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Home My WebLink About184D CASTLEWOOD CIRCLE - Iva p � Town of Barnstable Building Department - 200 Main Street 9 � Hyannis, MA 02601 16 �MASS. ' 508 862-4038 Argo �s nru� certof icate f uccupancy • . 4 Application Number:^ 201307809 'CO Number: . .. 201400 70 _ Parcel ID: 27202500T CO Issue Date: 06/20114 Location: - 184-D CASTLEWOOD CIRCLE UNIT4 Zoning Classification: ( Proposed Use: Villa 9 HYANNIS Gen Contractor: RALPH CROSSEN Permit Type: CC00 CERTIFICATE OF OCCUPANCY COMM Comments: BUILDING E - UNIT E-4 Building Department Signature Date Signed TOWN OF BARNSTABLE Building 201307809 PermitBARNSTABLE, + Issue Date: 10/31/13 MASS. 9� 1639• �� Applicant: RALPH CROSSEN Permit Number: B 20132718 Proposed Use: Expiration Date: 04/30/14 Location 184-D CASTLEWOOD CIRCLE UNEE4 District. Permit Type: COMMERCIAL ADDITION ALTERATION Map Parcel 27202500T 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 UNIT 4"D"FIT OUT THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A 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: - TMS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR;ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY ENCROACHMENTS 0 UBLIC�PROPERTY,NO SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. STREET OR ALLEY ORADES'AS'WELL AS'DEP,TH AND LOCATION OFT BLIC SEWERS'MAY'BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS`THE ISSUANCE OF4TfUS PERMIT DOES NOT.RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION:°, 'b 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 DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). K , —00 BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 �/� -o -a/s�, o0 2 J Heating Inspection Approvals Engineering Dept ,y 0S 0'> F're De t �. 2 O �� Bo r ��;��;;�-� C.G� � l l( C� l� Y � 1 �, �:�;.. ,:; ,,. . �:�: _ �.,. :<, . .��: �,� � , I'� ,� °� � .....°j +SIN' i`�fI'��'��}��!a.+F'vef� ��. t_Sz �� `�+�� ..�� i� 4 L �t ��.�- r � ��• ram.;w . �Y v.'tb: .,. - ,•n � �� r h i�: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION akaMap Parcel Application # Health Division Date Issued 3 f- '�3 �lo Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH —Preservation/ Hyannis Project Street Address VillageIn 1 71 — -D t vtc� h Owner ___,Address 1,011, Telephone —_ 114 , )p - " 'Permiiequest ��` wo -f- Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new d b W Zoning District Flood Plain 'Groundwater Overlay Project Valuation Construction Type�i Lot Size D13 Grandfathered: ❑Yes No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ElMulti- amity (# units) —I ik Age of Existing Structure Historic House: ❑Yes ❑ No . On Old King's Highway: ❑Yes ❑ No Basement Type:-1Z11 ull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) —] Yo 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 I �- Heat Type and Fuel: XGas ❑ Oil ❑ Electric ❑ Other Central Air:XYes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑YesXNo Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ n rze _ Barn: 11� isting Q new size_ lA - , Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ n #ze _ Other: `--' C? Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ ' CM Commercial ❑Yes �No If yes, site plan review# Current Use Proposed Use T^ C) C�7 m APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �� S Telephone Number Address / 0 60 R l Dr-.f, RD License# Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTIN FROM THIS PROJECT WILL BE TAKEN TO J L SIGNATURE DATE D- / L ,r FOR OFFICIAL USE ONLY. f APPLICATION# 's DATE ISSUED MAP/PARCEL NO. LL4 k ADDRESS VILLAGE F r OWNER }A DATE OF INSPECTION: _ -FOUNDATION_ 'Ck' Fr FRAME ` INSULATION !"�. I FIREPLACE T Z ELECTRICAL: ROUGH :' . FINAL PLUMBING: ROUGH FINAL ` GAS: ROUGH "r FINAL FINAL BUILDING r . .—DATE CLOSED OUT ' ASSOCIATION PLAN NO. _ F 4 . f The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/PIumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): G Address: �-- City/State/Zip� Phone.#: Are you an employer? Check the appropr 1.;9 I am a empl with �� r am a general contractor and I Type of project(required): employee ndlor part-time).* �e hired the sub-contractors 6. ew construction 2.❑ I am a We proprietor or partner- listed on the attached sheet. 7. []Remodeling ship and have no employees These sub-contractors have working for me in any capacity. employees and have workers 8' ❑Demolition [No workers'comp.•insuiance comp. insurance.t 9. ❑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 re m self ❑ g pairs or additions y [No workers'comp. right of exemption per MGL insurance required.]t c. 152, §1(4),and we have no 12•❑Roof repairs employees. [No workers' 13.0 Other 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 am an employer that is providing'workers ,compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: Policy#or Self ins. Lic.#: ( > �,irtjate: 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 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 Investi ations of the DIA for insurance coverage verification. j I do hereby certify unde and t es o that the information provided above is true and correct Si afore: Date: Phone#: �/�� Official use only. Do not write in this area, to be completed by city or town offtcW j City or Town' Permit/Licease# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town CIerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other i Contact Person: Phone#: I 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. IM ORTANT: if the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed N 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 endorsements. PRODUCER Phone:781-749-4310 NCOAZ,^" Walter J.May Ina,Agcy.,Inc. 230 Gardner Street Fax:781-749-1714 PHONE Hingham,MA 02043 No Kevin McGrath ADDRESS: INSURERS)AFFORDING COVERAGE NAIC 0 INSURER A:National Grange Mutual Ins. INSURED Crosson Custom Builders LLC Ralph Crosson INSURER e:Associated Employers Insurance 18 Woodridge Rd. INSURERC: East Sandwich,MA 02537 INSURERD: INSURER E' INSURER 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. INEIR --OIL LM TYPE OF INSURANCE POLK Y NUMBER EXP LIMITS tIABtLlTY EACH OCCURRENCE ; 1,000,00 A X COMMERCIAL GENERAL LIABILITY PT4290L 09/25/13 09/25H4 PREMISES Eg Ea a nw S 500,00 aAws-MADE a OCCUR MED EXP OM am pew $ 10,00 X Business Owners PERSONAL aAININJURY E 1,000.00 GENERAL AGGREGATE $ 2.000,00( GEMLAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGO $ 2,000,00 POLICY PRO• LOC S AUTOMOBILE LIABILITY W.a Ent ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per sedderd) $ HIRED AUTOS AOS PROGE : UMBRELLA L1AB i OCCUR EACH OCCURRENCE $ EXCESS LIM CLNMS-MADE AGGREGATE $ oE0 I I RETENnoN WORKERS CONDENSATION $ AND EMPLOYERS'LIABtIftY X AYC STATLL TF� B ANY PROP JETOR/PARTNERE(ECUME Y/N CC 500 5012492-2013 09/25M 3 09125114 E L EACH ACCIDENT 100,00 [ N/A M�� "") EL DISEASE-EA EMPLOYE S 100.00 0 s Ri+P IM of OPERATIONS below E.L.DISEASE-POLICY LIMIT S 500,00 JPROPERTY 5,00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(AKedi ACORD 101,AddHonid Ranarb Sdbdub,a mae specs Is r+quived) Carpentry-Residential Dwellings CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN _.. _._. ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Kevin McGrath ®1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD r �3 00 kk �tl k e al ` D� f 0 is rn d o g Li Li -------- _ f 6 t Massachusetts -Cepartment of Public Safety Board of Building Regulations and Standards Construction Supcn isor License: CS-070029J RALPH CROSSES 18 WOODRIDG&RD' r.k, '•`:` ;3 E SANDWICH NfA 02$3 ` 'I l'' Expiration Commissioner 11/15/2014 �"/��,irarra,rrueull/r,o•r'`r!ei.laacl udetCt ' Office of Consumer Affairs&Busibess Regulation FT Im OME IMPROVEMENT CONTRACTOR egistration: 136972 Typo: expiration: 9/23/2014 DBA RALPH CROSSEN RALPH CROSSEN 18 WOODRIDGE RD E. SAND'WVICH,MA 02537 Undersecretary fIMNE 'L Town of Barnstable • Regulatory Services • sw.arsz,a�,a, • KAsa $' Thomas F. Geller Director 16 BuiIding Division Tom Perry,Building commissioner 200 Main Street,Hyannis,MA 02601 www.town.b arnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize !� to act on my behalf, , in all matters relative to work authorized bythis building permit application for. 16 (Address o Job) S of er a Print Name i If Prope • Qwner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. I � Q:FORMS:O WNERPERMISsION I