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0095 OLD CRAIGVILLE ROAD
.lo Z7IN Cape Save Inc. 7-D Huntington Avenue South Yarmouth,MA 02664 Tel: 508-398-0398 Fax. 508-398-0399 rA"qtc 21/ 06 �f. 10/19/14 Q Town of Barnstable Thomas Perry CBO Building Commissioner 200 Main St. Hyannis,MA 02601 a " t RE: Building Permits Dear Mr. Perry, This affidavit is to certify that all work completed for 95 Old Craiville Road has been inspected by a certified Building Performance Institute(BPI) Inspector. Ceiling: R-38 cellulose in main ceiling,and ceiling and open slopes of second storey stairwell; R-30 cellulose under deck over kitchen; R-7 Thermax and R-20 cellulose in front slopes. Walls: R-13 dense pack cellulose closed cavity walls; R-7.Thermax on open frame gable end walls . and on attic/house parting wall. All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION I'-6��3 Map Parcel 115 Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee l Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 1�5 011 Crow.jy-l'.I le RgAdj Village V�'t all f)I J Owner mwrL'a- '01eSP 0 Qw1OS Address OA/M e, Telephone 5©g5 ao9a Permit Request { d `\"Iq C044105e -1-0 !!Jf c Prdd R-�I ���e�� -to -t-I�e O�1i�C� Bn u ►.4k `t`6, 4 .lb wll+4,. cellA (esei ,. �►r s��c I -l-�►e a-�4-�� DEanC and A Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new ZoningDistrict Flood Plain Groundwater Overlay Y Project Valuation 5000 Construction Type f , Lot Size Grandfathered: ❑Yes ❑ No If yes, attach snip orting documentation.. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) cn Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's ighway:`�0 Yes-Y,2❑ NO: i� � Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other G 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 No If yes, site plan review # -Current Use - - -- - -Proposed Use--- -- —-- -- = -- = _�.- APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Wl m &11AA_LV kkoo &Y& -Telephone NumberIt i- ��$ 3lg o340 Address -� }-�-�q -�1y B t AV& License # -r_c 0 4 k 0" `I Home Improvement Contractor# �T03 o V Worker's Compensation # C 0 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE Z DATE 1 AH j FOR OFFICIAL USE ONLY 4 APPLICATION# DATE ISSUED MAP/PARCEL NO. T . ' ADDRESS VILLAGE OWNER DATE OF INSPECTION: jFOUNDATIONit,Sri, FRAME r. INSULATION a.,, FIREPLACE ELECTRICAL: ROUGH FINAL - PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL F F FINAL BUILDING' _ DATE CLOSED OUT r ASSOCIATION PLAN NO. 1;y _._ The Cornmonfwealth of Massachusetts 1)e ' talent of Ind«stria1 Accidents Office of Investigations i Congress Street, Snite X 04` Boston,AIA 02114-2017. www:massgov/dia `e Workers'Compensation Insurance Affidavit: Builders/Contractors/ElectricianslPlumbers Applicant Information Please Print Lei bl Name (Business/.Organizationflndividual): CarteSaye,lhe. Address: 7D.Huntington Ave City/State/Zip; South Yarmouth,,MA 02664_ Phone#: 508-39870398. Are you an employer?Check t e appropriate box: ' Type of project(required),, 1.❑ 1 a h a em loyer w it] 1 4. ❑ I am a general contractor and.I F 6. ❑.New.construction employees(full and/or part=time)i have hired the sub-contractors _... 2.:❑ I atn'a sole proprietor or partner- listed on the attached sheet.,' 7: [,Retnodelingc ship and have no einptoyees These.sub-contractors have g. O':Detnolition workingforme.in an ca aci employees and have workers' Y F b . 9. [.'Building addition [No workers' comp.insurance " comp::insurance.- , required.]: 5. We are a corporation and its 101] Electrical repairs or additions ' 3.❑ 1 ani a homeowner doing all work. officers have exercised their 11.['`Plumb ng repairs or additions. m self. o'workers'com right of exemption,per MGL 12 Roof re airs Y [N p;. . ❑ F insurance required.]r Z. 152 §1(4);.and we;have no m- eployees. [No workers'' 13,[✓:.Other Insulation. . r corn insurance re aired: P 9. ] Any applicant that checks box 91 muse also fill out-die section belo%+!showing their workers'eoinpensation poticy it,ilorination. t Homeowners who sut micthis.at'lidavit indicating_they arc.d inepti.work and then.hire,otitside contractors must eubin:itb neu:a€fidavit indicahng'sucH. aGonttaators#httt check;this box must attaciied an additionai skeet sho<< ne the name afthe sub-conh,actorsand°state.whether or ioi those entalies in%e employees. If the sub contraetais have employees,.they must-provide iheir'workers'comp::police number.' 1 c(in an e►tiployer..that is providing workers'compensation insurance for trty`employees.,Belofv is tlzepolicy:gnd job:spe inforination, Insurance=Comp any Name: Wesco Insurance Company - Policy#or Self!ins.Lic.#: WWC3085633. . . Expiration'Date:• 04/09/2015 e Job.Site Address: d'c1 . CkN A v I city/State/i V an d , Attach a copy ofthe workers'comperisatron poiicy declaration page(showing the:policy nurn er<-and expiration date):. Failure to secure coverage.as,required under Section 25A of MGL c. 152 can lead to the imposition of criminal:.penalt es of.a ; fine up to S1,500.00 and7or'one-year iniprisonment,.as swell as civil penalties in the forth(if a STOP WORK ORDER acid a fide of up to$250.00 a:day against the;violator. Be aduised.drat a copy of this statement maybe forwarded`to the Office of Investigations of the DIA:for insurance:cove rage°verification: I do hereby cerq underAe ains and' enalties o er' that the in orination provided above is true and correct .. $iaiiature: Date Phone r#: Okra!use otzly. Do:Trot write in this area,to be cosr:pleted.by cit)t gr.toivn,official. , City or Town: Permii/Lieense# Issuing Authority(circle one); 1.Boar&of Health 2;Building Department 3:City/Towm Clerk. .4 Electrical Inspector�S.Plumbing inspector, 0.Other Contact Person:: _ Phone:# - CERTIFICATE OF LIABILITY INSURANCE °ATE`MM>fl°"";�"Y� `../ 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 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(tes)must be endorsed. If.SUBROGATION'IS WAIVED, sub)ect`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,IleU of such endorsements).. PRODUCER NCAONTr=�CT Colleen Crowley Risk Strategies y g.. Coatpan PHONE (781)$86-4400 FAC-No:081k963 4420 15 PaCel a Park Drive ADDRESS.ccrowley@risk-strategies.com Suite 240 .I __ NSURER S AFFORDWG COVERAGE NAIL# Randolph M 02368 INSUREk :Selective Ins.., of America INsuREo, INSURrmB-Safeti Insurance Ccmpany 33151121. Cape Save, Inc INSURERC WeSCO Insurance Company 7' D Huntington:.Ave INSURER INSURER E: South. Yazmouth. Ida. 02664 1 INSURERF: COVERAGES CERTIFICATE NUMBER:CL1441475243 REVISION NUMBER: THIS IS TO CERTIFY`THAT THE POLICIES OF INSURANCE LISTED'BELOW HAVE BEEN ISSUEDTO THE,INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED: NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION.OF ANY CONTRACTOR OTHER DOCUMENT'WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN:,THE INSURANCE AFFORDED BY THE POLLCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS; EXCLUSIONS AND CONDITIONSOF SUCH:POLICIES.LIMITS SHOWN MAY HAVE`.BEEN REDUCED BY PAID CLAIMS. - - 'YOLiCYEFF- POLICYEXP - - �7R' TYPE OF INSURANCE .POLICY NUMBER MMIOD MMIOD LIMITS GENERAL LIABILITY'.. _ _ _. .:. . . EACH OCCURRENCE $ 1,00b,000 DAMAGE TO RENTEP, X COMMERCIAL GENERAL LIABILITY PREMISES Ea ccurrence $ 100,000 A CLAIMS-MADE rX OCCUR S1994486 0/16/2013 0/16/2014 MED EXP IAny one person) $ 10,000 PERSONAL&-ADV INJURY $ 1,060100 r,ENERAL ArGREGATE $ 2,000,0W GEN'L AGGREGATE LIMIT APPLIES PER" PRODUCTS-COMPIOP AG $ 2,600,006 POLICY FX PRO X ;LOC AUTOMOBILE LIABILITY CO Ea ersNtlen[ f LE LIB IT e 1 000 000 � BIx ANY AUTO BODILY INJURY(Per person) $ oorNED .NAUTOS . SCHEDULED 208200 - 1/6/2013 1/6/2014 .g001LYMJURY Per accident 5 AUTOS ( ) NON-VVMED PROPERTY DAMAGE HIREDAUTOS AUTOS PeFa, dent. X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,000 A EXCES, CLAItv1S�1ADE LIAB AGGREGATE $ 1.,000,000 QED RETfiNTlON' : OIL 51994480 0/16/2013 0/16/2014 S C� WORKERS COMPENSATION - - - - fflcers Included For VAC STATU- -OTH- - -' AND EMPLOYERS'LIABILITY YIN. X R ) ANY PROPRIETOR)PARTNER/EXECUTIVE overage OFFICERIMEMBER EXCLUDED? N NIA EACH ACCIDENT $ 500,060 (Mandatory In NH) 3 E:L.0.85633 /9/2019 /9/.2015 s If E;L,DISEASE-.EAEMPLGYf $ 500 000 ,describe under DESCRIPTIONOF OPERATIONS below_ a .E'.L.DISEASE-POLICY`LIMIT '$ 500 000 DESCRIPTION OF OPERATIONS tLOCATIONS;[VEHICLES(A#achACORD161,AE m diU*nWPearksSchedWe,ifmorespaceisregWred) Is�.sued.-as evidence of insurance'. 'Issued as evidence of insurance:. - Thelsch Engineering, Inc._ is listed as additional insured as respects General Liability as required by written contract. e CERTIFICATE HOLDER CANCELLATION msbng@capelightconpact.org SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE Cape Light Compact :POUCY PROVISIONS.. .Attn:: Margaret Song PO BOX 427-/SCH AUTHORIZED REPRESENTATIVE 3195.Main Street Barnstable; . 02630 "chael Christian/_CLC ACORD 25(A.10/05) Q 1988-2010 ACORD CORPORATION: AIC rights reserved. INS025(201005)0) TheACORD.narhe and logo:are regist®red marks of ACORD 7-1 Office-of Consumer Affairs and Busrness Regulation M Park Plaza Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration 171386 � , Type 'Corporafion f� r Expiration 3/14/20,16 Tr# 249649 CAPE'SAVE-INC. " v � WILLIAM McCLUSKEY � ., 7-D HUNT INGTON.AVENUE SOUTH YARMOUTH MA 02664 ; �w+�t � �`' :Update Address'and return card:Mark reason for change"` ' ��`� Address Renewal Em to meat Lost Card SCA 1 Co 20M o5/t t ❑ P y �a —'�? (.Pi ((sIY/71//9&042C!/BCGGGit 6�V(/�C(�dCGC3LCCJ6F ., + Office of.Consumer Affairs&Business Regulation . " License or registrat►op valid for ind}vidul.use only OME:IMPROVEMENT CONTRACTOR 1 before the expiration date If found return to Office"of Consumer Affairs and Business.Re ulation egistratlon `171380 d. TYPe t g Expiration 3%1 /4 2016 Corporation F 10 Park Plaza=;Suite 5170 :. :CAPE SAVE INC � �, Boston,MA 0211ti WILLIAM MCCLUSKEY�A F 7-D HUNTINGTON AVENUE g SOUTH YARMOUTH MA02664 Undersecretary Not vali ►thout signature r a . 1 Massachusetts Department of PNbl' Safet Y Board o#Building Regulations and`Stand6rtlsBill Construction Supers»or Spectalh = License CSSL 102776 WILLIAM J MC C-tUSI�1l (� r 37 NAUAT ROAD, West Yarmouth MA 0 Expiration C0n6issloner O6/,28/2015 7 } ' z s 4 ' y 4 t r 0 Housing Assistance ' �® Corporation Cape Cod i HOME OWNER WEATHERIZATION WORK PERMIT&FUEL RELEASE: PLEASE FILL OUT AND SIGN THIS FORM IF YOU ARE THE APPLICANT HOME OWNER. I ✓ ��, � i"1� S hereby consent to and agree that weatherization work may be done by the Weatherization Program of Housing Assistance Corporation ( herein after referred as "Agency" ) on the property located at: 0�6 0 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. I have read the provisions of this agreement as listed and freely give my consent. Home Owner: (Signature) Agent. (signature} Date: „T(lifioY NOM PUIT RCHAS ER S GGRYRETAINH ' ,o�eTow �aaQigx3nsohBE INCLUDED W JQTRO .tATO READIMpoMy, T. H �REED °nl�an�IE�7QJ��AtBt l U32A1 i JNU9 3T'71U qn. I. u I ',,,, eupu,Awu gnu rnj naun le ny�Y Y o M iA 1 lrCl IillUlvl Y40:+ ,tl o:orl ycNlw%°n�..F- r—T L I �y p�p� `, lilnu y ON {l���f11” i rally beeol�ne".r r717 ' �V�:6.VV' �..__ r. t leae°mq rot zyab OE wolk easel4 ..>711,.ilr �j-\ ' f.- 1 .' I -••-• � ' ',I __ M(i-am ri.'.ptnnTUV ,, 9EU\ t � .• '.�_. ' iL'- I lo• ty6� I r -T —_•_T 0 Lip" N 9n tl YN,,OM ' . Issued b 'Vkmencan n run,Yi+t �s"' BVeI Related SeNIC�@9 Company�llnC `EnI6W00d)'f''alorad0''»�IeH,eve,T eae,gz3 ncai,amA o�ubni oT" PtlRCHAS�EnAGA 'EME&IT)''Out;the.purchaser; agree,lhatbAmencanl,Expressrneed:not,Isto ,p� �. press Mone Order unless 1 Qu fill In then"TO THE+ORDE Amy gole a xsmA ex,ioAlue refund a lost of stolen Amprica ® p yme3 non-ordreplace-or 'the Money,Orderat-Money y O Y as J Y'Q.t!-xego�e 1ArS r ;3vilrnerican Ez Pe Fs� q P i� iifiin�e�kaq Y. �{�•>>aor=Ne{,{ PURCHPI�7ER�S � Y RETAIN THI8�AURCHASER'S COPY.IT MUST BE INCLUDE, .,:C0;PFU REO E s �bTo ysnotV 2asigx3 nsaiiNOT BE SURE TO READ IMPOR D _ IIVF0RMA71O1V B�L'O1D(AND'Of�BAGIC' � Y°bOTIB(,�"` e /" p1 i,.�r ayVv r+ u nGq nu.,:.t 1 u .teaarimuq of .f r�'�� 00 a',oaeAmu9 eAl to 1 1 0OT Alyt r t WE HUMORED OCI(.�p Qnlaae I�f i ne f; I'dr3!{A leeupe+,uo A,IN DgaeWne 1 'lu aoaq rol eyeb OE voila vas» rotq amsN d+eFanmu9 i... /.. ... .1. I _ _xW�, I � I ...-T_'I_ m.��>�,Ivi..rolmw nro,na. I//q Issued by�Americart Ex press Travel Related Services Company Ilnc Englewood,Coloradoi0161�H{yv,;,T aaernxi na,hernA °,u1, PUR Nqg' °AGREen AIme �an the purchaser, agree,that:,American Express need.,notstoplpaymentran�or,r refund a lost or stolen American Express®Money Order unless 1 n I "" "'n01"°m the Money Order at the time of-purchase;- nd,-2 eplace or ( )you fill in the Te THE ORDER�OF"IjRe,o t�,@'floral of ( 1YOU,repori tFje,l�ss....or,.theft to American Expressritlhg'ig.,;eJj(ont? ,1 rF k _ fir Assessor's office(1st Floor): c� Assessor's map and lot number qd /�� ` ✓ YN f Conservation Board of Health(3rd floor): Z sasiSrAntt: Sewage Permit number Engineering Department(3rd floor): - °° oa o• `off House,number �o Nxt Definitive Plan Approved by Planning Board 191 APPLICATIONS PROCESSED 8:30-9:3.0 A.M.and 1`:00-2:00 P.M.only TOWN . OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION ' �.S 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a / permit according tothe following information: n CJ- Locatio / 1/'& w/ Proposed Use Zoning District Fire District Name of Owner l"1 � >o.S T @ /�i�40 /aU Address Name of Builder `RDL) U I ( Q I F, Address `/?/ Lax k , /% /q Name of Architect Address Number of Rooms Foundation /L Exterior Roofing Floors Interior Heating Plumbing OD Fireplace Approximate Cost Area Diagram of Lot and Building with Dimensions Fee 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. Name Construction Supervisor's License ! F DESPOTOPOULOUS, MARY 9 Ji No 35363 Permit For Re-ROOF Single Family dwelling Location 95 Old Graigville Road Centerville Owner ' Mary Despotopoulous Type of Construction Frame Plot' Lot , _ 4 ' 4 � Permit Granted September •15, 19 92 L + Date of Inspection 19 Date Completed 19 f ( { 1 I i i The Town of Barnstable Department of Health,, Safety and Environmental Services i t;AsxsreBUL ► g Buildin Division ta�39. 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph M.Crossen Fax: 508-790-6230 Building Commissioner Home Occupation Registration Daze: �� S /� Phone f#: /00 Name: y Address: S aL� l � //e i2 vrllage: / y�'''ki�'S p• l�d� �?4C1 L+°•/7l y�,gyjy�� i7o2 Type of Business: ��� -�e/�v�L � ` S Map/Lot: �f� INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling there shall be no increase in noise or odor,no visual alteration to the premises which would suggest anything other than a residential use;no increase in tragic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and a with the above restrictions for my home occupation I am registering: DaterApplicant