HomeMy WebLinkAbout0015 FISHER ROAD I5 F'sher RaxaL.
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Town of Barnstable Building
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? ,Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept
jPosted Until Final Inspection Has Been Made. Permit
Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made.
Permit No. B-19-2257 Applicant Name: Jason Rebello Approvals
Date Issued: 07/12/2019 Current Use: Structure
Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 01/12/2020 Foundation:
Location: 15 FISHER ROAD, HYANNIS Map/Lot. 309-044 Zoning District: RB Sheathing:
I
Owner on Record: LORRETT,JOHN F&VELMA J Contractor Name:``•,JASON REBELLO Framing: 1
Address: 15 FISHER RD Contractor License: CS-109783 2
HYANNIS, MA 02601 x ' T' _, _
'�"`�. Est. Project Cost: $7,600.00 Chimney:
Description: Removal and replacement of the existing roof shingles Permit Fee: $38.76
Insulation:
Fee Paid:" $38.76
Project Review Req: a Final:
:Date: �` 7/12/2019
" Plumbing/Gas
Rough Plumbing:
g
- 4�NBuilding Official Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced withinRsix 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 fora public inspection for the entire duration of the Final Gas:
work until the completion of the same.
_. .. ... . _ w..., Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit.
Service:
Minimum of Five Call Inspections Required for All Construction Work:
1.Foundation or Footing Rough:
2.Sheathing Inspection
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).
Fire Department
Building plans are to be available on site Final:
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT �� ��y
4! F .
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C01 1. :dVisopn
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11114/14
Thomas Perry, CBO
Town of Barnstable
Building Division
200 Main St
Hyannis, MA 02601
RE: Insulation Permits
Dear Mr.Perry,
This affidavit is to certify that all work completed for insulation work at 15 Fisher Rd (application
#201406362) has been inspected by a certified Building Performance Institute (BPI) Inspector.
All work performed meets or exceeds Federal and State requirements.
Sincerely,
Conor McInerney
ConserVision Energy ;2!
CC,
376 ROUTE 130,SUITE C
SANDWICH,MA 02563
508-833-8384 WWW.CONSERVTODAY.COM
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Ur
Map 3 aS Parcel o y ti � �r Application #
Health Division # Bate Issued Z ��
Conservation Division Application Fee
Planning Dept. �Y t � '--Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/ Hyannis
Project Street Address
Village .s
Owner Address ks
Telephone N� . o Z&PoA
Permit Request c_
. . � �,� �—A � ._ ���� .J��� � �+-��E��c tiy
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
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Project Valuation Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family Ul'_ 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
Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft)
Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: 3 existing —new
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑ Gas SON ❑ 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 C Z x-r-,c. %-j E.q Telephone Number g3
Address %a,a License # %o z ��
o 1 Home Improvement Contractor#
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE c-,• t-
t FOR OFFICIAL USE ONLY
APPLICATION#
DATE ISSUED
MAP PARCEL NO.
• ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
_rE0UNDATiION.4 u qt Jv!4��r•vva4 L:r,
FRAME
_ INSULATION,
t FIREPLACE
' ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING '
A
DATE CLOSED OUT
ASSOCIATION PLAN NO.
I
Massachusetts -Department of Public Safety
Board of Building Regulations and Standards
CtonitructiOn Supen kor Sliei alh
License: CSSL-102778 :.
a t g
CONOR D MCM-PMY
39 SIASCONSETZRP&-
SAGAMORE BEACH7l A� 62 r
A � �
Expiration
cornintssioner 08119/2016
`tea„ Office of Consumer Affairs&Business Regulation License or registration valid for individui use only
ME IMPROVEMENT CONTRACTOR before the expiration.date. If found return to:
( gistration: 171251 Type: Office of Consumer Affairs and Business Regulation
piration: 3/1/2016 Partnership 10 Park Plaza-Suite 5170
Boston,MA 021.1.6
COAL-SERVE ENERGY
CONOR MCINERNEY
376 ROUTE 130 SUITE C
SANDWICH,
MA Q2563 ignature
Undersecretary Not valid without s
I
The Commonwealth of'Mussachu:setts .
Department q/Industrial Accidents
Office oflnvestigations
600 Washington Street
Boston, MA 02111
tv►7;v.ntaSs.;Zovfdia
Workers' Compensation Insurance AM davit: Builders/Contractors/Electricians/Plumbers
Applicant information Please Print:Legibly
Name (BusinesstOrganizationllndividuttt): ConserVision Energy
Address: 376 Route 130 Suite C
City/State/Zip: Sandwich, MA 02563 Phone #: 508-833-8384
Are you an employer'Check the appropriate box: Type of project(required):
1.D i am a employer with_ 8 4. ❑ t am it gencrtl contractor and[ 6 FJ New constntction
employees(full and/or part-time).* have hired the,sub-contractors
2.❑ I am a sole proprietor or partner- Listed on the attached sheet. + 7. ❑Remodeling
ship and have no employees These sub-Contractors have S. ❑ Demolition
working for nee in any capacity, workers' comp. insurance. 9, E] Building addition
[Nu workers' comp. insurance 57 ❑ We are a corporation and its
required.) officers have exercised their 10.0 Electrical repairs or additions
rc
q )
3. I am: homeowner in r al w '- right.of exemption per 11,❑ Plumbing repairs or additions
❑ zdoing 1 work p l g p
myself. [No workers' comp. c yt52. §1(4),and we have.no 12.❑.Root;repairs
insurance required] ` employee;..[No urarkers`
•13.® Other V1(@ t f a he IZation
comp. Insurance required,] —_
'Any applicant.that checks boil#1 must also till out the section below showing,their worl:cm'eompen5at on pulicy infurnzation.
t Homeowa.ets who submit this nlfidavit.iodicatttig they are doing all work and lbcri hire outside contwtetorS must submit a new tfnitlivit indicating such.,
tCantractors that check this box mu,t attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information.
I am an employer that is providing workers'compensation ituvuranre for my employees. Below is the policy tend jab site
information.
Insurance Company Name: CS&S/WORKCOMPONE
Policy.#or Self-ins. Lic.,#. 6011316349 L'-xpiration:Date: 03/11/2015
Job Site Address: CitylState!'Z.ip:
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. 1.52 call feud to the unposition of criminal penalties of a
fine up to S 1.500.00 a:nd/or one-year imprisonment, as well as civil penalties in the form of a s'rap WORK ORDER and a fine
of up to$250.00 a day against the violator, Be advised that a copy of this statement tnay be.forwarded to the Office or
investigations of the DIA t:or insurance coverage verification.
7 du hereb ft. der t17 atties of perjury that the information provided above is trite and correct.
Date: - 'Q
Official use only. Do it writer in this area, it)he completed by city or town official
City or Town: PermitlLicense#
Issuing Authority(circle one)
1. Board of Health 2.Building'Department 3.CityfTow:n Clerk 4.Electrical Inspector 5.Plumbing inspector
G.Other
Contact Person: Phone#:
DATE(MM/OOtYYYY)
ACC-PRO CERTIFICATE OF LIABILITY INSURANCE 03/1712014
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.
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 lieu of such endorselnent(s).
CONTACT
PRODUCER NAME;
CS&S/WORKCOMPONE FAX
PNon1E
PO BOX 946580 (ac,No;Exg: (A(c,No)..
MAITLAND,FL 32794-6580 ADDRESS:
Phone-877-724-2669 INSURER(S)AFFORDING COVERAGE NAIL a
Fax-877-763-5122 Continental Casualty Company 20443
INSURER A'
INSURED INSURER B:. _
CONSERVISION ENERGY INsuRERtc
376 ROUTE 130
INsuRER o_Continental Casualty Company 20443
SUITE C Continental Casualty Company
SANDWICH,MA 02563 IxsuRERta 20443
INSURER f�. `-
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: .
THIS IS TO CERTIFY T14AT THE POLICIES OF INSURANCE LISTED BELUIN 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.!`HE,TERMS,EX L SIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID
C U
CLAIMS
INSHL C OL
L R TYPE OF INSURANCE t"SR WVD POLICY NUMBER MM1ounry" -MM10DrYYY- _. LIMITS
GENERAL LIABILITY EACH OCCURRENCE _ S1,000,000
COMMERCIAL GENERAL LIABILITY OAMAGE'TO RENTED $300,000
PREMISES(Ea nccunence) _
CLAIMS-MADE E LN OCCl1R. 61EO EXP(Any one person _ P0,000
A Y N 6011316335 03/11/2014 03/1112015 PERSONAL I(ADVINJURY $1,000,000
GENERAL AGGREGATE $2;000,000
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS•COMPIOP AGO $2,000,000
71 POLICY P CLfi JX
LOC
COMBINED SINGLE LIMIT $1,000,000
AUTOMOBILE LIABILITY.. (Eaiaccident
. BODILY INJURY(Per person)
ANY AUTO
ALL OPINED SCH,EDUIEt) BODILY INJURY(Per accinepi)
A AUTOS Auras N N 6011316335 03/11/2014 0311//2015
HIRED AUTOS NqN-OWNED RROPCRTY OM IAGE.
AUTOS (Per ecodem)
UMBRELLA LIAB OCCUR _ EACH OCCURRENCE. - 1,000,000
D EXCESS LAB HuAivs-mAoF N N 6011316352 0311112014 03/11/2015 AGGREGATE. $1,000,000
OEO X -RETENTIONS 10,000
WORKERS COMPENSATION - WC LIMIIAIITS OTHRH-
AND EMPLOYERS'LIABILITY TORY
ANY PR(JPRIETOR4?ARTNERIEXEGUTIVE YIN, E £ACH ACCIDEN? $100,000
E OFFICERIMEMBER EXCLUDED? n N N 6011316349 03/11/2014 03/1112015
.L-..J E.L. ISEASE-EAEAIPLOYEE S100,000
(Mandatory in NN) !
0 yes.desauw under $500,000
DESCRIPTION OF OPERATIONS tiela+� E.L.DISEASE POLICY LIMIT
DESCRIPTION OF OPERATIONS ILOCATIONS/VEHICLES(All=h ACORD l01,rV!dAio J- Rerna*s Sctiedille.it more stieee ss*Quuacl).
Certificate Holder is added as an additional insured as provided in the blanket additional insured endorsement.
CERTIFICATE HOLDER CANCELLATION
Ise Engineering SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
1341 Elmwood Ave THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
Cranston,RI 02910 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE E
O 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25(2010/05) The,ACORD name and logo are registered,marks of ACORD
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vision
Consef
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OWNERI TI N FORM
i, J h.�� Larrel�
Owner of property located at 1 5 i=isher Road H is A 02601
p
hereby authorize ConserVision Enemy, to act on my behalf to obtain a building permit to
perform work on my property.
Owner Signature /
Date