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Home My WebLink About0097 WEST WIND CIRCLE --ST"IBLE 200 CAPE SAVE ��_ Weatheriiation 508-398-0398 December 14, 2011 Town of Barnstable Thomas Perry CBO Building Commissioner 200 Main St. Hyannis,MA 02601 RE: Building Permits Dear Mr. Perry, This affidavit is to certify that all work completed for permit application #201003013, Status A, Parcel 121011035 at 97 West Wind Circle, Osterville,Permit type: RADI) , and issued on 6/22/2010 has been inspected by a certified Building Performance Institute (BPI) Inspector. R-30 Cellulose insulation was added to the attic.All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey c� 1-)'3//2- avr Cape Save 7 Huntington Avenue Suite C, South Yarmouth, MA 02664 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 02 D Map 1.21.. Parcel O)) D M Application # Health-Division Date Issued ZZ l Conservation Division Application F` _ Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address T7 CyeS� 1,��`�,aQ �',re)e , Dst��v► 1�� . /f'1 /9 Village &16+M C, e Owner'RIa , R e �y5d1S Address 4Z est UJI,4 �1 ,f�p . Telephone��D� Permit Request All, Q-Rn �p >;�nSp 'r6 )2�1� eei�i�nQ TvGQow�n cc)l-&�cs `-oJe`49 J04xg n i y w n f ZK- i n�r enaL &ek yen4Ja- +kbr, -t'e c: 41's Vp,n i- R bad- L°sC ��- a�,so eufer�`od`. Qa��-� DidJ�_ ir►cu��-�b54fi� ncel'ec.f - rr � C�e�i,n4, Square feet: 1 st floor: existing 1&&proposed 2nd floor: existing --- proposed 7-5 Total=.new �Zoning District Flood Plain Groundwater Overlay Project Valuation .#000 Construction Type Lot Size �� +1 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. rn Dwelling Type: Single FamilY' U(' Two Family ❑ Multi-Family(# units) Age of Existing Structure )48 Historic House: ❑Yes Y�o On Old King's Highway: ❑Yes ❑ No Basement Type: Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) -- Basement Unfinished Area (sq.ft) )a�y Number of Baths: Full: existing new Half: existing new Number of Bedrooms: 3 existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: YGas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes RIN o 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: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes U(No If yes, site plan review # Current Use �e-s IUC We' Proposed Use J?cs i ke N c to APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 1 1� Qom► �Y(�( u s�'�� Telephone Number 508 - 81?9_ QS-? Address T-d 10+41 i-m n J C. License # &Z 176 ZC 1-3 4A- 4119 Home Improvement Contractor# )4 4-+37, 66,4— Worker's Compensation #55660tR 3-o ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TOY&,r✓roc9 t'� s gaL t id f) SIGNATURE DATE C —)S->O FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED ' MAP/PARCEL N0. - L S ADDRESS VILLAGE OWNER wDATE OF INSPECTION: FOUNDATION - FRAME T INSULATION r J ` FIREPLACE r ELECTRICAL: ROUGH FINAL-- PLUMBING: ROUGH FINAL GAS: ROUGH r FINAL FINAL BUILDING i DATE CLOSED OUT _ ASSOCIATION PLAN NO. ' f N The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 IYashington Street Boston, MA 02111 wwwanass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): --S—, MLj Bay Address: City/State/Zip: ar of G G 4 Phone#: Are you an employer?Check the ap ropriate box: general contractor and I Type of project(required): 1.{ I am a employer 4. I am a,with ❑ g 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. Q Remodeling ship and have no employees These sub-contractors have g• Q Demolition working for me in any capacity. employees and have workers' [No workers' comp.insurance comp.insurance.$ 9• ❑Building addition required.] 5. ❑ We are a corporation and its 10.Q Electrical repairs or additions 3.❑ I am a homeowner doingall work officers have exercised their 11.Q Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12. Roof repairs insurance required.]t c. 152, §1(4),and we have no Q employees. [No workers' 13:Q Other comp,insurance required.] *Any applicant that checks box 41 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. xContractors 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. lam an employer that is providing workers compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name:.. t Policy#or Self-ins.Lie.#: 6 ( t; R 99<R AI ;7-- ?no 9 -Expiration Date: )p--z 1 �_ Job Site Address: Q7 61 _s+- irr\10 City/State/Zip:L")I+rC t, ISe M# 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 certify under the pains and penalties of ury that the information provided above is true and correct. Si°nature: r Date: Phone#: 5'OP 0 ' 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 EInspector 6. Other Contact Person: Phone#: From: 04/06/2010 15:45 #W2 P.Ofl1/004 VDAC • i�ie WORKERS COMPENSATION AND EMPLOYERS.UABIUTY POLICY TYPE AR INFORMATION PAGE WC 00 00 01 ( A) 0OUCY NUtii kii::(9,SODt7Q-89thMtR7-3=09) NEW-09 INSURER: HARTFORD UNDERMTERS IN AANCE COMPANY 1. NCCI CO CODE:8041 t INSURED: PRODUCER: MCCLUSIEY, MICHAEL G3A RISK STRATEGIES cow CAPE SAVE 15 PACELLA PARK OR T C t AITINGTON AVE RANDOLPH mh onse SOUTH YARMOM MA 02644 Insmd b AN INDIVIDUAL Other work places and kfe ditatlon numbers are Shawn In the schedda(s)attached. The pcilcy pettod ie from: a o 21-09 to.` 0=2-10 12.01 A.M.at ft Immd's nailing addmn. S. A. WORKERS COMPENSATION 0 SURANCE: Part Oro of the policy Apoles to the Wcrkers - Cwnpensadw Low of the*le(e)listed here: IAa S. EMPLOYERS LIA91UTY INSURANCE: Pant Two of the policy applies to work in sach awe listed in tern 9.A. ThO limits of our]Wft under Pan Two are: Badly Injury by AschlerD $ 500000 Eaoh Accident Bodily It4ury by Disease: S 500000 Policy umk ftly Injury by 01saeeo: S 500000 Each Enq*yee C. OTHER STATES INSURANCE: Part Three d the policy aWws to the staves,E any,listed here: COVERAGE REPLACED BY ENDOIMMENT IBC 20 03 06A D. This policy Includes these endamemenu and soh lim SEE LISTING OF ENDORSEMENTS - EXTENSION # INFO PAGE -� 4. The premkon for this policy wM be det ffAh d by our Manuals of Rtles,Cketflcatlons,RAW and AMIng P18nL AU requireed hrformation is subleet to verf sil0n and chsrtge by audit to ba made MWALLY. DATE OF IN)E: 11-1 gepg mL ST ASSIGN: NA OFFICE- ORLANDO I?A WFD oSG PRODUCER. RISX STRATEGIES COMB MTP �sao Town of Barnstable °^ Regulatory Services Thomas F. Geiler,Director Mass. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Properly Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize e to act on my behalf, in all matters relative to work authori7-ed by this building permit application* for: (A dress of Job) Sj. a iTre 6f Owner Date Print NanO If Property Owner is applying for permit please complete the Homeowners License Exernption Form on the reverse side. Q:FOP.MS:OVJNi RPERMISSION :�'Ia �aclursctta- r)clt:c+'tmcrtt of Public Safctv ' � f3r,;ird r�l'Buildin�� .Rc�i�lutino and.Standards Construction Su .peraisor Specialty License License: CS SL 102776 Restricted to IC 7 WIL•LIAM MC CLUSKY "� 37 NAUSET ROAD WEST YARMOUTH, MA 02673 o— —� Expiration: 6/28/2013 ('royunis�i!m�" Tr#: 102776 91te eommolw� Office of Consumer Affai s and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvers—'Contractor Registration r, r ` Registration: 164432 Type: Supplement Card CAPE SAVE 4 ` + Expiration: 10/6/2011 d :��.^ r i':.. WILLIAM MUCCLUSLEY 8201 S. HOURD CT CHAPEL HILL, NC 27516 y =- Update Address and return card.Mark reason for change. DPS-CA1 0 50M-04/04-G101216 ❑ Address ❑ Renewal Employment Lost Card 711. V/00)7im0?1A. .&4 ¢1,AU'JdQd,.m& --- _ �. Office of Consumer Affairs&Business Regulation License or registration valid for individul use only -_ before the expiration date. If found return to: m`6 HOME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation Registration • '64432 Type: 10 Park Plaza-Suite 5170 Expiration: 10/6/2011 Supplement Card Boston,MA 02116 CAPE SAVE "r = WILLIAM MUCCLUSLEY 4 7C HUNTING AVER: S.YARMOUTH,MA 02664 ' l Undersecretary Not valid wit 'u signature I .',•TM�* o TOWN OF BARNSTABLE Permit No. _28.687................ Building Inspector Cash ---- — - — OCCUPANCY PERMIT Bond issued to Cedar Acres Realty Trust Address Lot #30, 97 West Wind Circle, Osterville Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. v _. ,� _ ---, 19E Building Inspector TOWN OF BARNSTABLE BUILDING DEPARTMENT TOWN OFFICE BUILDING rua .%639• �� HYANNIS, MASS. 02601 �o rnr r. MEMO TO: Town Clerk FROM: Building Department DATE:• l An Occupancy Permit has been issued for the building authorized by Building Permit c2 O _'/,__..... ...... ...... ............. ._ issued to V Please release the performance bond. . f -I TOWN OF BARNSTABLE, MASSACHUSETTS PERMIT - . JOB WEATHER, CARD_ - - -- - 28687 DATE 19 PERMIT NO. L c) a o I r di 5 S,'51-11 u APPLICANT KODRESS- IN 0.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO STORY DWELLING UNITS (TYPE OF IMPROVEMENT) N0. (PROPOSED USE) ZONING AT (LOCATION) DISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT—BLOCK—SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTIC TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: AREA OR 1"}:lo PERMIT s VOLUME — ESTIMATEDCOST $ FEE MIT OWNER RA. BUILDING DEPT. ADDRESS BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE A PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAIN[ FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIO OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED-UNT-IL FINAL INSPECTION HAS BEEN ELECTRICAL. PLUMBING, AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS �� ell— �G j XL 2 2 2 �jl� 3 HEAT:NG INSPECTING APPROVALS REFRIGERATIONA'NSPEC'TION APPROVAL! '6utt :Lebo 0 7 H E R r--X)6-71 X,P72r LA,�L7— 2 2 15 Lo WCRK SnALI- NCT PROCEED UNTIL THE PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON TH!S C, NSPECTOR -!AS ;-PPRCVrD 714E 'J;.=!CL;S WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE CAN BE ARRANGED FOR BY TELEPH, STAGES OF CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. OR WRITTEN NOTIFICATION. I XeR )F EERT/FY THAT In/S LOT/S NOT LOCATED TV FE*..RAL FLOOR HAZARR.ZONE `4f.4S SWWN ON THE FEDERAL FLOOD•INSURANCE RW TE MAP FOR THE TOWN OF C0Af1HZ/1VITY PANEL NO. CFFECT&C PATE:._.__.,. _ ,fO&CRT E. RAYMONA 1Y L.S DATE NOTE- NORTH ARROW NOT TD 0 BE USER FOR SOLAR PURPOSES > y � px . 0 N �U 4 Pz r y� Oa M Q 4, m c a 121:�) ;oo TiyIS PLOT PLAN WAS NOT MARE ffao FOUNDATION LOCATION-.P4AN . AN INSTRUMENT SURVEY%4NR /S FOR THE l/SE OF THE BANK ONL Y. UNDER NO /� C/RCUMSTANCES ARE, OFFSETS TO BE .1 (�'� e"z�g USED FOR FENCES, WALLS, HEP6'ES, � i2 O M , ETC. OWNER BY: e ARROW ENGINEERING INC. R°BERT 60 EAST rAkAfoilm mcilwAY U RAY y No.2 1583 EAST Fi4"041 rYi MA. OZ536 9 1583 � O�F� 9FG'ISTEQ'�oJ`�io �SCi4,(►E� RATE: _ SNEE W Y lE�Y AP BY. PLAN NO. _. 10-i 00S —^ Asssor' map and lot number ...... THE Sewage Permit number ............... q..... ............... q �' SEPTIC SYSTEM M � t BARNSTABLE, House number ..................................4........................... p 1 g6 pp�� N �+ prn�p�`T 9 MAE6 ,��S TAI_trEiJ I9� �DI�!P'LI��Ib OO,o�163q• ♦� WIT � 'Ea MPr�\ TOWN OF BARI B ? q�A&I . ' , LATIONS BUILDING I}HSPECTOR APPLICATION FOR PERMIT TOj TYPE OF CONSTRUCTION ........ ....... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...... � ..... ..lJ....... l E .. ....f'!ll/.�.1/ G.e.........��. •(/�•41•�.• ProposedUse .............0..1;o$1�.lr...L.(.l!�.Lo.................................................................................................................. Zoning District .. .........................................Fire District ..............� • Name of Owner ..............:�..... 71 ................ Name of Builder Address ..............I ....,i�.��'.�.2�'�(,��...rl�................. Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .. .�1.Z:�.... ./..1la..L�/l`/,../�l.:;T.....Foundation .. 1�..�/.�5�. ...� .��✓ k'.C.T .......... Exterior ........: ./^^..�. ..0 /7. R.. /.�1/ Roofing Af411-PAII-1 .......j<11 16. ...... Floors .......................(,./}.. .P..IC!FT.s.........................Interior ..........&Rx.....W. .. .......................... Heating ......)a :)...r..Wa y..a.4xS....Plumbing ............ &/t�.7--11................................ Fireplace ....................0.. ..r..............1...........................Approximate. Cost ..............ti ................... Definitive Plan Approved by Planning Board -----------_______-----------19_______ ., Area 1... G'U...R.................. Diagram of Lot and Building with Dimensions Fee � . SUBJECT TO APPROVAL OF BOARD OF HEALTH g - 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 i Construction Supervisor's License .................................... —CEDAR ACRES REALTY TRUST 28687 a............... Permit for J_family dwelling Mr,............................................... -;IwA......... Location Lot..3.0.......9.7...Wes.tw4&.d..cjrc,.19...'....... .. . .. . ...... ........ .. ........ ........Osterville.................................................. Owner .0edar..A=eS..Rea1-ty..Tnl-qt............ Type of Construction frame........ .................. ..................................................................... Plot ............................ Lot ................................ Permit Granted ......................1.W.18/....1'985 Date of Inspection ....................................1.9 Date Completed 77//-:7. ......19 oil< Assessor's. map and lot number .............................................(-(, STHE Sewage Permit number ..............fl.q 7:..5.P.s.................... P 1 0- 0-11 BA"STIBLE, s 4 House number ...................... MAO& )........................... 039- a MAY TOWN OF BARNSTABLE BUILDING INSPECTOR ...................... . ................................................................................ APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION .......... ... .... ........................ ....................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... ....... ..... ... j....... 'A t, . .... r ........ Proposed Use ............ ........................................................................................ ......................... . Zoning District ............... .........................................Fire District .............. ....... ........ ....................................................... Name of Owner .............. ................ Address 1.... ..... Name of Builder .............. r�.&................. Name of Architect ..................................................................Address ............... .......... 7- Number of Rooms ......Foundation ........... 7.1....... Exterior .........L!ZR.J.. Roofing ...... Floors ...................... .........................Interior .............. rl� .......................... ............................... Heating Plumbing ........ ... Fireplace ..................... .........................................Approximate Cost ............... ................. Definitive Plan an- Approved by Planning Board ---------------—--—----------- Area .......................................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License .................................... CEDAR ACRES REALTY TRUST A=;2;-11-35 No Permit for .y..§Apgle ....... ............. ........... ........................ Location Lot 30 97 Westwind Circle ............................................................... Osterville ......................................................................... Owner ............Cedar...Acres Realty.. .......... ........ .. ......... Type of Construction ..........frame....................... ................................................................................ Plot ............................. Lot .................................. Permit Granted ...................11/18 ........1985............. Date of Inspection ....................................19 Date Completed .... .................................19 Co V1