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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION l l ed
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Map Parcel Application #
Health Division JUL 24 ZCWte Issued
Conservation Division TO��N O qR ` ppca�tion F
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/ Hyannis
Project Street Address cm 13 e.y-ses /Btu,9-Y
Village
Owner S U �'i l�-� 0f,2 YA Address !�1 l evU
Telephone ® 6 7,7� 73 kR
Permit Request 13 U i 1 ��V
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation S� 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 (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 d SSG 01 Ir,r e,1 Telephone Number 6/7— 7A 34J
Address 64-47 fs 5/ Y-t LT License # ! .S ' 10 3 C
��1�✓'N M4_ Home Improvement Contractor# l6( / .3
Email_ AAg,C e is y 6b ro Worker's Compensation # 7§6 y10 q
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO a ne,
SIGNATURE—AA DATE ?-� �/• /7
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FOR OFFICIAL USE ONLY
APPLICATION #
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DATE ISSUED
MAP/ PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
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MassaChus.et's Departmento
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!� Board of Build and Standards
:License:>CS-103111
Construction:Stapervisor
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JASON R FM' „
S MC INTOSH DRIVE,
TAUNTON MA'02760,
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Expiration.
. Commissioner.. 05/93i2018
' C�Jr`ic,���� t�tvecrt/l�i.t�C���uvdcc�iner.Ctd•
ffice af_Consumcr Affairs 8c Business Re
ga4ution
ME IMPROVEMENT'CONTRACTOR
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AR S SERUfCES' NC
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� ARS RESTORATION�,SS�'-CIEFSTS� s
JASON FREITAS '-
'NEWTON,MA 02458 Undersecretary
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Construction Sup ervis or
Restricted to: ;
i UnrestnctecJ-Buildings of any use group which contain
+' less than 35;p00 cubic feet,(991 cubic meters)_of i
enclosed space.
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Failure to possess a`current{edition of the Massachusetts '
} State:Building Code is cause;for revocation of this license.
i DPS;Licensing mfosmat.On•visit VVWW RgASS.GOV/DPS i
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val�ti for individual use only
I License rr regi'stration
►ration date: If found return a elation I3
before the exp !
Consumer Affairs and Business lteg
l Off:ce of butte a1�0
Boston,,M�►U2t15
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Main Level {
20'7"
13'T' 6'
Bath `O
Bedroom c
4- Bathroom e'
Storage r,
Clst �•,
Hall O0
M pp
Bedroom 2 0
Kitchen
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9181, . F--6'4"
00
Living/Dining Room �4
20 M
20'8" �J
Fain Level
R( N-5EE
7/21/2017 Page:S
ARSSE-1 OP ID:SH
CERTIFICATE OF LIABILITY INSURANCE DATE 0611612017Y'
osrl sno17
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 policy(les)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 CONTACT
NAME:
Rodman Insurance Agency,Inc. PHONE X
145 Rosemary St.,Bldg.A rC No E :781-247-7800 Arc No):781.444-0090
Needham,MA 02494-3238 E-MAIL
Evan Tobasky ADDRESS:
INSURER(S)AFFORDING COVERAGE NAIC f
INSURER A:The Hartford#t'i.0104
INSURED ARS Services Inc INSURER$:Beacon Mutual Insurance#24017
ARS Restoration Specialists
38 Crafts St INSURER c
Newton,MA 02456 INSURER D:
INSURER E:
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. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WrrH 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.
ILTR SUBR POLICY TYPE OF INSURANCE D POLICY NUMBER MMIDD F MMID
R DIYYYY LIMITS
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
CLAIMS-MADE 7OCCUR PREMISES Ea occurrence $
MED EXP(Any one person) $
DAMAGE TO RENTE
PERSONAL&ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
POLICY❑PRO ❑
JECT LOC PRODUCTS-COMPIOP AGG $
OTHER: $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
Ea accident
ANY AUTO BODILY INJURY(Per personj $
ALL OWNED SCHEDULED
AUTOS AUTOS BODILY INJURY(Per accident) $
HIRED AUTOS NON-OWNED PROPERTY DAMAGE $
AUTOS Per aaident
UMBRELLA LIAR OCCUR EACH OCCURRENCE $
4 EXCESS LIAR CLAIMS-MADE AGGREGATE $
DEO I J RETENTION$ $
WORKERS COMPENSATION X STATUTE ER
AND EMPLOYERS'LIABILITY _
A ANY PROPRIETORIPARTNERIEXECUIIVE YIN 7H684009(MA) 09/24/2016 09/24/2017 E.L.EACH ACCIDENT $ 1,000,00
OFFICER/MEMBER EXCLUDED? N❑ N IA
B (Mandatory in NH) 01000064630(RI 09/2412016 09/24/2017 EL:DISEASE-EA EMPLOYEE $ 1,000,000
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,00
DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
CT Work Comp w/The Hartford #9972M310 9/24/16-17 lmil/lmil/lmil
NH Work Comp w/NCCI #NHARP300503 9/24/16-17 lmil/lmil/lmil
CERTIFICATE HOLDER CANCELLATION
ARS--
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
ARS SerVICBS Inc ACCORDANCE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
dba ARS Restoration
Specialists LLC AUTHORIZED REPRESENTATIVE
38 Crafts St C �
Newton,MA 02456
O 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD
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American Properties Team, Inc:
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June 16,2017 1
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Mr. Paul Roma}
Building Commissioner
200 Main Street,Hyannis,MA. 02601
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Re: Cape Crossroads Condominium,Units 5EE&5EC
Authorization for ARS Services to Perform Asbestos Abatement
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Dear Commissioner Roma:
This letter is to confirm that Cape Crossroad Condominium Trust has hired ARS Services to perform all
necessary asbestos abatement at The.Cape Cross Roads Condominium located at 800 Bearses Way,Hyannis,
MA in units 5EE and 5EC.
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Please accept my sincere apology the permit was not pulled madvanced. I was under the impression it was
done. ARS has previously obtained the approvals from the Department of Environmental Protection(DEP)
and is overseeing the project on behalf of the Trust.
If you have any questions or concerns please do not hesitate toFcontact me directly at 781-258-7077.
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Sincerely,
:j
Anthony Colletti,RPA,FMA,LEED Green Associate
Portfolio Manager
American Properties Team, Inc.
As Agent for Cape Crossroads Condominium
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CC-. Board of Trustees
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500 WEST CUMMINGS PARK-SUITE 6050• W0BURN •MA •01801.78"32-9229 •FAX 781-935-4289
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a Back to Message Town of Barnstable Regulator... i /1 u �y X
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�T"� ToWn of Barnstable
Regulatory Services
g I Richard V.Seatt,Dlre;tor �
,. 13uilding Division,.
Pan]Roma,Building Commissioner
200 Main Shiee,Hyannis,MA 02601
( �^ww.towa.barnstable.mmus
Office: 508-S62-4038 ¢ - Fax: 508-790-623� 1
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Property Owner Must
Complete and Sign This Section
}. If Using'A Builder
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as Ow=of tine subjectpropertys
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hereby aLehoaize Y^v'iZL� ✓1�' to act on my b chalk t;
i in all matters relative to vTork amthonzed by this bonding pemait application for
A),o- "14 t15"Se-I
(Address of Job)
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**Pool£eaces.at►d<alaxms are the responsibility of the applicant Pools
ate not to be filled or utilized befort fee ce.is installed and all final
inspections are pedonned and accepted
Signaiaue ofownkc Signature o£Applicant
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Print Name Print Name t
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