HomeMy WebLinkAbout0026 COMPASS CIRCLE o� Co
C co �aS S i �c;
e , �
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map 3 Parcel 9 a 3' O 16 NIS 4 A'�Application # a()l,�d
Health Division t = s1• Date Issued "2� -�� PI—C
Conservation Division Application Fee ®�
Planning Dept. ,., _,.,.,r.Permit Fee,% • d
. . ,
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation / Hyannis
Project Street Address C al ec 1p _
Village tr n 1
Owner Ale 5S&A�rk Address 5&M e
Telephone 50 8 931 F.3 0 3
Permit Request NrU P"30 cell-410A an l g.bss -fie 4e g4f�c
A:r e \c plgnt anj bakrnen 4- 'A cq4n,11Af
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation 310 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 ❑ 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 J2(No If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION
^tt '' (BUILDER OR HOMEOWNER)
Name Val u� m Mc c 1tkj e 'Cq t, 5p., ,t MA c. Telephone hone Number 5S()$ 3 4'g B 3
�7_l n
Address T Y 6�iri n A-ve- License #
5%. Ytirn,c�-t'� , ' Da 6 Home Improvement Contractor# 0-1 JO 0
Email Worker's Compensation # wwc 313
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO 1 �f Mai
SIGNATURE DATE A.0 15
FOR OFFICIAL USE ONLY
APPLICATION#
t ♦ DATE ISSUED
r
MAP/PARCEL NO.
4
i}s
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
[[� INSULATION
!� FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
AC Rc r
CERTIFICATE OF LI�1�lLITY II�SUR�►NCE, ° '�` "'°°'""Y"'
3/24/2015
THIS CERTIFICATE IS ISSUED AS A MATTI OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER: THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE'COYERAGE AFFORDED 13Y`THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES:' CONSTITUTE'A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND'THE CERTIFICATE HOLDER.
IMPORTANT-* If the eOfficate'holder.Is an ADDITIONAL INSURED,therpat#cypes}mtesftIt6Indorsed. If SUBROGATION IS WAIVEDj subject to
the tens and conditions of the poilcy,'certaln policies may regglre an endorsement. A stetement on thls.certiflcate does not conferrlghts to the
certMcate holder in lieu of.such endorsement s
PRO13i10ERCONTACT NAME. 'Colleen,CrO,Wley
Risk Strategies Comlgs3ny. PHONE t781)986. 4400 FA '
tC (781)963-4426
15 Facella Park Drive -- t4VIAILecroW]eg@risk-strategies.com.
Suite 240- IN 3 AFFORDINGCOVERAGE NAICaR
LZ3ndolph r i L 02;358 mURERA.Selective "Ins. or ;America
INSURED
In�suReRaAt] terica L�ivaucial'Alliancx 0212
Cape Save, 2nc INSURER C-Peace Insurance. an .
7 D Huntington Ave
INSURERQ.
- MSURERE
south Ylmalith `` W94
-. INSURERF .._
COVERAGES CERTIFICATE NUMBER:CL1532491501 REVISION NUMBER:
THIS IS TO CEIMPY T#RA:T T+I POUCIESt3F#NSURA-NCE?LISTED BE1:OW HAVE SEENASSUED TO THEINSURED'iVATJfED ABOVE FIaR fTfE POLICY PERIOD INDICATED. NtTIWtTHSSANDING A16Y REQUIREMENT,TERM OR COAIDITION OF ANY CONTRACT OR OTHER DOCUMENT`WITH RESPECT:f0 WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY-PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES QESCRIBED.:HEREIN.-.)S SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH;,POLICIES.:LIME SHOWN MAY HAVE BEEN REDUCED BY PAID CL4IMS:• „ '
TR T YPE OFIN3URANCE POLICY NUMBER OLiCYEFF . POLICY EXP
GENERAL:LIA81LrrY
MAAt00 i1MITS.
d EACH OCCURRENCE. $ 1,000,DOO
X 60MMERCIAL GENERAL LIABILITY DAMAGETN
PREMISES Ea dwrence S" 100,000-
p+ CLAIMSiAADE a OCCUR ' 1.994480 0/16/201.4 O/1,5%2015 MEG EU(P(Any one person) $ 10,000
- + PERSONAL.i 4Du IiIJLL?Y 6 1,000,G0.0
GEN'LAGGREGATE LIMIT APPLIES PER -
GENERAL AGGREGATE $ 000,10001
PRODUCTS-COMP/OPA.GG $ 2,000,000
POLICY X PRO. X LOC c..
AUTOMO MEiLIABILITY
S'` cci rrt 1 000 000
I
B ANY AUTO BODILY WJURY(Per person) $
AU OV4f]ED SCHEDULER 4s796600: S/6/2014 1/6/201s .
AUTOS AUTOS. BODILY WJURY(Per accdent) $
HIREDAUTos o
AU OS
X n
Per tlsn{, $
X UMBRELLA LIAR R
OCCUR EACH OCCURRENCE
A EXCESS LIAB CLAim"ADE
AGGREGATE $ 1,000,000
DED RETENTION 9 _,11 1994 8f1 0/16/2014' Ofl4(2ti1S
C WORK IOMPENSATiON g
AND EMPLOYERS'uA(3LITY ;-1. ffi YS IP1@7 udei# for X. Vte STATU OTH
ANY PROPRIETORMAIRTNER/E)ECUTIVE YIN. OV6ra 6 Y M R
6FEICEPIMEMBER EXCLIED?: N!A 9 EL.EACH ACCIDENT $ 500 .000
(Mandatory 1n NH) 13b2 74 %9I2t)1'5 1�9f2C71 b.
if-yes,desaibe:IUlder . ,•- - .# .F �;. _€:L DISEASE-EA EMPLOY $- w 000
ION DESCRIPT :OF OPERAT ON
S below .
E L.DISEASE.-POLICY Li $ { '_'500 000.
r
I
DESCRIPT)DN OF OPERAT10NS7LOCATIQNS I VEHICLES(AtfaehACORD 1O9 AddRlona[Remarks:§chedulo,If'moro space Is required)Issued as evidence of s"nsurance.
Thiel sch Engineering, Inc u
:is listed as. additional insred as re sp ects I.:General Lx it�r,as sequised.bY
Written tract " '
.....:...,:. ... ,.. .... .. -::
CERTIFICATE HOLDER
C ANCELI.ATIQN
SHOULD -OP THE i�BDi/E DESCftIBEtf OLICIE3 BE CANCELLED BEFORE
ACCORDPI EON DATE THEREOF, NOTICE WILL 1'3E DELIYERE_D IN
Cape Light "' WITH THE POLICY PROVISIONS.,
q Coafpact
Attar Margaret song
070 WK W/SCH. AUTHORMEDREPRESENTATiVE
3195 Main street
Barnstable; bA U2630 -
chael Christion/cIz,
ACORD 2E¢0iU/05 U t988,2131Q AC0RjD C9#dPARATI0.N. All rigtds reser d.
INS025 czotoos),Dt .. The ACORD name and logo ara:reglstered.ma[ks of ACORD
The Commonwealth of Massachusetts ,
Department of Industrial Accidents
M
1 Congress Street,Suite 100
Boston,MA 02114-201.7
www mmassgov/dia
Workers'Compensation.Insurance Affidavit:Builders/Contractors/ElectricianslPlumb.ers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Les>ibiv
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 appropriatehot: Type of project(required):
1; ✓ I am a employer with. employees(full and/or part-time):°
7. O New construction
2.❑I am a sole.proprietor or partnership and have no employees working forme in
any capacity.[No workers'co insurance 8• Remodeling
comp. requtred.]
3.[]l am a homeowner doing all work:myself.[No workers'comp_insurance required.].r
9. ❑Demolition
4r❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 100Building addition
ensure that all contractors either have-workers'compensation insumnce.or are sole 11.0 Electrical repairs or additions
proprietors with no employees.
12.[]Plumbing,repairs or additions
S:Q 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 g 14.0✓ 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 thatcheck this box must:attached an additional sheet showing the name.of the sub:contractor 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 the policy and job site
information.
Insurance Company Name:Wesco Insurance Company
Policy#or Self-ins.Lic.:#:WWC3136274 Expiration.Date:04/09/2016
Job Site Address: 26 Compass Circle City/State/Zip: Hyannis
Attach a copy of the workers'compensation policy declaration page(showing the policy num.ber.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
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 thg pains and penalties of perjury that the information provided above is true and correct.
Si aturec' Date: 8/20/15
Phone#:508-398-0398
Official use only. Do not write in this area,to be completed by city ortown.ofrciai
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#:
HOME OWNER WEATHERIZATION WORK PERMIT:
PLEASE COMPLETE AND SIGN THIS FORM AS
THE APPLICANT HOMEOWNER.
_ 1 t; 1�-{ �eei 2 hereby consent to and agree that weatherization work
may be done by the Weatherization Program of Housing Assistance Corporation on the property
located at:
t - MA - {
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 homed 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)
fit�avdz-
Home Owner email: Date:
Agent:(Signature)_ fi' ` _f `: Date: `""
Weatherization Contractors:
Adam T Inc Cape Save
All Cape Energy nergy Solutions
Alternative Weatherization Lohr Home Improvement
Building Science Construction Resolution Energy
Cape Cod Insulation Tupper Construction
ilia" w4e-
Office of Consumer Affairs and Business Regulation
r 10 Park Plaza - Suite,5170
Boston,-Massachusetts 02116
Home Improvement Contractor Registration
M Registration: 171380
Type: Corporation
r Tr# 249649
Expiration: 3/14/2016
CAPE SAVE INC.
WILLIAM McCLUSKEY
7-D HUNTINGTON AVENUE *'
SOUTH YARMOUTH,,MA 02664k� _ -- --
Update Address and return card.Mark reason for change.
SCA 1 C. 20M-05/11
Address Renewal Employment Lost Card
- - •
!-wee.>-)tt I)Gf It-LI+GCGl.17(3 ��•!/.i.i(t('lt(uJ �'.: - ..
Office of Consumer Affairs&Business Regulation • License or registration valid for individul use only
aIOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: ',
egistration: 171.38p Type: Office of Consumer Affairs and Business Regulation
Expiration /1412016 Corporation
10 Park Plaza-Suite 5170
Boston,MA 02116
CAPE SAVE INC. x
WILLIAM MCCLUSKEY t
7-D HUNTINGTON AVENUE
SOUTH YARMOUTH,MA 02664',, Undersecretary " Not vali rthout signature
Massachusetts -Department of Public Safety `
Board of Building Regulations and.Standards
Coljstr uCL1(—#iv ljl-teI V'MIf ipedaIty- ,
license- CS%-102776
W x"MJMC U.
ter. a
37 NAW;nT ROAD r °
West Yarmouth MA
Expiration
Commissioner 06/2812017 t.
k
a
Assessor's map and lot number ..........................................
t
Sewage Permit number ...................`.....................................
POFTHEro�y TOWN OF BAR.NSTABLE
S �
j 33A"STIBLE. i
"b 9 BUILDING INSPECTOR
�♦�Q war°''
APPLICATION FOR PERMIT TO .....................Build........................................................................................................
I
TYPE OF CONSTRUCTION U7nnri F rp ma Tlc4c. n
10-19...............19....7 C
TO THE INSPECTOR OF BUILDINGS:
Tjhe undersigned hereby applies for a permit according to the following information:
fT
Location „..........._COmpaSS Circle, Hyannis, Ida.
ProposedUse ...........................D61e11iriq.............................................................................................................................
ZoningDistrict ........................................................................Fire District ..............................................................................
Name of Owner ..(-. 4 nrA /:/ s. , .......Address �/ /`t .✓.,,.+ r fit?r � t v.....................
f
Name of Builder 5 i,,/) � ✓ ..............Address ......... ............�r �-->-a•./_..-r
...... ..... V ........................................................
Name of Architect ---- Address .......r.... — --
Number of Rooms ..................................................................Foundation .........Concrete — Full,
.....................................................................
Exterior 11h.ite cedar Shingles Aso.halt
.............................................................................Roofing ....................................Shing.....................les...........................
Floors carve'ES...........................................................Interior Drvwall
....... ............... ...................................................................
Heatingfavt Oil...........................................Plumbing 1� �, �y /,jJ................................................... ........ .. . ............r..... .... ..
Fireplace .....One .....................................Approximate Cost .S 2 2 ;11 n t1 _ fl fl
................................ ......................................................
Definitive Plan Approved by Planning Board __________________________ 1..80
------19--------. Area ...................:......................
Diagram of Lot and Building with Dimensions Fee ..............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
I
r
it
t
r I
J
I � /` ♦ tr � �
� r
_ JCS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ............ . ...... .................................
r
Cedar Acres- Realty A=310-392
A.
20826
one story
No ..r............ Permit for ....................................
t
e single family dwelling
. ................................................................................
f 26 Compass Pass Circle
i Hyannis ,
...............................................................................
Owner .....Cedar. . ...Acres
. Realt y....................... ...... . ........ .........
Type of Construction frame
.................................................................................
r
'
Plot4�6A
........................ . Lot .. . '; ...........
Permit Granted .....(N.UQRbQr..z.6........19 78
r
Date of Inspection .....................................19
r
Date Completed .........................:............19
it 1
PERMIT REFUSED
19
....... .1..�..
.............................. ... ........................
' r:� ,A + ..............
�. ........... .r... ...............................
Approved ................................................ 19
...............................................................................
...............................................................................
TOWN OF BARNSTABLE permit No. _____20826
i Building Inspector
Nae�n u Cash —_--
°.pY�� OCCUPANCY PERMIT Bond __ X
No building nor structure shall be erected, and no land, building or structure 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 Cedar Acres Realty Trust Address Great Pond Dr,, nth Yarmouth
lot #6A 26 Canpass Circle, Hyannis
Wiring Inspector / � � �-� Inspection date
Plumbing Inspecto r € _ Inspection date
rtQ
Gas Inspector �� � Inspection date r�
Engineering Department � Inspection date- `-5 /
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. rI�
_, _
Building Inspector
V
Assessors, map and lot number ` '�. .....^ �.�.�....
�. .� - b - SEPTIC SYSTEM MUSTE
4) INSTALLED IN COMPLIANC
Sewage Permit number
WITH ARTICLE II STATE
' � SANITARY CODE
RA� '. WN
THE TOWN- OF "D A,RN S T-A'
e • , j ;Z BABH9TADLE, i
"6 q . 4b M NUIL IN'S" INSPECTOR
Build
APPLICATION FOR PERMIT TO ................................... ......................................................................................
TYPE OF CONSTRUCTION ................WO.Od..Zrame...Dwelling....................................................................
. 10-19 19...78
...............................................................
TO-THE INSPECTOR'OF BUILDINGS: cz
The undersigned hereby applies for a permit according to the following information:
Location 6 # ,,,,.,,,, Compass Circle, Hyannis , Ma.
Proposed Use ...........................Dwellin
.................................................................................................................................................
ZoningDistrict ........................................................................Fire District ..............................................................................
Name of Owner ..C�� -.... . .. ......Address ........... .................
Name of Builder ....5 ........... ... .... ..............Address ............... .. ....:.. .
Name of Architect ..... ................Address .:..: --........:: .:.............................................................
Number of Rooms ..................................................................Foundation Concrete - ,gull
...........
Exterior White, cedar Shingles........................Roofn AsPb.41t,,,Shin,files...,...,.,..,,,...,,...,,.,
.. .. .... g .................
Floors .........Carets..........................................................Interior ...............A1zyW.4,11...................................................
Heating HOt water Oil ..,....Plumbing .........4_� I ...� �!1 �
Fireplace .....One.....................................................................Approximate Cost 122.,.Q.0.0-0.0.........................................
Definitive Plan Approved by Planning Board --------------------------------19--------. Area 1..80
Diagram of Lot and Building with Dimensions Fee ...........1...............................
SUBJECT TO APPROVAL.OF BOARD OF HEALTH
'd J
by -
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ....... . .
� ,
~
�
Cedar Acres Realty
\+
20820 �
Not ---__ .k or --..
'
* single family dwell
..��--������—.—.---.'—...����'.----
l�'— [ ' �
� .
26 Compass Circle ) '
Location —.—..—����........—...—_.-----.. \ `
^^xa"^^^"
—'--'—^---'^—.--'~~^^'—^----'---''
Cedar &ormo Realty
Owner .--..
''.----`—^-^'--'—^--'—'--
frame
' Typo of Construction '._----,—..,----., '
,_.—.—..~---.---.—`--.----.---.—
#8A
Plot —r^-------' Lot '`----'-----'
�' Permit Granted ----. ..l8—lg 78
`
' Date | lV '
� Inspection . — . .—_..r^—.' | .
Completed .z� ..��----..]g
Dote Completed
rERmmv REFUSED
l�
'' ''---''�~-.'-~'—'—^^^''—'—^^^'^'~'.
~_,__,,~.~,._,._,,,.,__,._,,.,�.__,,,_.
. .
—'' —^----_—^--_'r'----^^—'--'~^'''
`
�
. .....~.,..—.^...—..._---.~.,..,.--..
-- .-------^---^--~^^~~''--^'^—^
. .
"Approved lg
----------'-----''
' ^
--------.----~...--.--.----.—
,
-
' ~
, --------.--.---------.—.--..—
` ~
'
.x
R
«GG.
•
e
,
c -
Al
Lu
Iz