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0023 WALNUT STREET
VI Town of Barnstable Biilldlil Post,This,CaFd SoThat�t.is Rh7is-CardTeFro the Street-:ApprovedPlans Must be Retained onJobMus#be.Kept ,g 6� Posted Until vF�nal Inspection Has Been Made k ; � � � � r � � � �� k a� ���� _ Permit Wfiere a Certeate of OccupancysRequired,such Buildmg�shall Not.Ybe OccupiedE unt�i a Final Inspectro hasbeen made Permit No. B-18-3710 Applicant Name: BURLINGAME, ROBERT N & ROSEMARY Approvals Date Issued: 01/16/2019 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 07/16/2019 Foundation: Location: 23 WALNUT STREET(COTUIT),COTUIT Map/Lot Po018-037 Zoning District: RF Sheathing: Owner on Record: BURLINGAME, ROBERT N&ROSEMARY ContractortName, Framing: 1 Address: P O BOX 557 ContractorLicense Est Project Cost: $50,000.00 COTUIT, MA 026353 i Chimney: Per rnt r Fee: Description: 12x18 Family room addition. 7 $355.00 1075 Insulation: 1st extension to expire 1/16/2020 Fee Paid F $355.00 Project Review Req: MUST PROVIDE HARDWIRED SMOKE ON F RS,T FLOOR (NOW Date , 1/16/2019 Final: OVER 1000 SQ/FT) € PItubing/Ga FOUNDATION MUST PROVIDE CODE COMPLIANT u s ! l t — VENTILATION. Rough Plumbing: AS-BUILT SURVEY REQUIRED FOR FOUNDATION BEFORE THE Building Official START OF FRAME. Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized�bythis permit is commenced within six months after issuance. Rough Gas:' All work authorized bythis.permit shall conform to the approved appl ation and thi `approved construction documents for which th s permit has been granted. All construction,alterations and changes of use of any building and st uctures shall be in with the local zoning by la s and codes. Final Gas: This permit shall be displayed in a location clearly visible from access streett.or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. ' € Electrical 3 The Certificate of Occupancy will not be issued until all applicable signatures by the Buildi k11ng and Fire Officialsare proyided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: ; 1.Foundation or Footing i ` Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final; 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: rm Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final• 1: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT O�� ti2o p�A� O,c�9 �pI9 P,ysT F Town of Barnstable Building Street °A roved:iPlans;MustbeReta�ned on J,ob.and,: bis.Card3Mus be Kept f Post This Card So That�t is Visible From theb pp G " Posted Untll+.Final Ins ecton Hash-Been IVade�, ' �' 3 r �6 ! .�� �.� � . � - ., � , . . Permit ° Where a Cer ifieate of Oceu anc Re u�red,;snch.Bc �ldmgshall Not be Occupled.unt�l a Final InspectIq has bee made r Permit No. B-18-3710 Applicant Name: BURLINGAME, ROBERT N& ROSEMARY Approvals Current Use: Structure Date Issued: 01/16/2019 Permit Type: Building-Addition/Alteration-Residential Expiration Date: 07/16/2019 Foundation: Location: 23 WALNUT STREET(COTUIT),COTUIT Map/Lot 018-037 Zoning District: RF Sheathing: Owner on Record: BURLINGAME, ROBERT N&ROSEMARY Contractor Name. Framing: 1 Contractor License 2 Address: P O BOX 557 Est Project Cost: $50,000.00 COTUIT, MA 02635 Chimney: r Permrt Fee: $355.00 Description: 12x18 family room addition < 3 Insulation: Fee Pald $355.00 Project Review Req: MUST PROVIDE HARDWIRED SMOKE ON FIRST!�FLOOR.(NOW Final: t � Date 1/16/2019 OVER 1000 SQ/FT) C FOUNDATION MUST PROVIDE CODE COMPLIANT VENTILATION. � � N�� �r Plumbing/Gas AS-BUILT SURVEY REQUIRED FOR FOUNDATION BEFORE THE ; Rough Plumbing: START OF FRAME. __ Building Official �� Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorsized�by this permit is commenced within six months after%issuance. All work authorized by this permit shall conform to the approved application nd the`approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoriing by laws and codes. This permit shall be displayed in a location clearly visible from access street ore`r6,p and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures liy the Building a d Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: X Service: 1.Foundation or Footing 2.Sheathing Inspection ` Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" M(as set forth in GL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT . _ _ Town of Barnstable____ Bi111C1 Post This Card so,T t it".is Visible From the Street Approved Plans Must be Retai ed on,lob and this Card Must be Kept 1MA63 Posted Until Final:!, Has-Been Made: s6yp , Permit Where a Certificate of Occupancy�s Required, uchBuilding shall Not be Occupied until a Fin 'Flnspection has been made."m t Permit No. B-18-3710 Applicant Name: BURLINGAME, ROBERT N & ROSEMARY Approvals Date Issued: 01/16/2019 Current Use: Structure Permit Type: Building—Addition/Alteration-Residential Expiration Date: 07/16/2019 Foundation: Location: 23 WALNUT STREET(COTUIT),COTUIT Map/Lot 018 037 Zoning District: RF Sheathing: Owner on Record: BURLINGAME, ROBERT N& ROSEMARY[, Contractor Name 4 Framing: 1 Address: P O BOX 557 - Contractor License: 2 ...... Est. Pro ect Cost: $50,000.00 COTUIT, MA 02635 � _,. ,µ Chimney: Description: 12x18 Family room addition Permit'Fee: $305;00 s ( - , "Fee Paid.;` $305.00 Insulation: Project Review Req: MUST PROVIDE HARDWIRED SMOKE ON FIRST FLOOR.(NOW OVER 1000 SQ/FT) Dater 1/16/2019 Final: FOUNDATION MUST PROVIDE CODE COMPLIANT VENTILATION. - � C > Plumbing/Gas AS-BUILT SURVEY REQUIRED FOR FOUNDATION BEFORE THE Rough Plumbing: START OF FRAME. Building Official Final Plumbing: ( Rough Gas: y Filial Gas: � <r Electrical This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved.construction documents for which this permit has been granted. Service: All construction,alterations and changes of use of any building and st ructures.shall be in compliance with the local'-zoning bylaws and codes. Rough: , This permit shall be displayed in a location clearly visible from access str..eet_or,road and_shallbe maintained openfor-public inspection for the entire duration of the work until the completion of the same. Final: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Low Voltage Rough: + Minimum of Five Call Inspections Required for All Construction Work: 1.foundation or Footing - Low Voltage.Final: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Health 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation Fire Department 7.Final Inspection before Occupancy Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. fAppliadon Number...............i .............................................. 3 30 _ � , � J05 - Ob . � A MABEL Pemut Fee........ Fee........................ v ...................._.............................. ................ '�otal Fee Paid .. t TOWN OF BARNSTABLE PeftApMv-eby.................................on........................_ BUILDING PERMIT (�I 011 . Map.......... ............P �e1 a ....... .. ................. APPLICATION Section I — Owner's Information and Project Location Project Address T J-i Village C,=TL, T j Owners Name ✓ dG�2 r - ��s 6"' ''z ��2L •v�,4.� G 1 Owners Legal Address 22 7 07 4 G City 4ro 7 � State 4V. zip eL�s3 Owners Cell#c5'o�=3�� -b-:X s7 E-mail 00 t yf} 63 ,5,F &62,07"Y"l - C-0 A,;r Section 2—Use of Stractare Commercial Structure over 35,000 cubic feet Use GrrouF .u��u vG DEPT. ❑ Commercial Structure tinder 35,000 cubic feet NOV 0 9 2016 Single/Two Family Dwelling f T."N u S to -fiction 3 —Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure' ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild. ❑ Deck Apartment ❑ Sprinkler System Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify , Section 4 -Work Description 17- X ( r T Act m,dzhe&*2/9/201 S Application Number.................................................... Section 5-Detail Cost of Proposed Construction s- oa. Square Footage of Project 2/1, Age of Structure l gi l S Dig Safe Number # Of Bedrooms Existing .3 Total#Of Bedrooms(proposed) - 3 110 MPH Wind Zone Compliance Method ❑ MA Checklist WFCM Checklist ❑ Design Section 6—Project Specifics t� Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas Fire Suppression ® Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply fz Public ❑ Private Sewage Disposal ❑ Municipal On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: &1rwq,A#4Lir l 1.// I am using a crane ❑ Yes No Section 7—Flood Zone Flood Zone Designation G Within or adjacent to a wetland,coastal bank? Yes ❑ No Section S—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. I z000 0 Total Frontage t 2 U Percentage of Lot Coverage Z5 #of Dwelling Units(on site) _ f Setbacks Front Yard Required 3a Proposed J Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes No Lzst=dwtFY1 2/9r2019 AWC Guide to Wood Construction in High Wind Areas: I10 mph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)1 Loadbearing Wail Connections Lateral(no.of 16d common nails)................................(Tables 7).....................................................1� Non-Loadbearing Wall Connections Lateral no.of 16d common nails able 8 • Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans ........................................................(Table 9).................................. C ft_in.511' ✓ Sill Plate Spars ........................................................(Table 9)....................................rft_in.511' �.-- Full Height Studs(no.of studs)....................................(Table 9)....................................................... Z Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans.............................................................(Table 9). ft_in.512' SillPlate Spans...........................................................(Table 9).................................: 3 ft_in.512" a Full Height Studs(no.of studs)....................................(Table 9)....................................................... Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously° Minimum Building Dimension,W Nominal Height of Tallest Opening2 ............................................................................... ..-5 6'8" ✓ Sheathing Type..............................................(note 4)....................................................... `'Rt7 ,✓ Edge Nail Spacing.........................................(Table 10 or note 4 If less)........................ in. r Field Nail Spacing..........................................(Table 10)..................................................i ✓Shear Connection(no.of 16d common nails)(Table 10)..............................................w....... Percent Full-Height Sheathing.......................(Table 10).................................................... .... % T 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts).................... Maximum Building Dimension,L 'F Nominal Height of Tallest OpeningZ .............25 6'8a ✓ SheathingType..............................................(note 4)..................................................... Yz, Pk Edge Nail Spacing.........................................(Table 11 or note 4 if less)....................::.. 3 in. Field Nail Spacing..........................................(Table 11)................................................. 4 in. ✓ ] Shear Connection(no.of 16d common nails)(Table 11).............. �r'"' ✓' . ......................................... Percent Full-Height Sheathing able 11 ` 5%Additional Sheathing for Wall with Opening>6'8'(Design Concepts).................... 7 Wall Cladding Ratedfor Wind Speed?.............................................................. ............................................................... 5.1 ROOFS .1 Roof framing member spans checked?........... ...........(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang ................(Figure 19) "Y<_smaller of 2'or L/3................................... ............. Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift:........ ................................. (Table 12)........................... U=Lpif .� Lateral.............................................(Table 12)............................................L= t_T plf .t Shear...............................................(Table 12)............................................S=-V n pif r Ridge Strap Connections,if collar ties not used per page 21...(Table 13)...............................T= pif. Gable Rake Outlooker................:.........................(Figure 20)............._ft 5 smaller of 2'or t./2 Truss or Ratter Connections at Non-Loadbearing Walls N/,Q Proprietary Connectors Uplift................................................(Table 14)...........`.................................U= lb. Lateral(no.of 16d common nails)...(Table_14).......................................L= lb. Roof Sheathing Type.......k'Y.................................(per 780 CMR Chapters 58 and 59)............ ✓ Roof Sheathing Thickness........................................................................................} in.>_7/16'WSP ✓ Roof Sheathing Fastening............................................(Table 2)...S.A....0 :ea„ . :!'......................_ Noi,D 7c r Ir e` AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)' •Check Compliance 1.1 SCOPE WindSpeed(3-sec.gust).................................................................. ............................................... 110 mph WindExposure Category.................................................................. .............................................................B 1.2 APPLICABILITY Number of ` ........,p. shall ha( e ) ..............a s story)�—stories 5 2 stories Mean Roof Height a roof which exceeds..in 12 slope shal(Fig considered.a st /y,0 y <12:12 — Roof Pitch ........ .......... ......... . ..... ...... . (Fig 2 .......( 9 ) ... < Building Width,W ................................................................(Fig 3)................. .............................12 ft <_80' '.. Building Length,L.......................................... :....................(Fig 3 It :580' Building Aspect Ratio(L/W) ...............................................(Fig 4)................................................ / 53:1 00, Nominal Height of Tallest Opening2 ....... ...........................(Fig 4).................................................<6'8 1.3 FRAMING CONNECTIONS r General compliance with framing connections.................:'..(Table 2)............................................................... h°r 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete....................................................................... ✓ . ConcreteMasonry.................................................................... ...................................................I........... 2.2 ANCHORAGE TO FOUNDATION'3 5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing-general ..........................................(Table 4)..............:.................:. �in. ✓' Bolt Spacing from endfloint of plate.............................(Fig 5)..................... 6 in�.<-',6I "-12" v° Bolt Embedment-concrete...................:.............:.......(Fig 5).................................................C in.>_7" Bolt Embedment-masonry.........................................(Fig 5)............................................ Ye' in.>!15 Plate Washer.................................................................(Fig 5)..........................................3...3 x 3"x Ya" z , 3.1 FLOORS t Floor framing member spans checked .,::a................ ... (per 780 CMR Chapter 55)........................:.......... ✓'' Maximum Floor Opening Dimension.:.1................................(Fig 6)...................................................17- ft<-12' Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig.6)....................................... Maximum Floor Joist Setbacks , Supporting Loadbearing Walls or Shearwall................(Fig 7)............................. .....................—ft <_d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or*Shearwall PPo 9 9 ................(Fig 8)...................................................... ft d Floor Bracing at Endwalls .... ....................(Fig 9)....................... '" Floor Sheathing Type ............... ........:...............(per 780 CMR Chapter M)................................... ►'' Floor Sheathing Thickness ..:..........:...................................(per 780 CMR Chapter 55)....................... 4 in. Floor SheathingFastening ....:. Table 2 ..,d nails at m edge/= a 9.:.............:........................... ( ) �• 9 F 2. in ,✓�` 4.1 WALLS Wall Height Loadbearing walls..:......:.............:.........:.....................(Fig 10 and Table 5)........................... 0 ft <_10' Non-Loadbearing walls...:.............................................(Fig 10 and Table 5)........................... 0 ft <_20' Wall Stud Spacing ..........................................................(Fig 10 and Table 5)................... /& in.<-24"o.c. Wall Story Offsets ........(Figs 7&8 4.2 EXTERIOR WALLS3 y Wood Studs Loadbearingwalls ... able 5 2x - ft in................ ........(r ).............................. _ _ Non-Loadbearing walls...... ...................) ........(Table 5).............................. in. Gable End Wall Bracing r _ Full Height Endwall Studs............................................(Fig 10)...:............................................................. (Fig 11 . . -ft>_W/3 � Gypsum S 'Ceill�r Length •if WSP.n................................( 9 ).................. .. ......... ... ......... 9 9 ( of used)...................(Fig 11)............................................_It>_0.9W and 2 x 4 Continuous Lateral Brace @ 6R.o.c. ..(Fig 11).......................:......:...........:.................. or 1 x 3'eeiling furring strips @ 16"spacing min,with 2 x 4 blocking @ 4 ft.spacing in end joist or truss bays Double Top Plate Splice Length ............ ..•. .................(Fig 13 and Table ti .................................... (oft Splice Connection(no.of 16d common nails)..............(Table 6) ..... ... :. . v Carter, Jeff From: Carter, Jeff Sent: Monday, November 26, 2018 9:32 AM To: 'ouidabb58@gmail.com' Subject: Permit/Application:TB-18-3710 at 23 WALNUT STREET(COTUIT), COTUIT for Building - Addition/Alteration —Residential Good morning, Please be advised that we are currently reviewing your permit application for 23 Walnut Street, Cotuit. At this time we have to deny your application until further information is provided for our review. Please provide the following:' 1) Addition foundation information—depth, bolt spacing and embedment 2) Show wind compliance for current building code—either submission of the MA 110 wind checklist or stamped plans showing compliance. 3) Full first floor floor plan with room dimensions and location of smoke detectors. Please feel free to contact me with any questions you may have regarding this request. Thank you, Jeff Carter Local Inspector Building Department Town of Barnstable' ' 200 Main Street Hyannis, MA 02601 508 862-4035 1 r / � �{ale IKH,�r✓ x r+r {' x•� � -__ ` 1 ,.ems}", # ar$40?00 1/9/2018 $0.00 12824 1/912018 $40.00 ,<__ 5087 r. 1/912018 $76.00 KZ,-4-4771---.•..�. 47'F 7256 _ "' 1/9/2018 $52.00 .,.sp. *.&'`-.Mp ;= '9 - ; � �• $5200i 288 1/9/2018 $52.00 r,$52,00- 1 4 1/9/2018 The Commonwealth of Massachusetts y'I Department of Industrial Accidents - Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): )?o4g;z-r ) Address: 2 3 t4-41_vUv7' 57— City/State/Zip: Cd nz,t. e 2,63 S Phone#: 67 0�— Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. 0 I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, 0 Demolition workingfor me in an capacity. employees and have workers' Y aP tY• $ 9. Building addition [No workers' comp.insurance comp.insurance. required.] 5. We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work. officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.0 Roof repairs , insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.[1 Other comp.insurance required.] *Any applicant that checks box#I 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: Policy#or Self-ins.Lie.#: _ Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby nder the pains and penalties of perjury that the information provided above is true and correct Signafore: Date: Phone# Official use only. Do not write in this area,to be completed by city or town official ' City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone.#: Information and Instructions T Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public-work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts D%M tment of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.mass.gov/dia Application Number........................................... Section 9—.Construction Supervisor Name_ Telephone Number s"o8"`C2.F- '.Ya3 Address 7Q u, ggL A u 7' s_ City Cc,Ti i- State Tip 0 2,&3S_ License Number License Type Expiration Date Contractors Email Cell# I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature' Date Section-10—Home Improvement Contractor Name Telephone Number Address City State zip Registration Number Expiration Date I uundeustand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your EUC... Signature Date Section 11—Home Owners License Exemption Home Owners Name: 'o 1 - �L�g/ �►y� Telephone Number Cell or Work Number i I understand my responsibilities under the rales and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation by 780 CMR and the Town of Barnstable. J Signature Date APPLICANT SIGNATURE Signature Print Name Zge;�r" 9,w,,1,%Afte Telephone Number E-mail permit to: atrti)ASR, 1 6— Z G'oh. Section 12 —Department Sign-Offs Health Department ❑ Zoning Board Cif required) ❑ Historic District ❑ Site Plan Review Cif required) ❑ Fire Department El Conservation - ❑ ' For commercial work,please take your plans directly to the fire deparbnent,for approva.L Section 13—Owner's Authorization L , as Owner of the-subject property hereby authorize to act on my behalf� in all matters relative to work authorized by this building permit application for: (Address of j ob) ' Signature of Owner date Print Name �3 S J ' F f Last undated:2/9/2018 The Coninionivealth of Massachusetts .fv Department of ladustrial Accidents i�; • �; ofceo!%vesi/gaUoos TW 600-H'ashhz,,vgn Street t, Boston,Alas. 02111 Workers' Compensation Insurance.Affidavit Annlica�n nformationi / Please AINT•le ]locit on: y city grf am a homeowner performing all work myself. 1 am a sole proprietor and have no one working in any capacity 1 am an emplover providing workers' compensation for my employees working on this job. nm gym•name• �, address: cth':— phone#• . insurance co. icy# L........rw.r..,.<...._...._. .�.. ._,.,_,.....,'�i....:.ys,.P7Q'^:-w•-�,�.wi•�w+��►n...www...o... _ -_ --- - � - I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: m an}_name- address: cia: phone#• insurance co. policy# L:��,.. ... - - -�: 4rnt✓:.,G.,.:,'[•ee-?-?y?•--7•.ee; ,r :+..+s.• �►:.•-,qn- _ •-'.-7s company name: address: city: phone#• insurance co. policy# :Attach additional'sheet if tiecessai Fuilurc to secure coverage as required under Section 25A of 111GL 152 can lead to the imposition of criminal penalties of a fine up to SI.500.00 and/or une N•cars'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Once of Investigations of the D1A for coverage verification. I do hereht•cc nder dde iu Ord pen ties ojperjun•that the information prodded above is t7`7175,`000rre Cf. Si_natu ate L Print name Phone it r wr��r ? official use only do not write in this area to be completed by city or town oRcial + city or town: permit/license# nBuilding Department ClUcensing Board ` []check if immediate response is required C3Selectmen's Office Dlicalth Department contact person: phone#; nOther r 4reised 3;95 P1A) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", all emplirnee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An emplover is defined as an individual, partnership, association, corporation or other icgal entity, or any two or more of the foregoing engaged in a•joint enterprise, and including the legal representatives of a deceased employer, or te' h •• 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, -'the occupam of the dwelling_ house of another who employs persons to do maintenance , construction or repair work on such dwelling !louse or on the `rounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 1*52 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any :applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter Have been presented to the contracting authority. ..�•w.•.r..r.�..�..�+.���.-......�. :v1•<., st-0L�•f�1-:. !i. {ya ..��'ay:. .'e�:.Jy!<+C•.:v::.. �?'�:� �.a'As; :-r�`•.;� l�RTi w-�_ 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 as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. Tile affidavit should be returned to the city or town that the application for the permit or license is being requested, not.the Department of Industrial Accidents. Should you have any questions regarding the"law" or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. s •. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department b , mail or FAX unless other arrangements have been made. r � The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, piease do not hesitate to•.give us a call. G.. •- ... • .1.. _ ...A•... 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 ext. 406, 409 or 375 The Town of Barnstabl NAMe P Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Cmss= F= 508-775-3344 Hag Commusi For office use only , Permit no. Date AFFIDAVIT HOME n"ROVEMENTCONTRACtORLAW SUPPLEMENT TO PERMIT APPLICATION MGL C. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, imprwemem,.mmcm-4 demolition. or construction of an addition to any pre-eadsting owner 00CUPied building containing at least one but not more than four dwelling units or to sUnCtn' :which are add to such residence or building be done by registered conactoM with certain ons,along with other Type of Work: F)C _ Est.Cost Address of Work Z �/{s�� �ia%��✓ Date of Permit AppIication:,J/ k I hereby certify that: Registration is not required for the follcming reason(s): Work excluded by law Job under S1,000 BLUilding not owner-Oaeupied Pig own Pat Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITHUNREGIST> ED COrTiRACTORS FOR APPLICABLE HOME WROVE3V1ENi' WORK DO NOT HAVE .ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c 142A SIGNED UNDER PENALTIES OF PERTURY I hereby apply for a permit as the agent of the owner: f ; Registration No. ate Contractor name OR I r , • TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please prin DATE JOB LOCATION_23 'Number Street address Section of town "HOMEOWNER" � 5 !lJlivd �Q NameHome phone Work phone PRESENT MAILING ADDRESS e-7 =�T' 2-46, ity .town State- Zip code The current exemption for "homeowners" was extended to include owner-occupi dwellings of six units or less and to allow such homeowners to engage an in dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Person(sy who owns a parcel of land on which he/she resides or intends to r side, on which there is, or is intended to be, a one to six family dwelling attached or detached structures accessory to such use and/or farm structure A person who constructs more than one home in a two-year period shall not b considered a homeowner. Such "homeowner" shall submit to the Building Offi on a form acceptable to the Building Official, that he/she shall be respons. for all such work performed under the building permit. (Section 109.1.1) The undersigned "homeowner" assumes ..responsibility for compliance with the Building. Code •and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requiremen• and that he/she will comply with said oce ures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be requirec to comply with State Building Code Section 127. 0, Construction Control. HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for whi0 `:--a:_juildi1 permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that Home Owner engages a person(s) for hire to do such work, cthat such Home C shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assumir, the responsibilities,;of a supervisor (see Appendix 0, ' Rules and Re gulatic for .licensing Construction* Supervisors', ' Section 2.15) . This lack of away often results in serious problems, particularly when the Home Owner hires unlicensed persons.. In this case our Board cannot proceed against the . inlicensed person as .it would ,with licensed Supervisor.'. The Home"Owner, a as ' supervisor is ultimately responsible. To ensure that the Home Owner is -fully aware of his/her responsibilities, communities require, as part. of the permit application, that the Home .Own certify that he/she understands the responsibilities of a supervisor. On last, page' of this issue is ' a .. form currently used by several towns. You mi care to, amend and adopt such a form/certification for use in 'your communii .� .w - LOT 107 / et 44 �..` o , Ord' DECKS 10, LOT 110 1 _ O VEL��.��11VG LOT 99 FND. OLD LOT 511E'D5.•. POOL y . ., j ... 1 'LINES' 6v >' \� y ,X , s LOT 103 L 0 T °O,c^ x �\ X .I r, r t i NOTES: PRE--EA=IXG, NONCON/''OIc'11.�'NG. OATE OF .-,YHE SHEDS APPEARS TO BE OVER THE LOT LINE.' RES. ZONE "RF" 1�i s MO-R`PG�1GE f.NSPEC'1'ION Plan is., For. .._ .:--FLOODZOIVE' "C" REGISTRY OWNE 'ko_BEkT_X BURLINGA L&_M3ZV RF h' Y R: ✓D.EED REF: �1 ` 19Q — BUYrR`. _REfW,YCE — -- -- ,DATE: -UZILG94_, -PLAN -REF: SCALE:1' - 30 FT. _L.HEREBY CERTIFY .T0 -. -INC. _______________THAT THE-BUILDING ���� of 4fj, YANKEE SURVEY SHOWN-ON THIS PLAN-IS' LOCATED ON THE GROUND AS _� ti CONSULTANTS SHOWN AND THAT--ITS POSITION--DOES _ CONFORM g PAUL TO THE -ZONING LAW-SETBACK REQUIREMENTS OF THE 4QB (SUITE A MERITHEW • IN ROAD. . .. TOWN OF �A ��__ -_ ___ -AND THAT No. 320!?a �°; MARSTONS MILLS, MA.: 026' IT DOES_NUt _ LIE WITHIN--THE SPECIAL FLOOD HAZARD �' �frlstE�`�° '" AREA AS SHOWN ON ':HE H.U.D MAP DATED-_2 � ,9._ ssn��a� •iAµos°Q TEL 428-0055 250001 0021 D" FAX 420-5553 __,�__ THIS PLAN :NOT ADE. FROM AN TRUMENT... .• j5900 E.C �� tx_ E�2I lIEW PLgr ,,, R SURVEY OT-TO HE USED FOR FENCES ETC. z .... . .... A 0 ID t - Town of Barnstable *Peru �6�2 Expires 6 months from issue date "PRESS PE ITulatory Services Fe � JU'N � � ���� Thomas F.Geiler,Director Building Division TOWN, ' SARNUAlkii,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERNHT APPLICATION - RESIDENTIAL ONLY Not Valid without Iced X-Press Imprint Map/parcel Numbe r 6 q— 1 Property Address 23 01,44V 1, � � G'OTL/ T (Residential Value of Work 1000 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address o6z51 - r 12:oSeL-mw;z 0-13 57— Contractor's Name &>zj Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor RI am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit doers not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note; Property Owner must sign Property Owner Letter of Permission. py of the Home Improvement Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise061306 The Commonwealth of Massachusetts Department of Industrial Accidents = j Office of Investigations + d 600 Washington Street W= Boston,MA 02111 w www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl Name(Business/Organization/Individual):— Address:— ++ u/�91i,vv7'' 5r City/State/Zip: C eo(76, �. fJ �►S� Phone.#: Are you an employer.? Check the appropriate bog: Type of project(required):. 1.❑ I 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.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g• ❑Demolition workingfor me in an capacity. employees and have workers' Y P tY 9. ❑Building addition [No workers' comp.insurance comp. insurance. wired.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions officers have exercised their 11. Plumbing repairs or additions 3. I am a homeowner doing all work ❑ g P myself. [No workers' comp. right of exemption per MGL 12.R' oof repairs insurance required.]t c. 152, §1(4),and we have no „ 13.❑ Other 'employees. [No workers' comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy 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. Iam an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure,to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1',500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certa - der the pains and penalties of perjury that the information provided above is true and correct Si mature: Date: Phone#: -Official use only. Do not write in this area,to be completed by city or town of icial, ` 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#k Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. e under an contract of hire . Pursuant to this statute, an employee is defined as ...every person in the service of another y , lied oral or written." express or imp . P 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,constriction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be,deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to'operate a business or to construct buildings in the commonwealth for any required." applicant who has not produced acce table evidence of compliance with the insurance coverage q PP P P P 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-contiactor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that ibis affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to boon 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.4 617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 11-22-06 wr�w.rnass.govhlia �oF•tHErc,�ey Town of Barnstable. Regulatory Services naxxsrasi.E, ' Thomas F.Geller,Director asass. ,gATfD Building Division TomPerry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstabie.ma.us Office: 508-8 62-403 8 Fax: 508-790-623 0 Property Owner Must Complete and Sign.This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized bythis biulding peroit application for: , (Address of job) Signature of Owner Date Print Name Q�'OP�/IS:O v�NERPfiR�IISSION ' . 4r Assessor's office(1st Floor): k: number . offi �.� n rr�� O�fNEj �4ssessor's map and lot �n � $ (� 3� Board of Health(3rd floor): _ ° .. �iAa.LED IN COMPLIANCE d� � Sewage Permit number WIM� Q • _ s■f�C v Z BABd9TABLL, i Engineering Department(3rd floor): ENVIRON CODE AWD moo r �A. 639. m' House number , TOWN MUL ATION$ Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M.only ; TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO !IV9-r6 L I- N-G 0vN� St4)1 AIM t AJ POOL, TYPE OF CONSTRUCTION V J W k/fVEz— 19 — TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information:: Location cq 3 `yAl tyur , S% Lo-rs ea q9 �jo) .o-n Proposed Use Zoning District Or Fire DistrictC��UI Name of Owner 7' &ILN g; 93 W&P V r 6-L e�OT&tT y Y 4- Name of Builder U�N " Address Name of Architect Address Number of Rooms Foundation Exterior Roofing Floors Interior Heating Plumbing Fireplace Approximate Cost ID G�Z1 Area 1 L/V Z-F Diagram of Lot and Building with Dimensio s Fee ' ��PnG F 90,V 13 k OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree.wconform to all the Rules and Regulations of the Town of Barnstable r . rding the.ab construction. Name Construction Supervisor's License . a BU �INGAME, ROBERT & ROSEMARY , No 32.842 Permit For Build Swimming Pool Accessory to Dwelling i " 23 Walnut Street .t." Location Cotuit Owner Robert & .Rosemary Burlingame { - Type of Construction Frame Plot Lot Permit Granted. April 2 8, 19 8 9 ` f- ` Date of Inspection 19 i 4 Date Completed 19 r Cl aa$ d° .a I r FJAssessor's t office(1 s Floor):ssessor's map and lot number U 3 7 .o Mnt - of THE Tod♦� Board of Health(3rd floor): Sewage Permit number • _ EAWST,AXLE i Engineering Department(3rd floor): rnea House number i639• \00 Definitive Plan Approved by Planning Board 19 �a MAI APPLICATIONS PROCESSED 6:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO I NET jq L I- I IV-1 (�OUIU.A S(MJ i`Y)M 1 6� PPl1L TYPE OF CONSTRUCTION IDYL /l1� c 19 G' TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to.the following information: Locat-ion' ;23 WA, mur 57�" 6-or, t o-n �7�"r Y" , Proposed Use Zoning District Fire District t,�aTL1( T� Name of Owner kn6g?Tt" SC-MO-1 13UIf 4/AA6j '�ddr�ess 2 3 P �'-�a 17 Name of Builder Address Name-of Architect t Address Number of Rooms Foundation Exterior Roofing Floors Interior "r Heating Plumbing Fireplace Approximate Cost ` Area 1 �' Diagram of Lot and Building with Dimensio,fts Fee �ifj j 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 Licenseq u p e RLINGAME, ROBERT & ROSEMARY ,a C>3'7 A=018-037 No 32842 Permit For Build Swimming Pool Arc-PCGnry to riWelling Location 23 Walnut Street C'Otui t - Owner Rohc�rt Rosemary Burlifigame Type of Construction Frame Plot Lot Permit Granted April 28 , 19 89 Date of Inspection 19 Date Completed 19 P-539 082 843 RECEIPT FOR CERTIFIED MAIL. NO INSURANCE COVERAGE PROVIDED `,j, NOT FOR INTERNATIONAL MAIL ,(See Reverse) CD Se to — � U) St r t and o C�• a a P O.,State and ZIP Code -6 3S l vs Postage S Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt showing to whom and Date Delivered U) 00 Return Receipt showing to whom. Date.and Address of Delivery m TOTAL Postage and Fees S ..p Postmark or Date E o U. W d STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE. CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES.(see front) 1. If you want this receipt postmarked,stick the gummed stub to the right of the return adds ss•leaving the receipt attached and present the article at a post office service window or hand it to your rural carrier. (no extra charge) 2. 11 you do not want this receipt postmarked,stick the gummed stub to the right of the return address of the article,date,detach and retain the receipt,and mail the article. 3. If you want a return receipt,write the certified mail number and your name and address on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space per- mits.Otherwise,affix to back of article.Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. 4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee,endorse . RESTRICTED DELIVERY on the front of the article. 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. 6. Save this receipt and present it it you make inquiry. i r WE The Town of Barnstable • snxxsrnsi.E,MAM • 0 9. Department of Health Safety and Environmental Services ATFp " Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner November 30, 1995 Mr.Robert N.Burlingame PO Box 29 Cotuit,MA 02635 Re: 23 Walnut Street,Cotuit,MA Map/Parcel 018/037 Dear Mr.Burlingame: This office has no record of a building permit for the recent construction at the above referenced location. Please contact this office immediately regarding this matter. Very truly yours, G�•v � Al ed E.Martin Building Inspector AEM/km ` _ ... s � . �, n •• �,,,ems--,r._•--�— �:.... �: �_: /�• � /� 37• if3 ac /`Assessor's map and lot number. .'.... ............... ..:. � HE THE__ � _ '�• "EP 9 THE S MUST >: r .wage Permit. number ....� 1° d A �.. £ I COMPLIANC 6�P� 4 a r TITLE E qqgg House number ........................Q.:�....:� . . ..... g�� '@ L e�l� 9�p 639 TOWN PEGULATIONZ , TOWN OF BARNSTABLE, BUILDING . 11NSPECTOR Construct storage shed APPLICATIONFOR PERMIT TO ..........................:..:............................................................................................... W od fta.me i TYPE OF CONSTRUCTION .............`........:...4......................................................................................................... { ................... ............ 19.3L TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......................... ots..:98, 99&100...Walnut...St... Cotuit.....M`�................... ................................... Proposed Use ..................Storage......................shea ........................................................................................................... Zoning. District ............ �.E......... ..............................Fire District ........ .COtuit.......................... Name of Owner ......Robert N. Burlingame Address ....W!Inut St: , Co.tuit, Ma: Name of Builder Owner ....................Address ......................:..:....:..................................................... ........................................... Name of Architect ... wn.er ....................Address ...................................................... ` One Pressure treted timbers Numberof Rooms ..................................................................Foundation ................:............................................................. Exierior .....:.Wood shingle ,,,,...Roofing ,•..Asphs.lt e shingl P1 vro .d Interior Open studs Floors .................: .................................................................. ......... ........................................................................ Heating ........N,one...............................................................Plumbing .......None............................ ............................... N e $1,000 . Fireplace ........A.�...:......................................................:..........Approximate. Cost ............................:....................................... .Definitive Plan Approved by Planning Board -----------__=----_-----------19_______. Area ......2.!�sf........................ Diagram of Lot arid Building with Dimensions Fee U ,�1 rt................... tC:.+ SUBJECT TO APPROVAL OF BOARD OF HEALTH r,y© Crff�oc� • T7, i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform io all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name !'...: ' G ! ,..,. �� Construction Supervisor's License .... ............................. �r:}BURLINGAME, RDBERT N. No 26449 Permit for .:-.- W.ILD:SHED Aooessor...to••I � g.......................... i Location ...23..r,1<-Al-nut•.St. eet......:................... .. ..............cotlAt................................................ 1 t OwnerI .........A. tga x Type of Construction �+ Frame f"- .............j................................................................... ......... ......... ........................ '` Plot .... ..... ........... Lot ............................... ti ' 7 Permit Granted ... .....•.................19 84 Date of Inspection ... ..................... .....=19 Date Completed .............. ... 19 �M1 A. ,: fir"' � .,� .w ,I I " •ti -��� l _ Assessor's map and lot number ................................ .. . ` .... Bpi THE 0 wage Permit- number ,o>A , �..•. ,:dl................. Z BA"S LE, House number ..: TAD i hMABa 9 TOWN O�F BARNSTABLE BUILDING WSPECTOR. b{ .APPLICATION FOR PERMIT TO .....h��.A.I.'. .(jor�tru�t ctor:f:`:e...`.h.ed� �::a �,.............. TYPE OF CONSTRUCTION. .....................:Wood fr�zne..................................................................................... 4 ................... .: ..:.............19. Zi TO THE INSPECTOR OF BUILDINGS:' The undersigned hereby applies for a permit according to the following information: j Location ......... . :....:.......Lot-�• ,,9,8,79•;?g1.0,0/_IV,-lnuts.(13A.... ...Cotuit.,...M ProposedUse ..................Ctor@. e...shed........................ ...:......................................................................... . ................. Zoning-District ............ �. .:...........................................Fire District ..............COtUlt................................................ Name of Owner ......Robert N BurliriF;2me ••Address ....W;'lnut St , Cotuit, MP . Name of Builder .! .,WJn , ...... ..ff f Address .�.....!.......,At r?s.:�..:`..!'......... :....... `.:........`".......�.� t"' , Name of Arch itect`..:fiJwnen,:..........~�'�R":.�:z.....` ....: ":.`......Address `�. ..................f ....:.....................`.�.. " .......... ...`..... Number of Rooms .................One........................................••Foundation .••Pressure•••tre•.•ted•.,t•imbPr.-...••.••• Exterior .......jggd...shinr1.e.............................................Roofing ....Asph.'lt...shingle-, ..........:::........ , .......... Floors ...Plvwond .Inferior ....9pe..n studs ......... Plvwond........................................................ ..,................................................................... _. . _ :- i 14 t None; Heating ..... .......... ........ ......... ......... ......... ..............?..Plumbing �..... * .................... ......... Fireplace IVr7t1 P ......Approximate. Cost �1 Q()0 ......................................................................... . ..... ......................................................... _r 21Ff Definitive Plan Approved by Planning Board --------------,_______:____19_______. Area .......... 6,c;.......................... Diagram of Lot and Building with Dimensions - Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH © C r`ff`➢D� •tµ Or r t �,v 5 E 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. A. Nam ... ..............' ��\) Construction Supervisor's License (// BURLINGAME, IX]BERT N. ^- �� ~. No —. Permit for .. .���e��---.. ~ ' ' ' . . —' . ' ........................... - ' - Location --------- ----.—'������---------------.. . _ Cxwne, ...�z����t.0�' ............ . . Frame ' ' Type of Construction .......................................... . , ----------------_--------- . . ' - Plot ............................ Lot ----------' . ~ Permit Granted ....�aY..I7^.....................lP 84 . . Date of Inspection ------------lA Doh» Completed -------^-----lg < ' . . - ,, . � . . ~ , ' . . " ' , - ' - ^ ' . . . . � . ` -- U . | � ' � Assessor's Office(1st"floor) Map l� Parcel � it# Conservation Office(4th floor)(8.:30- 9:30/1:00`2:00) i 2.2 ( fYvDat e Issued eM d p Board of Health(3rd floor)(8:15 -9:30/.1:00-4:45) Fee �Q . t, Engineering Dept. (3rd floor) House# ° 03 F Board 19 TOWN OF BARNSTABLE Building Permit Application Project Sk` e ddre (.t/✓�h�/� ,! !.AMS_�(�, q9 l6dJ. r'Village ~ c7�i 7' ' .:Owner, d �/ t Address y Telephone Gf — -- cL �✓ `-Permit Request � � V ` First Floor %r / square feet F Second Floor/ square feet Estimated Project Cost $ k#VZ/ Zoning District Flood Plain - Water Protection Lot Size /lG7/ x ! Grandfathered ? T Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial Residential ►� Dwelling Type: Single Family "" Two Family Multi-Family Age of Existing Structure A o r! Basement Type: Finished Historic House Unfinished �. Old King's Highway Number of Baths—_ .. No.of Bedrooms Total Room Count(not incl i g baths) �� First Floor Heat Type and Fuel Central Air k1lell Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None �- Sheds Other Builder Information G - � Name �> !.r//��� Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO /��(/ / SIGNATURE10-1,141 DATE 052 BUILDING PERMIT DENIED FOR T FOLLOWING REASON(S) _ _ ► FOR OFFICIAL USE ONLY _ PERMIT NO. DATE ISSUED :4 - MAP/PARCEL NO. ADDRESS �'` VILLAGE ' ! OWNER DATE OF INSPECTI N: FOUNDATION - r FRAME' ► - - , INSULATION FIREPLACE' j ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL t GAS: ROUGH FINALt r- FINAL BUILDING', - DATE CLOSED OUT i s ASSOCIATION PLAN NO. ( + ' ; t { t r Barnstable Bldg. Dept. Approved by: Permit ;,.�„ 1 a � � l EXISTING BATHROOM. o EXISTING KITCHEN V NEW ADDITION . o� ' V9 EXISTING - LAUNDRY Q�� O 't► ? 18'-011 II II III III Iil I11 3-3v 1 ' 3.,]I, y II II 0 II II 1; 161-011 II II u u n d 20.5,-0n n If n u n :. . _. ASED OPENING O u u n n u it o 1 u 1 — `� EXISTING ° ° " ' --$ - � ;; ;; ;; ;; EXISTING u ° I. I ci 4 NEW FAMILY N LIVING AREA " " " ';LIVING AREA n ;1 a ROOM ADDITION .t � ❑ 11 0 II II I; 1 II 1 I - ' - n -- i - II II II II - it II � A B 1 1 II II 11 11 11 II °. 0 8 1 � v - � II II II 11 fill v II 11 11 II 11 11 ° 1 i n u u n n 11 1 1 .1 1 IR e i EXISTING Proposed Plan PORCH / ENTRY IN °° Burlingame House 10.22.18 . I 1/4 =1 -0 t � G'O SET i o y lk 7 �. . RIB: . r r EXISTING KITCHEN EXISTING EXISTING PORCH/ ENTRY LIVING /AREA UP - ---_-. - _ -------------------------------- EXISTING EXISTING G LAUNDRY BATHROOM _ - m - C 41 -- -__ - - - s ----- B , NMO_L °a_: m Ici-3® ON101Ine c o , t/-1010"s an A A Footings below :_ -------- ---- Foundation wall below - -' Proposed Framing Plan -------- ------- - Burli.ngame House 10.22.18 114�� _ 1 0�� - -IZZ f ' - i EXISTING mm_ammmm KITCHEN EXISTING EXISTING PORCH/ ENTRY LIVING 1 AREA 7 `'- UPS _ ------ EXISTING EXISTING ,f LAUNDRY BATHROOM', f . ------------- ------- ------ _ B - .B --- - -- -. .z v O o m `, -_ ------- -- -------- H� +/-10119,s_an m P40"' Footings below .. _ --------. ——————— ='-. Proposed n FramingPlan Foundation wall below d `1 X3'X�y ate ' { Burlingame House 10.22.18 ————— — — - _ 1/4 0 F7 n 1 n Y, ---- - - = - �, 61 II y i I Loca>°nen sky�qiv Aemwe exiang skylight 1 III J I I m e4511"g robr:Align: Patch ebsting rooi it I I I - _ wnh.ewsung skyiig � �I�r—— 1 - - /' I-1� Keep existing skylight \ III II I I EasUng porch roof Usting A-inane roof I j \, Existing A-frame roof II 1�ush I I I \ i I Flu 1 I F,dsa rch root ew roM . I \Jew I Existtng'shed'mof ra I. ! --------� I - �L__ :1_ _ 1 ,� ------- :: — -----------�•t L—==Z---- ,;—G——_�-----. ---------� -- -------— --}-----------I-- i I ---=-----! r ------N- I j I I x I II 1 ------ i----------� i- I , I Ii rem o . Lff------- ----- � Proposed Roof Framing Plan A 11---------1---------11 ' I T-------=- ---------�� Burlingame House 10.22.18 Walls below 1Q'CA----------- --------- i Roof overhang `.:r.` I I i I 1/4 =1 o�� Ii I II . r7 =r --- C F 4 l Detail to be determined n ii n u ii if n' a it n ii- a ii ii` if it if 'i"_ Ir •i If II 11 11 11 If If It ❑. II 11 TYPICAL ROOF ASSEMBLY f Wood cedar shingles to match existing X _ �. _ ... nu ct eo a ee eaowsV ___,Fixed windowIce and water underlayment :5/8" weather barrier toot sheathing Anderson. sene3< . l double hug doa Ve, J. _ 2x12 @16"o.c.roof rafters w open cell spray insulation:R-49 min. tilt-wadi win x4ti.875 29.625" ". Wc� ;/\ " ,. 1x8 tongue and grooved pine boards w beveled edge. .. `�- �( -- `6"x6"beams @4'-0"o.a typ. Fixed window 6"x6"beams 64'o.c. \� _ T 'd '� `� c: TYPICAL WALL ASSEMBLY: i TYPICAL WALL ASSEMBLY: t bersan 40o serie wood cedar shingles to match existing Wood cedar shingles to match existing . dou lewMe, . j tilt-wish i ow Gedarbreather Cedar breather rypeca�ao.grs weather barrier s eathing-taped seams ' 7116"weather barrier sheathing-taped seams Nj , t rigid insulation-R-19 - -:Plywood sheathingfz- � 2x6 @16"o.c.stud wall w open cell spray insulation:R-19 min. ` %` 2xfi @16"o.c.stud wall w open cell spray insulation: nor5 gypsum - = enor gypsum wall lnte' 18" I tnt SP8" psum wallboard— 'r G � • V T TYPICAL FLOOR ASSEMBLY: TYPICAL FLOOR ASSEMBLY: Wood finish flooring -Wood finish flooring 3/4"T+G subfioor sheathing 3/4"T+G subfloor sheathing - 2 x10 @ 16"floor Joists with insulation:R-30 - _-'2 MID @ 16"floor joists with insulation R 30 (Insulation TBD re what this is under room:crawl space?) (insulation TBD to what this is under room:crawl space?) 11 " Section A-A Section C-C n!8`V8 J0 NM01 Sections A-A and C-C G10Z 6 0 AON Burlingame House 10.22.18 1/411=1 1—Oil I 41 Existing Airame roo� L --Usting Airame roof ":Locale new skyiig.. Remove existing skylight Keep existing skylight F ' in existing roof14 and patch ex sting roof == : ------------- :.new construction Ewstina root -1 Proposed extended roof above existing �/ ..\ A treine \ sting shed roof E)d r ` 1 _ Existing entry i�—.Proposed_siding above tj _ 1 —exisiing A' 1 I I I Ewstlrrr 1 1 I I 1A4 - - - 77 Section B-B Section B-B ,i Burlingame House 10.22.18 1/4 =1 -0 BSS D E .S I G N LOT 110 ENGINEERING LOT 109 LOT 108 LOT 107 & SURVEYING v��� �p _. www,bssdesign.com ffis N 18119 E CB FN- - sa � lee Bates Rd LOT 103 120.00' SHOWER > w.�.,,oec�ozfi4o 508.64&WW FAX 50&648.& cn s OF�- yFO .18.2' W F N O w 35.9' Z 1= o s� Q W Q a LOT 102 g 18 7' 0 V/ D �/ Z �,I''c+ ` y° °p�'ti o LOT 9 7 J I I w LEGENDS I °�y.r 35.9' y Q�, m a m PROPERTY LINE EXISTING I 1® z' STRUCTURES ! L1J Uj LOTS 9$ 9 9 & 00' W I CERTIFY T THE STRUCTURES (,� N m O LOT 101 y I ARE LOC ON LO 98, 99 & 12,000 SF I 100 As H � �— F 120.00' } ONAL D SURVEYOR 0 S 18119'W W ` Ga NOTES: DATE 30 lC] 1 scale 1. LOCUS IDENTIFICATION: 1" = 20' HOUSE No. 23 WALNUT STREET LOTS 98, 99 & 100 ON PLAN BOOK 2 PAGE 11 ��y�SHOF 611, date 2. LOCUS IS WITHIN: WALNUT STREET o� -1 SEPT 30, 2019 ZONING DISTRICT: RF } �ncicso NCR �+ drawn FLOOD ZONE: X o NO 32s53 EJP BUILDING CODE WIND EXPOSURE CATEGORY:B checked AQUIFER PROTECTION OVERLAY DISTRICT ° WIND—BORNE DEBRIS REGION 4C use job number 3. LOCUS IS NOT WITHIN: ■ ZONE II OF A PUBLIC WATER SUPPLY CB FND 19145 �. ENDANGERED SPECIES HABITAT title HISTORIC DISTRICT ; 0' 20' 40' 60' drawing number, P27-64 LOT 1U1 / a1 �/ `4; / 9 rDE C' LOT 11.0 - =z1. o' - aNG C E. LOT. 99 FND. DECKS S'ILDS 'POOL OLD LOT LINES G ` LOT 103 /�>Y ,fQ�• r1' 1 GO! LOT• 10 -� ?`,terG.1. ; ;✓.'... NO YES PRE--E�17STING, jNT 0. 1 TC01V rn r V TNG. `.��61.t1 - _ � .. E LO'T LINE. ���-s• GATE OF .THE, SHEDS APPEARS TO BE 0 VER TH ;, �.= Plen is- For ._. .. T , RES. ZONE.- RF . . �'?is . MORTGAGE INSPECT ION FLOOD zo11E c _.;_ . REGISTRY Y UWNER: Use Will 0_,ERT M.... EURLINGA & f—Sz RY FAN Y DEED- REF: ,-51 1� —BUYER. _9,ElELYA&f ' DATE: I,1„�l". 4 PLAN REF: SCALE: 1'.'= 30 FT. _L- HEREBY CERTIFY'.. T0.-. ' INC _ _ _ __THAT 'THE- BUILDING ' �ZH of Mgsf9 YANKEE SURVEY SHOWN ON THIS PLAN'--IS -LOCATED ON THE'-G•ROVND AS �� �y CONSULTANTS P��U.L. r SHOWN AND THAT--ITS POSITION DOES ____ -CONFORM-; 4OB (SUITE 1) TO THE ZONING LAW SETBACK REQUIREMENTS' OF THE M . (THEW INDUSTRY ROAD TOWN OF. _ �A�N,5TA•��______ _-- —AND' THAT No. 320!)8 . IT DOES_ N! _ ''LIE WITHIN--THE SPECIAL FLOOD HAZARD MARSTONS MILLS, MA. 02648 m �ss� FCIstE�`� ��� . ' -TEL: �428—0055. AREA AS SHOWN ON. SHE H:U.D• MAP DATED�Q ,,la9 '�� n'VAL •LA%oS FAX: 420-5553 community—Panel ,250001' 00,21 D TFiiS ,PLAN .NOT MADE FROM AN TRUMENT, , �MEH`I Ef�W,'. � � _ ;SURVEY'` .NOT •TO HE. USED> Fbn FENCES ETC. 1�900 E. C, .. E Oy s, ., I