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Home My WebLink About0048 CHARLES STREET ��„ � �(j f � .�/ r�1 • �_ h � � _ ,. _ i (moo n BUILUI - NG DEPT C Hui i ieWorks Energy, Inc JANY4 �020 Insulation Affidavit tpwN OF BgRNSTA BLE HomeWorks Energy has installed insulation at the following address that meets or exceeds Massachusetts building code and IIC requirements. Project Address: Permit Number: B-19-4250 Mary Ellen Reynolds 48 Charles Street <Bafff=b"assachusetts 02601 Location Material Addt'I Thickness Final Assembly R-value Attic Floor Green Fiber Cellulose 13" 49 Enclosed Attic Floor Green Fiber Cellulose 101. 35 Basement Rim Joist 6"Owens Corning Fiberglass Battini 6" 19 Sincerely, Scott Veggeberg HomeWorks Energy Inc. CSL#103832 HERS Certification#3081658 HomeWorks Energy 101 Station Landing,Suite 110 Medford,MA 02155 wxpermitting@homeworksenergy.com Town of Barnstable Building BA��M Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and-this Card Must be Kept M^S $ Posted Until Final Inspection Has Been Made. S Permit co "�� Where a'Certificate of Occupancy is Required,such Building`shall Not be Occupied until a,Final Inspection has been made. .. � . . P. ..,_ - to Permit No. B-19-4250 Applicant Name: HOME WORKS ENERGY INC. Approvals Date Issued: 12/26/2019 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 06/26/2020 Foundation: Location: 48 CHARLES STREET,HYANNIS Map/Lot: 309-077 Zoning District: RB Sheathing: Owner on Record: REYNOLDS,MARY ELLEN TR Contractor Name: HOME WORKS ENERGY INC. Framing: 1 Address: 297 BISHOP'S TERRACE ,,,. Contractor License: 181138 2 HYANNIS, MA 02601 Est. Project Cost: $2,629.00 Chimney: Description: Insulation/Weatherization Permit Fee: $85.00 Insulation: Project Review Req: ' . Fee Paid: $85.00 Date: 12/26/2019 Final: Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after`issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. j Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work:a Service: 1.Foundation or Footing = ; AF 1 2.Sheathing Inspection Rough:.m ,. -�:; M 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 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: "Perso racting 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 Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 1 ' ... . V Application numb . ..••••••••••••••• ••.••••• u Fee ......................... ................................... % . II Building Inspectors Initials....................................... DateIssued:................................................................ Map/Parcel TOWN OF BARNSTAB LE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: cbq r�-S S-moot NUMBER STREET VILLAGE Owner's Name: M a E� (LOJI - Q�Win[ cQ S Phone Number "SO:2 --m 0 ,Cal t-12 Email Address: f J Cell Phone Number Project cost$ 2 I�Z 2 Check one Residential Commercial OWNER'S AUTHORIZATION ry o As owner of the above property I hereby authorize �J A77 C -R to make application for a building permit in accordance with 780 CMR = `. Owner Signature: Date: ' - A9 TYPE OF WORD ❑ Siding ❑ Windows(no header change)# D Insulation/Weatherization ❑ Doors(no header change)# Commercial Doors require an inspector's review ❑ Roof(not applying more than 1 layer of shingles) Construction Debris will be going to 2S(O A, LWA4 0AGHA CONTRACTOR'S INFORMATION Contractor's name fV14 h�(�( C Home Improvement Contractors Registration(if applicable)#, 1 13 (attach copy) • i 4 Construction Supervisor's License# (attach copy) Email of Contractor 2 A 'fA Phone number �� 3 S- 3 1 Vk JOf" ' OM APPLICATION NUMBER *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No ' (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each ach tent mus t be attached. Provide a site plan with the location(s) of each tent Fuel source being used LP tank 20 lbs. or> Yes No ,if yes, a gas permit is required. Natural Gas Yes . No , if yes,a gas permit is required. If food is being served at.your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4.01 pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Mod el/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures, specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date ,P _ICAntS SIGNATURE Signature Date 12--26— l 01 All permit applications are bj ct to a building official's approval prior to issuance. r .��/' �j'/il/ll!'/l/f'f'/%!{�/'f ..r�'.f��1•lF/!%///i/:�lAi Office of Consumer Affairs and Bust mss Regulation 10001Nashingtori Street-Suite 710 Boston,Massachusetts 02118 Rome Improvement Contractor Registration Type t'arpdroilan Registration: 1 a t 13t3 HOME WORKS ENERGY.INC. Eliptdt3tan, DY0212021 10l STATION LANDING STE 150 MEDFORD.NIA 02155 Update AdaRce and Rai—Lard B9f'i"of Ccm+uiaerAHni0fl CONTRSte0ul5eion R alraltgn i�ti6 fcrindividuet tie9 ardy Ii6ME ItARItOYEMEMT CnMT.RACTOR naofa'a the expiretian date.If rmind ral urn M TYA£:Cmnoreacn Rcaiiyattnn Agjration^. Office of CansuatorAMe7r5.and B.slneas RogutMion t>1130: g1"02)202t tODaWatihG o stmwi.Suite710 HOME INC RKS ENERGY.14C• @Dater,fq 027t MAX'SEr,GEBERG = +`�`- 101 STATION'LANDING%-TE 110 t--� 4 valid withl.t signature YIEr3FORD,Pie 4:.2 1-5 I.Inder sxEiar}• r Contnionwealtn ()I MRSSaenusetts Construction Supervisor Specially Division of Proless16otat Llcensure Board of Building Regulations and Standards Restricted to: ConstructionS'c�gt#a` vzciT Specialty CSSL-IC-tnsutation Contractor ti �t CSSL-103832 = } n 6p res: 1011312021 SCOTT VEGC,+EBERG , 8 COVINGTONL ST#1 n BOSTON MA 02127 Failure to possess a cut 4ition of the Massachusetts State Building Code is c. or revocation of this license. Commissioner For informtatwit about this license Call(617)7273200 or visit www,mass.govldpl The Commonwealth of Massachusetts 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 Please Print Legibly Name (Business/Organization/Individual): Homeworks Energy Address: 101 Station Landing Ste 110 City/State/Zip: Medford MA 02155 Phone#:781-205-4520 Are you an employer?Check the appropriate box: Type of project(required): 1.❑■ I am a employer with 200 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 workingfor in aci employees and have workers' me any capacity.�'• 9. ❑ Building addition [No workers' comp.insurance comp.insurance.* required.] 5. ❑ We are a corporation and its 10:❑ 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 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no Weatherization employees. [No workers' 13.❑■ Other 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. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: KI.M Mutual Insurance Policy#or Self-ins. Lic.#:#2000552 Expiration Date: 1/1/2020 Job Site Address: ch,a.tr S-f City/State/Zip: MQA A IS MA Icq&O 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 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 insuran overage verification. I do hereby certify under the "eves o that the information provided above is true and correct. Si ature: Date: Z^2 G 1 Phone#:781-205-4520 / wx rm' ing homeworksenergy.corn Official use only. Do not w lte . 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#: HOMEW-1 OP ID:LL A�UR�►" CERTIFICATE OF LIABILITY INSURANCE DATE 912 0 1 9n 0312912019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS THIS DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES I 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 policyiies must have ADDITIONAL INSURED provisions or 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 978-686-2266 (CONTACT Lisa Lariviere _ Foster Sullivan Insurance ,-NAME:_____ —.i PHONE 978-686-2266 'Fax 978.686.6410 163 Mal n St. ac,No,Ex1: (roc,Nap North Andover,MA 01845 j E•MA Certl IcateS ostersU Ivan roU com Foster Sullivan Insurance LLC aDDd�ss: 9 p INSUREFUSI AFFORDING COVERAGE _ NAIC q__ INSURER A SAFETY INDEMNITY INS CO (39454 INSURED Homeworks Energy Inc. INSURER BALM MUTUAL INS CO 133758 101 Station Landing Suite 110 Homeland Insurance Co of NY 34452 Medford,MA 02155 INSURER C: INSURER 0: i INSURER E: 4 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 j 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. ILTR i TYPE OF INSURANCE OL SUBR POLICY NUMBER POLICY EFF POLICY E%P ! LIMITS__ MERCIAL C 'X .. CLAIMS-MADE E X.,OCCUR 7930060650002 04/0112019 04/0112020 1,500,000 ABILITY EACH OCCURRENCE____ $ - i DAMAGES(RENTED SQQ,000 �REMlses fEa.c«rtencel I$ 10,000 MED EXP(Any onepgIionl....1.$..._._........_. i PERSONAL 8 ADV INJURY 1'DDD'QDO 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: I I t GENERALAGGREGATE_____ f_$ __ POLICY JECT U Loc ! 2,000,000 r .$ T S 11000,000 COMBINED SINGLE LIMIT OTHER. _ (E'ac¢denU A AUTOMOBILE AILEO ABILITY I04101/2020 BODILY INJURY(Pe pm on) ! I OWNED AUTOS ONLY X-!AUTODULED ' �.._a I 16244378 6416112619 SODILYiNJURY(Peracademli$ _......... X HIRED X•.NON-pWNEp PROPERTY AMAGE AUTOS ONLY _AUTOS ONLY (Per accident S — 2000,000 C !UMBRELLA LIAR �X i OCCUR EACH OCCURRENCE_ ' __--................_....__. X j EXCESS LIAB ;CLAIMS-MADE 7930060660002 0410V2019 04I0112020 AGGREGATE S $000,000 I DED I X I RETENTION$ 0 i S , B jWORKER3 COMPENSATION I X'SEATUTE I.ER,._...._._ ,AND EMPLOYERS'LIABILITY Y/N I MCC-200-2000552-2019A 01/01/2019 01/01/2020^ 1,000,000 .;ANY PROPRIETORIPARTNERIEXECUTIVE �—'� ;.E.L.EACH ACCIDENT :O FICERIMEM8TEXCLUDED'+ N/A 1,000,000 ( andatory In NXI E_L.DISEASE-EA EMPLOYEE Il yes,describe under _ DESCRIPTION OF OPERATIONS below .........— _. __ F.J.DISEASE-POLICY LIMIT $ 1,DDD,666 i E'vitl`enceNLnl?yERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Rema&S 9cneduls,may be at ached II mo a apace is required) I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN, ACCORDANCE WITH THE POLICY PROVISIONS. Homeworks Energy 101Station Landing Ste 110 Medford,MA 02156 AUTHORIZED REPRESENTATIVE ACORD 2S(2016103) O 1988.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Homeworks Energy ^ 101 Station Landing,Medford MA 02155 g CONTRACT - AUDIT HomeWorks 791305-3319 cn'q',O it Page 1 PROGRAM CLC-HPC CUMMIZA PHONE MTV MIMI WORK ORDER Andrew Mclaughlin (508)280-0742 08/15/2019 276478 00001 SMIR MET STRWr 48 Charles Street 48 Charles Street Hyannis, MA 02601 Hyannis, MA 02601 DESCRIPTION CITY COST INCENTIVE TOTAL ATTIC DAMMING-R-38 FIBERGLASS 70 $172.20 $129.15 $43.05 Provide labor and materials to install a 12"layer of R-38 unfaced fiberglass batts for damming purposes. ATTIC FLAT-13"OPEN R45 CELLULOSE 320 $556.80 $417.60 $139.20 Provide labor and materials to install a 13"layer of R-45 Class I Cellulose to open attic space. ATTIC FLAT-10"FLOORED R-32 DENSE CELLULOSE 320 $691.20 $518.40 $172.80 Provide labor and materials to install a 10"layer of R-32 Class I Cellulose to floored attic space. PULL-DOWN STAIR:THERMAL TENT 1 $226.65 $169.99 $56.66 Provide labor and materials to install an easily removed Thermal Tent cover for the attic access folding stair. The cover has integral weatherstripping to restrict air leakage.Width:22"or 25"(circle one). VENTILATION CHUTES 48 $167.52 $125.64 $41.88 Provide labor and materials to install ventilation chutes in the rafter bays to maintain air flow. ROOF VENT 8 INCH 1 $87.15 $65.36 $21.79 Provide labor and materials to install an 8"diameter roof vent(s)to increase ventilation in attic areas. The vent can be supplied in(circle color)black,brown,gray or mill finish. ROOF VENT 12 INCH 1 $120.75 $90.56 $30.19 Provide labor and materials to install a 12"diameter"mushroom"roof vent(s)to increase ventilation in attic areas. The vent can be supplied in(circle color)black,brown,gray or mill finish. HOME AIR SEALING 4 $320.00 $320.00 Provide labor and materials to seal areas of your home against wasteful,excess air leakage.Materials to be used to seal your home can include caulks,foams and other products. Primary areas for sealing include air leakage to attics,basements,attached garages and other unheated areas(windows are not generally addressed.) A reduction in cubic feet per minute(cfm)of air infiltration will occur,but the actual number of cfm is not guaranteed. At the completion of the weatherization work,and at no additional cost to the homeowner,a final blower door and/or combustion safety analysis will be conducted by the sub-contractor. r - i i _ Homeworks Energy 101 Station Landing.anedtoTa,AAA 02166 CONTRACT - AUDIT 781-305-3319 HomeWorks Page 2 'CJ`°"'1,'j,lnE PROGRAM CLC-HPC Andrew Mclaughlin (508)280-0742 08/15/2019 276478 00001 48 Charles Street 48 Charles Street Hyannis, MA 02601 Hyannis, MA 02601 DESCRIPTION CITY COST INCENTIVE TOTAL WEATHERSTRIP AND ADD DOOR SWEEP 2 $160.00 $160.00 Provide labor and materials to install Q-Ion weatherstripping and a doorsweep to door(s)to restrict air leakage. BASEMENT SILLS R19 FIBERGLASS BATT 56 $127.02 $95.27 $31.75 Provide labor and materials to install R-19 unfaced fiberglass insulation to the perimeter of the basement ceiling at the house sill. Total: $2,629.29 Program Incentive: $2,091.97 Customer Total: $637.32 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Five Hundred Thirty-Seven&32/100 Dollars $537.32 NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE _ DAYS. fp l.1` PLAN VIEW Name: )MA(V dp� ��IJjsite ID: 276y 9 Finished Sq. Ft: Phone: bS — 50 ) 2- Year of House: l �, Electric Acct#: b$ Address:—4� ,r iA 5 s #of Floors: Gas Acct M t unit#: #Occupants: 2_ Housing T e? L3�taesr`t,iRo .Ar ..lpAt1 p Yp +y a DUCTWORK INSPECTION Ducts Insulated?!] Duct Linear Ft. � ' f Duct Square Ft. - r i e Duct.Air SealingHours T 1 Duct Insulation113 13 uct Insulation Removal t BASEMEIQQT INSPECTION ' �► Existing Spec'ing ' Ln/Sq.Ft. = Bsmt Wall AG Crawl Ceiling Crawl Rim Joist '\ Bsmt RJ wl Sill G Bsmt R1 NO Sill Vapor Barrier _ sgfF: Bsmt Door..Luood Blower Door? WALLS&GARAGE Drill Location? Siding Cell.Height Existing Speeing Sq.Ft. Frarnin F_y Exterior Wall 1 =zz LA x x Baboon/Platform . Exterior Wall 2 x x Balloon/Platform Overhang x x f ; Garage Wall x x Ba loon P a orm Garage Ceiling x x • Iniulation,Re. val Sq Sweeps: Z: WX-Stripping: 2- WORK SPEC'D BUT NOT CONTRACTED RQAD BLOCKS PRESENT? ANDATORY) Attic, Y I Basement Crawls ace Other: K&T Y oisture Y ombustion S fty Kneewal) Overhan Gara e r Asbestos Y J N old>100 sq.ft Y CO Detector Missing Y,cf' Ductwork Exterior Walls ( Vermiculite Y IMJ Structl Concerns Y Other: Notes for Lead Vendor/Work Not Contracted: KW WALL AND KW FLOOR Blind Spec? ❑ _ OR KW SLOPE AND GABLE END Blind Spec? ❑ why? FRAMINr Why? (STINGP FRAMING EXISTING SPEC'ING SQ..Fr. wall x x SLOPE x x FLOOR x x GABLE X x _ ACCESS X TRANS X x TRANS x x Z1, ATTIC ATTIC SLOPE x X. LOPE I X x EXISTING VENTING? EXISTING VENTING? EXISTING PIPES? Y/N • KW Venting Vent BF 4F Hose I Damming Sheathing Access Terno Access Vent BF Temp Access t " /' r r, µ.in•�..w:.Yh..r....M+w.rw•s...rs .��•^ . Vev 06 �' 2-0 .z Insulated Wall X X Reed light O Ins.Hose BF Vent BF BFV chim.Fall Damming 17'Root Y t 12Rv Air Handier� Temp Aaess T�Pull Down D� Hatch @ Wag Hatch'1/ (Moro/ r Roof Vent ARV ' VOI: X .005$ 1sJ Il story) _ fax ATTIC i Blind Spec? D x x ATTIC 2 Blind Spec? Elx 15.a 12 story) Existing Spec'ing Sqft Existing Spec'ing Sqft �116(3 story) Unfloored 110 Unfloxed Trusses cross Batting Floored r' a Floored Mixed Insulation fret ark ._ >6"Loose No Cath Slo Cath Slope Walls _ Walls _ a [[[ Access Access Venting Propavents Vent BF BF Hose Damming Venting Pro avents Vent BF BF Hose DaImmin f m ! cn Box:� emp� a heathingto to — .L.Covers:Sq.Ft/300- - (Exist.NFA Ventfngi= Needed Sq.Ft/300= - (Exist.NFA Ventingi= (Neee xisting Venting? {r 1. NFA Venting) EXlstin Ventin NFAVenting) Roof Type: Jf j r ILI Insulation/Air Sealing Permit Authorization Specialist: Kevin Hourihan Company: HomeWorks Energy ��? Email: Kevin.Hourihan@HomeworksEnergy.com Address: 101 Station Landing Cell: S082735347 Medford,Ma 02155 HomeWorks Phone: 781-305-3319 Customer: Mary Ellen Reynolds Address: 48 Charles St Email: 0 Hyannis,MA 02601 Site ID: 276478 Phone: 508-280-0742 1,the owner of the property identified above hereby authorize HomeWorks Energy inc.,or their Partner to act on my behalf in obtaining any building permit that maybe required to perform insulation and/or Weatherization work on my property and all matters related to the work authorized by said permit if one is obtained. Any related permit application cost will come at no additional charge provided that the agreed Weatherization work is completed. Customer Signature: 1'W Date: 8/15/2019 Mary Elle eynolds C EFIefg,'y ;nC To whom it may concern, We have confirmation that Scott Veggeburg is an employee of our company and currently holds the CSL licenses we use in your area.At the time we are experiencing high work volume in your area and need to have permits on file for all weatherization work.As a company we are willing to comply to your town's standards.Any permits applied under Scott Veggeburg's name have been approved by the company and hold the current credentials for the CSL holder.Thank you for your consideration, Sincerely, Max Veggeburg Town of Barnstable Building .: xa 5 g Post This CardSo That rt isV�sibleuFrom,the Street Approved Plans Must be,i2etamed on.Job and this Card Must be Kept 6 BAPPMA Posted Until FinalInspect�onHas Been Made ,. � �` x, FPermit er: e Where a Certificate of Occupancy,is Required,such Building shall Not,be Occupied until a Final Inspection has been made Permit No. B-19-395 Applicant Name: Lloyd R Smith Vivint Solar LLC Approvals Date issued: 02/19/2019 Current Use: Structure Permit Type: Building-Solar Panel-Residential Expiration Date: 08/19/2019 Foundation: Location: 48 CHARLES STREET, HYANNIS Map/Lot: 309 077 Zoning District: RB Sheathing: % F 8 Owner on Record: REYNOLDS, MARY ELLEN TR Contractor�Name BRIEN LANGILL Framing: 1 Address: 297 BISHOP'S TERRACE Contractor License:; CS406675 2 2' ..i<.,, HYANNIS, MA 02601 Est Project Cost: $ 10,912.00 Chimney: Description: installation of roof mounted photovolaic solar system 4 96kw 16 Permlt Fee: $ 105.65 x Insulation: panels.Fee Pall; $ 105.65 Project Review Req: Date 2/19/2019 Final: j Plumbing/Gas Rough Plumbing: _:s. �.. _ ui m iaa This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuan Final Plumbing: All work authorized by this permit shall conform to the approved application ardthe approved construction documents for which,this permit has been granted. r 4 •:°fir W .' i. All construction,alterations and changes of use of any building and structures it be in compliance with the local zoning bylaws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public fnspect�ion for the entire duration of the work until the completion of the same. � � �, �� , Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by 1t 6,ib ilding and Fire Off11"icials re roV ed on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work 1.Foundation or Footing v �^ Service: 2.Sheathing Inspection � 3.All Fireplaces must be inspected at the throat level before firest fluelmng is installed �r N T Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work sha of proceed until the Inspector has approved the various stages of construction. Health "P rsons contract-M7nregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: 4�AS) Building plans are to be available on site Fire Department hl JC All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: �0 r Town of Barnstable- *permit#�- �? Expires 6 months from Issue date X-PRESS PERMIT Regulatory Services Fee '. JAN 2 6 2006 'p� -b Thomas F.Geiler,Director Building Division TOWN OF BARNSTABLE Tom perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.townbarnstableana.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY q Not Valid without Red X Press Imprint Map/parcel Number � 0 I y Property Address Residential Value of Work i�1�0 d Minimum fed of$25.00 for work under$6000.00 jets AM Owner's Name&Addresspi Contractor's Name Telephone Number Horne Improvement Contractor License#(if applicable) Construction SWer_visor's License#(if applicable)...... _...... ...... ._.. . .._. .. .... _. ..... ,_ . _.. . . . ... .. QWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ® I am the Homeowner a I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken tour+ns ❑Re-roof(not stripping. Going over existing layers of roof) ® Re-side Replacement Windows. U-Value 14 (maxirnjrrn.44) *Where required: Issuance of this pwxdt does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License is required. SIGNATURE: Q:Farsns:expmtrg Revise071405 +Department of lndasti dal Accidents Office.of Investigations- A ; 600 Washington Street Boston,MA 02111' wwvw rnass.gov/dia Workers' Compenjation Insurance Affidavit: Builders/Contractors/.Electriciaiis/Plumabers A licant Infflrrnati®n Please Print Legibly Name (Businesstorg izationandMdaQ'. L3- -d . Address: -� � l�v 1�� '� �.��ICaZ • . City/State/Zip: .. � Phone#: Are you an employer? Check the-appropriate box:. Type of project(required): 1.❑ 1 am a•employer with 4. ❑ I am a general contractor and I ' 6. ❑New cohstruction employees(fall•and/or part-time).* have hired the kb-contractors listed on the attached sheet $ 7' ❑ Remodeling 2.El am a sole proprietor ar partner- , ship and have no employees These sub-contractors have 8. ❑Demolition workers' comp.insurance. g Building addition working for mein any capacity. ❑ g IN workers' comp.insurance 5. ❑ We'are a corporation and its 10.❑ Electrical repairs or.additions required.]. officers have exercised their right of ex lion per MGL ' 11.❑ Plumbing repass or additions P 3..(�I am a homeowner doing all work . �p , myself;LNo workers' comp. c. 152, §1(4),and we have no 12.% Roof repairs insurance r aired. employees.[No workere 7 eq ]f 13.5C] Other eomp.insurance required.] *Amy applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: 4 f Homeowners who sal mitthis affidavit indicating they an doing all work and then biro outside contractors must submit anew affidavit indicating such. tContractors that checkthis box must attached an additional sheet showing the name ofthe sub-contractors and their workers'comp.policy information. am an em information. insurance.Company Name: Policy#or Self-ins.Lio.#: Expiration Date: Sob Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and vgilration date). Failure to,secure coverage as required under Section 25A of MGL c. 152 cari lead to the imposition of criminal penalties of a fine up to$.1,5o0,.00 and/or one-year imprisonment, as well as,civil penalties in tfie 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 maye forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Si afore: Date: / LP 4la Phone#: � � �� U) t�� '07 q� Official use only. Do not write in this area,to be completed by city.or town official City or Town: PermitUcense# Issuing Authority(&cle.one); 1.Board of Health 2.Building Department 3.City/Town Clerk 4..Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: i[iriformation sad Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' ompensation for they employees. ^� Mass person in the service•of another under any contract of hire, purest to this statute, an employee is defined as"...every p express or implied,oral or written." ' , association, Farporatioa•or other legal entity,or any two or more An employer is defined as_.=i:udivi¢ua1,.:P�eqbfP1 . 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. Hower:te erein,or,the occapant of the owner of a dwelling house having g z more co construction and who eorrepair wo kvu such dwelling house dwelling house of another whoemploys persons or on the grounds or building appurtenant thereto shall not because of such employment be deemed to bean employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or ,renewal of a license or permit to to a business or to construct buildings in the commonwealth for any operate applicant who has not produced 2acceptable5 tes"Ndeinher the ocompliance with the mmonwealth nor any 'ffiits political subce coverage divisions shall Additionally,MGL chapter , § C( ) . enter into any contract for the performance of public work until acceptable evidence of ompliance with the insurance Iequirements of bis chapter have been presented to the contracting authority." Applicants situation an if. . that to our d, Please fill out the workers' compensation affidavit completely,by checking the boxes apply Y necessary,supply sub-contractors)name(s),address(es)and phone nimber(s)along with their certificate(s)of .or Limited Liability Partnerships(L•LP)with no employees other than the insurance. Limited Liability Companies(LL )C 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 cit3'or tows that ' application for the permit or license is being requested,not the Deparfineat of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' lease call the Department at the number listed below, Self-insured companies should enter their _.. ._compensatiQnpohcY_,.p._. . _ _. a pa self-insurance license number on the appropriate line. City or To"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 permiVlicense number which will be used as a reference number. In addition,an applicant 't/license applications in any given year,need only submit one affidavit indicating current e emu that must submit multiple p aPP policy infoanalion(if necessary)and under"Job Site Address"file applicant should write"all locations in city or 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..Anew af6davitmust 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 burn leaves etc.)said person is NOT required to complete this affidavit ie to thank you in advance for your cooperation and should you have any questions, The Office of Investigations would l 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 ., . . .. .. ,, >: .0fff1ce of Investigations b00•Washington Street . Boston,MA 02111.. `Tel.#617-727-4900 ext 406 or•1-$77-MASSAFE Fax#617-727,-7749 Revised 5-2645 www,mass.gov/aia Town of Barnstable Regulatory Services � Thomas F.Geiler,Director Building Division BAMSreB y� MAM �,* Tom Perry,Building Commissioner 16S.9: �0 �Fo ► 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Approved: Pee: Permit#: rX21 Ll HOME OCCUPATION REGISTRATION Date: // 0 / Name: z�°PoLlOm Pl/ c, Phone#: �0 " ! /D -00 71_� Address: 0 Q�/�.S V Village: Actil i l/.S Name of Business:_� �� ?? � %Gl�"�!� Type of Business: Map/Lot: (/ INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within ,e e that dwelling unit. 0 Such use occupies no more than 400 square feet of space: • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,' odors,electrical disturbance,heat,glare,humidity or other objectionable effects. . - - •- -There-is no-storage or use of toxic or hazardous materials,-or flammable or-explosive materials,in excess-of. -- normal household quantities. • Any need for parking generated by such use shall be met-on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one -pick-up truck not to exceed one ton capacity,and one trailer-not to exceed-20_feev in length and not to . _ exceed 4 tires,parked on the same lot containing the Customary_Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned ve read and a above restrictions for my home occupation I am registering. Applicant �f j► C-�'G� �� Date: /,� V Homeoc.doc Rev.5/30/03 TO ALL NEW BUSINESS OWNERS DATE: -I - Oq 113,noma Fill in please: ®fir APPLICANT'S Ea YOUR NAME: ('e e .o Y✓1 BUSINESS � �', � R � YOUR HOME ADDRESS: C Jnc r 's to?I r TELEPHONE r R . T Telephone Number Home O '16 O D NAME OF NEW BUSINESS 11jr V TYPE OF BUSINESS IS THIS A HOME OCCUPATION? YES Have you been given approval from the building division? YE NO ADDRESS OF BUSINESS 1'I h wr 15 5 -f' . MAP/PARCEL NUMBER When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, listed below,you may apply for a business certificate at the Town Clerk's Office (Ist floor-Town Hall) or if you get the business certificate first you MUST go to the following office to make sure you have all the required permits and licenses.. GO TO 200 Main St. - (corner of Yarmouth Rd.& Main Street) and you will find the following offices: 1. BUILDING COMMISSIONER' FFICE This individual ha n' form o any permit requirements that pertain to this type of business. ac__� Authorized ignature** COMMENTS: 2. BOARD OF HEA This individual has b e informe t per a nts that pertain to this type of business. Au r d Signature COMMENTS: 3. CONSUMER AFFAIRS (LIC SING AUTHORITY) This individual h Ipeenin r d ofjae li n requirements that pertain to this type of business. 0/,AX4;D,r%-� -r- Authorized Signaturee** COMMENTS: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. -it does not give you permission to operate-you must get that through completion of the processes from the various departments involved. **SIGNIFIES A PPRO VA L FORA BUSINESS CERT/F/CATEONLY. TO ALL NEW I J3U INESS OWNERS DATE: Fill in please: APPLICANT'S YOUR (NAME: YOUR HOME ADDRESS: BUSINESS wo ` n M TELEPHONE lepbone Number Home - NAME OF NEW BUSINESS / TYPE OF BUSINESS IS THIS A HOME OCCUPATIO ? YES I I N.O. Have you been given approval frofn the buildin divisions YeSO NO Q ADDRESS OF BUSINESS 10 MiAP/PARCEL.NUMBER When starting a new business there are several things you 6iust do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, listed below, you may apply for a business certificate at the Town Clerk's Office (Ist floor-Town Hall) or if you get the business certificate first you MUST go to the following office to make sure you have all the required permits and licenses.. GO TO 200 Main St.—(corner of Yarmouth Rd. S Main Street) and you will find the following offices: 1. BUILDING COMMISSIO 'S OFFICE This individual has an infor of any permit requirements that pertain to this type of business. zed S' nature* COMMENTS: -AOUM, 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: Business certificates (cost $30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. - it does not give you permission to operate -you must get that through completion of the processes from the various departments involved. k "SIGNIFIES APPROVAL.FOR A 'BUSINESS CERTIFICATE ONLY. Q:\CONSUMER\Lols\CA.Forms\newbusfrm.doe