HomeMy WebLinkAbout0417 PITCHER'S WAY /fjry �'�t�he✓s' ��
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Cape Save Inc.
7-D Huntington Avenue
South Yarmouth, MA 02664
Tel: 508-398-0398 Fax: 508-398-0399
4/6/19
Brian Florence CBO --+
Town of Barnstable b
Building Division
200 Main St. p `�
Hyannis,MA 02601 010.
RE: Insulation Permit B-19-853
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Dear Mr. Florence:
This affidavit is to certify that all work completed for 417 Pitchers Way,Hyannis has been
inspected by a third party Certified Building Performance Institute(BPI) Inspector.
All work performed meets or exceeds Federal and State Requirements.
Sincerely,
William McCloskey
Town of Barnstablein
9
�. _ � � . .
s Post This Card So That it;is Visible From the Street-Approved Plans Must be.Retained on Job and this Card Must be-Kept e
Masa ,Posted Until Final Inspection Has''Been"Made. Permit
1639.A, �/i lli�
Where a Certificate of Occupancy.is'Required,such Building shall Not be Occupied"until a Final Inspection has been made
Permit No. B-19-853 Applicant Name: William McCluskey Approvals
Date Issued: 03/18/2019 Current Use: Structure
Permit Type: Building- Insulation-Residential Expiration Date: 09/18/2019 Foundation:
Location: 417 PITCHER S WAY; HYANNIS Map/Lot: 26"9-166 Zoning District: RB Sheathing:
Owner on Record: EDWARDS,CHARLES&CRYSTAL ; ' Contractor Name: WILLIAM J MCCLUSKEY Framing: 1
Address: 417 PITCHER'S WAY ( Contractor License: CSSL-102776 2
HYANNIS, MA 02601 Est. Project Cost: $ 3,600.00 Chimney:
Description: Add R-13 fiberglass,and R-19 cellulose to the attic. Add R-10 rigid Permit Fee: $85.00
I ' Insulation:
insulation, and R-19 fiberglass to the basement.Air seal the attic Fee Paid: $85.00
plane and basement with expanding foam. General weatherization. Final:
' Date: 3/18/2019
Project Review Req:
Plumbing/Gas
Rough Plumbing:
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 and the approved construction documents for which this permit has been granted. Rough Gas:
All construction,alterations and changes of use of any building and structures 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
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 �>�`L` Final:
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Q!'�
S
TOWN OF BARNSTABLE,BUILDING PERMIT APPLICATION
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Map Parcel l� Application # �`7 Z
Health Division -.Date Issued
Conservation Division ,/ f ' Application Fee
Planning`Dept: Permit Fee'
Date Definitive Plan Approved by Planning Board10
Historic " OKH _ Preservation / Hyannis
Project Street Address UA
,4'
Village
Owner r' Address ' 15A k _
Telephone " 6
Permit Request
h l L A-
S 6are feet: 1 st floor: existing proposed 2nd floor: existing propos6y l %tal raaw„v
N �
Zoning District Flood Plain Groundwater Overlay , X
Project Valuation Construction Type ILn
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach JupportinadocpMentation.
Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) co M
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 Appeals luthorization ❑ Appeal # Recorded ❑
Commercial ❑Yes No If yes, site plan review#
Current Use v Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name Telephone Number'
� C-� ��� License#
Address 7
Home Improvement Contractor#
I
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATUR DATE 7) `Z 72 09
.4. FOR OFFICIAL USE ONLY
APPLICATION#
r DATE ISSUED y
MAP/PARCEL N0. y
a ADDRESS VILLAGE
y OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
.J
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
� GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN.NO.
s �
06
A
,per The Commonwealth of Massachusetts
Department of Industrial Accidents
_ Office of Investigations,
600 Washington Street
Boston, MA 02111
�. www.mass.gov/dia
Workers' Compensation insurance Affidavit: Builders/Contractors/Electricians/Plumberg
Applicant Information Please Print Le ibl
Name (Business/Organization(Individual): L
Address: �cuyw A'..,
Cit /State/Zi Phone.#: �� ` /�6
Y P•
Are you an employer? Check the appropriate bog: Type of project(required):
❑ I am a employer with
4. �] I am a general contractor and I
• 1. 6. New construction
employees(full and/or part.tirne).* have hired the sub-contractors
I am a sole proprietor or'par fter-'
listed on the'attached sheet. T. 0 Remodeling
ship and have no employees These sub-contractors have S. Demolition
working for me in any capacity. employees and have workers' 9 0 Building addition
[No workers'-comp.•insurance comp. insurance.#
5. F] We are a corporation and its 10.❑Electrical repairs or additions
required.]
3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs
insurance required.] t c. 152, §1(4), and we have no 13.❑ Other
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.
tContractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have
employees. If the sub-contractors have employers,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:
Policy#or Self-ins. Lic.M Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
Failure fo secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine.
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereb i and t ai penalties of perjury that the information provided above is true and correct
a — Q
ature: Date:
Phone# D 72 Lo
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 CIerk 4.Electrical Inspector 5.Plumbing Inspector
6. Other
Contact Person: Phone#:
Information and Ins factions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire,
express or implied, oral or written."
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 tiustee 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 employs persons to do maintenance, construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)also states that"every state or local Iicensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced-acceptable evidence of compliance with the insurance coverage required.".
AdditionaIly,MGL chapter 152, §25C(7) 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,szth the insurance
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-conkactor(s)name(s),-address(es)andphone numbers) along with their certificates)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 insurance. 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 pemznit.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
.Pie.ase be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. fn 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 Address" the applicant should write all locations in (city or
town).".A copy of the affidavit.that has been officially stamped or marked by the city or town may 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 horde owner or citizen is obtaining a license or permit not related fo 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 like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call. i
The Department's address, telephone-and fax number:
The Commonwealth of Massachusetts
l]epm-m.ent of ladustrial Accide:nts
Office of Investigations'
600 Washington Street
Boston, MA 02111
Tel. #617-727-4900 ext 406 or 1-877-MAS_SAFE
Fax # 617-727-7749
Revised 11-22-06 V;ww.mass.gov/dia
�f ,per Lee i�o7rerreoouueal�i a�✓LTiwaaTluaelta j ' ..
\ Board of Building Regulations and Standards License or registration valid for individul use only
HOME IMPROVEMENT CONTRACTOR ! before the expiration date. If found return to:
Board of Building Regulations and Standards
Registration: 105530 One Ashburton Place Rm 1301
Expiration:W7/17/2010 Tr# 271194
F.
x i Boston,Ma.02108
TYPe DBA
MICHAEL A. BINNAUCADDITIONS REMOLD k
Michael Binnall --
1 K_..� �A
25 Geneva Road wit t No valid w __-
t s „tore
South Yarmouth,MA 02664'- Administratorg
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Nlassachusetts- Department of Public Sat'eth
UV Board of Building 1
,� Rc�ulations and Standards
Construction Supervisor License
Licence: CS 45408
Restricted to: 1 G
MICHAEL A BINNALL
25 GENEVA RD
S YARMOUTH, MA 02664
Expiration: 4/22/201,
--- Tr#: 13640
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Owners Authorization Form
465 Main Street
Dennisport MA 02639
Please print or type
Statement of ownership .�. ��� z ii.-r
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Authorization and address
A-0
Nam4Aized Agent/ Contractor
Own l�
Date
A separate letter from the owner with the above information and an original signature is acceptable
A faxed copy is acceptable for the issuance of the permit but the original must be forwarded prior to
any inspections.
Phone number: 508—760-6157
Fax number: 508—394-6289
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