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184C CASTLEWOOD CIRCLE
tv (f-,�Oq .AFL="�^dC a-•"`Is'y�lfa'^^4aY'T'1 •-r-w"^'Y t�:i3' •aaar".s•4rST'^'+C`R"�.�•v-'rnta'w:xfa^4"^➢q*".�"'rZ'.�4":�]��.',q"'Al..i'*^i1T..'t��^�e"'r"..���.F.. ....�. _..1.._.... �INE Town ®f Barnstable Building Department - 200 Main Street STABLE,, * Hyannis, MA 02601 AS& ' (508) 862-4038 rFo nn�►,� ter fif icate of Occupancy Application Number: 201307806 CO Number: 20140069 Parcel ID: 27202500S CO Issue Date: 06120114 Location: . 184-C CASTLEWOOD CIRCLE UNITS Zoning Classification: Proposed Use: Village: HYANNIS Gen Contractor: RALPH CROSSEN Permit Type: CC00 - CERTIFICATE OF OCCUPANCY COMM Comments: BUILDING E- UNIT E-3 c _ Building Department Signature Date Signed _ TOWN OF BARNSTABLE Building t, . 201307806 BARIVSTABLE + Issue Date: 10/31/13 Permit 9 MASS. 1639. �`� Applicant: RALPH CROSSEN Permit Number: B 20132717 Proposed Use: Expiration Date: 04/30/14 Location 184-C CASTLEWOOD CIRCLE IN06 District Permit Type: COMMERCIAL ADDITION ALTERATION Map Parcel 27202500E Permit Fee$ 364.00 Contractor RALPH CROSSEN Village HYANNIS App Fee$ 100.00 License Num. 70029 Est Construction Cost$ 40,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND FIT OUT FOR UNIT 3 "C° THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A :u CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: LIVING INDEPENDENTLY FOREVER INC BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 550 LINCOLN RD EXT INSPECTION HAS BEEN MADE. HYANNIS,MA 02601 Application Entered by: PF' Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET;ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON LIC PROPERTY,NO SPECIFICALLYPERMITTED UNDER THE BUILDINC,CODE,MUST BE APPROVED BY THE.JURISDICTION: STREET OR ALLEY GRADES AS WELL AS:DEPTH AND'LOCATION OF P LIC SEWERS MAYBE OBTAINED FROM THE.DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMrfDOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS"OF ANY APPLICA SUBDMSION h RESTRICTIONS MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&-PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). 6.INSULATION. 7.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DONOT HAVE ACCESS TO GUARANT FUND(as set forth in MGL c.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS f a Via, ►��� 2 2 17�y o0/h!1 2,', 1 Heating Inspection Approvals Engineering Dept "-t..='h (p 7 �p'!G� /,: &�,� 0 dad \fly 6t'L,D..E 0 �" �'•° F e'De 2`=-Ie �/z �t Bo d f I � ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION cP 3,)� Map Parcel ®�� OOS Application # of Health Division Date Issued f 0'3 Conservation Division Application Fee cow Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board C h ,,l_7 Historic - OKH Preservation / Hyannis r Project Street Address Village 5 Owner I ���� Address f f►' vi )Cf.__ Telephone Permit Request , 6vw- 4_�16g 60D ZY& L Un L 5 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed �� Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �7 Construction Type Lot Size /` o / 3 Grandfathered: ❑Yes o 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: XFull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) © Basement Unfinished Area(sq.ft) N �Q 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 o Central Air: *Yes ❑ No Fireplaces: Existing New Existing wooed coal stone: ❑:l esANo Pool: ❑ existing ❑ n Barn:'-4 xistin ne� size Detached garage: ❑ existing ❑ new size— oo e s g Ae _ C g �.C7 Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ no/*e _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes A .0 If yes, site plan review # Current Use Proposed Use �l�l APPLICANT INFORMATION_ (BUILDER OR HOMEOWNER) _ r,4ame '- � Telephone Number Address [))0C_.)R' (,D6FRD License # A bkA) ��e� Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO DATE SIGNATUR �� f FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNERis 4 t DATE OF INSPECTION: } - -FOUNDATION r 't FRAME '+ INSULATION FIREPLACE 4i ELECTRICAL: ROUGH f FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING t 171 DATE CLOSED OUT ASSOCIATION PLAN NO. t --• k` J The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass govldia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl Name(Business/Organizado&Individual): G Address: / City/State/z Phone.#: Are you an employer?Check the appropr 1. I am a empl with i am a general contractor and I Type of project(required): employee full nd/or part-time).* h ve hired the stab-contractors h ew construction 2.❑ I am a'sole proprietor or partner- listed on the attached sheet 7. Remodeling ship and have no employees These sub-contractors have g• Fj Demolition working for me in any capacity. employees and have workers' [No workers'comp.•insw•anco comp, insurance.t 9. [1 Building addition required.) 5. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself~[No workers'comp.. right of exemption per MGL insurance required.]t C. 152, §IN,and we have no 12•Q Roof repairs employees. [No workers' 13.❑ Other comp.insurance required] . 'Any applicant that checks box#]must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they arc doing all work and then hire outside contractors must subrnit 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 far my employees Below is the policy and jab site information. Insurance Company Name: Policy#or Self-ins. Lic.#: G' ( 3 Expiration Date: 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 MGL c. 152 can lead to the imposition of criminal penalties of a fine tip 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 Inv esti ations of the DIA for insurance covera a verification. j I do hereby certify unde -and t 'es of that the information provided above is true and correct Si afore: Date: Phone#: Z i [6. icial use only. Do not write in this area,to be completed by city or town official j i or Town: Permit/License# ing Authority(circle one): oard of Health 2.Bu' j ilding Department 3.City/Town CIerk 4.Electrical Inspector 5.Plumbing Inspector thertact Person: Phone#: j j 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(les)must be endorsed. If SUBROGATION IS WANED,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 Phone:781-749.4310 NAM E, Wafter alterJ.May Ina.Agcy.,Inc.230 Gardner Street Fax:781-749-1714 PHONE Extk Ne Hingham,MA 02043 Kevin McGrath ADDRESS.• INSUREIM AFFORDING COVERAGE NAIC S INWRERA:National Gran a Mutual Ins. INSURED Crosson Custom Builders LLC INSURER a:Associated Employers Insurance Ralph Crosson 18 Woodridge Rd. INSLIRERc: East Sandwich,MA 02537 D, INSURER E• 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 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. MISR TYPE OF INSURANCE POLY NUMBER Lp�g. GENERAL LIABILITY EACHOCCURRENCE a 1,000,00 A X cmwERcIAL GENERAL LIABILITY MPT4290L 09/25/13 09/2S114 pREil ES a 500,00 -MA CLAIMSDE ❑X OCCUR MED EXP OM one person a 10,Oo X Business Owners PERSONAL a ADV INJURY a 1,000,00 GENERAL AGGREGATE a 2,000,00 GENL AGGREGATE LIMB APPLIES PER: PRODUCTS-COMP/OP AGO a 2,000,00 POLICY PECt RO LOC a AUTOMOBILE LIABILITY INN edderk ALL OWNSAUTO _ -BODILY INJURY(Per Person) a AUTO ASUTOSUL� BODILY INJURY(PerecddeM) a HIREDAUTOS NON-OWNED AUTOS Per acdderd GE a UMBRELLA LIAR a EACH OCCURRENCE a EXCESS LWB HCLAMIS.ADE AGGREGATE E OED RETENTTON11 WORKERS COMPENSATION a AND EI11PLOYERS•LIABILITY X WC STAALL TN• B ANY PROPRIETOR/PARTNERIEXECUTIVE YIN CC 500 5012492-2013 09@SM3 09125/14 EL EACH acclDl:NT g 100,000 OFFICE q In NHt EXCLlX1ED9 F NIA ICY In I under E.L.DISEASE-EA EMPLOYE a 100.00 DESC desafbe ander RIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT s 500,00 PROPERTY 5100 DESCRIPTION of OPERATIONS/ IT LOCATHM I VEHICLES(Attach ACORD II",AdcgdwW Pm.m Sdredule,I mare apace Is regaled) Carpentry-Residential Dwellings CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELNERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORDED REPRESENTATIVE Kevin McGrath ®1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD w t�J Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supcnisor ; License: CS-070029 ,1 RALPH CROSSEI}' . 18 WOODRIDGLRD' tea ' E SANDWICH bfA 0233 Expiration Commissioner 11/15/2014 r%lie.rrono,nrowveul/lt of ll�iti�c�[metCi Office of Consumer Affairs&Business Rcgelation N OME IMPROVEMENT CONTRACTOR j egistration: 136972 Type: xpiration: 9/2312014 DBA RALPH CROSSEN RALPH CROSSEN 18 WOODRIDGE RD ��e E. SANDWICH,MA 02537 Undersecretary Town of Barnstable • Regulatory Services M'S Thomas F. Geiler,Director BuiIding Division Tom Perry,Building commissioner 200 Main Street,Hyannis,MA 02601 www.town-barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Ilsin� A Builder I<�G, as Owner ' of the subject property hereby authorizeEAZ— to act on nay behalf, , in all matters relative to work authorized by this building permit application for. K,�l%Ua V,3 (Address o Job) S• of er a Print Name . I If Pro- ertyOwner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. ! j iI Ii i Q:FORMS:O WNERPERMISSION I i RESCOM wsa•. °0pjw'sm•` Architectural, wa w .ws.aei sna,,.aw�esa i fladenpai a Cewa,aolal wadabenv. Won PROPOSED _ UFE OUAWNPLEX CAMEWOOIt i "YAMA9,MAD CIRCLE 1 , i - j i S£L0M FLOOR STAR PLAN Ig o ay A n B •fin FMr FLOOR FLPPI .,., FLOOR PLANS w ge v im. TYPICAL IABT PLAN f -Pero.�e.emau..s.m ! SHM ,�ae./eaA r I•Ii M. "m'^e U 04040.00 07-07-OS 1 1cc AS NOTED . LOPEi21ENH.FLOOR PLAN TYPICAL WT LAMM