HomeMy WebLinkAbout0800 BEARSE'S WAY (25) �'It'd
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION'S
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Map Parcel 0 M B ` Application #a 0
Health Division I P Date Issued S'K' 1
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Conservation Division Application Flee
Planning Dept. Permit FeeS 19 • d b'.
Date Definitive Plan Approved by Planning Board '
Historic - OKH _ Preservation/ Hyannis
Project Street Address QUO Z4111Jti WAJ 3 JVA ( AP6 GRAMAP-AkS ZghOI M)111-VM .
Village ��►N��3
Owner bAU111 CIP41 Address *VyD thMAI I WAY 3 4/4 1&_4,v1✓&
Telephone
Permit Request �E090De, 40A Aqlaf'o, rNrlt y Dow rep K uaf R0,06. (umvrIzv X.5'1
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W!b1#060d y v 4 �°vi 0iY.VOW°, lJ/9 r / L!'Ae� -ro /�L� C G/KJl1AfJ
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new,
"Zoning District U 13 ► a Jf�,L4 Flood Plain Groundwater Overlay
Project Valuation IQ1040, 00 Construction Types"��GQA �
Lot Size A Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) J Cc vy 4ve
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.) N Basement Unfinished Area (sq.ft)
Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: existing d new
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑__Gas ❑ Oil Li/Electric ❑ Other
Central Air: ❑Yes Li/No Fireplaces: Existing New Existing wood/coal stove: ❑Yes LN<o
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 ��5, ����� Proposed Use SA IP-1
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name :144AI S17110)4 g l Telephone Number
a theme Z 11-ef*e T.AIC C 5.
Address 16 t' License #
CO 1� �4 elby/ Home Improvement Contractor# /007�0
Email 6/ ck L CAn n'hooe- com Worker's Compensation # /?a WC -'QP 00
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 'f4'04 MA1c1r4,&1e—
SIGNATURE DATE
FOR OFFICIAL USE ONLY
' APPLICATION#
DATE ISSUED,4 ,
MAP%PARCEL NO. _
ADDRESS VILLAGE -
OWNER
r
DATE OF INSPECTION: - ..
FOUNDATION
FRAME
INSULATION _
FIREPLACE T
k
} ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING,.
DATE--,,CLOSED OUT
ASSOCIATION PLAN NO.
Page 7 of 7
Capizzi Home Improvement Inc.
Specifications and Estimates
STATE OF MASSACHUSETTS
LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT
I, �c�e L3G 4e-i e14'6 y, OWN THE PROPERTY LOCATED AT 904) Ze4 v S e S
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IN yuunr`s ,MASSACHUSETTS. 3 N
I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY
FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR,THE MASSACHUSETTS STATE
BUILDING CODE.
I GIVE MY PERMISSION TO
LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE
MASSACHUSETTS STATE BUILDING CODE.
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SIGNATURE OF OWNER:
4 M
OWNER'S ADDRESS:
OWNER'S TELEPHONE:
LESSEE'S SIGNATURE:
LESSEE'S ADDRESS:
LESSEE'S TELEPHONE:
APLLICANT'S SIGNATURE:
APPLICANT'S ADDRESS: 1645 Newtown Rd., Cotuit,MA 02635
APPLICANT'S TELEPHONE: 508-428-9518
RESPONSIBLE OFFICER:
RESPONSIBLE OFFICER ADDRESS:
I� RESPONSIBLE OFFICER TELEPHONE:
Cape Crossroads Condominium
April 22, 2015
David and Janet Cady
Cape Crossroads Condominium, Unit 3NA_
800 Bearses Way
Hyannis, MA 02601
Re: New Sliders and Door
Dear Mr. and Mrs. Cady:
Per the Association guidelines, you have permission to have the proposed work,
replacement of sliders and the replacement of the door, completed in your unit. The
work must be done by a licensed and insured contractor.
If you have any questions, please call the office at 508-775-7382.
Sincerely,
Cape Crossroads Condominium
Board of Trustees
Kimberly Couch
Chairman
800 Bearses Way,Hyannis,MA 02601
I
---- --- - --- - -- --- ... ... _. .... -- - - --- .._ ...
The Commonwealth of Massachusetts
Department of IndustrialAccidents
Office of Investigations
o I Congress Street,Suite 100
Boston,MA 02114-2017
www mass.gov/dia
Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Organization/Individual): CAPIZZI HOME IMPROVEMENT,INC.
Address:1645 NEWTOWN ROAD
City/State/Zip:;COTUIT, MA Phone#:508-428-9518
Are you an employer?Check the appropriate box: Type of project(required):
1.01 40+ 4 I am a employer with ❑ 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 8. ❑Demolition
working for me in any capacity. employees and have workers' 9. ❑Building addition
[No workers' comp.insurance comp.insurance.#
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 I1.❑Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs
insurance required.]t c. 152,§1(4),and we have no 13. Other �l
employees. [No workers' Y®D
comp.insurance required.]
*Any applicant that checks box 41 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:AmGuard Insurance Company
Policy#or Self-ins.Lic.#:R2WC527200 Expiration Date:12/30/2015
Job Site Address: e0 '8,5AASe f Wq j 1)n7�' 3A14 City/State/Zip: U"Affill C, M4 0260f
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.
I do hereby certify under the p ins d penalties of perjury that the information provided above is true and correct.
Si ature• Date:
tD ;L y l l
Phone . 508-428-951
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#:
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,
31.12 2014 16:49:00 Gerard Insurance Guarb Insurance Group 1/1
A00 CERTIFICATE OF LIABILITY INSURANCE
12 30 014
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 POLICR'-S
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE FSSUING INSURERNSL AUTHORI2ED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pclicypes)must he endorsed. If SUBROGATION IS WANED,subject to
the tomm and conditions of the policy,certain pdb*a may require an endomemenL A statement on this certificate does not corder rights to the
certificate holder in lieu of such endorsements.
PRODUCER CONTACT
NAME
ROGERS&GRAY INSURANCE AGENCY,INC. PHONE FAx
AIC No ATC No
434 Route 134
INSUIIIERR AFFORDING COVERASE NAIL 9
South Dennis MA 02660 INSURER A; AmGUARD Insurance Company
INSURED 019URFR a- I
CAPI22I HOME IMPROVEMENT INC IMSURERc:
1645 NEWTOWN ROAD INSURERD:
WSURM E:
COTUIT MA 02635 BNSNNURF
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 I
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICI-I 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.
LTR TYPEOFINSURANCE INSR W.Mi POUCYNUMIM EFF EXP URM _
GENERAL LIABILITY EACH OCCURRENCE S
DAMAGE O RENTEEI
COMMERCIAL GENERAL UAMLITY PREMISES a9wnancaI S
CLANISMADE O OCCUR NFDEXP(Anynnepr 1 $
PERSMALLADVINJi Y S
GENERAL AGGREGATE 3
GEN'L AGGREGATE LIMIT APPLES PER PRODUCTS-CONPIOP AGO E
POLRC)' ,fig . S _
AUTOMOBILE LIABILITYINGLE LIMIT
C acadad S
ANYAUTO &]DdV DNJIIRV IPer 9e�n) E
ALL o""'E0 6GHEDULEO BODILY INJURY(Per a:u,knq S
AUTOS AUTOS
MIRED AUTOS NCQh"ED PROPERTY DAMAGE 5 .
AUTOS atrbaal
S
IWAPF„AIj/,B OCCUR EACH OCCURRENCE S
EXCESS LJAS CLAJMS-MADE AGGREGATE
U S
oED RETENT®N5 3
A R AND EMPLOYERS' YIN IITY R2VEC527200 lZ/25RD1a 7R5/2J15 X srATU OrII-
MYPROPRIETORIPARTNERIEXECUTIVE NIA EL EACH ACCIDENT S 1,000,000 t
OFIICERNENRER DL$UAEDT
191andaaeryb.NM E.L.DISEASE.EA S 1,000,000
Ifyes,deacibe fader
DESCInPTION OF OPERATIONS hetve EL DISEASE-POLICY UNT S 1,000,000
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DESCRIPTION OF OPERATIONS I LOCATIONS UVEMCLES(A1Orh ACORD 191.Additla l Remaks Schedule it more ap9 is regWred) I
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Thomas Capiai Jr is covered by the workers compensation policy.
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CERTIFICATE HOLDER CANCELLATION tr
Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE _
200 Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Hyannis,MA 02601 ACCORDANCE VNTH THE POLICY PROVI ON&
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AUTHORIZED PATRESENTAM WE
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®i9W2010 ACORD CORPORATION. All rights reserved, e
ACORD 25(201UMS) The ACORD name and logo are registered marks of ACORD €
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Ufre r(nYl'LY�t67rrGeCGG�fI n�UG�cr1JCCdrrJe _
Mee of Consumer Affairs&Business Regulation License or registration valid for individul use only
�ME IMPROVEMENT CONTRACTOR before the expiration date. Effound return to:*..
Office of(Consumer Affairs and Business Regulation
egistration: 100740 Type 10 Park Plaza-Suite 5190
Expiration: 6/23120161. Supplement C1ard Boston,MA 02116
CAPIZZI HOME IMPROVEMENT,INC.
JOHN STRUMSKI
1645 Newton Rd.
Cotuit, MA 02635 Undersecretary. Not valid without signature
Massachusetts - Department of Public Safety
Soard of Building Regulations and Standards �
Construction Supervisor
License: CS-06481 7
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Buzzards]Bay.hZ9 02!�321��✓
✓. �J " " Expiration
Commissioner 0611812096
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American Properties Team, Inc.
A&\V
February 9, 2005
Town of Barnstable
Attn: David Matsos
Building Division
200 Main Street
Hyannis, MA 02601
Re: Cape Crossroads Condominiums
Dear Mr. Matsos:
While conducting electrical inspections with our maintenance supervisor, Jack Lombard,
Bill Amara discovered that two units in Building Three of our complex have illegal
apartments;i.e. ocked doors, in them. He said he would inform the Building
Department:and'T have called the Fire Department. One of the units is for sale and the
Board-of Trdstees`wo i �f your office and the fire department to be aware of this
situation. The units e 3NA nd 3 SC.
Since the Board of Trustees of the Condominium Association is concerned about safety
and fire hazard, would you please advise us as to what recourse the Association has to
rectify this situation.
Please call this office at 508-775-7382 between 9:00 AM and 1:00 PM, Monday through
Friday.
Thank you for your attention to this matter.
Sincerely,
American Properties Team as agent for
Cape Crossroads Condominium
Peg Thompson
On-Site Supervisor
Cc: `Town;of Barnstable_ Fire Department
Board of Trustees
` Deborah Jones
I .
500 WEST CUMMINGS PARK • SUITE 6050 • WOBURN • MA • 01801 • 781-935-4200 • FAX 781-935-4289
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