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Home My WebLink About0015 THIS WAY IS `ors � .: . . _�...Y .._... _ . Cape Save Inc. 7-D Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fax: 508-398-0399 7/13/16 Town of Barnstable Thomas Perry CBO Building Commissioner 200 Main St. Hyannis,MA 02601 RE: Building Permit#B-16-1681 I TO: Building Inspector(s), This affidavit is to certify that all work completed for 15 This Way, Osterville 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 BUILDING DEPT JUL 20 2016 TOWN O.F:BARNSTABLE TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 41 a 1 Parcel 41 4 Application # 1 Health Division iO JUN1 j ? Date Issued. Conservation Division �N ,c OegA �,� Application'Fee Planning Dept. /VSTAkF Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis G S Project Street Address W Village �Y IC Owner p±1A,g4n Address Sa me Telephone_ 501 (1 A3 E 3 6 6 Permit Request A�� ' 3 0 ce 11#J OX *o -4;� ai�i'o- Air" sea � `t tN In r Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project.Valuation a��(� 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: 0 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 0 Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 0 No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes Ja(No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name t kel 2: ► Telephone Number Got 39 3 0328 Address ' n License # �Ilc 0.rrh r Home Improvement Contractor# / SRO Email Worker's Compensation # W u ss 4 0 � ff ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE b < < Io l FOR OFFICIAL USE ONLY ' APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS W VILLAGE ` OWNER DATE OF INSPECTION: ' FOUNDATION r ' FRAME Y INSULATION FIREPLACE F ELECTRICAL: ROUGH FINAL t PLUMBING: ROUGH FINAL 4 GAS: ROUGH FINAL FINAL BUILDING ' 'k DATE CLOSED OUT �M . .. ASSOCIATION PLAN NO. HOME OWNER WEATHERIZATION WORK PERMIT: PLEASE COMPLETE AND SIGN THIS FORM AS THE APPLICANT HOMEOWNER. i 1 `4ic., d hereby consent to and agree that weatherization work may be done.by the Weatherization Program of Housing Assistance Corporation on the property located at: i i 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 weatherization work is completed. I have read the provisions of this agreement and give my consent. Home Owner(signature) v Home Owner email: Date: Agent:(signature) Date: Weatherization Contractors: Adam T Inc Cape Save All Cape Energy Frontier Energy Solutions Alternative Weatherization Lohr Home Improvement Building Science Construction Resolution Energy Cape Cod Insulation Tupper Construction The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www massgov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant 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): LE I am a employer with 15 employees(full and/or part-time).' 7. []New construction 2.[:]I am a sole proprietor or partnership and have no employees working for me in 8, ❑Remodeling any capacity.[No workers'comp.insurance required.] 3.�I am a homeowner doing all work myself[No workers'co insurance ) 9. El Demolition mp. required. t 4.❑I am a homeowner and will be hiring contractors to conduct'all work on my property. I will 10[]Building addition ensure that all contractors either have workers'compensation insurance or are sole 1 LE]Electrical repairs or additions proprietors with no employees. 12.Ej Plumbing repairs or additions 5.❑I 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 thepolicy and job site information. Insurance Company Name: Star Insurance Co. Policy#or Self-ins.Lic.#: WC085540700 Expiration Date: 4/9/2017 Job Site Address: 15 This Way City/State/Zip: Osterville 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 j 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 may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under th pains andpenalties ofperjury that the information provided above is true and correct Signature: Date: 316 Phone#:508-398-0398 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#: G'd A ACORO� DATE(MMIDDNYYY) �� CERTIFICATE OF LIABILITY INSURANCE 4/12/2016 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 terns 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 endorsements. PRODUCER NAME:-CT Risk Strategies Company Risk Strategies Company ac°N E (781)986-4400 FAC No:(781)963-4420 15 Pacella Park Drive EDfESg:randolphcldarisk-strategies.00m Suite 240 INSURER(S)AFFORDING COVERAGE NAICF Randolph MA 02368 INSURERA:Selective Ins. of America INSURED INSURERS Allmerica Financial Alliance Ins Co 10212 Cape Save, Inc INSURERC:Star Insurance Co 7 D Huntington Ave INSURER D: INSURER E: South Yarmouth MA 02664 INSURERF: COVERAGES CERTIFICATE NUMBER:CL1641211375 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE POLICY NUMBER MM CY EFF MPMI EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DA AGE ToA CLAIMS�v1ADE OCCUR PREMISES Ea occurrence)RENTED $ 100,000 X 91094480 10/16/2015 10/16/2016 MED EXP(Any oneperson) $ 10,000 • PERSONAL BADVINJJRY $ 1,000,000 GENL AGGREGATE LNIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO- POLICY a ECT El LOC PRODUCTS-COMP/OP AGG $ 2.,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE Lmff— Eaaccidenl $ 1,000,000 ANY AUTO BODILY INAJRY(Per person) $ B ALL OWNED SCHEDULED AUTOS N AUTOS ABSA46796600 li/6/2015 11/6/2016 BODILY IN AIRY(Per accident) $ X HIREDAUTOS AUTOS NON- N� ParracadedDAMAG $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1 000 000 A EXCESS LIAB CLAIMS4 ADE AGGREGATE $ 1,000,000 DED X RETENTIONS 81L 819944e0 10/16/2015 10/16/2016 $ WORKERS COMPENSATION ',_ OlPiaens included Pon ^r X STRTUTE ERH- AND EMPLOYERS. LIABILITY _ ANY PROPRIETOR/PARTNER/EXECUTIVE YIN NIA coverage E.L.EACH ACCIDENT $ 500,000 C OFFICERIMEMBfft EXCLUDED? 514 (Mandatory In NH) el• vCOt)5540700 4/9/2016 4/9/2017 E.L:DISEASE-EA EMPLOY $ 500,000 It yes.describe.under DESCRIPTION OF OPERATIONS below I I E.L.DISEASE-POLICY LUAIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space 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 Cape Light Compact 'ACCORDANCE WITH THE POLICY PROVISIONS. Barnstable County 460 West Main Street AUTHORIZED RE'RESEN17ATIVE Hyannis, M 02601 Michael Christian/CLC �'d 01089-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025(201401) i Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 171380 Type: Corporation f Expiration: 3/14/2018 Tr# 419291 CAPE SAVE INC. WILLIAM McCLUSKEY 7-D HUNTINGTON AVENUE - SOUTH'YARMOUTH, MA 02664 ,. Update Address and return card.Mark reason for change. ❑ Address Renewal Employment Lost Card SCA 1 ie 20M-05/11 5 e�ca�cv�cea,ccoe�cl!/e a�C�/��icr�ccc/cc�e License or registration valid for individul use only Office of Consumer Affairs&Business Regulation g y HOME IMPROVEMENT CONTRACTOR before the expiration date If found return to: Registration:,,,`'171380 Type: Office of Consumer Affairs and Business Regulation Explraton::-:'311,4/2U18 Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 CAPE SAVE INC. WILLIAM McCLUSKEY� `--- ~ 7-D HUNTINGTON AVENUE=- :�T•��`. ,;. SOUTH YARMOUTH,MA 02664 Undersecretary Not valid i signature Massachusetts -Department of Public Safety Board of Building Regulations and Standards ..��n.0 u�roT� ouiiei JiS6�our�,aw -`,:z:-a License: CSSL-102776 WELLIAM J MC qgtUwa. 37 NAUSET ROAJD J§M, # G West Yarmouth iVIA (V Expiration Commissioner 06/28/2017 TOWN OF BARNSTABLE Permit No. --------- � l Building Inspector NAMITAU Cash '"• AA NYl OCCUPANCY PERMIT Bond structure "No building nor structure shall be er eted, and no land, building or 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 ?hATllis iiarrtoonian Address Osterville lot e3 15 Thin i.'a;;, Osterville Wiring Inspector Inspection date Plumbing Inspector( � r.- Inspection date Gas Inspector Inspection date -S ' Engineering Department _J�! n/ ill l��rz Inspection date THIS PERMIT WILL NOT BE VA]II&IJIND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INqR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. Building Inspector fAsse sor's ma and lot number :..... ...... .. �q/� /� _ 7� p ,...l / /-. .. .. U / , THE ` Se .� Q • SEPTIC-SYSTEM MUST BE �Q Sewage Permit number � ��- INSTALL•EI?�IN COMPLIANCE e 4 WITH ARTICLE II STATE �33AUSTa LE e ; House number .................... ....................,..................... SANITARYCODE AP1D TOWN °o�063v•a`0� REGULATIONS. "a — TOWN OF &ARNSTABLE . a f BUILDING 11SPECTO;R ` APPLICATION FOR PERMIT TO ....................... ..' ............................................:................... TYPE OF CONSTRUCTION ......................................... !... ' f...................................................................... ................. .. .......... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....,.......... ....4'!!AyY .............�l.dJ�.. ........................................... . ProposedUse ....................O.W....ac.o .V..b.......................................................................................................................: Zoning District ! 1.`.�: ...............Fire District ...........C?S YE/QU/c L� ...................... .. ...................... .... .................................... Name of,Owner .......PJ94. /5......#A(. . T?erM/.¢/ .......Address I ...... .................................. Name of Builder .... 't• yDh�......fGCE l2So!. ......Address l3 ..�..........77 5.....1<s!19 Y.................................... Name of Architect ......—T6X Z..........` (n.........................Address .......a.3) .l.K...616. nY. 9�..... ............. .... Numberof Rooms ................ ...............................................Foundation ...............a. ... ..3cp........................................ Exterior ............ SH.IIVh � ..0 fiIE!2.�....... R a a fi n g ................ ................................................ Floors ......................... ..............................................Interior ...........5�647.T......''{.C>SIC....................................... Heating ..................f.4.RC,-5.9.........f.gX....Al.&...........Plumbing .................................................................................. Fireplace ..................................................................................Approximate Cost ............... � ...f.Q.U............. ........... Definitive Plan Approved by Planning Board -----------________________19______. Area " Diagram of Lot and Building with Dimensions Fee �"...................... ...................... SUBJECT TO APPROVAL OF BOARD OF HEALTH o I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....... ........... 8aratoouiau, Phyllis ^ ' ' ' \�^ 2O9U8 Permit one otory ..� ---.-- = ---------°--� � � � ~ � familysingle dwell ---------.-------.-----~--- � Location .......l5_Ibio..Yav___________ � ' -------!!��erv��le-----------.. � Owner .........?�lg=j��.��g----- � Type of Construction .............. r=Q-----.. ` --------------------------' � ' � ' Plot ............................ Lot ................................ ' � � ' l2 78Date of Inspection . . ' Completed 19 . ' PERMIT REFUSED � � .. lV ............................. . � - ~'--~^~'--------'------~---^'' � —.~----.—^--.~..—.---~..—.----- .� ' � ' .�� . .,.-.----.~..—.----.— —.. ��—..'— . ^ � ' � Approved ................................................ 19 ' _--------.---`—.—....--------. ' -----.--.-------~—.----.....-- � �. ' Assessor's map and lot number ./-)/..///.r,,��,,-- � �/�r ��' . ... V / C%TN E T0� P� Sewage Permit number ..... ��............��...........�..:......................... BAUSTAXLE, i House number ....................:''............................:................... 900 "6 9 o vxf p TOWN OF BARNSJTABLE BUILDING INSPECTOR 1 APPLICATION FOR PERMIT TO `: ........................................................ TYPE OF CONSTRUCTION .............................:........ ` ?-✓ :. ......................:............................................ ..................... /:. 3.............19..: :+ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to ,the following information: l Location ................. �.r.F : .�l:u... ' .. ......... ............... .................... P..:... ........ ProposedUse ....................!7w/F,�pcs i..f' ............................................................................................................................. Zoning District ........................... ..........................................( Fire District (hS ...................................... Name of Owner ....... A<...... ........Address A67 ......../..//5..... .................................. Name of Builder ..... .. f1 ......Address/s5�..'�..........W! i.�i9�!.........:. Name of Architect ...... ....... r>..l=.F.........................Address t}It/ TE ....► r}c{I ......................... Number of Rooms ................:5.................:............................Foundation X �R ... ........................................................ Exterior v tnJt'��.=.� ..fF ;hti�K) 614APAW,?A1).Roofing ................ 51��/ptiT.............................................. Floors .......................... ..vU k�.......... ��/ �- ✓1 CX /E ....................................Interior .................. ....................,........................................ Heating c=' t7�: .??......... . ....CXa�...:........Plumbing Fireplace .� ................Approximate Cost . /610 ......................................� Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area ✓j` Diagram of Lot and Building with Dimensions Fee ......... ......... .................... SUBJECT TO APPROVAL OF BOARD OF HEALTH �'� °•�+�'✓ (�s� k'`�'�� 't I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... 4& :. ............ � ...... ......?;�;! ............. Haratoonian, Phyllis (�LA=121-141—.?,— c ' w No ......20906 Permit for .....OZIp...St.ary........... .................singl....#:gWi. ..dwelling............. Location ...........15...This...Way............... :......... ..........................Rstervill..a............................... Owner .............RhYI. S..Haratoconiau........... Type of Constructio .............frame.................. Plot ................. Lot ............... Permit Granted ecember..... .....19 7$ Date of Inspection ....................................19 Date Completed ...... .............:................19 PERMIT REFUSED .. .. ... ................. l ........ 19 ��.a........ ... .. ........................ . ........... ......... ....... .. ........ ..::.................................. ........................ ... .....�... ...�... .. ... ............. F..........l•............ ................................................. Approved ........:....................................... 19 ............................................................................... ............................................................................... t7>� lG UO GAtzg�� e�rzt��L , tads L:( 3 • S•40 G.P.V. �.>F.Y{�1C TAr.lK 330v (SO % + A-956.P..D. � \1�� PLA N USA- IOOC) 6b.t_. 9Go;L� �tx r�• �ISPoSAL PIT - USE loop ' St wvALL AOSA, = ISD s F. frsr. A I .o 'TOTAL 't�ESIGIJ s 425 G.P.D. ?bT4 b�l t_�f Fc.ow = 330 6�PU. 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