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HomeMy WebLinkAbout0089 EISENHOWER DRIVE �9 � �..� 1 �y '` �, �z- be���v� �� �crd� ro L[�c �h� �CDtr g , lop i4'� 5-E'i�c rn C`L' t vlY bcS GAT l YP4 -�'�1Ct5 S 4^--ti C�--f Arc-.-a wc. ��G S 4>n- 3 6., } Town of Barnstable Building .-m...- ... z :PostvThis"Card So That it isVisible From the Street Approved Plans Must be.Retained on Job andth�s Card Must be Kept �nRl18i"aOM � • Posted UntlFinal Inspection�Has Been•Made ; r . 63 , Permit iWhere a -ertificate__of Occupancy is Required,suchaBuildmg shall Not be Occupied until a Final Inspection has"been made Permit No. B-20-1122 Applicant Name: Gerry Castignetti Approvals Date Issued: 05/12/2020 Current Use: Structure Permit Type: Building°-Solar Panel-Residential Expiration Date: 11/12/2020 Foundation: Location: 89 EISENHOWER DRIVE,COTUIT Map/Lot 039-092 Zoning District: RF Sheathing: Owner on Record: CASTIGNETTI;GERALD J&SONDRA M Contractor,:Name''' framing: 1 Address: 20 FERN BROOK CIRCLE Contractor.License: f 2 CANTON, MA 02021 xY - Est Project Cost: $ 11,500.00 i Chimney: Description: Solar Panel installment to rear roof of house. 19 panel 310W Black Ferrriit Fee: $ 108.65 Panels., + Fee Paid:f $ 108.65 Insulation: Project Review Req: Date:' ,� 5/12/2020 Final: Plumbing/Gas ((( Rough Plumbing: This permit shall be deemed abandoned and invalid unless the worKauthoriied by thgs permitbiscommenced within six months after issuance. Final Plumbing: All work authorized by this permit shall conform to the approved application and.theEapproved construction documents for which this permit has been granted. . All construction,alterations and changes of use of any building and structures shall be incompliance with the local zoning by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for i.public inspection for the entire duration of the work until the completion of the same. ' Final Gas: :. The Certificate of Occupancy will not be issued until all applicable signatures by the Building and,Fire Officials are'provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: " F 1.Foundation or Footing Service: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is,installedTM _ Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation Low Voltage Rough:. 7.Final Inspection before Occupancy Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site / �— Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT D Final: Town of Barnstable w. r . uil ing a �' Post'This Card So That it isVisible'From the StreetApprovedPlans Must be Retamed`on'Job andathis Card Must bezKept a� ' err. m • v M'S $ Posted Until°.Final Inspection Has Been Made: : Permit i63q ♦� j inn ° Where a Certificate of Occupancy;is Required,such,Building shall Not be Occupied"until a Final Inspection has been made.'. f Permit No. B-20-1122 Applicant Name: Gerry Castignetti Approvals Date Issued: 05/12/2020 µ Current Use: Structure Permit Type: Building-Solar Panel-Residential . Expiration Date: 11/12/2020 . Foundation: Location: 89 EISENHOWER DRIVE,COTUIT Map/Lot:_039-092 Zoning District: RF Sheathing: Owner on Record:. CASTIGNETTI,GERALD J&SONDRA M Contractor Name: Framing: 1 . Contractor Licenser Address: 20 FERN BROOK CIRCLE 2 CANTON, MA 02021 - . Est. Project Cost: $ 11,500.00 Chimney: Description: Solar Panel installment to rear roof of house. 19 panel 31OW Black . Permit Fee: $ 108.65 Insulation:- Panels. ' Fee Paid: $ 108.65 Project Review Req: t Date: 5/12/2020 Final: Plumbing/Gas Rough Plumbing: Building EffhLidl This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Final Plumbing: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. i Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Service: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4 Rough: 4.Wiring&Plumbing Inspections to be completed priorto Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT L5 (-' Final: �r . au.��- d10o r ��( �eec� �— �-(ti�.Q.�.a Q TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ParceP — Application # � - -UJ — 1 7 Health Division Date Issued t r' I Z" Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board w Historic - OKH _ Preservation/Hyannis Project Street AddressIn1 ' (re-4-A Village p n q Owner ` Address Telephone Permit Request Square feet: 1 st floor: existing - proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation a80CQ Construction Type Lot Size SQ�4- Grandfathered: ❑Yes 3"No If yes, attach supporting documentation. Dwelling Type: Single Family LA� Two Family ❑ Multi-Family (# units) {� Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No c v' Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other V Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Q77 Total Room Count (not including baths): existing new First Floor Room�Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other ¢r Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes-IL) No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing enew size I-Aarn: ❑ existing ew sjze_ �� CDAttached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �J( C,hl.� Telephone Number Address l�� I�► ,� U� License# 2 bPIW�0(b Home Improvement Contractor# �3560'7 Worker's Compensation # (A Y.A OZ51 82 6 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ocz 11h4 nZ�� SIGNATURE ATE f Zf � f ` FOR OFFICIAL USE ONLY v APPLICATION# •DATE ISSUED ~ MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: r - FOUNDATION OCEook FRAME ;z INSULATION FIREPLACE ' y ELECTRICAL: ROUGH FINAL 'I PLUMBING: ROUGH FINAL } 'j GAS: ROUGH FINAL ;s FINAL BUILDING MAIIIJ DATE CLOSED.OUT 1 ASSOCIATION PLAN NO. fY C 1 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): r (- Address: tea- S City/State/Zip: p 63S'? Phone#: b Are ou an employer?Check the appropriate box: Type of project(required): 1.[ I am a employer with 4. ❑ 1 am a general contractor and I �— 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition. workingfor me in an capacity.: employees and have workers' y p �' 9. ❑ Building addition [No workers' comp. insurance , comp. msurance.T required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ Lam 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 4 { employees. [No workers' 13.gOther comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information.Insurance Company Name: s . 6 L LC, Policy#or Self-ins.Lic.#: /,JCS Q Expiration Date:• f' &0 2— Job Site Address: Vl.( e-� �;/ City/State/Zip: &*k�, Zw 35 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 certi der the pa' ies of perjury that the information provided above is true and correct! Si ature: Date: :F 7, 13 Phone#:, o,U b Official use only Do not write in this area,to be completed by city or town offlciaL City or Town: !j 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 M� Contact Person: .�.. "" Phone#i , . r. ACC> CERTIFICATE OF LIABILITY INSURANCE FDATE(MMIDD"YYY) `..� 11/9/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Eastern Insurance Group IZC PHONE 5083937744 FAX No:5083936983 P.O.BOX 1129 E-MAIL PRODUCER CUSTOMER I Northboro MA 01532 INSURERS AFFORDING COVERAGE NAIL# INSURED INSURERAAcadla Insurance Company INSURER B: Cherry Hill Construction Corp, Yankee INSURERC: . Fiberglass Pools, The Townsend Company Inc. INSURERD: P.O. BOX 6 INSURER E: North Pembroke MA INSURER F: COVERAGES CERTIFICATE NUMBER:2011 Cert REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH,RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO.ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADOL S BR POLICY EFF POLICY EXP LIMITS LTR 1 POLICY NUMBER MMID MMIDD GENERAL LIABILITY CPA0251824 04/11/2011 04/11/2012 EACH OCCURRENCE $ 1000000 X COMMERCIAL GENERAL LIABILITY DAMAGE REM REMISES Ea occurrence $ 300000 A CLAIMS-MADE ❑X OCCUR MED EXP(Any one person) $ 15000 PERSONAL&ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2000000 POLICY X PRO- JECT LOC $ AUTOMOBILE LIABILITY 0251825 04/11/2011 04/11/2012 COMBINED SINGLE LIMIT $ 1000000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ , A ALL OWNED AUTOS $ . BODILY INJURY(Per accident) $ SCHEDULEDAUTOS PROPERTY DAMAGE $ X HIRED AUTOS (Per accident) X NON-OWNED AUTOS $ $ UMBRELLA UAB X OCCUR F02r54306 04/11/2011 04/11/2012 EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DEDUCTIBLE $ A RETENTION $ $ A WORKERS COMPENSATION CA0251626 04/18/201104/18/2012 Y TWOCYLATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ 1000000 OFFICER/MEMBER EXCLUDED? a NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 1000000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1000000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Of Cotuit ACCORDANCE WITH THE POLICY PROVISIONS. Regulatory Services Building Division AUTHORIZED REPRESENTATIVE 200 Main Streetr Hyannis, MA 02601- Francis Kittredge ACORD 25(2009/09) 01988-2009 ACORD CORPORATION. All rights reserved. INS025 poo9o9) The ACORD name and logo are registered marks of ACORD 7 r 5«�ce 1` II r � v � 125.00 FOp$ CodP CP-7 SeeozO, LO,T a 24 22 N" 'l lov 125.00 EISENHOWER -DR . MORTGAGE LOAN INSPECTION MLI3096 SAGAMORE SURVEY ASSOCIATES SCALE: 1 IN.- 50 FT. P.O. BOX 28 DATE:- DECEMBE 10, :20�07 ��,'(HOF,t�s SAGAMORE BEACH, MA. 02562" o�� sycy (508) 888 8667 yr moM�s I CERTIFY TO " POMP'NAND THAT THE LOCATION OF THE BUILDING SHOWN HEREON CONFORMS NO.34314 TO THE ZONING OF THE TOWN OF BARNSTABLE' A _ I CERTIFY THAT LOCUS DOES NOT LIE WITHIN THE FLOOD HAZARD 9y�9�FfS5 t0�a�SURVE�°� ZONE AS DELINIATED ON MAP 0018C COMMUNITY N0. 250001 PLAN REFERENCE; BARNSTA8LE REGISTRY OF DEEDS REGISTRY OWNER; BOOK/PAGE: LC NO 36319-C LOT NO.: 23 PLAN BY: THOMAS E. KELLEY CO. BUYER: DATED: FEBRUARY I 1973 THIS INSPECTION NOT MADE FROM AN' INSTRUMENT SURVEY AND IS NOT TO BE USED, FOR FENCES, HEDGES OR TO ESTABLISH LOT LINES. FOR USE OF BANK>ONLY. i n 18 12 08:50a Cherry Hill 781-829-10 2 P. Cherry Hill Pool & Spa To: Bob—.Building Inspector From: Kelly Bowman.-Sales Rep , Fax: 5o8-79o-6230 Pages `2 Phone: Date: 1/18/2012 Re: Castignetti Building Permit CC: ❑ Urgent ❑ For Review ❑ Please Comment ❑'Please Reply ❑Please Recycle Attached please find alarm that will be used on the doors leading out to the backyard. IF THIS IS INSUFFICIENT,PLEASE CALL ME AT 781-826-6886 e lot. Jan 18 12 08:50a Cherry Hill 781-829-1002. p.2 CONTACT US I MY ACCOUNT I MEW BASKET 4 - r- -- , Site Search L Product Search HOME I POOL STORE I POOL PARTS I POOL COMMUNITY I POOL.BLOG[FAD CLEARANC SHARE paoaquord Pool Patrol Saleyr Twde Door Alarm GueAlarms T�G03 GBWD—AUM COMPNe Au .. .. . . . ... . . . ...........- __._.....__..... GAPTGeAWm DAPTSG?DaorAWIM B102SafelyTurtle GAt01DGeleAlarm at 1 UL Listed/UL 2017 r' . Imporani Safety Feature . Complies With Building Codes '. Smote To Operate :J A;rtomatic Reset Battery Powered . Easy To Install 85clB Horn at 10 feet • Affordable Price Pass Through Feature For Adults Low Battery Indicator Click to Erlarce The POOLGUARD DOOR&WINDOW ALARM meets the requirements of all bLilding codes and are,UL Listed under UL 2017.The POOLGUARD DOOR ALARM was designed specifically to meet the needs of the new barrier , code requirements.POOLGUARD,PBM INDUSTRIES,INC.has been manufacturing pool alarms,door alarms,and ; gate alarms since 1982.All Poolguard products are proudly Made in the USA.The majority of children that drown In pools go out the back door first and Pooiguard's Door Alarm can help protect those doors. The DOOR ALARM features are listed below: Click IDEnlerge - . Poolguard is the only door alarm that is UL listed under UL 2017 lorweter hazard entrance alarm equipment. - Poolguard Door Alarm will sound in 7 seconds even ff a child goes through he door and closes it behind them. . The Door Alarm is always on and will automatically reset under all conditions. - - There is no onloff switch: - The DOOR ALARM is designed to fit any type door'orwindow and comes'Irri1h ell the necessary hardwa a loreasy.mstallatior,. . The DOOR ALARM can be adapted to alarm the door OR the screen door,if present.Add dte additional sensor below,if you need to arm both the screen door and the door. • The color of the alarm is while to match any household decor;indoor use only. . The Door Alarm will sound in 7 seconds when a child opens the door,and the alarm will continue to sound until an-aduit comes to the door and resets the alarm. Poolguard Door Ala rm is equipped with an adult pass through feature Inat will allow adults to go.through the door without the alarm sounding. - The horn is 85d8 at 10 feet. - The hornsourd is different than others in house alarms. . The Door Alarm is equipped with a low battery indicator that will audiblyalerl you when your battery is getting lout . Poolguard Door Alarm uses one 9-volt battery,(rot included)wth a battery Ilse of approximately i year, - The DOOR ALARM has a one yearwairanty. e Poolguard Swimming Pool Door and Window Alarm Owners Manual Mir.No. Item No. Description Price DAPT-2 A5615 Poolguard Door and WindorA:arm $45.63 I Acid to Basket DAPTSENS A5616 Additional Setof Sensors, $10.00 Arid to Basket,I NOTICE:Swimming Pool Alarms should be included in any pool cwrer's safety program.Swimming PcM Alarms are mos:effective when combined with other layers of Protection for pool safety.Please visit our Pool Safety Page for more iniomngan on how:o obtain higher levels of pool safety. aReturn to POOLCENTER.com's Safety Products Department " ORDER STATUS 1 GUARANTEE I RETURNS I PRIVACYY SECURITY'I SHIPPING I INTERNATIONAL 1 ABOUIi US I TESTIMONIALS VISA ' Co i h®IRKS-W12 POCLCENTER.00m,Inc.Allfli�hls Roscnmd• . - _ ITEM ARTiCULO #283027 STYLE ow vz i Entrance Door heat Q� t3ut 1 Position chime on door saon th chime magnet€acing door 2*1Mth rraagnetrtouching door mark mounting slot'on Bohr stop 3 marks;dnli#28 ( 136irt dta)pilot Notes 4' �nm to door s#op10 x 1 1/4 in Ing sheep meta!screws (FEg`4) l+fote`; door riot metal,:proceed to steps 5 5 Markivhere'cinme anagnet hits door 6.. Using the#10 x 3/4 in.long flat head screw, mauntmetal disk to the wood door at marked location. Mounting plate is Door f not used for this Stop header t type of installation14 , Mounf3ng m � z Metal Door V11ood Opens ' isc Deor #10x11/4in �. 1 Out Long Sheet \ # 4 x 3/4 ins Metal Screws ;: Lone Flat Head Scre Installations with a Door-Stop Strilp tha r$s the 1Nagnet _ - Use spacer and#10 x 1 1/4 in.'! screws to mount the mecharncal shim to the door frame Drill a pilot : hole fo"r the sheet metal screw using a#28 13 in dia')dnll (Fig 5) Spacer door Frame (optional) Door Strip and e al Mounting -- Gasket Se Sfot. Steel Door _. Door Opens Out 410 x 1-1/4 in..: Long Sheet Metal Screws (Screws 90 throw - h s acer g R - and into door frame} Fig:5 Operation_ - - Style Selections'entry chime operates magnetically As>the door opens,the chime magnet-pu s away om he door,flame or metal disc causing the magnet to hit the chime bar which makes:a sound.To deactivate 14�F sound;slide muting bar under magnet (Fig.6} Sound Sound Deactivated ; Activated _ Muting Bar - Slide Slide Left Rig t Fig,6 ofTME Town of Barnstable Regulatory Services t r S* Thomas F.Geiler,Director r 63¢ 16, - Building Division. Tom Perry,Building Commissioner , 200 Main Street,Hyannis,MA 02601 WWW-town.barnstable.ma.ns Officer 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using-A Builder I, as Owner of the subject property hereby authorize to act on my behalf in all matters relative to work authorized by this building pertnit (Address of Job) **Pool fences and.alarms,are the responsibility of the applicant. Pools are not to be filled before fence is installed and pools are not to be utilized until all final inspections are performed and accepted. igna o caner Si of Applicant Punt Name Print Name Date Q:FORMS:OWNE RPERMISSIONPOOLS T�r gon of Barnstable 4�f � w rns , Reg-atatory Services s r R�A Thomas F. Gerl&r,Director XAB& 16 BnUding Division' Tom Petry, BuDding Commissioner 200 Mgia.Sfroct;_Ayanais,MA 02601 www-town-bxmstable.arta.us _ off ce: 508-952-403 8 Fax: 509-790-623 0 >�ol►�oRh1sR Ltc>�s�F.XEi'I�LPT7oh' - Pleate Print • DATE: JOB LOCATTOTI: number ;treat vllaga "HO3�QEOWNER": name borne phone# work phone$ CCJAR�71I'kiAlI1NG ADDRESS: ' i^;(aYL V t. l a 'tf aP code I L Thr M==I exr_rnption for"homeowners"was extendad to include owner-oocupicd dweLTmgs of six u�its or Icss and to allow homeowners to engage an individual for;hire who does not possess a license,provided Ebert the owner acts as s¢tstxyisor. - - DEFIh'ITT0x OR HmMov"XTR Person(s)who owns a pamcl of land on which hc/shc resides or intends to reside, on which th=is, or is iatcndcd to- bc, a one or two-faoly dwtsllmg, attachad or dctachcd sttnctm-ca accessory to such use and/or farm same-t=. A person who coastrgcts more than nae home in a two-year period shall not be considcrod a hointawnnr. Such. "homtsownar"shall suhn:d.t to the Building Official on.a form acceptable to tj c Building Official, that he/she shall be responsible for al]such work orrfarmcd under the building pmmit (Section l09.1.1) Tb,c undersigned`h.otaeowner"ass=es rC.SPt7 ibillty for compliance yr th the State Building CDdr and other applicable eod.es, bylaws,rules and regulations. The undersigned"hommwncr"ccrtifes thathe/she undersinn.ds the Town ofBarnsimbk Building Department. =Luir„r..,,inspection procedures and m�=ts and that hc/sho will comply with said procedures and rcquircmcntr. • >ignaliure of Homeowner .gproval ofBuilding Diacial {( , I Note: Three-family dweIlings containing 3 5,D00 cubic feet or larger wM be required to mroply with the i fate Building Code S=tioa 127.0 Construction Control. .':HOh,�OwIQER'S'EXEli4P ON l/ .The Code states that Any bmneowncr PCTf ring work for which z bmld ng porno t is required shah be extmpt fivm the prrovi;i oru thin=x Dn.(5ection 1D9.1.1 -Licensing of conr—lion Rupc isors),provided that if the homeowner engages a pascm(s)for hire to do sorb ,rk, that sun$Homcowncr;ball act as supervisor." :ty homeowners Who use this exemption ate unawaro that tbcy arc assunung the responnlbiHtim of a supervisor(see Appendix Q,' )cs&Regulations for Ucrosing Constrncdcm Supervisors,Section 2.15) This lank of awar=-s'oft=results in serious problems,particularly ' cn the homeowner hires unlicensed persons. hi.this easy our Board cannot pm=c:d against the unlicensed pricer as it is ould with}liacnmd )=r.yi cff. Tbm homeowner acting as Supervisor i;ultimately mspo=bin. ' To ensues that the bammwrrcr is fully¢wale of his/her trspo Lm-Enlitim,marry communities enquire,as part of the permit application, tbn homeowner=tLry that hdshe undastsads the rexp=ihil ties of it Supervisor. Dn the hest page of this issue is a farm currently used by xal towns. You may cart t amend and adopt sorb a fmm-Al=rtifieatim for use in your rotnmunity. rrrm:homees:cmpt i I h V v lo tt, 1 qo oB f`kl A-1 410 �= �= v t �C.':5 Ta cs, cgvi�7' To �✓ rH i�.� ° ;�•�a.,o a� � -,' � '� p`' Ci:..; ; �I_=� CSC-.'A.t���""" ��., �� n� r Office of Consumer Affairs a�i nd usiness Regulation 10 Park Plaza - Suite 5170 4 Boston, Massachusetts 02116 Home Improvement Contractor•Re Registra tion ion Registration: 135607 CHERRY HILL CONSTRUCTION CORP.. - Type: Private Corporation James McGill Expiration: a/23/2012 Tr# 293934 P.O. BOX g _ N. PEMBROKE, MA 02358 - _ -- oPs"CAr Update Address and return card. t3 soM-oaoa-��oizis Mark reason.for change. Address I _� Renewal ✓1e C.� Employment Lost Card ! _ /i Office of Consumer Affairs&Business g fat HOME IMPROVEMENT CONTRACTOR License or registration valid for individul Registration: ACTOR before the expiration date. !f found returnuto only Expiration: 135607 Office of Consumer Affairs and Business Regulation t� 4/23/2012 Tr# 293934 10 Park PI aza- Type: Private Corporation Suite 5170 CHERRY HILL CONSTRUCTION CORP. Boston,MA 02116 James McGill 722 WASHINGTON ST. N.PEMBROKE,MA 02358 Undersecretary --- Not,valid without signature Mussachusctts- Dcp:u-tmcnt of Public Sa a Board of Building Rculations and S fety tandards Construction Supervisor. License_ License: CS 80888 JAMES A MCGILC PO BOX 26/722 WASHINGTON NO PEMBROKE, MA 02358 �1 r Expiration: 5/30/2013 ('bnmii�siaur Tr#: 15156 i PIN: IS3200 Rev. F HAYWARD. OWNER'S MANUAL INSTALLATION,.OPERATION,&PARTS QiCP u •50HZ Models are not UL Listed. TriStar® Pump Series The Hayward TriStar Pump is specifically engineered for the demanding requirements of today's in-ground swimming pool/spa that is equipped with large capacity filters,heaters,and pool cleaning equipment. The TriStar is a self-priming pump that includes an improved seal and impeller design that will provide many years of efficient,dependable,corrosion-free service. The advanced design provides superior performance while reducing maintenance requirements. NOTE-To prevent potential injury and to avoid unnecessary service calls,read this manual carefully and completely. TriStar Pump Replacement Guide IMPORTANT—READ CAREFULLY TriStar TriStar . Super II Super H Model No. Model No. Model No. Model No. NOTE-The TriStar is a high performance,high Full Rated Max Rated Full Rated Max Rated efficiency pump. When replacing most existing __ SP3207XIO SP3007EEAZ SP3007XIOAZ pumps,you can use a TriStar pump with a lower SP3207EE SP321OX15 SP3010EEAZ SP301OX15AZ horsepower rating than the existing pump. SP3210EE SP3215X20 SP3015EEAZ SP3015X20AZ Required: 2"plumbing minimum SP3215EE SP3220X25 SP3020EEAZ- SP302OX25AZ Recommended: 2'/2"plumbing or larger SP3220EE SP3225X30 SP3025EEAZ SP3025X30AZ SP3230EE --- --- --- SAVE THIS INSTRUCTION MANUAL HAYWARD POOL. PRODUCTS : r<> 620 DIVISION STREET ELIZABETH,NJ 07207 (908)351-5400 WWW.HAY-WARDPOOL.COM o I ISC2028 Rev C HAYWARUPomproducts' Own' ors Manua A Hayward Industries, Inc.Company INSTALLATION, OPERATION, & PARTS • k . s -- I 1 6 • � �t �l .I ¢ Models C2025 C3025 C4025 C5025 C7000 SWIMCLEARTM CARTRIDGE FILTERS MODEL EFFECTIVE FILTRATION DESIGN FLOW RATE RATE Residential Commercial FT M2 GPM LPM C2026 225 20.9 84 318 C3026 326 30.2 122 462 C4025 425 39.6 - 150 568 C5025 1 525 48.8 1 150 568 C7000 680 63.2 1 150 - 568 MAXIMUM WORKING PRESSURE FOR ALL MODELS 50 PSI 3.45 BAR ATTENTION INSTALLER: THIS MANUAL CONTAINS IMPORTANT INFORMATION ON THE OPERATION, AND SAFE USE OF THIS EQUIPMENT. THIS MANUAL IS INTENDED FOR THE END USER OF THIS PRODUCT USE ONLY HAYWARD GENUINE REPLACEMENT PARTS ROP001 PtOdOtS, www:haywardpool com _-.a Hayurard Indtimms,Inc.Oomtxlrry ' i { i � 1 1 t f 4 ,.rl...s-w��.r-xax.5...-x...•..F.�.i .r.:da.a. .a.<. ......,+,1<<._ .. ..�..5., .. ..... .. .- .� ._.. .... _ .�_.. ` MONTAGE ATP WELDED RESIDENTIAL ORNAMENTAL FENCE 9� TYPICAL PANEL DRAWING (Classic Style shown;Genesis,Majestic,Warrior,Crescent and Gemini also available) '8'Nominal Montage ATF®Rail 6' Mn 15/16"Wxl-1/4"Hx94"Lx14Ga. Picket(5/8"Square x 18 Ga.) Varies With Height 3 Post(2"Square x 16 Ga.) Standard Heights . 3"372',4', - h 21^ 3-3/4"Typical(4"Air Gap) �j e� �1 Q f �i G �i G� J 0/1-0 Mi. 3"Typical (3"Air Gap) Fnoting op;� foa: car - Depth .o * Refer to Construction Specification Table on Page 1-8 for recommended (Post Spacing by Bracket Type) • E-CoatTM x ATF' PROTECTION UNIQUE PROFUSION WELDING PROCESS RACKABLE DESIGN PATENT D466,620 6,811,145 7,071,439 PATENTD466,621 7,071,439 00 20 YEAR • AUTOMATICALLY FUSION WELDED AT ALL INTERSECTIONS A • NO EXPOSED WELDS—VIRTUALLY SEAMLESS APPEARANCE WARRANTY • GOOD NEIGHBOR PROFILE-SAME ON BOTH SIDES • CONSISTENTLY HIGH QUALITY LEVEL-EVERY PANEL • ZINC-PHOSPHATIZED GALVANIZED STEEL BASE MATERIAL _ E , l Page 1-1 i i A yi r i t� INV CI IAIN VANK POOL, col t CiATV ♦At_ 4Wsw7�r..�rwric Y ` l� �ElT1) 1J d �t l Stephens Pipe & Steel, LLC CHAIN.LINK FENCE SYSTEMS ESTIMATOR SHEET TO- F SPS FAX#(270)-866-4412 -FABRIC SPECS-(height).3', 42", 4`, 5, 6, 7, 8, 10', 12', other (length of job less gates) i (coating) 1.2 galy, 2.0 galy, almz, c- vinyl, cl-2a vinyl, cl-2b vinyl )regaly cl-3' I (core gauge) 12.5, 11.5, 11, 10, 9, 6 (finish gau �Jnyl) 10(9 ,JB, 6, 5 (se/ve e) kk, kt, tt meshZ 2-3/8", 2-1/4" 2", 1-3/4 l-AlTl they `� -RAIL SPECS- (#of rails) top, mid, bottom (o.d.) 1-3/8 , 1-5/8", 2" (length) 18', 21% 22', 24' (gauge) :035, .042, .047, .055, .065, ss15, ss20, ss40 sch40 import, sch40 domestic, .080 hot dip, (for vinyl coated circle gauge and circle here, -VINYL-) I 1 LINE POST SPECS- (o.d.) 15/8" , 2", 2-1/2", 3", 4" (length) (gauge).,035, .042, .047, .055, .065, ss15, ss20, ss40 sch40 import, sch40 domestic, } .080 hot dip, (for vinyl coated circle gauge and circle here, -VINYL-) (post spacing) 6', 8,' 10,' other (#of posts if known) I CORNER POST SPECS-(o.d.)2-1/2 3" , 4', other (length) (#of posts) j (gauge) .035, :042, .047, .055, .065, ss15, ss20,.ss40 sch40 import, sch40 domestic, 1 .080 hot dip, for vinyl coated circle gauge and circle here,-VINYL- -END POST SPECS- (o.d.) 2-1/2", 3" , 4', other (length) (#of posts). (gauge),.035, .042, .047, .055, .065, ss15, ss20, ss40 sch40 import, sch40 domestic, I .080 hot dip, (for vinyl coated circle gauge and circle here, -VINYL-) r PULL-POST SPECS- (o.d.) 2-1/2", 3", 4' other (length) (#of posts) (gauge) .035, .042, .047, .055, .065, ssl5, ss20, ss40 sch40 import, sch40 domestic, .080 hot>dip, (for vinyl coated circle_gauge and circle here, -VINYL-) -HARDWARE SPECS- (met tlype) alum, steel, vinyl (band type) plain, beveled, 1" ( cap type) dome, acom µ (barb)"none, 45 deg, vertical, 6 strand (barb type) 12.5 cl-1, 12.5 cl-3, 15.5 ckl- , almz; vinyl I (corner post barb arm?)yes, no (tension wire) none, top, bottom (tension wire type)7 ga spiral,9 ga smooth, 11 ga smooth, almz, vinyl (tie wire type) hook, pigtail (brace layout) none, brace, truss, brace & truss GATE:#1 1 (width) (height) (quantity) (type) residential, industrial, cantilever, roll (drive)single,dbl (FRAME SIZE) 1-3/8 , 1-5/8" , 2" other (frame gauge) tube, ss20, ss40, sch40 (hinge post o.d x length x gauge) 1 (latch posto.d. x length x gauge) (hinge type) male/female, strap-on (hinge..movement) 900, 1800 hinge style) male/female, bulldog,malleable pressed steel -GATE#2 - (width) (height) (quantity) (type) residential, industrial, cantilever, roll (drive)single,dbl (frame o.d.) 1-3/8" , 1-5/8" , 2" other (frame gauge) tube, ss20, ss40, sch40 (hinge post o.d x length x gauge) (latch.post o.d. x /ength x gauge) j (hinge type) male/female, strap-on (hinge movement) 900, 1800 R r '(hinge style) male/female, bulldog, malleable pressed steel i You can configure and save your own fence jobs with our on-line estimator.. -s Ask your sales rep for details. Chain Link Fence System Catalog(Prices are subject to change without notice.) Effective Date:Feb 1,2007. Page:3 of 65 P.O. Box 618. 2224 E. Hwy 619. Russell 5pring5, KY 42642 ♦ Tel(270) 866-3331 4 Fax(270) 5GG-4412 Toll Free(600) 451-261 2 ♦ V,5it our we115[te at http://www.5p5fence.com I ° o IF ` } b AMAIN LATCH BODY CAJA PRINCIPAL DEL CERROJ0 � correct 2 I I I , ►. , , , tofferldsp O • 1 , • �_ �� b Ili 3 5 O � ail l (C _ a EXTERNAL ACCESS KIT JUEGO DEACCESO EXTERNO g 7 • 11 ljy'pp// a 9 3 l INSTALLATION INSTRUCTIONS i For swimming and other child safety gates,most safety standards specify the ®. following mmimim height requirements above;the finished ground/fimg surface MAGMA'LATCN, 1)lirtdt rah use kaob'F'at minimum 1500mm`{4'11�;`:2)fence f eight of 6etweee 1200mm 81500mm(4'&5') Always confirm#hese and`other requiremems with the appropnirte poo!orsafety authorities in your area and install this latch - inaccordance vmhthe local fence/barrier codes and regulations.Also;pool gate must open outward,away.from the pool,so this latch must be fitted to the outside of a pool gate.Tools:Electrii or cordless drill,drill bits,Phillips Ho.:2 screwdriver`(hand powered iypes)safote for:heavy gauge.sfeel sections it.is:adv�sableao pre drill the holes:toprevent crew breakage: . .. Installation Procedure T.The gap between gote frame and latch post must be between lOmm(3/e".):and 37mm(1'/i6");19mm(3/a°)is ideal., 2.Determine the location of the hole for Mounting Bracket IN bymeasuring up 1050mm(3'5'/e")from the finished.ground/fitiing surface. Place Mounting Bracket IN on the post.as shown,and,using one of he 25mm(1")wafer.head, F self drilling saews,fix the firacket to the post through theside fixing hole Now install two .. F more,of these strews through the frotti�of the briicket ti 3 To iiistall Mounting Bracket`B'measure up from Bracket'A'340mm(1;13/a) Mark this poiin 1, = NOTE;fror 1200mm(4'l fences wi►hout an extra-high post,this measurement should be I Place the Bracket'B'so that the holes are centered on the marked line.fix bracket using the same screws as per:Bradcet'A'.(NOTE.•In some applications it may be BODY s necessary to add o spacer to.dear a post cap.Spacers Si,S2&S3:are for this r. purpose and should be►nser/ed beh►nd t*e mounting brackets during 5 install t t). 4 Take the mam`IATCH BODY`C'and slide rt down onto the o; Mounting Bracket`'B',ensuring the rear track of the latch HIGH POST I, used in some .. t, slides over brackeis'B',them'A' markets st f 5.Sfide the lotdi`Body until the bottom of the latch aligns neatly with the lower end of n Bracket IN(see dashed line I Take e. the sing le l Omm(/e )couidersunk:: d n screw'H'and:secure the latch Body DO HOT use a power or cordless drill H� to Bradcet'A' o t. 6 The final part to be installed is the STRIKERBODY'D':Note that the Striker Body slides on a:dovetail track within the T Mounirrig Plate:(P1,?2)and u operated r�: 0� p by an urtemal adjustment screw;NEVER. #° lt7s°) d: use a powered drill to adjust this screw. Co See Dmgram'E' Carina the Striker BodyV. � L E assembly onto the post osshown Posi pr iNouNTmG r lion the Striker Body to obtain a 3mtn se (r/e")ga01 ehaeen.the tower{part of the. (P1) s3 to latd►and the tap of he Striker Body,asLn shown�Mmnfam this gap andifix two O Ho�zont a de; 25mni(i")screwslbrought he two main: D parus� holes of the StrtkerBodyTlie two,small STRII�R BODY. 2 (cyhndnral)dress plugs supplied should ° nE now 6e pressed into the screw holes {Gate.Stop) de: 7 a)Open the gate and secure two up from finished ou more screws through the side leg of the groan 'ng surface' Vh`• Mouriting Plate.*Note.If the width of the gate frame is 38mm l or realer follow ste b) n _b)INii6�he_goTe o en adjust the Striker Body using the_screwdnver i9tt the ndlustment Snew.Turn iounte'r doikowse.unti(the . 1e two holes;are exposed,as in`D.iagram(R2) fnc the two remaining screws to secure the Mounting Plate. cDt: ju 8 Use ilia suewdriver to adjust the Stnl<erBody to align with the latch Body,as shown in-Diagram'E'.Open and dose the gate to checkahe at operates correctly.Adjust as necessary at any time installation to ensure safe operation of the latch. :NOTE future ver►ical ad ustment of the latch can be achieved.by removing the saew'N;siding the Latch Body up.or:dow►►the 3 t l. .. ... .,post to obtain corred operational aCgnment,then inserting thescrew.into the appropriate hole: (pl Pa Smmming.poo)fences,gar.tes and latches cannot substmite for adult supervwon.If unng this latdi on a svrimmimg pool gate,ronsuN all appropriate local authorities 1r0 for safety regmremems: The latdrxrill operate property.onty N morided and mamtamed®accord®tce with these®shoctrons. MAINTENANCE: REMOVE KEY FROM LOCK AETBt USE Do notlubncate the latih with petroleum-based lubricants of airy time;use only powdered graphite. Ensuro all'saev s or are ti eneA fi as that there a knob[F}aiid tahhing bah are kaprfree of sand,ice and other debris which could impair latch performance Grind or remove any.protruding fasteners after imtallation WARRANTY&LIMtiATION OF LIABILITY•D&D Technologies' D&D ( 1 ids are warranted to be free of defects in materials and workmanshipto the anginal purchaser far as long as he/she owns the produd:If a strudural defect appears,the anginal ppurchaser may retain the item-freight prepaid,together with�proof'of purchase to.D&D or its approved international agents:_D&D orals again will,of their drscrefian repay or replace the defective item or part witliout'tltarge toghe purchaseC THIS WARRANTY SHE NOT APPIYWNENthe oiadurt hnc hopo rn�roa'khr-"°° TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 0 q Parcel Application #,;�tsS]3 l� Health Division Date Issued (7 O Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address I ,' 2_n c6LPc • �/ Village Co k d Owner �ar� �l� W� ur,'� Address �"1 'F ise.. Telephone Z16) 0 ' Permit Request C1Se ►,-,t�� ���•�. o� ��i'rtye-� �' • •r a►- +�� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ,❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new sige_ r Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: �., egg Cn Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ , co Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use . � m 0 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name r`c ®� V"`r lNly wr- Telephone Number ( � y 0(0 Address g� r s�.��„a,.r- License# cc"i- /�� U�(:�� Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE / FOR OFFICIAL USE ONLY .� / ~ APPLICATION# DATE ISSUED } MAP/P RtELNO. > . i ADDRESS VILLAGE / OWNER , \ ) / DATE OF INSPECTION: . . . \ FOUNDATION } } FRAME 0 /g2Y//Q INSULATION 0� FIREPLACE % ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL . F N A L B U I L D I N G �� »�� Rr-i ���/ /��ae4,� f / DATE CLOSED OUT / ASSOCIATION PLAN NO. / > - ° \ - [ The Commonwealth of Massachusetts .�o Department Industrial Accidents P 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 LelZibly Name (Business/Organization/Individual): CZ r?_.(A Address: �. ( vs City/State/Zip: `o�-V-41— :.( Phone#: su k `) Z—r) 9 q 04 Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have ❑ Demolition working for me.in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.$ required.] .5. ❑ We�are a corporation and'its 10.❑ Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their I LE] Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152,§1(4),and we have no 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-contractors and state whcther or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. 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 erti i Ferthepainsand penalties of perjury that the information provided above is true,and correct. � Si nature: Date: Phone#: 7rS' Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the' receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." . Additionally,MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence.of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s)name(s), address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit.; The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials . Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to 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 THE T 'own of Barnstable �pF p�y ' Regulatory Services BA STAB Thomas F. Geiler,Director LF- Building Division Jft)µA't Tom Perry,Building Commissioner 200 Maiu.Street, Hyannis,MA 026.01 www.town.barnstable.ma.us Office: 509-962-403 8 Fax: 509-790-6230 HOhIEOWNER LICENSE EXEMPTION Please Print DATE: l JOB LOCATION: number stract . ((� village _ �„HOMEOWNER": name e, home phone# work pbone# CURRENT MAILING ADDRESS: ('a�✓�- ,per-.. �� ��-. , city/town' stato rip code The current exemption for"homeowners"was extended to include owner-occupied dwellinl;s 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 Superyiso . DEFWIITON 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/sbe understands the Town of Barnstable Building Department on procedures and requirements and that he/she will comply with said proccdtn-es and re ements. Signature of H mcowner Approval of Building Official Note: T7�ree-family dwellings con ' g 35,000 cubic feet or larger will be required to con�ly with the State Building Code Section 127.0 Construction ,Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner perfomting work for which a building permit is required shall be exempt from the provisions of this scction.(Seetion I D9.1.1 -Licensing of construction Supervisors);provided that if the homeowner rngages a pcson(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 responn'b0itics 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 Supervisar. The homeowner acting as Supervisor is ultimatc)yresponnblr- To ensure that the homeowner is fully aware of his/her respmnbilitics,many communities require,as part of the permit application, that the homeowner certify that hdshe 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 forrrr)ccrtifiration for use in your community. Q:forms:homccxcmpt � r Town of Barn-stable do . Regulatory Services Thomas F_ Geiler,Director 16.19- ". Building Division Toni Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 `vww.town_b arnstabl e.ma.us Office: 508-862-4039 Fax: S08-790-6231 Property Owner Must Complete and Sign This Section If Usina ABuilder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work orized by tbis building permit application for. (Addres of job) Signa e of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverses'ide. Ar h ``7,p r8 ce a , l 71- nEXTEND PLATE OVER FULL COLUMN WIDTH CHANNEL Jc- C + + + + + ( INTERIOR 't PR❑VIDE II a LALLY ENLARGED COLUMN(S) CAP ---j TO BE PLATE REMOVED ; FOR FULL BEARING ❑N 3 r: 112' i � k LALLY 1-7/ CLEAR TO WALL i FOOTING LAG SCREW TOP FLANGES E L E V (1 TI ❑ N ❑R ° ° =�2 � o GIRT i INTERIOR NO SCALE t FOOTING EXISTING C3) 2 X (y W N n *'YEXISTING 'GIRT AND CTYPJcf' oo STEELCHANNELSFR `� rROWS 112' :DIA.O oi c ; `. BOLTS. 2 24' O.C.cl 3 r STAGGERED a NOTES 1 — 1 , 'I. STRUCTURAL STEEL, ASTM 572 (FY=50 KSI)� SHOP PAINTED _ID 0 V, n ( ' } WITH RUST INHIBITIVE PAINTi COLOR BY OWNER. `D SCALE, 1' = 1,-0, i 2. THRU-BOLTS ASTM A325 1/2' .DIAMETER. c + +- 3. PUNCHED HOLES IN PLATES = 9/16' DIAMETER. o 3. fi C1 } - OPTIONAL-COUNTERSINK BOLT HOLES-PER OWNER. ' Q A AR T I V E e o FLITCH - '.•, oa miCHELL _ •—MICRO-LAM L.V.L. TO � CUDIL � > EACH SIDE, FULL `LENGTH ti ° PJo.34774 ►v-r-+� o - STRUCTU'RAL01 Nr 'a '-2 ROWS 1/2' DIA. BOLTS @ 24' 0 C. ►- 1 STAGGERED A.F.F. _ Q� > I [TOWNOF BARNSTABLE] My File Edit Tools Help — ----=---- YeaUTypelf3ill No.—.------- — - - --- -- -Customer account information- — History 2010 RE R __.:.... ... .... _.17191 315995 Detail MCMURRAY,JARED &BREW,HALE' Property information 89 EISENHOWER DRIVE Orig Bill Parcel ID 039 092 COTUIT,MA 02635 Alt Parc Effective Date Prop Loc 89 EISENHOWER DRIVE Lien/Sale 2D0 Ci Special Conditions/Notes Scan Bill [wick Entry Int Dt Billed Abt/Adi Pmt/Crd- Interest Unpaid bal —` 08/04l09 # 683.61 E �— 00 00 �N 26.48 710.09 U tility Acct 11 l03/09 : 683 60 00 00 2 624 686.22 µ . ._...._ _._ ..... _.._..__....,._ w_ _._._, _. ._. ..... ._._ _. ...._ _. .. Customer 02I02110 � 00 00 00 00 00 05f0411w0 00 _. 00 ._._._.. 00 , ... 00 .00 Name Fees/Pen 00° 766100' 00 OD �. ., _.. .� µ„ ..., Parcel Totals 1,367.21 00 � 00, 2910 H 1 396 31 Prop Code = Notes/Alerts D ue 11 A 2/2009 1,396.31 Billing Dates Per Diem 52' JAN 1 Owner: MCMURRAY,JARED,&BR Bill Audit IntPaid .00 Reprint C3View prior unpaid bills Preferences Diagnostics — ..... ❑CASH OCCHECK 'Display transaction history for the current bill. � �rr 2'609 — : �..,<�. w,a... . BARNSTABLE PER CpLLF -t �3Fr t [TOWN my 61e Edit Tools Help --- Year/Type/Bill No. -_.___...__._ ______ __ __..__� t--Customer account information --- -- Histor �200`9- R`-E�R---' 1864�4`.' 315995 MCMURRAY,JARED&BREW,HALE` Detail Property information - 89 EISENHOWER DRIVE Orig Bill Parcel ID 039 092 COTUIT,MA 02635 - - $ Effective Date Alt Parc Prop Loc 1,89 EISENHOWER DRIVE Lien/Sale r 200 LOSpecialConditions/Notes I .,.,.........,. ':,i ScanBill -------- ------ --- ._ . __.._., .-.____.._....... Quick Entry Int Dt Billed Abt/Adj Pmt/Crd Interest � Unpaid bal 08102��I08 a'� 691.78` 00 691 78 — 00; � 00. Utility Acct 11104/08 m._... 1 _ 691.76 ......00 691 76 ,, . .,...00.------------ Customer i �0-2`h03I 675 44 00= .00�i --`— 73.32t -- 748 76 05IO2I09 675.42; El 00 50 52 725.94 Name _ __ - ..-_n.m._ Fees/Pen 00 — 5 00 00 00 5.00 Parcel Totals 2 734 40 5 00 1 383 54; — 1.23$4 1,479.70 i' Prop Code Notes/Alerts Due 11/12/2009 1,479.70 Billing Dates Per Diem �— 52; JAN 1 Owner: MCMURRAY,JARED &BR BillAudit Int Paid 51.48 Reprint LView prior unpaid hills Preferences Diagnostics - u CASH w CHECK air 3�® of 17® v �E �� - NOV 11 200009 Display transaction history for the current bill. -- - - _ f�Q#k6sq reri Rf~rA)(F-q �tr Town of Barnstable *Permit# 3D6?6 raga 'Lo Expires 6 months from issue date Regulatory Services Fee c-,D S 61—D BA"SrABLF. Thomas F.Geiler,Director ArF p1�� Building Division X-PRESS PERMIT Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 MAR 1 0 2008 �V www.town.bamstable.ma.us Office: 508-862-4038 TOWN OF BAR EED-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 0 q Property Address b "S.e.., CA_,_ Residential Value of Work � Oct Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address —J q t^ t we— " Contractor's Name V` / Telephone Number Home Improvement Contractor License#(if applicable) /,A7 ❑Workman's Compensation Insurance Check one: I am a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side 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: Q:\WPFILES\FORMS\buil,ing permit forms\EXPRESS.doc Revise020108 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' a 600 Washington Street Boston, MA 02111- www.mass.gov/dia www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers . Applicant Information f Please Print Lejjbly Name(Business/Organization/Individual): Address: °1s �►-�� o � . City/State/Zip: �J _ �.1' O�G 3''Thone.#: � °i (0. Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New'construction 2.❑ I am a sole proprietor or:partner- listed on the attached sheet. 7...❑ Remodeling ship and have no employees These sub-contractors have g. ❑Demolition workingfor me in an capacity. employees and have workers' Y P t3'• $ 9. El Building addition [No workers' comp.insurance comp. insurance. 10. Electrical re pairs or additions required.] 5. ❑ We are a corporation and its ❑ p 3.f;,J I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions 1 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. lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure.to secure coverage as required under-Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of.a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to.the Office of Investigations of the DIA for insurance coverage verification. I do hereby ertify he pains and penalties of perjury that the information provided above is true and correct. Si afore: Date: �. Lo 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 thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit 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 j self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in (city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to-thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 11-22-06 www.mass.gov/dia �t Town of Barnstable Regulatory Services RAMSTABM L Thomas F.Geiler,Director E p & 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 c Please Print DATE: JOB LOCATION: O 1 , +5 P"� ►'10 w� J✓�- C d�C>i number street village "HOMEOWNER': 3.3,d`Q �Lr VUl✓✓1/z.� 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' n procedures and requirements and that he/she will comply with said procedures and requir ents Signature of meowner Approval of Building Official Note: Three-family dwellings containing 3.5,000 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 Tesults 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 fomi/certification for use in your community. Q:\WPFILES\FORMS\homeexempt.DOC l� Town. of Barnstable BARNSTABU& � Regulatory Services ArEo A 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 as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name QAWPFILES\FORMS\building permit forms\EXPRESS.doc Revise020108 ' Town of Barnstable *Permit Expires 6 m riths from issue dates Regulatory Services FeeJ� Thomas F.Geiler,Director ®PRESS PERMIT' building Division DEC $ Tom Perry,CBO, Building Commissioner 2007 200 Main Street,Hyannis,MA 02601 N TABLE www•town.barnstable.ma:us TOWN OF BAR Office: 508-862-403 Fax: 508-790-6230 EXPRESS PERNHT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property AddressAR 0 S [Residential Value of Work' S 6 0 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address AVU l Contractor's Name FA aAL t. c yt: (1u.A-c�- Telephone Number J O ak-P�2 9 Home Improvement Contractor License#(if applicable) 447-� 17 Q 5 3 (� Construction Supervisor's License#{if applicable) C S 9 [AWorkmanIs Compensation Insurance Ched one: ❑ I am a sole proprietor ❑ I am the Homeowner 0,I have Worker's Compensation Insurance Insurance Company Name ' C / Workman's Comp.Policy# 9 J O L- 35 (SO, . Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) O-Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over 'existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,ire,Historic,Conservation,etc: ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. SIGNATURE: Q:Fomvs:expmtrg Revise061306 130ard ®f•Bun n One Ashburton place - mac® � Standards B®stoll Massa�hu��t�s 02108 ral3ol . Venient" t®r Rcirlstratl®n. FRASER CONST Registration: 112538 DEAN ERASER R�JCTION CO. TYae: 08A h.O, BOAC 1845 Exwration: 3123/200.9 COTUIT Tr# 127920 "PS-Cqy pry SpM-05/p9-PC848p _ VPdate Addy ess and return c —.__. 0 Address ❑ Renew'I and 10�aa&$eas® l®era®f]Sady • ----- -- ---•----•-----••- . _ n�®E•��g� � �S�g�elati®ns and;� ❑ Employment I HOME imp taadlyds Lost Card � EMEPJT CONTRACTOR License or re Registr�tloe�: i 12536 bef®a a flee g� ®n valid for imp only ftphWfain: � D9 T Board of lams ft ation date. if f®Und re�e e 927 �b g lati®ns and $®' f Vie: D S2D �e tag ton pkee �taade a d� ERASER COA►STRU d ]�®st�,1@� ®21®� 1301 I CTION co.f-/j 1 4556 T 2RASSR ! COTUIT, MA D2B35 `���— tar Not valid witlamat signature �. I ' I I - f i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): E f-}S EC LQ/Q<,---,T EU—C Q A) Address:_ '-po a / Y-5 City/State/Zip: yt(A 1 -L PM- 0,Z 3 5Phone #: Are you an employer? Check the appropriate box: Type of project(required): 1.X`I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' insurance.$ 9: ❑ Building addition [No workers comp.comp. insurance p' 10.❑ Electrical repairs or additions required.] 5. ❑ We are a corporation and its 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. ' right of exemption per MGL Y �o workers comp. 12.4Roof repairs insurance required.] t c. 152, §1(4), and we have no q ] 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. xContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: �N 1r-�- F—y Policy#or Self-ins.Lic.#: D 25 0 L 3 S50 Expiration Date: r Job Site Address: City/State/Zip: Cdu�A m 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 certi er the ains and ties of perjury that the information provided above is true and correct. Si ature: Date: Phone o� 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#: AC 4011, PRODUCER THIS CERTIFICATE 10-15-07 IS ISSUED AS A MATTER OF INFORMATION WISE & QUINN INS AGCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 449 PLEASANT ST ALTER THE COVERDER. Is 4GEAFF®RDE®ES NOT �LMICIES�BELOW. EXTEND OR BROCKTON MA 02301 COMPANIES AFFORDING COVERAGE 24WCB COMPANY INSURED A HARTFORD UNDERWRITERS INSURANCE COMPANY FRASER CONSTRUCTION LLC COMPANY PO BOX 1845 B COTUIT MA 02635 COMPANY C COMPANY .......... HIS IS TO CERTIFY :.::::::::::>:.;;::.;:.;•.::.:.:.:.;::.;:•:.:.:.;:::: ::::;•;;:•;;.:.::.: :.: .::.:::.::.:::.;;:::.::.;,:.;::.:.::;.::.>;::._:::.::.:;:::::::::::...........FY THAT THE POLICIES :.:::.:.:::.;:.::: .;;:.;:::::.:.;::.;:::;;;:.:;:.;. INDICATED ICIES OF INSURANCE ::::::z::::;>•:«s:;:;::>;>:»;:::;»::>s;::;::><.>s::;>::;:»;::e<>. LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY O ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL T EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED B CO Y HE T PAID CLAIMS. TERMS, LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION GENERAL LItBIUTV DATE(MMWD\YY) DATE(MMWDX" LIMITS COMMERCIAL GENERAL LIABILITY GENERAL AGGREGATE g CLAIMS MADE El OCCUR. PRODUCTS-COMP/OP AGG, $ OWNER'S&CONTRACTOR'S PROT. PERSONAL&ADV.INJURY $ EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ AUTOMOBILE LIABILITY MED.EXPENSE(Any one person) $ ANY AUTO COMBINED SINGLE ALL OWNED AUTOS LIMIT $ SCHEDULED AUTOS BODILY INJURY HIRED AUTOS (Per Person) $ NON-OWNED AUTOS BODILY INJURY (PerAceldent) $ GARAGE LIABILITY PROPERTY DAMAGE $ ANY AUTO AUTO ONLY-EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ ' EXCESS LIABILITY UM BRELLA R EL lA FO RM RM AGGREGATE g EACH OCCURRENCE g OTHER THAN UMBRELLA FORM AGGREGATE g -- A WORKER'S COMPENSATION AND EMPLOYER'S uABlunr (6S60U6-085OL35-5-07 THE PROPRIETOR/ 09-26-07 09— 26-08 STATUTOR Y LIMBS �4: :?: PARTNERSFIXECUTIVE INCL EACH ACCIDENT g........ OFFICERS ARE: X EXCL DISEASE—POLICY LIMIT tion no OTHER $ DISEASE—EACH EMPLOYEE $ 50 p )ESCRIPTION OF OPERATIONg/LOCATIONS/VEHICLES/RESTRICTIONS/SPECWL ITEMS THIS REPLACE_5 ANY PRIOR CERTIFICATE ISSUED TO THE CER :.;.;.;:<.;;:.;:.;:>:.>:.;;::.:.;;»:.:.;::;;�.:�:.::.:.;:.:.;.:�:.::.::::;::.;:.;;:;::.:;>;;;;;:.;;•:.;:.;:.;:.;;:::.;::.:�:.;:;.::.;::.;:.;:.;:.;:::.::.;:::.:.�.::::::.......... I F I CA T E HOLD E R AFFECTING WORK...........:::::::::::::.:�:.;;:>s»:::>•;:.:;:::>:<:>:;::•;:;:;::;::: :.;>:;:>::»:;:;:::>:;::;. ..:: .. . •::::»::;.;:<::::<:::>::::�:.;>:.;:.:.�;:.;:..�.:.�::.�:......RS COMP COVERAGE. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE.CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL FRASER ENTERPRISES LLC 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE i PO BOX 1845 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR OTU I T MA 02635 LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTA i ...........:::.:�.::::::::.::;.;::.;:.`::<>:::>+:::::<�::;:�Wi.•M:'.�%7.II3:;.�i':'.SPY:�.�'9i!Y1P!i?I;�1�'17�:.+�.,,.�" -. CONSTR Fraser Construction UCTION ROOFING & SIDING Roofing & Siding Specialists P.O. Box 1845, Cotuit MA. 02635 508-428-2292 Email: fraser constructionkverizon.net www.fraserroofing.com Phone 1-508-428-2292 & FAX 1-508-428-0123 RE-ROOFING PROPOSAL DATE: December 18, 2007 NAME: Jared McMurray PHONE:-508-737-4906 IWAIL ADDRESS: 1493 Santuit-Newtown Rd. Cotuit, MA JOB ADDRESS: 89 Eisenhower ".. Cotuit, MA 02635 FRASER CONSTRUCTION hereby proposes to perform the following services in a neat and professional like manner and in accordance with the manufacturer's specifications and local building code. -Remove and Haul away all of the old roofing material -Re-nail all plywood sheathing as needed. Supply and Install - CERTAINTEED LANDMARK /WOODSCAPE AR 30: 30 -Year Warranty, 5 year Sure Start Protection, CLASS A FIRE RATED, ALGAE Resistant, Extra Heavy Weight, Self Sealing, Multi- Layered, Architectural Style, Fiberglass Based Asphalt Shingle with New England's Exclusive COPPER/CERAMIC Stones with a Full 10 Year Warranty against ALGAE Containment. 5 year 70 mph wind- resistance warranty or 5 year 80 mph wind-resistance warranty available with six nails in common bond area, for an additional cost. See actual warranty for specific details and limitations. Color: Oakwood PRICE- $6,500 Initial Supply 8a Install- CertainTeed Winter - Guard: (ice & water shield) Waterproof Underlayment System (3ft. on eves and valleys, 18" on rakes, walls, and skylights) Supply & Install- Roofer's Select Underlayment Paper (as recommended by CertainTeed) Supply as Install - hick's Ventilated Drip Edge or S" Aluminum Drip Edge Supply & Install - Aluminum & Neoprene Soil Pipe Flashing Supply & Install-Air Vent Ridge `lent (as recommended by CertainTeed) Clean & Remove - Debris from work area daily. ' TOTAL INVESTMENT: �! LANDMARK/WOODSCAPE AR 30 - $6,500 NO MONEY DOWN NO Payment at the start or part way thru - - Payments accepted are: CASH - CHECK- MASTERCARD -VISA-AMERICAN EXPRESS *Any payments not made within 30 days of completion will be charged 18%for every 30 days the payment is late. Possible Extra-After the shingles are removed from the roof, we will lift one sheet of plywood to make sure that the insulation is not up against the plywood sheathing preventing ventilation from the eaves to the ridge. If it is, ventilation panels will be installed by; removing the plywood sheathing, installing the panels, turning the plywood over and then re-installing the plywood. If needed, this would be charged for as an extra at the rate of$4.00 per panel including Materials 8s Labor. There are 6 Panels per sheet of plywood. i Possible Extra-Any rotted or otherwise deteriorated trim boards, plywood sheathing, lead flashing, or other carpentry needing replacement will be done and charged for as an extra at the rate of$50.00 per hour, plus materials, plus 20% overhead mark-up on total extras. FRASER CONSTRUCTION Warranties the labor for 12 years FRASER CONSTRUCTION Warranties the shingles against Blow-Offs for 10 years. CERTAINTEED Warranties the shingles and labor 100% through the Sure Start Warranty duration. CERTAINTEED Warranties the shingles to be ALGAE resistant for the duration of the Sure Start Warranty depending on the shingle that was purchased. Any deviation or alteration from above specification will be executed upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our control. Owner should carry fire, tornado and other necessary insurance upon the above work. We, if not accepted within thirty days may withdraw this proposal. FRASER CONSTRUCTION: Carries Workman's Compensation and Public Liability Insurance on the above work, certificate available upon request. DATE OF ACCEPTANCE: Hom "owner Fraser Co tr tion TOWN OF BARNSTABLE BUILDING.PERMIT APPLICATION, } 63 1� -2Q Map — Parcel .Application# Health Division Date Issued Conservation Division Application Fee Tax Collector Permit Fee 92 J ' Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address c1 F c Village Ccr —v ' Owner ���� ✓vv�,� Address J H Ot ' ` Co �- Telephone Permit Request - , LJ Square feet: 1 st floor:existing proposed Scwv t. 2nd floor:existing�U _ proposed Total new Zoning District Flood Plain Groundwater Overlay --f Project Valuation 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 YNO On Old King's Highway: ❑Yes N0 Basement Type: KFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) ..Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing 7�;- new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: A Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes No Fireplaces: Existing Flo New n6,4 Existing wood/coal stove: Xyes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:' existing ❑new size ( ram Shed:❑existing ❑new size Other: �- r I Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ �� h Commercial ❑Yes ❑No If yes, site plan review# Current Uses �v_ _ _y Proposed Use BUILDER INFORMATION 7 Q' g Narr 7 Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE I kl oD r c FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. r ADDRESS VILLAGE k OWNER DATE OF INSPECTION: FOUNDATION FRAME Rf-X ®!csZp V/f0 o INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING B ABC /o a UILDING G/ ,� 2(e�f kA�4-- DATE CLOSED OUT ASSOCIATION PLAN NO. k Town of Barnstable Regulatory Services • au►IiNBreBLE, •. ,, Thomas F.Geiler,Director „��►,e Building Division f Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 " www.town.barnstable.ma.us 'Office: 508-862-4038 Fa 508-'790=6230 PLAN REVIEW Owner: C �'Y1Z'�Y Map/Parcel: Project Address &� s6Wil-Ve1 Builder:. AV/-0 Ate Dw"er' The following items were noted on reviewing: 7"- S/N Pf�� � Reviewed by: Date: Q:Forms:Plnrvw The Commonwealth of Massachusetts De artment of Industrial Accidents P , Office of Investigations 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers}Compensation Iusurance Affidavit:Builders/Contractors/Eleetricians/Plumbers A lIcaut Information Please Print Le bl Name(Business/Organization/Individual): Address: �I �`s-�� r-- l City/State/Zip: C-� _l"V� daG 3S�- Phone.#: �;TA Are you an employer?Check the appropriate box: :Type'of project(required):, 1,❑ I.am a employer with 4• ❑ I am a general camtractor and I employees(full Mdlor part time).* have hired the s'ub-contractors 6. ❑New construction,. . fisted arfisted on the'attached sheet. ' 7. Remodeling 2.❑ I am a'sole proprietor or par a to e These sub-contractors have g• [j Demolition ship and haveno mP Y . oyees empl and have workers' •working for me in any capacity. t, 9. 0 Building addition [No workers' comp.it smance comp.insurance, 10.E •Electrical r airs or additions required.] 5. 0 We are a corporation and its � -3. I am a homeowner doing a1l•work . officers have exercised their 11.❑Plumbing repairs or additions ' m elf, o workers'comp. right bf exemption per MGL 12.❑Roof repairs c. 152, 1(4),and we have no insurance.re ed t e ' 4� ] employees.[No workers' . 13•❑ Other _ • comp,insurance required.] *Any ipplieant that checks box#l,must also fill out the section below showing their workers'compensation policy information. t Iiomeownera,who subruit this affidavit indicating they are doing all work and then hire outside contractors mutt submit anew affidavit indicating'such. #Contractors that check this box mutt attached an additional sheet showing the name of the sub-contractors and state whether ornot those entities have employees. If the sub-contractors have employees,they must providb their workers'comp.polidy number. rani art employer that is proyiding.workers'compensation insurance for my employees. Below is the policy and job site' information. Insurance Company Nahne: Policy#or Self-ins.Liz.# 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 tmder 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,es well as civil penalties in the form of a°STOP WORK,ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded tothe-Office of' Investigations of the CIA for insurance covEraLre,verification. I do here certi r the pains aitd penalties ofperjury that the information provided above is true and correct Si afore: Date: Phone#• Official use only. Do not write in this area, tb be completed by,city or town official City or Town: Permit/License# Issuing Authority(circle one): .1.Board of Health 2.Building Department 3.City/Town Clerk 4.ElectricaI Inspector 5.Plumbing Inspector 6. Other Town of Barnstable �OFTHE 1p�� Regulatory Services Thomas F.Geiler,Director BARNSTABr.6. '� 1639. Building Division ,0$' � ArEDr a .Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 vm w.town.barnstable.ma.us . Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE JOB LOCATION: `G Se.^Vt r�.,� r� 4�✓\ SIP number 1iA ,,n street u village "HOMEOWNER": _ �� W`C�'"lVly-r, syS name home phone# work phone# CURRENT MAILING ADDRESS: Lill r'AVv� - 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 re . e i • Signatur 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. °FTHE ro,,� Town of Barnstable °^ Regulatory Services R � KAS& g Thomas F.Geiler,Director 16.39. 0..� 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 to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Propegy Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. � 0 CJ"2 f r ' N TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 03 Application# v200-767- y� Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee ' Planning Dept. Permit Fee o Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address g5 f1S&J 64 -W-,,Z -,xz- Village OU7�;i c- M4 Owner y✓IA MQ-6- UGC e4ft 41L4oVr1a a' - Address �9 3 4941JZ ZAI Telephone 6Db- 5,� 24-63 6ST£.a44C-t.Z_ Permit Request R.t owyz i.xr 2/&Z- �21 /,mil 9,0?4&f- Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District 9-VS Flood Plain Groundwater Overlay Project Valuation 200 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family d1o" Two Family ❑ Multi-Family(#units) Age of Existing Structure 3 a Historic House: ❑Yes U go On Old King's Highway: ❑Yes Ef No Basement Type: mull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new+ Total Room Count(not including baths):existing (d new First Floor Room Count Heat Type and Fuel: &has ❑Oil ❑Electric ❑Other Central Air: ❑Yes D<oo Fireplaces: Existing New Existing wood/coal stove: ❑Yes O'I�lo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:0 ex4 tin w ge Attached garage:Coexisting ❑new size Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization 0 Appeal°# - - T," - Recorded d- _ r Commercial ❑Yes 0<0 If yes, site plan review# � Current Use Proposed Useco BUILDER INFORMATION Name 1#4zi e — Aac S Telephone Number Og €eZ .Address 3a. P., r aq - License# j"'A-(s,ZG5-�- Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE /S=07 I y FOR OFFICIAL USE ONLY `PERMIT NO. DATE ISSUED s MAP/PARCEL NO. F{ 4 F ADDRESS VILLAGE 1 OWNER a {{ DATE OF INSPECTION: r. FOUNDATION FRAME INSULATION s FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL i GAS: ROUGH , FINAL FINAL BUILDING i t DATE CLOSED OUT ASSOCIATION PLAN NO. t r Town of Barnstable Regulatory Services * Thomas F.Geiler,Director k w sARNSfABLE. 9 MASS. 1639• Building Division rEn �p. 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: Ca`-7 ' L JOB LOCATION: ,q�*j Ej S",4©Lj ZeZ_ 61 i L number street village "HOMEOWNER': {A CT— Koc'i /sAACS :S'6g OzV Z?tT3 name home phone# work phone# /r CURRENT MAILING ADDRESS: Pb ez a y city/tomm state zip code The current exemption for"homeowners"was extended toa 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 soervisor. 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. C The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building-Department- Immmum inspection procedures and requirements and that he/she will comply with said procedures and requirements. t Signs a of omeowner A Approval of Building Official x_ 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 ,}mil The Commonwealth of Massachusetts '\ Department of Industrial Accidents a Office of Investigations 600 Washington Street Boston,MAl 02111' www.mass.govldia ' Workers"Compensation Insurance Affidavit: Builders/Contractors/Eleetridans/Plumbers Applicant Information -.Please_Print]Ledbly N (Business/Org n/Idividual): Y1h ft-p— Ott-f- T T' Address: t � _ City/State/Zip: 1"-i oe- S Phone A: � s' � ��� 7� Are you an employer?Check the appropriate bog: :Type of project(required):. . am a general and I 1.❑ I am a employer with 4 I l contractor 6. []New construction . employees(full and/or part-time).* have hired the sub-contractors listed on the sheet. 7. ❑Remodeling 2.❑ I am a'sole proprietor or partner- These sub-contractors have ship and have no employees 8. ❑Demolition working for me in any capacity. employees and have workers' 9 Building addition [No workers' comp,insurance comp,insurance.$ 5. We are a corporation and its 10.❑Electrical repairs or additions qurred.] 3. I am a homeowner doing all work . officers have exercised their 11.❑Plumbing repairs or additions ' myself.[No workers'comp. right bf exemption per MGL 12.0 Roof repairs insurance,required.]t c. 152, §1(4),and we have no 13.❑ Other employees. [No workers' comp,insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy infarmation. t Homeowners.who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether ornot those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.poH6y 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.Lic,#: Expiration Date• Job Site Address: City/State/Zip• Attach a copy of the worker's' 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$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coves e verification. I do hereby certify under the pains•and penalties of per that the information provided'a`bovg is true and correct ' Date: Signature: ,/ — Phone# 5� Tag S- 3 Official use only. Do not write in this area, to,be completed by.city or town official City or Town.— .Permit(License# Issuing Authority(circle one): Building De partment artment 3.City/Town/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector Board of Health 2.Burl ty P o g P.1.8 _ • 6.Other Contact Person: Phone#: Informanoii anti inst en ns Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute, an employee is defined as"..,every person in the service of another under any contract of hue, express or implied, oral or written." An employer is defined as "an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a' joint enterprise,and including the legal representatives of a-deceased employer,or the receiver or trustee-of an individual,partnership,association or other legal entity,employing employees. However the e owner of a dwellin house having not more than three apartments and who resides therein,or,the occupant of-the wn g g p dwelling house of another who employs personsto do main otenance,construction r repair work on such dwellin$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." Additionany,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 Dfcompllance with:tlie insurance- requirements of this chapter have been presentedto 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-contiactor(s)name(s),address(es)and phone number(s)along with their certificate(s)of K insurance. Limited Liability Companies'(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members'or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit.or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,-please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate-line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all-locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves-etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number:. The Co nonwWth of Massadusetts Dtgaxt4xmimt of Indutdal Accidtants Offt" of Investlgattons 60G Washington Stmd Boston,.MA 0,,111 - TO.#6.17-727-4900 ext 406 or 1-877-MASSAFE Revised 11-22-06 Fax#617-727- 749 www.mamgov/dia f °ZVE� 'Town of Barnstable Regulatory Services sABrrSTAB Thomas F.Geiler,Director 9 MAS9 `bprEpra�` Building Division Tom.Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-862-4038 Fax; 508-790-6230 i Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION " MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,'conversion, -improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: &Q Gowr & Estimated Cost Do �" 4 Address of Work: 9!q 96W 4^-4 i,'L._ �L._ Owner's Name: M � Date of Application: (1r,211-6 I hereby certify that: , Registration is not required-for the f6ll6wing reason(s): y . Work excluded by law ❑JobU der$1,000 OB g'not owner-occupied r caner.pulling own p ermit .Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORD DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY ; I hereby apply for a permit as the agent of the owner-, ` - Date - Contractor Name Registration No. OR >� Date Owner's Name - {{: Q:forms-homeaffidav ,:` ^ } r � • �q P� ga r •� • .me. L'�(v5- � t � - LY �S ay e- p � c6v\ AA PAYMENTS PROOF 11391662 2007 5682 200701860 6300 630104 CASH REV: 04/05/2007 TO 10:03:36 MISCELL DEPT RECEIPT YEAR BATCH CUST NAME REAS CHARGE GL A 11391672 2007 5682 200701861 6300 630104 CASH REV: 11391849 2007 5682 200701864 6300 630103 CASH REV: 11391927 2007 5682 84393 6300 63010_ 11391928 2007 5682 200701868 6300 63010 i Date: December 6,2006 To: Building File From: R.Giangregorio Re: Business in Residential Zone—Tow Truck Owner: Dawn Loud&Paul Curtis(tenants) Margaret Kroc and Carol Allen M&P: 039-092 Zoning: RF/AP Property: 89 Eisenhower Road,Cotuit Nov.2006 Received complaint regarding tow trucks speeding up Eisenhower and down Sampson's Mill. Trucks have damaged private dirt road and constant beeping and noise is driving neighbor crazy. 12/6/06 BC says there is no zoning violation. They are employed by towing company and there is no ordinance prohibiting commercial trucks. Date: December 5, 2006 To: Building File From: R. Giangregorio Re: 89 Eisenhower Dr, Cotuit 508-419-1025 Owner: Dawn Loud &Paul Curtis—tenants of Margaret Kroc M&P: 039-092 Zoning: RF Overlay: AP November 2006 Received complaints about tow trucks speeding up Eisenhower and around Sampson Mill. Advised a couple drives in shifts for same company. He drives during the day and she drives at night. Activity is 24/7 but daytime driving is reckless. Daytime driver damaged private road (Sampson Mil) and lawn at the bend. (Large potholes) Trucks are lettered with Portside Towing Portside Towing 54 Portside Drive Pocasset, Ma 02559 508-563-9306 Cars Towing Unable to get telephone or listing. December 6, 2006 Received follow up inquiry from caller. "''• TOWN OF BARNSTABLE Permit No. - --------------------------- l sUMn,>l Building Inspector � rPYa Cash ------------------------ � OCCUPANCY PERMIT Bond ----_-__-___ "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Jot in (."'Qsn" Address 314 Sea St, , I lvalnn-1 S.. Nia Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. ...................................................... 19_._ _ ..........................................................:....... _ ... __................_. .._ ._ Building Inspector f y ' 1 zs' O T _ _ �,eo,�5��Z. �.�o E per, 128 1 K _39 'f ` 2-2 3/ I CERTIFIED PLOT PLAN L O C A T I ON* - CO?-0/7 F OR: .�/,eev GlJSTa�I teo/G.o S C A L E: -`3Q DATE R E F E R E N C E D A T E 1 HEREBY G E RTIFY THAT THE BUIL DING REG. LAND SURVEYOR SHOWN ON THIS PLAN 15 LOCATED O N THE G -ROUN -D AS SHOWN HEREON . . j11 l J . M . MONAHAN, JR . & ASSOCIATES REGISTERED LAND SURVEYORS & ENGINEERS_ ;A's u r! 651 MAIN STREET DENNISPORT., MASS. 02639 _so R E L E A S E We, JOHN CROSBY, JOHANNA CROSBY and SUSAN LOWRY hereby release the Town of Barnstable, its agents, servants and employees from any liability to all and each of us arising out of the issuance by said Town of a Temporary Occupancy Permit for the dwelling house located at 89 Eisenhower Drive, Cotuit to run from July 1, 1980 to July 31, 1980 pending final approval by said Town of the fitness of said dwelling for permanent occupancy, and agree to fully comply with the decision of said Town regarding permanent occupancy after July 31, 1980. %Q 1/ N CROSBY 17 J0HANNA CROSBY SUSAN LOWRY f (, (Tenant) Dated: (`� f TOWN OF BARNSTABLE C9ffles of E70wn eounse� 397 MAIN STREET.- , HYANNIS, MASSACHUSETTS 02601 TELEPHONE 617-775-1120 EXT. 155 July 7, 1980 Mr. Joseph DaLuz Building Inspector Town of Barnstable Dear Joe Enclosed please find copy of correspondence received today from Attorney Houghton regarding the .Conditional Occupancy Permit for Crosby Property, Cotuit. If this is in proper form will you kindly issue thirty day temporary permit as requested. Very truly yours, Bruce P. Gilmore Enc BPG:ecg T DAVID HOUGHTON ogttozney at 1'aaw 255 MAIN STREET, POST OFFICE BOX 337 : HYANNIS, MASSACHUSETTS 02601 TELEPHONE (617) 771-4478 July 3, 1980 Bruce Gilmore, Esq. Town Counsel Town of Barnstable Hyannis, MA. 02601 Re: Conditional Occupancy Permit for Crosby Property, Cotuit Dear Bruce: Enclosed please find executed releases to the Town by the Crosbys and their proposed tenant. Will you kindly pass these on to the Building Inspector' s Office and ask them to issue a thirty day temporary permit as we discussed on the phone yesterday. Your help in this matter is greatly appreciated. Very truly yours, T. DAVID HOUGHTON Asse or's map and lot nu ......................i%� ........ THESewage 'Permit number ��,; i..............: �..................:...... $ d�P� 'N�ALLft IN 9TODLE, i House number Q� rnea, 1..... ..................................................... i639,. \e00 co IE AND wa TOWN OF BARNS TIONS BUILDING INSPECTOR APPLICATION FOR PERMIT TO ................................................................................. TYPE.OF.CONSTRUCTION ...G.11 A.4.,?..... . /P�� .............................................................................. .........© =: `...52..............192ff TO THE INSPECTOR OF BUILDINGS: The. undersigned 'hereby applies for a permit according to the'following information: Location ! .��.1.....0�..3..... .�5. U�((J`.fS.... 1 ..........C, Q..T... ... ........................................................ ProposedUse ...... .Div !LL /L�'......................................................... .................................................................... Zoning District ...... � .�.................................................Fire District �G/. asp - a14 Name of Owner �'�i`�/� � ............Address .. .... .. . .. ............r....... .. ...... /` n. .. ............... �. ............... n 2- Name of Builder ff.112 ,3r...C�. 7P�!'I.. •,� kSAddress��` -C4P..T..I1Q^k'S.../RI?.......... �?.: .Name of Architect ..................................................................Address .................................................................................... Number of Rooms ......... .......................Foundation .C11.&O Exterior .....-:-..... ...... .................................. Floors11 . ..,7 ...Interior ........S.// ................................... Heating ... C..7` .......................................Plumbing ......a— ��ll ........................................ Fireplace .............. ................................................Approximate Cost .r. Definitive Plan Approved by Planning Board ---------------____-----------19________. Area ',?a,.G ...1..................... Diagram of Lot and Building with Dimensions .Fee .. .. . / ................. ............ SUBJECT TO APPROVAL OF BOARD OF HEALTH (4U�h���) r IOIW7� 2,3 d le ,- :2J c5� I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..... ..... ......... .............. ............................ ' ' ' ' ' .. � ' / � ~J ' � � . � ` � . / � Crosby, John A-39-92 WERMIT REFUSED rn ^ ...........................................rn � ^ / Approvi _ . ' l9 . __ � ------------------~—.— � -------------.---...--.... - 79f -er Assessor's map and lot number ....... .... .. ..(....... THE TOE .Sewage Permit number .................... ................................ MARNSTIBLE. House number ............. 9 ...................................................... MU& O 1639- TOWN OF BARNSTAB' LE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........................... ..................................................................................... TYPE OF CONSTRUCTION ........ .............................................................................. ................................................TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........................................................ ...... ..... . .R........... ProposedUse ...... ................................................................................................................................. 14-- ZoningDistrict .... ................................................................Fire District ...Cr✓��.......................................................... Name of Owner ... 0.......9.../...3. ..............Address � 4......... 1, Name of Builder 1AA? 4V 6 ...... S.K ..... C::- Address k�p........S':....�.�Z,.p Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..........7 ..................................................Foundation ................................................ Exterior =r....... • ...... ........... ...................... Floor's ....... .............................................Interior ...... ................................... Heating .... ...........................................Plumbing ......P.. .. . ........................................ Fireplace ............... .................................................Approximate Cost .................. ......................... a :%2 Definitive Plan Approved by Planning Board --------------------------------19--------- Area ..................... Diagram of Lot and Building with Dimensions Fee �............ ............... -SUBJECT TO APPROVAL OF BOARD OF HEALTH 61A1 .2� 22 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....................... Crosby, John A-39-92 J s'ewage' `9-640 No 1743..... Permit for 1a—atary...dwelling ............................................................................... Location ....�9..Eisenhowar..Dr.,...... ......................... Qtui ...... .............................. Owner .....JQh1I..CX.Q.54...................................... ` Type of Construction ...jad..Fram-e................. ................................................................................ Plot ............................ at ................................ Permit Granted ...................Oct............18..........19 79 Date of Inspection .......... .........................19 Date Completed ......................................19 PERMIT REFUSED .................r?. ... 19 ......... ..... . .....?. ......................... ............................................................................... ............................................................................... Approved ................................................. 19 ............................................................................... General Pools The swimming pools and spas consist of one-piece fiberglass construction shop-formed over a mold.The material is fiberglass reinforced plastic(FRP),a minimum of 1/4 inch(6.4 mm) Vi* ki* ng thick,composed of isophtalic resin,vinyl ester resin,and fiberglass.The surface finish is a neo pentyl glycol ge!coat.Viking Pools produces various styles of swimming pools and spas.When installed in accordance to Viking Pools installation procedures,the pools and spas comply with b applicable requirements of the following codes: MASSACHUSETTS STATE BUILDING CODE 780 CMR-Eighth Edition m � ti PO 04 C 0 0 E BIZ£ D E PTN 8 ALL S gs'ED. ON yi k APPROX . RESIDENTIAL VOLUME&2011 MASSACHUSETTS AMENDMENTS ,y..,..�,. ,.%„�D.�+.%, x..e. -t• �SZ f �Ry .. ..SZ ::;-, �%,:Y 11�',�„ „-;=.;, � �.... .4'.r', GULF COAST-GC RIO-BPD OCEAN BREEZE-OB POSEIDON-PS ACAPULCO-AC a a It a In a s N F F 8'-9` t 4'-3 4 2 1 0 0 ADDITIONAL.NOTE 19,600 gal.approx. 22,000 gal.approx. 18,900 gal.approx. 23,000 gal.approx. 16,300 gal.approx. g »iv,. <�, QW ma, ` - 8 s r m u d a A L 12 2 6 3 6 5 6 T 0 0 0 IF POOL IS FURNISHED WITH DRAINS OR SUBMERGED SUCTION 4 �► ✓:0449>x :� '�1. N,.,,.41,114, Try cn, OUTLETS,THAN COMPLIANCE TO THE VIRGINIA GRAEME BAKER Canc a n C C t 6' 3 5` 3`-8" 8'-6" 1 5 0 0 0 POOL AND Sly F"ETY ACT IS REQUIRED: A - ..� �,, k,„,,� ,. DRAIN COVERS ASME At 12.19.8 2007 AT 3%0"MIN APART Caribbean 0etux N R X t6 40' 4 6 6' yQ 500 AND pry' .` Lys . ENTRAPMENT'AVOIDANCE MUST BE INSTALLED Chesa efiake CPS ~~ 12' 31 , 3'-11 ' 5' 10 500 -4a 38' 35 0 e tr a B t 1 -t 0 2 5 5 4 6• 8 1 0 0 The overall pool dimensions,depths and capacities are shown in Table 1.The units comply AVAILABLE 35'T045 F; '•,! 8,.r. ,f, •, � y y - ,_ ,ar ., f,_ ,,* ,; v�- Y';„ ,- �,"r„. with ANSI/NSPI-5,specified in Section AG103.1 of the IRC,and IAMPO IGC-2000*,specified in INLENGTH '•"GutfCoast GC 15'-10' 39'-7" 3'•5` 7'-11 ` 19 600 the UPC. MOM Models described in Table 2 can be placed up to 19-1/2 inches(49.5mm)above ground. Island Breeze It ON 1 6' 4 0' 3.4. a' 2 2 0 0 0 These pools and spas may be placed with or without concrete or wood decking. Unless elevated portions of the units are protected from sunlight by soil berms,decking,etc-,these portions must L a 9 a a a L G 1 4 3 0' 3' 6 s 1 4 8 0 0 be coated with a UV-inhibiting opaque paint that is compatible with the laminate. Lake Share C0 16 3 3 3 =7" 5 WE ' -5 15 =0 000- --M All plumbing must comply with the IPC or UPC. Electrical work must comply with the code in � ` effect at the construction site.The pool and spa must remain full of water at all times.A 3 '-s fi "f „ ` 0 permanent sign,bearing the following statement, must be attached to the pumping equipment: ISLAND BREEZE [I-N MEDITERRANEAN-BP CANCUN-CC PANAMA-BL N If I t e e r r a n e a n 8 P 1 5' 8' , 3 8 3.4. 5'-1 1 t 7,0 0 0 20,000 al.approx. 17,000 al.approx. 15,000 al.approx. SEA BREEZE-K 14,000 gal.approx. '` ,e, 4::r .M ,.;F P pa is designed to remain full of water at all times.The pool shell may be Notice-The pool or s 9 p 9 pp 9 16,000 gal.approx. 4 damaged if the water level is allowed to drop below the skimmer.When appreciable draw-down N ontere N K 14 4 , 2T' T 3 7` 5 10 10 000 P PP is noticed or if it becomes necessary to drain the pool or spa,contact Viking Pools or its dealers 0 c e a n Breeze 0 8 1 6' 40 3'-6" 5'-8" 1 S 9 00 for instructions. „ A permanent label must be installed adjacent to the above sign indicating the Viking Pools Poseidon P 5 16 4 0' 3.4. 7' 2 3 0 0 0 dealer's name,address and telephone number. - R o c k o r t RP 1 4 3 0' 3.4" 5'-1 1 ` 12 8 0 0 Installation Pro.edure: �` 3rA =,. r ' t - `` u • `" - Vikinq pools and spas may be installed without a soil investigation by a registered design '� 35 B a n to C r u z 8 L 7'•6 3 9' 4 6,5 0 0 ,;joul(RDP),subject to the building official's approval, provided none of the following S�E'8 B%r,e,@"�a�' v� .,- :< ,��,�". <a"„ �,':-9"R�' .. ����, ' Bat'"'�„���� : � �r". is'�> io S It. T II o m a s L 14 3 1 6 3 7 7 1 3 t 0 0 c 1 ns are ercounteredat the site. ,• ; x B.dt` y ,5 w 1. .tThe existerlce of uncontrollable groundwater within the depth of the pool or spa on I Triton TN 14' , 30' 3'-7 5'•11 13 500 excavation. 2.The existence of an uncom acted fill in contact with an 0� P y portion of the pool or spa. 3.The existence of expansive or adobe-type soils. 5 r I 4.The existence of any soil types with an angle of repose that will not support the walls of TABLE 2- POOLS theexcavaton at desired slopes. GULF SHORES-OS MONTEGO-MT -T� LAGUNA DELUXE-LGX LAGUNA-LG 5 ,.� 5.Danger to adjacent structures posed by the proposed pool or spa location. 14,800 gal.approx. p o CARIBBEAN-MR 6.The existerlce of any cracks or openings in soil that would not confine sand bedding. 15,000 gal.approx. 14,000 gal,approx. ga.approx. 22,000 gal.approx. If any of the conditions above is encountered,excavation must cease immediately.The iI Ail 0 V E G R 0 0 k 0 IRS 1 A L L A 110 R specified conditit ns at the site must then be reviF we"i or.I rerommencations made by the RDP. Ilia 9ERIfa The buiiding offi;.jai must approve the RDP's report befora .✓ork is completed. J S 0 The pool or spa excavation profile must coincide with the contours of the pool. The over -s. -....._._ .__._--.,I excavation is mir ;num 6(152mm)on the sides and ends.The over excavation at the pool -- bottom is minimulm4(102mm).The backfill for the pool or spa bottom is a layer of 3-inch-thick 0 R /W (76mm)bedding;and matching the pool or spa profile.This sand layer is compacted using a manual tamper aid water.The pool or spa is then set into place using a crane,excavator or manually and be within 1 inch(25mm)of level.Simultaneous waterfill and sand backfill operations then commence.The sand is compacted with a tamper and water.The installer must i ensure that the b3-ckfill level and water level are approximately the same throughout this procedure. r. 13'8' FIG.2 After completion of the backfill and plumbing,the decking is placed. Decks are prepared as CONCRETE DECK indicated in Figures 1 though 4: BRICK OR NATURAL _ WITH BRICK OR STONE - STONE DECK 6'X6'-W1.4XW1.4 1. Cantilevered concrete decks are constructed as noted in Figure 1 in all cases. 3'8 WIRE MESH OR 3'MIN• REBAR No.3,ON 2'D.C. 2•Cantilevered decks are constructed with brick or stone as noted Figure 2 in all cases. EACH WAY. ROCKPORT-RP 4SLOED 1/4'=1' FOR CLAY(ADOBE) 3. Raised bond beams are constructed as noted in Fi ore 3 in all cases. 9 ANTA RUZ-SLSOIL ONLY. 4.Above r6und installations are constructed as noted in Figure 4 in all cases. 6,500 gal.approx. ST.THOPdIAS-L TRITON-TN 12,800 gal.approx. CARMEL-FF y 13,700 gal.approx. 13,500 gal.approx. 12,000 gal.approx. -� -TT 1 Barriers ar4 recluired where pools are on premises of UBC Group R, Division 3,Occupancies 12" 10• or IBC Group�Occupancies.The barriers must comply with Appendix Chapter 4, Division 1,of FIG.1 -1 1=1 - the UBC or Section 3109.4 of the IBC TYPICAL CANTILEVER CONCRETE DECK _III FOR CLAY - - 1/4'GALVANIZED (ADOBE) BOCA@ National BuildingCode/2003(BNBC): {� .. 6"X6'-W1.4X WIA III CHAIN SOIL ONLY. ( ) T MIN. WIRE MESH OR = 3'THICK COMPACTED Viking pools and spas may be used as public swimmingpools private swimming REBAR NO.3.ON 2'O.C. SAND(TYPICAL) P or P g pools, In - 9` d- EACH AAY SLOPED 1/4"=1' (ADOBE) I GRAVEL FOR CLAY 4'MIN.THICK COMPACTED connection with Croup R-3 Occupancies only. In addition to other requirements in this report, T + soILONLY. � swimming pools used under the BNBC must satisfy the following items: 3 12^ 6`10 (ADOBE)SOIL ONLY. 1. Location: Swimming pool and spa walls shall maintain distances from property lines 31' -25'-T ° _ � 6" FIBERGISAN required in Section 421.4 of the BNBC. 28' 10. POOL SHELL 2.Construction: Requirements in Section 421.5 of the BNBC,concerning slopes,cleaning g P 9 devices,walkways,steps and ladders, must be observed. 1/4'GALVANIZED FOR CLAY DECKS REMOVE STONE 'FOR NON CANTILEVER 3.Water SU�pply:The water supply and drainage must comply with Section 421.6 of the _ A (ADOBE) CHIN 3'THICK COMPACTED OR BRICKS. SOIL ONLY. BNBC. SAND(TYPICAL) 4. Barriers,Ba private for swimming pools must comply with requirements in Section 4"MIN.THICK COMPACTED � 3'-TJFE777 3- 3'-S �\ GRAVEL FOR CLAY 421.10 of the BNBC. 3•- 5 (ADOBE)SOIL ONLY. 3` KEY WEST-BFF CLEARWATER-SP SAND 5. Diving Boards: Diving board distances and water depths must comply with Section 421.11 LAKE SHORE-CD MONTEREY-MK CHESAPEAKE-CP 9 9 p p y 14,000 gal.approx. 10,000 gal.approx. 10,500 gal.approx. 9,000 gal.approx. 4,000 gal.approx. FIBERGLASS FIG.3 of the BNBC. 10^ � 6" POOL SHELL TYPICAL BOND BEAM - - CONSTRUCTION Identification; BRICK,FILLED BLOCK, -- T MIN. -. Viking po,o)s and spas are identified by the following information imprinted on the top step of OR POURED CONCRETE -�- 8' the pool or spa: manufacturer's name(Viking Pools)and address, pool or spa model BACKFILLED DIRT designation,a coded serial number and the evaluation report number(PFC-3608). The units also bear the label of the quality control agency,Columbia Research&Testing ' Corporation ) MAXIMUM R� s"x6 -w1.4Xw1.4 P (AA-5 7 WIRE MESH OR 24" REBAR NO.3,ON 2'O.C. f EACH WAY. Evidence Submitted: 2,• ���� SOIL ONLY. Plans,fabrication and installation data, calculations and a quality control manual. 25 I // /\ FOR CLAY(ADOBE) 25'-5• 20' iii e-�z-x-x 12• 11= 10^ Findings: That the Fiberglass One-piece Swimming Pools and Spas comply with the 2006 International t Building Code@(IBC),the 2003 Uniform Building Code(UBC),the 2003 Standing Building 3'THICKCOMPACTED Code©,The BOCA@ National BuildingCode/2003 BNBC the 2003 International Plumbing iq SAND(TYPICAL) (BNBC), g T 3'_T 3'-4• GRAVEL LTHICKFOR COMPACTED Code®,and the 2003 IAPMO Uniform Plumbing Code,2003 ANSI/NSPI-5 Residential Inground GRAVEL FOR CLAY BAJA-SFF DELRAY-B � CAPE CORAL-SK MAUI-MTK I- (ADOBE)SOIL Swimming Pools, 1999 ANSI/NSPI-3 Spa,subject to the following conditions: FREEPORT-FP SUN COAST-BKD 2,30o al.a _ 1.The construction and pool/spa installation comply with this report and the manufacturer's 6,000 gal.approx. 7,500 gal.approx. 8,100 gal.approx. 6,000 gal.approx. 3,750 gal.approx. 9 approx. SAND instructions. �j FIBERGLASS 2.Electrical and plumbing installation comply with the respective codes in effect at the construction ^ POOL SHELL site. 1 3.The pools ands as are installed b trained dealers,agents or customers P y g approved by Viking Pools,h1c.,Viking Pools Central,or Viking Pools Northeast. 4.Clearances from slopes are observed as set forth in Section 1806.5.4 or the UBC,Section FIG.4 1805.3.3 of the IBC or Sections 421.4 and 421.5 of the BNBC. TYPICAL ABOVE GROUND INSTALLATION 5.The pools and spas produced by Viking Pools North-east, Inc. 176 Viking Drive Industrial Park, Jane Lew,West Virginia;Viking Pools Central, Inc., 10600 �- West Interstate 20 East,Midland,Texas;and Viking 4'-3' 30 MAXIMUM Pools, Inc.,121 Cratifiord Road,Williams, r 4 2e' 19 1/2" MOUND DIRT OPTIONAL California,are manufactured under a WOOD DECK AROUND POOL quality control program with inspections by Columbia Research I I BAHAMAS-MIFF R r _ 3'F OAHU-MLL TROPICANA-MP 2,100 gal.approx. 3� BERMUDA-AL SANT 5B 9RB pRA-RS Jmm A 2,200 gal.approx. 2,500 gal.approx. -� 6' �- 4 CARIBBEAN DELUXE-11 7,000gal.approx. Pp+ iA. Mwx Jr. 20,500 gal.approx. Length,width and depth may vary up to 3/o-all {,� � VIKING FIBERGLASS POOL dimensions are to outside edge of coping,measured 1�•f4 ROW from parallel lines. -^�•-NW JaSey 074M i -- zt", ,, /='1.: /- Shed TIf SWIMMING POOL WMA.Mle1u CONSTRUCTION DETAILS MA Professional Engineer License No.36365 Drawing No. S-01