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0151 ARROWHEAD DRIVE
i J Cape Save Inc. 7-1) Huntington Avenue a 2 South Yarmouth, MA 02664 p . Tel: 508-398-0398 Fax: 508-398-0399 2 CO C Z � O 8/28/19 cfl r Brian Florence CBO Town of Barnstable Building Division 200 Main St. Hyannis,MA 02601 RE: Insulation Permit 19-2017 Dear Mr. Florence: This affidavit is to certify that all work completed for 151 Arrowhead Drive,Hyannis has been inspected by a third party Certified Building Performance Institute (BPI)Inspector. All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey Town of Barnstable • hy. ,.q ... ".. .... -/yam■. PostEThis.Card So That rt sible:From.#"he Street-A roved"Plans Must;be"Retained on,1`ob,and,this Gard Must.be;Ke't� z Posted Until Final Inspection Has f3een�Made ° Where a Certificate:of Occu anc :pis :Re wire14 WSW d,such,Buldm hallNot be Occupiedvuntil a"Final<InspectEon.has?been made :" Permit ijji 1 Permit NO. B-19-2017 Applicant Name: William McCluskey Approvals Date Issued: 06/19/2019 Current Use: Structure Permit Type: Building—Insulation—Residential . Expiration Date: 12/19/2019 Foundation: Location: 151 ARROWHEAD DRIVE,HYANNIS Map/Lot: 270-186 Zoning District: RB Sheathing: � . Owner on Record: COUGHLAN,THOMAS J&KAREN Contractor Name WILLIAM J MCCLUSKEY Framing: 1 `. , x Contractor License 'CSSL-102776 Address: 151 ARROWHEAD DRIVE 2 HYANNIS,MA 02601 �� � Est Protect Cost: $600.00 Chimney: Description: Dense pack walls with R-13 cellulose. H Permrt Fe'e: $85.00 Insulation: Project Review Req: �' Fee Paid R, $85.00 r Final:. �t Date 6/19/2019 Plumbing/Gas r Rough Plumbing: . F Building Official F final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized"°by this permit is commenced within suc months a`fter;issuance. All work authorized by this permit shall conform to the approved application and the;,approved construction documents which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and str ctures`shall be in compliance with the local zoning by lawsand codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public hspd6 n for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by3the=Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work ti Service: 1.Foundation or Footing 2.Sheathing Inspection .,.. Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed - 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Cape Save Inc. 7-1) Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fag: 508-398-0399 7/18/18 Brian Florence CBO Town of Barnstable Building Division 200 Main St. Hyannis,MA 02601 RE: Insulation Permit 18-1114 Dear Mr. Florence: This affidavit is to certify that all work completed for 151 Arrowhead Drive,Hyannis has been inspected by a third party Certified Building Performance Institute(BPI)Inspector. All work performed meets or exceeds Federal and State Requirements. Sincerely, J 0�4 Q fs � CO m a C) a William McCluskey V Town of Barnstable Building ¢Post„This Gard S,o-,That it'is Visible From the Street A , roved Flans, Mus#be Retained on Aob and'thisCard�Must"be�Kbe t .eaxsreas.�. MABELPosted Unt�l¢F�nal Iri'spection Has Been Made,, ' �� '� • Wh'ere a Certificate of Occu anc :as Re aired such B:uildm shall Not be®ccu ied'unt�f a Final Ins ection.has�been made a Permit Permit No. B-18-1114 Applicant Name: William McCluskey Approvals Date Issued: 05/07/2018 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 11/07/2018 Foundation: Location: 151 ARROWHEAD DRIVE, HYANNIS Map/Lot: 270 186 Zoning District: RB Sheathing: Owner on Record: COUGHLAN,THOMAS J&KARENGontractor Name: WILLIAM J MCCLUSKEY Framing: 1 Address: 151 ARROWHEAD DRIVE b � � 3 � �Go�trcto�r�License:; CSSL-102776 2 HYANNIS, MA 02601 Est Protect Cost: $ 1,000.00 Chimney: Description: Dense pack the walls with R-13 cellulose Pe mi Fee: . $85.00 �F Insulation: Project Review Req: v b Fee Paid $85.00 D�a e 018 al. � �r 5/7/2 Final: u � Y j Plumbing/Gas S • ... ....... ....... ...... Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work a: rized,by this permit is commenced within six months after issuance. Rough Gas: ' ; All work authorized by this permit shall conform to the approved application and the�'approved construction documents:for which this permit has been granted. All construction,alterations and changes of use of any building and structu es shall a in compliance with the local zoning bylaws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street on oad and shall be maintained open for public inspect on for the entire duration of the work until the completion of the sameESE- . Service:Electrical x VIN The Certificate of Occupancy will not be issued until all applicable signatures by the Building and FireOfficials are provided on,this permit. Minimum of Five Call Inspections Required for All Construction Work a ' 1.Foundation or Footing „ __ . •� Rough: 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department `IVI- Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Town of Barnstable 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit PA g Application No: B-17-2516 Date Recieved: 8/8/2017 Job Location: 151 ARROWHEAD DRIVE,HYANNIS Permit For: Building-Siding/Windows/RooVDoors Contractor's Name: STEPHEN T DICKINSON State Lic. No: CS-081843 Address: MERRIMAC, MA 01860 Applicant Phone: (508) 676-6820 (Home)Owner's Name: COUGHLAN,THOMAS J$a KAREN Phone: (508)728-8113 (Home)Owner's Address: 151 ARROWHEAD DRIVE, HYANNIS,MA 02601 Work Description: Replace 1 three wide Double hung unit 10D --e t w - Total Value Of Work To Be Performed: $4,043.00 n Structure Size: ;0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant,to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the . Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Stephen Dickinson 8/8/2017 (508)676-6820 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost: $4,043.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $35.00 8/8/2017 $35.00 )W(X-XXXX-m&- Credit Card 7597 Total Permit Fee Paid: $35.00 " '' 131 r ty � Q� AL ALTERNATIVE WEATHER.IZATION TO I -BARNS- TABLE DIV510 Date llA Town of Barnstable Building Division _ J '•i''iI JY M1: z00 Main St. Hyannis,MA 02601. The insulation work at has n completed in accord..' 80CMR. been p . ,. , ilv :`ti f•'• othyCa raft r,..•... t r { President CSL 105454 58 DICKINSON STREET I FALL RIVER,MA 02721 1 (506)567-4240 1 ALTERNATIVEWEATI-IERIZATION®GMAIL.COM TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION }F i STJ BLE Application # r I q Map 2_ 1 b Parcel Health Division Date Issued G Conservation Division Application Fee Planning Dept. Permit Fee (�5' C)V TUT ..,._, Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address l QrrO!yhmd D rlve Village i S OwnerTi�onoz n Address &C44AL4 Telephone --,Tz - 91 1 Permit Request VV eOA-V A. l Z a-7 7 C*"') Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation D-0 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name m cobrc4 Telephone Number Address 2 LAL S-tr e, - License # I�SyS"I 1 OA I ib very 1 r fTl 61 I Zi Home Improvement Contractor# fe r nah✓(.Wf a;t i zaP c+1ejma_4).lo7 jj� Email Worker's Compensation # 1 &AIS7 U v ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR DATE FOR OFFICIAL USE ONLY APPLICATION # , 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 DATE CLOSED OUT ASSOCIATION PLAN NO. RISE Engineering Program Inspection+ NGCC-HES RISE~ A division of Thielsch Engineering Client# Certificate ENGINEERING' 5 Dupont Avenue,South Yarmouth,MA 02664 218157 508-568-1926 X-6197 FAX 508-568-1933 Work Order 00002 Page 1 i Contractor: 0070 Alternative Weatherization Contract Date Start Date Address: 1440 Stafford Rd Fall River,MA 02721 3/31/2016 Primary Contact: Thomas J Coughlan Phone: Alt.Phone: _ Auditor Service Address: 151 Arrowhead Drive JJC=John Casanova Hyannis,MA 02601 Home Phone: (508)728-8113 Work Phone: Cell Phone: 508-728-8113 FAX: Start CFM50 End CFM50 BAS CFM50 Worst Case Depressurization pascals CAZ Limit pascals Spillage: Yes or No Draft Failure: Yes or No CO Levels: Pass or Fail The following areas were sealed,as directed by RISE Engineering: Attics Kneewalls _Attic Hatch _Kneewall Hatch _Attic Ducts _Dropped Soffit _Top Plates Chimney Chase _Plumbing Gaps _Wiring Gaps Basement Crawlspace _ Sill Plates _Open Bottom Plates Plumbing Gaps _Wiring Gaps —Duct Register Gaps —Basement Door ; _Door Weatherstripping -----—Door Sweeps Ducts Joist Transitions Exterior Areas Scaled: ` Other Areas Sealed: HEALTH&SAFETY:Weatherization work cannot proceed until mechanical ventilation has been installed. ATTIC FLAT: Install a 10 layer of R-35 Class I Cellulose added to(1030)square feet of open attic space. VENTILATION:Install [1] insulated hose(s)and roof mounted vent(s)to exhaust existing bathroom fan(s). Each hose must be securely fastened at both ends with zip ties and screws. The outer vapor barrier must be sealed at both ends with quality air barrier tape so the fiberglass is not exposed. NOT DUCT TAPE. VENTILATION:Install ventilation chutes in(60)rafter bays to maintain air flow. VENTILATION:Install (8)4 x 16 soffit vent(s)as indicated on the sketch.Energy Specialist must specify -the COLOR: White INCENTIVE:RISE Engineering will apply all applicable eligible incentives to this contract. You will be billed only the Net amount. Currently for eligible measures National Grid offers 75%incentive not to exceed$4 000 per calendar year and an incentive of 100%for the Air Sealing measures. 4/13/2016 2:14:32 I'M RISE Engineering r Program Inspection / NGCC-HES RISE A division of Thieisch Engineering client# Certificate ENGINEERING 5 Dupont Avenue,South Yarmouth,MA 02664. 218157 Work Order 508-568-1926 X-6197 FAX 509-56&1933 00002 page 2 For the safety and health of your home s indoor air quality we will be conducting a blower door diagnostic of the available air flow in your home both before the work is begun and after the weatherization work is complete.We will also conduct a diagnostic assessment of the combustion fumes in the exhaust flue of your heating system and water heater.This has a value of$90 and is at no cost to you. r I confirm that the measures listed above have been completed to my satisfaction.I have received a copy of the Certificate of Completion and hereby authorize the release of any final payments to the Contractor.I understand that this Authorization of Completed Work does not in any manner void any warranties provided to me by the Contractor. Inspector's Signature Customer Signature DATE DATE r 4/i3/20162:14:33 PM } z • Rqolptory Services ate: , Ricbard'Cy:Sa i i,Director DOW- ivisio Torn Perry,Tiuilding E oniir siohtr 200 TvLiiu Steet,Hyatims,`A A.0250-1 wmvA.ovOn arnstab1Lma.w a Office; 508-8624038 '. tix_ 5W 79.0-6230. Prop me�bust,t ....... . ....... m; _ r �s ?rzri r or the subject rca z1 y in almatmrs,mb-hive to workauthoraed by this building;Pe1=":gPP3 catibn for. ,66l,femes arid_ahm s a e-the.r parns zloty cif b.h 4�att: Ooh a-e of 6 bc�.fil it d Or utt d�eft r f azat � y < zrtspzrcc�r�s�arr�'��,���tn��r�an. .a�cePt�cl, z/h, �gtaatire o_ t ;Vner i?nnt _ Paiz tat Y r 1.3 Q:MR!`s+1$"tC3 NFF2t}FX,41S3I.0NP001S, The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERNUTTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual):ALTERNATIVE WEATHERIZATION, INC. Address:2 LARK ST City/State/Zip:FALL RIVER, MA 02721 Phone#:508-567-4240 Are you an employer?Check the appropriate box: 1. ✓❑I am a employer wi 16 Type of project(required): th employees(full and/or part-time).* 7. New construction 2❑I am a sole proprietor or partnership and have no employees working for me in $. Remodeling capacity.[No workers'comp:insurance required.] 3.a I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. ❑Demolition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property' I will 10 Q Building addition • ensure that all contractors either have workers'compensation insurance or are sole 11.[]Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.[3 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp.insurance.: 13.❑Roof repairs 6.M We are a corporation and its officers have exercised their right of exemption per MGL c. 14.E]Other INSULATION 152,§1(4),and we have no employees.[No workers'comp.insurance required.] Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the subcontractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:STAR INSURANCE COMPANY Policy#or Self-ins.Lic.#:0849257 00 Expiration Date:02/26/2017 Job Site Address: S� tlYYp�/GjQ� �Y%� City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by dfine 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi3, /1J1 e pain a d enal es f perjury that the information provided above is true and correct Si ature: Date: Phone#:508-56 2 0 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#: ALTEWEA-01 TRAMIREZ DATE(MMIDDNYM CERTIFICATE OF LIABILITY INSURANCE 3/17/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATEMOLDER.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 CON-TRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the cent, Cate holder is an ADDITIONAL INSURED,the policy must be endorsed. If SUBROGATION ISWAtVED the terms and,conditions of the policy,certain policies may require an en ;subject to dorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such'endorsement(s). CONTACT PRODUCER NAME HONE 47-5531 :(781)477230 Mason 8 Mason Insurance Agency,Inc. AIC oENxt 458 South Ave. E4M�,inf masonandmasoninsurance.com Whitman,MA 02382 NAIC# INSURER(S)AFFORDING COVERAGE INSURER A:Star Insurance Company 00006 INSURED INSURER B: INSURER C Alternative Weatherization,Inc. INSURER D 2 Lark Street Fall River,MA.02721 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 AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT.TOALL THE TERMS, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS LNS�R TYPE OF INSURANCE NSD WVD POLICY NUMBER MMIDD MM1D COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ ETU CLAIMS-MADE OCCUR PREMISES Ea occurrence $ MED EXP(Anyone person) $ , PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPICP AGG $ POLICY D E T LOC g OTHER: COMBINED SINGLE LIMIT_ $ AUTOMOBILE LIABILITY Ea accident) BODILY INJURY(Per person) $ ANY AUTO BODILY INJURY(Per accident) $ ALL OWNED SCHEDULED PROPERTY DAMAGE AUTOS AUTOS $ NON-0WNED Per acadern HIRED AUTOS AUTOS Is EACH OCCURRENCE $ UMBRELLA LIAS OCCUR - AGGREGATE $ EXCESS LIAB CLAIMS-MADE $ DIED RETENTIONS - STATUTE ERH WORKERS COMPENSATION SOO,000 AND EMPLOYERS'LIABILITY YIN WC 0849257 00 0212612016 0212612017 E.L.EACH ACCIDENT $ A ANY PROPRIETORIPARTNERIEXECU I IV a NIA E.L.DISEASE-EA EMPLOYE $ 500;00 OFFICERIMEMBER EXCLUDED? (Mandatory In NH) 500 000 If yes,describe under E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached more space is required) ' CERTIFICATE HOLDER a CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN National Grid , ACCORDANCE WITH THE POLICY PROVISIONS. 40 Washington St ` Westborough,MA 01681' - AUTHO IZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD Office of Consumer Affairs and Business Regulation 10:Park. Plaza`= Suite 51.70 Boston,.Massachusetts 02116 _. Home Improvement Contractor Registration: Registration: 175683.. .... ... - Type: Corporation Expiration: 5/29/2017 . . . Tr# 265489 ALTERNATIVE WEATHERIZATION, ING TIMOTHY CABRAL. FALL RIVER, MA 02721 Update Address and return card.Mark reason for change. 7 7w. Address 1 Renewal i.Employment :.Lost Card vLx; t5 zoia cs ti u_ —. . w __ ��r� r arrcuiucrt/(�.^!: tl�,�cr<•�rr.:r// . ... -'. Office of Consumer Affairs&Business Regulation License or registration valid for individul use only BOME IMPROVEMENT CONTRACTOR " .before the expiration date. If found return to:: t, �tegistration: . 175683 Type: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Expiration 5/29f20f7 Corporation Boston,IVIA 02116 ALTERNATIVE WEATHI_RIZATdONi INC.;: T IMOTHY CABRAL 2 LARK ST _ .. FALL RIVER,MA 02721 L`udersecretary / o valid wit ut signatu .. J ..'# as Massac iusefts'DOP . J-11 bf ubhc Saf secf off tfllding ReOBa>tt� � sand; to�ielara Fti IFaII R[ver MA-02'121 �, a .JTLOit CommAssioner, w. F Op ZME Tpi,_ Eptres 6 rnondu from is pr dare ' • - ' Reaulatory Services Fee y SS Thomas F.Geller,Director .= 139. Building Division Peter F.Diliatteo, Bugdlag Cown*d once s� 3 3 367M. ainStreet, HyM=L-1,MA02601w X®PRESS E IMP .1, Office: 508-862-038 N 0 U 1 ii L 00 Fax: 508-7 90-6Z=0 _ RIP ENTIAL ONLY EXPRESS PERMIT APPLICATION i UM t- bARNSTABL`= Not Valid wahmrt Ad X-Press Imprint Vlap,parcel Numbe Property ;kddress of War,OlResidenrial Owner's Name&address - r Contractor's Name Home improvement Contractor license#(if applicable) Construction Supervisor's License-(if applicable) ' Qworimtan's Compensation Insurance Check one: , Q I am a sole proprietor `-Z�am the Homeowner Q I have worker's Corrpensauon Insurance Insurance Company\'ame worianaa's Comp. Policy Penlut Request(check box) Q Re-roof(stripping old shingles) Q Re-roof(not stripping. Going over existing 12Yers ofroof) �Re-side Replacement W � indo«s. U-value � '44) Q Other(specify) eWhem required: Issuance of this permit does not exempt compliance with other to"deparTmt regulations.i.e Historic.Conservation. Srgttazure Q:Forms:exomrrs:r-,v-+1'0601 g�ep Complaint qui y Report / Rec'd by: Assessor's No.:---- Date: Complaint Name: LocationAd s: /Jr M/P Originator Name: IfS •� State~ Tlp: phone:D/E Complaint Description: _ Inquiry 1 Description: For 0 ce Use Only Inspector's �s actor. 7�iki� Action/Comments Date:_d� P �7f L'Ca�L Follow-up Action .i Additional Info. Attached Cop}'Disuibudon: White-Depatuuent File Yellow-Inspector Pink.Inspector(Return to Office Manager) I � 1 � , / 1 7 :::: oo0mm ::270/186 : IIQUILDIQN low «::x < < > ::::...:.::::....................:.::::::..:.:.:.................::::. >:THOMA.. < ...:. i ..:::.. : tr<:>:>:<::::. S COUGHLAN :::<w::<::: ::: z €€ HYANNIS Ism > ;g< ANONY . . ............. .. ... ...........::::......... :::::. .. ... . ............... .... ................ .................... im NON >::: '> ��> miWill iIIIIsm" .... OORD KS KEti':• titi•�NK YA•. Ism mm gg ';::> .::::.....:..:.:::.::.:.:::..:... REFER T R> �............ ...�..... 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