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HomeMy WebLinkAbout0011 WESTBURY WAY / l�cJealbu�� G��' 03: Bad R!'1 TAID, CAPE COD T INS U L A T I O'N t MER GLASS SEAMLESS SPRATEOAM SUSPENDED '"• "Y"""� P BATTS GUTTERS INSULATION CEKIN05 ` t 1-800-696-6611 Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA-102601 E Date: Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation,Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit f application.All work has been inspected by a certified Building Performance Institute 0 (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements.. 't Property Owner Property Address Village P Insulation Installed: Fiberglass'• Cellulose R-Value Restricted Unrestricted Ceilings (X) ' Slopes ( ) ( ) ( ) ( ) ( ) Floors I�JI� S ( o Walls ( ). ( x) ( V3) (X) ( ) S' rely � . H y C sid Jr, esident C pe Cod sulation, Inc. Y/ . TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 2�l Map Parcel \ -Application'# Health Division Date Issued Conservation Division Application Fe Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board pW Historic - OKH _ Preservation / Hyannis Project Street Address Village C 0A-0;� 11 Owner INS,Ac- q Address COLA- MIS Telephone / Permit Request l e�A- �erw� ,`dam-� `�cQ� k u Cell"lose 46 -,Axc L64 o'-k°( Cam•to S,�` 1111�c \�c lk plow e LA Square feet: 1 st floor: existing proposed 2nd floor: existing proposed- Total newer Zoning District Flood Plain Groundwater Overlay Z!, Project Valuation 7S S OU 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 lci- 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(sq.ft) 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 ❑ 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 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name C► keQ- C cxQ n�Su��'}10� Telephone Number 50$- ?7 S_ 1 '21 y Address y s S y �' '2� License # 100 9 gT_ 4 /j 4o-Li rS w\A-• 0`;-6 0 l Home Improvement Contractor# Worker's Compensation # G(/C4 00So�-�90 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# '. DATE ISSUED MAP/PARCEL N0. ' ADDRESS VILLAGE • t W OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING _ s DATE CLOSED OUT ASSOCIATION PLAN NO. J 1 f s� Th m .e,Conionwealth of Massachusetts Department of Industrial Accidents l._ r' stigations Office of Inve 600 Washington Street t Boston, MA OZIZI s www.rnass.gov/dia ansiPlumbers Workers' Compensation Insurance Affidavit: Builders/Contractors/1;I Ple stri le Print Legibly Applicant Information Name (BusinesslOrganization/Individual): st Address: r City/State/Zip: t �- Phone #: ro -71 S Ar ou an employer?-Check th appropriate box: Type of project(required): 1. I am a employer with 4. ❑ I am a general contractor and I .6. ❑New construction .-,. * have hired the sub-contractors.. employees'(full and/or part-time). listed on the attached sheet, 7. Remodeling 2.❑ I ship a sole have proprietor-orpartner- These sub-contractors have g, (� Demolition ship and have no employees working for mein any capacity.' employees and have workers q ❑ Building addition comp insurance-1 No workers' comp. insurance 10.0 Electrical repairs or additions required.] 5. ❑ We are a corporation and its re 3.❑ 1 qu a homeowner.doing all work , officers have exercised their _ 11.❑ Plumbing repairs or additions right of exemption per MGL 12.❑ Roof repairs myself. [No workers' comp. insurance required.] t c. 152, §1(4), and we have no employees. [No workers' l3,❑ Otherl,nOn.�L�w �A t 0 comp. insurance required.] Any applicant that checks box#) must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they arc 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•employecs,they must provide their workers'comp.policy number. I am an employer that is providing workers' compensation insurance for illy employees. Below is the policy and job site information. elrt Co Insurance Company Name: -1 // Policy#or Self ins, Lic #; ' Expiration Date: �O 3G Job Site Address: 11 W w City/State/Zip:C040.� ,nn'(�• e�1to'3J 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. Ldo hereby certify to e pa and penalties cf perjury that the information provided above is trite and correct. Date: Si nature; / Phone#: 70fficialonly. Do not write in this area, to be completed by city or town offciaL n; Permit/License# Issuing Authority (circle one): 1. Board of Health Z. Building Department 3. City/Town Clerk Electrical In S. Plumbing Inspector 6. Other Contact Person: -Phone#: r . KOQ015 e. Gray ln: ['.'LUU; UO' Client#: 4597 CCINSUL ;> C� ' N C ERTIFICJ TE.OF LIABILITY INSURANCE LATE(IV MIUUIYYYY, THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE C 0 112712010 DER.TH CERTIFICATE DOESAOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POL C ESIS BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IIAPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)mustbe endorsed.lf SUBROGATION IS WAIVED,subject to ce terms and ler if'lions of the policy,cefemenn policies may,equire an endorsement.A statement on this Certificate does not confer rights tU the certifira(e holder in liau of SUCK endorsement(s). PRODUCER N?L1I� Margaret Young Rogers 8,Gray In,.. -So, Dennis .--.......—_._---.------_(FAIC,N........__._... ..._._. PHONE 508-760-4602 II - 434 Route 134 A;c.Naay,L AIc,No EMAIL ._ ._._..__..__..._..1L._,.�5.._._...................... P.0.Box 1601 ADDRESS: — - _._._ South Dannis, MA 02660-1601 RDDUCE --- ---•_.._.._____.-- CUSTOMER lO a: UJSUReD _ - INSURERS)AFFORDING COVERAGE NAIC A _ Cape Cod Insulation Inc INSURER A:Peerless Insurance 465 Yarmouth Road INSURER a:Ohio Casualty Insurance Com an p� y Hyannis, MA 02601 INSURER C:Atlantic Charter Ins urance --_--" OI11rllerCe In Company 34754 INSURER I) C : .. INSURER E: COVERAGES INSURER F: --'------- CERTIFICATE NUMBER: REVISION NUMBER: THIS 1c;TL)CERl'G Y THAT I'HE POLICIES OF IN!: ' :NCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATII 1\101'Jh'ITHS'rA4OING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH PHIS (:ER"I'Glt;iil'E MAY BE IS51JED OFR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. CxCt.u;ili?Iv2 ANDIT CONDITIONS nF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TN i'fYE OF INSURANCE NSR VO OLICV EFF POUCY EXP GENERALUASILrry POUCY NUMBER imun0/YYYY MMIDDIYYYY LIMITS A CBP8263063 4101/2010 0410112011 EncH occul,RrNct- $1.000 000 _ i:OM Ki;M1II irVl IY NL.KAL.t.lAllll_I IY' DAMAGE -N I0 _� PREMISES l:a nfxunrnus� $100 Q00__.J t:uuMS nv1)Jr,- - — - — MID EXP(Any utw Iwnon) $5,000 PERSONAL&Ar)V INJURY $1,000,000 UI N'1 ltl ....". GENERAL AGGREGATE $2,000,000 .iCi i .(I/il t l Irvlll'AI'I'UI.4i I'1.'R � '— '----�-- — - —.._.. l uCY I I'KCI PRODUCTS•COMNION AG(. $2 OOO,OOO L(.)C p AUI'OIVIUtlIIE LIABILITY f IOMMBCKVMK 4101/2010 04101/2011 COMBINt:D SINGLE LIMIT MN AUIW ' (Ea ar.udwt) $1 000000 _ Al l OVVNIA)At IIOa i UOUIL.Y INJURY(I'el pees n) $ x SCI II-oul r I).tl I I r I;i BODILY INJURY(Par a(.*r.i N) $ X PROPERTY DAINAGtL .. $ (Peracdaenq X NLIN UVv'NI1.1 Al)l(ly _.._..._._...... - $ B UPIRMLLIA LIAR $ N7(11CAI1,LIWljl- �[.�Ilvt'i cu MEYAPP397725 6117/2010 04/01/2011 EACH OCCURRII $1 OUQ,000 - EXCESS LIAtl - AGGREGATE. $1 UOO OLIO liLlilll:I Jill E ''----.t..._..._.._....---• L WORFER$COMPENSATION ' $ ANU ErdeLOYERS'UAa1LITY YIN WCAU0525901 613012010 06/3012011 X WC SI ;ru� nn•I AriY PRin'RR.IUKn'AKINL-WExECU I IVr - - '1=....._....._.._..........___.........__. UI1 iCL:WPJt MUL-K LXCLUDLU9 r N� NIA y III NEI) E.L.[:ACI.IACCIDL•',N1 $500,000 (ML mialuf _ - - u Yw Jluxnbu I,uum E L.DISEASE''-EA L'-MPI.OYCE $500,000 I)ESCft�l'IIl1NtkOI1-KAI'ION5Uuklw E L.DISEASE•POI.ICY LIMIT $500,000 DESCRIPTION Ui Ot'EKATIONS I LOCATIONS I VEHICLES(Attu cn ACORO 701,Additional Romarks Sonztlulu,C mofv space is ruquvoJ7) Workers Cornp Information Included Officers or Proprietors (Sea Attached Descriptions) -ERTIFICA'fE HOLDER CANCELLATION 10 Days for Non-Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DEOVEREDIN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE - - CORD 25(2009/09 1 9 01988-2009 ACORD CORPORATION.All rights reserved. of 2 The ACORD In and logo are registered marks of ACORD #S548141M53353 MEY J1C ulte 5170 10 Park Plaza - S Boston,Massachusetts 02116 or Reglstra tion Home Improvement CPA , act ":; ` Registration: 153567 Type: Private corporation -. Expiration: 12/15/2012 Tr# 206433 CAPE COD INSULATION, INC HENRY CASSIDY --- 455 YARMOUTH RD. HYANNIS, MA 02601 Update Address and return card.Mark reason for change. Address U Renewal Employment Lost Card t • ;_CAI r, 5om-04104-GIO1216 License or registration valid for irdividu!use on!y Office o1wmer Affairs us ne Kegul tion before the expiration date. if-found return to- HOMx office of Consumer Affairs and Business Regulation Type:YP Suite 5170 1- JO Registration: 153567 10 Park Plaza-Su Private Corporation Boston,MA 02116 Expiration: 1.y15/2012 D INSU!ATION;i:N.'.=: HENRY CASSID`F=,..:::r`i::i:,- - 455 YARMOUTH RL7 I g r"'`9'"eT t alidWith HYANNIS,MA 02601 ,j, .,, Undersecretary ' Nlussachusctt.- Urlru-tntcnt of,Public 'Ssl•oN Buar(# tr#'Buildim�'Regulations .utd Standards Construction Supervisor License License:,CS 100988 Restricted to:. 00 - �w: HENRY CASSIDY IVZF Et R01N WEST YARMOUTH, MA 02673 r s, Expiration: I i/11/2011 (.mwi;llks .ner Tr#: 100988 460 West Ma l n Street HOUSING . - 0 H Vann%s, M 601-3698 S S I S TANCE, ENERGY & HOME REPAIR ` .'. T (508) 790-7106 F. (508) 790- l .:. ORPORAT I N n 4 2 HOME OWNER WEATHERIZATION WORK PERMIT$ FUEL RELEASE: PLEASE FILL OUT AND SIGN THISFORM IPYOU ARE THE APPLICANT HOMEOWNER. I +AAUA hereby consent to and agree that weatherization work may be done by th eatherization Program of Housing Assistance Corporation ( herein after referred as "Agency")fon the property located at: Theweatherization work donewill bebased on programmatic priorities and availability of funding and it may includeall or someof the following measures: Weather-stripping& caulking of windowsand 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 l agreeto thefollowing: 1. I give permission to 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 reserves the right to inspect thefuel or utility bill for the weatherized unit on an ongoing basisfor no morethan five(5) years after theweatherization work is compl4ed. I have read the provisions of this agreement as listed and freely give my consent.- " Home Owner: (Signature) Q,t, Date �.. y Agent: (signature) f ,� Date b HAC approved Weatherization.Company : All Cape Energy, Cabber Building&Remode' , :Cap:,_::Cod:Insulatio Cape Save,. Creswell Construction, Frontier Energy Solutions, Lohr&Sons,. Peter Smith, Resolution Energy, . Rock.Solid Construction ' A TOWN OF BAR.NSTABLE BABB$TLBLE, i ;pAGI Ya`��0 BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...... 5 .1..1...GY...................��Wvf/v� ......... " , TYPE OF CONSTRUCTION R..ti.. lP:!�!!% X4. ...............� .• ���� ` ... 6....................19.4. e. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit accord�iingg to the following information: Location G" f. ...` a?. �. Gil . ....... .. .. C�.f.11....... ................................... ProposedUse ........... ................................. .................... Zoning District ...... ......................................Fire District a?..�0L.-x............. .......... Name of Owner .:.. V.... .P.S :. .. ... rS. ..Address ...J�?.Q. .• -�'G•.�:.../...�.l.S?!:✓c .................. Name of BuilderGeoc?:�....V. 9 .�.Cf. Address .�f'. c i S'�. Name of Architect ..................................................................Address ........7L ......................................................................... /�... .................. Number of Rooms �� . �. ;/� °���Foundation �, Exterior .....�!tJ. .: : ... .:........ 44�..........................._.Roofing / ............................................... '•• /' /1 Floors 2 ::���......�A}..�`.f�.'.�. . ��.........................Interior .�� Q�.�� " , .�'< r Heating :. .... � ..........................Plumbingf P ............ /c� Y'�....� . . ... I Fireplace ..d e............. � Approximate Cost . .c. ...... ................................. Definitive Plan Approved by Planning Board ______7_ z� _ 19 /C2✓� LlDiagram of Lot and Building with Dimensions pp SUBJECT TO APPROVAL OF BOARD OF HEALTH W W '7 X 1 mom. ` 5.a <z " -ion ¢ Lay .z .� O C4 Ld < L�tD s I hereby agree to conform to all the Rules and Regulations of the Town f Bar table regarding a ove construction. Na - ..f ........ E ` Jo-Su Realty Trust ^ . ^ 1muo9 �Perm� ° �No ---.--. fo --.. ` _ sin ` \ / . dwelling \/ ----�������..�������..����������-�----. . - . H l��, Location -�L..�������K...:��--------- ' / . ` ' otuit ----.---------------------- , Owner ---'Jm�Su� . ----- . . ' � Type of Construction -------.frA?e......... -------------------------- . � Plot ............................ Lot ............#lb............. - / J�nriI 10 �� Permit Granted --'.����-------l9 ` - Date of Inspection ' lV Dote Completed ' ` . . 2�~ ' PERMKT1RIEFUSE0 ' � lA ........................................... -------. --------.------------------ . - . - . . � ��. / `' -----''''--'---------------' Tr -.-.----.,------.---~-.-----. . � ` / . ' -------------.-~.---------.- ' . , . '~~ ' ' , Approved ................................................. lA -------.--------....-------... ` . ' ----~-----------------^^--^' | / �"E The Town of Barnstable • anaxsTnat�. • M^ Department of Health Safety and Environmental Services 10rEpp��la Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner September 14, 1999 Janice Bombelli c/o Roberts +4-�� 11 LC>4 Ct Cotuit,MA 02635 `J RE: 44-Br-it• ituit;bass.(Map#026/Parcel#031) Dear Ms.Bombelli: Our records indicate that your house at 11 Brittany Drive is currently being used as a 2-family home contrary to Barnstable Zoning Bylaws. You must contact this office as soon as possible to either: 1) apply for a building permit to restore the property to a single family home. 2) apply to the Zoning Board of Appeals for a variance. 3) prove that this is a legal 2-family home. Sincerely, Gloria M.Urenas ZONING ENFORCEMENT OFFICER GMU/kl forms:g990317a Property Location: 1 T Jl WR&YA6(t, MAP ID: 026/031/// Vision ID: 1532 Other ID: Bldg#: 1 Card 1 of 1 Print Date:09/14/1999e "Tup TA [Ucvci 2 rublic Wateft raveaDescription Code ,Appraised Value AAssessed Value %ROBERTS,MARY 4 ag , , 801 d� 11 WESTBURY WAY ep tc ESIDNTL 1010 75,10 75,10 OTUIT,MA 02635 E DATA-Barnstable, ccoun an e. Tax Dist. 200 Land Ct# er.Prop. #SR r Life Estate VISION DL 1 LOT 14 Notes: I DL2 : GIS ID: o a105,50 „ " q.- , ., . �.,-�.�.��R�. ._-.-...... ,,: .i,�_ ....., ..,s;, z,:< .::� t.' -: -;- �°:".r.a�:..�....,....mac.. ".. , t r. Code ssesse a ue r. code Assessedvalue r. -.CodeI Assessea . a ue OMBELLI,JANICE T 2875/115 Q , 1999 1010 67,90 199 1010 67,90 oa. oa. oa. luz,4Ut rs signature acknowledges a visit y aData o ector or ssessor ear7ypelvescription Amount Code Descripium Number' �-mount omm. nt. Appraised Bldg.Value(Card) 72,600 Appraised XF(B)Value(Bldg) 2,500 oa. Appraised O B(L)Value(Bldg) 0 . s � t, Appraised d a (Bldg) 30,400 A tsed Lan Valuee.�,� „� .. �,.�'' . _ � Special Land Value Total Appraised Card Value 105,50 Total Appraised Parcel Value 105,50 Valuation Method: Cost/Market Valuatio et I otal Appraise arce a ue , i ', a Permit ID Issue ate Iype Description Amount Insp.Date oComp. Date Comp. Comments Date ID ca. FurposelResult { eas is e i use Code Description Lone I DjFrontage' epth Units nit Price LFdctor actor Nbhd. Adj. Notes-AdjISpecial Pricing Adj. Unit Price an a ue tng a am oes: , S o a an ntU.5A A9 0 a an a uJu,4U Property Location: 11 BRITTANY DR COT MAP ID: 026/031/// Vision ID:1532 Other ID: Bldg#: 1 Card 1 of 1 Print Date:09/14/1999 Element ca. ch. Description commercial Data emen Style/Type anc Element Cd. Ch. Description Model 1 R,sidential Heat Grade C C Frame Type Baths/Plumbing Stories 1 1 Story ccupancy 0Ceiling/Wall 12 ooms/Prtns 10 Exterior Wall 1 14 ood Shingle /o Common Wall 10 2 all Height Roof Structure 3 able/Hip BM Roof Cover 03 sph/F GIs/Cmp 1 ,01 f s Interior Wall 1 08 Typicalb.. 114 & 2 Element Code Oescription 1,actor m Interior Floor2 ZO Typical joopTex 0 2 0 2 2 Adj Unit Location 3 eating Fuel 3 Gas Heating Type 9 Typical Number of Units C Type 1 None Number of Levels 12 12 /o Ownership Bedrooms 3 3 Bedrooms 48 Bathrooms 1 1 Bathroom — � „- 10 1 Full na j.Base Rate 8.00 Total Rooms 5 Rooms ize Adj.Factor il,973 .06609 ath Type Grade(Q)Index .97 YP Adj.Base Rate 9.64 Kitchen Style Bldg.Value New 6,374 Year Built ff.Year BuiltA)1981 rml Physcl Dep 16 uncnl Obslnc con Obslnc pecl.Cond.Code Code Description Percentage Overall%Cond. 4 rage Fam eprec.Bldg Value �2,600 Code Description IJB Units UnitFrlce Yr. Dp Rt Yound � pr. a ue FFLI prep ace , , o e Description Living Area Gross Area wArea Unit Cost Undeprec. Value BAN Mrst kloor , FGR Attached Garage 24 84 17.3 4,17 UBM Basement,Unfinished 1,15 230 9.9 11,41 WDK Wood Deck 34 34 4.91 1,68 I ! e t. TOSS L NIL ease Area - 1,391 3,121 , g Val.,