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0056 GROVE STREET
�(� C-rov� S-9 i : di nTown of-Barnstable .,. .; .. r,* '-.*n , ,, H rr,, .=z rt a, a •:; , ,9,.,:` d'at,,., P3 s, ,a. <�.,,»�sa's� �+ c ,4,,, 4 s,, andttais e S -eet�: A : ravedl.PJarts Must,b.erRe'tained.on inb .. ., M b .Fro tfi iw .• _.. -� _ ,, . ., .1,. ... � �- pp k _,_ a. ,. � ,. t� ._ .,.,-@ �.'�. ,. .., :"'Sir" -:;.' S. .1 f.-• ...' �, x.R.., f.: .:I.v.... P . •'r'... _,a ro .. �,. m "xr 4 .._n,9.. a � . "..s- ... .,, ._ „.^`� s ` ...,. r i, - :x _a._<tx:,f tt -.,x. ram. ;cam, as Been.;Made. .a� ,� �- �'�,:��,::� : •' ted Until<:F nal.,l s ectton H < ,,.. ,..y• ,, �� - �. �.Pos W. : a. p n. #. r- v n.._,f � # Bualdin :shall:Notbe�Occu aed=until,a Ftn�tains ect�ott„}�tis.beer�rrialde e , lAfh ere a CertificatE t�Occu i�c R utretl Permit-'No 13-17 3270 Applicant Name: 'HENRY E CASSIDY Approvals Date Issued. ' 09/26/2017 .,Current Use. :, ;. Structure P.ermitType::,;'Building=::nsulation-Residential > ,:Expiration Dater. 03/26/2018 Foundation: Location: 56.GROVE STREET,HYANNIS Map/Lot. 309 076 Zoning District: _RB Sheathing: . Owner on Record: PHANSUMARNG,SONTHAYA&TAYLOR,� �� Co tractor-Name ,MENRY E CASSIDY Framing: 1 a ` Contractor�Lice nse CS 100988 2 Address: 56 GROVE STREETfi � t kU HYANNIS MA 02601 Es `Protect Cost: $4 500.00 Chimney : Description: Install 12" Layer R44 Class 1 Cellulose added to,200sq ft open attic Pe,rrnit Fee: ; $85.00 Insulation: space. Fee Paid ' $85.00 4 Project Review Req: - Date 9/26/2017 Final: J 1 IF K: �� r Plumbing/Gas fir-- Rough Plumbs � $ Ruh Plumbing: Ir - Building Official Final Plumbing: ,This permit shall be deemed abandoned and invalid unless the work a thonzed,by this permit is commenced within six mo the aftee:issuance. All work authorized by this permit shall conform to the approved applicat�onfa i the approved construction documents for whic this permit has been granted. Rough Gas: P, All construction,alterations and changes of use of any building and struttures shall be in compliance with the local zohih&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 publ c mspectio for the entire duration of the Final Gas: work until the completion of the same.. �.. Electrical The Certificate of Occupancy will not be issued until all,applicable signatures by;the 8wldmgand Fire Officials art�pWv ded on this:permit. Minimum of Five Call Inspections Required for All Construction Work F Service:.. . 1.Foundation or Footing �� p 2.Sheathing Inspection 3 Rough: 3.All Fireplaces must be inspected at the throat level before firestflue 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. . . .. - _ - .... .. � Frnal . ''Per-so.ns.;.contracting.wltH,unregistered.co.ntr. pr.sdo:not have-access_to:.thegua.ranty.fund:'(_as.setfor.h,.m.MGLC.142A): = pen " Building plans are to b'e availA e'on site All Permit Cards are the property of the APPLICANT-.ISSUED_.RECIPIENT:_.. Final: ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map - 3 d9 Parcel 01 Application # , I , �q. Health Division Date Issued LZ LA 1; Conservation Division Application Fee o� Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address /.7 xo� S 74 Village Owner �r'D &/Y�,/ YA Address .��1 Telephone 27')- 2.R f 2 � Permit Request _1��r' LG2 ly eiz, >-2 e/AS=s 1 Cam,//ri le Sc folet/ 7_11 /L �rfd9 G Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 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 ANo On Old King's Highway: ❑Yes �rNo Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing au/; L)neW Dizo-- Half: existing new Number of Bedrooms: & >kistin..g �new �0;;� Total Room Count (not including bat "011hs);:,existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electrics'AfU •,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 ed Aze 6!,/1,-' S /A Telephone Number J%2 Address -� � �� ,� Ci/j' License# / d Home Improvement Contractor# /_J'"3 6�L7 EmailGeL)_4 I V/ Kp' gW Worker's Compensation # LJ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �� �l 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 Y FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. cF .t�E ra Town of Barnstable. Regulatory Services , « BARN ABU, Richard V. Scali,Director MASS. 9�p 1839.. ,,�� :Building Division AT�D M A't Paul Roma Building Commissioner 200 Main Street,Hyannis,MA'02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section I, SONTHAYA PHANSUMARNG. as Owner of the subject property. hereby authorize Cape Cod Insulation to,act on my behalf; in all matters relative to work authorized by this building permit application for: 56 Grove Street Hyannis, MA 02601 (Address of Job) Signature of Owner Date SON / - 11-4 ?rt,4N Print Name If.Property Owner is applying for permit,please complete the Homeowners License Exemption Form. C:\Users\decollik\AppData\Local\Microsoft\Windows\1NetCache\Content.Outlook\L7U69LF2\EXPRESS(2).doc 01/25/17 «�...�.� IL 1 i The Commonwealth of Massachusetts Ron Department of Xnduslrlal Accldelrts 1 Congress Street, Stilte 100 Boston, MA 02114-2017 www,mass,gov/dla Workers, Compensation Insurance Aflldavltr Build ers/Contractors/Electrtctans/P lumbers, TO BE FILED WITH THE PERNYTT`I'Xi�10 AtiTHORITY, le se P Name (Buslness/OrganizadorAndlvidual); Cape Cod Insulation Address: 18 Reardon Circle CityJStatellp; South Yarmouth,MA 02664 phone #; 608.776-1214 Are you An employer?Check the appropriate boxt ---.., I,©t am a employer with 48 employees(full and/orpart•time),e Type of project(required); 2'M 1 am 11610 proprietor or partnership and have no employees.working forme In 7, ❑ New construction any oapaoltyi(No workers'oomp,iruumnoe required,) 8, ❑ Remodeling 3,(]I em a homeowner doing all work myself,-(No workers'comp,Insurance roquired,)t 9, ❑ Demolition 4,❑1 am a homeowner and will be hiring contmotors to oonduot all work on my property, I w111 10 [] Building addition ensure that all oontrwtors either hove workers'compensation Insuranos or nre solo Proprietors with no employees, 11,❑ Eloctrical repairs or additions 5,111 am a general contractor and I have hired the sub•oonaaotora listed on the attached aheot, 12,❑plumbing repairs or additions These sub•eontraotors have employees and have workers'oomp.Insuranoe,t 13,[]Roof repairs 6,[_]We are a corporation and Ira officers have exeroised their right.of exemption porMIM o, 14, Other Weatherization I S2,11(4),and we havo no employees, (No workero'oomp,Insurance requirad,J Any applicant that ohook1*mI x l must also fail out the section below showing their workers'compensation polioy Information. t Homeowner who,submlt (lr,�fddavit indloating theeyy are doing all work and then hire outalde aontraotora must submit tContraorors that chock this box must attached an additional sheaf showing the none of the sub•oontraotors artd state whetherevr ri�otthose endd�havooh employees. If the autreontraotors have em to eea, must rovlde their workers'oom , lie number, t am an employer'thal is providing w'orkersI eompensallon Insurance for my employees, Below is the poll and job site 'tnformalioni cY J Insurance Company Name; Atlantic Charter policy#or Self Ins,Llo,#i WCE00431902 Expiration Date- 06/30/2018 Job Site Address; �4 �v Attach a copy of the workers' eornpenseclaration page(sbowln tlo Policy Failure to secure coverage as required under MOL a, y r and explration date), ',atldlor ona•yov Imprisonment, as well as civil penalties inthe form of a STOP Violation IRIC Punishable hpaRle by a flee up to $1,S00A0 d a day agalnst-the violator, A copy of this statement may be forwarded to the Moo of Investigations of the a of up to$250.00 a coverage verilloatlon, DIA for Insurance 1 do herebzku$ W11 tlr pains and penalties gperjury that the lr1lormatton provlded above is true and c orrect, �yl iZlil I �IW/W MrMWNIWWwM4Mw1i1 508• 5 �' l Ol lclal use only, Do nor write In this area to be comp leted b ci or town o Y tY JyiclaG City orTowni PermitJLIcense# Issuing Authority(circle one)l 1, Board of Health 2, Building Department 3, City/Town Clerk 4, Electrical Inspector. 5� plumbing Inspector 6,Other p Contact Persons phone#t MaaaaQhuaelta Deparimen{ o( pub i10 nal yy o( 6ullding Regulatlona �nd�9tandarda l.loenae{ 09.100988 ' U�nskrtivtlon ,9uperv49or, �' , HENRY W 0A55101' ` WEST YARMOV�. H ��qj) � h, , �+ • T I,� � +11111�1 Oo ml�alonor �xpiratlonl ' • • � � 111111241T � ` offloe of Consumer Affairs and Susinsss Re ulati 10 Park Playa . Suite $170 g on Boston, Ma ' gHome Improveme,�,'� raotor Registration Oap � Insulation, In0 Istrallonl Oorporaklon I x 1 p ration, 12/14/201s 0-,-Yarmouth, MA OM4 �^,„fy f r,,,. .....__.,..,.,_....,.,,.._.,�...,...,,;_,,.b,.,, Vpdeka Addraaj and raker '" ...,'-.-.•� n oord, Mork reason Ior ohengF p°t�G`rkarro/rwsGta� � �1dr„p�,��}r►�,,. ��,,,�i,�a,'�rtL.,rl,aTns log. ONlai of Oon;umer Alf pIry do aul'Invaa Ropulollon HOME IMPROVEMENT OGNTRAQTOR 'Q.I Oorporallon Rsglokreklon valid for indlvidval use only 1;, '" beloro{he axpiraklon dale, If Ioun l;1 12A OHlve of Oonsumar urn tol AHeirs end 1�' , r 12/tq/2018 to pork Plena v' v a170 0l es Rs9ulaflvn ' Oape Ood Henry Oassldyy 18 Reardon Olro� � ��� ,, ,(;•� ,��,� �� . so,Yarmouth,M • }"' Vndaraeorekary t al howl sl ate jv . ' .. ACORO" CAPECOO.27 p� �..� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 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 policy(les)must have ADDITIONAL INSURED provisions or be endorsed, It SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. this certificate does not confer rights to the certificate holder In Ileu of such endo'rsbment s . A statement on PRODUCER ACT Rogers&Gray Insurance Agency,Inc, Rte 134 PA"Ic° o exl; ac So Southh-Dennis,MA 02880 No: 8771 816.2166,mall ro ers ra ,com FNAICN INSURED ear 9S8 S r n COm a 2419 Cape Cod Insulation,Inc, e Aa C m 39464 18 Reardon CircleiNsu Endurance merican Spaclaity Insurance Com an 41718 South Yarmouth,MA 02664 INSURER D i Atlantic C attar I Buran a Com an 44326 E C E E INSURER F t CE E BE ' THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED'BELOW HAVE BEEN ISSUED TO THE INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR INSURED NAMED ABOVE FOR THE POLICY PERIODTHER 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 TYPE OF INSURANCE ADDL SUER A POLICY NUMBER POLICY EFF POLICY EXP X COMMERCIAL GENERAL LIABILITY LIMITS CLAIMS-MADE �X OCCUR CBP8263083 OCC RE 1,000,OQO 04/01/2017 DAMAGE ENTED 04/01/2018 R 000,000 6,000 E 'L AGGRE LIMIT AP ES PER; 11000,000 X POLICY�P�CQT LOC 2,000,000 OTHER: 2,000,000 B AUTOMOBILE LIABILITY w ANY AUTO COMBINED SINGLE LIMIT 1,000,000 pyy� SCHEDULED $232707 COM 02 04/01/2017 04/01/2018 AURT S ONLY X AUTOS I NJ R e or n X AUTOS ONLY X A8fog`2SNr�l4r B DI N R er c e 1 1OPER�Y1 AMAOE C UMBRELLA LIAR X OCCUR X EXCESS LIAR CLAIMS-MADE EX010008636002 04/01/2017 04/01/2018 EA N 2,000,000 DED RETENTION$ R 2,000,000 D WORKERS COMPENSATION AND EMPLOYERS'LIABILITY X ER TH• ANY PROPRIETORIPARTNERIEXECUTIVE R/O WCE00431902 06/30/2017 08/30/2018 FICERR/M%T)EXCLUDED? N NIA ACCIDENT1,000,000 endetory In NH) 11,EACH IDlNS'RPaibNunder I N to P E 110001000 EE l IMI 1,o00,000 Workers DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 10t,Additional Remarks Schedule,may be attached If more$Poo@ is requlred) Additional Insured Compensation ed status isprovided under udes Officers rthe General Liability and Auto Liability when required by written contract or agreement with the Ce rtificate Holder, CETIP E SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Thlelech Engineering Inc, THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 196 Frances Avenue ACCORDANCE WITH THE POLICY PROVISIONS, Cranston,RI 02910 AUTH RIZEDREPRESENTATTIVE ACORD 26(2016/03) The ACORD name and logo are registered m®s9of ACORDCORD CORPORATION, All rights reserved,