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HomeMy WebLinkAbout0080 BELDAN LANE �� ����� V J�v,� �. ` �: U Town of Barnstable .. Building L s Post7his Card So That it is Visible From the Street Approved Plans Must be Retained on'Job and this Card Must be Kept Posted Until Final Inspection�Has.Been Made BARNSTA , ermit Where a Certificateof Occupancy�s Required,such Building shall No beOccupied "until a,Final Inspection has been made Permit NO. B-20-699 Applicant Name: SCOTT VEGGEBERG Approvals Date Issued: 03/17/2020 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 09/17/2020 Foundation: Location: 80 BELDAN LANE,CENTERVILLE Map/Lot 189-031-008 _ Zoning District: RC Sheathing: Contractor Name" SCOTT VEGGEBERG Framing: 1 Owner on Record: DELGIZZI,THOMAS P&JULIE M g Address: 17 PIERCE STREET Contractor License CSSL-103832 2 HUDSON, MA 01749 C Est Project Cost: $3,334.00 Chimney: Description: Insulation t Permit Fee: $85.00 Insulation: Project Review Req: Fee Paid:, $85.00 Date. 3/17/2020 Final: 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 Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT �S � Q q BUILDING DEPT. Application number... q....... ` MAR 0 4 2020 Fee ...........S ............................................ ................ • WMi�'V 1I.Dafi. i is Building Inspectors Initials....................................... TOWN OF BARNSTABLE MA'S Date Issued.............................. ............................... Map/Parcel.....� ..............og................... .................... TOWN OF BARNSTABLE SCANNED EXPEDITED PERMIT APPLICATION: MAR 8 2020 ROOF/SI DING/WINDOWS/DOORS/TENTS/STOVES/WEATH ERIZATION PROPERTY INFORMATION Address of Project: 80 Beld©n Lane NUMBER STREET VILLAGE Owner's Name: Tom DeiGizz i Phone Number 508-74n-3231 Email Address: Cell Phone Number Project cost$ 3334 Check one Residential V Commercial OWNER'S AUTHORIZATION As owner of the above property i hereby authorize HomeWorks Energy to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK 0 Siding Windows (no header change) # Insulation/Weatherization 0 Doors (no header change)# Commercial Doors require an inspector.'s review 0 Roof(not applying more than I layer of shingles) Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor's name Scott Veggeber Home Improvement Contractors Registration (if applicable) # . 181138 (attach copy) Construction Supervisor's License# 103832 (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 ............................................................ S . *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 attachEtloor;plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event ,t 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 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 APPLICANT'S SIGNATURE Signature Date All permit applications are subject to a building official's approval prior to issuance. PLAN VIEW Name: IbM De-lc' Site ID: Finished Sq'.-Ft: Phone: 50 9_ `�� 231 Year of House: /ryNo Electric Acct#: /4-16yL YO,944 Z ddress: Q Rela-- 1-1 `#of Floors: / Gas Acct#:" ,.rns�-�1c. fwf�oZ�yzunit#: #Occupants: '4/ Housing Type? DUCTWORK INSPECTION Duce InSulated?❑ Duct Linear Ft. �.,.:. _ _ `lL' Duct Square Ft. Duct Air Sealing Hours' Duct Insulation - - Duct Insulation Removal BASEMENT INSPECTION Existing' Spec'ing Ln/Sq.Ft. Bsmt Wall AG Crawl Ceiling Crawl Rim Joist Bsmt RJ w Sill -f> AA Bsmt RJ NO Sill vapor Barrierl sqft. Bsmt Door Blower Door? WALLS&GARAGE Drill Location? Siding Cell.Height Existing Speeing S .Ft. Framing Exterior Wall 1 x x Balloon/Platform Exterior Wall 2 x x Balloon/Platform Overhang x x Garage Wall I x x Ba oon P a orm Garage Ceiling x x XAN,vED MAR 18 2020 Insulation Removal Sgft ` Sweeps: Z WX Stripping: Z WORK SPEC'D BUT NOT CONTRACTED R AO BLOCKS PRESENT?(MANDATORY) Attic Basement Crawls ace Other: K&T Y Moisture Y ombustion Sft Y Kneewall' OJerhan Gara a Asbestos Y Mold>100 s .ft Y/ 0 Detector Missing Y/N Ductwork Exterior Walls - - •Vermiculite Y-/ Structl Concerns Y ther,--.> - --- r" Notes for Lead Vendor/Work Not Contracted (,.k - .. •« _ .. _ _ .. - _ .• _ .... w ,.._.�mow.... _.. ..... ... ..-_r� .._ ..-...-.._ v KW WALL AND KW FLOOR Blind Spec? OR.- KW SLOPE AND GABLE END Blind Spec? ❑ Why? _ Wh 7 PE 'ING:,. 50,FT. FRAMING°"`_EXISTING SPEC'ING SQ.FT WALL X X _ J. SLOPE,.j'.z x FLOOR % x �.+ �, 'GABLE X X • ,•. ACCESS X TRANS % % '!V - RAMS x X r .. t ""+ 4 ATTIC" ATTIC � SLOPE LOPE % EXISTING VENTING?_ EXISTING V TING? r EXISTING PIPES? Y/N Ventlng .Went BF BF Hose Dammin Sheathing Access Temp Acces „r' KW VenHngNeVent BF Temp Access rr LL wn; • r c.L '� t t' iu ,r ------------ 4.4 ®R 22 C } ,. Inwlated Wall X X Recd Light O?Ins.Hose 91 Vent 8F F6FV {him:CH Damming. 4 . T 12"RoofVent 72RV !r ►'y�M, Air Handier AH Temp Access o Pull Down•®; Hatch M Wall Hatch"/ Doom/ rilocf Vern 8RV a -•^t IaitTJ Vol: - X•.0058 ' ////11119(lstory) t • , Z^x C6 x llr ATTIC 1 ' Blind Spec? El - x x• ATTIC 2 Blind Spell?--* ❑ %'1S.412..1)� Existing Spec'ing Sq ft Existing Spec'ing ` Sq ft. 73.613 story) oor G 7r39L Unfloored Trusses Cross Batting Floored ".%� Floored' r fixed Insu abo -Duct Work ` Cath Sloe Cath Sloe >B"Loose None 4 Walls Walls r " Access /5 Access r' _.w - - - A S- - — Venting Propavents IVent BF I BF Hose I Damming Venting Pr6i3aventsiVent BF B ose Damming c .. WHF Box: - i 'a 'a _. Temp,A geu;_= t / Sheathin Access: i + `� �t ' R.L.Covers:, , _,_Sq.Ft/300=_ (Exist NFA Venting)=—_(Needed Sq.Ft/300= _I xIst.NFAVentlngl=(Needed ' t^+. - NFA Venting)- ' . •. •-- NFA venting) Roof T e Existing Venting? +, sad ExistingVenting? yp A I l t 4 t Office of Consumer Affairs and Business Regulation 1000 Washington Street-Suite 710 Boston;Massachusetts 02118 Home..Improvernent Contractor Registration Type corpwxion - f ty_istraur" 189138. HOh4E WORKS ENERGY.NC: Ezpirat�f, 03l02 2U2I 101 STATION LANDING STE t,G MEDFORD,IJA.02155 Update Addtss and Reium Card ottfca of toawnw AHAI:A BUSWK5 tie0uta*ion R sti'airon vefld fqt iFldlvidual use--IV{gkAE RA pYi OVEMENTrAMq,CONTRACTOR pen,re e%a extkirMit n dam if ft nd return tn: grai xttetf4L I=Anlration Q#Rca at Consumer AtYalf s and®uslnass Rnyufation 95t 1:3b �3PtY2!2aY 100a W"h6 n 50_1•SOO 710 - 143!✓T YiCRKSFNFHGY.INC Bactan,'1.1 0211 - - 101 STATtON LA14DI-NG STE 1.110 valid wikhout signature ?A�:f?iQRO.�,li..a_'[� - tJndeisraG'.F1arY r. C001monwt:alto Qi massacnusetts Construction Supet�nror Specialty P- plvtsiotf of PfrrfeSsi6 cal Llcen-NUM ' Sn.ird oll Buildtfig Regul scions and S,tandardS P.sstrieted to: Lsnr.[rucftt>n•S }kt f 5/eGt9r+�+i £u+ltty CSSLAC-insulation Contractor. i > CSSL-103832 E�x ires, 1011312021 ; SCOTT VEGGESERG f 8 COVING TOM ST#1 �e BOSTON MA $2127 _ 4. .f 4t Failure to possess a cui ilition of the:.Massachusetts State Building Code is c. or revocation of this license= 4i>lsniss7otter f ic:•.r;f` jp^-a For intormalwi,itbout this license j Calf(617)727-3200 or visit.www.mass.govtdpl, rt c � ; k w, To whom it may concern, Scott Ve eber is a current employee of Homeworks Energy Inc. and operates under our insurance gg ggY p policy. Policy numbers that Scott is covered by are as follows: Commercial General Liability: 793006065002 Automobile Liability: 6244378 Umbrella Liability: 7930060660002 Workers Compensation and Employers' Liability:ECC-600-4001017-2020A All HomeWorks Energy permits are pulled under his CSL license. The insurance provider is AIM Mutual Insurance Company. If you have any questions or concerns please contact Director of Weatherization Adam David Glenn at 774-365-2446 or adam.glenn@homeworksenergy.com. Thank You, Adam David Glenn Director of Weatherization HomeWorks Energy. HOMEENE-01 LLARIVIERE ACORN" CERTIFICATE OF LIABILITY INSURANCE DATEIMM/DDNYYY) 12119/2019 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 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 endorsement(s). PRODUCER CONTACT Lisa Lariviere - - NAME: Foster Sullivan Insurance Group,LLC PHONE FAX 163 Main Street (A/C,No,Ezt):(978)686-2266 301 (A/C,No):(978)686-6410 North Andover,MA 01845 ADDRESS:certificates@fostersullivangroup.com INSURERS AFFORDING COVERAGE - NAIC# INSURER A:Homeland Insurance Company NY 34462 INSURED INSURERB:Safety Indemnity Insurance Company 33618 Homeworks Energy Inc. INSURERC:NH Employers Insurance Company 13083 Homeworks IIC LLC 101 Station Landing Suite 110 INSURER D: Medford,MA 02155 INSURER E: INSURER F: 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MM/DDIYYYY MM/DD A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE - $ 1,000,000 CLAIMS-MADE ❑X OCCUR 7930060650002 4/1/2019 4/1/2020 DAMAGE TO RENTED 500,000 PREMISES Ea occurrence $ MED EXP(Any oneperson) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY - - - COMBINED SINGLE LIMIT 1,000,000 Ea accdent $ ANY AUTO 6244378 4/1/2019 4/1/2020 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY X AUTOS : BODILY INJURY Per accident $ HIRED NON-OWNED - PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY Per accident $ $ A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 X EXCESS LIAR CLAIMS-MADE 7930060660002 4/1/2019 41l/2020 AGGREGATE $ 2,000,000 DED I X IRETENTION$ 0 $ C WORKERS COMPENSATION STA PERTUTE ER OTH- AND EMPLOYERS'LIABILITY Y/N X ECC-600-4001017-2020A 1/1/2020 1/1/2021 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE � NIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? - (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under - 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Evidence Only CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Homeworks Energy Inc. HE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN gync. ACCORDANCE WITH THE POLICY PROVISIONS. 101Station Landing Ste 110 Medford,MA 02155 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) /©�1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ` The Commonwealth ofMassaclrusetts Department of'Industrial Accidents Office of'Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant.Information Please Print Letsibly Name(Business/Organization/h,dividual): Homeworks Energy Address: 101 Station Landing Ste 110 City/State/Zip:Medford MA 02155 Phone #:781-205-4520 Are you an employer?Check the appropriate box: Type of project(required): 1.90 1 am a employer with 200 4. ❑ I am a general contractor and 1 employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These.sub-contractors have 8. ❑ Demolition workin- for me in an y capacity. employees and have workers' > p ty 9. ❑ Building addition [No workers' comp. insurance comp. insurance. 5. We are a co oration and its 10.0 Electrical repairs or additions required.] ❑ officers have exercised their I I. 3.❑ 1 am a homeowner doing all work ❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.[]Roof repairs insurance required.] c. 152, §1(4),and we have no employees. [No workers' 13.0 Other Weatherization comp. insurance required.] *Any applicant that checks box#1 must also till out the section below showing their workers`compensation policy-information. 7 1-1omeowners 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. Ifthe sub-contractors have employees;they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my eniplq�yees. Below is the policy and job site information. Insurance company Name: NH Employers Insurance Company Policy#or Self-ins.Lic.#:#4001017 Expiration Date: 1/1/2021 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 certif t under the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: Phone#:781-205-4520 / wxpermitting@homeworksenergy.com Of 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#: Insulation/Air Sealing Permit Authorization Specialist: Curtis Bridge Company: HomeWorks Energy Qnrjn (l Email: Curtis.Bridge@ homeworksenergy. Address: 101 Station Landing HomeWorks Cell: 5083641715 Medford, Ma 02155 Phone: 781-305-3319 Customer: Tom Delgizz Address: 80 Beldin Ln Email: pjgorm@yhoo.com Barnstable MA 02632 Site ID: 3965368 Phone: 508( )74 -0 3231 I, the owner of the property identified above hereby authorize HomeWorks Energy Inc., or their Partner to act on my behalf in obtaining any building permit that maybe required to perform insulation and/or Weatherization work on my property and all matters related to the work authorized by said permit if one is obtained. Any related permit application cost will come at no additional charge provided.that the agreed Weatherization work is completed. Customer i Signature: Date: 1/31/2020 ------------- Tom Delgizz — � i Proposal Terms Customer: Tom Delgizz Specialist: Curtis Bridge En C Site ID: 3965368 Date: 1/31/2020 HomeWorks Ens,,:•.r • NOTICE CONCERNING SPONSORSHIP:Customer understands and acknowledges that HomeWorks Energy is not an agent,vendor or sub-vendor of the sponsoring Utility with respect to the installation of any energy efficiency measures. In the event of the failure of any energy conservation device to perform as expected,Customer agrees that Customer's sole recourse is to Contractor and not to Clear Result or to the Utility.The Utility and its operating companies shall not maintain, remove or perform any work whatsoever on the energy conservation measures installed. Customer understands and acknowledges that its participation in the MassSave Home Energy Services Program is voluntary and that it has consented for Contractor to install the propose energy conservation measures.Customer agrees that it shall not hold Clear Result,the Utility,their affiliates or operating companies liable for Contractor's failure to perform its obligations under this agreement,for failure of the energy conservation measures to function,for any damage to Customer's Premises caused by Contractor or for any and all damages to property or injury to persons caused by the energy conservation measures • ENERGY BENEFITS:The sponsoring Utility is entitled to 100%of the energy benefits associated with all Energy Conservation Measures,excluding the value of energy cost savings by the customer,but including all rights to all associated 150-NE Energy,Capacity and Reserves Products.HomeWorks Energy agrees to provide the Utility with such further documentation as the Utility may request to confirm the Utility's ownership of such benefits and products. • CLEAN UP OF THE WORK AREA:Weatherization projects can generate dust, some of which may contain traces of lead.The Contractor agrees to follow Lead-Safe Guidelines and to make reasonable efforts to control dust and other mess through the draping of cabinets and furniture with plastic, hanging plastic sheet walls,and cleaning floors of dust and any paint spatter. However,the Contractor will not leave the interior white glove clean. Outside work areas will be left broom clean and all debris and trash removed.The Homeowner should be aware however that minor amounts of cellulose and wood chips--which are harmless and biodegradable—may be left on the ground. The Contractor agrees to be conscientious about-picking up nails and other fasteners,but Homeowner should also be prepared for the occasional fastener that escapes contractor's notice. • CUSTOMER INFORMATION A Storage Removal: ❑Perimeter of the Basement ❑Attic ❑Knee Wall ❑Crawl Space ❑ Interior Walls Notes: **If the storage is not removed,HomeWorks Energy will charge$0.53/square foot of storage to move it. Wall Insulation:There is a chance your walls may crack due to the pressure that is required to achieve a dense pack.If your walls crack,we will hire a plasterer to plaster over the cracked area.You will be responsible for repainting. Please review and sign the.wall disclosure form. >Insulation Removal:Insulation must be removed from the following locations: *if it is not done,HomeWorks will charge$1.26/square foot for the removal. A Parking Permits:If the energy specialist or operations manager determines that a parking permit is required for installation and if you do not have a pre-existing solution,we will procure one and add the cost to your invoice. ➢Bath Fan Venting:Installing a hose and flapper to an existing bath fan may increase noise levels due to proper venting procedures. D Exposed Pipes:If the energy specialist finds pipes that may be exposed to cold weather,leaving pipes outside the thermal envelope may cause them to freeze. The auditor will recommend a solution to the best of their ability,however,HomeWorks Energy will not be held responsible for any damage caused due to frozen pipes. A • DEPOSIT: A$50.00 deposit may be required when signing this document.It is completely refundable until the weatherization work is scheduled. The remaining customer copay it is due in its entirety upon completion of the weatherization work. • DISPUTE RESOLUTION:The Contractor and the Homeowner hereby agree in advance that in the event the Contractor has a dispute concerning this contract,the Contractor may submit the dispute to a private arbitration firm which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulation and the Consumer shall be required to submit to such arbitration as provided in Massachusetts General Laws, Chapter 142A.The signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by the Contractor. The Homeowner may initiate alternative dispute resolution even where this section is not separately signed by the parties. Customer �} Signature`— _` /Z Date: . 1/31/2020 Tom Delgizz Auditor j Signature: Date: 1/31/2020 Curtis Bridge Page l c n__ nomeWo6s mass save Energy, Inc PARTNER 101 Station Landing Ste 110,Medford,MA 02155 (781)305-3319 ext.120 Customer Name:Tom DelGizz Email:delgizzmo@aol.com Phone:508-740-3231 Premise Address:80 Beldan Ln,Barnstable,MA 02632 Mailing Address:80 Beldan Ln,Barnstable,MA 02632 Project ID:3977208 Date:Jan.31,2020 Job Description Measure Description Location - Quantity Unit Total Cpst Customer Cost AIR SEALING Living Space 9 hr $720.00 $0.00 WEATHERSTRIP DOOR &ADD SWEEP Living Space 2 each $160.00 $0.00 ATTIC FLAT-7"OPEN R-26 CELLULOSE Living Space 968 SF $1,335.84 $333.96 VENT BATH FAN THRU ROOF Living Space 1 each $118.75 $29.69 INSULATED BATH EXHAUST HOSE Living Space 1 each $60.00 $15.00 WHOLE HOUSE FAN COVER Living Space 1 each $209.21 $52.30 PULL-DOWN STAIR:THERMADOME, BUILT-UP Living Space 1 each $237.65 $59.41 ATTIC DAMMING- R-38 FIBERGLASS Living Space 50 SF $123.00 $30.75 VENTILATION CHUTES Living Space 88 each $307.12 $76.78 Total Contractor Price and Payment Schedule HomeWorks Energy, Inc.agrees to perform the above described work,furnishing the material and labor specified for the listed tota price. Payment of the balance of the customer contribution is expected upon completion of the work. Customer Signature: e Date: i -a D ';zCi Customer Phone: Specialist Signature:. Date: ' S I Z� Z v UMrTM IWE OFFER: The prices and incentives In this contract are subject to change in accordance with the sponsoring utility MassSave Home Services Program offers. Proposals can be sent to:lnboxQHomeWorksEnergy.com Page 2 o t Ulome orks Mass save Energy, Inc PARTNER 101 Station Landing Ste 110,Medford,MA 02155 (781)305-3319 ext.120 Customer Name:Tom DelGizz Email:delgizzmo@aol.com Phone:508-740-3231 Premise Address:80 Beldan Ln,Barnstable,MA 02632 Mailing Address:80 Beldan Ln,Barnstable,MA 02632 Project ID:3977208 Date:Jan.31,2020 Project Total $3,271.57 Weatherization incentive ($1,793.68) Air sealing incentive ($880.00) Total Program Incentive $2,673.68 Customer Total $597.89 r I Total Contractor Price and Payment Schedule HomeWorks Energy, Inc.agrees to perform the above described work,furnishing the material and labor specified for the listed Iota price. Payment of the balance of the customer contribution is expected upon completion of the work. - Customer Signature: �"_ �' �C Date: / C) Customer Phone: /1 — 1 / Specialist Signature: C�z�(,'� � �� Date: ti Zz 0 Z� f ulmrrm 71NtF OFFER: The prices and incentives In this contract are subject to change in accordance with the sponsoring utility MassSave Hone services Program offers. Proposals can be sent to:tnbox@HomeWorks£nergy.com r Project Summary Name: Tom Delgizz HomeWorks Energy,Inc. ° Phone: (508)740-3231 101 Station Landing Email: pjgorm@yhoo.com Medford, Ma 02155 woft Site ID: 3965368 781-305-3319 Energj,tnc MASS SAVE Cost Incentive Air Sealing $880.00 $880.00 Weatherization $2,391.57 $1,793.68 Duct Sealing $0.00 $0.00 Duct Insulation $0.00 $0.00 MASS SAVE REBATES Incentive Preweatherization Barrier $0.00 IC Rated Lights $0.00 tDryer Vent $0.00 tAttic Floor Removal $0.00 *Rebates may only be applied as reimbursement of your cost to the Contractor for services rendered. t t BEYOND MASS SAVE QTY Cost Flip/Slash Insulation 250 $62.50 Total BMS Costs $62.50 ttAdditional listed work may be a requirement of the insulation proposal. HomeWorks will only remove those line items if completed prior to install date.All work performed beyond Mass Save carries no incentive.Attic Floor Removal rebates may only be applied if HomeWorks Energy completes the flooring removal. SUMMARY Cost Incentive Mass Save $3,271.57 + Beyond Mass Save $62.50 TOTAL PROJECT _ — $3,334.07 $2,673.68 Total Copay $660.39 Customer Deposit Applied $50.00 FINAL COPAY (due on completion of work) $610.39 HomeWorks Energy, Inc. agrees to perform the above summarized work (Mass Save & Beyond Mass Save), furnishing the material and labor specified for the contract price (Total Project).All work is subject to change, and homeowner's approval is required for completion of any and all work. Preferred Day of Week for Insulation Install: Customer: Date:1/31/2020 Tom Delgizz i/yam Specialist: rr Date: 1/31/2020 Curtis Bridge Curtis.Bridge@homeworksenergy.com 5083641715 v.17 Building Division 200 Main Street Town of Barnstable Hyannis,MA 02601 To: Rene Fuertes From: Debi Barrows Fax: 617-727-6659 Pages: 8 Phone: 617-727-4900 x349 Date: 4/13/2006 Re: 80 Beldan Lane CC: ❑ Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle M qWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ! Parcel Permit# L 3 g 1 Health D'Ivisiori Date Issued Conservation Division Fee Tax Collector (� f✓C� Treasurer ° SEPTIC SYS Planning Dept. Checked in By OF EDilOOM Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis Afik ►,�1..4 ?damPe- 0, w!' Project Street Address UAW I. aY�2 Village Owner Address i I `e ► !�1�I�0z Telephone W13 P Permit Request hon 1 k 0OUA �SQA&b A sm W itl� oto� [� % Xs Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new 3W Valuation Zoning District Flood Plain Groundwater Overlay Construction Type-. E . Lot Size;; c , I Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. '77- �v ft Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing;.Structure "' ® J Historic House: ❑Yes Xlo On Old King's Highway: ❑Yes Nr o Basement Type:; M Full O Crawl ❑Walkout El Other �� '�01�1 1,6 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 f First Floor Room Count J Heat Type and Fuel: >(Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes XNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:A existing 0 new size L 2Shed:❑existing ❑new size. Other: Zoning Board of Appeals Authorization ❑ -Appeal# Recorded❑ Commercial_-0 Yes "0 If yes, site plan review# ' Current Use V1 Proposed Use " BUILDER INFORMATION gyp, Name t► Telephone Number �0 Address 6a License# ©�'1'�f�tq I G Home Improvement Contractor# f, Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO %Wq�kw_ 5 SIGNATURE DATE aJ FOR OFFICIAL USE ONLY iF g, PERMIT-rj,O. DATE ISSUED c YGIAP7 PARCEL NO. c ADDRESS .VILLAGE , OWNER t DATE OF INSPECTION: i FOUNDATIONo FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL- GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT , fit ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' d 600 Washington Street ` Boston,MA 02111 www massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/organization/Individual): Address: �� M & '�I_ City/State/Zip: ��� I' (�, � Phone#: 5 W "c� b ',re you an employer?Check the-appropriabox:. Type of project(required): I am a employer with _ 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6 New construction .❑ I am a sole proprietor or partner- listed on the attached sheet x ?• ❑ Remodeling ship and have no employees These sub-contractors have 8. D Demolition working for mein any capacity. workers' comp. insurance. g. Sguilding addition [No workers' comp. insurance 5• ❑ We are a corporation and its 10.❑ Electrical repairs or additions required.] officers have exercised their eP ❑ I am a homeowner doing all work right of exemption per MGL I-❑ Plumbing repairs or additions myself.'[No workers' comp. c. 152, §1(4),and we have no 12. Roof repairs insurance required.].t e to employees. ❑�p y [No workers'' 13.❑ Other comp. insurance required.] ny applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: �a (omeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such mtractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. tm an employer that is providing workers compensation insurance for my employees. Below is the policy and job site formation. wrance Company Name: A n licy#or Self ins.Lic. #: 6 S 6 0 IA Expiration Date: b Site Address: AW City/State/Zip:_ tach a copy of the workers' compensation policy declaration page-(showing the policy number and expiration date). ilure to.secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ie 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 up to'$250.00&Aay against the violator. Be advised that a copy of this statement maybe forwarded to the Office of . restigations the for insurance coverage verification. 'o hereby rti d pains and penalties of perjury that the information provided boy is true and correct: Mature: Date: one#: 5M 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 b.Other Contact Person: Phone#: - 'AUG.17.2005 _ 4:121PPL—LOVELETTE INSURANCE NO. D-P. 1i1"fMI A Q. CERTIFICATE OF LIABILITY INSURANCE 08/3.7/200S oD (508)775-�4559 FAX (508)773-4577 1S RTI AT IS 1 US S A R F I RM ! ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE �aT'shall K. Laue1 ette Ins. Agcy., Inc. HOLDER.TH1S CERTIFICATE DDES NOT AiMEND,EXTEND OR 396 Main Street ALTSRTHE C0 ERAGEAFFORDED BY THE POLICIES BELOW. P.0. Box 836 INSURERS AFFORDING COVERAGE NAIC R West Yarmouth, MA 02673 22 92 MUM MALL HOPKINS DBA E CONSTRUCTION INSURER"' Hanover PO BOX 231 iNsu B; SOUTH YARMOUTH, MA 02664 INSURER D: INSURER D! INSURER E' COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED To THE INSURED NAMED AB&—JEFOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CEKtIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THETF.RMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGAYE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, IWO TYPE OF{NSURANOE POLICY NUMBER OA 7t DATE M I LIMITS LT R EACh OCGUF RENCE F 1,OGO,000 GENBRALLIABIUTY OHN5423140 03/23 005 03/21/2006 X COMMERCIAL GENERAL LIABILITY P 15E9 foRa Ge S 300 000 CLAIMS MADE L•• I OCCUR KW E*(An am PCWI) S S 000 PERSONAL& i is A GENf-PALAdOREGAYE S 2,000,0001 GE1N7GGRI GATF LIMIT APPLIES PER: PRODUCTS•COMP1pp AQG S' POLICY [6T 7 LOG AUTOMOBILE LIABILIrY COMPIN50 SINGLE LIMIT (EE gpgdenQ ANY AUTO ALLOWNEDgUTOS BODILYINJURY S (Par pemon) SCHEDULED AUTOS }IIREDAUT09 BODILY INJURY S (Per actelen) NON4IA'NED AUTOS PROPERTY DAMAGE 5 (Pv acddent) cAPAGE LABILITY AUTO ONLY•EA ACCIDENT a ANY AUTO OTHER THAN Fj0 ACC 3 F AUTO ONLY; AGG S EXCESSIUM ,ELLA LIABILrTY BACK OCCURRENCE s B'i OCCUR a CLAIMS MADE AOGRBGATE S 5 DEDUCTIBLE 6 RETENTION $ WORKERS COImpENS&MN ANp TORY LIM179 ER E'MPLOYERg'LMBIV" 6,L EACH ACCIDENT $ ANY OFFICERINEMEER/D(GW VEEXECUTNE E L•DISEASE.EA EMPLOY $ IIy�aeacdIn Inder EL.DISEASE•POLICY LIMIT 3 9PECIAL PROVISIONS below T D pip-n OF OPERATIONS I LOCAT1oNb l VEHI 6E31 EXCLUSIONS ADDED BY ENDORS MINT! PEVAL PROVISI S arpentry orkers CoMp certificate has been requested and will be faxed upon receipt CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE OESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION OATS'IMPAMP,THEISSUING INSURER WILL ENDEAVORTO MAIL _IQ_DAYS WRnTEN NOTICE YO THE CERTIFICATE HOLDER NAMED TO LOP, Town Of Barnstable 6UT PAILURd TO MAIL SUCH NOTICE SMALL IMPOSE NO OISLIOATION OR UARILITY Boi l di ng Department OF ANY KIND UPON THP INSURER,ITS AGENTS OR REIVIMCNTATN". 367 South Street AUTHORz EPRE5£NTATIV£ Hyannis, MA 02601 IAf3 Sohn McShera 30HN II ACGRD25(7001108) FAX: (509)790-6230 ®ACORD CORPORATION1988 fX191AUG.26.200502 9:55AM EI LO`JELETTE INSURANCE PAGE 003/003 Fax ser--12_755 P.1/1 •, il1 `I'1';�`, 'IOf AD 118-22-05 7%IA TH S I CA AS A MA 's INFORMITI P. LOVELETT$ ENS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE STREET HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND ORBOX 836 ALTER THE COV@RAGE AFFORDED BYTHE POLICIEd BELOW. WEST YARMOUTH MA 02673 COMPANIES AFFORDING COVERAGE COMPANY 2�F�J A HARTFORD UNDIMIRVRITERS IATSURPAdCE cat-IFANy INSURED COMPANY :iOPXXNS, NIALL M PC BOX 231 F,OUSi YARMOUTH MA, 02664 COMPANY Z` COMPANY D THIS IS TO CE1 ,FY THAT HE bI .r':' RT T T PQl CIES 10F�INSURANCE LISTED BELOW' v1 .• INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM 09 CONDITION HAYS BEEN Y CCh"1pA OR OTHERRDOCUIvISO MENTED AWTHER RESPECT TO WICY PERIOD HICH THIS 1 CERTIFICATE MAY BE ITI ND 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 EIY PAID CLAIMS. CO TYPE OPIMURANC6 POLICY EFFECITVE POLICY EXPIRATION LTR POUOVNUMBER DATE(MNKDDkyy) l0ATE(MWDDkYY) LIMITS 09MERAL LIABILITY COMMERCIAL GENERALLUIBIU-Y GENERAL AGGREGATE 6 PRODLCTS•COMP/OP AEG, CLAIMS MADE=OCCUR. PERSONAL S ADV. NJUR1' I�� OWNER'S&l)ONTRACIUP'S PRUf. EACH OC 0Rf NCE 16 FIRE 0AMA011(Any one lire) g i AUTOMOBILEWABIurY MED.EXPENSE(Any ono parson) g COMBINED SINGLE I ANY AUTO LIMIT ALLOWNF.I AUTO& BODILY INJURY SCHEDULED AUTOS (Per Person) I HIRZp AUTOS NON.OWNED AUTOS BODILY INJURY (Pot A4oidvnl) PROPERTY DAMAGE S GARAOE LiABILITY AUTO ONLY-EA ACCIDPNT I ANY AUTO OTHER THAN AUTO ONLY. EACH AGO!)ENT S g EXCESS LIABILITY AGGRFGATF. EACH OC%nP CNCC I UMBRELLA FORM ACG3EGATS g OTPIbR THAN UMBRELLA FORM A WORKER'S OOMPENSATION AND EMPLOYERSUABILTY (UB-7727A39-5-04) 24-04 09-2E-a STA 7UTO"LIM r 18 THE PROPRIETOR/ EACH ACCMENT 6 L 00 000 O PARTN_RSX-CUTIVERX r—ACINCL DISEASE—POLICY LIMIT s 500 000 OTMeR PFICEFl6 AR;- cXCL pISEASE—EACfi EMPLOYEE I D0,0 00 I NO O l I L t L THIS P.EPLACF.S ANY PRIOR CERTIFICATE T98VED TO ^_fiE CRATZFICATS HOLDER AFFMCTIKG WORXERS COMP COVERAGE, 7777 SHOULD ANY OF THE ABOVE DESORIFED POLICIES BM CANCELLED BEFORE ,.T,E:.r EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL TOWN OV BARNS TABLE 10 DAYS WRITTEN NOYIDE TO THE CERTIFICATE HOLDER NAMED TO THE .16T 50t:Tli 6T LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR HYANN I5 XA 02601 LIABILITY OF ANY KIND UPON THE OAMPANY,ITS ADENT3OR AEPRESENTATIVE6, ALTMORIYED REPRP.SENTATIVE Y Town of Barnstable Regulatory Services MAMmass. ` Thomas F.Geiler,Director 019. 9�j°�ED 19+'t a`e� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www,town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 • Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: 6 "emu'-'" ^�"'\ Estimated Cost Address of Work: 06 a�JC0w � �® i.J1 ``� f"`� Owner's Name: Date of Application: . I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 OBuilding not owner-occupied []owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDERPENALTIES OF PERJURY I reby apply for a permit as the agent of the owner: Com , Qmk6mv) b Registration No. ate D Contractor Name g OR Date Owner's Name QATms:homeaffidav 1.�V Y •29 f F .. - 4. Y d. �ya j�� J7y( �i ,` r _ .,�`,L..d.•e"Y.�rt� ^I. . } ^, X..s., . if4ai,q R' iUt Y Qom' . .•k4 �� I\ 1 Y •f�S a Y : r Q• � y.. R \ NA w 1l:- 4- v� �'S.t E3llf�tK).S q f kr 1 a y 3�420' st..14 r CERTIFIED PLOT PLANYz�` .. i // F_,'s � �. r.r•ii -4-11-AT F i'"}:s - u' !EWx1 CONSTRUCTION ONLY 7 �''E`"� �` R *OP OF FOUNDATION IS. Z'? FEET IN .:. A.BOV..E .LOW POINT OF ADJACENT aA11 AS t 49�� ':J.a� 'S , ROAD: ' :SCALE �D . / _ . -DATE: . ., ELORaGE. ENGINE-ERING CO. NC, .=E �.:,,�- < CLIENT I CERTIFY THAT THE: ___... ._. SOWN ON THIS PLAN (S LOCdTE$ EB1:8T:EFtED REGISTERED . JOB N0. '.`'c1�\/ ON THE G-ROUND A3 ]NDIG ` ED '.AND C:fVIL 'LAND. EMOIN.EER SURVEYOR DR. BY: ' , CONFORMS TO THE ZONING ,AdV3"::. ' QF. BARNS ABLE , MAS k ' { `s CH. BYE �iA/ ,�AAIAI CT i ^. f7 yy1 II/JJ�y 1 Yt Lf: .1 tL 1 ��/4L1 HYANNIS,tl MASS. SHEET E OF . - DATE REG, RAND SU:IR.. Ftj Aug 03 05 04:49p p.1 3 GRANGE CONSTRUCTION Inc Building Contractors Box 231 South Yarmouth MA 02664 508 394 4986 Lie#084916 Reg#133862 Proposal page 1 of 2 Mr. Seth Cook 1 Clarke Road Spencer MA 01562 508-885-7013 508-885-5974 Job Description: 80 Beldan Centerville MA 02632 508-775-1851 Screen Porch Addition 08/03/05 Grange Construction to construct a screen porch(16'x 20')320 sq feet The existing deck &concrete patio will be removed The porch will be constructed on sono tubes The screen porch roof section will lay over the existing roof The roof will match the existing roof Exterior trim&siding to match existing home Home will have*IS lb felt at all doors&windows The walls will be wrapped in typar/tyvec All walls&the ceiling are to finished with shiplap pine The floor of the screened porch will have mahogany decking The screened porch will have 2 rustic beams to stop the walls from spreading Screens will be installed in all openings The porch will have 2 wooden screen doors(one to the shower&one to the grill) All construction&insulation to meet or exceed MA Building code Grange cons t supply all permits&remove all debris The exterior ill ed&will have 2 coats of finish paint Grange Co n t construct an outside shower the deck of the shower is to be mahogany are to be I 6 cedar The shower i a 'xer valve&an exterior light Niall Hopkin Mr.Cook, Total Twenty Two Thousand Five Hundred $22,500.00 74 Board of Buii �✓ ' n g Regnlatio HOME 111MROVEMENT ns.a'nd Standards `. Re Pstritie CON- ACTOR Ex 133862 ?/2005 GRANGE C �a j WALL HOPK 118 PE LIDR&r ' i YA'RMOUTH MA Administ"rator BQAaR�D®F BlJ9P R; ei_ we e License: C®NSTRUCT6ON SUP,E:RMIS'ORS Numb yS 0849116 r�S7 Tr:no: ' NIALLJ�HOPKIIN �� e rrv` 118 LA lk I: KEFIELD SO.YAF2'MOUTM � �' I Administratoti• � ---- J', p TOWN OF BARNSTABLE Permit No. ---------------------- t ; Building Inspector Cash --------------------- �� rro A OCCUPANCY PERMIT Bond ------------ !o ' U "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Gre-enixier Di vei(jvaent: Wi Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. ..................................................., 19..... __ ....................................... ......................... ..w......._._.... . .�_._. . Building Inspector Assessor's map and lot number 1 � /ram' �tpTi/� SYp C THE STEKn fvUS'j• l o o a lewage Permit number 8j ..-, 5s.....ait.`.11Ax.... INSTALLED IN COMPLANC'• WITH TITLE 5 _ ' pp�� House number 4#.....IJ.l .............. . ENVIRONMENTAL CODE AN� 'oo t6 L AD E, • ' TO N liii'N REGULATIONS aMAy'A,— TOWN OF BARN-STABLE DUI.LDING I+•NSPECTOR APPLICATION FOR PERMIT TO ........(.. '.' ....,................... ................. ................................................. TYPEOF CONSTRUCTION ........................... ........ ...... ..�... .... ... .............................. ................................... ....... ., ..... .......................19.n TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ................................... .. ' ` A........ e�� .... Proposed Use ...... .,�'�'f/ J .``-......... �� ./�......'...° ���/LL............................. ......................... ZoningDistrict ............./.. ..�4� ..........................................Fire District ............ ................................................................ i Name of Owner .....i�,�11�^�%!l�C`�� Z "..........Address .. �P' ��/V Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address ....................:................ .............................................. Number of Rooms ................ ........................................Foundation .!/ .............. �l!.�%/...`� Exterior .........cewwo....... .............................................Roofing ..... �/� ...................... /". .....�� ............................ Interior ....... ..Floors C��. ��� ..........:................ . ,/Y.l......xg�.G .......................................... Heating .......r./.�.1`!.,.... .. . ................................Plumbing �............. � ............................9i� Fireplace .... ................ . 06 U ....................Approximate Cost ...... .�'a .............................,........ Definitive Plan Approved by Planning Board ______--- _ ______19 Area 1.Qv Diagram of Lot and Building with Dimensions Fee 'k—J..... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the T n of Barnst le regarding the above construction. ' Name ........................ . ......... .......... ............................ t ' GREENBRIER DEVELOPMENT CORP. No ...22564 Permit for One Story Single„Family„Dwelling.....:..... Location Lot #8 80 Be ldan Lane .............................. I F Centerville .............................................. ........................ Owner Greenbrier. . . . ...De. vel. o.pment. ...Corp. ....... ... .. . .. .. .. ....... .... ....... ..... t Type of Construction F.rame. ..... w .. ....... .. ...................... - ? ....................y...................... ....... / Plot ............................ Lot ................................ Permit Granted October 6, 19 80 MDate of Inspection ..........................n.........19 E Date Completed �� '. . ......19 `a • I-- PERMIT REFUSED f . .. ......:.............".............:.... , 19 t , `. ..................................................... .. ............................................. ..... ......................... ..............................................`-... f ' .. r • �� ~ y i III Approved ..:. .......................................... 19 i T ....:.......... . ......... ...K. ..................... s j Assessor's map and'lot number r r ey Sewage Permit number^/ �a,�, Z BABBSTABLE. • House number .............. �.... ....... 9� MA9B • :4 }..... p 2639. \0 TOWN OF B=AR.NSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION ......................... ... .f.......�.........�C:........................... .................................. 1 ...........! ,�..............................19. v TO THE INSPECTOR OF BUILDINGS: The undersigned ,�hereby applies for a permit ,according to the following information: Location ........................................... .......... : :......./1......... ..................................................... Proposed Use .........!le!..... /::...�` ...:.i;:1.........................n !(�..... £:.7.::7.?,..... tr........................................................ Zoning District .............................................Fire District ................ f...:..........::. .............................................................. Name of Owner .........,?::°�.��� `. ''r:'.. ::... '` it.............Address .. f/: ................ ( %v...................................................` C' � + Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .................`:'`...........................................Foundation .%rt G ��iilie'r!t`` Exterior ........ `..................... ................... .....................Roofing .....:*' !.rf.J.............................................. Floors C �1�i� ` XI/'-' Y/ Interior 5�f�;� /f�!C..�� ........................................... ............... ....... ... .......r...................................... ......... s....... / ...... Heating ........! off. :�. // ................................Plumbing .......+.'�t �, !.. /? r''��.............................. At- Fireplace .....................................Approximate Cost r, l/(1 Definitive Plan Approved by Planning Board ---------9 yo Area ... �>: ......................: Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..............................:..........a:...................................... 7 __S. I��..I'aouiIv... _____ ' Location .Lot...#8...80... ..,LAn.e....... _____.Cent�J��il]`� ___—_ - Owner ...G ie��..D�J/� ..CorI». Type of Construction .Er ................................................./............................ � � Plot Lot Permit Granted .....O.Ctlber 6, 19 80 PERMIT REFUSED ° lg ' . ..-----. . —^-^^'^—^' �� �� A tt�j ' �,.r �....� ,� .ri�'d.a4+.°•1 Sf�pi Yr° ,�� ��'��,I �Et 11r Fj R:y ��X r i A �yG k �, fps; S f, ti S` _ ' ��„ f...s� .° 1� _ ��. Ertl ,, r�•.� -f � t- _a.-.Y ..� •_.;�_-__..�,_. i:���'• _ �4�y`�a� - ;�'�f tk� yl s�� to .•f - .. i GKI' -+++ so:—rf 1 .^ r*S _ .a t i. �_:I.r-rry�,•rr •. ' _ I I...(♦t - .. .. '� ,��\ J1`/1/a J in lip tp �.si R '� Y �l �/ a �(5� ' ♦Y 1'r 1f�' i:j. o.3420 � r ♦ - y.t�� .... ..--� --...;--s-._-.max r:..'-,'---�' ;.,. . ..,r-_.r'•rl \'1 � �n 0. eat � E ! -I a `p - U ^i •» '«-' h ,.,. fie; ' �;•- Gam'. �-��11Rd'i.K (( f, r h' �t I J dY .i ` CERTIFIED PLOT PLAN r_ 4 s C,. Cam.".".�'`y,� NEW CONSTRUCTION ONLY - i" ,TOP OF FOUNDATION IS FEET IN �' A ABOVE LOW POINT OF ADJACENT aAil��iS�f AS�� MASS. a ROAD . SCALE: `40 � DATE ���YA-:; r _ I CERTIFY THAT THE - -- ---- CLIENT_ SHOWN ON THIS PLAN IS LOCATED { EGISTERED REGISTERED �, i C.IVIL (. LAND. JOB NO % �` ON THE GROUND AS INDICATED AND EER SURVEYOR DR. BY• / �' `} ' CONFORMS TO THE ZONINti LAWS` ENGIN —� -- a OF BARNS ABLE , M�AS .I - �E2 —Atni_�T CH. BY REG. LAND SURVEYOR HYANNIS, MASS. SHEET f OF �^ DATE 114E fpk,O The Town of Barnstable ;. BARYSTABLE. Department of Health Safety and Environmental Services . 9 MASS. �P a679• �0 - PfFD Mph> Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: 0-0 0 6 Map/Parcel: 03 I 6 le-1, Project Address: gib a -QY) Builder:C, r C,,n Qe e (,c)n S+ M-nC. 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