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0568 SANTUIT ROAD
�� 8" San- �►�-f-- � oq�l i - -- - - . . -- - --- -.- i` �� � ,. , � � � s n H7 _.y' __ �.— - - _ - _.._.. __ .-. a.. \ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map an Parcel ?i Application # Health Division Date Issued Conservation Division Application Fee 0 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address Village �411 . Owner ► WyAddress Telephone Permit Request M7016 �� '=>`� S�� -�" i"b"MaczfC:� Square feet: 1 st floor: existing l5`x' proposed 2nd floor: existing 1006 proposed- Vital ra�v Zoning District Flood Plain Groundwater Overlay Project Valuation tZ 000 Construction Type Ctr,,c,rit Lot Size /.31 A-,re— Grandfathered: ❑Yes No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Fam�Nc # units) Age of Existing Structure " Historic House: ❑Yes L On Old Kin 's Hi hw Y `�9 9g Highway: ❑ es Id No Basement Type: IH Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) `�- Basement Unfinished Area(sq.ft) Number of Baths: Full: existing u2 new � Half: existing new Number of Bedrooms: existing--Thew AM Total Room Count (not`including baths): existing _ new First Floor Room Count Heat Type and Fuel: i<as ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes L o Fireplaces: Existing _-, New Existing /coal stove: L/Yes ❑ No Detached garage:ll❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: L7existing ❑ new size _Shed: bexisting ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes JLINo If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) c Name ' Telephone Number, / Address License # 5�t9 3 / Home Improvement Contractor# ✓2124Q Worker's Compensation # L�/ �� ✓�^- �/�� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE /�L,��' DATE 3 . 3 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED ot MAP/PARCEL NO. ADDRESS VILLAGE OWNER 1 "DATE OF INSPECTION: FOUNDATION FRAME INSULATION t m FIREPLACE ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL • GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION'PLAN NO. 1 f The Commonwealth of Massachusetts Department of Industrial Accidents W Office of Investigations ' d 600 Washington Street Boston, MA 0211.1. Y www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Ple se Print Legibly Name(Business/Organization/Individual): Address: I? City/State/Zip: lZ Phone.#: l �" � � Are 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 . 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.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.0 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. tContractors 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 subcontractors 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.#: 500-C�/// Expiration Date: • a v /o Job,Site Address: � �(� ` City/State/Zip: CHUG�a 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 cerfify under the andpo es of perjury that the information provided above is true and correct. Signature: 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. Citygown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: l 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,"oi "-- 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" Lhe 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 m 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 Boar d of Building Rcgut���P.t'S anJ StandarJs, ' HOMWiM? OVEMENTICONTRACTOR Registration` 10548 Tr# 27197` . Ex irat on 1/1712010 �%ILIAGE CRAFT' UIL IN� ODELItiG zel i �$ANTUI7 RD. " 1 Ailmuu strator �. CQ11T.MA 026335 M.ISSachusetts- Department of Public Safch Board of Building; Regulations-and Standards Constructi6n.Supervisor License License:,CS 50234 Restricted to, 0q(0 :MICHAEU,:DELUGA i I 568 SANTUI..TIRD ny T � COTUIT,-MA 02505l�" ' �i--�- �` r�• ' ,Expiration: 7/9/2010 Commissioner - Tr#: 30003 �4•4 i +IIT.��rl .t' .wry 1 ' t! �a `. • 14,tNe� Explra o � Ti, 3 �, 1 GF'QP,T RA ING FuN.c 1 i .:d IJu'. 1 Massachusetts- Depa ment of Public Safety Board of B ding ;ulutions and Standards Construction pervisor License License: CS 50 3 r Restricted to 00 y t R€zfill,B blk�i�'1, i ',r•' I ;MICHAEL,DELU # i! 568 SANTUIT R COTUIT, MA 635." 1 ..:; ,,4 Ali Expiration: 7/9/2010 um IIissi oil er Tr#: 30003 f IHEr° Town of Barnstable Regulatory Services .g y S ry ces 9saxxges[.E$ Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 wwOv.town.b arnstable.ma.us Office: S08-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder. I, J � as Owner of the subjectproperty l hereby authorize J! ✓ to act on my behalf, in all matters relative to work authorized by this building permit application for ��✓12 1 JU (Address of Job) C/ Signature of Owner' Date Print Name If Property Owner is applying for permit please complete.the Homeowners License Exemption Form on the reverse side: Q:FORMS.0A NERPERMISSION e r Town of Barnstable Regulatory Services t awtuvsaiar.e, : Thomas F.Geiler,Director MASS. Building Division �Prfn►u��" Tom Perry,Building Commissioner 200 Main.Street, Hyannis,MA 026.01-_. , _._.•.. vww.town.b arnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOl14E0WNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER': name home phone# work phone# CURRENT MAILING ADDRESS: city/towo 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.be/she understands the Town of Barnstable Building Department . minimum.inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of.Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner orming work for which a building permit is required shall be exe t from the provisions P� g P q mP 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 Supervise. The homeowner acting as Supervisor is ultimately responsible. To crisure 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:forms:homeexempt .. t� � � � `+'x.yr1, �Y. /i-l.'�'_J �� Ya'i1 L.aa? -H� ♦ 4 /•N h aft YN' Y, ..._.. T.. _ � f Spy✓`/�/j�,`_r(�p �//]�/�/+a�t/�'�jyy1� ,. .- - 7(4, >r i'r+�:4 PT 'l��a Y' T V�.HIV�VjF t�. y, .. 'r t�I .�H^• .'4:, r . S y IT 1 Poo--." Mil))r475Y fl �� �r FEB-24-11009 (TH! 16: I I MIAMI M & PARSONS I NSURANCE i�FAX) 1781 ,1441425 P. 002/0-113 DATE(M ' M cC4-YVY) I-ACORA CERTIFICATE OF LIABILITY INSURANCE I 02/24/2009 PR',!C(Jt=R (791)344-3200 FAX (791)344-1425 THIS CERTIFICATE IS ISSUED AS A MATTER Of INFORMATION Malcolm & Parsons Ins. Aqcy. Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 6 Freeman St. HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. . P.O. Box 527 Stoughton, K4 0202 INSURERS AFFORDING COVERAGE I suRED fl— De uja A: Associated ErWloyers insurance e DBA: Village Craft Building & Remodeling INSURE;S. 568 Santuit. Road C Cotuit, MA 02635 INS4JRPR D INSURER.E: COVERAGES THE POLICIES OF INSURANCE USTEC BELOW HA%:-BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOC INDICATED,NOTWITHSTANDING XJY REOUREMENT,TERM OR CONDITION OF W CONTRACT OR OTHER DOCUMENT WITH RESPECT TO`WHICH THIS CERTIFICATE MAY BE ISSUED OR 6AAY PERTAIN,THE INSURANCE AFC:O:Z:)-0 BY TH:POLICIES DESCRIBED HEREIN IS SUEJECT TO ALL THE TERMS;EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AG3REGATE LIWS SHOW�M�,Y HAVE '3EEN REDUCED BY PAIDCL.AIMS. InSR'ADD,;. POLICY EFFECTIVE POLICY EXPIRATION I TR Ih:-,P TYPE OF INSURANCE POILICY-NUMBER DATE(FAMIQWY�) LIMITS GENERAL LIABILITY EAC:-,OCX:'JRRENCE , 5 DAWA31E TO RENTED LAI M 5 N0.DE 0C,-,up ME0 EXP�Ar,ono person) S .......... PERSON*PL&ADV;%1JLIFY GENER�L AGGREGATE S kGG 5 POUC-N' AUTOM05LE LIABILITY I!M!l ANY AU!0 A�L MINED ALI-CS i;ODILY NOURY (Per poison) ---------- —------------ HRE-1,AUTCC BOCII,f II,-ILIRY (Per ac do ni) N01,1-04"JED A,,T05 PPT-ERTY CAMACE (Per 50C dem) -�04.1' EA4CC[DE!1jT S I GARAGE LIABILITY A�Tf. AN(AJTO 01HER I-414t: EA ACCb eXCSSWU V--RELLA LIASILITY EACH OCCURRENCE 5 OCCUR C:- I IA 5 1A,0 E I AGGREGATE CEED:IJEmE RETEN-10W 5 WORKERS=—MP.MEAT ION AND Iiii-:C500611401-21308 12/23/2009 12/23/200T9 WC 3,rAT-1. ff EIN`,VLCY!RS'LIABILITY 'I A AN"PR�DPRtErORIPARTfiER,'EXECijl:�,,E L E. A CC;GENT s 100,000 OF, CEWNEN&ER EXCUJDEQ? ;D,SE.�,Se 11 EA Ew.. L.-YeFd 5 100,DOO :f -6� DISEASE. 0 01 SP=rIAI-P`.-OyiSION� EASE-POLICY LIPVI FS T!'Q I I•P!' iidentiai cons.-ctor CERTIFICATE jjOLDER___---.—, CANCELLATION SHCULOANYOP fNEABCVE DESCRIBED POLICIES SE CANCELLED BEFORE TH,-' EXPIRATION DATE THEREOF,THE ISSUIN"A INSURER MLL ENDEAVOR TO MA11. DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TOTHE LE-7 B'jT FAILURE'TO MAIL SUCH NOTICE S,ALL IMPOSE NO OBLIGATION Oft LIA&LIT', Insured's Copy ---2.F KIID UPOWTHE INSURER.ITS AGENTS OR REPRESENTATIVES. Evidence of Insurance AJTHCR!Z=-D PEPRESENTATIVE ACORD 25(200VOS) VACORD CORPORATION IS88 TOWN OF BARNSTABLE BUILDING PE MIT APPLICATION Map 0 7_Parce�l' /a TO Iti1 Permit# OF ISA "STABLE Health Division 0-5-7 ® Date Issued ®S S. S S !? � �` A Y -S PM 2: 12 Application Fee O Conservation Division Tax Collector Permit Fee J , Treasurer °iV S SEPTIC SYSTEM MUST BE Planning Dept. INSTALLED IN COMPLIANCE Date Definitive Plan Approved by Planning Board WITH TITLE 5 ENVIRONMENTAL CODE AND Historic-OKH Preservation/Hyannis TOWN REGULATIONS ProjectS'treet-Address 5w& ICI e Village`. _ Owner 'wd Address , Telephone' ,4, 1: 5!T Permit Request [ aCersi Square feet: 1st floor: existing 160 proposed 2nd floor: existing proposed "" Total new Zoning District_ Flood Plain Groundwater Overlay Project Valuation �� Construction Type l Lot Size ���� y-cee- Grandfathered: 0 Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family U/ Two Fa 'I O Multi-Family(#units) 0 0 yr, // Age of Existing Structure Historic House: 0 Yes 9'No On Old King's Highway: `O Yes gNo Basement Type: 0 Full [,Crawl r D Walkout ❑Other ® C� t7 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: ®'Gas ❑Oil ❑ Electric 0 Other YP ' / Central Air: ❑Yes -VNo . Fireplaces: Existing - New Existing wood/coal stove: 0 Yes 8 No Detached garage:Q existing 0 new size Pool: 0 existing ❑new size Barn:0 existing 0 new size Attached garage:['existing ❑new size Shed:L'existing 0 new size `� Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded 0 Commercial O Yes 0 No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name ae LVA4104 Telephone Number Address License# 3 b �� ✓� � � Home Improvement Contractor# Worker's Compensation# � � . . ��-�.� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 4�0_1/r6 Aw SIGNATURE f DATE f i s FOR OFFICIAL USE ONLY 1 r r PERMIT NO. s DATE-ISSUED MAP/PARCEL NO. ADDRESS VILLAGE 7 �_ OWNER , DATE OF INSPECTION: FOUNDATION Z�� FRAME ? Lo INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL, r GAS: ROUGH!A',l > „ FINAL . SK °r°t FINAL BUILDING 9 .� r E DATE CLOSED OUT, t�fi c7 > ASSOCIATION PLAN NO. j i I • The Commonwealth of Massachusetts Department o� (, f/Industrial Accidents 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit-General Businesses name: i address ' city W? state: M04 zi : 0; alone# 7 5 work site location(full address): ❑ I am a sole proprietor and have no one Business Type: ❑Retail❑Restaurant/Bar/Eating Establishment working in any capacity. ❑Office❑ Sales(including Real Estate,Autos etc.) ❑I am an em toyer with employees(full& art time ❑Other %/ ill// � d I am an employer providing workers' compensation for my employees working on this job. com an name• r address: aq a� city: phone# .. I I fnstirance.cot- olc. .# I am a sole proprietor and have hired the independent contractors listed below who have the following workers' compensation polices: company name address: city. phone#: insurance co. olic,, # F1171111117/ company neme., address citva:. .: phone#t insurance co.:: olfcv Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certi r ains alties ofperjury that the information provided above is true and yorrect Signature Date , .f � Print name el X Phone# flicia]use only do not write in this area to be completed by city or town official o l city or town: permit/license# []Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office []Health Department contact person: phone#; ❑Other e (revved Sept 2003) h Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", 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 section 25 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,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 in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits 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. City or Towns 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 pernrit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you 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 BMW of lalrasugawas 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext. 406 r Town of Barnstable Regulatory Services �1BARNSrAtE,$ Thomas F.Geller,Director MASS 4�p s6 9 k,� Building Division lFD MP't Tom Perry,Building.Commissioner 200 Main Street, Hyannis,MA 02601 Office:. 508-862-4038 • Fax: 508-790-6230 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 containnig 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: ��� Estimated Cost Address of Work: Owner's Name• �'� Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑lob Under$1,000 []Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME EYIPROVEMENT WORK 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 RESIDENTIAL BUILDING PEMT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE � 100Ll( square feet x$96/sq.foot a plus from below(if applicable) ALTER.ATIONSMENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0031= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30,00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee projcost 710 CMR Epp-dix I TsFa1e Z�2 ZH(raatinued) exud with FasxO F'ueIz P�eriptzye Ps,e Zw far O'az aced 7rrn-Fsatil�'Acstdeatisl HuildIa�t H 14fl�`i1ML1h� •HcalindCooling h1AXtMUM Wadl Floor Aisancas �cw Equtgmcnt ElficirncY' � Glaaan8 Ceiling P L]•vatuc' R-value R-values R-values Wsil R-yslr g,•yalueT uc per4age 5101 to 6500 Heating!)egm DIY'' 6 Nacrosl 38 13 14 10 40 Nomul 0. 10 B 033 30 19 19 10 6 Is AM 5 lZ'/. 0.50 3E 13 13 � N/A NIA Normil T 11% 036 3E 19 19 10 6 U 15y. 0.44 3E N/A IS AM 38 13 25 NIA 0.4# IS ARM 15/i v � 0.5Z 34 19 19 10 N1A Nomaal 13 X 18% 0.32 3E 75 N/A N/A No=4 Y 18y. 0.4Z 3E 19 24 N/A 6 90 AF E I . 0.42 3 E 13 19 10 6 g0.AFUH Z 0.50 30 19 14 10 tp• 18/. , 1, ADDRESS OF PROPERTY: it 2• SQUARE FOOTAGE OF ALL EXTERIOR WALLS: ' DARE FOOTAGE OF A f O°� 3. SQUARE ALL GLAZING: 4, c/o GLAZING AREA(#3 DIVIDED BY#Z)', 5, SELECT PACKAGE(Q..AA-see chart above): ETHODS OF G ENERGY REQUIREMENTS NO�: OTHBRMOREINVCLVED ORTHI5INFORMA ARE AVAILABLE ASK US ` BUILDING INSPECTOR APPROVAL: N0: YES, q•forms-�380303a � I of „E r Town of Barnstable Regulatory Services 13AMSTAZLA ` Thomas F.Geller,Director 9`b,�Ts6S9���m� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign Tbis Section If Using A Builder I -....._.:_..;as..Oainet..of the.subject property .. __...__..... hereby authorize .to'act on tny.behalf,. in all matters relative to work authoiized•b.7 this building.petmit•application-for: (Address of Job) e Signature of Owner Date G ,0/ Print Name AppUcarit" tocat�crt >; t-tv- t ° I 119 I p. .5 Al� 6 r V \~tvw-siotY "_ p a,-36- j��z 'ar o$ S� '\awelLu� 1 ..dot 63 �- qg I Zl_1+5 flood,panr:-Z5.QWA-Oj -P— fOOd Zone. __� +��," OF i� PAUL �N hetyE� certify that ti 5 mortgUge &ispwti'orl wcr5_pmperrc446r ' GRQV H Wyy WV V nrt,,T'.C. oAZ Citiza-r1s .lAortgagov Corp. No The dw Uing shown. hereon )ocs not fiU in,a sped az FEAtA f-o4 �� i4auI/ mva wirK art effective date o f 7 -z -9Z and. the 1.ocabbn, oP I s IV dwelli aoO.s cor�#c�rm�rt'o �Ie local gorung 6y-lcz�vs tri of Fect� �t the tune Fcmtrucrion wile respect-to horizontal dimensiozr Scale: 1 5ethack mgturenumts or is ewnpr�vm. vtolatt n. caf7orume to ��---- xctl�rt, t.rnder Mass. General. lavvs CZctpft-140A•S rt� File �le --- PLEASE NOTE: The structures as sh.:wn on this plot plan are approximaie only An actual survey is necessary for a precise determination of the building location and Pncrrao.hments, if arty exist, either way acri:ss property lines. This plan must not be used for recording purposes er for use in preparing deed descriptions and must not be used for variance or building Flan purposes This plan must not be used to lc�ate property lines. Verification of building locations, property line dimensions, fences or lot configuration car, rmly he accomplished by v-, accurate in,,trument survey which may reflect different information than what ;s shown hereon; Please note that this is "`JOT A BOUNDARY SURVEY" and is 'FOR MORTGAGE PURPOSES ONLY" COLONIAL LAND SURVEYING COMPANY, INC. 269 11anover Street Hanover. Mass. 02339 Plume: 781-826-7186 - Fax: 781-826-4823 f , g� rip Fm r�IL I R' 1TI®S License:.CC�SN'STRUCTIONsSUPER;UPSOR- ., Nu ,ibS 050234 • . . . -- � Tr.no: 27779 MICHgEL D 5' SA�NTUIT RQ _ ' Com'missioter _ 1 HOME[MPROvEMENt.. ONTRACTORr istr 105548 s I R /17/2006 VIL GE CRAF MIC 568 SANTUIT RD COTUIT,MA 026S5 Ad,niuisG'ah;r e PCRMIT PAYMENT RECEIP,? 1OWN OF BARNS(ABLE BUILDING DEPARTMENT r 200 MAIN STREET HYANNIS, MA 02601 DATE: 01/05/09 TIME: 12:11 -------------__--TOTALS--------__------- PERMIT $ PAID 25.00 AMT TENDERED: 25.00 AMT APPLIED: 25.00 CHANGE: .00 APPLICATION NUMBER: 200900027 PAYMENT METH: CHECK PAYMENT REF: 10269 Town ®f Barnstable Permit: o oQ¢7 .' Regulatory Services Date: p�°FZHE r � Thomas F. Geiler, Director Building Division BARN STABL MASS. E, . Tom Perry, Building Commissioner � 039. �m 200 Main Street, Hyannis, MA 02601 AjFD MAt A www.town.barnstable.ma.us Office: 508-862-4038 Fax: .508-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT Owner: APhone: Install at: sJb i Village: G� !/ Map/Parcel: Date: Stove A. New/ ed B. Type: -Radian /Circulating C. Manufacturer. Brw►� S�►�i�/ Lab. No. D. Model No.: Chimney A.(-.e.w/ 1xisting (If existing, please rate date of last cleaning) IN I3. Size C. Are other appliances attached to Flue? D. Pre-fab Type and Manufacturer F. Masonry: Lined/Unlined Hearth A. Materials: Cie 7 B. Sub 1,loor Construction: 6 Pe Installer Name: _ w, Address: Phone: �..,.� Location of Installation: H.I.0 Registration # Construction S ervisor# OR-cheek omeowner Installing, no license duired p. APPLICANTS SIGNATURE APPROVED BY: Please make checks payable to the Town of Barnstable *This constitutes an of stove permit after inspection, photographed, and approved by the Building Inspector Q:forms:stove R(w 103107 r' Ll 9,1 i Fi t.0 nib i Ail i, i c � o�1ME Town of Barnstable �pP Tp�� • BA MASS.LE. ' Regulatory Services = 9 MASS. 0 Building Division pjF MAC A, 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 i Inspection Correction Notice Type of Inspection Location 5-& ? S41-1-J 7 W-r Permit Number Owner Builder W One notice to remain on job site, one notice on file in Building Department. The following items need correcting: v / Y, �s /� ^ Q l 'IV, Y�. Sr (/ - I� . r .3 Please call: 508-862-4 8-for rre.-inspection. Inspected by . Date °FfHE,p The Town of Barnstable BARNSTABLE. - Department of Health Safety and Environmental Services 9 MASS. 0a i639. �0 prFOMP�� Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Location T � Permit Number Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: l U Y\ea" ixe e4 -Cu l I DEa+n yt-o Qi 60'�As J Su ng� v- , ,11 3 t�eu�.2!•tj ( r� bCt.}e-►v+�v�� Yl-eeCl G Nd t 7't o ti a I It�0 o t` I y�341 Please call: 508-862-4 .for re-inspection. Inspected by 1'J' 19 I Date TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 007 Parcel D, Permit# S Health DiMsion 2573 � - .. Date Issued 19 6,5 ® EXISTING S C SYSTEM Fee 7 Conservation Division �, 1 �LIMITEpTO _ OF BEDROOMS Tax Collector I A Application'Fee Treasurer ' Planning Dept. Checked in By Date Definitive Plan Approved by Planning Board Approved By ., s � Historic-OKH Preservation/Hyannis Project Street Address fs F Village ✓► `? Owner A Address e ' telephone Permit Request 4 M dJ r ofOW6A s Square feet: 1 st floor: existing t7a proposed4P 2nd floor: existing proposed Total new 60 Valuation Zoning District Flood Plain Groundwater Overlay Construction Type w d i Lot Size / RZ;y-,— Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. V A, Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 6 Historic House: ❑Yes dr�o On Old King's Highway: ❑Yes 8 No Basement Type: ❑Full u6awl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 6 J Number of Baths: Full: existing 3 new . ® Half: existing new Number of Bedrooms: existing new / Total Room Count(not including baths): existing 0 new First Floor Room Count Heat Type and Fuel: f9 Gas 0 Oil ❑ Electric ❑Other Central Air: ❑Yes Y6 Fireplaces: Existing 5 New Existing wood/coal stove: ❑Yes ❑ No'. Detached garage:❑existing ❑new size Pool: 0 existing ❑new size Barn:0 existing ❑new size Attached garage:[existing ❑new size Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial O Yes ❑No If yes, site plan review,# Current Use - - - - -Proposed Use BUILDER INFORMATION Name �� Telephone Number 70 0 Address .� �t �� License Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO 44ok 12 SIGNATURE DATE �� t . r FOR OFFICIAL USE ONLY PERMIT NO. DATE-ISSUED ' r MAP/PARCEL NO. ADDRESS /' VILLAGEa,� OWNER DATE OF INSPECTION: r„ ' C ' ✓`� , FOUNDATION 1t1 z 1' y�y FRAME t=_ INSULATIOI m.- FIREPLACEca n r L ELECTRICAL y '�ar'y$ROUGH FINAL m PLUMBING: OROUGH FINALcf 1 GAS: `ROUGH FINAL' �- ✓ (r FINAL BUILDING 08 Oj' A*59-gg -7 } OQ"01 ' DATE CLOSED OUT r j ASSOCIATION PLAN NO. �. • / 7$0 CUR Appendbc J Table ALlb(continued) - One and Two-Family Residential Buildings Heated with Prescriptive Packages for Fossil Fuels MAXIMUM - MINIMUM Alin Wall Floor Basement Slab Heating/Cooling Doling Glazing Olaang ent Efficiency' • B Perimeter >�Pm Areas(%) U-value= R-value' R-value R value° wall 1'ersm R value' R vaitu' Package 5701 to 6500 Heating DM!Days Normal 12!° 0.40 38 13 19 10 6 ° 1�Dirnai It _ 12°!a 0.52 -30 19 l9 10 6 SS�4f31E S 12% 0.50 38 .13 19 t0 NIA Normal -- --T- ----15%.. --.._._036. --...•._-38 13 ZS NIA --=-6 - U. . 1S°/, .. 0.46.. . 38 _19 19 10 1So/ 0.44: 38 13... ._� 25 N/A NIA` .' 8S AFUE x V= 85 AFUE W 15% 0.52 30 19 19 10 Normal N/A X 18% 032 38 13 25 NIA Nonraf y 18% 0.42 38 - 19 25 N/A N/A 6 90 AFUE Z 18% 0.42 38 13 I9 10 90 AFUE - AA-,- 18% 0.50 30 1 =` 19, 19 10 6... 1. ADDRESS OF PROPERTY: <. 6010 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: - 3. SQUARE FOOTAGE.OF ALL GLAZING: 7 4, %GLAZING AREA(#3 DIVIDED BY#2): v 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BULL D ING INSPECTOR APP ROVAL: YES: NO: q-forms-f980303a 780 CMR Appendix J Footnotes to Table A2.1b: a Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage.Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 ft of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the'National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U=values cannot be used. The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness- over the exterior walls without compression, R 30 insulation tnay..be substituted for R-38 -- - insulation and R 38 insulation may-lie substituted#or R-49 uisulation: Ceiling Rvalues-represent the sum of cavity. --- insulation plus insulating sheathing (if used). For ventilated'ceilings, insulating sheathing must be placed between. the conditioned space and the ventilated portion of the roof. r cavity p insulating g( , . _o* Wall R-values represent the sum.of the wall caul msulatlon plus msulatiII sheathing if used). Do not include exterior siding, structural sheathing,Viand interior drywall:For example,an R 19 requirement could be met EITHER by R-19 cavity insulation OR R 13 cavity insulation.plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. °The floor requirements apply to floors over unconditioned spaces(such as unconditioned.crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must nicer the same R-value requirement as above-grade walls. Windows and sliding glass doors .of conditioned basements must be included with the other glazing. Basement doors must meet the door..U-value requirement described in Note b. ' l The R-value requirements are for unheated labs.Add an additiona R s -2 for heated slabs. - ° If the building utilizes eleetric resistance heating use compliance approach 3;4, or;5.. If you-plan to install more than one piece of heating equipment or more than one piece of cooling equipment,the equipment with the lowest efficiency.must meet or exceed the efficiency required by the selected package. For Heating Degree Day requirements of the closest city or town see.Table J5.2:1a NOTES: a) Glazing areas and.U-values are maximum acceptable levels. Insulation R-values are minimum acceptable-levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall, floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 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 11 Please Print Legibly Name (Business/Organization/Individual): ilz, 4ee, Address: 7 *Y)k - City/State/Zip: IJr�" �� 3.5 Phone#: 1, ;-7� Are tyan employer? Check the appropriate box: Type of project(required): L►� a employer with 4. ❑ I am a general contractor and I 6. ElNew 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 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.]t employees. [No workers' eq ] 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. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. ' m ensad n insurance or m employees. Below is the policy and job site I am an employer that is providing workers co p .f Y . information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: ,� O 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 certify under the ins an a Ities of perjury that the information provided above is true and correct Signature: Dater Phone#` •�O ��J 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, 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 permittlicense number which will be used as a reference number. In addition, an applicant that must submit multiple permittlicense 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 5-26-05 www.mass.gov/dia �tHer°y� Town of Barnstable °^ Regulatory Services $T"J ' Thomas F.Geiler,Director MAn 059.�a`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 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 adj acent to such residence or building be done by registered contractors,with certain exceptions,along wi other requirements. /' q Type of Work: �� Estimated Cost Address of Work: I.! Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law ❑Job Under$1,000 OBuilding not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED - CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO.NOT HAVE- ..2: 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: 71151a,5- ,W- 4. A"-.v - Date Contractor ame Registration No. OR Date Owner's Name Q:fonns:homeaffidav i RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations $50.00 Change of Contractor/Builder $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0041= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE 1 square feet x$64/sq.foot= b l�� x.0041= plus from below(if applicable) . GARAGES(attached&detached) square feet x$32/sq.ft.= x.0041= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch . x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above.Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) yu Permit Fee l _ Projeost Rev:063004 tlGartx' lc�cahott 11.,0 t>er-ty -- i i ro 0 k36 ((jj•' o� welLwo N i 13 0,,0 0' tt, OF k,t 21_14�__ f�po� �fzrt�:_moot..QQz� ooc� Ulu __� `�� s�c� PAuL V, T. hereby certify -tat tl>5Mcglgaq� &ISP 'tlott was,pr xrred��r cROY T.C. ana CRtL-Z_ s .Mortgage Cor �No I I The gelling stown '3aes not�fuLl in,a- special z 9Z artd. to l.ocahortl oP s uz�ard. =a w 'ttl- an eRct e gate o f 7 - -laws in of Fe�� ,�W dweiLing ao�s f-orfmnirto ' local goru 6y 7t the time oF construction wid1, respect" horror-ttcd diMCnsrona. See: I'" -etba.ck reqLami-Lents Or is eW?Ttpr fMM- vloloction 'nt o_reerttierl,'t Date: G:ZZ-. t1An under Mass. C-erlet-al. Jaws C apt-W 40 k-�ect.Lorl" t=ile No..98.-_ ... .� _ _ _ PLEASE NOTE. The strtct.ire� aS >h:�`n �n this plot Plyn. err approximate only An actual surety is necessary fnr .i precise I dctermination of the building ,,cati��n trdlR nc`c i'.h ncn1;. if Ann, ipcst.onsriand� must anotss Pro be used` fo'rnrvdfli This olrnhuilding`p1an uscd or record.ng purposes cr for use p P 8 purpescs This plan must not br used t5 kxate Pr�'perty i'ncs. Verifiration of building 1(Kati�ns, property line dimrnsicns, cnrrs or lot configuration car, nli' ,)c .wcornphshcd h)• ar: accurate in,,trument survey v,hirh may reflect differ RPUSLSnforONtion LY' than .nai s shown horror; Pease note t`at this is 'NOT �. BOUNDARY SURVEY"_and is 'FOR MORTC,AGE K COLONIA L LAND SURVEYING COMPANY , INC . I'1►t�ne: 781-8?6-7186 F 269 Ilanuer Street Itallover, kI-,us. 02339 Fax: 781.826`�f323 UV",SYill u, C70R 7 WOME lMpRpMENT CONTRA_ Registration 105548 Ip�i.,U19 1712006 FT BUILDING R ;. VILLAGE CRA i Mlc�iael`[i elu9a 568 SANTUIT RD \` r 'f ( aii�i�istr,ttui ur� o� i Al�aMM0 B�I DINC3 REG - License: CONSTRUCTION.SUPERVISOR Numb S ,' -050234 Tr.no: 27779 MICH . L DELU a' '; 568 SANTUIT RD.' CO IT; MA 02635. Commissioner `gin:. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map C/C/ Parcel �vc� Permit# f Health Division � r�/ �' �� Date Issued elms Conservation Division s Pp Tax Collector— Permit Fee Treasurer SEPTIC S11 W I"r'BE ' Planning Dept. INSTALLED IN COMPLIANIM Date Definitive Plan Approved by Planning Board WITH TITLES ENVIRONMENTAL CODE AND —� Historic-OKH Preservation/Hyannis TOWN REGULAtIONS n t Project Street Address C� Ell '�Ul% IV� Village <-G _Q r 7 • cn Owner /'✓1,cA A e L 4a Li e2,q Address 1P V cz ,— Telephone cv, 4 a ql `�- CD M Permit Request /.yG'/d �cJ%� SCe1✓�i/�i�� //cam ��X 4� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type O�— 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 mew size �d'%J4Barn:❑existing ❑new size Attached garage:❑existing O 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 r , BUILDER INFORMATION Name 0 /5�5C`50&-AE22� Telephone Number _S5 -4�3 S'/<;S^ Address License# 0 7 �--_ —s /V/9 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 2.r� DATE SIGNATURE } FOR OFFICIAL USE ONLY T PERMIT NO. DATE ISSUED MAP/PARCEL NO. 1 ADDRESS VILLAGE OWNER " DATE OF INSPECTION: } FOUNDATION FRAME INSULATION i FIREPLACE ELECTRICAL: ROUGH -- r5 FINAL mai PLUMBING: ROUGH 4 FINAL - AO mr� y _ GAS: ROUG G FINAL !lHarti FINAL BUILDING Rs 0 0 ms� DATE-CLOSED,OUT ' m ASSOCIATION PLAN NO. h The Commonwealth of Massachusetts - - Department of Industrial Accidents• r 600 Washington Street Boston,Mass. .02111 Workers' Com ensation,•Insurance Affidavit-General Businesses -,y.. i':.S.TFZ<a+':_'"0i'�'S ''• '1�'",;,e`�py,.`'�.o. •• � .. :•. .. .'�`1,Svg1 , name' 1 address city /i i� �L state: ziv: �Z,�48. phone# 4 work site location(full address): ❑ I am.a sole proprietor and have no one Business Type: ❑Retail❑RestauranVBa/Eating Establishment ' working in any capacity. ❑Office❑ Sales(including Real Estate,Autos etc.)' ❑I am an em to er with tnn to ees(full& an time: ❑Other %//% %%%/J////I �/1////%///%%/. I am an employer providing viorkers' compensation for my employees working on this job.. companV•IIeIIiei T(`�:�_X_.�•:� l•C 61/•:L� ,. J — A'. . yJ •\•' city:• �E��>�I� �• .�����" •.�;.:/ ..tihone.�#:��•���'�yc '��. '�t• s /� .irisurarice.cOE �:.. '•sue: •i""'•`- ,_-:;. 20li .#:� - :•` I am a sole proprietor and have hired the independent contractors listed below who have the following workers' compensation polices: ::;�:� ;s=:.' ., �• - •is; :t:•. <� ;:.��:�=`• ' ' '•' company name:• :' � '" ' •• ''``" ''�' :•:at:,w:,. address: ,L>��' _ :!: '�.S'•�e.:. tiliorie`#... insurance co. ;xd .;, . f'o7ic l////%%//EMENEi• r• L: oinp v address:. . ::. . . •.-'•..•' ': .. . .:• •, .. . . city:: pl1oIIE#: r r•:• ' insuraneeib. . ...:, .... ::.:::. . .< :_:t.:;; Vic': #=.:.:•:' = ::: Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the fdim of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that g copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. . I do hereby certify und�e x d p al 'es of perjury that the information provided above is truleand correct Signature �� ,.0 DateT(�,�G'� Print.1� /. �.. � C/� Phone#LSG� rficial use only . do not write In this area to be completed by city or town official city or town: --- - _ -_-- --- -_-_ permit'license# ❑Buildi7Depe t ❑Licen ❑'checkif immediate response is required ❑Select E]Healt contact person: ___ - -_ - phone#; []Other (revised Sept 2003) Information and Instructions. Massachusetts General Laws,chapter�152 section 25 requires all employers.to provide workers'compensation for their.. ,employees: As quoted from the law', 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 defied as an individual,partnership, association, corporation or other legal entity, or any two or mare of the foregoing engaged in a�joint enferprise, 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.employspersoris 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 bean employer: MGL chapter 152 section 25 also states that ever..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,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 in the workers' compensation affidavit completely,by checking the box that applies to your situation..'Please supply company name, address.and phone numbers along with a certificate of insurance as all affidavits 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 Departn e t of Industrial Accidents'. Should you have any questions regarding"the"law"or if you ale required to.obtain amorkers.'compensation policy,please call the Department at the number listed;below. ... City or Towns . Please be sure that the affidavit is complete andprinted legibly. The Departrnent 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 film the_permit/licens.e number.which wdl b;e used as a reference number. The.affidavits may.be.returned to the Depar(meut by,mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call.:... The Departn=t's:address,telephone and fax number: The Commonwealth Of Massachusetts- Department.of Industrial Accidents efffce of inesfigams 600 Washington Street Boston,Ma. 02111 far#: (617) 727-7749 phone#: (617) 7274900 ext.406 Town of Barnstable Regulatory Services i + sasxsrasr,E, Thomas F.Geller,Director XASS �A 1 a`�� Building Division RFD MP'� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 Permit no. 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. v e La46 Estimated CostType ofWozk:1 )l�r.. �.. Address bf Work: Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): " nWork excluded by law ❑Job Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS FULLING THEIR OWN PERIYRT OR DEALING.WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME DIP G N' FOUND UNDERMGL��c 142A, ACCESS TO THE ARBITRATION PROGW4 SIGNED UNDERPENALTIES 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:fomixhomeaffidav Town of.Barnsta e °�. Regulatory Services $ Thomas E Geiler,Director: . i63y �� j0�sc MA'S A B1111CilIl MIA OII Toth Perry; Building Commissioner 200 Main Street, $yamis,MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must complete and Sign This Section If Using ABuilder Y v ,as Owner of the subject property hereby authorize: to-act on mEy behalf, in all rMtters relative to work authorized by this building permit application for; (Address of Job) Sig ature of Owner Date ' Print Name °Tfie �aivm�.u.�vall ✓� f BOARD OF'BUILD.ING REGULATIONS License:CONSTRUCTION SUPERVISOR Number CSC 042838 - Expires 05/22I2006 Tr.no: 22114 Restricted 00 =, �` 1NARREN.F SCHERER 121 CAMME rT RD MARSTONS-MILLS, MA 02648 . Conimi$sione a ✓fie 1°ammzovzuseaC �� lelt S Board of Building Regulations and St9udards 4: HOME IMPROVEMENT CONTRACTOR_ Registration 136605 Expiration: +g/6/2006 c Typew=Private Corporation. SHELL ISLAND POOLSi INC <'i WARREN CHERERr-3 -s 121 CAMMETT RD vy rQ � ,,i MARSTON MILLS,.MA 02G48 Admimstratoc si Cardinal Systems, Inc. SHtET1-6 269 South R1. 61 Schuylkill Haven, PA. 17972 DESIGN OF Z—BRACING Controlling condition woter 10 the too of the 12ool panels j i� WATER DEPTH = 3'-Er OPEN 1'-0" DEPTH OF EXCAVATION FOR POOL. WATER SIDE 6 X 24" CONCRETE SLAB AROUND THE SIDE - BASE OF THE POOL WALL. _I POOL DIMENSION ASSUMED 0 16' X 32' N MATERIAL: 14 GA. GALVANIZED STEEL I I P WALL PANEL F,, = 47 K.S.I. ao P. 2'-0"[---- ---� POINT "A P. - WATER PRESSURE AT BASE OF STEEL WALL PANEL IS .218.4. I/FT. [(62.4 #/FT') (3.50') (1.01)] = 218.4 #/FT. P., - THE RESULTANT WATER PRESSURE ACTING 1/3 FROM THE BASE IS AT 382.2 #/FT [(218.4 #/FT) (3.50') (1/2)] = 382.2 #/FT. NEGLECT THE EFFECT OF THE EARTH PRESSURE DETERMINE IF THE POOL I.S STABLE WITH 3'-6" DEPTH OF WATER INSIDE THE POOL:- TRY ANCHORS AT 8'-0" MAXIMUN. E MOMENTS AT INNER FACE OF THE WALL 0 POINT "A": 1'„r = 382.20 X 14 = - 5,350.80 24(6)(100) = 14,400.00 X 12 = 172,800.00 24(6)(150) = 21�600.00 X 12 = 259,200.00 36,382.20 426,649.20 a = 11.7269" > b/3 = 8.0d', b/2 = 12'. [(4 x 24) - 6(11.7269))36.3p - 1.619 PSF/FT. (24) Pmtn = [6(11.7269) 2(24),36,382.20 = 1,412 PSF/FT. (24 '. THE POOL IS STABLE AND THE FOUNDATION PRESSURE IS ok Mar 17 04 10: 54a THE P'j_1' 18005950222 p. 2 A RC i! j W DEEP i i j -40"' FINISH j PLAS �:j�•i �. �. •i.• ._ •_ �t1�----�— —__.—.� III t � .,♦ o —� •/`+_r 1; , —� • • �c i Pool DM2L Jl E:f " ..--- ----- -----� �•` '7 r. Ies f r:arFrtlr.^,r-::r-1= FAX fecc. ® J S!;A-LOV.'i:'d^. 'i'fSe N;-Arnie: t^ti'-.cC 1 l6JG-c: OWING MAY CAUSE P`RUANE.9T INJURY.PARA LYS:S r, E �'-- —•� !,, �„ r N_,�.,.,e:q:�.�~c,_ „�,I ti , '« renme?er: 1OU c 31-a w,:.es�e.Tve.:w-cxa. iempiaie g, L`D',8 a 9:1a mt>a�uree mar so r �. .,.•a L ivS� RI'+ ti.1s/t.osrgF90:n9i.Rf W1V:1•J rpiG Fu.m•:in. a •i":.s9, ype 11 t>Gcxrtr' � l a, locaticni — f c j `j I , l ^�♦ �1 1JJJJJU.� ✓ J I 1 tl1`vv1 ✓ 100., ►� L , I C05 L- �L,��,�C �� � � 56� �°'tK�-StOtY " �p k3o� ,� . t ►or. .q � .L•Ot 63 Q� , � 'tot I 1M OF y4 +m od Paz._Z— GL=..0QZ�i� sic -- PAf L s� here 6y certify -that thts mcrtgagc ttrs� tt'ort Was,P '� '�'' G oy >� vV rtrt yV yYwt,P.C. a Crttz"ns ..AA ortgag0, Corp. No l The dwEU tng �wwn herecm.aoa not faLI 1ti,a special FEMA ocx.� •� �� I aria wttf� MI, e{-�ecttve cWt of 7 -.z -9z anl. to t.occL brl, ;h,e dwe E ling a o�s Wrll7r n iTO -�t.<.' tO c a i .eOn.ing 6y-taws in.e{{•e�� �t'the tlrrl.e oFwm,;tructiM wit6ti respec t to hor•i rnit a dfM,(in,St0 scale: 1 -- 5wetbac k regLu:remrnts or is ewnprfmrn violatt1 n cnfo-rgtTwt t'' Date: _.tzZZ-.2>8 �tribrti Lmd.er .Mass. GoncraI laws C 1apta- 40 ��eCt"l'oYL '7• � He No. �8- PLEASE NOTE The <truct,.IrC, aS ,n t` i• o; pi•�n urr approximate only An actual sur%ey o, nec,essary for .� prec to I 'ctcrm nauon of ?he building ;,ceti,�n trd Prn:ro;�hmenis, if .lny exist. ri:he� Way acr•}SS property lines This plan rnu,,t not r c I ,.;scd `or cecore :ng pu �,s rres L•r for use in ;preparing derd descriptions and mus; not be used for v,.iriancc or building ; prurpcscs This plan. must not he used t,) io ate property Imes Verifiration :•f building locations. property lint dimrnSu ns, :`cn'rs I I r. fog L.�nfigura,ion car, my `e .c•e••r-ipliShed by ,ir accura e. instrument su,%-c%. N!�ith may reflect different infurm;awn thali i I s :hckr: h.rrr?r P1eas� Wort t`at thts is NOT �. BOUNDARY SURVEY" and is 'FOR MORTGAGE Pl,:RPOSES ONLY" � f _ I COLONIAL LAND SURVEYING COMPANY , INC . I 269 Hanover Strect 1Ianover. NLISS. 02339 • P11tme: 781-826-7186 • Fax: 781-826-4823 :o- t j` k � ,02825/AFP;�g> , ` krw °N � g: 'BuyL►ne 8023 y ym ,.a '#� _ �# ' ' "::. � pp ¢ , t - t#":-P > s VAK La IV a, �. , 96 o ,, s ,`' •' � ° "" _ '.. a,: *;fit.- ' Kt ksx. � - - r ���`� �r�# .< ��.: �� � y > + 2 " kihrat, ic mow, - M lJ, 411 oll gj NZ ICA I IN! PAF AIMM 191-4�mogammgo* A ga 29 r v UN GO ! _ e� � LO � . VWV WA t °^ � !r= #► Y p 41 gyp '{� Mkaww as a*. *x.a +9@' wM�sok l4itei MWwu fir,w •VP5 w A ° # �.. '*'yx*5€9 WKwS� Y 777 „'.�*"�'y, '°�. . w 11 VOW, -�w mow. �, .:v _`%1. w+ IM � IVAkL e FAME 4 versity of North rolina n► GrE@ Ca I1Sb0 O xNC w f . 'o L 02 a . °; Maintenang, Free Permacoar,YFinis W Over.Gah�anizedHi h Strent/y/thSteel f� .} � . °'x .;^ "„�aK:,._... " - :'$ �a:# -v .• *k^r" :s� x " k .,_ :p '�3`,g ,. .,;, �+ .mow, „u,. a `.2,. . . � ....,.# F wvvw:amenstarrence.net� w � F ., '$� - �a,:.- ;.. #�.",r. :. 's✓" _'�',#" Fw yr.a ..."%, `x .' "- rY ''; # xnr'xx w.# x. yx.,F"v A,ate. �' r^. k .r'%- }r�'�.#.f#i/ _,.:'� 1�.:� ..•:4y�, e $..# � > `p� fi �� F.,d"� � ,���.�a� „in; ��'�€,-I � �,. .zr l` G7 ,'fir �� �,✓.�7' �1l �-. ' -� y7 dr ' 1 w� 5 �dzi �,r�j�„„4yr r. .�' .x `s _ ,,' ✓ " L�. a< �' a '* a In "5r ✓a+ - r✓L `: �;•' a t^r /i ,'"^, m„� m - �' r. nr ry rw„ ry�?,i.` M ✓ ? _ at d. r/✓ 7 kr� n d v ^bW'Y A tr q - - l BA r✓87d%a `� r+ ,,,d 1 +w 4 r ,"M 'd - 7 i '� : ''wf"�5-,� '§4 un 'iu"5h& >,y„"'� ' +a'a Ri'p4+ , Yri 11 u n ldo r.- rr Ord t 5 A✓ "�WW ---Meristarfence net {{ 5 1 ut { - s. w pa r r a "( "m �,.,. wAMER�ISTAR s v r •1 ac 1`^w "v- r r ;.fir _ ..✓,. !rAa %, a / C5 d0 f u "' i'`.' :.i'n "✓;K`r' d7 a aa"Y" �;*i ,�" �w.,n"- ,.vim. 'k "* "° ✓ -,ra✓ YN�/ ✓l !k wl >»ra �, a ; The Com an Behind The Product✓� ,, ,�a l „ , _ r, t p Y ✓ + Ow a» '+'7y ' �/ t Al $ld ✓ IrwN�^ � - -� � �as sr = '= yr a� '� °,�^� N �zw��� 9 - ` a n dr{✓ ,� '��,`�a"�4 -.✓, """ % 17k�r - F<pair e A N MEa � � � �" a r "I -F +1 " efi - �. s" '+r.4Ca�sc '.aa °y 7r M "' a . a $5. -zM { 55 4 IF -T-5 AmenstarFenceProducts Tulsa,OK ✓hrr+� y -"4"� ,; .,�✓�cas, :", i'Sr " �•, i a2 - �.'tid" ✓' - A✓��y� rr, 5 p �.m�) rw ✓Y��.M,l` , r� ✓'�_: �pru aFrC',� 4 ✓tip'i a Amenstar was,,chartered several years ago-to prcvidekspeaalty_fencetproducts that,were'Iriore of fordable but did of comp mise the quality le a demanded by specii!ers and consumers. This could bed a qp n do _ T'y .. Wr"wx,_ rw.N'lu ream - eWi,Sa"?� + 'ivi^ r r uP'v�+p ur ^�r it 4. accomplished only by complete reformat►on of the way;fence producfs were being manufactured.,,Prod , `�+ ' a ucfdesign was: approached from many new,,.perspectivesmaximizing Thigh-volumed f productw�ty Increasing strength and durability;promoting ease ofinstallat�on, ensuring an environmen :: ..a,aai' :i,• . as - :a�„ ..y-•. -m �. �. 4:r^rw .,kti�;. ✓r N�'"% ,a .r4r a " „,. � ,rvar„,✓"r ' ✓ "k aw' rl.,. al�„ � ,' tally.friendly workplace,,and enhancing aesthetic appearance Anew plant was designed and built to y - P W house state-of the-art roll forming,metal processing and powdercoating equipment. The result(shown-� A ! �`'.,dd, - r.w. .,w +�"mw".",m'a.r �'qM'^"'•.�., ".^8ndu`5,.::.. , �4'in the photo', has boosted Amenstarato Its current posjtlon as the manufacturing leader in specp salty 2-1 fence productionIS "2 'M $ x d✓.��,' r'� ulu� A r :;rw,a �' v✓ a 4 _ .w pia -;�, l r qr r ✓dd+,^. +l 6'✓ ,h ') '',.;. t ��+ r yon z ssv ( 1 , ) F ` 3,1 a w A ,' tv5 `fin �'rr ', e,>�r— 1""�w /i �"' ># - � f`' , "�,_ yMy arj»«l =, �✓uW a„`d"v "y✓,'" d r r ' iAff va y � Px—: RM ,= ' « TheProduLeadCoor Chain ink'Fencingu5, �""t, " ✓ l" air% 4 .z v a3 r ., ,� r.5 5ag6�,Y and w "k✓,, t doY a hl wl 9�✓rry - rr" I✓.�y �✓"r �l '� 5"i. E n trul 'great `roduct must have a definin feature`fhaf sets It,a art from all`others, errriacoat S. ; - •• Y Yg p 9 p P double coating system%sults Ina coating durability and bf s pen r to all other coated chain link fenced .� '% systems g IhSW--.. �db N ns✓ z rA {e r, i .'"vi+du 5„a r ,✓,.. _ "No-Mar"Polyester�Color Coat Zinc Phh phate ' P� "ram 4 •N d'rk a Epoxy Powder Coat AT v arYS� -;„ x ✓ aARM T�O n'6 v ^4, Vl rr'vr ✓ � a�"ti..`� rrarV g Electrost c application iri the Permacoa_t°powder coating q A system results/n coated with unmatched perfor- ,�d r , q �r v,.ar, Y ^ rr �' ri✓{ _ ,ata"th_,_�.-.5a+ ,«✓r mwr..� yJ� � flr _ r 0 Y mance The base'coat of epoxy "owder,far, surpasses the �'• p Y p p= Galvanized Steel(Outside) corrosion resisting abI sties of painted surfaces The no-mar' _tea g=, 4_. - , r, g polyester,powder top coat reduces scratches and burnishing gad „ ✓ r r, , -✓,. a - •,, r,°nrr T� ✓ r��dr „: akjpy ,. ram/Y f'd�+" +� 5 .- n� .k'r,�a✓��. marks normallyncountered during shipping JV 011Zlftmc Rich I D Coating(Inside) > -r ;s a r41 P 5 yr '^, � �, _ , .�• �. n�� a r "� ✓ � ✓y� ': ,1 �� ,::,ay"` E ✓�aw w�'�;�''�a :.. M"-yg� Y"!/ �, � '.. ,� � r w A �✓� w ...r lV ry �cr ✓ l� " � � ��d� ', *'r'r"lr4w �, u✓ dv✓fin s.r =rr:6�r,w�6, .a�,.�rlv,N�^.» .,,�,�.., ,���,M".�._ �- N,,,� .- �,'�5'�avr..,, ..,,5.,.. k�,�,��'. ..r.,•m.,,�. .. ;r.��M",��, „..�lil>4ir "ti aa�✓//FY i ."'ate✓5..�� �v7�idr, �'', d""A -. i�v~N�R _- ,�4�rai�c�i �rnr✓as.�,.� ,"M.k.�arvs u= , ter` -aep t " - , r � qa; ah ,,. < ,. M'1/ JF r ti 4fir x R r, ,ti . �iur AMERiSTAR® . Oi- i PEERMAC AT° in, _ Not 2 1 IMMM"aK 'Jru{i, .aWdmi,µ, ll�il� lxrri „ci rC �!rlA�! a°�°a"flat /n'�na7 :r J k N>a: Color'Cham Link Fence Systems " fin r x JIM s ; ,Y a t =Contemporary;color fence systems from"Amenstar can be artfully blended into the�naturalzwenvironment to dra ; r m ,.�,..a., ,, ., ne. ,,.•. J f µ,.,•:r. xa"'"uM ,..,,y a ,�"- ,....�,�.,. ' t, ,.: v ,nti' i;, •.µ, m�atically enhance any chainlink fence insta�at�on,£whether the appl�cat►on is commercial;recreational"industrial Mrs or high security. Permacoat®chalri link fence adds the C eative flair that reflects a well destgnedm aesthet�cally r " rp n r„e i, x. •�: w,q .»•,.e,,, i ».<ww y., ,.,,.,, as °• .; . .„ ,r a . . f pleasing project sThe Permaco,at ,system features a tough durable finish coat that resists severe weather condi f" _ _ g motions and mainta►ns an attractive appearance yearafter year r 5u M rf' Mµ M { q'n n 'J"01,q n/ X "ru �„. a " .11� 21M"k/ 'ro"� �nw vr/ i ;,,�.'" z a COLORFABRIC M "r mi^rva _ , .�,.� .%,w„.aq. ,,..w.x. SJ'� ';" ,„u„d t .w " N _E t i, x�v r,u�,, ��t rr roe. a. /ldr."`=4,.w�u i r� The colorchai link fabric has a durable poly(vinyQ chloride eitherextruded,extruded and adhered,orfused an t`, E h ,w bonded overa core Amooth;high qua lityzinc oraluminum coated wire Aftercoabng, the wire`is woven into the _ � r` ; mfinished fabric conforming to ATSM F668 l, ; / rr rM G N µ f/.. .w M" „ � f' µr r `i R�41 r M+ r'fY'"yMy rf •':l n MrMr :,µfM l ^a Ma l r r �, i M '- �n r'r a 'd'* if : ^ 'f .4;,Av d f l a _ r J�l, "i NO M_ pl', ail rl" r a al Nrll ll'r" ^haM 'M" iµ aFi, � � ERMACOAT°i a)'/,RAMEWORK� , gyre . _ uz . . � i plfrr^::,." � 5M R, ;l.. �;E ��f,l,. �(,t, ��x„..� ,�^ n� ,� ^ �" The fence-fraineworkwasadesigned and developed to ans►niertheneed fora more durable,attractive and afford g x Jimzlow , gable framing products is produced from h gh yield strength galvanized steel, usin state of-tlie art mill forming . . .n p tr ',µ ""WMan"^ w," •r 7 wkYim " ,wdad 'Rw, o µrmm.. MWM: C95 al r d a AIA and in line welding techniques Itis coated with the Permacoat®.powder coating system, wit h its double layer oft' i � .< . „ protection(actually powder coated twice)*The base coat is a zinc-nch epoxy moistur barrier that is thermally �fusedrto�the„ "alvan►zed"substrate andxis known for its outstanding corrosion resistance aeTMThe firnsh_coat is a r r3 »� r g ... M r �r'' r"rl•; m ®ir .r, „ "r?WN s� �r, _ w�� tiiermo-setting TGIC"no mar'polyester with enhanced UV resistance to maintain a beautiful,color finish foi a � JON �JIMlifetime of maintenance-free enjoyment / ''uF7i .,„ if /ll d r*. " ,r ,`.ErC r l a ,; rf � "I✓ ," i4 J1 u� M%" ,., F f M^µ ':. u ',� Pop, is✓r"M .� dn 'pdY�l� »'`� 7/ : '�a `>t �14� 1 " Mt✓a ^ix Mom. , " � . ` . ." _ ^ PERMAC0Ar-WKF FITTINGS r. UM, 'Ming" fit.i.rlu iirri E _ The fittings are coated with^a special two-stage e ox and polyester.system matching the'-co"lor.of the fabric and�a ; frame►a ork To ensure a quality level never before attained,"fittings that require fasteners`are supplied;with color �. i � t�:coated stainless steel fasteners l(In fact,ePermacoat°,is the my color chain link fence system with'stainless steel � r` fastenersrprovided as the standard form of supply "Fittings»conform to ASTM F626 x MOM . �_ µ ;.Y'w,.•. "p� /�„ frlad�` / ll iH,µ �, Nn .;rn NAMn r !q rw aM, Mµ 9 4 zr.l M,�A „ `r✓ M ar� x� .µ �•; lJf _ l ~tit 2 �r Mr /�� s� ma �u rrM i ell✓ :ff m tl i a y /lt AMERISTAR DEADBOLT LOCK $ w Tension Band +` M Pressed Steel q w„ •r a /" ` Pressed Steel y Keyed Lock rBoth:Sides it i , w �' ;„r xr�� ad� Female'i� 11 U Hine 'Jr� �irV'r„ Fil l�l a 9 zµ M Mk u gw op cap - Completely:Rust Proof 4 jk— Al Easy Installation a x `rM'M,gµ awC l+µ , i,ra 'ax :, xT q �s ( a �° �N�No Welding a g' r BINrace Band Pressed Steel Pressed Steel WL & Dome Cap Male Hinge _ " axM Mfy `�T'r f'M'"µ7rx COLORS r r, µN " M f uiril n tP , tl of xN:ndM"a.µ "r p AWN 35, �� Black Green „� Brown ;> r H✓ „4 :." ✓` f .:Y' �,a Sri i''Yr^ :.mMl ""' µ a IFx.'a � :. j�, a i Ili y 11�� ^ r a �l1nf �- IDE L- ED PR ACT ATA 4 x e +« r .... .. .v :.. . ...rsr„r,,:..f,r� +, d ..r s., lr i ova, ^ aM,.a,. Mxu ..: a ,4menstar's"electronic media enable,�architects and,ispecifiers to s'" 'I download�spec►fication informations ��P+ ,r pp prmatted project specificat►ons, they alsoenablethe direct divv rectly into the a ro natesecbon of their CSI fo S r r l J doiivnloading of product drawings ontoproject blueprints1 /r w " ;,; ,ft /�._ tgg Pot ra•• Nv� ': ""M',a '? r a k '/+ µC �d'b'� �a4. ON indir �� � �� Architectural T he ad'acent PeBrmacoat®se drawiw is onQ of Prx- v f iP iµM ui: a -M a xFae. Fabr s�.e 'M` �N a .u8., g _, I IM h MMz 1r severa r � a^�fEr shop drawings contained in Amenstars Architectural Binder, f F _ Available upon request.` _ y �; �i "> ' fl „�lif ""elf �r��4nru+rl �, nflgb� p l i ti, wfY` r,,,Mm'aMi„+„' , r ,� »: aaa u l f ?yuM i ✓M V'"ti v p » x Internet Website a r - The=Amenstar website(http//www ameirstaW ce net) enables the"user to°browse the�enhre Amerstar product line �IMThesteiscorn letewith" hotos'�drawins,fspecifications^ "ands r, �m p p ,g + IIg- installation procedures" ��y l w -» . :.rNddru""M. Page3 Ewa,µ " r ei 1f /r" , f` r� �^�Mi ra�� � �'� ,r;.' � �tp✓"�{ �+✓w""�ti�r m:.`x� �,a" .:.�M"fM 'vb:�'`�' �4 H r,^��' "9� ,w � �a" �" 'r ,:.. M,r •, ,' � M 4 »a'Twae� a wa w ,�w+ M ,�� �.. '�, ,. rn�, a��. �a�"� i�✓'"�r� .> ,.a Hai rrrl � rl"�.� . ';�'�n� r„� ����d� �,��rr��":;�. 'r'� r.a ,��.�• �,��._ ",., M�ra,, AJA A �w A79 a W ,,300f, "A , W , 6VPERIORSH Z'T "na -1 R R@ 01111", "P CONVENTIONAL CONVENTIONAL "'N AMERISTA PERMACOATO POLYESTER POLY-VINYL CHLORIDE X a (DOUBLE COATED) (ONE COAT) (ONE COAT) M11 V PROTECTIVE APPLICATIONS at Permacorawtro_'U, Fence ConventZial Polyester Fence Conventional PVC Systems p�W' Systems b ivanizingGa Iron 9 Z, Phospate(D, r ME Q O jg p Vt, Zinc Rich Epoxy(51 "bio W ,e, �it�Z I W-A I C6'ating er PVC MIL" 5 to 6 Mils. "A 7 5ste NUNL5r,Rol n SALT SPRAY RESISTANCE(ASTM B117) -*0 r 3,500 Hirs...........................................1,200 Hirs........................................500 Hrs. ft wwp because they add a significant amount of sacrificial cathodic I (D Zinc compounds are used in the phosphatizing process 3 protection, The zinc is much more active than steel therefore,the zinc must oxidize before the steel is free to corrode. Iron phosphate, by contrast, provides no sacrificial cathodic advantage when applied to steel. Q The epoxy in the first of Amenistar's two coating applications acts as an adhesive to bond a dense matrix of zinc particles lk 4, to ether;in effect,creating a second galvanic layer(3 mils thick)between the galvanized substrate and the polyester finish 'T at W_ M I Ell F 0 _X F PRE-TREATMENT/COATING PROCESS roces., Convey: 11�Staje Permacoatw,Double-Coa I Poiji4ster Process -t?�-Conventional PVC Process 'STAGE PRE-TRFATMEN Alkaline Fixidine IFI... ;.i.. `mNon Clear II`YyI19 Add Water Iron Clear Forced Preheat IRE -A. 11 Wash Rinse Phosphate 4'We. C Mtar 0.. Clean& Clear Non Dging Weld' Rinse Phosphate Water Air Day 0 h Rinse 01 ral' Rinse Phosphate Water, Care ate an Rinse as a, MAI Fely.. I Finish -C�is Fluidize Air P..d.r Curing P Coldwater [Road, Chen mder Bad Dip Coo, Quench u DOUBLE COATING&CURING Curl^g Polyester finish P..d.r Cu * ®I •a r A Booth Pll a AS Simultan6ous cleanin and Curing is by a melt and quench process M Ise 6 " g wherein th&'PVCmaterial solidifies A K phosphatizing significantly against the base metal surface. Adhe- o' All fence decreases the effectiveness ce parts,gates'and accessones are even sion is suspect and can vary greatly with 't i"A'Ca "'I of both treatments. T rmirc6a ajfi�pffi&btion. A' small ambient changes. 50 T;", AND A 4—W `O_kh WE Alf q, ORROSIONIRESISTANC RESISTANCE El -W, siJinifil5antly,exceeds,,PVC any�one,coat p61j; illy t ® W-1 Permacoat"is far superior to PVC in resistance 661 &-—resist I Sor'rosi6 fill P cts of UV radiation, as shown below c '1 , e�t6i'fiffiShe�yhnlits 3 IM" test results below show thib�dlramati6 diffrenc e-_ e Florida exposure tests, M_� , 'AW..�ft law- 3 OUTDOOR ENVIRONMENT SALT SPRAY RESISTANCE COMPARISON OF PVC AND TGIC f ULTRAVIOLET(UV)-45'SOUTH FLORIDA EXPOSURE J0 in Accordance with ASTM 13117 Test Method K W_ 5000 120 4000- Hot Dip Galvanized(ASTM A-1 20) Z 100 rn Iron Phosphate with I Coat Polyester Powder Z 80 WD 3000-- PVC Vinyl Clad(10 Mil.) L W TGIC Zinc Phosphate with 1 Coat Polyester Powder 60 L MARK 0 x 2000- Permacoat® w/Zinc Phosphate,I Coat 4 W Epoxy Powder,PLUS 1 Coat Polyester 0 1 40 1000-- Powders 0- 200 17711 lIndependent 0 0 6 12 MONTHS 7 qp 2 y menstagR IS R�"'Am'��'e-'n-ca'�;s'prem-ie—r manufacturer of Collor Chain- link fence Mated6ls Ap-iplyin'J"the most W 17-4 ive,su on,ever used,on,chain fifik encing4s,oneici the ireasons'our,�,company_-'has C-*--_j ,Ae_#xtens 6e�rrotecii f NO- 42 Tg E,, o,10*2 W [,Pagq- --- �lreadhed that' i,e`ve_m_eht a b 1g,77- �ot��, AgA, -g _Q rr z va MP A Pv90M, , 5aM A 11��!ol e�0 N , ��� �� � �� ��� �� , � S I1�P�E�RIrO�R__ �S�,w �E�� � a �=� T,H�� � ��,� �_)�� �r� � ���_ ��_ r 0 PERMACOATO PC-40 INDUSTRIAL STRENGTH PIPE w" 0 PHYSICAL DIMENSIONS&STRENGTH CHARACTERISTICS PW_1M"A"X _ 'NAL —TED, SECTION BENDING FREE L N F MIN.YIELD (LBS.), 'J'�TIRENGT DULU 'MOMENT SUPPORTED' P L�(=D T '-'fF�N r C INDUSTRY' O.D. 'CBS.' ' LBSJIN.. -1 6' 4, At, I 50,00 9,805 IL5 &1.660 �0' 96 11�a, 5 181 Y gr-=_,,,i 2" 1-112" 1.900 .120 2.28 50,000 x .2810 = 14,050 468 293 195 rj m !r2; !130 W1 2' �O 50 1L 30 8 ril 17,"m8i Wk 2-10 x r4 2 105 A 3" .2-112" 2.875 .160 4.64 50,000 x .8778 43,890 1,463 914 610 Aw. '13-1/2 89,0941 9"69 1 856 1,237 "W' F"Tqfx0 r'l.7! P r- 4 4.000 ��Jgff"160 '1 dwv -41, and _ Qnn nnnn PERMACOAT@ PC-40 VS.SCHEDULE 40&"C"SECTION AW BENDING STRENGTH COMPARISON W, 3 75 350 .......................... ... 350 ...................................... 350 .......................... .... 300 .......................... ... 300 ...................................... 300 .......................... ... WE; a250 .......................... ... 250 ...................................... 250 .............. ... ... 200 ... ... ... 200 .......................... ... 200 ... --z ... ... 0 ti 150 ... ... ... 150 .............. ... ... 150 ... ... ... 10 z UJI 4r_ 2 A logyq W ... IUD ... W f 50 50 W 50 U J, L) J aU W -W 1 5/8" TOP RAIL 2" LINE POST 21/2" LINE POST X ju-1 10'FREE SUPPORT BEAM 6'CANTILEVER TEST 6'CANTILEVER TEST x7n" g W Qj- �R PERMACOATO PC-20 COMMERCIAL STRENGTH PIPE ,AN PHYSICAL DIMENSIONS&STRENGTH CHARACTERISTICS M MAX. CALCULATED FENCEf NdMINAL1_; ACTUAL WALL =p VVT./FT. MIWYIELD * SECTION BENDING FREE io LOAD(LBS.) INDUSTRY PIPE SIZE O.D. THICKNESS) (POUNDS) STRENGTH x MODULUS MOMENT SUPPORTED CANTILEVER J- O.D. I.D. IN.) (IN.) S LBSAN. LBS. 6 q 1-1/4" . 1.660 .085 1.43 50,000 x .158 = 7,880 262 164 109 6 g&2 2 90 0 74 ��,000 qf x y. .221, z. 11,060 230 154, ;�00 g, W&O Wwmx. fw 2-1/2" 2" 2.375 .095 2.31 50,000 x .373 = 18,650 389 259 AK 3" 1/2" v, 10 -V� .25 50,000 x .636 = 31,810 664 442 W, W� ig�l V Asr(1)Nominal 0,D1nd minimum wall thickness AMR% :-W, 7 a mae- M MW ✓ P, V,4RM`-`�21 g F. A X�' 'ap a X1 A QI-A 1- W i Med�tar0i§4Aherc5's prbh&n,manufacturer dc16 chain nk fence igkM Making reasons the gstrongestencep1pe-ir I noll-orming mill one or menstars prominence. 4 - AW a , - � X T P w u 1, ZC _ �v Page 5 W-1 ;0K AM: J&"A AW 01 gi 1pqu z_ 246"U, E Wx a _61" W '10 �21 I WM "M V0,V e "u- ipg%u "`Fd 'p r r '^F i 3 s d r"�+�" d r ' rJ a :r�:. ✓q l• °. ,g7 +V l i r ,r- a ./� C"� �. �:. t J a, r t .) x �"�� :. rn ��. � 1 '< '�l yx, " r- _ - r rj -d�- ,.- r rr w >C a �. - . w rr€r r-dd W W ; " µ 'lErfi rfnhet w �W81eriste _ � r +_..' t NN / ONE �+- �APLICATION INDUSTRIAL COMMERCIAL TENNIS COURT 0 A3TM E668IF1043&ASTM F'71? ASTM F668/F1343&F934 ASTM F969 4 All,I Sports Complexes•Recreation al Nurseries•Mini-Storages-Golf JRp� f ` Facilities•Industrial Plant Faciitias Courses•Apartments•Office Government Facilities•Departn-eita` Complexas•Swimming Pools � 4 Transportation•Prisons e ra 01 ro- - z FIfff 90, " `'� Am COLOR FABRIC= _ - 1Rvgk`4� , ." 3'8"mesh x 8 ga.(11$;Ga ccr - 3/8 rrrsn x 8 ga 11 Ga!'core) 1 3/4"mesh x 6 ga: _ Zinc or Aluminum Co aced Ste I Core1 meshy 6 ga.(9 Ga core 1 mph 8 ga (11 Ga.core) ` Height from 0 20 1-'1/4 mesh x 6 gai(9 Ga ca 5_ 1 1/4 nesri x 8 cd (11 Ga Zore), 4 Black,,Green c_Browr ] 3/4 mesh z 6 ga(9 Ga core 1 3/4 r ash x 8 g (11 GaTcore) l <,I t �. Class 1 Extruced `2 mesh z 6 ga.(9 Ga core= 2 mki r 3 ga ( 1 Ga cope) r Class 2AEX rudecrAdherec ors Class 26 Fused anc Bonded , r a < 7{ �' •. = PERMACOAT� _ PERMA OATS PERM_GOATS " �^ z C _ - #ENCE PIPE F}f�to DUCT pC-40`FENCE'PIPE PG2C FEM10E PIPE' PERMACC}AT® 4 F t FRAMEWORK 1 H = ` �minal Posts 3' 2 375':O D x.130 Wali 2 375 O D x 095"Wall: a �' — - sx N/A up toff' 3 12lb. 2 31 Ib fft. �15 Year Warrant� a + : Te, inal�osts 2.875"O.D;x.160"Wall 2.875 O.D.x.-i10"Wall 2.8-15"O.D.x.1e0"Wall - H Ights from 3 to 20 over 4.64 lb./ft. 3 25It rj. 4.64lb./ft. - K �h. y�1`DA Temina 3osts 4 O.D x.160'Wall -- 2.8r5"O.D.z'.160"Wall" Black°Green or Brown N/R o ® p y over 10'" 6 56lb./ft#` 4.64I6./ft. 4 '"� 'PowderCoE gLine Fcsts 1.900"O.D.x.120"Wall 1.9tJ0 C.D.x90"Wal�lr _ u to 3' 2 0 ,1 N/A No-Mar Flrnsh. P 2 81 lb./ft. 1 741t rt i ,+ awm '" _ .� u _ .;: tfi "T}° G" �:.t"M1i ,?; _ "w�^"�F,u':. Tvpe B TubularSteel Line PcSt 2.37 50 D.x 130 Wall _ 2 3 � O D x _95"Wall °-2.37�"O.D x-130"Walld ' � �Q � 'rA over 6: 3 12 Ib./ft '.31 Ib.rft. 3.12 IbJft. t01 Framework U6'ith �p tSupplementalColar Coatin As ReFr;" Line Posts 2.875"O.D.r..160"Wall � 4 M N/A 2.875"O.D.x.160"Wall 9 4.641b./ft. ASTM F1049E' over 1Y 4.64lb./ft. 0" 111 al 1. O D x. W I 1 6 0 D x 030"Wall - _ Pails&E sang 1.66}'O.D.x 0'Wait y -t 84 Ib/ft �= 1 431b if 1.43 lb./ft. M.a �" PER�VIACOAT' PERMACO_AT° PERMAC_II OAT° PERMACOAT° � ]� FITTINGS FITTINGS �FiTTIN6S 1 FITTINGS,,, 15Year Warr t� ,;(Galvanized Pressed Steel- ay Galvenl d Pressed Steel/ x ( (Galvanzed Pressed Steel/ - ti Galvanized Cast Steel) _ Gahanlz d C t Steel)i Galvanlzed Cast Steel) r 1�11C/ r� .= Permacoat®Epax7& W/th Stainless Steel Fasted Wlth inl s*Steel act ne With Sta nless Steel Fasteners l Polyester Powder cahng As Per ASTM F626 As?arASTMtF626 As Per ASTM F626 _ r' Ty art: No-Mar Flrilsl� +, �-w.. Egg •"" - 4 --m` - ''."' 5 dd 3 Black Lean or=town " _ z - Stainless St el Fasteners wf W7, v p dq r w k §_' IBC W to the stre gth and surface-protection if�nufactured i to Permacoat® chain ink fence compo ,aa v=, y .: rr ..,, ate,r .,.h ¢kw ' €` IV'rl r ( nentslit is clear*r Ar-�enstar©is the,premi6r.source for,all;cofx 6—aam link fence's licatrons; ', "M" ' l "C M „ry w {� - .� pp 4 �,hr dn�, zw iq ".. R Ea e 6` F -'+( � �,� � �d1 t �'d'd�r� ;v �J ` d,�-�«rr°r� u�y� �i�•,✓��t °'�,�>z��f .�� :...±� ,..� � _ // �r �"�a � -: .w�" ,� �'4 "�dx ., N'��',rd� wed do- � d-��r 4,f, <� .qz , r f inn"t l rm,a ,ru, `• - `` Ali"al u w sty ..'s a 6 a IT', v , r"+ lY I,,, AMERIS'�AA® _ THE _C4 HAIN .LKf �x A � � yp qm AM"yq ,�y �q: -:a "l,P _ REVOL TRIO j 'ter^ AN- ,<;1 y yrM ,, "`,'5� r^!' ;�' d"+ ry,qe .ynr r. ✓yh/ 'h r ✓ yr? r r! i�/^„" wggl yl , ' ylFd' v fi %'a r { w �. any lM u k r "; ola is«.ov being demanded 7n e er ►ncreas►ngµ p opo�tlons over galvanized„chain link fencing .w " r .. °r - , _ ;.,. _ _.a,.m nrvc ,. S s r: r.,. r ww„ t R r-dwi tv owners and`managers wishing,toIN ret�ln the well knouin endurance""of chain lmk,system"s,wliile f he ;gfpji vid�ng a penmetertha#Mends attractively with i s surroun dings are.finding color,systems to be the ..:a"ttia;:,= �1p" ' _.._ l ;Y? •.aiti'M �"Mq%Pp"6,;"�ramdM'✓ :1rePar _:"r,,;i%dabgCr,,,. „^o-•:.::ir9pdsNnr and 2nswer Amenstar's Permacoat supma, plies the best a nswerfo.several reasons r� �' � AM IVR if 'yi lrq ,x r"r a" ,:''qf�t � �"' ^", N,. ,Q �acoat®is the only framework product with the double protection of zinc rich epoxy(to Y a N. kr sist corrosion'and TGIC -" K IGHE#t UALITY = PerIMIR rr 6/ a� foljiester("to r�sist'UV radiaticn) Permacoat°.fittings are the only fittings with stainless .i v steel fasteners supplied as standard Amenstar s state of theyart tctory houses the complete process fromstart A! ..-: r _^,-�;"- r ,:. »— a.a yr: ay l yl Mr' ,«wMi �F fo finisf employing rigid quality inspections as pa t of every opera#non t, �,. � Wi EADILY ryary a 7 "....t-• q ° •• ••• • - • rMr c ^^" �e • •• • ••� -• i,w, m a NVIRONMEN�ALLY RIEVDLY RODUCTION The rrodern high-speed tube mill and tfie exte iv pre-treating-' p and coating Brie were°`designed to ensure an,enw onme�tallyfner�d/y workplace and product . a .F u «,r„. 'ate r,: ,z '" t dl '.` " Crt `x: " q d "�wn^a r✓ - ,.{7. rnr/a. 'r ryn fit'"il rah�'k a.w r,ry a r nrr l a ^ �� l . y"� Ma�y'�\ ^� zGr e� lud�"� �^�ly .�l w,i �„�OWER'COSTS Amens}ar's direct;:manufacturing th oughput ✓stem ensures a.competitive irntial cost but a i _ >fir\ Mya' !,_ Y m eamr„= ,rr«, -: •zadn ,ma. ,am""a; .m n w yr -. .."r..., area, rM.. L`.. = significantly lower Fong term cost enabled by superior strength ands fgher qualit coatin M,Maintenance or re lace yg p r costs of other systems raises tfieirlQn te,rr costs far,beyono';the Permacoat®color system �r►ent �3 �" ,P� r C- �, �� a" �"' r_ � � ;_ tt ..:i'�y' P rnr� k� ^� �w�"a«�F r �° � «l la ^ ll��y. . aVi F — .,t . r 1'" " �7UP0R VALUE ALT_RNATIVE Permacoat®ime'kes.the�tncr`easingly`popular,color chairitlink"fencing a 1, ,r ,prefer/zd alternative costing only a fraction more#hail�alvanrzed'chain hnk systems whtle;retaining the strength +� w an r ;w « ,,w. ,�>, ., „ .... ..� xN7 uil.>;r+N ak,s r F O ,,�and endurance of the fencE that was king over,Lhe past entury �t�'r r' ,��� �,rt OWN � t a Mar q„y »t ! ME ' 2WAV "a'/. g's�. y r/ iMi,� .rip "'r hq ?, 'mom 1r^q .r1 rl ryr, min'* r"r ^4r�a"a; mn 'a t .,`s qa ,' m r=i) �,' r M''.r M'�af'�„ rr�wr.F t �' .."'y'�. glr. � a.b't. r�, ::.x \t�:'rhre wt a U w a; ya r a n , r rl # All N $ I P� VIN "^x._ a Winn .r, ,,'� ", "nrr w i tta ... fir, w l r y v:. w r r rl r :Ma rt r aa.. ri l IM'E.�z=�,° r�__ a�, _' Ji^ a,1M .. .a yyd ;, 'J���p�,, - �� ...x '4 q a' !yr ✓f «�r l'y1gMa 10 P�RODLT T 1ESEN;rT—A,! MCI. N �a�a �ow �� afY', t�^ *� wnr�a ,/ l rv� nM .. qr r"a, � 001, _._; x _ A ti a a !A _.., •:.`�,;r'""k, .,.: r. "`" ,. .�""*;": Na ,.ti n: {. a rr'�ggr ,�'l .'•:- ',r,,, is 'A "✓�iF_�.' nMu ` r er�nacoat° hey of unary lean er�n'cotor'cham�►nk�fence framOti ewo k,« fabric`annd fitt►ngs r = mt� s - _� a , comb►niing to�orm a,fenca system that I's east y installed,;giv�ng an attractive,°continuously smooth look to ".^^ Jiw,"° //w --q'V x„a; ,q ja ra /ldr ,r,4 gypp.~u f/ „ /y .'dr'r -,a ,Mi 31. any l►ne offence � _ #" , ' ,^ , 6. «,alow-li ` ' "�z �=ap 3 `r`: '� , «..11 �",t' ultra . �a,.... yo-" q,a.:- ,.�-../ '"„,: 7 `at::"'� ,,�/ r ;.ra^ ll , `_ an!"M'S l ;.'Wry ll; r�" 111 �� m.,"pu^a Mf�iyw.^! q' <�,,,'M,• yl �,. dqd� m � .. a P r � �/ r, �I t l�a IVw4 Mr r rls r ri I A a � , Rf . _� :c L''x�a�: ` V/q NDUSTRIAL OLOR HAIN INK ENCE W-Lrt g ", y^ - _ �� �. , ,a , wmestar'ssPerao ®m { , NO, 40 industrial hair,max. PC nal color c g iip "✓ s'q ''��, �" ,:rw .-., s ,'+r a+ ,= "� la f , x lgar Imk not onlyMcontrol access,rlli " q,"q , � ouldezpema owc t from,a n . '�y,4_ rJ �rndustna�fence they also ,. r � t�. M� . iy'"a %r enchance'the beauty of fher K: � facilities,and properties they a r, ,yM,, r a r r ,�✓r nd ryr ^M � ,^ '� yq, Y o .,c��. 1" : ti"y�� r '`�'"r;�M f•Ea�i A Atlanta -_ `-f- rh ;.,.w. 3mpma"; "nr,,'' ',"q ,4" he use'of stainless steel fasteners with the Pe macoated framework,-makes the Permacoat®PC-40 Industrial NE � • a-- = --mod. ~s i r 1 Fence the most attractive ar d durable Indus�rial�hatn ink fencE available 3ayy{_ + /q; "✓�"q", '/ ,+"`"z "Yy, "fir lygy'm l� .lN"' n a ,:« � - '�� .rsv'�ax......„,r� ,a ,ws-.. '«. ,:, ..ran._.z ,,... �"mrv�, ,�Z7na, a�. �: e .."' ry _ ,,.v�r«� . .rr� "`"r.r�� .�,�a�l'�#�`�'�„d,,v'fMr?wy��-�?n„i�try mNC'M�`�",�^Vrrr�, ..,uiq; �rr✓tt, :::w"�.'' �"a�"�: rh . pa�t "„ %+ Nyrr,E i M .' t_ ..n „,. ! /,',rq .: a y ,k r y+w" t '. w o .r r >� � OF A3 310 2 M� t u�, '�w � xa v w. w ,r ,v «-' ,r, r x r ww ameristarf4nce.net "; y'Egg �- „� �.€., ..,." „' fir." ig r d r _ "�„r...,..v<1drkri ,. „' _ an( ' ,are„. ..#�-.�`� a�aaaaYa °r""wt; S" dwir f r "�',...7r��r",,, a s � r 2 DTC PRE SE11T AT�IO�N 9 ;n„ ?'erah - p - f�r r« f rras r M� arr'drti` wr _ .:'r x i"--, �� " i E .,ps Ord wwa=,. F'a�''"rv�;r.; ,ry�� l,r rrl" •i. v � , a? w` f�,r �` ,.�,+ � r"!r , ��.. M� l a t �fi rla d ,r,�jr, OMMERCIAL P.C-2O COLEY CHAINLINKFENCES � �t, ., �, � �«+,«n' 7r1 d M _ .n .,�.',� �. ,;;.a .',gym vf`•• «rz - ,, ;w, r M:a ;r t �w.w `r '� ��pi s ,yy x'. M ; mow, � a i r "rm r . 4 r ,° rn � aA-A rk �' , �W—A Awn A, ABU AR Al" l ffr r ' "� "' ����a✓era � a �: w!� q,,r�� r �F r�k� r � w�� � ✓ ^,errs ��� l ilen� 'a" s� tr ti rral n r�r K w � w Gr@erSbOPO VC � d �cunty and protection,6re ble��cedrinto/an attractive<a? earar?ce,with the'F?rmacoat° - n"w? ""ate, ...ate r• N:? im= w, '�e'da „:le;w"„'ram "yr TM.«�. CPC 20 commercial chGm link fence�,,stemI Permacoat°PC 20 u��liz=6onsider4bkstrong=r Mft i p r", r -„"re "% „.e, ,; ..,,urur.� �. r.vc. "'^d. '5. �rJr,`x :wM, ?� .rrr. �b^i"✓r", e rw � � �11& )f gq?ework than that used for cohveinf°o`nal,galvan zed comrnerclal,wain link,fences��thus e,� �� �' r�" � l" ���z�? _ r m NE4, sunng the optimum in available syISrems AM ,�:. r »a r 1" �. a/ z. a d x:_ t rr r+ r f« J r' Y,... z ' ;�MM "I'll" ,. , z � ro _ �. � rr ' a a a lr„n . as /MRL " r ' "«fw:; `y �` ;� �fr _ a r °" r, >r"M'.w riu 4 , 11 lrr"Ir M ir:. „3111 l o' 1 r�" !/ , ' Y" "" _ 2; - u ass TENNiS �OURT COLOR �HAIh INK FENCESYAr " -: t - � :.. -; r 5 u W1� Jk r All- WE F � rb 77 r, w it r'rj* „f� ",d.w r r•^M p,✓l r d�r ✓'•_ "r . a _ ,F !: AIR r �, O w �r r S rir rf rtrc, a.�, + y 11 7 `� 0 IRI r�Y M� W, d h Y )1 .r � n l ., ram , ' ,,, ;„ = ei� ,". ✓rtir �` lad „a" A ,'� '!"'yr .✓ << +':,r: v r - t� we ;w P.7t0(17dC N��, 'a r r r ;u tit a ; .`.. °� _ •_ ri ,� e ,^"+�,,,� r<r..-rr; � "� �;w� � ' s r,,,."r ,�;r 3r'4,�V,*6 �.,wl �'' "r _ =fir 1ha appropna a combination of frarre ork materials from Am&istar's Permacoatpp,lrdustnal,PC-40 :,,. � , `a s't��n-g l a+, r'e=Co r , u reVind e rcom lexes. , ;p � C ,r2'�^�a"r:� "aa�r�r�`zri- .�'��mraw4 .-,w�,�. „�._>x,'ia.i�`.a?�"; _ a�.^,.. .E. r, �_ �.����,� ._ r.. - wa��.,...�'�.� ..;�au�'�wu .,`sa`�, ...� a, ��"?r � �,�, _. �`",_r~z ..�?�•«,i�iidax _� ,,,/aa��", � ��a���< ��"�����_ T,MW qW, M N AM, N %Z T, f2 W W 01, JIM q A p- I& -L 'N q 0 ISTAR Q o, liz IR-;;��pv ti J in :m AIR qgg Nq, I M A A W_ _,Lr,4T 4 W, �W, StM M AM N, ANTILE P Jl lg DER SY 3 1, JI lk -A, A 311% -WO 'Al -A 41, IQ T WX jMZ X R- IT- Al ransPort, -Cantilever, I'available--forfo«d .,�.i)otnicnain�iiijk�6fid,,"'o-mamental,,,�-"- p qGa �,',�;ystems are" j W applications. n,,a Weathe4j'&6nti/&vbr gate utilizing bjh�aluminum'_track al sa��" j! �QT g9l, extrusion with inter nal roller assemblies 6 results i i6,g6i;I��nd track system"R iN-- 6 a'1, �U g" Aft , 111��Ja,;,�,""I,,,I — .ill I IQ single e unit,wjih`"vir,tal)�,'n6lii86 re-sistance. rlrsr A A- ARE M, �"j A n, a . IR LLENGTH All, GATE SECTION COUNTER SUPPORT I1111 Af A1.11ITT X 73, W, .3 jp J, I0 k VIRT FENCE SIX' k` HEII HT ul �,Z KV Vd- We' mr , 1 &3"',�;7"M 41, �g4 ok 4Q 7:1 2 4' 3� 'I" 1, 451V IVIf "OU e 0 d o I 11�1.;, "i U, 1#3 ;11,t�, , �1 r�,_ -4, IT "IlM Vi, g M OR A A A Al J , t _N V, "I. & I _1 'At D z L 1W 01 11A A GATE OPENING T 4 �&, Ar, ,i I ,F k, M T. TspW T�t n d Wk 0 v yap4`i, fil mm, JLL"" VIM, _tol ME 25, IN- m AM -A M VA tigs' F S 5, �? r IZI=5 TRENGTHK��,I,�WI, ATE PE �W_ AM W,Ilw" X tTM A Al `-ransPor I",Ca"h"tile tow., io A 'Imp ALIGN"Mi"i"N" I Ir Gates offk�supeh&r strength,-. a+x- M k N-41m, j -g-,as'the'track l,is,ou�p,o,neavier ARM ir Aff, (by weight) Phamidmp6titors "'I, q�w qp7"p, ex rusions.— t mat M _ML I; -,W_U.S.A.Patent No.5,136,813,'-, &�om ,Tru-Trak AVY-DUTYPk,:� iIII11— R IN A , - & I R F J Upper Truck :�"d V/Am 'q- W _4 T DOUBLE-,,cl,,FI., Aft, SINGLE MW 'TRACK A' Ra lg! Fast-Trek V 141i T_ Bott. &.-w- VI-N WV 'd L Pp ig 1clu yc M, 0 hw '1,14, �A t I Weignt'5.30 LB/FT k i tes for openth rigs•V 2 ristar�,!proyides,single,',�,Vi e J_ 111;�'111��'1111122jor 44,lor two gate/eai 61M—);,'', Q W, M T_ �t double re track gates E RINA"' a K,_ 'r ?�-EWV E 9� "A qj VIINII,� V-•1, %7. 6k OUR valableto'coseamaxlmum�-,J, d g, _';`GATEPP-w� I P IT (INSTALLED T, 01 -,of-, ' (50' forltwo., W -VW IM, T0p ning, 30 IT, "0 ir m Ra _j,2"1c11I, 'i", P �a �, "lot %:05%Wei Weight'2.'6-9 1-B F.'T"' A leaves)., 1 ,W -2,�Y&,_ W �Mgjmb", M Page 9All A -0, '"Wit -4 J �X 'o A'lfr tt c , u °' gt V a. ., _ ` a kYJ P Pal *, -/ ,M y f^r a:.M �Y a ,.xa r ; i/ w r ME ,�ppa ti a,"�E l �w �M�rvFI✓"u e r, s t ,ns�www amenstarfence net �� :� _ � TM � � �Fw� - , � �"fit� rah � � TRANSPORT16 t 3_ gel }M FF` ;air _�, n �, Fad` 'gyp Ml .. ff .d a'r, _ �=aF rr.,� «, � F"�i' .a. �r .T' � 'a ...V _ �... CANTILEVER GATES S "In STElVISy �__4 rt M mM 4r ^ r ;Al }t ,. A§16 n a „, ~P P r✓'u ~F `: +a�umi IMFCFI r +�^Fi .F, `m fi 62 � � SPECIFICATION x . _; r ,F :4 €' n ¢M I l i� M l Iv 1 /f PC— �iW�r � a r TransPort Aluminum Framed,Chaln Link Cantilever Gate ���/iFhl E� �" � ' i r 2 01 MANUFACTURER r�Ptf� ;y The cantilever:"gate system shall 3 25,000 psi �a tensile strength,of D ` Two uppers suspension rollers" „'01 -9conforrri to Amerista�TransPortT"" 30 000 psi and a sTMndard milffin and two lower guide rollers v chain link styl(specify sl gle orb ish The Transport top track and shall be included with each «F x .a�'�,� ,=-.,1 y, ...F �» .�.,. cmr, a a ty�, .,sV.._ v" m� .,aY" ia:" 1pl"� _ � F�"{E'w" f 't' tl o enin s ecl total bottom rail shall be manufactured° �" ;gate k p 9 -p gate opening in feet);height(to from aluminum (DesignationA { ,r w -�f tal In feet),gate direction(s a 6005 T5) with a yield strength of 2 03 FABRICATION ' direction gate opens from'out Q _ 35 OOOpsi, a tensile strength of A '=Components+shall be precut to 38,000,psi and a standard mill fin .specified lengths I aside looking in),(specify with or F �^ "., �n'"• `a` s er,,v,,' - �i ll is t a Bl l - i s p W za " Frra a Fuuau eitra'dr 'ld ',' 1 ''�;' dlu t�. without barbed wire) .with � ish e = � 4 z (specify cross sectionalsize B All fastener holes shall be pre and gauge of posts) posts B TransPortT"' chainalink cantilever drilled 4 F" ,w 41,ram „ gates shall be filled with the same �,E 2.02 MATERIALS _ fabric applicable to the chain link C. Completed framing compo � ( .-_``A ,The"materials usetl-for'�cantilever ; 4 ',fenciri;materials ecified ' , 'Pik nents,shall bye tested for"align ', . �, g r p 4v ment and fit at the factory prior agate framingshalle manufac _ " tured from aluminum(Designation ; C Each gate section shallibe sup ;to shipping r w, µa " `6063 T6)wita yie ,stren�gth of plied with truss cables:for proer bracing AIX All M a'" TRANSPORTT1N TRACK'HARDWAREw OTHER INE�MERISTAR®�ATE'�YSTEMS JAW, a 3 jr i kwl �tOrna ental Estate �"r ,a meristar's unique single mainframe; t�� a a, �i �lr�, 1 Cantilever Gates struck rollnri-er makes it the strongest truck asp sembly available in the industry. >� � r ,�.� wit A - 20 r�; 1��EATURES t��.� • Hot Dip Galvanized OR Al � t -?Extra�HeavyOW �• AV A Sohd Bar Truck Assembly] OR _ b • With U Bolts�for either Round or Square Posts '�. 1 J ,u Truck BrackeAw tF Post 7opVieW Ornamental Aluminum F✓ TfUCk_ ,^- , ,* yxM1 itt ar a ar uFav, n Ml u M l a k 8 r Bracket4 O 3. a aaCantileverGates Post �t A Steel =u=`.� - ' �m Shaft F � Guide � � ;� OYEItALL LENGTH ,�._ Guide Bracket _ :,'r GATE SECTIGN ' CGUNTEP SUPPGflT � - _ / �a Y ,tin&s ro-"' fgv WASSembly. r �, m * _ _R011erS 1B1 INVINCIBLE STYLE ,:,I 7 p' z/4 �1 atl �`l✓ Fl"` y / - - CLASSICSTYLE - Truck , :, MAJESTIC STYLE _ Assembly O Guide �. / AM p w, 5sr r w ` holler /n au ,_ Truck S7deVtew , (CCBracket wide GE r u OO Qo ♦Bracket HaB!r / r Truceu k Assembly Lower:Gutde Roller '' Affir aftrviF �® `_" a� v, u� w A �i'Ibir "'a7ry ' F 'FY rF / iw� S ti F/ / a 'a ' u� Vii At IN j","" 3 Pj°'C. 1(YA o k✓a T GA T. ` ra, ag GATEOPENING Ail »t .. �° �Cantilever Gate Latch �' �~ �_ Ai L Page 103 t- ^t F.'Fb'Fs' ,*"�, e i r `•ar .ar S 'tPCIF tFb`q; A y l�i trl F�h9i I1 C, ... �l � ,4 _A r W { X a, _20! 1110 x"M g_ 'a 1-1- 7�1 Wu CONSTRUCTION SPECIFICATION FOR COLOR CHAIN LINK • UTILIZINGAIVIERISTAR8 PERMACOAT@ PC-20,COMMERCIAL WEIGHT FRAMEWORK weight of zinc shall e requirements APART 1-GENERAL `" t h of J, • !Electrical Resistance t� 1.01 WORK INCLUDED Welded Id ASTM F668,Table 4�7i3alvanizedwire shall b The contractor shall provide all labor,materials- Pipe. The exterior surface of the electric' PVC coated to meet the requirements of qece�sary,or installatio and appiJi-tenap-ces- f d�, risikanc6" ld s4all be r6�66ated with the�"Rv e we F668�Select fr6rn'Class 1(Extruded), Class 2A(Extruded and Bonded)and'of material4nd thi6kh6iis"6s ba��Ic of the color chain link fencing system defined • same type zinc coating W Class ��r„ hereir�_at(specibt�ti6mect site vft5 2B(Fused and Bonded).' JV MR _-Th6 manufactured framework sl teel core wire size WORKis 102 RELATED WC D. Wire Size, S hall belJO."I "S�N �,-',,,Secti66`02500-Paving and Surfacing,�,�#Wrl"" g X` subjected to the Permkoat@'process a 0 gauge and the galvanized coatedwire si�ejs 'pr8'm We I S66tidn 03300-'Ca-se-In-Place Concrete 6o Olete thermal stratification coating cess (See Table N' —WE 41 Section 04200-Unit Masonry NM -r(r�biti-stage'high-temperature,multi-lay6r) A including,as-a minimum,6'six-stage_M' C.% Height and Mesh Size:'Fabric height ARM pretreatmen eet A, SYSTEM DESCRIPTION pretreatment/wash(with,zinc phosphate) high with amesh size of q'& So The'contractor shall supply aicrta`lcolor ci3afed_"` ; electrostatic0" f an 6poxyt inches (See Table 1)spray application o 4 h linkfencing system of the design, I 'ib d eparate electr6st -7 _:L4 chain ingn,stye base,an as electrostatic spray X q VW and strength defined herein. Tfi_e%stem shall r� 'application ofa polyester finish. Ii. Selvagetop edge(mpecify knuckled or p 4W twisted)l Bottom edge A" includ6'all components(i.e.,framework,chain� yJK`,�-`It link fabric,gates arid fittings)required E.�,""r��-_.'7he material used for the base coat shall be -A,41 twsbid). 44", 5- ,�, % 31211�1 zinc -6616r)thermosetting the 9 -rich(gray he fence fabric 1.04 QUALITY ASSURANCE %1-2 minimum thickness of the base coat shall be 2 E Color The color `f -W tiii rfor I Raw Qk The contractor shall provide laborers and mils. The material used f&F the finish coat 7% shall b6(ip=blaiic"reen or tii own) . !�hallbeath4-r�iosetting"!ii�-mar"TGICM, rl! Reference ASTM F668 and ASTM F934.supervisors who are thoroughly f6rhiliar with f -4, the typ6bf construction involved-add materials polyester powder;the minimum thickness o fi and techniquesoat'shall b4'2-3mils 4"The;,,--���,,�,,,�I 3 ��,2.04 MATERIAL-FENCE FITTINGS sped ied. The material for fence fittings s Z! stratification coated framework shall *p endure a salt spray demonstrate the ability to manufactured to meet the requiri of ll be lm __ al a'1.05 REFERENCES(Lai;st Revision) 924 resistance test conducted in accordance with 14 ASTM F626. The coating for I fittings shall m A 901A 90M r AA 653 --VA B6� �A�'B'117-44� T", without lois�_ofiad coating i ASTM B 117 hesion or a�JX! & 4 4,bethesame P,enmacoatocoloi exposure L D'3 minimiumi 6x e of 3,500 hours.,k, system reqbiredf6rth6fr9m6w�rk(see 2162)-"-�A2,�"`e D 359 S�ind fasteners withstand all fitting"Additionally th6�coated framework shall i the color of -ners shall be E81E8M E 376 F 567-X iF 6 Mi demonstrate the ability to (specibs lack green or browir 26 Ydemonstra tand exposure i)in 10 F 668! 4F 900 40 ir�a weather-6meter apparatus for 1,000 hours s,, accordance with ASTM F934:yAll fasteners,, F 969 iO` without failure ir'accordance'with ASTM JJ'shall bii'stainless"steel 6�V,§V I=934 1 "4 actory adhesion,F 104 3 nn:F 1184 1499 and to show satisf _5V when subjek_t6d to the criiii-hatch test," 2.05 MATERIAL GATES Method B,in-ASTM D3359AThe polyester Swing gates shall 6-e—manufactured and -1.06 SUBMITTAL of under coated to meet th6_diq3 uirements �,t The ni f" -'2, 66ufacturer s literature shall e submitted finish coat shall not crack,blister or split Slide gates shall be r6afiufact6r6d to prior to installation. 41 normal use ,, F900., A-, -1184'�The�� -Q h �qu e ir ments of ASTM I-- meet I e rE Z� F. strength gates shall be(specify' ,1.07 PRODUCT HANDLING AND STORAGE th of Permaco� color of 611 ga black. ak Upon receipt at the job site,all materials shall 1_ PC-20 framework shall conform to the"A' 6 green ii�)iri_a&cordancie with ASTM IN %!"4 F934 The strength of be checked to ensure that no damages requirementsofASTM F1043.1, "ippingorhandling.'yMakerials d p611 posts be`,�,p/occurred dbrings'hline,'end corner and 4 it shall b6�stored in such a manner to ensure determined by the use 6f4'or 6'cantilevered a proper ventilation and drainage and to protecif beam test. The top rail shall be determined by k AN- againit-damage,w6-ather,vandalism and theft.,_-, 0'free-supp6rted beam test(see PC-20 PART 3-EXECUTION-M. Strength PREPARATION 'Ig,4 reng, 3.01 X, MI m g pipe strength h aid out by the�iERIAI_i is by I All new installation shall 66 laidI�PART2� .method of determinin �2.2.01 MANUFACTURER 6alcu'latio n of bending moment(see°PC-20 ;V- contractor in acc6rdin6e with the construc'. Framework for color chainlink Once systen2j' _'Strength Table-on Page 5)?Conforma666with tion plan. A this specification shall conform to Am_eristar@ P46ifacoat@- can be demonstrated J.UZ INSTALLATION g'-,`�' cornindii-L'Adl weight PC-20,as manufactured b eyield/tensiles reng y_:� -1 ',measuring Ameristar Fence rri�ngc Products in Tulsa"Oklahoma. I vi y selected piece of pipe from 6a Install chain link fence in accorc ance v o p AM& V. V It % �an lculating the sectiormodulus. The ASTMF567. For chain link t6ndiic66d V 2.02 MATERIAL-STEEL FRAMEWORK _J tyield/tensile strength shall be determined fences,,install in accordance wittfASTM '7k- The steel material used to man'facture according to the described in ASTM F969.'--Fence posts-shall be set at's'pacings— u _4x $ f maximumof,l 0'6.6.,,Gate'posts shall be Ameristar's Perma66at@ PC-20 framework shall E8:�For materials under this specification the 0 ,, '.'V-,L b -coated"galvanized by the hot-"dip d d =ding to the gate o i gs Mg e zinc A2 offset met66 shall be in space acc penir process"steel conforming to ASTM A653 and yield strength.jerminal posts,line posts'aind specified in the construction plans.'The ISM MT w �M(5p/bottom rails shall be 1XV A924. precut to specified "Paving and Surfacirib,"."Cast- A �;W` 'P, 1fi and"Unit Masonry'sections of this nl lengths. ;JIC— Concrete, yr _B :k - - n s�611 gto 0�1 The zinc used in specification govern post 1 7,ri'star's-ga-lvanizi'n'-g,-�',"��", base 4,- xu and material Install process shallconform to ASTM 66.' G.V,The color all frameworkh6ll be(Siip Weightplacement requirements. nsta lack-green brown)i67accordan fabric on security sid' and wire 33 rmined using thi�test method accordance e zinc shall be determined O.C. Z, described in ASTM A90 and shall conform tom -ASTM F934V� ti at 15 ties or clip to line pos inch�e and m rails,' tension the Weight range allowed for ASTM Ifi, A653,�,,�-R �t6 'ils I io wii6at24in6hes,,L-1,,� qV a, 9114-_Jl�,�.',�Designati66G90� 0.5 MATERIAL F MP A" 1c; A The framework shall be manufactured in A. *The mated f I I be 3.63 CLEANING " Ml WMA 0 accord&ice with commercial standards to meet manufactured from galvanized steel wire��The The contractor shallan the j66site of 0 minimum',�,�, the strength requirements(50,000 psi 411, excess materials.�P'st hole excavations shall of * from I ss. yield strength)of ASTM F 1043,G ' IC be scattered uniformly away fro--- I'V roup W M V 7 N,t0 rl aF TABLE I K`4, "N A a- p, Finished Finished Core PVC Coating Mesh Sizes Fabric Minimum Gauge OD(NOM) Diameter(NOM) Thickness Available Extrusion Breaking 8, Type Strength 8 .162(4.11 mm) .120(3.05 mm) .015-.025(0.38-0.64 mm) 2(50 mm);1-3/4(44 mm);1(25 mm) CLASS 1,2A 850# 'MA,, Round ha e 85 9 .148(3.76 mm) .097(2.46 mm) .015-.025(0.38-0.64 mm) 2(50 mm);1-3/4(44 mm);1-1/4(32 mm);1(25 mm) CLASS 1,2A 650# J-- q �Z, Z Page 11 AN _J -J c MW 1444 M )"•VC ! yr r"4l x% rr r u m, , "h V # �" _ .J+u h,: 1 qn..;" y✓l �"ql4, :. m",�" , 7 r"«m 4yy"+�, ..a„ �7 +"„. , �g�-,mm. 4 �' a°tAg g IAN . ...>, r.u,- ,w^` .,rr .. t.�, ., ,a"`.4 *�,. .�.. ?'c µ," l #.dM .. . ia�,� ..,..�4�i) u`p1ttiutw .,7 i:r� "� _ � 4CONSTRUCTION SPECIFICATION`F,OR"COLORCHAIN LINK FENCE SYSTEM£ � I+' ""✓� +" _ � ryti . ' AM —1w- UTILIZING AMERISTAR@ PERMACOAT®PC-40 INDUSTRIAL WEIGHT FRAMEWORK' ,# > ` k `^ ^ r RVI i g +,rPART.1 .,^ s 1_o-�f <x<"r ._` " 'n ,/, ray weight . i P meet the req WV uirements of,a t" ' Pi e The exterior surface of the electric = 1 01 ,The INC ;° '' Electrical Resistance Welded Round Steel 'ASTM F668,Table l4.'Galvanizedwire shall be. ,The contractor shall provide all labor,materials f , resistance weld shall be recoated with the' PVC coated to meet the requirements of and appurtenances necessary for installation same type of material and thickness as basic x ASTM F668. Select from Class 1(Extruded) - If the color chain link fencing system defined t o ,zinc coating (r < Class 2A(Extruded and Bonded)and Class ,;1 herein at(specify project site).' F� , :"�f M� , y� r/2B(Fused and Bonded)IRV a a r a ; :. z D The' framework shall be 1.02 RELATED WORK subjected to th_a Permacoat®process a B Wire Size: Steel core wire size is �m. . gauge g Section 02500' Paving and Surfacm complete thermal stratification coating rocess au a and the galvanized coated wire size is rr,=Section 03300=Case-gin-Place Concrete$, (multi-stage,high-temperature;multllayer)�r,„„^ �'; �lar.��� ;gauge,t(See Table,l) �"% :;� t�� ;� �' Section 04200 Unit Mason inciudin as a minimum;a six-st �� °<; tr`• "r rj� g)' ,.. u� ., Masonry '. .g, i age� W;i pretreatment/wash(with zinc phosphate) an C : Height and MesKSize: Fabric height is 1.03 ,SYSTEM DESCRIPTION electrostatic spray application of an epoxy feet high with a mesh size of The contractor shall supply a total color coated j base,and a separate electrostatic spray inches!`'(See Table 1) ,„... / ,chain link fencing system of the design;style "' 'application of a polyester finish (r�r a ^F wr ^;,. 9," ' " � i 1� " + and Strength defined nerein:The System shall " " r �' " � 9 d Y _ r D 40 Selvage:Top edge( knuckled or r Include all components(i a framework,chain `E The material used for the base coat shall be a twisted) Bottom edge)soeci knuckled or � t Zink fabric gates and fittings)required `- zinc-rich(gray color)thermosetting epoxy;the twisted) , . :... ) minimum thickness of the base coat shall be 2 I,I. ' y ,r < r,;, u, + t1 04 QUALITY„ASSURANCEw.. ✓'i' v x .mils-:The material used for the finish coat „ Color.:The coating color for;the fence fabric + r( / ,The contractor shall rovide laborers and :_' shall be a thermosetting no-mar"TGIC 3'` shall be soeci blac reen or brown "r 9" ) s supervisors who are thoroughly familiarwith polyester powder the minimum thickness of O Reference ASTM F668 and ASTM F934 _�. Aw the type of construction involved and materials *Q j_ the finish coat shall be 2-3 mils: The _ , s and techniques specified stratification coated fra .all „, F `,2.04 Y MATERIAL='FENCE FITTINGS:; demonstrate the ability t0 endure....... �/ � ,. „„ - ( r ✓"d+ _. " mework sh y a salt spray it The material for fence fittin s shall be td. < k' r; a r,; 9 �t "rR resistance test conducted in accordance with manufactured to meet the requirements of 1.05 -REFERENCES' -A 90/A 90M ' A653 V' A924 `� � � � ASTM 6117 without loss of adhesion fora` � ASTM F626. The coating for all fittings shall _ B 6 B 117 _, minimum exposure time of 3,500 hours r, r be the same Permacoat®color coating r \ iJ „a �,D3359 =r, . . y ee202),I # ,.'y E 8/E 8M4 :r E 376 )w' " 1 r Additionally,the coated framework shall )s stern re wired for the framework shall be demonstrate the abildy to withstand exposure ' the color of all fittings and fasteners `"F 567 A,1, F 626 "* ;'` in a weather-ometer apparatus for 1,000 hours "` (specify black,"green or brown)in A �§ F 668 F 900 _ without failure in accordance with ASTM Oa accordance with ASTM F934 All fasteners F 934 ,= F 969 it, D1499 and to show,satisfactory adhesion ,. shall be stainless steel. �. .;. r 1 r yTr t+ „F 1043 F ;k Ig F 1184 , when subjected to the cross-hatcn test, ', „a' ar"M. !< ,a,„ �+ '1" {,Y1 Iry `w " Method B,in ASTM D3359.,The of ester 'r 2.05 yt MATERIAL-'GATES + 1.06 SUBMITTAL' = � finish coat shall not crack blister or split under � Swing gates shall be manufactured and 4. t The manufacturer's literature shall be submitted normal use. coated to meet the requirements of ASTM r _ ., rior to installation 9 p F900:'Slide cites shall be manufactured to ,,' to r t 1 Pro �rM.: '.. t,r.- The strength of Amenstar s Permacoat® meet the requirements of ASTM F„1184 The rr� r 1.07;,PRODUCT,HANDLING AND STORAGE" _° PC-40 framework shall conform to Y 4' a ''color of all gates shall be(specific black �" Upon receipt at the job site;all materials shall 4 requirements of ASTM F1043 The strength of green or brown)in accordance with ASTM- be checked to ensure that no damages line,end,corner and pull posts shall be _, F934Aft 'occurred during shipping or handling:-Materials jT determined by the use of 4'or 6 cantilevered F r v r shall be stored in such a manner to ensure ro w beam test'tThe to`rail shall be determined b �rl tt r, , tr�" 1004 r, proper ventilationand drainage and to protect a 10'free-supported beam test(see PC40 Wu against damage,weather vandalism and theft _: Strength Table on Page 5)vAn alternative' PART 3—EXECUTION _ f' a, a k method of determining pipe strength is by the 3 01 PREPARATION, . al , N PART 2 MATERIALS C_ „ x qe) calculation of bending moment(see PC-40,y r All new installation shall be laid out by the 2 01 *MANUFACTURER " ,. r r y Y sr' ^" Strength-Table on Page 5);.Conformance with contractor in accordance with the construc ¢ ''" -Framework for color chain link fence systems this specification can be demonstrated by`_`' tion plan ' max" . shall conform to Amerstar®Permacoat® measuring the yield/tensile strength of a : Y industrial weight PC-40,as manufactured by randomly selected piece of pipe from each lot i.0 2 INSTALLATION �' "+ Amenstar Fence Products in Tulsa Oklahoma -. and calculating the section modulus The „„r, .:r r M Instal chain link fence in accordance with tl1 r+�lT'nv} ,A l WJ� yield/tensile strength`slia11 be determined .',42 tru a "ASTM F567.�For chain link tennis court I,_ i" "441,,= 2 02 MATERIAL d STEEL FRAMEWORK according to the methods described in ASTM fences,install in accordance with ASTM - A The steel material used to manufactureF P E8For materials under this specification;the �Y F969 Fence posts shall be set at spacings � 1 R Ameristar's Permacoat0 PC-40 framework shall� �. 0.2 offset method shall be used in determining <1 m of a maximum of 10'o.o. Gateposts shall bezinc-coated"galvanized by the hot dip: yield strength:"Terminal posts,Iine posts and) ;",%spaced according to the gate openings rj✓r process"steel conforming to ASTM A653 and r € top/bottom rails shall be precut to specified '; �d rspecified in the construction plans.''The p" A924 lengths. "Paving and Surfacing,""Cast-In-Place : „ Concrete"and"Unit Masonry"sections of this m B The zinc used in Ameristar's galvanizing` G The color of ali framework shall be T; specification shall govern post base;" r 4,%+a✓ rocess shall conform to ASTM B6. Weight of r ,. black reen or brown in-accordance(sp�� l- )t placement and materiel regwrements"Instali ?, ' A ""cif i with a� F a W r :P g 9 g _ )' _ =,'fabric on security side and attach with wire zinc shall be determined usin the test method y"= ASTM F934 ,. described in ASTM A90 and shall conform to �� ties or clip to line posts at 15 inches o.c.and k the weight range allowed for ASTM A653 N 2 03 MATERIAL 3 FENCE FABRIC S to rails braces and tension wire at 24 inches iw Designation G210 o c H ;^w.„ +" A The material for chain link fence fabric shall bed ;x 4 C The framework shall be manufactured in„' � v manufactured from galvanized steel wire:The 3.03 CLEANING -' _ � : accordance with commercial standards to meet 1 The contractor shall clean the jobsite of the Strength re uirements 50,000 psi minimum r g q ( p R � g �n� excess materials.`Post hole excavations shall .t c r *µ �yield strength)of ASTM F1043 Group IC "r % � „, rr• � F be scattered uniform) awayfrom .a'», ,.���, u.���� �rl^�"R'� ,�n;'�u���a+v.;~y�•�vr"�k' r1 � s i s � . �,. , [ TABLE 1 T , . , � .. . Finished Finished Core PVC Coating Mesh Sizes - Fabric Minimum Gauge OD(NOM) Diameter(NOM) Thickness Available Extrusion Breaking Type Strength 6 .192(4.88 mm) .148(3.76 mm) .015-.025(0.38-0.64 min) 2(50 min);1-3/4(44 mm) CLASS 2A 1290# 8 .162(4.11 mm) .120(3.05 min) .015-.025(0.38-0.64 mm) ' 2(50 mm);1-3/4(44 mm);1(25 mm)- CLASS 1,2A 850# " f Distributed By: °1 t° IU_r9I AMERISTAR ,1 t SEE us l r ,r 1 t�� P.O Box 581000 Tulsa;OK:'74158 1000 % t` ^d ".. (918)835-0898 7".1-800-321 8724 DIRECTORY;CATALOG; CD' SWEETS COM FILES - Fax 835 0899 W �� it Call 1 800-321-8724 to request E Mad vcox@amenstarfenang com �a« an AFchttectural BmderrP,%, � ,r Http dwww amer►star'fence net ^� IF ti. a' ,a'f✓ 4 Printed in U.S.A. Y " NLFIN Rev 11/01JX ^g. OF THE roy, Town of Barnstable Regulatory Services « 'BARNSTABLE, « v MASS. $ Thomas F.Geiler,Director qjA s63q. rE039 1% Building Division Tom Perry,Building Commissioner, 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 June 29, 2005 Michael Deluga 568 Santuit Rd. Cotuit, MA 02635 RE: 568 Santuit Road, Cotuit,MA, Map 007 Parcel 012 Dear Mr. Deluga: A review of our records, including the permitting history of 568 Santuit Rd. confirms that the habitable space above the garage was finished without first obtaining the proper permit through this office. This is a violation of the State Building Code and the Town of Barnstable General Ordinances. This letter shall serve as notice that you have until July 18, 2005 to submit for the proper permit or fines will be assessed for each day you remain in non-compliance. Thank you for your anticipated cooperation. You may call (508) 862- 4038 with any questions. By Order, Jeffrey Lauzon Local Inspector Q zoning5 Engineering Dept. (3rd floor) Map C90 7 Parcel Permit# House#. - Date Issued Board of Health f 3rd floor)(8:15 -9:30/1:00- ) Fee; conservation Office(4th floor)(8:30-9:30/1:00-2:00) ��� W ;" PJafmiftg 'a , a -Dept.(1st floor/School Admin. Bldg.) Ili ' " ; , ®IN G E C Defin4ivt-F4an Approved by Planning Board 19 S RED TOWN OF BARNSTABL t _ Building Permit Application J i Project Street Address 6 8 anluit P Village �j ,l/ n J Owner // icba@- �- j Addr s µ'if;lU 6djf U;t .S7a 8 rlft.Ll" Telephone(�5��� - Qo—owl Permit Request 3 moo? - First Floor ,Q/(Q square feet Second Floor (�c;2L square feet Construction Type f�2c�c�G� Q Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size /•_3 Q ps Grandfathered ❑Yes ❑No Dwelling Type: Single Family Wr"' Two Family ❑ Multi-Family(#units) Age of Existing Structure 76 L,,to Historic House ❑Yes 2f4o On Old King's Highway ❑Yes 21�o Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other 0;!2Q_ Basement Finished Area(sq.ft.) 11Qn, Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing I `W New Half: Existing New No.of Bedrooms: Existing New 4jV/)2� Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: 216as ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑'No Fireplaces: Existing / New Existing wood/coal stove ❑Yes a10 Garage: ❑Detached size g (size)��� k a �,/ Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) /c2 SI /& ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use I Builder Information Name I ! Telephone Number �C� 0 pZ75 Address J an l License# C S O,"o-z 3� 1( I I Home Improvement Contractor# d Worker's Compensation# W C a— 31 S NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 1170� BUILDING PEA IT DENIED THE FOLLOWING REASON(S) Ist � �7�yA, ( •-_ _ FOR OFFICIAL USE ONLY '~' -PERMIT NO. ! - DATE ISSUED MAP/PARCEL NO. 1 rt y ADDRESS VILLAGE + OWNER ! t DATE OF$NSPECTION: - 42 FOUNDATION FRAME tr ► INSULATION FIREPLACE - ELECTRICAL: ='ROUGH FINAL PLUMBING: TROUGH FINAL GAS: ROUGH ' FINAL FINAL BUILDING, Op O f t DATE CLOSED OUT• , ASSOCIATION PLAN NO. Louise Building Dept. Hyannis, MA 02Q01 To whom this may concern; Please let this note serve as a statement of what we plan to use the space above the proposed garage on 568 Santuit Rd, Cotuit. Once-the garage has been built we will use the additional space above for storage purposes. Hopefully within the next few years we will be able to finish off the room as a large playroom for my children. Mike beluga .W ca`315a��1?7 -61 T The,Commonwealth of Massachusetts Department of Industrial Accidents .aid! , _ .__ Office ofiftsestiff0ons ' 600 Washington Street * +r Boston,Mass.. 02111 Workers' Compensation Insurance Affidavit .'rat 't"f&'Y'C�//%%��/��%/////////%/%/%��%�%%%///////////%/%/'%"/� name location Jly,� ,/ city l 4U/ ' phone# t o —Oql ❑ I am a homeowner performing all work myself. ❑ I am a sole p vprietor and have no one working in; capacity /%%%//%%/////%/''////%/////%%///%%/%/%%////%%///%%////%%%%%%%%%/%%%%////��/%%%///%%/%/%%%%%%%////%%��%/%//�%%/%%///////////% % ❑ I am an employer providing workers• compensation for my employees working on this job. com nnv name: ' address: G city: / hone#: Z 0 7S e� !� insurance co. 4 jr l/t te� olicv# lt/CV, - 569co/O 7 — 0l �/G�//G//////////G/// ❑ I am a sole proprieto eneral contractor. homeowner(circle one)and have hired the contractors listed below who ------------ have the following workers' compensation polices: company name: address: 4r. phone#• :... insornnce co %// cam anv name: address: city phone insurance co. :.. _.. 0/00/000/000 Failure to secure coverage as required under Section 25A of i1GL 152 can lead to the imposition of criminal penalties of a flee up to 51.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of SI00.00 a day against me. I understand that a COPY of this statement may be forwarded to the Office of Investigations of the DIA for coverage vetincation. I do hereby certify "der the p d peno erjttry that the information provided about is true and one Date Signature - Print name Phone# official use only _ do not write in this area to be completed by city or town official dtv or town: peemitAicense M ❑Building Department ❑Lkensing Board ❑check if immediate response is required ❑Seletsmen's OHIee Q$ealth Department contact person. phone#-. ❑Other (revues 9/95 P)A) ` C Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their an employee is defined as every person in the service of another under any cotraur. employees. As quoted from the"law 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 . trustee of an individual,partnership, association or other legal entity, emploving 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 re nPrennc to do maintenance , construction or repair work on such dwelling house or on the grounds o: building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renew or to construct buildings in the commonwealth for any applicant wh of a license or permit to operate a o business ha not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the P p performance of public work until for the e commonwealth nor any of its political subdivisions shall enter into any contract P P contracting atra e been resented to the co _ chapter have p acceptable evidence of compliance with the insurance requirements of this pt authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits 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. O D�/ �%////%//%� City or Towns at the bottom of the Please be sure that the affidavit is complete and printed legibly. The Department has provided a space affidavit for you to fill out is the event the Office of Investigations which will be used as a refezen a numberu The affidavits may be .returned t^ to c0lit be sure to fill is the pernut/hcease number the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have arty questions. Please do not hesitate to give us a call. FERN The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents office of lmlestloatlons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 eat. 406, 409 or 375 P . ,. The Town of Barnstable' � Department of Health Safety and Environmental Services Building Division 367 Mafia Street,Hyannis MA 02601 Office: 508-790-4ZZ7 Ralph Cr=cnBuilding Commissioze Fax: 308-790-6Z30 For office use only Permit no. Date AFFIDAVIT HOME I PROVEMENT'CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL e- 142A requires that the "reconstruction, alterations, renovation, repair, modernization. conversion. improvement, removal, demolition, or construction of as 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 residemm or building be done by registered contractors, with certain exceptions,slang with other requirements. Type of Work: ' Est.Cost�I'l 0 n .�X Address of Worst: Owner's Name Date of Permit Application: I hereby certify that: Registration is not required for the following rensonisj: Work excluded by law Job under SI.000. Buiiding not owner-occupied __Owner pulling owe permit Notice is hereby given that. OWNERS .PULLING THEIR OWN PERMIT OR DEALING WITH UNREGMTERED CONTRACTORS FORRBI�TTON PROGRAM OR GUARAMW FUNDUND LICABLE HOME IMPROVEMENT w ORK 00 NOT � ACCESS TO THE A UNDER MGL 142A SIGNED UNDER M.4 L=OF PER MY I hereby apply for a.permit as the agent of the W.. Date Contractor Name Registration No. OR Date Owners Nome �i MCUR Appmft J Table JS2-Ib(condoned) Prescriptive Packages for Oce and Two-Family RedddeneW Buildings Boated with Fossil Fuels MAXIMUM MINIMUM Glazing Glazing Ceiling Wall Floor Basement Slab Hating/Cooling Am'(!A) U-valuer R value' R-value' R value' Wall pb=c wr F.gmpmtmt Etliciame plc R value' R value 5701 to 6500 Honing Degree Days' Q 12% 0.40 1 38 13 19 10 6 Normal R 12% 0.52 30 19 19 10 1 6 Normal S l2%. 0.50 38 13 19 !0 6 85 AFUE T 15% 0.36 38 13 25 WA WA Noma! U 15% 0.46 38 19 `19 `� 10 6 Now V 15•/. 0.44 38 13_ 25 N/A WA $S.AFUE. W 15% 0.52 30 19 19 10 6 85 AFUE X 18% 032 38 13 23 1 N/A WA Nomad If 18•/. 0.42 38 19 25 WA WA Nomad Z 12% 0.42 38 13 19 f0 6 90 AFUE AA 18•/. 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: a' guif,glq C?( 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: S 3. SQUARE FOOTAGE OF ALL GLAZING:. j V, 4. ,%GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a 780 CMR Appendix J ' Footnotes to Table J5.2.1b: Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors,.skylights, and basement windows if located in walls that enclose conditioned space, but excluding opaque doors)to the gross wall area,expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 ft of glazing area. z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the:ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example, an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wail requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. 'The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'Ile R-value requirements:are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3, 4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope'Must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer,in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall, floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 i o U f t { : s to .L O porch• ��� 66 I � �c9 �66 ,tworStOTV t� •� ske� awe LW �Y pp - 130,00' i ref. 9�87�/f4s Mood�ari¢�: �nnc» 9a2 t D flood Zonet C ♦+ Ili OF wAs� 'LT' PAUL a hereby certify this mortgage ins ¢ct�on yuastperrecl�-fir ' GRoy ti W 1N,� ,`P.C. and Cit1s .1l�tort c: r . No t yy s�Fws�r gaoCo �1he d�veU ng n, hereon,ao¢s not�{aU in.w specll4 TEMA er wtit�azv¢ z-9z and: locahbnl s noes -- .. 4atthe tune oFcMUM4aWt1l Wift-mPeato horizontal. dttnertsinna Scale: 1 setbaclz res • or is-mtt r{rnnti 0t6[at eal roe t�Yt�rt�' Date: s z2-98 dDtwt'h-wu(er Mails. Gerierat IaWS Cha '•40A--secrOory 7. File No. 98-4492 PLEASE NOTE, The structures as shown on this plot plan are approx'i at only. An actual. survey is n.cessary for a precise building location'and encroachments, if an determination of the y exist; either way across property lines."This plan must not be used for.;recording purposes or.for use in preparing deed descriptions;and must not be used for variance-or building plan purposes _This plan must not be used to locate property lines' Verificati�n,of building locations, property line' dimensions, fences -or lot configuration can only.be_accomplished.by-an accurate instrumentAurvey which may reflect different,information than what_.. +� is shown:_hereon. . Please.note that this_is :"NOLA_:BOUNDARY SURVEY' and -is "FOR MORTGAGE PURPOSES ONLY - a COLONIAL LAND -SURVF NG :COMPANY, INC 269 Hanover Street � Hanover Mass: 02339=-• P= e: 781-826-718G- --: Faa�:-781-826-4823 _. _ _. ,�'. _,'k ✓ UdIYvrIL0921I/CQGUL 6��I�GQ.6JQC/t[lJP.� Tk DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION,SUPERVISOR LICENSE E Nueber Expires: ; Restricted�"To- � ,; 00 NICNAEI. 01UGA,;; 568 SAIITUIT"A', COTUIT, MA 02635 ak,u i Y;HONE�INPROVEMENT CONTRACTOR k +' Registration" 10554^8 �y F xpiration 01/i1/00 K 5� VILLAGE CRAFT.BUILDINfi &�REMO NiMel Deluga 58'SANTUIT RD ornwis MR COTUIT NA 0263.5 y W }4 W 4 t t i ! ,.�'� �� C'oM��iz��c'� ��_� �� ��� i � _ . �. � _ - � r ' TOWN OF BARNSTABLE BUIL•DING'PERMIT APPLICATION Map- W2 Parcel Permit# Health Division ��� � ` A Date Issued ' O Conservation'Division IV, Fee (J Tax Collector SEPTIC SYST EM MUS TBE Treasurer c =s INSTALLED IN COMPLIANCE , WITH TITLE 5 Planning Dept. _ ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board a ,TOWN REGULATI' ONS Historic-OKH Preservation/Hyannis Project Street Address Village 00_74tc�' n , Owner ae Address es �Qll�Zu f Kam' Telephone' =09/ Permit Request ®r �r� r f 01pe Square feet: 1 st floor: exi ting proposed 7� 2nd floor:existing v proposed - Total new Estimated Project Cost 6166 Zoning District Flood Plain Groundwater Overlay Constructio Type �6r10[ l ram Lot Size �� 756 s v 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: Mf 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 )5 No Fireplaces:Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage: ❑existing ❑new size Shed:l7 existing.❑new size Other: R Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑. Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use y ' UILDER INFORMATION NameU � Y/�t� Telephone Number Address it7 / License# CAc�, l �A AV ,��3L r_ Home Improvement Contractor# Worker's Compensation# C - ? �� '�� �J r� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �� r FOR OFFICIAL USE ONLY PERMIT NO. -DATE ISSUEDif MAP/PARCEL NO, n >-- + t _•.- " ,rx ;;,. _. mac':• f ' ' ` ADDRESS VILLAGE 117 OWNER • . DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH aw FINAL •, R ... Fay �, ° � � i i 3w 1 _ , r _r� - r a , - PLUMBING: ROU(h!'- FINALat o GAS: ROUGFI�'9 ® '. `FINAL t" "'`, :• _ ; ' `'� '. f } t; .S FINAL BUILDING ' _ ► S , i f r w t ' w } DATE CLOSED OUT 7 ' 11" N ' ASSOCIATION PLAN NO.." The Town of Barnstable 9 z61 Department of Health Safety and Environmental Services - Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph`Crossen Fax: 508-790-6230 Building'Commissioner 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: If�� t- Estimated Cost Address of Work: 5� n Z tapy" Owner's Name: a Day fj Date of Application: / 6 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law olob Under S1,000 Building not owner-occupied Owner pulling 41 own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK 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:Affidav • - The Commonwealth of Massachusetts Department of Industrial Accidents - .... -== Office 01/10e5019 0S 3 A. � 600 Washington Street 1.1kri Boston Mass. 02111 Workers' Compensation Insuranc11 e Affidavit OW/Nname: location: city phone ❑ I am a homeowner performing all work myself. ❑ I am a sole ro rietor and have no one worI in any ca acity ZZ I am an employer prove g workers' compensation for my employees w rking on this job. company name: A) address: city phone#: 5 insurance co. �/ olicv# � ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name: address: city: phone#: insurance co. olicv# company name. _ . .........:;;:: :,:.:..... address: city phone#: inuarance co. olicv# Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a tine up to S1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of S10o.00 a day against me. I understand that a copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage vetiflcation. I do hereby certify under the pains and penalties of perjury that the information provided above is truo and correct Signature Date _ Print name Phone# offlclal use only do not write in this area to be completed by city or town ofllcial city or town: permit/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required []Selectmen's Office ❑Health Department contact person: phone#; ❑Other ............... ..............................:..;...... ...,.. (fmrvAlwa 9i95 PJA) . Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any corr�.X1 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 c: 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 section 25 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,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 in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits 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. City or Towns 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. The affidavits may be redirned is the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you 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 Oti1Ce of InvesugauOus 600 Washington Street Boston'Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 ext. 406, 409 or 375 DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Nulber - - :Expires: : r.� Restricted 1.'0__:; 00 MICNpEI >OEt116A;: 568 SANT.U'I.T.RO-i COTUII, MA 02635 ER xFx .Y Y 4r HOME PRAVEMENT COPlTRACCTOR. RegisEr�tion;t105548 ;'� � w ti a f Trpe. �`O�BA .; f `e '� �'Expiratto�i �xAl,rl1/00 #�Fw UILC AGE LRAF T1t1ILDIN6 RENO chael beluga 'S - -ADMINISTRATOR :COTUIT MA 02635 ��E Prrseriptive Padca;d tar a6 and Two-Family gwideaelal BatldhW Heard with Fond Futiu. • MAXIMUM MWINIUM LrA �B U�8 Caliag Wau Floor Haaemeat Slab 1�iag�CmiinB '('A) U vduez R value' R vduet Rrvaluer Wdl FIB 6geiQment EfHararY' R.vaiu� Val to 6500 Heattas Demme Dam Q 1Z!'o 0.40 38 13 19 10 6 Normal R 12% 032 30 19 19 10 6 Normal s I2Y. 0M 38 13 19 10 6 is AFUE T IVA 036 38 13 23 WA WA Normal U In. 0.46 38 19 19 10 6 Normal V 150A 0.44 38 13 13 WA WA U AFUE W IS1. 032 30 19 19 l0 6 V AFUE X Is% 032 38 13 2-5WA WA Normal Y 19% Q42 38 19 23 WA WA Normal Z 18% 0.42 38 13 19 10 6 90 AFUE AA 18% O:SO 30 19 1 19 IO 6 90 AFUE 1. ADDRESS OF PROPERTY: r 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING. -.6/1 ��J 4. %GLAZING AREA(#3 DIVIDED BY#2): ' S. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights; ana . basement windows if located in walls that enclose conditioned space, but excluding opaque doors) to the gross wail area, expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 fl of decorative glass may be excluded from a building design with 300 fl of glazing area. z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R 30 insulation may be substituted for R-:8 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-I3 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or.mass(concrete,masonry, log)wall constructions,but do not apply to metal-same construction. 'The floor requirements apply to floors over unconditioned aces such as unconditioned craw aces basements,spaces( nu or garages). Floors over outside air must meet the ceiling requirements. `The entire opaque a Portion 0 p q p rt n of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-Z for heated slabs. ` If the building utilizes electric resistance heating use compliance approach 3, 4, or S. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5ZIa NOTES: a) Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b) Opaque doors in the building envelope must have a U-value no greater than 035. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the doom. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c) If a ceiling, wall, floor, basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(035 for doors). 43 110t4e Dc�, 3� L(2Z 9g TO ALL NE PUSINESS OWNERS DATE: Fill in please: mama. APPLICANT'S nnin - YOUR NAME: Ile USINESS �> YOUR HOME ADDRESS: c " 1' EL PHONE Telephone Number Home NAME OF NEW BUSINESS s Ld�c . c i r' f u c. t TYPE OF BUSINESS :SAW IS THIS A HOME OCCUPATION? YES " O. 9 . Have you been given approval from the b (ding division? YES= NO ADDRESS OF BUSINESS MAP/PARCEt�.NUMBER When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable.. This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, listed below, you may apply for a business certificate at the Town Clerk's Office (Ist floor-Town Hall) or if you get the business certificate first you MUST go to the following office to make sure you have all the required permits and licenses.. GO TO 200 Main St.—(corne f Yarmouth Rd. S Main Street) and you will find the following offices: 1. BUILDING CO IS ZONE 'S OFF This individual h be nfor d of �eqrements that pertain to this type of business. ze ignature** - COMMENTS: 2. BOARD OF HEALT This individual has bee or d of the permit requirements that pertain to this type of business. Aut ed i n ure** COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual h en inf mad of ttPling requirements that pertain to this type of business. Authorized Signature** COMMENTS: Business certificates (cost $30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME In the-town (which you must do by M.G.L. - it does not give you permission to operate -you must get that through completion of the processes from the various departments involved. �` "SIGNIFIES APPROVAL FOR A BUSINESS CERTIFICATE ONLY. � 1 Cie 1114rspecclon I r05 0� \� l b, I ` 5 lot \ two-story tot: 0,000 53.27' ref. 11� 4i yes Zl_�4� �io0d �arta�:_ �Q�1..QsZZ i� �i0oc� r�¢= _-� +o' - ?o PAUE h.ere6 certify that Vvu mortgage uis ctt"ori wcrs.pmparc ,for ' T. C axi3 C�te~za�rls ,Ntortgagc Cor ho°V , H v11Yru1. w rwL,2'. . ate dw¢ == jw,-cm.'3oa n•ot� itt,a. special TEA1:7C f•oo& lkng Fwart =(X with art. egca'ive date of 7 -z -94--artA to locabbr , oP II s the dwelurig noes corz#cmn� o � Zcc al gontrtg 6y-icz�vs in of Fe�t� t ow the time oFc mstruction wide, respect to hori�m-ttcd ditwtsinnat Seale: i" se*"k tvgt r 1-tcnts or is ewmpr{wm. vtotatton mForeetwtte Date: �-zZ-- a�aibn t t .m er Mass. Gateral laws C icq -,40 A 5ed-L&M 7. I File No- 978 ` PLEASE NOTE. The structures as on th s :lot plan arc- ..app-,oximaie ;mly An actual surrey is necessary for a precise determination of the building loca'ion and Pncros hnients, if army exist. ciiher way across property lines. This plan must not he used for recording purposes c-r for use in preparing dead descriptions and must not be used for variance or building plan purposes This plan must not he used to ';`Cate pr,,perty lines. Verification ;;f building locations. property line dimensions, fences or lot configuration can crrly he ac.corriplished by ,ir: :iccur to in,,trument surd which may reflect different information than :hat ;s shown. hereon P";easc note that this is 'NOT A BOUNDARY SURVEY" and is 'FOR MORTGAGE P'_'RPOSES ONLY" � COLONIAL LAND SURVEYING COMPANY, INC. 269 Hanover Street • Hanover. Mass. 02339 • Phone: 781-826-7186 Fax: 781-826-4823 o Engineering Dept. (3rd floor) Map t07 Parcel 0/. Permit# 3 r - House#w Date Issued —2Z^ 21 Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) 7 72-' ' Fee- X p Conservation Office(4th floor)(8:30- 9:30/1:00-,2:00) k SErTi 'sYsT,- _ � �T Planning Dept.(1st floor/School Admin. Bldg.) ' IN�� Y�i. �. HE �E} 9.iANCE DefinitiwePlan Approved by Planning Board " 19 f, ,.5ddress ; ENVIRON � DE AND TOWN OF BARNSTABLE TOwN: IONS r. Building Permit Application t `. +(. •," Project Stre �� �'' Sa�j4a -�- Village- ed 7ul-f" -rhere� 1 Owner (' f woy IGC. t� Address `Telephone (}9/ Permit Request Rar /Vt/ a �a�� l�J �a,ralev r r ; } p r , • 4 :_First Floor ~square feet Second Floor square feet -Construction Type �✓�b � YGi yn Q� Estimated Project Cost $ Zoning District Flood Plain j} Water Protection Lot Size .4ele- ' Grandfathered ❑Yes ❑No DwellingType: Single Family X Two Family ❑ Multi-Family(#units) Age of Existing Structure v15 Historic House ❑Yes Ivf No On Old King's Highway ❑Yes &(No Basement Type: ❑Full vtrawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing_� New Half: Existing New No. of Bedrooms: Existing 3 New Total Room Count(not including baths): Existing_ New First Floor Room Count Heat Type and Fuel: Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes VLNo Fireplaces: Existing New Existing wood/coal stove ❑Yes 131NO Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use T 14,& � � Build IVorima2on g g� a �9 Name. Telephone umber 7 7 Address ,r� License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILD G PERMIT DENIED FOR THE FOLLOWING REASON(S) Z FOR OFFICIAL USE ONLY .PERMIT NO. ,12� DATE ISSUED .i MAP/PARCEL NO. ADDRESS VILLAGE` te`•' "J �`_ 'e f i ' r f t OWNER DAT$'OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ' ELECTRICAL: ROUGH FINAL, -PLUMBING: —ROV-,qH + FINAL GAS:' r ~"ROUC;f FINAL t • t i � .. A - ., :. 'tom :�l ? ' , FINAL'BUILDING f. DATE CLOSED'OUT ASSOCIATION PLAN NO ice _ . .. The Town of Barnstable Department of Health Safety and Environmental Services 16 rED MA'�� Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Itommissioner PLAN REVIEW Owner: C y G Map/Parcel: © C) Project Address: J(-0 U J(�tj TV N r Builder: \4,d t4 EM Gm -U The following items were noted on reviewing: �� Q � Q � -�'yt�o►r"�J��') a ti Svc G~N�C Please call 508 862-4038 for re-inspection. 4v4wete"y Date: q:building:fomis:review 6 i I t 1 " a b i , 64 1301,00 , ',fit 73 1 �1L I f kio pane �:_.�. �s2s _t Q 4. t f mi ?,-m u: �� �► PAUL f J hercf6 certify that tW mortgage uLsm :ribn 4 T.GROV VVywvf,r 1N mtjTl,C. c Cot"hm'.A � 4wCl4ng shown, her co't t• )oa riot<�W in a spedal P-kxv, i hazard, tea with.mi. c Rcttvc c :'tc cf 7 -2- -94--atict die locatbrt, eP 1 s 'tom dwetiing Zoos curt c;nnaTo f2.4e local wmrrcj 6y-laws in ef�cfi ' at the ttr v oFccw"c ion. W& t,CS;eC t tj �toriZot itaZ dimor tstona� Scale: a etb"-'k ricqu mutt- is or is mmpt-f-orn vn6lahr tt mfo-rerYLC'.tte( Date- -AA under Mass. Gateral laws C7�c� '�o� .SCct�t'YL '7. ��Z-4� File N . (' PLE kIE V(TTE �hf �tCL•C1`irP, aS `� «^ �r t�`'S !1r' VC 1 t\t•rid!e ,TIt An aClUd{ ,lrf\PY 1� nf'[.eSSilr ' fl�r a re(.i4@ I p ., P ppr y p determ i-doon of the 1,u0cling ',oca!itln -t c1 hr'enis, :f >ry rxist rittie•- N4, , acr, ss propertv tires This plan mu,t not be used `(-,r record,ng p,lrpk-,c,, , r for use in preparing 4eo1 de,cript-ons and mint not be used for ,viance or buitcllr:g plan 1 purpcce, T'?i`, plan m r),t t7P k",Pd f It,Yate pmp =t� ri � V,r;ticat,,,n f "Ll Iding I allone, property line dimen,ic'ns. fcrves t or lot c.,nfigarjo,,rl c.ir, r,Y he t:r, r•t',,rod by .tr tfCJ +t ,rr,rnt su,�CV µhlth reap reflex( different rnforr7,ltIon than v.hat .h �, Nrrenr P'.r�, tf. ;, +� , `40T °. Bol J'14Ry `tR\FY* :ind % FOR MORTC-A6E P' OSES O'vLY__ COLONIAL LAND St RVE- YI ` G COMPANY, INC. 269 llanncer Street • ftanoer, llas%. n233a • More: 781-826-7186 Fax: 781-826-4823 �� A c �TMEr , The Town of Barnstable Department of Health, Safety and Environmental Services i tsAMsr M& s Building Division HAM g i659• 367 Main Street,Hyannis MA 02601� / rFat�t►'t� 4 - 9 Office: 508-790-6227 '� ' Ralph M.Crossen Fax: 508-790-6230 Building Commissioner Home Occupation Registration Date: 742 Y- zgfWJ , - �QiJ7/ Name: E% Phone t#: C;z Address: .% village: 6'iZ44"1/-- ��,__,_. Type of Business: cbm Map/Lot: J0 INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of otfensive noise,%ibration,smoke,dust or other particular matter,odors,electrical disturbance,heat. dare,hunudity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of matcrials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,:tnd one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. 1,the undersign have read and agree with the above restrictions for my home occupation I am registering. Applicant:--,, Dater® Homeochoc e x. t Ae v��'` g�s I wu j I spat Tor— SC soa . t�/�G f�� ✓�ram- �S� J m i c r� , � fa��"s ol�'�" / � � --��-- �� � � I l � � � � � �`X� ��� S � --� 4 � j ttr +` � i f [ (� �� ��f./aC r �4 I E ,� Cam'-"'�� Sr�� �� � � � 1 � f� 4 M f s �" � L.�7 �� �rb� � { �' �Rr� �� � ���'� � ����r / � � r The Commonwealth of Massachusetts � Department of Industrial Accidents Vlore V,(h7YeSffff8 ions ' 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name: .[ location �l S�t7 fGC/ K city phone# / I am a homeowner performing all work myself. ❑ lamas I d have no one working in any capacity ❑ I am an emplover providing workers' compensation for my employees working on this job. comnnnv name: address: city: phone#: insurance co. nolicv# ❑ I am a sole proprietor, general contractor, (r homeowne (circle one)and have hired the contractors listed below who have the following workers' compensation polices: companv name: ....... address- . city: phone#: insurance co olicv# :.: companv name: address: phone#: ..:..... . insnratice co: . ..: >: oliiv# ..... / / Failure to secure coverage as required under Section 25A of:1iGL 152 can lead to the imposition of criminal penalties of a tine up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of SI00.00 a day against me. I understand that s copy of this statement may be forwarded to the Ofilce of Investigations of the DIA for coverage verification. I do hereby a under the pains enalties of perjury that the information provided above is true and coned Signature Date Print name GZ— Phone o fficialdo not write in this area to be completed by city or town ofibdal WMI Im permitNcense# (]Building Department ❑Licensing Board te response is required ❑Selectmen's Ofdce ❑Health Department phone#• ❑Other (tested 9/95 PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their e is defined as every person in the service of another under any corny; employees. As quoted from the "law", an employe 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 receive.- 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 c: building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renew of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who ha not produced acceptable evidence of compliance with the insurance coverage required. Additionally,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 in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits 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. City or Towns 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. The affidavits may be returned io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you 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 Imlestluadons 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 txe The Town of Barnstable A �$ Department of Health Safety and Environmental Services �, •` Building Division 367 Main Strew,Hyannis MA 02601 Ra lph��� Building Office: 308-790.4=7 B Fax: • SOS-790-6Z30 Buing Canimissioz: For oirtce use only Permit no. Date AFTMAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 147A requires that the "reconstruction, alterations, renovation, repair, modernization. conversion, improvement, removal, demolition, or construction of an addition to any pre-existing to owner occupied building containing at least one but not more than four dwelling units structures which are adjacent to such residence or building be done by registered contractors, with certainp exceptions.along with other requirements. , Type of Work: Est.Cost Address of Work:, vo ii ri,u i Owner's Name / Date of Permit Application: I hereby certify that: Registration is not required for the following renson(s): Work excluded by law _ _ ob under SI,000. Building not owner-occupied wner puffing own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED DO CONTRACTORS FOR APPLICABLE OR GVARAN'['Y FUNDROVEMENT ORK UNDER MGLO 142A � ACCESS TO THE ARBITRATION SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a.permit as the agent of the owner. Contractor Name Registration No. Date _ OR 7 V ?Y Date Owners Name TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION .Please print. " DATE 1/Of JOB LOCATION Number Street address Section of town "HOMEOWNER" %6®� Q Name Home phone Work phone PRESENT MAILING ADDRESS, City town State Zip code The current exemption for "homeowners" was extended to include owner-occuni. dwellincs of six units •or less and to allow such homeowners to engage an in dividual for hire who does not possess a license, provided that the owner acts as sumervisor. DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides or intends to rE side, 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 structure; 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 Offic on a form acceptable to the Building Official, that he/she shall be resnonsf for all such work performed under the building permit. (Section 109. 1. 1) he undersigned "homeowner" assumes responsibility for compliance with the uilding Code and other. applicable codes, by-laws, rules and regulations. he undersigned "homeowner certifies that he/she understands the Town of arnstable Building Department minimum inspection procedures and requirement nd that he/she will comp with sai procedures and requirements. OMEOWNER'S SIGNATURE AA PPROVAL OF BUILDING OFFICIAL ote: Three family dwellings.. 35 , 000 cubic feet, or larger, will be required 0 comply with State Building Code Section 127. 0, Construction Control. TK HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for which a==buildin permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that Home Owner engages a persons) for hire to do such work, that such Home 0• shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuminc the responsibilities of a supervisor (see Appendix Q, Rules and Regulatior for . licensing Construction' Supervisors, Section 2. 15) . This lack of awarE often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home Owner ac as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/tier responsibilities, ^:nmunities require, as part of the permit application, that the Home Owne. ..ztify that he/she understands the responsibilities of a supervisor. On .sst page of this issue is a form currently used by several towns. You ma: care to amend and adopt such a form/certification for use in your communit_ 14 i F NOON/■■Mi■NN■a■■■■■■■ ■ N ■/■N/■ ■ M■ ■■ ■■AIM■ ■■■■■■Eli ON■a/■■■■■■■MOM■■■■■■■■■■■■■■ ■■iiiiiiaiiiiiiiiiiiiM®mamai� ii�i � i���ii �i� �i■ ■�� ■■iiMami ■ aiii�i AIM■■MAN■AI■■NNMAIM■■■ ■■■■■■■■■ ■AI■■NNii■a■NMM■MN■■NAI/■ NOON■■ N ma■■ - - I 1 I r-: I AIM ■■N■iM ��P �/ / NONow■ /Mr■MS■■N ■AIM/ ■ MM■ - - -- , - 1 /■ ■■ ■■■ ■OOM■ ��`� ■■■AI■ ■MM■N NOON Via! mom■■/■i ■■N on Sam No - , 1 r1 - -. I • . 1 - • - - • - 1 - ■■ ■ a ■ ■■■ ■ ■�■ ■ 0 MIN. 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B ndt o r O i accessories " . �� �, _ � t fixtures required for ces during the initial construction phase, you'll save lots of time and extra expense a r, nse later on. .a P • • 1 SMOKE DETECTORS REVIEWED s � i�C BAR T E U LDING DE PT Os DATE --� FIRE DEPARTMENT -- DATE BOTH SIGNATURES ARE REQUIRED FOR PERMITTING IMPORTANT UPGRADE REQUIRED ----- -- ----- - _ - STATE 8 UILDINO CODE REQUIRES THE UPGRADING OF - _ SMOKE OR MORE NG EN PI ONE DETECTORS FOR THE ENTIREDWELLI yyl,l }i•��s�� o�� •���i�, c��-��' �icl:�P - ;- ,�'i j-Fir1G, Q�'d �vo,-- .. _ _ ADDED OR CREATED. j J LEE Nf3 AREAS ARE 1s10TE: A SEPARATE PERW IS INSTALLATION OF S REQUIRED FOR THE SMOKE DETECTORS-THE ELECTRICAL PERMIT SATISFY THIS REQUIREMENT.i 40 - w l 5u,i sum LE: APPROVED BY: • DRAWN 6Y DATE: REVISED ate �.5 I'lavr a v�tv 75 2 _ _ ORAWII`36 NUMBEti / E ._ - - . - . . . -. c : - r� . __ _ _ _. .. .- _ _ -:-� - - -. ' - - - .: - , ♦ - - _ - r - - _ _ . . . - - . _. .. i %a. 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