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Home My WebLink About0049 HUCKINS NECK ROAD �W 3, y�•,A�? 3 p �r.A t �Oi �, ,<:=:_ti r f h::._c '. ' ...� ,:- - .. / ((( F�� S(y'�R.�� 3 4 e �`�P• r��.. y" R^. fi ro Al , ,. � • .. . 'yl..:.:+!\4F .r t� ri �y+£a.a( ;.a V.,. 1 r.,.:-nK [ �' K� C.i, i4 !6x v ... .. P c+, • 4 F � c , r r • k A y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map dv5..� Parcel 01 3 _ `-- Application o/.:.:, Health Division Date Issued Conservation Division w - Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board alotl z. . U Historic - OKH _ Preservation/Hyannis � I 4. Project Street Address __L4 9 Rlh c k, 6 r1s Q(Pr,1r Z� Village - Ce trV I�I Owner obe(`-�- �e bol,R®A Address 9a 13 , �'� P 1 va rookl n NY Q r i— Telephone 1 - 4` " 0 3 6- .�5 Permit Request �� - 3 8 cdlAlase, -t,�_.L,P,®AII�c aU< (1 -i600A - +1 coge WA 5alf . v al �I--�►LO p ItJ ne oy%3 6,1 P n&AA wi+ ' Qxk i n.c,' �-O o • Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 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 (scpfG) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: _ existing _new XE: E Total Room Count (not including baths): existing new First Floor Room County Heat Type and Fuel: ❑ Gas Oil 0 Electric ❑ Other . `= u � e� 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 ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing. ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes Gti9 No If yes, site plan review# _Current Use - APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ,1 Itia�lY► Telephone Number Address 1 -int' License# � c kA Yoxfn0A- b 6 6 u Home Improvement Contractor# 1�_! 370 Worker's Compensation #` 33 IS O O ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO IYIDI&Ah SIGNATURE DATE ' FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO..--' ADDRESS T VILLAGE OWNER F E C DATE OF INSPECTION: .,FOUNDATION 3 FRAME INSULATION,_,'. FIREPLACE s - ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL a GAS:-- ��-- - ROUGH,,-. FINAL y 'BINAL BUILDING;-, f f - i _DATE CLOSED.OUT ASSOCIATION PLAN NO. i _ 7 - I ?"he Commonlvealth of Afassach usetts Departinent of Industrial Accidents Office oflnvgstigations 600 Washington Street Boston, MA 02111 www.nwss.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leeibly SName(Business/Organization/Individual): G. Address: D R m illfti an Nvefikt City/State/Zip:s 0%*- + 1 oael'n puA, MR Oa6W Phone 0 3 4 g Are you an employer?Check the appropriate box: Type of project(required): L& I am a employer with 3 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 s. 0 Demolition working for me in:any capacity. employees and have workers' 9. Building addition [No workers'comp.insurance comp.insurance.: n 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 I I.❑Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12.Q Roof repairs insurance required.]fi P � c. 152,§1(4),and we have no employees.[No workers' 13.X Other 1'n S UK,& i on 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. '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. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: -T e0�n o l o �n S v�•-an ce G n Policy#or Self-ins.Lic.#: T W C 3 313 Expiration Date: Ll 19 ! 13 ' Job Site Address:_ Q � ��(`, t n 1 I ' C'G r. 1� City/State/Zip: I 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 Investiiiations of the PIA for insurance coverage verification. I do hereby certify under thepains andpenalties ofperjury that the information provided above is true and correct. Sienature: Date: _ Phone 4: Q Official use only. Do not write in this area,to be completed by city or town of City or Town: Permit/License R 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#: YYYl AC CERTIFICATE OF LIABILITY INSURANCE 5iio�of THIS,CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CgRTIFICATE 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). PRODUCER CAE CT Risk Strategies Company. Risk Strategies Company PHONE (781)986-4400 AIC o_.(781)963-4420 15 Pacella Park Drive A DRL Suite 240 a INSURERS AFFORDING COVERAGE tmc# Randolph MA 02368 1 INSURERA:Selective Insurance INSURED INSURERB:Safety Insurance Company 3618 Cape Save, Inc INSURER C-Technology Insurance C2ppApy 7 D Huntington Ave INSURER D: - INSURER E: South Yarmouth MA 02644 1 INSURERF: 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 NTH 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 I TYPE OF INSURANCE POLICY NUMBER POLICY Y EFF MM/DD P LIMITS LTR _ GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 TO X COMMERCIAL GENERAL LIABILITY PREMISES Ea oNcu r c $ 100,000 A CLAIMS-MADE a OCCUR PPS1994480 0/16/2011 0/16/2012 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $ 2,000,000 R PRO $POLICY LOC AUTOMOBILE LIABILITY EaMBIN acdde�ntSINGLE L 1,000,000 ANY AUTO BODILY INJURY(Per person) $ B ALL OWNED SCHEDULED 6209200 1/6/2011 1/6/2012 BODILY INJURY(Per accident) $ AUTOS AUTOS ; NON-OWNED r_ PROPERTY DAMAGE $ X HIRED AUTOS X AUTOS Per den X Underinsured motorist BI split $ 100 000 X UMBRELLA LIAR - OCCUR EACH OCCURRENCE $ 2,000,000 A EXCESS LIAR CLAIMS-MADE AGGREGATE $ 2,000,000 DED RETENTION$ FPS1994490 0/16/2011 O/16/2012 $ C WORKERS COMPENSATION *_ 8 WC STATU OTH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE a NIA A E.L.EACH ACCIDENT $ 500 OOO OFFICERIMEMBER EXCLUDED? C3318007 /9/2012 /9/2013 (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 500 000 If yes,desarbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMB $ 500,00 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 PO BOX 427/.SCH AUTHORIZED REPRESENTATIVE 3195 Main Street Barnstable MA 02630 r Michael Christian/BM ACORD 25(2010/05) 01988-2010 ACORD CORPORATION. All rights(reserved. INS025 r7nim-;i ni Tho ACrion namo and Innn aro►nniatarorl marlre of arnb 1 r "htssachusetts- Department of Public Safety 9. Board of Building Regulations and Standards Construction Supervisor Specialty License License: CS SL 102776 Restricted to: IC WIL-LIAM MC CLUSKY 37 NAUSET ROAD WEST YARMOUTH, MA 02673 Expiration: 6l2812013 ('mnnisiun�r Tr=: 102776 - CA Office of Consumer Affairs and usiness Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration = - = -_ Reqistration: 171380 R - Type: Corporation r -- Expiration: 3/14/2014 Tr# 222184 CAPE SAVE INC. WILLIAM MCCLUSKEY - 7-D HUNTINGTON AVENUE SOUTH YARMOUTH, MA 02664 = M - Update Address and return card.Mark reason for.change. 7.Address 17 Renewal Ej Employment (1 Lost Card PS-GA1 oa 5OM-04/04-G101216 V Consumer Affairs &i Vsi,ess Regulation License or re istration valid for individul use only • `�, Office of Consumer Atfairs&Bdsines Regulation g HOME IMPROVEMENT CONTRACTOR P before the expiration date. If found return to: Registration: 171380 Type: Office of Consumer Affairs and Business Regulation Expiration: 3114/2014 Corporation 10 Park Plaza--Suite 5170 Boston,MA 02116 CA SAVE INC.',_-•`_ __. WI.LLIAM McCLUSk6- - i 7-D HUNTINGTON AVENUE SOUTH YARMOUTM MA026ti4`' Undersecretary Not valid wit o signs 11. For breach of this Agreement by the Property Owner,the Property Owner shall reimburse the Agency in an amount equal to the cost, as certified by the Agency, of the Weatherization materials installed and labor performed on the premises, as well as attorney's fee and court costs. The Property Owner may also be liable for damages to the Tenant in accordance with applicable law, in such.instance,the Property Owner shall reimburse the Tenant for attorney's fees and court costs. Without limiting the foregoing,the Agency may at its option terminate this Agreement, by providing written notice to-the " Property Owner and Tenant, in the event of breach by the Property Owner or Tenant.. 12. Performance of the Weatherization work hereunder by the Agency is contingent upon the availability of funds to the Agency from the commonwealth of Massachusetts and the federal government,as well as the eligibility of the Tenant under WAP program requirements. The Agency may terminate this Agreement, by providing written notice to the Property Owner and Tenant, if the Agency determines that the unavailability of funds or' , if a Tenant warrants termination. 13. The Parties acknowledge that this Agreement is under seal. It is intended by the.Parties that the Tenant or any successor Tenant is the intended.beneficiary of the Agreement and shall have a right of enforcement 13ef / a�re `7l&'-- KO L �e Address: 7 Tenant Signature Date Agency Approved Weatherizabon Company All Cape E gy. Caliber Building &Remodeling Cape Cod Insulation ape Save rontier Energy Solutions LohrB Sons Resolution Energy Agency Signature Date ' � 3l2 s1�3 Cape Save Inc. TOWN OF BARN T 7-1) Huntington Avenue South Yarmouth, MA 01 'fiflt; 22 p:"° 11: - Tel: 508-398-0398 Fax: 508-398-0399 . ISSION 06/30/12 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 49 Huckins Neck Road,Centerville has been inspected by a certified Building Performance Institute(BPI)Inspector. Ceiling: R-38 cellulose All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey . t r L SUBJECT: f Mr,Albert E,Horsley 49 Huckins Neck Road Centerville,MA 02632 Permit #10019 •C-KrvT'%^ C-en-l-^v^Vi Jf<?I J TOWN OF BARNSTABLE BUILDING DEPARTMENT 367 MAIN STREET HYANNIS,MA 02eW Phone:775-1120 December 29,1983 MESSAGE Town of Bamstable Building Permit #10019 dated August 10,1965 was issued^ for a garage addition.The zoning sideline requirement was 10*.The permit was issued in accordance with the zcxiing in effect at that tiine. REPLY leph D.DaLuz Building Cannissioner RECIPIENT:RETAIN WHITE COPY.RETURN PINK COPY PRINTED IN U.S.A SENDER:SNAP OUT YELLOW COPY ONLY.SEND WHtTE AND PINK COPIES WITH CARBON INTACT.