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HomeMy WebLinkAbout0041 TOPSAIL CIRCLE / lapSH%� C;z 1 I i I I �.:., _� r Ul/U'4/173 — � — - Syr. 17 1• J�• 1 \ T. � 6 t S. •`.r1 u 6 lip • .1 r' I c`f L•40 �1. Of L4�T' ?_ TDRAINA(�L• JOHN S. 1AURFTAN! 34311 "' } Cf` :,�0lp�'���. NeTE � C�►�nu a,:R�ccr PF'aR'e�'/ IG l `n Su uc..TEo IH Fc000 'ZONE Alit 8/ �lowsvr:�t, D .u►-U Scale: z JOHN S. LAURETANI �RESY CERTIY THAAT THE AMERICAN SURVEYING COMPANY VE MOATGA00 INSPECTION 77 RumlarrJ Avenue, Wallham, MA 02154 (617)893-6v77 I ";AS PRF_PARCp. FOR im WI rbd A U�/ApTf7�riF �—"—_� �... _ __.._—• •._ — — —. _1� � .� f"'11�.r I 2° G r ®r— Save Weatherization & Insulation 4io Grove St Fall sliver,Ma 02723 Insulate2save.rret February 20, 2015 Thomas Perry,CBO ;200 Maim Street. Hyannis,MA 02601 'RE.41 Topsail Circle - n :Dear Mr.Perry, "- This Affidavit is to certify that all work completed at 41 Topsail Circle has been inspected y a certified B1 :Inspector.All Work Performed Meets or exceeds Federal and State Requirements. 03 Sincerely, :Roland Langevin Insulate 2 Save, Inn President �CSL 103861 HIC 180747 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION �-�1 ©� Map • Parcel Application # f Health Division Date Issued JI�W Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 41 I&PSCA C'I 1-a Village 2auh UA &'ffi do Owner Address -1T. '1 . 001 '� Telephone Uc _ dSZ Permit Request $40m, fi C2l11iip� /i �L j lire ii.� � I Del G�/ ot. t Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District -� 1 Flood Plain Groundwater Overlay Project Valuation rJ�t I Construction Type nuoTIX Lot Size Grandfathered: ❑Yes 0 No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed:.❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) ff /� Name Telephone Number �d� lQ T O& Address � �I( L�VeIr License #_ D/kf 6u Home Improvement Contractor# 00 Email band flVaM , 'at Worker's Compensation # WWC41403?5 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO g& lrtl Jle D410 AvSIGNATURE DATE ® `T gfn4 FOR OFFICIAL USE ONLY PLICATION# DATE ISSUED MAP'%PARCEL NO. ADDRESS VILLAGE J OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL F GAS: ROUGH FINAL FINAL BUILDING 'lI C DATE CLOSED OUT ASSOCIATION PLAN NO. FederaIID#05.0405629 RISE Engineering RI Contractor Registration No 8186 MA Contractor Registration No 120979 -' A division of Thiclsch Engineering CT Contractor Registration No 626120 5 Dupont Avenue.South Yarmouth,NIA 02664 CONTRACT 508-568-1926 X-6614 FAX 508-568-1933 C T4 Page. 1 R V iI 1TRO�I I� `� THIS CONTRACT IS ENTERED INTO BETWEEN RISE CLC-RCS ENGINEERING AND THE CUSTOMER FOR WORK AS ENGINEERING DESCRIBED BELOW -----.._._...—.............—_...._.................._...........................__............_..........................................,...__................,..............._........._.........................................._......._..._..............._................................................__..,....._..-_._............... CUSTOMER PHONE DATE CLIENTN WORK ORDER David Sinnett (617)828-4879 10/01/2014 153229 00002 ..................................................................................................... .. . ..........................._..............._.._...._....._.......................... SERVICE STREET .........................................._. BILLING STREET 41 Topsail Circle 4 Nye Road SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Cotuit, MA 02635 Medfield.MA 02052 JOB DESCRIPTION Provide labor and materials to seal area:of your,home against wasteful.excess air leakage. This work will be performed in concert with the use of special tools and diagnostic tests to assure that your home.will be left with a healthful level ofair exchange and indoor'air quality.Materials to be used to seal your home can include caulks.foams,weatherstripping and other products. Primary areas for sealing include:air leakage to attics,basements,attached garages and other unheated areas(windows are not generally addressed.) (25)working.hours. V ` At the completion;of the wcatheriration work,and at no additional cost 10 the homeowner.a final blower door and/or combustion safety analysis will be conducted by the sub-contractor to ensure the safety of the indoor air quality. S 1.925,00 DAMMING:Provide labor and materials to install a 12"layer of R-38 unfaced fiberglass baits to(100)square feet for damming purposes. S205.00 ATTIC FLAT:Provide labor and materials to install a 12"layer of R-42 Class i Cellulose added to(2304)square feet ofopen attic space. S3363.84 Provide labor and materials to install(1) easily moved.insulating cover for the attic access folding stair. A small flat surface of plywood will be created around the opening within the attic. This will allow the cover's integral weather-stripping to restrict air leakage. v S237.55 Provide labor and materials to install(I)insulated exhaust hose to existing bathroom fnn(s). $50.00 Provide labor and.materials to install(2)insulated exhaust hose with roof mounted flapper vent to exhaust existing bathroom fan(s). S232 20 Provide labor.and materials to.install ventilation chutes in(108)rafter bays to maintain air flow. S376.92 Provide.labor and'materials:to install 2"FSK faced semi-rigid fiberglass board insulation to(i 10)square feet of common wall area. S364.10 {t �._.._. �+LI`l it r J A fill t i.11 R .r`atk-t!dn520i2+J ! .�-5 i ` Itrl ! �4'��r t•cir l+ilrc,wtsitt SI.\!; \-t:i;t J i L� ,t t r I� CONTRACT , i I S 1 ee'' r i 5 i . i A4Iti liliiit'(! i . 1��.::.-'v y i i') .I{)Ot 41 Topsail(it'd1c n Il', SER'V}C> C'aitl:ii, :NIA 0250�5 2r.5�- JOB IMS(NIPTION Total: S6;754.71 Program Incentive: $6,647.28 c, Customer Total, $1,207.43 WE AGREE HEREBY 10 FURNISH SERVICES-COMPIETE IN ACCORDANCE Wri H ABOVE.SPECIFICATIONS:FOR THESum OF One Thousand TworHetndred Seven 8k 43/100 Dollars $1,20743 A!F!OHI PANAL'-li SPEGTAON A(i[0'.AGPRLVAZ BY.RIM,ENGWEER!RG.CUSTOMER AGREES TO REMIT AMOUNT OUE LY FULL.MtERESY OF t r VALL SE C4iAAGEO.AfOUTHLY WA ARY UNPAID""h X AA7E 1V.0AYS;-S iE.REVERSE,FbR IMPORTANT INFOAMAtION ON GUARANTEES,R1GNtS,OF RECMIMI.SCNEDUUYG.AYb CONTRA4,051 REGMTRAMN. 00 NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES -<r rye A 3161AAYliR[i-=IRIS£ENGINEERING {{ CU9TOtr.EH gCCE➢7AIiCE' - . 3:A 7U'fE:1i115 CO/iT[HACT`:kIAY THE WITfBR/114W BY U9 if NOT EXECUTED WITH IN GATE OF ACCEPTANCE ..~ J _...`........ ................_..:_.- _.._ _ - ACCEPTANCE OF CONTRACT-,TAKE ABOVE PRICES 7SP£tlFICATIL3PIIf AMD COWDI!RO!lS ARE. 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Sn." tii:r.::.�.y_..�,r. r..� 5, +, :3eai me. s".�''.: •'M The Commonwealth of Massachusetts Department of Industrial Accidents A Office of Investigations 14 I Congress Street, Suite 100 OWE Boston, MA 02114-2017 ,M s�0v www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Insulate 2 Save, Inc Address:410 Grove Street City/State/Zip:Fall River, MA 02720 Phone #:508-567-6706 Are.you an employer? Check the appropriate box: Type of project(required): 1. I am a employer with 18 4. ❑ 1 am a general contractor and I 6. ❑New construction employees (full and/or part-time).* have hired the sub-contractors listed on the attached sheet. 7. ❑ Remodeling 2.❑ I am a sole proprietor or partner- ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.1 required.] 5..0 We are a corporation and its 10.❑ Electrical repairs or additions officers have exercised their 11.❑ Plumbing repairs or additions 3.El:I am a homeowner doing all work myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no Insulation employees. [No workers' 13.❑■ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Guard Insurance Group Policy,#or Self-ins. Lic. #:INWC414038 Expiration Date: U Job Site Address, 1® N R - ctl (;ht;, 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 ai s an, penalties ofperjury that the information provided above is true and correct. Signature: Date: Phone#: 508-567-6706 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#: DATE(MMIDD1YYYY) ERTIFICATE OF LIABILITY INSURANCE 6/12/14 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the_policyiies) must be endorsed. If SUBROGATION IS WAIVED;subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such.endorsemen4s). PRODUCER CONTACT NAME: Anthony F. Cordeiro Insurance PHONE -� FAX (508) 677-0409 171 Pleasant Street E-MAL,,. (508) 677-0407 ADOREss: lbrizido@cordeiroinsurance.com Fall River, MA 02721 ` INSURER(S)AFFORDING COVERAGE _ NAIC!! INSURFRA:Atlantic Casualty Ins._Co. INSURED INSURERS Torus_Specialty_Ins. Co. Insulate 2 Save, Inc. INSURERC:Great American Ins. _ 410 Grove St. INSURERD�:Guard Insurance Group Fall River, MA 02720 1NSURERE: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS r CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES._LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR............. ..__,..-... . _--.-_-.._.__ ......._. ......_.-•ADOLSU9R ..__..,,._ .-._ ._ _...._._ _..._� POLJCY EFF POLICY EXP." ....._.._.. ._...___.,..__..._.__.._____ ,_.__..,..-......_.,__ LTR TYPE OF INSURANCE I POUCYNUMBER I MMIDDIY I MM/DD/YYYY ( LIMTS A GENERAL LIABILITY y Y M081000174-2 6/12/1.4 6/12/151 EACH OCCURRENCE —�—$ 1,000,000 _— DMTF:RENTED X COMMCOMMERCIALGENERALLIABILITY E � (6.0_srTe ace) $ 100,000 - CLAIMS-MADE (X OCCUR MED EXP(Anyone person) $ 5,000 _ PERSONALBADVINJURY $ 1,:000,000 GENERAL AGGREGATE $ 2 0001 QOO - GEN'LAGGREGATE LIMIT APPLIES PER PRODUCTS-OOMPIOPAGG $ 2,000,000 .FCT }{I,POLIQY PRE I LOC $ AUTOMOBILE LIABILITY COMBIMEDSINGLELIMTT SEa zicciderd). $ _ ANYAUTO f BODILY INJURY(Per person) $ I --............. ALL 0 WBED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED eraEd)GE $HIREDAUTOS AUTO -{ ccietn B X UMBRELLA LIAB }{ OCCUR Y Y 78264D142ALI 6/12/14 6/12/15 EACH OCCURRENCE $ 1,000,,O00 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10 OOO DED RETENTION$ { I w-- $ D WORKERAND YERS'LSATIONILIT INWC414038 12/10/131 12/10/14 X ORYST TJUS-.. .._oER= AND EMPLOYERS'LIABILITY -TH -- ANYPROPRIETOR/PARTNER/EXECUTNE YIN E.L.EACHACCIDENT $ 500,000 OFFICERoMEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOY' $ 500,000- Ifyyes describe under �— -- DESCRIPTIONOF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 C Equipment Floater IMP375-99-76-02 6/12/14 6/12/15 Shop Storage 75,350 Veh Storage 76,250 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Proof of Ins. Residential Insulation contractor. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main St. Hyannis, MA 02601 AUTHORIZED REPRESEN .-�- t��� I ©1988-20 10 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: ' { ?'I2 ?1fiG�i'? llt'-fi .1? Q; '[�GiGGC�?icy Office of Consumer E1ffars and Business Regulation. 10 Park Plaza - Suite 5170 Boston., Massachusetts 02116 Home 'Improvement Contractor Registration Registration: 166311 Type: DBA Expiration: 5/11/2016 Tr# 251248 INSULATE 2 SAVE ( t ROLAND LANGEVIN 410 GROVE STREET FALL RIVER, MA 02720 Update Address any return card.Mark reason for change. sCA+ Co 20M-05r,I Address Renewal 17 Employment I✓I Lost Card :�%�r.�f"rNr.r.jsirxr=rrrrrr/I�n��a���rwsrirlrr:o�Jls ���� ' Office of Consumer Aftssirs&Business Regulation License or registration valid for individul use only � ,�.OME IMPROVEMENT CONTRACTOR before the expiration data If found return to: f egistration 166311 Type; Office of Consumer Affairs and Business Regulation expiration .5/1112016. DBA I(1 Park)'lazy-Suite 5170 _ `; Boston,MA 02116 INSULATE 2 SAVE 191 ROLANO LANGEVIN 536 EASTERN AVER FALL RIVER,MA 02723 Undersecretary Not valid without signature r IV Board -Deg Board 31;Building Reouiaijons and standards C:onstruclion supervkor License: CS 103861 ROLAND Uf1NCEVIN 536 EASTFRN AVF- " t fall River A[A 02?723 4y •' '� 08/24/2015 � a 6 OWNER AUTHORIZATION FORM 1, rr/n1 e e� (Owner's Name) owner of the property located at 5 f � 0.2 63 (Property Address) (Property Address) hereby authorize (Subcontractor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. wner's Signature ' Date TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ,q Map 0 Earcel D 9 ' - --; Permit#71 Health Division ! J/� U u LL, Date Is u e d Conservation Division ,S. / /�� ��y �y �,2001 Fee 9Cr c9-z;3' Tax Collector ; 3172.7-03 MUST EE Treasurer`' ,r— ' � ) _ c, �iALLED IN COMPLIANCE �..., Vel TIi TITLE 5 Planning Dept. : '�JiRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board (V ConReGUL.AT ms Historic-OKH Preservation/Hyannis Project Street Address 1 T® PSa i t llr i s Village C 4TC4 11 Owner I �af✓) Address l 5qI �irC�f Cd�Kel Telephone �✓ Permit Request �(� C®sn S7�r��tG 1 0� Dti) E Cot � eT�`CtC k) 1-1CGIZA' ' sgr S;ruCT � Will ,e C opt Ver)` &-7 era e v✓ X S a oursJ 1_,oau-ae, PC# lu Square feet: 1 st floor: existing proposed ql 2nd floor: existing proposed Total new Valuation 2�I � Zoning District If' Flood Plain Groundwater Overlay Construction Type X WDO r-r-c+rAf— Lot Size he e e S Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. s �0 4 Dwelling Type: SinglecC'S Familygi Two Family ❑ Multi-Family(#units) Age of Existing Structure / Historic House: El Yes KNo On Old King's Highway: ❑Yes X No Basement Type: ❑ Full ❑Crawl ❑Walkout 5Other i Basement Finished Area(sq.ft.) MIA Basement Unfinished Area(sq.ft) IVIA Number of Baths: Full: existing JIB new ff Half: existing 1V4 new Number of Bedrooms: existing-- - new Total Room Count(not including baths): existing MIA new---6 W-- First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other /V /A Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑new size Pool: ❑existing ❑new size Barn: ❑existing ❑new size Attached garage:❑existing Vnew size /442L Shed:❑existing ❑new size Other: y rc. IV //r Zoning Board of Appeals Authorization ❑ Appeal# f V/A Recorded❑ Commercial ❑Yes *No If yes, site plan review# Curr ent Use Vaza^' � &C i Proposed Use _e_ p _ r r eSSf+r�►i �c��o,.✓t,y .SiDr��Pi j^ BUILDER INFORMATION (� hr-�) c� Name J��'l� Fa jaCGi / �✓um;f� _ f me; Telephone Number rob / /I`31l Address 1104 X IQ q License# ©g qt 5� R"jo,n i 4 Mo n�40/ Home Improvement Contractor# !06(Dcf Worker's Compensation# ly 3 q' y 3 511-00 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO R eSo,Cr�C I° R®GOP/e�r- OaV- t 1h a vi i Pal J 6111 SIGNATURE n, DATE !! Z " .n FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED ?► MAP/PARCEL NO. ` A ADDRESS, VILLAGE ' . OWNER• DATE OF INSPECTION:= FOUNDATION ' FRAME INSULATION ' FIREPLACE ' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL _ F GAS: ROUGH FINAL .- f FINAL BUILDING " DATE CLOSED OUT -- f ASSOCIATION PLAN NO. 3 .f 1 The Commonwealth of Massachusetts 1= Department of Industrial Accidents ,t -: Ol11Ct 0/%YCS1l9 #OHS 600 Washington Street Boston,Mass. 02111 Workers' Com at [on Insurance Affidavit -sot? cc 4UQt'V1;6/) name: Q location I ® 9OX am Sri, n ® hone# ❑ I am a homeowner performing all work myself. ❑ I am a sole roprietor and have no one worldne�in any acity %1NO10 V111%/////%////////G%/%/%%//O//O//%/ '//// /// /'��Dr this job •din workers'co ensatioa for my empltryees woriQng on this job. an em lover rovl mP comaanv name .-- address sot t5ty: hone#• `` ; "..",. RNA fit ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractozs listed below who ,have the following.w...o.... :'co p..ens..a......o..n... obe:se .......:.:.:::::::: : .......::..::::::.::: :P : :.::,: ............. .... ........ ..:..:.:............... ......::::.... ..::: to 1M . ..... ...............: . ......:::....::::::. .............::.. e... ..:.......... .... ci ...........................:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::h::::.�:::r::ii;:yy ...:::x:::t4v:::•:}*:4::.;i}':}:^:«i::•}}}:::v�:�n:is :�}:'ii:i:j:riii:�iii::�:::::::n: .............. ........... .................. ...............................::.:::::::........................:... r..fir.:.:.:.... Y}:«i}}}:�:i ...... ............ .v.........:.....w::::::................ :.............. .. ........ ....... glow .. ....:.�:.........:. ... r....... <::::v}i:::.:::...............:::::::::.... ............. }::::. ... ...:.. O�IN#:....-::�.:'!4i.�::::::::::::::•.�:.::::::.�:.� ...... ................ }ri:iYLiY:}::}�::;:::::;i:!::iiji:Y:Ji'':?j"�i::isvii}i::;:j:ji::::::::�:j::vi'ik :::i`ii::i::ii:i:;:j;:j4is�:Y�:^:;i:�:�iiii::�ii::hXLti:?: .Will �:::::::............... :::....: ........................ ......................... of n�drance co... ,, Fallure to secure coverage as required under Section 25A of hV L 151 J lead to the inrptnstiaa o[erbmtnai penaltin of a One np to S1,SOO.U(1 and/or one yenta'imprisonment as penalties wen as civn Otllce of Inv ofestitiom ado DU for eaL a fine orineation 00 a day against me. I miderst�d a copy of this statement maybe forwarded to the I as hereby fy the panes 0 Ped ury the the bywn vices provided above is trtt� d ea eed gnature Date si 11 D Print # S'O name Phone oulchd use only do not write in this area to be completed by city or town addai city or town peradNicnne q ❑Building Department ❑Licensing Board QSelecunen'a Office check if immediate response is required ❑Health Department contact person phonefl; — ❑Other (myum 9/95 PIA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workerf mthpe�satiundon or thn cony . employees. As quoted from the "law", an employee is defined as every person in the service o of hire, express or implied, oral or written. y two or An employer is defined as an individual, partnership, association, corporation or other of a deceased employer..or the receiver the foregoing engaged in a joint enterprise. and including the legal representatives of to eea However the owner receiver i trustee of an individual,partnership, association or other legal entity, employing P Y house of dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling grounds c: another who employs persons to do maintenance, construction or repair work on such dwelling house or on the 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 who ha enew of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant the not produced acceptable evidence of compliance with the insurance contract for the performance off Additionally, work until P commonwealth nor any of its political subdivisions shall enter into any P resented to the contra cti'g acceptable evidence of compliance with the insurance requirements of this chapter have been p authority. %%/M%%%%//�//%///%//////_<, Applicant Please fill in the workers' compensation affidavit completely,by checking the box that.applies to your situation and ers along with a certificate of insurance as all affidavits maybe supplying company names,address and phone numb submitted to the Dep e. Also be sure to sign and artment of Industrial Accidents for confirmation of insurance coverage. or town that the application for the permit or license is date the affidavit. The affidavit should d returned to the city have an questions regarding the"law"or if v o` being requested,not the Department of Industrial Accidents. Should you y 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 th affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be rrmrn�to be sure to fill in the permit/license number which will be used as a reference number. The affidavits may 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 O1116e of lavesduations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 7274900 ext. 406, 409 or 375 °F IME The Town of Barnstable • `"" g� Regulatory Services i839' Thomas F. Geiler,Director, rEo�'t Building Division Peter F. DiMatteo; Building Commissioner 367 Main Street,Hyannis MA 02601 Fax: 508-790-6230 Office: .508-862-4038 Permit no. Date -- AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,c onvers ied ion, improvement,removal,demolition,or construction of an addition to any pre-existing P building containing at least one but not more than four dwelling units or to structures which�e adjacent er to such residence or building be done by registered contractors,with certain exceptions,along requirements. Type of Work: )era C�e� Estimated Costl 22a _ Address of Work: 1(r I-oesgll ?0 �JE1l ur P Owner's Name: loci Date of Application: �A I hereby certify that: Registration is not required for the following reason(s): QWork excluded by law ❑Job Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALINGWORK W DO I NOT HAVE CONTRACTORS FOR APPLICABLE HOME IMPR 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 n b � oE?iRegistration No. Date Contractor Name OR Date Owner's Name q:forms:Affidav:rev-070601 RESIDENTIAL BUILDING PERMIT FEES APPL ICATION FEE New Buildings,Additions $50.00 Alterations/Renovations, $25.00 Building Permit Amendment $25.00 r FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONSIRENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) 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 proicost 9 . .t L��{�y. o.. a: `c� ✓� Tj097NIIL(N2I.(/P,CLGUL 4�✓�CLC/LC(O(.G(6 zl BOARD OF BUILDING REGULATIONS : r License: CONSTRUCTION SUPERVISOR Number: CS 069152 ? 4 4}- Expires: 12/11/200 Tr.no: 4705 k Restricted To: 00 ; JOHN M FALACCI POBX 1224 1441 RTE 132 � HYANNIS, MA 02601 Administrator : �/ee U�onintanuiea�i a�✓�aarac/uarrlt (]� HOME IMPROVEMENT CONTRACTOR I Registrati"" 106109 ,Expiration:— 7122102 'Type:—--Private Corporatio HAMILTON HOMES, INC. John falacci ADMINISTRATOR 1441 ROUTE 132/P.O. BOX 12 Hyannis MA 02601 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �l © Parcel /�� TOWN OFBARNSTABLE Permit# � � ct t C� Health Division BAR 19 P I fa 7 Date Issued 2 t w. Ak Conservation Division I Z(�l� Fee & i 00 Tax Collector �,aD1 J9_ 109 .�1( �� G6VISIOFd J Treasurer_ 15: — L — �� (1p2 SEPTIC SYSTEM MUST DE INSTALLED IN COMPLIANCE Planning Dept. WITH TITLE 5 Gj Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND ► Historic-OKH Preservation/Hyannis T®u�"J r7 q-AT!C?"tJq Project Street Address J �� Village Ownerl.91 F—ad MalyAddres /� Telephone Permit Request Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Valuation t l s soo Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new __Q� 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 ❑neuv size Barn: ❑existing ❑new size 40YD�� 11 Attached garage: ❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name lJ Telephone Numbe Address '►e- License# ( ®LLOA �- ?71t r Home Improvement Contractor# � IZ,F! ,50 l Ai_' Jr > FAY M d2A, Rh Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR DATE �� � "- T C. FOR OFFICIAL USE ONLY _ `gt PERMIT NO. YDATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION'- FOUNDATION FRAME r INSULATION FIREPLACE L ELECTRICAL: ROUGH FINAL PLUMBING: ROUG , .' H FINAL > in =? GAS: ROUGH f i FINAL FINAL BUILDING .- W ,i C �' ( rno DATE'CLOSED OUT = -�•a �"� r ASSOCIATION PLAN NO. C . . 1 F _ 1 - T� �J • 1 1 11 1 1 1'TIT 1 1 1 1 V1111, ///, ////// . 11 I �/111 • '.1 1 . 1 1 • 1 ., �11 w• 1111.11 WIAry. G 1 • 11 ' .11/11 • • .,. 1 • 1 I •1 1 11 1 11 off �, 1; Y; 1• 9 _ . 1 ¢ OWN ME II / 1 •. . • ' :11 11 1 I •) • I w1 I . 1 �• 1 • • / 1 1 /• I • .. .1 w•IIU�// . 1 1 1 1 w' MEN= M; MEM 1 1 1 1 1 1 I 1 IIE In 1 1 1 1 -T71 I I I • 11 1 ------------ _n:u• 1 i �:1 , f •11 1 II 1 Weil 1 1 11 1 1 1 1 1 1 1 1 • • • ie r •1•• r• - 1 /. / •.i•JI i•IV. ailed I .! • f• 1:/ ell•�1 / •Iq• �• • el/er i• • • r �/ 1 / % • e 1 i1 1 U • • • •• / • •« • •1• • •• .01 •1 • •is:1 w•r. il•1• • ,11 • • •1• • • •• 11 • III • i• 11 • el �1/1 • .1/• II • II • 1 �r • w:•In Y.I• • •i i• :•11.1• • �/ •I el ./ - • • 1 11 Slit-alsolk,I woe.b to I-eil"Job I ow. •« .u(all • • is./ •r. au•I •n1 • 1 :•••1• • • .+ 1 • 1 • •• 1• 1 11 • 1 • 1e • 0 Ikosadli Its If4jj IT.-it-pi v • •/146T if11 /1 • 1 - • • 1• • / • • •�1 /• f.Ioiqjk12 toze fee Ilk b Ill jail*)r. •11 • l 1 • I 1 II • / • • •1• t1 'J • to• • 1 • •• III 11 II••1 • 1 • I 1 • •w•%1 • 1 1 -111• • II.+II • •�w11 �• 1• t .10 w1/00 • .1 1 • �1 • •II • YIIw, 11 .1 I 1 1 1 '1 1 ' 1 1 l 1 1 1 1 1 1 I Y 1 1 1 / 11 1 1 • • 1 Y11 1 1 YI 1 • 1 Y • 1 1 'J.' 1 1 1 011ie 1 1 / 1 1 1 / 1 1 ! • . 1 1 • • : • / - 1 1 1 11 • 1 1 11 11 1 1 oil �! • • 1• •11 i • 1 �/ItI ••1• 1 Wi L-i •II YI I w11/7 111 • .11 •••1111 M • 11 ••n • /1 .IB Y • • 1 • '• /, to • Y. • •.11 1• •1 re1/11• I r • •111• •ee ell 11 11 • .. .1 r•I/tl•w• W.1■ •II .k rr to k. 1 goeigo/•1• 11 • •w .411 ' 11 ••► •1 .1 .1• • • • /1 Y111 .1• •1• .1• • 1/ ' •1111• .11 1 11 w. • •1 .�/. .11 • • 1 •11 11 111 •.1•. •II ' 11 rH •Ir Iw.1/ • 11 11 .11 r I iI a IA /1 • 1• i1 • 1 • •11 wsl •l 0 •ll •t M •w/1A 1.1 r•I11.1 rI• .le •11 el II IIY•11 r V• 'papor 1 • 1 1 1 'JI 1 • I I 1 I r• •r"M I 1 • 1 1 • 111r! ►• 1• 11 «1''Am I t• •' I II .1 •1 .6111 r.11 •11 •1 460I •N•IIII •I ._I _• I -If-* 1 1 It 1 • ./ UI w11 •I 1 •11 .. « • w11A YI . . •• 1 1 .1/ ' 1 1 w • •11 w•Y.1 • i/ • 11 . • -• 1 Is • • • 1 Y. 11 ' •It.•.• r•IIII•.•1♦`✓.le •II I • 1 1 v ✓. l /1 / .•/1: Ill wll .1 /1 111111 1.1 Iw• • • ' %/�%/O�%%%//////%%//%//%//%%////%///��%////%%%i////%%%%%%//%///////%/%/%//%%%%%%%%%%///%//////%//////%%%%�/�/////////�///////// I Is 11 ,1 II • II11 I•it • • 1 r•1111• wl .11• 1 /III�e w'1 • 1 1 • 111 w11 1 ! • 1�• • r .1 /I I • else/1 • I •1 • 1 M /1 wIl 11 I{ it r • 1 .� • •✓.1• •U 1 r•IIIY. « •• 1 w•Y. •UI • 11 • • el •':111 •% 1 I• y l II 11 •.1/1111 VwI IIIIe1 •.e '1 1 I I �• aIti w1 I11111 •.1 I r• • IA II • •11eI►• • 111.•/1 • • 11 •1 111 • /I.1 • .II • wI1 w/1A 1 •�w1 IIr• /. • 1 .+ • •Y.1• •11 • • to 11 .11 • 1/ • ' .II r • •1 V1• I�/ .t• •I/ 1 • ! • • • e .11 • / w ••• no F1• 1 i.Y I•'•e V • •J « i •. el•_11 •• w v. • 1 •11 .•1 • Y••' 11 lel •�1 11 11 11 I t 1 � 1 1 •11 1 1 1 1 r r 1 I I 1 1 1 1 1 1 • I l • 1 1 1 / 1 1111 a ' III I / II 1 Inc r. ti 0,� x. ' The Town of Barnstable ;� Regulatory Services fo 5y��� Thomas F. Geiler,Director Building Division Peter F. DiMatteo,Building Commissioner 367 Main Street,Hyannis MA 02601 . :e: 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 adjacent to such residence or building be done by registered contractors'.with cmrtain exceptions,along with other requirements. r. / Type of Work: V i Estimated Cost r / nn � . Address of Work: lam/�' thilk 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 []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 IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY d I hereby appl for permi as the agent of the owner. . ate Contractor Name Registration No. OR Date Owner's Name a:forms:A ff i day:rev-070601 �\ HOME IMPROVEMENT CONTRACTOR Registration' °o Erpirat' 07/05/2002 1 Type: 09A . 5CiLRER POOLS & HOME IMPRO" WARREN SCHERER AOMIWSTRATOR 630 MARINER CIR _ COTUIT MA 02635 ,./RC L6lYGIltO'JL(IK,CLGL/L 6�-G �LCltSP.�T+l BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number. CS O42838 Expires: 05l22/2002 r.no: 22926 Restricted To: 00 WARREN F SCHERER 630 MARINER CIRCLE . % COTUIT. MA 02635 Administrator lco.-Rp. CERTIFiCA( � JP DATE(wLOA �L° E" T L!1 02/07 Tr0Y)2 HCERINFORMATION Northwood Yshbaugh Ins.Agency AQenc ONLY AND CONFERS NO MONTS UPON THE CERTIFICATE 426 C. ralmouth k��++yy Y HOLDER.TMS CERTIFICATE DOES NOT AMtND,EXTEND OR t• raln+ou�h M71 02s36 ALTER THE COVERAGE AFFORDED SY THE POLICIES BELOW, Phone: S00-S10-1223 rax:BOA-540-0441 INSURERt AFFORDING COVERAGE La_�ER A WWCARP I w9L+ER t ---- liall iisland Pools, Inc. niVREIC — Dudley St -- Leovdnstir MA 01653 I-%sJRER0 ------ COVERAOES I u.9..eER E —_ •—•—• "—'� THE POLICIES OF INSURANCE LISTED BELOW NAVE SEEN IS9UEO TO THE INSURED NAMED ADOVE FOR THE POLICY PERIOD INDICATED.NOTWITMSTAAD'N0 ANY REOUIREMIENT,TERM OR CONDITION Of ANY CONTRACT OR OTTER OOCUTAENT W:TM RESPECT MAY PERTAIN•THE INSURANCE AFFORDED I!Y THE poUCIES DESCRISED MERE:N Is SUSJECT T LL HE ERINS.EXCLVS ONO WHICH TI1,3 9 AND CONDI MAY TIONS or UCH POLICIES A00RE0ATE LVA:TS SHOWN MAY HAVE SEEN REDUCED BY PAID CLk1AS. l TYPE OP INtuRAVCE I- POUCr wJMIER -ai�' E7�l�' p'�— — OC%ERAL LIABILITY I E M. r I D E 'MM1D�SlYY- EIMITf EACI+OC-L:RRENCE f COVMERC'AL GENERAL UABIL-Y I `�--�__—,•- C.A MS IMAQE F OCC-R cIRE DANAGE(Anr e`e�r.; f —�_ MMEEC—E>;P;Ar./one pAtsor){ PI v=IiAl A ADV.N.,URY f —.-.--- GENERAL AO.3RE-WE f 3E'+l A:GREW*£LIMIT APP,rES PER I � PqO• PC{ICY ! j PROOV —t-CTS•COMPtOP AGO f ..1� CT r I LJC i — -- AJTOMO8!LE L.AIILITr AN'T AL.'TO ' COMBINED SIN7LE LINI• ;Ee ecadenq f AL� ..—I 8' CI LY IN.0JRY i I SC-ED�LEG A�TCS I I I(Pet perso -- NON CMEJ AJTCS ' i BODILY-NJURY ecc-Seri) _ PROPEATrCAWAOE I S (Per era7elC OARA DE L;ABI fly I AUI TO ONLY•EA ACC DEvT f -4 EA A C f OTHEQTHAN _ I I I A�•'-o0"ILr AOJ I[tCEif l�Ab'.ITT r I EACH OCCURRENCE f j I C.A':MADE I — �•. --_ A0OREOA7E f DE'aICT.6.E r -- f I RE•C�rIGI: f I I _�— wOR.Ert COVPE>r M'IOI.AND EV*-OVERf L ABILITY ^x TORY L.-8, ER _ 177650Y , 06/13/01 ' 06/13/02 EL EACH ACO:OE•.T _ f 100000 El D-9E45E•EAEWPIX-r6 f 100000 o-•+ER ' EL OtSEA6E P0,ICY.4AT s 500000 I ' I I OkfCR'P1.014 OF o•lllA•IOA></,ODALOMth'Eh.�.Ct/E,C.�f'Oaf [ti:. aE•At%T.B.EC AL PROV f 0%6 CERTIFICATE MOLDER N ADo�Ia�AL:�f�R[�.r.fwu.ET�eR CANCELLATION RAMSTA 6a0J.0 Awr CS•L[ABOvj O;BCA 90 POLIC•Et Be /EACR[•hE[IN ILA? Town of saSQstabl! I OA't 1,.IR[0� •ME SSJ.%04.NSJR[A W.t%OEAVOA To WAS. 20—a&es*R:rLh Building Dept. W41 TO Th[CIRTI1PICATI MO.O[A MAVfO TO•H[.EDT BJT/An6R[10 DO X S.A.. IMPOSC 6.0 09.10A•I0Y OR:IAS'.I!r O►ANY K•%;D vPOM T►Ij P1f;;R[R.ITS ACN.TS of Barnstable HA 02601 RVR[fE�•a•Ir[f aV•n0 �OAE►REfE�•A'tvE ACORD 26-6 Ir.-WTI Ronald J. Xeyerowttx 2 ACBRD CORPORATION im `L^, 1 _ A. .oe ,,off 1� 4G- 57 1 Ci J S o L•40.?r' w C" J09N S_ AURUANI ��rCls�4+lam Nort � C�Pnw•� �:R�ccf PFaR'�- / 1:, i ^ SufwE uc^TEo IN Fcc+roO 'ZONE All t g� 1`1060-v1M, DWIMUAC. rc c.uc� JOHN S. IAURETANI _ Scale: HEREBY 4ALCERTIFY TIFYANV iUAVEVOE AMERICAN SURVEYING COMPANY HEREBY CERTIFY THAT THE ..... vE MORTGAdE INSPCCTIOH 77 Rumlart)Avenue, Waltham, MIA 02154 (617)893-6A77 WAS PIRF—PARW FOR -C,A.�. NIrr' IN _ ... - . . —..•,��. 'itr1N WI fY A NC1Y AAMPr7•RF �� � � — �. - -j: f'1■�..� I 1-6 Cardinal Systems, Inc. SHEET 269 South Rl. 61 Schuylkill Hovan, PA. 17972 DESIGN OF Z—BRACING Contrpilinq condition — waler to the top of the pool panel;E 8 M WATER DEPTH = 3'-6" OPEN -1'-0" DEPTH OF EXCAVATION FOR POOL. WATER SIDE 6" X 24" CONCRETE SLAB AROUND THE SIDE Nt BASE OF THE POOL WALL. i I POOL DIMENSION ASSUMED ® 16' X 32' N CO MATERIAL: 14 GA. GALVANIZED STEEL I I WALL PANEL F = 47 K.S.I. C7 C7 Pr y { PM A"11--2'-0"--� POINT " P. — WATER PRESSURE AT BASE OF STEEL WALL PANEL IS 218.4 #/FT. [(62.4 #/FT') (3.50') (1.0')] = 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 IS STABLE WITH 3'-6" DEPTH OF WATER INSIDE THE POOL: TRY ANCHORS AT 8'-0" MAXIMUN. E MOMENTS AT INNER FACE OF THE WALL ® POINT "A": Pr = 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 o = 11.7269" > b/3 = 8.00", b/2 = 12" P,, .= [(4 x 24) — 6(11.7269)]36.38(24)?20 1.619 PSF/FT. P.I. . [6(1 1.7269) — 2(24)]36 384.20 = 1,412 PSF/FT. THE POOL IS STABLE AND THE FOUNDATION PRESSURE IS o� y_ .vita 6' 2'LT 6 ' 17 2'RC 2'RC Ui 18'-0" 14'-011 8' 6' 21RC 2'RC o 4'-0" �. W DEEP ' 1 81 1 1 , 6'-011 ' O 11 , 01 -4'-0" -4'-0'.- 2'RC '-0' I1ai 2'RC ----------10,-0"------•---4.4 31 8' PLASTIC ' STAIR 81 81 1 , 1 , 7 14'-0", " o 0 r 1 Zo 0 of co �f 71 18'-0 8 81 �•— " � 1 f1 9-01 f1 „ �1_ 11 I - RC I,�[_].- Oil 2,RC �r 1 ---------------- ; -18'-0"-------------------- 216" 2'6 8'STEEL_ STAIR 1 ' 1 8' '81 I 161,ON ' 1 40" FINISH ' 1 . 4' ' 1 4' to 1 1 0 21RC 21RC N 6' 8' f- '' Date: 12/99 TM Pool Depot, Inc. 5 Number One in Ouality and Service. Title: Rectanl le 18' X 40' 2' RC Forbes Road g Newmarket Industrial Park Newmarket,NH 03857 Drafter: JLC 2936 PHONE(so3)sss•aass FAX (800)595.0222 ■■! NO DAI IN A ` SHALLOIEND File Name:'tpd/RECT1840-2Y" , Area: 720 sq. ft. OF POOL INO MAY CAUSE PERMANENT INJURY,PARALYSIS OR DEATH Perimeter: 112'6 3/4" •' .*&E-hlese dio Omarsnm CdllplY viol ma National Spa am Pw iM .1.a m:anaan Template#: 59319 „ �„d+dalptae0andaPods warn a oaN 7ov INl MAl ow eoaaa NSPI Type II WA=32 :L ead te„�ys ale b De used wm aria pods please oonaun tiro manulaaurars mevucuorr and v� :•. . ` s°'"1d` �` �m�'n" ""1ONlds."g ""°°°"°`..WP-1 WE DELIVER POOL KITS FASTER. �``-�j ''ppdy an Ed0"naEM CRKw1YnY NSR minimum altMarm.wnla Neudu�sp.and Pad •.. ! . 1iKiW.2111 EmrjoaAn Avenue.Al—Ala VA 22314 47031MS-0m -terns° Standard A-Frame _ The standard A-Frame bracing • • • buttresses the panel wall by • • providing support in direct .Diving Board proportion to the water pressure. •• • •• " Concrete ;Receptor � . - - •• - 7 • ~-- Turnbuckle A-Frame • • Your pool professional may ! — ••• K y- elect to use a turnbuckle or threaded rod A-Frame. r� Step Ladder ••• • Ladder Jig - • -• The Ladder Jig positions the • •• • • µ ladder sockets at the proper ' �`' • height, making ladder installation •• 1, easy. • — — — —• • • . Concretei� • • z , F04ter Skimmer Support •• • • _,, • , Designed to support the weight ' • _ of the skimmer during and after 'La der Jlg `" backfilling,the skimmer support fits securely under the skimmer on the wall's bottom flange. • t`' The construction phase is the time to talk to your pool expert about the • • . accessories you may want to add to Panel Walls . Turnbuckle A-'Frame your pool in the future. By adding the s extra lines and/or fixtures now, you'll ' save time and expense later. i - . � IMAGINEERING The formula is simple: What you imagine, what you conceive in your mind, is what you get, _ For decades, inground pools were limited to just �� a few choices. But we're happy to say that limita- tion is a thing of the past. %- Now you can have any size and shape pool you desire. ` ►* ems :. - �- � r. a Consider a few of the possibilities: You can cre- y , ate specific activity areas with "peninsulas" of decking; wading zones; - swim zones for recre- ational swimming; andii� fi lap channels for exercise. �a //// You can even create an island in your pool com- plete with flowers for an �� "'" � F ¢ : ` r . ;, ?anK , . ,P a .Ra eye-catching effect, With the power of ima ineer- CIF ing, the results are sure to 3MAI i be outstanding, N� Pool Wall The top, bottom and vertical S • • -• • • - - •• flanges, as well as panel v� •• -• stiffeners ("Z" Braces), are ••- - • - - • •- secured using the togglelock n. fastening system. The result • • • - • - - ,`. being a panel with maximum . strength, minimal deflection ,, -- '. - •- f and a perfectly square mf Al • • - • • structure each and every m • • • - - • time. • • - - . _ . " ® �� =Vinyl ' r, • • - •• - Threaded Rod A-Frame Hand Rail *` • 'Liner • • • • - - Mid-Panel "Z" Brace limits panel _ flex, prevents deflection and assures a straight,square structure. 11 0% V 4- 0 t- • • • — • • • — vim•+' % f pq, �+ Jr. g, • • • — • ` •.. • • Walk-in Stairst � . � � � � . . Deck Brace � _• • •• _ • _ _ _� The use of deck braces permits concrete or other decking material to be installed ' ••- - • • immediately after the pool is installed • •- -• - - without having to wait for the backfill to s settle. The inverted A"shape transfers p DeckjBrace - " t ` the weight of the deck to the base of • - • - •• • • the wall, using the outward pressure of •• • • •- • the water to equalize the stress on the , •• -• • - •••-• • • wall. Deck braces are utilized for bothr' " standard and custom pools. . Automatic Surface nF • •Ski mmer��` , . { - • - - Precision Two automated panel * ,� •• • -• • - lines, run by programmable controllers,turn out finished ` panels at a rate of 2 per • ; 't j ' minute and guarantees Cardinal Systems, Inc. does not manufacture slides, — that every panel is Identical, Skimmer Support diving boards,or any other diving accessories.Any use hole to hole,edge,to edge. of such equipment must be in strict compliance with the ! t. They are one-of-a-kind equipment manufacturer's specifications,National Spa ` flexible manufacturing Threaded Rod A- Frame* ' and Pool Institute standards,and local building codes systems designed and v and regulations. Note:All safety ropes and floats are created specifically for removed from the pools featured in this brochure for Cardinal Systems to assure purposes of photography. our customers the highest r b quality product available. STANDARD SHAPES When you choose a standard Cardinal design, you'll benefit from our time-tested sys- tem of pool planning. Your local dealer will work with you every step of the way, from the ini- tial planning and con- ception all the way to �L follow-up care and maintenance. We offer a wide range of sizes and shapes, including Rectangles, Grecians, - L's, Lazy L's, Ovals, Kidneys, and Roman Ends. And we'll help you pick the one that best fits your backyard, not only to maximize enjoy- ment but to increase the property value of your home as well, 0 ADDED BENEFITSr J The benefits of owning 14 your own pool go beyond summertime fun and into your pocket- book. Your property value increases--and that will11 pay big dividends in the $C event you ever decide toia!i' �� sell your home. And don't forget the time you'll g Y III I ( . save that you used tor,, II � . _. ,,....q,. 1 spend sitting in aggravat- ing beach traffic; it's sure k to save your sanity as well. The bottom line: less stress, more pleasure, g R WE IM .Y rt t 3 ' w i x PURE ENJOYMENT .. ...` Face it: You'd be hard 'Pressed to find something that offers more summer- '' time pleasures than your own pool. Picture a sum- _G— _!_J mer where every day is a mini vacation. You no < ~� longer have to pack up �- �.� the family, get in the car, - and drive to find relief from the heat--not to mention the freedom from noisy crowds. Your own backyard offers comfor t, -i rt e conv nience, and privacy. And wouldn't it be great.•to , „ transform your next cook- out into a POOL PARTY? 'r For couples, families, and kids of all ages, a back- s yard pool is really a little ■■■fin "J■■■f�. ME■OEO piece of heaven. Whether ■■■■r � �" ■�v■■■`�■■■■ you're re into swimming m i n ■■■ Kr _.__�C .���■■■.�■■■■ Y g for ■■■�"�'■■!�■■� ■■■�■■ fitness, splashing■■■��■■���■■■�, ■■ �E■' for fun, or ■■■��■■��■■■■■■■■■ 101111111111111101 ■■,�■■■ just plain lazy relaxin', a OMNoI�v�0NoMMOMI�0WYAM0M backyard pool can't be ■■ ■►\■E■O ■■►��,■■■■ beat. ■■■r4v■•�1W■■■■�,��■■■■ M■^idvl■■■■!!mad■■■MEMO W . o p�5215 REBAR W\CAP SET N �p pd CB FND -10 � v , —1 ASSESSOR'S # 018 — 096 — 003 'O N I CERTIFY THAT THE FOUNDATION IS LOCATED ON LOT 5 AS SHOWN. CA AND THAT ITS LOCATION CONFORMS TO Co? THE ZONING BYLAWS OF HE TOWN OF 0 BARNSTABLV s P OF SSIONA A D RVEYOR O 00 DATE: 0 REBAR W\CAP SET LOT 5 �oF+`��q� THaaAs times J 49,220 S.F. o A BUNKER No.32653 S��NAL LANOS� 3 . . — - - -- - --� - — - fxlsnN HOUSE G c0 2 4 Y REBAR W\CAP SET TOPSAIL 183, ,15.5' CIRCLE FOUNEA N CB FND ND IION 'LP 0. C O .O sr- REBAR W\CAP SET S 28.38�46„ W CB FND R�� BSS � 0 D E S 1 0 N 238,79. 10. + CB FND LAND SURVEYING CIVIL ENGINEERING LANDSCAPE ARCHITECTURE CERTIFIED PLOT PLAN PREPARED FOR BSS Design. Incorporated H AM I LTON HOMES 164 Katharine Lee Bates Rd Falmouth.Massachusetts 02540 41 TOPSAIL CIRCLE 508.540,8805 FAX 508.548.8313 BARNSTABLE — COTUIT, MASSACHUSETTS scale 1„ — 409 dote NOV 30, 2001 drown 1207 job number dwg number EJP D7-150 L' � �1 �`� ;;� ( G--� � �� // �-� �� �1 `� . , T TOWN OF BARNSTABLE 300b6 Permit No. ..... ......... BUILDING DEPARTMENT "8; I TOWN OFFICE BUILDING Cash HYANNIS,MASS.02601 Bond X CERTIFICATE OF USE AND OCCUPANCY Issued to JOHN NicSHANE Address lot #5 41 Topsail Circle, Cotuit USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. June 10 19 87 .....�� .!r ==,........ Buildin Inspector a'�y�•�'. TOWN OF BARNSTABLE BUILDING DEPARTMENT t aARI°T ' TOWN OFFICE BUILDING r"a t639. HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department ¢ DATE: ��—� An Occupancy Permit has been issued for the building authorized by BuildingPermit # ....................................... ...................................................... »...... ......_ _ . . issuedto ........,\�",,.. . l ;/„ ?..rL 1. -1 7........................................................................................»»........._ Please release the performance bond. TOWN 'BA.RN�STABLE, MASSACHUSETTS R G U I L DI N G"� P IVI I`T A-018-096 DATE octo or `2 19 86 PERMIT �SaQu� AP ;L' QWQI?.r ADDRESS � 00160c`. (NO.) (STREET) JJ ° ICONTR'S LICENSE) PrMIT TO Ann (d dwrilin� ( t ) STORY Single. tairily dwellin4WEBLLIRNG UNITS 1 (TYPE OF IMPROVEMENT) 70. (PROPOSED USE) AT (LOCATION) lOr ifs 41 'topsail circlt::, CUtu t ZONING RF DISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT, IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION .. (TYPE) .. REMARKS: i c' BOND :.,AREA OR 2936 sq. ft. 70,000 PERMIT s 147.00 .;VOLUME ESTIMATED COST $ FEE- _' (CUBIC/SQUARE FEET) _ OWNER .JV li1 r;cSriari� eox 679 USCP.rVi11r, i,% BUILDING DEPT. ADDRESS BY r THIS PERMIT CONVEYS O RIGHT TO OCCUPY ANY .STREET, AL O LEY! R SIDEWALK OR ANY'?,PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC- P.ROPERtY,-INIOI' SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISD.CTION. STREET OR AL—EY GRADES AS WELL AS DEPTH ANDILOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.,, MINIMUM OF THREE CALL - APPROVED PLANS MUST BE' RETAINED.ON JOB AND THIS WHERE APPLICABLE SEPARATE 'INSPECTIONS REQUIRED FOR CARD.KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: _ ELECTRICAL, PLUMBING AND I°. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE'OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERSIREADY TO LATH). FINAL IN_SP.EL`fION HAS BEEN MADE, A. FINAL INSPECTION BEFORE - POST THIS CARD"ISO IT IS .VISIBLE FROM STREET • BUILDING IN ECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS j :8 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT Al OTHER BOARD OF HEALTH WORK.SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR WAS APPROVED THE VARiODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCPOP. I PERMIT iS ISSUED AS NOTED.ABOVE. NOTIFICATION. ,t °f'THWE Town of Barnstable *Permit# Expires 6 mo> PERMIT Regulatory Services Fee • L►xtvsrasta, , . Thomas F. Geiler,Director 1 TOWN OF BARNS TABLE Building Division ®\Y Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY t c/ ^q Not Valid without Red X-Press imprint Map/parcel Number .0 ` b V (� �o- Property Address Residential Value of Work I.I l icy (Z� Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Namex, jd� i r' �, (,� Telephone Number 5 Home Improvement Contractor License##(if applicable) Construction Supervisor's License#(if applicable) 9 ` �, i �I•� -]Workman's Compensation Insurance Check one: ❑ 1 am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's sCompensation Insurance Insurance Company Name 1•T1 fi.p t`t r r, �,� ` �-. Workman's Comp. Policy'# t v Copy of Insurance Compliance Certificate must accompany each permit. 'ermit Request(check box) r, q� j ! Re-roof(stripping old shingles) All construction debris will be taken to tia -fl C'��S�IA I (Ar�C � ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders. U-Value (maximum.44)#of windows *Where required: Issuance of this permit does not exempt compliance with other town departrnent regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. GNATURE: WPFILESTORMSIbuilding permit formskEXPRESS.doc !vised 070110 i { 1 T � Town of Barnstable Regulatory Services ' Thomas F. Geller,Director Building Division Tom Perry,Building Cotnmissionet , 200 Main Strcet,Hyannis,MA 02601 wwsv.town.b arnstab le.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Ctwiier Mus t Complete and Sign. This Section If Using A Budder Ow ner wner of theJ sub.ect ro r' P PAY hereby authorize cZ- d1,2SAZ111 to act on ray behalf, M all matters relative to'work authorized by this building permit application for. - (Address of Jo Signature of er D to Pnnt Name R If Property Owneris applying for pernmitplease complete.the Homeowners License Exemption Eonn on :the reverse side. 'THEram, Town of Barnstable Regulatory Services Thomas F.Geiler;Director - - • � XA-9& g s63q ,b .Building Division PrfO�{� Tom P Building o 's ' .Perry, g C mint stoner 200 Maid-q rcct,_Ayannis, M.A 02601 R•wsv.to�b arnsfabl e_ma.us . Office_ 508-8624038 Fax. 508-790-6230 HOMEOWNER LICFJ�'SE EXEMPTIOA' Plisse Print DATE JOB LOCATION: number street village '7-iOMFAWNER": name bamc phone# work phone CURRENT NLka-NQ ADDRESS: eityhawn stato zip code The current exemption for"homeowners"was extended to include owner-occupied dwellintrs of six units or]css and to allow homeowners to engage an individual,for hire who does not possess a license,provided that the owner acts as suncryisor. DFYIN TION OF HOk EOWNIER Persons)who owns a parcel of land on which helshe resides or infends to reside, on which.tbere is, or is intended to' be, a one or two-family dwclLing, attached or detached stnuctures accessory to such use and/or farm structures. A person who constrgcts 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 fors acceptable to the Building Official, that he/slic shall be respoz stble for all such work performed'under the building permit (Section 109.1.1) T1�c uxndcrsigned`homeowner"assumes responsibility for compliance with the State Building Coda and other applicable codes, bylaws,rules and regulations. The undersigned"homeownee'certife;s that.hclshe understands the Town of Barnstable Building Department " All rru-nirrrrrm inspection procedures and rejtuirernents and that hehhe.will comply with said procedures and requirements. Signature of Hamcmvna Approval of Hurlding•Ofcial Note: Three-family dwellings containing 35,000 cubic feet or larger wE be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EximmON The Code states that: "Any bomrowner perfonrung worJc for which a building permit is required shan be exempt frmn the provisians of this section.(Section 1 D9.1.1-Liccnsing of conshvetion Supervisors);provided that if the homcogmcr engages a persasi(s)for hire to do such work,that such Homc6v6mcr shall act as supervisor." 14any homeowner who use this.aerrption are unaware that they are zsmmxr ng the responsibilities of a supervisor(sce Appendix Q, F-ulcs&Xcgbla lions for Pccx,si„g Construction Super visors,Scction 2.15) This lack of awareness bften results in serious problems,particularly when the homeowner hues unlicensed persons In this case,our Board cannot proceed against the unlicensed person as it would with i licensed Supervisor. The horaeown er acting u Supervisor is ultimately responsible. To ensure that the bamcowncr is tiny aware of his/her rcsponnbili tics,many communities require,as part of the permit appliea lion, that the homco"cr certify tbat helshe understands the responsibilities of a Supervisor. On the last page of this issue is it.farm currently used by several towns. You may care t amend and adopt such a forrdcnrtifrcztion for use in your eornmunity. r The Commonwealth of Massach usetts ► „ Department oflndustrial Accidents Office of Investikadons 600 Washington Street w / Boston, MA 02111 r www.mass gov/riid Workers' Compensation Insurance davit: Builders/Contractors/Electricians/PI-umbers Applicant Information Please Print LeZibly Name (Business/Organizati on/Individual): Address: 1 I � City/State/Zip: A nA _9� SS Phone #: .Are you an employer?Check the appropriate box: Type of project(required): 1 am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2. 0 1.am a sole proprietor or partner- listed on the attached sheet.t 7•. ❑Remodeling ship and have no employees ' These sub-contractors have 8. 'Demolition working for me in any capacity. workers' comp. insurance. g• Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions required.] officers have exercised their 3.0 I am a homeowner doing all work right of exemption per MGL l LD Plumbing repairs or additions myself. [No workers' comp. c. 152, §l(4), and we have no 12.❑ Roof repairs . insurance required.] t employees.(No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#l 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. Itontractors that ebeck this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am.an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: JAert. e,7 (- n .Vrf e, Policy#or Self-ins.Lic.#:k iS Expiration Date: Job Site Address: l f36�mkt i; ': City/State/Zip: �y Attach a copy of the workers'compensation policy declaration page (showing the policy number and expiration date). ' Failure to secure coverage as required under Section ZSA of MGL c. ]52 can lead to the imposition of criminal penalties of a r fine up to$I,S00.00 and/o'r one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy,of this statement may be forwarded to the Office of Investigations of the DIA for.insurance coverage verification. I do hereby certify under the pains and penalties ofperjury that the information provided above is true and correct Si attire: C. Date: t - kyhl 1 Phone#: J V 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 r Information and Instructions Massachusetts General Laws chapter.]52 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 bean 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 isTequired. 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 Iaw 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 ih the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations* 600 Washington Street ,. Boston,-MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 ACORD.. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 10/29/2010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the Pcilcy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT NAME: MORRILL INS AGCY LLC PHONE FAX (A/C,No,Ext):, FAX 17 CENTRAL STREET (A/C,No): EMAIL ADDRESS: NORWOOD,MA 02062-0290 PRODUCER 22LDK CUSTOMER ID#: INSURED INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: AMERICAN ZURICH INSURANCE COMPANY ASHLAND ROOFING&GUTTERS INC INSURER B: INSURER C: 25 PINE HILL RD INSURER D: ASHLAND,MA 01721 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE NSURED NAMED ABOVE FOR THE POLICREVISION Y PERIOD INDICATED. ORMAY PERTAIN. NOTWITHSTANDING ANY REQUIREMENT,TERAFFORDED OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN.THE E BEEN AFFORDED AI THE IM&POL -S DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS. INSR - ADOLSUBR - TYPE OF INSURANCE - POLICY EFF DATE POLICY EXP DATE ' LTR POLICY NUMBER (MM OMYYVY) (MM OMYYVY) LIMITS GENERAL LIABILITY - INSR WYD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ -CLAIMS MADE OCCUR. DAMAGE TO RENTED $ PREMISES(Ea occurrence) MED EXP(Any one person) $ GEN'L AGGREGATE LIMIT APPLIES PER: PERSONAL&&ADV INJURY $ POLICY PROJECT LOC GENERAL AGGREGATE $ AUTOMOBILE LIABILITY PRODUCTS-COMP/OP AGO $ ANYAUTO COMBINED SINGLE $ ALL OWNED AUTOS LIMIT(Ea accident) SCHEDULE AUTOS BODILY INJURY g HIRED AUTOS (Per person) $ NON-OWNED AUTOS BODILY INJURY(Per accident) PROPERTY DAMAGE $ (Per accident) UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS-MADE EACH OCCURRENCE $ DEDUCTIBLE AGGREGATE $ RETENTION $ $ $ WORKER'S COMPENSATION AND - WC STATUTORY LIMITS OTHER EMPLOYER'S LIABILITY Y/N UB-99511-238-10 10/08/2010 10/08/2011 E.L.EACH ACCIDENT ANY PROPERITOR/PARTNER/EXECUTIVE Y $ 100,000 OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 100,000 (Mandatory in NH) .. It yes,describe under E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS below - DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TG THE CERTIFICATE HOLDER AFFECTING WORKERS COLv?COVERAGE CERTIFICATE HOLDER TOWN OF ASHLAND BUILDING INSPECTOR it, CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 100 MAIN ST THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ASHLAND,MA 01721 AUTHORIZED REPRESENTATIVE -ACORD 25(2009/09) W A Bolinder 1988-2000 ACORD CORPORATION. All rights reserved. y "Quality isn't expensive, .,..-Ashland it's es - �Itoofxng &. Gutters priceless" l s 25 Pine Hill Road ♦ Ashland Ma, 01721 May 25, 2011 Fred C. McDonald 508-881-7830 Date PROPOSAL 1 Name: Mr. & Mrs. Paul Myrick Address of Job: Address: 41 Topsail Circle Cotuit, MA Phone #:. 508-428-3804 Date of work: We hereby propose lo furnish flie. nialerfal.a4dpejlorni 1he laboi hecessary for 11lie.,completion of Strip all existing shingles"on front side of home and entire garage&dispose of in dump truck provided by Ashland Roofing&Gutter. Instal Vice&water barriers to first 6 feet of all roof edges including around all exhaust pipes,skylights,and chimney areas. nsta ,8 me a uminum,, ripe ge to all roof edges including all side edges,install new vent pipe flanges to all exhaust pipes. 9 ` Instal1__15 lb.tar paperto:all areas of.roof that do not have ice and water barriers installed. Reflash entire'chimney areas'with alumin um=-Counter flashing. ur ut dam pe'a s pthpme app`r..oximate y 2 inches and install Shinglevent II Capped Ridgevent system to main peaks of home. Install-approx.; square eet o ertaintee oo scape 30 Year Warranty Architectural Shingles to garage&front side of Rome. � 4 nce inc u Ta rna enals�;,,labori.permit tees and complete clean up of work areas. .._.., _....,... _ ,. , All material is guaranteed to be as specified, and the above work to be preformed in accordance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner. Payments to be made upon completion. Eleven Thousand Two Hundred and Fifty 11,250.00 Dollars ( $ ) (References enclosed with proposal.) Any alteration or deviation from above specifications involving extra costs will Respectfully submitted be executed only upon written order,and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents, or NOTE: This proposal may be withdrawn delays beyond our control, by us if not accepted within days. ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined Date : l Signature Office of Consumer Affairs and usiness Regulation 10 Park Plaza- Suite 5170 u Boston, Massachusetts 02116 Home Improvement Contractor Registration Reqistration: 118976 7 Type: Individual Expiration: 5/10/2012. Tr# 294488 ASHLAND ROOFING & GUTTER FRED MCDONALD , a — 25 PINEHILL RD. ty ASHLAND MA 01721 �I = Update Address and return card. Mark reason for change. E] Address Renewal Employment 0 Lost Card DPS-CA1 0 5010-04104-G101216 ('die �am�nw,uuea,�C/z o�✓�aavacfiuoelta License or registration valid for individul use only Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration �- _118978 10 Park Plaza-Suite 5170 Expiration 5110/20:12 Tr# 294488 1 j - Boston,MA 02116 1 Type �. _Indryidual ASHLAND ROOFING 8 GU.TTER,!, FRED MCDONALD� -- 25 PINEHILL RD. Cf ASHLAND. MA 01721''"; 't Undersecretary Not valid without signature .-...,-a-..••, -- ... _.�.. -.._..,.._. ,_,_.-.._,_._,.�..,. Dt p tMneht.of l tlhl►c Bn trdttiitt.BurJtl►m� RCAMution,and.St.ttlrlar(hi. Construcftn`-Supervisor Specialty License}" ; }„ Licenser CS SL 99186 —- Restricted to RF WS FREDERICK MCDONALD -~ 25 PINEHILL.ROAD; ASHLAND; MA 01721 ►".. � - Expiration: 2/14/2012:*, t' ('unmiisiue�w TrtV 99186 t f f • �S The Commonwealth of Massachusetts i Department of Industrial Accidents W: - Off eff 0111YBsl1g81/oos� ' 600 Washington Street Boston,Mass 02111 Workers' Compensation Insurance Affidavit location 33 fits city r fA S� ��� 1��l�l.� `� • �� � one�l [� I am a homeownez performing all work myself. . �i am a sole rietor and have no one tivorking in env capacity ,�,� "//////%/�//.O�ll�' ✓,��'�'�/�r.�l�///%//////��%///%%////%/%%%%�//////,O%/%%%%/%%/////%//%%/%%//�%///%//J7///,�'�///i��///J////////%/,0i�"�/J/.aiZO�//�,d///%//////O/%%////%%�%//%/OO,I�///O�''/,O///O/,//.u: ❑ I am an employer providing workers' compensation for my employees working on this jab. com any name: address: dtv. phone#• insurance m _ niicv# I am sole proprieto general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: ....... com env name• address 2 3 L S 't'%nsS 1�,QQk dhru � \5 E'Cc2'y� phone#� �.:..:..: . insurance cm alley# i�%/w;lv ✓lCl'✓�sG%/(�(//G/(///////%//%// company name �S���� 1 • •• IL. C .. •Y..::.... address: cityAll hone#• Am# insurance co ' " ' .. •. : Failure to a Bare coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 and/or one years'imprisonment as wed as civil penalties in the form of a STOP♦VORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Oince of Investigations of the DIA for coverage verincatim I do hereby certify raider rh dl enalti�o e Pei, that the information provided above is true and co etx Signature t> Date✓ - Print name OL , Phone it -- ` q Cc-ontact use only do not write in this am to be completed by city or town official town: perudi icense# 7C3Lkansing g Department Board kuimmediate response is required ❑::� eep rtm n ❑ Deparonent person• phone#• ❑ (MM"d 9195 P1A) Information and Instructions 25 requires all emplovees to provide workers' compensati Massachusetts General Laws chapte or their r 152 section on f ee is defined as every person in the service of another under any cgzttr: employees. As quoted from the "law", an employ of hire, express or implied, oral or written. An employer is defined as as 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 as 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 ._...c.., e.....i,...a...o.c.,.,�*�do maintenance , construction or repair work on such dwelling house or on the grounds o: atau4aW W1A/wurav�.+ r........._ building appurtenant thereto shall not because of such employment be deemed to be as 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 contrac=- authority. ME 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 insiumce as all affidavits may be Accidents for confirmation of insurance coverage. Also be sure to sign and submitted to the Department of Industrial 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. Shouldoe D 1��ent��he beg�the w w"or if you are required to obtain a workers' compensate Policy,,please FRINN For 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 the Office of Investigations has to contact you regarding the applicant. Please affidavit for you to fill out is the event er which will be used as a reference number. The affidavits maybe returned t^ be sure to fill is the permiv2cease numb the Department by mail or FAX unless other arrangements have been made. you in advance for you cooperation and should you have any questions. The Office of Investigations would like to thank 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 fax#: (617) 727-7749 phone #: (617) 7274900 exL 406, 409 or 375 730 CUR Apt j . � Tab1eJS22b( Fraeriptin Paelu ps for One and Two-Famdlq Ra ddea W 1300dbW Anted with FoaaO FOda MAXIMUM MINIMUM Gluing t7Laa8 t.eiliae Wall floor 9aaemm Slab ling Am'(RA) U value= R4raW R vd0e• &vela Wall Pbimw apiprom Eluaaw? Fuk M- Rrvaduer 9701 to 6500 HeadaS Degree Daw Q IZY. 0.40 38 13 19 10 6 Normal R 12% am 30 19 19 10 6 Normal 3 129A 030 38 13 19 10 6 U AFUE T 15% 036 38 a 2s WA WA• Normal U 13% OA6 38 19 19 10 6 Normal V !S!5 0.44 38 13 2S WA WA M AFUE W 1SiL 0.52 30 19 19 10 6 M AFUE X 13% 0.32 38 13 2S WA WA Normal T 18% 0.42 38 19 2S WA WA Normal Z 12% 142 38 13 19 10 6 90 AFUE AA 18'Y. 030 1 30 19 1 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: �} Icy`O sa� \ C' CO U 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: L 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): 0 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-680303a 76uZ.mnAppcnumi Footnotes to Table J52.1 b: 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 fivm a building design with 300 f of glazing area. =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 stun 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. Wall requirements apply to wood-flame 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 wails. 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 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 035). c)If a ceiling,wail,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 oFTME rq� The Town of Barnstable BARMABM �0�' Department of Health Safety and Environmental Services Eo�" 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. QQ T e of Work: CJS�e_c1_� �oa Ii�00 cCk N Estimated Cost /Address of Work: 91 Top sa l i C t i`c e. C, t � Owner's Name: L c C \1 n ,.-�ate of Application: I hereby certify that: 5 Registration is not required for the following reason(s): []Work excluded by law Job 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 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 wner: r M Date Contractor Name Registration No. OR Date Owner's Name q:fortns:Affidav 14 i �(l PJ�. °'� << 5 2 y a � � i t O IME . The Town of Barnstable * snxxsrnsi.E, • 165 1 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 PLAN REVIEW n Q Owner: �. Ci P p1 Map/Parcel: 0� Project Address: �SrC i L C(K, Builder: 'P--, aLJ0JtJG The following items were noted on reviewing: G r'n L-)A . d LLB G LYx�, .S -T-b C r�- 2 Please call 508 862-4038 for re-inspection. Reviewed by: Date: q:building:forms:review MAScheck COMPLIANCE REPORT I 33,e�j I Massachusetts Energy Code Permit # MAScheck Software Version 2.01 Checked by/Date CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 9-22-1998 COMPLIANCE: PASSES Required UA = 88 Your Home = 74 /� Area or Cavity Cont. Glazing/Door —fl Perimeter R-Value R-Value U-Value U ---------------------------------------------------------------------------- CEILINGS 432 30.0 0.0 1 WALLS: Wood Frame, 16" O.C. 426 19.0 0.0 2 GLAZING: Windows or Doors 54 0.300 1 FLOORS: Over Unconditioned Space 360 19.0 0.0 1 ---------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if. appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date U i MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 DATE: 9-22-1998 Bldg. 1 Dept. Use I CEILINGS: [ ] 1. R-30 Comments/Location WALLS: [ ) 1. Wood Frame, 16" O.C. , R-19 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1. U-value: 0.3 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location FLOORS: [ ] 1. Over Unconditioned Space, R-19 Comments/Location AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283, with no more than 2.0 cfm (0.944 L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications. DUCT INSULATION: [ ] Ducts shall be insulated per Table J4.4.7. 1. DUCT CONSTRUCTION: [ ] All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer' s installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in Sections 780CMR 1310 and J4 .4. [ ] SWIMMING POOLS: All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. [ ] HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in. ) : PIPE SIZES (in. ) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2 .5-4" Low pressure/temp. 201-250 1.0 1.5 1.5 2 .0 Low temperature 120-200 0.5 1.0 1.0 1.5 Steam condensate any 1.0 1.0 1.5 2 .0 M1 COOLING SYSTEMS: Chilled water or 40-55 0.5 0.5 0.75 1.0 refrigerant below 40 1.0 1.0 1.5 1.5 [ ] CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water pipes to the following levels (in. ) : PIPE SIZES (in. ) NON-CIRCULATING CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F) : RUNOUTS 0-1" 0-1.25" 1.5-2.0" 2 .0+" 170-180 0.5 1.0 1.5 2 .0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 ----NOTES TO FIELD (Building Department Use Only)------------------------- ti 44. Ut Shad S ENT: VMTRACTOR iEr 1131.4� Type, Expiratf�i /g4- LMU4 :. 33 TWIN FMCS..f R E FgN_IMt # MA : DEPARTMENT OF PUBLIC SAFETY 131825 ONE ASHBU,T,ON PLACE, RM 1301 BOSTON,';``:M:A 02108-1618 CONSTRUCTION SUPERVISOR LICENSE " Number: Expires: CS 058662 09/17,/1999 Restricted To: 00 �d frn RONALD D DOWNING .33 TWINOAKS DR i p� o E FALMOUTH, MA 02536 \ ,. ✓:a ° Keep top for receipt.: and change of address notification. .p 1 • pry NA �r i L-- — Of rl�- I._O T Z� TJRA1hiAGyE .,,t, JOHNS. , .as��•��N'. r, LAURETAN( 34311 N� 're ' C'onT7;-4A} �s�.`h r LGCA3�� IN Ftc+GC) K0145 AI) Bc 8� l� 1t-3 F4ausj ZOA-;t Scale: I - � JaHN S. ►AURETANI _..------ PROFESSIONAL LAND SURVEYOR, AMERICAN SURVEYING COMPANY HEREBY CERTIFY THAT THE 30VE MORTGAGE INSPECTION 77 Rumford Avenue, Waltham, MA o2154 (617)893-6477 -AN WAS PREPARED FOR )NNtu I ION WITHANEW MORTGAGE I—h A . ., ....+ ...�+ r•r►^^ '^"' ^"� l ASsessors off ioe: (1st floor):, ' Assessor's map',�ancl lot number ...... .1 ,. � � �� �M�' `�, ,; ofY"E'O�� Board4lf Health:(3rd.floor): $t , 1 � Iro�Q� Sewe,fe. Permit number ........:.............. `...... �.�.... � �TALLE1 'P TL 5 e a;a E ' Engineering Department (3rd floor): ; , c House number ..:.. �� ®� `6AL CODE o,,��e39 �• APPLICATIONSPROCESSED 8 30j`9:30 A.M. and` 1:00 2.00 P.M. only. ® ����� �J t;s.•� TOWN 'OF � BARNSTABLEY BVILDING ,INSPECTOR { APPLICATION FOR PERMIT TOR! vlt ?-�'W \ ....... ... ./.j.. Iv/�/tJe/- ....... TYPE OF; CONSTRUCTION .......:...'�ti .....r L ........................................................................... . I • TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to .the following information: Location ....... a � ... !�� �..............Cm,® f Proposed Use L .....- G! !<.!��y........... ............................................................. . Zoning' District /C,... ....................Fire District C.•0 7�v i ............................................ // N� • Name of Owner �1?.!! ./"�` ..........................Address ....... ... .7Z..... .t��!/ ..... ............... /r Nameof Builder ....:................................................................Address ....................... ............................................................ • Nameof Architect ...................................................................Address .................................................................................... Number of Rooms ......................r ..........'..............................Foundation zp41/¢d,'e4l......, Exterior ....... .................................. ..........Roofing , T. ...................... Floors �1 ! f��.. �11P.. ............::.............................Interior Heating ...................... ...�/.....e .l.............................. Plumbing .......:....��...... ........ Fireplace /7q r!/✓�--- ........... . .e5►.�, . .... ..�-�...........................:........Approximate. Cost' .........�Ql.. . . Definitive Plan Approved by Planning Ba6rdYe �� `t% = 19 ." Area 9 .... 1 Diagram of Lot and Building with Dimensions-; Fee - SUBJECT TO APPROVAL OF-BOARD OF HEALTH p ��.....�:.............. OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree-to conform to all the Rules and Regulations of the Town of Barnstable regordi,ng�the above construction. 4_ Name -- ------- ®.. ............ Construction Supervisor's License d •i MCSHANE, JOHN .• ` �30'066� c. ONe ,Story " No +' „� r Permit for .................................... _ a c S.ingle......Family Dwelling Loca'ti n Lot #5'.....41 Topsail- C rcle.... r s 4 ei tio ............................. ..... s Cotoit . ..... . ................................. ............ �w, F (� ;' •' _. ' Jr John''McShaneOwner ........................... ... ........... . ......... � � - • 'F Type .of Construction .. ..•..Frame................................. ............ r< • ,f -•• /"�r ,yam { 1 p•�' 1` .t .............................. • y ......... 4 'i 1J - - Plot ..... ...!�- r Lot • a. e r - d: . - - Permit Granted October"'22, 19 8E ! r Date of.lnspetfio .... .. w f^{ Date`Completed /� - ... •19 'j, Assessor's offioe (1st floor): p Assessor's map and lot number .�......�.%P.....g ..... �5� THE Toy` Board of Health (3rd floor): '� C) Sewa a Permit number ��?....�� !..... S Z BAH39TSDLE. • Engiri ering Department (3rd floor): f oo tb 9- House number ......................................... e a APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00.-2:00 P.M. only . f t TOWN OF 'BARNSTABLE BUILDING INSPECTOR 1"2 APPLICATION FOR PERMIT TO t'/�!lu / c �c�%.¢ ............... TYPE OF CONSTRUCTION ............ --� ......... ......? ....~........19k. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location %n7c....:, ........`tea. �5-f!.c... l cid. .�''.............. .. .... ............................................. Proposed Use j�i�!j. P....7CC�/ rr�.L. !..... !. ...............................'..................................................... g Zoning District ......................1..:.......... Fire District ........... ............................................... Name of Owner y.. G SGlil Lv�...........................Address ....... � I/�............... Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .....................7.................................`......Foundation /�J��/�.-ev.......G'c.......... c ...... .............. Exterior ....... ��J,�1r' /Z. .............................................Roofin ���/� !9v�T �f Roofing,; ............... Floors .......... ..........:........................:.......Interior .... Se T O .......................................................... Heating �/ Gt/.. I/.....1.?/..............................Plumbing ........... '.r�/ T ........................................... Fireplace k..,Apprpxiia�ate•Cost;;..- ;���".`�.`�..`�................................... Definitive Plan Approved by Planning Board -_______19________ . Area .......................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH • � e a' Af 1 \ OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the-Rules and Regulations of the Town of Barnstable regarding the above construction. t s Name 94� ........... ........................ ..... Construction Supervisor's License 6 b� ��� MCSHANE, JOHN A=01 -096�w: No 30066.. Permit for One Story ICI Single Family Dwelling Location .L9t.Ap....4.1..Topsail. Cirlce r Cotuit ............................................................................... Owner ....John McShane ....................................................... Type of Construction ......Frame......................... ............................................................................... Plot ............................ Lot ................................ Permit Granted ........Q.Q.t.obr;:r... .x........19 86 Date of Inspection ...........................:........19 Date Completed .......................................19 'r V d` `�tMEf ��n The Town of Barnstable BARNSTABLE. Department of Health Safety and Environmental Services MASS. P �/ i6yq, ,0� Building Division 367 Main Street,Hyannis, MA 02601 f Office: 508-790-6227' Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection Location -� ��� Permit Number Owner Builder _ One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: �RV� � �► -S Y Please call: 508-790-6227 for re-inspection. Inspected by f Date �' ' OP Town of Barnstable ermit: ��jGSN �F7HE rpjY Regulatory Services ate4I1/0q ti o Thomas F.Geiler,Director BARNSPABLE, : Building Division v MASS.059. m� Tom Perry, Building Commissioner ArE p �A 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT Owner: (' Phone: S�G� h'o�� Ea-!2� Install at: O/v s', Village: Map/Parcel: Date: Stove A. Ne /Used B. Type: Radiant/Circulating C. Manufacturer: �A Sys `/ Lab.No. D. Model No.: Chimney G A. New xis ' (If existing,please note date of last cleaning) B. Flue Size C. Are other appliances attached to Flue? �y/ald D. Pre-fab Type and Manufacturer E. Masonry: <jme ' nlined Hearth A. Materials: B. Sub Floor Construction: Installer Address: Name: Phone: Location of Installation' u / f- APPROVED BY: Please make checks payable to the Town of Barnstable *This constitutes an official stove permit after inspection,photographed, and approved by the Building Inspector Q:forms:stove 41. I, �., r• i �ii E _ r) Map Parcel 3 --Permit# � House# Date Issued 1 �oard of Health(3rd floor)(8:15 9:30/1:00-4--3M e -9 �L �nservation Office(4th floor)(8:30- 9:30/1:00-2:00) Planning Dept. (1st floor/School Admin. Bldg.) - DIME t Definitive P-lan A oved by Planmrtg Board / 19 ' ST BE LIE LIANCE - TOWN OF BARNSTABLE WIT 5 ENVIRONMENTAL CODE AND Building Permit Application p p Project S ' dress I:b 0 C�..o e' - Village Owner L Address '5CXn-,P__ �A'I Tot Sa C If oc�e Telephone Permit Request � r First'Floor square feet Second Floor (UOA p square feet Construction Type QC rt" Estimated Project Cost $ ``r 32_00oa 9() Zoning District \��tiAt?nT iP .� Flood Plain Water Protection Lot Size �i3p Grandfathered ❑Yes ❑No Dwelling Type: Single Family )KL. Two Family ❑ Multi-Family(#units) Age of Existing Structure T Ye6 $ Historic House ❑Yes 8'No On Old King's Highway ❑Yes Z No Basement Type: Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 11 � e Number of Baths: Full: Existing 2 New Half: Existing New No.of Bedrooms: Existing 3 New Total Room Count(not including baths): Existing New First Floor Room Count 5&kxye Heat Type and Fuel: ❑Gas SLOi1 ❑Electric ❑Other Central Air aYes ❑No Fireplaces: Existing I New Existing wood/coal stove ❑Yes Q'No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) �1 Attached(size) 2 66r ❑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 Builder Information NameOi \ ;�,�yCSi Telephone Number S 7� 1 Address ate_V; 7 t License# 0 C,? , G Home Improvement Contractor# t ; a Worker's Compensation# Sp/.._ NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS (ALL ROPOSED STRUCTURES ON THE LOT. CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE � ' '� Iq P BUILDING PERMIT DENIED FOR THE OLL WING REASONS) J 1 C FOR OFFICIAL USE ONLY z. PERMIT NO. DATE ISSUED - - - ' N3AP/PARCEL NO. ADDRESS VILLAGE t :F =• . OWNER a . DATE OF INSPECTION: - FOUNDATION , FRAME • `'- + - { INSULATION` .FIREPLACE ELECTRICAL: ROUGH t FINAL - PLUMBING: ROUGH: FINAL GAS: ROUG FINAL - FINAL BUILDING • �- _ .fit: � , DATE CLOSED OUT ASSOCIATION PLAN N.O.< !t1 0 I X.V r. 1 y �3Wo �ARs_- I /7�.5 /v1EIjlT.I�V/-NDOWS�RO,. EDUND 4 TYON 8 CONC,WALL r" , r /3 No---1 35-1R.5 I I i i I I _,SASEM::VT-IN/NDObw I CX\,V-/3 5 3Zz0_O.02.. I i 1 I I i _ i�3JVo.E/_3AR5 ' . I �QPosEo-FoVryPaTioN . F_C A MR.T.BoYLE 6'N1S.L/TA C/RQE/AN �II7aRSA4 -CR. CATU/T, 1 AA. SCA LE: %=1 O" b \ /2 iv11yD0w t lrvpokv /j 2X/0 �� 2X/0 HFAOC-1 I ii ,!_ rA _2X6 �1 I I .N7AL.L - I� 1 I I sruAs i I FROA)FLOOR li TO PLATF i I I ' j 30" I ?7C6-P-LSILL :2X.6_-SHDE.. «Nb'EP-So N 1 I a I I i I � • j 1 I - I 3 CONG.BA✓FNjE:elr=:F.LooK': , - v V C67CNC�F_OO:Z/NG PR-CPOSE'D ADDITI.OIv.ZOZYISTING HONK Ff.RTMR:T.aoVLt -&MS.uT/l-CIPRZF`iAN._... .. .. .,. .//..TOP SAIL- Cl COTUIT, MA SCALE;` 1-O" SHZ4 T: 2 OF 5. I �AT�ED2G.L. OILING —'2X/O J6."0.0 ICOl1AR I DD�LAR i �1L"A2 • I I B:'.4nf BEAM' .BEAAA ---- JlVO._.2X.G --- _ s �2C 1 0 .1-!EA�E.2 ZSt./D:. F/-.EA/J:r.� _?..`�/J-•FcCc.2 --Z X WALL STUDS I FL VE 30 CDX — �Jc'b S HOE' l ;X1T.�lNG I /3 ---------a�j � FLOOR / --------------- ':-.-fir ,' . -_ . - _ _ " - - - _ _ '• _.K.O. - _ . -WINDOW .BASENI EN • 1. i '-K. O. - - _ _ i, ' .�K6UNo" LINE T Yo X -- 1 PROPOSED A019ITION To--X/STING HOME I FOR:MR.T DoYLE&MS.LITA.CIPRE/AN I - - TOP:SAIL C/R. CATUIT,MA. S_CALE:,z ,gH,EET 3:of S I L_ I � -3'%' � — 5'3 y` * ��•�--�a' 63�� I y=/per 1 I I _ I . _.___._._..--._ __-_.-__..-__.-_ __.__ I I l tG4LL L/NE a P'O:CXE7— -0OR 7 I/ P�-YNOWD.. I fl _SPZATN NG I i I - JER P- SED_FLQOR PI-AiY. .EUR M ::T73_t-yam.--&MS;Z-17A C/PREIAN NIA, 5ME T/OF-, . I B712G€�ENT_ . A3Pf3A71ZT-- IZDaF.S�/NGLES FX7S7-Zi& . vn�-n=v -.�TLFA_TKLN G- � Ae[OFR5o1✓ - WILllDONIS —_ _ ' 1 STDl�3 6_8.. I ' t G7�2�VD-L NE DKr.. •I .. _ - � I. _ FA-�:T H�VAT/O N • :� •.. •. - Jam— SHEATH/N6 _ _._._ �SjZJ%�!O �TZT�TZ-:T F'JIAS,LJTA C/PIKE/AN � -'//__T-D-..SA1L.W(-,.CATU/T, MA ' SCALE_'-%'-'-•-.z-0'. __.... � I 4 I i 00 i3 �I s Q' 0. ' 9 , l t v 9-4 -L_2o n _ �\ \ PLOT PLAN OF LAN® \ ` TO THE BEST OF MY KNOML EDGE. THE FOUNDA TION L OCA TED IN ��Vgt# OF 4fgs^ SmoYY ON THIS PLAN IS AS IT ACTUALL Y EXISTS AND BA RNS TABLE — MASS. DAV{D of, THA rl IT CONFORMS TO THE TOMN OF SARNSTABLE ZONING oCHARLES REGU—A TIONS, REGARDING YARD SETBACKS" PREPARED FOR SANICKI 28085 o ti DA 71- SEPr. 12, g s MC SODA NE CONSTRUCTION �GIS?��� O� DATE•SEPT. 12.S3B6 SCALE• J"�40 FT. � , R.L.S. t su>R�► '� e CAPE 6 ISLANDS SURVEYING FL oG ZONE C TEA TICKET - MASS. AI1JM. 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