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0036 CASTLEWOOD CIRCLE
3(� C�s41p�00� C �., i Cape Save Inc. BAR STABLE, 7-D Huntington Ayppue� South Yarmouth, NU 02664 PPI I Tel: 508-398-0398 Fax: 508-398-0399 Al 11/17/14 Town of Barnstable Thomas Perry CBO Building Commissioner !�S 4� 200 Main St. Hyannis,MA 02601 G RE:Building Permit TO: Building Inspector(s), This affidavit is to certify that all work completed for 36 Castlewood Circle(permit#B 20143036) Hyannis 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 McCluske y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION O?1`'N �_ �- R Map 3 Parcel 0 6 L�L Application # v Health Division 7p';14 . j 1 , d Date Issued Conservation Division Application Fe Planning Dept. ry Permit Fee 0 / DIV 3 Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address 3 b C"f l EW p n CI rG Village 4 yJLA A 1 Owner mbe 6 16,4 Address Telephone 5 0 R4' 1 d a g 8 9 Permit Request calltk losc kile I of !-0 +hr- "I'C Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 0 0 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 0 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: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes (t�'No If yes, site plan review# Current Use Proposed Use - - APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name dLVe 1A C f I Ikk r lephone Number 56 B98 m 17,17 Address D 410f 11,111illLicense # Jcwin rac ih a�;Th Home Improvement Contractor# 3R� Email Worker's Compensation #W U R3 O8 5 b,33 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1 Q,1`4'10 Uy�I� SIGNATURE DATE o I • 3 `> FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED I, MAP PARCEL NO. ADDRESS VILLAGE OWNER r t` DATE OF INSPECTION: FOUNDATION f• FRAME INSULATION FIREPLACE x` ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL 4 FINAL BUILDING P` DATE CLOSED OUT ASSOCIATION PLAN NO. Housing Assistance ` Corporation Cape Cod ___.......... .. HOME OWNER WEATHERIZATION WORK RERMIT&FUEL RELEASE: PLEASE FILL OUT AND SIGN THIS FORM IF YOU ARE E APPLICANT HOME OWNER. It I 13z) hereby consent to' and a ree•that weatherization work may be done by the Weatherization Program of Housing Assistance Corporation ( .herein after referred is I'Agency" ) on -the property located at:, 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 .& caulking, of windows and doors, insulation of attics, sidewalls & basements, attic and other ventilation measures and possibly replacement of badly deteriorated windows. In consideration of the weatherization work ,to -be done at my home I agree to the following: , 1. I 'give permission to the "Agency" its agents and employees to° travel onto or across said property with such equipment and materials- as may"be necessary_to perform weatherization work on said property. 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. Ihave read the provisions of this agreement as listed `and fr ely give y consent. #dome Owner: Si9na e) f . Date: - Agent: (signature Date: Tlie Commonwealth of'1Vlatssachusetts Department of Industrial Accidents t, 0 ice of Investigatioias '1 Con ress Street Suite 1(10 w . . . Bost©n,AL4 02D4-2017 wwwmassgov/du Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Levi, Tattle(Business/Organization/Individual): Cape-Save Inc: Address:, 7D..Huntingtc6 Ave City/State/Zip: South Yarmouth, MA 02664 _ Phone`##: 508-398-0398 i Are you an employer?Check the ap"propriitte box. Type of project(requ ❑✓ employer with ired? 1. I am a em 4• Q I am a.generat contractor and.I P Y �.— 6.. ❑.New construction emgloyees,(full andfor part-time) _ .- have hired the sub-contractors ; 2:[] I am a sole;proprietor orparMei.. •, !listed:on the attached sheet. 7 ❑Remodeling _ ship and have no employees These sub-contractor have g. (�Detnoltton workingfor me in.ail c a act employees and have workers' ;Building addition' s y ' P ty s 9. [No workers: comp.insurance comp:insurance; We ar-e a corporation and its 10.r Electrical repairs or Additions required.] 5. �J 3.' I am.a homeowner doing,all work oftieers have exercised their ILL].Plumbing repairs or additions-- m self. o�rorkers'com. right of exemption.per M. $_ y jN p 12.❑ Roof repairs insur trace re,aired. t c. 152:,§1(4);.and we.have no j 13,E 'Other tnsulafion:. employees. [No workers' , comp.in required.]: °Any applicant that chests boy I#'l,must also fiN out;>he section below shoving therr.vorkecs'cornpensation policy nil'o tton. Hoineo�tmcrc-who submit this a:flidavit indreatine they are'diing ali work and then hire outside contractors must subm'ii a nea affidavit ind+eating such "Contractors;that chnk this box inust attached au addilionat'siieet showing tiie name oi- a sub-contractors snd'stnte whether or iok those entitles eve employee& if the sub=coritractots have einpioyees;they must;provide their workers'camp:-policy number: 1 am air employer drat is providing rvbrkers'roiopeosut vn insr:.ranre for my erip1byees. Belowis the poltcy and job site fnformation. Insurance Compary.Name; Wesco Insurance Company .. Policy#or'Sdf:ins:.Lic.# ~. WWC30$5633. ... Expiration Date: 04/09/2015 2 r I a ( / I Job Site Address U l 6L�Sl°l.(.t1�.D C1. _ _( F G lP City/State/Zip: c SST . Attach a copy.oftbe workers'compensation poticy_declaration page(showing the poliey'nurnbe and expiiration:date);: Failure to secure coverage as required under Section 2.5.A of MGL c. 152:can lead to the rimposition of.criminal'penaltes of a tine 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$250.00 a day against the,"violator. Be.advised that a copy,of this statement maybe forwarded fo the-Offiee of JnvestigAons of the DIA for insurance-coverage:<<erification. - do hereby eerti arnder the airs and 'ewalties of er' that the io ethation.prov ded above is true and c&rO4 dIer I L Signature:: _ Date �Ptone#: Offciat use ajtI Do.rrot yvr to in th area,;to be cor;:pleted.by city of torus o c1a1 City or:.Towms Permit/License# assuing;Authority.(c`tme.oney. 1.Board of Health 2.Building Departtnent 3.Citv/Town Glens. 4,.Elee q,c Inspector 5 .Plumb><ng,; nspector. 3.Other eontact:Person • 1 1 3i Acr v� CERTIFICATE'OF LIABILITY INSURANCE DATE 114/I014,Yj r `.,.� 4/14./2014. THIS CERTIFICATE.IS ISSUED AS A MATTER:OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AWIEND, EXTEND OR ALTER THE:COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE`OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE O.R PRODUCER,AND THE CERTIFICATE HOLDER'. IMPORTANT: 1'the.certificate holder is an ADDITIONAL INSURED, the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,.subject to the terms and conditions of the policy,certain policies may require an endorsement. As tatement on this certificate'does not confer rights to the certificate-holder.in leu of.such endorsement s PRooucER NC0ME:14APT Colleen Crowley Risk Strategies Coittpaay PHONE (781)986-440D FA1C No c(781)963-4420 15 Pacel'la Park Drive L .acrowley@risk-strategies,.cbm Suite 24:0 _ INSURER S AFFORDING'COVERAGE NAIC.f Randolph Mh 02.368 p 1NsuRERa:Selective Ins., oF: America INSURER8 Safe. Insurance. Ccmpany 33618 Cape Save, Inc INSURER'C:We$CO Insurance Company 7 D Huntington AVe INSURERD:: INSURER E South Yarmouth bM 02664 1NSURERF: . COVERAGES< CERTIFICATE NUMBER:Ch1441475243 REVISION NUMBER: THIS IS TO CERTIFY THAT THE"POLICIES OF INSURANCE LISTED BELOW HAVE 1EEN ISSUED,'TO THE:INSURED"NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM:OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WrrH 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 SHOWNWAY HAVE.BEEN REDUCED BY PAID CLAIMS. ' L R- TYPE OF INSURANCE O POLICY NUMBER.. MMIDD POLICY EFF POLICY E P MMlDDWW .LIMITS GENERAL LIABILITY' EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY t PREMISES(Eaoccurranc $ 100,000 A CV�IMSMADE OCCUR 199448.0 0/16/2013 0/16/2014 MEDEXP lAny one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL.AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: FRODUC7S-.COMPIOPAGG :$. 2,000,000 POLICY X 7 - X L00 $ AUTOMOBILE LIABILITY` Ea accident)erd SINGLELIMIT 1 000 000 , ANYAUTO BODILY INJURY(Per person) $ $ VVNED X SCHEDULED 6208200 1/6/2013 1/6/2014AUTOS SCo gpLiILY INJURY IPeractidantl $ NON-OYtNED PROPERTY DAMAGE-:.... .. X HIRED AUTOS X AUTOS Feraeaden1 ;X UMBRELLA LIAR X OCCUR: EACH OCCURRENCE . . $ 1,000,000 A : _EXCESS LIAR CLAIMS-MADE. AGGREGATE_ - - $ . .1,000.,000 Dw RETENTION'$: III 1994480 0/16/2013 0/16/2019 _. C WORKERS COMPENSATION - - - Officers included.For X?I, STATIU- OTRH AND EMPLOYERS'LIABILITY ANY PROFRIETORIPARTNERE)(EOJTIVE YIN overage E.L.-EACH ACCIDENT $ 5D0 000 OFRCEWMEMBER EXCLUDED? �'NiA . (Mandatory.In NH) 0856,33 I.9/20I:9 /9/2015 E.L.DISEASE-EA EMPLOYE $ 500,000 ifyos desa be under. E.L.DISEASE-POLICY Lh41fT '$ 500 000 DESCRIPTION OF OPERATIONS below+ DESCRIPTION OF OPERATIONS/LOCATIONS(VEHICLES-(Attach.ACORU101,Additional Remark s Schedule,if more a.paceAs raquiied) Issued as evidence of insurance. Issued as evidence of insurance. Thielsch,Engineering,; Inc. is listed as additional insured as "respects General Liability as required by written. contract - _ CERTIFICATE.HOLDER CANCELLATION' msong@capelightcompact.Org SHHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOg NOTICE WILL BE .DELIVERED IN Cape Light COfip3C is ACCORDANCE WITH THE POLICY PROVISIONS;. Attw Margaret Song PO BOX 427/SCH AUTHORIZED REPRESENTATIVE 3195 Main Street Barnstable; Mh, 026310 chael Christian/CLC ACQRD 25(2010/05)_ " . O 1988-207,0 ACORD CORPORATION. All rights reserved. IN5025 tzo)oosi.oa The ACORD name and logorare registered marks of ACQRD Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts'02116 Home,Improvement C6zltractor Registration .,tom. Registration: 171380 w� Type: Corporation z Expiration: 3/14/2016 Tr# 249649 CAPE SAVE INC. WILLIAM McCLUSKEY 7-D HUNTINGTON AVENUE d' SOUTH YARMOUTH, MA 02664 -- -- --- -- /t z Update Address and return card.Mark reason for change. scat 0 zoM-oaii D,Address 0 Renewal M,,Employment Q Lost Card �fjv t!c ritrre�rcuv<tcu�a C=r44J:iiirXe 6eff6; ., ` Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR i before the expiration date. If found return to: egistration: 1380 Type: Office of Consumer Affairs and Business Regulation W-E xpiration i .:0' 016. Corporation10 Park Plaza-Suite 5170 , Boston,MA 02116 CAPE SAVE INC. P, c �10- ` WILLIAM McCLUS EY l 7-D HUNTINGTON AVENUE: SOUTH YARMOUTH,MA 02664 Undersecretary Not vali 7tou t signature Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supen-isor Specialty License: CSSL-102776 WILLIAM J MC C-LUu7i . . 37 NAUSET ROAD West Yarmouth MA O III0Expiration Commissioner 06/28/2015 t Assessor's map and lot number .. .. ........... ...... Sewage Permit number .........................:................................ °`?"ET°�♦ TOWN OF BARNSTABLE Z BABBSMUS. i BUILDING INSPECTOR ,�,o YpY a• APPLICATIONFOR PERMIT TO ........:...:................................................................................................................. t r ' TYPE OF CONSTRUCTION . ................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the, following information: Location ............3.......... u d........Or,........................................................................................................ ProposedUse ...............fir .............................................................................................-.-.-.................:........................ Zoning District ........................................................................Fire District /J/e Name of Owner ...�� �� « Address ( �/�e OV010(i �'� / .... ..... ................................................................... /4 Name of Builder rr-�r t �.........Address �� flGffrtl �..... /�!•............ Name of Architect ....Address ......~........................................................................... Number of Rooms ...........Foundation .....C .?; r�/t....... r'I [�.............................. ....................................................... Exterior ...........rr, '' !��.....................................................Roofing ........,��c..:.? t�/,,7�................................................... s Floors .Interior..................................................................................... .................................................................................... Heating ..................................................................................Plumbing ................................................................................... Fireplace ...................................................................................Approximate Cost ......./h c.. ................................................. Definitive Plan Approved by Planning Board --------------------------------19--------. Area ........�... ' .............. Diagram of Lot and Building with Dimensions Fee ' ' Z� SUBJECT TO APPROVAL OF BOARD OF HEALTH New )30(c , a - ) ,vq � . I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. N . .... . .., ........................................... Mr. A. Smith 273~66 � 1 No ----9379 ..... Permit for ......F.9.-V.r,.h................... '--'~'~^^--'-'-~^-'-~^^+ --r----' Location ........3.6-{As.1:lw.=0 4..X��^.. . � ' Plot ....273:-nfifi........... Lo/t- ............................ - ' � Permit 77 _ Granted ........ - � Date Completed ....... PERMIT REFUSED lA ... ................................... ............................ ----'-~-^^^-^-^^^`' '`—'—^^^^^'' ~`^^`^^^^----'-'---'' ` ......................... .................................................... Approved ................................................ 19 ^ .-------.--.--.--.......-'..----.- � ' -------`------'-----^'---'--'` U U ' ` r, Assessor's map and lot" number .f ..7-5.."'°..��a�..... _ ` er Pt el Pf t / kings Sewag6/Permit number .........................'�........ ................... t a.- oft"ETo TOWN. OF -B NS A LE t AR T B i BABHSTAki. o�"A ` UILDIHG ' INSPECTOR �'♦F�MPYp'`e APPLICATION FOR'PERMIT TO ..... !/�'.� .. ...sfcr ............ TYPE OF CONSTRUCTION ........ i 'i�,. .. ' ...... ......... .../1......................19? TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies yfo�r a permit(according to the following information: Location .................!�� ....... !95.1.AFC%�J.A:6C`........ ' ................................:........................... ProposedUse ........... . ................................................................................... ................................................... Zoning District. ........................................................................Fire District ......� �✓ .5/tll1��%.................................. Name of. Owner ... /'..... •....��!L� .................Address ...... . ....1... vl/ 't?S( .....ct e... . Name of Builder �..... .����e"J��. .1..........Address .......5.e�.l...:���T�1�/�!�.. 4....... ..: Name of Architect .........................Address Number of Rooms ..... ..................:........................:..............Foundation ..... ...... r/ .............................. y Exterior ............ ,d^P. 1!t!.....................................................Roofing ......../f�S z....................................................... Floors .............. ................................................................Interior .. ................................................................. Heating ................................................:.................................Plumbing ..... :....................................................................:.. . Fireplace 77-- ..............................Approximate Cost ..:.�lsr.. . ... .............. Definitive Plan Approved by Planning Board --------------------------------19________- Area ........ ��. ................... Diagram of Lot and Building with Dimensions Fee ....� SUBJECT TO APPROVAL OF BOARD OF HEALTH �SU e Y' y Or CIA.. 1 57) IV 0, po 1, 2 I hereby agree to conform to all the ,Rules and Regulations of the Town of Barnstable regarding the above construction. Na ze"Od"d......... Mr. A. Smith 273-66 No ....19.M.. Permit for .....Poxch.................... ........................................... .................. Locati 8'n 36...C.ast ewoo.d...Cr.....Hyannis........... .. . ...... . ........ . ............... ............................................................................... Owner ....Kr.,..A_....SM.j.th........................ ........... Frame Typ6 of Construction ........................................... ................................................................................ Plot22a-m66................ Lot ................................ Permit Granted .... ..... ...... .1977 Date of Inspection ... ... .......... ........19 Date Com 19 plet6d - PERMIT REFUSED ............. ............................... ................... 19 ............................................................................... ......................... ..................................................... . ............................................ .................................. ......................................................... ..................... Approved ................................................ 19 .............................. ................................................. ...............................................................................