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HomeMy WebLinkAbout0084 MAPLE STREET ,. Town of Barnstab a Building r t8cn Post This Card So That it is yisible_from theyStreet-Approved Plans Must be Retamed on Job and this Card Must be Kept MARK Posted Until`Fina) Inspection Has Been Made. to ere-a Certificate of Occupancy,is:Required,.such Building sha na ll Not be Occupied until a Fil,Inspection his been made �ern11� Permit No. B-20-644 Applicant Name: SCOTT VEGGEBERG Approvals Date Issued: 03/17/2020 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 09/17/2020 Foundation: Location: 84 MAPLE STREET, HYANNIS Map/Lot: 310-364 Zoning District: RB Sheathing: Owner on Record: GODFREY,CANDACE W TR Contractor Name`-,SCOTT VEGGEBERG Framing: 1 Address: 84 MAPLE STREET Contractor License: CS'SLL 103832 2 HYANNIS, MA 02601 ,. Est.-Project Cost: $3,675.00 Chimney: Description: Insulation Permit Fee: $85.00 i Insulation: , Fee Paid: $85.00 Project Review Req: '++ , Date: 3/17/2020 final: Plumbing/Gas Rough Plumbing: 0. Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within'six months after issuance. All work authorized by this permit shall conform to the approved application an 41thepapproved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and str:.'uctures 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 for public inspection 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 Building and Fire Officials are,provided on this'permit. Minimum of Five Call Inspections Required for All Construction Work: , Service: 1.Foundation or Footing f, Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed` 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final' 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). Building plans are to be available on site Fire Department — All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Application number....6.. 2Q 5119 re, ING DEFT. Fee .RAWM �Cc®n MAMAOM FEB 2 8 20Z0 Building Inspectors Initus...,�J� —.................... t639. a` - " TOWN Of BARNSTABLEr Date Issued.......3.1�?1 Map/Parcel 3(Q 61.. TOWN OF BARNSTABLE ` s EXPEDITED PERMIT APPLICATION: SCANNED ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION A R 17 PROPERTY INFORMATION Address of Project: 84 Maple Street NUMBER STREET VILLAGE : Owner's Name: Candice Godfrey Phone Number 508-775-8296 Email Address: Cell Phone Number Project cost.$ 3675 Check one Residential yes V Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize HomeWorks Energy to make application for:a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK Q Siding. 0 Windows (no header change) # Insulation/Weatherization ED Doors(no header change)# Commercial Doors require as inspector's review t-1 Roof(not applying more than I layer of shingles) Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor's name Scott Veggeberg s� Home Improvement Contractors Registration (if applicable)# 181138 (attach copy) Construction Supervisor's License # 103832 (attach copy) 'Email of Contractor Phone number All PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. 1 APPLICATION NUMBER ............................................................ *For Tents Only* Date Tent (s)will be erected Removed on number of tents total Does the tent have sides? Yes No (if yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event } Check one: Food served Yes No _ E l i 1 0 ". Flame Spread Sheet of each tent must be attached. Provide a site plan with the location (s) of each tent t 1^I.r If/ood is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES * Manufacturer# Model /T.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I.understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLI NT'S SIGNATURE Signature Date All permit applications are subject to a building of approval prior to issuance. Insulation/Air Sealing Permit Authorization a Specialist: Kevin Hourihan Company: HomeWorks Energy Email: Kevin.Hourihan@HomeWorksEne Address: 101 Station Landing HomeWod<s Cell: .5082735347 Medford, Ma 02155 cncip,Inc Phone: 781-305-3319 Customer: Candance Godfrey Address: 5087758296 Email: 0 0 Site ID: 3970828 Phone: - I, the owner of the property identified above hereby authorize HomeWorks Energy Inc., or their Partner to act on my behalf in obtaining any building permit that maybe required to perform insulation and/or Weatherization work on my property and all matters related to the work authorized by said permit if one is obtained. Any related permit application.cost will come at no additional charge provided that the agreed Weatherization work is completed. Customer Signature: Date: 2/13/2020 CandaVice Godfrey � - I PLAN VIEW Name: DIC rr k0F�6 Site ID: 0?2-�7 Finished Sq. Ft: Phone: — Year of House: _�_� Electric Acct#: J�j Address:-b L/ ROt Sl— #of Floors: f Gas Am#: 6� P "W^ IZ6oNnit#: i #Occupants: Housing Type? DUCTWORK INSPECTION Ducts insulated?❑ Duct Linear Ft. Duct Square Ft. 1-4 Duct Air Sealing Hours r Duct Insulation J Duct Insulation Removal BASEMENT INSPECTION Existing Spec'ing Ln/Sq. Ft. Bsmt Wall AG Crawl Ceiling Crawl Rim Joist , t Bsmt RJ w/Sill Bsmt RJ NO Sill Vapor Barrierl. sgft. Bsmt Door Y N Blower Door? WALLS&GARAGE Drill Location? Siding Ceil.Height Existing Spec'ing S .Ft. Framing Exterior Wall 1 x x Balloon/Platform Exterior Wail 2 x x Balloon/Platform Overhang x x Garage Wall x x Balloon/Platform— Garage Ceiling x x MAR 17 2020 Insulati6 oval Soft Sweeps: WX Stri 'pin WORK SPEC'D BUT NOT CONTRACTED ROADBLOCKS PRESENT? MANDATORY) Attic Basement/Crawls ace I Other: K&T Y Moisture I Y ombustion Sfty ly/ Kneewall Overhang/Garage Asbestos Y Mold>100 sq.ft Y/ CO Detector Missing Y Ductwork Exterior Walls H Vermiculite Y/ Structl Concerns Y/ .Other: Notes for Lead Vendor/Work Not Contracted: J KW WALL AND KW FLOOR Blind Spec? ❑ '-- O R ---► KW SLOPE AND GABLE END Blind Spec? ❑ Why? Why? FRAMING EXISTING4VEQNG SQ,FT. FRAMING EXISTING SPECING SQ.FT. WALL X X SLOPE X X FLOOR X X r GABLE X X ACCESS X TRANS X X TRANS X x ATTIC ATTIC SLOPE X X. SLOPE X x EXISTING VENTING?, • EXISTING VENTING? 1EXISTING PIPES? Y/N y • KV/Venting Vent BF BF Hose Dam 'n Sheathing Access Temp Access KW Venting Vent$f Temp Access. ' w n • i • _. S ^ c' AM Insulated Wall X X Reed Light rO Ins.Hose BF Ve_nt OF BFV Chim.CH Damming 12"Roof V t Air Handler AH Temp Access�• I Pull Down DS f Hatch H❑ Wall Hatch"•/ Door./ 8"Hoof Vent RV Vol: X .0058 X(13.6 19(1 story) X X ATTIC 1 Blind Spec? ❑ rFloored X ATTIC 2 Blind Spec? ❑ �15.a(2story)� = Existing S ec'ing Sq ft 1 Existing Spec'ing Sq ft 13.6(3 story) Unfloored o red Trusse Croseaatting Floored g Mixed(nsulatio� Duct Work >6"Loose None Cath Sloe Sloe ' Walls Walls Access " Access Venting Propavents Vent BF BF Hose Damming Venting ro avents Vent BF BF Hose Damming WHF Box: tin ca - a) / V u7/"�, u Temp Access. CID n � to Shea'thingAc 's':_ -�_�-_ a _..r . __. - -_ Sq.Ftj 300 R.L.Covers: (Exist.N A Venting)_ (Needed Sq.Ft/3n0 (Exist.NFA sting)_ (Needed EXisbn Ventin ? NFAventing) Existing Ventin ? NFA Venting) RooFType: g g• , s A. M t � r F Al To whom it may concern; Scott Veggeberg is a current employee of HomeWorks Energy Inc.and operates.under our insurance policy. Policy numbers that Scott is covered by are follows: Commercial General Liability: 793006065002 Automobile Liability: 6244378 Umbrella Liability: 7930060660002 Workers Compensation and Employers' Liability:ECC-600-4001017-2020A All HomeWorks Energy,permits are pulled under his CSL license. The insurance provider is AIM Mutual Insurance Company. If you have any questions or concerns please contact Director of Weatherization Adam David Glenn at 774-365-2446 or adam:alenn@homeworksenergy.com. Thank You, Adam David Glenn Director of Weatherization HomeWorks Energy, HOMEENE-01 LLARIVIERE ACORO� CERTIFICATE OF LIABILITY INSURANCE DATE 12/19I2019Y,(MM/ 019 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 endorsement(s). PRODUCER CONTACT Lisa Lariviere NAME: Foster Sullivan Insurance Group,LLC PHONE FAX 163 Main Street (A/C,No,Exq:(978)686-2266 301 1(A/C,No):(978)686-6410 North Andover,MA 01845 Ao AIL certificates@fostersullivangroup.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Homeland Insurance Company NY 34452 INSURED INSURER B:SafetyIndemnity Insurance Company 33618 Homeworks Energy Inc. INSURER C:NH Employers Insurance Company 13083 Homeworks IIC LLC 101 Station Landing Suite 110 INSURER D: Medford,MA 02155 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR IN SD WVD MM/DDIYYYY MMIDD/YYYY A X COMMERCIAL GENERAL LIABILITY - EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X occuR 7930060650002. 4/1/2019 4/1/2020 DAMAGE TO RENTED 500,000 PREMISES Ea occurrence $ MED EXP(Any oneperson) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑JECOT- LOC PRODUCTS COMP/OPAGG S 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident $ ANY AUTO 6244378 4/1/2019 4/1/2020 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY X AUTOS - BODILY INJURY Per accident $ X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (per. Per accident $ $ A UMBRELLA LIAB X OCCUR _ EACH OCCURRENCE 5 2,000,000 X EXCESS LIAB CLAIMS-MADE 7930060660002 4/1/2019 4/1/2020 AGGREGATE $ 2,000,000 DED X RETENTION$- 0 - - - - $ Ci WORKERS COMPENSATION - X PER OH- AND EMPLOYERS'LIABILITY - YIN - STATUTE ER ECC-600-4001017-2020A 1/1/2020 1/1/2021 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE F—N] N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory m NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Evidence Only CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Homeworks EnergyInc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 101 Station Landing Ste 110 ACCORDANCE WITH THE POLICY PROVISIONS. Medford,MA 02155 AUTHORIZED REPRESENTATIVE. ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Department gfIndustrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dirt Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/individual): Homeworks Energy Address: 101 Station Landing Ste 110 City/State/Zip:Medford MA 02155 Phone #:781-205-4520 Are you an employer?Check the appropriate box: Type of project(required): 1.0 I am a employer with 200 4. ❑ I am a general contractor and I employees(full and/or part-time). have hired the sub-contractors 6. ❑New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling These sub-contractors have ship and have no employees. ii. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ 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 1►,❑ Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12 c. 152 §1 4 and we have no — ❑Roof repairs insurance required.] ` , S O, Weatherization employees. [No workers' 13.0 Other comp. insurance required,] *Any applicant that checks box#1 must also till out the section below showing their workers'compensation policy information. r I-lomeowners 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. Ifthe sub-contractors have employees,they must provide their workers'comp.policy number. 7 ani an employer that is providing worker:c'compensation insin•curce.for nay emphhees. Below is the policy and job site in formation. Insurance Company Name.: NH Employers Insurance Company Policy#or Self-ins. Lic.#:#4001017 Expiration Date: 1/1/2021 Job Site Address: City/State/Zip: 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 1VIGL 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. do hereby certif�under the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: Phone#:781-205-452C / wxpermitting@homeworksenergy.com Official use only. Do not write in this area,to he completed by city or town rffcial. 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#: , `fry �r~i:•�ifr�,�rri.�rrr//,i r� f�iil�iirri�ifr:f/-.r (Ace of Consumer Affairs and Business Rcgul.atjon 1000 Washington Street-Suite 710 Boston;Massachusetts 02118• Horne lmprovernentContractor Registration Tgpe r,,r.-rliarutlon ��; �ngrstr�fion tttt08 HON"E WORKS ENERGY.IUC. c Expf¢ifioe p3'rJ2P26z5 901 ST+AT70N LAfdDING STE t'0 -.. MEDF>'7RD,LIA 021.35 - - Update Addles and Ratam i.ard. - - Otfke of Gansuaw Aff i.834ssa Reoels;ion R n redid loiindtVidunl use ordy "MAE Ulf PROdENA ENT CONTRACTOR RN'SYlalro 7YP':Ea�po e%✓_+i before d.a explrMis-n uato.If found return to! Rraiatril 9AR rerun - Office of Consumer,ifrairs and Business RegulOtion _ 197 i3E 037�3t20P.. 9oP0 WasFir a-Stroct-Bulta 710 HOME WORKS,t-NFriGY-f�' rdAXVEGOEBERG - ,}. 1e1 STr.TIDN LANOINC ST 1.E 0 ++- � Al valid without signatuw•e - ':1CLYrRDAV-,,i3i35 iJnd�rSFXi'Etxry _. - . + GotitrTlonwf alt t tst assaertusetts ` Construction Sukfw-w specially' '�r9 U; Islol�of,hrafies ,UrtaiLicensurti 8oL9rd of Building Re+guliitio6; Inca Storidhrdt: Restricted to' It"r C SSL4C,Insulation.Contractor :onutq 4fion sllp 0 M,Qpr.SPCcsaIty t:SSI Ii}3832 i-, icpires_ I'01, ` 12t1 1 SCOTT VEGGEBEFiG 8 COVINGTON ST 114- r BOSTON PRA-42127 t Failure to possess a cur dition of the.Massachusetts State Building Code is t. or eevitcafion of this-license.4 Grstt►trtu5statte r#�z, ,w' Y^�`a' — t For inlarana6smra about this licensee Q Calf 617 727-3200 crr visit wvw.mass. o.WdR I Page 1 c 0 ulomeWorks mass save Energy, .Inc PARTNER 101 Station Landing Ste 110,Medford,MA 02155 (781)305-3319 exi.120 Customer Name:Candice Godfrey Email:Not provided Phone:508-775-8296 Premise Address:84 Maple St,Barnstable,MA 02601 Mailing Address:84 Maple St,Barnstable,MA 02601 Project ID:3985052 Date:Feb.13,2020 ^ Job Description Measure Description Location-' Quantity Unit Total Cost_ Customer Cost AIR SEALING Other 8 hr $640.00 $0.00 WEATHERSTRIP DOOR &ADD SWEEP, Other 2 each $160.00 $0.00 ATTIC FLAT- 13"OPEN R-45 CELLULOSE Other 800 SF $1,392.00 $348.00 REMOVE EXISTING INSULATION -ATTIC Other 800 SF $776.00 $776.00 VENT BATH FAN THRU ROOF Other 1 each $118.75 $29.69 VENTILATION CHUTES Other 80 each $279.20 $69.80 ATTIC DAMMING- R-38 FIBERGLASS Other 30 SF $73.80 $18.45 PULL-DOWN STAIR:THERMADOME, BUILT-UP Other 1 each $237.65 $59.41 Project Total $3,677.40 Total Contractor Price and Payment Schedule HomeWorks Energy, Inc. agrees to perform the above described work,furnishing the material and labor specified for the listed tota price. Payment of the balance of the customer contribution is expected upon completion of the work. Customer Signature: Date: Customer Phone:. Specialist Signature: Date: UMITED TIME OFFER: The prices and incentives in this contract are subject to change In accordance with the sponsoring utility MassSave Home Services Program offer. Proposals can be sent for inbox@HometNorksEnergy.com y VnHomeWork, mass save Energy, Inc PARTNER 101 Station Landing Ste 11o,Medford,-VA 02155 (781)305-3319 ext.120 Customer Name:Candt;e Godfrey Email:Not provided Phone:508-775-8296 Premise Address:84 Maple St, Barnstable,MA 02601 Mailing Address:84 Maple St,Barnstable,MA 02601 Project ID:3985052 Date:Feb.13,2020 Weatherization incentive ($1,576.05) Air sealing incentive ($800.00) Total Program Incentive $2,376,05 Customer Total $1,301.35 Total Contractor Price and Payment Schedule HomeWorks Energy, Inc agrees to perform the above described work,furnishing the rnateria.and labor s�ecii;xd for listed tom- price. Payment of the balance of the customer co.-lt-ibutiop is ex-ected Uao.',c4.-npretie n of rise zvc} Customer Signature: F,;L 4t ' Customer Phone: Specialist Signature: Date: The ice;and inc UMRED'nW OFFER: W incentives in this conuar.are subject to change it,acprdan:_with the 3�r,�iRg�tit1��,,�a��`Hmre� �;f ,o#=ass. . Proposals can be sent to:tnbaxiJhometevorkstnergy.com, Project Summary Name: Candance Godfrey HomeWorks Energy,Inca Phone: - 101 Station Landing Email: 0 Medford, Ma 02155 HomeWrt Site ID: 3970828 781-305-3319 Energy;iic MASS SAVE Cost Incentive Air Sealing $800.00 $800.00 Weatherization $2,877.40 $1,576.05 Duct Sealing $0.00 $0.00 Duct Insulation $0.00 $0.00 MASS SAVE REBATES Incentive Preweatherization Barrier $0.00 IC Rated Lights $0.00 'Dryer Vent $0.00 'Attic Floor Removal $0.00 t Rebates may only be applied as reimbursement of your cost to the Contractor for services rendered. SUMMARY Cost Incentive Mass Save $3,677.40 + Beyond Mass Save $0.00 TOTAL PROJECT $3,677.40 $2,376.05 Total Copay $1,301.35 Customer Deposit Applied $50.00 FINAL COPAY (due on completion of work) $1,251.35 HomeWorks Energy, Inc. agrees to perform the above summarized work (Mass Save & Beyond Mass Save), furnishing the material and labor specified for the contract price (Total Project). All work is subject to change, and homeowner's approval is required for completion of any and all work. Preferred Day of Week for Insulation Install: Customer: = -4- Date: 2/13/2020 Candance Godfrey Specialist: _ Date: 2/13/2020 Ke ' Hourihan Kevin.Hourihan@HomeWorksEner com 5082735347 v.17 i: .. - �t Town of Barnstable *a-Permitit## 3�C O� Expires 6 months from isle dte Regulatory Services Fee y - `7 BARNWABM "�: ., Thomas F.Geiler, ®i Director R. PERMIT ATEO MA'1 A Building Division JUN 2 2012 Tom Perry,CBO,' Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us TOWN OF BA RNSTABLE Office: 508-862-403 8 Fax: 508-790-623 0 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY y Not Valid without Red X-Press Imprint Map/parcel Number Property Address Residential Value of Work - Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address YOVaj Contractor's Name ,'r clo0 ; --- -- Itl� . Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) �rkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance - Insurance Company Name A Workman's Comp.Policy 0 Y Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) [2/Re-roof(hurricane nailed)(stripping old shingles) All construction debris will betaken to a ❑Re-roof(hurricane nailed)(not stripping. `Going over existing layers of roof) / ❑ Re-side Replacement Win #of doors dows/doors/sliders:U-Value (maximum,.35)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation;etc. *"Note: Property Owner must si Pro a Owner Letter of Permission. rtE A copy of the Ho pr ement Contractors License& Construction Supervisors License is required. SIGNATURE: Q:\WPFILES\F S\build nng perinit forms\EXPPESS.d Revised 051811 the Commannwalth of Masmckusetts Di7witotmt ccidaift O,We of In ,4,t trons 00 Washington Street Boston,M54 02111 nmvmassgvv1dia WORE rs',Cumpensa#ion Insurance Affidavit Budder-JConfractarsMwtdmns/Ptumhers 1Uf0rM2fi0II Please PI3II �b' Name g Apup Address: Ape ic Cityl tateJ p: Phone_i A,r--e,yvu an employer?Check the appropriate box: Type of project(required): I-Lr'I 1 am a employer with 4. � I am a general contractor and I 'employees(fall andfor part-time)* have hired the sub-contmcto�s 6. New construction 2_❑ I am a sole p€aoprietor ar partner- fisted on the attached sheet. 7- Dairemwdehng l s ese:sub tt h-contractors ave ,ship and have no� Th $_ F�Deawlitign wadding for ine in any capacity- employees and have wodwrs' [No workers' camp.insurance comp.insurs�l 9. 0 Budding additica required] 5_ 0 We area corporation and its 10.0 ElectEicai repairs.or additions 3.0 I an a 1wm�nwir doing al wor - officers have exercised(heir 1I_Q Plumbing repairs or additions myself[No woulmrs'comp- _ right of exemption per MGL 12.E Roof repairs insurance &]T c 152,§1(4X and we have no employees.[No wonders' 13.0 Other comp insurance required] r�lII}�S}IP�EC8II 'h'diediis box#I lIIaSY 5�56�ow the Section below showiIIg.'tk&worker'caugensadontpolky lnfwmza= - Hnmeoaruers Who submit this af5davrt itndicatiug they am doing all wa&and dum hue outside con=tm mu mft=a new affidavit indicating mc1'L IGuniractnrs that check this box must attached as additional sheet showing the name of the sub-caoftwcbm and,state whether ornot those entities have eaphtyees. Ifthe sub-ru =cats lase employees,they xmst provide tltelr work—'camp.policy number- -Tam an empt pyw thedt is providkg workers'componsation inmraece for.my omptoywm Below is the policy and job site information.. Insurance Company Name: ' Policy#or Self=ins.Uc.#: 0 Lei Expiration Date: Job Site Address: City/Stateir: Attack a ropy of the workers'compensation.policyg declaration page(showing the policy mrmb .and expiration daze).. 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 anNor one-year.itnprisotrmenk as well as civil penalties in the form of a STOP WORK ORDER and a fine ofup to$250-00 a day against the violator. Be.advised that a copy of this statement may be forwarded to the Office of Investi�f the DIA far insurance coverage verification- peg do h . bye fy Under the as a of u,y that the in formadonprovi&d above' .true d correct Date: Ph flfficial use only. Do not write in this area,to be completed by cite or town o,,�ieiat City or Town.: PermitUcense 4 � Issuing Authority(circle one):: 1.Board of Health 2.$wing Department 3.Gity1rown Clerk 4..Electrical Inspector 5.Plumbing Inspector 6.Other. Contact Perm: Phone#: 6 r.4 . .. �e�pammwncuea ac uael� ffice of Consumer Affairs&Business Regulation ' License or registration valid for individul use only { ME IMPROVEMENT CONTRACTOR ' before the expiration date. If found retrn to: Office of Consumer Affairs and Business Regulation egistretio----00503_ Typo 10 Park Plaza-Suite 5170 Expiration fi/19/2014 Supplement and Boston,MA 021-46 CARE FREE HOMES INC DANA PICKUP JR 239 Hutt leston ave �. Fairhaven,MA 02719 Undersecretary Not valid without signituire I ?�{ Massachusetts -Department of Public Safety + Board of Building Regulations and Standards Construction Supervisor License: CS-095228 a �q,T rS �\ DANA J PICK '` t�6 19 AAMLETctT Fairhaven M 02Z19 L Commissioner . Expiration 03/22/2014 . .. ,.........,�„T) 9/07/2011 THIS CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOL-1R.THIS CERTIFICATA DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICI88 'BELOW,THIS CERTIFICATE OF INSURANCE DOES NOT CONBTITUT®A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPHtESENTAXIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If e oe ea e o r la an a poi ay es must a endorsed, A AI the terms and oondltlone of the policy,certain policies may require an endoreement A Statement on this certificate does not Confer rights to the certificate holder In Ileu of such endorsement•. PRODUCKA Herlihy Insurance Agency, Inc. - 61 Pullman Street 608 758.8168 No; 508 781.9747 Worcester, MA 01606 Do 608 736.6159 INSURED INGURPR s APPORDINO COVIR at NA C 0 Care Free Homes Inc INAUR"A:Interpuard Insurance Company 239 Huttleaton Avenue INsuRu e:Safety Indemnity Insurance Comp Fairhaven, MA 02719 INSURER C INSURER D INSURER 9 INSVPBR COVERAGES CERTIFICATE NUMBER! RIVI810N NUMBER THIS IS TO OERTIFY 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, i TYPE OP INSURANCE OUCY Nu LIMITS oENiRAL uaeILITY EACH OCCURRENCE $ COMMERCIAL GBNFRAL LIABILITY P nano CLAIMS-MAD5 E OCCUR MED EXP An one awn $ PERSONAL A ADV.INJURY GENERAL AGGREGATE $ OEN'L AGGREOATB.LIMIT APPLIES PER; PRODUCTS•COMP/OP AGG POLICY P LOG ® AUTOMOBILE LIABILITY 6213880 8 07/01/2011 07/01/201 COMBINED SINGLE LIMIT $ ANY AUTO I (Ee ecoldant) 1 ALL OWNED AUTOS I BODILY INJURY(Per person) 8 X SCHEDULED AUTGS I BODILY INJURY(Pa accident) $' X HIREDAUTOB I PROPERTY DAMAGE 9 (Per accident) X NON-OWNED AUT08 UMORSLLA LAD "CEOs LIAR OCCUR LAG(;1MRE(0; OCURRENCE � CLAIMS-MADE AT� DEDUCTIBLE T $ A WORKERS COMPEN/AT1ON _ AT . $ION LA D tlMPLOYLrga'uABIUTY CAWC244043 9/01l2011 09101/201 X Y PROPRIETOR/PARTNERIEXECUTIVs /N ICER/MSMBER EXCLUDED? N/A E,L.EACH ACCIDENT $1 000000ndatury In NH) a daacdhe under L,L,DI9[iA9E-EA EMPLOYEE 510000 000 0O0 E.L. ASE-POLC IT 1 OO, O00 ' DESCRIPTION OF OPERATIONB/LOCATIONB/VEHICLES(Attach ACORD 9e1,Addlllonal Remarytr,echaduls,Ir more apasa Ira squired) N0TIFICAj[-HOLDE5 CANQILLATION 10 Days fqr N - men SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE OANCHLLEb BBFORt: THE ED(PIRATION DATE THEREOF,NOTICE WILL 01 DELIVERED IN Town Of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS, Bulldl.ng Department 367 MAIN street AUTHORIZED PROUSENTATIVP Barnstable, MA 02001 1 019 - 009 A CORPbRATION.All rights reserved. 1 ACORD 28(2009100) 1 of 1 The ACORD Memo and logo are registered met&of ACORD 0848111881M49747 PB2 ~OFFICE: (508) 997-1111 n; MA. Builders Lic. #021330 FAX: (508) 997-1297 Home Improvement TOLL FREE: 1-800-407-1111 CARE FREE Contractor's License WEBSITE: 0MCS Inc. #100503 MA. www.carefreehomescompany.com 239 HUTTLESTON AVE, (RT 6) • FAIRHAVEN, MA 02719 #15179 R.I. NAME . C'/1 1�1 Cc�=0 0 A2_ 'DATE Q/ ADDRESS �Y/ L S�7 {AI�L C �' ZIP CODE �(�/I/ e ADDRESS OF JOB HOME b 7 7.5�O Z9 jl2 EMAIL ADDRESS CELL r JOB DESCRIPTION . GtiT' >�S�G J Pllr, 1& �'�( y 441( Scheduled Start Scheduled Completion A. Replacement of missing or rotted lumber is not included unless specified.v B.All start&completion dates are approximate and could change due to weather conditions. C. Stripping of roof includes removal of up to two(2) layers.of shingleoA ad iti ,all la er to be charged @ . ft2. D. Replacement of rotted roof boards/plywood to be charged @ E.'Existing chimney flashings will be reused;,replacement.-,if necessary, is.not included. F.Care Free Homes, Inc..is not responsible for mold/mildew conditions that are pre-existing or result from leaks not brought to the attention of C.F.H., Inc. promptly. The Company hereby proposes to furnish labor and material to complete the above work for the amount herein. Fulfillment of this order is contingent, however, upon the want of strikes,fires, and any natural disasters,the ability to obtain materials, or any other conditions beyond the control of the o 7any. r Cost of Project$ 9D0�� PAYMENT TERMS Date J6 020 c9— 1. You,the Owner may cancel this transaction at any time prior to midnight of the third business_day after the date of this transaction. 2. You,the Owners agree to pay any and all expenses incurred by Care Free Homes, Inc. in collecting money due under this contract and enforcing the terms of this contract, including but not limited to, reasonable attorney's fees, interest and court costs DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES CARE FRE HOMES,INC. ACCEPT {' e, , Buyer acknowledges Owner: d,2, L21-70 By:' ^'/?Y' receipt of fully completed < - copy.of this Agreement,, - Owner: All contractors and subcontractors shall be registered by the director and-any inquiries about a contractor or subcontractor relating to a registration should be directed to: Director, Home Improvement Contractor Registration One Ashburton Place, Room 1301 Boston, MA 02108 Tel. (617)727-8598 Assessor's office(1st Floor):Assessor's map and lot number ' O & o`TwE r _ Conservation e„ Board of Health(3rd floor): • Sewage Permit number t NAMT&DU KUL Engineering Department(3rd floor): 039' House number �o wtr Definitive Plan Approved by.Planning Board tg APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION _ � [ tq iAIA /Z Z j 19 9 Z--- TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location `�� Proposed Use Zoning District / Fire District C /l Name of Owner w /)4+� Address J-PS Name of Builder fl LPJt k/ 61 tAj Address �'� l� D"��� �Vk bAAA.StV,14,'1�S Name of Architect Address Number of Rooms Foundation /� F Exterior 11 L ( ' Roofingl� Floors Interior Heating Plumbing Fireplace Approximate Cost o � Area Diagram of Lot and Building with Dimensions Fee I OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name AAc A41d--- Construction Supervisor's License FLAHERTY, CANDACE No 35574 permit For Re-Shi ng_1_c- cRnof Single Family Dwelling Location 84 Maple Street Hyannis Owner - Candace FlahertW Type of Construction Frame j Plot Lot Permit Granted December 21. 19 92 Date of Inspection 19 Date Completed 19 r V,