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0050 CHESTNUT STREET
Gin. , r i r ALTERNATIVE WEATHERIZATIO,N November 2, 2017 Town of Barnstable Building Division 200 Main St. Hyannis, MA 02601 The insulation work at SO Chestnut St;w)ll not be completed'd.ue to'existence of Vermiculite. Please . •..., .. close the permit#B-17-2484 •.Reg TimothyCatrral; • - President CSL 105454 : . .:. . . 58 DICKINSON STREET I FALL RIVER,MA 02721 I (508) 567-4240 ALTERWVEWEATHERIZATIONOGMAIL.COM a_rA TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map d Parcel d� Application #. Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Vie. .. Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address _ � tsiyw f Village Lis Owner �/Ll / Address Telephone Permit Request h k Y " G() es Suz CP -n stcl / ZAJ gLu M Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District v,,� Flood Plain Groundwater Overlay Project Valuation 17d. ) 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 0 No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Otherz. Basement Finished Area(sq.ft.) Basement Unfinished Area(sq-'-. - "= Number of Baths: Full: existing new Half: existing new: r Number of Bedrooms: existing _new --s Total Room Count (not including baths): existing new First Floor Room Courit•-' ' 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 C21 V License Home Improvement Contractor# 1754 0 C9 Email Q e-ra V e ZA4T @ Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTI ft TH"OJECT WILL BE TAKEN TO Wim SIGNAT RE 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. THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M � C& L DATA HOME OWNER WEATHERIZATION WORK PERMIT: PLEASE COMPLETE AND SIGN THIS FORM AS THE APPLICANT HOMEOWNER. i I �°` �iereby consent to and agree that weatherization work may be done by the Weatherization Program of Housing Assistance Corporation on the property located at: 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; air sealing; attic&basement insulation; exterior wall insulation; ventilation measures In consideration of the weatherization work to be done at my home I agree to the .. .......following;. 1. 1 give permission to Housing Assistance Corporation the property with such equipment and materials as may be necessary to perform weatherization. 2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for the weatherized unit on an ongoing basis for►o,more than five (5) years after the weatherization work is completed. I have read the provisions of this agreement and give my consent. R Home Owner(sig nature) Home Owner email: Date: x Agent:(Signature) Date' Weatherization Contractors: Adam T Inc Cape Save All Cape Energy Frontier Energy Solutions Alternative Weatherization Lohr Home Improvement Building Science Construction Tupper Construction Cape Cod Insulation r u - f Thi Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia NA%rkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Lelsibly Name (Business/Organization/Individual):ALTERNATIVE WEATHERIZATION, INC. Address:2 LARK STREET City/State/Zip:FALL RIVER, MA 02721 Phone#:508-567-4240 , Are you an employer?Check the appropriate box: Type Of project(required): 1.❑✓ I am a employer with 16 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 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10❑Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 1.1.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.0 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.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.JE Other I NSULATION 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 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 thepolicy and job site information. Insurance Company Name:STAR INSURANCE COMPANY Policy#or Self-ins.Lie. .h#:0849257 00 Expiration Date:4/4/18 Job Site Address: ,�U lam/1.� I.L ' City/State/Zip: �A Attach a copy of the workers'compensation policy declaration page(showing the policy nuniper and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify unde th ins an a 'es p r' ry that the information provided above is true and correct Si ature: Date: 8/7 Phone#:508-567-42 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 SNERONH DATE(MWODtYYYYI CERTIFICATE OF LIABILITY INSURANCE 0&2612017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. 3 IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)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 ri hts to the certificate holder in lieu of such endomemen s. I PRODUCER TAUT Christine Castel Mason&Mason Insurance Agency,Inc. PHONEE>KI:(7$1)523-i1067 FAX Noy; 458 South Ave. Whitman,MA 02382 Mw,ccostaQTasoninsurexorn J INSURE S AFFORDING COVERAGE NAIC# i INSURER A;Evanston Insurance Co. 136378 INSURED iNsuRERa:Safety Insurance Company 139454 Alternative Weatherization,Inc, i,iNsuRERc:Star Insurance Company 18023 2 Lark Street INSURER D: } Fall River,MA 02721 i INSURER F: . COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: j THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD I INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERRA OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS OERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, I EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRLTR TYPE OF INSURANCEiADflLiSUBR INSO3 POLICY NUMBER POLICY EFF Immapp= LIMITS POLICY EXP AI X COMMERCIAL GENERAL LIABILITY ( EACH OCCURRENCE s 1,000'000 CLAIMS MADE X OCCUR j3C42088 10610712017 06/0712018 PREMISES DAMAGE TO RENTED 100,000 I �? I *=mTerce) IS MED EXP(Any one person) IS 5,000 i ?PERSONAL a ADV INJURY Is 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: i GENERAL AGGREGATE is 2,000,000 r—PR{3 I� I '5 '2,000 000 POLICY � JECT !LOC I PRODUCTS COMX7P AGG 1 OTHER: S COMSINED,SINGLELIMIT 1,000,000 s I AUTOMOBILE LIABILITY j 3 _ s t IEtau'Nsni) � ANY AUTO 16237702 j 0410812017 04/0812018 j 80p�INJURY Per Perwn r— 04NJE0 j I SCHEDULED i AUTOS ONLY AUTOS j ; :BODILY INJURY(Per accident);S )( HIRE X�NON.0 IJN D i 1 P�2eOPEeR ;DA}tAGE i S _=AU ONLY AU70S OY _ # t ) I I i I 1 I Is A 1,000,000 'UMBRELLA LJAB X OCCUR ? �EACH OCCURRENCE �I b jX EXCESS CLAIMS-MAOEj i XOBW6619616 106107/2017 061071201$ AGGREGATE s 1,000,000 1 i DED I RETENTION s 3 ; , � `s C !WORKERS COMPENSATION i I X PER ATUTE OTH j AND EMPLOYERS'LIABILITY Y r N i C 0849257 00 !0410412017 041041201$ , — 500,000 I ANY PROPRIIpEgTgOWPARTNERIE tECUTIVE �' E.L.EACH ACCIDENT I S I {Magdaia�y M NH)EXCLUDED? ; N ; N 1 A i —S� ! I 1 �El,DISEASE-EA EMPLOYE'I 5 600,000 I tt es,describe under ? i 3 500 000 ! i DESCRIPTION OF OPERATIONS be,�ow i 'E.L.DISEASE-POLICY LIMIT;s ' i i I i j 3 I I I i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,mad be attached N more space is required) ;Action Inc.and National Grid USA,its direct and indirect parents,subsidiaries and affiliates shall be named as additional insureds on Commercial General . (Liability policy per tends and conditions of forms CG2010 and CG2037 and Commercial Auto Liability policy per terns and conditions of form SCA 005(02 16).Forms Available Upon Request I CERTIFICATE HOLDER CANCELLATION I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE National Grid THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN National Sylvan Read ACCORDANCE WITH THE POLICY PROVISIONS. 40 Waltham,AAA 02451 AUTHORIZED REPRESENTATIVE 3 ; ACORD 25(2016/03) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD M;�',Y° _.a . 7 d � �J s� �''y'�.✓' fis�»'¢ c _� � �'.k, c�+x��. > �.•i�a .:N' n s:. r �,:i.. - �"�-d.{:�.-.m:F b a ,+r # f y�e?I✓p �;�. � affi' a ,g� ���' s 3sA`' '' �' a' '. 3c IX ly DAR X9{f L,t t 1 �i �� p '!��� �it ���19�/C./Gr7✓�Ll�:e1J is' `��.i����'�1�t��S�i�[,/�/'���'�� i��'�✓V VJ' - / i 1 Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Aston, M ` usetts 02116 Home ImprovemaA Wah#actor Registration c Type: Carpomtion - � Registrabon: 175M ALTERNATIVE 1NEATHERIZATION,INC. _ Expiration: 0512$12019 2 LARKS'i � E FALL RIVER,MA,02721 r " Update Address and return card. Burk reason for change, SCA {'a 20N-OSM S. .� ;'j%��;�r.n,,irrcrer�xrz�^1�e�G�;taysrzc•�irassel� Office of.ConsumsrAfalrs&S. n ;Rogulation i'IOIWE IMPROVEMENT CONTRACTOR Regan valid for individual use truly TYPE:Caws im before the,eVhvd6n date. if found return to: Office of Consuiyw Affairs and Business Regulation � , T.. 05128i2019 10 Park Plaza-Suite,6170 ALTERNATIVE Wok' 7Aft +i,INC. ,MA 02116 ww TIMOTHY CASRAL 2 LARK ST ' FALL RIVER,NSA 0272.1 un6rwir et Ot V tf 83 8 t1'#! ary r .,ii.i r."�"_•`lh +�.f Tv.,it„;+:�� .«.'>�ylptl�.,�,,,.y,-.»r,..r�„ :'�f�Z.�e*s"�' •'�•,!"�i. rarf-;"e`i-.�-�tF`{"Xa'��'ri'�rtn.•n�f(7'�+A.; fir:�'`'';i, --'F`L'4'.4y'r'aF':i3.r;.iy.�'`'7C=/?sYTi..-:,.�P,., ••4�y._�...,r•'iii I Assessor's office(1st Floor): p � Assessor's map and lot number J� 1 a s r n MtiC.. Q�o���:f>a Board of Health(3rd floor): Sewage Permit number p 7 / r �J • . _ NJ t DAHl9?oDLL i Engineering Department(3rd floor): f• �° Mica-* House number t639 Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE r BUILDING INSPECTOR A.- .wo, APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION c2- 7 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to t`he1 following information: Location -i C) CAA rare L--,(.rc- Proposed Use Zoning District Fire District �4 y A v u S Name of Owner (VS-1 C:`) "1-1\��, �`�� Address .i-C) C-Hf- i U\ S-�- IBC U dess-T t�Yca Name of Builder Name of Architect h t - .�``� 111�` � IAdtd"r ss !,'' "]"7 v> Number of Rooms + Foundation X \�>X-z Exterior V N c1(N 7 T Q,A2--12 -t 11350- 't= Roofing 1, B S T.\1 R\3 Floors O yx,, U 1) Interior Heating Plumbing O /j �-- Fireplace o J e' Approximate Cost , G O Area Diagram of Lot and Building with Dimensions Fee i k 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. NameLMa Construction Supervisor's License PHILLIPS, HELEN & HARVEY A=309-054 ` 3c9 -osy No 33941 Permit For Build 'Shed Accessory to Dwelling Location 50 Chestnut Street Hyannis Owner Helen & Harvey Phillips Type of Construction Frame Plot Lot Permit Granted August 29 , 19 90 Date of Inspection 19 Date Completed 19 PERMIT COMPLETED 1/119/ f t / 11-191 s HOME OWNER'S EXEMPTION The 'Code state that : "Any Home Owner performing work for which a building permit Is required shall be exempt from the provisions of this section (Section 10g.1 .1 — Licensing of Construction Supervisors) ; _ provided that, if _a Home Owner engages a persons) for hire to do such work, ,- ghat such Home.'Owner shall act as supervisor . " Many.tHome Owners, w,ho ,use -thls exempt'lon are unaware that they are assuming. the , responslbi'Iit'ies of a supervisor (see Appendix Q, Rules and Regulations for,.Llcensing Construction Su_ ervis , oft p ors, Section 2.15) . .tThis .. ensresults• In _ lack of awareness serlious; problems, particularly when the Home Owner hires unlicensed persons. � � In this ca se our Board st the unlicensed person as It would with licensed SupervisornnoThe-HomedOwnernacting as,suaervlsor,.ls _ a .. res ble; ultlm tei - Y. Pons I To, ensur that the Home communities Owner Is fully aware', /h of his/her responsibilities many require, as part of the permit application, that the Home -Owner certify that he/she understands the responsibilities of a supervisor . On the last`ilpage of this Issue is a form currently used by several towns. You may care,'!to amend and adopt such a form/certification for use In your community. f( y i TOWN OF BARNSI'A LE, BUILDING DEPARTMENT HOMEOWNER' LICENSE EXEMPTION PleIase print. Z'11 d. I` DATE± v:cr .2�0 1aa: JOB :LOCA,TION 54. CK� S 1 Tl ST (� 4 ;4 3, ;. ivumoerStreet addressSection of town "HOMEOWNER"` E- LL�I F� . .L=`,� 1L:tLPS � Name Home p oneWorkpone PRESENT MAILING ADDRESS Statei p code City/town II, The` current exemption for "homeowners" was extended to include owner-occupied dwellings of six units or less and allow such homeowners to engage an in- for hire who does not possess a license, provided that the owner 1vi ua acts• as' supervisor. (State Building Code Section . DEFINJITION OF HOMEOWNER: ?Perso'n(s). who owns a parcel of land on which he/she resides or intends to re- :side",' which there is, or is intended to be, a one to six family dwelling, -attached or. detached structures accessory to such use and/or farm structures'. ,A g&son who constructs more than one home in a two-year period shall not be ;considered a homeowner. Such "homeowner" shall submit to the Building Official, on,a. form acceptable to the Building Official , that he/she shall be responsible ;for a11'such work performed under the building permi (section . :The undersigned "homeowner" assumes responsibility -for compliance with the State Buil`ding' Code and other applicable codes, by-laws, rules. and regulations. `The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements land that he/she will comply. with said procedures and requirements. ° HOMEOWNER'S SIGNATURE--1 APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35,000 cubic feet," or 'larger, will be required to comply with State Building Code Section 127.0, Construction Control . V 1 Assessor's office(1st Floor): O � 9 a imm03.L YNc Assessor's map and lot number 30 1 d s;/n�Lu.L Board of Health(3rd floor}, A ® d'�Q��� ♦: t �4_ > Sewage Permit number Engineering Department(3rdfloor)^ • � 3( ad' y{ � �} xis= s�AB&LE . House number 0 6v��1Ea�iJtaJ °0,.�+639.6\��' Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN- OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION W�h�� yL �r o2 7 19 929 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location s'LCAA0A Proposed Use ' s C-r •�-TaA�6S>•t�� Zoning District Fire District �4 q,4 y'y t S Name of Owner 'I Address _!j�Pa Ch11t-S "U Name of Builder Address K Name of Architect h Vl. Address Number of Rooms 4- .�' Foundation`s Exterior' VJ�� ;t»Z - FATS"r-xl Roofing -Floors. C1.D Interior Heating ;V c+'� �' Plumbing ©A.) Fireplace Approximate Cost C) a Area � o Diagram of Lot and Building with Dimensions Fee late 4 eS N ;--- --- M.. �ar 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. Construction Supervisor's License dN PHILLIPS, HELEN & HARVEY �~ f s j No 33941 Permit For Build Shed (� rY Accessory to Dwelling ' Location 50 Chestnut Street r Hyannis Helen & Harvey Phillips Owner. i Type of Construction Frame ' � Plot ' Lot v � 1 Permit Granted, August 29;' 19 +" 90 - -- + + 14 Date of Inspection 19 � Date Completed - 19 : �• e r•� v.^' �, + � J � ti �h � •..ram .£ a .,�3 � � _ ` ..:. ti • . Fi. J� � F• t.• f t I1 tii• } I' .