The URL can be used to link to this page

Home My WebLink About0002 BROOKSHIRE ROAD 14e- I TO Wpj I DEC CAPE SAVE Weatherization 508-398-0398 December 14,2011 Town of Barnstable Thomas Perry CBO Building Commissioner 200 Main St. Hyannis,MA 02601 RE: Building Permits Dear Mr. Perry, This affidavit is to certify that all work completed for permit application #201105466, Status A, Parcel 328029 at 2 Brookshire Road,Hyannis, Permit type: RADD, and issued on 10/03/2011 has been inspected by a certified Building Performance Institute(BPI) Inspector. R-10 Cellulose insulation was added to the attic. Walls were dense packed with R-13 cellulose insulation.All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey Cape Save 7 Huntington Avenue Suite C, South Yarmouth,MA 02664 11 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 3 Parcel y I Application # Health Division Date Issued d Conservation Division Application Fee Co Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis 1 t Project Street Address Village Rd Ck 00 j� Owner 8 r o Address S rx m C Telephone 5 d 1 e Th `d 1 cti 0 Permit Request 'e_ e e s 9 Con CrC_ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure 4 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: XGas ❑ 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_ —a Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: m Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ A- ^ Commercial ❑Yes "ANo If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDECR OR HOMEOWNER) p Q Name W D `11 DYm f ' LCIuS��e� I `-'a Dave, Telephone Number Address ��i �V4 �� License # c ode � b 5m4 Y�11N-4� N O�b b Home Improvement Contractor# f 6 q tj 3 0 Worker's Compensation # 9 9 3 e g 5 I ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ��,�M 0-u,+ SIGNATURE \� DATE ti. ,k O FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. z ADDRESS VILLAGE OWNER 1 DATE OF INSPECTION: FOUNDATION x FRAME r� INSULATION I� FIREPLACE i r ' ELECTRICAL: ROUGH FINAL + PLUMBING: ROUGH FINAL GAS: ROUGH FINAL r FINAL BUILDING ' t DATE CLOSED OUT ASSOCIATION PLAN NO. j(1 4 l f The Commonwealth of Massachusetts } M Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information �t , Please Print Legibly Name(Business/organization/Individual):_ 1�-AE( V 9_CL4 A sIt C_;;W T)1131& Address:_1 -C LA U r,'iI►1(*,T®tsls%LV- City/State/Zip: S • YAR-NMognt At 6LU gone#: Are you an employer?Check the appropriate box: ' �I Type of project(required): 1.®.I am a employer with� 4. ❑ I am a general contractor and I 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 g. Demolition working for me in any capacity. employees and have workers' comp.insurance.f. 9. ❑ Building addition [No workers comp. insurance p• required.] 5. ❑ We are a corporation and its 10.0 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 repairs insurance required.]} c. 152,§1(4),and we have no ---• 4 employees. [No workers' 'I3.aother-� nS 41' comp.insurance required.] "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. lain an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: C RT(S Policy#or Self=ins.Lic.#: C- ` - 3 ( ,�1 Expiration Date: /Q . Job Site Address: [0 0��S I Y'� '` City/State/Zip: ' declaration Attach a copy of the workers compensation policy dec ara o 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 fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains ,d enaldes'oferjury that flee information provided above is true and correct Signature: f Date: Phone#: 8 ' 5 - Official use only. Do not Perite 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#: CERTIFICATE OF LIABILITY INSURANCE °A'�'�`�'°�'"rn ti✓ 11/l/2010 kTifIS 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 endorsemenL A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements). PRODUCER NAME, Shannon Sperrazza Risk Strategies Company PHONE (781)986-4400 ;� (701)9163-4420_- AIL 15 Pacella Park Drive ADDRUS.ssperrazza@risk-strategies.com Suite 240 PRODUCER00018476 Randolph MA 02368 _ INSURER(S)AFFORDING COVERAGE 1 NAIC# _ INSURED INSURERA:Seneca Specialty_Insurance Co INSURERS.Keating Group Ins Services Michael McCluskey, DHA: Cape Save iN RERcChartis Insurance �- 7 C Huntington Ave INSURER D: INSURER E: South Yarmouth MA 02644 +-•-_ __ — —.-- IN RER F: COVERAGES CERTIFICATE NUMBER:CL1011132675 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. s EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS LTRR= TYPE OF INSURANCE r POLICY EFpp LIMITS I POLICY EXP ; WV POLICY NUMBER Mt 0/YYl Y I MM/0 LIMITS GENERAL LIABILITY ' EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREM}SES lEa ooarren�} $ 50,000 A CLAIMS-MADE + $ OCCUR IBAG1002608 -10/16/2010,10/16/20111 MEOEXP(Any one person) $ _ 10,044 PERSONAL&ADV INJURY S 1,000,000 i 1 I r GENERAL AGGREGATE $ 1,000,0001 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPtOP AGG ;S 1,000,0001 X ;POLICY!—`PRO- LOC - AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 _tANYAUTO 209200 11/6/2010 'll/6/2011 �I(rEaaccloent) - ALL OWNED AUTOS ; BODILY INJURY(Per petson)'$ i BODILY INJURY(Per somdem) S X SCHEDULED AUTOS I __.._._._.---_•- I PROPERTY DAMAGE R'HIRED AUTOS I ;(Per socideM) $ X NON-OWNED AUTOS -- j $ I X UMBRELLA EIAB OCCUR 1 EACH OCCURRENCE $ 1,OOO,OOO EXCESS LIAS �?CLAIMS-MADE AGGREGATE S 1,000,000 DEDUCTIBLE B i RETENTION $ 1023578601 l0/16/2010:10/16/2011: $ WORKERS COMPENSATION I Michael McCloskey y�STATCJ- OTH-! C !AND EMPLOYERS'LIABILITY YIN' _X_'TORY LIMITS". ER ANY PROPRIETORIPARTNERIEXECUTiVE I lib excluded from coverage; j OFFICERIMEM18ER EXCLUDED? Fy-1 j N(A l ' E.L.EACH ACCIDENT I$ - 504 4{j4 AAyaertSd tnta)!ar ;9930951 '10/21/2010;10/21/2011; EL DISEASE-EA EMPLOYEE Sdesenbo 500�004 DESCRIPTION OF OPERATIONS below i E.L.DISEASE-POLICY LIMIT 1$ 500,000 7 i I DESCRIPTION OF OPERATIONS t LOCATIONS 1 VEHICLES(Attach ACORD 101,Additional Remarks Schedule,it more apace is required) Issued as evidence of insurance. Contractors-Executive Supervisors or Executive Superintendents. CERTIFICATE HOLDER CANCELLATION (508)790-2425 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Housing Assistance Corp ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Ruth 460 West Main Street AUTHORIZED REPRESENTATIVE Hyannis, MA 02601-3698 chael Christian/3MS ACORD 25(2009M) 01988-2009 ACORD CORPORATION. All rights reserved. INS025poows) The ACORD name and logo are registered marks of ACORD- ` aN ieea M L Office of Consumer Affai s and Business Regulation M 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 164432 Type: Supplement Card CAPE SAVE Expiration: 10/6/2011 WILL.IAM MUCCLUSLEY --- - 8201 S. HOURD CT CHAPEL HILL, NC 27516 Update Address and return card.Mark reason for change. DPS-CA1 is soar-04!04-GIo1216 'J Address Ej Renewal E] Employment 0 Lost Card ;>., '�/ce�1am�+xawruea�a o�-i!�aaclraaell`s Offl"of Consumer Affairs&Business Regulation-- -- � License or registration valid for individal use only "HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: ' Office of Consumer Affairs and Business Regulation ;� ;�,;• Registration: 164432 Type- 10 Park Plaza-Suite 5170 ti-7y Expiration: 1002011. Supplement Card Boston,MA 02116 CAPE SAVE WILLIAM MUCCLUSLEY 7C HUNTING AVE.. -- S.YARMOUTH,MA 02664 Undersecretary Not valid wi on signature Vla%%achusetts- Depat-tment of Puirlir y.rfct% &yard of Building Re-ulations anti `+tandards Construction Supervisor Speciaity License License: CS SL 102776 Restricted to. IC W(LLIAM MC CLUSKY 37 NAUSET ROAD WEST YARMOUTH, MA 02673 �.-C•--�-''„�'c-` Expiration: 6rM2013 t •nnni.�� arr Tr#: 102776 CAPE SAVE 1 weatherization 508-398-0398 August 22, 2010 To Whom It May Concern: William J. McCloskey is an employee of Cape Save. He Is authorized to negotiate contracts and building permits for our company. Michael McCluskey Cape Save—Owner 919-593-5939 cell X Huntington Avenue,South Yarmouth,MA 026" 460 Wesr P 'kiiii Sr-recu l Ia.OU N S IN -3 i s. J1,AA 02601-3698 j!Z[A,`-jSSS-11 STANCE E-NERM" & HOJIVIE EILPA11", T (5081 771-i400 F (,508)790-242-i C " 1 "C(_ -ORATION -TNoii all I'l ORI T iws u,ti .1mco1fcal. HOME OWNER WEATHERIZATION WORK PERMIT& FUEL RELEASE: PLEASE FELL OUT AND SIGN TMS FORM IF YOU ARE THE APPLICANT HOME OWNER. I 49Anlea 1J6L69=c;?A-,- 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: - 1;�Qk:5-14149,2-- & d YA' eaN2 i S 2-G�� The weatherization work done will be based on programmatic priorities and availability of funding and it may include all or some of the following measures: Weather-stripping&caulking of windows and doors,insulation of attics, sidewalls &basements, attic and other ventilation measures and possibly ly replacement of badly deteriorated windows.In consideration of the weatherization work to be done at my home I agree to the following: 1. 1 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 ufihty 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 list '114 fxr ve my consent. Home Owner: (Signature)-)t:t- '11-11 ezwd" Date: R13-M l2=211 Agent: (signature) Date: 4-I'„ An i I HAC approved Weatherization Comp any. Ck�e Sve Caliber Building&Remodeling Cape Cod Insulation Cape Save Creswell Constriction Frontier Energy Solutions Lahr& Sons Peter Smith Resolution Energy Rock Solid Construction All Cape Insulation