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HomeMy WebLinkAbout0075 PINEWOOD AVENUE i5 �� �✓ �r �� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION i. Map _ Parcel �. Application 402' 0Z Health Division Date Issued �P Z Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address rJ P n C W 0 0 d ire AILP, Village V+d -An i s Owner n'1& j I se. Ste W.ac*- Address 5&MC Telephone 50? " 7 ' 5 . 50319 aa Permit Request &4A �,` 7 ceWulo56 ` 6 -tVje 3g 0,10S8 A 1c- t 0,53 to -the l OLSC Mey4f A� Su a I `6e, ai��`�DI ane, anJ 6sem en+ W; O&nodIt Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 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 149 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 91 Oil ❑ Electric ❑ Other Central Air: ❑Yes 14 No Fireplaces: Existing New Existing wood/coal stove:0 Yes ,❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑{n'bw s Vie_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: � s{pyy W Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ n i Commercial ❑Yes V No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION '' ''II MCC106-1 (BUILDER OR HOMEOWNER) Name V"Aliant Telephone Number 0 3 g Address : r D 6 a cfi1'f Cy `W!F" - License # --�--C t 0 � � b S �mt� Y rr nn tll,(`M O Ul.'�"►1 , rn�o Home Improvement Contractor# q Worker's Compensation # —t WC 3 0J 7- g D L ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO f/CXf-M C)I&J� SIGNATURE ` DATE 5 - I Ll 0� FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED t;. MAP/PARCEL NO. r - ADDRESS VILLAGE OWNER i i DATE OF INSPECTION: e FOUNDATION r: FRAME INSULATION FIREPLACE s ELECTRICAL: ROUGH FINAL. PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r 4 zij0 West Main Street 'J OUSING Hyannis, MA 02601--3698 !j[A_S S I S TANCE ENERGY & 110ME REPAIR T (508) 790-7106 F (508) 790:ORPORATION 2425 HOME OWNER WEATHERIZATION WORK PERMIT& FUEL RELEASE: V rll f A nr THE APPLICANT HOMEOWNER. I .�herbby consent to and agree that weatherization work may be n y the Weat on Program of Housing Assistance Corporation ( hereinafter referred as "Agency") on property located at: �Ye Theweatherization work donewill be based on programmatic priorities and availability of funding and it may include all or some of thefollowing measures` Weather-stripping& caulking of windows and doors, insulation of attics, sideNalls& basements, attic and other ventilation measures and possibly replacement of badly deteriorated windows. In consideration of theweatherization work to bedone at my home I agreeto thefollowing 1. I give permission to the"Agency" its agents and employeesto 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 the fuel or utility bill for the weatherized unit on an ongoing basisfor no morethan five(5) years after theweatherization work is completed. I have read the pr ..bons of is agreement as I nd freely,give rpy consent. Home Owner: (ggnature) Data Agent: (signature) Data HAG approved Weatherization Company : All Cape Ea:ergy, Caliber Building&Remodeling, Cape Cod Insulation, Cape Sate, Creswell Construction, Frontier Energy Solutions, Lahr&Sons, Peter Smith, Resolution Energy, Rock Solid Construction ;r ICAPEO SAVE Is weatherization 508-398-0398 August 22, 2010 To Whom It May Concern: William J. McCiuskey is an employee of Cape Save. Ile is authorized to negotiate contracts and building permits for our.company. Michael McCluskey Cape save—Owner 919-593-5939 cell 7C HuntingtomAvenue,Sout1t yarmouth,MA 02664 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers ly Anolicant Information Please Priest Legg Name(Business/organization/Individual): 14�t Address: -4 c— (AUn1�Initc'[Dt3 � - City/State/Zip: S • 1AAMQqni A aaRone#: Are you an employer?Check the appropriate box: Tvpe of project.(required): 1.[K I am a employer with!_ 4• ❑ lam a general contractor and 1 G Q New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- ship listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. 0 Demolition -working for me in any capacity. employees and have workers' 0. 0 Building addition (No workers'coiiip.insurance comp.insurance.= required.) 5. 0 We are a corporation and its 10.0 Electrical repairs or additions .3.❑ I ant a homeowner doing all work officers have exercised their 1 I.C]Plumbing repairs or additions right of exemption per MGL myself.[No workers'comp. 12.0 Roof repairs�..`t �. insurance required.]} c: 152,§1(4),and we have no 13.®Odic! do employees.(No workers' comp. insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation,polity information. t Homeowners who submit this affidavit indicating they age doing all work and then hire outside contractors must submit a new affidavit indicating such. tr-mtractors that check this box must attached art additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. if the sub-contreetors.have employees,they must provide their workers'comp.policy number. lam an employer deat is providing workers'compensation.insurance for my employees. Beloit rs the policy and fob site information. _`�` Insurance Company Name: -=.n ran o m n Policy#or Self-ins.Lic.:#: Expiration Date: c Job Site Address: 5 INC W o o A f�re, City/State/zip: 4 r.r,A Attach a copy of the workers'compensation poficy declaration.page(showing the policy numb and expiration date). Failure to secure coverage as required under Section 25A.of MGL e. 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$25.0.00 a day against.the violator. Be advised that a copy of this statement maybe forwarded to the Office-of _ Investigations of the DIA for insurance coverage verification. I do hereby cerafy under the pains d allies erjury that the information provided above is true and correct � Signature: YWJr Date:S — Phone# q�S- 0jr1cial use only. Do not►trite in Jlris area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board or Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: AC40CERTIFICATE F LIABILITY INSURANCE DATE(MM/DD/YYYY) O 10/20/2011 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(ies) 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 NAMEACT Shannon Sperrazza Risk Strategies Company PHONE (781)986-4400 FAX o.(781)963-4420 15 Pacella Park Drive A-pmpAgELSS:ssperrazza@risk-strategies.com Suite 240 INSURERS AFFORDING COVERAGE NAIC# Randolph MA 02368 INSURERA:Selective Insurance INSURED INSURER B:Safety Insurance Company 3618 Michael McCluskey, DBA: Cape Save INSURER C:Technology Insurance Company 7 C Huntington Ave INSURER D: INSURER E: South Yarmouth MA 02644 INSURER F: COVERAGES CERTIFICATE NUMBER:CL11102041451 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 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. INSR ADDLSUBR TYPE OF INSURANCE POLICY NUMBER POLICY EFF MMLDDY� LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE To RENT - X COMMERCIAL GENERAL LIABILITY PREMISES Ea occuence $ 100,000 A CLAIMS-MADE ❑X OCCUR PPS1994480 0/16/2011 10/16/2012 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY S 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,0001 X POLICY F1 PRO- LOC $ AUTOMOBILE LIABILITY Ea accident SINGLE LIMIT $ 1 000 000 B ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED 6208200 1/6/2011 1/6/2012 BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ X HIRED AUTOS X AUTOS Per accident X Underinsured motorist BI split $100000 300000 X UMBRELLA UAB N OCCUR CPPS1994480 0/16/2011 0/16/2012 EACH OCCURRENCE $ 1,000,000 EXCESS UAB CLAIMS-MADE AGGREGATE $ 1,000,000 DIED RETENTION$ $ C WORKERS COMPENSATION Executive excluded X WC ST MIT7 I 'ER AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN from coverage E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? � NIAJ C3297972. 0/21/2011 0/21/2012 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Issued as evidence of insurance. National Grid Corporate Services LLC d/b/a National Grid, d/b/a Boston Gas Company, d/b/a Essex Gas Company, Action Inc., and Housing Assistance Corporation are listed as additional insureds as respects General Liability as required by written contract. CERTIFICATE HOLDER CANCELLATION (508)7 90-2425 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Housing Assistance Corp ACCORDANCE WITH THE POLICY PROVISIONS. 484 Main Street Hyannis, MA 02601-3698 AUTHORIZED REPRESENTATIVE Michael Christian/SMSJti ACORD 25(2010/05) 01.988-2010 ACORD CORPORATION. All rights reserved. INS025r7ninnsini The er_npin name and Innn era reniefamei m2rka of Annon i 0 ce of Consumer A air and Business Regulation W 10 Park-Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improverient;Contractor Registration Registration: 164432 . Type: Supplement Card CAPE SAVE - Expiration: 10/6/2013 WILLIAM McCLUSKEY 8201 S. HOURD CT - CHAPEL HILL, NC 27516 Update Address and return card.Mark reason for change. )PS-CAI 0 50re-04/04-GIo1216 L7 Address r-1 Renewal j:] Employment Lost Card ` Office of Consumer Affairs&Business Regulation License or registration valid for individul use only a t. �i0ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: ' m N Office of Consumer Affairs and Business Regulation 'V"-9 Registration;;,164432 Type C_ 10 Park Plaza-Suite 5170 7 Expiration:--'1:0ft13 Supplement Card Boston,MA 02116 CAPE SAVE - WILLIAM MCCLUSKEI'= --=- 7C HUNTING AVE S.YARMOU fH,MA 02654= Undersecretary Not valid without ' nature '� 0iassschusctts- DePartmcnt of Public Safety Board of Building Regulations and Standard-. Construction.Supervisor Specialty License License: CS SL 102776 Restricted to: IC IXN WILLIAM'MC CLUSKYy 37 NAUSET ROAD WEST YARMOUTH, MA 02673 Expiration: 6/28/2013 ���mmiwi�mcr Tr#: 102776 Cape Save Inc. 7-1) Huntington Avenue South Yarmouth,MA 02664 - Tel: 508-398-0398 Fag: 508-398-0399 6/9/12 Town of Barnstable Thomas Perry CBO �— Building Commissioner 200 Main St. Hyannis,MA 02601 RE: Building Permits ° Dear Mr. Perry, This affidavit is to certify that all work completed for�175 PinewoodTRoad,Hyannis has been inspected by a certified Building Performance Institute(BPI)Inspector. Ceiling: R-19 cellulose Floor: R-19 fiberglass w poly ground cover All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluske . Y � � A sessor; .'map� and.,lot.'number ..o� .". ........:.A... SEPTIC SYSTEM MUST E$STA 1 N LLED IN COMPLIANCE l , Sewage Perinir.number ..& .... 7 WITH TITLE 5 ENVIRONMENTAL E AL CODE AN1=.: yoFTHEro�♦ TOWN`` OFBARNSTrIvB LATIONS S BARISTSBL&, "b DUILDING INSPECTOR Gp�O OR a + APPLICATION FOR PERMIT TO }G�dCf llL.... ?c!S i 4da-Q®;� ,,, 4!LtiftQ TYPE OF CONSTRUCTION .....:..... ....l !n.f............................................... ................... ' ....... .............�.? ... ... .qx!�ln....19. TO THE INSPECTOR OF�BUILDINGS: The undersigned hereby a,,//p��plies for a permit according to the following information: Location ............................X/.tX..�J���......�.f��t.��....��✓2/5.................................................................................. ProposedUse .......... -.. !' ..... ........................................................................ ... ................... Zoning District ... .........1.. .................................................Fire District ..........,/7y l,.C�....................... .............. a Name of Owner ...... '1!c. ... .... .....Address ........... . ` /gyp m � Name of BuilderC...!4?��y� !.P'.#r�/�1�..................Address ..,.....1.7.L...kZ.01....®�!L.......lax X,17.. 0...f... Name of Architect .....................vv!5: '/.`:I ..............................Address ...................................... Number of Rooms ..........................z....................................Foundation ... 0 � ............. Exterior ..............W.."A....!�:(AtajAf� .....................Roofing AsPky.-A.17. ........................_.............Interior .................. .. x Floors ...... ...............c...........�.... ....... ...... . a, Iv Heating :.......................... :� ................... ... .....Plumbing ........................... ......................................... Fireplace ..................................................................................Approximate Cost ............. "d'8.................,.................. Definitive Plan Approved by Planning Board _______________________________19________. Area .... .:[..... .................... �a Diagram of Lot and Building with Dimensions Fee o C,,A.....�......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH t 15T 140 `IS@, �I N 1-hereby agree to conform to all the Rues nd Regul Lions of the Town of Barnstable regarding.the above construction. Name ...... JV/............................................. SCUDDEI:, FREDERICK �{ .4ry y :i ail 1 r N2 9.1.9... Permit for. ..AUDIMION............ ...r."Sl cr,1a:-Family...Dw�ellin, Location ..P.;.11eW.oad.. .....R ste. .................uyawlis............................................ i 4, Owner ...Fr-edel:ick...Scudde-r................... 4 +' Type of Construction ...E.ramie.......................... +\ ................. ...................... �...........................•...• r r- • - - . t ' A - '^ - ' Plot .................... .... Lot ................................ x s March 18, 81 Permit Granted ....................19 Date of Inspection —J 9 Date Completed S .s .............s..jW:190 J PERMIT REFUSED ............................................................... 19 - ,:..„...��.... .�:'............................................................ .........ow. . ...... ............................................... .. Cl. �. ��... ...................�.............. .... ` �4a.w.. .. ................................................... 19 Approved�.f%.:.................................... :.Cr Le.r'. .......!......................................................... -. i t - s .7� I ' LT /i f /� •r�r .� / Assessor.'s map and lot number ...._. ................................ f - k l T- - Sewage Permit number &AZr L�'G✓ �� .......... ...I......... >......................:fir yOFTNET��y TOWN OF BARNSTABLE 1i BARNSTAIILE, i "6 MP p,. BUILDING INSPECTOR '�lE•0 Y APPLICATION FOR PERMIT TO .................... .... '•'. .;;i�r. ,lS{'t�2 n t�.A.....a,-� !!..................... •?s�r" i'G"f TYPE OF CONSTRUCTION .............VV a n t,.. "` ,.c;.! ..........................................................,.. ...........`j..... ............................5:. .....19X/. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: 1p Location AlAi',.JI4ntr G aEj �f ...................................................................... ... . ......................................................... ................................... 11- Proposed Use ........................... ..°:2..... �. 2t. .....-..................................................................................I......................... 1- Zoning District .............. .. .................................................Fire District ..................�1......ry/C pp t n �.11'►c� . c c.�ffCJ� 'ca - Name of Owner ..........:........................................:..................Address .................................................................................... Name of Builder(,.... ' ...................Address ........l t... ....r..n....t.......I.r............!..F.(...�..f.....f.�.....✓................. ....... Name of Architect <............................................Address Number of Rooms °? Foundation ..f� c AS t-a c f % �L , ................................................................. ..................................................IV............... i Exterior !AjArn� �� d f n c.��,i.....................Roofing 1 z_Pl�-t � � .............................................. ........................................................ ........... c 4Cvv�C-.C'- C'....................................Interior Oa-V\ W/4 I?/ Mel: �r ! l Floors .................................................. .................................................................................... c-- IV .10 —Heating Plumbing Fireplace .......:................................Approximate Cost fQ " ~ � Or t Definitive Plan Approved by Planning Board -------------------_-----------19________. Area .... .......0 ............................. Diagram of Lot and Building with Dimensions Fee ?...... ............................ SUBJECT TO APPROVAL OF BOARD OF HEALTH i2t J*� JL.r _ r ;y= , i f.V\ or Oc 4 l;,el? C� tt I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. / Name .......... ....'':..... . '�...,��':.......................................... y � SCUDDER, FREDERICK -76 is No :.22,9.19. Permit for ...... . ......k...Si... Fami�.Y...J).w.ellirig........ :... location"....1newQAGd1.... .f.:...... ................Hya??Aj.5............................................ Owner FrederQk..SD.udder..................... Type of Construction .....F.ramp........................ t i ........................ . ................................................... .r ............................Plot Lot ................................ ` March 18, 81 Permit Granted 19 1 Date of Inspection ....................................19 I Date Completed .............19 E PERMIT REFUSED ' f ......................... ................. 19 S ................................ ......................................... /..�........................................................................ t ..1r...L/ . .L........�. .� ..V.. ..................... Approved ................................................ 19 ................................ ........................................... ...............................................................................