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0030 MARSTON AVENUE
V30 roa-'-s4oYA Ave , ,I I Town of Barnstable Bt111dlIl . g g iPost�This CaidySo:That�it is:� isible From`:the Street :A roved�Plans;Mus�t,be�Retamed�on`Job and'ahis Card Must be;Ke ,t u, `. ;�. ';� . a, �#; ..�,., ' ,'� , ¢ ,� ': x 'i� � «��� �M"� Posted Until �nal�lnspectlon Has Been Made �� � � ''� � � r � �� �� � _� ��q� 3� � ��� �f�<� , ' >; H , ° Where a C_ertifica ofOccupancy�s iZequired,ksuchBu�ldmg shall Not be Occupied until a final Inspectroehas been made Permit Permit NO. B-18-2438 Applicant Name: PHILLIP A. CUNNINGHAM Approvals Date Issued: 08/01/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 02/01/2019 Foundation: Location: 30 MARSTON AVENUE,HYANNIS Map/Lot 288 095 Zoning District: RB Sheathing: Owner on Record: WINKLER,GREGORY J&MAUREEN M Contracto Name PHILLIP A.CUNNINGHAM Framing: 1 Address: 30 MARSTON AVENUE tF Cdntractor'Licen e 11/37139 2 HYANNIS, MA 02601 '`' a Est Project Cost: $10,000.00 Chimney: Description: Siding, Replacement Windows(6) � � Permitlee: $51.00 a --f Insulation: Project Review Req: Fee�Paid $51.00 Final: Date 8/1/2018 Plumbing/Gas G �. m Rough Plumbing: .' ..?M. .. Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work ahorizedbythispermit is commenced within siximonths after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction docume6&'f6K. hick this permit has been granted. All construction,alterations and changes of use of any building and structures s an in compliance with the local zoning by4aws a d codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for pubhc�inspectron for the entire duration of the work until the completion of the same. f Electrical The Certificatef a r': i :on:this permit. o Occupancy will not be issued until all applicable signatures;by the�i3uddmg andhFrre Officials a e prov sled p Service: Minimum of Five Call Inspections Required for All Construction Work: ��^�. � I 1.Foundation or Footing Rough: 2.Sheathing Inspection ection ` 3.All Fireplaces must be inspected at the throat level before firest flue 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. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Town of Barnstable Building r - � 'a`-. .Card So Tha "' '" mth'e'Str a =�A ' rued Plans Nlus be�Reta�ried on Job-andah�s Card Mus be Ke t I Post Th t Otis V�s�ble Fro e t „pp o t p �ARlv91' �' '' '�.? '=�,.` "'�,.� ,,^-''' t �'k��: �e tt tom` � �� '� ��. �. '' z �Y.? `" a • �Posted,Unt'i Final Inspection Has;BeeMade� � � a R Certificate o "'" ire` '' " �Idm tishall_Not bOceu red un �I.aF�nal''Ins 'ect�o`n has.been made j el jlll,l av�d Where a _ f Qccupancy�s Requ d;such Bu g �p Permit NO. B-18-2438 Applicant Name: PHILLIP A. CUNNINGHAM Approvals Date Issued: 08/01/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 02/01/2019 Foundation: Location: 30 MARSTON AVENUE,HYANNIS Map/Lot 288-095 Zoning District: RB Sheathing: Owner on Record: WINKLER,GREGORYJ& MAUREEN M Contractor Name PHILLIP A. CUNNINGHAM Framing: 1 1- Address: 30 MARSTON AVENUE Contractor License 137139 2 HYANNIS, MA 02601 411 � Est PrIt oject Cost: $10,000.00 Chimney: Description: Siding, Replacement Windows(6) Permrt Fee: $51.00 Insulation: Project Review Req: Fee Paid�;� $51.00 A t7ate 8/1/2018 Final: �N Plumbing/Gas 1i r Rough Plumbing: O . tBuilding Official ft Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authonzed bythis permit is commenced within si months afterls suance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents'for which this permit has been granted. i ,: Allconstruction, I r f f n it in and stru- ur seshall be in coin fiance with the local zonin b [aw 01 codes. alterations ations and changes o use o any building ct e p ,g y Final Gas. This permit shall be displayed in a location clearly visible from access street o1r8ad and shall be maintained open for public inspectwn for the entire duration of the work until the completion of the same. p � ', Electrical The Certificate of Occupancy will not be issued until all applicable signatures<Iiy theBulding ad Fire Officials are pr�Ovided on th s"permit. Service: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing � k F Rough: 2.Sheathing Inspection ' 3.All Fireplaces must be inspected at the throat level before firest flue 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. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 7 ' Application number........... ......................... Date Issued............... .. KAM kilding Inspectors Initials...... ............................ omv f`` Map/Parcel...:..... O,.l ......................... F BARNSTABLE1,51TOWN O EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: 3 C 3 0 NUMBER STREET VILLAGE Owner's Name: Phone Number Sdg Q�e rJ y Email Address: Cell Phone Number Project cost$ ` d y 0 _ Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK ( g Siding Windowschange)header e)# ❑ Insulation/Weatherization ❑ Doors (no header change)# Commercial Doors require an inspector's review ❑ Roof(not applying more than 1 layer of shingles) Construction Debris will be going to CONTRACTOR'S INFORMATION i ' '�u�tltJ;. Contractor;s-name +3 �� • �i �\ �;�Y gy m .+"�k ' � .1 '+ryf"+.' s�.YR361�i i'�'{'�F++F .,t'""f @ Wyk✓^.ac i• "^t . Home Improvement Contractors Registration(if--applicable)# /3 7 r 3#9 (attach copy) Construction Supervisor's License# (attach copy) Email of Contractor Phone number�p�• ���.36 ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN. . __....�.,.,r.... ...[r/1n►/ Anovnve► RF1:nRF a PERMIT CAN BE ISSUED. 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. 'Check one: this event is a: for profit non-profit event Check one: Food served Yes No ! Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent If food 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. r *WOOD/COAL/PELLET STOVES Manufacturer#~ Modell I.D"'" Fuel Type Testing Lab ..k r Offsets from combustibles:front back left side`` 'right`'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 CAM the Massachusetts State Building Code. I understand the construction inspection procedures, specific inspections and documentation required b 780 9 Y CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature 1� e s Date All permit applications are subject to a building official's approval prior to issuance. J The Commonwealth of Massachusetts Department of Industrial Accidents { Off,re of Investigation ' p' .600 Wdshington-Street ' Boston,MA.02111 www mass.gov/dia f Workers' Compensation Insurance Affidavit' Build ers/ContractorslEl pctri iaP {uznb bs ly A [cant Information ' Name(Business/Organization/individual): Address: / l tl S ..�• Phone City/State/Zip: G�i C ro rate bog: "Type of project(required): Areyou an employer. Check the app, P 4. I am a general contractor and I 6. New construction 1,Ll� l am.a employer with _ - have hired the sub-contractors employees(full and/or part-time).* listed on the attached sheet 7• remodeling 2.❑ I am a sole proprietor or partner- These siib-aontractors have g, []Demolition ship and have no employees employees and have workers' 9. [].Building addition worlang for me in any,capacity. co 'insurance t, insurance 10.❑Electricalrepairs or additions [No workers''comp. 5, ❑ We are a corporation and its requrired] officers have exercised their 11.❑Plumbing repairs or additions 3.El am a homeowner doing all work" right of exemption per MGL `12.[]goof repairs mysel€[No workers'comp: c.152,§1(4),an we have insurance required.]t employees.[No workers' 13 []Other comp,insurance required.] *prry applicant that cbecks 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 bire outside contwtors must submit a new a0davit mdicati h such tContractors that cbeck this box must attached an ad"' p- their worrkererss'acf the 6b-contwtors o Po icy number.�d'state whether or notthose euities have employees. If the sub-contactors have employees.they job Site —Tarn employer that is providing wo and rkers'conWei sation insurance for my employees. Below is the policy information.. 0 .7 Insurance company Name _ Expi�n Date e Policy#or Self-ins Lic.#. .VVr City/State/Zip: Job Site Address: ° — 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 MGI.G. can lead to file imposition.- criminal pe nalties of a Failure to$1,500.00 and/or one=year imprisannient,as well as�'ti penalties in the form of a STOP WORK ORDER and a fine. fineupf this statement may be forwarded toA the Office of• of up to$250.00 a day.agamst the violator. BeB _advised that a copy Investigations of the DIA for insurance coverage verification. '" 1 do hereby certi under the pains and enalties ofP�lt"�' #hat the information provided above is a and correct. Date: Si ------------ Phone#: Official use only. Do not write in this area;to be completed by cixy or town official Peirmit/License# City or Town: circle one): ,� ., ector Issuing Authority( ector 5.Plumbing Insp 1.Board of Health I Building Department 3.City/Town Clerk 4.Electrical Insp 6.Other Phone#: Contact Person: Information and Instructions Massachusetts General Laws c 52.requires all employers ��1 � to Provide workers'compensation for their.employees. Pursuant to this statute,an employee is defined as"...every person hi the service of another under any contract of hire, express or implied, oral or written." �. r An employer is defined as"an individual,partnership,association,corporation,or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased.employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who empIoys.personsZ do ma;,,t ,a„�,constructioA or reps work on such dwelling house or on the ounds or,building "rii p, gr appurtenant thereto sliall not because of such employment be deemed to be an employer." MGL chapter<152,r§25C(6)also statesthat"every state or local licensmg'agency shad withhold the issuance or renewal of a'license�o-r permit to operate_a,.busmess or construct bm7dfngs in the commonwealth-for any applicant who has not produced acceptable evidence of compliance with the insurance coverage'regnired." Additionally,MGL chapter I52, §25C( )states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the,performance of public work until acceptable evidence of compliance with the insurance ` s requirements of this chapter have..been presented to the contracting authority," Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contactor(s)name(s),address(es)and phone numbers)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation instance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibIy. The,Department'hasprovided aspace at the bottom of the affidavit for you to fill out in the event the Office of Iaestigitions?has to tontactyou regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In,addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under Job Site'Addrese-;the applicant should write"alI locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the citybr town shay be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would Bice to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telep}one and fax number: k The Commonwealth df Massacbiusetts`� Department of I dustdal'A.ecidents . fie of loves-ta tiaw 600 Wasbingtan Sit BosA MA 02111 , Tel.#617 ` 27-490Q ext 406 or 1-877-MMSAFF., Revised 4-24-07 Fax#617-727-7749 'WWW.mass. o��da I _ -_ Wi11 +tea, ` r' .n . �rdtr, xr'',3;�.x .... ,�s"A'. �!' .�& i��'c r h �7a�'€: .CtS"c%"..��' r3a :,.:: n^5'w�«ws+:7ta+1'kaj#:y6. �•:rtt'.- .3,��'jd,bx .CVjr�:' WXa<.+.a r ee ^rr � t". .� .: :y' .? .w� t.i2. zarr gg Y' :° f•' aiY ^y,.8 ri •Sr*. -' •mi a.� ryL aY "r .m s4' 1tt +, - y.rz ,i r .+ x. r�-. ...a•.. �1 t. AA -c• t t $ i"4 T`',�sr" xr, 4 � i. � ,Vt.i a� `S � �y F"a�; 'f� e �� a."x 'r-t+ ,.� �PSE'�ra�•,.$.�a,s'�rx'k.,x #�ftr-.... �air'e. �....p. .r r 1. s.c ,'t �wt' sF..z ,�c°''�� �, -er C X aaR � €:.!'. .�. . r r" �:'.' � w. !i x xt•" '`` t� ;. �f_ � .T r- f 4 ♦ n�§ p� stl, �'is f.,r-',spa i ;`��, '�rya' �` Y NAME �r SHIPTO 30 ADDRESS 3 ADDRESS CITY STATE„ZIP CITY:STATE,ZIP `V ORDER NUMBER DEPARTMENT ALESPERSON WHEN SHIP TERMS HOW SHIP DATE y.' QUANTITY DESCRIPTION PRICE AMOUNT €,Y 6-. Q Ff f, All zgAj C'Y Pub S F f r r7 0 c r_ r- k; % ot . '. r __j .may M1 BUYER' r A , Y � Y L THIS SLIP FOR REFERENCE `.-- 01-11 e_.•. .:. ._ }.: _..�.... _..• ....�. .-. .� ... .._ _.:.mac._ ....._u.�.. a_..:..:- � _.�..._. u�.....:� .._ ..�.........1�....��.ma........ .. ._..�.. .. .. ._.. _- ___. ._...x.-.T...,. �.. f } _t z.. s zr+- Y`r.-._,e�r.,v- ��,� rv#. � �,'t�y' � r - C� % � 't� '�r,.s' '4;.�Y'�+a;w� -5•-:-aq"'°'"�:; .a"K,`�,.s t,a.�� `�aey"irt�-�-�+�., F.�ax..s `cr..-, - is NT.3V-'- eMOO +"a-9 ev NAME SHIP TO ADDRESS _ / ADDRESS y� J Ac�nSQ� CA CITY,STATE,ZIP CITY,STATE,ZIP ORDER NUMBER DEPARTMENT`•; SALESPERSON 1 WHEN SHIP TERMS HOW SHIP DATE QUANTITY DESCRIPTION PRICE AMOUNT v /Y ILL Vy) y' t � S: t O D P 360 BUG E✓ . -2. .................. 01-11 F e KEEP T SLIP FOR-RE RENCE '�.:e.ay irk. i � ..u...� ....aY.{.'� �.::..L, a�.:S'�'4-e.-, l--•:. Ww.`..A. - - L Iv — _ �� - ..1�.e.. "- :.--'�----.w�_ ---,__".�......-. �.::_..._.._..- .�'.�....»-sti�:>kr:-?'.. s.p�.'.ea.S.;. :-..•�e"',�+;�#�r?lea"."s!`.�.z�,+.....�,..�.�,..��,.:aa-... - - - - - SwA_ t Commonwealth of Massachusetts Division of Professional Licansure Board of Building Regulations and Standards Constr:uetiori-'Supervisor CS-034280 E�pires: 03/29/2020 PHILLIP A CUNNINGHAM-' 314 QUAKER-MEETINGHOUSE RD- EAST SANDWICH MA 02537 • 't�rS�:z it��- Commissioner emu` -- _ - - ---- ��e�'ananzanc�eccLC�i a�UGla3acxclzicsel�t x- Office of Consumer Affairs&Business,Regulation HOME IMPROVEMENT CONTRACTOR C Type: Individual _- Registration Exairation C _ .y=;t37139 a 10/19/2018 -- -- Phillip A.Cunninghgr i- DB/A.Cunningharrl Const I Phillip Cunningham= �. 3.14 QuakermeehngN bse Rd: U IVIA Q2537 Jndersecreta IXE.Sandwich, 77- Y Construction Supervisor Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet.(991 cubic meters)of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For information about this license iCall(617)727-3200 or visit www.mass.gov/dpi b 'A_. e s 1}Al, d � d :r. e` - - • Town of Barnstable • ud �7�rr 7p ;r-:^m ar > z;...<;, ak•,;:„"' X k� .nr, � •r•,. <<?5?" �,�sk'': :. 3. ,.,. s6 ,,r.,':a.. •, ^•... ,,w'..:...: pis bl' .; =:'. s >, p,.,E ,. . _..._y . ,>. , .:: V� I Fr m,•-the Street :A roved Plans_Must4be Retained,on,Job and this.Card-:Must.be Post,Thts„Card So.�That it�s,>� sib e o <._.. _,,.. .._. . . _... .s ...... _. .,. t'.-, ,..,�: ,.p.., Pp s' ..�. .,. .Ps'i >., ., '?zY 3 w>,y ,:.wi >.C •4s # ,,, .,.;,qr:•. z `b 'Af' , .:r •, : ls , BA81V8['ABLLr. 'T' _. ,.,., Z.�r�.: „,x .s.,,,✓� ,:._.. .� ,........, ..y „_..,:,,..�, _,a,. .,., ..-, s' ;:. .: ,,. .: 1. ,;: . '.... 3 s., �-.f .� x ;:e •. .... f... Tx'' .. s.. .. Has,:Been Made. f � � ,�. asy ,:_... e a Wkea<.Cert�ficate of.:Occu'anc �s Re :aired 'suchBu�ldm shall Notobe�Oeca �etl;untrf a,Ftnal=;I,ns;ectton.hasYbeen made - a� e INSULATE 2 SAVE, IN ... Permit-No. B-17-3342 Applicant Name: C: _ Approvals Date issued: 10/13/2017 Current User° Structure F Foundation: Permit Type: Building Insulation Residential Expiration Date: 04/13/2018 .Location: 30 MARSTON AVENUE, HYANNIS Map/Lot 288-095 Zoning District., RB Sheathing:. W 'k Owner on Record: TWOMEY KAREN COSTIN&TIMOTHY Contr Ctor Name INSULATE 2 SAVE, INC. Framing: 1 Address: 30 NIARSTON AVENUE Contractor.license8k18Q747 2 r r HYANNIS, MA 02601 � � t Est Project Cost: $5,427.00 Chimney: i Description: Weathe�ization ;� Permit Fee: $85.00 �& Insulation:' Fee Paid '' $85.00 Project Review Req: �x Final: 441 a to 10/13/2 017. ® Plumbing/Gas Rough Plumbing: ' I Building Official Final Plumbing: - This permit shall be deemed abandoned and invalid unless the work authorized)by this permit is commenced within siz months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and'theapproved construction documents for which this permit has been granted. a Final Gas:, All construction,alterations and changes of use of any building and structures shall be m compliance with the local zoning by laws and codes. This permit shall be displayed in a location clearly visible from access street or roadand shall be maintained open for publ,c inspection for the entire duration of the work until the completion of the same. '< Electrical : � Service:. The Certificate of Occupancy will not be issued until all applicable signatures by the Bwldingkand.Fire Officials are provided on�th s permit. Minimum of Five Call Inspections Required for All Construction Work'_ A ' "� = Rough: 1.foundation or Footing g 2.Sheathing Inspection Final: 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 Low Voltage Rough: 5:Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.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.Depactment. { r _ "Per6ons:contracting-,,w unregistered.contr:•aetors:do not:have accessAo the:guaranty fund.;;(as set.forth_iri".IVIGLc 142A) . - ,.,._ t Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION rMkGL- S E,►� T07VTq CI" E NSTABLE Map &IS$ Parcel 09S Application lication ' N Health Division Date Issued . 0 /7 Conservation Division Application Fee Planning Dept " `"' Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 10 1' -4 0-1-&01 Village (-INt►wA Owner Address 36 MzrSf,. .-c 14,,jn, s 1A oa-&Q, Telephone S-M _9�3-h-q.®V Permit Request A.'r 5ed,! , CIAon ate! dMr swcf4 6 d., w fa�QlaPOa� t$ 4X/, S4R'E i.R--h, Ce(lylose in ex�ar w�l[s. (Z-Iq Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuati <3`` JO-7 •XJ_ 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: 0 existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing 0 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 �l a.�c( C`n,�.�w�ti. Telephone Number Address L110 &rbw- Elt License # 103�(0 EAN Lk&c MA. 19- 22-0 Home Improvement Contractor# Email s a,4_-c .nu.+ Worker's Compensation # xLJs -6� 1$ 7W ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE �" ( �L ��— -- DATE 9lb-//7 FOR OFFICIAL USE ONLY APPLICATION # } DATE ISSUED z 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. DEBRIS FORM In accordance with the provisions of MGL c,40,s.54,a condition`of Building Permit Number is that the debris resulting from this work shall be disposed of to a properly licensed solid waste disposal facility as defined by MGL c, 111.,s. 150A. This Debris will be disposed of in: Republic Services Dum ster: 1080 Airport Rd Fall River, MA 02720 (LOCATION.OF FACILITY) Xz� Signature of Perm,It Applicant Date IF DUMPSTER IS USED IN EXCESS OF SIX CUBIC YARDS A PERMIT FROM THE FIRE DEPARTMENT IS REQUIRED f FOR COMMERCIAL, INDUSTRIAL,INSTITUTIONAL AND MULTI-FAMILY RESIDENTIAL OVER 20 UNITS DEMtJ, RENOVATIONS OR ALTERATIONS OF THE EXISTING BUILDING: CIRCLE ONE **,HAVE YOU suBMITTED THE AQ06 NOTIFICATION TO THE MASSACHUSETTS_DEP? YES NO The Commonwealth of Massachusetts. Department of Industrial Accidents I Congress Street, Suite 100 Boston, MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Bui,iders/Contractors/Electricians/Plumbers. TO BE FiLED WITH THE AUTHORITY, Applicant information Please Print Legibly Name (Business/Organization/Individual): Insulate2Saye Inc. Address: 410 Grove Street City/State/Zip: Fall River MA 02720 Phone#: 508-567-6706 Are you an employer?Check the appropriate box: Type of project(required): I.E 1 am a employer with 20 employees(full and/or part-time).* 7. ❑New construction 2.n I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] [❑: 3.�I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. Demolition 4.Q I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10❑Building addition ensure that all contractors either have workers'compensation insurance or are sole I l.❑Electrical repairs or additions proprietors with no employees. 1.2.E]Plumbing repairs or additions 5. am a genera contractor and re the sub tt lid the sheet -contractors listed on e attached❑1 l d I h hired 1.3.[_�Roofrepairs These sub-contractors have employees and have workers'.comp.insuranceJ 6.❑we area corporation and its officers have exercised their right of exemption per MGL c. 14.QOthet Insulation 152.§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box At must also fill out the section below showing their workers'compensation policy information. s Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors 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_srte information. Insurance Company Name: Liberty Mutual Insurance Policy#or Self-ins.Lic.#: XWS 56418741 Expiration Date: 12/10/2017 Job Site Address: 1 Nlu751be\ Arc City/State/Zip: 1-11,aArvj� MA 03 tee( Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).. Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to S1,500.00 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 rlo hereby certify under tine rr.' s an yen ties of`perjury that the information provided above,is true and correct. Signature: Date: Phone#: 508-567-6706 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): iii 1..Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical_inspector 5.'Plumbing Inspector 6.Other Contact Person: Phone#: Office of Consumer Affairs and Business.Regulation 10 Park Plaza - Suite 5170 Boston, Ma- ar�fi, usetts 02116 Home Improveme G `,tractor Registration Type: Corporation Registration: 180747 INSULATE 2 SAVE , INC. s Expiration: 12/28/2018 410 Grove St Fallriver, MA 02720 Update Address and return card. Mark reason for change. 3CA 1 0 20M-05111 w -.- �j .__ ____�____�dd!�s L7 Renewal � Employment ❑ Lost Gard �e Cnanvnaoreulealfi�a�C/l�aa�i�c�uaeCGa ', Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only s TYPE:Corporation before the expiration date. If found return to: rationcpiration Office of Consumer Affairs and BusinessRegulation f8071/ 10 Park Plaza-Suite 5170 12/28/2018 a Boston,MA 02116 INSULATE 2 SUE ilV t t Roland Langevi'r 410 Grove St z Fallriver,MA 02720� " Undersecretary Not valid without signature Commonwealthl Division of Professional Licensure of Massachusetts I Board of Building Regulations and Standards Cons r �tr�iSrvisor CS-103861 ' Expires:08/2412019 ROLAND LANGEVIN ' ° * 56 HIGHCRES*'RQAD ' FALL RIVER MA;�,02720., r Commissioner DATE(MM/DD/YYYY) A� CERTIFICATE OF LIABILITY INSURANCE 12i8i16 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 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 NAME: Anthony F. Cordeiro Insurance PHO C.NE (508) 677-0407 FAX No. (508) 677-0409 171 Pleasant Street E-MAIL ADDRESS: hsouza@cordeiroinsurance.com Fall River, MA 02721 INSURERS)AFFORDING COVERAGE NAIC# INSURER A:Liberty Mutual Insurance INSURED INSURER B: Insulate 2 Save, Inc. INSURERC: 410 Grove St. INSURER D: Fall River, MA 02720 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPEOFINSURANCE D POLICY NUMBER MM/DDIY MMIDD/YYYY LIMITS A GENERAL LIABILITY Y Y BKS 56418741 12/10/16 12/10/17 EACHOCCURRENCE $ 1,000,000 X COMMERCIALGENERALL LAB ILITY PREMGETORENTED occurrence) $ 300 000 CLAIMS-MADE F_xI OCCUR MED EXP(Anyone person) $ 5 000 PERSONAL BADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE L(MIT APPLIES PER PRODUCTS-COMP/OPAGG $ 2,000,000 X POLICY PRO- LOC A AUTOMOBILE LIABILITY y y $AA 56418741 12/10/16 12/10/17 CONBW�EntSINGLELIMIT $ 1,000,000 ANYAUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ X HIREDAUTOS X AUTOS paraccident $ A X I UMBRELLALIAB X OCCUR Y Y USO 56418741 12/10/16 12/10/17 EACH OCCURRENCE $ 2,000,000 EXCESSLIAB CLAIMS-MADE AGGREGATE $ 10,000 DED RETENTION$ $ A WORKERS COMPENSATION XWS 56418741 12/10/16 12/10/17 X WC STATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTNE YIN E.L.EACH ACCIDENT $ 500,000 OFFICE RIMEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DYSCRIPTIONOF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is regui red) "For Insurance Purposes Only" CERTIFICATE HOLDER., CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: RISE Engineering RISE 5 DuPont Ave,South Yarmouth,MA 02664 CONTRACT ENGINEERING" (401)784-3700 FAX(401)784-3710 Page 1 PROGRAM THIS CONTRACT IS ENTERED INTO BETWEEN RISE NGCC-HES ENGINEERING AND THE CUSTOMER FOR WORK AS DESCRIBED BELOW CUSTOMER PHONE DATE CLIENT# WORK ORDER Gregory Winkler (508)963-5404 08/10/2017 236896 31502 SERVICE STREET BILLING STREET ' 30 Marston Avenue 46 Jackson Avenue SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Hyannis,MA 02601 Centerville,MA 02632 JOB DESCRIPTION AIR SEALING:Provide labor and materials to seal areas of your home against wasteful,excess air leakage. This work will be performed $960.00 in concert with the use of special tools and diagnostic tests to assure that your home will be left with a healthful level of air exchange and indoor air quality.Materials to be used to seal your home can include caulks,foams,weatherstripping and other products. Primary areas for sealing include air leakage to attics,basements,attached garages and other unheated areas(windows are not generally addressed.) (12)working hours. A reduction in cubic feet per minute(cfm)of air infiltration will occur,but the actual number of cfm is not guaranteed. AIR SEALING:Provide labor and materials to install Q-Ion weatherstripping and a doorsweep to(2)door(s)to restrict air leakage. $160.00 ATTIC FLAT:Provide labor and materials to install a 10"layer of R-37 Class 1 Cellulose added to(900)square feet of open attic space. $1,404.00 ATTIC ACCESS:Provide labor and materials to insulate the back of(1)attic hatch with rigid board at R-10 or greater with the required $60.00 fire rating.Weatherstrip the perimeter., VENTILATION:Provide labor and materials to install(2)insulated exhaust hose with roof mounted flapper vent to exhaust existing $237.50 bathroom fan(s).Broan model#636 or equivalent. VENTILATION:Provide labor and materials to install ventilation chutes in(54)rafter bays to maintain air flow. $188.46 VENTILATION:Provide labor and materials to install(8)4"X 16"rectangular aluminum soffit vents to increase ventilation in attic $231.28 areas.Specify color:White or Gray. WALLS:Furnish and install blown in Class I Cellulose to(984)square feet of shingle and/or clapboard exterior walls.The butt of the $1,918.80 upper course of your wood siding is cut to drill holes into the wall sheathing behind.The holes are then plugged and the wood siding is reinstalled using stainless steel finish nails.Touch-up painting,if needed,will be the customer's responsibility. BASEMENT CEILING:Provide labor and materials to install(122)linear feet of R-19 unfaced fiberglass insulation to the perimeter of $267.18 the basement ceiling at the house sill. RISE Engineering RISE 5 DuPont Ave,South Yarmouth,MA 02664 ENGINEERING CONTRACT (401)784-3700 FAX(401)784-3710 , Page 2 PROGRAM THIS CONTRACT IS ENTERED INTO BETWEEN RISE NGCC-HES ENGINEERING AND THE CUSTOMER FOR WORK AS DESCRIBED BELOW CUSTOMER PHONE DATE CLIENT# WORK ORDER Gregory Winkler (508)963-5404 08/10/2017 236896 31502 SERVICE STREET _ BILLING STREET 30 Marston Avenue 46 Jackson Avenue SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP % Hyannis,MA 02601 Centerville,MA 02632 JOB DESCRIPTION LIMITED TIME SPECIAL INCENTIVES: For a limited time,National Grid will waive the cap on their Insulation Incentive. RISE will reduce your cost by 75%on all the weatherization work outlined in this proposal.This special summer incentive is available to homeowners who sign their weatherization proposal before September 15,2017 and submitted to RISE by October 8,2017.All work must be installed by November 15,2017. National Grid will also offer an additional$100 incentive towards the weatherization work outlined in this proposal,amount not to exceed the dollar value of your co-pay.This special summer incentive is available to homeowners who sign their weatherization proposal before August 31,2017 and submit to RISE by September 8,2017.All work must be installed by November 3,2017. Total: $5,427.22 Program Incentive: $4,450.41 Customer Total: $976.80 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF 'Nine Hundred Seventy-Six&80/100 Dollars $976.8.0 UPON FINAL INSPECTION AND APPROVAL BY RISE ENGINEERING.CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL.INTEREST OF 1%,WILL BE CHARGED MONTHLY ON ANY UNPAID BALANCE AFTER 30 DAYS.SEE REVERSE FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND CONTRACTOR REGISTRATION. - RISER PRESENTATIVE - - CUSTOMER SIGNATURE NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE v y / SIGN DATE 30 DAYS. ACCEPTANCE OF CONTRACT-THE ABOVE PRICES,SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO DO THE WORK AS SPECIFIED.PAYMENT WILL BE MADE AS OUTLINED ABOVE of 1HE rod Town of Barnstable 5 y Regulatory Services B RNSTABLE, * Richard V. Scali,Director MASS. 9dp 1639. ti'a� Building Division ArFD M p� , 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, Gregory Winkler , as Owner of the subject property hereby authorize Insulate 2 Save to act on my behalf, in all matters relative to work authorized by this building Permit application for li 30 Marston Avenue Hyannis, MA 02601 (Address of Job) 6 RX� Signature of Owner Date rcLc r e--Q v� -� l e ,r Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form. C:\Users\decollikWppData\Local\Microsoft\Windows\INetCache\Content.Outlook\L7U69LF2\EXPRESS(2).doc 01/25/17 Parcel Detail Page 2 of 4 6/27/2012 12:00:00 AM Denise RadleY Change a of Address 2/20/2002 12:00:00 AM Paul Talbot Meas/Listed-Interior Access 12/15/1988 12:00:00 AM ML Meas/Listed-Interior Access Sales History Line Sale Date Owner Book/Page tale Price 1 9/28/2001 TWOMEY, KAREN COSTIN &TIMOTHY . 14284/218 $155,000 2 11/15/1989 SWETISH, RANDALL G ET AL 6956/98 $1 3 4/15/1987 SWETISH, RANDALL G & 5659/308 $1 4 12/15/1986 SWETISH, RANDALL G - ' 5501/296 $120,000 5 5/13/1976 HENSON, LUCKY J &MARGARET M 2337/283 $0 6 2/15/2017 WINKLER, GREGORY J & MAUREEN M 30300/318 1 $227,500 Assessment History Save Year Building XF Value OB Value Land Value Total Parcel 1 2017 $75,600 $20,400 $2,000 $123,700 $221,7 00 2 2016 $75,600 $20,400 $2,000 $130,300 $228,300 3 2015 $79,500 $21,200 $3,400 $121,600 $225,700 4 2014 $79,500 $21,200 $3,500 $121,600 $225,800. 5 2013 $79,500 $21,200 ' " $3,600 $126,400 $230,700 6 2012 $79,500 $21,400 $3,100 $121,600 $225,600 7 2011 $101,400 $3,000 $3,800 $121,600 $229,800 8 2010 $101,300 $3,000 $3,900 $123,500 $231,700 9 2009 $96,900 $2,400 $1,900 $160,700 $261,900 10 2008 $112,800 $2,400 $1,900 $175,800 $292,900 12 2007 $112,300 $2,400 $1,900 $175,800 $292,400 13 2006 $99,400 $2,400 $1,900 $179,800 $283,500 14 2005 $90,600 $2,300 $1,900 $124,300 $219,100 15 2004 °' 1 $73,300 $2,306 $2,000 $124,300 $201,900 16 2003 $66,000 $2,300 $2,000 $40,700 $111,000 17 2002 $66,000 $2,300 $2,200 $40,700 $111,200 18 2001 $66,000 $2,300 $2,200 $40,700 $111,200 19 2000 $58,300 $2,300 $1,100 $29,500 $91,200 20 1999 $58,300 $2,300 $1,100 $29,500 $91,200 21 1998 $58,300 $2,300 $1,100 $29,500 $91,200 22 1997 $53,500 $0 $0 $29,500 $84,700 23 1996 $53,500 $0 $0 $29,500 $84,700 24 1995 $53,500 $0 $0 $29,500 $841700 25 1994 $52,500 $0 $0 $26,500 $80,700 26 1993 $52,500 $0 $0 $26,500 $80,700 27 1992 $59,900 $0 $0 $29,500 $91,300 28 1991 $71,100 $0 $0 $41,300 $114,500 29 1990 $7-1,100 $0 $0 $41,300 $114,500 30 1989 $71,100 $0 $0 $41,300 $114,500 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=21844. 9/27/2017