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Home My WebLink About0160 DUNN'S POND ROAD /607�u�3 0�� / _ _ � _ - - , J Efficient Buildings, LLC October 31, 2011 Town of Barnstable . ` x Attn: Thomas Perry, CBO 200 Main Street - Hyannis, MA 02601 re: 160 Dunns Pond Road, Hyannis, MA 02601 `- Dear Mr. Perry: - This affidavit is to certify that all work completed at 160 Dunns Pond Road, Hyannis,'MA 02601, has been inspected by a certified Building Performance Institute (BPI) inspector. Work included air = sealing, weatherstripping, and installation of 1050 sq. ft. R-18-20 cellulose and 260 sq. ft. R-10-12, floor fill in attic, and in basement, 530 ft. of 6-mil poly on ground, 260 ft. R-5 perimeter wrap, and 160 ft. faced R-19 sill insulation. All work performed meets or exceeds Federal and State requirements. Sincerely,. Steve C. White A" <w - Owner/Managing Member'' _ N Efficient Buildings,'LLC rVE .^ ,. Co 8 Jan Sebastian Drive, Unit 10, Sandwich, MA 02563 Tel: 508-888-1110 Fax: 508-888-1109 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION . Map Parcel Applications` Health Division 'Date Issued Conservation Division .Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board 1 `� Historic - OKH _ Preservation/Hyannis Project Street Address 60 0 U ylytS Ry-- N PA Village�-t�gywt,i 5� Owner ,� tn`�vt as�� Address gav►n,-c_ Telephone Permit Request p,+r aAd R A R Q9_L6_,e_ K72S.2wte.�+ . &4-CL Dot', ' 4� ..7- e 5-5; 4 S A Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation AV �6��a Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other S Z, Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) _ Number of Baths: Full: existing new Half: existing n)ew Number of Bedrooms: existing _new ..... Total Room Count (not including baths): existing new First Floor Room Count y C) 8"0 9. Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other '"G' - 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 INFORMATION (BUILDER OR HOMEOWNER) Name C` 6.,' e) Telephone Numbers Address S Sgo 3.&Q F,+t r E4 (� License # q S©3 B RA QZSG.3 Home Improvement Contractor# Worker's Compensation # qT8�5� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 14,Wt Ck S e✓ 54z ,41 O h. SIGNATUR DATE �, y S ,E r FOR OFFICIAL USE ONLY APPLICATION# r DATE ISSUED *� MAP/PARCEL NO.. r ADDRESS VILLAGE OWNER i) ' DATE OF INSPECTION: T I . ..FOUNDATION11 FRAME INSULATION -. t,= FIREPLACE t ELECTRICAL: ROUGH FINAL s ' PLUMBING: ROUGH FINAL =+GAS: -ROUGH w•-'' a + f> FINAL DATE CLOSED OUT ASSOCIATION PLAN NO. s The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www mass.gov/die Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers ,-�pplicant Information Please Print Legibly N'mY1C (13usincss/Organizatioo//Individual): Ca. gs_ l LLC_ Address �_��4�.� �� S�it�y1 �rrV� � VI �CJ C'ity,'Statc/lip: i t;�7`►t�r"1 . MA 025G3Phone#: _5dS"SSE k 10 :ire a an employer:' C:heck�propriate box: Type of project(required): . ❑ I. I am a employer with 4 I am a general contractor and I ti employees(full and/or part-time).'' have hired the sub-contractors 6. ❑ New construct listed on the attached sheet. 7. ❑ Remodeling ❑ 1 am a sole proprietor or partner These sub-contractors have ship and have no employees f;. ❑ Demolition working for Illy in an capacity. employees and have workers' Y pt y 9. ❑ Building addition j [No workers' comp. insurance comp.insurance.- e are a c 5. Wor oration and its I0.0 Electrical repairs or additions rcqu i red.] ❑ p ❑ I am a lionicowncr doing all work officers have exercised their I I.❑ Plumbing repairs or additions myself. No worker,' con right of exemption per MG 1 - [ p� 12.❑ 96of repairs c. 152, §1(4),and we have no ,urance rcauirccl.] ` IT 13. Other `Yl_SJ� kO� employees. [No workers' comp. insurance required.] a n :+cchcant that checks_box#t must also fill out the section below showing their wprkers'compensation policy information. L+:;nru.3 ic;s W ino submit this affidavit indicating they are doing all work and then hue outside contractors must submit a new affidavit indicating such. that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have if tine sub-contractors have employees,they must provide their workers'comp.policy number. i ant an employer that is providing workers'compensation insurance for my employees. Below is the policy and jab site ir.lormution. Company Name: ,Icy or Self-ins. Lic. #:___ � f G' Y4 Expiration Date: 2 ' �c�f�. Job Site Address:—((00 __ OVUA S 0� City/State/Zip: 4ttach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). t'ailure to secure coverage as required under Section 25A of MGL c. 152`can lead to the imposition of criminal penalties of a line up to S 1.500.00 and'or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine i 1 ao to S_,0.00 a day aeainst the violator. Be.advised that a copy of this statement may be forwarded to the Office of i:. Esc tF of the DIA or in urnncc c ov crake verification. t do beret r cerrjr 'ysl`er the pains and penalties Q f perjury that the information provided above is true and correct Date: w nor K sire in this area,to be completed hf city or town official , 1 i;r Permit/Licenses 3;ra rrie. .circle one): + Health Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector "Fllln pe°ram: Phone#• . r y ,p r ACORQ CERTIFICATE OF LIABILITY INSURANCE DATE(MWOD/YYYY) 03/04/2011 PRODUCER S08.94S.0393 FAX S08.94S.4048 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Eldredge & Lumpki n Ins. Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 697 Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Chatham, MA 02633 Alan Long INSURERS AFFORDING COVERAGE _ NAIC# INSURED Caliber Building and Remodeling LLC, Steven Whi INSURER A: National Grange Mutual Ins Co 14788 _ DBA: INSURER B: Commerce Group CIG001 8 ]an Sebastian Drive #10 INSURERC: Ace American Ins. Co. - ARWC 22667 Sandwich, MA 02653 INSURERD: INSURER E: COVERAGES 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.EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR ORPOLICY EXPIRATION TYPE OF INSURANCE POLICY NUMBER DATE M ECrnE DATE M LIMITS GENERAL LIABILITY MP027360 09/1S/2010 09/1S/2011 EACH OCCURRENCE $ 1,000100 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ S00, 1 CLAIMS MADE a OCCUR MED EXP(Any one person) $ 10,0001 A _ _ PERSONAL 6 ADV INJURY $ 11 000,00 GENERAL AGGREGATE $ 2,000, GE AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,00( POLICY PRO- 7 LOC JECT El AUTOMOBILE LIABILITY BBNVCS 02/16/2011 02/16/2012 COMBINED SINGLE LIMB $ ANY AUTO .(Ea accident) 11 OOO,OO ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS (Per meson) HIRED AUTOS -• "` BODILY INJURY $ ' NON-OWNED AUTOS (per accident) PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY - AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ . EXCESS!UMBRELLA LIABIUTY' CW27360 10/01/2010 09/lS/2011 EACH OCCURRENCE i$ 1,000,000 OCCUR I CLAIMS MADE AGGREGATE $ 1,000,000 A DEDUCTIBLE • _ $ X RETENTION $ 10,00 WORKERS COMPENSATION —Tw4494P844 03/02/2011 03/02/2012IA 7 AND EMPLOYERS'LIABILITY YIN TORY LIMITS ER C ANY OFFICERIMEM PROPRIETOER IPARTNERIEX EXCLUDED?ECUTNE� E.L.EACH ACCIDENT $ 500 0 (Mandatory In HH) - - E.L.DISEASE-EA EMPLOYEE $ S00,00 It yea,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ S00 00 OTHER 'p 1 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS rpentrY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL " DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL i Town Of Barnstable IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Building Department REPRESENTArn . 200 Main Street - AUTHORL:EORE Hy nnis, MA 02601 ACORD 25(2009101) 01988-2009 AgORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACO �la�.arhu.rit. - Drp:u�nu•nt of Puhli: �afctx B((ard of Building Kcsul:uiun. and �tantlartl• Construction Supervisor License License: CS 95038 Restricted to: 00 STEVEN WHITE 147 RIDGEWOOD AVENUE HYANNIS, MA 02601 Expiration: 2/28t2012 ( nuni.•i"nct Tr-4 19311 ---. �l a<te 'f�om4YtP0¢SueUUR o�✓l�la4oQCR�d�(6 Office of Consumer Affairs&Bddisess Regulation HOME IMPROVEMENT CONTRACTOR �a Registration: 154359 Type $ _ Expiration: 2/2W,013 Ltd Liability Corpo CALIBER BUILDING AND: EtiIDELING,LLC. STEVEN WHITE. 8 JAN SEBASTIAN'.DRIVEaUNIT 10 �_ SANDWICH,MA 02563 Undersecretary I License or registration valid for individul use only before the expiration date. 1f found return to: Office of Consumer AB'airs and Business Regulation ati 10'Park Plaza—Suite 5170 Boston,MA-02116 Not valid without signature / 'A J� 4 l f Y`S HOME OWNER WEATHERIZATION WORK PERK T& FUEL RELEASE: PLEASE FELL OCJT-AMD SIGN THTI.S.FORM lF YOU .'ARE THE APPLICANT.HOME OWNER. hereby consent to and agree that weatherization.work may be clone by the NXIcatherization Program.of Houslug Assistance Corporation ( hereua after referred as "Agezac.y") on the property located at: i.� ?...„'s The weatherieatiou work clone wW be based on programmatic priorities and availabihty of funding and it may include al.l 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 replacement of badly deteriorated windows.I:n consideration of the weatherization work to be done at nay lt.ome 1 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 rn.aterials as may be.necessary to perforM_ weatherization work on.said property. 2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for the weatherized unit on an ongoitag basis for no more than five (5) years after the weatherization work is completed. 1.have read the provisions of this agreement as listed.and.freely give my cdusent. Home Owner: (Signature) )ate Agent. (signature) w �� Date: ''t t¢ HAC aDDroved.Weatherization Company Caliber Building&Remodcl.i.n al: Cod Insulation, Crape Save C;res��ell Const�-tac:tion Frontier Energy Solutions Lohr& Sons Peter Smith Resolution.E.i.iergy Rock Solid Construction _U Cape Insulation