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HomeMy WebLinkAbout0110 THIRD AVENUE (HYANNIS) //a ........... k1 ve. � � - - to 0 o f f co Town of Barnstable Final Inspection Affidavit Date-al Thomas Perry, CBO Building Division 200 Main Street Hyannis, MA 02601 RE: Insulation Permits Dear Mr. Perry, This affidavit is to certify that all work completed at: Street: f ,Q fNAA--e— Village: has been in pec ed by a certified Building Performance Institute (BPI) Inspector.All work performed meets or exceeds federal and state requirements. (Dc S i ' Permit application number: • )I Issue date:. ` Sincerely, CD z o m Francis Sheehan President N Frontier Energy Solutions; Inc. c c 502 Harwich Road do Brewster, MA 02631 Office: 774-237-0410 r— Email: fssfrontierenergy@gmail.com rn TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # 001 S0�� 6 Health Division Date Issued 1.740' Conservation Division Application Fee Planning Dept. Permit Fee �35 •0d Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis F Project Street Address Village 4- Owner 1 � Address IQ NM LQ_ Telephone Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District I ®Q . Flood Plain Groundwater Overlay Project Valuation Construction Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Eit�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) f Number of Baths: Full: existing new Half: existing I new Number of Bedrooms: existing _new '5 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 stover-LI Yam' ❑ 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 If yes, site plan review# Current Use y — Proposed Use 'e 1 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Nam ° JW&Iephone Number AddressS:2:, License # Home Improvement Contractor# �ld Email Worker's Compensation #E- T4 01 ��15 • ALL CONSTRUCTION DEBRIS RESULTING F M T IS P ECT WI BE AKEN T Vd i-(, -flpla SIGNATURE _ DATE FOR OFFICIAL USE ONLY ti} APPLICATION# l > DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE K OWNER f DATE OF INSPECTION: FOUNDATION FRAME " INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. F' FEDERAL ID#45-4636448 Frontier Energy Solutions;Inc. MA CSL#105941 Customer: Denise Dandrea Frontier Energy Solutions,Inc. PHONE:774-237-0410 10 G$Third Avenue 502 Harwich Rd West Hyannisport,MA 02672 Brewster,MA 0263.1 CONTRACT THIS CONTRACT IS ENTERED INTO BETWEEN FRONTIER ENERGY SOLUTIONS,Inc. AND THE CUSTOMER FOR WORK AS DESCRIBED BELOW SALESPERSON: Dana Bergstrom Description Quantity Cost CLC Incentive Net Cost Air sealing labor'hours .8 $616.00 $616.00 $0.00 Crawlspace Floor:6 mil Vapor Barrier 1000 $770.00 $770.00 $0.00 Crawlspace Walls: 3-R-20 Closed Cell Spray Foam 220 $1,210.00 $907.50 $302.50 Crawlspace:Access Door 1 $250.00 $187.50 $62.50 Crawlspace: Insulate Door 1 $42.50 $31.88 $10.62 Crawlspace: Labor&material for wall 3 $225.00 $0.00 $225.00 construction Totals - $3,113.50 $2,512.88 $600.62 WE AGREE TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS FOR THE ABOVE SUM. UPON FINAL INSPECTION AND APPROVAL BY FRONTIER ENERGY SOLUTIONS CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL.INTEREST OF 1%WILL BE CHARGED MONTHLY ON ANY UNPAID BALANCE AFTER 30 DAYS. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Da.rtia• tiergvtrovw Frontier Energy Solutions Signature Customer Acceptance/Date ACCEPTANCE OF CONTRACT-THE ABOVE PRICES,SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO DO THE WORK AS SIMEO.PAYMENT WILL BE MADE AS OUTLINED ABOVE. NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN 30 DAYS. S ICI The Commonwealth of Massaehusetts �. Departmen ofIndustr ctlAccidents 1 Cott Tess Street;Suite 100 Boston, AM 021.14-017 www mass.;ovMa «at hers Compensation Insurance Affidavit_ $uilderslCo®traetoislElectreianslPl'umbers, Tn RF FYr Vn wy-FJr T"E..!?,�RNUITTI 3.kUTHORIT?f_ Applicant Inforutat On T --- - Please Print Le-,ibly aTTIE(i3usinessfOrganization/Individual) t i /1 1 L L fc r�i \Ll i �n S Address "Y .��i i_._t,� ? � l. ( t 4""v j :` t •irvtr�,,rr !.r i� t_- L i t✓'`-If y Are yop;an employer?Check (the appropriate box: Type of project(required): 1 I atn a employer With! t . employees l fu[l.andlor part-time).* 7j, tVew construction 2 I am a sole_proprietor or partriership and have no employees working for me in ❑ 8. ❑Rernodeling. any capat ty-(No+port ers comp.insurance regUired j -f ar£m a homeswri.,dohL -11 ...sa t r�r _kcr .mp !'tc'wgnc� e,tu_c:d]j t - �, El l�ernolltiS3[1- f 10❑Building addition. dD tarn a homeowner and will be hiring contractors to corfrct all work on my property t vdill ensure that all contractors either have workers'compensation uisurance or are sole HE Electrical repairs or additions j proprietors with no employees. 12.❑Plwnbing repairs or additions QI am a general contractor and t have hired the sub-contractors listed on the attached sheet "These sub-contractors have employees and)ave work rs'cornp.insurance, 13. ]Roof i repairs.11nther d 9'}fz4`i X/tt''/' '- �. +`. `v'iiav auva'tiC ( v.i1C.. na'vb ci6t MiJGu uiGi1 Ld�:lt L�GCLIiIpitUn peF Y.IIIL L' � J_ � _ � 15 §t(A);and we have rto employees.{No workers'comp insurance required_; tlFtt j 'Any applicant that checks box#I rnuSt.alw fill out the section belaw:showingtheir workers'compensation policy information_ t I Iorrietiwmers rho submit`this affidavit:indicating ihe}are doing all work and theti hire outside contractors must submit anew affidavit indicating.such, +Contractors that.check this box mustattached an additional-sheet showing the name of the sub-coiitractors.and state whether or:not those entities have, f employees; tf fhe sub-contractors have employees,they tiiust provide their workers'comp policy number. t. 77 E b .:d W..��«z�.... ..,oi clvr •:�y -T'Wivyees. Below 6S 4h Wri pviii`}'iticu f'(Iu`Siie 4 inforrnatcom -{ ,v Ensurance Company Name: S- Ir Policy#.or.Self-'ins.Lic: # t1 UUL ~ `` i (`� t-xpiration gate- f (7 roh Cite AL id—cc/ rc > Attaelt.a copy of the worlters' comppsation policy declaratan page'(show'ing the policy numbe .ant esptiratsonateb Faiture to Secure coverage as required under MCL c. 1a.2,y25A.is a criminal violation;punishable by�a fine up.to$l,5p(1 tlQ and/or one year'impir sonment,as well as civil penalties in the r form of a STOP WORK ORDER.and a fine of up to$250-00 a day against the violatot. A copy of this statement,may.be forwarded to the Of ic'of lnvestigat ins of the DIA for insurance ( coverage.•verification. l i tirr.;:erevy eer jy under tite pains ri `lies of perJury that the pfo nration provuterl above is t e u d correct: Si nature: Date: I Phone 1 q- l ? Official use only. Dv not write in this rhea;to be CdoWleted by ells or town official City.or Town: Pgrmi#ILieemse# Issuing Authority(cit~cle one). ( ` I .Board of Health.1.Build ug Department.1 City/Town;Clerk 4,I tectrical Inspector S.Pturnbin Inspector 6.Other i c�untiiii.r2rSC►u: Phone;F' I _Office of Cousnmer Affairs&Busiu SRegulation License or registration valid for individual use only ME JA6PEtQVE11iENTCONTRACTOR before.the expiration date. If found return to: r, - is �tration: 166654 T Office of Consumer Affairs and business Regulation t a y xg ration: 818/2016 LLG.._. 20 Park Plaza-Suite 517fh Boston,MA 02116 . . FRANCIS SHEEHAN 502 NARWICH RD BREWSTEB,MA02637 Underseereta ry t va' with ut signature j. Restricted To.CSSGIC-Insulation Contractor 3oard and 5Yandaras f i rise c. 105941 r �C�� �ALY •��i _ 1. Failure to possess a current ed" on of,tlae:Massachusetts . 1 �P Static Building Code is cause for revocation of this license. Y�`�r-.• cpis t e=, _ _ For DPSlicerdingirYfori>tation.visit www_hRass_6ov/t}PS �. Coa?►m€>ssc e= 02197120 96:.- I i 3/ 1,6,/20,15 12 : 35 : 39 PM 8626 �j 02/02 A ' P CERTIFICATE OF LIABILITY INSURANCE DATE(MMiDD1YYYY) .- 0 311 612 01 5 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 00509-001 - CONTACT Jeffrey Ford NAME Rogers&Gray Insurance Agency AHONNo.Ext: (800)553-1801 ;(Al.No.: (508)398-0246 434 Route 134 EMAIL South Dennis,MA 02660 rpDRESS: INSURERS AFFORDING COVERAGE NAIC INSURERA: A.I.M.Mutual Insurance Company 133758 (NSURED Frontier Energy Solutions Inc INSURERB: ' INSURER C: I 502 Harwich Road Brewster, MA 02631 INSURERO: i -- INSURER `` E: 11 - 1 I INSURER F: 1 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER, THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR j TYPE OF INSURANCE IN9R POLICY NUMBER !AVICE Y'(YY) (NAL DMYXYY)I LIMITS GENERAL LIABiLITY ( i _1'. H OCCURRENCE j s �I COMMERCIAL GENERAL LABILITY ! I I DAMPP.GE TC RENTED I s I PREMISES Ea orcurrsncet I I CLAIMS-MADE OCCUR I I'.IED E.�P(Any one person) s F— I I I I PERSONAL&ADV INJURY i s LJ I GENERAL AGGREGATE !'£ I IGEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OF-AGG {s i _6OIIrY F—T'R�O- AUTOMOBILE LIABILITY 11NED SINGLE LIMIT I s i EOa aoadantS ANY AUTO I I 80DIL1'INJURY(Pcr person) I^� I ALL OPINED I SCHEDULED ALIT OS AUTOS I j I ^BODILY IhJJLIR't jeer ac 7entV $ I I I ! � NON-OINNED PROPERTY DAMP.GE HIRED ALTOS �_AUTOS ! I .Per 2reiden- UMBRELLA LIAB OCCUR i I ;EACH OCCURREivCE s { EXCESS LIAB CLAIIAS,MADE I I I I AGGREGATE Is I I DED RETENTIOJ s ! s I RS MIN%LI j X V$STATIJ- : OTH-1 y.p{ E Co N i j I I TCRY LLM",! S EF.' AND EWIPLOYERSBILITY i I ANY PRCPRILTORJPARTNIP.,'EECUT.'JE Y7N ! I EL EACH.ACCIDENT ;s 1,000,000.00 q nr'FICERIh1EMBER EXCLUDED?' !Y I N to l VWC-1 00-6015315-201 5A 1311412015 3114/2016 (Mandatory in NH)- L—'I I i E.L DISEASE-EA.EMPLOYEE $ 1,000,000.00 E.L.DISEASE-POLICY LIMIT IS 1,000,000.00 p i ���SC�IF`#�OtJ�rO?EP,ATI�iNSbelcv+ I I i DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE.HOLDER CANCELLATION Town of Sandwich 16 Jan Sebastian Drive SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE SanowlCh,MA02563 THE EXPIRATION DATE THEREOF,. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE _ LZ ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered lurks of ACORD 2630 Parcel Detail Page 1 of 4 ff �.c... ., t� ti. Logged In As: Parcel Detail la(I Monday, November 16 2015 Parcel Lookup Parcellnfo Parcel ID 266-015 ( _ Developer Lot�OTS 1511 553 Location 110 THIRD-AVENUE(HAPri Frontage 80 Sec Road _.Y� Sec Frontage Village HYANNIS ( Fire DistrictHYANNISI Town sewer exists at this address,NO I Road Index 1709 I . r Interactive Map Owner Info _ Owner RADFORD, DENISE L&I Co ) Owner streets 700 BEACON ST#2 (streetz � city NEWTON CENTRE state MA (zip 02459� .�a j country Land Info .............................................................................. .........................................................................................._._.......... Acres 0.18 _7 1 use Single Fam MDL-01 zoning RB --1 .. Nghbd 0107 Topography 1Level - Road Paved N utilities eptic,Gas,Public Water f Location Construction Info Building s of 1 Year Ext 1942 Roof Gable/Hi o d Built Struct <yap wall Shingle Living . .""..'.,""w' Roof r'.,`. `»M"`. ,. AC m., Area 1020 ( cover%Asph[ GIS/Cmp Type(None Style Conventional In wall Drywall j Rooms 3 Bedrooms Model Residential Int Carpet w. Bath 1 Full-1 Half Floor Rooms ..,,,,w Grade verage Type Hot Water ,.. Rooms FS°oms sto Heat Gas Found-, stories 1 glk/Pour Ft s ry Fuel� ation, g Gross rea 288 1 A Permit History Issue Date Purpose Permit# Amount Insp Date Comments 4/1/1989 Addition B32785 1$15,000 1/15/1990 12:00:00 AM HP ADUN W Visit History Date Who Purpose http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=19115 11/16/2015 . � r. .. ,�. . •'/'.}•��c' ..•4-7+.''l;rv,,a.f. r1 Y.,,r,., ..:..a.}/•-�+31'w r�! A ._ .a .,. • r:. Assessor's office(1 st Floor): Assessor's map and lot number ` poi TM E toy`. o Board of Health(3rd floor): ``F Sewage Permit number —� � ` � � C)N I ��^� Engineering Department(3rd floor): 1� 1\ i B�rasa LL House number ' \ . G0�t6}9 ®� Definitive Plan Approved by Planning Board 19 o war d APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO F X/2-• A NV 716V "I- 1,2-X/Z Z)6-=le' TYPE OF CONSTRUCTION y 19 D r TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ��/ �/1��6 �( • y� / /4// �D xr Proposed Use /TCfl A/ hZ _Z)122!1N d �E'C/e- r&ow 0C�>0 M� �w f Zoning District Fire District Name of Owner boA/,L.� SPIL6,d7:t/dE Address/71Ai?Z6LALV_ G/✓. Al, l�171�`�62d Aff/ Name of Builder bwlw"l GOA/5 C - Address OZI) A;AAE-/e NOU5,6� Eb, Name of Architect /�DA/�G� �tlA111,47r/ Address Number of Rooms Z }evS L7E"G/L Foundation CONUE7F 1-502 46 Cl1 S Exterior 01417E CEbA/(_ !911IA/6LE S Roofing (3?91_kG �'�G"iREKGiL9SS /axe % Floors /A/ L.90) t//&YeS , Interior �z D'e yu)"Va- r / Heating `RCF� f�b� ty/9 Plumbing /2 wry Fireplace Approximate Costs�� rD Area ' Diagram of Lot and Building with Dimensions Fe'e ,_ C i t a - -EiV ! I` y 1 4 l OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License 00,5"�UD SPILLANE, DONALD A=266-015 No 32785 Permit For Bld. Addition & Deck Single Family Dwelling Location 11® Third Avenue Hyannisport Owner Donald Spillane Type of Construction Frame Plot Lot Permit Granted April 7, 19 E.;9 Date of Inspection 19 Date Completed 19 C� � 107a Assessor's office(1st Floor): �� Assessor's map and lot number oi YM E Board of Health(3rd floor): Sewage Permit number < 7 +� S 0 N L y ,� Engineering Department(3rd floor): Z BABNANO L House number "• SEP MC Definitive Plan Approved by Planning Board" 19 114S' CE APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only ` �.�`CODE ANDTOWN OF BARNSTADP=RGE'GULAT10V ' BUILDING INSPECTOR � are APPLICATION FOR PERMIT TO ?X/L ADO i 716A/ 6- TYPE OF CONSTRUCTION 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies applies for a/permit according to the following information: Location f�/ rf���tJ �/�Z�• f�B/ �(Z_r Proposed Use Zoning District Fire District Name of Owner hD,t�WLL� p%C_��6 Address/?llKZ9ZW 4,A /V /71MZ- 3696 Name of Builder 2)VA111W//T C01,157- Co , Address OG2 L�17L�1GLE l� Name of Architect Address Number of Rooms Foundation CONCkE7F ALO CJ-Z S Exterior 01)6E" QFb-9dC ! /IIZWGLN 5 Roofing Ge LC ✓-Gi(3E c7egSS 'AX-Y, 3 zew Floors /it/ 1,47V) Interior Heating 2 67 7 Y-' Plumbing Ab / may Fireplace Approximate Cost ���� Area a 94-4 ' Diagram of Lot and Building with Dimensions Fe���.�, UU � c I_V OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License SPILLANE, DONALD ti No 32785 Permit For Bld. 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