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Home My WebLink About0028 CAPTAIN LUMBERT LANE �n � � � � � � . :. � 4 r � a . , �t :. .r � . e . :.. � > � _ .:•. � F� n TOWN OF BARNSTABLE BUILDING PERMIT APP�,ICATION y Map U _ Parcel ", Application # Health Division Date IssuedSm Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address `0),g 0 t1 n Cen-4er v ill e Village n Owner 1�i C,� 01,r p I,A-,rn Mef_Address Telephone , — I Q 19 Permit Request 141 576dim, Square feet: 1 st floor: existing - proposed 2nd floor: existing_ proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio 0 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting docuntation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) ^` Age of Existing Structure �} 63 Historic House: ❑Yes ❑ No On Old Kings's�:Highway.-_-Ll Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other _ =4 Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing __. neW ray Number of Bedrooms: existing ,new Total Room Count (not including baths): existing new _First Floor Room Count Heat Type and Fuel: AG-as ❑ 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 ko If yes, site plan review # Current Use Proposed Use _ APPLICANT INFORMATION (BUILDER OR IIOMEOWNER) Nams I} �I � /C10C �a�i✓ Telephone Number 50?- 3 0 3 ¢� Address �� ) �n o I'�y�. License # ~�—�- oa` 6 Sack, �arma & 4 h Home Improvement Contractor Worker's Compensation # lid C 3 a g 3 7q dL ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO a-f alb SIGNATURE DATA 17v FOR OFFICIAL USE ONLY APPLICATION# ' r. DATE ISSUED - 'MAP/PARCEL NO. - M w i ADDRESS - VILLAGE k ` OWNER , DATE OF INSPECTION: �S r VFOUIVDATIOIV't i 7`� a ;a FRAME `INSULATION,J`.' ' FIREPLACE ELECTRICAL: ROUGH FINAL f - PLUMBING: ROUGH FINAL GAS: : a. . ROUGH . :__,J, , .,,> FINAL ^. i_;tFINAL BUILDING " ..:DATE CLOSED,OUT r k ` ASSOCIATION PLAN NO.' s - • r The Commonwealth of Massachusetts 4 Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass gov1dia or en, Compensation Insurance Affidavit: Builders/Contractors/ElectricianslPlumbers Aiplicant Information Please Print&&h Name(Business/orpnkationandividual): M i 0-14 A Es Ae-.CL;!S i<6*t U�a cft.. SA UI Address: -4 -c- 'Au to R1 n 6n c3 City/SWe/Zip:sS • Ulmay�� Asti 67,agone#: 3 !- Are you an employer?Check the appropriate box: Type of project(required): 1.IR I am a employer with I_ 4• ❑ 6 I am a general contractor and 1 ❑ have hired the sub-contractors New construction employees(full and/or part-time). - 2.❑ 1 ant a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. 0 Building addition (No workers'comp. insurance comp.insurance.' required.] 5. ❑ We arc a corporation and its 10.0 Electrical repairs or additions 3.❑ 1 ant a homeowner doing all work officers have exercised their 1 IQ 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 I employees. (No workers' 13.1g]Other, comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their wwkers'compensation policy information. t Homeowners who submit this affidavit indicating they vie doing all work and then hue outside contractors must submit a new affidavit indicating such tCamtractors 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. fftbe sub-contractors have employees,they must provide their workers'comp.policy number. l an an employer that is providing workers'compensation insurance for wry employees. Below is die policy and job site injoron. _„_ `�` Insurance Company Name: I R t✓k n e�o a V -•-VAS t1��0.0C� C o t`r1 D dl.il Policy#or Self-ins.Lic.#: -7 W C 3 a 9 7• — Expiration Date: I Job Site Address: i Q �-tlrnA City/State/Zip: Can�avi Ile 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 covcra&? verification. I do Hereby certify under the pains adjenakies erjury that the information provided above is true and cornea Date: Phone Official use only. Do not ntrite to 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.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: ACCOREPCERTIFICATE OF LIABILITY INSURANCE 0/20'2011' 1o/ao/ao11 JTHIS 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 terns and conditions of the policy,certain policies may require an endorsement. A statement on this cert�cate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER NAME:CT Shannon Sperrazza Risk Y Strategies Company PHONE FAx g P No- (781)986-4400 o.(781)963-4420 15 Pacella Park Drive nRLE .ssperrazza@risk-strategies.com Suite 240 INSURERS AFFORDING COVERAGE NAICl1 Randolph MA 02368 INSURERA:Selective Insurance INSURED INSURER B:Safety Insurance Companv 33618 Michael McCluskey, DBA: Cape Save INSURER C:Technology 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 ADDIL SUORPOLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DD1YYYY) (MWDDfYYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) $ 100,000 A CLAIMS-MADE F OCCUR PPS1994480 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: PRODUCTS-COMP/OPAGG $ 2,000,000 X POLICY PRO LOC I I $ AUTOMOBILE LIABILITY COMBINED SING1.87LIMIT Ea accident $ 1,000,000 B ANY AUTO BODILY INJURY(Per person) $ ALL AUTOS OWNED AUTOSCHEDULED 6206200 1/6/2011 1/6/2012 BODILY INJURY(Per accident) $ X HIRED AUTOS N NON-OWNED PROPERTY DAMAGE X AUTOS Per accident $ Underinsured motorist BI split $100000 300000 XUMBRELLA LIAB X OCCUR PP31994480 0/16/2011 0/16/2012 EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED I I RETENTION $ C WORKERS COMPENSATION Executive excluded WCSTATU- OTH- AND EMPLOYERS'LIABILITY Y/N X ANY PROPRIETOR/PARTNER/EXECUTIVE from coverage E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? Y N/A 500,000 (Mandatory in NH) 3297972. 0/21/2011 0/21/2012 E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 T1 I DESCRIPTION OF OPERATIONS/LOCATIONS/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 a (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/SM3 ACORD 25(2010/05) 01988-2010 ACORD CORPORATION. All rights reserved. INSD25 ontrxKl n1 Tho Ar 0011 n2mo nnrl innn oro ronic+ororl m2r1rc of A(t*ipn Massuchusetts- Department of Public Safety iN Beard of Building Regulation%and Standards Construction Supervisor Specialty License License: CS SL 102776 t Restricted to: IC �} � WILLIAM MC CLUSKY " { � t 37 NAUSET ROAD WEST YARMOUTH, MA 02673 Expiration: 612812013 (nnuuisxi'OCf Tr#: 102776 Office of Consumer Affairs and usiness Regulation - a 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 ° Home Improvement Contractor Registration Registration: 164432 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. DPS-CA1 0 50M-oaroa-a10121e �_� Address f � Renewal (� Employment (-� Lost Card _., t�".*. ✓�LP C�JOl7'LIYLIY/Pl/ �,� .. Otfice of Consumer Affairs&Bu6i ss R�eg atioo License or registration valid for individul use only Y 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 Boston,MA 021.16� CA B a�SAVE _ MICHAEL McCLUSKEY 8201 S.HOURD CT _ rf CHAPEL HILL,NC 27516 Undersecretary of valid without signature .00 1, re VY ,111 !:ncs c HOME OWNER WEATHERIZATION WORK PERMIT&FUEL RELEASE: PLEASE FILL OUT AND SIGN THIS FORM IF YOU ARE THE APPLICANT HOME OWNER. ke -L"tim rag. 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: 253 CAPP72- Lomacel— C-- el-3 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. 1 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 fisted and freely give,my consent. Home Owner: (Signature) Date: /7 Agent: (signature) Date: rt HAC approved Weatherization Company. All Cape Energy Building Performance Caliber Building&Remodeling Cape Cod Insulation ape Save Frontier Energy Solutions Lobr& Sons Michael T.McMahon Niall Hopkins Builders Resolution Energy COE SAVE Weatheriezation 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. Michael McCluskey Cape Save—Owner 929-593-5939 cell 7C Huntington Avenue,South Yarmouth,MA 03 Assessor's map and lot number ../'!1.. ! /7 . .... ............. ,: y ?FIE 01` Q' ? Sewage Permit number ......... IC. .' SYSTEM �S a ttiJl,c: a� cEBSTL A E♦, House number ..................................... MA8 66a o 39, WITH TITLE 5' TOWN OF B,,AAR NIS T1� BMtL E :� j ewa:. BUILDING ' INSPECTOR APPLICATION FOR PERMIT TO .. /�TIr 2UG ••••t 5 •• •L.....�1` . .........................' ti TYPEOF CONSTRUCTION ..... ........................................................................................... .. . ................... . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies/T,raermit according tot followin nforenation: Location �. ,....... ........................ ....... ...... ..... ..Proposed UseJ!. :... '`/ .. ........ . 1...........................................G�? Zoning District .. ............. :................ .................................Fire Distric .........................:... Name of Owne y. ....!AAJ.. .... 4.................Address ... .. ; .. �.............. it . ............ ..................................... Name of .Builder ........r�.•l••! , •- -......................................Address ........ �Ll Name of Architect ........... + ............................................Address ........ .. .......................................�. ,,................... Number of Rooms . .1............................................................Foundation ....... �a/ ��-� 4-/) f... .................... Exterior ...1 /..� ....... � ... �fl !>%.'Roofing ..�5 • I�/. ....................................................... �p Floors't ..................................................................Interior ........ ....................................................... Heating.. V y ; ... Plumbing ....� .. /.•• :::...........................I...... .may Fireplace .;...... •..:r.... .. �!�C� .......................Approximate Cost ....� ., ..C3 `J....................... �, Definitive Plan Approved by Planning Board __________________________ � Area / U.�j� ....5 ...•••..9 Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH6 5 i L I hereby agree to conform to all the Rules and Regulations of the T Wn of Barnstable e a in h bove I construction. /[ Y+f jAe Name .......... ... ...... ........ u;J BAYSIDE BUILDING CO. INC. t t F to ..... ..2... Permit for ....One Story Single Family Dwelling ............................:...................................:.............. Lot #30 28 Captain- Lumber.is -Ln. ,( Location .......................................... .................... ... ........................................................Centerville "r ............ Bays de Building Co. Inc. r- j ; C�Mler .... ...................................................... - r Frame ✓.� r j�. T'. (� Type of Construction ...................... .+� 8 r -` it _•- !"..1� � �� I • , � r. ...l...................... .................................................. /� /'Y r . h jI • 1 Plot ...........' Lot .................................. ( � ._� ��• I i Permit Granted .....'Aarcn...2.3............19 83 , t - Date of Inspection ,.: . ..... ...... . .....19 � � ,. • 'Date Completed .. .7.. . i PERMIT REFUSED t r �''�' r� J � J� ��f /�•� � r r .l .............................. 19 ". .............................................................................. ................................................................................ ! � `�'�'t ♦`' i*l � ! - + '� /S ........................................................................•.�.. Approved ` .......'................... ............................................... . ...................... .................................... .. /. Assessor's.map and lot number ..........,�....... ............. . a s L ��F THE T��I Sewage Permit number 3._ �Q ° s Z BAIINSTOBLE, i House number ro rnea !i p 1639. \00 ��YPY{r• TOWN OF BARN-STABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....................:......................... ........... ......... ......�............................ TYPE OF CONSTRUCTION ..�.. 'L�... /'t u,,: Q................................................ TO THE INSPECTOR OF ByILDINGS: The undersigned hereby applies for �a,�permit according to' the followingfnformation: Location ......................... 3.1;� ..l;%vE/1j�... ' 'vr"�.L:/.:. .:... Proposed Use ....,.,J,� n;,;.;/./,,1.... . � V.1.r , .................................................................................. . ZoningDistrict ......../� .: ............... ...... ,..............Fire District ..........................................:................................... r � �� G. C� Name of Owner ........ ................Address ...t............ �.. ..1 ...tA�'� Utt��-�.............. ..,. ... Nameof Builder ........ ,/.I!,/I..�..........................................Address .........]... ........................................................ Name of Architect ......... �.-'4 .. ....................................Address _ Number of Rooms ......u............................................Foundation...:...!. r.!/1.,,.? .�` .( �!a� :................... f / �j�C Exterior ......�... -....�/' LF' ... /f1.. .. G?J..:Roofing ...6. ',.J /��.. .................................................. Floors �.i ...... ....................................................................Interior ............. ... L! ...................................... Heating ��'"' ..... ..........:.................Plumbing ......�.�.�� 1-� ................... Fireplace ... ... ............. ......Approximate Cost .... .; .: -....................................... j Definitive Plan Approved by Planning Board ------_------------------------19 Area Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH r. 5 � I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....................... ................. ...........:........... BaYSIuE ouILuIN^, CO. INC. .^ 1^ ' 1^ . 4 ^ 24873 One S tor y No ------ Permkfor ------------ ^ __.Sioole.� ...Dvvell.io�.____. - Location ... ��t—�]O.r--38...Cao�il�..Loozbert .I,o. � Centerville -- .----------------.� ................... . � � ua�oB ide Building Co Ioo � Ov��er ................................................................... - ^ ' ]��anze Type of [on�ru��iqn -------------_ ...............................'................................................ Plot � Lot .................................. —.-------- ----------. ^ � � 88arch 23 83 Permit Granted .--------.,----lP Dote of Inspection ------------lg � Date Completed ......................................lA ~ ' / � PERMIT REFUSED � --------------------^. lq � ^ ' � ----------...---------------- ' ------'`-------------^-----'' ------------~—^~^^---------' � ' ---------'---------`-----^—' � Approved ---------------- lA ---------'-------~^--^—^'---' � -------''-------------'--^^—^ • TOWN. W BARNSTABLE permit No •_ _ 24872 f Building"Inspector . { saass)aat Cash - --- --- -- OCCUPAMICY - PERMIT Bond . --- .- -- - —x '�- — .Y Issued to Bayside Bui Ming 'IrC, .Address In4v asat a+i t 7 `� f Wiring Inspector � f �- / `a Inspection-date y,. Inspection date Plumbing Inspector, �� Gas Inspector a � f f, Inspection date r 1...- any i Engineering,Depa�iment '2 � "Y / Inspection date's fir_,! 7�G 1^O .fn Board-•of Health � � �. ` /j ) `Inspection date�� / � THIS.PERMIT WILL--.NOT BE VALID, AND THE ?1iTILD1_rNG'`SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR-t UPON' SATISFACTORY COMPLIANCE WITH TOWN i h REOUIREMENTS AND IN ACCORDANCE `WITH SECTION 119.0 OF THE-•MASSACHUSETTS.STATE BUILDING CODE. . Cam•= A"- J`h �'.s. s C . .jw� r�.. f..� .. .._...... Building,Inspector `'il r� d � r a 't'UFS co F. .9 . LoT , y a 3 .\ OT 29 49 100.W D 7i 4 !o` 5�-Q �, "L=FM ; ALL- N47UPAtL -aO.I -ro Rr- -J GS; 0WDls7u28MD Me FAc�n e�sF- ®F oP4A*j7 - -H STA - 04 AST MA��►-1 A-R�A FALL-S W I7T 4 NJ fLi3D "IB b 1 CERTIFIED PLOT PLAN �o¢ ' � L 30 Cf1-P7'. Lvn9,I" ,�sa,•iE czw`7�rI;�'v l t L_c ,NEW CONSTRUCTION ONLY TOP. 0 F FOUNDATION IS .-5? FEE CA IN ` . ABOVE LOW POINT OF ADJACENT: ROAD. D suR`+ SCALE.. /,.!te a DATES 31161" Four/a-RrtnN' : ' (a 9REVIIIENO] / gA_l rp I CERTIFY THAT THE CLI T- *-- �- SHOWN ON THIS PLAN IS LOCATED E®ISTEORED REGISTER 'b0. ON THE GROUND AS INDICATED AND CIVIL LAND CONFORMS, TO THE ZONING LAWS ENGINE ER SURVLd04� D .�Y� !�'a , OF .SARNSTABLE , ASS. ' a 712 MAI N STREET. ` , """'^�."_'.." 03 4i•83 HYANNIS$ MASS, SNSgT.aLoFr� DATE G. LAND SURVEYOR Cape Save Inc. 7-1) Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fax: 508-398-0399 1-4-12 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 28 Captain Lumbert Lane,Centerville has been inspected by a certified Building Performance Institute(BPI)Inspector. e� Ceiling: R-11 cellulose o? All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey