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HomeMy WebLinkAbout0468 COTUIT BAY DRIVE y�o� � Jr - - _ — — -- Assessor's map and lot numb ............................�. .. SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE ................. Sewage Permit number ... .. '.7� WITH ARTICLE II STATE SANITARY CODE AND TOWN �P�OF'THE TOWN OF B A R NSTA.9• - d � Z BARNSTABLE. i MASS'- BUILDING INSPECTOR Op�O YPY Or APPLICATION FOR PERMIT TO .....60 -57`2ucT A- gl Aloe&- y"AA41 BUJ —L /GI C� . ............................................................ ...............:.. ... TYPE OF CONSTRUCTION ........U100 D r12 R-A17 ............................................ ......... .... 19........ v 4 /...3.�................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: .:...... oZ ../yo.... ."/. o7'v�{:. AY... �R�v� �oTUr7— Location j....................................................................................... Proposed Use G M/ W LL/iV(7 ...................E.....�A.......... ............................................................................. Zoning District ........ .r.......................................................Fire District .......dDYU...T .......................... 12DI3EIzr rN� N.a • � z6 �o;etlq r 2)R, � u,<13v2 `l Nameof Owner ........................ l1. .r�1..................r�.�........Address .........................................................................X......... S� Yl9e � r( rc /f ....................................Name of Builder 5 ............................................Address ........................ ........................................ Name of Architect ...e�9vDE•• Il6U�,LGE ••••••••••••••Address ........ �E�!?GSG HA-55 ............................................................... Number of Rooms /F� ..............................................Foundation ...l...Dtlfz (.•ONGkE7� ................ ................................................... Exterior — ........................ C�yJA{2 l�Fl�l6GC f�5r'�/AL7` slllxl6LE ....................................................................................Roofing ........ .. ................................................ ...... Ak................... y s� �o�� .Floors .................................................Interior ......... SH �..1.'..........................:.D..... . ......................... Heating 0/i , W, ........................Plumbing ...... gi ! (%P Fireplace .........Z . 61 E a .Approximate. Cost SG' �U.. �.. y 5 Definitive Plan Approved by Planning Board ____U_uh'E____________19 7 Area // Diagram of Lot and Building with Dimensions Fee ..............t. ........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 5Ew I'1aN A-T-`ACNED �777— I he agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the ab:.v e construction. N ........................ r.. ................. .. ........... Cunningham, Robert 18645 one story, No A►............... Permit for .................................... single family dwelling Cotuit Bay Drive Locationk......................................................... 190tuit ............................................................................... Robert Cunningham Owner .................................................................. Type of Construction . frame.......................................... ................................................................................ Plot ............................ Lot ......#3.4................... t Permit Granted ..........Se.. ..P. ber 10...............19 76 Date of Inspection Date Completed ................19 PERMIT REFUSED ........................................................ ....... 19 ............................................................................... ............................................................................... ........................... ................................................... ............................................................................... Approved ................................................ 19 ............................................................................... .................. ............................................................ Assessor's map and lot number. .............................. Sewage Permit number ............. `T"E.'°�.� TOWN OF BARNSTABLE I BAHBSTAILE, i "6,°r' BUILDING INSPECTOR �o war APPLICATION FOR PERMIT TO .....:. ...... . ......:... ......... c..... .... TYPEOF CONSTRUCTION ........................................................................................................................................ ........................................:.......19......... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... ...'..:. . ProposedUse ...... .......:.�. ....... :..:.::. ... ..... .......;. .... : . ................................................................................................ Zoning District ......................................................Fire District Name of Owner .. . '.:...: :.. Address ........`. :....'. .......:: ......... ...... Nameof Builder :.................Address................:................................ .................................................................................... Name of Architect .....'.. :.;.:;....................Address ........: ...:. Number of Rooms .......:. ......................................................Foundation ... ....c:.. ...:.... ...:::.:. ...!. .................................. Exterior .............................................................Roofing Floors ::....................................................................Interior ......... Heating ..........::........::............................................................Plumbing ..............:................::............................................. Fireplace ..........................................Approximate Cost Definitive Plan Approved by Planning Board ______________________________19_______. Area Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name"..... .................... ..... .. ............................. Cunningham, Robert A=55-33 18645 one story, No ................. Permit for .................................... single family dwelling ............................................................................... Location . !.... `f K Cotuit. . ... ... Bay Drive. ................... .... ...... . ...... ........ . Cotuit ............................................................................... Robert Cunningham Owner .................................................................. ame Type of Construction .............. ........................... ............................................................................/... V . Plot ............................ Lot ......... ........ Permit Granted .......Septe r LO 76 ......19 Date of Inspection ....... ............................19 Date Completed ... ................................19 PERMIT REFUSED ............. ......................... 19 /.. �. ................... Approved ..........'. .... .......... 19 ......................... l0�1 . ................ ........ ,......y.......................... s 11 r' 40, O 4C- f v b (e0 �500 o . CGIJ R7- _ 2,; 2 12 MED &Mw SAVO / .hereby certify..that the PLOT PL AN F,ocindotion is located as shown and conforms to the Zoning `L Sy. Lows of the Town of ;�`` ��\ « o GRcTE- G\ C07 r BQ r - SHORES . KHANN'OJ COTU/T, BARNSTABLE ,l. AMA SS. Seo/e / " - 40 'Sep. 8 -6 sup GRET..E M. BO'HANNON R.L.-S. West Bridg.eWa Mass., 02379 ti - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map V Parcel Application #U vo Health Division_ Date Issued Conservation Division Application F J1W Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address '46 C.o-�u',* dOwa CWwe_ _ Village Owner �'�c,�r,o.c cA �c�'._n o� Address C orty.;4t b r'\V'Q. Telephone_ Permit Request AdA 9,3O Ce.\\.k\o Aro cXga o.{AN c_ kN(- Se O'1 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District _ Flood Plain Groundwater Overlay Project Valuation \ Soo.o°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 wood/coal stove: 0 Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn:: Llexisting O net size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: 4 w Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name C.oc,po-r Telephone Number (;0g- Address 3`76 �,OcA�2. \SO (�&.A\AP_L- License # VO_( � _! or Aw k,\n. AkA OA4r3 Home Improvement Contractor# \q 1,A \ Worker's Compensation # \NC`10\6(o.S"30\ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE &.")I DATE ► Z " FOR:OFFICIAL USE ONLY APPLICATION# ~ -DATE ISSUED *MAP-/PARCEL NO. t ADDRESS VILLAGE ' OWNER ` DATE'OF INSPECTION: FOUNDATION jr•f3�"°I FRAME r f INSULATIOWI '' fi FIREPLACE i ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS:-: tv_ = ROUGH - 4•�- FINAL :;...DATE CLOSED.OUT. - 4 r j .. • ,. i ASSOCIATION-.PLAN NO. The Commonwealth of Massachusetts Prinl Fo m µ. Department of Industrial Accidents Office of Investigations I Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers-' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual):CONSERVE ENERGY INC. d.b:a CONSERVISION ENERGY Address: 376 ROUTE 130, SUITE C City/State/Zip:SANDWICH, MA 02563 Phone #: 508-833-8384 Are you an employer? Check-the appropriate box: Type of project(required): 1.Z1 I am a employer with 6 4.- ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling shipand have no employees These sub-contractors have g El Demolition working forme in any capacity. employees and have workers' 9 ❑ Building addition [No workers'comp. insurance comp, insurance.1 required.] 5. ❑ We are a corporation and its 101-1 Electrical.repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their I I.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, 41(4),and we have no employees. [No workers' 13.9:1 OcherWEATHERIZATION comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such, tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. if the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance fur my employees. Below is the policy and job site information. Insurance Company Name: SELECTIVE INSURANCE COMPANY OF THE SOUTH Policy#or Self-ins. Lic.#:WC7956539 Expiration Date:3/15/13 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 MG L 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 D1A for insurance coverage verification. I do hereby cert&under the pains and eenalties oLfXerLu2 that the in ormation provided above is true and correct Si nature: Date __ D ✓Z Phone#:508-833-8384 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#: Client#:68880 CONSER A-CORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIOWYYYY) 03/15/2012 THIS'CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,.EXTEND OR ALTER THE COVERAGE AFFORDED BY.THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR.PRODUCER,AND THE:CERTIFICATE HOLDER.. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER INAME:CONTAC Rogers 8t Gray Insurance Agency,Inc. PHONE 508 398-7980 AX 434 Route 134 E-MAIL (Arc No): ADDRESS: ' South Dennis,MA 02660 INSURER(S)AFFORDING COVERAGE NAiC t I 508 398-7980 -- _ 1 INSURER A:Selective Ins.Co.of the South INSURED INSURER B: Con-Serve Energy,Inc. wsuRERc: 376 Route 130.STE C — Sandwich,MA 02563 INsuRERD: _ INSURER E: INSURER F- COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE.LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR'CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES_. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR - OL SUS POLICY EFF POLICY EXP LTR TYPE_OF INSURANCE INSR D POLICY NUMBER, MWDOIYYYYI IMMIODIYVYY) LIMITS A GENERAL LIABILITY X ! S2011299 3/14/2012 03/141201 'EACH OCCURRENCE 51,000t000 X COMMERCIAL GENERAL LIABILITY ppaMI,tA�EE T RENTED � i 'PREMISES Ea occurrence) iS1OO,000 CLAIMS-MADE F17V OCCUR !.tEO EXP(Any one person) S 1 O 000 PERSONAL BADV INJURY �S1.000 000 GENERAL AGGREGATE $3 OOO,OOO GEN'L AGGREGATE LIMIT APPLIES PER: I PRODUCTS-COMP/OP AGG S 3 OOO OOO X POLICY.' PRO-JECT LOC j S AUTOMOBILE LIABILITY Ea accmdentSINGLE OMIT ,Is ANY AUTO I BODILY INJURY(Per Person) ,$ALLOW AUTOS NED n�OESULED i I BODILY INJURY(Peraccidem)I$ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS I ' Pet accident . I$ _ $ A UMBRELLA FXOCCUR­ X i S2011299 311412012�01 EACH OCCURRENCE S1 000000 X EXCESS uAe CLAIMS-MADE AGGREGATE 153,000,000 DEO I X RETENTION 0 $ A WORKERS COMPENSATION. + )WC7956539 0311412012 03J14/2013 X WC STATU• BOTH• AND EMPLOYERS'LIABILITYYIN e f �''-14 '1�(TScR ANY PROPRIETORIPARTNERIEXECUTNE I E.L.EACH ACCIDENT !$1 OO 000 OFFICER/MEMBER EXCLUDED? n I N 1 A; r.----. (Mandatory In NH) E.L,DISEASE-EA EMPLOYEE A 00,000 tl yyeess describe under - — DESCRIPTION OF OPERATIONS below ' E.L.DISEASE-POLICY UMIT- $500,000 a i i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Att2ch ACORD 101,Additional Remarks Schedule,If more space Is required) Excluded officers under workers'comp-Conor.and Courtney McInerney. Blanket additional insured coverage applies under CGL CERTIFICATE HOLDER CANCELLATION Thielsch Engineering',Inc. SHOULD ANY OF THE'ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 195 Francis Ave. ACCORDANCE WITH THE POLICY PROVISIONS: Cranston,RI 02910 AUTHORIZED REPRESENTATIVE ©198 -2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S78899/M78898 DDR ----- .__.__-----..._..----- ---- ----- �// Gurrornu wul� a/.:. "rC/er Bled License or registration y Officc'of�onsumer Sl�;rs�Business�ul:;fum g straYion valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. 1f found return to: :. ..t- Registration: 171251 Type: Office of Consumer Affairs and Business Regulation 'Jg 5, Expiration: 3/1/2014 Partnership lU Park Plaza-Suite 5170 Boston,MA 0211.6 C996VE ENERGY CONOR MCINERNEY s� 376 ROUTE 130 SUITE C SANDWICH,MA 02563 Undersecretary Not valid without signature 1 T 'a N .1's:;01usc.tt"- t.)cliartntcm uI li'Public >at'. Board of Buildi.n—, Rt:,:ulmicros and %,tamhiiIls Construction Supervisor SDei:i;a!t; License License: CS SL 102778 Restricted to: IC CONOR MCINERNEY fin• iir",;.�. 39 SIASCONSET DRIVE SAGAMORE BEACH, MA 02562 Expiration: 8/19/2012 b t nsunis;i nrr' Tra: 102778 THE COMMONWEALTH OF MASSACHUSETTS Department of Public Safety One Ashburton Place, Room 1301 Boston, MA 02108-1618 APPLICATION FOR LICENSE RENEWAL CONOR D MCINERNEY 39 SIASCONSET DRIVE SAGAMORE BEACH MA 02562 ,Please note changes to mailing address. License Type: Construction Supervisor Specialty Restricted to: CSSL-1C-Insulation Contractor License No: CSSL-102779 Expiration: 08/19/2012 Please refer to the Department of Public Safety website, www.mass.gov/dps for continuing education requirements. Licenses not renewed by the expiration date shall become void,and shall after one year be reinstated only by a new application and re-examination of the licensee if required.All future renewal notices will be sent by E-Mail. Please specify the E-Mail address you want your renewal notice to be seat to:_ I;L- ;-'Qn'6d(m � Please review information on your license on the DPS website at: .mass. ov/ s I hereby certify,under the pains and penalties of perjury,that 1 am unable to access e-mail notifications and therefore request U.S.ma notifications of renewals. t Signature of Applic nt Date Please enclose a check or money order made payable to the Mail the completed renewal form with Commonwealth of Massachusetts for the required non refundable payment to: processing renewal fee of$a 00.00. Department of Public Safety DO NOT MAIL CASH. CSL Renewal Write the license number on the front of the check or money order. P.O.Box 414376Boston MA 02241-4376 1_AUT EIORM DPS IQ USE MY RMV PHOTO INFORMATION (Please check box on the lefi). This option authorizes the Department of Public Safety to electronically access my photograph from the Massachusetts Reeistry of Motor Vehicles database solely for use on this license/registration.if you do not authorize use of your MA RMV photo or.do not have a MA RMV licease, please submit Photo Submission Form for License Renewal available at www.Mg$A,gov/dM. ov/d . Failure to follow DPS license photo procedure will result in your renewal status being changed to "incomplete"until a proper photo is received. ❑ LANGUAGE ACCESS PLAN (Optional) Please check here if English is not your primary language AND your ability to read,write,speak,or understand English is limited, Please indicate what your primary language is: I hereby certify under the pains and penalties of perjury that to the best of my knowledge and belief the information above is correct and that I have filed all state tax returns and paid all state taxes required by law and complied with 1 laws of the Commonwealth relative to the withholding and payment of c 'ld support, 12 Signature of Applicant bate Rev: 1000-3000 Amt: $100.00 RenID: 119741 LicID: 291686 1 D-8158 4 ' 20120808 -� 0000130428 g 493 BOS-414376 O 1 L - f >011000138< ggg CR PAYEE ACCT LACK END GTD 4^ BANK OF AMERICA s ru • -t raj I m u : z it! • N D O 1 Q, G O W m tA • z � a � e • a j y u rm u a N C • O ,o =• QI cn .4 4 ta (, ti y,f w p d/1 aD O ... ••• .mviietwivme•:YdY febv,yw.,yJa,n:l eh�:rr•a m1 N nnMidtt rtdy ucrr.l.ti;.ygc:lrfj•;i .�— Q 9 0 d e x i .n i4:Aac':.o.�. .v,:m �.e�r.��•In•rn:•: tM Y �. ur.�.:•r•macx��e!• e ) O .4rnf.•.'0 •rrvrr.,tt!:.:a1:J:r90 J._.1 .Uechum'!.4' .�•prv-ea Iar ro'�d"rw+•a.+.e- .9 N 40 $ O Ir ��Y"}k:+.yN..q•.+�•t•r4Y of ) •py..t•:,.:::7cY•frl� .x.7rr�.r:•i••,y Or�wOar,w•>`c•• u L .. Li'.••.0 J.1.14+lie 47 e410-�.�+ C Q. Ran W•A .;y •� i 09 Q, 1 .c+s.S.n•,s..�,. •At-i,.v a;...r_I r—^aar,r.l roe ai .H-.JI_Prinl•.t .nr�n:?r•."7M.f-w 4rt I I "I xt e.Le T.ro711:avyr MI . •L,dDw.aee •,kr an g:rb r:^rvea na;y"I.ih.: � .r.• }w ) - IA •' �cl1•[AO•u�nle etrlN6lLEae e,lAarfJ.at�V•r•rnl Srelrm•R..ot�tlit.4 - a G OWNER AUTHORIZATION FORM (Owner's Name) owner of the property located at 4 6<6 Cola v �title (Property Address) A ' (Property Address) hereby authorize. S I Q f 1 0 (Subcontractor) an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building permit and to perform work on my property. Owner's Signature Z A v(3 c, S 7 Date i �I ConssrVWon i 11/14/14 Thomas Pery, CBO I Town of Barnstable F I Building Division i 200 Main St Hyannis, MA 02601 RE: Insulation Permits } Dear Mr. Perry, This affidavit is to certify that all work completed for insulation work at 468 Cotuit Bay Drive (application#201205357) has been inspected by a certified Building Performance Institute (BPI) Inspector. All work performed meets or exceeds Federal and State requirements. 1 Sincerely, Conor McInerney � ConserVision Energy � rn i I i 376 ROUTE 130,SUITE C SANDWICH,MA 02563 I 508-833-8384 WWW.CONSERVTODAY.COM