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Home My WebLink About0107 PITCHER'S WAY �D'7 �� h�Y-s �� .' ALTERNATIVE WEATHERIZATION Date- n ' y� o � a Town of Barnstable oa 200 Maim St M. Hyannis,MA 02601 O Re:penmit# �V S _ Village:.:::: Tie insulation weathe sta ion work at / - `�ias,�een completed�ii;;�ciordance with 78:UGl�i�,':. �.:, Regards,: _ Timothy Cabral, President CSL-105454 58 DICK NSON STREET I FALL RIVER, MA 02721 1 (508) 567-4240 1 ALTERNATIVEWEATHERIZATION@GMAILCOM Town of Barnstable Building � , hit is;.Visible From'aheStreet A 'roved Plans M st be"Reta�,ned'on„Joband this Cartl.Mustybe,Kept , ",. Post This�Card So T a pl? O.JIl O M" PosCedUnt�I,Final Inspection Has<Been£Illade y 4 �- �kg » ,era � Wherea WCgrtificate of�OcupancyW Required,s hBuild rig shallNot bye Occupied until a Ffnat l�nspect�onhasbeenmade Permit No. B-18-1594 Applicant Name: ALTERNATIVE WEATHERIZATION, INC. Approvals Date Issued: 05/23/2018 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 11/23/2018 Foundation: Location: 107 PITCHER'S WAY,HYANNIS Map/Lot 289-008 Zoning District: RB Sheathing: t Owner on Record: MANNING, DOROTHY J Cont actor�Nan ALTERNATIVE WEATHERIZATION, Framing: 1 pax INC. Address: HOANN PITCHER'S WAY 02601 � 2 Cone actorLicense 175683 ` Chimney: Est Project Cost: $5,656.00 Description: INSULATION/WEATHERIZATION Insulation: xg, i PermitFee: $85.00 Project Review Req: � S� $85.00 Final: fee Paid: Date 5/23/2018 A, = Plumbing/Gas Rough Plumbing: ding Official Final Plumbing: Buil Al SIX Rough Gas: 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 and the approved construction documents for whi8kfh s permit has been granted. Final Gas: All construction,alterations and changes of use of any building and st "ctures shall b in compliance with the local zoning bye i s=arid codes. This permit shall be displayed in a location clearly visible from access street or road and,shall be=maintained openfor public inspection for the entire duration of the Electrical � � work until the completion of the same. % Service: F' k The Certificate of Occupancy will not be issued until all applicable signaturesy the Bu tlmg and Fire OfFcials a e'provided on this permit. Rough: Minimum of Five Call Inspections Required for All Construction Work:Q, 1.Foundation or Footing Final: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6..Insulation 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 Department "Persons contracting with unregistered contractors do'not have access to the guaranty fund" (as set forth in MGL c.142A). Final: r Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT y Town of Barnstable Building -+ � .-�,.: a �`, -- '� ., � '�" �z' ,:;��✓,u.+�+x,�z ,,_ '�.'; �.. '"",,m,, �`"., rs rg��.y �,,'�r 'n, ��,` a .`F� i"�$� Y' �.5�'i � .. ''.Card'So That=It�Is vVlslbie;From'the Street,A ,Yf.,roved Plan EMust be�Reta�ned omrJob and�thls Card Must,be.Kepts , 1PGS#This♦� 1�WP�o sed Until'Finalylnspection�Has Been Made t � Y� � � 3 Permit tM 09. Permit No. B-18-1594 Applicant Name: ALTERNATIVE WEATHERIZATION, INC. Approvals Date Issued: 05/23/2018 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 11/23/2018 Foundation: Location: 107 PITCHER'S WAY-, HYANNIS Map/Lot 289-008 Zoning District: RB Sheathing: Owner on Record: MANNING, DOROTHY J Contractor Name ALTERNATIVE WEATHERIZATION, Framing: 1 x �� ti INC. Address: 107 PITCHER'S WAY 2 a -- - "Contractor.Lic ens e: 175683 HYANNIS, MA 02601 Chimney: Description: INSULATION/WEATHERIZATION `� EstProiectCost: $5,656.00 Descri p Insulation: Permit Fee: $85.00 Project Review Req: Y� k:. ' FeePa d: $85.00 Final: x 5/23/2018 Plumbing/Gas . fYX - r T Rough Plumbing: _Y_ 3 Final Plumbing: = Building Official Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorize by this permit is commenced within siz monihs1aft"Ari nce. z Final Gas: All work authorized by this permit shall conform to the approved application and the�approved construction documents for it t,is permit has been granted. All construction,alterations and changes of use of any building and structures:Shall b'incompliance with the local in by laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shade ma�ntamed�openfor putilicinspection for the entire duration of the Electrical work until the completion of the same. Service: The Certificate of Occupancy will not be issued until all applicable signatures by theBwldmg and Fire Officials are provided on this permit. Rough: Minimum of Five Call Inspections Required for All Construction Work. _I ._... - 1.Foundation or Footing Final: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed priorto Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation 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 Department "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT F per Application number . DateIssued................................. .... ........................ Building Inspectors Initials.. .. .. . ......................... 21 �t Map/Parcel. .::.:........:............. OR OWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: /o 'Ply P./a NUMBER STREET VILLA E _ Owner's Name: �J�a Phone Number Email Address: Cell Phone Number Project cost$ 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 Owner Signature: Date: TYPE OF WORK ❑ Siding ❑ Windows(no header change)# 0 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 Contractor's Home Improvement Contractors Registration if applicable # � (attach copy) Construction Supervisor's License � (attach copy) � Cep► Email of Contractor Q.` l/ICl?�11/P.f,(,�� Q-/I Z - one number7- 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. APPLICATION NUMBER............................................................ � q - - *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 Additionaltent'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. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.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 CAM 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 APPLICANT'S SIGNATURE Signature v Date -611711"7 All permit applications are subject to a building official's approval prior to issuance. _a rc r r�iisst a l"sor n pi y Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Mas-6husetts 02116 Horne lmprovemeniQan#ractor Registration Mgt }'� �y( y Type. Corporation ALTERNATIVE WEATHERIZATION, INC Reg'lStrabon: 175683 t Expiration: 05/28/2019 2 LARK ST FALL RIVER,MA 02721 y ;` ' . s /i f64 Update Address and return card. Mark reason for change, SC ra 2 t ' , , ........ _.._..__ t, %/�,Y.�r�nyrrr:.�errurr��r�- •f�r��..�zr�rr�cf.�d � .... ___._.__,_. Office of Consumer Affairs&Business Regulation w HOME IMPROVEMENT CONTRACTOR Registration Valid for Indiv➢duai use only TIPS:CorDorationbefore the expiration date. If found return to: Re atlon Wration Office of Consumer Affairs and Business Regulation 05M/201 9 10 Park Plaza-Suite S170 ALTERNATIVE WEATtiER}ZAr(f�N>INC. n,MA 02118 4 z,y, TIMOTHY CABRAL 2 LARK ST r FALL RIVER,MA OMI Undersecretary Ot V 0 3i B�iJr@ r y - -^��"'"""'�-s ALTEWEA-01 SNERONHA A�i,-lRi.✓- DATE IMM)DDNYYY) .- CERTIFICATE OF LIABILITY INSURANCE ] 03123/2018 j 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(tes)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 endorsements. ;PRODUCER !+CT Christine Costa I Mason&Masan insurance Agency,Inc. I]PHONEExt):(781)447-6531 40):(781)"7-7230 458 South Ave. Whitman,MA 02382 % ass•ccos"masoninsure.com I INSURER(S)AFFORDING COVERAGE NAIC g 1 INSURER A:Evanston Insurance Co. --136378 r---i INsuRED i INSURER a:Safety Indemnity � 133618 Alternative Weatheriiation,Inc. INsuRERc:Sta_r_I_nsurance Company 118023 ' 2 Lark Street ! Fall River,MA 02721 INSURER D 3i._._ __._.. ._._. __..—.___._._.._...—___, ..�_____._____ i INSURER£ INSURER F: I 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 CONTRACTOR 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 SEEN REDUCED BY PAID CLAIMS. INSR"___._...._._..._.__.._ IADDLISUBR POLICY EFF POLICY EXP 1 ---I LTH TYPE Of INSURANCE !)NSD I yyy6 POLICY NUMBER !iMMlDDlYYWI iMMIDOIYYYY)i -- LIMITS I A ' X ;COMMERCIAL GENERAL LIABILITY I (s 1,000,000 ! ; EACH OCCURRENCE CLAIMS-MADE ! X!OCCUR { I3C420$8 ?06l0712017 051071201$j DAMAGETORENTED 100 Q00j X X PREMISES JEa xcurrancei S�_�, I ! - 5 000' MED EXP An rts a n I$ PERSONAL&ADY INJURY i$ 1,000,OOOj GEN'L AGGREGATE LIMIT APPLIES PER: i 11 GENERAL AGGREGATE IS 2°000,0001 X POLICY — J ..._ L� ?PRODUCTS-COMP70PAGG b 2,01)Q,Oa�1 OTHER, AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT 1,060,0001 EI i i(Ea academ) I S ANY AUTO X I 6237702 0410$12018 0410812019BOUILv INJURY'Per $ --y OWNED [ I SCHEDULED I _i AUTOS ONLY i AUTOS BODILY INJURY Peraccidwt $ X ?HI X NOp3 y y D � EB�RwT?AMAGE $ .�AMS ONLY _.,.,.,_.,;AUTO ONLY I I . I i A UMBRELLA LUU3 j X'OCCUR 5 1,000.0001 EACH OCCURRENCE $ X EXCESS LIAB CLAIMS-MADE X X 1XOBW7126517 1061071201710610712018 i - ' 1,000,000 I I I AGGREGATE Is I DED ! RETENTION$ a C !WORKERS COMPENSATION X I ' AND EMPLOYERS LIABILITY ( STkTUTE H E R r 1 N 1i1C0849257 1 04104120181 0410412019! 500,000' jANYPROPRIETORIPARTNEwExEcUTIVE i 3 I E.L.EACH ACCIDENT $ F•CER,MMBF�R EXCLUDED? L N I IN i A! ! IOMandatdry m N J `-- E L DISEASE-EA EMPLOYEE s 300,000 if 84,describe utlCei [_._ L _..._...�__—_..__.y yy { ? 500,0001 !DESCRIPTION OF OPERATIONS belay ( E.L.DISEASE-POLICY LIMIT I I' ' E.L. i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES iACORD 101,AdWdonal Remarks Schaduie,may be attached I more space is regWred) Action Inc,and NGRID USA,its direct and Indirect parents,subsidiaries and affiliates is added as an Additional Insured for General Liability on a Primary& Noncontributory basis per the terms and conditions of form CG2001(04113),for Ongoing Operations per the terms and conditions of form CG2010(04113),for :Completed Operations per the terms and conditions of form CO2037(04113)and Waiver of Subrogation applies per the terms and conditions of form MEGLO241-01(04-11). j Additional Insured for Automobile Liability applies per the terms and conditions of form SCA005(02116). `Excess Liability is a following form. I I CERTIFICATE HOLDER CANCELLATION i SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN NGRID USA I ACCORDANCE WITH THE POLICY PROVISIONS. 40 Sylvan Road i Waltham,MA 02451 — j AUTHORIZED REPRESENTATIVE I " ACORD 25(2016103) 1988-2015 ACORD CORPORATION. All rights reserved, The ACORD name and logo are registered marks of ACORD 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:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual):ALTERNATIVE WEATHERIZATION, INC. Address:2 LARK STREET City/State/Zip:FALL RIVER, MA 02721 Phone#:508-567-4240 Are you an employer?Check the appropriate box: Type of project(required): 1.O✓ t am a employer with 16 employees(full and/or part-time).* 7. E]New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in g. ❑ Remodeling any capacity.[No workers'comp.insurance required.] 3.a I am a homeowner doing all work myself.[No workers'comp.insurance required.]+ 9. ❑Demolition 4.❑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 11.0 Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp.insurance., 13.❑Roof repairs 6.R We are a corporation and its officers have exercised their right of exemption per MGL c. 1.4.E Other INSULATION 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ,Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:STAR INSURANCE COMPANY Policy#or Self-ins.Lic.#:0849257 00 J/ l Expiration Date:4/4/19 Job Site Address: /O� 6� �S !�L/ City/State/Zip: Is AA Attach a copy of the workers' compensation policy declar ion page(showing the policy num r and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the D1A for insurance coverage verification. I do hereby certify under t e pains and pen 'es of jury that the information provided above is true and correct. Si nature: 6� Date: ;J Phone#:508-567-42 0 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: � v Permit sai v e, Form Site III: 3404212 Customer: Dorothy Manning owner of the property located at: (Cwk4s!dame,printed) 107 Pitchers Way, Hyannis,,MA 026.01 (Property Street Address) (clty) hereby.authorize,t eUass-Save,Home;Energy Services Program assigned Participating Contractor listed below to act on my behalf and obtain a building permit to perform insulation and/or weatherization work on my property. Owner's Signature: `- . Dom: l u€,",.�Q;Cf; s$,�f.d��i,a,�.�.;;>,�;#y;��,'s�@!�.:*✓.�s,i L"„k�.,fic f.`,s .,:t;ar "°t%H��; y°`S f`3,�$ i t,'.ffi:o .,4n,.,:C;�/,,L rf-<w x%a O !j,x.!`r FOR OFFICE USE ONLY We have assigned the following Mass Save Home Energy Services Participating Contractor to the above referenced project: ti Partictpa ng Contractor D4 Name: RISE Engineering Phone: 401-784-3700 Email: Fer Cffice Use Only Rev,102015