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HomeMy WebLinkAbout0200 STEVENS STREET (3) J� �l�i�t�il�J� ��,. ��' �j e � , ��; I Town of Barnstable Building Department Brian Florence, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Pre-application for Business Certificate Date , (A Map Parcel 06 Applicant Information Applicants Name Applicants Address 6 U "T C V/-!U S S* Email Address�'7?��OSOP�iR 1Xss/N�Jsj" ill��e-o A %A / P11#57i O Telephone Number".'77y✓` ?el_ z 1 ZU Listed ❑ Unlisted Business Information New Business? _ Yes No Business is a registered corporation? ___-__________________ _. Yes No If yes Name of Corporation CA !6 1 n)-'I1P, t,/.4-r 161.1 r-a v nt P14 T1 o N fill G Does business operate under,the registered corporate name? Ye No Is the business a sole proprietorship or home occupation? _________ Yes No If yes then a Home Occupation Registration is required—See Building Division Staff Name of Business�64 9014o jei)r_,w iV /V l4 T/o m g Z PC O 4-0 47 AI 7 Business Address ,S7`- N Ya,6e6l/SZ 1PIHx:r-,, OZ e C / Type of Business 'Pl7O pb r Buildide Connnfissioner Office Use Only r, Co itionsH141 VIU14( " � ' Building Commissio r Date. S : J Clerk Office Use Only. Town of Barnstable Building Department �oFrt+e roky Brian Florence,CBO Building Commissioner_ ,STAB 200 Main Street,Hyannis,MA 02601 v bUn i639 �� www.town.barnstable.ma.us p Office: 508-862-403 8 Fax: 508-790-6230 Approved: i Fee: Permit#:?32�f�('P HOME OCCUPATION REGISTRATION Date: r Name: /"" D 19,4 fi D OZl� Phone#: 7-7 Address:�� �i ST V P "S' s Ta���af r /�—Village:_14 is/ Z r� Name of Business:04 60 vP r?0 ,A/4t 6 r"(o �Q `fU N 17 Map/Lot: r— Type of Business: 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 Z alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal a 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 W following conditions: _ � U • The activity is carried on by the permanent resident of a single family residential dwelling unit,located � within that dwelling unit. 00 �E w Such use occupies no more than 400 square feet of space. O Z `? There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. = O Z • No traffic will be generated in excess of normal residential volumes. j The use does not involve the production of offensive noise,vibration,smoke,dust oT oth er 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 Cc>- of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home 0 Occupation,and not within the required front yard. OH- • There is no exterior storage or display of materials or equipment. `-J • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one "0 C9 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 k 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 apd agree with the above restrictions for my home occupation I am registering. Applicant: Date: Homeoc.doc Rev.10/17 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel d� ( Application # Health Division Date Issued ��' �y � Conservation Division Application Fee 16J Planning Dept. Permit Fee Date Definitive Plan Approved.by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address � � %��v�ll� 7� syjldI vI�`R `' Village 14 mn a Owner � �'�� �lC� ��'�ec i`a� � �/'�7�% Address`Yto_5>&,T# Telephone _�5 G 4�_- Permit Request -L r1 6 /Ct/k7/'Aa%� OF o l%:iY tq�t7,D 1IL14-t/kp_y✓(� I i"�'c f I/he,< r Square feet: 1 st floor: existing q/yproposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation O Construction Type 1l�wy Lot Size 2 I Grandfathered: ❑Yes 3<0 If yes, attach sib porting documentation. Dwelling Type: Single Family. ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure 47,0 Historic House: ❑Yes ©'1Vo On Old King's I lighway:,,�7 Yes Cho Basement Type: ❑ Full Crawl ❑ Walkout ❑ Other Basement Finished Area(sq.ft.)� Basement Unfinished Area (sq.ft) Number of Baths: Full: existing 1 new Half: existing new Number of Bedrooms: /( existing new Total Room Count (not including baths): existing new First Floor Room Count 32 - Heat Type and Fuel: VIG* as ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes M No Existin Fireplaces: wood/coal stove: Yes a<0 p 9�New Existing ❑ 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 /lam e Proposed Use APPLICANT INFORMATION `- - - - -(BUILDER OR HOMEOWNER) a Name Alk-R0} diei �� /1L,_A 4y".:�Za 7o elephone Number Address �� � �8 License # G S O o 1V D (o tea, L-I­ti4ni7®_ Pt l/l�" e,,A ;71_ Home Improvement Contractor# /6 q76 Z Oaigz . CC Worker's Compensation # W& 6' 1;949 �d/j ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE /I .i r'. FOR OFFICIAL USE ONLY P,• APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: k >iF,O.UNDATIOIV +f -;fit-fslu��� _FOfigfi_ M FRAME INSULATIONJ' A =uRil, x FIREPLACE- ELECTRICAL: ROUGH .-FINAL PLUMBING: ROUGH FINAL e GAS: _ ROUGH. FINAL I� FINAL BUILDING DATE CLOSED OUT F ASSOCIATION PLAN NO. ` 1 , AKRO ASSOCIATES ARCHITECTS 27 Eastview Terrace, Marstons Mills, Massachusetts 02648 Tel & FAX: 508-419-1217 E-mail: alcroassociates@aol.com 25 October 2012 i : Sandra Perry, Executive Director Barnstable Housing Authority 146 South Street Hyannis, Massachusetts 02601 I i Dear Sandee: I This letter shall certify that I have inspected the work at 200 Stevens 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 20.12. 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 U Steven M. Shuman, RA 1 Cc: Rufo Construction V V I.,Y 01USUVO J0 U-1,01 I Cape Save Inc. TOE All O .ARI IST �OPL 7-D Huntington Avenue South Yarmouth, MA 02404f ' 22 Y1 11. 58 Tel: 508-398-0398 Fax: 508-398-0399 DIV!, gnu .3 -Z7 -- 3 1-25-12 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 200 Stevens Steet(Bldg B)Hyannis has been inspected by a certified Building Performance Institute (BPI) Inspector. 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. 4 Sincerely, William McCluskey G ARCL-IITECTS Field Report 04 BHA ADAMS COURT,DHCD#020046 1215 BARNSTABLE BUILDING PERMIT#201207044 Observation Date: March 12,2013 Issue Date: March 12,2013 © Contractor: Vareika Construction,Inc. Writer: Rob Smith Weather: Cold,cloudy;pending rain. Construction deficiencies omitted from this report do not indicate acceptance of construction, assemblies or finishes observed, or relieve the Contractor of responsibility to install all work in accordance with the Design Documents. LOCATION Work in Progress: Work is near 75%complete on Building B.The GC has removed shingles and resided as much as they can prior to the arrival of the remaining windows,due tomorrow. Staging is going up around Building C in preparation for new work. Work should progress quickly once window shipment arrives 3/13/13. Observations: GC is maintaining a clean job site. Quality of work continues to be very good. Non-Compliant Items:None. Photographs: J.M.Booth&Associates Inc. Tel no.508-999-6220 47 N. Second St.4`h Floor Fax no.508-990-1265 New Bedford,MA 02740 www.jmba-architects.com BHA Adams Court Page 2 of 3 -fP r.� 4 �, 11 r'M+�t �++ni6.Y..w"nA+il:ife"dM tr•,~ '�r�t�s;r" �1 '^S. a.' -i Bldg.B East and North Elevations. Bldg.B North elevation;windows replaced. {Yick� y - , ...i Itr "l'�',r r�� {( �i ♦art:,k��a' i t r 1 S`" i it .issy e A!I. r� t � # -0,{ 1 TV r i r xYa1�� �' jmh�,,•'+ayR �� l�bh,� Rl3 7 af. 1 Bldg.B:Rear door siding/trim completed. Bldg B:Light reinstalled,window waiting for new. s:\DATA\12\1215 BHA Adams Court DHCD\field reports\1215 Field Report 04.docx e � BHA Adams Court . Pagea@a ¥. , � y «»�\\\ � \ < : � - . ., «©« . < ?< . . ma .e We_9km\ mr s md .» Su and East Elevations. � s:ATm1a12 5BHA Adams Court DHCmABrp rt)2 5F@Q Repo 0 ao x +1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 1.�� Application #a 01.2 b Health Division � Date Issued k 1 b �. 14 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved b Planning Board -Zk �Z pp Y 9 � ! c Historic - OKH _ Preservation/ Hyannis ^^� Project Street Address U Sr\ S-� 4 a S Village Man, CzQa Owner a*O Address 1 Telephone 50 Permit Request SO D N e- NW ✓I CAnd WV)IJOW a aOT C P00e !^�t Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 1 1 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 XNo On Old King's Highway: ❑Yes 40 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 CDNumber of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Rob County Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other 73 Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/:�'Ioal stover ❑lies ❑ No � Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ Aisting Zrnew*,aize_ m 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 1 A C-Telephone Number Address 2- License # LJ 9 b Home Improvement Contractor#Worker's Compensation # VjCft O I 1 ZW in 9 ALL CONST RUC TIO DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO eSfi AV odd oz3o SIGNATURE ' DATE I I3� 12 a 't FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED r ` ' MAP/PARCEL NO. ADDRESS VILLAGE OWNER 3 y DATE OF INSPECTION: FOUNDATION FRAME INSULATION f FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL { GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT,t . ASSOCIATION PLAN NO. s The Commonwealth of Massach usetts Department of Industrial Accidents Office of Investigations 600 Washington Street,R Boston,MA.02111 www.mass.gov/dia Workers' Compensation_ Insurance Affidavit: Builders/Contractors/Electricians/Plumbers APPReant Information Please Print Le 'bl Name(Business/Orgaaization/Individiial): �/ S Address: e 1 1V r ,,1�, 0l3-)1 City/State/Zip: \ • 6� e WQ �/ Phone#: 564".5 0- 5 1 Are on an employer? Check the appropriate box: Type of project(required): 1. Lam a employer with %35 4. [] I am a general contractor and.I 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. Q Remodeling ship and have no employees The8. []Demolition. working for me in any capacity. employees and have workers' [No workers'.comp.insurance comp:insurance. $ 9. E]Building addition required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I 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.❑Roof repairs insurance required]t. C. 152,§1(4),and,we have no employees. [No workers' 13.[ Other 5,4 l%)t{f.U•l Id,J comp,insurance required.] IQC *Any applicant that checks box#.l 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 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-contractor;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: CA(�I G (�S VV 1 Policy#or,Self-,ins.Lic #: �� �1'1 ��.� 2 y2q Expiration Date: LO Job Site Address: 2-00 &W y" City/State/Zip: 4 a 5 �` ol(Q 0) Attach a copy of the.workers' compensation policy declaration page(showing,the policy number and expiration date). Failure to secure,coverage as required under.Section25A 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:verificatim. I do hereby ce he a" and penalties of..perjury that the information provided above is true and correct- signahire: Date: Phone Official use only. Do.not write in this,area,to be completed by city or town official City or Town:, Permit/License# Issuing Authority(circle one). 1.Board of Health 2.Building.Department 3.City/Town Clerk 4.ElectricaI Inspector 5.Plumbing Inspector . 6.Other Contact Person: Phone#: e ' l ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) _F 1011612012 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 CONTACT NAME: E. J. Wells Insurance Agency, Inc. P"oNEAIC No, o Ext: A/C No (978)392-4567 FAX (978)392-9696 Regency Park E-MAIL - • ADDRESS: 238 Littleton Road PRODUCER CUSTOMER Westford, MA 01886 INSURER(S)AFFORDING COVERAGE' NAIC# INSURED INSURERA: Union Insurance (Acadia Group) , INSURERS: Acadia Insurance Vareika Construction Inc. WSURERC: 219 Walnut Street Suite B INSURERD: W. Bridgewater, MA 02379 INSURERE: ` INSURER F: COVERAGES CERTIFICATE NUMBER: 12-13 Std 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 CONTRACTOR 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 ADDL SUBR POLICY EFF POLICY EXP LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DDIYYYY LIMITS GENERAL LIABILITY ,CPP 0092564-1 06/20/2012 06/20/2013 EACH OCCURRENCE $ 1,000,00 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 250,O0 PREMISES Ea occurrence CLAIMS-MADE FX]OCCUR MED EXP(Any one person) $ 5,00ir A PERSONAL&ADV INJURY $ 1,000,00( GENERAL AGGREGATE $ 2,000,ON GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,006 F] LOCPOLICY X PRO- $ JECT AUTOMOBILE LIABILITY MAA 0092568-1 06/20/2012 06/20/2013 COMBINED SINGLE LIMIT $ ANY AUTO t (Ea accident) 1,000,OO BODILY INJURY(Per person) $ ALL OWNED AUTOS "+ BODILY INJURY(Per accident) $ B X SCHEDULED AUTOS - PROPERTY DAMAGE $ X HIREDAUTOS £ (Per accident) X NON-OWNED AUTOS $ $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,00 EXCESS LIAB .CLAIMS-MADE CUA0121032-1 06/20/2012 06/20/2013 AGGREGATE $ 10,000,00 B DEDUCTIBLE $ RETENTION $ , $ WORKERS COMPENSATIONAND EMPLOYERS'LIABILITY -. Y/N 'WCA-0112029-1 06/20/2012 06/20/2013 X TORY LIMITSTATU_ OTH- ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT 1 $ 500,0O B OFFICER/MEMBER EXCLUDED? NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 5001 00 If yes,describe under - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 5001 00 A Stored Materials CPP0092564-1 06/20/2012 06/20/2013 , $200,000,any one job site $200,000 temp off premises. DESCRIPTION 9F OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101 Additional Remarks Schedule,if more space is required) , 01612 Siding and Window Replacement at 667-1 Adams Court. arnstab7e Housing Authority. is listed as additional insured with respect to General Liability here required by written contract. i CERTIFICATE HOLDER t CANCELLATION . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED'IN ACCORDANCE WITH THE POLICY PROVISIONS. -` Barnstable Hous ing Authority AUTHORIZED REPRESENTATIVE 146 South,Street•- �C G••8-d'�" Hy nnis,-,,MA 02601 Pau7 Coffey/NAM ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD . C�;�aticr°al Safary arA:�om�'�,u;miris�•3Gcn n 4 has wccassfuuy cwr)eted a 10Nw Caupat"Safety W MCAM Tah n Cc l Comb ucticn Safety 6 Hearth Massachusetts-Department of Public Safeth ' Board of Building Regulations and Standards construction Supervisor License License: CS 76559 JOSE F SILVA 12 PEMBROKE DRIVE N DARTMOUTH MA'02747 Expiration: 3/5/2013 Commissioner Tr#: 11643 y f VE Town of Barnstable Regulatory Services MUMSTABM ' NAM Thomas F.Geiler,'Director, `63¢ Building Division En rub'' Tom Perry,Building•Commissioner: 200 Main Street,Hyannis,MA_02601 www.town.barnstable.ma.us' Office: 508-862-4038 Fax 508-790-6230 Property Owner Must Complete and Sign-This Section If Using A-Buildeir I, y l�Cc I� G re CA e'' ,as Owner of the subject property heteb authorize V Cbn 6�ak- act on m bYY ehal� in all matters relative to work authorized by this building permit MGM's AAC)wnoil M ,�v (Address:of Job) **Pool fences and alarms are the responsibilityt of he a licant. Pools - PP are not to be filled before fence is installed and pools are not to be utilized until all final inspections are performed and accepted. Signature of Owner_ atute of Applicant AM Ptint:Natne.. :Print Name BARNSTABL HOUSING AUTHAF Date 146 SOUTH STREET WANNIS,MA 0=1 QTORMS D VINERPERMISSIONPOOLS t 11/14/2012 09:15 5085836888 t1AREIKA CONSTRUCTION PAGE 01/01 = V ,AREIKA, CEO.:NSTKU`'CTI-0N.,� INC. ' 219 WALNUL STItrF°.T , S'UITTr "S WES`T'; ] R.iT�`GFW,ATER , _ N[`n :.0237.9= f F-H0NE 508;4583 - 3999�` r} rnX 5308 -_583 -°688',9,.l' FACSIMILE TRANSMITTAL SEIEE'T rcr rROM. Town of Barnstable Carol McKinnon COMPANY; DATE" Barnstable Building:Departme�it 11/,14/1012 ; PHONE NUMBER: . TOTALNO,:OF PAGES INCLUDTNG COVER:._ ` FAX NUMBER;' 508-790-6230 a , r; ❑ URGENT. J`6R Uvmw ©Pi V.AS'pCOMMENT ;°❑ PLEASE REPLYt, :•.© ASRFQU.?STEb - r s To Whom It May.Coacem: s s Mr'Joc Silva i, employed as l�rojcct Man�gc�'�t V�rLilza('oxtstructioiz;Inca and l�s the authojity tc�,si ti pc�7riir .i ' licotions: u Pry " if you Lnvc 'any flirtlzei qucsncros<lile�se feel heeto call'the'o£fice. x ,o R ce'r Carol McKinnon, teasu er k S 'J ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 3 q Parcel Application HealthDivision Date Issued AZ ?i Conservation Division Application Fee �GJ6� = I ill I Planning Dept. Permit Fee f �` Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address DIN0 bS V ins e i n Village Owner r S �t ,54— we k Address �� S w nn { T. Telephone bo�_ Permit Request C k-3 0 c ell use-, 11 tmcs b R e- a W41 CJ a- ;. to Ali l S Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 60 0 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family- 0 Two Family ❑ Multi-Family (# units) 6 Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other =f No Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) )ay- Number of Baths: Full: existing new Half: existing ' new, Number of Bedrooms: existing _new j w" Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: Gas ❑ Oil ❑ Electric ❑Other7 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 kYes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name NCUOCe� Q �`�v� p Tele hone Number Address License # aC 0 a. -�-7 6 JOa�M01h�Tn 1' lt� Oc��6 Home Improvement Contractor# Worker's Compensation # 1 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �r�M'to((;-�h SIGNATURE \ DATE FOR OFFICIAL USE ONLY `# APPLICATION# , DATE ISSUED a-� MAP PARCEL NO. IF ` ADDRESS VILLAGE OWNER i ? DATE OF INSPECTION: ;x ` -FOUNDATION. FRAME INSULATION. ,a FIREPLACE !r ELECTRICAL: ROUGH FINAL-- PLUMBING: ROUGH FINAL ,GAS: ROUGH FINAL .-FINAL BUILDING° ¢ Lei DATE CLOSED OUT ASSOCIATION PLAN NO. ' 6i '4 rx The Commonwealik of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mas&gov1dia or ers' Compensation Insurance Affidavit Builders/Contractors/Electricians/Plumbers Apulicant Information Please Print Leeibly Name(Business/organwAon/Gadividual): ['.1j4EL SAI X Address: -C, lAu�"Cltvcc'ttst�l City/State/Zip: ``6A asLlu A gone#: !&' Are you an employer?Check the appropriate box: Type of project(required): I.Z I am a employer with 4. ❑ I am a general contractor and 1 employees(full and/or part-time).* have hired the sub-contractors h- ❑New construcpon 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling ship and have no eniployces These sub-contractors have g, ❑Demolition workingfor me in an capacity. employees and have workers' y aP �'• 9. ❑ Building addition [No workers' comp.insurance comp.insurance.'. required-] S. We are a corporaton and its 10.0 Electrical repairs or additions q officers have exercised their 11. Plumbing repairs or additions 3.❑ I am a homeowner doing all work ❑ g p � ' myself.[No workers' comp. right of exemption per MGL 12.0 Roof repairs- insurance required.]+ c. 152,§1(4),and we have no 1' employees.[No workers' . 13.®Ot]rerTnt��.Ttm comp. uisurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. *Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContrectors that check this box must attached an additional sbect showing the name of the sub-contractors and state whethefor not those entities have employees. if the sub-contractors have employees,they must provide their workers'comp.policy number. law an empkyer that isproviding workers'cornpensadon Msumnce for my employees Rdmo is the policy and,job site information. '�` Insurance Company Name: ---h-•t1 ('0.A on1 n Policy#or Self4ns.Lic.#: T W C: 3% 9 Expiration Date: 1 0 e.1 al 0 Job Site Address: �\00 J V i ' City/state/zip: an 15 Attack a copy of the workers'compensation policy declaration page(showing the policy nnm and eapiration'date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a Sne 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 covcrase verification. I do hereby rectify under the pains Id ahlks edury that the information provided above is true and co"Ta Simature: Date: F(Gther only. o not nirire in this area,to be completed by city or town official n: Permit/License# hority(circle one): Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector son: Phone#: ACORO® DATE(MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 10/20/2011 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 NAME: Shannon Sperrazza Risk Strategies Company PHONE (781)986-4400 FAX (781)963-4420 15 Pacella Park DriveE-MAIL .ssperrazza@risk-strategies.com Spite 240 -ADDRESSINSURERS AFFORDING COVERAGE NAIC# Randolph MA 02368 INSURERA:Selective Insurance INSURED INSURER B:Safe Insurance Company 33618 Michael McCluskey, DBA: Cape Save INSURER C:Technolo Insurance Company 7 C Huntington Ave INSURER D: INSURER E: South Yarmouth MA 02644 1 INSURERF: COVERAGES CERTIFICATE NUMBER-CLI1102041451 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. IN SR LTR TYPE OF INSURANCE POLICY NUMBER MMIDDY� POLICY EXP NYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMPREMISES Ea occurrence $ 100,000 A GE TO REITTW CLAIMS-MADE ®OCCUR PPS1994480 0/16/2011 0/16/2012 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,OOO OOO X POLICY PRO LOC $ AUTOMOBILE LIABILITY Ea COMBINED INGL LIMIT 11000,000 _.__ B ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED 6208200 1/6/2011 1/6/2012 BODILY INJURY Per accident $ AUTOS AUTOS ( ) X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ X Underinsured motorist 81split $100000 300000 X UMBRELLA LIAB X OCCUR CPPS1994480 0/16/2011 0/16/2012 EACH OCCURRENCE $ 1,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $ .1,000,000 DIED I I RETENTION$ I $ C WORKERS COMPENSATION Executive excluded WC STATU- OTH- AND EMPLOYERS'LIABILITY. YIN X ANY PROPRIETORIPARTNERIEXECUTIVE rom coverage E.L.EACH ACCIDENT $ 500,000 OFFICERIMEMBER EXCLUDED? ® NIA . (Mandatory In NH) C3297972. 0/21/2011 0/21/2012 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 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 n 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 chael Christian/SMS ACORD 25(2010/05) 01988-2010 ACORD CORPORATION. All rights reserved. INS025 t9ntnnsi n1 The annon noma onA Innn ors ranieta►arl m2t*a of Annon .....------- r� anal SAW Weatherization 508-398-0398 August 22, 2010 To Whom It May Concern: William J. McCluskey is an employee of Cape Save. He is authorized to negotiate contracts and building permits for our.company. IM Michael McCluskey Cape Save—owner 9:9-593-a939 cell a . X Huntington Avenue, South Yarmouth,MA ill — = Office of Consumer Affairs and usiness Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 I Home Improvement Contractor Registration t Registration: 164432 i Type: DBA CAPE SAVE , Expiration: 10/6/2013 Tr# 217656 MICHAEL McCLUSKEY _.._ 7C HUNTING AVE. S..YARMOUTH, MA 02664 . Update Address and return card.Mark reason for change. oPs-CA1 0 50M_o4jo4.a10,2je Address f'' Renewal (_( Employment (-j Lost Card [ _A I �Itp. L091'LntlY/EC! L O / // ;yam' l's sZa06a( �0 Office of Consumer Affairs&Bu�ness Regulation License or registration valid for individul use only HOME IMPR IM PROVEMENT EMENT CONTRACTOR before the expiration date. If found return to: _ Registration: 164432 Type: Office of Consumer Affairs and Business Regulation F Expiration: 10/612013 DBA 10 Park Plaza-Suite 5170 .u Boston,MA 021.16 CAh `SAVE MICHAEL McCLUSKEY 8201 S.HOURD CT f CHAPE L H ILL,NC 27516 Undersecretary _.__....- of valid without signature - `- Massachusetts- Department of Public Safeh Board of Building ,. Re,.►ulations and Standards Construction.Supervisor Specialty License License: CS SL 102776 ,f F � max' Restricted to: IC WILLIAM MC CLUSKY 37 NAUSET ROAD } WEST YARMOUTH, MA 02673 Expiration: 6/28/2013 mmisxi..oer Tr#: 102776 ti TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map .701 Parcel h0 t Application #r-)n)1;16v1-2-? Health Division _ Date Issued (tl Conservation Division Application Fee O �y Planning Dept. Permit Fee 60 Date Definitive Plan Approved by Planning Boardj' Historic - OKH _ Preservation/ Hyannis Project Street Address Village Owner /'�TiV Address IV 6 . ;ae,,7�.ST Ar Y�15 D2=,r"0/ Telephone 771 - 2 Z.7. 3 Permit Request N e kl Square feet: 1 st floor: existing 3600broposed 2nd floor: existing 66d proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 000 ` 0 Construction Type r ,� t-y Lot Size 21 `f( Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) /� Age of Existing Structure /170 Historic House: ❑Yes 3,No On Old King's Highway: ❑Yes ca<oo Basement Type: ❑ Full YC'rawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.)- le Basement Unfinished Area (sq.ft) ?600 Number of Baths: Full: existing f 4, 'new Half: existing new jgLr' Number of Bedrooms: /Co existing —new Total Room Count (not including baths): existing 3dnewd First Floor Room Count /- Heat Type and Fuel: 2-Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes 2"N o Fireplaces: Existing New Existing wood/coal stove: ❑�-Yes o Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ neuy siz kA y; Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: '' Zoning Board of Appeals Authorization 0 Appeal # Recorded ❑ ' Commercial ❑Yes ❑ No If yes, site plan review # Current Use` o 2-e- i O-e4A+ict:f - - ~ - Proposed-Use-l c.e--s t cd--C-�-, APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number, 7 7-1' 7,A a- - 9 115 Address - PO -V�®1C -r_(4!a License# -GS" dQyOeo.->- LU Itm 0 I S mo Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO t rm U SIGNATURE DATE /3 1Z Z FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP PARCEL NO. t ADDRESS VILLAGE r OWNER F. DATE OF INSPECTION: 4 FOUNDATION FRAME INSULATION r FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL t GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 1 {} _ C.cGY . ... N f.. 1► . f � - 1 771 CIO CL- ;_ iops SFr .• `ED 4" 5�Z _ (gig --=----- r _. L �t�g�>� nr� ly . 1:��- � l�J;�``T�'� 5!•1`1�L.� �✓`:�''.�it Orl NE V. .L , _. �. - � - ::. - . �.- -"" �6t,�► <. r�� :�r�� 10t�t,: . . ,. W�G� . ._ II s7 Q G r �Iptr, :,,Odra sureaGe r UeLMI-,y• use 2 nails per VL;a,u aL ---- ,—__------ } Stagcger'butt joints 4' minimum. `Pin new fdn. wail to existing fdn. wall using 18" long t 5 bars spaced vertical @ 18" o.c. starting 12" from � hc:Ctr�r� of existing wall. Pins to extend 6" into existing ` fc . ,Vv :end 12" into new fdn. wall. Use Simps�m Set ::5' anchoring adhesive @-P existing wall. Provide %Z" r J asphalt.impregnated expansion joint @ each end of new Idn. -mall. I j_ I �— 1 :__ 3 y 3 .Q vi _ :z—/-W L 5Pr 6e _ LA` .k Ili D _ a� Accessible Entrances at 200 Stevens, Street, Hannls, M