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" ,: t .1 ?icy :WI i 'X:. ry,y,.. - Pi.o t' t .':.J; _ ..r' l8 - ii GYP••'.= .,'� + 1 "f t '� '. ° I:,l f .:r,.[: , d'<qr:, ',{.� `F. v J r •s .'i, r.. .. aft,+�Y _,•/d r ,. „ , 'a° a. ,.,I,. ,rr. r 11�..{t ,:q, •...r ;, .r ..� a q:4yttP'. .I. ° ,J'", '. ;" •A`=a.0 ,y.� G' , t �,;4. 9 .,� ' '''.,Q�r i, 'y. r t. ,4L .. _ , ,:y.. n .,,1_r. ..:.,..: f•"r..'., .r. .f.' .,+r .1`3.. +nf i[r.. , n a_ y. t ,..H, ,i' _. 1. i =,. v TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �v Parcel ` [ Application #Q1 ?95 �l6 Health Division Date Issued Conservation Division Application Fee 5-� Planning Dept. Permit Fee 3 Date Definitive Plan Approved by Planning Board pk 9 3113 Lae— Historic - OKH _ Preservation / Hyannis Project Street Address Village Owner 60 se-VK 1�G l Address Sa4e ttS a- Telephone S _S�Wo e Permit Request ✓� ��� C� L✓ �� :Loam c 'Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation'1a WO 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' ighway:--,®Yeses•_.❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other o Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft)l Number of Baths: Full: existing new Half: existing new, Number of Bedrooms: existing _new a• 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 Y. 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 - —y _ Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name W°mc(14E 'Ale Sam Telephone Number(��C/ / 3M O�J Address � u"v l [� �I /f vP' License # 1 0a l Home Improvement Contractor# 1 ")` 39 Worker's Compensation #Tl✓C , J ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE N DATE �C r. FOR OFFICIAL USE ONLY 'F f. APPLICATION# r. DATE ISSUED MAP PARCEL NO. ADDRESS VILLAGE " OWNER ` DATE OF INSPECTION: 19 t. FOUNDATION " FRAME , INSULATION j FIREPLACE ' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL i / FINAL BUILDING t ` DATE CLOSED OUT ASSOCIATION PLAN NO. ' i Building Permit Authorization I, Rosemary Dill `S F F' as owner hereby give my permission to Cape Save, Inc. 7-D Huntington Avenue South Yarmouth, MA 02664 Office: 508-398-0398 to take all necessary steps to obtain a building permit to, perform work at my property located at 8 Crocker St . Centerville, MA 02632 Signed Date 6ld 3L--5 p The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations I Congress Street, Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contra ctors/Electricians/P lumbers Please Print Legibly Applicant Information Name (Business/Organization/Individual): . Cape Save,Inc. Address: 7D Huntington Avenue South Yarmouth, MA 02664 Phone#: 508-398-0398 City/State/Zip: - Are you an employer?Check the appropriate box: Type of project(required): 1.21 I am a employer with 17 4. ❑ I am a general contractor and I 6 ❑New construction employees(full and/or part-time).* have hired the sub-contractors listed on the attached sheet. 7. ❑ Remodeling 2.❑ I am a sole proprietor or partner- These sub-contractors have g, ❑Demolition ship and have no employees employees and have workers' working for me in any capacity. 9.11. ❑Building addition [No workers' comp. insurancecomp. insurance.1 10.❑Electrical repairs or additions required.] 5. ❑ We are a corporation and its 3.❑ I a homeowner doing all works officers have exercised their 11.0 Plumbing repairs or additions right of exemption per MGL 12.❑Roof repairs myself. [No workers comp. insurance required.]� _ c. 152, §1(4),and we have no � Insulation employees. [No workers' 13; ✓❑ 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. 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: Technology Insurance Company Policy#or Self-ins.Lie. TWC 3353968. Expiration Date: 04/09/2014 #: Job Site Address: City/State/Zip: e`'� iAttach 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 D1A for insurance coverage verification. I do hereby certify under the pains and penalties of er ury tl at the information provided above is true and correct . - _ _ -Date ---- -- - - __ = - -.- • Si ature: Phone#: 508-398-0398 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 Phone#• Contact Person: DATE(MMIDOIYYYY) A00RU CERTIFICATE OF LIABILITY INSURANCE 4/9/2013 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(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 Colleen Crowley NAME: Risk Strategies company A►;D E : (781)986-4400 FAC N :t781I963-4420 .15 Pacella Park Drive E-MAIL Suite 240 INSURER(S)AFFORDING COVERAGE NAICB Randolph N& 02362 INSuRERA:Selective Insurance INSURED INsuR;;Ra:Safety Insurance ClompanY 33618 Cape Save, Inc INSURERC.Technology Insurance Company 7 D Huntington Ave INSURERD: INSURERE: South Yarmouth MA 02644 NSURERF: COVERAGES CERTIFICATE NUMBER:CL134960509 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 TYPE OF INSURANCE ADDL S POLICY NUMBER MMIDD EFF POLICY 6XP LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY, PREMISE AMAGE Ea RENTED �r nce $ 100,000 A CLAIMS�ADE a OCCUR S199448001 0/16/2012 0/16/2013 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 xi POLICY PRO- LOC $ AUTOMOBILE LIABILITY (Eaa�iNdentED SWG L (rr $ 1,000,000 ANY AUTO BODILY INJURY(Par person) S B ALL OWNED SCHEDULED 6208200 1/6/2012 1/6/2013 AUTOS AUTOS 80DILYW ce INJURY $ X HIRED AUTOS N HUTQS � IP rracaaerrDAMAGE $ Undennsured motonst BI sphl $ 100,000, A X UMBRELLA LIAB X OCCUR' 199448001 O/16/2012 O/16/2013 EACH OCCURRENCE $ 1,000,000 EXCESS LIAR CLAIMS+bIADE - AGGREGATE $ 1,000,000 DED RETENTION$ $ C WORKERS COMPENSATION fficers Excluded from X Y RSTAM� OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNEREKECUTIVE Y I N Overage EL.EACH ACCIDENT $ 500,000 OFFICERIMEMBER EXCLUDED? ® NIA /9/2013 /9/201$ (Mandatory In NH) 353968 E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Addiflenal Remarks Schedule.if more space is required) Issued as evidence of insurance. Issued as evidence of insurance. National Grid Corporate Services LLC d/b/a/ National Grid, Action Inc., Colonial Gas Company and NStar Electric are listed as additional insureds as respects General Liability as required by written contract. CERTIFICATE HOLDER 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. .Cape Light Compact - PO BOX 427/SCH AU`rHORIZEDREPRESENTATIVE 319S Main Street Barnstable, IA 02630 chael Christian/CLC �6 ACORD 25(2010I05) v01999-2010 ACORD CORPORATION. All rights reserved. IN3025(201005).01 The ACORD name and logo are registered marks of ACORD „ pp� �6i 1C ir1as.sachuset-s -Department of Public Safely Board of Building Regulations and Standards Con%trucciln Supen-Nor Specialty License: CSSL-102778 WMLIAM J MC C-LUSIKEY , 37 NAUSET ROAD West Yarmouth MA 02673 .�ewCaZlNir s-sic te; 06/28/2015 R r o ` Office of Consumer Affairs and usiness Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration! Registration: 171380 Type: Corporation Expiration: 3/14/2014 Tr# 222184 CAPE SAVE INC. Wf LLIAM MCCLUSKEY 7-D HUNTINGTON AVENUE ' SOUTH YARMOUTH, MA 02664 Update Address and return card.Mark reason for change. DPS-CA1'0 SODA-04!04•G101216 Address Renewal (J Employment J{ Lost Card ,�'=-. ✓!e�m�rrnza�zuseal�/r.c�'�,l�aaaclu�e�r - _. . ._ _...-- -- - - ,-- .. ,; � -. _ �.� Office of Consumer Affairs&Business Regulation License or registration valid for itidividul use only n HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration 171380 Type: Office of Consumer Affairs and Business Regulation r--3 Expiration 3114@014 Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 CAPE SAVE INC. WILLIAM McCLUSKEY \ 7-D HUNTINGTON AVENUE gyv SOUTH YARMOUTH MA:02664' Undersecretary Not valid wit d signa Assessor's office(1st.Floor): K' 14 r SEP71C S.ySTEM . S�� � o�YNE t Assessor's map and lot number / r Board of Health(3rd floor): �+, IN-STALLED IN CO�'�PLIAN, Q�*� Sewage Permit number ' 2 ��"(-L'�l ��pppp�� po�Wf u N TIpTLE /� �l�Y���B��/�i�TM91���®��� = BABVABL L i Engineering Department(3rd floor): /' rasa House number 6 .2 TOWN RE ,pL p N Definitive Plan Approved by Planning Board 19 �aY APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO 00""iz r C- '7�� TYPE OF CONSTRUCTION — ,e-2 19 TO THE INSPECTOR OF BUILDINGS: d The under end` here ry apw�i`t efo , e it according to the following information: Location Proposed Use Sf vta Ile CX V 4 _11i Zonin District Fire District a e Name of Owner �ti^�k k� -e-V",a SS [,,,I 1' Address `7 Move► /t`s �j R Aaot Nr(/J Name of Builder cxvll� Q S Q�y-e Address Name of Architect SOL V--e �.s Q Address f r Number of Rooms ? �^oy yex S Foundation � �avr�e c� L 6'coerP7-e Exterior Il-P d Ce 56- L' a-1 s. &e6tv S�106ofing Floors ! � 7�4 Interior L t ��" ( �`S 4 Heating tt-�• Plumbing ^ Fireplace ����R Approximate Cost a � 0 �ui Area �Diagram of Lot an ding with Dimensions Fee l s3. RSA rk ----� w 13 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 ? 7933 DEMASSINI, FRANK 'No 32966 Permit For One Stern Single Famil- Dw ,f 1 i na Location RGaA— Centerville .t Owner Frank Demassi ni V{ Type of Construction Frame 4 Plot Lot Y Permit Granted June 12 , 19 '0 9 _ a -Date of Inspection 612 7 19 s D e o plet d 19� IT, . e c LIf t t 1 i., i a a I .- �.. ,., ..+ram �i �.• >i 7 t��g;t�,.' � Za.yc .� ��."f �"�. �`�"��}�`;��"', .'�a�rV�~. 4..•��",'�+i3.ry.<�s,�..-... .. 1n�•5.;�:t d, �:..., t..�rr i•. 4�"S•i'`-J'iXf`''1;}1i` y, ;+�9'�+ „71.,'t`a: !''� `'M .r f( e Assessor's office(1st Floor): K, 14 Assess, r's map and lot number " ./ Boarde Health (3rd floor): Sewage Permit number `J"f , Z BABd9TAMLL, . `Engineering Department(3rd floor): ' f MASa d. (� House number �# iP^' ,. °o t639• \®0 Definitive Plan Approved by Planning Board` r . " `19 . o rar APPLICATIONS PROCESSED-13°30 9:30 A.M.and 1:00-2:00 PfM only } TOWN OF BAR NSTABLE BUILDING, INSPECTOR APPLICATION FOR PERMIT TO �; -,JG T �j lt✓ x �! ah C TYPE OF CONSTRUCTION ,,sZ 19 TO THE INSPECTOR OF BUILDINGS:.'" The undermdd hereby�apEplies�foorr a� er it according to the following information: C\ Location Proposed Use J 14"', 110 -f awe 4 `kCZoning District ► Fire District f r-ev. /V arrd TT A, / - Name of Owner rah k� -e�hc�s5 t n 1 Address �� l IGyn /f-S Name of Builder aVr-2. ci S ��� � -Address Name of Architect Sct h,.e Cl S a,--`e Address Number of Rooms /"od l'►"+ s Foundation Exterior Il-Pd Ce car C (a S. `7 ° F oofing 4!Sp to N lr Floors �/ ��� Interior asl- ( � t� -i Heating Plumbing Fireplace Approximate Cost Area 'Diagram of Lot and Bui ding with Dimensions Fee rk 1q � f 3 S. 1l7 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. i Name " U v Construction Supervisor's License T DEMASSINI, FRANK A=210-141 - � No•3296`6 Permit For One Story Sin le Family Location 8 a=. P Road Centerville Owner Frank Demassini Type of Construction Frame Plot Lot Permit Granted June 12, 19 89 Date of Inspection 19 Date Completed 19 f d 3 � f THE. TOWN OF BARNSTABLE 32966 Permit No. ........,.. BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash ■Y� �9 a679. ` ''tarn► HYANNIS,MASS.02601 Bond ......x......... CERTIFICATE OF USE AND OCCUPANCY Issued to Frank Demassini Address g Croaker Street Centerville, Mass.. USE GROUP FIRE GRADING OCCUPANCY LOAD 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. .....Septembex..25,.., I9...89......... ............... ..5�r� Building Inspector __ I TOWN OF BARNSTABLE °i BUILDING DEPARTMENT _ TOWN OFFICE BUILDING rota i HYANNIS, MASS. 02601 Ito r�r�• � J MEMO TO: Town Clerk FROM: Building Department DATE:, s45�v 5 / " An Occupancy Permit has been issued for the building authorized by Building Permit $k...... ...Z...9....45 t1- issued to7 .... ✓. '_. 10�1 /1..-5S..---.'`�..�............ Please release the performance bond. THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I M A- C(L�� 1L DATA APPL '/T �AT E PERMIT AT (LOC�Tl'-N) ZONING BETWEEN AFIC SUBDIVISION OT LOT BUILDING IS TO BE WIDE By FT. LONG FT. IN HEI13117' AND SHALL'CONFORM N CC)NS�1,U._-Tj TO TYPE mc opoop u*,rwr*r WALLS OR poywo^nay___-_-_-_-___-____--__--_' ncw"pvS. | AREA ee � vc.vMrs,�'/,^`cn co�r � . ps�M/r � --------'--------- -'CWNER E3 � � THIS PERM IT CONVEYS NO ~.'c°r �' p +*'` - ° F. u ,p m,�v^�x �e ^x, r^Qrn/Fnso, s/�pEaw^ws� "` E°cnu^o*^cy`� O� u E I � ' �� ��FxowPROVED Y ' s �/ �' 'O~ ` , s «p ^uee «n^c ospr* AND L6C^TIO�O, PUeL� SE�� �B �THE ocPAp�� � �� ��R^ r � .,Si^wcs »r"r*'spenm/r DOES NOT es�smF THE APPLICANT F C*scowo/rmor ANY Appuc^oLEs'^o.v �n� �s, R/��o� . MINIMUM OF.wspscnow` ---^"`�� '^°"^ =vS' OE "E / ^/w�uow JOB AND rys wx ALL CON'`�uns * CARD KEPT POSTED uwr.L P'x^L/xspEcr/** HAS BEEN =s�»s ^ppu��-�c.,cp^*�`� ''�� r/ows on roor.wnS, MADE. wH-R /r/cArE OF occup^wC' IS Rs_ �Lscrn/c^L'/ pmMB/w«m ^No 2. p* 'o,coveREAD�/wns`nvcrux^L uumso.sucy G��D!Nusxx��uurscocc'/p/su uxn� -`^-'`'`~ ~~'~�'°' °^ `. '", wspscnow �oP,OP� | =m*L /wsPE�n� ^ H^; �Fcw *^ns i . � � / --_POST THIS CARD SO IT IS VISIEL5 FROma" STRUT � ' 12 /Owl' It' Vill | ^ , , .~'~SHALL." H� m^PtcCONSTRUCIIJON ms� ;Nw2^TEr ON TOSr CAN '=o - ^ — ` ^-~"" " u ' ~ ` 'u`"*une on wav _ . .,�^ ' . ~� h C P O � p Ilk y o� 3 84 11- 153.95' 24.0' N 3.T .2 24,0' a? o G� i C W O y V CA 000�, N 09'50' IV 135.47' cliqOCKER STREET res. zone: "RC11 . FLOOD ZONE• "C FOUNDA TION CER TIFICA TIOM TOWN-* CENTERVIL SCALE' „_ PLAN REF.' 193/93 ELEVA:TION,. l CERTIFY THA T THE ABOVE~ YANKEE ® SURVEYORS F'OUNDA T/ON IS L 0CA TED ON �� �, Or ''''' L AND THE GROUND AS SHOWN, AND 8 CONSUL TANTS y \ IT'S POSITION_DOES PAUL A. r; CONFORM TO THE ZONING LAW 'T y � 143 ROUTE 149 SETBACK RSQU/REMENTS OF ,�'� JQ�. �' P.O.. BOX 265 NSTABLE ��FESS�DaPQ MARSTONS MILLS. MA. 02648 7g aAID SURVEyO - � • JOt� V4 DATE. LIMBER R.P.L.S, ' PAUL A. 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