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HomeMy WebLinkAbout0145 BRALEY JENKINS ROAD r ,xr _. /��J`� .�' i�L�.S'�� �:. .: �., � , � � :� W 0 o e C APCE 000 �,3 E INSULATION { ` TIBER GLASS SEAMLESS SPRATEOAM SUSPENDED BATTS GUTTERS INSULATION CEILINGS .q y 1-800-696-6611 ` } ; , Town of Barnstable Regulatory Services Building Division - 200 Main St Hyannis, MA 02601 Date: Dear Building Inspector - Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed& completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village tZ�O&+� m�Ae1'� 1�51i�cAley seL)k ►.�.� Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings ( ) O (30 ) ( ) (` ) Slopes Floors Walls ( .) ( x) ( l3 ) Sincerely jHyass' Jr, resident CapeI ulatio , Inc. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # 2,0 t y Health Division Date Issued l Z t C7 Conservation Division Application Fee ' Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address �� S �c'��`{ J e►.' 't+-S Village C��•�ery 1`2 I Owner ��OCX A AMA 4 yeJ 2 `` Address Telephone Permit Request __-iv Su 19 4 i ytiy �c r►� �L�4-' �( - _ Sc- A:�4 Yac_LJ vz;rjIvA, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation _r✓► L 00 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 ( nt-i Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other � z - 4 o Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stover❑Yes -❑ No �_A c Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existi% Loew size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: 3 U' N W Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ c M Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use 1 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name A yeti�/ CA-"t"sr- Telephone Number Address L/ 5-5- YJ1C oJl'k License# to o0i Ik-1AA -tS /jq A- 6 2x-n i Home Improvement Contractor# l S-3 SC 7 Worker's Compensation # we_ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY { APPLICATION# DATE ISSUED r = MAP/PARCEL NO. ADDRESS VILLAGE , OWNER l DATE OF INSPECTION: FOUNDATION11 ti „I FRAME E f INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL 6.GAS: ty �,e. ROUGH z t '� FINAL =:�iF[NAL BUILDING=: IRIN r -DATE CLOSED OUT k ASSOCIATION PLAN NO. Th.e Cornirlo,c-iwealth of AICIssachfts•etts Departn,ze it oflnduslriall, ccidents l'\4P.- r n Office of nvestigutions ' - 600 Washington Street Bo 'to M.A 02111 rurvrp.rriass. ovlrlia Workers' Compensation Insurance Affldavit: Builders/Contractor-s/Elee.ti-icians/Plu:rribers 1 �l�tlic _,lit. Jn.formatiola_ _ Please I'l:i.zli f,e Lb]A Name (business/Organization/Individual): - � � ) (��___ j�( . _ A i lcli c s:.------ - — \ ----�� — ----- C I ly/S tal UZ1p: _B A1 I �_ Phone #: S�0 7_7 Are yotl an entployerr Cl-tecic th appropriate box 7p.e of project (required): 1. 1 am a employer with .41 ❑ 1 ani a general contractor and.I — 6. [J New tbnstl uc[ton` eitiployees (1it11 and/or part-tirnc),I: have hired the sub-contractors _ J.[_ 1 am a sole proprietor.or partner- listed on the attached sheet. 7. ❑ Rernodekirlg ship and. have uo eniployecs `These sub-contractors leave 8; {] Denfolitio❑ workingfor me in any capacity. employees and have workers'' ) P� Y• 9. 13ullding addition [No workers' comp. insurance comp.insurance.$. required-] 5. We are a corporation and its 10.❑ Eleclracal repairs or additions officers have exercised thc;it 11. Pltul�bin repairs or adcli[ions 1. ant a homeowner doing all work b 1 rltyself, [lqo workers' comp. right of exemption per MGL 12.❑ Roof repairs inst.trance required.] 1 c. 152, §1(4), and we have no employees, [No workers' 13.0 Other(�t4 ��G� ,LL comp. insurance required.] 'Any applicant that checks box 111 must also fill out the section below showing their workcrs'compensation policy in formation. 1 Homeowners who submil this affidavit indicating they are doing all work wid then hire outside contractors must submit a new aftidavil indicating such. 1C:onuaciors that rhi:ck this box must.attached Bn additional sheet showing the name of the sub-contractors and slate whether of not those entities have. wnployccs. rf the sub-contractors have employees,they must provide their workcrs'comp.policy number. .I urn till errtployer•that is providing workers' compensation inst.crtince for my ernplo))e1es. Belau is the policy(Ind job site i.nfornta.tiun. Insurance Corrtpa.ny Narrie: — -�"! G_�� � v h_/_ Policy Il or Self-ills, 1_,ic #; Z � EKpirakion Dale: C) Job Site Address,.=_ — City/State/Zip:_T_' Att<tcll a coley of the )vor1cers compensation policy,declaration page (showiiiig the policy number and expiration date). Failure to sccurc coverage as 1•eguired'tuucter Section 25Aof MCI:c. 152 can lead to the imposition of criminal peualtics of a I fine up to $1,500,00 and/oi one-year-impris6mnerit, as well as civil penalties in the form of a STOP WORK ORDER and a fine fof up to $2.50.00 a day against the violator. Be advised that a cop), of this statement may be forwarded to the Office of lnvesligations of[lie DIA for insurance coverage verification., —T r/a hereby cerlifj 1tr ..e j>cr.' and penalties of perjury)0W the information provided above is trice and correct. k n Date:_ f' b7, J 1, 'Official use only. Do.tiot write in this area, to be,corri/)leted by city or torten official City or Town: l— -^ PeriniULicense# — --_-- —^ Issuing Authority (circle one): I. Board of 17ealth 2. Building Deportment 3• Cite/Town Clerk 4. Zlecirical lnspect:or S.'Plurnbing Inspector 6. `- Coutact Vet son:________-- Phone tl: I f l l a l't l( ,•r `J,1 l;11 U-7.1116 7 y 5 - Roller; a C.Lay L1;, .I'ztU�, 00'! Cllerllg: 4597 CCINSUE ACORD,,., CE T1F1C `'E OF LIABILITY INSURANCE DATE(IVNVIIIJI)ryYYY) THIS CEItIIFICATL-IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDE2712010 , CERTII-ICATE 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 BETWEENTHE ISSUING INSURER(S),AUTHOI- ED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. Ifa1POR rANT II tho raltificate holder is an ADDITIONAL INSURER,the policy(ies)must Ue endorsed.If SUBROGATION IS WAIVED,subject to tltr,Ldnn;ami LOnclilioilS GI the policy, cel-ain Policias may require an endoisenlent.A statement on this certificate does liol Conte,i ighlS II)the :andlcale hull-i irl lik:u of Stich anciorsenlent(s). PROOUCEI: - - CONTACT Marl Rogers A Grly 111`i. -So. Dennis IJAIVIE:_ garet Young 434 PrIt7NE `- ------=- -- ---• �I AX OULn 1341 - (EMC)A R.N oE-R<-�5—V08-7-6.�0�4602 P 0.Box 1601 IL DRILS .. - , - �uuth Drnniy, (VIA 02660-•1601 CUsronlER 10 --_— ---- — -`- INSURER(S)AFFORDING COVERAGE NAIL N CaPe COd InSulahon Inc tN RERA:PaerlasS Insurance ----- INSURERri•Ohio Casualty Insurance C on'1 un - •155 Yrarnlouttl Road p� y . HYy Il nis, IVIA 0260-I 1 SURER C.Atlantic Charter Insurance' wsuREaR Carnmarca Insurarico Colnparly 34754 . INSURER E isOVE IA A 1;EIS 11; .I( GLI FIFICATE NUMBER: REVISION NUMBER (L I Ir I rIA'r rIIL I'01 I(Ik„(7F IN;AJRANCE LISTED BELOW HAVE BEEN IS'SUED TO THE INSURED NAMED.ABOVE FOR 1 HI_POLICY PF_RKT) Nln t C I NO I;VII I rS I ANDING ANY RLQUIRF.:MENT,TGRM OR CCINDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT 1'O WI-NCFI 1'FIIS 1 R li %nI:E MAY I1Li IS;';IJED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TEEMS, Exi t.Uali)riz;AND CONDITIONF;OF SUCI-t r'OLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAIL)CLAIMS. 11t 1"i PL OF INSURANCE xmrNSR "um Vll -POLICY NIrMUF:R OLICY EFF POLICY ExP - A 'CitNgl AL•I.IAUII II'f IVVANOJYYYY MIN/OOIYYYY - LIMOS CBP8263063 0410112010 0410112011 EACH000URRENI)L $1,000OOU x I nu,ur-,t'Ai t i NI,IJAI UAISII_1IY .`P - OabIAG OF.I NII D •0, -- �XI PF I:MISI 5 J ,,,, „ r„ 1.100,000 . ML-O FXI7(Any one pen:onl $5,000 - PERSONAL&ADV INJURY $1,000,000 UINLi(Al AC-(.R--E.GAIE-.-___ $2,000,000. VI NI •Uad<I t_r I I 1 ilal I AI'Vlal.:i I'I - —'----- h . ._._..�...._. .. ..,-._._- PRODIICIL3 COMPInhAGG $2,000,000 LOC D AutolloUll-EUAu,Lrr'( 1UMMBCKVMK 04/0112010 04/01/2011 L Cllvll'.SINF.0 SIIVGLL LIIVII G nrl,;,UItJ- _ IEaacciddrn) $1 00U,000 _ ni .r:i'rdl U AI,I10, 130011.1"INJURY(1101 pUrsn4i) $ _ n :h:nl Uul l i AU I t l;; BODILY INJURY(11ur aeculunl) $ T_ x I l:ril U nU l il:r f ROPERTY DANIAGI` "-- - (Noracchlenp - .. NON 1 r:U I t c; $ - "161L`LAl''L' X (u;r•.i1F; MEYAPP397725 06117/2010 04/01/2011 rnrHloil.NI,RENi1 !1 UIIU0U0 .�.�s 1 000 000 . ---- A(GRL CIA rC - I.11J�ifr_1i1111_ - , X ni-II hll+i IN 1, 10000 _ - WORIvLRS C'OMPLNSAl ION - $ U WCA00525901 613012010 06/30/2011 X wcslvu. ouh ANU LI\iPCO(EKS LIAgILIIY �?EY_.lJit1(1.%L_ Ll-J AN I1 Vr I.ILII K ARI NI h&Ab'C1111V1- - -.- UI I:.I h 1l P.1111 H I:•:CI.UI!I. )I �N N/A - - E.L.L.ACI I AC(ID1:.IV 1 $500,000 1 .IIJ 1111,1 Wi Ll - -L.L DISFASL EA HvIP O)TI: $500,000 - .. - _. IIL'ri'PI'IfliN t,l-()i'r RAII(1NS UiauW - - EL.DIS11til POLITYLIMn ' $500,000 , t)ESCRU'UUIr'us:Oi'I:RATIONS I LOCAIIONS I VEHICLES(ANach ACORO 101,Additional RuQl4ik5 Schudulu,if nwru 5pacu IS ruquu ud) Workers Colupinforn'I;ition Includad Otr•ical'S Or Propriators (aaa Attached Descriptions) CERTIFICATE:HOLDER ti CANCELLATION '10 Days for Non-Pa meat SHOULD ANY OF THE ABOVE DESCRIBED POLICIES LIE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN HOusLrly A:;sistance Corp. ACCORDANCE WITH THE POLICY PROVISIONS. 48-1 West Main Street Hyannis, [VIA 0260-1 AUTHORIZED REFRESE14TATIVE (01988-2009 ACORD CORPORATION.All rights reservad. ACORD 21(20091Q!)) 1 of 2 Tllu ACORD flame Lind logo are registered marks of ACORD #S548141M53353 MEY 1 - ll tss:u'hutictt.� - Dcpai•tnn'nt fit'Piihlic afct� i, Board (.1 i3uil(lin� Rc�ulali(rn. .tn(1 ltan(lar(iti; Construction Supervisor, License License:`CS 100988 . R , Re st1ic[ed to: 00N. HENRY RY, CASSIDY u � •. `4 K•; 8 SHED ROW WEST YARMOUTH, MA 02673z` s tF { X. Expiration:_11/11/2011 (,,tiuni. i„ni•r; Trtt: 100988 s Lllaon an� Se an _ - a1S One Ashburton Place- Room 1301 ` Boston, Massachusetts 02108 - I Ioine Improvement'Contractor Registration, Registration: 153567 Type: Private Corporation Expiration: 12/15/2010 Tr# 278247 CAPE COD INSULATION, INC .HENRY CASSIDY Y -- 455 YARMOUTH RD. - -- HYANNIS, MA 02601 Y. Update Address and return card.Mark reason for change. Address �� Renewal I� Employment - -_I Lost Card ;-CAt 0 tiUM-07/07-PCH490 - I, License or registration valid for individul use only 1� HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 153567 Board of Building Regulations and Standards Expiration: 12/15/2010 Tr# 278247 _ One Ashburton Place Rm 1301 cs Type: Private Corporation - Boston,Ma.02108; CAPE COD INSULATION, INC HENRY CASSIDY ? / 455,YARMOUTH RD. C �l HYANNIS,MA 02601 Administrator Vtp I wr� out'srgnature -- i a'- _VUARG Ps— loll rel.(5W)771-5400 877-852-9317 Fax: (508) 775-7434 TTY on all lines 460 West Main Street,Hyannis,MA 02601.3698 www.hoc'oncapecod.org TSLS FORM IS TO BE SIGNED BY TM APPLICANT:ONLY IF YOU ARE A HOMEOWNER if YOU ARE A TENANT,YOUR LANDLORD MUST SIGN A TENANTMANDL ORD AGREENEN'T' WMCH IS A SEPARATE FORM OWNER WORK PERIy IT&IEL REI EASE I - owner,hereby consent to and agree that the following weatherization work may be done by the Cape Weatherization Program of the Housing Assistance Corporation(hereinafter referred to ss the"Agency"), on the property located at (q_5 a=z e� Ze�i i'a�_s t� Weatherization work to be done will be based on programmatic-priorities and the availability of fundin .For example: Weatherstrip and caulk doors`and windows;insulate attics, sidewalls and floors;attic ven elation- 6olillrc,-CwP% ,ve.,3'ti Ic J'ic>, ' In consideration of the above weatherization work,I agree to the following: 1. Give permission to the above agency, its agents,and-employees to travel onto or across said property with such equipment and materials as may be necessary to perform weatherization on said property. 2. The How Assistance Corporation reserves the right to inspect the fuel or utility, bills for the wea:thetized unit on an ongoinebasis for no more than five(5)years. I have read the provisions of this agreement as listed and freely give my consent. . OWNER(Mguziue)_�� .DAM . DATED _ f" HEAMIG COMPANYOR DEALER L" 3 A housing partnership and communify deveiopment corporation' HOUSING ASSISTANCE CORPORATION WEATHERIZATION WORKSHEET Client Name/Address: Contractor: Cape Cod Insulation Rhoda Maxwell Project Coordinator: John Vaughn 145 Braley Jenkins Rd : Built in: 1987 Date: 9/21/2010 Centerville Phone: 508 420 2047 installed Program: Weatherization JOB# ARRA& CLC Units Description Price `' D G/N C. DOE GAS/NSTAR CLC QCq DOOR_ S _�:A« • z Weatherstrip w -on -Front,to Garage, Int. Bulkhd v ea. - - Fixed Sweep-Front,to Garage, Kneewall door r . ea. l - - Automatic Sweep ea. � - - r R-5 Ductwrap or R-max on door-Interior BulkHead ea. $ A ® 1 ad� - Lockset/Schlage or equal $ - Repair/Refit Door a ea. $ ib" r 36"Steel prehung replacement door ea. $ '@!e!ft - - 32-36"Wood pre-hung replacement door w/lite ea. $ Mooi* - - - 28-32"interior solid core door ea. $ OREM - - - Interior Basement Door-door only ea. $ Interior Basement Door.-w/jambs -ea. $ I11II1IIII111M - WINDOWS Weatherstrip Window/Sc legal or equivalent ea.side i - - - Top Sash LockSide Press Lock Glass Replacement to 64 ui Glass Replacement per ui over 64 Replacement grids(per window) ea. $ doelft - - Energy*R4 prime win.repl.ment w/low-e to 73 ui ea. $ 4MMMft - - Energy*R4 prime win.repl.ment w/low-e to 74-83 ui ea. $ -� - - - Energy*R4 prime win.repl.ment w/low-e to low 84-93 ui ea. $ - - - Energy*R4 prime win.repl.ment w/low-e to low 94-101 ui - ea. $ slow - - - Basement window replacement(awning/hopper) ea. „ -Basement-window replacement with frame ea. $ WzPList Page 1 of 4 04/12/2010 HOUSING ASSISTANCE CORPORATION Contractor: Cape Cod Insulation Client: Rhoda Maxwell BILLING SHEET (Cont.) Date: 9/21/2010 Installed Programs=Weatherization Units Description Price D G/N C:, DOE , GAS/NSTAR CLC QC�I MISC. MEASURES w/s(Q-Ion or equal)attic hatch , ea. $ W/S -on or equa - a is atc neewa oor ea. -2 , _. Blower door set-up with pre&post tests -, ea. . Attic/Basmnt sealing w/2-part foam-Inclding ChimneyChase man/hr. $ 8 � Seal ucts with mastic or utyl acetape "NOW 2 Cut-finish attic-kneewall access Pg82 WAP Manual: ea: boom = _ u ose a tic- neewa access- room n oo_r c entV Kit for Bath Fan - - Replace Clothes Dryer Vent incicing FlexMetalDuct(H&S) _ Replace Clothes Dryer FlexibleMetal Duct Only(H&S) dmm 1 4111111111� Bath fan-Panas.Whisp w/exstng pwr&timer(H&S) 4 at an-w o exstng p w r&timer Labor only charge-See Notes man/hr ATTIC INSULATION R-49 unrestricted-settled cellulose sq.ft. !m - - _ _ R-38 unrestricted-settled cellulose sq.ft. Add R-30 unrestrRcte -settled cellulose over existing sq.ft. 4PW 924 _ unrestricted-settled cellulose sq R-10-12 unrestricted-settled cellulose sq.ft. R-30 restricted-slopes/floored fl w/cellulose. sq.ft. -18-2 :restricted-slopes/floored opes/floored ill w ce lu ose sq. _iW restricted-slopes/floored fi w/cellulose sq.ft. 460 _ tics airs&common wall-fill w ce u ose stairwell R-13 FGB in open rafters/walls/kneewal s sq.ft. 5 MW R-19 FGB in open rafters/walls/kneewalls sq.ft. $ elm Kneewalls R-12 Cellulose behind permeable membrane sq.ft. $ Reinforced poly/R-20 cellulose open rafters sq.ft. $ 0% .Reinforced poly/R-30 cellulose open rafters sq.ft. $ e ite uw t pulldowns air insu, foam box ermo ome ea. ttic neewall Floor Transition Dense Pack w/cellulose In.ft. 26 wzPList Page 2 of 4 04/12/2010 HOUSING ASSISTANCE CORPORATION contractor: Cape Cod Insulation Client: Rhoda Maxwell BILLING SHEET (Cont.) Date: 9/21/2010. Installed Program: Weatherization Units - Description I Price I D .G/N I C DOE I GAS/NSTAR I CLC I QCz WALL INSULATION _ap_oar s a es s mg es or vinyl (dense pack)-it Required,/ sq.ft. loss 0 - -. Single nailed asbestos/asp alt(dense pack) sq.ft. Double nailed asbestos/aluminum(dense pack) sq. ft. - - Bnc Stucco(dense pack) . sq.ft. Drill rough plaster patch or finish wood pug(dense pack) sq. ft. dW - - - Drill wish patch plaster(dense pack) sq.ft. - - - Vinyl over asbestos dense pack) sq,ft. Test drill 4 sides&attic floor. . flat rate dWW 1.25 - - f interior wall ow-Garage, R-requireEF sq.ft. ies q~0 sq.ft. - - BASEMENT INSULATION -NO CELLAR/ON SLAB arage cei mg cavity fill WblowE cellulose-if Require sq.ft. $ 9W Im $ 601"Pl7 - - Sill two-part foam w/fiberglass batt sq. ft. $ - - - lr Sill insulation,.Faced R-19 F/G Batt-replace missing In,ft. $ 41M 12 dim" - - Garage ceiling cavity fill w/blown cellulose-If Required sq. ft. $ Basement overhead insulation R30 Fiberglass sq.ft. $ - - - Crawispace overhd.insul.4'high or less R-19 sq.ft. $ - Crawlspace overhd. insul.4'high or less R-30 sq. ft. $ dw - - Perimeter Wrap,R-7 reinforced foil or vinyl-faced ductwrap , sq. ft. $ rllm - - Perimeter 2"foam board sq. ft. $ 41111111111 6 mil poly ground cover,lapped up foundation wall sq. ft.I $ eW MISC. INSULATION Duct insulation,Vinyl-faced,R-5 minimum sq.ft. •� Is - omestic water pipe wrap In.ft.T ■Oft y rornc pipe insulation to copper pipe - n. ft. - - _ Nydronic pipe insulation 1.25- 1.5"copper pipe.R-5 In. ft. Steampipe insulation to 1.25 iron pipe R-5 In.ft. - - _ Steampipe insulation to 1.5-2"iron pipe R-5 I In.ft. $ &� I - - _ Steampipe insulaiton 3"iron pipe R-5 in. ft. GW wzPList Page 3 of 4 04/12/2010 HOUSING ASSISTANCE CORPORATION 'Contractor: Cape Cod Insulation Client: Rhoda Maxwell BILLING SHEET(Cont.) .Date: 9/21/2010 .Installed Program: Weatherization Units Description Price D G/N C DOE GAS/NSTAR' CLC QCq ATTIC VENTILATION Rectangular gable vent - ea. ""M' Varipitc vent ea. - Roof vent 135(1 sq. ft.NFV)large ea. A I dMM - Roof vent 865(.4 sq.ft.NFV)smallea. - - Turbine Vent ea. Stack en ea. �p Proper Ventea O dw ectangu ar soffit vent ea. - - - R� ge vent In. - DEADLIGHTS &OTHER Deadlights _ ea. 4Q1M $ $ $ _ V 1"Rigid Pink Board (A/S or labor) in kneewalls -- sq.ft. $ 104 imam - - Window quilt ea. Sliding glass door ea. $ - - - - Building permit,baseline price(input unit accordingly) ea. a~ 4 0 - - BLOWER DOOR RESULTS CFM @ 50 PASC. PRE_/ 2240 cfm , POST / _ TOTAL DOE $ 6,669.00 LEVERAGED FUNDS $ - TOTAL JOB COST $ 6,669.00 Photos and attic Inspection form are required at time Invoice is submitted. " wzPList Page 4 of 4 04/12/2010 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) M LI DATA ti���'�•�'��.•�''4 5�� 8"'yam"�,��tk�. 7� H *� fly 'w ' *Y t� gym T 1 �g Town of Barnstable *Permit 606 /55' Expires 6 months from issue date X-PRESS PERMIT Regulatory Services JUN 2 9 2006 Thomas F.Geiler,Director Building Division C�� TOWN OF BP+RNSTABLF.�om,Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 ®��Zcl1 pfv www.town.bamstable.ma.us . Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY r Not Valid without Red X Press Imprint Map/parcel Number Property Address C6 Ul'Residential Value of Work o® � Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address ZY�c9/P_t�-�ZZWlC IIVJ /GU . &� IZER KIZZI . !i//1_. IF Contractor's Name Fj6FAe 1101W9j3 `//6 . Telephone Number Home Improvement Contractor License#(if applicable) /0ooS6 3 Construction Supervisor's License#(if applicable) 91w,"orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvementgntrc rs License is required. SIGNATURE: / Q:Forms:expmtrg Revise071405 r of.TM Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Tom Ferry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize T)wF-FKEE k6'MCS to act on my behalf in all matters relative to work authorized by this building permit application for: (Addtess"of Job) a696 . Signature of Owner 15ate l7Yw31 im'7 t Name f Q:F ORMS:O W NERMRMS S ION The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Mass. 02111 Worker's Compensation Insurance Affidavit LA"licant Information PLEASE PRINT LEGIBLY Name: Location: /- J' &E4ti6 � -% EMS MA- RA City ell 7457kV1&& Phone## ❑ I am a homeowner performing all work myself. ❑ I am 3 sole prop:e:ui and have no One LU."y C;4P4QCy I am an employer providing workers'compensation for my employees working on this job. Company Name:_ t�/ Gt�E ,419/1�765 //L/C Address:_,,3'- /-�vr-�TDB,/ 14-cl . City: ��'/.Q�/!'f/tc'%(/, /YI Phone# j2�f- 3�97_////.. Insurance Co. /7 , Policy y C✓ ' � ., ❑ I a a sole proprietor,general contractor,or homeowner(circle one)and have hired the conts�_:wn listed below who have the following workers'compensation policies: Company Name: Address: City: Phone# Insurance Co. Policy# Atm.*sddh6cesl lie if Failure to secure coverage as required under Section 2SA of MGL 152 can lead to the imposition or criminal peoaides of a fine op to SIS00.00 and/or one years'Imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the OMce of Iavesdgadoos*(the DIA for coverage verification. I Do herby c under the pains and PP Cgp of perjury that the information provided above is true an d correct Signature Date 6 2 66 Print N Phone# 5-0 ��ll! OMcial use only do not write in this area to he completed by city or town official Clty or Town: PermitiLicense a ' ❑ Buildhs;Ikpartment ❑ check it Immediate response is required ❑ Licensing Board ❑ Sekctmen's Mee ❑ Health Department Contset Person: Phone a ❑ Other (revised_V"PIA 1 `�.`,� 'n�n"_✓"^':fk-;t:k•y. ;,. -'n.t °. °.-,. :� C,^SL�',;w¢".«�Tr' 4rr� +. �+:`z 1 i ts- .ti••+.� „M rs^'`' '" � kl�.�.. w,i'.+c S 6y�° +�.� g..�.# .,fie�^�i: r�''�`J':mY'E3;sey b �w, c• i`.h..'s>,_�!'= `• Client#:105054 CAREFREEHOMESI A�014,QTM CERTIFICATE OF LIABILITY INSURANCE o41241 s°'Y"' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Feitelberg Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 222 Milliken Blvd. HOLDER. THIS CERTIFICATE DOES' NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O.Box 3220 Fall River,MA 02722 INSURERS AFFORDING COVERAGE INSURED INSURER A. Acadia Insurance Companies Care Free Homes,Inc. INsuRERs: American Home Assurance Company 239 Huttleson Avenue Fairhaven,MA 02719 INSURER C. INSURER D: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. SR TYPE OF INSURANCE POLICY NUMBER PODAL EV EFFED LYE P DATE Y EXPIRATIONrcS L A GENERAL LIABILITY CPA016537710 09/01/05 09/01/06 EACH OCCURRENCE $1000000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $25Q Q00 CLAIMS MADE [—X�OCCUR MED EXP(Any one person) $5 OOO PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE s2,000.000 GENT-AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG s2,000,000 POLICY DO Pc C I I LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULEO.AUTOS..,... (Per parson) HIRED.AUTOS BODILY INJURY $ NO"WNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ 4 DEDUCTIBLE $ RETENTION $ $ B WORKERS COMPENSATION AND. WC6812119 09/01/05 09/01/06 X WC TORY$",.T OTH- EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $500,000 E.L.DISEASE-EA EMPLOYEE $500 000 E.L.DISEASE-POLICY LIMIT $500 000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSMNS ADDED BY ENDORSEMENTISPECIAL PROVISIONS *Except 10 days notice In the event of cancellation for nonpayment of premium CERTIFICATE HOLDER ADDInONALINSUREO INSURERLETTER: CANCELLATION SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Joan Morgan DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL3n* DAYSWRITTEN 69 Brington Road NOTICETOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT.BUTFAILURE TODOSOSHALL Brookline,MA 02445 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AU ORIZED REPRESENTATIVE ACORD 2"(7/97)1 of 2 #S82441/M8796 DP3 0 ACORD CORPORATION 1986 t . Board of Building Regulations and Standards License or registration valid for.individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to Reglstraflan,100503 Board of Building Regulations and Standards EXp�ratiiin 6119/2008` One Asliunrt6n T'lace:ltm 1' ff� — mid,. Boston,Ma.02108 T Jx e SLPPfement Card YP CARE FREE HOMES�NCt 4" lj JESSE MOTTA � ;; l 239 Huttleston ave Fairhaven,MA 02719 Administrator Not valid without sign ure j. R Assessor's office (1st floor): . rN, __ of THE To ,Assessor's map and lot number ----- .. ...................................... - s SEPTIC ---------------_ toard of Health (3rd floor): ` /1 1 f INSTALLED ry�gJgT g Sewage Permit number .................................................. .... NSTALLED IN COMPLIAt C 2 EASBSTADLE, Engineering Department (3rd floor): - SG WITH TITLE 5 9°o,,�0 9' ...........�..�..1 .... E c House number .................... .••.......•... . VIRONMENTAL CODE Akio t'APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN REGULATIONS TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO �....Z...r�?TQ Y.....Y-1C�c)-�L'r............................................................... TYPEOF.CONSTRUCTION ...........0 A......... 2A! .5+.......................................................................... .........6.. 19..... ................... _.0_.4 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... .... ...............................00............ ........................................ ProposedUse ......... I/ .. ............................................................................................................................... Zoning District .......... .....................................Fire District ...... . Name of Owner �J G...n`�C !�'5.......,/ � ........Address .�.�')... -� ...�TG...�. ....z.......� J Name of Builder f.:.4%.�''J.Ct- DJ�V..........Address .................................................................................... Name of Architect ...............Address .:T-A! �A�p �... ................................................................... Number of Rooms .............................................Foundation ��G ?-... ................... .............................................................................. Exterior .....Cln 4 5.... ..-l1I1PJ<�.c.��.........................Roofing ......AS.eYRL`! ................................................................. Interior ......D?�.OJA.L.L FloorsC,.)!.C. Z'lf? ............................................... / ................................................ Heating L IC%u' 2 A�S 9'. S..........................................................Plumbing ............................... Fireplace ��s .....A Approximate Cost .......ILP �.....�o 'pp ,z .............................................. Definitive Plan Approved by Planning Board ------- __ U___(---------19---- - . Area .... � .f�16............. Diagram of Lot and Building with Dimensions Fee ............/ . ........................... SUBJECT TO APPROVAL OF BOARD' OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of th To n of tabl-agar the ove construction. Name ... ............ ...... Construction Supervisor's .... . .... .. .... ............. L BAI SOLLOWS TRUST 10 9 9. ......... Permit for ... Story ............................ . ..............Single; .� . ..,.F.a.m.i.l.y...Dwelling. . . . . .. .. .... .. .. . ........ ....... 3 Location .Lot- #138, 145 Braley J .............................................................Jenkins Road Centerville .................................................................................. Lebel Sol lows Trust' Own&r ......................................................... A Ole Type of Construction Frama... ...........?% ............:............................................... Plot ............................. Lot .......................... Permit Granted .... .. 1.9 ......19 87 Date of Ins pection .................. ...............19 I t d Date Comp e . ... ..... .............. 60. ?: rs - /* Assessor's office (1st floor): Assessors map and lot number ............................................ Q� y Board of Health (3rd floor): (� Sa wage Permit number i BA"STADLE. 2 Engineering Department (3rd floor): . �- �' so rae9 to House number •� APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR 'fz .67- .e-Y ��s e r APPLICATION FOR PERMIT TO ............................................................................................................................. 2�1� TYPEOF CONSTRUCTION .............................:.........r.............................................................................................. .........CJ � ..................19. " 4 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: /3 B-� 3 _6(,eY Location .........4.............................................................................................................................................................................. DW CL I-1 N ProposedUse I� ..................................................................................................................................................... Zoning District ..........!�'... ......................................................Fire District ....... .. J (� Q.� 13 2 Name of Owner J"o(�L,OcJS /Tc'..c)5 ..J�� L�-� ......................................................................Address .............................. ................................................... Nameof Builder �CL n�°...........................................................Address ...............................................J...................................... k627'H3t D6_ PAS',c_,r- rZT t=/,A YAk.M P-,-7 Name of Architect ..................................................................Address Number of Rooms Foundation ....�,6� ee Exterior ...:.�L�PS ........ / skt ri e.re 3 A,P14n L t Roofing .................................................................................... Floors ................C. JO.0 b...............................................Interior ...................................................................................... G ... .. �Heating . g 2 r A�5� S .................Plumbin Fireplace .............. 5.......................................................Approximate Cost ....... 01.. O Definitive Plan Approved by Planning Board -------8__Jb L 9 Area `Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 11A -o OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to.all the Rules and Regulations of the Town— Bdrnstoble regarrdingV e above J construction. Name ............................. `''' T r�� ........... '....... Construction Supervisor's License j �� LEBEL SGLLOWS TRUST A=1/72-205 No ... Permit for ....1 Z...Story...... .... Single Family Dwel _ing Location .JAR. ... 1,3.8 r......145 B a . .y.,Jenk ns Rd. ................C�XIt� Ville.................................. Owner .. Lebel Sollows Trust .................................................... Type of Construction .,Frame i ............................................................................... Plot ............................ Lot ................................ Permit Granted .....AV9.�?At...:19............19 87 Date of Inspection .....................................19 Date Completed ...............:......................19 _47 r i rT".�y_.�'- ",,K"" -' ±;rt•.,�..-- .+-:r«rwr.era—*•.---._•.-...-y--'--....�....,-:..,�,.;�,,,..,r--°;.�,�.,,'�r�'.=.�kv«�?*-'a�.v.a rs+�s.;��:riTir':'�4/ °k.', M,,,�.�..: �a..aM- �i..+�7},� ,r..-. .iz - - TOWN OF BARNSTABLE Permit.No. .31M BUILDING DEPARTMENT { D°81n TOWN OFFICE BUILDING Cash .. .a. HYANNIS,MASS.02601 Bond ....X..I CERTIFICATE OF USE AND OCCUPANCY Issued to L ebel Sollows Trust Address Lot #138,, 145 Braley Jenkins Road Centerville, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. December 14, 19 87 ....... . 7 Building Inspector TOWN OF BARNSTABLE BUILDING DEPARTMENT rAaaarAIL TOWN OFFICE BUILDING NAM '9► .639. �� HYANNIS, MASS. 02601 �o r�r�• k MEMO TO: Town Clerk FROM: Building Department DATE: /_Z-1x/�7 An Occupancy Permit has pbeen issued for the building authorized by BuildingPermit #..... ' D y..........�.............................................................................................................. .......................................... issued to .............�c`✓.. ..�......1��,,.......1 ? �3 1�,�..... ...%.9L.y I Please release the performance bond. THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I 'l- I l M A, C(�� L DATA r iWN OF BARNSTABLE, MASSACHUSETTS BUILDING PERM, i r VIA. - DATE 19 PERMIT APPLICANT - — ADDRESS ` (NO.) (STREET) (CONTR'S L!CENSEI NUMBER OF PERMIT TO `" " - - (_) STORY ' _D W E 1_I_. N G UNI T S (TYPE OF IMPIr UVLMI.N'I') NO. II'It UI'USI.LI l!':l) ------------- AT (LOCATION) .. _..__ _ ZONINGDISTRICT--_._____.._._ (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION _ •r.. (TYPE) - REMARKS: 2M�yjy AREA OR _ ?)..'.;..�., PERMIT a VOLUME ESTIMATED COST ------------_.—_--- FEE ---_—__-- } (CUBIC/SQUARE FEET) OWNER ADDRESS BUILDING DEPT. - - gy . THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THE EITHER TEMPORARILY OF PERMANENTLY, ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY® PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED FO CARD KEPT POSTED UNTIL FINAL.INSPECTION HAS BEEN P, ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED.UNTIL MEMBERS(READY TO LATH). FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFOREE - OCCUPANCY. POTR C D SO IT IS VISIBLE FROM STREET BUILDING INSPECT PLUVBING INSPECTION AP ROVALS ELECTRICAL INSPECTION APPROVALS 11 11 -- z z 1 HEATING INSPEC1lON APPROVALS ENGINEERING DEPARTMENT OTHERBOARD A1,111 .k SyALL NOT PROCEED UNTIL THE INSPEC- j PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD C':N BE ;AS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR RY TE!EPHONE O)R wTITiF ;. y RUCTION I. PERMIT IS ISSUED AS NOTED ABOVE: NOTIFICATION , i V / Q 716 01 00 67 13� 4,- 9 5z s /07 CERTIFlED PLOT PLAN L O C AT I O N CE/�/T. .eU/LLC S�S . F O R;C�ts� SCALE: � =-3�" DATE: R E F E R E N C E Qom/tiG �Jp7'/3 g ,qs s/,�o4J�/ o•� ,oL,q,v .e�G o2.O�.d .97-.Q A2•�.s-T-�.?�3�.L. .P.�G,./ST'�., �.�'d,EEJ�' I CERTIFYTOTHE BEST'OF MY KNOWLEDGE AND 6EL( EF FROM INFORMATION RC R DW-T-THE �aU-��QT/O�/ SH0WN ON THIS PLAN lS LO AHE GROUND AS SHOWN HEREON. �H of JOSEM ATE P OFESSIONA LAND SURVEYOR g� v M. MONAHAN,JP- CA J. M. MONAHAN, JR. & ASSOCIATES 1360 PROFESSIONAL LAND SURVEYORS & ENGINEERS ISSE���cS�` TOWNE PLAZA - 900 ROUTE 134 SOUTH DENN.IS, 1MA. 02660 q�0 su -4 1 J.N. 87- 6