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Home My WebLink About0040 MUSKEGET LANE vA4 Ow �� S�rY �'.remr �( .,- t. '7,.. a .,�+. ;rr � � .,...�..':. �-, .N .. v .;. � �,''7.r. ,..s+, ,✓M .' !�� e.M'� 'y� i s 1 I;.h:hy.- ... `'r t � �{r,;., ., 4 :.fP �..,:. `t� .��e.:.,.. a,` .'- ,' ", ,. �� G .• f+sy,. a i✓, a� �Y i }F'C't !";',�._ 1�h,.t F•5��. 4 {:i. �`:'4�.�5 Y r� �'� W too; tf :.P.�.,1 -a^... z � yy€Ks�� e. •7. .�p A G ,� r 4' •h.�' l�:hs e, s �)K y .� ,� }� 1 c• . to � ' 1 r ` , L ti r t ! v_- , 1: v r F f 1 �14. > r. Thong WSW. 1. A f L. v �:. �n� r.; � k�s .{.:4 k ¢• 4 c V{ v„k;>r. r'<a.: ,off. .•ts - } s x• - % e _ Now-� awl lh M- { t- MORE lOHIO wool,i lit MOO TAY r F � Y Y , 1 r , c l ,. t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION EAp � BCC &��Aa Map [�-� Parcel_ �. � ` °�' ;' �T�� Application l Health Division . Date Issued r J Conservation Division Application Fee Planning Dept. .� Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 40 M VS ECGC-C—T_ C44AJG Village CCy`tC-viy t L CF Owner M,01,0 j c cyk AL-T ( Address F Telephone �ba a 3_+ �?2101 _ Permit Request (OCCr_ _ ck.) C,,u.q0LkJ PL Square feet: 1 st floor: existing roposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuationv'0045 Construction Type tjob� Lot Size (9• .3 1- Grandfathered: ❑Yes ❑:No If yes, attach supporting documentation. Dwelling Type: Single Family �L Two Family ❑ Multi-Family(# units) Age of Existing Structure k 9 7 cU Historic House: ❑Yes XNo On Old King's Highway: ❑Yes 13 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 117 Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: A Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ,CNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage:Axisting ❑ 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) c Name Cf CI t� 4/ Telephone NumberI icu�� Address l �;:2_ C 0M M E 11_C L44 S"T License # ( -op . Home Improvement Contractor# 3 S_P Email p t(f P Cwpiu� ,C- �fC'�'1�� Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE — FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE .e OWNER DATE OF INSPECTION: FOUNDATION C�se�°'s s GIA t FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The t:ommonwea&h of Massachusetts Department of IndustrialAccidants __._.. oflnyesizgatcons-•-_-----: :--- . 600 Washington Street Bostm;'MA 02111 wwry.massgov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information D Please Print Leeibly Name(Businessiorganization/Individnal): cAP (oC •Address: C>ty/State/Z�p �076 q PhnnP# ate®c� v, `T Are you an employer? Check the appropriate bog: Type of project(required); 1.RI am a er with art to 4• ❑ I am a general;contractor and I p y �_ 6. ❑New construction employees(full and/or part-time),* have hired the subcontractors- Listed on the attached sheet. 7. ❑Remodeling 2.❑ I am a sole proprietor or partner- ship and have no employees These sub-contractors have g, ❑Demolition working for me'many capacity. employees aad'have workers' 9 ❑Building addition ' comp.insurance.# [No workers comp.-ingiiiance 10. Electrical repairs or additions required.] 5. ❑ We area corporation and its ' ❑ p 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 c. 152 1(4),and we have no insurance required_] t. ' § 13.❑ Other employees. No,workers' 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 him outside contractors must submit a new affidavit indicating such. tCoutractors that check this box must attached an addifiooal 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: Q Q8 Policy#or Self-ins. Lic.#: (.� ��S®y ��. Expiration Date: i Job Site Address: qo J r�_ C '` City/State/Zip: CC"y �l cal l Lf 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 6.:152 can lead to the imposition of crilmal 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 bme of up.to$250.00 a da.70ainst the violator. Be advised that a copy of this statement may be forwarded to the Office of for insurance coverage verification. Investigations . I do hereby ce er the pains and pens of perjury that the information provided above ' true.a d correct- ature: Date: 4P Si Phone#: c Official e nly. 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.BruIdingDepartment 3. City/Town Clerk 4.Electrical Inspector. S.'Plnmbing Inspector 6. Other - - Cont#ct Person: Phone#: I .4C R® CERTIFICATE DATE(MM/DDfYYYY) OF LIABILITY INSURANCE' N4122/215 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES OT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING I SURER(S), AUT ORIZIED 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 endorsemen s. PRODUCER Rogers&Gray Ins.-Kingston Branch PHONE 63 Smith Lane Afc o Ext:9 & 2 -0205 FAX No:877-816-2156 Kingston MA 02364 AnDRIEss:kes ano r ers ra co tNSURER(S AFFORDING COVERAGE NAIC# INSURED 2INSURERE: E 6 CAPEENT-01 ll Inde i Insura ce Capewide Enterprises LLC J.P.Macomber&Sons 153 Commercial Street Mashpee MA 02649 COVERAGES CERTIFICATE NUMBER:45293037f 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 - LTR TYPE OF INSURANCE INSR WVO POLICY NUMBER _11MMlDDY EFF POLICYIXPY LIMITS A GENERAL LIABILITY 8500050813 /30/2015 /30/2016 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $250,000 _ CLAIMS-MADE K OCCUR MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 i GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPfOP AGG $2,000,000 POLICY X PRO- LOC $ B AUTOMOBILE LIABILITY 1020017539 /20/2015 /20/2016 Ea accident $1 000 000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED 1xx SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOSAUTOS NON-OWNED PROPERTY DAMAGE Per accident g B X UMBRELLA LIAB X OCCUR 4600050814. F0/2015 /30/2016 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED X RETENTION$10 000 $ B WORKERS COMPENSATION 9120510414 /14/2015 /14l2016 X WC STATU- OTH- AND EMPLOYERS'LIABILITY T r I I ER c AN PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACHACCIDENT $1,000,000 OFFICERIMEMBER EXCLUDED? N❑ N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 A Leased Rented Equip 8500050813 /30/2015 /30/2016 LR Limit 130,000 Property Building Limit 860,000 Business Property 80,000 DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) CERTIFICA TE HOLDER O DE R CANCE LLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE < THE EXPIRATION DATE THEREOF, NOTICE _WILL BE DELIVERED IN Evidence Of Insurance ACCORDANCE WITH THE POLICY PROVISIONS.- a - Ay,14QHgED REPRESENTATIVE - _. ACORD 25 2010/05 The ACORD name and logo are ©1988-2010 ACORD CORPORATION. All rights reserved. registered marks of ACORD V LIN 1�697fiY7L69tCOCQ•ICIL O� gdp. d-' - __ ..,...___..._____ ._____—.__...._. Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date.'If found return to: egistration: 143358 Type: Office of Consumer Affairs and Business Regulation xpiration:.- 1�'l (PI6.; Ltd Liability Corpor 10 Park Plaza-Suite 5170 Boston,MA 02116 CAPEWIDE ENTERPY13 $rL...C ' RICHARD CAPEN 4507 R RTE 28 COTUIT,MA 02635 Undersecretary of valid withotaignature I i Massach}tsetts -Department of Public safety. . Board of Building Regulations and Standards -Buildings of an use group which Constrilction Supervisor Unrestricted g8 Y License: Cj-089273 contain less than 35,000 cubic feet(99.1in of .,` enclosed space. RICHARD M cAPty 122 WHITMAR 1 T CoWlt MA 02635' Yy' Expiration ° Failure to possess a current edition of the Massachusetts 1112T/2015 State Building Code is cause for revocation of this Ikense. Commissioner For DIPS ucemina information visit: www.Mrss.Gov/DPS ........... Capewide Enterprises,LLC ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are sa�s actory and ar hereby accepted. You are authorized to j do the work as specified. Payments will be made as outlined above. Customer Signature- Date: Signature 1lJ Signature f :s" }�,r€,� ?,{� •, f Authorized Capewide nterprises Representative f t I I r i i i i i i i I 2 i I i _..__.._....._._....._.........._ -._._.__. _.. .--............................_ yam. wt � F . 1 � f zx so Rim 8 I.e 1 ti f �• Lit -1--f- tLuf g �• s u ,; � i ff j i NOTE:REFER TO AMERICAN _ WOOD&PAPER ASSOC. PRESCRIPTIVE RESIDENTIAL WOOD DECK CONSTRUCTION GUIDE FA 1/2"DIAMETER HURRICANE RU-BOLTS W/WASHERS. ' TIES H2.5A _. AM MUST BEAR FULLY 6"X6"NOTCH WITH IN 6"X6"P.T.POST. -2X10 P.T.BEAM P.T.LEDGER BOARD W/ GALVANIZED ALUMINUM FLASHING DGERLOK-@ 24°O.C._.._. _.._..- SIMPSON ABU66 W/ 5/8"ANCHOR BOLT @ EACH SONOTUBE 2PLY BEAM DECK SECTION DETAIL Y SCALE 1/4"=T-0"