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HomeMy WebLinkAbout0219 CASTLEWOOD CIRCLE `�� • �/9 __ __ __ __ � \. f}(i e. � i7� r''; : r .. `� r� i, c r r 4 t CAPE C I OF A I ABLE N S U L A T I O N �. i€ _ ' 3 Cal 1I31961.33 Ou"Li 33 INIUTA IOM S1110N.0 ' 3.1Tif OU}i191 IN3Ut1TION CIIlIN01 �xasr=t?y,3i 1-800-696-6611 - ON' 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 wort: preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings ( ) ( ) ( ( ) ( ) Slopes ( ) ( ) ( ) ( ( ) Floors ( ) ( ) ( ) ( ) ( ) Walls GiV,er�� (VOr Sincerely 2H -y E rr sident Insc. " TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION I I Map Parcel Application �J�� Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address JZ ���T��f�,l �'; Village���y��( // 4 Owner ��/�/�% � Address Telephone Permit Request ��.Yr%i�/�,� �/2 4z4 1i� L�j„p,� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed] Total neW, Zoning District Flood Plain Groundwater Overlay K Project Valuation -® D , D Construction Type Aso Lot Size Grandfathered: ❑Yes ❑ No If yes, attach suporting_documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes A No On Old King's kghway-❑e A 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 `� Telephone Number Address /2�;�r��� C'/61 License # le Home Improvement Contractor# _ Z6h_Y.5 Email Worker's Compensation # fp C / 74- 3 M ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE S ,Z/ FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED y 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. Mass save - p „R PERMIT AUTHORIZATION•FORM I, Margurite Bassett owner of the'property located at: t (Owner's Name,printed) 219 Castlewood circle Hyannis (Property street Address) (City) hereby authorize the Mass Save Home Energy Services Program assigned Participating Contractor listed below to act on my behalf and obtain a building permit to perform insulation and/or weatherization work on my property. X. Owner's Signature -7--1;) -iY Date FOR CSG OFFICE USE ONLY Conservation Services Group has assigned the following Mass Save Home Energy Services Participating - Contractor to the above referenced project: Participating Contractor ate. . Off 0 _ • For Office Use Only Rev.12132011, 7l f t.� Massachusetts -Department.of Public Safety ;.Board of Building Regulations and Standards- Construction SupervisOr License: CS 100988., HENRY E CASSII}' •�, 8 SHED ROW WEST YARMOUTH s ✓.•�...� �rn1 Expiration Commissioner 11111/2015, , J Office of Consumer Affairs and Business Regulation 10 Park Plaza`- Suite 5170 'Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 153567 Type: Private Corporation Expiration: 12/15/2016 Tr# 259188 CAPE COD INSULATION, INC HENRY CASSIDY 18 REARDON CIRCLE SO. YARMOUTH, MA 02664 Update Address and return card. Mark reason for change. Address Renewal Employment Lost Card A 1 Co20M-05/11 V/ze �par�u�narzruer�lC/e1C/jCcwec c1wdef Office of Consumer Affairs&Business Regulation License,or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: '153567 Type: Office of Consumer Affairs and Business Regulation xpiration:::-12115/20:1.6 Private.Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 4PE COD INSULAT.I'Q:N;aNC" : '. =NRY CASSIDY 3 REARDON CIRCLE' : g '0.YARMOUTH, MA 02664 Undersecretary gNyv*alid x The Commonwealth ofMdssachusetts Department of Industrial Accidents• . Office of-Investigations '600 Washington Street . F Boston; MA 02111 www.inass.gov/dia Workers' Compensation Insurance A'ffidavit:.Builders/Contractors/Electricians/Plurabers Applicant Information - - Please Print Le ibly Name (Business/Organizado /Individual): CIVOAddress: VG �UI �i ' -- City/State/Zi :c ` AV�/I b�( � ��� PPhone #: - Are you an employer? Che k he appropriate boi: — 1. ( I am a employer with �jj 4F. ❑ I am a general contractor and I Type of project{required): / employees (full and/or part-time).*. have hired the Tub-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' Building addition [No workers' comp. insurance comp, insurance.t 9. ❑ required:] 5. [] .We.are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner:doing all work officers have exercised their myself 1'1.❑ Plumbing repairs or additions y [No workers' comp. right of exemption per,MGL i insurance required.] t c. 152, §1(4), and we'have no 12Roof repairs 3a.❑ I am a homeowner acting as a employees. [No workers'- 13. `Other 11 (( general contractor(refer to#4) --- comp. insurance required] Any applicant that checks box#1 must also fill out the section below showing their workers'co saticr6 li 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. tContmcton that check this bort'must attached an addidonal'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. Belowls the policy and joh side — information t ,� , Insurance Company Name: Policy#or Self-ins. Lic. #: Expiration Date: Job Site Address: f City/State/Zip: Gs d ~v 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 fine up to $1,500.00 and/or one-year imprisonment, as well-as civil penalties in the form of a STOPMORK 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* Office of Investigations of the DIA for insurance coverage verification. I do hereby certi un the pains and penalties of perjury that the information provided above is true and correct Si a s . Date: Phon Official use only. Do not write in thh�area, to be completed by city'or town official City or Town: Perm' itlLiceuse # i Issuing Authority(circle one): I. Board of Health 2. Building`Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other- Contact Person: Phone#• From:Rogers&Gray InsuraFax: -To: +15087785736 Fax: +15081785735 Page 2 of 2,031301201 5 1 0:04 4A CAPECOD-27 BDELAWR_ENCE ACdR�., DATE(MtA/DDIYYY'o I CERTIFICATE OF LIABILITY'INSURANCE 3/30/2015 _ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS l 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 pollcy(les)`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 Ileu of such endorsement(s). . PRODUCER CO CT NAME: Rogers&Gray Insurance Agency, Inc. PHONE' IA, -- 434 Rte 134 Arc No Exl: Alc No: (877)816-2'156 South Dennis, MA 02660 aooRlEss: INSURER(S)AFFORDING COVERAGE PlnIC a j INSURER A:Peerless Insurance Company-see LIBERTY MUTUAL INSURED INSURER B:SAFETY INSURANCE COMPANY 39454 Cape Cod Insulation, Inc. INSURER c:Endurance American Specialty Ins. CO.' 18 Reardon Circle INSUREk D:ATLANTIC CHARTER INSURANCE GROUP _ 1 South Yarmouth, MA 02664 INSURER E: -� - INSURERF.: I 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 I HIS 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. LTR TYPE OF INSURANCE INSO WVQI POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS —" A X COMMERCIAL GENERAL LIABILITY EACH ODAMAGCCURRENCE $ 1,000,OUO, CLAIMS-MADE OCCUR CBP8263063 04/01/2015 04/01/2016 PREMISES Eaocanrence * $ 100,000 MEO EXP(Any one person) $ 5,000 PERSONAL&ADVINJURY $ 1,000006. GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ - 2,0001--11 X POLICY PJECT RO- a -- LAC _ PRODUCTS-COMPIOPAGG $ 2,000,00OI OTHER: $ — --� AUTOMOBILE LIABILITY ED accidentSINGLE LIMIT $ 1,000,00 B ANY AUTO TBD ., 04/01/2015- .04/01/201$ BODILY INJURY(Per person) $ ALL OVNVED X SCHEDULED ---------+ AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED ------ X HIRED AUTOS X AUTOS . - PROPERTY DAMAGE $ i Per accident X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 21000 000 C Excess une CLAIMS.MADE EXC10006635000 04/0112015 04/01/2016 AGGREGATE $ DEO X RETENTION$ 10,000 Aggregate $ 2,00 OOO WORKERS COMPENSATION, AND EMPLOYERS'LIABILITY Y/N STATUTE ERH D ANY PROPRIETOR/PARTNER/EXECUTIVE WCEO0431900 06/30/2014 06/30/2015 E.L., ACHACCIDENT $ 1,000,OOOI OFFICERIMEMBER EXCLUDED N NIA (Mandatorytyes.d be and E.L.DISEASE-EA EMPLOYEE $ 1,000,00aI It yes,describe under - _ DESCRIPTION OF OPERATIONS below - E.L.DISEASE-.POLICY LIMIT $ 1,000,000 - - DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Addltfonal RemarNs Schedule,may be attached it more space Is required) Workers Compensation includes Officers or Proprietors. k Additional Insured status is provided under th-h deneral Liability and Auto Liability vahen required by written contract oragreement with theertcate Holder.Cifi I ° 1 _ i• CERTIFICATE HOLDER CANCELLATION j SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cape Cod Insulation,Inc. THE EXPIRATION DATE THEREOF, 'NOTICE WILL BE DELIVERED IN 18 Reardon Circle ACCORDANCE MATH THE POLICY PROVISIONS, South Yarmouth, MA 02664 _ AUTHORIZED REPRESENTATIVE ` ©1988-2014 ACORD CORPORATION, All rights reserved. ACORD 25(2014101) The ACORD'name and logo are registered marks of ACORD - A yofTHETp�i TOWN OF BARNSTABLE IN Z 3AMWST/1IiLE, i 0 9 BUILDING INSPECTOR am a' APPLICATION FOR PERMIT TO ... :1� .........t:!1.....:1'.. . '. ... :. / : .. :..�....t .................... TYPE OF CONSTRUCTION .....00.0 .d..... RAMI................................................................................... .....I..i.MAY......1.�. .............19.71. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies Ifor a permit according to the following information: Location .....� .,. ......4. .IYr Q.. .( .....5�$ . a.......... f`.lv(V).�................................................................. ProposedUse .....Li ANAY1.5.... .ao.kv..%.............................................................................................................................. ZoningDistrict ............ .. ri.ot... .............................................Fire District .............................................................................. Name of Owner .h�3 � .F'►'l.l .0.5.4V..... 1 kWJ X..Address °,Xo,...(..,e t i .��.!AJ.t�..4.. ...... ..ti.0................. k^ame of Builder A.I.6tq-t.....1..M.��.`A.....JnC.......Address ....1�...�.jt�..�..5./.�!!.�..�4......... l:l.AICwl'al Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .........t.......................................................Foundation ..... �r �'..........:................................. L Exterior ....��10 ........s�J.Ll.lall.49'..f .�J............................Roofing ........e9syAwal".1 ................................................. Floors .....C.a.f}�.{.7..................................................Interior ..jow&f.f............................................................. Heating .... .. Q. '.................Plumbing ff/.6.N.. Fireplace .../ .Q.Jt.r............................... .......Approximate Cost � ®. �4 Difinitive Plan Approved by Planning Board ________________________________19________. �� 4 Diagram of Lot and Building with Dimensions a O C � 05 ok . QI /y4 �r ca �� ®c��0 S�Q� .� � S��• I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .... .. .............. ..... .. Jenney, Mr. & Mrs. Milton DEC 31 1971 No ...13T Permit for ........enclose breezeway ............................................................................... Location z1? Castlewood Circle ................................................. r Hyannis ....................................................... Owner Mr. & Mrs. Milton Jenney .................................................................. Type of Construction frame ................................................................................ Plot ............................ Lot ................................ 4 11 Permit Granted .............. 71 Date of Inspection ....................................19 i Date Completed f� �t PERMIT REFUSED ............... ............................................. 19 ............................................................................... .................................................. ........................ 1 ...... ......................................................... ................ i Approved ................................................. 19 I - 1 ............................................................................... 1 .................... ........................................................ I - 'r Assessor's map and lot number ' oXT eto lum . .. .7 y H 3 �Sewa<,�e! PerAlit number ............::.�.... . f........ LRNSTABLE, i House number ............... ...... :' as.............................. 90o Mb 9 e�, MaY A,- TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......... .... .... .......... TYPE OF CONSTRUCTION ..SP-1..1 .....l..'...: '�i;;-�(Jl' '��...."(d� ...... ...... ............. ;t�h .......I.....19 !...1, TO THE INSPECTOR OF BUILDINGS: The undersigned`hereby applies for a permit according to the following information: Location .......... .�..�....... . !fi t d... _ .itC. ....��. ... ' /1f..tUl;.;�.;�.............. ................................... ProposedUse ..... ....................... ............................................................... .................... Zoning District ..... ................................... .........�l.. ..`.......Fire District .... .................................. �`" �y,. .. .. a ��htX l t A Name of Owner ..: .....��a .:..............................Address .....c?C.r..�....�..! .......r............ 1 �1 �+ Name of Builder } ..� ?�`4 .......................Address .... .. ... ...�......,............ �� ,Name of Architect ..................................................................Address .................................................................................... Number of Rooms .../.............................................................Foundation ..... .................................................. Exterior it>(.)r S L,{'1 :z?.... .......Roofing .......... fk �I M t�� ( f r.. tq- .................. .. ..�. ... - �. .Floors 0 ! ......... dx-..�...._Ar. ...:. a. .......................Interior ........:.... . ... ....:. .:.,t JC1 !........ ` ., � I .........................Plumbin �UctRA (` l'AQX' (k2t °!..:. ..jai Heating g .......... ._...�. a. .. .................... Fireplace ..................................................................................Approximate. Cost ... ................................................r ..... Definitive Plan Approved by Planning Board --------------------------------19'--------. ' Area ... ...; �`... 5; .. Diagram of Lot and Building with Dimensions Fee w SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of theTown of Barnstable regarding the above 9 9 construction. a Name ... ..... 1t'r1�t ......" .N ;� 3?.................... - "- Construction Supervisor's License. a BILL, TED A=2/72-43 No ....26800 permit for .......Addition to .................. r ....... s;ingle family dwel 1 in.9...................... `I" 219 Castlewood Circle Location ................................................................ ...H.Y.an n i s............. Owner .........Ted Bill .............................................. Type of Construction Frame.... ................................................................................ Plot ............................ Lot ................................ Permit Granted ..........&.051...7.............19 84 'Date of Inspection ....................................19 Date Completed ......................................19 I� As and lot numb r Assessor's map .....�..Z. ....... ....� ?NE ... Tp� dl-Sewage �Permit number .. ..!�..:. b�C d�P r� - rasa 7 BARNSTULE. i Housenumber .............c;"�1..... . .. ... ........................:...... v Op 1639. 0 MPY a. TOWN OF BARNSTABLE BUILDING INSPECTOR Y _ �n APPLICATION FOR PERMIT TO !`� �.11r`(• ...-a,............................................................................... TYPE OF CONSTRUCTION .. ...... ...../......:.......... .. ........ ..... .. . ........ .....19P TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according t the following information: Location ..........C.Q. 1��yy......... .. ... �..... ...... 1 ProposedUse ....IJ. ............................................ ............................................ .............. ..................... no Zoning District ....... . .. . . ...........� —.`.......Fire District ..... ..... . lY... . ... . -� ce ,,��yy i Name of Owner .. ...... ..............................Address .....&).y.... . .. .. .. .. .. . t . ..... Name of Builder .!1%QI' .e` "�,......................Address ....15.71.... .. . ✓! ".. ....................... Name of Architect ........................ ...............................Address ................................... , Number of Rooms ...(r..............................................................Foundation .....GA,k, :..:................. .............................. Exierior ' . ..6104 ...... Roofing .......:......: � .... Floors .. .Interior . .......... �/` >��....(.�................................................Plumbing `99 Heating ....... .. .. . .��'�h` .. . .� .. ... .................. Fireplace ..................................................................................Approximate. Cost ..... .� t7. ........., ............. Definitive Plan Approved by Planning Board ________________________________19___-___. Area ... ....!Q!Q....q&.1...5 ...... Diagram of Lot and Building with Dimensions Fee � ..................................../ SUBJECT TO APPROVAL OF BOARD OF HEALTH 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 . a.�_ . ... .................... Construction Supervisor's License BILL, TED V72-43 No ...26$,QO .. Permit fo ..... dition to , rr ............ .. f . . t f am i 1 dwe 1 1 i n •. . Location 219 Cast 1 ewood C i rc 1 e ................H.y.ann►.s................................................ Owner ......Ted..B.!. . ........................................... t` Type of Construction .F rAfn!e..................... ................................................................................ Plot ............................ Lot ..............I.................. t- =: Permit Granted August 7 1984 w ' Date of Inspection .......................... ....19 .... Date Completed 4CA4 ............:.......1 Sa6 . i 9 r