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HomeMy WebLinkAbout0084 FIFTH AVENUE (HYANNIS) Cape Save Inc. 7-1) Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fax: 508-398-0399 11/16/19 Q7 -t Brian Florence CBO 0 z p Town of Barnstable 2! Building Division , . 200 Main St. Hyannis,MA 02601 + RE: Insulation Permit B-19-3642 Dear Mr. Florence: This affidavit is to certify that all work completed for 84 Fifth Ave,West Hyannis Port'has been inspected by a third party Certified Building Performance Institute(BPI)Inspector. All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey G& B Town of Barnstable Building snxxs,r�es a Post,This Card So That it is Visible From the Street Approved Plans Must be Retained on Job and thls..0 rd Must<be Kept. M" Posted Until Final°Inspection Has Been Madei Ma:+ Where a Certificate of Occupancy is Required,such Building shall Not beOccup�ed until a Final Inspection has beenimade Permit Permit No. B-19-3642 Applicant Name: William McCluskey Approvals Date Issued: 10/30/2019 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 04/30/2020 Foundation: Location: 84 FIFTH AVENUE(HYANNIS), HYANNIS Map/Lot 246-121 Zoning District: RB Sheathing: Owner on Record: DONOVAN,FREDERICK M JR � Contractor'Name': William J McCluskley Framing: 1 Address: 28 PERKINS DRIVE ContractorLic�ense: 102776 2 SOUTH CHATHAM, MA 02659 Est. Project Cost: $5,000.00 Chimney: y: Description: Add R-38 fiberglass to the attic.Add R-19 fiberglass\to the Permit Fee: $85.00 crawlspace.Air seal the attic plane and crawl space with,expanding £. w, Insulation: foam. General weatherization. Fee Paid.:" $85.00 Date 10/30/2019 Final: Project Review Req: Plumbing/Gas Rough Plumbing: zs 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 theapproved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structur hall be incompliance 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 pu l c mspedtion for the entire duration of the Final Gas: work until the completion of the same. Ia` Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Burlding and Fire Officials ar%0rpvi i d on this permit. Minimum of Five Call Inspections Required for All Construction Work: " TV Service: 1.Foundation or Footing 2.Sheathing Inspections �' ' Rough: R. ._ 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: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: P ®g T&4E P " "` p Town:of Barest able .Permit#O?()/ Expires 6 months from issu to `Riglllllatory Services Fee BABxsras OP PA PA039. R� TAB Thomas F.Geiler,Director � . Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 'Zd Z Property Address 4 l F i 14 A V'E'N U 1_= �/L S 1 f} y h Q N I S.P O(71 - Residential Value of Work$ f d Minimum fee of$35..00 formork under$6000.00. , Owner's Name&Address f:�Q 1= V 1�12.4C 9L :h-1 17 oi:10 V A /j Po. :30� !`7 +. wffs 0 \F A+jN tS POP-➢ 2 Contractor's Name y G ZL`7A y l� S lv�' I Telephone Number .Home Improvement Contractor License.#(if applicable) O'S91 Lf Email: 0 C(f Q` C0-?e CLL"- Construction Supervisor's License#`(if applicable) C_S 3 Z;k ❑Workman's Compensation Insurance Check one: c ❑ I am a sole proprietor ❑ m the Homeowner 71 have Worker.'s.Compensation Insurance A s. Insurance Company Name LM P Workman's Comp.Policy#. GS-.- 3 1 S 3 8 4�G 7 O Copy of Insurance Compliance Certificate must accompany each permit. Permit Reque checicbox) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to �-f A R VAOOJ-t+ �-t/+Oj D P1L._ ❑Re-roof(hurricane nailed)(not stripping. Going over, existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. rxxNote: Property:Owner must sign Property Owner Letter.'of Permission, A copy of the Home Improvement Contractors'License&Construction Supervisors License is •:required. . SIGNATURE: ; C:\Users\decollik\AppData ocal\Microsoft\Windows\Temporary nternetFiles\Content.Outlook\8R76BDVA\EXPRESS.doc Revised 061313 yh Property Owner Must Complete & Sign This Form If Using a Roofer / Builder. I (print) F4 I C I 0 A'6 N1 as Owner / Agent of the subject property hereby authorizes Paul J. Cazeault & Sons Roofing Inc. to act on my behalf, in all matters relative to work authorized by this building permit application for. Address of Job r41 H ✓r hl u t% W r 5 � k t\1 N I S a Signature of Owner Mailing Address of Owner b 6 X LU r s V/w A/ S 4- Telephone # 7 Date l f Please return this form to Paul J. Cazeault Roofing along with your signed contract. It is needed for us to obtain the building permit required by your town to complete your roofing project fax#508-420-4555 office@cazeault.com 1 . • The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 IV www.mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers ARRlicant Information Please Print Le 'bl � ` r Name(Business/Organization/Individual): 6rglexfae T j c7(/NS Address: City/State/Zip: 6Tf.P//144E dl( S Phone#: (/06 77 Are u a n employer?Check the appropriate box: Type of project(required): 1. I am a employer wi 4. I am a general contractor and I employees('full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' [No workers'comp,insurance comp.insurance.= 9. ❑Building addition 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 11.[]Plumbing repairs or additions myself.[No workers'comp, right of exemption per MGL 12.0 Roof repairs insurance required.)t c. 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 ate 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 subcontractors and state whether or not those entities have employees. If the subcontractors have employees,they must provide their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: ,L ;/1 .<u 46 lVee GIC,P Policy#or Self-ins.Lic.#: 1/V05-:3 f C 6(O/V-0& Expiration Date: Job Site Address: FIE S! City/State/Zip: VV • ( O1 S R 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 insurance coverage verification. 1 do hereby under the pains and penalties of perju that the information provided above is true and correct Si L Date: � 9" Phone#: 't-ok"-`P I T�- Officia 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): 2.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervlwr License: CS-026325 • a:1'r.v . PAULJCAZEAUI`1''h� ;� . 1031 MAIN ST OSTERVILLE MA. 0265 Expiration Commissioner 10120/2015 • Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 r Boston, Massachusetts 02116 Home Improvement Contractor Registration = Registration: 103714 , Type: Private Corporation Expiration: 7/9/2014 •Tr# 228652 PAUL J. CAZEAULT & SONS, INC.: Paul Cazeault 1031 MAIN ST OSTERVILLE, MA 02658 Update Address and return card.Mark reason for change. Address Renewal Employment El Lost Card PS•CA1 0 5OM-04/04•G101216 ,p� ✓/re�oonm:ontuea�l/ a�./f�a�ac%aaetla License or re istration valid for individul use only Office of Consumer Affairs&B siuess Regulation,. g HOME IMPROVEMENT CONTRACTOR before the expiration date.. If found return to: Registration: . 103714 Type: Office of Consumei Affairs and,Business Regulation Expiration: 7/9/2014 Private Corporation 10 Park Plaza-Suite 5I70 Boston,MA 02116 PA J.CAZEAULi SONS,aNG. . 'Paul Cazeault 1031.MAIN S7 � -- OSTERVILLE,MA0265.8 Undersecretary Notvalid without ienature V l /1b/LU1S a:UO:V`) HM L'5.1' kUM-1---b) CKUPI: 1UUUU0—'1'V- 10Ur14LU4JJJ cayc. c vx 7 ® DATE(MMIDDI'MY) A�® CERTIFICATE OF LIABILITY INSURANCE 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 IN3URER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder-is an ADDITIONAL INSURED, the poiicy(ies)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 lieu of such endorsement s PRODUCER ®OWLING &O-NEIL INSURANCE AGENCY INC.. CONTACT NAME: 973 IYANNOUGH RD PHONE Fvc.No.ExI ac No PO BOX 1990 HYANNISi-MA 02601 - E-MAIL ADDRESS: INSURERIS AFFORDING COVERAGE NAIC A INSURER A: LM Insurance Cocporalion INSURED - WSURERB: PAUL J CAZEAULT&SONS ROOFING INC 1031 MAIN STREET - INSURERC: OSTERVILLE MA 02655 INSURERD: INSURER E: INSURERF: .•,COVERAGES CERTIFICATE NUMBER: 17327850 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 CONTRACTOR 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. INSR ADDL SUER POLICYEFF- POLICY EXP LTR ._. - NSR \'47YD POLICY HUM13ER. ..... MMMD MMIDDIYYYY LIMTTS •rypg OF WSURANCE.. GENERAL LIABILITY EACH OCCURRENCE. 5 COMMERCIAL GENERAL LIABILITY PRISES RENTEDa ce $ CLAIMS-MADE MOCCUR MED EXP(Any one parson) 5 PERSONAL B ACV INJURY $ GENERAL AGGREGATE $ GEN L AGGREGATE LIMIT APPLIES PER: PRODUCTS•CCMPIOP AGG $ POLICY 171 PRO• LOC $ AUTOMOBILE LIABILITYCOMBINED SINGLE IMIT $ (Ee accr enl ANY AUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED BODILY INJURY(Per acadenl) $ AUTOS FIAUTOS AUTOS NON-OWNEDe�scEaJeMj tIIREOAUTOSAMAGE P $ $ UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MACE AGGREGATE $ DED RETENTION$ $ $ $ A WORKERS COMPENSATION WC5.31S•386670013 8l10l20t3 8/10/2014 wcSTATu- oETi• AND EMPLOYERS'LIABILITY - - ./ TORY L MITS ANY PROPRIETORIPARTNER/EXECUTNE YIN E.L.EACH ACCIDENT $ 1000000 OFFICER1Ma4BER EXCLUDED? NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1000000 If yes,desmbe under DESCRIPTION OF OPERATIONS bebw E.L.DISEASE-POLICY LIMIT $ 1000000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additlonal Remarks Schedule,if more space Is required) Workers compensation insurance coverage applies only to the workers compensation laws of the state of MA. CERTW CATE 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, AUTHORIZED REPRESENTATIVE -� f Jeff Eldridge ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD WERT NO:: 1T32 650 CLIENT CQOE: 1640182 Anne Chandl 8/16/2Q13 8:03:3,3 AH P ge 1 of ' IN certificate cancels and supersedes A rT., previously issue certificates. - SEPTIC SYSTEM MUST DE Assessor's map and lot number ... INSTALLED IN COMPLIANCE ............................p,............ WITH ARTICLE II STATE SANITARY CODE AND TOWN Sewage Permit number ....... ,/.. .............................••. REGULAT OiNFn TMEtO ®V P e� I 7 F TOWN OF BARNSTABLE BARNSTABL"6 9 BUILDING INSPECTOR c war a' APPLICATION FOR PERMIT TO (� . �"'.................................................................................. ... TYPEOF CONSTRUCTION ............... ..... .................... ............................................ .................. .... .............19.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ;� 1' .... o�� -......................... Location ........ .'J..................` ...•..•....... fir•`"................ ............ .............. ProposedUse ....... ... . .. ....�.... ................................................................................................................................ Zoning District ........ "vim •.............•••.Fire District ...�'7 .r : "r4' � o�,........... Nameof Owner ...................... ss ............. ........................ ........................... Nameof Builder ....................... '" ......................... ddress ................................................... ... .............."......... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .`............ ...................................Foundation ........ Exierior ........... - ✓ G% ....................................Roofing ..... . ..... ��% s� ` / ..................... 3 n / ,........................................Interior .................t ........................................................... Floors ��............ .... ... Heating e'.........................................Plumbing ........ .......................... ............................................ g .... ... r / Fireplace ....... Approximate Cost .......... ... (l� ... ........................... Definitive Plan Approved by Planning Board ________________________________19________. Area . ........ .................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH i I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. r Name .. ......... .................................................. ................ Donovan, Fredrick 16197 dormer No ................. Permit for .................................... Location 5� Avenud ............ ...................................... ......................... 3 ............... �F Owner Fredrick Donovan .......................................::.....:.................. Type of Construction frame .................... ................................................................................ Plot ............................ Lot ................................ - Permit Granted ....19 73 Date of Inspection ���i�..x....,� .......19" Date Completed ....,/.. i PERMIT REFUSED ................................................................ 19 ............................................................................... r ................................................... ........................ ............................................................................... ............................................................................... t , Approved ` ............................................................................... 9 i f