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HomeMy WebLinkAbout0160 HINCKLEY ROAD r - A°-30 Cape Save Inc. 7-D Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fax: 508-398-0399, 10/29/14 Town of Barnstable ° Thomas Perry CBO _ ��� Building Commissioner i•d pia ;;. 200 Main St.Hyannis,MA 02601 RE: Building Permits Dear Mr. Perry, This affidavit is to certify that all work completed for 160 Hinckley Road has been inspected by a certified Building Performance Institute (BPI) Inspector. Basement: R-10 Thermax on foundation walls & R-19 fiberglass in box sill, F All work performed meets or exceeds Federal and,State Requirements. •Sincerely, William McCluskey r,'° - t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 0 Parcel Application # qua Health Division Date Issued Conservation Division Application Fe� Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address A i n c y.18 y Z 6(4, Village " Owner N Ittl I C. i 4 1 Address 41% Nr h a.m 4 v y 11)@ CIS 6�R,C�Iy Telephone Permit Request bAla - 0 + e +� e � oX si1 1 1 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio S 0 0 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 Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count 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 XNo If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name t 50,r i WS k&Y Telephone Number Address �' 4+11A A �r License # -C Q. R-:4 5.0 (�11 11 y0 IAh Y &T IM h , ©a 6 6 Home Improvement Contractor# 1 _ Worker's Compensation # WWOQ Jc 33 t ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO YeM016ft SIGNATURE DATE 6 O „ FOR OFFICIAL USE ONLY APi�PLICATION# DATE ISSUED MAP/PARCEL NO. `y ADDRESS VILLAGE r ,+t OWNER DATE OF INSPECTION: ;jlFOUNDATI.ON}=� FRAME INSULATION,- FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING--- DATE CLOSED OUT ASSOCIATION PLAN NO. i � } 460 West Main Street Housing � Hyannis, MA 02601-3698 Assistanceg - Tel: (508)771-5400 Fax(508)775-7434) Corporation _ .. M on all lines Cape Cod Free Weatherization .1 Your tenant has requested and is eligible for weatherization of your rental home through government funding. This will be provided at no cost to you. , Program regulations permit us. to spend around $2,500- $7,500 in materials and labor per dwelling unit. t .Program regulations require. us to weather-strip and .caulk doors and windows; insulate attics, sid.ewails and floors. All Work is professionally done by established. private contractors. We will conduct-a final inspection to make sure that all work is completed. to specifications. If you request, you will be informed of the estimated measures before they are done and provided With a list of the actual_measures and costs following, the completion of the work. We also need proof that you own the property. A copy of a CURRENT TAX BILL OR DEED listing you as the owner will satisfy this requirement. Please fill in all blank areas of the enclosed agreement and return with the proof of ownership as soon as possible: If we do not'receive the enclosed form within two weeks, we will do a basic energy. audit of the home, but no weatherization,work can be recommended or done. If you have any questions please contact Suzanne Smith at 508-771-5400, ext. 123 or ssmith@haconcapecod.org. LANDLORD: TENANT:- j6d )AJ email: Joey"-brd 1 f'"a Cam, email: PHONE:(home) / 7D 7 6 PS" 91,6j6 ,PHONE: (home) 166 7 -1- 2® I 7OZ (cell) ZZI ='�'S d`6� tj 22 TE; IT,OWNER/AGENCY WEATHERIZATION AGREEMENT 2 1. The Pa 'es tot is Agreement are the follo ing; C.l e tiF��r (hereafter kn as Tenant), (print your tenant's name) -y�Q� �' )D) "(print 1\ r�!�R!) g rL•at, f�, 1 :cc (hereafter known as a��erty;Owner�;- '` your name) and Housing Assistance.Corporation (hereafter known as Agency). In consideration of the®� Vies hereafter stated,the Parties agree as follows: 2. The date of Agency's signature will be the effective date of this Agreement. 3. Property Owner and Tenant consent and agree that the Agency may do the following with respect to the property located at (street,town) ,/ Z40.�, Jec.r 1114A r 5 &S ,unit# , and currently leased or rented to the Tenant: a) Enter the premises for the purpose of performing a Weatherization inspection, b) Enter the premises to perform Weatherization work which the Agency determines in its discretion is necessary and appropriate as a result of the Agencys inspection of the property and in accordance with the appropriate priority list for the type of dwelling. The Agency and the Agency's contractors may also enter the appropriate common areas of the building for the purpose of accomplishing the Weatherization work. The Agency and representatives of the Commonwealth of Massachusetts, Department of Housing & Community Development (DHCD) may further enter the property to inspect any and all work hereunder. The Agency will provide reasonable notice of the timing of the Weatherization work and inspections. The Weatherization work will be performed, in accordance with the Property Owner's consent as further specified below: ***INITIAL ONLY ONE OF THE FOLLOWING*** I consent to performance by the Agency and its contractors of any Weatherization work determined necessary and appropriate by the Agency as a result of its inspection of the property. I understand that the Agency will provide a detailed statement of the actual work performed and the associated value at i the completion of work. I will provide a separate consent to performance by the Agency and its contractors of Weatherization 6_ work following my receipt of the Agency's inspection report and a statement of the estimated work and associated value. This additional consent will be sent under separate cover as Attachment A. I . understand that the Agency will provide a detailed statement of the actual work performed and the associated value at the completion of the work. 4. The Property' Oavner understaoids and-agrees that any and ali work, including related repairs for which the Property may also be eligible,will be performed at the Agency's discretion. The Agency estimated completion of the Weatherization work by the end of 2014/2015. 5. If the Property Owner is required to make repairs to the property prior to the commencement of Weatherization work by the Agency,.the Property Owner will be notified by the Agency and will be required to make the repairs as soon as possible. Except where the Property Owner receives a written extension from the Agency,time is of the essence in the performance of repairs by the Property Owner. 6. The Property Owner and Tenant authorize the Agency to receive a statement from the fuel supplier/utility supplier as to the quantity of fuel/utilities used at the above address in each of the past three.years and the future three years. The information is to be used only to determine the cost effectiveness of the Weatherization improvements. 7. The Property Owner agrees-that the rent for.the dwelling unit will not be raised because of any increase in the value thereof due solely to the Weatherization work performed. r S 8: 'in consideration of the Weatherization work hereunder,the Property Owner further agrees that upon the effective date of this Agreement and during a period extending through 2014/2015, approximately one year from the time the work is completed, ` a) The present rent$ per month will not be raised for any reason. (The rent amount must be filled in). Heat included in rent?Yes_ No ! However,this Paragraph(8a)will be waived by the Agency in writing if,and only if,the premises are leased under a state or federal rent subsidy program, in which case the actual rent charged by the Owner shall conform to the standards of the rent subsidy program. Please state which Housing Subsidy program your tenant Is on and through which Agency: b) The Property Owner will not institute any summary process action for possession except in the case of non-payment of rent or other good cause related to the Tenant(or any successor Tenant). c) In the event the Property Owner decides to sell the premises,Property Owner shall comply with one of the two.requirements below; --The Property Owner shall not sell the premises unless the buyer agrees (with a copy forwarded to the Agency) in writing prior to sale to assume all obligations of the Property Owner set out in this Agreement;or --The Property Owner shall pay the Agency an amount equal to the cost, as certified by the Agency, of the Weatherization materials installed and labor performed in the premises as of the date of sale. Said. amount shall be paid to the Agency immediately upon sale. 9. (Applicable only if Tenant's heat is included in rental payment and blanks are filled in) At the end of the period set forth in Paragraph 8 above, the rent shall not be raised more than % per for an additional period of one year, and the provisions of 8b and 8c above shall continue in effect for such period. However, the rent provisions of this Paragraph 9 may be waived by the Agency in writing if, and only if, the premises are leased under a state or federal rent;subsidy program, in which case the actual rent charged by the Owner shall conform to the standards of the rent subsidy program. 10. The Parties agree that the terms of this Agreement are incorporated into any other lease or agreement between the Property Owner and the Tenant, and between the Property Owner and any successor Tenant, and if there is any conflict between the provisions of this Agreement and the provisions of such other lease or agreement, the provisions of this Agreement shall govern. However, if such other lease or agreement, including without limitation a lease or agreement under state or federal rent subsidy program, contains stronger protections for the Tenant, such stronger protections shall apply. 11. For breach of this Agreement. by the Property Owner, the Property Owner shall reimburse the Agency in an amount equal to the cost, as certified by the Agency, of the Weatherization materials installed and labor performed on the premises, as well as attomeys fee and court costs. The Property Owner may also be liable for damages to the Tenant in accordance with applicable law; in such instance, the Property Owner shall reimburse the Tenant for attorneys fees and court costs. Without limiting the foregoing, the Agency may at its option terminate this Agreement, by providing written notice to the Property Owner and Tenant, in the event of breach by the Property Owner or Tenant. 12. Performance of the Weatherization work hereunder by the Agency is contingent upon the availability of funds to the Agency from the commonwealth of Massachusetts and the federal government, as well as the eligibility of the Tenant under WAP program requirements: The Agency may terminate this Agreement, by providing written notice to the Property Owner,and Tenant, if the.Agency determines that the unavailability of funds or ineligibility of . the Tenant warrants termination. I 1 S. The Parties acknowledge that this Agreement is under seal. It is intended by the Parties that the Tenant_ or any successor Tenant is the intended beneficiary of the Agreement and shall have a right of enforcement. Property Owner's Signature: Date,f4 ,o-V If „2e Phone: 70 7 Address: -411k Pl e- Qa" —1&,,P Tenant Signature - '/ Date Agency Approved Weatherization Company CO n f— Adam T. Incorporated/ All nEn / Alternative Weatherization / Building Science, ConstructionCape Cod Insulation / rontier Energy Solutions / Lohr Home Improvement Resolution Energy I Tupper Construction Agency Signature Date f • I The Commonwealth of Massachusetts Department of Industrial'Accidents Office o.f Invesagattons I F Y } 1 Congre.ss Street;`St><ite 1 QD J p = Boston,MA 02I14-2017 r Y www.mass.gov/dia"� r Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Pluinbers . Applicant Information. Please Print Legible Nae (Business/Chganizati6Mndividual) C ape S ave t m nc. Address: 7D:Huntingtori Ave City/State/Zip: South Yarmouth., MA.0266,4 Phone`#:. 508-398-0398 Are you an employer?Cheek:the appropriate box: Type.of project(required):. 1.0.1 am a employer with 4. ( 1 am general contractor and 1 — a 6. []New:construction employees,,(full and/or part-time) have hired the sub-contractors 2. l am a sole;proprietor or partner= . listed'on the:attached sheet._ ` 7. ❑-Aemodeling.- > ship and have no employees These:sub-contractors have - g_ Q,Demolition ' working for me in.an capacity... employees acid have workers' g Y P tY: • 9. ❑ Building addition. > - comp.insurance, [No workers corrip.insurance - - - - -- - required.} 5. M We area corporation and its 10:0-Electrical_repairs or additions officers have exercised their 11- Plumliin re-airs ar addrtios 3.F❑ i am.a homeowner doing all work g P-- myself. [No workers'comp:. right of.exemption per MGL, TZ.D Roof.repair5. ' ` insurance required]t C. 152, 1(4);and we have no employees. [No workers:' 13. °Other Insulation_ comp.insurance required.] *Any applicant that checks box# -must also fill-out-rhe section below showing theirliorkees'cmnpensation policy irifonnatton. fi Hnmeo�ihers who submit this affidavit in8icating_they are doing alk�rork and then hire outside comractom Mpst submit a new affidauit indicating sucfi. °Contractots that check-this box intrst attached an additionalsh'eet sho.%<ne the name of the sub-contractors.and state.viietlier 6e riot ihose entities h6ve-- eanployees. If the sub-conhictors have employees;ihey must provide their workers'comp:policy-numben 1 uon an e m plover that is providing"workers'cotsipensution insurance for.jrty employees. Moiu is thepolicy undjoh site inforination. Insurance-Company Name.: Wesco Insurance Company Policy#or Self-ins Lic :# -..WWC308M33 ... .. _ fpirat on'Date: 04/09/2015 Job Site:Address;` "� ._ `�° c� City/State/Zip:. A lS Attach a copy of'the workers'compensation 46HO tleclaratian page(showing the:policy nutnbe•and expiration date).. Failure to secure:coverage as.required under.Section 25A of MGL c,. 152 can lead to th imposition of criminalp rialt es of a t>ne.up to S 1,500.00 and/or one-year.im .0 nment,as well as civil penalties in the form o£a S"WORK ORDER and a fine. of up to$250;00 a:day against the violator. Be advised that a copy of this statement maybe forwarded to.the Office of Investigafions of the DIA for insurance cover l do,.here by.Cle under.the pains and "enolties o er' that the in orination provided ahoile is true and correc., Signature: _.- . . __ Date L Phone-9: Offrcial use only Do not wrife.in tl:is area;to be cos�ipleted by.cfi}=or to►un official _ City'or Tow.n:, .Permit/License,# s Issuin2'Authority(circle one):: a, Board of Health L.Baiiding Department 3:City/To��n Clerk 4.Eleetr>tcal;Inspector S:.Plumbing nspector 6.Other, Contact Person_' .. `.... __. :Phone# .4co CERTIFICATE OF LIABILITY INSURANCE D/14/IODIY 414/2014 4 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(ies)must be endorsetl. if SUBROGATION IS WAIVED,subject to the term s and conditions of the policy;certain policies may require an endorsement. A:statement on this certificate does not confer rights to the certificate;hoide[in lieu of such endorsement s PRODUCER. CONTACT NAME: Colleen. Crowley Risk Cy�p Strategies C ariy g' y PHONE (7$1)986_440Q FAC Imo;(T81)968-4420 15 PaceT`Ia Park Drive -.cor-owley@risk-strategies.00m Suite 24'D INSURE S AFFORDING COVERAGE NAIC f Randolph MA 023613 INSURERA:Selective Ins. OF America INSURED: INSURER 8-safety.Insurance Ccmpany 33618 Cape save, Inc INSURER'C:WesCO InsuranceC—onpaby. 7 D Huntington, Ave INSURER o INSURER E r South Yarmouth M& 02664 INSURERF: . COVERAGES CERTIFICATE NUMBER:CL1441475243 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 AN INDICATED. NOTWITHSTANDING:MY 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.LIMITS SHOWN MAYHAVE:BEEN REDUCED BY PAID CLAIMS, INSR TYPEOF`iNSURANCE - � POLICYEFF POLICY EXP -- -- - LTR POLICY.NUMBER.. MMIDDIYYY MMIMIY LIMITS GENERALUABILITY. EACH OCCURRENCE s 1,000,000. X COMMERCIAL GENERAL LWBlLITY DAIVIAGE TO ED PREMISES Ea occurrence $ 100,000 A CLAIMS-MADE Fx OCCUR 1994480 10/16/2013 0/16/2014 MED EHP IAnY one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,OOO GENI AGGREGATE LIMIT APPLIES PER- PRODUCTS-COMPIOPAGG $. 2,000,000 POLICY X PRO-ECT X <LOC $_ AUTOMOBILE LIABILRY _. E�ax deD T-NULLITM I 1 000 000 $ ANYAUTO BODILY INJURY(Per person) $ ALL OWNED x. .SCHEDULED 208200 1.16/2013' 1/6/2014 BODILY INJURY Par accident $ AUTOS AUTOS.' t ) nNON-OWNE6 PROPFJ+'TY DAMAGE..EDAUTOAUTOS Pers dent . _ X UMBRELLA LIA EXCESS UAB B X OCCUR EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE :AGGREGATE $ 1,OOO,000' I DED RETEg.N$ Ni 1994480 0/16/2013 0/16/2019 C WORKERS COMPENSATION - --- -- Officers Inclvded.Eor X. VtGSTATU- OTH- - AND EMPLOYERS'LIABILITY YIN N. _ - _ MI : R ANY PROPRIETORIPARTNERfE31ECUTIVE overage E.L.EACH ACCIDENT $ _ 660,000 OFRCERJMEMBER EXCLUDED? a N 1 A (Mandatory in NH) 085633 /_9/2014 /9/2015 E:L.DISEASE-EA EMPLOYE $ 500 000 IPyyes,describe under' - - DESCRIPTION OF OPERATIONS:below El.DISEASE-POLICY:LMM IT '$ 500,000 DESCRIPTION OF`OPERATIONS I LOCATIONS I VEHICLES;(Attach ACORD 101,Addklonal Remarks Schedule;ilfmore space is required): Issued as evidence :of insurance Issued as evidence of Insurance. Thielsch Engineering.; Inc. is listed as :additional insured as respects General Liability as required by written contract.. CERTIFICATE HOLDER CANCELLATION msong@capelightcolDpact.Org SHOULD ANY.OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL, BE DELIVERED IN Cape Light Ccuapact ACCORDANCE WITH THE POLICYRROVISIONS. Attn: Margaret song AUTHORIZED REPRESENTATIVE to BOX 421/SCH 1195 iHain Street $arnstable, .. 02630- chae Christian/CLC "= ACO.RD 25(2010105) 019884010 ACOR.D CORPORATION: All rights reserved. INS025I2ofoonoa The ACORD.name,and logo,afe registered ma ks of ACORD m '7 ^"t E:'t""®T`.e"yy;"""�"ve"^� b r - lid Office;of Consumer Affalrs"and Business Regulation I0 Park Rlaza Suite.5170 Boston:Massachusetts_'0211.6 �. -Home m Improveent Contractor Registration 171360 Type Corporation Expiration: ;3/14/2016 Tr# 249649 CAPE SAVE INC, - - WILLIAM McCLUSKEY - 7-D HUNTINGTON AVENUE SOUTH;YARMOUTH, MA.02664 ... ' -~ ° Update`Address;and return card.Mark reason for change: �:. Address„0 Renewal-0 Employment Q rLost Card < SCA 1 iY 20M OS/11 5 Vlae- rpamvr�w�i2U�a�t�af���idJccc�uJe�� ?" , - � Office of Consumer Affairs&Business Regutatwa s License or registration valid for indivi, use only' OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to egistraUon 71380 Type:' Office of Consumer Affairs and Business Regulation Expiration X 3714/2016 Corporation ;10 Park Plaza-.Sude 470 " Boston,MA 02116 € ' CAPE SAVE INC: Pa3 { € -WILLIAM McCLUSKEY 7-D HUNTINGTON AVENUE -- SOUTH'YARMOUTH MA 02664 Undersecretary Not vah rthout signature i f Massachusetts Department of Pubiic Safety Board of Building Regulations am Tandards , Construction Supenjsor Spewaltv License. CSSL 10277fi a, W ILLIAM J MC 6 US 37 NAUSETIOAO ° < West 1+armouth 1VIA 03673 , ✓,.G.• >����E� Expiration . Cutrifnissioner 06%28/2015 Y a K 5 • r Y