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Home My WebLink About800 BEARSE'S WAY (35) OC, '�'��k � 5 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel ��! d /� Application # Health Division Date Issued 7/4z, Conservation Division Application Fee AtD Planning Dept. Permit Fee 4d O �X Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis -_10*'Project.Sttreeet Address Z Village v\ Owner (.,0 6—V%- o-v` Address Telephone _ Permit Request oa S6 moo. 6.1 (✓1 o—i fir- -in T� :a� > c. - Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay j Project Valuation � �� Construction TypeQ� Lot Size. _ Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family C�' Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes 0 No On Old King'sHighwar,❑Ye ❑ No rT.: a Lar • ,. Basement Type: ❑ Full0 Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq ft) a '' Number of Baths: Full: existing new Half: existing _ new "m Number of Bedrooms: existing _new Total Room-Count(not including baths): existing new First Floor Room Count Heat Typi and Fuel: ❑ Gas ❑ Oil Electric ❑Other Central Air: ❑Yes N�lNo 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 -�'T T ��`� Telephone Number ° bc7 7�{ Address LSy—c�v\c1 Da k, � License # 05S yq Home Improvement Contractor# I Worker's Compensation # X 5 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ('L�1� SIGNATURE DATE FOR OFFICIAL USE ONLY Y ^ I' APPLICATION# DATE ISSUED ' i MAP/PARCEL NO. ADDRESS _ ,VILLAGE z OWNER e r ' DATE OF INSPECTION: }. n,--FOUNDATIONL - FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL .r PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING r r DATE CLOSED OUT ASSOCIATION PLAN NO. 4 , l 1 The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations ' 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information 1 1 Please Print Legibly Name (Business/Or, nizafiondnd \ividud): LE) ►`" Address: "a,3 Lr D6 �Ey Ci /State/Zi : t�-lw C�"� Phane ty p �-�,reST!�r.. Are you an employer?Check the appropriate bog: Type of project(required): 1. I am a employer with 4. ❑ I am a general contractor and I * have hired the sub-contractors 6. ❑New construction employees(full and/or part-time). 2.❑ I am a sole proprietor or partner- _ listed on the attached sheet. 7. modeling I ship and have no employees These sub-contractors have g• ❑Demolition i workingfor me in an capacity. employees and have workers' I Y P tY ❑9. Building addition [No workers'comp.in �r crance comp. insurance.$ i required-] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions officers have exercised their 11. Plumbing repairs or additions 3.❑ 1 am a homeowner doing all work ❑ g P 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.❑ 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. *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: Policy#or Self-ins.Lic. Expiration Dater t Job Site Address: 900 ice,v^s e- 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$1,50D.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 pains and enaldes of perjury that the information provided above is true and correct ' Date. Signature: 101 Phone#: sbjr o -7 Official 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 I 9l,d/60/90 Jauo!ss!wwoo u01;ej!dx3 0�u.ic AV b9Z0 Vw HIMUSaIO3 ri L96£90-S3 :asuaa!-1 aos!.wadns uotaina;suo,7 spiepue;S pue suo!;e!n6ab 6u!ppn8;o pjeo8 Aja;eS o!Ignd ;o ;uaw}jedaa - sj4asny3essew n. a��cec�cuteCta C%v License or registration valid •! C�Jhe•1po'n'�r�aoaccuetcCC�i o� I i lid for individul use only : office of Consumcc Affairs&BM7,ness i conhn "' before the expiration date. If found return to, it ME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regul;►tion Type. j 10 Park Plaza-Suite 5170 egistration: 5172�7� DBA t i 5131/ 14; Boston,MA 02116 20 ' LOHINIPROUENiENT 9 n. SCOTT LOHR — - I i r < rRFND CAK RD 0264 Jnder:ecretary Not vali without signature /J ' Fctz it i:.^.l.*:,i�4�^, I o Z.�tz C� x fIi MAP P r5 :�i t�9`��,asl�t�'��Jr; r� aP '.�a P -- ._.___� ._.__..u:_�-.�_. _.. _..R.•u:>__�.�.:��.��_:r�.,.-._a.,..'._ �... --- i IHE ']Gown of Barnstable ( Regulatory Servwes f L�pNC9'1SRY f ^ i Thomas F.Geiler,Director 639 Building Division Tom Perry,Building Commissioner 200 Main stceei Hyannis,MA 02601 www1own.barustable.ma.us Office: 508-862-4038 Fax: 50&790-6230 i Property Owner Must I Complete and Sign This Section ! If Using A Builder - i r I, G(�oyi �0/el,,,& w ,as'Owner of the subject property hereby authorize 4. to act on my beb l-f r in•all.=tt=relative to work authorized by this building permit - (iddress of Job) N #*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. 'Signatupe of 6v es Signature of Applicant Put Name. Priat Name Date Q-.MPJ,1S.-OWI&W SSIONPOOLS 6/2012 �. American Properties Team, Inc. �\ May 28, 2013 Building. Department Town of Barnstable To Whom It May Concern: Scott Lohr will be working on behalf of a unit owner, Aaron Coleman, (4SB) at Cape Crossroads Condominium at 800 Bearses Way, Hyannis, MA 02601 American Properties Team, Inc., as Agent fo Cape Crossroads Condominium P 74�� Peg hompson Property Manager i 500 WEST CUMMINGS PARK•SUITE 6050• WOBURN •MA •01801.781-932-9229 •FAX 781-935-4289 CERTIFICATE OF LIABILITY v TYINSURANCE osiosrzo,3 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(Sh AUTHORED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER: IMPORTANT: N the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the berms end conditions of the polity,certain polities may require an endorsement. A statenrent on this certificate does not confer rights to the, certificate holder in Ilea of such yak PRODUCER CONTACT kffw D.Cabe Insurance Agency,hm PHONecm K% 510.2601 FAz m 457-1715 www caMeelnsurance.com e4LqJL 336 GhUd Sbgd AFFORDING NAIL e Falmouth MA OM INSURER .No&WW inauranee INSUREDemuFm v:Acadia Insurance Lohr Home hTpovament 23 Grand Oak Road INSURER MA 02 *1229 INSURER F. COVERAGES CERTIFICATE NUMBER: 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. NOTWITHSTANDM 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. IADDLKHMI LT R TYPE OF IMIRWANCE POLICY EFF POLICY EKP LIMITS GENERAL LIAesJTY EACH OCCURRENCE A1111111111,000 A X COMMERCIAL GENERAL LIABLITY DAMVIGE IV RENTED : cLAIMs-MAOE XQ OCCUR WS180232 05101R013 0501=4 MED EXP Mm are 000 PERSONAL a AM MIUURY 11,000,000 - GENERAL AGGREGATE s2.000,000 GENT.AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 000 000 X POLICY LOC _ AUTOMOBILE LIABLM COM6eED SINGLE LIMIT ANT AUTO BODILY INJURY(Per per9m) _ ALL OVVNED SCHEDULED AUTOS AUTOS BODILY KAM(Per a ximi) t HIRED AUTOS ALIT PROPERTY DAMAGE _ H — — - $ UNBRBLA LIAR OCCUR EACH OCCURRENCE $ IMB EXCESS L CLAMSIAADE F DED I 1-mmNTIONS — - -- — AGGREGATE wommRSOOMPENSATION X %NC STATU OTH• AM ENPLOYBL$LIA81LM Y I N EL A Ex �"� NIA WC2p.204035 1 3 '05M 014 EL EACH ACCIDENT 000 n aeeatee uder EL DISEASE-EA EWLOYFE s K000 -EL -POLICY LIMIT I s 5MON DESCRPT1pN OF OPERATIONS I LOCATIONS I Vt3=LEE(Attach MOM ter.A"WW Rwnerks Setwdle,a Awn epees h regidred) General W�flatratlon,YIalllatlorl,Window and Door Re�Inents CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRMM POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN &Mng Depatblwd ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis,MA 02tt'01 AUTHORREn REPRESENTATM <EPfb 01888-2010 ACORD CORPORATION. All rights reserved. ACORD 25(201=5) The ACORD name and logo are registered rnarks of ACORD c TOWN. ;OF BARNSTABLE CERTIFICATE OF OCCUPANCY . PARCEL ID CON 294 061 bROBASE ID ADDRESS 800 BEARSE-S WAY PHONE (508)775-738 HYANNIS, MA ZIP 02601- LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT PERMIT 64802 DESCRIPTION OCCUPANCY PERMIT UNIT#4 S B p PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY II` CONTRACTORS: Department Of ARCHITECTS: Regulatory Services TOTAL FEES: BOND $.00 va CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE '* _' * BARNSTABLE, MASS. 039. FD MP'� BUILD.IN ISIO � BY DATE ISSUED 02/18/2003 EXPIRATION DATE v .„. TOWN 6F . STABLE TEMPORARY' CERTIFEM OF OCCUPANCY PARCEL ID CON 294 061 GEOBASE ID ADDRESS 800 BEARSE'S MAY PHONE (508)775-738' HYANNIS, MA 1" ZIP 0?601- LOT BLOCK LOT. SIZE DBA DEVELOPMENT DISTRICT PERMIT 64892 DESCRIPTION 90 DAX TEMP.C/O UNIT#4 S B PERMIT TYPE BTC00 TITLE TEMP-, !OCCUPANCY PERMIT CONTRACTORS: Department of ARCHITECTS: Regulatory Services -TOTAL FEES: BOND CONSTRUCTION COSTS $,_00, ', P" 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE * BAMSTABL E, FD MP'� BU DING DIVISION BY 1 DATE ISSUED 10/29/2002 , EXPIRATION DATE `tS1/29/2003