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'':i4, w...s..raC.L,J:.c,.�cww.:.�......:�Y..�...e..�...A.. 79b e PA16 v2�Le-� f 3Ei4C �21J /�/J fl J Shea, Sally From: MacNeely, Martin <mmacneely@commfiredistrict.com>, Sent: Monday, September 16, 2019 4:51 PM . To: Peirson, Lawrie; Shea, Sally; Barrows, Debi; Sumner, Matthew;Grossman, Michael; O'Neil, Edward Cc: Peterson, Taryn; Florence,,Brian Subject: RE: 780 Craigville Beach Rd Tradewinds The fire department received its addressing information for this property from TOB Engineering,the unitization that I described in an email earlier today is what is presently posted in the field. Thanks, Martin y From: Peirson, Lawrie [mailto:Lawrie.Peirson@town.barnstable.ma.us] Sent: Monday, September 16,2019 4:22,PM To: Shea, Sally<Sally.Shea@town.barnstable.ma.us>; Barrows, Debi<Debi.Barrows@town.barnstable.ma.us>;Sumner, Matthew<Matthew.Sumner@town.barnstable.ma.us>; MacNeely, Martin <mmacneely@commfi redistrict.com>; Grossman, Michael<mgrossman@commfiredistrict.com>; O'Neil, Edward <Edward.O'Neil@town.barnstable.ma.us> Cc: Peterson,Taryn <Taryn.Peterson @town.barnstable.ma.us>; Florence, Brian <Brian.Florence @town.barnstable.ma.us> Subject: 780 Craigville Beach Rd Tradewinds Hi, the update to condo addressing completed this'May from Vision to ViewPermit and again in July to the internal Parcel Lookup database shows these fields for condos: Map Parcel, St#, Street, Building, and Unit number. The apartment number is only displayed for properties that are NOT a condo.This was agreed to when we found that for the condo records, we could not distinguish between different units in different buildings. For statistics, there are 2544 condo's listed in the Assessing database. Each one of these records has either a Building Number, Unit Number or both. Of the 2544 condo records, 311 have an Apt number. When we looked at the data in May it was agreed that the Building Number and Unit Number were the most accurate fields to display. The correct Building Number and Unit Number need to be in Vision, and then this will data transfer to our other systems. I am not sure how the Fire Department obtains their data, but the setup or field determination need to match. If you need any spreadsheets on this information,or would like to meet,just let us know. Thanks .Lawrie Lawrie Peirson .�sst;:Darer.,tor:Cnf`.ornration ti}-sterr�s.'t'c+cvKi c:ri':liarx�sf,able Lawrie.peirson@town.barnstable.ma.us Please consider the environment before printing this email. 1 From: Shea, Sally Sent: Monday, September 16, 2019 1:53 PM To: 'MacNeely, Martin'; Peterson, Taryn; Sumner, Matthew Cc: Grossman, Michael; Barrows, Debi; O'Neil, Edward Subject: RE: 780 Craigville Beach Rd Tradewinds If someone asked me about unit#7 1 don't know if they mean A7 or what is shown as unit A2. If I understand what Martin is saying the last column is not on record with the Fire Dept.. This last column is how the units are shown for us and the real unit numbers are not shown. This is making things more confusing than anything. 14101010A .693 FVl 14101010E 683 u^ n .........................._._. ........................ _........ 14101010C 683 ! ...._....... _ ;..... 14101010D fi83 M 22614000A .780 iCF 226140008 '780 ^CF 22614000C 780 CF ._...... _. Z2614000D 780 la 22614000E 780 _ CF 2261400OF: 780 CF 2261 G !780 CF Z2614000H .780 GF Z26140001 780 %CF 22614000.1 780 'CF ........ Z2614000K 790 'CF .. .. ...................................... Z21514000L 780 'CF 2261400ON 700___..______!CF Z26140000 7&0 GF ...............................................:............:..................................... 22614P 780 ICF ........_. ............. .............. 22 141 779 CRAIGVILLE BEACH ROAD 22614000Q 780 CF _� .M .. _.�. .. ....... .. 22614000R ;780 ,CF 226-140-0'OH 780 CRAIGVILLE BEACH RO, D, BLDG A. UNIT 8 22614000S .7s0� GF . _.. _ w_p,a.. _..._ . ..... __ _._. . v _ _. Z2614000T 780 ICF 226-140-BOG 780 CRAIGVILLE BEACH ROAD, BL Z261400OU 780 ;CF 226-140-OOIF 780 CRAIGVILLE BEACH ROAD, BLDG A UNIT 6 _ .. ............., .__ ......................:.... . .......................... E 226-140-00E . 780 CRAIGVILLE.+BEACH ROAD, BLDG A UNIT 5: . 226-140-001D 780 CRAIGVILLE BEACH ROAD, BLDG A UNIT 4 A doesn't appear to ... go to,uni 2 6-140- OC 780 CRAIGVILLE BEACH r. ROAD, B_L DP A UNIT ,cprodg SMM . Fire Dept 4 226-140- OB 780 CRAIGVILLE-BEACH ROAD, BLDG A UNIT 2 4 226-140- 01 780 CRAIGVILLE BEACH ROAD, BLDG B KNIT 9 , Sally Shea 226-140-OOJ 780 CRAIGVILLE BEACH ROAD, BLDG 8 UNIT 10 Town of Barnstable F 2 Assistant Zoning Admin/ Lead Permit Tech. 508-862-4031 From: MacNeely, Martin [rn i.Ito......- el ��commfi red istrict.com] Sent: Monday, September 16, 2019 10:15 AM To: Peterson, Taryn; Shea, Sally; Sumner, Matthew Cc: Grossman, Michael; Barrows, Debi; O'Neil, Edward Subject: RE: 780 Craigville Beach Rd Tradewinds Hi everyone, Not to confuse things but............the following is the addressing as we have it. Building A Al, A2, A3, A4,AS, A6, A7 Building B B1, B2, B3, B4 Building C C1, C2, C3 Building D D1, D2, D3 Building E (part of Building A) E Building F F1, F2, F3 Thanks, Martin From: Peterson,Taryn [ma iito:Taryn.Peterson @town.barnstable.ma.us] Sent: Monday, September 16, 2019 10:03 AM To:Shea, Sally<SaI_ly:Shea @ town.barnstable.ma.us>;Sumner, Matthew<Matthew.Sumner@town.barnstable.ma.us> Cc: Grossman, Michael <.,rossman@commfiredistrict.com>; MacNeely, Martin <mmacneely@commfiredistrict.com>; Barrows, Debi<Debi.Barrows(a towri.barnstable.rna.us>; O'Neil, Edward <Edward.O'Neil@town.barnstable.ma.us> Subject: RE; 780 Craigville Beach Rd Tradewinds Hi Sally, 3 The search queries are working correctly and showing Assessing Building and Unit numbers for condo Parcels. Any change to the data would need to come from Assessing or Roads addressing. Parcel Location 226-1 - OA 780 CRAIGVILLE-BEACH ROAQ,;BLDG'A `UINIT 1 226- 4 - 780 CRAIGVILLE BEACH ROAD, BLDG-A► UNIT 226-140-, C 780 CRAIGI(i[IE BEACH;RaAD; BLDG'A U1I IT33, 22'6- 4 780 CRAIGVILLE BEACH ROAD, BLDG A UNIT 4 226-140-ODE 80 CRAIGV11 LE BEACH R�3AD,.BLDG A,UNIT, � 226-140-OOF 780 CRAIGVILLE BEACH ROAD, BLDG A UNIT 6 226-14 - .80 CRAIGVILLE-BEACH ROAR-BLDG X,UNIT 7 226- 0- OH 780 CRAIGVILLE BEACH ROAD, BLDG A UNIT 8 r Thank you,Taryn From: Shea, Sally r Sent: Monday, September 1,6, 2019 8:27 AM, To: Sumner, Matthew; Peterson; Taryn Cc: mgrossmari%cornirsfir- strict,coni: MacNeely, Martin"(mrriacneel acommfiredistrict.com); Barrows, Debi Subject RE: 780 Craigville Beach Rd Tradewinds Yes that sounds good. l can't see the information you can. Who needs to make the adjustment? Sally Shea Town of Barnstable Assistant'Zoning Admin/ Lead Permit,Tech: 508-862-4031 -. From: Sumner, Matthew Sent: Friday, September 13, 2019 926 AM To: Shea, Sally; Peterson,Taryn Cc: m_gross.man i.,ccgnic lfiLQd trio,.com ,MacNeely, Martin(mmacneel a commfiredistrict.com); Barrows,Debi Subject: RE: 780 Craigville Beach Rd Tradewinds Hi Sally, if you click into the record for parcel 226/140/001-1 (attached), it shows:_ Road number. 780 Road letter: Al Assessing address: 780 Craigville Beach Road #A1 I think the only issue is that we'd want to change which field from the record is displayed in the search result. I've CC'd Taryn to see what she thinks. 4 Best, Matt From: Shea, Sally Sent: Thursday, September 12, 2019 3:12 PM To: Sumner, Matthew Cc: mgrassman a;coi irnfiredistrict.coni; MacNeely, Martin (mmacneel a com mfi red istrict.com);'Barrows, Debi Subject: FW: 780 Craigville Beach.Rd Tradewinds Hi Matthew, The addressing below forTradewinds does not reflect what whe have on record or,the parcel lookup informaion we had last year. Did the unit numbers change. See below. It went A-1, A-2 etc... Now we have what was once'A-1,,as being #8.:Not sure what happened here. Can you confirm the correct information? Thanks Sally 5 Parcel Location, 226-141 779 CRAIGV,ILLE BEACH ROAD 22.6-140-00H 780 CRA.IGVIL.LE BEACH ROAD, BLDG A. UNIT 8 2216-140-OOG 780 CRAIGVILLE BEACH ROAD, BLDG A� 7 UNIT ..... 226-140-OOF 780 CRAIGVILLE BEACH ROAD, BLDG A. UNIT 6 226-140-O E 780 CRAIGVILLE BEACH ROAD, BLDG A UNIT 5 226-140-OOD 780 CRAIGVILLE BEACH ROAD, BLDG A. UNIT 4 22'6-140-OOC 780 CRAIGVILLE BEACH ROAD, BLDG A UNIT 3 226-140-008 780 CRAIGVILLE BEACH ROAD, BLDG A UNIT 2 _.. 226-140-001 780 CRAIGVILLE BEACH ROAD, BLDG B UNIT � 226-140-00J 780 CRAIGVILLE BEACH ROAD, BLDG B UNIT 10 226-140-OOK 780 CRAIGVILLE BEACH ROAD, 'BLDG B UNIT 11 22'6-140-OOL 780 CRAIGVILLE BEACH ROAD, BLDG B UNIT 12 226-140-00N 780 CRAIGVILLE BEACH ROAD,,4BLDG C UNIT 14­ 226-140-000 780 CRAIGVILLE BEACH ROAD, BLDG C UNIT 15 226-140-00P 780 CRAIGVILLE BEACH ROAD, BLDG C UNIT.16 :`:w,- 226-140-OOQ 780 CRAIGVILLE BEACH ROAD, BLDG D UNIT 17 2:26-14 OOR 780 CRAIGVILLE BEACH ROAD, BLDG D. Sally Shea Town of Barnstable Assistant Zoning Admin/ Lead Permit Tech. 508-862-4031 From: Shea, Sally Sent: Thursday, May 24, 2018 11:54 AM To: MacNeely, Martin (n rncrcn iy_i cQn�mfiredistrict,com); m rq ossmanOqcommfiredistrict.com Cc: Mckechnie, Robert Subject: 780 Craigvil le,Beach Rd Tradewinds Hi Guys, Doug Lebel lost his permit and- I reprinted it. He believes E1 has been reassigned so it is incorrect on the permit. What is listed below does not match our records for the permits. What do you have?? Thanks Sally 6 e e rIII A I ljq I - . 226-140- 780 CRAIGVILLE BEACH ROAD flOH #,� CALDWELL, LINDA & THOMAS W TRS CE. y 22�-�'�{�� 780 CRAIGVILLE BEACH RCAD 00F #A3 GLEYZER, GENE & TATI'APdA CE 226--140- 780 CRAIGVI'LLE BEACH ROAD GOLDBERG, JEFFREY CE. ���-14�- 78t� CRAI'GVfLLE BE�aCH RCAD 13�7' LLC ` .,' � ' CE GOB #A7 IGVILL � . ,fig y 2 1'40'- 780 CRAI'GVI'LLE,BEACH ROAD MUSANTE, PATRICIA A BAKER & THOMAS CE OJ #B2_ A TRS L,�%rw✓ 226-940 780 CRAIGVI'LLE BEACH ROAD OOL #B4 RIE CBEL, SCOT NI lR1STEN K TRS CE 226 1'4'0- 780 CRAIGVILLE BEACH ROAD. MtRRISSEI', PETER J & JDAN N1 CE C #C2 6. avo,�,�''��"" 1/l«,,,,k,..,ana x ".�ii k.,,,,E, n:'aa. -_.✓ ar�u,ra. 'S,�na ,. 226-140- 780 CRAIGVILLE BEACH ROAD POWERS RICHARD F Ill CE 000 #D1. 4GVILLE 226-140 78fl GRAIGVILLEBEACH ROAD OOS 3 FOSTER, SCCTT R Itit1ARJC3Ri'E A CE #D a � G�V Ir 226-140- 780 CRAIGVILLE BEACH ROAD TRADE WINDS (RESIDENCES AT) CE OOT #F1 CONDOMINIUM 2.26-140 18_0 CRAIGVILLE E3EACH ROAD TRADE MINDS (RESIDENCES AT) CE http:i/issgi? Intr NIUM The last one is F3 Parcel 226-140-OOV Sally Shea Town of Barnstable Assistant Zoning Admin/ Lead.Permit Tech. 508-862-4031 CAUTION:This email originated from outside of the Town of Bar ns,t ief Do not click links, open attachments or reply, unless you recognize the sender's email address and know the content.is safe!! CAUTION:This email originated from outside of the Town of.8arnstable! Do not cl!ck links, open. attachments or reply, unless you recognize the sender's.email address and know the content.is safe!' 8 Town of Barnstable Building Department - 200 Main Street BARNSTABLE, * H ya nn is, MA 02 601 9�A 16319. A,�`� (508) 862-4038 TFD� ifi of OccupancyCert Cate Application Number: 200801998 CO Number: 20080100 Parcel ID: 22614000L CO Issue Date: 06104/08 Location: 780 CRAIGVILLE BEACH ROAD B-4 Zoning Classification: SPLIT ZONING Village: - CENTERVILLE Gen Contractor: J.K. SCANLON Permit Type RC00 CERTIFICATE OF OCCUPANCY RES Comments: Building Department Signature Date Signed k TOWN OF BARNSTABLE �t, Tti -.Building Application Ref: 20080199E BARNSTABLE, Issue Date: 05/07/08 Permit. 9 MASS. i639• Applicant: J.K. SCANLON Permit Number: B 20080924 ArFO MA'I A Proposed Use: Expiration Date: 11/04/08 [Location 780 CRAIGVILLE BEACH ROAIV&Ag District SPLTPermit Type: SP PROJ RES ADD/ALT Map Parcel 22614000L Permit Fee$ 25.00 Contractor J.K. SCANLON Village CENTERVILLE App Fee$ 50.00 License Num 040692 Est Construction Cost$ 0 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND TENANT FITOUT FOR UNIT B-4 THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: ISENSTADT,ALAN TR BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: PO BOX 477 INSPECTION HAS BEEN MADE. CENTERVILLE, MA 02632 Application Entered by: JL Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY,ANY STREET ALLY�OR SIDEWALK OR AN ART THE ;EIT ER TEMPORARILY.OR;PERMANENTLY. ENCROACHEMENTS ON PUBLIC PROPERTY;NOT SPECIFICALLY RMITTED UNDER•THE BUILDING CODE,MUST,BE APPROVED BY THEJURISDICTION. STREET OR ALLY;GRADES`AS WELL AS DEPTRAND;LOCATION OF<PU13LICSEWERS MAY'BE`OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS,. THE ISSUANCE OF THIS.PERMIT DOES NOT:RELEASE THE APPLICANT FROM,;THE CONDITIONS OF,'ANY'APPLICABLE SUBDIVISION:RESTRICTIONS � ' MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6. FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). Div+: i .: ' ®•A t .,`�_:E, ®.,\ A �9.:... BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS s I � cs 3 � JA L 5/31 D)o n 14 1 Heating Inspection Approvals Engineering Dept } i Fire Dept 2 .l C Boaynduo f He Ithyl � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map (3a CoParcel 140 0 o Application # �� 0 Health Division Date Issued W zA Conservation Division - Application Fee Planning Dept. Permit Fee 62 Date Definitive Plan Approved by Planning Board Historic OKH _ Preservation/ Hyannis Project Street Address 7R0 Cra.iw i' /I e- Be.ac�N R 6 q Village C&Oi2v_ I)C_ Owner C" I F_B S cxrr T-t- k f I m-ti Address DC 4)9&K, RJ, a\ae- m A Telephone —1 Permit Request 2. ' Cc cbm M A 6 V 06 16JI 010 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed _Total new Zoning District Ce)M RN&ood Plain Groundwater Overlay Project Valuation Construction Type ,Lot Size o Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure t�;00'7 Historic House: ❑Yes �[No On Old King's Highway: ❑Yes `No Basement Type: XFull ❑ Crawl ❑ Walkout ❑ Other Basement Finished Area(sq.ft.) .7// Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing I new Number of Bedrooms: 0? existingKnew Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: Gas ❑Oil ❑ Electric XOther CiAA Central Air: Yes ❑ No. Fireplaces: Existing`_New Existing wood/coal stove: Yes ❑ No Detached garage: ❑exis An6z--Lj new size_Pool: ❑ existing 61 size _ Barn: OTexisting ,0 e size_ I s. Attached garage: existing ❑ new size _Shed: ❑ existing 117 new size _ Other: ICU Zoning Board of Appeals`Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review# Current Use Proposed Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ��lllU S%n� KJG � aTelephone Number 5o8 R 77/­ 31/0 Address Q? I/OO r-teraJ Dr, License # ®8 0 395 NJ&a AM Home Improvement Contractor# /'00/d l Email ST ! Worker's Compensation #UJC-lCQ-&a9f(a 2- aol(o ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 3r 1� 1 FOR OFFICIAL USE-ONLY C �kf f � ` APPLICATION# DATE ISSUED MAP%PARCEL NO. 6 1 f ADDRESS VILLAGE OWNER P s DATE OF INSPECTION: FOUNDATION FRAME INSULATION m �t? if. im— FIREPLACE ELECTRICAL: ROUGH FINAL � PLUMBING: ROUGH FINAL GAS: ROUGH FINAL P ..INAL BUILDING C 1 Dff-sEZLOSED OUT Al$$-0 TION PLAN NO. ,r THE RIGHT CHOICE -- ------------- Since 1971 Office Use Only I i cean�ide ; JOB NUMBER Restoration -=----------------t 217 Thornton Drive,Hyannis,Mass.02601 508-771-3110 800464-3318(MA.Only),774-470-2211 Fax ASSIGNMENT AND AUTHORIZATION TO PAY i! The undersigned, herein from Oceanside, Inc. , called claimant, has authorized and ordered the materials and/or services requested. Undersigned hereby assigns to Oceanside, Inc. any unpaid proceeds due or to become due, under the claimant's policy with the insurance company to pay direct to Oceanside, Inc. or to include its name on a check or draft, for all requested work. In the event that Oceanside's claim herein is not covered by, or paid by, an insurance company, claimant agrees to pay Oceanside, Inc. within sixty (60) days after work has been completed. Claimant understands that Oceanside, Inc. is working for them and not t the insurance company .or the adjuster. Payments remaining due and payable after the claimant has received i payment from the insurance company shall bear. interest at one and one- half (1-1/2 0) percent per -month. In the event that there is a breach by the claimant of any of the conditions of this agreement, Oceanside, Inc. shall bc� entitled to recover, as additional damages, attorneys' fees, costs and any other collection expenses reasonable and attributable to said breach. If payment is not received within 60 days,. collection action will commence without further notice to the claimant. Ze,:-dl 2J t3�E C-t✓ln{es v�t le ,MA 07—G-32— LOSS/DAMAG9 ADDRESS 53 D� �vveo' MA 0 Z 3D MAILING XDDRESS (BILLING) CITY STi'.TE ZIP INNSURANCE ADJUSTERI.S NAME/CO- LOCAL INSURANCE AG;NCY NAME x l;s�en �Gr;e Oe PRINT NAME INS. CARRIER/POLICY UNDERWRITER DATE: 2 Z3Itb C IMANT'S SI NATURE ► PHONE: EMAIL:-EMAIL: ��1y�Gt-il i s The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations e I Congress Street, Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Apylicant Information Please Print Legibly Name (Business/Ot•ganiza�tion/lndividual): Address:_ = I l �i Or n 4n —1 �`i t/e City/State/Zip: U o c�, Phone#; S b'�-7"7(- Are you an employer? Check the appropriate box: Type of project(required): 1.g I am a employer with ZJ_ 4. I am a general contractor and I employees (full and/or part-time). have hired the sub-contractors b ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. Q"Remodeling ship and have no employees These sub-contractors have g, E]Demolition working for me in any capacity. employees and have workers' 9 ❑Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. We are a corporation and its ME]Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LE]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' 13.0 Other comp. insurance required.] *Any applicant that checks box#1 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-contractors have employees,they must provide their workers'camp.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: A a u&e,e Policy#or Self-ins. Lic. #: WC—160—6�O I9 Q)0-2--Zo 16-A, Expiration Date: `7C C�zt�C ll!/(A ,� �,Fil_ '� l° t UI�'LC ll A" Job Site Address: 4i /State/Zip: ni Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date)0-2- D5Z 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby:7e der t e pains andpenalties ofperjury that the inforrnation provided above is true and correct. Si ature: �5«Q�•r� Date: Ll Phone#: 5b4'7-71 31(6 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: - ,per �1ie�p'o�rGnwniueczL�i a��?�aa��Zuael� �\ Office of Consumer Affairs&Business Regulation ME IMPROVEMENT CONTRACTOR gxlegistration: <f�44829 Type: pi ration--04 a� Individual D.SCOTT MURDOCK�`:= \Ir DAVID MURDOCK 42 S.YARMOUTH RD.' � DEN A 02638 ersecretary Massachusetts -Department of Public Safety Board of Building Regulations and Standards %�GiiSii uCiion Super-r75ur License: CS-080395 D.SCOTT 42 SOUTH YARM01 Dennis MA 02639 Expiration Commissioner 03/13/2017 Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991M )of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For DPS Licensing information visit: www.Mass.Gov/DPS Mar. 30. 2016 4: 35PM DOWLING & O'NEIL INSURANCE No. 1444 P. 2 ® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/°Drmrri 03/30/2016 THIS CERTIFICATE: IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES.NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may requlre an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). RODUCER NAMEACT: Unda Sullivan BOWLING &O'NE1L INSURANCE AGENCY PHONE s0s 775.1620 A No): E MAIL (sulltvan doins.00m )73 IYANNOUGH RD. INSURERISI AFFORDING COVERAGE NAIC 0 iYANNIS MA 02601 INSURERA: AIM MUTUAL INS CO 33768 19URE0 INSURER B )CEANSIDE INC ►NSURERC:.. INSURER D! 17 THORNTON DRIVE INSURERE: iYANNIS MA 02601 INSURERF: OVERAGES CERTIFICATE NUMBER: 41040 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 REOUIREMENT,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 13 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 3R TYPEOFIN9URANCE POLICY NUMBER POLICY EFF POOHE P LIMITS COMMERCIAL GENERAL LIABILITY EACHOCCURRENOE $ FLJ CLAIMS-MADE ❑OCCUa $ MEO EXP(Any oneperson) $ N/A PERSONAL&ADV INJURY $ GEML AGGREGATE LIMIT APPL15SPER., GENERAL AGGREGATE $ POLICY D JECT LOC PROD UOT3-COMP/OPAGO S OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $(En accidentl ,. ANY AUTO BODILY INJURY(Per person) $ AUTOS ED SCHEDULED UTOS NIA BODILY INJURY(Per ecddenl) $ HIREOAUT03 NON-OWNED P OPERTYDAMAGE $ AUTOS dd UMBRELLA LIAB OCCUR EACH OCCURRENCE E EXCESS I" HCLAIMS-MADE NIA AGGREGATE $ DED RETENTION$ R� $ WORKERS COMPENSATION X PATUTE TH' AND EMPLOYERS'LIABILITY _ ANYPROPRIFYORIPARTNERIEXECUTNE YEN B.L.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBEREXOLUDE07 WA WA NIA VWC10060188022016A 01/01/2016 01/01/2017 (MandaloryInNH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 If ee,desorlbe under DESCRIPTIONOF OPERATIONS Wl*w E.L.DISEASE-POLICY LIMIT $ 1000,000 NIA :SCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,AddiUgnal Remarks Schedule,maybe aUsched If move apace le repul; d Yorkers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay lalms for benelite to employees In slates other than Massachusetts If the Insured hires,or has hired those employees outside of Massachusetts• his certificate of Insurance shows the policy in force on the date that this certificate was Issued(unless the explrallon date on the above policy precedes the Isue date of this cerifcale of Insurance). The status of(his coverage can be monitored dally by accessing the Proof of Coverage-Coverage Verification earth tool at www.moss.govAwd/workers-oomponsaUon/invesUgaUons/, ERTIFICATE HOLDER CANCELIATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THERE:OF', NOTICE WILL BE DELIVERED IN - own of Barnstable - Building Department ACCORDANCE WITH THE POLICY PROVISIONS. 00 Main Street AUTHORIZED REPRESENTATIVE lyannls MA 02601 Da'Q le Danlel M.Crc Yey,CPCU,Vlce President—Residual Markel WCRIBMA (b1988-2014 ACORD CORPORATION. All rights reserved, CORD 25(2014/01) The ACORD name and logo are registered marks of ACORD. 1 ' IWO tZl 1 V-e- o ZZIS G� 4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 226 140-OOL Unit 780 B-4 `� v Map Parcel Application # C2 Health Division ' Date Issued 4 l 16 Conservation Division Application Fees Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board f Historic - OKH Preservation/Hyannis Project Street Address 780 Craigville Beach Road Village Centerville Owner Trade Winds Residences, LLC Address One State Street, 14th Floor Boston, AAA 02109 Telephone 617-861-2055 Permit Request Tenant Fitout Square feet: 1 st floor: existing proposed 926 2nd floor: existing proposed 998 Total new 1924 Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type New Lot Size 1 Acre Grandfathered: ❑Yes M No If yes, attach supporting documentation. Dwelling Type: Single Family M Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes M No On Old King's Highway: ❑Yes No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑ Other N/A Basement Finished Area(sq.ft.) N/A Basement Unfinished Area(sq.ft) N/A Number of Baths: Full: existing new 2 Half: existing new 1 Number of Bedrooms: existing 2 new Total Room Count (not including baths): existing new 10 First Floor Room Count 5 Heat Type and Fuel: (A Gas ❑Oil ❑ Electric ❑ Other Central Air: ®Yes ❑ No Fireplaces: Existing New 1 Existing wood/coal stove: ❑Yes M No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing M new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑ existing W new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes M No If yes, site plan review# w �J Current Use Proposed Use Residence APPLICANT INFORMATION -n (BUILDER OR HOMEOWNER) �9 CU r W Name John Scanlan Telephone Number 508-540- 226 Address 15 F,P_ Fernwood Road License # CS O40692 N. Falmouth, MA 02556 Home Improvement Contractor# Worker's Compensation # WC6-111-258096-037 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE L• DATE (� t 7— i FOR OFFICIAL USE ONLY APPLICATION# r DATE ISSUED MAP/PARCEL NO. t ADDRESS VILLAGE G OWNER "E DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL f PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT' ASSOCIATION PLAN NO. }