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Home My WebLink About0118 RUDDER ROAD ��' �?��e mod. � — - ,� oFs�toh, Town of Barnstable *Permit# 7�7 Expires 6 months from issue date Regulatory Services Fee 9�A s6 9. w � Thomas F. Geller,Director X-I" IT rEfl � Building Division . " n �- I Tom Perry, Building Commissioner APR 1 2004 �tfJlJ 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 TOWN OF BARNSTABLE Fax: 508 790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY r7 Not Valid without Red%Press Imprint Map/parcel Number � � l Property Address 1 I I\�)• _ ®Residential Value of Work � o Owmer's Name&Address ' XA, ,r Contractor's Name Telephone Number 1 9 Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor [� I am the Homeowner ❑ I have Worker's Compensation 1Insurancewt — — Insurance Company Name rot Workman's Comp.Policy Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to fZiw��tvL ❑Re-roof(not stripping. Going over existing layers of roof) ' ❑ Re-side' ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. **"Mote: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License is required. Signature h .oM ' Town of Barnstable °F�e rok, Regulatory Services a s sAxrSTAN LU Thomas F.Geiler,Director 9�plED 59. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 office: 508-862-4038 Fax: 508 790-6230 Property Owner 1.V1.ust Complete and Sign This Section If Using A Builder the.subject propety- ._.._..._.. .: hereby authorize to.act on iny.,behalf,. k 6 matters relative to wOtk autho='ed•bg this building,permit app]zcation for- k (Address of Job) K 331 � Siga�:tae of Own ate Print TTarne ' THE TOWN OF BARNSTABLE ]DARNS' ABLE 039. BUILDING INSPECTOR TYPE OF CONSTRUCTION ..... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Ad Namenf Architect ............. ...............................Address ... �............................................................................... Number of Rooms ...............' ��l�_ Foundation �q —_.-----'--' '�°.==`=—°�.—..=,^`�,��.��....=.---. ' Exlerior — —.��,��----_—.Roofing -- ___—___._________ Floors ...................................... ----.|nte,io, ................ ��_______..____________.. Heating ---.------- ---'-------------P|um6ing ------------_________________ Fireplace .........�� .............................................................Approximate Cost ---z Definitive Plan Approved by Planning Board l9--------' C)� | Diagram of Lot and Building with Dimensions 7~� SUBJECT TO APPROVALHSTALLED IN CO EM MUST BE NCE NIPLIA �o^«`^ ARTICLE 11 b\Nc �[hNN ' ' ��JNyTAFU� CODE &�� '—' \ r \`` r - - - ' - - ` . . ------------------------ of �� ^ ' � � | hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. | ' Nome -- —... ^- ~ ~ Morris, Warren grage No ...�99... Permit for ..........a.......................... ............................................................................... Location .............118...............Rudder...Rd......................... .... .........................WAYaPrds A ..... ...................... Owner .............War.ren..Mo.rri.s... ...... ...... .... ...... . ...................... Type of Construction ..................frame ........................ ................................................................................ Plot ............................ Lot ................................ Permit Granted ........Ap..rii..a2..............19 73 ..... ..... Date of Inspection ..... ....... ........19 Date Completed ........ .. ...... .........19 d 0 PERMIT I REFUSED / 2, 0 ................................................................. 19 r8 ....................... ....................................................... ti ............................................................................... ............................................................................... ............................................................................... Approved ................................................. 19 ............................................................................... ............................................................................... TO!yfv OF CAPE SAVE "'I Pd: 5) 15� Weatherization ,«i i 508-398-0398 December 14,2011 Town of Barnstable Thomas Perry CBO Building Commissioner 200 Main St. Hyannis,MA 02601 RE: Building Permits Dear Mr. Perry, This affidavit is to certify that all work completed for permit application#201100818, Status A, Parcel 247177 at 118 Rudder Road, Hyannis,Permit type: RADD, and issued on 2/24/2011 has been inspected by a certified Building Performance Institute (BPI) Inspector. R-30 Cellulose insulation was added to the attic. Walls were dense packed with R-13 cellulose insulation.All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey Cape Save 7 Huntington Avenue Suite C, South Yarmouth,MA 02664 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map + Parcel r Application,#2-o i C�� G Health Division Date Issued a� l Conservation Division Application Fee Sa) Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Village A\�priy Ni i S Owner J�Ck2.Cj ( 112-Ly Address 51406 Telephone k2-'4`{ Permit Request 6 WkQ tQ -/IJ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 51000 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach-supporting docu—iwr pntation. Dwelling Type: Single Family 0" Two Family ❑ Multi-Family (# units) :'_.. c) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King'sjHighway�-❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) N Number of Baths: Full: existing new Half: existing ° Rew M Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: 2"Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ErNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ r Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: r Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION /1 (BUILDER OR HOMEOWNER) �� Name A 58VG� _LJ\L\..o" AC C'_Lw elephone Number 39 OME— Address u U Ill Tl 4 I-0/J A�4� License # • YNWOV-1-V WA d 2;oG y Home Improvement Contractor# L 6q y32 Worker's Compensation # _w e, -Q 3-IM7 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO YL0NA-T SIGNATURE DATE ' I Y. n FOR OFFICIAL USE ONLY a APPLICATION# DATE ISSUED MAP/PARCELNO. ADDRESS VILLAGE OWNER - ' DATE OF INSPECTION: FOUNDATION ' FRAME INSULATION i y FIREPLACE ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL GAS: ROUGH FINAL—' FINAL BUILDING J , I DATE CLOSED OUT t r ASSOCIATION PLAN NO. F r office o,j'Investigadons 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Aoolicant Information Please Print Legibly Name(Business/Orgaaizadon/mvi&w): (A,T ,C}��'L. * } hu C' L t'L CiL �ew, 148 (`, SS Address: Ci /State/Zi : tiAOU1 � Phone#: Q�- RB" - C3`s� `� Are you an employer?Check the appropriate box: 1.2I am a employer with _ 4• ❑ I am a general contractor and I Typeof project(required): employees(full and/or part--time).* have hired the sub-contractors 6. ❑New 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, ❑Demolition working for me in any capacity. employees and have workers' [No workers'comp, insurance comp.insurance.i 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 11.0 Piing repairs or additions myself. [No workers'comp. right of exemption per MGL 12. Roof insurance required.] t c. 152,§1(4),and we have no ❑ � 3a.❑ I am a homeowner acting as a employees. [No workers' UG310ther A6 LI,!�� general contractor(refer to#4) comp.insurance required.] 'AnY aPp that checks box#1 must also fill out the sec ion below showing their workers'compwsadog�olicy hdbrmadm Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors.must submit a new affidavit indicating such. tContrnctara that check this box must attached an additional sheet showing the name of the and state whether or not those entities have employees. If the sub-eontrscton 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 Bte policy and fob site informadom Insurance Company Name:__..r348 XT I S S U Policy#or Self-ins. Lis#:� �S Expiration Date. Job Site Address:_ A 4Lk Q (L� fzb City/state/Zip: �s 6 2-40 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 Investigations of the DIA for insurance coverage verification. I do hereby certify under the paimand pe of perjury that the information providrd above is&we and correct ((I) i NM Phone#• .'SLR'-(�� 0,f geld use only. Do not write in this area,to be completed by city or town oJj'icial City or Town: Permit/License# Issuing Authority(circle one): L Board of Health 2. Building Department 3.CitylTown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: } } Acowo® CERTIFICATE OF LIABILITY INSURANCE DATE(MhVDD/YYYYi �''� 11/1/2010 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 endorsement(s). PRODUCER NAMEACT Shannon Sperrazza Risk Strategies Company PHONE (781)986-4400 FAX, No:(781)963-4420 15 Pacella Park Drive E-MAIL Se errazza@risk-strata ies.com ADDRESS: P 9 Suite 240 PRODUCER-CUSTOMER ID 0001$476 Randolph MA 02368 INSURERS AFFORDING COVERAGE 1 NAiC# INSURED INSURERA:Seneca Specialty Insurance Co INSURER B.Keatincj GroulD Ins Services Michael McCluskey, DBA: Cape Save INSURER c:Chartis Insurance 7 C Huntington Ave INSURER D: ; I INSURER E: South Yarmouth MA 02644 INSURERF: COVERAGES CERTIFICATE NUMBER:CL1011132675 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, I EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. tLTR TYPE OF INSURANCE A POLICY NUMBER j MM/DD EFF MkO910Q1YYYY LIMITS I�GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED" PREMISES Ea occurrence i$ 50,000 A �� CLAIMS-MADE X ;OCCUR �AG1002608 110/16/2010'10/16/2011 f MED EXP(Any one person I$ 10,000 {. PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 1,000,000 E AGGREGATE LIMIT APPLIES PER: I f !PRODUCTS-COMPIOP AGG 4$ 1,000,000 X i POLICY JEOT- LOC ! +$ -- AUTOMOBILE LIABILITY i COMBINED SINGLE LIMIT ,$ 1,000,000 ~� 6208200 )11/6/2010 �11/6/2011 (Ea accident) L i ANY AUTO I � -- j ; BODILY INJURY(Per person) 1$ ALL OWNED AUTOS I --- BODILY INJURY(Per accident),$ X SCHEDULED AUTOS i PROPERTY DAMAGE j K I HIRED AUTOS (Per accident) $ � X NON-OWNED AUTOS L. ! l $ I is $ !UMBRELLA LIAR ! ` OCCUR j EACH OCCURRENCE i$ 1,000 000 EXCESS UAB CLAIMS-MADE I1 AGGREGATE _ $ 1,000,000 I DEDUCTIBLE B RETENTION $ , {' 1023578601 �10/16/2010 10/16/2011;. I$ C I WORKERS COMPENSATIONHichael McCluskey X; I WCSTATU- iOTH-1 AND EMPLOYERS'LIABILITY Y/N j 1 "IORY LIMITS ANY PROPRIETOR/PARTNERIEXECUTIVE luded from coverage OFFICEPJMEMBER EXCLUDED? Y I N/A! s exc E.L.EACH ACCIDENT is 500000 (Mandatory in NH) i 9930951 10/21/201010/21/2011 l E.L.DISEASE-EAEMPLOYEd$ B0Ot0Q0 If es,describe under DESCRIPTION OF OPERATIONS below i i E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) issued as evidence of insurance. Contractors-Executive Supervisors or Executive Superintendents. CERTIFICATE HOLDER CANCELLATION (508)790-2425 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Housing Assistance Corp ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Ruth 460 West Main Street AUTHORIZED REPRESENTATIVE Hyannis, MA 02601-3698 Michael Christian/SMS ACORD 25(2009/09) 01988-2009 ACORD CORPORATION. All rights reserved. INS026(200909) The ACORD name and logo are registered marks of ACORD ALL= - 1j Office of Consumer Affaiand Business Re elation Of g - ---; 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement-Contractor Registration Registration: 164432 Type: Supplement Card CAPE SAVE Expiration: 10/6/2011 WILLIAM MUCCLUSLEY 8201 S. HOURD CT CHAPEL HILL, NC 27516 Update Address and return card.Mark reason for change. as s-cAi sore-oa; -a3c 2t� i Address °-? Renewal y� Employment is Lost Card l Office of Consumer Affairs&Business Regulation License or registration valid for individul use only 4 r ,.i HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration. 164432 T .rM1I, YPe: 10 Park.Plaza-Suite 5170 Expiration',;'10/612011 Supplement Card Boston,MA 02116 CAPE SAVE WILLIAM MUCCLUSLEY Ndw 7C HUNTING AVE.S.YARMOUTH,MA 02664 __....Undersecretary Not vhul signature Nl ssarhwwtr. l )canal ent 44 Public �;alits T Board 44 t3uildir;.,, t2i"!el{tions :tta4t �t ttic!tral - ':•."5�. dC'X s:G., SG'p r ?b:r License: CS SL 102776 Restricted to. IC z a WILLIAM MC CLUSKY � 37 NAUSET ROAD WEST YARMOUTH, MA 02673 Expiration: 6/28/2013 { :1 illiii'�t.)t1 c'P' T!r#r 102776 Town of Ba.>z nstable 4, Reo ulatorY Services. BAI _ � ` %f Thomas F. Geiler,Director 9 / BEd aN Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,AZA 0260I -Ai",.town.barnstable.ma.us Office: 508-862-4038 Fax: 509-790-6230 Proper�T Cfc��zer Must Complete and Sign This Section if Using A Builder (2-& , as Dimmer of the subject property hereby authorize�j j� P _ ' 1 .)e to act on my behalf, in all matters relative to work autl�oriztd by this building permit application;for: _L l "Ivy 14YANM S r' -02400 (Address of Job) Signature of Owner ate rV Pant Name.- If Pro p' eM Owner is applyino, for permit please complete the Homeowners License Exernption,Fonn.on the rove' se side. 3 Q:FO h-1S:OWtivRPBR?'-11SS;G