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0200 STEVENS STREET (2)
V Off" TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel ApplicAtionn Health Division Date Issued �'�g 3 �" Conservation Division Application Fee 4 lob Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 200 15-12 116' 5 ST- f>G Village 69 1 fi J,5 Owner DiVI'V44He ��1 US A406 I Address I y� S� rN T 11ir'W6 AM P24V Telephone 559 - 77I - '72-2.P— Permit Request ::r4_fYkW107'1ar7 G ill Square feet: 1 st floor: existing Y&proposed 2nd floor: existing proposed —Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 310601 � Construction Type 0(ftA' Lot Size �- I Grandfathered: ❑Yes ZNo If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# nits) Age of Existing Structure d Historic House: ❑Yes LANr On Old King's Highway: ❑Yes 5P16. Basement Type: ❑ Full ©'Crawl ❑Walkout ❑ Other (73 Basement Finished Area (sq.ft.) Basement Unfinished Area (sg34 �f Number of Baths: Full: existing new Half: existing rav a71 Number of Bedrooms: I(p existing new Total Room Count (not including baths): existing new _First Floor Room Coun'G? Heat Type and Fuel: &as ❑ Oil ❑ Electric ❑ Other �0 Central Air: ❑Yes id No Fireplaces: Existing New Existing wood/coal stove: ❑Yes C_a'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 Re Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ew( of? aX' ; 26 Telephone Number 1T-f- ��� a �--�- n Address f 0 �0 License # G5 W o 4q m 1>,pit 1� D a1 .7Q Home Improvement Contractor# iLU C�t�1 Il2k:z JO G PE11 CH 1)f c.G;.-B-, Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE Y P FOR OFFICIAL USE ONLY r _ J APPLICATION# Fy t DATE ISSUED t, MAP/PARCEL NO. ADDRESS VILLAGE OWNER 5 ,w DATE OF INSPECTION: .AFOUNDATION Fwzsr ,r_ FRAME dNSULATION,! k FIREPLACE ELECTRICAL;;' ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL }• r FINAL BUILDING-; ;_- ,p DATE CLOSED OUT r ASSOCIATION PLAN NO. i AKRO ASSOCIATES ARCHITECTS 27 Eastview Terrace, Marstons Mills, Massachusetts 02648 Tel & FAX: 508-419-1217 E-mail: alcroassociates@aol.com 25 October 2012 1 Sandra Perry, Executive Director Barnstable Housing Authority 146 South Street Hyannis, Massachusetts 02601 Dear Sandee: This letter shall certify that I have inspected the work at 200 Stevens i Street in Hyannis and that the work is substantially complete as of the above date. All work has been constructed in accordance with the con- struction documents and my directed field changes. Therefore, Rufo Construction has met the terms of the agreement dated 13 August 2012.. Attached is a punch list of items, that when accomplished will constitute final completion of the project. As previously discussed, because the re- siding and windows project will proceed directly following the completion of this project I have instructed Rufo to hold back on seeding at this time. I have discussed this matter with Paul Rufo and I recommend that the Barnstable Housing Authority withhold $300 as an allowance for doing this work. It seems to me that you might want to add this work to the siding project that follows or if the weather is not suitable for seeding at that time, simply have your maintenance department accomplish this in the spring. Should you have any questions.or wish to discuss this further, please feel free to call. Very truly yours, Akro Associates Architects E40jSI 1a Steven M. Shuman., RA Cc: Rufo Construction Z Z .6 1AN 1 E. MP 08Z 101SNUG JQ N-MOI Cape Save Inc. 7-D Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fax: 508-398-0399 P 37f 1-15-12 Town of Barnstable Thomas Perry CBU { Building Commissioner, �, T 200 Main St. Hyannis,MA 02601 5 RE: Building Permits "" 4 Dear Mr. Perry, " This affidavit is to certify that all work completed for 200 Stevens Steet Bldg Q Hyannis has been inspected by a certified Building Performance Institute(BPI)Inspector. f `. Ceiling: R-30 Cellulose Walls: R-13 Cellulose dense pack!. - Foundation Perimeter: R-5 fiberglass &R-7 Thermax . All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 3 U 9 Parcel o Application # of I Health Division - ;: Date Issued Conservation Division . F Application Fee .Planning Dept. • � � "' Permit Fee; 3 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 0 Village q Is Owner aa.����I� Qu S,n Address �'t 6 Sow} S Telephone_ c5'0 - —q dl Permit Request �.� 3 Ce��11 r)S � (' ~e ei l i n K CPl I A, - e OL p n Square feet: 1 st floor: existing proposed 2nd floor: existing _proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Wt Construction type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) 16 Age of Existing Structure Historic House: ❑Yes ❑ No On Old King Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other ' ` i n Base6cnt Finished Area(sq.ft.)_ Basement Unfinished Area (sq,ft) Number of Baths: Full: existing new Half: existing new P? Number of Bedrooms: existing _new e Total Room Count (not including baths): existing new First Floor Room Cou t 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: Li existing 'O 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 Pro_osed_Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name il 'I m MCCIM6 r? Telephone Number Address tc I f_ License # ZC Sow�h �arMou,��, ; CIA 0 6q Home Improvement Contractor# 3r Worker's Compensation # TA 3 '1 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO DATE SIGNATURE I f FOR OFFICIAL USE ONLY APPLICATION# - J DATE ISSUED >: -MAP/PARCEL NO. ADDRESS VILLAGE g OWNER DATE OF INSPECTION: r < ` FOUNDATION a ri ;a FRAME FIREPLACE t ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL' h - GAS:-:, ,;: ROUGH FINAL ` 3' oFINAL BUILDING` ' ^ - } e C k:. DATE CLOSED,OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 iw►ww.iotass gov1dia orkers' Compensation Insurance Affidavit; Builders/Contractors/Electricians/Plumbers Auulleant Information Pkase Print Leefbly Name(Busiaess/organwiiotuIndividual): Address: 1-C_ ' 1A u a X1 ni;Th t%1 City/State/Zip: YA4LMo_qjML 6 ,6Z,b6Pbone#: �- Are you an employer?Check the appropriate box: Type of project(required)_ I.�I am a employer with_ �� 4• ❑ 1 am a general contractor and 1 employees fit{!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. 0 Remodeling ship and have no employees These sub-contractors have g. ❑Demolition workingfor me in an capacity. employees and have workers' Y ap tY• - 9. [�Building addition (No workers'coMp. insurance comp.insurance.'. required.] 5. We are a corporaton and its 10.❑ Electrical repairs or additions 3,❑ 1 am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself:[No workers' comp. right of exemption per MGL 12-0 Roof repairs insurance required.]t c. 152,§1(4),and we have no ' 13.®Odic employees. (No workers' rTTt �'it comp. insurance required.] *Any applicant that cheeks box#1 must also fits out the section below showing their workers'compensation policy iafocmation. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such- jCaatractors that check this box must attached an additional sheet showing the nano of the sub-contractors and state whether or not those entities have employees. If the sub-manctors have employees,they must provide their.workers'comp.policy number. Ian an employer that is providing workers'coaepensadon knr me for airy employees Below is the policy and job site information. I � P-Ghn b�0a V ISLkpoQCE CornQaLt) Insurance Company Name: q —7 Policy#or Self4ns.Lic.#: T W C 3 9 �' I T Expiration Date: Job Site Address: SAeve � � eity/State/Zip: n5 S1 `3 klA, (� (�1 I � Attach a copy of the workers'compensation poly declaration page(showing the policy nnm 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�yearimprisonment,as well as civil pe rialties 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 cerdfy under the pains d skies edury that the lnformadon provided above is true and correct s' Date: �- fficial use only. Do not hirire in this area,to be completed by city or town official City or Town: Permit/Licease# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector g.Plumbing Inspector 6.Other Contact Person: Phone#: L ACO U® CERTIFICATE OF LIABILITY INSURANCE ioi(MWDDN 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. 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 NANTACT Sha n perrazza non S Risk Strategies Company PHONE (781)986-4400 FAX Not:(781)963-4420 15 Pacella Park Drive E-MAIL .ssperrazza@risk-strategies.com ARES Suite 240 INSURE S AFFORDING COVERAGE NAIC# Randolph MA 02368 INSURERA:Selective Insurance INSURED INSURERB:Safet Insurance Co an 3618 Michael McCloskey, MBA: Cape Save INSURER C.Technolociv Insurance Company 7 C Huntington Ave INSURER D: INSURER E: South Yarmouth MA 02644 INSURERF: COVERAGES CERTIFICATE NUMBER:CL11102041451 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 POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 ENTr X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) $ 100,000 A CLAIMS MADE OCCUR PP31994480 0/16/2011 0/16/2012 MED EXP(Any one person) $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: R PRODUCTS-COMPIOP AGG $ 2,000,000 X POLICY PO LOC $ AUTOMOBILE LIABILITY Ea adept INGLE UI MIT 11000,000 B ANY AUTO BODILY INJURY(Per person) $. ALL OWNED SCHEDULED 6208200 1/6/2011 1/6/2012 BODILY Per accident $ AUTOS AUTOS ( ) X HIRED AUTOS X AUTOS NON-OWNED PROPERTY DAMAGE X AUTOS Per accident $ 1 UndennsuredmotoristBlS lit $100000 300000 X UMBRELLA LIAB X OCCUR PP31994480 0/16/2011 0/16/2012 EACH OCCURRENCE $ 1,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $ 1,000,000 DED I I RETENTION$ $ C WORKERS COMPENSATION Executive excluded WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN X ANY PROPRIETORIPARTNERIEXECUTIVE Erom coverage E.L.EACH ACCIDENT $ OFFICERIMEMBEREXCLUDED? Y❑ NIA 500,000 . (Mandatory In NH) �329.7972. 0/21/2011 0/21/2012 E.L.DISEASE-EA EMPLOYE $. 500,000 K yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Issued as evidence of insurance. National Grid Corporate Services LLC d/b/a National Grid, d/b/a Boston Gas Company, d/b/a Essex Gas Company, Action.Inc., and Housing Assistance Corporation are-listed as additional insureds as respects General Liability as required by written contract. 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. 484 Main Street Hyannis, MA 02601-3698 AUTHORIZED REPRESENTATIVE Michael Christian/SMS '��'-"! -- ACORD 25(2010/05) 01988-2010 ACORD CORPORATION. All rights reserved. INS025 onimsi nl Tho ArnQn nomo 2nei lnnn aro ronieforori m2r4re of Annon i. , RM 5 Office of Consumer Affairs and usiness.Regulation _ 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration i i Registration: 164432 Type: DBA Expiration: 10/6/2013 Tr# 217656. CAPE SAVE MICHAEL McCLUSKEY 7C HUNTING AVE. i S. YARMOUTH, MA 02664 Update Address and return card.Mark reason for change. DPS-CAI 0 SOM-WOW-0101218 (_� Address Renewal Employment Lost Card i .� ✓/ae �ovron�o�rui o�'�iL��aaaa_/ -, �a\ 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: Registration: 164432 Type; Office of Consumer Affairs and Business Regulation Expiration: 10/6/2013 DBA 10 Park Plaza-Suite 5170 Ci` Boston,MA 021.16 SAVE MICHAEL McCLUSKEY aihoutsiinaiure 8201 S.HOURD CT CHAPEL HILL,NC 27516LTndersecretaryof valid wi - I r! r Massachusetts- Department()f public Safcth Board of Building Regulations and Standard. Construction Supervisor Specialty License License: CS SL 102776 :; a . Restricted to: IC WILLIAM MC CLUSKY . 37 NAUSET ROAD ,. WEST YARMOUTH, MA 02g73 .Expiration: 6/2 M13 (••mmi.xi.ner Tr#: 102776 s t" I I CAPE SAVE Weatherization 508-398-039 August 22, 2010 To Whom It May Concern: William J. McCluskey is arb employee of Cape Save. He is authorized to negotiate contracts and building permits for our.company. �r F. CL Michael McCluskey . k Cape Save—owner 939-593-5939 cell 7C Huntington Avenup,South Yarmouth,MA 02 A R TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 00 Application # QNIKO Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board P/2— Historic - OKH _ Preservation / Hyannis Project Street Address Z 690 ,ST Village H V skin Owner ;?el- ellGU5/h e, / tiZ-ft Address r y(4 _S7 /66t&h/5 0;1.01 �,D/ Telephone ,5-6 9 _ 77/- 7 dd 3 Permit Request /V if�/ Square feet: 1 st floor: existing dw proposed 2nd floor: existing 3600 proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type 4,1- Lot Size • y( Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) 16 Age of Existing Structure /*7:�) Historic House: ❑Yes ullO On Old King's Highway: ❑Yes Qo Basement Type: ❑ Full J-crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 3 y� Number of Baths: Full: existing new _ Half: existing 0K new._ Number of Bedrooms: /4 existing —new Total Room Count (not including baths): existing new 42� First Floor Room Count A� Heat Type and Fuel: U G/as ❑ Oil ❑ Electric ❑ Other / Central Air: ❑Yes U No Fireplaces: Existing New Existing wood/coal stove:,..,.p Yes�Yl o t Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑fie isting ❑`ew sTze_, Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: ' ' C [ f Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ =b L Commercial ❑Yes ❑ No If yes, site plan review # ' Current Use _Xe5 iD.&4 1&-e / Y Proposed Use Res D 94,1-7rQ_ APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number 77V - 7-1-1 -41fS�sZ Address License # G2J�6�%g V41 /� 46�,67_) Home Improvement Contractor# 5Y 9'6 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE /1/2 FOR OFFICIAL USE ONLY i APPLICATION# ,- t DATE ISSUED MAP PARCEL NO. ADDRESS VILLAGE < OWNER DATE OF INSPECTION: j' FOUNDATION FRAME f INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. _ 1 oyC1 � Ali` N ':Act ON y� - A I vp 1/ i- , C s M .E r tf »' S7 a� qq B. y C I k` bail flush ,co i:oard surface - do not sink nail head _._. _ ... Ino acre of deckin board at - � at• .ara surf 9• Use 2 nails per ---�--------- __ � 7� i 1 joints 4' minsmum. Jst. Stagger butt I ti e`> Sir new fdn. wall to existing fdn. wall using 18" long ' �'"� bays spaced verticals; 9 18 o.c. starting 12 from �bl:ttorr of existing wall. Pins to extend 6" into existing fc _. tv, -and 12" into new fdn. wall. ,Use Simpsom Set- "� 'a V anchoring adhesive Ca) existing wall. Provide % ` J asphalt impregnated expansion joint @ each end .of neonr td a. f� _. _ - _. i Iz t_'f'.'_ f ! / e j VV Ns / 4 1 _ p► t, 4_� -- _ n 4 '�- treet, Accessible Entrances at 200 Stevens, S Hannos� a I LIA � ,