HomeMy WebLinkAbout0218 WINDING COVE ROAD 4L
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Assessor's map and lot number ..........
Sewage Permit number .......:t .... .�c........:.......:......
rs f I BAR33TODLE, i
House number :....... ;�tt rasa
............... ................................ 90p 6 q. 0�
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TOWN OF BARNSTA*BLE
BUILDING INSPECTOR
APPLICATION1,•,a�� -~✓ �,� e. ->' E.a ; r� �/ �c ���� Fj
FOR PERMIT TO ........... X ..... ..... .... ... . . ... .... ..... .... ........
TYPE OF CONSTRUCTION .......................................... -2'C; ` <. ........................ . �f J
•
................................................19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information
-
Location ................f :r? ... ...�.......... ..............................�-r >................- F�-- ........ C ........! /.a..!..1.:......................
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Proposed Use ........ `r' ✓ -!v......�!u:. ........... ...... �U: .' t f-�T............
Zoning District ......r ...............................................Fire District .... ........................ C.......i•..lZ^�z=:?...... ......
Name of Owner��.... .....GF..:�4r'!J fir''....<< '.�: �'... ddress f
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' Name of Builder /�
,. ....................................................................Address ....................................................................................
Nameof Architect ..................................................................Address ....................................3..........................'..................
Number of Rooms d'?...............................................Foundation ....G !
.. ..
Exlerior ...0 s' ����X `� ...Roofing 1�cd
�.... ..... ............................................. ............. ....�....1.. ...... ................ . ....................
Floors ' l� �zPC-T.. ,t� � f�i(`i-
......................................................Interior ........:..:.........:�.............. ...r...... ..P..............................
` Heating...........1.`.s.'r...Ct/ .........r'" .' .....................:......Plumbing ...... :�. ,9 . - t.� /. C:::........................
/ .. ...
Fireplace /........................................................Approximate Cost �
Definitive Plan Approved by Planning Board -----------_------_-----------19___-___. Area ................................ , 97'
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
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I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ....... ...�. ..... ..... . �................
Ocean Gate Land Trust 'A=57-39 T
, y
No ....217.9.7.. Permit for .....Qn.e..sto y............
.............ai.ngl.e...amily...dwelling..................
Location ......218.-Winding..Cove..Roa:d...........
.....................Mamtons..Mil.l Mamtons..MiIls..............................
Owner ....Ocean..Gate..Land..trust................
Type of Construction ........ ..................frame•••••
Plot ............................ lot ........#.27..................
Permit Granted .. ..November 5.............19 79
Date of Inspection,,— .........................19
Date Completed .......... .................
......
PERMIT REFUSED
......... a . ............_.19
............................
......�(........-. ...............................................................
�J t� ..............................
Approved ................................................ 19
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...............................................................................
................................................................................
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Cape Save Inc.
7-D Huntington Avenue
South Yarmouth, MA 02664
Tel: 508-398-0398 Fax: 508-398-0399
12/29/15
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Town of Barnstable 7-0
Thomas Perry CBO
Building Commissioner ` ' w
200 Main St. Hyannis,MA 02601 `"
RE: Building Permit
TO: Building Inspector(s),
This affidavit is to certify that all work completed for 218 Winding Cove Rd,Marstons Mills has
been inspected by a third party Certified Building Performance Institute(BPI)Inspector.
All work performed meets or exceeds Federal and State Requirements.
Sincerely,
William McCluskey
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map 57 Parcel 3 / TOWN OF BARNSTABLE A lication # � l �-0�>l-1
Application
Health Division -rli ? �,j �: Date Issued 15
.,
Conservation Division Application Fee
Planning.Dept. m _ Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/ Hyannis
Project Street Address 9 W i 0* 7&,r e• lip;
Village l ►0.fe�-�8 1 • i( I �S
Owner ���til A I a�, �� Ie�l�'t� D Address P,arr)�,
Telephone s 0 b Ll a- k 01k0
Permit Request R, '30 ce (ix I o SC vq 'f'i 0-
RL
3 0 f.ber -f-h a e
,a n 9 a em en Aa 11 'F ,
Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation 5 0 0 D Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft)
Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: existing _new
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No
Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_
Attached garage: ❑ existing ❑ new size _Shed: Cl existing ❑ new size _ Other:
' I
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes XNo If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Namee ��, q
1,l Telephone Number ,��R oAk
Address )Am)nAm Afr& License#_
0a Home Improvement Contractor
Email Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO �at t'n1 Qu I,
SIGNATURE DATE I �
FOR OFFICIAL USE ONLY
s
APPLICATION# `
DATE ISSUED
MAP/PARCEL N0.
Y-
ADDRESS VILLAGE
OWNER
r
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
r
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: . ROUGH FINAL •,
FINAL BUILDING r
a:
DATE CLOSED OUT -
_ ASSOCIATION PLAN NO. r
The Commonwealth•of Massachusetts
Department of Industrial Accidents " ' _
1 Congress Str_eel;Suite 100 '
Boston,MA 02114-2017 _
www.massgov/dia
Workers'Compensation Instii-ance Affidavit:Builders/Cotitrictors/Elect cians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Auulicant Information Please Print Legibly
Name (Business/Organization/Individual):Cape Save Inc
Address:,7-D Huntington Avenue
City/State/Zip:South Yarmouth, MA 02664 Phone#:508-398-0398
Are you an employer?Check the appropriate box: Type of project(required):
1. ✓ I am a ere to er with 20 em to ees full and/or art-time.• -
❑ - p y - p y ( p. ) - - 7: New construction
2.❑lam a sole proprietor or partnership and have no employees working for me in 8, E Remodeling
any capacity.[No workers'comp..insurance required.]
9. ❑Demolition
+ 3.�I am a homeowner doing all work myself.[No workers'comp.insurance required.]t
'
4.❑I"am a homeowner and will be hiring contractors to.conduct all work on my property. I will 10 0 Building addition
ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions
proprietors with no employees. 12.❑Plumbing repairs or additions
5.❑1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13. Roof repairs
These sub-contractors have employees and have workers'comp,insurance.-
6.❑We are a corporation and its officers have exercised their right of exemption per MGL c.
14.[D Other Insulation
152,§1(4),and we have no 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.
I ant an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information. _. _
Insurance Company Name:Wesco Insurance Company
Policy#or Self-ins.Lic.#:WWC3136274- _ Expiration Date.'04/09/2016
Job Site Address: 218 Winding Cove Road . City/State/Zip: Marstons Mills
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.,A copy of this statement.maybe forwarded-to the Office of Investigations of the DIA for insurance
coverage verification.
1 do hereby certify under th pains andpenalties ofperjury that the information provided above is true and correct
Sip-nature: Date: 11/20/15
Phone#:508-398-0398
Official use only.-Do not write in this area,to be completed by city or town 6 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#:
A6O L DATE(MMIDDNYYY)
�� CERTIFICATE OF LIABILITY INSURANCE 10/14/2015
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 pollcy(les)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 9ndorsement s.
PRODUCER CONTACT NAME: Colleen Crowley
Risk Strategies Company PHC1�E (781)986-4400 F C No:(781)9153-4420
15 Pacella Park Drive ADDRESS:ccrowley@risk-strategies.com
Suite 240 1NSURER(S)AFFORDING COVERAGE NAIC#
Randolph MA 02368 INSURERA:Selective Ins. of America
INSURED INSURER Allmerica Financial Alliance Ins Co 10212
Cape Save, Inc INSURERC:Wesco Insurance Company
7 D Huntington Ave INSURERD:
INSURER E:
South Yarmouth MA 02664 INSURERF:
COVERAGES CERTIFICATE NUMBER•CL15101402127 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 CCNTRACT OR 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 MAYHAVE BEEN REDUCED BY PAID CLAIMS.
LTRR TYPE OF INSURANCE POLICY NUMBER MMIDD CY EFF MMI ICY EXP LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
A CLAIMS-MADE OCCURI—XI DAMAGE TO RENTED PREMISES Eeoccurrence $ 100,000
91994480 10/16/2015 10/16/2016 MEDEXP(Any oneperson) $ 10,000
PERSONAL&ADVINJURY $ 1,000,000
GEN1_AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
POLICY�jECT a LOC PRODUCTS-COMP/OPAGG $ 2,000,000
OTHER: $
AUTOMOBILE LIABILITY
Ea BINEnt $ 1,000,000
B ANY AUTO BODILY INJURY(Per person) $
AUTOS
ALLX SCHEDULED AIMA46796600 11/6/2015 11/6/2016 BODILY INJURY(Per aocident)AUTOS
$
X HIREDAUTOS X AUTOS Perecadent AMAGE $
$
X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,000
A EXCESS LIAS CLAIMS-MADE AGGREGATE $ 1,000,000
DED RETENTION Nil B1994480 10/16/2015 10/16/2016 $
WORKERS COMPENSATION Officers Included for X PER ORTH-
AND EMPLOYERS'LIABILITY YIN STATUTE E
ANY PROPRIETORIPARTNERIEXECUTIVE Coverage E.L.EACH ACCIDENT $ 500,000
C OFFICER(MEMBER EXCLUDED? a NIA
(Mandatory in NH) r VQC3136274 4/9/2015 '4/9/2016 E:L.DISEASE-EA EMPLOYE $ 500 000
If yyees desaibe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500 000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Addltformf Remarks Schedule,may be attached if more apace Is required)
National Grid Corporate Services LLC d/b/a National Grid,.Action Inc, Colonial Gas Company and NStar
Electric are all included as Additional Insureds with respects to the General Liability coverage of Named
Insured as required by written contract.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Housing Assistance Corporation THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
460 West Main Street ACCORDANCE WITH THE POLICY PROVISIONS.
Hyannis, MA 02601
AUTHORIZED REPRESENTATIVE
Michael Christian/CLC
O 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD.
INS025(201401)
I
i
HOME OWNER WEATHERIZATION WORK PERMIT: I
PLEASE COMPLETE AND SIGN THIS FORM AS
THE APPLICANT HOMEOWNER.
I LA /Zq w* - L k*V1,f' hereby consent to and agree that weatherizatio
n work
may be done by the Weatherization Program of,Housing Assistance Corporation on the property
located at:
• � �-� 11 � L'v1
The weatherization work done will be based on programmatic priorities and availability of
funding and it may include all or some of the following measures:
Weather stripping; air sealing; attic&basement'insulation; exterior wall insulation; ventilation
measures In consideration of the weatherization work to be done at my home I agree to the
following:
1. I give permission to Housing Assistance Corporation the property with such equipment
and materials as may be necessary to perform Weatherization.
2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for
the weatherized unit on an ongoing basis for no more than five (5)years after the i
weatherization work is completed.
I have read the provisions of this agreement and give my consent. ,
Home Owner(signature) 61 1 ��
Home Owner email: Date:
f
Agent:(signature) Date: }
1
Weatherization Contractors:
Adam T Inc Cape Save
All Cape Energy olutions
Alternative Weatherization Lohr Home Improvement
Building Science Construction Resolution Energy
Cape Cod Insulation Tupper Construction
i
Office of Consumer Affairs and Business Regulation
10 Park Plaza - Suite 5170
Boston, Massachusetts 02116
Home Improvement Contractor Registration
Registration: 171380
Type: Corporation
Expiration: 3/14/2016 Tr# 249649
CAPE SAVE INC.
WILLIAM McCLUSKEY -
7-D HUNTINGTON AVENUE
SOUTH YARMOUTH, MA 02664 - -- - ----
Update Address and return card.Mark reason for change.
sCA i € 20M•05n i ❑ Address ❑ Renewal ❑ Employment Lost Card
oT n�nnrtruiuuea,�l�a��l/f�i,t:;rir�rue//2 _ .
Q. Office of Consumer Affairs&Business Regulation License or registration valid for individul use only
'V OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
egistration: 171380 Type: Office of Consumer Affairs and Business Regulation
Expiration:;--3/1412016 Corporation 10 Park Plaza-Suite 5170
Boston,MA 02116 {
CAPE SAVE INC.
WILLIAM McCLUSKEY
7-D HUNTINGTON AVENUE:
SOUTH YARMOUTH,MA 02664 Undersecretary Not vali ithout signature
Massachusetts -Department of Public Safety
Board of Building Regulations and Standards
C1)irSirilCiiiril ouriei riSirr SuBCianv
License: CSSL-102776 ;
WELLLAM J MC C)tU
37 NAUSET ROAb
West Yarmouth I%A
Expiration
Commissioner 06/28/2017
TOWN OF BARNSTABLE Permit No. ----------_----------
1 n.n Building Inspector cash
------------------------
�Ya
'639.
r0►` Bond OCCUPANCY PERMIT --- ----- — -
"No building nor structure shall be erected, and no land, building or structure shall be
used for a new, different, changed, or enlarged use without a Building Permit therefor
first having been obtained from the Building Inspector. No building shall be occupied until a
certificate of occupancy has been issued by the Building Inspector."
Issued to 'lcean G-ate I -and `?'filet Address
Wiring Inspector Inspection date
Plumbing Inspector Inspection date
Gas Inspector Inspection date
Engineering Department Inspection date
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS.
........................I.................., 19..._ _ ...............................,..............................................._._..........------
Building Inspector
4
lot numb CF THE
d JbT
A
number
eW, .... .. SEMMM A Sewag number ........ .... .......................
IMMUM IN COM STABLE;
H6use number .................
' ............4. ........................ ro rasa
C 039-wrM TITLE)
ENVIRONA.4CINITAL ("N C,
TOWN OF BARNSTABLE
BUILDING 1,NS,,PECTOR 'j,
............ ..................
APPLICATION FOR PERMIT TO ... .........
...4zj 7
.....
TYPE OF CONSTRUCTION ........... .... ..... .......... ......�.a.........................................................
-fhlt
................................................19......0.
S.j
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
yo
'D , 4 7 ..._.AA1 Location .......... �. . ........ .. .......... ........................
Proposed Use ............ .............................
.... ........ ------ .............. .......
00�
.....................
Zoning District ......... .. ... .......................................................Fire District ..... . ..................................... ...............................
Name of Owner . .. .............. ..... 1,,,e..�-.Aciclress .....................eel...........t. ...............I....................
Nameof Builder ..........:.......It,.............................................Address ............................. ............................................................
-Name of Architect ................//..............................................Address ................../I/.............................................................
.... .......
�2
Number of Roor�is ..............14...............................................Founcla�tion ............................................. ...............
.. .............
Exterior ... ...........Roofing ..............44; ................. ..........................................
............d............................
s ....... .... .�.. ..::......................................................Interior ..........Floor .. .. ...... .... .....
Heating ...... 17.................................................................Plumbing .......( ...... ..... .......................
Fireplace ......................./.......................................................Approximate Cost ..... ..... a.-.v.—v..............................
Definitivle Plan Approved by Planning Board -------------------—----------- Area ..........
Diagram of Lot and Building with Dimensions Fee ......................... ..............
SUBJECT TO APPROVAL OF BOARD OF HEALTH (3,Aj L9
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
..... . .............
Name ......... ..............
d7' . .. .......................
Ocean Gate Land Trust
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��single family dwelling�
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---..
'
2l8 Cove Road -
_ _____________________�
________ .��ll.�_______..
' Ovvne, ............Oueao_Gatm_Laud.�Iruot___
Construction ---.-. '�----.
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Plot............................. Lot ----------'
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0ovmmber 5 ?�
ParmhGranted ----------_--]9 .
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Date of Inspection ........ ----1V '
Date Completed —.1l/./ ���----lg
. . . ' '
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PERMIT REFUSED .
.....
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