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HomeMy WebLinkAbout0013 MARRICK COURT I3 Vic'r,Lr W� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION .1`;;16 U( t Ma 2 Parc I .5 p e Application # Health Division 'Date Issued Conservation Division � Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board 712AIJ2-. p� Historic - OKH Preservation/Hyannis Project Street Address "�� �� C-o�f ' r1 Village Owner Cdwaca Ze Nh Address 13 ffiGk Coe V1 Ileq 01, s ��pn� Telephone 50? 4 3 d " Permit Request tLc �►• 0� CA�a �' ce`�a�fs� '� gyp, c. Sncf�a.�P� L y��-�i I a-acl�on -� Cn� w��� sVW�' vcyfts. the AG D�(fie, W 14 e_J% Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 3 d b Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family _K Two Family ❑ Multi-Family (# units) Age of Existing Structure 14 _+ f 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 A Oil ❑ Electric ❑ Other L`t7 Central Air: ❑Yes J4 No Fireplaces: Existing New _ Existing wood/coaf;stove: ❑Yes No F Detached garage: ❑ existing ❑ new size_Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑ new sii 1 Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: K Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial 0 Yes )if.No If yes, site plan review # Current Use - Pm-posed Use - - APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Nam 11 \ ICLOA&iCLIP, 5 Telephone Number AQ rJ 3 48 Address nth rti-\To n v License #-Ic I,c' f t Home Improvement Contractor# Worker's Compensation ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO" Ya mft SIGNATURE DATE r / \ { FOR OFFICIAL USE ONLY \ APPLICATION¥ . DATE ISSUED \ MAP/PARCEL NO. ADDRESS VILLAGE \ OWNER - iv 4 DATE OF INSPECTION: / • FOUNDATION ` .. } FRAME \ yINSULA20N' ( FIREPLACE \ ELECTRICAL: ROUGH FINAL • } . i PLUMBING: ROUGH FINAL ( ' . GAS: � ROUGH.m-, FINAL % , \ - NAL U LDINGS» . a . . \ « \ / DATE CLOSED OUT . fASSOCIATION PLAN NO. � e y60 West Main Street HOUSING Hyannis, 1AA 02601-3698 - ASSISTANCE ENERGY & ROME REPA i R T (508) 790-7106 F (508) 790- CORPORATION 2425 HOME OWNER WEATHERIZATION WORK PERMIT& FUEL RELEASE: PLEASE IFILL OUT 1AX11"WIL'.) RM--IFYEU ARE THE APPLICANT HOMEOWNER. I r `Uw Llw hereby consent to and agree that weetherization work may b_ e done by the Weatherization Program of H ousing Assistance Corporation (herein after referred as "Agenccy° on thepropert� located at: 0.63 Theweatherization work donewill be based.on programmatic priorities and_availability of funding and it may includeali or someof thefollowing 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. I give permission to the"Agency" its agents andemployees 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 thefuel 'or utility bill forthe weatherized unit on an ongoing basisfor no rnore than five(5) years after the weathe'rization work is completed: I have read the provisions of this agreement as listed and freely give my consent. Home Owner: (SSgnatun�e*t QZ_ i­x� r Data L/ '°'��/ '1 - Agent: (signature) Data HAC approved Weatherization Company : All,Cape Energy, Caliber Building&Remodelih& Cape Cod busuiadon, _ e Sav Creswell Construction, Frontier Energy Solutions,- Lohr&Sons, Peter Smith, Resolution Energy, ocli.Solid Construction f 1 P tit of Alnssaclu'setts r Tile COm171011 fIndtistrial*,idents sepal tlnent of aatiolls office of Itzvesti� atom Street 600 Washina 02111. r BostOlt, M- Qov/dig x' ww>,v.r�2ass.b ontractor'slElectricianslPllme ib1V ers' Compensation Insurance Afitdavit:$uilderslC PleasePrint L Work A lideant Information Name(Businesslorganization/Individual): r - _ D �,M�tio Address: ne#: 3 4 a - O 3 9 C ctnoutln, �1A OA Pho City/State/Zip:5 t.�t �Q`• Type of project(required): Are you an employer?Checli t{te appropriate box: ` \ j 4: I am a general contractor and 1 6 New construction 1•�,] 1 am a employer with__ ____ . have hired the sub-contractors 7. 0 Remodeling employees(full and/or Part-time)-* listed on the attached sheet. . 2.❑ I am a sole proprietor or partner- These sub-contractors have $, ❑Demolition ship and have no employees employees and have workers' 9. .�Building addition working forme in;any capacity. comp.insurance+ [No workers' comp.insurance We are a corporation and its 1�•[�Electrical repairs or additions required.] ❑ officers have exercised their 11.❑Plumbing repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL myself.[No workers' comp. p P 12.[]Roof repairs c.152,§1(4),and we have no 13 ether insurance required.]t ;employees. [No workers' comp.insurance required.] *Any applicant that checks box fil must also fill out the section below showing their workers'compensation policy information. e t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContraetors that check this box must attached an additional sheetshowing 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 andjob site information. Insurance Company Name: _T eGh n 01 0 t►S v�.�an ce f1 Po licy n or Self-ins.Lic.#: C 3 8 Expiration Date: Job Site Address: �_ � � l'�A,���G�� (�--�' City/State/Zip- 8 w,Wema Attach a copy of the workers'compensation policy declaration page(showing the policy number and explr/ation date). Failure to secure coverage as required under Section 25A of MGL c. 1S2 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 STOP WORK ORDER and a fine of up to$250.00 a day zgainst 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 , Signature: Phone 4: SO8 - 3 8 - Official use only. Do not write in this area,to be completed by city or to)vn official ` City or Town: Permit/License Issuing Authority(cir`cle one): 1.Board of Health _'.Buildin;Depattment.3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector , 6. Other �- Contact Person x ' Phone#: r � DATE(MMIDDAWY) AG"RV CERTIFICATE OF LIABILITY INSURANCE 5/10/2012 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). ONTA PRODUCER NAME:CT Risk Strategies Company Risk Strategies Company PHONE (781)966-44OU FAX N :,(781)963-4420 15 Pacella Park Drive Eoo less: Suite 240 INSURERS AFFORDING COVERAGE NAIL# Randolph MA 02368 INSURERA:Selective Insurance INSURED 7q1NSURERB:Safet Insurance Coan 3618 Cape Save, Inc RER C.Technolo Insurance Co an7 D Huntington Ave RER D: RER E: South Yarmouth MA 02644 INSURERF: COVERAGES CERTIFICATE NUMBER:CL125948081 REVISION NUMBER: THIS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICISATED. 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 blitill POLICY EFF POLICY EXP LIMA LTR TYPE OF INSURANCE POLICY NUMBER MMIDD MMIDD GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO REINTED 100,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea ocdurence $ A CLAIMS-MADE a 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 G PRODUCTS-COMP/OP AGG $ 2,000,000 EN'L AGGREGATE LIMIT APPLIES PER: PRO- $ TX POLICY LOC COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY Ea dentl $ 1,000,000 BODILY INJURY(Per person) $ B ANY AUTO 1/6/2011 1/6/2012 IR ILY INJURY(Per accident) $ AUTOS OOWNED AUTOSULED 6208200 NON OWNED PERTY DAMAGE $ X HIRED AUTOS X AUTOS _ accidentX erinsured motorist BI s lit $ 100000$ UMBRELIA LIAB H OCCURRENCE $ 2,OOO,OOO OCCUR EXCESS LIAB CLAIMS4AADE AGGREGATE $ 2,000,000 A 0/16/2011 0/16/2012 $ DED RETENTION$ PPS1999480 C WORKERS COMPENSATION x STATU- WC EFL AND EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ 500,000 ANY PROPRIETORIPARTNERlEXECLITIVE[E OFFICERIMEMBER EXCLUDED? NIA C3318007 /9/2012 /9/2013 E.L DISEASE-EA EMPLOYE $ 500,000 (Mandatory in NH) If yes,describe under E.L DISEASE-POLICY LIMIT $ - 500,00 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Issued as evidence of. insurance. Issued as evidence of insurance., Thielsch Engineering, Inc, is listed as additional insured as respects General Liability as required by written contract. -0 CERTIFICATE HOLDER CANCELLATION - msong@capelightcompact.org -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 Attn: Margaret Song AUTHOREZED REPRESENTATIVE PO Box 427/SCIi 3195 Main Street 4 Barnstable, MA 02630 . Michael Christian/BAM1 ACORD 25(2010/05) 01988-2010 ACORD CORPORATION. All rights reserved. (I1IS02.rf r9MfIn5101 Tho Annon nama anti Innn ora ranietararl martre of Annan , r y . Massachusetts- Dcparttnetit of Public safet, Board of Building Re,!ulations and Standards " Construction Supervisor Specialty License License: CS SL 102776, Restricted to: ICE WILLIAM MC CLUSKY ' 37 NAUSET ROAD WEST YARMOUTH, MA 02673 Expiration: 6128/2013. y T r=: 102776 Office of Consumer Affairs and eusness 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. - WILLIAM McCLUSKEY - 7-D HUNTINGTON AVENUE SOUTH YARMOUTH, MA 02664 Update Address and return card.Mark reason for change. a ❑ Address Renewal Employment i j Lost Card PS-CAI is 50M-W04G101216 — ----- — -- - —---- �/rz Consumer Affairs& d•v's uion License or registration valid for individul use only Office of Consumer Affairs&B stuess Regulation g - 'a'HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: — " Registration* .."=171380 Type: Office of Consumer Affairs and Business Regulation 11 10 Park Plaza-Suite 5170 Expiration 3/14/2014 Corporation Boston,MA 02116 CAPE SAVE WILLIAM McCLUSKEY 7-D HUNTINGTON AVENUE SOUTH YARMOUTH MA,02664': Undersecretary „Not valid wit 0 signa ` �r TA 2, • Cape Save Inc. 7-D Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fax: 508-398-0399 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 13 Marrick Court,Centerville has been inspected by a certified Building Performance Institute(BPI)Inspector. Ceiling: R-11 cellulose under decking,.and R-30 cellulose in rest of ceiling Attic Ventilation: 10,U16 soffit vents with air chutes All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey r • C) " w JA //)) �9!?TIQ _CyST1:M II+�;uSr BE ;k- ,;eqq�s map an . lot u ber �U' lA. � � OTALLED IN COMPLIANCE oFTNETO O/G /-��- —21 WITH, ARTICLE II STAT8 o �♦ �AIWITA�Y Q Sewage Permit number-.......:...............................:................ � _ CODE AND TOW" ev, o� LATIONS • = ,. BASB9T4DLE: i House number ................_/? . ...1 ................:...:;......:....... --- 9 rasa 039. 0 MAI a' TOWN OF BMMSTABLE , f BUILDING INaSPECTOR �. APPLICATION.FOR PERMIT TO ..........avll .......................... / ���.. �....s . .. .......1. �. ... r/ TYPE OF CONSTRUCTION ........................�.�.....� 'r............................:.........:.................................. Y ........... kev....1:�L.......192k, TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for,a"permit according to the following information: Location /G tJ,� ........!?/� � I ...................... ........ Proposed Use .......... � ! ` . .I�I.' �1. ... . f�l :`/..rstl .....................................................................:...... Zoning District ..........11...... . ..................................................Fire District ....... ..V .............. lGe.� �. � Name of Owner ..... l.2.®.�'. i�!. /Zvr �d� Address ........ t /Y/Yf;( ... .`,� Name of Builder ,r ....................................................................Address .................................................................................... Nameof Architect ........... ...................................................Address ................................................................................... ( v v�/c C?' L f�fTj 0'-ei�74- Number of Rooms ................. ...............................................Foundation ....... ..... ............................................................... Exterior ..... / �c' eC4 : ����� s�2 fang �`�.. SdL : ........................................ /1.... ............ . ... .......... ..Roofing ............ Floors ........:....Interior ............ �.......................... ............ ....................................................... Heating ..i .......�J.. .....©`./.....................Plumbing ............L` , ! .............. �.......... c� Fireplace ........................./.......................................................Approximate Cost .........1.. ,J.�I.P- ................................ Definitive Plan Approved by Planning Board ________________________________19________. Area . Diagram of Lot and Building with Dimensions Fee ....3 `� ......................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ......... ................... ...... Spiros Construction Co. , Inc. 20985 -_ one story of ................ Permit for .................................... single family dwelling ....................:.......................................................... Location 13 Marrick Court ............................................................... Centerville ............................................................................... spiros Constructio Co. ,Inc. Owner ................................................................. frame Type of Construction .......................................... .,, .................. #21 Plot ............................ Lot ................................ Permit Granted .............JR•kWArY...2.Z.....19 79 f Date of Inspection .......19 Date Completed ... F- PERMIT REFUSED ................. 19 i ........ ^� ............................... ............................................. .......... . ....................................................... ...... r� ........................................................ r ' Approved ........................................'..'.... 19 r' ' F ....... # .. ................................ ....................... s r r s �•"' ., TOWN OF BARNSTABLE Permit No. sAnrua ; Building Inspector YP.L Cash ------------------------- OCCUPANCY PERMIT Bond ----___--__-_—_____✓ "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to "biros Construction CO. J' Address 2" ;arla rid., Hyannis Marrick Court, Wiring Inspector - d Inspection date PlumbingzY -Inspector t �" � � Inspection date l �� Gas Inspector Inspection date Engineering Department Inspection date 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. .....................................................1 19..... __ .........................................................................................._._...._.......... Building Inspector S jr t L $ Ufi Y .Y 3 s :.,�, �. / ,..:`+...a.-R.- _.:..-.+w 1 --+ 1'1+-- .-`a''• l ,vS `-....LLx +., r rt , 'rJs� s ;y, 1 t t tir. y ;p Aj ill ; Inc?T r N /} - r CERTIFIED PLOT PLAN 3 NEW CONSTRUCTION ONLY : C-EA✓ L LC- TOP OF FOUNDATION IS FEET IN ABOVE . LOW POINT OF ' ADJACENT ; ROAD SCALE: - 49 DATE : � � _ 1 ® ENGEER/ GCON I CERTIFY THATTH E 4 110'V CLJfNT EGLSTER REGISTERED SHOWN ON 'THIS PLAN IS LOCATED , ED JOB NO. `' ON THE GROUND AS INDICATED AND + CIVIC I LAND CONFORMS TO THE ZONING LAWS s- NGINEERSr SURVEYOR DR. BY 'n ?r OF BARNS T L , M S . 33 NO MAIN ST 712 MAIN ST. CH. BY 0. YARMOUTH, MASS. HYANNIS, MASS. SHEET n �c ..,A . S. .��iN� SUR.VEYIR