The URL can be used to link to this page

Home My WebLink About0054 KENNEDY CIRCLE C44 lv� I-,(-, ALTERNATIVE WEATHERIZATION s/711 f P BUILDING DEFT, Date 4 APR 19 2018 Town of Barnstable " 200 Main St. TOWN OFBAF;NSTABLE Hyannis,MA 02601 Re: Permit The Insulation work at has been completed In accordance with;; d—AR'. Agency work performed for I1'-'n Timothy Cabral"' „ President ; CSL-105454 f 58 DfCKINSON STREET I FALL RIVER,MA 02721 I (508) 567-4240 I ALTERNATNEWEATHERIZA110N@GMAILCOM i If Town of Barnstable Building t Post T d .,TAAS& osterPermit Whee(a Certificate,ofOccupancy�s Required,such Building shall No#be Occupied un#il a Final Inspection has been made Permit No. B-18-94 Applicant Name: ALTERNATIVE WEATHERIZATION, INC. approvals Date,Issued: -01/12/2018 Current Use: Structure -Permit Type: Building-Insulation-Residential' Expiration Date: ' 07/12/2018 Foundation: Location: 54 KENNEDY CIRCLE, HYANNIS - _ : Map/Lot 267 055 Zoning.District: RB Sheathing: Qwner;on Record: BEARSE;WILLIAM A III' g It6i ractor Name: ALTERNATIVE WEATHERIZATION, Framing: 1 '�' �� ROAD � INC. Address: 254 MOUNTAIN 2 BRIDGTON, ME 04009 , Contractor License 175683 ` y Chimney: Description: weatherization Est Project Cost: $5,799 v . Permit Fee: . - $85.00 Insulation: Project Review Req: - e ai . p Fe Pd $85.00 Final` t Date,. 1/12/2018 Plumbing/Gas 16Ze YT � � Rough Plumbing: Final Plumbing: i BuiId ing Official F Rough Gas: 'This permit shallbe deemed abandoned and invalid.unless the work a h riz d b :this permit.is commenced within sik months after,issuance.p ut o e y p Final Gas: All work authorized by this permitshall conform to the approved application and the approved construction documents for which this permit has been granted. All cons truction;,alterations and changes of use of any building and structures sh'a I 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 r,&A% and shall be maintained open for public,inspe'ction for the entire.duration of the Electrical work until the completion of the same. Service: The Certificate of Occupancy will not be issued until all applicable signatures bythe Building and Fire Officials are provided>on-this permit. Rough: r Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Final: 2.Sheathing Inspection- - 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection S:Prior to Covering Structural Members(Frame Inspection) t,- Low Voltage.Final: '6.Insulation 71 final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final:. Work shall not proceed until the.Inspector has approved the various stages of construction. fire Department . "Persons contracting with unregistered contractors do not have access to the guaranty fund""(as set forth in MGL c.142A). Final:. Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 7 Parcel Application # 6 ,q Health Division Date Issued Z�l Conservation Division 13U'L®'NG Application Fee Planning Dept. Permit Fee BAN (/J Date Definitive Plan Approved by Planning Board ® 2018 Historic - OKH _ Preservation/ Hyannis TOWN OF g"STABLI Project St t Address 01ro,& Village ' Owner e Address Mt-4(A4 � Telephone ?"o� - /� _ �� U Permit Request %/ C 4,L04, �Sag-t VZL 6' fu em&At f�ls �le� r CST Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total,new Zoning District Flood Plain Groundwater Overlay Project Valuation J79S 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: J.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 Telephone Numbers CAo7"Wt4 Address c'q 11--aU yer. License# A5$/17 /' 4 6a7d 1 Home Improvement Contractor'# Emaiial-ftrlia:h'Vlv-)"c.r�17-&4-i`v $mai l` Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULT G FROM THIS PROJECT WILL BE TAKEN TO A)94/1- SIGNATU DATE 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 FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Town of Barnstable 3 � , Regulatory Services .. . RAWNS A Richard V.Srali,Director ASS. cz 639, E Building Division 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 1, U ► .vtA ewsedLee Bearse .... , ` ' �. .� property ae Owner subjectII hereby authorize to act on my behalf, ..... J* 1 ilk all matters relative to work au orizerl building pen-nit application.for: 54.Kennedy.Circle West Hyannisport, MA 02672 .............. ................................. ..... (Address of,fob) .. ..... _.. .... _.. r Signature of Owner Date 1 I Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form, I . C':\t.}ser.kieec)llik\AppData\l-ocal\Micr6sol't\Windows\INetC:ache\t'ontent.Outlook\L,7U69LF2TXPRESS(2).doc 01/25/17 a The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street,Suite 100 Boston,MA 02114-2017 M www mass.gov/dia «'brkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual):ALTERNATIVE WEATHERIZATION, INC. I Address:2 LARK STREET F I City/State/Zip:FALL RIVER, MA 02721 Phone#:508-567-4240 Are you an employer?Check the appropriate box: Type of project(required): 1.❑✓ I am a employer with 16 employees(full and/or➢fart-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in $. ❑Remodeling any capacity.[No workers'comp.insurance required.] 1 9. El Demolition 3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10❑Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5. am a genera contractor and I h hid thelid thtthd sheet ave hired listed on e attached❑I l tt 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.* 14.�✓ Other INSULATION 6.❑We are a corporation and its officers have exercised their right of exemption per MGL 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 are 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 sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:STAR INSURANCE COMPANY Policy#or Self-ins.Lic.#:0849257 00 Expiration Date:4/4/18 Job Site Address: City/State/Zip: a � ,� Attach a copy of the workers'compensa ' policy declaration page(showing the policy nu er and ezp ration date Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may.be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify unde th ins an raofes qfpjrjury that the information provided abo //ii�s true and correct Si nature: Date: Phone#:508-567-42 Official 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): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: f ��r.�--■� ALTEWEA-01 SNERONHA �ACC�l2N�g DATE(MMIDO/YYYY) CERTIFICATE OF LIABILITY INSURANCE 0512612017 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 have ADDITIONAL INSURED provisions or 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 endorsemen s. TACT ChristineCosta . PRODUCER Mason&Mason Insurance Agency,Inc. I� Ex*(781)523-0067 (Fa c,NO) 458 South Ave. Whitman,MA 02382 .ccosta@masoninsure.com INSURERS)AFFORDING COVERAGE NAIC# NNSURER A;Evanston Insurance Co. 135378 INSURED INSURER B.Safety Insurance Compl!ny 139454 j Alternative Weatherization,Inc. tNSU c:Star Insurance Company_ 18023 2 Lark Street INSURER D: Fail River,MA 02721 S"INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT j �T`HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD I INDICATED. NOTWTHSTAN®ING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH ITH 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`,, iADOL SUER; POLICY EFP POLICY EXP j LIMITS TYPE OF INSURANCE INS I POLICY NUMBER l 1 A 'i X—I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE g 9,000,000 I CLAIMS-MADE j X:OCCUR j3C4208$. ' 0610712017 J 06107/201$i'DAMAGE TO IaENTED 100,000 III S I - 3 i MED EXP;Any one person �s 6,000 I I } I PERSONAL&ADV INJURY 5 1,000,000 2,000,000 I S S GEN'L AGGREGATE LIMIT APPLIES PER: j- � � GENERAL , POLICY y_j LOC ( i PRODUCTS-COMPIOPAGG I S 2,000,000 s OTHER: I I is I {7M8lNEDSINGLELIMIT S S 1,000,000 B I AUTOMOBILE LIABILITY j ANY AUTO 04/08/2017 i 0410812018 j BODILY INJURY(Per Perim) 's �?OWNED X SCHEDULED AUTOS ONLY AUTOS i BODILY INJURY{Per accdent)I S X HIREDp X NON.bpbYNED ! l i i 20.1 AMAGE AROS ONLY AUTi3S ONLY i i er atcadent __- -- 5,-,,,_ I i t I I S 3' !UMBRELLA LSAB 1 X S OCCUR EACH OCCURRENCE j S 1,000,000 I X ExcEssLws CLAIMS-MACE; jXO$W6819S18 j 0610712017?OS107/201$j AGGREGATE S 1,000>000 _._. DEC) RETENTION S ---)—i— 1 X I PTR j OTH. 3 ! r C !WORKERS COMPENSATION � � 1 SAND EMPLOYERS'LIABILITY 1WC 0849257 00 0410412017 i 0410412018 i Y 1 N fi00,000 !ANY PROPRIETOW'PARTNERIEXECUTIYE !""I; J ? I j E.L.EACH ACCIDENT I S FicER MEpABER EXCLUDED? N ,,NIA I fit30,000t' IMandatary In NN) E.L.DISEASE-EA EMPiOYEc�S I ?I; es,des rba under ? I 300,000i 10 SCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMITS S l l I i DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101,Addllanal Rallarks Schedule,may be attached I more space Is required) . Action Inc.and National Grid USA,its direct and Indirect parents,subsidiaries and affiliates shall be named as additional insureds on Commercial General (Liability policy per terms and conditions of forms CG2010 and CG2037 and Commercial Auto Liability policy per terms and conditions of form SCA 005(02 �16).Forms Available Upon Request. CERTIFICATE HOLDER CANCELLATION l i SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE . THE EXPIRATION DATE THEREOF, NOTICE WILL 8E DELIVERED IN ; l National Grid j ACCORDANCE WITH THE POLICY PROVISIONS, j 40 Sylvan Road Waltham,MA 02451 AUTHOPMO REPRESENTATIVE ACORD 26(2016103) O 1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD �k _m " � Lt aka g ' A-�� yc 4`. a �yy e C-F erll��w4mwzlld Office of Consumer Affairs and Business Regulation 10 Parr Plaza- Sure 5170 Boston, l husetts 02116 Home lmprovemeODWtVactor Registration a Type: Corporab n " Registration: 175683 ALTERNATIVE WEATHERIZATION,INC x y Expiration: 05l2812019 2 LARK ST " FALL RIVER,MA 02721 ' did y x3 fS dy' Upstate Address and return card. Mark reason for change, H ,a Z ?J 05 , __.....))_.....(......._.......___._...__. _, __._.,...._..__..............._,,..._..,.wQ �rlrlrnac� I") n Lem-r =" Office of consumer Affairs&118 nen Aeguiation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use orgy TYPE:CO-DOMOM before the ecpiration date. If found retum to: jo Ian Expiration Office of Consumer Affairs and Business Regulation 0512812019 IV Pa*Plaza-Suite SilV ALTERNATIVE WEA TAG(flN,INC. n,MA t)2916 £S-':i•v;psi TIMOTHY CABRAL 2 JA— LARK ST FALL RIVER,MA 02721 Undersecretary Ot V O':. Si 8tt11 P