HomeMy WebLinkAbout0061 SANDALWOOD DRIVE �'�� ��� �Q�Gvd o Q' �9�
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YOU WISH TO OPEN A BUSINESS?
For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you
must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at'200 Main St., Hyannis.
Take the completed form to the Town Clerk's Office,.Ist FI:, 367.Main.St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is
req u i red by law.
DATE: LA \y Fill in please:
r YF.� �� : s } APPLICANT'S YOUR NAME/S:
' ' is l sir BUSINESS YOUR HOME ADDRESS:
,si;� ���-�c'l �•�3-cam�,.� C—���- -� ��� �'�1.� 3 S -`d-a��� -�
F 2; TELEPHONE # Home Telephone Number
3rEzva,
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NAME OF CORPORATION:';': — :
NAME.OF*NEW BUSINESS,:..:i TYPE.OF BUSINESS
IS THIS:A HOME OCCUPATIONS - YES NO
ADDRESS.OF:-BUSINESS MAP/PARCEL NUMBER �`J°.` (Assessing)
When starting a new.business there are several things you must do in order to be in compliance with the'rules and regulations of the Town of
Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth
Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town.
1. BUILDING CO MISSI NER'S D�FcE ^1L1ST COMPLY WITH HOME OCCUPAI ION
This indivi ual' nififo of ny er it require ents that pertain to this type of business.: 4-S AND REGULATIONS. FAILURE TO
�
Au oriz Signatur _a t. '-' MAY RESULT IN FINES.
COMMENTS:
2. BOARD OF HEALTH
This individual has � formedE;r ')Of
t hquiremEA th t pertain to this type of business.
Authorized Sign re**
COMMENTS: MUST"oMaY'v1lIT►a Ai I
'.DTI
3. CONSUMER AFFAIRS(LICENSING AUTHORITY)
This individual h nformed of the licensing requirements that pertain to this type of business.
Authoriz Signature**
COMMENTS:
v 1
Efficient Buildings, LLC
October 31, 2011
Town of Barnstable
Attn: Thomas Perry, CBO
200 Main Street
Hyannis, MA 02601
4 r
s 7.
re: 61 Sandalwood Drive, Cotuit, MA 02635
Dear Mr. Perry:
This affidavit is to certify that all work completed at 61 Sandalwood Drive, Cotuit, MA 02635, has been
inspected by a certified Building Performance Institute (BPI) inspector. Work included air sealing, and
installation of 127 sq. ft. Polyiso to back of kneewall. All work performed meets or exceeds Federal
and State requirements.
Sincerely,
Steve C. White
Owner/Managing Member
Efficient Buildings, LLC
CD
f_1
8 Jan Sebastian Drive, Unit 10, Sandwich, MA 02563
Tel: 508-888-1110 Fax: 508-888-1109
a
' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map pp b/d Parcel ® -7 A icf ation #
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 SANDI-L-(.Jn o f) 2• , SAN'ru!T
Village Ceo 7—",,
Owner PE 2 _P1AN"r'EAiA- C'EjS Ak-&L Address c) aX'g . C07-orT QQCo 3-5
Telephone
Permit Request AI Z.,5;C,4c r� !)G%S ek I r C-> 1,PD S ?ter 2"G�OLYISO o
f�����-�- , 1a��� <S��r ��3��+�yt�s�"T� �� ► c"; �Nsvr�n l��G�-�<�
77 L Ga S �TV>;r�rs 5'c, �'13 y Ac GT c L i6< 5� t'l
_DLy/Salo � ��
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuatio .2YC)0____ Construction Type `
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) %� rc2 o
ZE
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway'❑Yo ❑ No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other ,
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Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
t
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 0 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 _
n APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name CA-U 60 BU'Df—f QAD'DeE U a\JG Telephone Number 5 u? �� O
Address F 7An/S69AS-7-i Pr,)I)P 4L rD License #
S t�iN�C,JI Gi-� "Pr Home Improvement Contractor# s
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE� �,.�. C, �vZ DATE 7 L
i
s FOR OFFICIAL USE ONLY
,
APPLICATION#
DATE ISSUED
MAP/PARCEL NO.
k - -
-
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ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION`v`
F FRAME
1
j INSULATION
FIREPLACE
'i ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
f
lHGAS: I T" ROUGH "?.UA_ :. i- z� FINAL
.-FINAL BUILDING- i. . g_
CLOSED OUT. L
ASSOCIATION PLAN NO.
The Common wealth ofhlassachusetts
Department of Ill dustrial.-4ccidents
Office of Investigations
600 Washington,Street
Boston, -41.4 02111
w V)v-mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/El ectricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): AL!$E,QUI + �I�IDDEUNG L L�
Address: f,r ,TAN SEI3AS- iA0 7)PI VE 0/V 1_r O
I
City/State/Zip: 5*A1Y7)W1r 14 NO =5&3' Phone#: J`O S- �F.S g-- 1110
Are you an employer? Check the appropriate box:
4. I am a eneral contractor and I Type of project(required):
I. 1.am a employer with�_ ❑ g
mployees(full and/or part-time).* have hired the sub-contractors 6. '❑New construction
2.❑ loam a sole proprietor or partner- listed on the attached sheet. 7. Remodeling
ship and have no employees These sub-contractors have g, Demolition "
working for me in.any capacity. employees and have workers'
[No workers'comp. insurance comp,insurance.# 9. ❑Building addition
required.] 5. 0 We are a corporation and its 10.❑ Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their I.❑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
employees. [No workers' 13.*0ther_ .Vu LATibIs)
comp.insurance required.]
*Any applicant that checks boa#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 an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: /`I C I U
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address: City/State/Zip;
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 S 1,500.00 and o one-year imprisonment,as well as civil penalties in the forin of a STOP WORK ORDER and a fine
of up to S250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DI:-1 or insurance coverage verification.
do hereGr certify der the pains azrd p raiues of perjury that the information provided above is true and correct.
Signature: .
Date: -
�i,one
- OfTciai use onlr•. "Do nn•t„•rite ir, thlc area, to,5e completed br city or tpwn offr.cial.
I� City or Toy`n: .PermiUL-icense#
i Issuing Authority(circle one):
1: Board of Health ?. Building Department 3. City Clerk 4. Electrical Inspector 5. Plumbing
it6. Other Inspector
!1 •Con.tact.Per•son: Phone#:
ACOR4 CERTIFICATE OF LIABILITY INSURANCE °"TE(MWDDr'"")
03/04/2011
PRODUCER S08.94S.0393 FAX S08.94S.4048 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Eldredge rG Luapkin Ins. Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
697 Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Chatham, MA 02633
Alan Long INSURERS AFFORDING COVERAGE NAIC 0
IwsuaEo-Caliber Building and ReRrodeling LLC. Steven WhI INSURERA. National Grange Mutual Ins Co_ 14788 _
DBA: INSURER B Commerce Group CI0001
8 Jan Sebastian Drive 810 asuRERc: Ace American Ins. Co. - ARWC 22667 —
Sandwich, MA 026S3 INSURERD: _ -- - --_ --
INSURER E:
COVERAGES
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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
- - -- --- -j- POLICY EPFECTNE POLICY EXPIRATION -
m� TYPE OF INSURANCE I POLICY NUYIER pl1 DATE UYITS
GENERAL LIAanrrr MP027360 09/15/2010 09/15/2011 EACH OCCURRENCE s-- 1,000.0001
XC COMMERCIAL GENERAL LIAIMIT/ PREMI EB Es o=arwce 3 00.0001
—I CLAIMS MADE T OCCUR MED EXP(My ww person) : 10
A I PERSONAL 6 ADV INJURY s 110INIAM
- --- - GENERAL AGGREGATE s 2,000,
GEN•L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPAOP AGG Is 2,000,
POLICY JJEECT LOC
AUTOMOWL E UAeRTITY BSNVCS 02/16/2011 , 02/16/2012 'COMBINED SINGLE LIMIT
i-- Me soodO M) f
—�ANY AUTO —_�000 000
�,
ALL OWNED AUTOS BODILY INJURY
• X SCHEDULED AUTOS f (Per Pam
g (HIRED AUTOS j BODILY INJURY s
NON-OWNEO AUTOS (Per M)
PROPERTY OHMAGE s
--- (Per sooidert)
GARAGE LIABILITY I
AUTO ONLY-EA ACCIDENT i
ANY AUTO OTHER THAN EA ACC s
- J AUTO ONLY: AGG S
EXCESS,UMeRaLAUAWLJTY CLI027360 10/01/2010 09/1S/2011 EACH OCCURRENCE s 1,000,
_ ---I---- —
OCCUR j CLAIMS j AGGREGATE s 1,000,
f
A -- s -- -—
DEDUCTIBLE
i s
X RETENTION S 10, $
_ I
wpRKERSCOMPEMSATION 4494P844 03/02/2011 03/02/2012 » r ITs ER-
1 YIN —
ANY PROPMETORM NEART ECUTIIVT[ ) ' E.L-EACH ACCIDENT $ 500, j
C OFFICERAAEMSEREXCLUDED? u E.L.DISEASE-EA EMPLOYEE i $OO,
IrdY in NII) E.L.DISEASE•POLICY LIMIT S S00-
tl yyees�
j SPEdlap�DO u10er CAL PROVISIONS below
i OTHER
i,IEIITION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIOW ADDED BY ENDOMMIENT I SPECIAL PROVISgNS
I � '
Carpentry
I
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE AMM DESCRIOND POLICIES BE CANCELLED BEFORE THE EJLRRATION
DATE THEREOF,THE ISKon anumm v&L ENDEAVOR TO MAAI 10 DAYS WRRTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO 80 SHALL
Tam Of Barnstable IMPOSE NO OBLIGATION 00 LIABILITY OF ANY KIND UPON THE IKWMR,ITS AGENTS OR
Building Department
200 Main Street
Hyapnis. MA 02601
kCORD 26(20M01) t{ i9W2008 CORPORATION. AU right reaerved.
The ACORD name and logo are m9istand marks of AC
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s
Ala sachusctt.- Department of Public safCO I
9 Boar&iif Buildin!- Rcl ulations and tandartl.
Construction Supervisor License
License: CS 95038
Restricted to: 00
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STEVEN WHITE
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147 RIDGEWOOD AVENUE
HYANNIS, MA 02601
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Expiration: 2128/2012
( : uuiti�•i„ncr Trg: 19311
�1ze TOomwmo�zuurea�e o�,✓�aaaac�iae�a
\ Office of Consumer Affairs&B oess Regulaeoo F
HOME IMPROVEMENT CONTRACTOR
_ RegistrattO 1,54359 Tye ;:
Expiration:- 2/28i2013 Ltd Liability Corpod,
C BUILDING Aid81 €:t #fi3ELING,LLC.
STEVEN WHITE r
8 JAN SEBASTIAN DFtkV 1311T 10 Q ��� e
SANDWICH,MA 025i33, `;' Undersecretary
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License or registration valid for individul use only
before the expiration date. If found return to:
Office of Consumer Affairs.and Business Regulation
ati 10 Park Plaza-Suite 5170
Boston,MA 02116
r Not valid without signature pT
1
A.177f
y,:{:� ,,:; ;.tax .t ,3 • �.b.3
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S P�(Lo H • ?IA NT6 S
I, S1A c t Y N . S C H A KI�L , as owner(s) of the
subject property at:
G 1 SA N Df+L w D c-D —b2', SA NTQt T , MA
hereby authorize Steve White of Caliber Building & Remodeling, LLC (contractor) to
act on my behalf in all matters relative to the building'permit application.
signature of owner date
signature of owner date
f Town of Barnstable
Regulatory Services
FSHE i �
Pao 1. Thomas F. Geiler,Director
Building Division
* sARNS•rAsLE,
MASS. Tom Perry,Building Commissioner
e
200 Main Street, Hyannis, MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 x: 5 0�,790-6230
Approved:
Fee: o�S. _
Permit#:
HOME OCCUPATION REGISTRATION
Date:
Name: S�r�csZ..� Sc�c>,��� Phone #:
Address: �� S�j-�a���.- ��r Village:
Name of Business---- \S ��- � 7�s�
—
------------------------------- --------------------------------
Type of Business: Q �vy�� Map/Lot:
INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation
«qtliin single family chvellings,subject to the provisions of Section 4-IA of the Zoning ordinance,provided that the activity
shall not be discernible from outside the dwelling: there shall be no increase ill noise or odor, no Visual alteration to the
premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;
and no increase in air or groundwater pollution.
After registration itiqith the Building hrspector,a customary horne occupation:Shall be perniitted as of night subject to the
following conditions:
• The actiVity is carried on by the permanent resident of a single family residential dwelling unit,located within
that dwelling unit.
• Such use occupies no more than.400 square feet of space.
• There are no external alterations to the dwelling which are not customary in residential buildings,and there is
no outside evidence of'such use.
• No traffic 1611 be generated in excess of normal residential volunies.
• The use does not involve the production of offensive noise,Vibration,smoke,dust 0r other particular matter,
odors,electrical disturbance,heat,glare,humidity or other"ob,jectionable effects. .
e There is no storage or use of toxic or li azardous materials,or flammable or explosive materials,in excess of
nornial houseliold quantities. "
• Any need For parking generated by such use shall be niet,on the same lot containing the Customary Honie
Occupation,and not mthiu the required front yard.
• "There is no exterior storage or display of niatenials or equipment.
•" There are no commercial vehicles related:to the Customary•.Home Occupation,other than one van or one
pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to
exceed 4 tires,parked on the same lot containing the Customary Home Occupation.
• No sign shall be displayed indicating the Customary Home Occupation.
•. If the Customary Home Occupation is listed or advertised as a business, the street address shall not be
included.
• No person shall be employed in the Customary Home Occupation who is not a permanent resident of the
dwelling unit. -
I,the undersigned, have read a agree i6th the above restrictions for my home occupation I aun registering.
Date:
Applicant:"
FJO111C0(..(10(- Rev.01/3/08
YOU WISH TO OPEN A BUSINESS?
For Your Information: Business Certificates COST,$30.00 for 4 years. A Business Certificate ONLY .REGISTERS YOUR NAME in the Town
(WHICH YOU MUST DO BY M.G.L:- it does not give you permission to operate). You must first obtain the necessary signatures on this form
at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1"-Fl.; 367 Main St., Hyannis, MA 02601(Town Hall).and get
the Business Certificate ,that is required by law.
, r
DATE:
f4 Fill in please:
" z ' APPLICANT'S YOUR NAME:
i. BUSINESS YOUR HOME ADDRESS:
SF TELEPHONE # Home Telephone Number: -ts�h
NAME OF NEW BUSINESS; TYPE OF BUSINESS. �
IS THIS A HOME OCCUPATION? !/ .YES NO
Have you been given approval from the building division? YES NO
ADDRESS OF BUSINESS i \ Sc�-���-\��;;� �� ���. MAP/PARCEL NUMBER
I ,
When starting a new business there are several things you must do in order.to be in. compliance with the rules and -regulations of the Town of
Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of
Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this
town.
l
7. BUILDING cotiy ssl'o ER'S oFFI MUST COMPLY WITH HOME OCCUPA
This individual hail infer ed f ny permi requirements that pertain to this type of business. TION
RULES AND REGULATIONS., FAILURE TO
Auth ed Signature** COMPLY MAY FICAULT IN FINES,
COMMENT
(�
t
2. BOARD OF HEALTH
This individual ha { e �in med of th �p mi tints that pertain to this type of business.HFui
Authorized 5' ture** 2 '
COMMENTS:
3. CONSUMER AFFAIRS (LICENSING AUTHORITY)
This individual has been informed of the licensing requirements that pertain to this type of business.
Authorized Signature**
COMMENTS:
t�9 �