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HomeMy WebLinkAbout0415 NOTTINGHAM DRIVE - - . I I ,�'4,g,,Cv�0,'j,"V.EYI—iI�,-.k�1���',�Il�1�P'_,"-.,INM,�5��"�UI�,-��,,"�,I',1�,4R��,,1,�I-,�,,.� ,z "'��,- )�l- "N,l��` I � - I 't. " , I, ' _-A " `�.III.,I,AI "� `�,���VII:, �V ,1 , ,, �I1: , , I �_ , 1 .1 I; 4 1 I 1 p'A M ; . I1,, ?% , , _ : 1 Z1 I_: dI II,II�I ftW � . ,I I.�. � I: -� ' lI II, , o I1 � i_ I I f � Q ,fp � I"4 � 1 I � ; : � ,e�k1 ,Ilbd � ! l ��7A% ,i yIII III : I II ,I ,," I " N? ,,)i C,I i, �1%V p, �itX�� �,,� 'sr?. P,�0; II­ ,�.l �.l Z ,' �y II lI,I:I o� .I�IiII I. 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"i i " " , W, i V "! Ar, ( t i ,Mi j, 4 i',p, � ;II�.,VA&-Ii�I?1"&ir,���� ,� !� )I ,,1� v � ,, ` i,I, �5 , ,�, 4 6 ,��� " ,i � y, I,... " " , �" j 1< ' s, 1,j j ?6 , q � � * o 'd p � i 1,I YN­ * ,, y , -4ti 'I_-" '_; - , .., _ i t , v .�� �,f," -4"",Y " "t- b,,, ".- B -1- i" ,,'.a , - — :" , 4 , I +'"1"," 5 a1 " " — 11— , 4" ;A", ,I """ __ " , It""" , �I�,1",,t��Z�-�_,�: —4, - ._� ,�"i_ 1_"I . _—,—i_,"," _ ,—,a_b.,i,�_Y ,,,,," „"-.,-}, l.," . :� .. I. � 1� I II , 'II 1 ". 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application #,9- 3 3 3 Health Division Date Issued 1 /6'r G 0 Conservation Division Application Fee G � . Planning Dept. r Permit Fee D S Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 1r9- (7 vc I Village Owner ,k kk (A)16 02 Address i Telephone 1`J Permit Re uest 1'/ v,� 41 V tt Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type 1 � 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'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 ❑ 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 No If yes, site plan review# t Current Use Proposed Use Ln APPLICANT INFORMATION (BUILDER OR HOMEOWNER) - Name CTelephone Number - l Address V License # Home Improvement Contractor# Email Worker's Compensation # � �o 0 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT ILL BE TAKEN TO SIGNATURE DATE �0 1 i FOR OFFICIAL USE ONLY . e APPLICATION # DATE ISSUED MAP/ PARCEL NO. t ADDRESS VILLAGE OWNER t DATE OF INSPECTION: ' FOUNDATION { FRAME INSULATION r } FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING } DATE CLOSED OUT ASSOCIATION PLAN NO. s t Massachusetts Department of PUblic Safety Board of Building Regulations and Standards License; CS•100968 Construction Supervisor. HENRY E CAS-SIDY 8 SHED ROW 'I�I WEST YARMOUTH Expiration; Commis sioner 11l11l2017 ������1�/J�Jtiz�/12G�Pi�� Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 f Home Improvement C614rhtor Registration Reglstratlm 153567 Type; Private Corporation Expiration; 12/15/2016 Tra 269188 CAPE COD INSULATION, INC HENRY CASSIDY is • �_ 18 REARDON CIRCLE 30. YARMOUTH, MA 02664 : .'Upda•ta Address and return card, Mark reason for chnnge. KA I 41+ ZOM•06t1I C] Address RelleWfll (� Employment U Lost Cnrcl /te dn�raaratver�/G/o�'O/�/��Wdu.�uda�1e a` \ •Ofllcc of.ConsumcrAffRlrs& Uusincss Regulntlon License or registration valid for Indlvldul use only OME IMPROVEMENT'CONTRACTOR before the expiration date,'If found return to, eglsiral►on, 153567 Type; 0Fnce of Consumer Affalrs and Buslness Rcgulatlon j xplrallon: ::;1:2f15/20:1.'s Private Corporation 10 Park PIRzR •Suite$170 :,�..., Boston,MA 02116 CAPE COD INSULAT.I'QN:;:,INC'':.. HENRY CASSIDY ' 18 REARDON CIRCLE' . $0. YARMOUTH,MA0268q Undersocretal•y fV• vallcl wl tit sign e The Colrirrtonwentilt of Mressnchusetts Depaffin.ent of Inrlccstr lrcl Aeetrlents 6 1 Congress Street, Sulte 100 Boston, MA 02114.2017 • lrnvw,mrlss,go v/titre 11'urkers' Compensation Insurance Affidavit; Builders/Contractors/Electrlclnns/Plumbers, TO BE Ilcant Informs Jon FILED WITH THE PERMITTING AUTHORITY, Name(Business/OrgenizatioNtndividual)'_ -�nGy �G�' please Print Le ibLy Address. Phone e #' A re you on employer? 060 the appropriate box; am o employer with�employeOs(full and/or pore.time), TYpe of protect (reyulred)I am a sole proprietor or partnershrls and have no omployoos working for me in anycapaoity,(No workers'comp, insurance required,) 7' New 00nstl-u0tion 3.01 am a homeowner doing all work myself (No workers'comp. insurance required,)t 9, 0 Remodeling a 01 am a homeowner and will be hiring contractors!o conduct all work on m � Demolition ensure that all contractors either have workers'compensation insuranco or arerso1e I will I 0 (� Building addition proprietors with no employees. 11,Q E1090-i0al repairs or addittor•... I am a general contraclor and I have hired the sukontraolors listed on the attached sheet. Theso sub•contreolorst,havo employees and have workers'comp, insuranco.l 12'�[1 Plumbing repairs or addition ti WO are a corporellon and its officers have exercised their right of exemption par 13.t_.J Roof repairs IS2,§I(44 a 11 nd we have no employees (No workers'comp, inswenco required,) e, 14,[Other 11 111 A .. 'Any applicant Thar check box Nl.MV 1 also fill out the section below showing their workers'compensallon policy infer _ ' Homeowners who submif7his at'ndavil indicating they Oro doing oil work end then hire outside contraclor (Contractors Ilia)check this box must attached On Odditional sheet showing the name of the tside contra or malion• - F employees. If the sub•conlractors hsve employees,they must provide their ivorkers'com , s must submit a now affldavii indicoting such. s and slate whether or no!Ihoso entities have /asr nn employer lltrrl is provlr(ing workers'corrrpensatton lnsrtrrtjtce or o►icy number. . injorrnntlon, f trry employees, Below is the polio rrnrr vb Insurance Company Name• �-- y � stle Policy N or Self-ins. Lic. Y: laxpiration Da te: ,• /'Job Site.Address: Attach a copy of the workers' compr.nsnt on policy declaration a. City/State/Zip.Eallure to secure coverage as required under MGL e. I S2, §25A is a cge (sbowlCi the polio q and/or ono-year imprisonment, as Wv lI as civil penalties in the form of a y ber.and expiration datci. day agatrisl the violator. A co d'f,tl;is statement ma mtnal violation punishable by a fine up to$I,SOG OU y STOP WOf ORDER and a fine of up to x?.50 Q,) -, coverage verification, Y be forwarded to the Office of investigations of the e of for insurance I rlo hereby certify turder rite prrins anrf Pe�talttes of pert'ury that lyre h(/ortnrttlon Pro vlrled above �— true and correct Phone M. D Of/ictat use only. D0,.4 01 write ht lltls area, to be completer!by cl or to► — �' vn offlcla� --�-�- City or Town; a L- Boflrd Authority Permit/License p A !) of Hea p( 2, Building Deportmeat 3. Ci /T r �' own Clerk 4, ElectricalInspector S, Plumblag Inspectort Person; ����� Pboae p; ! CAPECOD•27 CLEDDUKE ACORO° CERTIFICATE OF LIABILITY INSURANCE DAT 7/112DDIYYYY) 11/2016 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(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)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 Ileu of such endorsements). PRODUCER CONTACT NAME: Barbara DeLawrence Rogers&Gray Insurance Agency,Inc. PHONE 434 Mile 134 ac No South Dennis,MA 02860 ADMAIL DRESS:bdolawronce@rogeregray.com INSURERS AFFORDING COVERAGE NAIC q INSURER A:Peerless Insurance Company INSURED INSURERS:Safety Insurance Company39454 Cape Cod Insulation,Inc.. INSURER C:Endurance American Specialty Insurance Company 41718 18 Reardon Ohio INSURER D:Atlantic Charter Insurance Company 44326 South Yarmouth,MA 02864 -INSURER E INSURER F: COVERAGES CEI"TIFIC I=.!NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF;INSURANCE:LI.§TED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY,REQUIREMENT,49♦lVl Cl ,CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY E 8 ISSUED OR MAY.p;8127AIN, THL::INStI}QANGE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS WAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE OLICY NU BER MMIDD/YYYY MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE a OCCUR CBP828:1•063 04/01/2016 04/0112017 pREM18Es Ea.Ne, ence $ 100,000 MED EXP(Any one arson) $ 51000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE X aLgIM.pTAPPGd PER: - GENERAL AGGREGATE $ 2,000,000 POLICY ffLOC PRODUCTS-COMP/OP AGO $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY m e Eaaccident)-EDI IM $ 1,000,000 B ANY nuro 6232707 COM 01' .' . ':• 0.40112,016 '•041.0112017 1 BODILY INJURY(Per person) $ ALL OWNED". SCHEDULED AUTOS X AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS x.•'AIJTOSEO PROPER Lars.Iden $ .: $ X UMBRELLALIAO X OCCUR . HACNOCCURRENCE $ 2,000,000 C• EXCESS LIAB CLAIM.6:MADE E?�1,0006635001 04/01(1Q16 0410112017 AGGREGATE $ DED X RETENTION$ 1:0.;.00 s'" •:Aggrega i.• $ 2,000,000 WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y)•N; ' EQTh- R OFFICERIMEMBER EXCLUDED? UTIVE NIA ( ' $D ANY PROPRIETORIPARTNER/EXEC WCEOQ431902 06130120% -06130/21 �ii; H 11000,000 (Mandatory In NH) UsedescAbe under E.L.DISEASE•Eq.EMpLOYE $ 11000,000 y DESCRIPTIONOFOPERATIONS below E.L.DISEA Ei,,p.L'ICY LIMI,T::s$: 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLIf§ (ACORD 101,Additional Remarks Schedu(a,'mey.be;atfad)tb'd;IPmoreapace is required) Workers Compensation Includes Officers or Proprietors. Additional Insured status is provided under the General Liability and Auto Lla3B Ilty'ViWRen required by written contract or agtea iertf with•the Certificate Holder: CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE V "q it001� Uj THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 84A Co Orce Park 3ouSh ACCORDANCE WITH THE POLICY PROVISIONS. SouIChatham,MA 0266 `M,� AUTHORIZED REPRESENTATIVE ®1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD I Town of Barnstable 0 ` Regulatory Services 4 e� Richard'V.Sc;dli,birdcfo� B i ii 4 Division Tom Ferry,Building commissioner 200 Main Street Hyannis,MA 02601 wwW.towo.barnstabie.ma.us Off ce: 5087862-4038 Fax: 508-790-6230 `Property Owner Must Complete and Sign This Sectioll II€�nUsiixag;:ArBWIder I, 'I I K I W l :(f��l _,as( nex cif tl�e subject properly hereby authorize losu ICJ;0' rA-4an.onrnybebA 1 in 2JU matters rejativc to ork,authoiized'by this building permit appEcation for (Atldre s`of j,A) **Pool fences and aLu= are the responslil r of the applicant.Pooh are not.to'be filled or utilized-before-fence is'instalkd and ail finat inspections are-perfotmed and.accepted. Gf tune of Owner Signature of-A.ppltcant �1 P iut Name Print Name 0 7116 bad Q:F0RMs:0%VNF3?EWkSsMNP00U � T CAPE COD INSULATION tll1A OIAII SIAMC131 IPA AY IOAM IUIVINOIO IAW OUtIlib IN111IATION CIIIIN01 1-800-696-6611 Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 oFe' Date: A/Ad �r TOW^' � QI L Dear Building Inspector ijK- Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed .& completed the insulation and weatherization work at the property listed below, Cape Cod Insulation did this in accordance to the specifications listed on the building permit application, All work has been inspected by a certified Building Performance .Institute '(BPI) inspector, All work preformed meets or exceeds Federal & State Requirements, Property Owner Property Address Village I Insulation Installed: .Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings Slopes ( ) ( ) ( ) ( ) ( ) Floors ( ) ( ) ( ) ( ) ( ) Walls ( ) ( ) ( ) ( ) ( ) WOr k Fer�rvr�ebitd Sincerely 2Hi *ssir, sident c, Assessor's office(1st Floor): Assessor's map and lot number/d s �Qypi THETp`` 1 Conservation(ath Floor): Board of Health(3rd floor): • Sewage Permit number Engineering Department(3rd floor)::" y ��(:���*� o esr r�p� House number "' l�if/li MULLED S E41 MUST Bk Definitive Plan Approved by Planning Board 19 ���i®�PL''A��eE APP-LICATIONS PROCESSED`8:30-,9:30 A.M."and 1:00-2:00 P.M.only ����TITLE 5 TOWN i OF BARNS,TAB'L° � < 'BUILDING ' INSPECTOR APPLICATION FOR PERMIT TO '. / I x �!O f l U h roo TYPE OF CONSTRUCTION _ I.00o h�� G s 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: II Location AO k; aw Pk\ 1.e`'1 �' V IJ i 6 a Proposed Use Zoning District ` l l Fire District ` Name of Owner m r W,7 s o C h:�101-1 Address All H� Name of Builder 1JOt U%N U► v1 �i 4e L Address JB Name of Architect Address jj Number of Rooms �— Foundation h o C. Exterior N '�� J 1 ✓1 �•� Roofing ci z Pki L-6 � -J 1 Floors / L/�f� c%�1 Interior S e f_L,1 C Heating T OY'e C C &n 4��f-Plumbing r.� C Fireplace Approximate Cost Area ��02 Diagram of Lot and Building with Dimensions Fee ®' 0 ` y .o a t c� / 0 ' V /V o 'fir. 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 � Z/—'I e u Construction Si ipervisor's License 00940 �r 5710/95 148.023 No Permit For -o , r Location 415 Nottingham Drive t Centerville Owner t t Wsocki - ~ Type of Construction 1 Plot Lot ' i Permit Granted 19 Date of Inspection: _Frame, f j 19 Insulation 19 - f F �J 19 ` Date Completed 19 ZQA o i� t� 30 S �ig. [s f Pi s� otq��o� 1� - 010 r �. vertS co � cv-e �t o 9%�� Id- • i �/F �iJJt � v � l d r — f i J a 1 1 TOWN OF BARNSTABLE permit No. -------`22085 .: Building Inspector 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." 1 Issued to Walter F. O'Keefe, Jr{ Address 'lnt 61 •415 Not-tinghara D-ri_vp rA, nt'pryi_17.p Wiring Inspector w"�fli.'yl�/tfY .IJ Inspection date Plumbing IhspectorY _ 1 `� Inspection date Gas Inspector I f Inspection date /Engineering Department ( �u — Inspection date NO 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. t. _.. ...._..._, 19 ..............................................Buildi.......... g Inspector Assessor's map and lot number ..Z./..... ................ f � F TFI E T��♦ ; Sewage Permit number .'�........... .. ......... SEC S v�M M INSTALLED IN yyY IDLE, House number ..................... 1.1.14............................ 9°o WITH TITLE 5 i639• ENVIR AL CODE a : TOWN OF BARNST� It% ULATIONS 4 k ` BUILPAINM INSPECTOR APPLICATION FOR PERMIT TO ......................... `�!`4 ........................................... . TYPEOF CONSTRUCTION ............................ Y ..1..................:.............:............................................ r .......�... ...........19 . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....../l��7 �/� �1 i9l?!.......F�/.11�:C.y..... C�'/ll.[..� l'4..U........ ............ .0 .��... ........................ .�r'.. . ProposedUse .... ..!. f' 1...! ................................................................................................................................. ZoningDistrict ....................... ........................................Fire District ............��.....v.................................................. Name of Owner ..W....� I r.....//. .:...... .:..lJ.l�.. '...................Address '�.r. � ...... (..�'j r/i„�'� /'� ........................... .. .... Name of Builder �` .........Address Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .........`��..............................................:...Foundation Exierior ...W... !:�t.......'ci �2 -f C�I�J? wyUR � 7��. ........:✓h /7 �e.� .................... ......................... /.......... ...... oofing i....5..... .... ... .........................................Interior ........... ...` ..... i41................................................... Floors .....d�.�........�!R u� .J r' g G.� g �,. Heating _.. � ..............................:Plumb'in ........, • Fireplace ..:.. -X....................................................................Approximate Cost .A f.�/�.U....................................... . .... IF .f'Definitive Plan Approved by Planning Board ________________________________19________, Area l .................... ......... . Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH �J© I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name!J U... ... j .... ...................:.. O'Keefe, Walter F. Jr. No ... Permit for Sin .............. ..... ..... ..,��F.ami.lv...Dwelling................... .... ....... .. ............. LoqMion ... ...4.1.5....No t.t.iAg h :-r ....... .. . ..................Centerville................................. Owner .....WAI t.e r....F......0.'.K.ee.f.e...Jr. Type of Construction ZKAMQ........................... ' ................................................................................. Plot ............................. Lot ................................ ril 1, Permit-Granted .......A]R ...............19 80 Date of inspection ... .............................19 y. Date Completed ......... ............. —10 PERMIT REFUSED' ......... .......S........................ .......... .19 tn > .......... ............................................... 0 .............................................. ..........1. .......... .... . . ... n M Approt.gz1% 19 M ;fe ............................................................................... Y • r 64- o � # 41 - _ I zq .9 5 Y m AR A. - }G�� CMZZTIP, THAT TNE: 'F JJDAT'100 SNaw►J i' Ri=i=crLc�1:IGE t-lEQ E aa-3 GOiNIPL�(S %V 1 TN -TI-{E •j l vE.L{►-IE: - _. _ ''•• ,^,_,__._ /_ ` _ A1JD SETBACK ';ZE4UIQErvcc�Ts zcwv o $A.'rzh1'T'A 32 DATE _ . _.___-- ._._�.__-_ -`•--._.---..----- -- --__.;_._.'__.____ ___:.._.. __.. -...-'._ REGtSt�-Kct�'--1.AtJ� --SU2vc�fo�zS Tt4lS VLAW IS Ljo'r BASE'o Ot-.t Altj osTE2v%L_+t o hCA►sS. IWSTr��J,tnEIJT StJCZVc�{ ¢Ts�C. oF�ST•S ,S�aOe�W APPL.1 GA.►JT I�fUc' �E3C Usco To DeTCz7mt pit= L.O-V U Wae5- ' AL:r:t-TL C> ,