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HomeMy WebLinkAbout0074 CLIFTON LANE o � � _� � � � .. �� -, '. �.. a - _ ��+y/.. "d: '� �• - �� �� �. ., .o oJ_ e ... .. ., ,. a ,� ti ` _ ,. _ .. c, - > _ '. _ v � .: .. i �. - e - ' y. ,. _ .: .. � - _ d .. -i � 4 . .. ,. � .. t _ _,. v- �. e w -. � .� a r - � - - - :. •� � �- �. - .. ., .o. .; � - s - e .. .. .. q. � - .. .. � 4 .. a .. _ .. ., .. '.. � �. c. .. s.. .. �- .. y . . ., ..: _ r ,. _ .. .�. � a _ -. _. e.V F . . o - - � .� .. �- - o .P ... �. , ., �. ;. � .. ,. .d�. y ., �� .. ., �� � t ,. � .: .. � �. o o 0 4 ... .. y .. Y :. � ., � _ Town of BarnstableBuildin 9 /.' r' J� • aPost This Card So That it�is VisibleTroni the Street Approved Plans Must be Retained on Job and fhis Card Must be Kept BA1777SCABLE. MAS& Posted UntilFinallnspection HasBeenMade 4 o Where a Certificate of Occupancy is Required,such Building shall Not be Occ pied until a Final Ir sbectioh has been made Permit Permit NO. B-19-3623 Applicant Name: STEVEN KADY Approvals Date Issued: 10/29/2019• Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 04/29/2020 Foundation: Location: 74 CLIFTON LANE,CENTERVILLE Map/Lot: 247-006 Zoning District: RB Sheathing: Owner on Record: MALLET,GRAHAM P TR Contractor,Narn.-, Z ;STEVEN-KADY Framing: 1 � "` 6 Address: 422 OLD CRAIGVILLE ROAD Contractor;License; 126014 2 WEST HYANNISPORT, MA 02672 Est:Project Cost: $4,900.00 Chimney: Description: Demo Chimmney and fireplace Permit— replace $85.00 Insulation: Project Review Req: Fee Paid:'' $85.00 Date.. 10/29/2019 Final: L ' 6 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 sizmonths afte�.issuance. io All work authorized by this permit conform to the approved applicatn and the:approved construction documerits for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and strfuctures shall be in compliance with the local zoning by laws;arid codes. This permit shall be displayed in a location clearly visible from access streei or,road and shall be maintained open for public mspectiori for the entire duration of the Final Gas: work until the completion of the same. I a p Electrical The Certificate of Occupancy will not be issued until all applicable signatures bythe8uildmg and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work Service: s x 1.Foundation or Footing a 2.Sheathing Inspection _ Rough: _„. 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 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 All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: ZNE Application ll ��—1 WS �► ��,J/ PP capon Number............................................................. BARNSTABLE. + *' d` 3 ' �i 05- C) MASS g OCI rPemut Fee...:..,................................Other Fee:....................... a639. 8 , 419 eb � ' Total Fee Paid. C TOWN OF BARNSTABLE Permit Approval by... ........:`.`.........— On...` ...�.9.. BUILDING PERMIT IInn Map. ...... .............................Parcel............�..n...V................... APPLICATION Section 1 —Owner's Information and Project Location - Project Address C I rTc�/ �/ Village CC�N V,OP Owners Name_ Owners Legal Address_ C�� City C6 te0lc State /"I Zip Owners Cell# 7 -313 1& E-mail C Ti G Section 2 —Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet Single/Two Family Dwelling Section 3 — Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment © Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation Other-Specify Section 4 -Work Description AN CV%tv T.ACt 1lndsitrvi- 11/1 in0l R Application Number.................................................... Section 5—Detail Cost of Proposed Construction 1�60 Square Footage of Project Age,of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom • i Water Supply ❑ Public 0 Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated: 11/15/2018 Application Number........................................... Section 9- Construction Supervisor Name 6h Telephone Number �6 3D 6 Q Address City rJ1hco"41 State }' Zip Q�S�/ License Number" License Type ;C S Expiration Date 16 3 2.c Contractors Email Cell # I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 78 an of Barnstable.Attach a copy of your license. Signature Date_ Section 10—Home Improvement Contractor Name Telephone Number 3�� -,S6 7 Address 661 City h O State Zip Registration Number `�Q (� Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the MassachusetqSUte Building Code. I understand the construction inspection procedures,specific inspections and documentation required y 7 Town of Barnstable.Attach a copy of your H.I.C�... Signature Date , (/e, Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number7 _ I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature Date Io —Z�'l� Print Name F1� Telephone Number����--�j��`jc7 �S 7 E-mail permit to: , CUB 0 swu k 0 Last wdated: 11/15/2018 Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ -' Conservation ❑ For commercial work,please take your plans directly to the fire department for approval, Section 113'— Owner's Authorization i I, , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of j ob) Signature of Owner date Print Name % . 4 Last updated: 11/15/2018 • s Commonwealth of Massachusetts i� Division of Professional Licensure �. Board of Building Regulations and Standards Constructi�o j k4"r Specialty CSSL-059847 s` I �ires: 10/03/2020 . STEVEN L KADY , PO BOX 493 i a� FALMOUTH M� 54� 3 Commissioner '1/epiYmiaeovzurea o�Cacfiivarl/a e of Con`sumw;Affairs&ti inass R,"99ulattoA. xt;HOMEIMPROVEMENT CONTRACTOR Ty plr zl0dividual Reaistratt�'F►` '�cniratliin .04/07/2020 STEVEN KADY STEVEN L.KADY, a -- v 10 ROCKLEDGE DR. N FALMOUTH'MA'0255 Undersecret Y f DATE(MMIDDIYYYY) AC CERTIFICATE OF LIABILITY INSURANCE 1 08121n019 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 policAles)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 endorsemen e). coNTA T r1830URNE R NA Mt Zachary TOneUO AY&MACDONALD INSURANCE SERVICES INC PHONE (508)280,4152 FAX No): noDaEss: za tiskadvice.com S AFFORDtNti COVERAGE NAIL S CARTHUR BLVD MA 02532 INSURER : TRAVELERS INDEMNITY CO OF AMERICA 25666 INSURED INSURERS: KADY STEVEN INSURER c: DBA STEVEN KADY 8t SON MASONRY CONSTRUCTION INSURERD: P O BOX 493 INSURER E FALMOUTH MA 025410493 INSURER F: COVERAGES CERTIFICATE NUMBER: 442050 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 13E 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. POLICY EFF POLICY ERP LIMITS - IN;SR - TYPE POLICY NUMBER MM1DD MIMID- _ OF INSURANCE COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE E CLAIMS-MADE OCCUR PREMISES aacaurenee $ MED EXP( one ) $ NIA PERSONAL&ADV INJURY S GENERAL AG $ GENL AGGREGATE LIMIT APPLIES PER: P�ICY PR LOC PRODUCTS-COMP/OP AGG E E OTHER: BIN SINGLEUMIT E AUTOMOBILE LIABILITY ffig deM BODILY INJURY(Per pemm) S ANY AUTO BODILY INJURY(Per accident) $ LO ED SCHEDULED NIA AUTOSNON OWNED PROPERdedDAMAGE $ HIRED AUTOS AUTOS $ EACH OCCURRENCE S UMBRELLA UAB OCCUR _ EXCESSUAB CLAIMS MADE N/A AGGREGATE E S rjEandaWry RETENTION S OMPENSATION X STATUTE ER* YERS'LIABILITY YIN E.L.EACH ACCIDENT $ 500,000 IETORIPARTNERlEXECUTIVE NIA NIA NIA SHU8931X732119 08I29/2019 08/29/2020 rAEMIEREXCLUDED? E.L.DISEASE-EA.EMPLOYE E 500,000 In NH)ibe under E L DISEASE-POLICYB S 50000 ON OF OPERATIONS below NIA DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Sdodulb.may be attached If more space is required) 181m5 for benefits t0 Workers•Compensation benefits will be paid to Massachusetts employees only.PUrsUard to Endorsement WC 20 03 DS B;no authorization is given to pay claims employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in ford on the.date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search toot at www.moss.govAwd/workers-wmpensationrinvestigationsi. Sole proprietor has not elected coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANYOF THE ABOVE DESCM13ED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE VaLL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of Barnstable 200 Main Street AUTHOR¢EDREPRESENTATIVE Hyannis MA 02601 .Daniel M.C Y.CPCU,Vice President—Residual Market—WCRIBMA @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD Town of Barnstable Building Department Services MRNSTMU& ' Brian Florence,CBO 1639. a Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, ( { i'f LC,� ,as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. S' ature of Owner Signature of Applicant Print Name Print Name Date Q:FORMS:OWNERPERMISSIONPOOLS Rev:08/16/17 The Commonwealth of Massachusetts Department of Industrial Accidents Of)7ce of Investigations 600 Washington Street Boston,MA 02111 wwM.massgov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organizationdividual): /In Address: I SqTi City/State/Zip: �t r � 0 Thone#• SA ,L S l.S Are YjAu an employer?Check the appropriate box: . Type of project(required): 1. I am a employer with' 4. I am a general contractor and I ❑ employees(full and/or part-time).* have hired the sub-contractors 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 working for me in any capacity. employees and have workers' 9. El Building addition [No workers'comp.insurance comp•insurance t 5. We are a corporation and its 10.❑Electrical repairs or additions required.] ❑ officers have exercised 1 L 3.El I am a homeowner doing all work h id their ❑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.[1 Other comp.insurance required.] *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. tContractors 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. . Y I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. �R S Insurance Company Name: Policy#or Self-ins.Lic.#: �R tiJ 1� �� Expiration Date: Job Site Address: �i `�" City/State/Zip: �t���'� 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. I do hereby certify under the p ' ery'ury that the information provided above is true and correct Signature: Date: Phone#• Z Oj,jwkd use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing 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#: I Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person id the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required" Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone numbers)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should writs"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Qfflee of Investigations 600 Washington Street Boston,MA 02111 - Tel.#617-727-4900 ext 406 or 1-877 MASSAM Revised 4-24-07 Fax#617-727-7749 www;m►aw.gov/dia