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Home My WebLink About0045 PATRICIA STREET x m � M' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �� Parcel u ``Application # 0201o�.0 Health Division `Date Issued �- Conservation Division - Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board_ Historic - OKH _ Preservation/ Hyannis Project Street Address c Owner T-_1C0.(\0r 5;M Pson Address Qd. dbx 6� �/'�• �yan�is0a/'�' Telephone 5 b 8 - S - 045 3 Permit Request ,Ajlr C P_fG,QSS I'M 0J< 5111 as 4 A 100/I ro u n( C ter v, n ce 142( .. pr,�,ea.se �,F��'G Vew]�1�21'IDM► to a VeW Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation A 4 N t _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 g 5 b 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: X Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes X No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool" ❑ existing ❑ new size ._ Barn: ❑ existing �0 news size_ attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size._ Other`_ �' o Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes *N(No If yes, site plan review.# _ c ? Current Use Proposed Use APPLICANT,INFORMATION (BUILDER OR HOMEOWNER) Name 111A ne,C Lt,5kPY Telephone.Number ✓ a ' 3 Address _c 40- '11)4y�goo 6 _ License #_�G 1 0 Cl 6 a �1�1 , I IT uO�b Home Improvement Contractor# L 't 3 9 Worker's Compensation # TU1 C �l c� 114 9;'cam. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO I aim ou,� SIGNATURE � DATE L t FOR OFFICIAL USE ONLY APPLICATION# _.DATE ISSUED : -MAP PARCEL NO. _ c ADDRESS VILLAGE OWNER - - ki i k DATE OF INSPECTION: - 3 • t _rFOUNDATION''�� FRAME r f -.'INSULATION a FIREPLACE r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS-. k ROUGH FINAL FINAL BUILDING`=z r a = DATE CLOSED OUT .. i S ' ASSOCIATION PLAN NO. -� The£ommonwealth of Massachusetts Department of IndustrW Accidents Office of Investigations - •600 Washington Street Boston,MA 02111 www massgov/dia Workers' Compensation Insurance:Affidavit: Builders/Contractors/Electricians/Plumbers Aanlicant Information t Please Print Legibly Name(Businesdorganizationandividway M I o,j4Ar_j 0 Address: 1-C ' ( U i.).1 of i:1 _ City/State/Zip: Yt%T.Mogn&: 1 6?,URone#: 9&- 3 &- Are you an employer?Check the appropriate box Type of.project(required.): ` 1. 1 am a employer with. 4 ❑ 1 ant a:general contractor and[ C ❑:New construction. employees(full and/or part-time):* :have Hired the sub-contractors' 2.❑ !ant a'solc proprietor or pacmer- Tisted on the attached sheet: 7, ❑ Remodeling ship and have no employees These sub-contractors have. $; []-Demolition working .for me in an ca aet employees and have workers' Y p Y 9. Building addition [No workers' conip. insurance comp.insurance.+ . required,] 5 0 We area corporation and.its 1.0.❑Electrical repairs or additions 3.11 1 am a homeowner doing 91 work ' officers:have exercised their H.0 Plumbing repairs or additions myself: [No workers' comp. right of exemption per MGL 12•[]'Roof repairs. �. insurance required.]+. c. 152,§ (4),and we have no �•, employees.-[No workers' 130 Othdr=l%%%A oL�1Cf1 comp. insurance required.], *Any applicant that checks box#t must also flu out die section below showing then workers'compensation policy information. " t Homeowners who submit this afT'idavit indicating they are doing.all work and then hire outside contractors must submit a new affidavit indicating such:. tr—ontractors that check this box must attached an additional sheet showing,the name of the"sulrcontractgis and state whether or not those entities have employees. Ifthe sub-coubactors have employees,they must provide their workers'comp7 policy number. ran an employer that is providing workers'compensation insurance for ney employees. Below is the policy and job site information. Insurance Company Name: P.G n ti 1 o!a V IBs(VoInce em Da./) Y ` - Policy#or Self-ins.Lie:#: T W C, 3 0% 9, / Expiration Date: i 0 a t &01 a, Job Site Address.: \ q T►ltG t fit, �`� City/St-zip. " W, a4; 6 t. J At#ach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required,tinder Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,5.00.00 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 Investiaations.of.the DIA for insurance coverage verification. I do hereby certify under the pains d enaltks erjuty that the Oforme dbn provided above is true and correct Si tore: f Date: �3 Phone.#: 1&- Ofticial use Only. Do not write in this area,to.be completed by city'or town.official City or.Town:.. `. Permit/License#: Issuing Authority(circle L Board of Health 2.:Building Department 3.City/Town:Clerk° 4 Electrical Inspector 5.Plumbing Inspector b:Other Contact Person. , . ,. -{* ,. , - .. .. •i_ - - • ,. a ,• 3 ® DATE(MM/DDNYYY) ACC V- CERTIFICATE OF LIABILITY INSURANCE 10/20/2011 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). ONT PRODUCER NAME:CT Shannon Sperrazza Risk Strategies Company PHONE (781)986-4400 FA No•(781)963-4420 15 Paeella Park Drive AEbmpAgLESS:ssperrazza@risk-strategies.com Suite 240 INSURERS AFFORDING COVERAGE NAIC# Randolph MA 02368 INSURERA:Selective Insurance INSURED INSURERB:Safety Insurance Company 33618 Michael McCluskey, DBA: Cape Save. - INSURER 6:Technolo Insurance Company 7 C Huntington Ave INSURER D INSURER E: South Yarmouth MA 02644 INSURERF: COVERAGES CERTIFICATE NUMBER-CLI1102041451 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 D - POLICY NUMBER MM/DDY EFF MMfl)D EXP LIMITS LTRIMP- GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 AGE TO R5NTE X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 100,000 A CLAIMS-MADE ❑X OCCUR CPPS1994480 0/16/2011 0/16/2012 MED EXP(Any one person) $ 10,000 PERSONAL BADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY Ea accident) -s LIMIT $ 1,000,000 B ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED 6208200 1/6/2011 1/6/2012 BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ X HIRED AUTOS X AUTOS Per accident X Underinsured motorist BI s lit $100000 300000 X UMBRELLA LIAB X OCCUR PPS1994480 0/16/2011 0/16/2012 EACH OCCURRENCE $ 1,000,000 EXCESS LU1B CLAIMS-MADE - AGGREGATE $ 1,000,000 DED RETENTION$ $ C WORKERS COMPENSATION Executive excluded X WC STATU- OER TH- AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE YIN Nfrom coverage E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED?, NIA 72 7 C3299 . 0/21/2011 0/21/2012 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEq s 500,000 If yes,dascribe under DESCRIPTION OF OPERATIONS below E L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is require✓)) Issued as evidence of insurance. National Grid Corporate Services LLC d/b/a National Grid, d/b/a Boston Gas Company, d/b/a Essex Gas Company., Action Inc. , and Housing Assistance Corporation are listed as additional insureds as respects General Liability as required by written contract. CERTIFICATE HOLDER CANCELLATION (508)790-2425 a. w -SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ` ACCORDANCE WITH THE POLICY PROVISIONS. Housing Assistance�Corp 484 Main Street AUTHORIZED REPRESENTATIVE 'Hyannis, MA 02601-3698 Michael Christian/SMSlj��"� �'' ACORD 25(2010/05) 01988-2010 ACORD CORPORATION. All rights reserved. INS025 t7ntnn5tM Tha Annion nama anti Innn am ranictarart martrc of Arnian .. t ir. HY i' .- r i;^_ `}�� .1: i:i]Lti - .t' %1: ...riJ.•.!);;r HOME OWNER WEATHERIZATION WORK PERMIT&FUEL RELEASE: PLEASE FILL OUT AND SIGN,THIS FORM IF YOU ARE THE APPLICANT HOME OWNER. I Ec" '•n� f)I . tJ, hereby consent to and agree that weatherization work may be done by the Weatherization Program of Housing Assistance Corporation ( herein after referred as "Agency") on the property located at: c45- The weatherization work done will be based on programmatic priorities and availability of funding and it may include all or some of the following measures: Weather-stripping 8&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 and employees 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 the fuel or utility bill for the weatherized unit on ongoing basis for no more than five (5) years after the'weatherization on.an erization work is completed.' ` I have read the provisions thi agreement as liste and freely give my consent. Home Owner: (Signatur '�'� 4 • ' Date: Zc r a„ Agent: (signature) .. Date: Z ) Z , HAC approved Weatherization Company : C_0 C 5ct�v 'L .-All Cape Energy Building Performance Caliber Building&Remodeling Cape Cod Insulation Cape Sav Frontier Energy Solutions Lohr&Sons Michael T.McMahon Niall Hopkins Builders Resolution Energy 9.4e O ice.o_ onsumer A air and PB�us iegu2ti( n 1.0 Park Plaza - Suite 5170 . Boston, osto Massachusetts 02116 Home Improvement:Contractor Registration Registration: 164432 - Type: Supplement Card Expiration: 10/6/2013 CAPE SAVE = , l ; WILLIAM McCLUSKEY , 8201 S. HOURD CT = CHAPEL-HILL, NC 27516 _ =- Update Address and return card.Mark reason for change. �)PS-CAI 0 50M-04/04-G101216 Address Renewal Employment ❑ Lost Card •. , J�ie�oor��zareruea�i a�✓��aa�ac`zuaelta• ` 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: , Office of Consumer Affairs and Business Regulation Registration 164432 TYPe: 10 Park Plaza-Suite 5170 Expiratton 1016/2013 'Supplement Card ` pP Boston,MA 02116 CAPE SAVE WILLIAM McCLUSKEY 7C HUNTING AVE S.YARMOUTH,MA 02664,E Undersecretary Not valid without nature '-` NI-Visachusetts- Department oi'Public Safrh y 1 Board of Building Regulations and Standards Gonstructiori-Supervisor Specialty License License: CS SL. 102776 . - . 'Restricteii to•:,IC. WIILLIAM MC CLUSKY 37 NAUSET ROAD WEST YARMOUTH, MA'02673 Expiration: 8/2I3/2013 ('x/nnnissily°r•r TrT: 102776 r e ?r,4!L�f[t7:.✓1 J`J:'L,i yl' . 'Ll'1J79 * NACit k91/1�1 COE SA . Wear"'n"wrization-398 t 0398 t August 22, 2�10 To Whore It May Concern:' William J. McCluskey is are employee,.of Cape-Save. He ft authorized to negotiate contracts and building permits for our.cornpiny. Michael McCluskey Cape Save—Owner 929-593-5939 cell y [ r X Huntingtoh.Avenug, South Yarmouth,MA 026 , Cape Save Inc. ?0�" ; € T, 7-D Huntington Avenue South Yarmouth, MA 0266 r3 1"LAR 2 2 ¢ . J Tel: 508-398-0398 Fax: 508-398-0399 3/17/12 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 45 Patricia Street,Centerville has been inspected by a certified Building Performance Institute(BPI) Inspector. Ceiling: R-11 cellulose h } All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey _ HBIP89902 / OAA704498 Certuse Adjustment, Inc. J Property Claims & Appraisals 200 Chauncy Street, Mansfield, MA 02048 (508) 337-6066 Fax: (508) 337-6065 E %xX, I c?�59 Wit:: , 00 04 22l-10 April 7, 2010 RETURN TO SENDER UNCLAIMED UNABLE 'T0, FORWARD DC: 02040120099 *1 6 62 -00490-1 0;—33 Building Commissioner Town or City Hall W Hyannisport, MA. 02672 (xx) Building Commissioner_or_Inspector._of Buildings - (xx) Board of Health/Board of Selectmen Insured Eleanor Simpson C3 Address 45 Patricia Street ''�C79 C Insurer One Beacon Insurance Group js Loss Type and Date Fire/3/30/2010 We have received a claim involving loss, damage or destruction of the above indicated property, which may either exceed $1,000 or cause MA General Laws, Chapter 143, Section 6, to be applicable. If any notice under MA General Laws, Chapter 139, Section 3B is appropriate, please direct it to the attention of the undersigned and include a reference to the captioned Insured, location, date of loss and Insurer. On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by first class mail. Louis J. Certuse Signature/Date 3 Nt } i 1 _ 1 { t ? 0f A 1 j I ! A { !� 1 A 1 �1 ! /011 C 61 Ail f- 2le Z`11 `1 { ' r � � I I ! ? i I ! � � � � � � , ll� { � j ? � t i�• tlAld `�'V�i'L.. • , � 1 _ i Assessor's office(1st Floor): Assessor's map and of nynlber Conservation 4LZ1Y49n2 WITH TITLEV w Board of Health(3rd floor Sewage Permit number ENVIRONMENTAL CODE AND TULL Engineering DePart Department(3rd floor): TOWN REGULATIONS + sa3q. House number ��tttar a Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2.W P.M.only f TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION —�J 11N 19 _ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applie for a permit according to the following information: Location Proposed Use Zoning District / Fire District Name of Owner �/i /�il��v� ��i .C/!f/� Address f Name of Builder �Lc%LLe2 �[ T,�j� .�/� Address-- Name of Architect I&IIA Address Number of Rooms Exterior Roofing Floors Interior Heating Plumbing Fireplace iC..1 A Approximate Costo�� Area U t Diagram of Lot and Building with Dimensions Fee Svc �a /o OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable r ding the above construction. Name Construction Supervisor's License BRENNER, JAMES & ELEANOR No' 35100 Permit For BUILD DECK. Single Family Dwelling Location 45 Patricia Street �.yj t 1 l Owner James & ' Eleanor Brenner ; d= 1 t a Type of Construction Frame Plot Lot _ { ri Permit Granted June" 2 ,. 19'. 9 2 ,r Date of Inspection { 19. My , Date Competed ��/�/�3 19 1 tt {; +a 4