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HomeMy WebLinkAbout0026 SYLVIA LANE Z cr _ �y I v t �.�: ��ayi � , a . - ,, , , .� o ,� . , W � � v .� _ .. :. �. �, .. . � o m ,: �: .. ,, ,. _. � �. �, _ � ,, ., .. — - �. ° _ V L .. f � .. - � .. -.,_ Q i_ �. _ - - s r. u Z .. � ` _ - .. 4 ., o � - � N .„ y. �. _ e , ... ... _. �. .. - .. _ � „ >� _ r r > .. .. .. „ - 0 .. ... .� ..' _ - o a �. :, y ._ � �. i _ _ o. ,. > .. c .. p. ". d .. _ �. .. .: _ „..,.' ., e e ,_ nH. �. � - o - .. -. .... I � 5 -. 1. ., c t � � � e n �i c 4 F e y o c ♦ � ' 9 .. i y I „. ,� � C. � o .. - .� - 4 v� .. .. � _ � .. -r.-.�. — - , p .. _ _ � _.. .. ..a ..' _ -.� Town of Barnstable Building Approved Plans Must be Retained on Job and this Card Must be Kept PP ,: .�nares�resi.e, , Post This Card So That it is Visible From the Street-A A • "'*9 $ Posted Until Final Inspection Has Been Made. ^�rn�� Where'a Certificate of Occupancy is Required;such Building shall"Not be Occupied until,a Final Inspection has been made: Permit No. B-19-195 Applicant Name: HENRY E CASSIDY Approvals • pprovals Date issued: 01/18/2019 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 07/18/2019 Foundation: Location: 26 SYLVIA LANE,CENTERVILLE Map/Lot: 189-078 Zoning District: RD-1 Sheathing: Owner on Record: ISRAEL, MARC D Contractor Name: CAPE COD INSULATION INC Framing: 1 t Address: 26 SYLVIA LN Contractor License: 153567 2 CENTERVILLE, MA 02632 Est. Project Cost: $5,000.00 Chimney: Description: weatherization Permit Fee: $85.00 Insulation: Project Review Req: Fee Paid: $85.00 Date 1/18/2019 Final: Plumbing/Gas Rough Plumbing: `,Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after'issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the,approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. - Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing r Rough: , 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final' Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF•BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # �6/� d Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee -S Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address VillageaoLfek vi Owner v b 1_5yul Address Telephone '50g- 36,L- (�&lL Permit Request ` ?J 5 tz", v4q1 CQ'55 4 air -;P /l LZ � Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ®�D 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'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: -�A ra G Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ p Commercial ❑Yes -*No If yes, site plan review # �, .� Current Use Proposed Use 4 C APPLICANT INFORMATION (BUILDER OR HOMEOWNER) V Name 44�v cad, ��/.fv���i�a® Telephone Number V7do;V77,% 40(' Address; � ��� �, ejl License #Z D f f ek Home Improvement Contractor# Worker's Compensation # �r�d�✓0'✓��1�/ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE T 1 ik { j FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE f" yy J ,l OWNER 4 r DATE OF INSPECTION: FOUNDATION FRAME INSULATION I� FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL t r .. " GAS: ROUGH FINAL ' FINAL BUILDING i DATE CLOSED OUT ASSOCIATION PLAN NO. P The Commonwealth of Massachusetts Department oflndustrialAccidents I Congress Street,Suite 100 Boston, MA 02114-2017 www mass.gov/dia lVorkers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AtrTHORITY, Applicant Information Please Print Legibly Name (Business/OrganizatiorAndividual): Cape Cod Insulation Address: 18 Reardon Circle CityJState/Zip: South Yarmouth,MA 02664 phone#: 508-775-1214 Are you an employer?Check the appropriate box: Type of project(required): I. 1 am a employer with 48 4. ❑ 1 am a general contractor and I have hired the sub-contractors employees(full and/or part-time).* 6. New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g• ❑ Demolition workingfor me in an capacity. employees and have workers' Y P ty• 9. ❑ Building addition [No workers' comp, insurance comp. insurance.: required.] 5. ❑ We are a corporation and its ME] Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their I I.❑ Plumbing repairs or additions myself. [No workers'comp. right of exemption per MG:L 12 ❑ Roof repairs insurance required.] t c. 152 §1(4),and we have no q 13.V Other Weatherization employees. [No workers' comp. insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. 'Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 'Contractors that check this box must attached an additional sheet showing the narne of the sub-contractors and state whether or not those entities have employees. If die 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: Atlantic Charter Policy #or Self-ins../Li��c.#:WCE00431903 Expiration Date: 06/30/2019 Job Site Address: G•b 1 Ul(� City/State/Zip: Utl_ ,"v/1 Attach a copy of the worke s' 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 tine tip to S 1,500.00 and/or one-year imprisomnent,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 Investieations of the D1A for insurance coverage verification. I do hereby certify uu(ndder the pains and penalties of perjury that the information provi above Is trite and correct. Si nature: r r Date: . G ' Phone 4: 508-775-1214 Official use only. Do not write in this area,to be completed by city or town official. City or'I'own: _Permit/License# lssuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: 4 Division of Protessional Licensure Board:of Building-Regulations and Standards Const\ ;&1*I�tS},�rvisor CS-100988 [ ires: 11/11/2019 HENRY E CASSIDY 8 SHED ROW WEST YARMOG�kFhMA �pfSS`7 L% .. «. Commissioner Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement,co- Mractor Registration Type: Corporation / r Registration: 153567 CAPE COD INSULATION, INC } _ Expiration: 12/14/2020 18 REARDON CIRCLE / SO.YARMOUTH, MA 02664 -"1 Update Address and Return Card. CA 1 io 20M-05/17 '�c �nv�zcrrrce�c��c���«sJa��lP.11J - Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:.Corporation before the expiration date. If found return to: Reaistratin.., Expiration Office of Consumer Affairs and Business Regulation 153567-... 12/14/2020 1000 Washington Street-Suite 710 Boston,MA 02118 CAPE COD INSU,LATIONNC:;' HENRY E.CASS6Y 18 REARDON CIRCLE SO.YARMOUTH,MA 02664 Undersecretary a I ith t Sign r i I CAPECOD-27 DATE(MMIDDIYYYY) �r....� CERTIFICATE OF LIABILITY INSURANCE 06105/2018 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 have ADDITIONAL INSURED provisions or 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 endorsements , IRODUCER C ACT t0gers&Gray Insurance Agency,Inc, PHONE FAX 34 Rte 134 A/c No Ext: (A/C,No:(877)816.2156 Louth Dennis,MA 02660 mall@rogersgray.com INSUREBIS).AFFORDINO COVERAGE NAIC q INSURER :Wes American Insurance Company 44393 NSURED INSURER B:Safe Indemnity Insurance Company 33618 Cape Cod Insulation,Inc. INSURER C:Endurance American Specialty Insurance Company 41718 18 Reardon Circle INSURER D:Atlantic Charter Insurance Cornpanv 44326 South Yarmouth,MA 02664 INSURER E: INSURER F: ;OVERAGE CERTIFICATE NUMBER: 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. ITR SR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE I OCCUR BKW(19)63328281 04101/2018 04101I2019 DAMAGE TO RENTED 1 O0,000 ES(a occurre MEDEXP(Any oneperson) 5,000 PERSONAL&ADV INJURY 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 2,000,000 GENERAL A RE ATE —XI POLICY❑je8T LOO PRODUCTS AGG 2,000,000 OTHER: X see holder descrbp of operations B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 ANY OWNED g 6232707 04/01/2018 04/01/2019 e DILY INJURY Per person) AUTOS ONLY X AUTOSULEO E� py�NEp BODILY INJURY Per accident $ X AUTOS ONLY X AUTOS ONLY PPer Pcc dent AMAGE I C UMBREA L LLIAR X OCCUR EACH OCCURRENCE $ 2,000,000 X EXCESS LIAB CLAIMS-MADE EXC10 006636003 04/01/2018 04101/2019 AGGREGATE $ 2,000,000 DEO RETENTION$ D WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE (� WCE00431903 06/30/2018 06/30/2019 1,000000 OFFICER/MgEMBER EXCLUDED? L_1 NIA E,L.EACH ACCIDENT ( andatoryln ) 1,000,000 It as,describe under E.L DISEASE•EA EMPLOYEE DES RIPTI N OF OPERATIONS below E.L.DISEASE•POLICY LIMIT 11000,000 ESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) orkers Compensation Includes Officers or Proprietors. ddltlonal Insured status Is provided under the General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder, xcess Liability is follow form. .ERTIFIC TE 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, AUTHORIZED REPRESENTATIVE CORD 25(2016/03) ©1988.2015 ACORr1 cnRanaATinki n 11 ca �; DocuS{gn Erivel6pe ID:EMAC679-62 0-413E-9D2B-587823036BD3 r r Town of Barnstable . BA Building Department Services � 17ASS , Brian Florence,CBO ; Building Commissioner s 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us "i Office: 508-8624038 Fax: 508-790-6230 a Property Owner Must a Complete and Sign This Section t If Using A Builder ' I, Marc Israel , as Owner of the subject.property hereby authorize � - �C��®� to act on my behalf, R in all matters relative to work authorized by this building permit application for: 26 Sylvia Lane Centerville (Address of Job) DocuSigned by: IS C4E32 FSBAF34 igna�ure o Owner �//natu/rof Applica 111 Marc Israel V ' Print Name Print Nam F 12/13/2018 1 4:38 PM EST Date :r 4 Ca e a 1 �µ 1;