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HomeMy WebLinkAbout0020 LAFRANCE AVENUE,moo I-ft r=�,�c �- ffv� _ _ r C i ;. Cape Save'Inc. ;,' « 7-D Huntington'A venue, 11 17 v. $,3 x3 k3 i South Yarmouth,'MA 02664 • Tel: 508-398-0398 Fags 508-398-0399 Vit- 8/24/12 Town of Barnstable v , •t� s'„` ` :� r k,. `� � �� �� � :�r �,�� c r • Thomas Perry CBO Building Commissioner 200 Main St.Hyannis,MA 02601 .. •' is . ' � ✓ „ -:. ° n �,� r. � }yt _ RE: Building Permits " Dear Mr. Perry, s' - This affidavit is to certify that all work completed for 20`Lafrance Avenue,Hyannis has been , inspected by a certified Building Performance Institute(BPI)Inspector.' :k Open Ceiling: R-30 cellulose ; '� ` t k t j 4 Enclosed Slopes: R-11 cellulose All work performed meets or exceeds Federal and State Requirements. Sincerely, 7. r' , r . „ +x, - t c' 4 n. "�Y4 ♦fir &a+'� b r '� iu` William McCluskey •¢,; t n 1 •. +T•'a� 4' «per R • A -. � � « •. 5 T � �, , „ k' c t.h.A' '. • T .` "r y rt is *4 ,fix a.�' f ,e •a.w 4 ... 1^' .. '�"A` ,f �; 1. ` 4r+ r`7 r,"a _ �f r :r `c&� Rt, '' k �•','.. ., a - d t• �� *x� W F TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 9 -1 Parce16 4 1 Application # Health`Division " •Date Issued �- Conservation Division o _ Application lication Fee Planning Dept. Permit Fee ' Date Definitive'Plan Approved by Planning Board Historic*- OKH _ Preservation/ Hyannis Project Street Address �o i� ��1a � Village ` - aftil iS Owner �a� �e Fa�a Address 19 tan L cale Telephone L _ Permit Request: d " 3 O an e f ` ye{I-�i l ark OA +e Cady MA ye(45. i r-, Sta\ t P, a jEc, Square feet: 1 st floor: existing` proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay ' Project Valuatio 3 5 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 MID 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 14 Oil ❑ Electric ❑ Other Central Air: ❑Yes IXNo 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, 9 ! C) (JI) Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review# mr � = Current Use _ _Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name afyl CC��A S� • Telephone Number 8 - 398-0 348 Address +_V 40,,M+01) 4VV1 License # G 1 O c'�-� 6 S@AA Yft Pn6 t f1_f Home Improvement Contractor# U J p 0 Worker's Compensation # `ter 33 t 800T ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO a SIGNATURE X DATE _ 5 — d- 4 K FOR OFFICIAL USE ONLY k APPLICATION# ._.DATE ISSUED MAP/PARCEL N0. ADDRESS VILLAGE ,I OWNER r, t DATE OF INSPECTION: FOUNDAtio j :-`� �- FRAME 'INSULATION FIREPLACE t ELECTRICAL: ROUGH FINAL ° PLUMBING: ROUGH FINAL ROUGH h: FINAL F FINAL BUILDING . S ;; ',DATE CLOSED-OUT' ASSOCIATION PLAN NO. 3'Z:31?e11 . . . -'A-.(I `0 Chi �'i.�El; �r•' . LANDLORD SI'C cc To TENANT . 'EiJ:v tv _- i• ����r 1`�,� i'7?.L.,�(� s Y(L C�'.�1V�S i f�1;1 �L-tr3�� . J!• -.. . ONE 5� 3-���-Lvfa�Z PHONE PH :�. ��• Dear Landlord, Your tenant is eligible for services through the Weatherization Program. Program regulations permit us to spend an average of$5,000.00 in materials and labor per dwelling unit- Program regulations require us to weather.-strip and caulk doors and windows; insulate attics,sidewalls 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. Prior to making the inspection and doing the work we must have your permission. If you want your tenant to participate in this program,please sign the agreement and return the form to me. This agreement states that 1. You will not raise the rent because of the Weatherization work or for one year from the time 1the work is completed.. 2. You will not evict your tenant for one year following work completion date except for good cause related to the tenants failure to pay rent or serious or repeated violation of the terms of tenancy_ 3. If you sell the property during the specified period,either the new owner must assume the obligations under the agreement prior to sale,or you must refund to us the entire amount of materials and labor we spent in weatherizing the unit . 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. Failure,to fill out the entire form will result in a delay in processing the. application. If you have any questions please call Michael Satori at 508-771-5400,x.105 Sincerely, =' h ILL Ruth Bechtold = y 'Assistant Director Energy and Home Repair Department TENANT/PROPERTY OWNER/AGENCY WEATHERIZATION AGREEMENT l. The Parties to this Agreement are the following: (hereaftez known as Tenant), (print your tenant's name) (hereafter known as Property Owner), (print your name) and Housing Assistance Corporation(hereafter known as Agency). In consideration of the mutual promises hereafter stated,the Parties agree as follows: 2. The date of Agency's signature will be the effective date of this Agreement_ The Agency will sign andretum a copy of the Agreement upon completion of the proposed Weatherization work. 3. Property Owner and Tenant consent and agree that the Agency may do,the following with respect to the property located at(street,town) -2 k-- . }( ti are 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 Agency's,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, Executive Office of Communities and Development(Office of Energy Conservation)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: . F * *INTTIiA I 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 the completion of work. I.will.provide a separate consent to performance by the Agency and'its contractors of J' Weatherization work following my receipt of the Agency's inspection report and a statement of the d 11,1 0 t tr4FD 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 -cmic-�461E (b S performed and the associated value at the completion of the work t5o CALL- , `4. The Property Owner understands and`agrees that any and all work,including related repairs for which the r Property may also be eligible,will be performed at the Agency's discretion. 5. If the Properly 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. .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 one full year from the time the work is completed: r 9� a) The present rent$-7 5- .fper month will not be raised for any reason. (The rent amount must be filled in). **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 e %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. I J.- For breach of this Agreement by the Properly 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 attorney's 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 attorney's 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. 13. 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 Owned Signature- Date Phone: i y `7-w 6 8-L � ro Address: �Ya,,�,(,c r' ftkle C,T M�1 t��c, , Tenant Siga ature Date a e Agency Approved Weatherization Company: _ rcu�I All Cape Energy Caliber Building&Remiodeling Cape Cod Insulation Cape Save ,Creswell Construction- Frontier Energy Solutions Lohr . Sons Peter Smith Resolution Energy °. Rock Solid Construction Sprinkle Home Improvement This Agreement becomes Effective as of the Date'of the Agency's Signature. The Agency will sign,and return copies of the Agreement to all parties,upon completion of the proposed Weatherization work. The Agreement shall remain in Effect for one full year from the Effective Date. Agency Signature' ' Date µ � c The Commonwealth oftlassachusetts Departi;nent of Industrial Accidents Office of Investigations 600 Washington:Street Boston,AM 02111 , Www.tnaSS.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information —�- Please Print Legibly Name(Business/Organization/Individual): cage S d,v� .1 n C • Address: D Nou►ttag-V-on City/State/Zip:,o0,41 Pact' OVA, 0264 Phone#: 508-- 3 q $ - 0 3 4 g Are you an employer?Check the appropriate box: Type of project(required): 1.9 I am a employer with 1, 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 shipand have no employees These sub-contractors have- S. F1 Demolition • . working for me in:any .capacity. employees and have workers' 9. 0 Building addition [No workers'comp.insurance comp.insurance.+ required.] 5. We are a corporation and its 10.[] 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. 1 right of exemption per MGL 12.0.Roof repairs insurance required.]t c. 152,§1(4),and we have no `` employees.[No workers' 13.M Other �'n S u.1 Vt on, comp.insurance required.) *Any applicant that checks box#l 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. lam an employer that is providing workers'compensation insurance for my eiployees. Below is the policy and job site information. E Insurance Company Name: _TeG�n 01 0 4 Tn S w,ran oC C Policy#or Self-ins.Lie.#: C 3 3 g �' i 4 9 1 3 - " Expiration Job Site Address: d�� L R�C f1 /P(�V�, City/State/Zip: VV qO N S 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$250.00 a day against the violator. Be advised that a.copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. t do hereby certify under the pains and penalties of perjury that the information.provided above is true and correct. Signature: _ _ Date: Phone#: - 508$ � 398 - 03vR Official use on Ill.' Do not write in.this area,to be completed by city or town offrciaL 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#: DATE MM/D ACORL� DA ( DIVYm CERTIFICATE OF LIABILITY INSURANCE 5�io�2ol2 THIS ERTIFICATE 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 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). coNEACT}21sk Strategies Company PRODUCER NAME: Risk Strategies Company PHONE (781)986-4400 F 0..(781)963-4420 15 Pacella Park Drive ADDAU RESS: Suite 240 INSURERS AFFORDING COVERAGE NAIC# Randolph MA 02368 INSURERA:Selective Insurance INSURED INSURER B:Safet Insurance Co an 33618 Cape Save, Inc INSURER C:Technolo Insurance Co an 7 D Huntington Ave INSURERD: INSURER E: South Yarmouth r MA 02644 INSURERF: COVERAGES CERTIFICATE NUMBERCL125948081 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 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 MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR D R POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY M DD GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 -DAMAGEKEN I LU $ 100,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence 0/16/2011 0/16/2012 10,000 A CLAIMS-MADE E OCCUR PPS1994480. MED EXP(Any,one person) $ PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 FGEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 $ POLICY PRO LOC ' AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 ANY AUTO BODILY INJURY(Per person) $ B ALL OWNED SCHEDULED 6208200 1/6/2011 1/6/2012 BODILYINJURY(Peraccident) $ AUTOS AUTOS PROPERTY DAMAGE NON-OWNED Peracci ent $ X HIRED AUTOS X AUTOS X Underinsured motorist BI split $ 100,000 X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 2,000,000 A EXCESS LIAS HCLAIMS-MADE AGGREGATE $ 2,000,000 DED RETENTION$ PPS1994480 0/16/2011 0/16/2012 $ C WORKERS COMPENSATION x WC STIM I O R AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNEWEXECUTIVE ANY EL EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? 1 NIA C3318007 `.F /9/2012 /9/2013 (Mandatory in NH) I E.L.DISEASE-EA EMPLOYE $ 500 000 If yes,describe under E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more 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@capelightcompact.org SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Cape Light Compact Attn: Margaret Song AUTHORIZED REPRESENTATIVE PO Box 427/SCH 3195 Main Street Barnstable, Mk 02630 Micha®1 Christian/BM ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS0251,)mrmini Tho A(`CIOn name and Innn aro mnictarorl marirc of AneiRn s s •. Massachusetts- Departmettt of Puhlic SaFetN Bourtl of g Rey-ulations and St:uulard�` Construction Supervisor Specialty License License: CS SL -io2776 Restricted to IC s WIL•LIAM MC CLUSKY `fq 37 NAU SET ROAD WEST YARMOUTH, MA 02673 Expiration: 12 4 tr<: 0276 776 z �®d/`✓ it z Office of Consumer Affairs and eusiness Regulation 10 Park Plaza - Suite 5170 a Boston,Massachusetts 02116 Home Improvement Contractor Registration Registration: 171380 Type: Corporation Expiration: 3/14/2014 Tr# 222184 CAPE SAVE INC. - WILLIAM McCLUSKEY 7-D HUNTINGTON AVENUE ;- SOUTH YARMOUTH, MA 02664 = ` Update Address and return card.Mark reason for change. Address [( Renewal Ej Employment ❑ Lost Card' , PS-CA1 0 SOM-04104•Gt01216 �anr�'roozu�al!/c esi.�Regulation ' License or re stration valid for individul use only Office of Consumer Affairs&B sines Re ulaRon HOME IMPROVEMENT CONTRACTOR before the expiration date If found return to: -- 1 Registration: -;'171380 Type: Office of Consumer Affairs and Business Regulation . I 901.rExpiration 3/14/2014 Corporation 10 Park Plaza-Suite 5170 : Boston,MA 02116 CA SAVE INC.;.�-Z.�-�.--,�r-�-."",�:�.��.��--�.'r�;. WILLIAM McCLUSKEY-s, __.-; 7-D HUNTINGTON AVENUE=_ SOUTH YARMOUTH,:". 02664' Undersecretary Not valid Wit o signa