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0273 NOTTINGHAM
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( i ' r, S H _ t ''a?r J'. ,•5 F fit,. ,,x' y�r�._ ,r,,..'ar, ^�4.,.. i 'i` _ i# , ,'i - .. •,1,} r ,,,, . ._ 4 ' t, r , � 48?-."� f ,,$' J, tir. !'' n �"Vy ,R It .ta "' - ,try V. , Town of Barnstable Buildin ::. ,„ . .3�+. ;, :s.e -'i ;� s ,�, ✓ri �.;., ,3.`a`tea,. ., i a, „ `€ „'.ty�, ,', {''T g Post:This'Gard So That rt is Visible From�the Stre"04 roved:Plans Must be:f2etained on;,Job and tfiis Card Must be Kept At3Li. s <f:; ;,�,; i it pp "; a a • i6 Posted UntII FinaMark ection Has Been Made y � ea R Where a Certificate of Occupancy:s Required,suchloundrng shall Not be Occupied until a Final Inspection;has been made Permit Permit No. B-18-1655 Applicant Name: Jonathan Whipple Approvals Date Issued: 06/13/2018 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 12/13/2018 Foundation: Location: 273 NOTTINGHAM DRIVE,CENTERVILLE Map/Lot: 171-048 Zoning District: RC Sheathing: Owner on Record: LACHARITE, DONALD R&CONSTANCE M Contractor Name: JONATHAN N WHIPPLE Framing: 1 Coritractor License CS=078683 Address: 273 NOTTINGHAM DRIVE 2 CENTERVILLE, MA 02632 Este Project Cost: $3,212.00 Chimney: Description: Insulate attic and air sealing ''Permit Fee: $85.00 < Insulation: s. Fee Paid $85.00 Project Review Req: y - Final: Date. 6/13/2018 Y Plumbing/Gas Building Official Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work authr th oed by is permit is commenced within six months after issuance. Final Plumbing: All work authorized by this permit shall conform to the approved application an the,approved construction documen for which this permit has been granted. All construction,alterations and changes of use of any building and structures.shalllbe in compliance with thelocal zoning by laws and codes. Rough Gas: 3 : This permit shall be displayed in a location clearly visible from access st eetorroad and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. z - The Certificate of Occupancy will not be issued until all applicable signatures"byEthesBuildmg and F3ireOfficials are provided o this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work 1.Foundation or Footing Yx Service: 2.Sheathing Inspection a y Rough: 3.All Fireplaces must be inspected at the throat level before firest flue`hnmg is,installed _ ,_ 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Priorto Covering Structural Members(Frame Inspection) 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Perso tIrg with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site g p Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel "! Application #0?Q / v S Health Division Date Issued L4 Conservation Division Application Fee f" Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address 27 3 /l/Gp//y3 / 'AA . �Jf ` Villagec�f Owner !iZ/NA A.1 . Address 73.(J,,Aft,f Telephone 5!d9' - Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation a D Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wo4toal sto\7677� ❑Yes ❑ No Detached garage: ❑existing ❑ new. size_Pool: ❑ existing ❑ new size _ Barn: WE xisting J ne asize_ wD 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# cr Current Use Proposed-Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name rJ�"� G� �"�rn' f Telephone Number Address p , 7 License # � l Home Improvement Contractor# 0? 817 Worker's Compensation # ALL //CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO h�SAr SIGNATURE DATE / `�� FOR OFFICIAL USE ONLY 'x 3 APPLICATION# :DATE ISSUED MAP/PARCEL NO. f e ADDRESS VILLAGE OWNER ` DATE OF INSPECTION: r - iFOUNDATION; ;,,l;&, 511 t`t, { FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL _ PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING fl µ DATE CLOSED OUT 7' }k ASSOCIATION PLAN NO. , j The Commonwealth of Massachusefts Department oflndushza[Accidents Office of Investigations ' 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information ' Please Print Legibly Name(Business/Organization/Individual): Address: To &_,� Z?/ /q City/State/Zip: ,e r Phone#: t 5'a 79 7 Are you an employer?Check the approp ate bog: - Type of project(required): 1.❑ I am a employer with 4. E] I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6 New construction 2.XI am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' om insurance# 9. ❑Building addition COMP.[No workers'comp,insurance P• required_] 5. We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152,§1(4),and we have no � employees. o 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-ontractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: = Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). .Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,50-0.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. # I do hereby certify under the pains andpeyafties ofperjury that the information provided above is true and correct Si Date: �7 4 Phone#: ��g., /) � 7>�7 34 Official use only. Do not write in this area,to be completed by city or town official �Y City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: -Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto 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 de fin as"an individual,partnership,association, rporation or other legal entity,or any two or more of the foregoing engage a joint enterprise,and including the gal representatives of a deceased employer,or the receiver or trustee of an in 'dual,partnership,association or er legal entity,employing employees. However the owner of a dwelling house ha not more than three apartm is and who resides therein,or the occupant of the dwelling house of another who a oys persons to do maint cc,construction or repair work on such dwelling house or on the grounds or building appurte t thereto shall not cause of such employment be deemed to be an2 employer." MGL chapter 152, §25C(6)also states that' ery state o local licensing agency shall withhold the issuance or renewal of a license or permit to operate a b 'ness o to construct buildings in the commonwealth for any applicant who has not produced acceptable evi cc f compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Ne the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public until acceptable evidence of compliance with the insurance. requirements of this chapter have been presented to co acting authority." Applicants Please fill out the workers'compensation affidavit mpletely,by ecking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), addres (es)and phone n ber(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or ted Liability P erships(LLP)with no employees other than the members or partners,are not required to carry wor rs' compensation' ance. If an LLC or LLP does have employees, a policy is required. Be advised that affidavit may be subm��ed to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and ate the affidavit. The affidavit should be returned to the city or town that the application r the permit or license is be' g requested,not the Department of Industrial Accidents. Should you have any questio regarding the law or if you e required to obtain a workers' compensation policy,please call the Department at a number listed below. Self-' ured companies should enter their self-insurance license number on the appropriate ' e. City or Town Officials Please be sure that the affidavit is complete and prii ed legibly. The Department has provide a space at the bottom of the affidavit for you to fill out in the event the O cc of Investigations has to contact you reg ding the applicant. Please be sure to fill in the permit/license number w ch will be used as a reference number. In a lion,an applicant that must submit multiple permit/license applications any given year,need only submit one affida 't indicating current policy information(if necessary)and under"Job Site ddress"the applicant should write"all locatio in (city or town)."A copy of the affidavit that has been officially tamped or marked by the city or town may be p vided to the applicant as proof that a valid affidavit is on file for a permits or licenses. A new affidavit must be ed out each year.Where a home owner or citizen is obtaining a lice a or permit not related to any business or commer ' venture (i.e. a dog license or permit to bum leaves etc.)said pers is NOT required to complete this affidavit. The Office of Investigations would hike to thank you in ad - cc for your cooperation and should you have any q stions, 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_Washi ton Street Boston,MA 02111 TO. #617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 4-24-07 w .mass.gov/dia oFTME r Town of Barnstable Regulatory Services Thomas F.Geiler,Director 0.19. 1� A. Building Division Tom Perry,Building Commissioner . 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us � 1 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder ' ,as Ownet of the subject ro P PAY hereby authorize GPI K� Gu�L-"!UE - to act on my behalf, in all matters relative to work authorized by this building permit. (Address of Job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. } Signature of tore of Applicant Print Name Print Natne� Date Q:FORMS:0VJNERPERNffSS10NPOOL•S 62D12 E Town of Barnstable Regulatory Services `+ BAW&MAHM +` Thomas F.Geiler,Director 6 P Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis, 02601 www.towa.barnstable. a.ns Office: 508-862-4038 Fax: 508-790-6230 � HOMEOWNER LI F,gEMPT[ON Please ' `t DATE: JOB LOCATION: village number street ........ -HOMEOWNER: name home phone work phone# CURRENT MAnING ADDRESS: city/town state zip code } The current exemption for"homeowners"was nded to' lude owner-occupied dwellings of six units or Iess and to allow ; homeowners to engage an individual for hire wh does not ssess a license,,provided that the owner acts as supervisor. DE ON OF HOMEOWNER Person(s)who owns a parcel of land on which he/ a resid s or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures ssory' such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a in wrier. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall b r ponsible for all such work performed under the building ermit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility r mpliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she erstan the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will co m=ly with s 'd procedures and requirements.' Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 3 ,000 cubic feet or larg will be required to comply with the State Building'Code Section 127.0 Construction Control. OMEORTIER'S EXE N The Code states that: "Any homeowner erforming work for whi a building permit is required shall be exempt from the provisions of this section(Section 109.1. -Licensing of constructio Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,thal such Homeowner shall act supervisor." Many homeowners who use this exempti in are unaware that they are suming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licens ag Construction Supervisors, ection 2.15) This lack of awareness often . results in serious problems,particularly when th homeowner hires unlicensed p rsons. In this case,our Board cannot proceed against the unlicensed person as it woul 'th a licensed Supervisor. Th homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully e of his/her responsibilities,ma communities require,as part of the th t he/she understands the responsi ' 'ties of a Supervisor. On the last page permit application,that the homeowner certify of this issue is a form currently used by several to s. You may care t amend and ado t such a form/certification for use in your community. C:\Users\de Uil\AppDat&Uzm]\MicrosoR\Wmdows\Tempomry tcmetFi7es\Content.0utlook\QRE MN\EX? S.doc Revised 053012 I 1 Massacbusetts -Department el Public Safer ;Board of Build ng,Regutations and Standards Construction Supen isor License,CS-009691 FI- - JOHN W SWEEN�Y �r 1! PO 13OX711 W BYANNISPOkT MX1 0267T r 01 n't, Expiration C rsarn ssinner '0811212015 �� �/ze LCa»z�.zc�4cvealt/z rrJ^�llcc.,.;uc/zzc.,el� I r Uftice of.Consamer AfCairs:&Business Regulgdon a VME IMPROVEMEN'f.CO_ NTRACTOR x-- - 1i tstratton 8287 TyPe: xp1C� ©n 4f112418 Individual TM e� - t4 l ,iL'hr,Irv. -NEY f rnH"M QME annry F Massachusetts - Department of Public Safety Board of Building.Regulatiors and Standards Construction Supervisor V License: C$-00960-1 JOHN W SWEENI Y PO BOX 711 W HYANNISPORT lY'<A 02572 - -' - 08112120.15 _ ��e C<cnttrzczicaca�if�cf !t!`rr:,uc�u�eh` , ._Wee of Consumer Affairs&Business Regulation £'MEJMPROV.EMENT.CONTRACTOR �tegrstrat+an. .7 r828i iyp..e: ��. .�x�ltativn 4,li1�49$:;: lndiuiduaf ,iOHN W.SWE-llir f idul Use Y ense or registration validf founor d return to�nly t L►c ►ration dat a ulation ti ffairsatsd`Businesslt g before the exp I pffice of Consumer p'S170 10-Park plaza_Suite Boston,MA 02,,116 , ~ �" out signature Not valid wtth o m .W-0 JACK SWEENEY a` MASTER CARPENTER. 508.775.4730 1 - P.O. BOX 71 1 W. HYANNISPORT MA, 02672 - } 1 _ Z -77 c E _.--- Assessor's map and lot number ....✓::./..:�. .. �f......� PyOs TN E t��♦ S � o Sewage Permit number .......`.g........................................... SEPTIC SYSTEM MUST S 3 INSTALLED IN COMPLIAN BaEasTeDLE, House number. ........................ WITH TITLE 5 900 M639•...................................... . ENVIRONMENTAL CODE AN '£0 MPY a\ TOWN OF BARN 1RIONS BUILDING INSPECTOR APPLICATION FOR PERMIT TO r� ... ..v. /6...... ............ TYPEOF CONSTRUCTION ......... .... ............ .................................................................................... C��l l.<...................19...9 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the followi"infortion: Location ....9../. �........!... .............. .11. Q!.. J........... ............ . ................................. ProposedUse .... f ..................................................................................................................................................... ZoningDistrict ..........................................................................Fire District ............................................................................... Name of Owner ..... ......... . ..... .�.....h. ddress .t ./... ...... ............ ... ..... . ...!... ... Name of Builder ...... . ..... ...a.......... Address .I.../..................... ................................... Nameof Architect ....!mS -............................................Address .................................................................................... Number of Rooms .......... ,-.......................................Foundation ............................................................... ................ Exierior ..............I......1 1:'......................................................Roofing .................................................................................... Floors Interior .............;..... .... .............. ......... ,... ............. Heating ........ ....................................................Plumbing ..... .......................................................... Fireplace p ...................................................Approximate. Cost ......... ..4....�® 00................................ Definitive Plan Approved by Planning Board -------------------_-----------19________ . Area :./.. .......... ..�. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 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. Name .. .................... ....... ..............:................... Construction Supervisor's License a.r9...33....0.,.... KNOWLTON, FLOYD H. 28539 Build Addition No ................. Permit for .................................... Enclose Deck/ Single Family Dwelling , ............................................................................... ZLP Location ....273 Nottingham Drive ................................... Centerville ............................................................................... Floyd H. Knowlton ,. Owner ................. ............................................. Frame "� c Type of Construction. .......................................... ;_r, , ............................................ - ✓ i Plot ....................... --'`� r Permit Granted ...:October 11, r.19 85 n TT ' Date of Inspection ill.. �f:,:r <19•��'i !r Date Completed '/I...Rf..r..................... 9 PIS ' n ` ` ` r� fjd� l" s. ,•4 • y .ram -�� - � - 1 �j ' ASSESSORS MAP : 11i TEST HOLE LOGS NOTES: i PARCEL : 00 1) THE INSTALLATION MUST BE IN SUBSTANTIAL COMPLIANCE WITH SOIL EVALUATOR i�• me- eA Q S. CS& THIS PLAN, 1995 MASSACHUSETTS TITLE V & TOWN OF rrLL 4 , FLOOD ZONE : �(orl C11�1'ZA-iz� + WITNESS • I�pT ftrVIREO r "�" g�i! BOARD OF HEALTH REGULATIONS. � REFERENCE: �� 113�5 4 DATE: gu, 2) THE INSTALLER SHALL 'VERIFY THE LOCATION OF UTILITIES, PERCOLATION WE: SEWER INVERTS AND,. SEPTIC , COMPONENTS PRIOR TO ,►w► .►*°� �• 0 y ��P�L M �� > C1-�SS ..t S01 L. ul-p l = 0,7 9 P / INSTALLATION. 2f1 , t ' i(J t TH- I I L_�O2SS TH-2 3) THIS PLAN SHALL BE USED FOR.SEPTIC SYSTEM INSTALLATION A J M Q ONLY, AND SHALL NOT BE USED FOR PROPERTY LINE -t n s �� 1�YP/l DETERMINATION. �1 Z 62 � LBA-my 4) ALL PIPING TO BE 4" SCHEDULE 40 @ 1/8 "/ FOOT. (UNLESS t # � o SPECIFIED OTHERWISE) )A 3 S o LOCATION MAP(N' 5) THE DESIGN OF THIS SYSTEM DOES NOT ALLOW FOR THE USE OF A MEnl UJh P GARBAGE DISPOSAL. e) SArI� C 6) SEPTIC TANKS AND DISTRIBUTION BOXES (WHEN INSTALLED) 48.5 CI 2 5 51•�g MUST BE PLACED ON A MECHANICALLY COMPACTED BASE OR ON S i y t/4 A BASE OF 6"OF CRUSHED STONE. 52.• 7, /Sj7N( f -l��T 0._ 5EE_FtIMPE0) C�k'ED j 20 t _ No t<-NowN ��v_�,wr�.th wI i►� lS�_�F.Leo P,__ L�R�-tt►n� Its SEPTIC SYSTEM DESIGN W Jvj_l 'a� ' _-- .I- '�� . FLOW ESTIMATE I )L�1_V/��IAN�S_�R�►!�_�( _�e.__-.r�wr1. OF -_P�A'2►�Y�'�v(•� • 3 BEDROOMS AT IIO GAL/DAY/BEDROOM - 336 GAL/DAY SEPTIC TANK 330 GAL/DAY x 2 DAYS - 660 GAL USE (� GALLON SEPTIC TANK - U/STtN4 _ �L��E _ c SOIL ABSORPTION SYSTEM vNy�Yt� 41Le0� 4A''�'�*^0� 0f- ' C4 P A-C,l n-, l N F l l.TAAZ f UN►rS bJ l Lplp `D ']� 1 � I ID 2 S ST�N>=aN P5 �, 3.Sg SITU eOQ V1 ES ��p�C. Io WX O .. ; ... -- GN SIDE AREA: 2 x BOTTOM AREA: IOx� Ox ti 222 , A 4 3 4-0.�0 G P D i - tws'u'lNGI SEPTIC SYSTEM SECTION / '3306m ok lb P 65'.b6 I _ -------------- ' EL- tb oll czy I 6 Kn 1 II pI i✓x I ST•I� �Vfk'tl.v7J �t�.�r�n1 �a� � Da, Gv�eOtX GAL r�sr�r uEQ-To veru � 7P4- ISEPTIC TANK Ne �sjq�•sb o , L: 5�,bo S 3B OD Z / o o� 7e5m�foLf,, EL; 52• SS 3ig' Lv�bk S I. TE AND SEWAGE PLAN �10 T7-//vC��f�} ��1 V � � w�s�o 50►vs FLOCAT I ON : 7 3 , / ha,,; j� F 3 y � ti 2 N / I L//� C -1 2 Double Eiv i�,� to P aFC�ks G'A-� �o� N `��� 24 �, T� i I Wes wE �: 63.as M. �' ��• i _ �Ea 5n erER N PR'EPAR l) fdR_: ASs No. 1140 /l � CGN ST�e UC r/O A1 � '� ,, FG/$TE�� ., u SANITAR%A� � DARREN M. MEYER, R.S.' SCALE. / =20� Sk)4L)il �= 10 vN�k �� 43 VINE STREET DATE• S 6 �L OF (,A'�`'�' �OSEP�( M . ICI Rt� , DUXBURY, MA 02332 DATE HEALTH AGENT (781) 585-0293