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HomeMy WebLinkAbout0136 TANBARK ROAD �3� i� ��- r - ";""`""�...r.y ., ....-._ .- la.......�-y�.+.-. /"�.+�.r.._As'�..-�.�w+�...r.r-..w..w----�-••�--..+sw*'.i�"a'���'1. -..-.,r.A.,.+�.i+-„ n. .sir., .,.'.�'��.r. !f." ��.. � - - T0V 11 0F CAPE COD �� INSULATION ry^t` `�?�.; —2 Pik ��' FIBER OLASS SEAMLESS SPRAT FOAM.SUSPENDED BATTS GUTTERS INSULATION CEILINGS n.-^�--- •'� 1-800-696-6611 ', "'= Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 Date: Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village �/I��t i Ja Ct Cl�I l3 �•W N�oAt�c ttrQ• M*fm�W5 Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings ( ) ( X) ( l E2 ) ( ) (X) Slopes (X) ( ) ( lq ) ( ) (X) Floors ( ) ( ) ( ) ( ) ( ) Walls ( ) ( ) ( ) ( ) ( ) Sincerely I y E assi Jr, resident pe C d Ins ation, Inc. 4 i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel` 6 1kJ'06v Application # Health:Division Date Issued Conservation Division Application Feez Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address 3 7i9n/6�L !I v� Village I'►'►"Ps Owner6p}r "Ic S;xn AAVti-�= Address PA., S" Sf• #y&Am7 Ad- 09-bo l Telephone Permit Request ,4 ow Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new . Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Ldt Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family .Q 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 tRnew� size_ c Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: C Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ n =ao a4 n Commercial ❑Yes ❑ No If yes, site plan review # Cn Current Use Proposed Use --+ r T APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Aienrxl �� Telephone Number SW 77 -/Z-,/Y Address YP� License # 100qjce APHome Improvement Contractor# Z53 ��n7 O u°73 Worker's Compensation # (V C4 00 5 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE EI-146F v ' 7 FOR OFFICIAL USE ONLY cr APPLICATION# e' ` DATE ISSUED:- -I i a MAP/PARCEL N0.. .� ADDRESS ` - VILLAGE OWNER DATE OF INSPECTION: _ ='�a.F_OUNDATION° _ k t FRAME INSULATION, t FIREPLACE � e j ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL i - GAS: ~- ROUGH rr_=}lc,.:.: ., FINAL ' l .-FINAL BUILDINGILl r; DATE.CLOS.ED OUT "— P ASSOCIATION PLAN NO.' 1 0 r X 09/01/2@10 04:40 5087785731 CAPE COD INSULATION PAGE 01 Cam'\ The Comrrronive tlth of:Mo.ssachtrsrUs OEM L�epartrnr�zt nflficlrrstrinlAccidefr.fs ofTce of Invest"61, ns 600 Wa.Fh.in. tort Street 13o,.,�ton, MA 02,11.1 -tx-t fi'' lit-uty.mrr:c,r,gnv/dia Workers' Compensation Insurance Af.Cid,,i it- Builclers/Contract:ors/Electricians/Pltimbers Appl.i.cant Information Please Print Lcaibly Nat71C (2usincas/0r�ar,ization/Individur+p;__�/l /tG -t � Address: _ "�� YArAZPVJ1 City/State./Zip: Q. Phone "1: -7 ? S Are you an,crnploye.r?•Check tll appropriate box.: Type of project (required): att]a employer .with 4, ❑ I am a kcncral contractor and t crmpl.oyee't (fa1J a.nd/tif'patl-•tin)e).* have hued the sub-contractors . 6. ❑Now construction 2.❑ I am a solo proprictor.or partner- listed on tho attacbcd shoot. 7, ❑Rer»odel;ng ship and have no employees These cub-contrtictors bavc 8. ❑Demolition working for me in any capacity, omployocs and have workers' [No workcrs' comp. insurance comp, insuraiace. f 9, ❑building addition rcquircd,] 5- ❑ We Arc a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a•homeowner,doing all work officers have exercised their l 1.❑Plumbing repairs or additions myself. [No workcrs' comp. right of exemption per MGL' 12.0 Roof repairs insurance required.] r c. 152, §1(4), and we have no employees, [No workcrs' 13.[]0thcr comp, insurance rcquired,] tAny applir-.nl•lhat checks box tll must Also fill out the section below showing their workcrs'eomprn8ation policy information, t Hnnu:ownera who submit this Affidavit indicatine they arc doing a.11 work and Ihon biro outside contractors mu..^.t subtnil n new a.rfidavil indiratinp,gurh, lContrectors that check this box must anachrd rtn additional 6cel showing the nnmc or the sub-contractors and state whether or on[those cmilics hnvc employees. If the sub-contrartors have employocs,thry must provide their worY.crs'comp.policy number. .1 arrt an employer[hat is providing workers'cornpcn.satiotr insurancc for ni-p efnplopees. Below is thr police anal jolt rlfr into rm atiOIL l.nSuranoc Company N8Mc:__A Policy# nr Self-ins. Lic,1l: (, _OQ r� � Expia-ation Dal.e:_ Job Site Address: _ C'ily/slate/7.ip; _ Attach a copy of the workers' compensation policy decls.ration page(showing the policy utrmber irid expiration date), Failure to secure covenigo as required under Scctioo.75A of MO1_c, 152 can load to tba'imposition of cHini.oal ponaltie.s of a fine up to ,$1,500.00 and/or one-year impr'i.sonrncnt, as wo11 as civil•penalties in the four of a.STOP WORK ORDER and a fine of up IA S250,00 a day agai.rlst the violator-, Bc advised that a copy of.this statement may be forwarded to the Office of Investigations oC the D1A for insurance coverage verification, Ldo hereby certify uf e pa' and pen.frlticr olperjwy that the informatioir provided above is free anr!correct. //0- Phonc#: L6. 0 ial asr_ only, Do not writs in this area, to be completed Irtr city or tomb offciaL or Town; _�Fermi111.1cense o.g Authority (circle one); -- ard of Health 2, Building Departmcnt 3, CJty/To)rn Cleric 4. E•`lectrical Inspector 5. Plumbing Inspector her act 1'cr.apn: I 460 West 1\41ain Street HOUSING a..nis 1 ; , rf1. o_22r�01-3698 5 T i n 11_ ASSISTANCE ENERGY & HOME REPP_T R .£;F3 r ( 508 ) 790-7106 F ( 508) 790-24•`'5 CORPORATION TTY on all lines ivww. haconcapecoa'. o_g auzeapeLer' � LANDLORD TENANT � , . G-a,Li I'1a. C PHONE PHONE Dear Landlord, Your tenant is eligible for services through the Weatherization Program. Program regulations permit us to spend an average of$5,000.00 in materials and labor per dwelling unit. Program regulations require us to weather-strip and caulk doors and windows; insulate attics, sidewalls and floors. All work is professionally done by established private contractors. We will conduct a final inspection to make sure that all work is completed to specifications. Prior to making the inspection and doing the work we must have your permission. If you want your tenant to participate in the program, please sign the agreement and return the form to me. This agreement states that: 1. You will not raise the rent because of the Weatherization work or for one year from the time the work is completed. 2. You will not evict your tenant for one year following work completion date except for good cause related to the tenants failure to pay rent or serious or repeated violation of the terms of tenancy. 3. If you sell the property during the specified period, either the new owner must assume the obligations under the agreement prior to sale, or you must refund to us the entire amount of materials and labor we spent in weatherizing the unit. If you request, you will be informed of the estimated measures before they are done and provided with a list of the actual measures and costs following the completion of the work. We also need proof that you own,the property. A copy of a CURRENT TAX BILL OR DEED listing you as the ownerwill satisfy this requirement. Please fill.in all blank areas of the enclosed agreement and return with the proof of ownership as soon as possible. Failure to fill out the entire form will result in a delay in processing the application. If you have any questions please call Michael Sartori at 508-790-7105, ext. 105. Sincerely, �,Lr 2728z530 Ruth Bechtold N �1, Operations Manager N [� Energy and Home Repair Department 4 � :T' n.l 1.1 ..r.. � ,_ _ } -Eli+ l , f 1 Z•_1L1�1i]C hi'. •i'.:'\ ...: {( \• l TENART/PROPERTY OWNER/AGENCY WEATHERIZAIIORAGREEM.ENT 1. .,Ye Parties to this�ement are the following: �J (hereafter known as Tenant), (print your tenant's name) r\ S1 (hereafter known as Property Owner) (print your name) and Housing Assistance Corporation (hereafter known as Agency). In consideration of the mutual promises hereafter stated, the Parties agree as follows: 2. The date of Agency's signature will be the effective date of this Agreement. 3. Property Owner and Tenant consent and agree that the Agency may do the following with respect to the property located at1street, town) , unit# , and currently leased or rented to the Tenant: � � Y U?ttp a) Enter the premises for the purpose of performing a Weatherization inspection. b) Enter the premises to perform Weatherization work which the Agency determines in its discretion is necessary and appropriate as a result of the Agency's inspection of the property and in accordance with the appropriate priority list for the type of dwelling. The Agency and the Agency's contractors may also enter the appropriate common areas of the building for the purpose of accomplishing the Weatherization work. The Agency and representatives of the Commonwealth of Massachusetts, Department of Housing&Community Development(DHCD) may further enter the property to inspect any and all work hereunder. The Agency will provide reasonable notice of the timing of the Weatherization work and inspections. The Weatherization work will be performed in accordance With the Property Owner's consent as further specified below: *** INITIAL ONLY ONE OF THE FOLLOWING'"" I consent to performance by the Agency and its contractors of any Weatherization work determined necessary and appropriate by the Agency as a result of its inspection of the property. I understand that the Agency will provide a detailed statement of the actual work performed and the associated value at the completion of work. I will provide a.separate consent to performance by the Agency and its contractors of Weatherization work following my receipt of the Agency's inspection report and a statement of the estimated work and associated value. This additional consent will be sent under separate cover as Attachment A. I understand that the Agency will provide a detailed statement of the actual work performed and the associated value at the completion of the work. 4. The Property Owner understands and agrees that any and all work, including related repairs for which the Property may also be eligible, will be performed at the Agency's discretion. The Agency estimated completion of the Weatherization work by the end of - 2009/10. 5. If the Property Owner is required to make repairs to the property prior to the commencement of Weatherization work by the Agency, the Property Owner will be notified by the Agency and will be required to make the repairs as soon as possible. Except where the Property Owner receives a written extension from the Agency, time is of the essence in the performance of repairs by the Property Owner. t .%1:....Val'; .} �il .:•C :.1 `1,.t }l' 6. The Property Owner and Tenant authorize the Agency to receive a statement from the fuel supplier/utility supplier as to the quantity of fuel/utilities used at the above address in each of the past three years and the future three years. The information is to be used only to determine the cost effectiveness of the Weatherization improvements. 7. The Property Owner agrees that the rent for the dwelling_unit will not be raised because of any increase in the value thereof due solely to the Weatherization work performed. 8. In consideration of the Weatherization work hereunder,the Property Owner further agrees that upon the effective date of this Agreement and during a period extending through 2009/10,approximately one year from the time the work is completed, ..) a) The present rent S er month ill not be raised for any reason. (The rent amount must be filled in) However,this Paragraph (8a)will be waived by the Agency in writing if,and only if,the premises are leased under a state or federal rent subsidy programs in which case the actual rent charged by the Owner shall conform to the standards of the rent subsidy program Please state which Housing Subsidy pro ram your tenant is on and through which Agency: y1 1-1 ffy-1 b) The Property Owner will not institute any summary process action for possion except in the case of non-payment of rent or-other good cause related to the Tenant(or any successor Tenant). c) In the event the Property Owner decides to sell the premises, Property Owner shall comply with one of the two requirements below: --The Property Owner shall not sell the premises unless the buyer agrees(with a copy forwarded to the Agency) in writing prior to sale to assume all obligations of the Property Owner set out in this Agreement; or -The Property Owner shall pay the Agency an amount equal to the cost, as certified by the Agency, of the Weatherization materials installed and labor performed in the premises as of the date of sale. Said amount shall be paid to the Agency immediately upon sale. 9. (Applicable only if Tenant's heat is included in rental payment and blanks are filled in) At the end of the period set forth in Paragraph 8 above, the rent shall not be raised more than_��, 6 per__. _ , for an additional period of one year, and the provisions of 8b and 8c above shall continue in effect for such period. However, the rent provisions of this Paragraph 9 may be waived by the Agency in writing if, and only if, the premises are leased under a state or federal rent subsidy program, in which case the actual rent charged by the Owner shall conform to the standards of the rent subsidy program. 10. The Parties agree that the terms of this Agreement are incorporated into any other lease or agreement between the Property Owner and the Tenant, and between the Property Owner and any successor Tenant, and if there is any conflict between the provisions of this Agreement and the provisions of such other lease or agreement, the provisions of this Agreement shall govern. However, if such other lease or agreement, including without limitation a lease or agreement under state or federal rent subsidy program, contains stronger protections for the Tenant, such stronger protections shall apply. f't _ 11. For breach of this Agreement by the Property Owner, the Property Owner shall reimburse the Agency in an amount equal to the cost, as certified by the Agency, of the Weatherization materials installed and labor performed on the premises, as well as attorney's fee and court costs. The Property Owner may also be liable for damages to the Tenant in accordance with applicable law; in such instance, the Property Owner shall reimburse the Tenant for attorney's fees and court costs. Without limiting the foregoing, the Agency may at its option terminate this Agreement, by providing written notice to the Property Owner and Tenant, in the event of breach by the Property Owner or Tenant. 12-. Performance of the Weatherization work hereunder by the Agency is contingent upon the availability of funds to the Agency from the commonwealth of Massachusetts and the federal.government, as well as the eligibility of the Tenant under WAP program requirements. The Agency may terminate this Agreement, by providing written notice to the Property Owner and Tenant, if the Agency determines that the unavailability of funds or ineligibility of the Tenant warrants termination. 13. The Parties acknowledge that this Agreement is under seal. It is intended by the Parties that the Tenant or any successor Tenant is the intended beneficiary of the Agreement and shall have a right of enforcement. Property O e s _ z O Signature: Date_Z Phone: I� -15-5- Address: BARNSTA13LF Hni ieigQ AbT.NQRI ,. - 146 SOUTH ME Tenant Signature _ �11 Date & Agency Signature �� Date F Massachusetts- Department of Public Safeh Board dBuildimg Regulations and Standards Construction Supervisor License. License:`CS" 100988 Restricted o: 00 — HENRY. CASSIDY 8SHED ROW WEST YARMOLITH,AMA 02673 Expiration: 11/11/2011 G'urmnissiunrr Tr#: 100988 `� B51 V#uIa`�"ons an Mn �rs One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement `Contractor Registration Registration: 153567 Type: Private Corporation Expiration: 12/15/2010 Tr+k 278247 CAPE COD INSULATION, INC HENRY CASSIDY 455 YARMOUTH RD. HYANNIS, MA 02601 Update Address and return card.Mark reason for change. Address ❑ Renewal ❑ Employment Lost Card IS-CA1 0 50M-07/07-PC8490 B° �f ?t81i3g'CENgu'atY° ttff1d51f License or registration valid for individul use only Ulf HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: _ Registration: 153567 Board of Building Regulations and Standards Expiration ..12/15/2010 Tr# 278247 One Ashburton Place Rm 1301 Boston,Ma.02108 -Type: "Private Corporation e • CAPE COD INSULATION;-INC._ HENRY CASSIDY 455 YARMOUTH RD. �� t id wi ut ignature HYANNIS,MA 02601 Administrator i Date: 7/27/2010 Time: 3:58 PM To: Hank @ 9,15087785735 Rogers & Gray Ins. Page: 002 Client#:4597 CCINSUL A60RU. CERTIFICATE OF LIABILITY INSURANCE D A T E (MMIDDNM) 07/27/2010 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 ACT NAME: Margaret Young Rogers&Gray Ins.-So. Dennis n/c°No El):508-760-0602 AIC No: 434 Route 134 h-MAIL ADDRESS: P.0.BOX 1601 CUSTOMER IDfl: South Dennis,MA 02660-1601 INSURER(S)AFFORDING COVERAGE NAIC p INSURED Cape Cod Insulation Inc INSURER A:Peerless Insurance 455 Yarmouth Road INSURERB:Ohio Casualty Insurance Company INSURER c:Atlantic Charter Insurance Hyannis,MA 02601 INS URERD:Commerce Insurance Company 34754 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. TYPE OF INSURANCE POLICY EFF POLICY EXP . L NSR D POLICY NUMBER NNflIDD/YYYY PAMIDD/YYYY LIMBS A GENERAL LIABILITY CBP8263063 4/011201 O 04/01/2011 EACH OCCURRENCE $1 OOO 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENT D PREMISES Ea occurrence $1 OO 000 CLAIMS-MADE a 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 $ J'CjD AUTOMOBILE LIABILITY 10MMBCKVMK 4/01/2010 04/01/2011 (E COMBINED SINGLE INGLE LIMIT $1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ X SCHEDULEDAuros PROPERTY DAMAGE $ X HIREDAUTOS (Per accident) X NON-OWNED AUTOS $ HUMBRELLA B X OCCUR MEYAPP397725 06/171201 O 04/01/2011 EACH OCCURRENCE $1 OOO OOO EXCESS LIAR CLAIMS-MADE AGGREGATE $1 OOO OOO DEDUCTIBLE $ RETENTION 10000 $ C WORKERS COMPENSATION WCA00525901 06/30/2010 06/30/2011 X WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN JER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT s500,000 OFFICER/MEMBER EXCLUDED? ❑N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500,000 If es,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,6 more space is required) **Workers Comp Information'' Included Officers or Proprietors (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION 10 Days for Non-Payment 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 West Main Street Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE 01988-2009 ACORD CORPORATION.All rights reserved. ACORD 25(2009/09) 1 of 2 The ACORD name and logo are registered marks of ACORD #S54814/M53353 MEY �. Page 1 of 1 Hank Cassidy From: "Ruth Bechtold-Imhof' <RBechtold@haconcapecod.org> To: "'Hank Cassidy"' <hankcci@verizon.net> Sent: Tuesday, July 27, 2010 11:51 AM Subject: electrician Ed Merry is our Electrician. 508-221-4335 Ruth Bechtold Assistant Director Energy Department Housing Assistance Corporation 46o West Main Street Hyannis,MA o26oi phone 5o8-790-71o6 ext.2 fax 5o8-790-2425 rbechtold@haconcapecod.org www.haconcapec6d.org 8/16/2010 i i HOUSING ASSISTANCE CORPORATION contractor: Cape Cod Insulation Client: Virginia Brierly BILLING SHEET (Cont.) Date: 8/4/2010 Installed Program: Weatherization Units Description Price D G/N C DOE GAS/NSTAR CLC zQcq::] ATTIC VENTILATION Rectangular gable vent ea. 88.00 1 88.00 - - Varipitch vent ea. 109.00 - - - Roof vent 135(1 sq. ft.NFV)large ea. 95.00 - - - Roof vent 865(.4 sq. ft.NFV)small ea. 76.00 - - - Turbine Vent ea. 160.00 - - - Stack Vent ea. 145.00 - - - Proper Vent —ea. 3.75 - - - Rectangular soffit vent ea. 26.00 - - - Ridge vent In. ft. 22.00 - - - DEADLIGHTS &OTHER Deadlights ea. $ 100.00 - Rigid Foam Board price(charge under A/S or labor only) sq.ft. $ 1.75 - - - Window quilt ea. - - - Sliding glass door ea. $ 1,290.00 - - - Bldg. permit baseline price(input unit accordingly) ea. 50.00 3 150.00 - - i Notes: 1/ construct & insulated frame for door @ bulkhead BLOWER DOOR RESULTS CFM @ 50 PASC. 2/straighten existing FG, damn chimney. 3/fit and foam PRE—/ 1740 ceiling @ chimney opening, poly dirt floor POST_/ TOTAL DOE $ 2,946.88 LEVERAGED FUNDS $ - TOTAL JOB COST $ 2,946.88 Photos and attic inspection form are required at time invoice is submitted. wzPList Page 4 of 4 04/12/2010 HOUSING ASSISTANCE CORPORATION WEATHERIZATION WORKSHEET Client Name/Address: Contractor: Cape Cod Insulation Virginia Brierly Al DiMuzio 136 Tanbark Rd. Built in 1989 Date: 8/4/2010 Marstons Mills MA Phone: Installed Program: Weatherization JOB# ARRA-181 Units Description I I Price D G/N I C DOE I GAS/NSTAR CLC I QCq DOORS Weatherstrip W/Q-Ion or equal ea. 43.00 1 43.00 - - Fixed Sweep ea. 7 15.00 1 15.00 - - Automatic Sweep ea. 22.00 - - - R-5 Ductwrap or R-max on door ea. $ 44.00 - - - Lockset/Schlage or equal ea $ 70.00 - - - Repair/Refit Door € ea $ 50.00 - - - 32-36" Steel pre-hung replacement door w/lite ea. $ 610.00 - - - 32-36" Wood pre-hung replacement door w/lite ea. $ 580.00 - - - 28-32" interior solid core door ea. $ 300.00 - - - Basement/outside door-door only ea. $ 350.00 1 350.00 - - Basement/outside door-w/jambs ea. $ 415.00 - - - WINDOWS Weatherstrip Window/Schlegal or equivalent ea. side 5.00 - - - Top Sash Lock ea; 9.25 - - - Side Press Lock ea 9.25 - - - Glass Replacement to 64 ui '>:'.ea $ 42.00 - - - Glass Replacement per ui over 64 $ 1.40 - - - Replacement grids(per window) ea. $ 40.00 - - - Energy*R4 prime win.repl.ment w/low-e to 73 ui ea. $ 390.00 - - - Energy* R4 prime win.repl.ment w/low-e to 74-83 ui ea. $ 400.00 - - - Energy* R4 prime win.repl.ment w/low-e to low 84-93 ui ea. $ 410.00 - - Energy* R4 prime win.repl.ment w/low-e to low 94-101 ui ea. $ 425.00 - - - Basement window replacement(awning/hopper) ea. $ 325.00 Basement window replacement with frame ea. $ 350.00 u1 ' wzPList Page 1 of 4 04/12/2010 HOUSING ASSISTANCE CORPORATION I Contractor: Cape Cod Insulation Client: Virginia Brierly BILLING SHEET (Cont.) Date: 8/4/2010 Installed Program: Weatherization Units Description Price D I G/N I C DOE I GAS/NSTAR CLC I ::Q:C:q�j MISC. MEASURES w/s(Q-Ion or equal)attic hatch ea. $ 30.00 $ - $ - $ - w/s (Q-Ion or equal) R-30 attic hatch ea. 7 32.00 1 32.00 - - Blower door set-up with pre& post tests ea. 45.00 1 45.00 - - Attic sealing with two-part foam man/hr. 75.00 3 225.00 - - Basement air sealing with two part foam man/hr. 55.00 3 225.00 - - Seal ducts with mastic or butyl backed tape hr. 62.00 - - - Cut-finish attic-kneewall access ea>; 100.00 - - - Cut/close attic-kneewall access ea; 75.00 - - - Vent kit/bath fan 85.00 - - - Clothes dryer vent incluidng Exhaust Duct $ 85.00 - - - Replace Clothes Dryer Transition Duct Only(H&S) $ 38.00 1 38.00 - - Bath fan-Panas.Whisp.w/exstng pwr&timer(H&S) $ 350.00 1 350.00 - - Bath fan-Panas. Whisp.w/o exstng pwr&timer(H&S) 450.00 - - - Labor only charge (note 1) marlF:r; 60.00 6 360.00 - - ATTIC INSULATION R-49 unrestricted-settled cellulose sq. ft. 1.53 - - R-38 unrestricted-settled cellulose sq. ft. 1.40 - - - R-30 unrestricted-settled cellulose sq. ft. 1.30 - - - R-18-20 unrestricted-settled cellulose sq. ft. 1.23 - - - R-10-12 unrestricted -settled cellulose (note2) sq. ft. 1.15 768 883.20 - - R-30 restricted-slopes/floored fill w/cellulose sq. ft. 1.41 - - - R-18-20 restricted-slopes/floored fill w/cellulose sq. ft. 1.35 - - - R-10-12 restricted-slopes/floored fill w/cellulose sq. ft. 1.24 - - - Attic stairs&common wall- ill w/cellulose stairwell 130.00 - - - R-I 1 FGB in open rafters/walls/kneewalls sq. ft. 1.25 - - - R-19 FGB in open rafters/walls/kneewalls sq. ft. $ 1.40 12 16.80 - - Kneewalls R-12 Cellulose behind permeable membrane sq. ft. $ 1.65 - - - Reinforced poly/R-20 cellulose open rafters sq. ft. $ 1.75 - - - Reinforced poly/R-30 cellulose open rafters sq. ft. 1.95 - -Site Built pulldown stair insul.2"foambox H Thermodome ea. 175.00 - - - Attic/Kneewall Floor Transition Dense Pack w/cellulose In. ft. 2.40 - - - wzPList Page 2 of 4 04/12/2010 i i HOUSING ASSISTANCE CORPORATION Contractor: Cape Cod Insulation Client: Virginia Brierly BILLING SHEET (Cont.) Date: 8/4/2010 Installed Program: Weatherization Units j Description Price D G/N C DOE GAS/NSTAR CLC QCq WALL INSULATION Wood clapboard/shakes/shingles or vinyl(dense pack) sq. ft. 1.70 - - - Single nailed asbestos/asphalt(dense pack) sq. ft. 2.10 - - - Double nailed asbestos/aluminum(dense pack) sq. ft. 2.20 - - - Brick/Stucco(dense pack) sq. ft. 2.75 - - - Drill rough plaster patch or finish wood plug(dense pack) sq. ft. 1.73 - - - Drill finish patch plaster(dense pack) sq. ft. 1.81ft. - - - Vinyl over asbestos(dense pack) flat r s-rate 60.00 to 2.20 - - - Test drill 4 sides - - - Interior wall blow sq. ft. 1.40 - - - sq. ft. - - - BASEMENT INSULATION Garage ceiling cavity filled with blown cellulose sq. ft. 2.00 - - - Sill two-part foam w/fiberglass batt sq. ft. $ 2.00 - - - Sill insulation faced R-19 In. ft. $ 1.50 - - - Basement overhead insulation R19 Fiberglass sq. ft. $ 1.50 - - - Basement overhead insulation R30 Fiberglass sq. ft. $ 1.73 - - - Crawlspace overhd. insul.4'high or less R-19 sq. ft. $ 1.78 - - - Crawlspace overhd. insul.4'high or less R-30 sq. ft. $ 1.87 - - Perimeter wrap R-5 reinforced foil or vinyl faced ductwrap sq. ft. $ 1.82 - - - Perimeter 2"foam board (note3) sq. ft. $ 2.17 14 30.38 - - 6 ml poly on ground (note 3) sq. ft. $ 0.75 14 10.50 - - MISC. INSULATION Duct insulation R-5 sq. ft. 2.95 - - - Domestic water pipe wrap In. ft. 2.50 8 20.00 - - Hydronic pipe insulation to 1" copper pipe R-5 In. ft. 3.25 20 65.00 - - Hydronic pipe insulation 1.25- 1.5"copper pipe R-5 In. ft. 3.50 - - - Steampipe insulation to 1.25 iron pipe R-5 In. ft. 5.25 - - - Steampipe insulation to 1.5-2" iron pipe R-5 I In. ft. $ 6.05 - - - Steampipe insulaiton 3" iron pipe R-5 In. ft. 7.25 J - - - wzPList Page 3 of 4 04/12/2010 ZHE� Town of Barnstable *Permit# � 1 Expires 6 months from issue date i7 Regulatory Services Fee Thomas F.Geiler,Director 0.59. .• Building Division VV iDren nar a g �G Tom Perry,CBO, Building Commissioner D 200 Main Street,Hyannis,MA 02601 G www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number I olco Property Address /^ 16Q 11 Residential Value of Work p2 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address !` t, S Contractor's Name r Telephone Number 4- 2 9(/y\/- Tv \ l Home Improvement Contractor License#(if appl' able) MIT❑Workman's Compensation Insurance -PRESS PER Check one: 8 2008 ❑ I am a sole proprietor. APR I am the Homeowner I have Worker's Compensation Insurance TOWN OF BAR NSTABL� Insurance Company Name ` e E / v Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Y Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35) 'Where required: Issuance of this peimit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. f SIGNATUT QAWPFILESTORMSIbuilding p ms\EXPRESS.d c Revise020108 1 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations a a 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lel!ibly. Name(Business/Organization/Individual): Address: CC City/State/Zip: R MQ o / Phone.#: Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with . � 4. 0 I am a general contractor and I . employees(full and/or part-time).* have hired.the sub-contractors El ❑New construction 2:0 I am a'sole proprietor or.partner-' listed on the attached sheet. 7...0 Remodeling . ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. We are a corporation and its 10.11 Electrical repairs or additions 3.�, I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12M Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.E] Other comp. insurance required.] *Any applicant.thatchecks 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. 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. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. � e • Insurance Company Name: Policy#or Self-ins.Lic. #: �1 �tCVA0q �_ Expira on Date: r '� Job Site Address: /_ _ City/State/Zip: t �— 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 fim tip 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 A19wance coverage verification. I do hereby cer nde th ai s-and penalties of perjury that the information provided above is i ue and correct. Si natur . Date: #:Phone 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#: r Information and Instructions ry Massachusetts General Laws chapter 152 requires all employers to provide workers' compeiisation'for their.employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and,who resides therein,or the occupant of the dwelling house.of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deeme&to bean employer." MGL chapter,,1'52, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for,the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s),address(es)and.phone number(s) along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials .Please be sure that the affidavit is complete'and�printed legibly..,The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in'the`permit(license number which will-be used as a reference number. In addition,an applicant that must submit multiple pprmit(license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in,,— city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. .The Office of Investigations would like to.thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7744 4 Revised i i-22-06 www.mass.gov/dia i 03/07/2005 16:22 5087789797 MIKEM C� PAGE 01 MIKE MONGEAU (508 I •� )778-9797 POSAL 77 Traders lane Cell(508)367-2646 W.Yarmouth,MA 02673 Home Improvement tic.#12678 Date: Constr.Supervisor tic.#006670 Proposal Submitted To: Malting Address Work to be performed at: Name: 46k �n Street: Ae Street: Clfy: I it fr6r City: � State: Zip Code: d C State; tip Code: Home Phone: Mkdc NOTES/Suggestions: Ar + I /' tiWA ` 'p Y L << PIAP v.4Kc_ e Hereby propose to fulnish the materlals and perform the labor necessary for the completion of }--GA-ova --- Removing old roof, Install new roof with a a - 60"' off^ 44"' shingle estimate( /� )sq.This price will include 5 year warranty on workmanship, new alumi- num drip gee, 15#felt underlayment, roof vent collars, Install Ice and water barrier around chimney, valleys, nail loose boar , clean IteD and total clean up and removal of all debris. Color of roof is to be 2. Venting-can be critical on certain homes (a) Install ft.of Cobra continuous ridge vent option$ (b) Install ft. of Hicks vented drip edge on soffit. option $ (c) Install „ft. of water&ice barrier on eaves to prevent Ice damming option $ (d)Other All moteriol in guaranteed to be as specified, and the above work to be performed In accordance with the specifications submitted for above work and completed in a ofessional workmanlike manner for the sum of = .with payments to d s follows: Deposit of $ Balance due upon co eti q�% a-32 _ Respectfully submi loor ACCEPTANCE OF PROPOSAL Any rotted or brok n r or trim boards unforeseen, repaired,will The above prices, specifications and cwdlflons are be an extra cost above the quoted roof price.The charge for this satisfoctory and are hereby accepted. You are will be, If needed, S501hr.plus materials.All agreements contln- authorized to do the work as specified. Payment will gent upon weather delays beyond our control.Not responsible be made as outlined above for wood fragments In attic area.Owner to remove all valuables from walls. liability Insurance on all above to be taken out by: Date: Mike Mongeau Signature: ` T l,.ss+s't'e 7• Y T. �H7 t. �Yr.y lr� r'..• - 1 s rr v t b , • `. Corr . i Q N O W 3 Sy Lg ' � 111'1411� 3 ac o co O G rn C4 - OD e i •' a `� 1 m cD 3 License or registration valid for individul use only before the expiration date. If found return to: Board of Building Regulations and Standards One Ashburton Place Rm 1301 + Boston,Ma.02108 a ,t ........... Not valid wi out signature •. 4/8/2008 12:04 Bryden & Sullivan Insurance kas->Barnstab.le Building.Dept 1/2 ' ACORD . CERTIFICATE OF LIABILITY INSURANCE OP ID KS DATE(MM OD/YYYY) MONGE-1 04 08 08 ?RODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Bryden & Sullivan. Ins Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE of Dennis Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 485 Route 134, PO Box 1497 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. So. Dennis MA 02660 Phone: 508-398-6060 Fax: 508-394-2267 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER CNA Insurance Companies INSURER B: Michael Mongeau INSURER C: 77 Traders Lane INSURER D: West Yarmouth MA 02673-3334 INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. SR DD POLICY EFFECTIVE POLICY EXPIRATION LTR NSRD TYPE OF INSURANCE POLICY NUMBER DATE MM/DDI DATE(MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurence) $ CLAMS MADE ❑OCCUR MED EXP(Arty one person) S PERSONAL&ADV INJURY $ GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S POLICY JE O- LOC AUTOMOBILE LIABILITY COMBINED SINGLE OMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $. NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN EA ACC $ I EAUTO ONLY. AGG .S EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ❑CLAIMS MADE AGGREGATE $ S DEDUCTIBLE g RETENTION $ $ WORKERS COMPENSATION AND OR STATU- OTH- TORY LIMITS ER EMPLOYERS'LIABILITY `I' ANY PROPRIETOR/PARTNER/DECUTNE 6S59UB480X760908 03/04/08 03/04/09 E.L.EACH ACCIDENT S 100000 OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE GAS 100000 It yes,describe under Ip. SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT S 500000 OTHER c DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Michael Mongeau included himself for Workers Compensation benefits under _^ class code #8742 Sales -" co t- CERTIFICATE HOLDER CANCELLATION BARNS-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUINO INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Town of Barnstable Building Dept. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 200 Main Street REPRESENTATIVES. Hyannis MA 02601 A 0 D REPRESENTATIVE ACORD 25(2001/08) ©ACORD CORPORATION 1988 T � ` *M�>o TOWN OF•BARNSTABLE Permit No. .3.2.599 BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash ................ 7 .Yl HYANNIS.MASS.02601 Bond .... ,,,,,, CERTIFICATE OF USE AND OCCUPANCY Issued to Greenbrier Corp. Address Lot #12 5, 136 Tanbark Road y Marstons Mills. Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE: April 24, 19 .89 ly ... .. . . 4k/19f Building Inspector i T'OWN OF BARNSTABLE, MASSACHUSETTS • BUILDING. PE i l A=100-24 DATE January 23 , 19 89 PERMIT NO. 3259*9 ' APPLICANT eras nbrier Coi:1" ADDRESS p wi�- C;1n , r n r (No.) 15 1 N EE 1) 19(CONTRtHkir PERMIT TO Build Dwelli-ricl ER OF (__�lj STORY Single DWELLING UNITS NUMB (TYPE OF IMPROVEMENT) NO. (PROPOSED; DW e #125, AT (LOCATION) Lugi36 Tanbark Road , 1.4arston5 ZONINGDISTRICT— (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) SUBDIVISION LOT LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE By FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCT-10 TO TYPE USE GROUP —BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: Appeal seylaclL- 48�4-7F)C) 41988-68 N/A AREA OR 7 VOLUME 768 sq. ft. ESTIMATED COST 45, 000 . 00 PERMIT FEE. 5 0.'�:'- (CUBIC/SOUARE FEET) 61 OWNER Greenbrier Corp. ADDRESS U P. 0. Box. 510 Cell tervii-l(-, BILDING DEPT. BY ' o-c ry 4i�-l:�F ANY APPLICABLE SUBDIVISION RESTRICTIONS. �.UNUITAI THREE E CALL APPROVED AR 0 K A 0 E U 0 T C L MINIMUM, OF THREE CALL PLANS MUST BE RETAINED ON JOB INSPECTIONS REQUIRED AND THIS WHERE APPLICABLE SEPARATE ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS AREREQUIRED FOR ,S T OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.I- FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE ELECTRI AL. PLUMBING AND 1. PRIOR TO COVERING STRUCTURAL QUIREO.SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). 3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. OCCUPANCY. POST THIS CARD- SO IT IS VISIBLE FROM. STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 .-4�_(t.a -_" — 0 2 2 6_6 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT OTHER BOARD OF HEAL)H k C WORK SHALL NOT PROCEED UNTIL THE INSPEC. PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN N UCT TOR HAS APPROVED THE VARIOUUS STAGES OF WORK 15 NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITT CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. OTI �C TIC, NOTIFICATION. LOT 127 9$ LOT 124 u, ao LOT 125 0 11,783 SF o. 'A2 � % 5 LOT 126 No L� 1 i I R� R 1 1-12-88 INITIAL ISSUE NO. DATE DESCRIPTION BY AS—BUILT FOUNDATION PLAN—LOT 125 MARSTONS MILLS WOODLANDS BARNSTABLE, MASSACHUSETTS N. OODLANDS ASSOCIATES REALTY TRUST I CERTIFY THAT THE FOUNDATION °r4p PAUL A. SCALE � so' JOB No. ,sae Xs .. SHOWN ON THIS PLAN IS LOCATED LEVY `; 0 50 goo ON THE G AS INDI A No. 306I7 CT DATE RE IS RED LAND SURV OR Y as nest MAW STMW cmnwrv= lu 02632 Assessor's office (1st floor): 10o f ^�,f r� SE��► SY�T� �OiTMETO`♦ Assessor's map and lot number of / 8 �,�. MOa o Board of Health Ord floor): g, q`� �jL2• Sewage Permit number ....Q..�............ ................................. 9T&BLE Engineering Department (3rd floor): ,ip-- t3(.0 Fjf; L CC 'oo ,b}9- eee House. number .................................................................. ..... To ®� F, MIR a` Definitive Plan Approved by Planning Board _________ _ ?0-._______19_ a . REGU�T�Q�� APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00.2:00 P.M..only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ................................................................................. ... TYPE OF CONSTRUCTION .....5 !!� C F............. y 4/OV1)* �/Z,p E ............ a.. ...................19.P� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location �0? la5 ,0A" 14XK f�046 pIz5WAIS' ,ccS ............................................... ...................................................�..... ................... .................................... Proposed Use /..`'.ray ZoningDistrict ........................................................................Fire District .............................................................................. As0Z eorCo. -Fex .5/0 Name of Owner ............... ............../.........................Address .. .. �. r Nameof Builder .......�....�C............................................Address .............SaK. ........................................................ Nomeof Architect ..................................................................Address ..................................................................................... Number of Rooms Foundation lZ6-0 CO � Exterior ..Lr.�.A ...S SN1/✓ACC` ....�.y..e)XR.............Roofing ........... /✓�L . ..................... ............................................................. Floors ......L�. r .../l�l!V(/L....................................Interior .......... NCFT/ZOC/� .r�........................................................... � Heating �1Q........�..f.........(...�.5....................................Plumbing ....................?�7N 1 .......................................................... �y� � �Fireplace .....AD....................................................................Approximate Cost . .. .... ....................... .. Area .... � ........� I Diagram of Lot and Building with Dimensions Fee Al15) OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Clef. :. � .�Name ... ................ . ...... .. .............................. Construction Supervisor's License ...6.0.07..f 6.0.07.1............. GREENBRIER CORP. 1 32599 .............0 Permit for .... ........... Sin�q ..Family Dwelling...... .................. ........ .................................... Location ...L.o.t...#.1.2.5.(...... ...Tanbark Road ................... Marstons Mills . ........................................................... Greenb ., Owner ..... ... .... ...rier........ Corp. .................... Type of Construction ..Frame ........................... .... ....... .............................................................................. Plot ............................ Lot ................................ Permit Granled .... ZL.......19 89 Date of Inspection ....................................19 .2/- Date Completed ..... ........19 6-2 4&a Av CL ER . t i 1 j r TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE - JOB LOCATION /3 l*rS'1ny s //S 0 5� Number Street Address Section. Of Town "HOMEOWNER" rvS Name Home Phone Work Phone PRESENT MAILING ADDRESS /1/6 .SOvf�i �/i l7Ya,✓rd/s� 6aZ60 / City/Town State Zip Code The current exemption for "homeowners" was extended to include .owner- occupied dwellings of six units or less and to allow such 'homeowners to engage an individual for hire who does. not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one to six family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL I. i Note: Three family dwellings 35,000 cubic feet, or larger, will be required to comply with State Building Code Section 127.0, Construction Control. i i Hzscs HOME OWNER'S EXEMPTION The code states that: "Any Home Owner performing work for which a building permit is required shall be exempt. from the provisions of this section r (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that if Home Owner engages a person(s) for hire to do such work, that such Home Owner shall act as supervisor. " Many Home Owners who use this exemption are unaware that. they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for Licensing Construction Supervisors, Section 2.15) . This lack of awareness often results in serious problems, particularly when the Home :Owner hires unlicensed persons. In this .case our Board cannot proceed actainst .the unlicensed person as it would with licensed supervisor. The Home Owner acting as . supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities, many communities require, as part of the permit application, that the Home Owner certify that he/she understands the responsibilities of a supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. ......._.. Sort^ I s Ex:� e..�k v4•� p 6 y'-3 ti r i R \ Q. ;Z 36 PT PT 5 --- 7. a5 1 6/'�� ax6 s3___65.a� s s ; ��. _ ,a . s3 PT lb 1 r� 5 q3, i i i i 4 i IKE Barnstable BARNSTABLE. • Telephone(508)771-7222 MASS. '�, Bess• .0� HOUS1Tlg Authority 146 South Street•Hyannis,Massachusetts 02601 rED MPp e` June 6, 1994 Mr. and Mrs. Brian Hutchinson 136 Tanbark Road Marstons Mills, MA 02648 Dear Brian and Sherri: The Barnstable Housing Authority appreciates your willingness to improve your property at 136 Tanbark Road. The BHA is giving you authorization to build a deck on the side of the house. The BHA will provide the materials and you will be providing the labor. Please use this letter as verification with the Town:that you have permission to perform this work from the Authority. If there are any questions in this regard I can be reached at 771-7222. Thanks again for your ongoing upkeep of the property. Sincerely, Thomas K. Lynch Executive Director_ _ Equal Housing Opportunity Agency Assessor's office(1st Floor):; n tw& -SEPTIC SYSTEM MUST Assessor's map and lot number /` 00' 6�to ^�O t t _ INSTALLED IN COMPL Conservation(4th Floor): ' '_ a WITH TITLE 5 Board of.Health(3rd floor): ' Q C ENVIRONMENTAL CO . ULZ S Sewage Permit number TOWN rua EGU A039. Engineering Department(3rd floor): House number ' 45� I ✓J�' { Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED.8:30;9:30 A.W and 1:00-2:00 P.M.only , • t { TOWN OF BARNSTABLE , ;BUILDING INSPECTOR APPLICATION FOR PERMIT TO 6dd 4 c K. TYPE OF CONSTRUCTION 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 439 `lil' - Proposed Use Srid✓de,CK _ Zoning District ,:�/— Fire District Name of Owner GinayAnble Ot.cSi 19vfloe; �y Address J-6Sovlk1, Name of Builder Address Name of Architect Address Number of Rooms �/� Foundation �i9�/n/!+ /✓�e pool/.r IS'-S Exterior I"r cSSyre re Fl fed Roofing AIZ& Floors �`�S sure �fie'q fco' Interior Heating t--� Plumbing Allq i s✓ Fireplace iv//9 Approximate Cost -'0'6d,3. Area Diagram of Lot and Building with Dimensions Fee ///6) i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. f \ Namel ✓ ��L� Construction Si ipervisor's License BARNSTABLE HOUSING AUTHORITY , A=100-016. 002 No 3 6 7 5 8 Permit For ADD DECK. TO {' DWELLING t Location 136 Tanbark Rd. Marstons Mills Owner Barnstable Housing Authority . Type of Cbnstruction Plot Lot Permit Granted June . 6 1994 Date of Inspection: Frame 19 i Insulation 19 Fireplace 19 Date Completed 19 EM M is i�+ w j�,. : r_L`.` j:. �����a 4. �,-.-M,:1; 'Y,.>.,S Z..,.+_"..�>:-Y' -�� :°:..�a.-:,,:, -.s'�%J`3 �;:?r�'v�i ''��:.�i»�,:r7u ..:b�,Fi•�s yia '�f-;`ww/!-y^��i�.�� v � U _ �1 r\ l�Sti �..}. ✓` -� _ `���tie y`"F c '� u.. . j w Assessor's office (1st floor): Assessor's map and lot number .a'f '( �� "� °*TaE To Board of Health (3rd floor): Sewage Permit number ....s'?.... �� �. �1 /I `�/ ', a ' Engineering Department (3rd floor):: 'oo�tb 9. 0� Housenumber ............................................ ........................... a mod` Dgt�nitive Plan Approved by Planning Board ________________________________19________ . APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M.- only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..............NS✓':Z�r"1` �,.�,,��� t'ry(r TYPE OF CONSTRUCTION - F /��-I C c/ �� G0 TO THE -INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location �C fiT /.�5 l/ f%� /C h�o.9� //u!�'7?GNS1c�S d ............................................... ....................................................�..... .�........................ ....................................... Proposed Use "n+NCF ,o..+i�Y Zoning District ........ ...............................................................Fire District / Name of Owner f?gF„/$�G1f�OK,�• rjd( 5-1D ��,,,�F�v,e"t.t�+ Address e.................................................... ............................................. .................... Name of� B'uilder ............Z�.. ................................................Address ................�/� t� Nameof Architect ..................................................................Address ..........ff�........................................................................ Number of Rooms ..................................................................Foundation ...f'.!I.v!Zc.'......Co/t/Cr F 1 ................................................. Exterior ........... .......... ............................................................Roofing ............ j. ..4t�............................................................. Floors ....... i� r.... ... :°.�yL....................................Interior ........... /J<=f //ZCCK . .. ....................................................... Heating (��>Q.........13 ...'.....C�.'.......:..................................Plumbing .........../ �i'T'� .............................. ...................... ................. Fireplace ...... 0....................................................................Approximate Cost .......... ......................................................... Area .......................................... Diagram of Lot and Building with Dimensions Fee ............................................. (J�11w-i�/Jt OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .... !^'.�`..............l;�C'Ov� .............................. Construction Supervisor's License ...t'1.6.o i l - GREENBRIER CORP. A=100-24 160 —16—at- % 160 No 32599 Permit for ....11 ...Story..............I.......... Single Family Dwelling ....................................................................... Location LQ.t;... 136 Tanbark Road .................................... Marstons Mills ............................................................................... Owner Greenbrier Corp. ............................................... Type at Construction „Frame........................... ............................. Plot ............................ Lot ................................ Permit Granted ........J.4A!4.4ry...�Z5......19 89 Date of Inspection ....................................19 Date Completed ......................................19