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HomeMy WebLinkAbout0032 PAINE AVENUE �,. #�. _I f / / r I-IyannlS, IVIH ULbU l RE: Insulation Permits Dear Mr. Perry, This affidavit is t certi y hat all workcomp ed at: Street: ( �2 Village: has been insp ed by a certified Building Performance Institute(BPI) Inspector.All1work performed meets or exceeds federal and state requirements. s �F Permit applicatio nu ber: Issue date: Sincerely, Francis Sheehan President Frontier Energy Solutions, Inc. 502 Harwich Road Brewster, MA 0201 Office: 774-237-0410 Email: fssfrontierenergy@gmail.com I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION a TOVI F BAR.i�STABIE A lication # Niq I Map Parcel pp 6 Health Divisions y _ � Date Issued 7—/1—/7 � 2: 5 . Conservation Division Application Fee Planning Dept. Permit.Fee 95. 6 0 �T; �r- Date Definitive Plan Approved by Planning Board 4p'r Historic - OKH _Preservation/ Hyannis Project Street Address 3D IPA:i KWhAJ- Village Owner c Address�717�a► n 4� Telephone ='�� � ](�. ►K -094 Permit Request a_kkSc P—m) Q0 1� ?1 _ to Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio W. Construction Typ �� Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 4ff' Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appealss Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑lNo If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Named-IP/J�',�nlr�,a ���� 1717f1� Telephone Number Address. ZdAl2.A) ( )/1 i)-& License # C, � g.al.,w'of hI- U �_ Home Improvement Contractor# Email iMwl U I rlYJlUfA)�� P { '�i Nbdf�r'�Wmd19- ennsaation #C I ' 7 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO _ L71 SIGNATURE `r. DATE i. FOR OFFICIAL USE ONLY ` APPLICATION # DATE ISSUED ` MAP/ PARCEL NO. ADDRESS VILLAGE : t OWNER DATE OF INSPECTION: FOUNDATION ' FRAME INSULATION r FIREPLACE z ELECTRICAL: ROUGH FINAL 4 ? PLUMBING: ROUGH FINAL 'i GAS: ROUGH FINAL FINAL BUILDING � w//7 s DATE CLOSED OUT ASSOCIATION PLAN NO. ti 14. The Parties acknowledge that this Agreement is under seal. It is intended by the Parties that the Tenant or any successor Tenant is the intended.beneficiary of the Agreement and shall have a right of enforcement. Property Owner's Signature: Date Phone: Address: Tenant Signature r� Date Agency Approved Weatherization Company Adam T. Incorporated I All Cape Energy I Alternative Weatherization Cape Cod Insulation / Cape Save / Cazeault Frontier Energy Solutions / Lohr Home Improvement / Tupper Construction Agency Signature Date 5/18/20117 Print Page O. nEff_.,..:>......_.:.__,_:.. Sale Date Book/Page: Sale Price: I3USlAS,ELAINE Zvi ` : 1998-09-02 11676/340 $90000 DIAS,ANTONIO-L-&-ELIZABETH R 1958-02-19 997/294 $0 ® Photos 288 1 142/-Use Code: 1010 • Sketches-Map/Block/I..ot: 288/142/-Use Code: 1010 Z �' :J� >'14' �fF£YR � 9. � i' x �X•fi f�K -,i. e �E� x� �!��-it• ,3� � 'yam j 1, -s'� �2'r�Y"' .,x, �'a .�-•mow, ..� w,y Ya+�*` 'ss�T. ,,n�y _ y- x 3' �£.tsX Cam,(,'�`�t,.� ✓ S 4<•Y�'t/,�C, - f As Built Cards:Click card#to view: Constructions Details-Map/Block/Lot: 288 1 1421- Use Code: 1010 Building Details Lane! Building value $ 55,300 Bedrooms 3 Bedrooms USE CODE 1010 Replacement Cost $89,205 .Bathrooms 1 Full-0 Half Lot Size(Acres) 0.35 Model Residential. Total Rooms 5:Rooms Appraised Value $ 134,900 Style Ranch Heat Fuel Oil Assessed Value $ 134,900 Grade Average Minus Heat Type Hot Water Year Built 1945 AC Type None Effective depreciation 38 Interior Floors Carpet Stories I Story Interior Walls Drywall .-Living Area sq/ft 864 Exterior Walls Vinyl Siding httpl/www.townofbarnstable.us/AssessingJprintl7.asp?M=0&searchparoel=288142 213 ' i 14. The Parties acknowledge that this Agreement is under seal. It is intended by the Parties that the Tenant or any successor Tenant is the intended beneficiary of the Agreement and shall have a right of enforcement. Property Owner's Signature: Date 'Phone: Jl© l Address: Tenant Signature Date Agency Approved Weatherization Company Adam T. Incorporated ,- / All Cape Energy / Alternative Weatherization Cape Cod Insulation / Cape Save / Cazeault Frontier.Energy Solutions ! Lohr Home Improvement / Tupper Construction Agency Signature Date ACC)R" CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/°°(YYYY, `„/' 03/16/2017 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 NAME:CONTACT Rogers and Gray Processing ROGERS & GRAY INSURANCE AGENCY INC PHONE Ext)__(508)3ss_7 so _—��aA.c E-MAIL mail ro ers ra com - _ ADDRESS: g Y• ' 434 ROUTE 134 INSURERS AFFORDING COVERAGE NAIC M SOUTH DENNIS MA 02660 INSURER A: AIM MUTUAL INS CO 33758 INSURED INSURER B: FRONTIER ENERGY SOLUTIONS INC INSURERC: INSURER D: ------- "---'----- 502 HARWICH ROAD d INSURER E: BREWSTER MA 02631 INSURERF: COVERAGES CERTIFICATE NUMBER": 134675 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 SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MMIDD/YYY LIMITS i COMMERCIAL GENERAL LIABILITY I ' EACH OCCURRENCE $ CLAIMS-MADE OCCUR ( PREMISES Ea occurrence $ MED EXP(Any one person) $ i NIA PERSONAL&ADV INJURY $ i GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE_ $ I POLICY�I PRO E LOC ( PRODUCTS-COMP/OP AGG $ �.�JECT � OTHER: INED I �---------------' S AUTOMOBILE LIABILITY ! EOa aBcidan0 NGLE LIMIT $ i ANY AUTO j BODILY INJURY(Per person) $ ALL OWNED SCHEDULED i N/A IBODILY INJURY(Per accident) $ AUTOS �AUTOS NON-OWNED $------------------ t PROPERTY DAMAGE HIRED AUTOS AUTOS - Per accident _ $ .- UMBRELLA LIAB OCCUR - EACH OCCURRENCE $ _ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ I DED i RETENTION S $ WORKERS COMPENSATION I I PER OTH- AND EMPLOYERS'LIABILITY Y/N I X STATUTE ER ANYPROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 A OFFICERIMEMBEREXCLUDED7 NIA(NIA NIA VWC10060153152017A i 03/14/2017 03/14/2018 (Mandatory in NH) I E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under ... _ .. . ....-----....--......__...--_---... DESCRIPTION OF OPERATIONS below ! ' E.L.DISEASE-POLICY LIMIT $ 1,000,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS i VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance.shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Frontier Energy Solutions Inc. ACCORDANCE WITH THE POLICY PROVISIONS. 502 Harwich Road AUTHORIZED REPRESENTATIVE Brewster MA 02631 °' f' i Danniel M.Crowjey,CPCU,Vice President—Residual Market—WCRIBMA li ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD ( a The C wn),tionivettlth,qj Mas-Yachusetts =T Departfrtent c f Itldtistrt<il.,� cciclerits ! Cora,ress Street,Suite 100 r" ,` Boston, tVbt 1::?I1d-9,1? N�cwkerti i'ompensa(ion InsuranceAffirvf:F3:uEtarc;t,ttrrtract�rs.Flccirtc'sins%Pluitibers. TO iBE FILED WITH TUM PER. ITTUNG NUI' omn,. A_pplicani Information ( Please Perot t_aaiG'%' Name t'I3u it.ess`C}tyarazca.:crJttilt✓ttu,a(:s „ i� .'. ��.y1(G( r _�.15�t t �. , .��!1� _ Address.. 1-1 y (4 l r'? Cit /State;%I ' 4 ¢ 1f v ( I Dona #: I p i„ £ � . Arc.vourn.cmployer"('hrtl(Eiae'tliliroptia it,t3vx: Type r© cti T.Y. tktfetl):: 1, 1 am employer xtid5 ` O—rnpluy es(it.11 ar3dl(}r.P,t;a-?iittc),' 1.1 El Nle-icorlstrixtion ?:n tam asole prvpriritoto ttitrrne stnu at,d have na employez*"i Jn�`:Or me ira D. ltetrt�ilE ling. any ,capacib.(\ai worker camp m54 aria qa ired,J El Ia 2nt�liCi.Ct n 3; 4 am x hzimtowmcr dGtt;a!{war r}},self h o xoa k'er, cu€r p 7naurancc rcgi arc 9 t tJ; . .. :u,❑Building.addition 4,Q f tm t hc;tm gwncr diva will:be ntring comractora to sorduct aR work un my prgc y. L"At I ensure V eontractC a,yrther'nav wx,r .,,s..nmt.4 i��tu>n�nl rvtcr rjr}Pe tc C ,�Elec'triQal- pairs or additions i ,proprr._cum.with ao emaloyt.& - a Q Piumbim,) repairs or additions J ?-.C]€ u t a�c erat conirtr t 3r anu C riawe hared ll c>u(twc arara44ora(i r (> a(ie at.actied si et a c sub-carlm tom hat mwir vv1 ard-�zt>~a.v.cn•.r..c unip,in ttra.t e ` :.� t`tt t rcpr/itt5:.}Q- t 4:.[ ttltet ��y� L•l.(/ 4 �f1 •�1." E. 6 t�' are I crtr>r ratsc>n;am-1 its(,tf errs h t t cXeac aced(fiur n t of toi.iputiii pt r'v1C;[;c la' ; i4),and t e"hsive my employ cs.No uarkees`wilj6 ,usurance tEgi3ii_d i G.y aPpl ctirit thaE ehecks'bon i•t nsttst a iO tdt-)Ur the seceion being;stti wing dicir workers'compensation policy€n]ortriatii;n: homeowners Who ubrbii dis an'kLiiia mr,.carua;iht7y ar_doing a,'l wok and ifien hire-uu�s,de cuntrucicar,mr sr suttrit:t r.new 1rYid_tsit in.ticaiing"siich_ oa ra u,c itt i e€eetk itiz>boo aus::. ac.taWJ an adtlRionat;hcrt,sttutti'irag the fund of tile$wit-t.rii.t(:tct irs anil'stirfe-etitaettter=i_>r nett t t4se esttities.hat"e ! cmoloyees. If'th4 iub wntractor>,trc>c.cmpluucca,tixp nursEyanau.e;Ireir xt rkcr.g tar^a.pPiicy nvm�cr. lain an ertoldlrer iltitt tt provitiiny•wirrkers'cunipertration in-vierancie.fur my emliloyees•. Bel6w is tii Pnfiry emit juL:sire m injorniatiom i ( r Insurance Coin Name. . lv C �r�. +� S t r, r t:Ct= t3`^r 'U': _.•___ Pohey#t tar felt-in .,! is «;� (' J r %: z } f L` Fx.iratit3i,ia:ite. { o f lob Seta �udres.` ,." C:1u15tatci� =—�_ l Attach i copy of the woeiiers' compensation piiiicy dtciaration plge.(slioFY.iifig[tic policy er an expiration(late). Failure no secu]e CfWty raV a&lequirett under iMOL c 151 §25A is a criminal violatitm punrshahl, by=a tine lip to$t 50(11 0 and/or one-.year imprisorulient,,as wol as i`vi's:;penaltics in tte to-tn of STOP WoRK C?t 1)}'tZ arc?a tine ot`up to 32' D {3 a day against the vicifat'or, t\ Qopy of this�ta"ti n.Ien r iiy tle.forwarded to tho tic.,r?'lnre t!uto'ns.yf'tl;c Gi;1.tror instil^art e i caru�ra:e ver[ficatctti. /'do h rebv certifi'tnrrter thN piEins47 figs of p&jury that the information proviiteil nu %r true aped correct. _ Stgnaturc_ 171t . a�......... Pl�nne f"I,. 3 J - I ' C3flicia x4e vaty. Do n, vivrtt�iii this area,ter he rnrzeCrJeteil.(,v citi or tusr n nffit arrL. or Tottu.: PcrrniLjLir.ensc, t Issuing Authority(circle one E. L Board of Health Z.Buildin Department 3.("ity/Town Clerk 4, Elecrrio�il Inspector 5; Plumbing:Inspector s _ 6.O'ther 1 I 1 ontact'Person:. Phone U: a License or registration valid for individual use.oul} < Office of Consumer Affairs�c Business Regulation before the expiration date. if found return to: HOME IMPROVEMENT CQNT RACTOR q #, Office of Consumer_affairs and Business Regulation Re istration 16C$54 Type` f g l0 Park Plaza-Suite 5.170 w Expiration 918l2018 LLG Boston,M.4..02116 I FRONTIER ENERGY SOLUTIONS; i . FRANCIS SHEEHAN 502 HARUVIGH RD _ _ ...... _ BREWSTER,MA 02631 liudersr�rcfne� t vat ifhou signature Construction Supervisor Specialty Restricted to: tcassachusetts Department of Public Safety. I CSSL-IC- Insulation Contractor ` B6,rd of Suildi q R.,egplat"ons and Standards License CSSL-105941 < I .c'J;nsVuct'i:7n Sip rv€-sJP St?eciXtd FRANC SHEEHAN s 602 HARWICH RD BREWSTER MA 02631 Failure to possess a current edition of the.Massachusetts fff State Building Code is cause for revocation of this license. DPS Licensing informationVisit: U1NVW.MASS.G.OVlOPS C 0 rn n'is 0r"er 0211712018 I I l