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HomeMy WebLinkAbout0570 OLD STRAWBERRY HILL ROAD OldS4rawberrj Hi, II j9 l I 1 1 fi Cape Save Inc '_f r OF BARNSTABLE 7-D Huntington Avenue South Yarmouth, MA'Or266-4 2 2 Af'r 11 Tel: 508-398-0398 Fax: 508-398-0399 DIVISION 6/18/15 Town of Barnstable Thomas Perry CBO Building Commissioner 200 Main St. Hyannis,MA 02601 RE: Building Permit#201503184 TO: Building Inspector(s), This affidavit is to certify that all work completed for 570 Old Strawberry Hill Road, C.entaFville has been inspected by a third party Certified Building Performance Institute(BPI) Inspector. All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey r 7- (A,-2 Ci.--) (5erVj-'CAf!5 ICJ o ar l ,� �/� L�7�''o.;i.J�j erv' �t-��l� ,,' ,t� C�.� CL C'4�l/�C��`�/a l� /GZ�'1 d�S .Q � �`r�f�i g�.�d�t ����', rvG�o ��c-��P;� �j� Owl? �j�s ��e �} r��. ,/�r� �� n -ter �., L'a �� d too 0-All ur ale ve are Zdl) 01 5e, ILY 11 a-rI4 L5 6 le—.. IS OAS,q qy., t KI�IY' eI ..s✓Rra /a' `�u,,Q yy�' t—� � '�►, �� > 3 i s"`a9'V�v � ��l J�� ✓"'� °T- b ,9 �lY'y -���> Ct'�`g�IDS' .,; � l •r3 i A{�917q. gam all Imifts w 3 .m > wr eJ - 3 • Town of Barnstable Building Department MUST COMPLY WITH HOME OCCUPATION Brian Florence, CB RULES AND REGULATIONS. FAILURE TO Building Commissioner COMPLY MAY RESULT IN FINES. 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Pre-application for Business Certificate Date �I O(� MapZ3 Parcel . Applicant Information Applicants Name W �%o 4 1A io AvA LzWAVA aulb Applicants Address i) V 61a l l/fi 1 17 w l J911C KA Email Address (� 7 Telephone Number {� �( ] I Listed ❑ Unlisted ❑ Business Information New Business? ---------------------------------------- tes No Business is aregistered corporation? ---------------------- -. No If yes Name of Corporation va Does business operate under the registered corporate name? es No Is the business a sole proprietorship or home occupation? --------- es. No If yes then a Home Occupation ' wa.ugpaOccupationn Reggistration is required—See Building Division Staff Name of Business/ V 7 �c� oaw�/ (",/' r/ Business Address r l�o OQC� 1 �'1 V �1� /\\� ��/�/ !y`� V , 1. 9, 1 Type of Business - � �C�� CWA Building Commissioner Office Use Only v ConditioiQ4&Ln_Q147 A Mo 10q,.,_ed J O Building Commission Date �Wd-_(9 f l u Clerk Office Use Only �N Town of Barnstable Building Department Op SHE Tp� 4, Brian Florence,CB0 Building Commissioner sMWsTns[E. 200 Main Street,Hyannis,MA 02601 y MASS. Q� 1e39. ,0 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: HOME OCCUPATION REGISTRATION Date: l 1 Name f. �N ��� A VJ MI IX CM OR Phone#: Address: village: Name of Business: 1��(/l� I �p1 Cl w k6 I,.,Iz, Type of Business: La)o 0A11 ab Map/Lot:A ! 3 INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration, smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. 1,the undersi ,have read and agree with the above restrictions for my home occupation I am registering. Applicant: Date: . oJ MUST COMPLY WITH HOME OCCUPATION Homeoc.doc Rev. 10117 RULES AND REGULATIONS, FAILURE TO C`rI.."PI Y MAY RESULT IN FINES. ;1 ;,• Town of Barnstable 43 1 d8— . Building Department MUST COMPLY WITH HOME OCCUPATION Brian Florence, CBO RULES AND REGULATIONS, FAILURE TO Building Commissioner C,,CMPLY MAY RESULT IN FINES. 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Pre-application for Business Certificate Date V (T P"" I Map o Parcel Applicant Information Applicants Name o^i �!J RA A`J , Applicants Address 570 DI1 C�1�W FEE 4 &t pj `'" nezvlu e'ss P � o o^. Tele hone Number Listed ❑ Unlisted ❑ Business Information New Business? --------------------------------------- Ye No Business is aregistered corporation? -----------------------�Ye No Y !r If yes Name of Corporation CT��(/(, � ��lEAN u Does business operate under the registered corporate name? Yes {` No) Is the business a sole proprietorship or home occupation? --------- Yes No If yes then a Home Occupation Registration is required—See Building Division Staff r -DgIN Name of Business� 7��— E.i� t/f/n l nib,, rA Pi n/Cn Business Address70 mtz_�, 0 1 M EZ_��Z. Type of Business lr_ 0-UN)wEl, Ij I\1 M ITL��4�1��3.���11�J��1 v�J� OQUEVOMM Budding Commissio er Of a Use Onl Conditio d �' r► Building Commissio �— -Date �-� Clerk Office Use Only EIV Town f,�• w o Barnstable Building Department pp THE Tp� o Brian Florence,CBO Building Commissioner * snxxsrnstE. ' 200 Main Street,Hyannis,MA 02601 9 MASS. g i639• www.town.barnstable.ma.us AlED NIA A Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: HOME OCCUPATION REGISTRATION Date: O Q Name: ARAUJU Phone#: q] Address: O T Village: ��� �/ 026,?Z Name of Business: (z t 4 0L6A0 C Type of Business:PO(JJ__3 Cl6APLN�I JA OJT J V AI�T'hvomap/Lot: t 103 INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector, a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings, and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration, smoke,dust,or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation, other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. 1,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. / Applicant: Date: I I Homeoc.doc Rev. 10/17 MUST COMPLY WITH HOME OCCUPATION RULES AND REGULATIONS. FAILURE TO COMPLY MAY RESULT IN FINES. Town of Barnstable Building �e vs7res Post'Th�s Card So That rt is V�s�ble,From,the Street$ Approved Plans Must be Retained on Job and this Card Mustbe Kept M 'Pos1639- Permit tedUnti1 Final 1 sn pection HasBeeriMade �� '' " OFF`': Y • Where agCertificate;of.Occu aric.isRe uired,such Building shall_Not:;be,0ecupieduntil a Final:.ln`specti"onKhas beenmade § ,a Mid Permit No. B-18-1308 Applicant Name: BROWN,JOHN D Approvals Date Issued: 05/22/2018 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 11/22/2018 Foundation: Residential Map/Lot 273-103 Zoning District: RC-1 Sheathing: Location: 570 OLD STRAWBERRY HILL ROAD,HYANNIS { Contractor Namq Framing: 1 Owner on Record: BROWN,JOHN D Co actor License:-. 2 ~ � Address: 570 OLD STRAWBERRY HILL ROAD Est Protect Cost: $8,000.00 Chimney: CENTERVILLE, MA 02632 HPerrnit Fee: $90.80 Description: Remodelling of a basement a residential buildngsrnoke�detectors Fee Paid = $90.80 Insulation: Project Review Req: FINISH AN EXISTING UNFINISHED BASEMENT,UPGRADE ' &Date 5/22/2018 Final: SMOKES. Plumbing/Gas f , Rough Plumbing: >x �� Building Official Final Plumbing: . g, " . This permit shall be deemed abandoned and invalid unless the work a6fhd6i&by this permit is commenced within six month after issuance. Rough Gas: All work authorized by this permit shall conform to the approved applicationfand the:approved construction document'l*r hicfi this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning-by(a`wsand codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or-rod' and shall be maintained open for pu Iic inspection for the entire duration of the work until the completion of the same. t � � Electrical The Certificate of Occupancy will not be issued until all applicable signaturesby s=permit. Service: ,the Building and.Fire Off�eials are'provdedn thi Minimum of Five Call Inspections Required for All Construction Work.A �• F 1.Foundation or Footing ems' Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: VPPrsons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT AppiicationNumber............................................................ f * O V O q * B�,II2v6TeSLE. DO I Permit Fee... ...................................Other Fee........................ Ep NIK� I.-So Total Fee Paid ....................................... TOWN OF BARNSTAB LE Permit Approval by.... . ........On...5.-JA`..'rt1 F-..... k BUILDING PERIVIIT MSQ... .. ..........................ParceL.... APPLICATION' Section 1— Owner's Information and Project Location Project AddressD Owners NameF Owners Legal Address Y�1 City /l!� State . Zip S� _ . Owners Cell# �� E-mail Section 2—Use of Structure Use Group � ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet �' Single/Two Family Dwelling Section 3—Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use �Fini.sh Basement El Family/Amnesty El Ala ❑ Demo/(entire structure)Rebuild ❑ Deck Apartment © Sprixlkler Sy Solar 0 Retaining 2 El AdditiRetaining wall ❑ ❑ Renovation ❑ Pool ❑ Insulation O o �G) Other—Specify E Section 4 -Work Description ` r� Q r �, yw .e .. ko^S T act nndafed'214201 S Application Number........... ...:' Section 5—Detail Cost of Proposed Construction 5 'JLe"-)6 o Square Footage of Project 7;-,�,' 56 Age of Structure `� Dig Safe Number # Of Bedrooms Existing .3 Total#Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method 0 MA Checklist❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ W'uing 0/61 Tank Storage EI-Is"M oke Detectors ❑ Plumbing ❑ Gas Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Wafer Supply Public ❑ Private Sewage Disposal ❑ Municipal t'T On Site Historic District ❑ Hyannis 11istoric District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone,Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No 2 Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes �7?No Last undated 2/9/2018 Application Number........................................... Section 9-.Construction Supervisor Name Telephone Number Address City State Zip License Number License Type Expiration Date Contractors Email Cell# I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date Section-10—Home Improvement Contractor Name Telephone Number Address City State Tip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your EUC... Signature Date t Section 11-Home Owners License Exemption Home Owners Name: zo't. �n Telephone Number 36 6Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 F CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. f Signature Date ' APPLICANT SIGNATURE Signature Date � . Print Name Telephone Number S 1614 �� E-mail permit to: 0 ,4 �A co - Co r ems,..A aa. /nrnn,c Section 12—Department Sign-Offs Health Department © Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required Fire Department ❑ J Conservation ❑ For commercial work,please take your plans directly to the fire department for approval Section 13—Owner's Authorization I as Owner of the-subject property hereby 'authorize to act on my behalf, in all . matters relative to work authorized by this building permit application for: (Address of job) date Signature of Owner 3 Print Name i - l d Last wdated:2/92018 i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street - Boston,MA 02111. www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/PIumbers Applicant Information / Please Print Legibly Name(Business/organization/Incl duaI): � Address: 39 City/State/Zip: a't�J w "yC: �%� Phone#: Are you an employer?Check the appropriate bow Type of project(required): 1.❑ I am a emp to er with 4. ❑I am a general contractor and I y h hid the 6. ❑New'construction employees(full and/or part-time).* have e sub-contractors / 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. [].Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. El Building addition. [No workers'comp.insurance comp.insurance.$ equired] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions officers have exercised their 11. Plumbin repairs or additions 3. 1 am a homeowner doing all work ❑ g p myself[No workers' comp. right of exemption per MGL 12.[]goof repairs insurance required.]t C.152, §1(4),and we have no 13.❑Other employees.[No workers' comp.insurance required.] *Any applicant that checks box 61 must also fill out the section below showing their workers'compensation policy information. l 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 sbeet showing the name of the sub-contractors and state vtbether or not those entities have employees. If the sub-contractors have employces,they must provide their workers'comp,policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is the y and job site information. Instaance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: 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 m21 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 pains and penalties of perjury that the information provided above is true and correct Sip�atise 1 I- Date: Phone#: S r ficial use only. Do not write in this area,to be completed by city or town official ity 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#: ;' TOWN OF BARNSTABLE BUILDING PERMIT APPLIEAThO;T Map 3 Parcel 10 3 t i' A MNST, BLE Application o Health Division k� Date Issued Conservation Division Application F -y Planning Dept. a - .•, �,,�_,� Permit Fee �<O Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 5�0 O Q Sit"6rcy -4,1 4w i Village YA^/t0ZS Owner L6 V.p a, S o n(ain Address Telephone cJ Permit Request All r i'c i inSu ` �fi►�0 r, +0 C. sea '}fie a1G ant W'T� ex an�t4 �Qam , 1,c IVA e')C P,nii - 04fo, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Aa•3 0 0 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 WNo If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) cc �- - Name CR SkYt—± � Wi I 111a1m NGWAItY Telephone Number A 3 0316 Address T "D C�an��n5� � License # S. Ykrftxoidh 0 (i Home Improvement Contractor# 38 Email Worker's Compensation # W V,C 3 13 bal-W ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO YGrlhil�l�" SIGNATURE DATE 5/a7:F/lS FOR OFFICIAL USE ONLY APPLICATION# y DATE ISSUED t -a MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL �r FINAL BUILDING } ` DATE CLOSED OUT ASSOCIATION PLAN NO. SF 4 _l r i e Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 171380 Type: Corporation k Expiration: 3/14/2016 Tr# 249649 CAPE SAVE INC. =- WILLIAM McCLUSKEY w = --� 7-D HUNTINGTON AVENUE SOUTH YARMOUTH, MA 02664TO —-- trr Update Address and return card.Mark reason for change. scn i 0 20M-05n1 Address Q Renewal Employment Lost Card ��w�r•ritricrdreuctc�/��a�!',f��nf:;rrc�ii�er/' Office of Consumer Affairs&Business Regulation License or registration valid for individul use only 'VVE fIOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration '71380 Type: Office of Consumer Affairs and Business Regulation xpiration 3/1;4/201.6. Corporation 10 Park Plaza-Suite 5170 job , Boston,MA 02116 CAPE SAVE INC. >� " WILLIAM McCLUSKEY 7-D HUNTINGTON AVENUE` . SOUTH YARMOUTH, MA 02664 Undersecretary Not vali ` ithout signature Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supen�isor Specialty - License: CSSL-102776 ` W ILLIAM J MC C3 US �( ' 37 NAUSET ROAD West Yarmouth MA 0 i J,,�,— JJ/Sl " "' Expiration Commissioner 06/28/2015 s Housing Assistance Corporation Cape Cad HOME OWNER WEATHERIZATION WORK PERMIT&FUEL RELEASE: PLEASE FILL OUT AND SIGN THIS FORM IF YOU ARE THE APPLICANT HOME OWNER. I tip[ hereby consent to and agree that weather zation work may be done by the Weatherization Program of Housing Assistance Corporation ( herein after referred as "Agency" ) on the property located at: 2L19 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 the weatherization work to be done at my home I agree to the following: 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 reserIves the right to inspect the fuel or utility bill for the weatherized unit on an ongoing basis for no more than five (5) years after the weatherization work is completed. I have read the provisions of this agreement as listed and freely give my consent. Home Owner: (Signature) Date: Agent: (signature) Date: •� °3 ��.�.- The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 < Boston,MA 02114-201.7 ww» massgov/dia N orkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians&lumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name.(Business/Organization/Individual):Cape Save Inc Address:7-D Huntington Avenue City/State/Zip:South Yarmouth,MA,02664 Phone#:508-398-0398 Are you an employer?Check the appropriate box: Type of project(required): I.❑✓ I am a employer with.20 employees(full and/or part-time):* 7. :Q New construction 2.f7 I am a sole proprietor or partnership and have no employees working for me in any capacity.[No workers'comp.insurance required:] 8. Remodeling 3.[:]3 am a homeowner doingall work myself 9. ❑Demolition y [No workers'comp..tnsurance•requiied]" [] , 4:❑I am a homeowner and will be hiring contractors to conduct all work on my property: I will 10 Building addition ensure that all contractors either have.workers'compensation insurance.or are sole I Ln Electrical repairs or additions proprietors with no employees. 12.❑Plumbing:repairs or additions 5:❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp.insurance.. 13.❑Roof repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c 14.[✓ Other Insulation 152,§I(4),and we have no.employees.No workers'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.-Wesco Insurance Company Policy#or Self-ins.Lic.#:WWC.3136274 Expiration Date:04109/2016 Job Site Address: 570 Old Strawberry Hill Road City/State/Zip: Centerville Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL-c. 152,§25A is a criminal violation punishable by a;fine up to$1,500.00 and/or one-year iinprisonment as well as civil penalties in the form of a STOP WORK ORDER and.a fine of up to$250;00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA:for insurance coverage verification. I do.hereby certify under th pains and penalties of perjury that the information provided above is true and correct. Si-mature. Date: 5/27/2015 Phone#:508-.398-0398 Official use only. Do-not write in this area,to be completed by city or town official 'City or Town; Permit/License# Issuing:Authority(circle.one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ACGPRIJ� - ` �,...- CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD)YYYY) 3/24/2015 THIS CERTIFICATE IS ISSUED AS Al MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS: CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES. BELOW. IRIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING'INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE.CERTIFICATE HOLDER;: 1119PG2RTANT U the certiticate halder Is an ADDITIONAL INSURED,the,poQcy(Ies)must t7e indorsed. it$USROGATION iS #1tED, subject to the terms and conditions of the policy,certeln;policies niay require an'endorsement. A statement on this certificate does not conferrights to the Certificate holder,In'}ieu of such endorsement(s). PRODUCER NCONTACT _ AME: Colleen Crowley Risk strategies Conn- PHONE, {781)986:-4400 FA (C a:(7ti1)963-4420 15 t?acella Park Drive ' .ccrowley@risk-strategies.com. $U1tE 240 INSURE S AFFORDING COVERAGE NAIC j R3ah MA f323SB NuR R A:se tite I =NSURED ns. op America ..v _ INSURERS AllMerica Financial Alliance 0212 Cape Satre, Ine INsuRERc� s eco insurance C2Manv 7 :D Huntington Ave_ )NSURERO INSURERE: INSURERF: COVERAGES' CERTIFICATE NUAABER:CL1532491501 REVISION NUMBER: T#i1S lS FC?C#RTiFY�}iAT cif#?f31#C}ESOf'#NStifi,+kNCE t�STfD BEtObUHAVE SEEN ISSUED'TO THE."INSURE()"'NA7YtED ABOVE VOR`TFrE`3 LICY'PER(OB II�I€JICATE[I. iVOTyUII IfSTANDING ANY REQUIREMENT,TERM'OR CONDITION`OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH PHIS CERTIFICATE MAY BE:ISSUED OR MAYr:PERTAIN;THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED:HEREIN:.IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITiCNs i;SUCH`POLICIES.LIMITS'SHOVVN MAY HAVE BEEN REDUCED BY PAID CLAIMS; INSRAUDL TR _ TYPE OF INSURANCE 8 POLICY NUMBER1�;EFf LIMITS` GENERAL LIABILITY E ACHCCURRENCE $ 1,000,000 X. COMMERCIAL GENERAL LIABILITY ES E occurrence $ 100,000 OCCUR 1994480 0/16/2014 0/16/2015 P+ CLAIMSMADE P 10,O00& ADV IN.XLRYL AGGREGATE $ 2000,000 GEN'L AGGREGATE LIMIT APPLIES4PERTS-COMPIOP AGG $ 2,:000,000POLICY X PRO X LOC AUTOMOBILECIABILRYcc en$ ANYAUTOINJURY(Perperson)ALL OWNED SCHEDULED 4679.66©0- 1/6/2029. 1/6/2015 AUTO&.. AUTOS INJURY(Per accident)X HIREDAUTOSAUTTY= AGE.L Peraccfc�e, $„ X $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1.10001000 A EXCESS LIAB CLAIMSMADE AGGREGATE $ ].,000,000 OED RETENTION 9I Z99448Q 4(14(2Q14 0136f2035 $ C WORKERS�4MPI:KSAIIQM fffd a Irlcluaed for vscsT:aru- rH-AND EMPLOYERS'LIApwTY V!N X TOR ANY PROPRIETORfPARTNER/EXECU]IVE erage OFRCERMEMBEREXQkIUED7 NIA E.L.EACH ACCIDENT $ 500,000 (Mandatory in NH) 13151'74 19/201`5 j9/2iy16 If_yes,desaibe under €.L,D*EASI -EA r'FA,^FL0yE DESCRIPTION OF OPERATIONSb&W £sL.DISEASE-POLICY LIMB $ 500,060 DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLC-s(AtfaotiACORD 101,Add(tlonal Remarks Schedule,if moro apses is required) Issued as evidence of,.. nsurance. . Thielsch Esigineering, 3ne. is listed as addit oral,Ins ;as respects General Liability,as ;seguirec .by written SgontraCt- . CERTIFlCATE HOLDER CANCELLATION ESSOnl� CapB7]ght Zct. $ SN'OULO A*Y OF Ti4E AiSOVE DLSCR(8ED POL`ICIet IBE CANCELLED BEFORE THE EXPIRATION DATE THEREOF., NOTICE WILL Ei DELIVERED IN Cape Light Compact ACCORDANCE WITH THE POLICY PROVISIONS. Attn: M3=garet SoYtg..... :_ ; Q i QX. 42?/SG}L: AUTHORIZEDREPRESENTATWE 319H Main 3trdet Barnstable, t+� Q2630 ehael Christian/GLC � - -- ' AC0RD2$(20f0/Q5j � 98S.2i#40ACORl?CPARI�T}�?t. Afi€�tltse'served. INS025(zotoos).ot The ACORDregister r name and'.logo are registered marks of ACORD TOWN OF BARNSTABLE Permit No. _i�? Building Inspector Cash $364.00 f Caoewtide Developm nt i '�tPYPY� OCCUPANCY PERMIT Bond No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Hyannis Hills Realty Trust Address Lot 8 570 Old Strawberry Hill Road, Hyannis Wiring Inspector Inspection date �,� Plumbing Inweefo—r -- 3 'X Inspection date `P Gas Inspector f Inspection date Engineering Departmentf1 /�{ 1. l<1 �.�-� ._ Inspection date 1C - ` THIS PERMIT WILL NOT BE VALID; AND THE BUILDING SHALL NOT BE.00CUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. � � _ r. 19_ ........ .................... Blding.Inspector DE--SlGt�t St Q Q LG7 FAM N O LfO-Q = Sey,"G TA-1tCa 330dlc�o 49.1;6. PP � 10 ` 8 -7 USE I , 00 a GAt.., , v �l S PoSAL. PIT c'tir StdEaMAL.L AF•EA = 16 o -s. r, (k yppP, D.gak Q 3 i �• tAn► t 5 0 $ p x 'Z. a 6 P. D. y.T oco--Toe^. A¢HA= 5 o s.F p n� - zo• ToTA t_ LUESt.G N 4 Z 5 G ..P. D. PE oI�a r to►.! 2ATE t�•! Z Avw oe Lam.; %. _ 1 0. O , "SST T•csr' F►" = too' {•low F G. 9� mic i M /1` 1 � occ LLA^-� � INV e 4� /P6 164V 4A.L. .94 su:z soil Dt�51' t Sort. GAL. 9610 l000 Rc. Z MEDIUM LEAC1-1 PIT �i h r►p W t TLb i . f Wasu� LTOtJ6 89• C�IZ T 1.I'•I E=• P%-o�` PL A N L..�- l-•�C�T'1®tom N `( A Iq►At S _ 8 5, g iJo ScgL.o )1*l-'�n � •�• t�AT� �` �. � 'r N o v�/+o T E� "� �RO�oS I> Qt:I�ezawcf-- I Crt-TIFY T"AT r"E. FOWADAZ'rt o� SWowuj ►-4Es�Eo►J GoticFL-Y S wtrH -n+� �,l'�L-I mac— L D T t AwD -SF- BAGaL tZF-QL)iI�MEL-1TS OF TWEJ Z r Tb w� p F c3,a,e ,- B L, C, A, �I7L1T� " IV *:V� TKiS pt_Ala iS LIDT USED oLt AU ll.{l,TQ)AAE►AT OS"Y' vlLL.6 ,I,tp,cfc,. 5uevs=�! TNc oF1=5Er; 5"t)oLt> U0T V5E uSEn A9PLIGAwT C p �,�/,p To 'Pe:rF-V-Mt WE. L•O'T U&JE�. - Assessor;s,,cnap and lot number `. rr� .........73..... seym VSTEIV� �"VTUST F� Sewage Permit number ...............................................7 ............. INSTALLED lid COMPLIANCE WITH ARTICI._tn II ETAT' �QyofTHEro�o TOWN OF cBAR ,k� l; BABBSTADLE, i (J mum A`' BUILDING y INSPECTOR. CEO NPY APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION ..... ...... ......................................... ....................................... .... ..7. ... ............................1974... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the ffoollowing infor ation: Location ..... s, �t?.2. �/C C led , '°/li C' �............................................. ..... .............. ProposedUse ......��j/del;,C.:e................................................................................................ ................................. . .....................Fire District G�✓/✓�f Zoning District ............p...................................... ...y...................Q.._../. ..................... Name of Owner .��/,�.Wf�........�.............. .............Address ..... v//..Q..... `1.�.U.�. ... ..:..... If Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ...... .......................................................Foundation C;cJ/�Ci�G'/�� .............................................................................. Exterior ....�".vU.�.......? �:e ................'.....:....Roofing ........: ............................................. Floors rV% .. e ......................................Interior ...........�� G/ GL ... .... ................................................ / Heatingv.....:`..�.............................,.................................Plumbing ..........�....0 ...... Fireplace .............!..!`... '1�„f"....................................................Approximate Cost .. .U....................... Definitive Plan Approved by Planning Board ________________________________19________. Area T. . ....................................... Diagram of Lot and Building with Dimensions Fee .gyp.......... ............... SUBJECT TO APPROVAL OF BOARD OF HEALTH OG /P0/9w ai d o y hereby agree to conform to all the Rules and Regulations of the Town of Barnstabl re ardin ve I e 9 9 Y 9 construction. l /:�,e -ec.JI°Oe- f4-e-v ee r i Hyannis Hills Realty Trust x No:�O 101...... Permit for * single fA%Uy..Aw.el.J.iag. ............ Location ......1`.7.D...0.1d..Ht-xaw er.ry...Hil.l Rd ....................HXanni s......................................... i H�'annis Hi Hills.Realty Owner .........�,�R�..... .. ..... f.vuif. Type of Construction .......frame...................... ................................................................................. Plot ............................ Lot .............#$. ............ Permit Granted Ap ri1 ; 19 78 ..... .............14... c . Date of Inspection ....................................y r < 'Date Completed .... PERMIT REFUSED a y ...................... ............. ........... ...... 19 1 ............................................................................... f i. ..................... ..................................................... = ; Approved ................................................ 19 r w� ............................................................................... ............................................................................... Assessor's map and lot number ...........:... ....................... Sewage Permit number ...................7................................... °`T"E.r TOWN OF BARNSTABLE Z BARNSTADLE, i ° M6 9 BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..451�511(51110.. P.....�U/l..... ........................................................................ TYPE OF CONSTRUCTION ...........................: //� ......................................................................................................... ...... //0............................19I1 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: p Location ..../JL//.......5/��CUi .... �C.�.......led..................:..:.........:................................................... Proposed Use ...... c ..1, ';.t C•!✓...;e...................................................................................................................................... ZoningDistrict Fire District ..... ..................... ............................... ...... Name of Owner C .Gc�!D� .................................Address , 3o .......................................... r Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ......`5.......................................................Foundation ............ ✓ i ....�.L�.......................................... l,J J.0a l Exierior /� ............. ..............�!?.! e................................Roofing ........����j................................................... Floors15-4A e Interior .... .............................................. ................. . . ............:...:............................................. Heating �! � r:..Plumbing elr " ..................................................... ................................................................. Fireplace !� /}� L� ; —" Approximate Cost . ... (�v.......................................... ................................................................ Definitive Plan Approved by Planning Board ________________________________19________. Area ..................................... Diagram of Lot and Building with Dimensions Fee ' 0 ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 00 p"p .� ag gQfr�f 7�JA U 4 , -I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name &.....ol'i". :..................................................... _-_ . Capewld8 DeneTop.m8ut; A=273-l83 ` ^ No Rermit for ����--''���fi]� -__.. .. . . . ' . ___.��g�le_ ��..��n�Tl �n�._.__ Location \ ' . ' ...... ^ .. Type or Com,nmticm .f r ^ ~ - � RC. -D� - \ ` ' 78 Permit Granted ...k..........................19 / Date of | � '~r~^' � � � . Date Completed, PERIMIT REFUSED ' ` . � . .. ......xy. -~ ' . , ........................................ -.. - / ^ /f . — . �-.--�- -.� .-- ' � y � �R............................ ^'~'~^'`^^`'`''-^-^'^^~^^^^'- � � r Approved ..................----_-----. lA � > -------''------'^''-'~--^'~----' . ................ ' / txy Barnstable Bldg.Dept- DN Approvedby. SMOKE EDETEORSREVIEWED Owner: BULK EAD Permit D/ATE �jo1 1n Brown �(Z� 4 5'-9" 20'-9 7/8 9'-1 1/8" FIRE DEPARTMENT DATE BOTH SIGNATURES ARE REQUIRED FOR PERMITTI G Address: ���� 570 Old STORAGE STORAGE ^� 60"x30" TUB Strawberry Hill 0 y 11'-0 9/16" 5'-1 1/4'Z 6'-0 1/8" 6'-0 3/4" 5 -9 5 16 Road SMOKE' CO EXIST. COLUMN DET. DET. PASSAGE (18X18) r PLAYROOM 3'-41/2 ��� Hyannis, MA s :' 3 BATH 2 02554 s -G) w � SMOKE . 89 EX. REF. D M ECH. N �o� N Project Name: m OPEN RAILING Proposed Plan SMOKE DET. OFFICE FAMILY` ROOM L, ui 0 14'-5 1/16" '- 16'-3 3/8" No. Description Date 2) s SMOKE `j DET. LO 35'-8" ; BUILDING DEP1 Drawn by: Kimona Jones MAY 01 2010 Date: 04/08/2018 Al 02 � TOWN OF BA' STASL` Scale:4' = 1' 0' Owner: John Brown Address: 570 Old Strawberry Hill 15'-3 1/4" 8'-10 3/4" 10'-1 1/4" Road , Hyannis, MA m 02554 SMOKE �O �q DET. CO SMOKE 89 SMOKE O DET. DN DET. �99� ��' DET. b BEDROOM 3 FITNESS ROOM Cu Project Name: 00 LAV Second floor 13'-0 1/4" 11'-4 1/4" Plan 36'-5" No. Description Date Drawn by: Kimona Jones Date: 04/08/2018 Al 04 Scale:4'= 1' 0' P Y. METAL BULKHEAD Owner: DOORS ON PRE-CAST John Brown 4'-7 3/4" 7'-4" 10'-1 1/8" 14'-4 /8" ---------------- - 0 O O o ° H 1 Address: FQJINING In N 570 Old OOOM KITCHEN 0 O A � r_� 7 -6 1/16" 9'-8 1/8" RANGE 6' 5 5/8" C 111 6 9'-11 1/2" _ Strawberry Hill II o co I,'I,,- 0 r Road , N_Q0 BEDROOM 2 R F. Hyannis, MA SMOKE O 02554 col 2 PASSAGE pow DET. �D SMOKE CO DET. DET. 190�, �9� 00 PO � o N C'4 CLST o� Project Name: N SMOKE First Floor Plan Oq � DET. O w _ A O ' 4P LIVING ROOM co BEDROOM 1 I N o_ I UP ' Q, No. Description Date � 15-9 11/16" 3'-6 3 2'-7" 13-9 1516"/ SMOKE CO CLST DET. DET. O O O O 3'-9 1/2" 7'-0" 6'-11" 7'-10 1/2 7'-0" 3'-10" Drawn by: Kimona Jones Date: 04/08/2018 36'-5" Al 03 Scale:4' = 1' 0' t i N