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HomeMy WebLinkAbout0869 PITCHER'S WAY f J TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma Parcel ` licati on#— 5� p pp Health Division Date Issued _ Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Village Owner Address ��1�- Telephone ` 30, j Permit Request //vho Square feet: 1 st floor: existing proposed 2nd floor: existing proposed To =new Zoning District Flood Plain Groundwater Overlay- Project Valuation i Construction Typej_A //11/_O.�� = `- Lot Size Grandfathered: ❑Yes ❑ No If yes, attac supporting dqumentation. Dwelling Type: Single Family . Two Family ❑ Multi-Family (# units) 0 Age of Existing Structure Historic House: ❑Yes 9No On Old Kinp's Highway: QRes WNo v� 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 bath ,): 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 � �L° � i,C /�.r� Telephone Number Address Ze g �� License # /0l� Home Improvement Contractor# Worker's Compensation ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ® a i a SIGNATURE DATE r F P FOR OFFICIAL USE ONLY APPLICATION# j 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 f DATE CLOSED OUT ASSOCIATION PLAN NO. 1 1 Nlrrss:tchusetts - Department of P11hli4 �;rfcts r '�1 Bo;.wd of Btriltlilp, ' lleIuLuuo ., and 1t;ott aids Qonstwction Supervisor License Ltcen '.CS 100988 HENRY CASSIDY ;t 8 SHED Raw WESd- 4ARMOUTH, MA 02673 Expiration: 11/11/2013 ( ulItiali'sIVucr Trw 7620 iE �" JCS/�G'LG�.11C�L"6? {c � Office of Consumer Affairs and Business Regulation r� 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Horne Improvement Cont ractorRegistration Registration: '153567 Type: Private Corporation Expiration. 12/15/2'bl4 Tr# 23,31331 CAIDE COD INSULATION, INC HENRY CASSIDY 18 REARDON CIRCLE _____._............ _...___.____---_____ S0. YARMOUTH, MA 02664 ___..........__._......----___. Update Address and return carat.Murk reusou fnr change. (� Address LI Renewal l rnirloyntent Lost lard r'r ircrrrnrrr!r'i':rrlll 0/1-,lrUrJJ(Ir'IWJCM i ullirr ul Consumer business Rcgulatiott License or registration valid for inclivitlul use only ". CONTRACTOR.tI1OME IMPROVEMENT CO p befure.the expiration d;ue, li'found return to: `^ a iatratiow Oft-ice of Consumer Affairs and Business Regulation t 9 � 153567 Type: 6 jExpiration: 12/15/2014 Private Corporation 10 Park Plaza-Suite 5170 =r Boston,MA 02116 COO IIVSULATION,,INC t1u',fl' 1.A56I0Yi la 1;t:Ai�oi:3r�Clhi,'LF F- .tii1 14Rt'At)UTtI. MA 02664. --------. _ __ Zat/ Undcrsr.cretttry OtVfll ' 1YIt110 t aaa The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ky 600 Washington Street Boston,MA 02111 . www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers AapGcant Information Please Print Legibly Name (Business/Organization/Individual): Z-,0x? Address: City/State/Zip: ��G Phone Are you an empl yer?Check the appropriate box: general contractor and I Type of project(required): 1.❑ I am a employer with" 4. ❑ I am a g 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' [No workers' comp. insurance comp, insurance.t 9• ❑ Building addition required.] 5 We are a corporation and its, 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12 Roof re insurance required .] t c. 152, §1(4),and we have no 3a.❑ I am a homeowner acting as a employees. [No workers' 13. airs pOther I&,-f(Jf�' general contractor(refer to#4) comp,insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensatiodl)olicy 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. tContractors 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. j I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:J 7yv, Policy#or Self-ins. Lic.#: T/�� �-� �p r Expiration Date: la�q Job Site Address:_1E,r- f �G��i��� Z, ,V ' � �Lj/�City/State/Zip: !/yam Z_� Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required finder 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 and the pains and penalties of perjury that the information provided above is true and correct 4 ._ Da /3 Phone#: � 7?S®29�' [6. Cial use only, Do not write in this area, to be completed by city or town official I ity or Town: Permit/License# suing Authority(circle one): Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector Otherontact Person: Phone#• dY ti CAPECOD-27 MYOUNG CERTIFICATE OF LIABILITY INSURANCE r DATE 7/8/2 D/YYYY) /8/2013 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 License#PC-514062 CONTACT NAME: Margaret Young Rogers&Gray Insurance Agency,Inc. PHONE FAx 434 Rte 134 A/C No Eut: AIC NJ. South Dennis,MA 02660 E-MAIL m oun r0 erS ra COm ADDRESS: y g@ g 9 y• INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:PEERLESS INSURANCE.COMPANY INSURED INSURER B:COMMERCE INSURANCE COMPANY Cape Cod Insulation,Inc. INSURERC:Evanston Insurance Company 18 Reardon Circle INSURER D:ATLANTIC CHARTER INSURANCE GROUP South Yarmouth,MA 02664 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 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 TYPE OF INSURANCE ADDL B POLICY EFF POLICY EXP LIMITS LTR I SR WVD POLICYNUMBER MM/DD MM/DD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 D AGREN A X COMMERCIAL GENERAL LIABILITY CBP8263063 41l/2013 4/1/2014 p REMISES Ea ocanence $ 100,000 CLAIMS-MADE OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1 000,000 Ea acddent $ , B ANY AUTO 13MMBCKVMK 411/2013 4/1/2014 BODILY I NJURY(Per person) $ ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON OWNED PROPERTY DAMAGE $ X HIREDAUTOS X AUTOS (PER ACCIDENT) X UMBRELLA LIAB - X OCCUR EACH OCCURRENCE _ $ 1,000,000 C EXCESS LIAB CLAIMS-MADE XONJ463512 4/1/2013 4/1/2014 AGGREGATE $ 1,000,000 DED X RETENTION$ 10,000 $ WORKERS COMPENSATION I§STATU- OTH- AND EMPLOYERS'LIABILITY TOR LIMITS ER D ANY PROPRIETOR/PARTNER/EXECUTIVE YIN N WCA00625904 6/30/2013 6/30/2014 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) _ Workers Compensation includes Officers or Proprietors. Addtional Insured status is provided under the General Liability when required by written contract or agreement with the Certificate Holder. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cape Cod Insulation,IncTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN p ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD f d ) Housing Assistance kill Corporation Cape Coal HOMEOWNER I RESIDENT WEATHERIZATION WORK PERMIT&FUEL RELEASE: PLEASE FILL OUT AND SIGN THIS FORM IF YOU ARE THE APPLICANT HOME OWNER. I hereby consent to and agree that weatherization work may be done by the Weatherization Program of Housing Assistance Corporation ( herein after referred as "Agency) on the property located at: 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; sidewalis&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 1 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 reserves 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: f Agent: (signature) Date: HAC approved Weatherization Company : Adam.T Incorporated All Cape Energy, Alternative Weatherization Building Performance Contracting LL<:: j Cod Insulation Cape Save Frontier Energy Solutions Lohr Home Improvement Resolution Energy 4 (` tn } s�r# g4PX Y ♦ 4 p+.r r i t•� Ayr/ _ /U,is.N, lz . t � { i i.e 1 2�a 4 lye'{• y q s Yi ,.'.: � ,�'r(yam :7� a� ! _ k. �'+. ci �y� tit 7 � '. - (,�,✓/� � ! �. i# P yjr.� b"(. .,_., xq.<°: i/i��/iQt+✓G�11� �/�J/ryN"t.-�4�' ..o w IEWZIP" Y pyy w, ��T� . �. I/0C7c ' /'SQL �C=�L?7'/�' % / �*✓ ' f 44 AV �s no CAI t r,�; 1 CAI Ti> .G� E'.� s'6'-�a7•Ra� t..! I sr. k� R1W; -.�5 y�/ •gyp�+ � �a'� �F i�`..��9[�r�,/,y�..�.s�f/�9tr)r:�'6s;�.eY�LJ.car�.r.Bii/,��.�v�e7''._ %r/yh 8' I �w�y�.y�� y®���cer,�/���• } �, 3.'.. ye -q ! � a -JS'y' e ' !✓Ra�rY�Y:i�aJ+JX j �®��''/t`� �'s da��t✓ f°'C/�� /,W�YT• S 4COA/�C Od'-A-9 TO 7-s� ,gas �t9 OF �j �' �9c\ .� 5 k�"0,6,/�3TH. �ci� AR�fE LA #26348 r _ r, ,,w�_. C/vXlb. "ETM6/.VEE"S ti'�*sf M }FY �.tf� ^ � MT✓a�F - �taUIR -/di1Q(./TH, M<d 55. nfa r� eEc. L 5c�e vs- l Y a 77 40 L •lessor's map and lot :number O.: 7 2—.:.,....."."/S../ L v7— � � S EM tViU�� �G�� ` � 2 �7 YS-YsEnc COMPLIAW- 10 LL Sewage Permifnumber A LE' ,: o. .: ........... ........................:... ft�1C �� r :.... WITH CODE ci ,F "n o aAN �,.r of z � •� B A R MWrX TOWN * OF, ; 4B0H LE AHB9T0DLE�:i fQ it y 9 1639 - UUILD;I '. INSPECTOR }i p� 1679• �0�. C - L; 0 MPY�' ,u .c a� :1 tCY o. _ APPLICATION FOR PERMIT TO .................. � ...l r� Y.�/... .• n f! AP ca . ................................. Y� TYPE OF CONSTRUCTION �... ..... .,,,�.4H�4.._.........................•.................................................. tis December 29 76 ...............................f..............19. .... m TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location - .1.......... .........1....!. c. z .5....... .i4Y......... ..13 Q...,,........ ........................................ Proposed Use .........Residential House.............................................................................................................................. ............... Zoning District .......RC...1.......................................................Fire,District ......H..$'annis ................................................................. Name of Owner .Fz'os; .Cape„Cod,.JAq,,••••„••••„•,•,,,.,.,.,Address .2.1,,L vingpton•,Rd. Sharon,, Mass, 02g 7 Name of Builder Fro$.t•..CVILPg..QPA31A.1dQrA1....TAQA•...Address .2.1. +�Y. ISg$tgfl„RdQ,,..S 1aroII�,•Msss,,,02067 Name of Architect QeQrgR..FA....RA,9a........ .... ..................Address .&AiXXtre0.,...X40.S.................................................. Number of Rooms ....6..RoomS..............................................Foundatiori ....Cr.4.ngret?........................................................ � �ae >.aT Exterior .....................................................................Roofing lj�..51017.XWleS........................................................ Floors ...........F.inished...Car.peting....................................Interior .Dry..Wall................................................................. Heating .......HOt••AiT ....,••.................Plumbing ...1'—z„Baths•,•,•,,,,, .................................... ......... . ..................................... Fireplace ......BT1Ck................................................................Approximate Cost ....... Definitive Plan Approved by Planning Board ti-------------------------------19________. Area ......L.. .A.F.... ............... Diagram of Lot and Building with Dimensions Fee � SUBJECT TO APPROVAL OF BOARD OF HEALTH. l "YL, 0 0 30-.3 #:r. R 30 sO I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. e� Name . ..2 ! `"�.�� .... Frost CaVe'Cod, Inc. No A69..7.9.... Permit for......RA!*...S. S2lCy............ s im �se...>;atai.I, flV.a i g q y... fig.................. LocatiorLot~.. 9..P.ltaers...Wa�.. k c ae ........... .Hganni.a................................... _ � u � c Y. w Owners.krQS.k..�a�. .. Qd�...Inc...................... .�A�, Type of Construction ........Erma. m= 0U ....................................................... ..................... * V Plot ............................ Lot ...#9......................... ti Permit Granted Marah..3..................:19 77 f - Date of Inspection � '1,9 Date Completed .. .a� ::19 ' PERMIT REFUSED J ......................................................... 19 �i, t s t, r l C h ........................................................................ y t +� '� S) CJ .................................................................... J, ;zi G U ' .........................................................I................ , ........................................................ A ............................................................................... , fill f '.................... ............................... ...................... t Assessor's map and lot number . . .................. ../ L- DT� /�,✓. ,Jd G�i+.� 3— 7 7 Sewage Permit.number ................1. .........................,........... yo*TNEro�� rJ _ TOWN OF BARNSTABLE i 89HHSTODLE, i "b � 9. BUILDING INSPECTOR O QED MPY Y ,,• 4 r 1 APPLICATION FOR PERMIT TO ' , ............................................................TYPE OF CONSTRUCTION ....... ........ ................ December 2...9, 19.7�........................ .. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby appliess for a permit according to the following information: Location .4.,P�......��..........! /�c 4 E� S t ej ,�4�/ 4 !-� er-4 �<�S�/�/�'........................................ .... .................................. ..........................................,.............. Proposed Use .........Residential. . ...House. . ........................................................................................................:..................... ...... . ...... ...... . . RC 1 ,,,,.,,,Fire District ......b`.ya�ls Zoning District ................................................................ ......................................,............................ Name of Owner Frost. Ca►.e...Cod* Inos:.......................Address 21 Livingston 8da Sharon, Massa 02067 .................. ....................:................................................................ Name of Builder Frost. Cane Cod Bui.,lders, InC.,,,..Address .21.,Li„vinaston„Rd- Sharon, Massa 02067 ......... ................................................. Name of Architect . ...................................Address .�............... .............I................$ ?t. . . Number of Rooms ....6 Rooms .....Foundation Concrete .............................................. .......................................................................:...... Exterior " ..............Roofng T.ar..4hinxrles ..... . ... .. ......................................... . ......................................................................... Floors Fi n,�, k�pd Ctt�^raPt na...................................Interior lax ''Is.11_ ......................................... ,.............................................................................. Heating 3oi rsir .........................Plumbing ...I? 1Ilt�ths...................:�r..................................... ......................................... . Brick �-3 ©o Fireplace ..................................................................................Approximate Cost ...... _,....:.......:...................y:........................ Definitive Plan Approved by Planning Board ________________________________19________ . Area ......L( .. ........... Diagram of Lot and Building with Dimensions Fee `—� J7 `............................ SUBJECT TO APPROVAL OF BOARD OF HEALTH .o 3s, L so LI.3.D I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name a✓Lf t C....i..." ....... ...........:f.... Frost CaViAN- Inc. 272 137 18979 No ................. Perrhit,for ...one-stctry............... . ............sing 1 e..fami.ly..dw.e 11 in&.................. 17A Location Lot.49.. .. ............Hyanniz.................................................... Owner ftest-Cape-Cod.,.-Inc......................... Type of Construction ....f rAme........................... ................................................................................ Plot ............................ Lot .....#9....................... Permit Granted .....Kq�rqb...1...................19 77 Date of Inspection .......................19 Date, Completed ......................................19 PERMIT REFUSED ................................................................ 19 .................................................................. ............ ............... ........................................ ... ................................ ................ .... ........... . ....................................... Approved .............................. I .. .. ... .. 19 ........................................... .. ............................ ............................... ............................................