Commissioner . '.� *"'�- -- } i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION V) s y Map Parcel Application #c241o2 6 Health Division Date Issued 1 Conservation Division � �� Application Fee zo Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board ® /o/g Historic - OKH _ Preservation/Hyannis Project Street Address 3 g f�VVC4P_ Rio'cklev Village ce w A-*rL "o 19 Owner 1 i kPtL — Address 3 1A�;WC,4 LV1 Telephone (�w t/19 — 1 a L , Permit Request P:� ta I � iaT� �,�� y1��l �C►'� L.t 1'4�k i A I PA to G rA 6JiN6 W bA Square feet: 1 st floor: existing proposed 2nd floor: existing 10 proposed 6 Total new C Zoning District Flood Plain Groundwater Overlay Project Valuation 000 °Q Construction Type r&AwD Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 6r Two Family ❑ Multi-Family(# units) Age of Existing Structure 140 Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: Vull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) !.y-ao Number of Baths: Full: existing_ new © Half: existing new Number of Bedrooms: existing Dnew Total Room Count (not inclu ing baths): existing �new First Floor Room Count Heat Type and Fuel: as ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ®'N0 Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool:Vexisting ❑ new size _ Barn: ❑ existing ❑ new size= Attached garage: 'existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: 9 C) o ZLI Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ '-Commercial ❑Yes N o If yes, site plan review# Current Use Proposed Use _ APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ?Pa e o- Lyals�, Telephone Number �, (� � Ciao-- 0 S5-0 Address -T I (nV ra bvw, - Si' License # 5: 7 3 Yk.4 MAW lid i-dS Xlkt9 . Q�a(,48 Home Improvement Contractor# l 14 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO���y�/ /INwL- SIGNATURE DATE lO�f ! /f 2— , st FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL N0. ' ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION a 'r FRAME INSULATION 4 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL .r GAS: ROUGH FINAL FINAL BUILDING .o DATE CLOSED OUT r ASSOCIATION PLAN NO. oFIKE rqy Town of Barnstable Regulatory Services BARNSTABLE, y Mass. Thomas Thomas F.Geiler,Director 1639.'Eo ti+ar a Building.Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.u.s . .r Office: 508-862-4038 Fax: .508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 4 �- I, , as Owner of the subject property hereby authorize Z ,to act on my behalf, in all matters relative to work authorized by this building permit oN , , (Address of Job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. r Si tore of Owner Si azure of Applicant em P ' t Name Print Name laZO / Date Q:F0RMS:oWNERPF-RhffSSI0NP00LS 6/2012 1 oFTHE r Town of Barnstable Regulatory Services i M • swxtasrnar,E, Thomas F.Geiler,Director 16 . .��A Building Division jFD MA'I Tom Perry,Building Commissioner -200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 - Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings.of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code,Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor:" Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner.hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt 556®2444'Vt/ 99.48 x 105.37 -� x 100.12 APN 172-. I73 15,239¢5F 99.69 x x 99.42 I . 1 9 9,91 _ GARAGE '1 x 98.35 EXESTIN! TO EXIS T INC rNV. ,E ? No. 38. a " - 1 1/2 STY. - °WD. FRtvi. BENCHMAI T.Q.F. = 100.37 ELEVA' 24 \ \ �u ��i 99.20 I VENT .99.22 x \P\0 �% \�\� SLEEVE SEWER =CP TP-1. -TP-2 EACH SIDE 0= CATCH WIN N56624440E Op PRINCE H I NCKLEY ROAD bf-rt+ / CEE 13 Prti)A, `SOWN OF BARINGIABLE 2012 OCT 2 r M 9: 01 T . I i Q'no pof� i q)((p . T. ,® L !I _ axe Pr � T any�ry000 �wP � y s Goe v ,o ig eel I V 5 mp Sew y' dowty !o" Gvwcwe' �a�..o.T�►be IKEr�, TOWN OF BARNSTABLE B 11din ug Application Ref: 200802684 • BARNSTABLE, * Issue Date: 06/20/08 Permit 9 MASS qjA 163 Applicant: LUZIETTI TIMOTHY R. rFG MAC A Permit Number: B 20081290 Proposed Use:. SINGLE FAMILY HOME Expiration Date: 12/18/08 .Location 38 PRINCE HINCKLEY.ROAD Zoning District RC Permit Type: POOL INGROUND RESIDENTIAL Map Parcel 172173 Permit Fee$ 125.00 Contractor LUZIETTI,.TIMOTHY R. Village CENTERVILLE App Fee$ 50.00 License Num 10538 Est Construction Cost$ 26,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND 11X27.6 FT INGROUND POOL WITH 6 FT WHITE VINYL FENCE AND THIS CARD MUST BE KEPT POSTED UNTIL FINAL . SELF LATCHING GATE INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: SCHMIDT, ROBERT H u STEPHANIE BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 1826 RED LION DR INSPECTION HAS BEEN MADE. STATE COLLEGE, PA 16801 Application Entered by: JL Building Permit Issued By: THIS PERMIT,CONVEYS NO RIGHT TO OCCUPYANY.STREET,ALLY OR SIDEWALK OR AN ART THE IT R TEMPORARILY OR PERMANENTLY: ENCROACHEMENTS"ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING�CODE,.MUST BE APPROVED BY-'THE JURISDICTION. STREET OR ALLY GRADES AS:WELL AS.DEPTH AND LOCATION OF PUBLIC•SEWERS;MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES.NOT RELEASE THE APPLICANTTROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3..WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5. INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. .WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED.FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). a, BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 05 d 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health / Lk TOWN OF BARNSTABLE BUILDING PERMIT_APPLICATION Map '` Parcel Application # 03 �o a Health 'Division Z- '��'� O'Z, Date Issued Conservation Division ' Application Fee Planning Dept. Permit Fee , o� d� Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis U Project Street Address 38 PR t A%iC E 01 N(Lk LE Y 20090 Village C LeuTerr V c( c--- Owner R c b e.v-:T E Address. SA M1_= F Telephone 9 i a 41 Permit Request S w r m A4, A.1 Pn^I l� ��tiL �i dC Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family, ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Are a(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 �3 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 ❑ new size _ Other: Zoning Board of Appeals Authorization 0 Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# d� Current Use Proposed Use C:J Xw APPLICANT INFORMATION us o (BUILDER OR HOMEOWNER) 'vim Name s H vai_4 y P�r1 c_ Telephone Number 7/°- N m Address 2W,5' R e W-_'1C_ .13;L. License # CS l 6 5 3 Y"?�f-st S , A1.14 0 ;L G 1 Home Improvement Contractor# 0 3 S Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO r" SIGNATURE DATE_�jA� I l FOR OFFICIAL USE ONLY A,9PLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER ' F ' '4 DATE OF INSPECTION: i FOUNDATION o►� '�� �� FRAME { INSULATION FIREPLACE j ELECTRICAL: ROUGH FINAL f PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 3 IV DATE CLOSED OUT r ASSOCIATION PLAN NO. i t ,per 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): Address: %5 (Q0,J>7 132 ►'-'� City/State/Zip: 14 Y q tOA)L S . Nf� D R�i Phone.#: 66� v"'7 7 l- y 2. � Are you an employer?Check the appropriate box: Type of project(required): I.[ I am a e to er with 4. ❑ I am a general contractor and I � Y 6. ❑New construction employees(full and/or part time).* have hired the sub-contractors 2.El am a'sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees 'These sub-contractors have g,. ❑Demolition for me in an capacity. employees and have workers' working Y P ty .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 I LE]Plumbing repairs or additions myself[No workers' comp. right of exemption per MGL 12.❑Roof repairs c. 152,§1(4),and we have no insurance 1eq�red.]t 13.%Other Sw,Mr-f t:-h Pc-& L 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. tContractors that check this box retest attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the subtontracton have eniployees,they must provide their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: 655-1/RI 6 9 Job Site Address:38 I4e1,,C.bdf_/ A�12 City/State/Zip: C-- Tens tlic flA Z(,,3 t_ Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to se'cure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip 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 ccert�ify under the pains-and penalties of perjury that the information provided above is true and correct Stgnattue"7�i p��si Dlel� Date Phone Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: 'Permit/License# Issuing Authority(circle one): , 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 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 theretoshall 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 fok the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required Be advised that this affidavit 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 (Le.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` Dq artment of Industrial Accidents V. offtce of Investigatiaus "` 600 Washington Street Boston,MA 02111 TO. #617-7274900 ext 4.06 or 1-977-MASSAFE Revised 11-22-06 Fax#617-727-7744 www.mass.gov/dia oF1HE, Town of Barnstable Regulatory Services vNAMIe�; Thomas F. Geiler,Director F16_19. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the.subject property hereby authorize" U2./�--f- "J 0a"J t-on my behalf, in all matters relative to work authorized by this building permit application for: m &AJC.,C � ^ (Address of Job) K , S na of Owner D to 4 66 Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse-side. (1•Fl1RMC•(1WNFRPFRMi.CCIf1N_ - • 4 �oF the r�� Town of Barnstable h� o� Regulatory Services swxxsTwst e, Thomas F.Geiler,Director MASS. 9, 1639• Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village . a "HOMEOWNER': name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six'units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for,all such work performed under the building permit. (Section 109.1.1), The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1..1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q. Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this,issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. i e (v �/�� j P.t-, 7-0 O r D v J d � %C�iGAS` j D r3 P c .s r/c,,-e 0 ele IS P /���!i �.0 .S n-i ✓y ,S Fiz;KJ C� d,C�t.r�' LAC 411 �6E3 trs:M h yam s.32S General-Purpose Gate Latches The new look in "gravity latches" g A HOME GATE LATCH WITH STYLE O Now there's a general-purpose gravity latch ELAWHthat's stylishly designed and key-lockable. The highly innovative.LOKK•LATCH®is a superior but affordable pedestrian gate latch.It does away with the need for chains, padlocks No and other fabrication hassles. - taus LOKK•LATCH takes an innovative approach to the gravity latch principle and combines the benefits of key-lockability and reliable latching f' action with sleek design and 100% rust-free components. M; - molded Mod em styling and the hi hest uali y g g g ri r; and stainless steel components make u Of LOKK•LATCH one of the most durable �. general-purpose gate latches available. ti~ An optional "External Access Kit" allows the .{` main latch to be operated from outside the fence (but note that locking the Push-Button ��.. does not lock the main latch inside the fence). sYSTFWl1 SYSTEM 2 SYSTEM 3 For a greater degree of privacy and security, see : the Lokk•Latch PROD. Optional Kit ► Iddal , vinyl rick I External Access Kit z. All latches can be installed to left-or ri ht-hin ed gates. Lockable Push-Button -System I is designed for metal and aluminum materials. operates latch from i -System 2 is ideal for Vinyl wood,brick and lac9 er metal posts. outside the fence. F —System 3 can be used on all materials and is more versatile due_to # ' its shorter side-fixing legs } Features Benefits •Tough,glass-reinforced polymer construction Strong& 100%rust free •Key lockable latch- No more padlocks •Stainless steel tongue Smooth, reliable latching action •Three different models Suitable for different gate materials •.Quality Assurance ISO 9001 manufacturer Limited Lifetime Warranty •Engineered for ease of installation Quick&easy to install •Optional"External Access Kit" Open latch from outside the gate AGA or 2- 2 -C1 I*,ZIBI*,BOSI ea-r-sgooer, RjjagwiA e9i : jj BO oc Pew ULIALITY GATE HINGES—MADE TO LAST ITRU•CLOSE®safety gate hinges are injection-molded PArENTED from special glass-fiber reinforced polymer materials. TENSION ;,BIND;; .,S51W.- These UV-stabilized materials provide strong,rust-free hinges that ADIUSrMENT! I"! won't bind, sag or stain!And they never require lubrication- Deppress anddcap pI The unique, spring-loaded adjustor within most TRU CLOSEr - ->• . turn infernal hinges allows quick, incremental tension adjustment using only a adjustor as screwdriver.Easy and safe! Gates of different sizes and weights required ; incur different loads, so the ability to adjust tension quickly is A,. critical, especially in child safety-areas. TRU-CLOSE°hinges come in Regular and.Heavy -_r Duty models to fit most gates and applications. "ter Features Benefits •Molded, reinforced polymer construction No rusting,binding,sagging or staining! •'Unique, patented tension adjustment Quick, easy and safe adjustment No adjustor ;y • pins required „ Internal stainless steel spring closer No need for unsightly external spring •Weather-resistant, self-lubricating materials Smooth,even closure. No lubricating. •Regular&Heavy Duty hinge ranges Models to fit all gates&applications •Alignment legs(for extra fitting strength) Models to fit all gate materials •Quality Assurance ISO 9001 manufacturer Limited Lifetime Warranty j •Tested to 50,000 cycles(Reg.), 700,000(HD) Proven to last the test of time ` TRU•CLOSE OLD-FASHIONED SYSTEM EXTERNAL SPRING MODEL DESIGN OPTIONS OPTIONAL ALIGNMENT LEGS("L2"models) "QUIK-RT"Alignment Legs for fast inslallation ' 2 LEGS (1.2) and added fitting strength.Two legs provide r secure,double-face fixing. feare Past j 9 ® Ga►e frame: r* t.� ram' �® 'AFT •'•i, '6/'��j�, ".3, f`:• PATENTED ADJUSTOR REINFORCING RIBS Depress for tension. Rises back into sleeve Molded ribs provide superior - torsional and lateral leaf to retain tension. fi strength. INTERNAL STAINLESS STEEL SPRING ' IJ STYLISH"FLAT"FINISH Provides even closing gl Textured black or white finish tension for gates. a ivesosrylish,moder — - L ti �'� L?�JL;� � (�'Er, ('r:^.0 9 nlook. 1, ��:' ,''; MOLDED HINGE BODY STRENGTH B STTLE Strong&rusi-free. Ls JJ' UV-stabilized polymers with With TRU•CLOSE•there is no need to Subtle design features such as radiused glass-fiher reinforcement. Pay for or install any other external r corners and waisting provides strength dosing mechanism.It's also safer to and an attractive design. adjust and safer for children. USA: (800)716-0888 EUROPE: +31 (0)30 280 7050 AUSTRALIA: 1800 500 203 www.ddtechglobal.com Cl aa-l—sgooec RTjagwiol a i11 80 : 0E FeW t7aJ Ct= wi . e�tuxx J 1> It,:�illllllllll' "ilp�111 ,Ili 1�1�11. :I�,II I IH Chesterfield with Lattice Chesterfield with Victorian Heights:3'8" plus 1'4"Accent Heights:4'8"plus 1'4"Accent — -- 4'8"plus 1'4"Accent Colors:White&Tan Colors:White&Tan Picket Style: 7/8"x 7"Tongue&Groove and 7/8"x i-1/2" Picket Style: 7/8"x 7"Tongue&Groo • s it w a"e' :iir :p •s•`w.�'s: ;w�- w.■;; own I■■ A■■■s■■Y■��.����w■ww■a■■■�■w at . Now `'■■■■■■0■w■■■■■w�!■■■■' S11�I:sa�ti� >s -- '.'.., Huntington Westminster Heights:4'8" plus 1'4"Accent Heights:4'8" plus 1'4"Accent Colors:White&Tan Colors:White Picket Styles.7/8"x 7"Tongue&Groove&1-1/2"Square Picket Style: 7/8"x 7"Tongue&Groove Bottom rail reinforced with steel Pr added strength and daralrility. z- � 'CI i1�80.Si eat-sgooe0 Rtjagwi.,{ eL1 : 11 80 06 Rew / N _ a LEGEND �o 16 556°2444°W Qry ® s�D fC - x 100.12 EXISTING CONTOUR a ha r9oe aDD QD i.N: _ ', m x 101.70 EXISTING SPOT GRADE TEST PIT o v��m 9O4d QAPN 72-I —w— EXISTING WATER SERVICE 15 239±51' EXISTING GAS SERVICE a ' LOCUS P h --tGw — UNDERGROUND WIRES - v x'14942 � qa �N,�.r,•vr I Q' BENCHMARK LOCUS MAP NOT TO SCALE L—IL1 49.91 ,. x 98.35 GENERAL NOTES: J UJ GARAGE. EXISTING LEACH PIT co Y TO BE PUMPED, FILLED WITH 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL 1jq 4 SSAND AND ABANDONED BOARD OF HEALTH AND THE DESIGN ENGINEER. r 'a 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS EXISTING SEPTIC TANK OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE z ^ _ '1 \}y' `• \ - INV.=96:SSt LOCAL RULES AND REGULATIONS EXCEPT AS REQUESTED BELOW: O lD —310 CMR 15.405(1)(b): �•—'. 1) A variance t the 3' maximum cover requirement, for 4' of max.x. cover. S.A..S. shall be H-20 and vented. z t. } z 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 0 INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER, 0 1 •� 1 1/2`-TN I, 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING ti BENCHMARK PATIO CORNER (n ��• t/yD,FRM ; FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN T.O.P.m I00 3T " ELEVATION = I00.0' ENGINEER BEFORE CONSTRUCTION CONTINUES. \ (A55UMED DATUM) 5• ALL ELEVATIONS BASED ON ASSUMED DATUM. 1? v 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 'A 99.20 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 24' \\ \' 9 .96 HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. VENT ��\�\\�\ , ��.,,`f 7. WATER SUPPLY PROVIDED BY.TOWN WATER SERVICE. 99.22 x ' 8. THERE ARE NO PRIVATE WELLS WITHIN 150' OF THE PROPOSED S.A.S. 1 \ 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS oa^� `� �\, AGREED DIRECTED UBYNTHE APPROVING AND AUTOHORITESOR OR AS OTHERWISE • \�\� \ �; \, 10. IT SHALL BE THE RESPONSIBILITY OF THE.CONTRACTOR TO VERIFY THE ` THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING @� i CONSTRUCTION. 6� O SLEEVE SEWER FOR 10' 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS •�6 "]' Q .• '`� - IN THE AREA BENEATH AND ON ALL SIDES OF THE S.A.S. AND REPLACE Tp_1 TP-2 n c EACH SIDEi OF CROSSING WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). 1' 12. EXISTING SEPTIC TANK SHALL BE INSPECTED FOR STUCTURAL INTEGRITY - CBATCMANNN 75.37' 1 { AT TIME OF INSTALLATION. IF FOUND TO BE DAMAGED OR STUCTURALLY (® N56°24'441! Of yqs UNSOUND, A NEW 1500 GALLON SEPTIC TANK SHALL BE INSTALLED. PETER T. � PROPOSED SEPTIC SYSTEM UPGRADE McENTEE a�0� ^� NoCI3IIL9 N 38 PRINCE HINCKLEY ROAD, CENTERVILLE, MA REC3 10 10 le Prepared for: Robert Schmidt, 1826 Red Lion Or., State College, PA 16801 \4• En 9 ineedn9 by: Surveying by: SCALE DRAWN JOB. N0. SS E EngheeTUtg))0rkw HOOD 5URVEY GROUP NITS P.T.M. 101-08 PRINCE H I NCKLEY ROAD ! / 12 West Crossfield Road 18 Route 6A J G Farestdale,MA 02644 DATE CHECKED SHEET NO. 0 Sandwich,MA 0256] 1 Q (508) 477-5313 .(508)aw-1090 1�11�08 P,T.M. 1 of 2 GENERAL DESIGN REQUIREMENTS ADDITIONAL NOTES: EQUIPMENT LIST DESIGN DIMENSIONS SHALL COMPLY WITH SPECIFICATIONS 1. POOL INSTALLATION SHALL BE BY A QUALIFIED AND LICENSED IN ANSI/NSPI 5 RESIDENTIAL INGROUND SWIMMING POOLS (APPROVED BY LOCAL BUILDING DEPARTMENT)POOL CONTRACTOR, ITEM VENDOR OTY' MODEL/PART N0, DESCRIPTION BASED ON THE POOL TYPE AND NSPI 3 PERMANENTLY PERMITSHE TS SPECIFICATIONS,CODESN SMALL ,RULES,M TO ALL INSPECTIONS,WORKMANSHIP, ETC. INSTALLED RESIDENTIAL SPAS. 1 HAYWARD MFG.CO.OR EQUAL SP-T023 INLET-RETURN 1-1/2'WHITE CYCOLAC SEE ANSI/NSPI 5 FOR DIVING WATER ENVELOPES. 2 HAYWARD MFG.CO.OR EQUAL SP-1419-C INLET-DIRECTIONAL FLOW WHITE CYCOLAC'HYDRO-STREAM'W/1/2'HGI.E SLIDES SMALL MEET THE MANUFACTURER'S INSTALLATION 2.TYPICAL PROPERTIES OF A REINFORCED FIBERGLASS POOL: REQUIREMENTS. - GEL COAT/ISO-NPO MIL Applic.6- 25 3 HYDRO AIR INDUST,OR EQUAL 10-8806-M WALL DRAIN/SUCTION FITTING 2-I/2- ENTRY/EXIT:SHALL COMPLY WITH ANSI/NSPI 5 AND NSPI 3. GLASS CONTENT BY WEIGHT 35X 4 HAYWARD MFG.CO.OR EQUAL SP-1077 OR f084 SKIMMER UDDERS,UNDERWATER SEATS,AND SWIMMOUTS(MAX.20' TENSILE STRENGTH, PSI 1673J BELOW WATER). TENSILE ELONGATION 1-2R / 5 HAYWARD MFG CO.OR EQUAL SP-607 LIGHT NICHE ASSY PVC W/1'CONDUIT CONNECTION CIRCULATION SYSTEMS,COMPONENTS AND EQUIPMENT SHALL - FLEXURAL STRENGTH, PSI 43123 6 HAYWARD MFG.CO.OR EQUAL SP-580 LIGHT ASSY 1W WATT.12 VOLT COMPLY WITH NSF 50. FLEXURAL MODULUS, PSI(%10"8) 7.37 THE MAXIMUM TURNOVER RATE IS 12 HOURS. COMPRESSIVE STRENGTH, PSI 25300 7 HAYWARD MFG.CO.OR EQUAL SP1049 AV OR 1035 AVS MAIN DRAIN ANTI-VORTEX(OPTIONAL) FILTERS SHALL HAVE AN AIR RELIEF AND PRESSURE GAGE TYPICAL THICKNESS, INCHES 1/4 8 HAYWARD MFG.CO.OR EQUAL SP-1058 HYDROSTATIC RELIEF VALVE(OPTIONAL) - PUMPS 3 HP AND LESS SHALL MEET ANSI/UL10B1,CORROSION J POOL SHELL SHALL BEAR ON UNDISTURBED SOIL, FREE OF PEAT, MUCK, RESISTANT WITH STRAINER AND MEET THE REQUIRED FLOW, OR OTHER DELETERIOUS MATERIAL OF ANY SIGNIFICANT AMOUNT. • SURFACE SKIMMERS SHALL MEET NSF 50 AND THERE SHALL •QUANTITIES SPECIFIED AT CONSTRUCTION BE ONE FOR EVERY B00 SQUARE FEET OF SURFACE AREA. 4. BACKFILL MATERIAL MUST NOT CONTAIN ROCKS OR OTHER MATERIALS THAT RETURN INLETS SHALL BE A MINIMUM OF ONE FOR EVERY COULD DAMAGE POOL WALLS. 300 SQUARE FEET. 5. POOL TURNOVER SHALL BE 12 HOURS, MAXIMUM WITH HI-RATE RAPID SAND HEATERS SHALL MEET ANSI-Z21.1B OR UL1261 OR UL559 FILTER(MIN. 18"DIAM,OR 1.75 S.F.)AND PROPERLY GROUNDED,APPROVED _ 0-60-PSI DISINFECTANT EQUIPMENT SHALL COMPLY WITH NSF 50. - PUMP(MIN.3/4 H.P.W/29 G.P.M. 60 T.D.X.) HAYWARD OR EQUAL). PRESSURE FILTER GAUCE PRESSURE TEST PIPING AT 35 PSI FOR 15 MINUTES OR 6. STEPS OR A LADDER SHALL BE PROVIDED AT THE SHALLOW END OF THE (SAND, DE, CARTRIDGE 1_1/2" SCH. 40 PVC MEET LOCAL CODE IF GREATER. POOL OR EQUIVALENT) VENT MIN. 2 RETURNS PIPE SIZING CHART (MAXIMUM) 7.MANDRAILS REQUIRED ON SOME POOLS. i PROVIDE B.INSTALL LOW VOLTAGE LIGHT AS PER N.E.C. 680. BACK WASH PLUMBING WALL DRAINS/SUCTION - � � PRESSURE 9.DMNG PLATFORMS OR DIVING BOARDS ARE NOT TO BE INSTALLED FITTINGS SKIMMER- SAND OR DE W/ PROVIDE 2 SKIMMERS 1 1/2- 50 GPM 65 GPM TWIN COVE POOL-TYPED-NO D[VING I 1-1/2" 2'. 87 105 .. MULTI-PORT VALVE IF POOL AREA.EXCEEDS ' & SIGHT GLASS 3 WAY VALVE 2°VENT 600 S.F. 21/2" 119 147 10.DURING A HURRICANE WARNING OR ALERT,THIS POOL 2 2" S MP LINE - 3" 134 230 SHALL BE FILLED WITH WATER. 4' 177 398 11.THESE POOL PLANS MEET OR EXCEED THE ANSI/NSPI 5 2003 RESIDENTIAL INGROUND SWIMMING POOL AMID ANSI/NSPI 3 1999 PERMANENTLY TO WASTE— 2 2 ELECTRICAL REQUIREMENTS INSTALLED.RESIDENTIAL SPA STANTARDS NSF APPROVED STUB UP 6" 18" FROM EQUIPMENT WIRING AND BONDING AND ALL ELECTRICAL TO NEC ART.680 THE FOLLOWING CODES ARE TO BE MET WHERE REQUIRED: RECIRCULATING PUMP .I OR LOCAL CODE.NO OUTLET OR OVERHEAD POWER WITHIN'10'. USMS W/HAIR & LINT STRAINER IF WITHIN 15'PROTECT BY GFI,TRANSFORMER MIN. 10'FROM MASSAC POOL,8'ABOVE WATER,J BOX 4'FROM POOL, BRASS TO J COMMONNVWEALTEALT H OF THE MASSACHUSE7TS • PROVIDE SUMP LINE WHEN REQUIRED, 1-1/2" SCH. 40 PVC FROM BOX OR TRANSFORMER WHICH EVER IS FIRST EXCEPT WHERE BUI.DING CODE 780 CMR(SDCrH ED.) BENEATH MAIN DRAIN TO t8" FROM EQUIPMENT AND STUB UP 6". PVC IS APPROVED. SECTION 421.0 SWRANGNG POOLS ,1 FILTER 6 PIPING ISOMETRIC ELECTRICAL AND BONDING REQUIREMENTS SECTION 421.0 SWIYNUNG POOLS SHALL.COMPLY WITH NEC. 1999 NEC-ART 680 _ N.T.S COMPLY WMBF 50.11L1oB1 - • 3'-0' - VARIES - .. - 'Z" TWIN C M w POOL DECK TOPPING AIR SPACE ' WATER _ a A LEVEL 11•_1 _ a _ - _ 3/8" FIBERGLASS CONC. PERIMETER DECK SHELL 2500 PSI W/6X6, 1OX10 WWM•' -OR FIBERMESH AT 1.5 #/CY _ 21'-0" DECK DRAINAGE 1/8" PER - - 27'-B• James A.Marx Jr. LINEAR FOOT 4. W.Wt Professional Engineer TYPICAL PERIMETER DECK DETAIL rr 10 High Mountain Road NTs b• r Tm 11• — Ringwood,New Jersey 07456 5�' rr I • L_• is 1� u, rn �.. .� a Marx Siod—Area- 253 S.F. MA Professional Engineer Luense 36365 WATER LEVEL BLUE HAWAIIAN FIBERGLASS POOLS TILE 2055 BLUE .HAWAIIAN DRIVE (OPT) LARGO, FL. 33771 OPTIONAL CANTILEVER DECK OR PATIO DETAIL 7 27-535—5 67 7 PAGE 1 NTS Fencing, vinyl, white, split rail,privacy,picket - Page 2 of 2 & , Combination Chesterfield Huntington in TanFFI " :gym gg k irTUTTITTITIMt �iitoe ��#ri 111b . s - 1 _, 41 o Huntington Lexington w/Lattice L' M � '• � . 'fix _ � , Lexington Galveston in Tan SY� rgs _ Galveston wILattice Accent Norfolk 1 "'Vinyl fencing comes in white,grey or tan. There is a 10%additional charge for grey or tan. " —Chesterfield style is also available in Clay,only at Upright Fence! 15%additional charge for Clay"` Send us your measurements and we can ship this product anywhere in the continental US! x ©2000-,2008 Graphics By Jann Web Design All rights reserved. ht p://www.upright-fence.com/vinylprivacy.htm 5/18/2008 Husker Vinyl Semi-Privacy Fencing Page Page 1 of 2 • Home • Online Ordering • Custom Orders • Brochures/Specs nnnnnnn For All of Your Vinyl Fencing .1 a --- Needs To Order, Call Toll-Free 866-918-4695 n'All or to Request a Quote, Click Here... Categories Semi-Privacy Fencing Fencing-Picket Please select a style below Fencing-Privacy Fencing-SemiPrivacy _ Fencing-Ornamental r r r, r `rr4 o Fencing Rail Ranch Fencing-Gates. CPi ;` ' t t Railing-Porch/Deck ;; a i _ _ J , y Post Caps Other Vinyl Products Standard Semi- Standard Semi- � Husker Semi- Privacy Privacy with Privacv Alternating Picket Leo + Chesapeake Semi- Courtyard Semi- Homestead Semi- Privacy Privacy Privacy View a brochure below General Info Semi-Privacy Fencing View an installation manual below http://www.huskervinyl.com/semi-privacy-fencing.htm 5/18/2008 55G°24'44"W 105.37' c� cn EX15TING SWIMMING POOL `n Ln 20.3' — � 33. 1' 0 J, F ILJ I EXISTING W / SEPTIC r I U SYSTEM S NC. 20 Ln }— m m _J A m z 1 N/2 5 ry WD FRM. T.O.F. = 100.37" APN 1 .72- 1 73 °0. 1 5,239---5F CATCH 75.37' BA51N N5G°24'44"E SIDLtrJALK 33. PRINCE H I N C KLEY ROAD cTr�✓ I HEREBY CERTIFY THAT, TO THE BEST OF MY KNOWLEDGE, AND IN MY PROFESSIONAL OPINION, THE SWIMMING POOL 15 LOCATED ON THE GROUND A5 SHOWN HEREON, AND ITS LOCATION 15 IN CONFORMANCE WITH THE HORIZONTAL SETBACK REQUIREMENTS OF THE TOWN OF BARN5TABLE ZONING BY-LAW. OI�uEtDB RICHARD OOD, PL5 DATE A5-BUILT PLAN JOB No.: 08102 I N DATE: 3 1 JUL08 CENTERVILLE, MA55ACHU5ETT5 SCALE: 1" = 20' PREPARED FOR ROBERT LEE . . hood survey cgroup,� Ilc - land surveyors - engineers a� 18 route Ga - sandwich, ma 025G3 Ph: (508) 888- 1090 Fax: (508) 833-82 1 2 Town of Barnstable *Permit# Q66 W taq ILt Expires 6 m nths from issue date Regulatory Services Fee ct:S.n rj snntvsznst a Thomas F.Geiler,Director Mass. Ar 019. a,0� Building Division �►� E PERMIT Tom Perry,CBO, Building Commissior 200 Main Street,Hyannis,MA 02601 MAR Y www.townbamstable.ma.us 3 2008 Office: 508-862-4038 TOWN p� �R Qq�� F 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL�I� IVN3LE Not Valid without Red X-Press Imprint Map/parcel Number 3 Property Address �f YyC{ ' YVC: lc p` l� t'' It v f Residential Value of Workl/6,600 • 0 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address �O�r�t `� ' • (� 3' P ;:� �' �r �h,[..� .'l`� t'L7C IC ��',� � l� ��vv �r^✓ y c f�i' Contractor's Name V`A ip q S r. O y,,Ar r C n Telephone Number Q�- t���)' 6'IS�' Home Improvement Contractor License#(if applicable) j Oworkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name. L— .� Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) 16 Re-roof(stripping old shingles) All construction debris will be taken to T 4,r 1,:4 t,u j L, 0 tt" (� P ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35) *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. A copy of the Home Improvement Contractors License is required. SIGNATURE: QAWPFILES\FORMS\building permit.forms\EXPRESS.doc Revise020108 ` dF�� Town of Barnstable BARMnsM ' Regulatory Services 1639. E�►�`r s Thomas F.Geiler,Director Building Division Thomas Perry,CBO 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 LP 'P , as Owner of the subject property hereby authorize r r 60 r u< It v to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) a S nature o er ate Po � e Print Name Q:\WPHLESTORMS\building permit forms\EXPRESS.doc Revise020108 �IKE Town of Barnstable - , ' ~o„ Regulatory Services &UMST"LE. Thomas F.Geiler,Director 1639. 6 Building Division AIEp� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as T supervisor. - DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to a be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner.performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." i Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as-part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\homeexempt.DOC F. 7i Town of Barnstable OpTNE Regulatory Services c Thomas F.Geiler,Director Building Division sAMWABLE, v� MASS. ,erg Tom Perry,Building Commissioner ArED Mp•`1 A 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: '�da Permit#: _� q HOME OCCUPATION REGISTRATION Date: 16 Name: NHS Ph 3� �6SZ one Address: 38 ��' ►�L'e ,�riNck�� �� Village: ce;", Name of Business: Le-a i T� S Type of Business: leee A3 N J,L)i cC Map/Lot: INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. ' • There are no external alterations to the dwelling which are not customary in residential buildings;-and there is no outside evidence of such use. r • No traffic will be generated in excess of normal residential volumes. ' • The use does not involve the production of offensive noise,vibration,smoke,dust oaother parti filar ;- matter,odors,electrical disturbance,heat,glare,humidity or other objectionable efFe9ts. �o • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in en,ess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containin the Customary 16come Occupation,and not within the required front yard. Q CD • There is no exterior storage or display of materials or equipment. v r - • There is no commercial vehicles related to the Customary Home Occupation, other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. 1 • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read daand �a e wi the abo e restrictions for my home occupation I am registering. /mot Applicant: ✓ Date: O 9 9 6`y Homeoc.doc Rev.5/30/03 1 TO AL E EUSINESS OWNERS DATE: b Fill in please: t APPLICANT'S YOUR NAME: BUSINESS YVqzmy%df-j�� R HOME ADDRESS:_16 Z TELEPHONE Telephone Number Home ..-V - GO -3&SZ NAME OF NrW BUSINESS TYPE OFIB:USINESS IS THIS A HdME OCCup"1O.N�. YES ..... ......... ....:.:.. NO iFlave you den gtu approual from:the bu YES 'NO ;, ADDI5S.i7FBUSINESS ��our�e - {�e.�c ,Pe.y. R Ceeou:ll�e 4 IVIAPIPARCL NUIIMBE . ... - .. When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, listed below, you may apply for a business certificate at the Town Clerk's Office (Ist floor-Town Hall) or if you get the business certificate first you MUST go to the following office to make sure you have all the required permits and licenses.. GO TO 200 Main St. — (c r of Yarmouth . & Main Street) and you will find the following offices: 1. BUILDING M ISSI NER' This individu as en ipform o rmit r quirements that pertain to this type of business. r� �P o ed Signature** V COMMENTS: 1-2 E -.t . 2. BOARD OF HEALIH cn ` This individual ha ee n 6rk d of the permit requirements that pertain to this type of business. ng -a Au oriz� i na aCD **� rn COMMENTS: 4 --3 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual een inf d of lici quirements that pertain to this type of business. Authorized Signature** COMMENTS: Business certificates (cost $30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. - it does not give you permission to operate -you must get that through completion of the processes from the various departments involved. **SIGNIFIES APPROVAL FOR A BUSINESS CERTIFICATE ONLY. w f Chi CA SEwF-RA&G t - i OCU C AL- s;-=Prc, Tau14 1 - l O vv 6.1&L, LGA4A.1 P t T- V,/i t"to F PICHARD A. 4J+r <` vAX TER < n ki MAes � _ t G�:_::!t-=D 1J C��.^.1 i= -�j:� �,+J i T:- 1't.l�,= .� V l•_.l..i a.:t•: , ���, .. .-�..�-`!:��t't' ;��c'�v ��•:-�,.�',:�E..�-t-d, t]r-: -c-F.!� 1�LA►.1 k. �o �AG E ��--f-1- !` `("! (!�> C%'L�.►�i l 1 QOT' \lu`L� c> iLi�i•'1 • !{�j+( ;-'�A i�:�.:r C,tJI'.1�:( 'd iI!`._ c�T' F' �,E i r,►:'•,t �..Y.sr T.',Y? v;E.�.� 'Cry L>s='�' E L:.%.,i�� _ c •� ., Assessor's map and lot numt,, o D . -- i (S/�� / • �" — ! �" ?� '.7 ; SEPTIC SYSTEM MUST gE ' � � I NSTALLED- IN COMPLIANCE Sewage.Permit number , :....... WITH ARTICLE II STATE Qy� jVN FTME T TOWN O F B A rt l ° E E Mlxs o�"b 9 .: r BUILDING # INSPECTOR. 'MPv a• APPLICATION FOR PERMIT TO ;, .... :v v:........ ... .. ...... .......................................................... i' TYPE OF CONSTRUCTION ...........—.... ....... ........................................ ... ........................................ �............................................. . TO THE INSPECTOR OF BUILDINGS: _ 77 The undersigned hereby applies for a per it according to-the effollllowing ' formation: Location .. ........./. ... ..... ...................`....... ..................................................... .! ..."................ .l............u� F . ProposedUse .... G`�...............:......................:............................................................................... ZoningDistrict ...................................... .................................Fire District .......................................... Name of Owner ..Address ............ .. ... Nameof Builder .........G ...............................Address ................................................................................:... Nameof Architect .......................................................:..........Address .......................................... ......................................... Number of Room ..........Foundation '.............................. II Exterior ..... .... .... .. .. ..... . .:Y............................................Roofing .................� ................................................................. GU f Floorsi:; .. .........................................Interior ..................... .......... !........................................ Heating ......... .........y.... ......................................Plumbing ...........,.....-- ................................. Fireplace .. ............................Approximate Cost ...... .... ...t1.'lv..................................... Definitive Plan Approved by Planning Board -------------------______-------19________. Area ... .u..... Diagram of Lot and Building with Dimensions FeeW.* .............. SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable re r ing the above construction. Nam ............................ .................... ................. Small, ,Alan E. - No ¢ $774......Permit for 1.• 10..stor .... si. ge..family...dwelling..................:........ Location�...... ..Road.............. '. ............ .� .....center.111je.......... ,.• Owner ..........Alank..E,Small............................ Type_of Construction £xame:..................... •• > 1 . ................................................ ................. r ,Plot ..'................... .. Lot ...........�114...........:. �� r ram, ., • i �� - `Permit Granted .............October 27..........19 76 / �.Date of Inspection .. ./ ...... .......19 - Date Completedy.��.�.. ... ...........:.19 ,> + PERMIT REFUSED .................... . z.................... 19 + > . �..................... ............. ....•.................• , ......... ei/� ! - A • ` ' ' I-A. t.• • , ' j.................... ... ..............................................`....... . +.,I • .................... . ....................................................... �� w • �e S• . - • •. `+......................................+............................... .. Approved ........................................................•...... ..... ..............: ......................................................... ,