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HomeMy WebLinkAbout0022 MARK'S PATH — �� � _�— /� ��3 d,, ids is-1 ,t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION d—rn A i -` Map 1 Parcel q 1 Application # >�57 Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis M Ir Project Street Address a 1 '►of Village J a n n i f Owner ��`Sa�PT�" ar�:,�/� Address nn& Telephone Permit Request K'U rt-11 to e. a4j �6efstoi -6 Ae ��}�G. I��� R 30 ��►,��s� i'c. Air,. Seaa� I �t d1c; :( !&nP V,14 e/X04A JOtillb Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay e(j ��o Project Valuation �� Construction Type T y Y Q /, Lot Size Grandfathered: ❑Yes ❑ No If yes, attach 0 orti cum ation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) "99 O�6 Age of Existing Structure - Historic House: ❑Yes ❑ No On Old King's HighwakA 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 tl No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) _ --�- 1 � Name e C I uS�e� (�htSklt�c. Telephone Number !�G B C1 Address 4KA i&j License # 3 C 1016 J �tinti.all��l"�t i Pt 0�l� 6 �� Home Improvement Contractor# 0 Email Worker's Compensation #,VC, 0 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO Yd SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. 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. HOME OWNER WEATHERIZATION WORK PERMIT: PLEASE COMPLETE AND SIGN THIS FORM AS THE APPLICANT HOMEOWNER. x' Rzr6c-r hereby consent to and agree that weatherization work may be done by the Weatherization Program of Housing Assistance Corporation 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: r Weather stripping; air sealing; attic&basement insulation; exterior wall insulation; ventilation measures In consideration of the weatherization work to be done at my home I 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. I 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. . i - i Home Owner(signature) ram;. i Home Owner email:�C _ Yt/'t �' pate: Agent:(signature) Date: n --&f� Weatherization Cant actors: Adam T Inc Cape.Save All Cape Energy Frontier Energy Solutions Alternative Weatherization Lohr Home Improvement Building Science Construction Resolution Energy Cape Cod Insulation Tupper Construction • �"'• *°"a ,F' �n 'It tic" � x i .°s'-i '^'t \.'' �.�.�'�'i ,=r. fi +•. .. y r �' „F, . • ' a wr `,.1•:• .. �•a .} - ��; The`Commonwealth-of 1Vlassachusetfs �l _ t . �„ <, . Department of Industrial Accidents '' t' R I Congress,S eet-Suite•1.00 r Boston,M.A-02114-2417.. SV �� www massgovldaa r NN'arkers'Compensation Insurance Affidavit:"BuilderslContractors/.Electricians(Plumbers:" TO BE EILED WITH THE PERMITTING AUTHORITY: w Applicant Information Please Print Legibly Save Inc a . Name(Business/Organizatiot>iIndividual):Cape - , Address:7-D Huntington Avenue City/State/Zip:South~Yarmouth;MA 02664 , Phone#:508-398 0398 _•_,, i ' Are you an employer?Check the appropriate box: t Type of project(requ►red): .. .. . _ .. . k . ....,4 _. - - ..-- 1. V I am a employer w,tl . 'I 5 :::employees(full and/or part-time t: } " r ". >' ` 7 Q New construction .. l 2. I am a sole. ro netor,or artnersht andhave no a to ees woikm forme to ' M. ; " F +F }r r Q p p p p � y- g: � r .� � 8: 0 Remodeling ��:$_ r 7, • � any,capacity.[No workers'comp insurance required], , .. a , , ❑ _ t`a. it am a homeowner:doin all work m self. n` Demolition g y [No workers comp.,insurance required:)t - _ 40 Building addition F 4:❑I am a homeowner and will bd hiring contractors to conduct all woik on.my property. I will _ j. ensure that all contractors either have workers'compensation insurance or are sole I LM Electrical repairs or additions proprietors with no employees.' a t 12.❑Plumbing repairs or additions 5.❑1 am a general contractor and I:have hired the sub-contractort listed on the attached sheet.. These sub-contractors have employees and have workers'comp:.insurance: 13:❑Roof repairs z 6. We are a corporation:and its officers have exercised their right of exemption per MGL.c: 14.a✓ Other Insulation" 152,§1(4),and we have no:employees.[No workers'comp.insurance required:] - t + *Any applicant that checks box#1 must also fill out the section below showing then 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.indicatingsuch. t -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.policynumber. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information.` - . _.. _ Insurance Company Name: Star Insurance Co. ' s Policy#or Self-ins Lic:#: .WC085540100 -Expiration Date: Job Site Address:_22 Mark's Path ' zE City/State/Zip'.Hyannis = ` Attach a co of the workers':coin ensation ohc declaration page showing the policy number and expiration date)._,. _copy _ p P Y P..g Failure to secure coverage as required under MGL c. 152,§25A is a'Criminal violation,punishable by a fine up to$1,500.00 l 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 f day,against the violator-A copy ofthis statement.may be forwarded to the 1 Office of-Investigations of the DIA-for insurance -• -- coverage verification. 1 l do hereby certify under th pain s and penalties of perjury that the information provided above is true and correct i [ i Si nature2 Date: , " Phone#:508-398 0398 i i Official use:only:Do not fvrite in this area,to be completed by city or to►V�i jCity or Town, A : �r . a .s'._ • Permit/License# Issuing Authority(circle one). I.Board,of Health,2.Building Department 3.CltylTown Clerk 4.Electricai.Inspector 5..Plumbing Inspector ". 6.OtheT . =:�.�• �"� .�.tint ;" I Contact Person: Phone:#: . . _.. _< ACORD® DATMMMIDOM`YY) CERTIFICATE OF LIABILITY INSURANCEF 10/24/2016 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(ies)must be endorsed. If 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. CONTACT PRODUCER NAME: Colleen Crowley PHO Risk Strategies Company (AJC No E : (781)986-4400 FAC No: (781)963-4420 15 Pacella Park Drive E-MAIL ESS:ccrowley@risk-strategies.com Suite 240 - INSURER(S)AFFORDING COVERAGE NAICi Randolph MA 02368 iNsuRERA:Liberty Mutual Insurance Cc INSURED INSURER BAllmerica Financial Alliance Ins Co '10212 Cape Save, Inc , INSURERC:Ohio Casualty/Peerless Insurance 24074 7 D Huntington Ave INSURERD:Star Insurance Co INSURER E: South Yarmouth MA 02664 INSURERF: COVERAGES CERTIFICATE NUMBER:CL16101422377 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. INSR TYPE OF INSURANCE D S R POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MMI MM! X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 HtN ILL) A CLAIMS-MADE X❑OCCUR PREMISES Ea occurrence $ 100,000 BL81757246490 10/16/2016 10/1 //2017 MED EXP(Any one person) $ 15,000 PERSONAL BADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY 0 PERO LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED Ea accident SINGLE LIMIT $ 1,000,000 B ANY AUTO BODILY INJURY(Per person) $ AUTOS�ED X AUTODULED OS AWNA46796600 11/6/2016 11/6/2017 BODILY INJURY(Per accident) $ NOWOX HIREDAUTOS X AUT SWNED (Perracatlent)AMAGE $ , - $ 4 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 C EXCESS LIAB CLAIMS-MADE AGGREGATE $ 2,000,000 DED I X RETENTION$ 10 000 US057246490 10/16/2016 10/16/2017 $ WORKERS COMPENSATION ' � Officers included for X PER OTH- AND EMPLOYERS'LIABILITY Y I N STATUTE I ER ANY PROPRIETOR/PARTNER/EXECUTIVE NIA D Coverage E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) NCO955407 4/9/2016 4/9/2017' E.L.DISEASE-EA EMPLOYE $ 500 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS►LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Evidence of Insurance / Insulation Specialists CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Housing Assistance Corporation THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Barnstable County ACCORDANCE WITH THE POLICY PROVISIONS. Cape Light Compact 460 Main Street AUTHORIZED REPRESENTATIVE Hyannis, MA 02061 Michael Christian/CLC '�� ,. 0.1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401) Office.of Consumer Affairs and.Buslness Regulntlon 10 Park Fla a- Surte 5170> Boston ;Massachusetts 02116 Home Improvement Contractor Registration Registration: 171380 1 a e Type Corporation w ¢ Expiration..'3/14/2018 Tr#'419291 CAPE SAVE INC. _ y WILLIAM McCLUSKEX 7-D HUNTINGTON AVENUE_. SOUTH=YARMOUTH, MA 02664 i N t.fig a Update Address and return card Mark reason for change. x " Address �.12enewal (� Employment Lost Card SCA 1 0 2OM-05/11 Vlt6�Q(YI71i11167ttl1GCf•�.L/GO�✓��ClJ1CtCfttl�¢�S Office of'Consumer Affairs&Business Regulation License or registration valid for individul+use only . HOME IMPROVEMENT'CONTRACTOR before the expiration date. If found",return to: 7 Registration 17138d Types Office of Consumer Affairs and.Business Regulation 10 Park Plaza-Suite 5170' Expiratlon 3/.1412018 Corporation ' Boston,MA 02116 CAPE SAVE INC. WILLIAM McCLUSKEYr f 7-D HUNTING TON AVENUE= SOUTH YARMOUTH,MA-02664 Undersecretary _ Not valid: i signature Massachusetts -Department of`Public$`afefy Construction Supervisor Specialty Restricted to: Board of Building Regulations and Standards CSSL-IC-Insulation Contractor �I)i11tt Ut UUIC JU1tC1 V IJIir Jllecialty License: CSSL 102'T76 W� Gz,� _ WIU1AM JMC�;tU .11 Ir 37 NAUSET ROAD I West Yarmouth 1NA . %7 s - �A Failure to possess a current edition of the Massachusetts �.. •;'� 1'�' Expiration State Building Code is cause for revocation of this license. Commissioner 061=20.17 DIPS Licensing information visit:WWW.MASS.GOV/DPS • a " " " 2773s °> TOWN OF'B��RNSTABLE Permit No. __________________ { . = Bull" Inspector cash e,a z -- OCCUPANCY PERMIT Bond _--_x___l�_ Issued to Capricorn.:Reaity Trust Address Lot 3, 22 Mark's Path, Hyannis Wiring Inspector � r .saf'�f�� �.9p� Inspection date',..,/ Plumbing Inspectors Inspection date Gas Inspector �� rTA �' 1." ' -• Inspection date `� XEngineering Department �* ��-;Inspection date. ^' Board of Health � ( Inspection date f U /01 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. .✓ Q .?a... 19.` J' t.�..................� ' — Building Inspector _ _ _ s: 'r'� .wt.�.'4.L {,'.F�"': i '''x :�:-tgn.� ` t,, � � .. �.�A .,�A7+,:,.t':.�'�'A� '.'f , r+=�C�4r 3� ,... � - -• -.�.. ,. °�'•.°` '°��e� TOWN OF BARNSTABLE BUILDING DEPARTMENT ! seams : TOWN OFFICE BUILDING ► HYANNIS, MASS. 02601 . MEMO TO: Town Clerk FROM: Building Department. /r�`�'`� DATE: ✓~��=" S ,.- An Occupancy" Permit has been issued for the building authorized by BuildingPermit $k.................''�� . 5` ........................................................................................................................................ issued to tlei1 i.G�r .... ..... _` ...... .............. /.....:�. ........ ... 'ma .........��` i Please release the performance bond. ft�� �� moo, ��30� �'� I. •,.,� I � o - 04 � Nz � 1© 32 - e G F P � D �3 A�. I :)w` V� a > f. D Feo&jT 20, OF 414S c.FRANK 10 OZ Aq N t rH£ STRUCTURES SHOWN WERE WHITING � No. 29869 a� /� LOCArEd ON rH£ GROUND �Fs �'�r,�STt�`�° a`` ON / gas- 43jq,ew.5 7 MASS. rH/S SKE rCH /S FOR ,OL 07" 4"Al PURPOSES ONLY AND SHOULD �� i y /9�3g' / _ 0 NO BE USED FOR ANY arHER PU POSE. CAPE COD SURVEY CONSULTANTS pp-oFe5510NRL L AND SpRv£rOR 3261 MAIN ST./ROUTE 6A BARNSTABLE VILLAGE, MA 02630 PRo✓Ec r NO. o. - _J_�»- (617) 362-8133 Assessor's map and lot number ......................................... „*TNer 4 w � Q Sewage Permit number .,....Y........ :�..�. ..... SEP]"tC SY$ ��.. ZUS ;h ��61' t ARNSTAnLE. . House number ....... z........:........ .............. ......:....... ��� �� �� �� :oo� rb ENVIR TOWN ®F BARNSAR-,T E ti BUILDING I'ASPECTOR r APPLICATION FOR PERMIT TO .........Cranstru.ct:.dingle...F.amily...Dwell.ing............................... • , TYPE OF CONSTRUCTION Wood. .....f.rame........ .. .. ................................................................................................. .....F.D.bruaT:y....1.5.............19..8-�. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...........Zot... ...3...Mark's. Path:. Her??? s�...I........................................................................... ................ ProposedUse ............................................................................................................................................................................. Zoning District .......R B ......................Fire District Hyannis Name of Owner Crapx'.,LQQ.=..R.eU.ty....Trust............Address ....7..5...EaamoL1.:L.h...F'..d......Hya ni—s................. Name of BuilderF ranC.P.. .�a�....E a �.�...�eY.�...C.Q.Address .........s .e................................................................. Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms .......S.I .............:. 0....................................Foundation ..... .... ......................................:.......................... Exterior ...:.....Clapboard or Shingles....................Roofing ..........Asphalt Shingles Floors Carpet.........................................................Interior ......SYle2trq.qk...................................................... ............... g Gas—I'.W..A. ...........................Plumbing ......Two.—Copper- . hieatin ................................................... .. ...................................................... Fireplace None .........Approximate Cost ........... ..60, 000.00 Definitive Plan Approved by Planning Board ________________________________19________. 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. w Name . ................... ... �, Construction Supervisor's License ..r....... CAFr2ICORN REALTY TR A-271-94 No .27.7.a5... Permit for .......]....S.tery...s.ingle r . ....family.--dwelliag................:.................. Location ..L.oL... 3.........2,2...Ma-k.!-s...P. H.y. Owner .Capricorn Rea,a,ty,,,,TXList...... Type of Construction .......fXaMP....................... Plot ............................. Lot ................................. = Permit Granted ....:..:.....Apr.i1 ...9........19 85 D'to of Inspection ....................................19 Datg. Completed .... ...... /.......................19 + Ci VIA i t • J r ' . ^ � . Axueouo/s/mop and lot number --....—!'!--/.!--.. r. ` Sewage pe,mk num6er .................... �� �L' House number —..'..,�r—'==-----,----------` � n� 039, ������7�T ���� �� � ���3 �� � �� �� �7 -- � TOWN ��]� �� A&�� |� �� �� �������� ' \ �`. ° -- _ BUILDING � NN N N �� N �� INSPECTOR ' �� 0@NN| N0N ���� | �� �� � ����� �� =w � APPLICATION FOR PERMIT TO --../ )...------.—.—..- - kK��� z^l���� ���� ��� CONSTRUCTION --------.-----------.---.--_--____.________.____ _.. ..1�,,,,~,.l�.R�. TO THE INSPECTOR OF BUILDINGS: The undersigned hone6v applies for o permit according to the following information: � Location ...........;�pt. �8. �..2����.`. _____InmDIl��R�.. ...�2.6U1__________________ ProposedUse ----------------------.—..-------^---^'^—^~---------.--------. Hannis Zoning District J�.�� .......................................................Rve District ---.�.����..�.�-------__—______. � . -- Name of Owner �IT\' '/7rllgf ...........Address —�61 f'.-Ya]xnnJ±Jh.. l-�./-----.. � Nome of 8ui|6e 'Rnal . 90tAtl�_ CAA66re» .........8azne................................................................. Name of Architect ------------------.---A66[es ---------------------------- Nom6er of Rooms --���nrt...................................................Foundation —'j�°{|-------..-------------. ' ' Exterior --' ..����'Gh ��------.Roofing ---'.� ---------- O� �t Bb��t�Oo� Floors ----����}�--------------------Jn^e,ior --------------------________ Heating --G—a—o—F—�—V��A�� . — �P!umbing —Tvo—O �� ................................................... --..�� �� Fireplace ...............None-------------------Apprnximo^eCo� ---..��..�O.�0�O°DO ' DefhitivePlon Approved by Planning Board --------------------------------lQ--------. Area .............. f Diagram of Lot and Building with Dimensions Fee ..............110i'��....---' SUBJECT TO APPROVAL OF BOARD Of HEALTH . —\ � — OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS | hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ' .-_~_ Nome Z . '�. ���x' . / ' Construction Supervisor's License ....... N | CAPRICORN REALTY TR A=271-94 No ....2.7-73.5.*Permit for .1..Z.tozy. ..single f cwui 1-Y...dwel-lln-g................................... Lot •..3 22 Mar. k'.S Pad „;,,, h Location ...... ..... . ..... I ..................Hy cmu i.5........................................... Owner CaPXiQQrr1--Re-a1t-y...T-r-u-s-t........ Type of Construction ..fXZLMe........................... ................................................................................ Plot ............................ Lot ................................ Permit Granted .., Pril 9.................................1985 Date of Inspection ....................................19 Date Completed ......................................19