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HomeMy WebLinkAbout0048 VALLEY BROOK ROAD �� ��1 �e � � ����, , . v � ,. e � - u '� _ ' n 'I ^ - f i I ,. � a ,. � i a -. � � .. � a tl _ _ � .. � �! .. � - - o - .: � � .. �� .. - o. - - .. - _ .., o 6 i e - -. ,. Cape Save Inc. TOWN OF BARNST ;F. 7-D Huntington Avenue South Yarmouth, MA 02_1f6;4 jjjq {? _e Tel: 508-398-0398 Fag: 508-398-0399 DIV Sg ,. _u 5/15/12 f 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 48 Valley Brook Road, Centerville has been inspected by a certified Building Performance Institute(BPI) Inspector Ceiling: R-30 cellulose All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map g Parcel 6 0 Application # Health Division + Date Issued ?J� Conservation Division ' ..Application Fee Planning Dept. Permit Fee q Date Definitive Plan Approved by Planning Board 03011OIX Historic - OKH _ Preservation / Hyannis Project Street Address 4 % V a.I I 91 1�coo =- d Village CO-A7�110Y;ll e Owner Clrorl R ders0n _Address Telephone '�o ' 4 S H 6 Permit Request sue°. --o 4,e s.4ic 4ctreaje A,�i';c J'en- ' ; A cfle with So��t ye.A-6 . ��� 5ea� �asernen� An� CAI C plane w��� expand► -�-ao�,M► Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District -Flood Plain _Groundwater Overlay Project Valuationtoo Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attac pportin dodgentation. Dwelling Type: Single Family ' Two Family ❑ Multi-Family (# units) Age of Existing Structure 8 _ Historic House: ❑Yes ❑ No On Old King' HighwaZ ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.�)_ T Number of Baths: Full: existing new Half: existing ne Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: V'Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes XNo 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 19(No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) - - p �a� - 34g3�Name _ w '11 I C Telephone Number Address TIC � �i 0 ��P,H License # C ,50w_rth f_CYPU�� o� Home Improvement Contractor# L' - Worker's Compensation # —mr_ a g T l T y ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE � DATE `t ti s ` FOR OFFICIAL USE ONLY ARPLICATION# _ DATE ISSUED ; MAP/PARCEL NO. F _ ADDRESS VILLAGE- IY OWNER" r _ `> DATE OF INSPECTION: FOUNDATION 'r FRAME INSULATION FIREPLACE i ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL c , 4 GAS: _ ROUGH FINAL FINAL-BUILDING 4 - DATE CLOSED OUT ti ASSOCIATION PLAN NO: f Y 460 West Main Street OUSING L: Hyannis, AAA 02601-3698 S S I S TANCE ENERGY & HOME REPA i R T (508) 790-7106 F (508) 790- CRPORAT_TON 2425 HOME OWNER WEATHERIZATION WORK PERMIT& FUEL RELEASE: r*0U RE i tLv THEAPPLICANT HOMEOWNER. 1' consent to and agree that weatherization work maybe done by' a Weatherization Program of Housing Assistance Corporation ( herein after referred as "Agency") on thep operty located at: I ren if The weatherization work done will be based on programmatic priorities and-availability of funding and it may include all or some of the following measures: Weather-stripping& caulking of windows and doors, insulation of attics, sidewalls& basements, attic and other ventilation measures and possibly replacement of badly deteriorated windows` In consideration of theweatherization work to bedoneat my home I agreeto thefollowing: 1. 1 give permissi onto the"Agency" its agents and employees to travel onto or across said property with such equipment and materials as may be necessary to perform weatherization work on said property. 2. The Housing Assistance Corporation reservesthe right to inspect thefuel or utility bill for the weatherized unit on an ongoing basisfor no morethan five(5) years after theweatherization work is completed. I have read the provisions of this agreement as listed and freely give my consent. Home Owner: Sf natur Data 1 Agent: (signature) Date HAC approved Weatherization Company : ft 10 S�v�, AR Cape Energy, Caliber Building&Remodeling, Cape Cod Insulation, Cape Save, reswell Construction, Frontier Energy Solutions, Lohr&Sons, Peter Smith, Resolution Energy, Rock Solid Construction CAPE SAVE. e weat4erization , .-508-398-0398 august 22, 2010 To Whom it May Concern: William J. McCluskey is an employQe of Cape Save. He is authorized to negotiate contracts and building-permits for our.company. t Michael McCluskey Cape Save—owner 333-s93-5939 cell s X Huntington-Avenue,Soutfi Yarmouth,MA 026" f ~ The Commonwealth of Massachusetts ' Department of Industrial Accidents ' Office of Investigations r 600 Washington Street Boston,MA-02111 www.mass go&a Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Anpllcaut Information Please Print Legibly Name(Business/Organizatiowbdividual) AA 10. ; . Yy1 1;ZA.y a4 bl e(A: ewe Address: _AL' 4 a njco'fD _ City/State/Zip: Yf4AM_oqn� A 67,U one#: 3 �- Are you.sn-employer?Check the appropriate box: Type of_project(required.): 1.[ .1 am a employer with 1 I 4: ❑.I am'a,general contractor and I s Have l ired:thc sub-contractors 6: ❑.New construction. employees(full and/or.pari-time). - 2.0 1 am a sole proprietor or partner= listed on the attached.sheet. 7. 0 Remodeling ship and have.no employees . These sub-contractors.have g. _Demolition working forme.in any capacity. • employees and have workers' 9. Building addition [No workers' cotiip.insurance comp,insurance.* required,) 5: ❑ We are a corporation and its 10.Q Electrical repairs or additions 3.0!1 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 Q Roof repairs insurance required.]t c 152,§1(4);aiid we have no ® 1 sQ(� employees.[No workers' 13. OthcrSn �t comp. insurance required.} ;Any applicant that checks box#1 must also fill out the section below showing:their workers'compensation policy inform atioti. t Homeowners who submit this affidavit indicatingthey are doing all work and then hire outside contractors must submit a new affidavit indicating such. omg tGontractors 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-mutractors have employees,they.must provide their workers'comp.policy number. I alp an employer that is providing workers'compensation.insurance for my employees.. Below is thepolicy andlob site. information. `Insurance Company Name: I o a V -L T nS f_kn Corn DOLO Policy#or Self-ins.Lic:#: T W C.3 a, 9. Expiration:Date•._. 1 0 1 k 0 I 0 i Job Site Address:. - BV. City/State&ip: :�e q,' rr►.Ili l'll 1 Attach a copy of the workers'comp 61 nation poricy declaration psge(showing the_policy number and exoiratiowdate). . 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 t1,500.00 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 ofth is statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. ' I do hereby certify under the patios d aloes erjury that the.fnformation provided above is true and correct S' lure: r Date: Phone#: 1 3:S t- a�� g Officiatuse only. Da not write in-this area,to be completed by city or town official. City or.Town: Permit/Licease# Issuing Authority(circle one): 1:.Board of Health 2..Building=Department 3.City/Tovvn Clerk 4.Electrical Inspector 5.Plumbing haspeetor 6.Other Contact Person:. . Phone#. �® DATE(MMIDDIYYY1) A CERTIFICATE OF LIABILITY INSURANCE 10/20/2011 THIS 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 BOLOW. 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 CONTNAMEACT Shannon sperrazza Risk Strategies Company PHONE (781)986-4400 I (781)963-4420 IAI No: ML 15 Pacella Park Drive E DRES :sspezrazza@risk-strategies.com Suite 240 INSURERS AFFORDING COVERAGE NAIC# Randolph MA 02368 - INSURERA:Selective Insurance INSURED INSURERB:Safety Insurance Company 33618 Michael.McCluskey, DBA: Cape Save INSURER C-.TechnologyInsurance Company 7 C Huntington Ave INSURER 0: INSURER E: South Yarmouth MA 02644 INSURER F: COVERAGES CERTIFICATE NUMBER:CL11102041451 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. INSR TYPE OF INSURANCE A POLICYNUMBER MM DD- POLICY EFF PMIDDfYYYY LIMITS L R GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) $ 100,000 A CLAIMS-MADE X❑OCCUR . PPS199448Q 0/16/2011 0/16/2012 MED EXP(Any one person) $ 10,000 PERSONAL BADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,0001 X POLICY PRO- LOC $ AUTOMOBILE LIABILITY (Ea COMBINED INGL LIMIT 11000,000 ANY AUTO r BODILY INJURY(Per person) $ B ALL OWNED SCHEDULED 6208200 1/6/2011 1/6/2012 BODILY INJURY(Per accident) $, AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $X HIRED AUTOS nt X AUTOS P acci e X Underinsured motorist BI split $100000 300000 X UMBRELLA LIAB X OCCUR PPS1994480 0/16/2011 0/16/2012 EACH OCCURRENCE $ 1,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $ 1,000,000 DED RETENTION$ $ TH- C WORKERS COMPENSATION Executive excluded X WC IIMIT FR AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE Y/N from coverage E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBEREXCLUDED? a NIA C3297972. 0/21/2011 0/21/2012 (Mandatory In NH) E.L.DISEASE-EA EMPLOYER$ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 506,000 DESCRIPTION OF OPERATIONS I LOCATIONS;VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required)) Issued as evidence of insurance. National Grid Corporate Services LLC d/b/a National Grid, d/b/a Boston Gas Company, d/b/a Essex Gas Company, Action Inc. , and Housing Assistance Corporation are listed as additional insureds as respects General Liability as required by written contract. CERTIFICATE HOLDER CANCELLATION (508)790-2425 6 - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Housing Assistance Corp ACCORDANCE WITH THE POLICY PROVISIONS. 484 Main Street Hyannis, MA 02601-3698 AUTHORIZED REPRESENTATIVE " Michael Christian/SMSy� ACORD 26(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. 1NSn25r5-mnn5tm Thu artrion name onri Innn 2m mnia4unarf m=rka of Arnon �V 64 O c onsumer A air and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 021.16 . .Home Improvement;;Contractor Registration s. Registration: 164432 = Tvpe: Supplement Card CAPE SAVE Expiration: 10/6r2013 WILLIAM McCLUSKEY 8201 S. HOURD CT CHAPEL HILL, NC 27516 _ Update Address and return card.Mark reason for change. i` Address Renewal Employment 1 Lost Card PS-CAI 0 50M-04104-G101216 ` ✓fze Tlo�n��ton[ueal� m�✓��a�a�u6eCt6 _. -- . .- . .... . . .>._ .. �L\ Office of Consumer Affairs&Business Regulation: License or registration valid for indivldul use only _ fiOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to- . I} Office of Consumer Affairs and Business Regulation _ Registration 1gg432 Type: 10 Park Plaza-Suite 5170 <4 Expiration_ 16762013 Supplement Card Boston,MA 02116 CAPE SAVE _ WILLIAM McCLUSKEX 7C HUNTING AVE_.- S.YARMOUTH MA 02664 Undersecretary Not valid without ' nature .>`�. Massachusetts- Department of PUI)Iic Safety c Boartl•of Buildin- - „ Regulations and Standards Construciion'Supervisor Specialty License License: CS SL 102776 Restricted to IC ' ` . WIL,LIAM MC CLUSKI( ' 37 NAUSET WEST YARMOUTHC MA 02673 Expiration: 6/26/2013 ("+nroiussioncr f 'Tr=: 102776 :. n ss asor's map and lotnn mbar ; � � �L Q a �� y0f THE TO Sewage .Permit number ... _ .....d.Gf... .................. . / �tg2 .tIZEFTIC SYSTEM -MUST 48 � BABd9TSHL i House number .............. .... ` ... ���STA L »E � � + rAsa Qs�� �. 4bs,1639. 00 WITH TITLE 6 TO F _. N O =R2A�� RUI��LDIHG IHSPEGTOR APPLICATION FOR PERMIT TO .!.... . ?.� �rcv.G�r 10S. ..(u .. ......................................... TYPE OF CONSTRUCTIOWM . .. C c1 OCtYI .................................. ............................... , a s F .:C.........�...............1.9....T {, TO THE_INSPECTOR`OF BUILDINGS.,,:.' f I The undersigned hereby.appl es or permit according Jo' the following information: Location .......:.... ..... ..... ..... v.... ........ ..... . .. ... . �..r� Proposed Use ...... ........� ..: .:.... ........ .......................... ....... ............... Zoning District :� �' Fire District ` .' 3 9 ......... ...... ......... .................................. Name-of Owner .... allYl ..... ...... a "`.......Address ............. :S.T.. " .................... Name of Builder' . . 1G1�"�°1P ✓.. .. . : !. .......Address ............................... Name of Architect ... .. ....... ... ....................Address ....... ........ Number of Rooms .........;. ........ foundation ...... ..... ..... ........ W. Exterior ... \. .�..1f��.r .. .....: .... ...:GS.............Ro�fing : :�. ��� ...... .�` .�................................ f�L , ` +� f Floors ......I � �7......... ..::!?``` .......... . .......Ihterior ......... ........... Heating ............ '...............................:Plumbing ....:...... !'?. .:..... �.. Fireplace :............. ` ........ ......... ...........°...................Approximate. Cast,... t. .. Definitive Plan Approved by,Planning Board ---- -- ---- -19 ---- {q red ......... . ... ...... .,.. Diagram of Lot and Building witfi 13imensians . , Fee .................. .. tkB1ECT TO hPPR'OVAC OF BOARD OF HEALTH I xevl OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... � .... ......2 .'V............................ j SMITH,". JAMES K. -, j ..,_� . ' ._ � �-:,� _ - _�;�-� �'.,x: �� �� F. 5 f kv -- •-?'�`i• ' s • v= } 24359 One Story 0 o ...........:.. Permit for . :. . Family.. Dwell n - Single Y . . Location ...14Ot , 2§.. •48 Val1 yb ook RQad C� � vi�le .......... �- James K. Smith ._ caner ... ..................... .......... ......... ................ Frame Type.of Construction ............................ .............. _ \ r Plot Lot . ............................ { _ ..... .. September, 9", 82 Permit Granted ....................................... .19 Date of Inspection *. .... . 19 'Date Completed �P `ft✓f .... ...... 9 1 ` llJ�J L- * ".SlwGt� FAM��Y - � BEORooM - pA1l.\( FLOW s_Ito Y. 3 = .. 330'6.PP, r .. 5EPT1G TANK.' 330x15o'h ��`9 SG.P�. ,t: � M . � r 0%,s D§AL PIT V 5E t a 0 2d, 5 � i t- 50TTOM ARE.Ar` YO-4F. �' 1• c AAF�) Poor :. -ToTa�:. o>iStGN * :¢2�j r. •ToTA%- TEA►I L.%( ,.,PEQcoLATION RATE i I IN VAIN P L ol F41 ALA l/T7�RD Y, A. BAXTE.R ' .19 JO Na-24048( L . . MO V w k F Y sj���\ - a bNA EM - ` I FlHV-P a�•o „ ZIMVA-low/ {oc� l l 0 Ny. .. . , � ,a2G _ TANK PIT'Wmmso ~S.. • I •. CC''t� 6TvN6 �, r CER.T►FtGp PL-. 7, 1- P.R:O F I L L ' L o t 4-t oil R.vl�L.d y,. No 5CA►L.E SC-ALM "Ca• LQ:; ..A`TE . � �ld SL F EVEN GE . cE RTLFY -tAT THU Fovgra-AT C4, SK' y4w N AWPw W SE'c ►G1G R.6Q�IR.EMG.NT�. c��'tNE ' ` ' 1 v , ' N OF I4TAAI$; ANv t ' • �/'' t LOGp.TED •WITHIN VA F ooD .P.Lta.IN DATE •14' ', �d ' '%zi P'11Jp fir THIS. PLQ�, t NOT ow A osTG VILt..E !�`+S• uMaNT. Su;�2.Vt=Y 'TNE oFP5ET5 Suout� NazL.lr1E.45 APPL:.IG�.�,I'r' 9� TOWN OF BARNSTABLE permit No, 24359 Bu j1din Inspector ameTA - ._ Cash - -Q--- -- rua 7l '6y9.a� �ooa< a OCCUPANCY PERMIT Bond l/ } Issued to James K. Smith Address lot 0-6 49 tlq l-1 pv'nrrr,nk. Rrmd. rs-"t-pviri 11 P Wiring Inspector �s9F'i� Inspection dater/ Plumbing Inspector ✓� � — Inspection date 0 Inspection date Gas Inspector i1 Q,C' rn " Carl e /Engineering Departments! In date Board of Health ! Lf�<9 ( Inspection dale/,* 4 ` f t - 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ...... ...................... ....... ........ Building Inspector r Assessor's-map and lot nuebe ......., !. (; _ b� THE p�S Sewage Permit number ....r`2.'.-�G'.f..........................:. ?011f w'�Q ���► BARd9TAX i House number rasa ...................................., 7� 039. TOWN OF BARNSTABLE BUILDINGINSPECTOR ........ APPLICATION FOR PERMIT TO ..� . . .......... ......................................... TYPE OF CONSTRUCTION y,��J4 f CJI(Yt ...•.................................................................... ....................... ........ . . .................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......... .`? ........ ?.....'�e��� 1 '('` :.......... A............� Ct . .a .!A ....................................... Proposed Use �. e �,... ..... .... ...... .... Zoning District .... ...........................Fire District .......... ..................................... Name of Owner .... .. .......Address �......... ; 1 .S............... .k. -...................... Name of Builder. ..... r_ Gi :r1. '•?...... ... 1!. .......Address ............. E t1.. .. ....�. _........................ Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .................. .............................................Foundation ....... y}.f„t ..�.. ....... - ?f!.. .Q ........ Exterior ... .. ............... .........................Roofing .................2.c? Ca Floors ......t.N)(AA .. .............................Interior ............ .............................. Heating ....... .6:'-...............� "A................................Plumbing ................��........�„C.,. ..................................... Fireplace ............... `" ... w.............................................Approximate Cost ...... .b.U .................................... Definitive Plan Approved by Planning Board -----------____-_---------19 . Area .......................................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH r OCCUPANCY PERMITS REQUIRED FOR. NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. jet,!'�at2 '.... ...... .. �`.................... id 104- SMITH, JAMES K. 0 ft I No ..... Permit for On I e Sto ...................... .............. Singjq�..gamij_v ' w i 11i / .............. ........ .1........ ......... ­............. Location ....L Qt...A.Z.6a.14AI... ... .....y.j?.4;oqk Rd. Centeryl le .....................................I ................... v................... - � l James J. Smit Owner .........................14........Fram.ie...... ...................... Type of Construction ................ ......................... ................................................i.... ...... ................... Plot ........................... Lot ... .................... S p r 9, 82 Permit Granted ........ ............ ...............19 Date of Inspection .. ...............11. .................19 Date Completed ... .............. .................19 3 �,