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1351 SANTUIT-NEWTOWN ROAD
r pFTME rpk, Town of Barnstable *Permit# Expires 6 months rom issue date Regulatory Services Fee * snxxsznsLE, , 9cb 659. � Richard V.Scali,Director ArED pAA�A m Building Division Tom Perry,CBO,Building Commissioner JUN 0 2 2015 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us TOWN OF BARNSTABV, Office: 508-862-4038 Fax: 508-790- -130 EXPRESS PERMIT APPLICATION - RESIDENTIAL, ONLY Not Valid without Red X--Press Imprint Map/parcel Number 01Q s 1t'jfj Property Address esidential Value of Work$ An- Minimum fee of$35.00 for work under$6000.00, Owner's Name&Address Z_ l/e/e L I b N/ /%z__ Contractor's Name Telephone Number &/Z Home Improvement Contractor License#(if applicable) a �d 3 7/Y Email 6�Fz<���2c�,Lz p" Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy#_ Copy of Insurance Compliance Certificate must accompany each permit. Permit Reque check box) e-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to VA)ek0 //-4 ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum .32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: kao-i ,a C&� ' � C:\Users\DecollikUppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\2PIOIDHR\EXPRESS.doc Revised 040215 Property Owner Must Complete & Sign This Form If Using a Roofer/ Builder. 1,pnr, LAua4 as Owner / Agent of the subject property hereby authorizes Paul J. Cazeault &Sons Roofing Inc. f to act on my behalf, in all matters relative to work authorized by this building permit application for. Address of Job 13 S I -')4 NTv FyJ ICVV N C'pTv tT' /�i� � 'otlo3S" Signature of Owner. Mailing Address of Ownerw, Telephone # -7-7 q �'a 3 Date Please return this form to Paul J. Cazeault Roofing along with your signed contract. It is needed for us to obtain the building permit required by your town to complete your roofing project fax#508-420-4555 office@cazeault.com DATE(MM/DDfYYYY) CERTIFICATE OF LIABILITY INSURANCE 8/7/2014 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 pollcy(les) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER DOWLING &O'NEIL INSURANCE AGENCY INC NAME:CT 973 IYANNOUGH RD PHONE FAX PO BOX 1990 A/C No Ext A/C No): HYANNIS, MA 02601 ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURERA: LM Insurance Corporation 33600 INSURED INSURER B: PAUL J CAZEAULT& SONS ROOFING INC 1031 MAIN STREET INSURER C: OSTERVILLE MA 02655 INSURER0: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 21146142 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MMIDDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAG PREMISES(Ea occurrence) E TO RENTED $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑JEOT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBEaacciINdentED SINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION WC5-31 S-386670-013 8/10/2013 8/10/2014 �/ STATUTE �RH AND EMPLOYERS'LIABILITY YIN WC5-31 S-386670-024 8/10/2014 8/10/2015 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1000000 OFFICER/MEMBER EXCLUDED? ❑N N/A (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 (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Workers compensation insurance coverage applies only to the workers compensation laws of the state of MA. This certificate cancels and supersedes all previously issued certificates,only as they relate to workers'compensation coverage CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE LM Insurance Corporation ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD CERT NO.: 21146142 CLIENT CODE: 1614182 Lucy Garfield 8/7/2014 2:44:49 PM (EDT) Page 1 of 1 r Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 103714 Type:. Supplement Card Expiration: 7/9/2016 PAUL J. CAZEAULT &SONS, INC. ..pa RUSSELL CAZEAULT ,I y _ 1031 MAIN ST =i OSTERVILLE, MA 02658 Y o t a � Update Address and return card.Mark reason for change. SCA 1 0 20M-05n 1 Address Renewal ❑ Employment ❑ Lost Card C-�I'(L'�OO7Y/J72CVJLG!/LCGIC�L Q�V(/LCc1dCGC�LCdG'fGJ Office of Consumer Affairs&Business Regulation . License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: . Office of Consumer Affairs and Business Regulation Registration 103714 Type: 10 Park Plaza-Suite 5170 Ex pi r4ti;;Z t7j9/20 6s'±. Supplemeni 1,,ard Boston,MA 02116 PAUL J.CAZEAULT,-&SONS INC; RUSSELL CAZEAULT 1031 MAIN ST ~_ 0STERVILLE,MA 02658 Undersecretary Not valid withoukgcnature f Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor I License: CS-108157 ,- f RUSSELL CAZEAULT ' 2071 MAIN STREET Brewster MA 02631 � r -- Expiration Commissioner 11/23/2018 f The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations _ 4 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information /J �� Please Print Legibly g ) Y /r V l, �J cA�/1� AV4- I -J" ,S 01JS lJ�. Name usiness/Or anization/Individual : � � Address: 5% City/State/Zip: $ �/�VI(�t. AP 4- Phone#: 50 � � V Y-11 �� Are an employer?Check the appropriate box: Type of project(required): 1 I am a employer with 0 4. ❑ I am a general contractor and I 6. El New construction employees(full and/or part-time).*, have hired the sub-contractors 2.El 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' 9. n addition [No workers' comp. insurance comp.insurance. t ❑Building ] 5. We are a corp oration oration and its 10.❑Electrical repairs or additions ❑ required.] 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions right of exemption per MGL myself o workers comp. g p p it y [N p 12.❑ Roof repairs insurance required.]t c. 152, §,1(4),and we have no 13.�Other /"1 -200F employees.[No workers' /)L- comp. insurance required.] *Any applicant that checks box 41 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: l- /N 5' R'10 Policy#or Self-ins.Lie. 34 -W'X Expiration Date: Job Site Address: / 36- Ad__ i`/A'City/State/Zip: e d %y 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 certify under the pains and penalties ofperjury that the information provided�above is true and correct. Signature: _4 Date: ( �� Phone# Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel S7 Application # x Health Division ,, Date Issued Conservation Division ' w L W�F M£� � .Application Fee Planning Dept. Permit Fee : bo Date Definitive Plan.Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address 135'1 ��rN � �9/�/��✓� �O Village ,A1 A Owner Cjj:�CAA<L. Lt3'60k✓X-7_Z Address Telephone Permit Request r--,,JS-PrU_ so/,U' X tv IAC Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain_ Groundwater Overlay Project Valuation �000 Construction Type Lot Size /3', Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure dd Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No BasementiType: UFlull ❑ Crawl ❑Walkout ❑ Other Basement`Finished Area(sq.ft.) Basement Unfinished Area (scat) m-' s2 Number of Baths: Full: existing new Half: existing new cr Number of Bedrooms: existing _new C.) aZ!�V 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 stovIe-.1 ❑ es ❑ No 01 Detached garage: ❑ existing ❑ new size—Pool: ❑ existing Whew size _ Barn: ❑ existing ❑ new size_ } Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size — Other: ZOx 140 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 C#IKS 11irr2 C04 a6_ Telephone Number X3-7_ 96 Z� Address D4a� iNk-pJ &''F /ZA4 License# rC /41 9 024 �. Home Improvement Contractor# �A Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO MN DATE SIGNATURE �� � ✓�G F� t ,4 FOR OFFICIAL USE ONLY L APPLICATION# QATE-ISSUED t. MAP/PARCEL NO. ADDRESS '' � � '}� � t VILLAGE OWNER r - DATE OF INSPECTION: f s FOUNDATION C I FRAME — INSULATION.: FIREPLACE t ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL` r GAS: ROUGH :r FINAL = , = -FINAL BUILDING<�_ _ ? DATE CLOSED OUT, t = k- ASSOCIATION PLAN NO. a r the uommonweatrn oLmassaenuseus Department of IndustrialAccidents K4 Office.of Investigations r _ f 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass govldia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address: Z 0 2 04�"' City/State/Zip: D 26 K'Phone#: W 7 Are you 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 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 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roo repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.54iLr G 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: LAe��W Policy#or Self-ins. Lic.#: W L)C 30 Expiration Date:_ 0 ZZee/ Job Site Address: I3Sl N "/ �/� 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 insuWnce coverage verification. I do here b certi under th s n na s o er u that the in ormation provided above is true and correct Signature: __ __ _ Date uvfi - - Phone#: UM - Official 3 7 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#: SHORPOO-01 CLEDDUKE ACORLJ�® F ATE(MWDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 1 10/30/2014 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()es)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: Donna Pearse Rogers&Gray Insurance Agency,Inc. PHONE FAX 434 Rte 134 A/c No Fit): AIC No):(877)816-2156 South Dennis,MA 02660 a D" RIE DSS:dpearse@rogersgray.com INSURER(S)AFFORDING COVERAGE NAIC If INSURER A:ARBELLA PROTECTION 41360 INSURED INSURER B:WeSCO Insurance Company Shoreline Pools Inc INSURER C: 202 Queen Anne Road INSURER D: Harwich,MA 02645 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. L7R SR TYPE OF INSURANCE B POLICY NUMBER POLICY M DDI EFF MPS Y EXP LIMITS A X COMMERCIAL GENERAL LIABILITY ,T EACH OCCURRENCE $ 1,000,00 CLAIMS-MADE FK OCCUR 8500052096 07i2612014 07/26/2015 DAMAGE RENTED $ 100,00 MED EXP(Any one person) $ 10,00 PERSONAL&ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 POLICY�ECT LOC PRODUCTS-COMP/OP AGG $ 2,000,00 OTHER: $ AUTOMOBILE LIABILITY Ea eBcrladen SINGLE LIMIT $ 1,000,00 A ANY AUTO 1020013830 02 O912014 02/09/2015 BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X HIREDAUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS (PROPERTY dent $ X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000,00 A EXCESS LIAB CLAIMS-MADE 4600052138 07/26/2014 07/26/2015 AGGREGATE $ 1,000,00 DED I X I RETENTION$ 10,000 $ WORKERS COMPENSATION PER AND EMPLOYERS'LIABILITY STATUTE ERH YIN B ANY PROPRIETOR/PARTNER/EXECUTIVE WWC3080077 02110/2014 02/10/2015 E.L.EACH ACCIDENT $ 1,000,00 OFFICER/MEMBER EXCLUDED? N/A — (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 1,000,00 If yyes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000;00 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) General Liability includes Additional Insured by Contract and Per Project Aggregate CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Liebowitz THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Michael 1351 Lieantu t Newtown Road ACCORDANCE WITH THE POLICY PROVISIONS. Cotuit,MA 02635 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD F `i 19. Office of Consumer Affalrs and Business Regulation 10 Park Plaza Su1te.517Q Boston, Massachusetts 02116 Home Improvement Contractor Registratlon Registration 161240 4. Type Private Corporatiod _ µ o-; x Expiration. 10/7/2016 : Tr#.`257480 SHORELINE POOLS INC' x QHRISTIAN DITTRICH i 202 QUEEN ANNE RD 4 HARWICHy;MA 02645 ` Update Address and return card.Mark reason for change aw 1 . 'Address :0 Renewal 0 Employment Lost Card i SCA.'1 E'o 20M-05/11 F �e�'r/r�rrryxcica�/�a`'C-�/l�rJ:t�rc�rr.tc(/s , Office of Consumer Affairs&Business Regylahon License'or registration valid for individpl use only !I I = DME IMPROVEMENT CONTRACTOR before the expiration date.If.found return to: gistrafon 161240 Type:. Office of Consumer Affairs and Business Regulation xpiration 10/7/2016 Private Corporation 10 Park Plaza-Smte 5170 iBoston MA 02116 r SHORELINE POOLS INC T � CHRISTIAN(DITTRICH 202.QUEEN;ANNE RD HARWICH, MA 02645 Undcrsecrcta ry Not valid without signature t 9, ' - "ail A This letter confirms.that I give permission to Shoreline Pools, Inc .of Harwich, MA.authority to act as agent with regard to the installation of a' . private in-ground swimming pool located at the address of ( 51 SAryTv rr Any questions please contact me Co-# v r-C- "1,4 - � c� O Print Name.Sh e Re Customer Print Name Shoreline Pool Re Customer Signature Date: �0/ U �� Date. / INSTALLATION INSTRUCTIONS o For swimming and other child safety gates,most safety standards specify the NAGN449TCH' following minimum height requirements above the finished ground/fming surface: 1)latch release knob 7 at ininitatum 54 -59"(1370-1500imn);. 2)fence height of Between 4'&b' (1200&1820inrm) Always confirm these and other requirements with the appropriate pool or safety authorities in your area and install this latch in accordance with the 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:Electric and cordless drills,drill bits,Phillips No.2 screwdriver(hand&powered types).Note:If mounting to steel or vinyl with aluminum or steel inserts,it is advisable to pre-drill the holes to prevent screw,breakage. Installation Procedure ].The gap between gate home and latch post must he between 3/a"(10mm)and P/hs'(31mm),3/4'(19mm)is idea(. 2.Determine the location of the hole for Mounting Bracket'A'bytneasuring up from the finished ground/fixing surface... Oar 54"knob height measure up 363/i"(925mm), -for 59'knob height measure up 413Is"(1'050mm). Place Mounting Bracket'A'on the post as shown,and,using one of the 1"(25mm)wafer-head,self-drilling screws,fix the bracket to the post—through the side fixing hole.Now install two more of these screws through the front of the bracket... 3.To install Mounting Brocket'B'measure up from Bracket'A'133/e"(340mm).Mark this point and fix as'2'above. a NOTE:For 4 feet(1200mm)fences without an extra-high post,this measurement should be 5"(125mm)for 54"knob height and iO"(250mm)far 59"knob height. Place the Bracket so that the holes are centered on the marked line.fix bracket using the some screws as per i Bracket W.(NOV.-In some applications it may be necessary to odd a sparer to clear a post cap.Sparers S1,S2& S3 are for this purpose and should he inserted behind the mounting brackets during installation.) 4 M= 4.Take the main UTCh BODY T and slide it down onto the Mounting Brocicet'B',ensuring the rear track { of the latch slides over brackets W,then W. �I 5.Slide the Latch Body until the bottom of the latch aligns neatly with the lower end of Brackei'A'(see dashed line'L').Take the single. 3/8"(10mm)countersunk screw'11'and secure the Latch Body— h. ( i SI 00 NOT use a power or cordless drill—to Bracket W. r r b.The final part to be installed is the STRIKER BODY V. Note that the Striker Body slides on a dovetail track within the _ r 'i Mounting Plate(PI,P2)and is operated by an internal adjustment r= F screw,,NEVER use o powwered drill to adjust this screw. . See Diagram f.Locate the Striker Body assembly onto the post as sz` shown.Position the Striker Body to obtain a l/a"(3mm)gap , between the lower part of the latch and the tap of the Striker Body — g as shown.Maintain this gap and fix two 1 (25mm)screws through MOUu NG. the two main holes of the Striker Body.The two,small(cylindrical) 1 E PLAM (131) dress plugs supplied should now he pressed into the screw holes. E o ; tat -f ) Horizon ant 7.a Open the gate and secure two more screws through the side ` 1 Adiustm leg o the Mounting Plate.Note if the width of the gate frame is ,� r 1112"(38mm)or greater,follow step b). 00*.. a a STRIKER Y b)Vifith the gaffe open,adjust the Striker Body using the v screwdriver in the adjustment screw.Turn counter-clockwise until the (Gate Stop) two holes are exposed,as in Diagram'(P2)'.Fix the two remaining screws to secure the Mounting Plate. { 8.Use the screwdriver to adjust the Striker Body to ofign with the x 1 1ili GAP Latch Body,as shown in Diagrom'E`.Open and close the gate to ❑ La1/8 0 check the latch operates correctly.Adjust as necessary at any time ro :i (3"m) after installation to ensure safe operation of the latch. l 1' NOTE.Future vertical adjustment of the latch can be achieved by 3 I removing the screw V sliding the latch Body up or down the post to obtain correct operational alignment,then inserting the screw into the appropriate hole. ladcin .�,sr_iia MLINSTR0002PA . AUsTPULAA:1.9 riarhord Rd;Brookcale NSW 2101) k-r hilt(5/011�Dt E .[I 1O K: 10113 B _E USS:1731 Woodwind Drive,Huntington Beach,CA r-647 Swimming pool fences,gates and latches cannot substitute far adult supervision-If using this latch an a swimming pool gate,consuh all appropriate 1=1 authorities for safety requirements:The latdi 0.operate properly only if installed and maintained in accordance with these instructions. - ' NIAiNMAN€E: REMOVE KEY fRO,Nt LOtll AFTER USE.Regularly lubricate the keylock part of this latch by spraying oil-based lubricant into lack.Do not lubricate any other part of the latch. Ensure aB screws or bolts are tightened firmly and that the release knob f F7 and latching balt are kept free of sand,debris or ice which could impair latch performance: WARRAfiI''Y&IIIAll'ATIOAi OF LIABILM:The products are warranted to be free a defects in materials and workmanship to the original purchaser for as long as he/she was the product. if a structural material defect appeam,the original purrchoser may return the Rem,height prepaid,together with proof ofpurdhasetothecompany Grits approved international agents.Thecompumt or agent 01,at its disQetion,ryepair or replace the defective item or part vaibout charge tothe purchasEr.Anodised,powdeicoated and printed finishes are not°structural material°and mrrallfies far such finishes are limited tothose offered byihe current powdercoatmanufacturers or upplicatori THISWARRAI+ffY SHALL NOT APPLY WHEN the product has been tampered with,when repairs or attempted repairs have been made by unauthorised persons,where the item has been suNeaied to misuse,abuse,accident or damage in transit,or where the instaffer has not followed the instaxtiam set out daring installation or operations.Ul NO EVENT SHALL THE COMPANY BE LIABLE FOR ANY INd DENTAL OR CONSEQUENTIAL DAMAGES.No warranty is given other than that set out above.No other express or implied warranties(including statwory warranties)apply,other than warranties which may clot he legally excluded. HAYWAREY SwimCtearTM QUAD-CLUSTER CARTRIDGE FILTERS - High performance. �ESy➢P-N IP6� y I Operational convenience. Hayward SwimClear reaches new horizons in cartridge filter technology.Industry leading hydraulic performance with maximum flow through all cartridge elements via a top manifold configuration ensures superior water clarity, extended time between maintenance and maximum energy savings.A cluster of four reusable polyester cartridge elements provides a choice of 225,325,425,525 and now 700 square feet of heavy-duty,dirt-holding capacity and extra-long filter cycles.SwimClear filter tanks are made . from a reinforced co polymer material for the ultimate in strength,durability and long life—even for the toughest applications and environmental conditions. Discover the h " - crystal clear results and reliable performance of SwimClear by Hayward—the first choice of pool professionals. Z o�am %M ROM @WW 0Gs= 0 MRS@ 0 0 0 0 WIM 0 am 0wM m Manual Ail'Relief Combination Pressure and Cleaning- Is a high capacity,rapid release Cycle-Indicator Gauge manual air relief valve that bleeds air gives visual indication when cartridge with a quick quarter turn of the lever. , filter elements need cleaning. Top Manifold `` Quad-Cluster Cartridge Elements provides industry's best energy saving hydraulic I provide 225,325,425,525 or industry's largest performance and utilizes the entire cartridge , III m 700 ft2 of filter area and extra dirt-holding capacity surface area to maximize time between cleaning for long filter cycles.Precision-engineered core Heavy-Duty,Tamper-Proof,One-Piece Clamp provides extra strength and superior flow. securely fastens tank top and bottom together N Self-Aligned Tank Top and Bottom and allows quick access to all internal make access to servicing Quad- components without disturbing piping or Cluster cartridge elements quick connections. and easy. High-Strength Filter Tank r is made from durable,glass reinforced i,l h llh, co-polymer to meet the demands of the CPVC Union Coupling Connection ��IIIw I GIII' toughest applications and environmental II provides plumbing options of 2" conditions,including in-floor cleaning systems. �� ( or 2Y2"plumbing with 2"full flow internal plumbing for maximum Uniform Low-Profile Tank Base Design hydraulic performance. makes removal of cartridge elements fast and simple. Noryl" Bulkhead Fittings Full-Size 1 Y2" Integral Drain for extra strength and heat resistance. provides fast clean-out and flushing. SPECIFICATIONS , . 1 ,1 CARTRIDGE err Quad Cluster cartridge elements: FILTER TYPE 225,325,425,525 and 700 ft2 total(20.9,30.2,39.5,48.8 and 65.0 m) FILTER TANK Injection-molded glass reinforced co-polymer FILTER ELEMENTS Reinforced Polyester PERFORMANCE RANGE Y2 to 3 HP(30 to 150 GPM).37 to 2.24 kW(114 to 568 LPM) C2O3O—23"W x 32 Y2"H(58 cm x 81 cm) C3O3O—23"W x 34 Y2"H(58 cm x 87 cm) ` DIMENSIONS C4O3O—23"W x 40 Y2"H(58 cm x 102 cm) C5O3O—23"W x 46 Y2"H(58 cm x 117 cm) � - -, C7O3O—23"W x 52 Y2"H(58 cm x 134 cm) CPVC Union Connections PERFORMANCE DATA 30 EFFECTIVE 1TURNOVER 40 MODEL FILTRATION AREA FLOW RATE GALLONS KILOLITERS NUMBER l!Ir1W i l� �W�b WWI a •�Q� ` �M�b 10 50 C2O3O 225 20.9 84' 318 40,320 50,400 153 191 C3O3O 325 30.2 122* 462 58,560_ ' 73,200 222 277 p$' 4D m e°" HAYWARD C4O3O ! 425 39.5 150"' 568 72,000 90,000 273 341 C5O3O 525 48.8 150*' i 568 72,000 190,000 273 341 C7O3O 700 65.0 150*" 568 72,000 90,000 273 341 Pressure and Cleaning Gauge Based on NSF recommended rate for commercial use at.375 GPM/ft.' "Determined by pump size and piping system hydraulics;2"piping is recommended for flow rates equal to or greater than 90 GPM(341 LPM).Hayward doesn't recommend flow rates above 150 GPM. NSF To take a closer look at Hayward Filters or other Hayward Products,go to www.hayward.com or call 1-888-HAYWARD Wl HAY WARD® 620 Division Street I Elizabeth,NJ 07201 ®Hayward and Hayward Energy Solutions are registered trademarks and A Swirl and Noryl are trademarks of Hayward Industries,Inc. 02013 Hayward Industries,Inc. LITSWCI3 - fit % 57,A " tA LOT 1 56+137f SA.o•F`.: Lo - 04 o w Ito. CONCRETE N. JAG. 3+� FOUNDATION O 3 N Lva 240.49. JOB# 99-155it E'ERTIFIER E:OUNDATION PLA1dT FOR -THE PURPOSE OF OBTAINING A SUILOI°NG PERMIT PREPARED FOR:. LOT' IS.+i11�TUIfi NEl/TOIIN. RD.'- BAYBERRY- BUILDING. LOCA11ON : COTUIT, MASS. COMPANY SCALE : 1" 40` DATE : FEBRUARY 25, 2002 C REFERENCE' : ASSESS MAP 25 PCL 8 ✓�' I HEREBY CERTIFY THAT TRIt STRUCTURE - SHOWN ON THIS PLAN IS LOCATED ON THE .GROUND AS SHOWN HEREON. AM afE 509-362-4541 . 508-382-9880 do wn cope enotreedng. &r - H ClV rL ISNGIN E S . A00 LAKI) SURVMMRS .933 maim st yarmauth, ma 02675. DATE REG. LAND SURVEYOR r � L erg � � a�T, p��# water ap to 15 degrees in seasons - s ' _ � = � �: �' _ ., : m; ping season by up to sic weed► C�w Jew H G , NE ING Now" slook" EAT� 13 "T POOL a�eration! Save water and costly ch+�'rrricls! TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel C) Application # Health Division d001- 102, 3 fin'°"'f DA 17' Date Issued SS c.u-u^ dl ,c Conservation Division uAu c bz' Application Fee SEPTIC SYSTEM M C/ Planning Dept. �S��at �` r�o� INSff MCONIPLIANC� WITH TITLE E' 0�/ Date Definitive Plan Approved by Planning Board ENVIF?O j°^,,aErJTA1. .: AND Historic - OKH _ Preservation/ Hyannis TOWN REJLATIOi� Project Street Address 1 3 Village Owner LCny1 C,� ,i I)�>GCS ��-e�aw J'"� Address Telephone — ho Permit Request �CaS�V�S' G-, ���>I7 J ose:�, it) cm--N 8)�V, 6e_ elY�, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new 0 Zoning District 4 Flood Plain a Groundwater Overlay _ Project Valuation 0 Construction Type W 60 �Cerv\e__ Lot Size S21 U bU 5;Q, t 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 ANo Basement Type:"AFull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing a new Half: existing new 0 Number of Bedrooms: existing New Total Room Count (not including baths): existing new 0 First Floor Room Count Heat Type and Fuel: 4 Gas ❑Oil ❑ Electric ❑ Other Central Air: . Yes ❑ No Fireplaces: Existing New 0_ Existing woodZc:gal stove 0 Yes-1 No _. Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size 0 Barn: ❑existing ❑:new .size_ Attached garage.*existing ❑ new size _Shed: ❑ existing ❑ new size -a Other: I Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ t ="- a Commercial ❑Yes ❑ No If yes, site plan review# ' Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name I O N Telephone Number Address ll� �1 .�C1e�� �� 6A License U Home Improvement Contractor# Worker's Compensation # 0r)o ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE :a l 1 t ' FOR OFFICIAL USE ONLY APPLICATION# ` DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER y i r DATE OF INSPECTION: '1 `. FOUNDATION FRAME Y INSULATION FIREPLACE - S ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING /vo c<l�) �✓�® © � ®� (a �� DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth ofMassachuseits Department of l'ndustrial Accidents �.y Office of nvesagations 600 Washington Street Boston MA OZIII www.,mass gov/din Workers' Compensation Insurance Affidavit, Bulders/ContractorsXlectricians/PlumbeA ficant Information rs Please Print Le •b Name (Business/Organization/Individual): C ;�V Address: City/State/Zip: n Phone#: O d L an employer? Check the appropriate box: a employer with c 4. 0 I am a general contractor and IType of project(required): loyees(fall and/or part-time).* have hired the sub-contractors 6• ❑New construction a sole proprietor or partner- listed on the attached sheet Z,and have no employees These sub-contractors have " odeling ing for me in any capacity, employees and have workers' gEJ Demolition workers'comp. insurance comp.insurance;t 9. ❑Building additionired] 5• [� We are a corporation and its I0.[]Electrical repairs a homeowner doing all work officers have exercised their °reonslf [No workers' comp• right of exemption per MGL 11:❑Plumbing repairs or additions ance required] t C. 152, §1(4), and we have no 12.02 oof repairs employees. [No workers' 13.[] Other insurance required] *Any aMlimut that cheeks box#1 mmst also M out the section below showing their workers'compensation policy information t Homeowners who submit this must attached indicating they artnal doing all work and then hire outside.contractors must submit a new affidavit indicating#Contractors that check this box must attached an additional sheet showing the name of the suh-contractors and state whether new those entitiesrug such. ve employees If the sub-contractors have employees,they most provide their workers co oor comp.P bey number. am an employer that's information, providing workers'coerpensadon insurance for my employees. Below is the poFicy and job site i l Insurance Company Name: l,.b•pv`Tj Policy#or Self-ins.Lic.# 4!�-1 , _3� ^���,�� Expiration Date: � b/ Job Site Address: LJ S City/State/Zip- �'�;,�� 01 5 c Attach a copy of the workers' compensation policy declaration page(showing fhe polio,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 tip to$1,500.00 and/or one-year imprisonment, as weII as civil penalties in the farm of a STOP WOR K ORDERnd a fine and Of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office Investigations of the DIA for mSuran a cove verification. of I do hereby certify u d , /P ofPeriur'that the information provided above is true and correct, Si tore: f X ;^� Date: Phone# ��" U U O fficialonly. Do not write in this area to be completed by city or town official : Permit/License# ority(circle one): ealth 2.Building Department 3. Cify/Town Clerk 4.Fiectricai Inspector 5.Plambin Ins ector g person: Phone#: 11/9/2011 5:14:16 AM PST (GMT-8) FROM: insurancevisions.com-TO: 15087906230 Page: 2 of 2 ,aco D ATE YY)CERTIFICATE OF LIABILITY INSURANCE 1/9I2011 '?HIS 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 endorsements . PRODUCER BRYDEN INSURANCE AGENCY INC CONTACT NAME: " 125 STATE ROAD ROUTE 6A PHONE(A/C.No Exf 508 888-2244 FAX A/C No): 508 833-0680 SANDWICH, MA 02563 E-MAIL ADDRESS:' INSURERS AFFORDING COVERAGE NAIC q tNSURERA:'Liberty Mutual Group INSURED INSURER B: COX CONSTRUCTION CO INC 6 WINNIE'S WAY INSURERC: EAST SANDWICH MA 02537 INSURERD:. INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 11617153 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 CONDrrION 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 ADDL SUER - - POLICY EFF POLICY EXP LIMITS INSR WVD POLICY NUMBER MM/DD/YYY MM/DD/YYYY GENERAL LIABILITY : EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES a occurrences $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accidenq $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED e SCHEDULED BODILY INJURY(Per accident) AUTOS $ AUTOS NON-OWNED PROPERTY DAMAGE . HIRED AUTOS AUTOS (Peraccident) $ S $ UMBRELLA LIAR .00CUR - EACH OCCURRENCE " $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ $ A WORKERS COMPENSATION WC1-31 S-487580-071 6/14/2011 6/14/2012 / ORY ATU Ca- AND EMPLOYERS'LIABILITY Y/N - ANY PROPRIETOR/PARTNER/EXECUTIVE N/A• - E.L.EACH ACCIDENT $ 100000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Workers Compensation Insurance: Part One of the policy applies only to the Workers Compensation Law of the State of MA'I-:Z2 CERTIFICATE HOLDER CANCELLATION v r_1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANGELLEWBEFORE THE TOWN OF BARNSTABLE THE EXPIRATION DATE. THEREOF, NOTICE WILL BE DELIS ED IN ACCORDANCE WITH THE POLICY PROVISIONS. ATTN: BUILDING DEPARTMENT Iw- 200 MAIN STREET HYANNIS+ MA 02601 - - AUTHORIZED REPRESENTATIVE / Jeff Eldridge ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD CERT NO.:-11617153 Anne Chandler 11/9/2011 5:10:34 AM Page 1.of 1 - - This certificate cancels and supersedes ALL previously iss ued certificates. - _ . T �T"E'�,�, Town of Barnstable , Regulatory Services a<+ar ABLE, • ?,,Aim F. Geiler,Director o► '` Buildin g Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 Property Owner Must Complete and tSign This Section If Using A Builder I, u?,I E L l C RO wAT Z , as Owner of the subject property hereby authorize rd.n C o1( 'Q oN STR yeT ieiV C b to act on my behalf, in all matters relative to work authorized by this building pemnit i 35) SA JTv.rr 1VEy"l-'cVy/ / Caryl- f1AA 0-16 (Address of Job) ` *Pool fences and alarms are the'responsibility of the app licP ant. ools are not to be filled before fence is installed and pools are not to be utilized until all final inspections are performed and accepted. Signs of O Signature of Applicant Print Name Print Name Date QTORM&OWNERPERMISSIONPOOLS 'THE fi�, Town of Barnstable .; Regulatory Services '• stAB> Thomas F.Geiler,Director MASI 39• Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION:_ 13 51 SANTU l j NE TOvgN COTV 1 -r number y street village "•HOMEOWNER": l A UR f E L i _i3ow ITZ_ -7-7 L4--.5-2 I -33 ( 5"62--(q 8 7 Bat name home phone# work phone# CURRENT MAILING ADDRESS:_ M ICI-{AE tAlV R.l e L i E 3 cw i—,-z_ I 3 5-1 SA ,,-r- NC oaN C0-ry r_1 p ©a G 35 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 O n rote dares and requiiem eni s and that he/she will comply with said procedures and requirements. Ar p-t-,of Ho owner Approval of Building Official Note: Three-family dwellings containing 35 C g ,00I 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 of this section m the provisions hon Section 109.1.1 -Licensing mP p ns ( sing of construction Supervisors);P provided that' work,that such Homeowner shall act as supervisor." )'P t if the homeowner engages a person(s)for hire to do such 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. l Q:forrns:homeexempt y HOME IMPROVEMENT CONTRACTOR Registrations'-,!.05400 Types Expiration 7/17/2012 DBA` ONSTRUCTION GOMFAJVY Thomas Coz f� r 1 .6 WINNIES WAY East Sandwich;,MA 02537 �. Undersecretary License or registration valid for individul use on1y. before the expiration date. If found return to: Board of Build Regulations and Standards One Ashburton Place Rm 1301 Boston;Ma.02108 V No6alid without signature Alatisachu ette Department of POE t: low Board of Building Regulations ah'(.l Stundi.,-: Construction Supervisor License License: CS 44872 THOMAS P COX 6 WINNIES WAY E SANDWICH, MA 02537 Expiration: 1 1/281201 2 Commissioner Tr'#: 4864 d f Town of Barnstable *Permit# Expires 6 monthsfam-issue date Regulatory Services Fee Thomas r.Geiler,Director - -PRESS PERMIT Building.Division L c II Tom Perry, CBO, Building Commissioner �\ MAY .2 4 2010 .. 200 Main street,Hyannis, MA 02601 (L 'OWN www.town.barnstable,ma.us Office: 8-8 Fax:.508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTLAL ONLY Not Valid>pithout Red X-Press Imprint Map/parcel Number Gas Coe) Property Address ' 0 � -�VLJ 1 VV I ' ��,1 OZILUJ. VResidential Value of Work li`C�0� a "' Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Loafi-e-- [Jd9oW, +Z x ' Contractor's Name � �"�S � Telephone NumberIJ Horne Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) Workman's Compensation Insurance . Ch 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.' ' y Permit Request(check box) [?Re-roof(stripping old shingles) All'construction debris will be taken to --r ❑Re-roof(not stripping, Going over existing layers of roof) ❑ Re-side ❑ Replace.ment.Windows/doors/sliders. U Value {ma)imum•44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc:,` ***Note: Pro rtnwDer must sign Property Owner Letter of Permission. ffy eopyo e H e provement Contractors License is required. SIGNATURE: 3 Q:Forms:expmtrg . '� Revise061306 ? THE'p�o . Town of Barnstable. .� Regulatory Services sAxNsree�. MAss $ Thomas F.Geiler,Director- ��lF Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.fowri.barnstable.ma. s office: 508-862-403 8 Fax: 508-790-6230 Propexty Owner Must Complete and Sign This Section If Using A.Build.er I, L Sri' �� �z.. as Owner of the b'su )ect property , herebyauthorize .1 a_mcf 6,kritq .. to act on my behalf, in all matters relative to work authorized by this building permit.app4 ation for: (Address of Job) Signatare of Owner . Date Print Name QTORMS:OWNERPERMIS S10N i - The Commomveatth ofMassachusetts Department oflndustrialAccidents Offtee afInvestigations - 600 Washington Street Boston,AL4 02117 - www.mass.gov/dia ; davit: Builders/Contractors/Electricians/PIumbers Workers'' Compensation Insurance.A Applicant Information (j r Please Print LegibIY Name( Q Business/Organization/individual):. kj� <) QklU lam- Address: O9C City/State/Zip: ftxn n I 5�, MR 02(oO I Phone.#: —7 Are you an employer? Cbeck the appropriate box: 4. I am a general contractor andl -Type ofpijora�dditjons quired):, L❑ I am a employer with ❑ g �loyees (full and/or part-time).* have hired the sub-contractors 6. El Newction 2. I am a'sole proprietor or partner- listed on the•attached sheet, 7. ❑Rem ship and have no employees These sub-contractors have g,'❑Dem working for me in any capacity. employees and have workers' y Builition [No workers' comp.insurance comp.insurance,#' ❑ required.] 5. ❑ We are a corporation and its 10.❑Electairs or additions 3.❑ I am a homeowner doingall work officers have exercised their 11.❑Plumairs or additions.myself: [No workers' comp. right of exemption per MGL12 [ oof 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 warkers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and ibcn 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 providh their workers'comp.policy number. lam an employer that is providing workers'compensation insurance for my employees Below is the policy and joh site information Insurance Company Name: Policy#or Self-ins,Lic.M . 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 maybe forwarded to the Office of Investigations of the CIA for ins covers e verification. I do her y ce er th pat s-a penalties ofperjury that the information provided Bove s true and correct: Sienature: T Date: Phone Official use only. Do not write in this area,'to he completed by city or town o�ciaL City or Town: Permit/License# Issuing Authority(circle one); 1.Board of Health 2.Building Department 3. City/Town Clerk 4,Electrical Inspector S.Plumbing Inspector 6. Other Contact Person; Phone#: 6711 1 Ong egulaCions A a�e License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 124310 Board of Building Regulations and Standards Expiration: 6/1/2011. Tr# 284683 One Ashburton Place Run 1301 Type: Individual I Boston, Ma.02108 - - James Curley j ,may: James Curley 287 Fuller Rd. ; .-- Centerville,MA 02632 Administrator "Not valid without signature �•- Nlassachusetts - Department of Public SafetN Board of Buildim.- Regrulations and.Stundards Construction Supervisor Specialty License License: CS SL 99138 Ka Restricted.to: _RF,WS JAMES CURLEY I 287 FULLER ROAD CENTERVILLE, MA 02632 Expiration: 1/28/2012 c� ('ummiNsiuner Tr#: 99138 - ✓fze:�oaninzarzeuealC/ o�✓�aaaac�uitelt ' Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Regist_rafion�--_1-24310 Board of Building Regulations and Standards •Expiration__6/112009 Tr# 130873 One Ashburton Place Rm 1301 ........ YPe_andividua( Boston,Ma.02108 James Curley James Curley = \ 287 Fuller Rd. a.+Ci Centerville,MA 02632 Administrator Not valid without re j 236.60 cA LOT 1 � ;>,► _�_ • 56137t SQ FT. H- 1.29t ACRES O r 5 J C CONCRETE a± N 3�t FOUNDATION 116• � d ca N O r C? 240.49` `1 JOB# 99-155 i 1. ''`�.` :. t CERTWED FOUNDATION PLAN FOR THE PURPOSE .OF OBTAINING A BUILDING PERMIT PREPARED FOR: LO?' 1 SANTUIT-N1�lITOIIN RD. , BAYBERRY BUILDING. LOCATION COTUIT, MASS. COMPANY SCALE : 1" 40" DATE : FEBRUARY 25, 2002 REFERENCE : ASSESS. MAP 25 PCL 8 I HEREBY CERTIFY THAT THE STRUCTURE SHOWN ON THIS PLAN IS LOCATED ON THE GROUND_AS SHOWN HEREON. off. 508-362-4541 fax 508-382--9880 down cape engineering, Inc. CIVIL ENGINEERS LAND SURVEYORS m 939 main at. Yarmouth. ma 02675 DATE REG. LAND SURVEYOR TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map •� Parcel �-- �_ _ Permit# y �9� ' Health Division , � Date Issued FE6< 002 6 2 1 Conservation Division f. Fee < Tax Collector SEPTIC SYSTEM MUST BE Treasurer ,t �d.`,D-c � d . INSTALLED IN COMPLIANCE Planning Dept. ro-����.,,�- ✓�F�e�� ?0^�� cd" 101^'�-1WITH TITLE 5 ONMENTAL CODE AND Date Definitive Plan Approved b Planning Board ��1 U 7 WN REGULATiON'S ga Historic-OKH Pr6servation/Hyannis -L Project Stre'et'Adqj. ss Villa Owne c.` Address Telephone Permit Request C_ Square feet: 1 st floor:existing proposed �� 2nd floor: existing proposed ` g 9 Total new Estimated Project Cosf Q j 20s Zoning District VV Flood Plain Groundwater Overlay Construction Typ ')� Lot Size `o� Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family,l Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes C)"o On Old King's Highway: ❑Yes to Basement Type: ull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 8'$ Number of Baths: Full: existing new 2 Half: existing new l Number of Bedrooms: existing new 3 Total Room Count(not including baths): existing new 09 First Floor Room Count Heat Type and Fuel: 1)6as ❑Oil ❑ Electric ❑Other Central.Air: ❑Yes L)lo Fireplaces: Existing New Existing wood/coal stove: ❑Yes /10 No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes [ Jo If yes,site plan review# 1 1 �Current Use G Proposed Use r ° BUILDER INFORMATION Name i Telephone Number ,U Addres C� License# ©' `7 la,-k_^L�Q JA191-- O Q(0(�J Home Improvement Contractor# Worker's Compensation# 6?W 1 (J_)bo(9Q ALL CONSTRUCTI0 DEBRIS RESULTIN,cG` FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE =2— J FOR OFFICIAL USE ONLY ,y ty �PERMIT NO. " > DATE ISSUED w ' MAP/PARCEL NO. E ADDRESS ` f z VILLAGE OWNER "t o DATE OF INSPECTION:., FOUNDATION - FRAME INSULATIONS_ FIREPLACE ELECTRICAL: r ROUGH+- " FINAL PLUMBING: ROUGH, = = FINAL ` `r ri �. GAS: ROUGI-Is , FINAL --vv _�3 FINAL BUILDING'h K:- Q, 'j0,3 0 3 Q ' DATE CLOSED OUT ` .A I ASSOCIATION PLAN - � iF I TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY I PARCEL ID 000 000 135 GEOBASE ID . ADDRESS 1351 SANTUIT-NEWTOWN ROA PHONE COTUIT ZIP LOT 1 BLOCK LOT SIZE � DBA DEVELOPMENT DISTRICT I PERMIT 66977 DESCRIPTION SIN FAM DWELLING 051908 PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY I CONTRACTORS: De artment of l ARCHITECTS: P TOTAL FEES: Regulatory Services BOND .00 CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE *• Mass. ,g 039• A, FD MA'S BU N - ,�Ir�' SION � B /f ✓ C� DATE ISSUED 02/13/2003 EXPIRATION DATE `--� TOWN OF_ BARN STABLE � - 'BUILDING PERMIT (extension grant✓ d 8/15/01} I kRC RL `TD V.00 ta0.0 ADDIiLSS 13�1 SA�3TU'1T NEWTOWN RO�i t i 4rf: PHONE A yN r��q^,'• C - S s r` 4}"M f!'\ h s. - ..77'�ry� t ' * r�COTUV `fit .. �x. ` r{' i� F7 ; + ^"" 4 r i� �C_Y C�.l `. t DBA` DEVELOPMEN.' DISTRICT . PERMIT ` 51908 DESCRIPTION38ED/ SI;NCL FAMIi, DWELLING -' PERMIT TAPE BUILD -TITLE NEW RESIDENTIAL BLDG PMT . CONTRACTORS: MORIN, JACQUES N. Department of Health, Safety ' ARCHITEC,TS: PERMIT EXTENSION GRANTED and Environmental Services TOTAL FEES ' I $960. 09 CONSTRUCTION COSTS C?1 SINGLE FAM HOME DETACHED i PRIVATE P' 4. * )I�ARN3TABLE, • MASS. 1639. Ep�p'►l BUILDI DI ISM DATA 'ISSUE 7/200 EPIRAT COS[ pAT 4 r 4 3 � s. >iu w k swX1t ,.✓.1 a. .s Jtu+.Y um,�¢..y��'t`st �u...d�Au,��f Lx+if� .aSS,;r`i..m,.w,r ., i.., .,., ....r.. .,•/-.e Y.- v �x tu.,„a...A.�..O L.ry .'� THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF-PUBLIC SEWERS MAY OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE-ISSUANCE OF THIS. PERMIT DOES NOT RELEASE THE APPLICANT FROM:THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. - MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION'WORK: "APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE A.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND M (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL:NOT BE ANICAL INSTALLATIONS. ECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS (4 2 24,Y�_ r., 9 ) 2 f 3 . 1;,; HEATING INSPECTION APPROVALSENGINEERING DEPARTMENT 2 ,BOARD F H LTH OTHER`. C, SITE PLAN REVIEW APPROVAL W RK STALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. 1 r• r. r t= I i oF(MEip� The Town of Barnstable BARNSTABLE. Department of Health Safety and Environmental Services MASS. 4 �'prFOMpy Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection YP Location Permit Number Owner 6YL. „, IN Builder Q One notice to remain on job site, one notice on file in Building Department. The following items need correcting: aCL 1-3 9 w � Please call: 508-862-4038 for re-inspection. Inspected by Date I e /��. NEW HOUSE If located- orth of Route 6 -needs certificate of appropriateness from OKH In Hyannis - Check to see if it's included in the Hyannis Historic Waterfront District-if so, it needs Certificate of Appropriateness from them Sign-offs from: Engineering Z Health ❑ l Conservation [� Planning r l IL Tax Collector ❑/ Treasurer ❑ If ZBA r 'ef(Special Permit or Variance is required for project: y of Decision ocumentation that decision was recorded at the Registry of Deeds w/in one year of ZBA cision date. Street address Owner's name & address �ermit request - full description of proposed project Square footage Estimated project cost Building Detail for Assessor's office Lot size - ❑ o meet minimum zoning requirements OR documentation from attorney to prove grandfathering (letter +deeds) Builder's information gnature i Builder's plan Plans - 4 sets measuring I I" x 17"including foundation, floor plan, cross section, framing schedule & smokes Worker's Comp form must.include: Insurance company's name &Work. Comp. policy umber. y Compliance Form py of Construction Supervisor's License OR Homeowner's License Exemption Form Road Bond($4/foot of road frontage) Signature of Principal required. - 0 BurldingFee� q-forms:pemi sI rev.08/30/00 i ESTIMA TED PROJECT COST WORKSHEET LIVING SPACE Value (high end construction) square feet X$115/sq. foot=�� (above average construction) square feet X$96/sq. foot= (average construction) square feet X$57/sq. foot= GARAGE FINISHED) square feet X;$25/sq. foot= I PORCH c� square feet X$20/sq. foot= DECK 3 squarefeet X$15/sq. foot= OTHER square feet X$??/sq. foot= Total Estimated Project Value 6 { f C1A. Tha Hanover Insurahce Co*inpany L Massachusetts Bay Insurance:Company Worcester, MA 01605 Bond No. BLN1 688067 LICENSE OR PERMIT BOND kNOW ALL MEN 13Y THESE PRESENTS,That we, JACQUES. N MORIN ,y 300 BEARSES WAY ._ of HYANNIS .MA 02601 as Principal, and OThe Hanover Insurance Company (A New Hampshire Corporation) QMassachusetts Bay insurance Company (A New Hampshire Corporation) as Surety;are held and firmly bound Unto - THE TOWN OF BARNSTABLE MASSACHUSETTS as Obligee, in the penal sum of FIVE HOUSAND ($5;'000 )�' Dollars, good and lawful money of the United States, for the payment of which sum well and truly'to be made, we bind.ourselves, and our heirs, executors, administrators,jointly.and severally, firmly by these presents ,~.' 1. x WHEREAS the said Principal has applied to said Obligee for a license`to. OPEN ANp/QR OCCUPY A': 1351 SANTUIT;=NEWTOWN TROAD) COTUI_: iqA_&2635e� ---�U�I�IC WAY I;OCATED' AT _ _ - NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if Principal shall faithfully observe and honestly comply with the provisions of.all Laws or Ordinances of Obligee.regulating the business for Which license is Issued,then this obligation shall be void; othervvlse to be and remain'in full force and virtue:' PROVIDED, THE LIABILITY OF THE SURETY upon this bond shall be and remain in full force and effect for the full period of the license, and renewals thereof, issued to the principal above named, or until ten days after receipt by the Obligee of.a written notice signed by such Surety, or. Its authorized agent, stating that the liability of such Surety is thereby terminated and canceled; and provided further;.that nothing herein shall affect any rights or liabilities which shall-have accrued under this bond prior to the date of such.termination. .. Signed, sealed and dated the 23RD ` day of FEBRUARY 20 1 . Principal (seat)" By . . . . . . . . MASSACHUSETTS BAY INSURANCE COMPANY CJ T R INSURANCE COMPANY By: .. . . . . . . . . . . . Fwm14"761.(M) John McShera Attorney-in-Fact This Power of Attorney may not be used to execute any bond with an inception date after 3/19/2001 �.. , 11V THE HANOVER INSURANCE COMPANY MASSACHUSETTS BAY.INSURANCE COMPANY POWERS OF ATTORNEY CERTIFIED COPY KNOW ALL MEN BY THESE PRESENTS: That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY,both being corporations organized and existing under the laws of the State of New Hampshire do hereby constitute and appoint Timothy K.Lovelette and/or John J.McShera of West Yarmouth,MA and each is a true and lawful Attomey(s)-in-fact to sign,execute,seal,acknowledge and deliver for,and on its behalf, and as its ad and deed,at any place within the United States,.or,if the following line be filled in,only within the area therein designated . any and all bonds,recognizances,undertakings,contracts of indemnity or other writings obligatory.in the nature thereof,as follows: -Any such obligations In the United States, not to exceed Two Hundred Fifty Thousand and No/100($250,000)Dollars In any single Instance- And said companies hereby ratify and confirm all and whatsoever said Attomey(s)-in-fad may lawfully do in the premises by virtue of these presents. These appointments are made under and by authority of the following Resolution passed by the Board of Directors of said Companies which resolutions are still in effect: 'RESOLVED.That the President or any Vice President, in conjunction with arty Assistant Vice President,be and they are hereby authorized and empowered to appoint Attomeys4n-fad of the Company,In its name and as its ads,to execute and acknowledge for and on its behalf as Surety any and an bonds,reoognizances,contracts of Indemnity,waivers of cation and all other writings obligatory In the nature thereof,with power to attach thereto the seal of the Company. Any such writings so executed by such Attomeys4n-fad shall be as binding upon the Company as if they had been duly executed and adknowAedged by the.regularly elected officers of the Company in their own proper persons.'(Adopted October 7, 1981 -The Hanover Ir>no nce Company; Adopted April 14, 1982- Massa Bay Insurance Company) IN THE HANOVER INSURANCE COMPANY AND MASSACHtSETTS BAY INSURANCE COMPANY have caused these to y r� eir respective corporate seals,duly attested by a Vice President and an Assistant Vice President,this 19th day,,,f of M OF1POgq I SURANCE COMPANY MASSA S BAY INSURA T$(Se Jt r�: L l �Q reside President an Vice President Assist Vice Presider THE COMMONWEALTH OF MASSACHUSETTS ) COUNTY OF WORCESTER ) ss. . On this 19th day of t before me came the above named Vice President and Assistant Vice President of The Hanover Insurance Company and Ma A(t Ba urance _ompany, to me personally known to be the individuals and officers described herein, and acknowledged reciling instrument are the corporate seals of The Hanover Insurance Company and Massachusetts Bay Insurance �* respectiv .� at affixed a said corporate seals and theirs' lures as officers were duly axed and subscribed to said instrument by)�p�>T ` 'Corporations. eal�113LI4 �.* Notary Public ��� y'4'•.,• .••�F My Commission Expires November26,2004 I,the undersigned rnt of The Hanover Insurance Company and Massachusetts Bay Insurance Company,hereby certify that the above and foregoi N ItA'1��and correct copy ot.the Original Power_of Attorney issued by said Companies, and do hereby further certify that the said Powers of Attorney are still in force and effect This Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of The Hanover Insurance Company and Massachusetts BaOnsuranoe Company. 'RESOLVED,That any and all Powers of Attorney and Certified Copies of such Powers ofAdomey and certification In rest 6ct thereto. granted and executed by the President or any Vice President In conjunction with any Assistant Vice President of the Company,shad be birxrmg on the Company to the same extent as it all signatures therein were manually affixed,even though one or.more of any such signatures thereon may be facsimile' (Adopted October T, 1981 -The Hanover Insurance Company; Adopted.April 14, 1982- Massachusetts Bay Insurance Company) GIVEN under my hand and the seals of said Companies,at Worcester,Massachuseris,Iffm day of 19 THE HANOVER.INSURANCE COMPANY MASSACHUSETTS BAY INSURANCE COMPANY slant ice President sistant ice President j {. ✓/e �oo�inaoruu�a� �i� ac�ivae�aJ , . . BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR . = Number: CS 05MO Blrthdate: 02/16/1958 f i _- nExpir+es. 02NS/2002 Tr. no: 17122 . ? Restricted To: 1G JACQUES N MORIN 300 BEARSES WAY HYANNIS, MA 02601 Administrator s MAScheck COMPLIANCE REPORT Massachusetts Energy. Code Permit # MAScheck Software Version 2.01 Checked by/Date CITY: Barnstable STATE: Massachusetts ' HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 2-26-2001 COMPLIANCE: PASSES Required UA = 644 Your Home = 505 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 1499 30.0 0.0 53 WALLS: Wood Frame, 16" O.C. 3545 13..0 0.0 292 GLAZING: Windows or Doors 163 0.340 .. 55 GLAZING: Windows or Doors 30 0.380 11 DOORS 84 0.480 40 FLOORS: Over Unconditioned Space 1644 30.0 0.0 53 HVAC EQUIPMENT: Furnace, 84.0 AFUE ------------------------------------------------------------------------------- COMPLIANCE .STATEMENT: The proposed building design described here is . consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate; has been determined using the applicable Standard Design Conditions found in the Code. The A equipment selected to heat or cool the building shall be no greater ha 125% of the desi n load as specified in Sections 780CMR 1310 J4.4. Builder/Designer . OZ�r•.� Date I MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 DATE: 2-26-2001 Bldg: Dept. Use CEILINGS: _ [ ] 1. R-30 Comments/Location WALLS• [ ] 1. Wood Frame, 16" O.C., R-13 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1. U-value: 0.34 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location C [ ] 2. U-value: 0.38 For windows'without labeled U-values, describe features:. Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location 4 DOORS: [ ] 1. .U-value: 0.48 Comments/Locations FLOORS: [ ] 1. Over Unconditioned Space, R-30 Comments/Location HVAC.EQUIPMENT: [ ] 1. Furnace, 84.0 AFUE or higher, Make and Model Number AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. When a installed in the building envelope, recessed lighting fixtures.- shall meet one of the following requirements: 1. Type IC rated, manufactured with no penetrations between the inside .of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the' unconditioned. space. 2. Type .IC rated, in accordance with Standard ASTM E 283, with no more than 2.0 cfm (0.944 L/s) air movement from the the .conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. p VAPOR RETARDER:' [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. " . MATERIALS IDENTIFICATION: - [ ) Materials and-equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values, glazing U-values, and heating equipment efficiency must be clearly marked on the building plans or specifications. DUCT INSULATION: [ ] Ducts shall be insulated per Table J4.4.7.1.. DUCT CONSTRUCTION: [ ] All accessible joints, seams, and connections of supply and return ` ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. ' A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: ] Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified. in Sections 780CMR 1310 and J4.4. [ ] . SWIMMING POOLS: All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. r` [ J HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in. ) : , PIPE SIZES (in.) HEATING SYSTEMS: 'TEMP (F) 2". RUNOUTS 0-1" 'l.25-2" 2.5-4" Low pressure/temp. 201-250. 1.0 1.5 1.5 2.0 Low temperature 120-200 0.5 1.0 -1.0 1.5 Steam condensate any 1.0 1.0 1.5 2.0 COOLING SYSTEMS: Chilled water or 40-55 0.5 0.5 0.35 1.0 refrigerant below 40 1.0 . 1.0 1.5 1.5 CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water pipes to the following levels (in.): F. PIPE SIZES (in. ) NON-CIRCULATING CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F): RUNOUTS 0-1" 0-1.25" 1.5-2.0" 2.0+" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0:5 1.0 ----NOTES TO FIELD (Building Department Use Only)------------------------- f :: 1351 Newtown (Devlin Architect # Worksheets .. .... :.. ... .. .. .. .... .... Submitted b Ba be Budia Co Inc. .. . Y .. Y .rry .. g Windows:. :.-H:: :Loss Manufacturer U R Quantity Sq. Ft. of Total Glass Area Glass Area Anderson 1846 .34 2.9 5.5 0 Anderson 2046 .34 2.9 6.8 0 Anderson .34 2.9 0 Anderson 24210 .34 2.9 4.7 0 Anderson 24310 .34 2.9 2 6.8 13.6 Anderson 2432 .34 2.9 8.4 0 Anderson 2442 .34 2.9 7.4 0 Anderson 2446 .34 2.9 21 8.1 170.1 Anderson 2452 .34 2.9 2 0 Anderson Picture 4446 .30 3.3 15.4 0 0 Anderson 2446 .34 2.9 8.1 0 Anderson CTC-3 .29 3.4 12.3 0 Anderson C-14 .35 2.9 1 7.5 7.5 Anderson C-15 .35 2.9 7 7.5 52.5 C-125 .35 2.9 1 3.2 3.2 CW 235 .35 .29 3 12 36 OVL-2030 .29 3.4 1 3.2 3.2 0 Total 286.1 Doors H'. t Loss dazing ......... - - Manufacturer U R Quantity Sq. Ft. of Glass Total Glass Area Area FWG- 6068 .33 3.0 1 23.78 23.78 Stanley 9 Lite .38 1 6 6 Stanley 0 Lite .36 1 0 Door Sidelights .37 2 2.6 5.2 Total A 29.78 ......................... ....... .................. ............... .....................-.... ..........------- Skylights Heat Loss .........................Manufacturer U R Quantity Sq.Ft. of Glass Total Glass Area Area Anderson SK-2838 .45 2.2 6.3 0 Skylight Total 01 Buildin Wall Area Worksheet ....................... ... .............. ...... ........ Front.Elevation................... .... .. .......... .............. ............ ........................ Width Height Gable Divide By 2 Sq. Ft. 34 18 612 19 18 342 6 18 108 0 0 14 5 2 35 Total S.E 1097 .......... ............... ...Elevation,.... .................... ....... .... . .......................... ...... .................................................. ............... .............. ... .......... ............ ...... Width Height Gable Divide By 2 Sq. Ft. 28 17 476 10 8 80 0 0. 1 0 __j r r 28 10.5 2 147 Total S.E 703 .. ..... .... Left Elevation _............._ ... . ....... ......................... _..........._ _................... . ... ... _._.. ... Width Height Gable Divide By 2 Sq. Ft. 26 18 468 10 8 80 0 0 26 9 2 117 r 2 0 Total S.E 665 ; ......................................... ....... _........ ....... ..........__........_.._......._ .. Rear.Eevaton.::...: ....... ... .....: .......: ....: ----- ... Width Height Gable.Divide By 2 Sq.Ft. 60 18 1080 0 0 0 0 2 0 Total S.f. 1080 TOTAL SQUARE FOOTAGE ALL WALL ELEVATIONS 3545 :. Ceilings.: .....: Width Length Sq. Ft. 28 28 784 6 14 84 12 10 120 16 19.5 312 19 10.5 199.5 12 12 144 -12 12 -144 Total S.f. 1499.5 Floors Over ITncondtoned Space Width Length Sq. Ft. 28 28 784 6 14 84 12 10 120 16 19.5 312 19 10.5 199.5 12 12 144 Total S.E 1643.5 --- -........ _ __ _ _ _ __ . ...................... . Floors Over.E):utdoor Air.::.: _ ::::, Width Length Sq. Ft. 0 0 0 Total S.E 0 E-.x or or: Gross.Area Qty, Width Height Sq. Ft. 4 3 7 84 0 Total S.f. 84 F C:TyF .\My®es\J.b Materials\Window&Door Schedules\Window-Door Heat Loss.1351 Newtown Road wpd The Lommnnweatrn uj trlcw�u.�.=•�� e. . ''�"a : -= Deportment of Industrial Accidents - — O c�af/e> tgs�ons 600 Washington Street -- A Boston,Mass. 01111 Workers' Compensation Insurance davitIn 11 MOM:: �% Jacques N . Morin name: - location: . hone# 508-775-8822 city ❑ I am a homeowner perfo==g all work mysif ❑ I am a sole 'etor and have no one wo in aavESUOMWIS . n for my employees worinng an this job. 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C,77o_yf ght 02000 7 _ IrK arnnx u_rerlu.5: --:-::_::'. Preliminary plans end tayouts by DC.D.are for the use of the` custOtnYts only �ADy oene7"use is �6t/[a�ty �ror.Dhe' wz U� Q O Q CL N LL O O H N wz0 in (Y- � �z U o T r T Ocn� � II N O m T N (C J W Q I— (U 0 cA LL X Q luz C4 a rA d IL a OLO N U O o Z z O w z�zmtL �2N0o co U a p p t" '1w C14 LLJ LL O < C14 O CL ® 0 BENCH lu Z C�l E3 () C14 BATH Ul Z LU C-4 ILA LAUNDRY 5Er->FPoom 03 MASTER BATH Fit N - HALL z LIJ DOWN ,MASTER BEDROOM NEW 5'0" CASED OPENING LU NEW BEDROOM I FORMER ENTRY CLOSED IN � cQ Q O CLOSETS W1 SOFFIT OFFICE BEDROOM *2 (y- QL z en w CA O O 04 0 MASTER SUITE U) % E z SITTING (D cn z d) )L ui -2 ovc Z x x a O \0 Uj LA POOL COPING /. DECK POOL WALL ADJUSTABLE PANEL A -FRAME \ COMPLETE 04223 / 2" PREPARED 8" MIN. BOTTOM 2500 psi CONCRETE BOND BEAM 2'-6" OVERDIG UNDISTURBED EARTH GENERAL NOTES: 1) POOL CLEARANCES TO BUILDINGS AND PROPERTY LINES SHALL BE IN ACCORDANCE WITH LOCAL AND STATE REQUIREMENTS. 2) THIS PLAN DOES NOT INCLUDE POOL LOCATION ON PROPERTY, GRADING, FENCING, WALLS OR OTHER SITE INFORMATION. 3) ALL CONSTRUCTION SHALL BE DONE IN ACCORDANCE WITH ALL LOCAL AND STATE REGULATIONS. 4) CONTRACTOR SHALL VERIFY BURIED UTILITIES WITHIN SURROUNDS OF INSTALLATION AREA. ANSUNSPI-TYPE II POOL -DIVING PERMITTED POOL COMPLIES TO NSPI-5 ADDITIONAL NOTE IF POOL IS FURNISHED WITH DRAINS OR SUBMERGED SUCTION OUTLETS, THAN COMPLIANCE TO THE VIRGINIA GRAEME BAKER POOL AND SAFETY ACT IS REQUIRED: DRAIN COVERS ASME Al 12.19.8 2007 AT 3'-0" MIN APART AND ENTRAPMENT AVOIDANCE MUST BE INSTALLED. CODE COMPLIANCE A. MASSACHUSETTS COMMONWEALTH OF THE MASSACHUSETTS BUILDING CODE 780 CMR (80ED.) y QImperial C G January 2013 &WegGEttTOrl OF a Roman End 20'x41' PARTDESCRIPTIO)V PART# B'PlAl4 PANEL 04101 8'�(1-MMERPN41 04�02 C' PROM A Ta faiodl $ TG: FRtMt C TO: FROM D Ta a 4sa k sr a 4 2 A 4s2'4' E 1z-93WW E 3C 1a .9r-Y N IF-9 IW N 24-51XV 7613N'K I&-2ZW K 2r2•T. L 2F L 17 DMNG PERMITTED ONLY FROM DESIGNATED DMNG AREA. 1 1. AftdB(�ff.2.WP.S.1.ftWetefooft slayere%re~Ps4neW.n* tum S` 2 8aC1: tp w111 deal aazlL UaodlCotaaM dotal. 3. 3' addeaonaae dedt Is 10 be paned to low Tuddamss am adope CM*6 Albdmde pad afire tobetMbltodmtmtnlats 3.RdsfiedOdlaraIstober.**n edmaws"Weedartxwkwr ad aetlt e.Asafety 11M.WMbuoMIStobepermanadlyetladmdlV'tothe ' ahadawtdde d Bre pobR d lntsmpedtaigs. T.CaatnK%"fhadegl Olfwant rnelmds atd FeCvAb" may beIthIstabodatemkiedI h ieapad gdlmOastadorwholenotanegaredlw bye menvraon Is le omainnaepeas. tl intal�n b robe tlam6 txCadatoa with M todof4 stem ttndtrteatA bA&d Codas. as sn.4 es ANSI! APSPe1099091ed xabftm r CENTEtLICO f PANEL OPTION 4 2� 2 BR RF 3 / Ix all 20 s'3' PANTY PANEL trr eR TI NT RF 2 4, zA - 41rs 7S 3u T-AfRAR6E f1RAGE RF-ROMAN END RULER SF-RECTANGLESTAIRFILLER 33'-1 1 :eansm 3t�e - T-1- twaN+ •tmm"dPsa�t. eoTtatt 8, BALK BOTTOM SLOPE SHAILOWEND SIDE BOTTOM sox WALL PAD WALL PAD WALL ALL DIMENSIONS ARE FINISH DIMENSIONS ROMAN ENO FILLER 2 1!2' x 2 NY (INSIDE EL FILLER) 04212 tw , 2K 22s' a 2n XZV ROMAN END RULER STRAP 04213 672 X liiY STEEL STAIR o OPTroN o o e sm4r eats so ttrE roar oc 11E HIiNaE AT tlf E IOP 6 ee7I0N � P11t�6 bRx 1ZW ST1£LSTAIR RECTANGLE STAIR Rt t R LEFT-04313 RIGHT-114314 eotrou stv gwutr4 _ Volume: 25950 gal / 98200 L I Perimeter. 17T-5- / 35.79 rn I Surface Area: 809.67 ft2 / 7524 M2 Uner Sq. Ft: 810.0000 141 B. ELECTRICAL & PLUMBING } THE CONSTRUCTION AND INSTALLATION OF ELECTRIC WIRING, GROUNDING t [\ L 7 AND BONDING, AND EQUIPMENT ARE SUBJECT TO THE STATE CODE AND TO Michael Lebowitz 7eQA1tOV UTl D THE CURRENT ADOPTED NATIONAL ELECTRIC CODE REQUIREMENTS. 13 1C1 SQlltult Newtown ALL PLUMBING MUST COMPLY WITH THE CURRENT ADOPTED STATE CODE. A A i Cotuit, MA 02635 F MAStijji JnMLS n Mn�X \C� can I v N0 ' �O iV AFC: I S, I C,FESSION�� d /o/3a��`f y v f ®. u JAcMM A.UW JR. . to n 07458. JAMSS Il. MARK A M&Profcsdonal FWginew 36365 Selecting the correct size H-Series heater: For Your Swimming Pool Determine your pool's surface area in square feet: A B L L R ::ZD w Area = (A+B) x L x .45 Area = R x R x 3.14 Area =LxW iIn this table, locate the surface area that is equal to, or just greater than, the pool's H400 1,200 1,050 I 900 750 600 450 surface area. To the left of this number is the appropriate H-Series model that will fit the selected area. " For indoor pool installations, divide the pool's surface area by 3. Table is based on a 30°F temperature rise, 374 mph average H350 H300 H250 H2O0 H150 wind velocity and elevation of up to 2,000 feet above sea level. For Your Spa or Hot Tub Determine your spa capacity in gallons (surface area x average depth x 7Y2). The reference table lists the time required in minutes to raise the temperature of the spa/hot tub by 30°F. In the table below, locate the column with the spa/tub size in gallons that is closest to yours. Select the desired time to raise the spa/hot tub temperature 30°F, read to the left and select the appropriate H-Series model. This guide can be adjusted for other temperature rises. For example, if you desire a 15'F increase in temperature, simply divide the time for 30'F rise by the ratio of 30/15, or 2. Note: Heat lost and/or heat absorbed by spa walls or other objects will add to the time it takes the spa to heat up. Spa sizing is based on an insulated and covered spa. Always cover your spa or hot tub when not in use to minimize heat loss and evaporation. 11 1 �. � �• 1 I H400 I 9 14 ' 19 j 23 28 I 33 37 42 47 I H350 11 16 21 27 32 1 37 43 48 54 H300 12 19 25 31 37 44 50 56 62 I H250 15 22 30 37 45 52 60 67 75 j H2O0 19 28 37 47 56 !I 66 75 1 84 94 H150 h 25 37 50 i 62 75 87 100 i112 :�125 J N40�170- Specifications and Dimensions: Universal H-Series Heater 111 1 1�� M1 1 FM�� ff=l 400,000 350,000 300,000 1250,000 200,000 150,000 83% 83/0 ° 82.7% � 83% 83% 82.7% 36" 33" Y 30" 28" i 25" 21" 1 • 29Y2" 29th" 29h" i� 29Y2" 29Y2" I 29Y2" 24" 24" 24" 24" 24" 24" 2" x 2Y2" .� 2" x 2Y2" 2" x 2Y2" 2" x 2Y2" 2" x 2Y2" 2" x 2Y2" • Cupro Nickel Cupro Cupro Nickel Nickel Cupro Cupro Cupro Nickel Nickel , Nickel • 1 8" 8' 8" g I 6" 6" 6„ R 160 I' 158 145 I 134 123 110 jII H-Series heaters are available in a comprehensive range of BTU sizes for natural or propane gas. All units are certified by the Canadian Standards Association and carry the exclusive Hayward® warranty. Millivolt Heaters BTU/Hr. Width (Inches) Depth (Inches) Height(Inches) Water Connections monHeat Exchanger .[ Indoor Vent Pipe Diameter (Inches) HWS Stack•Height(Inches) Heater Weight (Ibs:) Gas Connection at1Heater Efficiency. Performance. Innovation. =" Whether you want to extend your swimming season or swim year-round, Universal H-Series gives you comfort with efficiency. It's the perfect addition to your Totally Hayward® System. To take a closer look at Universal H-Series Heaters or other Hayward products, go to www.hayward.com or call 1-888-HAYWARD HAYWARD° 620 Division Street I Elizabeth, NJ 07201 ■'■ © Hayward, Hayward Energy solutions, Totally Hayward and FireTile are registered trademarks of Hayward Industries, Inc. 02013 Hayward Industries, Inc. HAYWARD� Universal H-Series POOL AND SPA HEATERS Right for so many reasons. Perfect for so many applications. I a ... �+ xn _ Total System: Pumps I Filters I Heating I Cleaners I Sanitization I Automation I Lighting I Safety I White Goods Hayward' Universal H-Series Heaters: Energy efficient and universal fit F9 MIXED Hayward is always looking for ways to make pool and spa ownership as affordable and effortless as possible. -Our Universal H-Series pool and spa heaters combine advanced technology with universal -fit flexibility, making them a smart choice for virtually any new installation or system upgrade. They deliver state -of -the -industry performance, save up to 18% on energy costs, have extremely low NOx emission levels and a legendary reputation for durability. They're offered in 150,000, 200,000, 250,000, 300,000, 350,000 and 400,000 BTU/hr. models. Exclusive to Universal H-Series Heaters p®p C�IG� STANDARD Cupro Nickel Heat Exchanger Totally Managed Flow provides exceptional corrosion resistance and erosion protection. Ideal for today's salt -based electronic chlorination systems. Superior Hydraulic Performance Industry -leading hydraulic performance saves energy by reducing circulation pump run time. State -of -the -Art Finn Plate Heat Exchanger State -of -the -industry Fin Plate heat exchanger with special V-groove design for faster heating and longer life. Dual Voltage Installation is simplified with voltage that adapts to either 110V or 220V. -- 4 forultimate convenience. Easy installation, simple operation. A choice of left -side or right -side electric, gas and water connections gives Universal H-Series heaters unprecedented installation flexibility. This enhanced adaptability - coupled with a lightweight design, a modern low -profile Universal Wiring Junction Boxes High and low voltage connections are easy and convenient with left- and right -side junction boxes. Hot -Surface Silicon Nitride Ignition System Exclusive silicon nitride ignition system for dependable lighting and reliable operation. — _ Ad appearance and front -panel only access required for both installation and service - ensures compatibility with virtually all new or existing systems and equipment pad configurations. Digital LED Control Panel Electronic control display maintains water temperature; monitors heater performance with self -diagnostic capability. 00b 4A00 -A Insulated FireTile® Combustion Chamber Unlike older forms of insulation, FireTile securely traps the heat, delivering the most performance from each BTU. Low NOx Emissions Environmentally responsible; complies with all current California and Texas air quality emission standards. x .,w 4 i M 'r ;� . , ... y-. S •6..c:- �:{ p +� K' it"a;,9,yt r� •"9L� �i ..� ° p,. `a' •`^'; 'T" d^:x .,5:?^'. � Jf Y7 ..L •.. .1��x k',� a. :�'�� .. r.. � .. .. i ......-•..--...,.R..rwr _..... .m....•.++wvr^^,_^sr ,ax+ _ i .� it 3 •8 � 4 co '. O � 3. I f st" 'T AL 0, # i n !i I rrk l� i Q € 4 � 1 i t 0 9 o I { I i f W R� O Q r } � t t t� qV_LA7 r4CCf��s. c� �M „ I Q I 285_TL ,ot SHFX1 ROC if H C,ArcA F i ,,nl �,/ �,i hr 'fie �D' 9 A,d� R si X !'A GA W00 r - n /L tJ y 9 .e 1�'f'�. �::"!✓r'ria^.. w-., � a- _. .. a .14 I __..r___.__-..... _..r-_. ®' i ±' 9 i F7'0 YF_ z T11=7 -- ,Z4 ;p t i j € LI�tr,t 4' C . O 4 T' O (U a r` e 0 r O Lp I �U.V- j -OL lE Vim MU V -111: A SCALE DATE 508.428.6191 I(N evlin ustom .yes igns ooyr, jr, r 2000 1 R P - et: �9 Preliminary plans and layouts by DC p ,are for the use of their customers only Any other use is strictly prohibite AREA 0' Qo No aW 5 LOCUS AIAP ZONING REFERENCE• Zoned: RF Min. Area = 43, 560 Sq. Ft. Min. Fron tage = 150' LF Setbacks Fron t: 30 ' .S'1 d e: 15 ' PL 394 PG. 4 Rear.- 15' Now 1 W1O WN SANTUIT 9 74.46 " L = 306.89 ' R L = 192.00 L = 55.59' L = 114.89 , R 2702.48 N/F O Helno �. P1. Bk. 394 Pg. 4 Rl O O LO 7 1 56,137 74_j� Sq. Ft. ? re 1. 288 �- A Gres O a ^� Factor = 16.79 0 A 1) f 2702. 48 R 246. 22' 413 82 N 14 °15'30" W 13ARNSTABLE PLANNING BOARD Approval under the subdivision control ]an- not required. Date: (1934 LA YD UT) L = 239. 41 LOT 2 5 7, 223. 80_i Sq. Ft. 1. 314-17 A ores shape _?awtar = 00 06 167. 60 N/F Hostetter PI. Bk. 394 Pg. 4 L = 345.00' 146.01 9'00 N 19°5 S 85 °22,48" W 99. 32' I certify that this plan has been prepared in conformity with the rules and regulations of the Registers of Deeds of the Commonwealth of Massachusetts, Winslow Spofford PLS o� Da to i A. _-_ _ J The above certification is intended to meet Registry of Deeds requirements and is not a certification to the title or ownership of the property shown. Owners of adjoining properties are shown according to current Town of Barnstable Assessors' records. L = 624.41 ' L 279.41 ' NIP Hostetter P1. Bk. 394 Pg. 4 F'OR REGISTRY USE Plan References: Plan 394Pg3&4 Plan 100 Pg 41 Plan 187 Pg 155 Deed References: Book 7051 Page 250 and 251 Book 4871 Page 97 ASSESSORS' REFERENCE'S Map 25 Parcel 8 PLAN OF LAND IN CO TUIT, MA (BARNSTABLE COUNTY) PREPARED FOR.- MR. JA CQ UES .MORIN BAYBERRY BUILDING COMPANY 300 BEARSES WAY HYANNIS, MA Scale: I" = 40' Date: January 2, 1997 GRAPHIC SCALE 40 0 20 40 80 1e0 ( IN FEET ) 1 inch = 40 rt. A & M LAND SER UCL'S, INC. 33 OLD MAIN STREET SOUTH YARMO UTH, AIA 02664 (508) 398-2121 FAX 394-9642 C.•, D WG, 5180. D WG TOP FNDN. AT EL 66.0' SYSTEM PROFILE `1'��'i' HOLE; LOU:J ACCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) ACCESS COVER (WATERTIGHT) To ENGINEER: M. FARIA, SE 66 t MINIMUM .75' OF COVER OVER PRECAST WITHIN 6" OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM 65•* WEDWARD BARRY ITNESS: 2" DOUBLE WASHED PEASTON£ DATE: 6/5/99 RUN PIPE LEVEL S MAX. 63.0' FOR FIRST 2' PERC. RATE _ < 2 MIN/INCH PROPOSED �Q_ 62.0' 4 GALLON SEPTIC 62.0` CLASS SOILS p# 9456 4/62.25' TANK (H- 10) GAS 1 CI 0 0 � CD 0 C7 C�Wp 6 .28 r-- .17 y AROUND .;::... BAFFLE 614=6.45' <>Co 0CJ C] C7 C7 ©C� C� I� F-1 F 0 0 C] F-1 0 F-1 MIN 2' Gl0©C7 C� 0©©0 o" 59.17' ( if 2 % SLOPE) �__-,_6" CRUSHED STONE OR MECHANICAL COMPACTION. (15,221 [2)) MIN 3/4" TO 1 1/2" DOUBLE WASHED STONE, Q ELEV. O„ 66.0' ofts2.o' DEPTH OF FLOW 4 MIN ( 1 % SLOPE} TEE SIZES: ( 1 % SLOPE) INLET DEPTH 1010 OUTLET DEPTH 14" 7.17' 12., FOUNDATION-- 33' SEPTIC TANK 12' D' BOX 13' LEACHING FACT LIT;' 42,, 52.0' 72„ `s' 1 CO 236.40' 1 1 120„ 1 SL 10YR 4/3 B LS 10YR 5/6 Cl MED/COS 2.5Y 6/6 C2 MED/cos 2.5Y 6/6 12" 62.5' 42" SOME COBBLES 72" 56.0' 120" A SL 1OYR 4/3 B LS 1OYR 5/6 Cl MED/COS 2.5Y 6/6 C2 MED/COS 2.5Y 6/6 ASSESSORS MAP 25 ' PARCEL 8 ZONING DISTRICT: RF 58.5 YARD SETBACKS: FRONT = 30' SIDE = 15' SOME REAR 15' COBBLES FLOOD ZONE: C 52.0' h j.5 -74 NO WATER ENCOUNTERED IVV I tJ: O 73 ► BENCHMARK APPROXIMATED FROM QUAD 1 TAG- BOLT 280 SEPTIC DESIGN. (GARBAGE alsPosER IS NOT ALLOWED ) 1 DATUM IS HYDRANT : 3 M 110.- P 330 GPD `2. MUNICIPAL WATER IS AVAILABLE 6 �., DESIGN FLOW. ,...._ BEDROOMS (.,�,.G D) -_ .^ ELtV - 67.24 .�...�.. T� _ .. W- a LOT 1 1 JSE A 330 GPD DESIGN FLOW - t.. 1NIIr7wl c YiiLn �v BE �,s3 PEf�-f80T. - �a + N LOADING FOR ALL PRECAST UNITS TO BE AASHO W-10 56,138 SF± SEPTIC TANK_ 330 GPD (2 ) _ 660 4. DESIGN LO D G + 5. PIPE JOINTS TO BE MADE WATERTIGHT. USE A 1500 GALLON SEPTIC TANK 6.CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. 6� + �.-1 LEACHING: ENVIRONMENTAL CODE TITLE V. C 2 25 + 12.83 2 .74 _ 112 7. THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT �eC �o SIDES: ( ) ( i _. TO BE USED FOR ANY OTHER PURPOSE. sw le 25 x _ 12.83 (74) = 237 " 0� 65.5 - t +�„ BOTTOM: $. PIPE FOR SEPTIC SYSTEM TO SCW. 40 -4 ,PVC. 472 349 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT 10 TOTAL: S.F. GPD INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED y y 2 USE (2) 500 GAL LEACHING CHAMBERS (ACME OR FROM BOARD OF HEALTH. PROP. 3 BR TH1 ;�" EQUAL) WITH 4' STONE ALL AROUND DWELLING Q, TOP FNDN 1O• \ Q N , GAR DECK LEGTI TL L' 5 SITE, PLAN 1 � f 100.0 PROPOSED SPOT ELEVATION OF a LOT 1 _SANTUIT--NEWTOWN_ ROAD G3 \ Q 100x0 EXISTING SPOT ELEVATION IN THE TOWN OF: 6 YHA G � 0-[Too oPRowosED CONTOUR (COTUIT) BARNSTABLE s C- \� 100 EXISTING CONTOUR PREPARED FOR: BAYBERRY BUILDING CO. 30 0 30 60 90 �a \ � BOARD OF }iEALTH . N. MA SCALE: 1 _ 30' PATE: FEBRUARY 24, 2001 co co °` '`� APPROVED DATE i �a w t off 50E-362-4541 1 fox 5w 3621t"gp 240.E I C�M �� own cape en 'neerin inc.Ir1eI v' �� � ARNE cy��p ARNE H. H. c cli0. CIVIL ENGINEERS � ��, y w y 9 No. 348 oQ a 3 a LAND SURVEYORSIc �s fC E o;, v 0 j J/p 939 main st. yarmouth, ma 02675 P.L.S. DATE 9 9-155 H. o.rA ,