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HomeMy WebLinkAbout0036 ALLAN ROAD �; ., i �. v ZZ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH. _ Preservation/Hyannis oanING,D PT Project Street Address Village APR 0I Owner_ 'E� (- Address TOWN OF BARNSTABLF Telephone Permit Request �( 4 l oG •U� `�l� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation -740°0"6 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 ❑ No On Old King's Highway: ❑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 �No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ��� Telephone Number Address R. License # l Q� 1 Home Improvement Contractor# �� Email ICE` i` �Cd�1G�God �� G(,�a �tU dl,��f7 'Worker's Compensation # J(f—Ob ( t/ ALL CONSTRUCTION DEBRIS RESULTIN FROM THIS PRO) CT WILL BE TAKEN TO SIGNATURE DATE i 1 l 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. j } The Commonwealth of Massachusetts Department of IndustrialAccidents I Office of Investigations a o I Congress Street,Suite 109 Boston,MA 02114-2017 � J www.mass gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/OrganizatiorOndividual): Cape Cod Insulation Address: 18 Reardon Circle City/State/Zip:South Yarmouth, MA 02664 Phone#:508-775-1214 Are you an employer?Check the appropriate box: Type of project(required): 1. 1 am a employer with 48 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. ❑ Remodeling ship and have no employees These sub-contractors have g• ❑ Demolition working for me in any capacity. employees and have workers' insurance 9. ❑ Building addition comp.[No workers'comp. insurance P• 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.❑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 Weatherization employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#I 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. tContractors 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.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:Atlantic Charter Policy#or Self-ins.Lic.#:WCE00431902 Expiration Date:6/30/2017 Job Site Address: ��-I°� "'�`' City/State/Zip:w ,, bam4wz/ 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 pains and penalties of perjury that the information provided above is true and correct. si a e: Henry Cassidy °°`��'� C Date: 4/-711 Phone#: 508-775-1214 Official use only. Do not write in this area,to be completed by city or town ofJlcial. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#• CAPECOD-27 KDOYLE ACdRO" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) �--� 03/30/2017 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 pollcy(les)must have ADDITIONAL INSURED provisions or 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. PRODUCER fi2ACT Rogers&Gray Insurance Agency,Inc. HO No Ext: Fac No: 877 816-2156 434 Rte 134 Epm IL g g South Dennis,MA 02660 .mail@ro ers ra .com INSURERS AFFORDING COVERAGE NAIC N INSURER A:Peerless Insurance Company 24198 INSURED INSURER B:SafetV Insurance Company 39454 Cape Cod Insulation,Inc. INSURER C:Endurance American Specialty Insurance Company 41718 18 Reardon Circle INSURER D:Atlantic Charter Insurance Company 44326 South Yarmouth,MA 02664 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 0- (MM1DD1YYYY) LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY'EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE 7 OCCUR R/O CBP8263063 OW01/2017 04/01/2018 DAMAGE TO RENTEDEMISES 100,000 MED EXP(Any one erson $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑jC LOC` PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO 6232707 COM 01 04/01/2017 04/01/2018 BODILY INJURY Perperson) OWNED SCHEDULED AUTOS ONLY X I AUTOS BODILY INJURY Per accident $ 1,000,000 X HIRED X NOV OWNF(D ROPERTY AMAGE AUTOS ONLY AU OS ON YY Per accident $ $ C X UMBRELLA LIAB X OCCUR 2,000,000 EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE R/O EXCl 0006635001 04/01/2017 04/01/2018 AGGREGATE DIED RETENTION$ Aggregate $ 2,000,000 D WORKERS COMPENSATION X I PER OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNERIEX YN WCE00431902 06/30/2016 06/30/2017 E.L.EACH ACCIDENT (OMe 1,000,000 e ER/MJMBEREXCLUDED7ECUTIVE ❑ N/A ndstory n t ) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached If more space is required) Workers Compensation Includes Officers or Proprietors. Additional Insured status Is provided under the General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE For Informational Purposes THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P ACCORDANCE WITH THE POLICY PR oses OVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD e + ' Massachusetts Oepartment of Public Safety Board of Bullding Regulatlons and Standards license; CS-100M Construction Supprviaor HENRY E CASSIDY� 0 SHED ROW WEST YARMOV, H 01 � tH• y . �I� 1 I'111 1 1 •, _ Expiration: Cornmisslonar 11111I201T a ' /{ Office of Consumer Affairs and Business Regulation 10 Park Plaza -' Suite 5170 Boston, Me� �iusetts 02116 a a a Home Improvemerl�.o�ltractor Registration Type: Corporation Registration: 153567 Cape Cod Insulation, Incf Expiration 12/14/2018 18 Reardon Circle , So. Yarmouth, MA 02664 =� �-- Update Address and return card. Mark reason for change, _ _._._:_..�._....—._.._.GZ•A�+;;a�a-•�'!t3�fae�.1;: G_!'��pio�yf�ertt_1� osk.0�.r.>d.. �e�aorr�rtart-cvea�C/oy0�aaaac/uaetld• off Ice of.Consumer Aftalrs&Business Regul Pilo n HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only i jRo,, Corporation before the expiration date, If found return to: W. Expiration Office of Consumer Affairs and Business Regulation 12/14/2016 10 Park Plaza•Suite 5170 Boston,MA 02116 ,ape Cod Insul ienry Cassidy 8 Reardon Ciro' .. : :""' j C�2.CC• , 3o.Yarmouth, "t'�•:.3`j' Underseoretary Notvadd w Ig t r ' r t t � Town of Barnstable e Regulatory Services e =AL��ffiTA}2I$ ' "�1Cgdard*.ScaU,.Dlrectot a6�A`�� . 1u91If1�Q��1�1�;A1'�t�A�kQDkl 4 Torn Pergy,13u11dmg.Cu=r&sloner 200 Main Street,-Hyannis,:�A 02601. ww w.town.barnstablesria us 4fEee: 508-862-4038 Fax: 508-790-6230 Property Ova?er Must Complete-seed Saga This Sectoll. if�.J sin-ArBuilder :as C?cirn�x n ?the T oli s hereby audiori`e ro act on rnybeftalf, in all masters relative to.work aurho imd'by ibis building permit applica'mion for n)IQ o 66 y�Y_ w est 1?oc�l fences and.alarl s aie t he responsi iliti�r of the: � cant:.Po& :are not-to be.f-Mad or utIced before fence.is instal--' `amd all fi �;1 inspecdom are pexfotmed and..accepted. Si, ture of.Owner Signature of.AppUcant Pruat Name / Pint Nazi 3U = Date Q:FOnIS-.0 WNW MUSS ION PWLS � • TOWN OF BARNSTABLE Permit No. __ _-__ _---- Building Inspector Cash ,619 --------- - OCCUPANCY PERMIT Bond Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector r , } Inspection date 86 Engineering Department Inspection date Board of Health Inspection date 1 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. f� 19 vz Building Inspector r'f��•�'. TOWN OF BARNSTABLE BUILDING DEPARTMENT / »ST TOWN OFFICE BUILDING rua °+ i639' HYANNIS, MASS. 02601 i MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized by Building Permit /#.....-�.�...21-f 3. . ............................................................................................................._................................» _ issued to .......✓.......:... ...... .:................ .. Please release the performance bond. b „w MYCOCK, KILROY, GREEN & MCLAUGHLIN, P.C. ATTORNEYS AT LAW 171 MAIN STREET OF COUNSEL HYANNIS, MASSACHUSETTS 02601 EDWIN S. MYCOCK BERNARD T. KILROY A AREA CODE 617 LAN A. GREEN CHARLES S. MCLAUGHLIN. JR. 771-5070 ADDRESS ALL MAIL MICHAEL D. FORD P.O. BOX 960 JAMES M. FALLA HYANNIS. MASS. 02601 MARK D. CARCHIDI REFER TO FILE I 84-1-903 April 24 , 1985 Mr. Joseph Daluz , Building Inspector Town of Barnstable Main Street Hyannis, Mass. 02601 now owned by Cynthia L. McKeon under Re: Lot 64 , Certificate of Title No. 99414; and Lot 65 , now owned by John C. McKeon uncer Certificate of Title No. 99513. (Also known as Lots 48 and 50) Patience Lane , Cotuit Dear Mr. Daluz: As you know the above lots do not meet the current dimensional requirements of the Zoning By-Law. On February 18 , 1975, the above lots went into ownership lots while said lots enjoyed separate from that of adjoining under the statutory plan protection for building purposes Section 7A of former Chapter o0r current of the MBySLawusetts grandfatheral Laws. Because of the above, protection. clause gives the lots building p If you need any further information, please feel free to contact me. Very-.truly yours, Bernard T. Kilroy BTK/vj Assessor's map and lot number ...1.:�7....:.Q�l.�.:Q/..�... t !""'�� (�7 � THE �. _Sewage: 9ermit number ....... �.......... ��. e�,«Ir 1 IIw S a v ..... a rALED iN a D3,eU�NSTAILE, House number f 2639.t1Yb � J L NVIROW i L CC TORN OF BARNST�� M,- R BUILDING INSPECTOR v / 53r , APPLICATION FOR PERMIT TO # ION .:.... . 4 :.....� � M ....:..............:...................................................................TYPE OF CONSTRUCT ............. 7................ .19.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to thhe� following information: Location ...... �"..1............��...... .... ......! . ... ..C4�N;.{.. �..1 . .............. ........ .................................. ProposedUse .............. . ........ ....... ................................................. Zoning District ....... ...:... Fire District ................... �............ Name of Owner .s ' C........... lei !ilk.........Address :.:..��? ` �° 'I 1.U.. ........... Name of Builder ... ...� t9dX1.....`W. ..Address .......................... ........ :`�7•�•1. ............ Name of Architect ..., ( e: ... .........Address ..........�..I�OA... i �(�.............. Number of Rooms .... ....... .Foundation �..:W� Oil .. f ...c)1.�J rExterior .. .. i.Qw ..............................................Roofing ..... (. ....• .1 ........... Floors 1.� 1..?'to'1P �tl�IJ .............Interior ....... lr ,(� �:.:V`!Bf �J. 1 ............. Heatingf All.... ...::...... Plumbing ..:...::... .. .................. ............ / - Fireplace ...........go..........:...................................................Approximate. Cost .............0. i ...................................... 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. Name ........ �. Construction Supervisor's License ..... r. Z MCKEON, JOHT] C. '� 0 27804..... Permit for 1 i Story ` ................ .... ............. Single Family Dwelling .............................................. ........................ Y ---y Location ...,Lot 11, 3 6 Allan Road - t .. ........... ...............Centerville .John C , McKeon........... .......... --fir •J�,-� �� � � �� � , w _ ti Owner .......................... - _� r _ e .... t Frame Type of Construction .... ......... ... ................... i s X =F ;/} d Plot ................ .. Lof ............ ........ r) h r 7. April 25 `.� 85 - ,t Permit Granted ' �"� 19 �w Date of*Inspection .....✓ _ }9 - '• t Date Comple ed 19�j l�FI/ 1 f r r — \ p ` � U D n �b 0 -70 r� N ' 0 N N � rzy i e ,� /SZJ `F"/LotiT�6 .9 { M _ } DEPARTMENT OF PUBLIC SAFETY :OMMONWEALTH 1. 1010 COMMONWEALTH AVE. OF f. • � " BOSTON,MASS.02215'* I ENCLOSE CHECK OR MONEY ORDER 1ASSACHUSETTS ' 4 1-ICENSE Ii FOR REQUIRED FEE, I I�NSTRo '=UF,ERVT'�OR ! PION DATE ;; MADE PAYABLE TO "S EFFECTIVE DATE LIC NO. 5 'TIONSc ls 16 "COMMISSIONER OF PUBLIC SAFETY" , (DO NOT SEN CASH). m HN _I DEL ANEY ' i�'21-4'�`_5 7;�; EVE'L.YN CIRCLE I ENTERV 1 LLE MA i�26:.- MQ� 9 1992 STING OPR ONLY) FEE: Ij 100.00 NOT VALID UNTI SIGNED BY CENSEc7/ANO OFFICIALLY • HEIGHT: _ STAMPED;'- -SIGN U F THE COMMISSIONER I; - DOS: _ j o 04/14/1'S 5 g)CzpIAT E OF 1� ENSEE SIGN NAME IN FULL•ABOVE SIGNATUitE LINE } THIS DOCUMENT MUST BE / CARRIED ON THE PERSON OF i THE HOLDER WHEN ENGAO� COMMISSIONER li I TIGHT THUMB PRINT ED IN THIS OCCUPATION MOlyIJSINIWGM' Ni c"'J'� �a�snaig Z���0 vw % 'atiInao! 1�auutl t£t T [aU .e .IeW '3 T� n; •; Z!L4. Uojle,IdX3 ���aln�ar�. - adtil -;�n�xnxar�x - £86Sp1 �� _'.!a,.! 1t0\ ��rl l ,;' AWOH a 1W Assessor's office(1st Floor): Assessor's map an I t number ©a/ O`� Oi Twc to e `1 Conservation Board of Health(3rd floor):. g �\ SEPTTCSYSTEM MUST BE Sewage Permit number CGL) —37S 1` a INLL IN COMPLIANCE Engineering Department(3rd floor): House number 4�,3 G3 VM1T1"1.E 5 �o esr Definitive Plan Approved by Planning Board 'RONMENTA1.CODE AND APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only ` P� A��'1 TOWN OF BARNSTABLE BUILDING INSPECTOR r APPLICATIONIFOR PERMIT TO /p{A TYPE OF CONSTRUCTION 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: / Location ") �Y Iq /�X c �/a�.G�/S'7�/9�J� 61 Y ) r Proposed Use � �LAI A'gA— - Zoning District Fire District Name of Owner J�-(�6Q lVi� ��t�11/�/�llZ� Address b 46 1 Alb "" t '% ��� w boy C Name of Builder Address Name of Architect Address r Number of Rooms � Foundation Exterior GcJ��'cC G�a4J" Roofing Floors /s�Q"✓� Interior * 9f °" ` $&JL"- '/" 1�/ `"V p t� Heating Plumbing Fireplace v Approximate Cost ` i 7 5-0 P Area Diagram of Lot and Building with Dimensions Fee i ®CAPE OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable re g in a onstruction. Nam Constructio Supervisor's License ®��g� 62AW�Tv� i4mek/W, by 4 /� � SHEPPARD, SUSANNA '4 No 35360 hermit For REMODEL GARAGE to 1st Floor Single Family Dwelling Location 36 Allan Road Owner Susanna Sheppard Type of Construction Frame J Plot °" '� Lot Permit Granted September 15,19 92 Date of Inspiprtion 19 Date Corn,pldfiy-d 19- 'I got s td 71 lid F J. c � T t l},It f o o „f k ! ' 70 r r ` . . s r �0 JA Z my 4 N 4y; TSB : N y#sq � dx rti x t f f /57b roqJ. 14} i k �rc F � ' � R « :r t H 9 4 CERTIFIED PLOT PLAN tr , S � •SS��''R'41`�++f � A s „FS3 �b SCALE, 4D f LDA'�»'�G£ ENGINEER/N@ CQ.IN /tilc%le o�✓ ��� of gas V . ...._...., �. _., _ �a �9c 1 CERTIFY THAT' THEOr-00/✓>.4 CLIENT ti r E01$TERED REGISTERED """''""'"'"' � F ER7" SHOWN ON THIS 'PLAN°CIS•. LOCATED ' r. r " ` OG ON THE GROUND AS INDICATED ANO .- CIV1L:� :LAND JOB WO. � o N f - ELDREGGE' CONFORMS TO THE ; ZONING, LAW$ r ENGINEER SURVEYOR DR ®Yl �'ti- M. � ' :No. 193�7= 'o � x _ .'..'�""""" OF BARNSTABL ',`MA9 s X 7,t2 MAIN TREET�` CKBY., s,�,vAt I = f a 8MEET ' F J '*' -• ;0 ty� DATE ,. 1 :�Y a4- - . S R�VEYOA; �� �.�_,.f � 1r . x .'�' x�, .�' }