Loading...
HomeMy WebLinkAbout0191 TARAMAC ROAD u F V Cape Save Inc. TOhlfrl 0 8 RNSTA-P E 7-D Huntington Avenue ' South Yarmouth, MA 0266,413 VW) 22 °M 5 Tel: 508-398-0398 Fax: 508-398-0399 QI ISIOIN 8/31/12 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 191 Taramac Road,Centerville has been inspected by a certified Building Performance Institute(BPI)Inspector. Ceiling: R-42 cellulose Box sill: R-19 fiberglass All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION h f Map ( Parcelr ;Application # ool, Health Division ° . Date Issued Conservation Division Application Fee SV Planning Dept. ? Permit Feb Date Definitive Plan Approved by Planning Board gh,L Historic'- OKH _ Preservation / Hyannis Project Street Address *T C N M a'C oa� Village CeA4ery,�18 Owner Mee GXn+8 W p,CS Address Telephone _,�,� Permit Request 3 $ cel�u�� OSe a �-�r►B I L� �C%,r ya4, (ka llm b Pm�n-�^ Ms� Il ► i�� Sul tke oc r~ne ,+►L b�s em,�n4 rr�-f I, Square feet: 1 st/floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 3 0 Construction Type —a Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting doeume tation. C) Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: .Q Yes,L] No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Mn 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 N 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 0 new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes )k No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) NameAAI'am G /C.' asft n , Telephone Number Address `�--2-41al �� '�`� W�t �� License # J- �, -6 so kA Y�tmol1,V ° Home Improvement Contractor# I T_ Worker's Compensation # �iWC 33 ?00 : ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ,Q FOR OFFICIAL USE ONLY "APPLICATION# DATE ISSUED t MAP/PARCEL NO. ' s. L 4 ADDRESS VILLAGE' 5 OWNER 4 - DATE OF INSPECTION: L n N FOUNDATION '.7 _ FRAME INSULATION s FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH :._ -„ FINAL 3 FINAL BUILDING!: t, k DATE CLOSED OUT ASSOCIATION PLAN NO. c ; t i i ` F The Common Wealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 1UW1U.11 tass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): n 0.ve- n c. Address: D �tA,ntinq+On City/State/Zip:�ou�-t�► YaEl'�ou.-t� M�A oa664 Phone#: 50$-- 3 9 $ - 039 8 Are you an employer?Check the appropriate box: 1.�] I am a employer with t 3 4. ❑ I am a general contractor and I Type of project(required): employees(full and/or part-time).* have hired the sub-contractors 6 ❑New construction 2.❑ I a a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in:any capacity. employees and have workers' [No workers'comp,insurance comp.insurance.'- 9. [_1 Building addition required.] •5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 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 insurance required.]t c. 152, §1(4),and we have no ❑ p employees.[No workers' 13.0 Other ^T - comp.insurance iequired.]' - *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 hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional 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 ormatton.an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. , Insurance Company Name: Tech n 0 0. Tn S v�,r an oC C r1 Policy#or Self-ins.Lic.#: w C 3 3 g Expiration Date: y J 9 lj Job Site Address:_ �� ' QfAQ110eC �y City/State/Zip: C__n+-em J[e 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 c. 152 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 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 'Investigations of the DIA for insurance coverage verification. t do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: I hl Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official . t City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Buildin;Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: AC6 CERTIFICATE OF .LIABILITY INSURANCE 5/10/oil) THISIS�RTIFICATE 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). cAMEA PRODUCER NAME:C Risk Strategies Company. Risk Strategies Company PHONE (781)986-4400 FAX o..(781)963-4420 15 Pacella Park Drive ao AIESS. Suite 240 INSURE S AFFORDING COVERAGE NAIC# Randolph MA 02368 INSURERA:SeleCtiVe Insurance INSURED INSURERB:Safety Insurance Company 3618 Cape Save, Inc INSURER C.Technology Insurance Com pany 7 D Huntington Ave INSURER D: INSURER E: South Yarmouth MA 02644 FINSURIERF: 4L COVERAGES CERTIFICATE NUMBERCL125948081 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. ILTR POLICY EFF POLICY EXP LIMITS TYPE OF INSURANCE POLICY NUMBER MWD MMIDD GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TUWEfffEff 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 8 ADV INJURY $ 1,000,000 - GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PIFCT RO LOC. $ COMBINED SINGLE LIMB 1 OOO 000 AUTOMOBILE LIABILITY a Ea accident BODILY INJURY(Per person) $ B ANY AUTO ALL OWNED SCHEDULED 6208200 1/6/2011 1/6/2012 BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE' Peracadenl $ X HIRED AUTOS N AUTOS $ 100 000 X Underinsured motorist Ell split X UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 2,000,000 2,000,000 EXCESS LIAS CLAIMS-MADE AGGREGATE $ A 0/16/2011 0/16/2012 DED RETENTION$ PP31994480 $ C WORKERS COMPENSATION x WC STATUS O R AND EMPLOYERS'LIABILITY YIN EL EACH ACCIDENT $ 500 000 ANY PROPRIETOR/PARTNERIEXECUiIVE❑ OFFICERIMEMBER EXCLUDED? N NIA(Mandatory in NH) rWC3318007 - /9/2012 /9/2013 E.L.DISEASE-EA EMPLOYE $ 500 000 - , If yes,descnbeunder , E.L DISEASE-POLICY LIMIT $ 500,000 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. 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 AUTHORIZED REPRESENTATIVE PO Box 427/SCH 3195 Main Street Barnstable,,MA 02630 Michael Christian/HAM ACORD 25(2010/05)'. ©1988-2010 ACORD CORPORATION. All rights reserved. ` INS025r7ntnnstnt Tho er'nPn numa and(nnn ago mniclo►ed marlrc of annan Y �lass:ichusctts- Dcp:tr tmcnt of Puhlic Safct. Board of Buildim: Regulations and St:tnd:u'rls . Construction Supervisor Specialty License License: CS SL 102776 Restricted to: IC WILLIAM MC CLUSKY 37 NAUSET ROAD. ^. , WEST YARMOUTH, MA 02673 Expiration: 6/28/2013 .`' Tr= 102776 (' uunis<inncr Office of Consumer Affairs and usiness Regulation 10 Park Plaza- Suite 5170 Boston,-Massachusetts 02116 Home Improvement C.Ontractor 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. Address Renewal �] Employment (J— Lost Card PS-CAI is 50M-04/04-6101216 Vo�rr�rwouaealC�a�✓1�aaaac�ivaelta License or registration valid for individul use only Office of Consumer Affairs&Bdsrness Regulation before the expiration date. If found return to: HOME IMPROVEMENT CONTRACTOR Type: Office of Consumer Affairs and Business Regulation K_ Re istration:..-=�71380 r 9 10 Park Plaza-Suite 5170 s Expiration 3/14/2014 Corporation Boston,MA 02116 Cf APE SAVE WILLIAM 7-D HUNTINGTON AVENUE SOUTH YARMOUTH MA 02664''' Undersecretary Not valid wit o slgna i001B 19M ON XHIX,I,] 99:0Z ZTOV-90/90 OWNER AUTHORIZATION FORM I, me- ay,fe, PO CS (Owners Name) owner of the property located at (Property Address) .x (Property Address) hereby authorizep (Subcon ctor) ' an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building permit and to perform work on my property. Owners Signature • - . Date -. .. � � . i s ... - _ - •..s - ..i '` a •. _ T00 w Xd3 99:OZ ZTOZ/90/90 TOWN. OF BARNSTABLE . Permit No. _2}2259 A P AUn.� Building Inspector cash1610. -- �YL ° X OCCUPANCY. PERMIT Bona "ND building nor structure shall be erected, and na land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first Niving 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 T cros Monroe Address Leaf #16 1- 91�Tara ac T-Zoad. Centerville Wiring Inspector ' i ,�� ---�� Inspection date E jk Plumbing nispec or Inspection date Gas Inspector x, Inspection date f�Engineering Department { r <!(LL; ( 4-- —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. ff l f f 1927 { J rl,(tA4�� � Building Inspector !/ Assessor's map and lot number ...... 1!�.7..... N E �of Sewage Permit number' .............F.................................... o. -7 2 ST LE, House, ..?.g. / . .. ....... H se. number .................... 6 to MINCON&L TOWN OF BARNS"W& WTIMAS M" AL CODE AND . BUILDING:.' APPLICATION FOR. PERMIT TO --- .................................................................. -*....(3 TYPE OF CONSTRUCTION .........LA-rOnA...... ..................................I.............................................. ..... ....................... .......... .19....T.3 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby- ies, for a permit according to the following information: Location ........... ..... ....... . ....... Rd,........(. �.... ...... .... ........................................................................ ........................................................................................................................................ Proposed Use ..... .. Zoning District ....................................Fire District ...... ... ............................... Nameof Owner ..............................Address ....... ........................................................... Name of Builder ....................Address .-IG."VXw6si..4...................................................... Nameof Architect 7...................................................Address .................................................................................... Number of Rooms ...... ........................................................Foundation . (MAAJL4 . ............ ............................................................ Exterior ...... ......1:-:.Al......................Roofing .... ......................................................... Floors .....WMM...-6...Lxxm- .....................................Interior .... ......................................................... Heating ... ...............................................Plumbing .....).......i41AX.k........................................................... Fireplace ...... . ..................................Approximate Cost .......;�Q..Pao....................... A Definitive Plan Approved by Planning Board --------------------------------19--------- Area ..........I- ... Diagram of Lot and Building with Dimensions Fee ............ ......... SUBJECT TO APPROVAL OF BOARD OF HEALTH —Uo/\j 0 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .....z� ........ ........ .. . ................ Monroe, Thomas 21259 1 1/2 Story No ................. Permit for ...........................t..rY. singie family dwelling ...................................... .................................. b �a cation ...........191 ramc Road 0 ..................................................... Centerville ............................................................................... Owner ............Thomas.. ...................................... ......... .... Type of Constructi6n .................frame.............. .... .. ................................................... .............................. Plot ........... .................. Lot ...........#u.............. Permit Granted ..............May..1................19 79 Date of Inspection .... .. ... .. ... ...........19 Date Completed ... ..........19 PERMIT REFUSED ............................................. ......I......... 19 ... ............................................... .1............................. ......... ............... . . . ..................................... .......... ....................................... too - AP ... ..p roved' 00 ..................... 19 cn**jj** ................... .......................................... ............... .................................................... Assessors map and lot number ....... Q THE v � Sewage, Permit number Ff/ 'Z S�7 ro�Q ♦�.......................... l BARNST11DLE, i House number .................... ./..�./.................:..r.... ! MA86 �� 2639• 'G MAI fr. TOWN OF BARNSTAB,LE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........... .......I:.. ......: :.. .. ............................................................... TYPE OF CONSTRUCTION .........�..........::� .. ..........I........:::•................'�................................................................. ..................:::..f..�...............19.....!..r TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location . ................................................................. ................................................ ............................ ... ProposedUse ..... .......................... ....................................................................................................................................... Zoning District ...s'. ::.:........t: ......... -. ..........................:.......Fire District ......:a............:....t:................................................. Nameof Owner .... ............ .`...:...........................................Address .......I S:: a.:................................................................. 77 Name of Builder :.. ::.......fit....... :..... :..:.......................Address ............................................................................ ,.. Nameof Architect �`�. �.................:....................................................Address .................................................................................... ..a Number of Rooms Foundation .............:>........................................................... Exterior ...Roofing ..........................................................v �.................... r . .........................................Interior . �,sw Floors ...................................... ........ ....:...........:.:.:.:............................,................................ Heating .. l" .!I '..........a ...::::.................................................Plumbing .....1......°::...' ':........................................................... Fireplace ..... :......................................................................Approximate Cost ................: !:.:. ............................... Definitive Plan Approved by Planning Board -------------------_-----------19________. Area � i!.?...."�.................. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH �, b V6) r � I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...... :..........' ................................. .............. ..I••'•-,�k- }a-.�.,�.�.:ti ;1�....u£y.FF.k<.,�(ix:�t�}'v..�'.w�.ti.:5E�Ato-.J+.°k3�«z x�_1ZW.14�"�'i::iw�::r:7�1, 4 n,. .�, nu,..e...v•a .. ta.. �...�a .> �t ..� ..., t. .�, R .. <. i! r. Monroe, Thomas A=169-107 No Permit for ......1 1 2 story .259... �. sini't family dwelling ...................................................... Location 191'Taramac Road Centerville,. ............................................................................... Owner Thomas Monroe Type of Construction frame ............................................................................... Plot ............................ Lot f............#.16.............. Permit Granted ............M ?..�..................19 79 Date of Inspection ........ ........................19 Date Completed ...........................19 PERMIT REFUSED ............................. , -*'`.... ... . ... 19 '��"............�. .P. ..................�........... : ..................................... p �)✓ Approved/........................................ 19 ............................................................................... ............................................................................... 1 �S SOIL LOG 2! PEASTONE ..•LOAM B Fill — 12 MAX 4 C. 1. DIST A 1000 BOX I 1000 GAL. l o e o *'MIN, GAL. --J gee PRECAST OR '+• . 1` 24' ;�•v�� O SEPTIC I•;;: •' p , ` • I MIN TANK I °' e BLOCK 6 I, SEEPAGES °°e � C< � mo e°° I �p • I PIT !p ' p0 -5AIV0 O a l e 1 . i e ,..e f p a l 20 MIN. ------ - o - - - - - - - - 1 p.e�..l ,vu w4-r45Z FOUNDATION i 1 %2" WASHED STONE f I I ELEVATION SKETCH ------ — Io' -- - -I PERC. RATE: c%suer- .zm,;Illtd SCALE I"= 4' TEST BY Cr _ TOWN INSPECTOR _Pi?v< dSiufCiL 9 f _ ._ BACKHOE OPERATOR: TEST MADE ON /Y 7 e- 7-3- Z 4 49 --07 O f t , 1 ta' v 0 � iG o c.•r r ak.to i•w 'y'✓.� �=.sa'�4l o iv�i"',l, r G, J 9 7 q �� / � �,� / Q� C c.,.l�Ate",-,9 �o >,>� Z`�..t.•.�9 {s{ k `• i j ' Gk h�bc�.or�t~rsaFs-�v7S or' v JAP. yG f �.� T.,7-c �. F"r, LAPSLEY N ,p No.22597 9 6' BUR � 00 A AV S dam.w eu- n! c�Z' 4 i! \9 87,Z2 - 323�g�oai;�r.t�NoC�Hr�SQ:�� a�J•nAX,, �Jttc��✓A.c?G� �7i�/�,f F.tar.�.t Fa>+E'' Tis//,S Sl"_.rl.E!'•7 '�, � � � I�'� � ��� I� SIO c S _ 188 ,s x 4"5 C-P.ps.f; = 470 _fo77a/v 7 3 t /,o G,?�.`s,F 79 c—A4.1 aw y t poi C s. ZG S.t; >14 si Ytt C IV r� • /i'' i . i ELEVATION SCHEDULE a PROPOSED SITE PLAN I. INV. AT FOUNDATION _ #�+fin a SEWAGE SYSTEM DESIGN 2. INV. INTO SEPTIC TANK = 6 3o o IN 3. 1 NV. OUT OF SEPTIC TANK = {` -✓5 57-4a4.E(C--A 7ae,ZV)44-Z) , M45 .5 - 4. INV. INTO DISTRIBUTION BOX _ t��5�,45 SCALE I"= 24' .7/9A f 197g 5. INV. OUT OF DISTRIBUTION BOX = �'•�'�' C - 7,49 6. INV, INTO SEEPAGE PIT = S •G.c'7 CAPE COD SURVEY CONSULTANTS ROUTE 132 7 BOTTOM OF PIT = 79 6o HYANNIS ,MASS. -sue