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HomeMy WebLinkAbout0333 SCUDDER AVENUE 333 i o� I Application number ............................ Date Issued............. . ................. ..................... .................... KAM Building Inspectors Initials........ .. 163 JUL 162'018 M ap/P I ar cel....... ......Co.)...... ............. 1I 0-- BAHNS MBU. -MA N TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDINGfWINDOWS/DOORS/TENTS/STOVES[WEATHERIZATION PROPERTY INFORMATION Address of Project: NUMBER STREET VILLAGE -J Owner's Name: CL-WQA Phone Numb Email Address: 6\00C AAZ030ccj 00 Cell Phone Number Project cost $ Check one Residential Commercial noo OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a buAng permit in accordance with 780 CMR Owner Signature: Date:. TYPE OF WORK ing 0 Windows (no.header change)# Insulation/Weatherization Doors (no header change) Commercial Doors require an inspector's review Roof oof(not applying more than 1 layer of shingles) Jtrul C'onstruction Debris will be going to 3e�e VA CONTRACTOR'S INFORMATION Contractor's name Home Improvement Contractors Registration(if applicable)# (attach copy) Construction Supervisor's License# (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. APPLICATION NUMBER t *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, *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICE i SE EXEMPTION (Homeowner's Name: �l.�G► 4V-4A) � Telephone Number (4 Cell or Work number Apr 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 J (rc APPLICANT'S SIGNATURE __7 Signature Date /i All permit applications are subject to a building official's approval prior to issuance. The Commonwealth of Massachusetts Department of Industrial Accidents 4, Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compens" on Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Busi ess Organization/Individual): �u6Q e) Address �v �Ct &/State/Zip: Phone#: 6� (14 Are you an employer?Check the appropriate box: Type of project(required): L❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. RRemodeling ship and have no employees These sub-contractors have g• ❑Demolition workingfor me in an capacity. employees and have workers' Y P t}'• t 9. ❑Building addition [No workers' comp.insurance comp.insurance. required.] 5. We are a corporation and its 10.❑Electrical repairs or additions 3qI am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no ' employees. [No workers' 13.❑Other 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 thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lic,#: 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 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 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 hereby certify under t ains and penalties of perjury that the information provided above its true and correct S.t ature: Date. 6 Phone#: 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#: Information and Instructions 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 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 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 licensing 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." Additionally,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 with 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-contractors)name(s),address(es)and phone number(s)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 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 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 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. 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 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 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 burn 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. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.mass.gov/dia f ALTERNATIVE WEATHER'IZATION February 1,2018 Town of Barnstable 200 Main St. " Hyannis; fv1A 02601 _ Fit V1le had applied far a permit on.1/2A/t8 far ,3;Scaddeh Ave,Nyannls This client;:has derided not to have our company'do the work. Please;-.cancei tliis.permkw th work not6 mp.leted on our behalf Thank you in advance fbrryou'r..attent on to this matter. Regards, TimothyCaOraI President M-10S454 FALL RIVER,MA 02721 l (508)567-4240 ( ALTERNATIVEWEATHE,Riz-AnONOGMAIL.itbM TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel nRO Application #. Health Division 13UIL®BNG DEPT Date Issued Conservation Division JA N Application Fee 24 2010 Planning Dept. To Permit Fee Date Definitive Plan Approved by Planning Board NOF13A"NSrAs.L Historic - OKH _ Preservation / Hyannis Project Street Address 33-9 Village Owner� [j� ► L1 �"G�J�Q� Address Telephone Permit Request Air StditA 6 Square feet: 1 st floor.: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 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: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached ❑ exi tin garage: existing ❑ 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 ! ; b9_ �vOA&a-t Telephone Numberl!5 Z567' VCR Address 12 License 4v4r, ZM 6A7A ( Home Improvement Contractor# Email �i�Ci ►V21�.�2Ai PTi�a1c0�c-��,�y,�,���o Worker's Compensation # 61(9a-S7 ALL CONSTRUCTION DEBRIS RESULTING FROM THROJECT WILL BE TAKEN TO Fra.1e 144 SIGNATU DATE d FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED ` 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. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map- P rceI Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee ®Q Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address J J�_ �C'ea A—i e- . Village Owner-0 bwra_ Address 33_3 SCar crier Ate Telephone ! u6 to 71 Y H /a.,t,4.A s ln4 Permit Request )4 Se_ 6 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation All 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: ❑ 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 Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name J mU o—t.f (. �YC - Telephone Number.6zq.-%� �.►��L� Address 1;? L awk 5 . License# ;fir i l &ver AA 4a7A ( Home Improvement Contractor# Email C2 ferny A VC-WeAM erg 2& Dec- "1. Worker's Compensation # 6 3(1&?-S 7 ALL CONSTRUCTION DEBRIS RESULTING FROM THISROJECT WILL BE TAKEN TO a WY /274 VSIGNATURE I ��I K) DATE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED 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 I - t ASSOCIATION PLAN NO. Fax Server 1/8/2018 8: 46:35 AM PAGE 3/003 Fax Server �p�oa Ilia rot,o Town of Barnstable Regulatory Services • s oatuvsrAscE, , Richard V.Scsli,Director MASS. m Sao 16j4. Building Division Paul Rama Building Commissioner 200 Main Street,Hyannis,MA 02601 www.townbarnstable.ma.us Office:5084624038 Fag:508-79"230 Property Owner Must Complete and Sign This Section I, CLIONA HARWOOD as subject Owner of the subj � J property hereby authorize Ahaal—/ �� -���j�7�- �.to act on my behalf, in all matters relative to work authorized by this building permit application for: 333 Scudder Avenue Hyannis, MA 02601 (Address of Job) Signature of Own Date C�6,1P� `0"aea7 Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form. C:\Users\dccollik\AppData\Local\MicrosoR\Windows\INetCache\Contcnt.Outloolc\L,7U69LF2\EXPRESS(2).doe 01/25/17 The Commonwealth of Massachusetts Department of Industrial Accidents = 1 Congress Street,Suite 100 a Boston,MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Apulicant Information Please Print LeLribly 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.�✓ I am a employer with 16 e4loyees(full and/or part-time).* 7. New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.Q I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10[]Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole I LE]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. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance. 14.[D Other INSULATION 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 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 ,,//��,, Expiration Date:4/4/18 Job Site Address /�U� • City/State/Zip: S Attach a copy of the workers'compensation policy declaration page(showing the policy numver and expir tion 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 DIA for insurance coverage verification. I do hereby certify un31hinsZanes p rjury that the information provided abov is true and correct Si ature: Date: � 0 l Phone#:508-567-42 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#: f r,.••�+rl� ALTEWEA-01 SNERONHA �►C© � CERTIFICATE OF LIABILITY INSURANCE °A 51261017 TE(MMtDDIYYYY) ,,.,�•- 0612612(?17 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 j BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSIIRER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. _— I 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 shay require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s. PRODUCER ACT Chrlstlns�Cs;>sta Masan&Mason Insurance Agency,Inc. I AMICTI,a,t):(781)623-0067 'iv,No): 458 South Ave. A Whitman,MA 02382 ccosta@masoninsure.com INSURE S AFFORDING COVERAGE NAIC# ? INSURER A:Evanston Insurance Co. 136378 INSURED _ NSURERB:Safety Insurance Company 39454 Alternative Weaiherization,Inc. MSURERC:Star Insurance Compan,,y,___- 18023 2 Lark Street INSURER o: 1 Fall River,MA 02721 INSURER E �- �.-_�......�....... i .a.... .,INSURER F: _ COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: _ j THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD ! fI INDICATED. NO ATHSTANDING ANY REQUIREMENT; TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT\NITH 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 'ADOL SUBR POLICY EFF POLICY EXP LIMITS TYPE Of INSURANCE l POLICY NUMBER 1 1 A LTR! X COMMERCIAL GENERAL LIABILITY ! j 1 EACH occuRRENCE s 1,000,fl00 DAMAGE TO RENTED 100,000 1 !3C208 0610 /2017 PREMISESCLAIMs•MADE OCCUR 1tEaaccumencel s MED EXP(Any one pa wn) i S 5,000 3 I I { t PERSONAL 8 ADV INJURY !S 1,000,000 %GEN'L AufiREATE LIMIT APPLIES PER: GENERAL AGGREGATE (S 2,000,000 f] ` ' 2,000,000 71 POLICY _j i L� i 'PRODUCTSCDMPK7P AGG 15 I OTHER: AUTOMOBILE LIABILITY iNEDSINGLELiM1TCOM $ 1,000,000 ANY AUTO 1 j6237702 ! 04108/2017 0410812018;gpOILY INJURY(Peer oarsony 3_s OWNED --I SCHEDULED ! AUTOS ONLY 'AUTOS j BODILY INJURY(Per accident); X, p ! 20PEP RTY�tAMAGE j AL1RtJS ONLY AflNOa 0 L. t er arxzdent Is i 3 1,000,0001 OCCURRENCE X! EACH ':.UMBRELLA LIA9 OCCUR 1 ! IEACH S )( 1 EXCESS LIAB '-—i CLAIMS-MADE XOBW6619616 0610712017 0610712018(AGGREGATE S 1' ' DED f I RETENTIONS I I S I X i STRTUTF i 1 EOTRH• i ! C WOItIfERS COMPENSATION I ; AND EnaPLOYERs LIABILITY YIN ! ? WC 0849257 00 0410412017;0410412018' 600,000 ANY PROPRIETORMARTNEFJEXECUTIVE ?� NIA A 1 1 E.L.EACH ACCIDENT s 't j FFICERIMEIABER EXCLUDED? ; N I ' ! 6()0,000� I Mandatory)n NN) r j S i El DISEASE-EA.EMPLOYEd S it Yes,descrlle ur ner j 1 i E.L,DISEASE-POLICY LIMIT :s SOIi,Ol�01 1 DESCRIPTION OF OPERATIONS t elcw I 3 DESCRIPTION OF OPERATIONS 1 LOCATIoNS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached N mare space is required) !Action Inc.and National Grid USA,its direct and indirect parents,subsidiaries and affiliates shall be named as additional insureds on Commercial General ;Liability policy per terms and conditions of forms CG2010 and CO2037 and Commercial Auto Liability policy per terms and conditions of form$CA 0.05(02 16).Forms Available Upon Request. CERTIFICATE HOLDER CANCELLATION I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN National Grid_- ACCORDANCE WITH THE POLICY PROVISIONS, 40 Sylvan Road ? Waltham,AAA 02451 AUTHORIZED REPRESENTATIVE ACORD 25(2018103) O 1988-2016 ACORD CORPORATION, All rights reserved. The ACORD name and logo are registered marks of ACORD I s � ' 4 jr,6-� �t�+� �• ay-.;h£��' N.T 3�„a"..:� '� �� Y, ° ,y'-��A 'Gr er, d. 1 41.0 � w a >s �\ w�¢.��.�L��i�'!.✓J L� it j�\r�i�/����'Lf/����1i���✓7 L.tGUc�Z .�' v Office of Consumer Affairs and Business Regulation 10 Park Plaza Suite 5170 Boston, Mas'sdehusetts 02116 Horne lmproveme °htractor Registration , � Type: Corporation Registration: 175M ALTERNATIVE 1�Vi=ATHERIZATiON,INC. ry Expiration: 05/28/2019 .e 2 LARK ST FALL RIVER MA 02721 t " t � 3 1 i Update Address and return card. Mark reason for change. s z 0 a s _._._ _ _..._.___.._.._._........_. . Ci.lsddress. C Rasnemml 0.Fw a /t; Frr(a�� Office of consumer Affairs&Business Regulaflan HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYPE:Ccxoorati0n before the expiration dale. If found return to: cn F.2Spl Office of Consumer Affairs and Business Regulation • 1756$3„... 05128=19 10 Park Plaza-Suite 5170 f ALTERNATIVE W AA IERI�i iON.INC. n,AAA 02116 TIMOTHY LARK STCABRAL r�,Q C FALL RIVER,MA 02721 Undersecretary Assessor's map and lof'.number ........ ........................ . SEPTIC SYST%4` 9 T T I tSTALL-E). N Sewage Permit number ..... .. .... �... J ITH " " G r�CLE II S�'�'a�'1I R /�THET® N OF L1-1 ��T�� �� � 2 • i E, B1SH3TADLi 6 9 BUILDING INSPECTOR APPLICATION FOR PERMIT TO .. 9.41....0/?•....../�?� ................................................. - TYPE OF CONSTRUCTION ....74 ' .k.4 c.............................................................................................................. ...... !......I ...............................197.5 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location J C"`c1`" er Q ProposedUse .AAA:ilsn. t(......� ........................................................................................................... Zoning District ..R.13 ...............:Fire District 1` Name of Owner ...+.e.M?.4xrc\ `...J.r..........Address ...`�. .....SC cic!er...aV.�.....17 0.v��.S Name of Builder �.Q. ia'!r 1'�e^ �'. ............Address .................�.r�..:.:�--................................................ Nameof Architect ..................................................................Address ................................................................................ Number of Rooms ..................t'..............................................Foundation .....6./.-P f�, .... ......................................................... . /I ..... .l lf Roofin .. rkq...S .!t C Exterior 0.f�.b.Q.�t.'�'................... 9 Floors ..f'., .W. .0w°S 1 L. /w ..........Interior ...r� 4�.?.r.O C.� Heating CG.ffer...., ..............Plumbing ...CA..Y.�.��.. ........................................... Fireplace ...............!:.:�............................................................Approximate Cost ....:..1, 4 ................... Definitive Plan Approved by Planning Board ________________________________19________. Area 4 //y.. ............................ Diagram of Lot and Building with Dimensions Fee .......1.. ................................. SUBJECT TO.APPROVAL OF BOARD OF HEALTH Al �x 1STIr1� -- I hereby agree to conform to all the Rules and Regulations of the Town of BarnstabVregard.i.n the above construction. Nam .................... Reid, Seward K. Jr. 17,7c,z add to single No ..7.......::'..... Permit for .................................... .family dwelling ............................................................................... 333 Scudder Avenue Location ................................................................ Hyannis ............................................................................... Seward K. Reid, Jr. • Owner .................................................................. t frame i Type of Construction i ................................................................. ........... Plot ......................... . Lot ................................ Permit Granted ..............July 7....... .....19 75 Date of Inspection .....................................19 Date Completed �1.. 19 PERMIT REFUSED ................................................................ 19 ............................................................................... ............................................................................... i ............................................................................... Approved is ............................................................................... I ............................................................................... { � f oFtHEro�o TOWN OF BAR.NSTABLE ii • i BABBSTABLE, i 9� MASS q1019 BUILDING INSPECTOR APPLICATION FOR PERMIT TO .G.......F.)q.4?,0y..... S �T�.......5... F TYPE OF CONSTRUCTION �/,.��:/� E-...........................................................• �b 333.,,,,,5� �'�'������.......... ......... A...........✓....... TO THE INSPECTOR OF BUILDINGS: / The undersigned hereby applies for a permit according to the following information: Location .."?-z 3........ !:4............h-t;�(c�.... .f.� fl ....... S r... ProposedUseL9.+[ .. . .�. . ... ............................................................................. ZoningDistrict .........:...:..........................................................Fire District ...... .........:..:................................. Name of Owner ...�?4��4-?4L° ..1-........Address .,.7.3✓�...SCc...... Name of Builder .:........:.........................Address ......:......!. . ................................ ..................................:.................................. Nameof Architect "- Address........... .fi...................................................... .............................. ............ ........................ R , Numberof Rooms ............... ..................................................Foundation .............................................................................. Exlerior ....$.. >:.^° . -.....................................................Roofing .......G4.S.`4.! . .......................................................... Floors ......................................................................................Interior ..... ..t.. d. ��5.. .. ...:.......:.......... . ...................... Heating ..................................................................................Plumbing ........,............. ................. ................................... Fireplace ......Approximate Cost �..................... .... Definitive Plan Approved by .Planning Board -------------------_-----------19--------. Cj Diagram of Lot and Building with Dimensions '° SUBJECT TO APPROVAL OF BOARD OF HEALTH -K41 a Y _ �EF' I'i✓'SYSTEM �UPL It S INSTALLED IN WITH ARTICLE I TATTOWN SANITARY CODE AND REGULATIONS. I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ` Names ?4J:...-:S;11� l...f7 ...................... � . K. Jr. . move building �idj 1 ' ' No -- / l � � ------'..---'—'~----'--------'' ( ' / Location --333—�mnx�ler..Ave. _______.. � x ^------''°---'=------'------ � Owner K. J�»id" Jr. | ---�����---.---,--------. ) ' Type of Construction ----1�����_----- � --------~----^------------- Plot -----_.......... Lot ................................ � ` . / ^ nA ' ! Permit Granted --'�������Y— --'lV ^~�� | Dote of Inspection . lQ ' uqr� Completed � ' ' \ PERMIT REFUSED ----.',—..------.------- lg L y | ' L '-------------------------- ' ^----^--^----'---^----------' [ —..--------------~--...—.----. � --------------------^-----'' < � � ` - Approved ................................................. lV . ^ | -----------------,.-------- ' ^ - -------`--------------^--^^' � � � | Town of BarnstableBuilding BAX Post T.,his Card SoThat�t is Visible.Frorn'"theStreet Approved,Rlans wMustbe Retarned on Sob andFthis Card Must'be Kept Po sted UntII Final Inspection Has Been MadePermit s Where a Certificate of�®ecu anc. �s Requ�red,.such Bu�ldmg'shall Not beOceupied until a Final Inspect�on:hasbeen;made '' Permit No. B-18-367 Applicant Name: Carl.Rebello Approvals Date Issued: 02/12/2018 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 08/12/2018 Foundation: Location: 333 SCUDDER AVENUE, HYANNIS Map/Lot 288-080 Zoning District: RB Sheathing: Owner on Record: HARWOOD,CLIONA Contractor Marne Carl J Rebello Framing: 1 Address: 333 SCUDDER AVENUE Contractor Licfensse 084358 2 �'.. a�..HYANNIS, MA 02601 � s Est OF Cost: $2,391.00 Chimney: Description: Insulation,Air Sealing& Door weatherstri m s x Permit Fee: $85.00 P g pp g Insulation: � Fee Paid: $85.00 Project Review Req: �D 2/12/2 018 Final: x ate fr u: R T �jy¢r; ,>, .y Plumbing/Gas Rough Plumbing: A Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized, by this permit is commenced within six months afferissuance. Rough Gas: All work authorized by this permit shall conform to.the approved application,Candy he approved construction documents for which this permit has been granted. .All construction,alterations and changes of use of any building and strutures shall be in compliance with the local zoning by laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or oad and shall be maintained open for public ins peciion for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable si na'tures b tithe Buildin and Fire Off cials are provided on this permit. Service: Minimum of Five Call Inspections tions Required for All Construction Work ' Y �g> P q Rough: 1.Foundation or Footing '•_..,,. ,, ,r,,,,.., ,__ 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. 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 m . Assessor's map and lot number ........ ......... .............. I Sewage Permit number . 4-1 ✓�P.!..:.... °C ��QyOFTHET��yn TOWN OF BARNSTABLE i •BJS39TADLE, i ` � ;um BUILDING INSPECTOR APPLICATION FOR PERMIT TO C> l Kj r ,�r tti. TYPE OF CONSTRUCTION ;~G M t ............................................................................................................................... ............... ................................19Z.� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ... .J?......�?.C, cl l e`r..... : ` ..........� ��/caw�t:.5...................... ........................................... ................ Proposed Use ..0A. ��.: t �, ( •ce'� .".o o '............................................................................................................... ......................... Zoning District �3.�I. .......................... Fire District .....�..� .`...........`....`..S.................................................... Name of.Owner P�....), v�\....�� . K,e c\....J,r ......... 3t i c`elct'. .Ya ti �� S Address ...................... ..................................... .................. Name of Builder v c, ?rct ...!:.:....!ti.e:�......... .r.:........Address .................'`,,,,, �............................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ................... ..............................................Foundation ..... .......................................................... Exierior ....C.!..c�,�l�,r0n,t �I.................................................Roofing .......C�.�.r. !� !.. ............ c4 `} l LJ ar-T Interior � , YoCl� Floors �s s r 1< . .:.....!.!.�:............. ...! ?...... �v .:.............. ,......................................................................... Heating f:.1..^ ',r..... .. . .. ? ~.r*.... :..��..,..L+,..:...........Plumbing .... ......�f..t/[ . � U 1v ............................................... Fireplace VL ............................................................Approximate Cost ............................................. Definitive Plan Approved by Planning Board ________________________________19________. Area ........SI .................................. Diagram of Lot and Building with Dimensions Fee �' � ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH � w I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. � r Namer';,. .:...�`............ ..................... f Reid, Seward K. Jr. A=288-80 17797 add to single No ..1.......... Permit for ................................... family dwelling ................................................................. ........ .... Location 333 Scudder Avenue Hyannis ............................................................................... Seward K. Reid, Jr. Owner ....................................:............................. fra9e Type of Construction ................ ......................... Plot .......................:.....Lot ................................ Permit Granted ....../July 7 19 75 Date of Inspection I.................................19 Date Completed .............:........................19 PERMIT REFUSED ........................... ............a/ ............. 19 ......................................�. ................................. ..................................�......................................... . ......... ...... .......... ... ........... . Approved ............................................................................... ............................................................................... %^,dole ALTERNATIVE ~N4, WEATHERIZATION February 1, 2018 -. q Town of Barnstable i 200 Main St. Hyannis, MA 02601 Zat v We had applied for a permit on 1/24/18 for 333-Sc6dder Ave,.Hyannis'.: This client has decided not to have our company do the work. Please cancel this permit with,work not.completed on our behalf. Thank you in advance for your attention to this matter. Regards, Timothy Ca'b'ral; President CSL-105454 _- _ _ FALL RIVER,MA 02721 (508)567-4240 ALTERNATIVEWEATHERIZATION@GMAIL.COM REGISTRATION AND CERTIFICATION FORM FOR FORECLOSING/FORECLOSED PROPERTY Thank you for registering in accordance with Town of Barnstable Code chapter 224 sections 224-3 and 224-4. Please complete one form for each property in foreclosure (section 224-3) or already foreclosed for which possession has been taken(section 224- 4). Please file the original with the Building Commissioner and a copy with the Chief of the Fire District in which the property is located. If you claim you are exempt from registering under Massachusetts law,please state the reason(s) and complete section 1 (property information)and the first paragraph of section 2 (foreclosing party,court,etc. and foreclosing party representative, but not other representatives and attorney) so that the Town can review the exemption and update its records: I Section 1 —Prone=Infonnation Property Address:333 SCUDDER AVENUE, HYANNIS , MA 02601 Assessors Map#: M_299795_821763 Parcel#: 288_080 Land area and description Residential Area: 0.48 Acres Buildings)description and contents 1930 Cape Cod -Number of Units:0 Number of Rooms: 7 1,555.00 Sq. Ft. Occupied: NO Occupant(s)(if borrowers so state and include name(s)) Phone: NIA email: N/A other: N/A Vacant: Yes Date: 05/12/2016 Anticipated Length of Vacancy: UNKNOWN Last occupant(s))(if borrowers so state and include name(s)) Fossiano, Jacqueline Phone: NIA email: N/A other: Has possession been taken YES If so,please explain and complete and file the maintenance and security plan forn(unless exempt as stated above) Section 2—Foreclosine Party Information Foreclosing Party(full name/title) Fannie Mae Foreclosure Case Court: N/A Docket# N/A f Date filed: N/A Current Status: FORECLOSED Foreclosing Parry's representative(s) for property(entry,management,repair, etc.)(name,title,): Alecia Passley Company (if different from foreclosing party): National Field Network Address: 4581 Route 9 North, Suite 100, Howell, NJ, 07731 Phone: 732-276-5563 email: violalions@nationalfieldnetwork.com other. N/A If an exemption is claimed, please do not complete the remainder. Other representative(s) (if foregoing representative is primarily responsible for property and/or foreclosure and is most likely to be able to address town matters concerning the property and/or foreclosure, please so state and do not complete contact information(i. e. "none„or"see above„)). Name,title,other: Fannie Mae j Company (if different from foreclosing party): Fannie Mae Address: 14221 Dallas Parkway, Suite 1000 Dallas, TX 75254-2916 Phone(s): 1-800-232-6643 email(s): resouroe_ce,,e,@fanniemae.com other: N/A Name,title, other: N/A Company(if different from foreclosing party): N/A Address: N/A Phone: N/A email: N/A other: N/A Attorney representing foreclosing party N/A ' Finn,name(if different from attorney's name): N/A Address: N/A Phone(s): N/A email(s): N/A other: I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of chapter 224 of th Code of the Town of Barnstable. � (( Date: lU cy Name: Title: V��� •J-(Jl,��l�,' Y I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-3 of chapter 224 of the Code of the Town of Barnstable. Date: Building Commissioner,Town of Barnstable MAINTENANCE AND SECURITY PLAN FORM FOR FORECLOSINGNORECLOSED PROPERTY Town of Barnstable General Ordinances, Code section 224-4, requires a mortgagee taking possession of a property before or during foreclosure, or after foreclosure if the mortgagee becomes the owner,to bring the property into compliance with the maintenance and security standards contained in Code subsection 224-4(B) within thirty (30) days of a notice from the Building Commissioner. Please either complete and file this form or another containing the same information with the Building Commissioner within thirty(30) days of the notice. If a mortgagee claims an exemption from the provisions of Code sections 224-3 and 224- 4, please explain, leave the remainder blank, sign at the end and file this form or letter of explanation and also complete and file the applicable sections of the registration form for foreclosing/foreclosed property 333 SCUDDER AVENUE.HYANNIS.MA 02601 (1) Registration date: 0 6102/20 1 6 If not registered,please complete the registration form and state date of filing or anticipated filing (2)If commercial property, describe space utilization floor plans required by the Fire Chief and filing date(actual or anticipated)NSA (if in possession or ownership must be certified as accurate twice annually in January and July). (3)Describe any hazardous materials on the property as that tern is defined in MGL c.2 1 K and the date(s)and method(s)for removal as approved by the Fire Chief unknown (4)Method(s) and date(s)all windows and door openings secured (or will be secured) See Vacant Building Plan If left secured, name, address, and contact information of security personnel providing twenty-four-hour on-site security personnel on the property See Vacant Building Plan (5)Location(s)and date(s) "No Trespassing" signs posted or to be posted on the property See Vacant Building Plan (6)Name(s),address(es)and contact information of person(s) responsible for maintaining: structures, lawns and shrubs in sound condition free from excessive growth and the property generally in accordance with the Barnstable Zoning Ordinances the definition of"maintenance„ in this Ordinance; any other provision of this Ordinance;and for disposing of trash, debris and pools of stagnant water as provided in Chapter 54 of the Town of Barnstable General Ordinances See Vacant Building Plan i (7) If the Fire Chief of the Fire District in which the property is located has approved turning off the water or electricity,please state: Date of approval ; Date(s) electricity turned off N/A on if applicable ; Date(s) water turned off N/A on if applicable (8)Name(s), address(es)and contact information pf person(s)responsible for maintaining all existing fences around swimming pools and spas or installing fences as required by Chapter 210 of the Town of Barnstable General Ordinances National Field Network-Alecia Passley Route 9 North,Suite 100,Howell,NJ,07731 732-276-5563 violations@nationalfleldnetwork.com (9)Name, address,telephone number and email address of person who can be contacted in case of emergency if different from the person named above or in the registration under section 224-3(A) (name and contact number to be posted on the front of the property if required by the Fire Chief or Building Commissioner Nalional Field Network-Alecia Passley Route 9 North,Suite 100,Howell,NJ,07731 732-276-5563 violations@nationalfieldnetwork.com (10) Date(s) certificate of liability insurance on the property filed with the Building Commissioner Attached (11) Date(s)cash or surety bond of at least$10,000.00 filed with Building Commissioner to remunerate the Town for any expenses incurred in inspecting, securing and making the premises comply and continue to comply, a portion of which shall be retained by the Town as an administrative fee N/A (12)Date(s)scheduled for inspections with the Building Commissioner and Health Director, who may at his or her discretion include the Fire Chief, in order,to confirm that the land and structures comply with the provisions of this Ordinance or to identify the provisions with which the property does not comply and establish a program to bring the property into full compliance (13)Date(s) when the property was sold,or is anticipated to be sold,to the foreclosing party. If neither,please explain see vacant Building Plan I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of chapter 224 of the C. de of the Town of Barnstable. Date: Name-rn Title: I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-4 of chapter 224 of the Code of the Town of Barnstable. Date: Building Commissioner,Town of Barnstable . i I i NATIONAL.FIELD NETWORK A5SiI GD AP.DI A11S Vacant Building Plan National Field Network will continue to maintain the property (securing, grass cuts, inspections, etc.) until the property is sold by the owner. Should you have any issues with this property, please contact National Field Network using the below contact information: Property Maintenance National Field Network-Alecia Passley Company 4581 Route 9,North,#100 Howell,NJ 07731 732-276-SS63 x 481 r ir Property Registration Services 00 6765 N.Wickham Rd Suite C106 Melbourne,Florida 32940 p SR S Tel:321.428.0628 To Whom It May Concern, Enclosed are property registration forms, pursuant to your municipality's ordinance pertaining to properties that are vacant and/or subject to foreclosure. Should there be any issues with the enclosed forms, please contact Property Registration Services, LLC via the below email address or phone number at your earliest convenience. Thank you. l' > CD -n Danielle Kieselhorst Assistant Director ' Property Registration Services 321.428.0628 Ext. 1037 DKieselhorst@propertyregistration.com o.