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''r. , •:r'.1,':,fi..se r ,.: t nr n ':rr,n'h Y'„„. - 2:. � ,R.. ..t. _ ,,>•1i� :y. of 17�.ia,r.,u s+£5. fi ��'.'1 rb if '<..a r DY:fa'.E v: n:'� "Uit36df� ,. o.i<•^',.:i+l • � •ALTERNATIVE W EATH ERIZATION �q a C:) f n / ' W 00 Date n :r— a t!� Town of gamstable 00 5.1 200 Main SL 0D lri r"' Hyannis,MA 02601 _ Re: Permit#k 'Am I The Insulation work a r has been completed in accordance witfi 7860Aft. ' Agency Work performed for `.wards Timothy Cabral, President CSL-105454 58 DICKINSCrN STREET I FALL RIVER,MA D2721 ) (508)567-4240 I ALTERNATIVEWEATHERI7,AT ONOG,MAIL.COM m Town of Barnstable a .�, Building t `+ Post:This"Card So��That��t�s�Uisib e°From'�the St%eet�` A roued^P 's Must.he.Retamed�on�Job and:this"Card Mustbe.Ke t� M" Posted Until Fina Ins ect�on Has<Been Made ' =��lbsv- ' Where a.Certificate of Occu an'e his Re"wired such Buildm' st all:Not be Occu ie°d--antU�a Final l�ns a ion has been made Permit Permit No. B-18-1523 Applicant Name: TIMOTHY CABRAL Approvals Date Issued: 06/07/2018 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 12/07/2018 Foundation: Location: 247 BUCKSKIN PATH,CENTERVILLE Map/Lot 171 021 Zoning District: RC Sheathing: Owner on Record: TROTTO,CAROL M TR Contract or,Name:' ALTERNATIVE WEATHERIZATION, Framing: 1 Address: 478 W MAIN ST g�� :.' N 2 lx -- Contractor'License 1756.83 HYANNIS, MA 02601 ^A Chimney: Est Description: INSULATION/WEATHERIZATION Project Cost: $5,276.00 f Insulation: Permit Fee: $85.00 Project Review Req: F Fee Paid: $85.00 Final: �D'ate 6/7/2018 Plumbing/Gas U Te SZ¢— ` Rough Plumbing: Final Plumbing: Building Official •M `- Rough Gas: This permit shall be deemed abandoned and invalid unless the work author zed Wy t permit is commenced within six months a#ter issuance. Final Gas: All work authorized by this permit shall conform to the approved application and the approved construction documentsfor which this permit has been granted. All construction,alterations and changes of use of any building and structures-shah 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 Electrical work until the completion of the same. t 3 Service: z The Certificate of Occupancy will not be issued until all applicable signatures byfthe ewidmg andtFirL,OU icials are proved don this permit. Rough: Minimum of Five Call Inspections Required for All Construction Work: "- � . �� >•• " 1.Foundation or Footing Final: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site ISSUED RECIPIENT All Permit Cards are the property of the APPLICANT- 3(I/L i . J DI/'tr � Application umber. ....` ......` ,��......,., Fps M � BARNsrnBt.�, � A - q MAS& 1 J~?O'e Permit Fee.•....... Other Fee......................... '��'D >� �`��`•°��',°�C`�. I'otttt Fee i .<�,.�. ......... .................... ...... TOWN OF BARNSTABLE Permit°A rovat b ppY........... ,On..............:....:....... BUILDING PERMIT Map.....�.�....`....,..................Parcel........: .7 ..........,....... APPLICATION Section 1 - Ow.ner's`Inforinatioa ante Project�L©cation Project:Address A'11 7 Village - Owners Name cS Owners.Legal Address _____ iCiry Stag zip Owners Cell 4 L3� - E-mail r Section 2—Use of Structure �se Group [] Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet ❑ Single/Two Family Dwelling Section 3--Type of Permit New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use Demo/(entire structure) , ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment Sprinkler System Addition ❑ Retaining wall ❑ Solar s Renovation ❑ Pool ❑ Insulation Other— Specify_,, �/—%ZGi !'6px, Section 4 - Work Description Vital- vr, //v S. Az�z— I - s�r� Last updated:3/15/2018 ApplicationNumber....... ......................... .>.............. Section 5—Detail Cost of Proposed Constructions at) Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms (proposed) I 10 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist Design Section 6-- Project Specifics (� Wiring Oil Tank Storage Smoke Detectors ❑ Plumbing Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom ' Water Supply Public Private vate Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Ayannis Historic District [] Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7•-Flood Zone Flood Zone Designation Within or adjacent to a wetland,coastal bank? Yes ❑ No ❑ Section 8--Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units(on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated:3/15/2018 Application Number......................................... .. Section 9— Construction Supervisor Name / Telephone Number 7� (� Address city State, 111,4_ _zip_ AA2A._.1 _ License Number,65Y'."V License Type�__ Expiration Date / Contractors Email�� ,�jlf'�/,� �s `��r�i� Cell # 7? yy-J?�F a l im. I understand my responsibilities under the rules and regulationser ti ewe n ed,Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. 1 understand the construction inspection procedures,specific inspections and documentation required sclm/z t Tjown 'f arnstable.Attach a copy of your license, Signature / Date Section 10—Home Improvement Contractor Name&Jg' elephone Number f �61 P�" Address_�,2/,,cam^� z�� City � Y State Zip A?7rZ/ Registration Number g Expiration.Date Q!��g I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation require3bCMR a e ow o. Barnstable.Attach a copy of your H.I.C...Signature � Date Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work.Number l 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 APPLI ANT SI I TITRL . Signature ��Xtlz( T. W Date J� Print Name U"f' W njj= Telephone Number E-mail permit to: i!e,wu, e'ri z_a' yn cc? `1. Last updated:3/15/2018 Section 12 -- Department Sign-Offs Health Department F Zoning Board (if required) Historic District ❑ Site Plan Review(if required) d Fire Department Conservation For commercial work,please take your plans directly to the fire department,for apprvvat Section 13 -- Owner's Authorization L SA ,,�M, e , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to rk authorized by this b 'lding perm't application for: (address of Job) Signature of Owner date Print Name Last updated:3/15/2018 The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Indi vidual):ALTERNATIVE WEATHERIZATION, INC. Address:2 LARK STREET City/State/Zip:FALL RIVER, MA 02721 Phone#:508-567-4240 Are you an employer?Check the appropriate box: Type of project(required): I.Q I am a employer with 16 employees(full and/or part-time)." 7. ❑New construction I am a sole proprietor or partnership and have no employees working for me in any capacity.[No workers'comp.insurance required.] 8• ❑ Remodeling 3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. El Demolition 10❑ Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole l l.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑1 am a general contractor and I have hired the sub-contractors listed on the attached sheet, 13.❑ p Roof repairs These sub-contractors have employees and have workers'comp.insurance) 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.[D Other INSULATION 152,§1(4),and we have no employees.[No workers'comp.insurance required.] .'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. +Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ,Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:STAR INSURANCE COMPANY Policy#or Self-ins.Lie.#:0849257 00 Expiration Date:4/4/19 / /� Job Site Address: C,�'/�-i City/State/Zip: t P/1'(�� � `L; �� l Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance , coverage verification. I do hereby certify under t e pains and pen es of jury that the information provided above is tr and correct. Si nature: Date: Phone#:508-567-42 0 Official use only.,Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: -- ALTEWEA-01 SNERONHA CERTIFICATE OF LIABILITY INSURANCE DATE,Man/DDrvYYY' 0312312018 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 holier Is an ADDITIONAL INSURED,the policy(les)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 endorse tr ent A statement on this certificate does not confer rights to the certificate holder In lieu of such endorseme s. i PRODUCER CT Christine Costa - I Mason 8 Masan Insurance Agency,Inc. PHONE (A/C,No,Ex1):(781)447-5531 47-7230 458 South Ave. Whitman,MA 02382 ccosta masoninsure.com I { INSURER IS)AFFORDING COVERAGE NAIC Ts i �_..._..-...._....-----_...--.-----... I INSURER A:Evanston Insurance Co, }36378 INSURED I INSURER B. :Safety Indemnity }33818 Alternative Weatherization,Inc. INSURER c:Star Insurance Company 118023 2 Lark Street —� INSURER O: Fall River,MA 02721 INSURER£ 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 i INDICATED. NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED 13Y 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. lN5R j ADDLISUBR POLICY EFF POLICY EXP TYPE Of INSURANCE itiso I POLICY NU LIMITS A X i COMMERCIAL GENERAL LIABILITY i I EACH OCCURRENCE S 1,00010( i 1.._..__;._ — #CLAIMS-MADE �i OCCUR X i X 13C420$$ 10610712017 06/071201$;DAMAGE TO RENTED PREMISEI5[Ea s 100,000 6,00y MED EXP(Any one person) Is PERSONAL E ADV INJURY )$ 1,00fl,000 �__._.....-.--.._._ 2,000,000 i GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 15 _ p. -y' { I i 2 POLICY' J£ 000,000'CT :LOC i PRODUCTS COMPIOP A& ,s ' �. OTHER, S B ' COMBINEDSINGLELIMIT 1,fl00 fl00i AUTOMOBILE LIABILITY ; $ + ANY AUTO X i 6237?02 04108/201$j 04/08/2019 BODILY INJURY(Per rson) is OWNED (�SCHEDULED I I i AUTOS ONLY I ?AUTOS 1 ; I 8001LY INJURY Pet3catlsni} g j )( !H1R�p ;X�NO�I py�NED PROPERdTs ?AM CE S ,......,_. AUTOS ONLY r.., AUTOS ONLY i I i 'LP_! Is A ' i UMBRELLALUIB' ;OCCUR i i 1,40fl,40fl EACH OCCURRENCE s I j X EXCESS LIAB 'CLAIMS-MADE X ? X j OBW7126517 i 06107/20171 0610712018;AGGREGATE i s 1,O00,400 I DED RETENTION$ C 'WORKERS COMPENSATION i i X PEA R NTH- AND EMPLOYERS'LIABILITY I l STATUTE YIN ; ' WC0849267 04/04/2018�0410412019 i i 500 404i . jANY PROPR,ETORiPARTNOVEXECUIIVE j i I ':E.L.EACHACCfDENT .s ' ppFFICER MFMgg R EXCLUDED? N i NIA 500,000i lMandatorymN ) i E.L.DISEASE-EA EMPLOYEE S i!yes.describe uncer 560 000 DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY LIMIT S ' t v ' i i I i i i i DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES(ACORD 101,Additional Rer,iarks Scheduie,may be attached if more space is required) j Action Inc.and NGRID USA,its direct and Indirect parents,subsidiaries and affiliates is added as an Additional Insured for General Liability on a Primary& :Noncontributory basis per the terms and conditions of form CG2001(04113),for Ongoing Operations per the terms and conditions of form CG2010(04113),for ;Completed Operations per the terms and conditions of form CG2037(04/13)and Waiver of Subrogation applies per the terms and conditions of form I MEGL0241-01(04-11), Additional Insured for Automobile Liability applies per the terms and conditions of form SCA065(02/16). i i 'Excess Liability is a following form, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE NGRID USA THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 40 Sylvan Road Waltham,MA 02451 AUTHORIZED REPRESENTATIVE i ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION, All rights reserved.. The ACORD name and logo are registered marks of ACORD .. '. 3 `. 110 n' IM x Mm tow41 r r, x' fir. • - J f -, >: _. � f,�✓Y�2�Ytit"..�2;1,l�P � f� �,�.eCLti ,r�t1,���.°i , Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Mas9chusetts 02115 Home lmprovemea litractor Registration Type: Corporation ALTERNATIVE WEATHERlZATION,INC , f. Registration: 175683 Expiration: 05/28/2019 LARK FARIVER,MA 02721 � i °{ i Update Address and return card. Mark reason for change. _. ... Q..Ad +gg..Li ifmr+s�wai f 1 i=rr�nixtymta ,Lty .:` . Office of Consumer Affairs&6usiness Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Cratit before the expiration date. If found return to: i l# ration Exci,ratiot1 Office of Consumer Affairs and Business Regulation nµ�. i75683 05128/2019 10 Park Plaza-Suite 5770 ALTERNATIVE WEAIHERIZATION;INC. n,MA oasts TIMOTHY CABRAi 2 LARK BT FALL RIVER,MA 02721 Ot V O Si ahli'e Undersecretary ,DocuSig,Envelope ID:7COF8298-060E-48AA-8364-7966CDDD4094 Town of Barnstable Regulatory Services sc►a�, Richard V. Scali,Director MASI& °� �� �• Building Division Paul Roma .wilding Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section I, ASHL.EY M CORMIER ... _ , as Owner of the subject property . ......... ...... .........�_ � .,.......� ��� herebyauthorize ...a.._1.................._....._...n .v......._.._ ............................__...................._..._....................._ ._............_ .__.__.............._....._._.._ to act on my behalf, in all matters relative to work authorized by this building permit application for: 247 Buckskin Path Centerville, MA 02632 ... .. ..... . .......... . ....._ .. . ............ ........ ........... (Address of Job) OoauSigned by: 5/7/2018 8:56 PM EDT ................................................................................................................................................................................................................................... ..................................................................... .. ........................ rgnatrre o Owner Date Ashley Cormier ...............................................................................................----.........................................._........,.....,............................................ Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption".Form. C:\Users`Jecollik\AppData\Local\Microsoft\windows\INetCache\Content.Outlook\L7U69L12\EXP.R SS(2).doc 0.1/25/17 %THE TOWN OF BARNSTABLE 33AUST"LE, s639. 'k, V Ar. BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..... .......................................................... .................... TYPE OF CONSTRUCTION ......... .................................................................................. 21..............19- TO THE INSPECTOR OF BUILDINGS: The undersignsyl here applies for a permit according to the following information: ............................................ Location .... ......... . ......4�11�0 ProposedUse ................................................................................................................. ZoningDistrict ............................................. ..Fire District ..............e.)............................................................. Name of Owner .......... ......Address ............. ............ Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address ..................................................................................... Number of R007 ..........;.......................................................Foundation �1100xoo..... Exterio r r tor". ............. ...................................Roofingr. ....................................... Floors ......................................................................................Interior .... ............ Heating ..........................................................................Plumbing ......... .................................. Fireplace,,-, ....... ............................................. ....... ... Approximate Cost .... Difinitive Plan Approved by Planning o/a*rcd"*-*'-*'**'-*'*-'-'-**-*-*-*-*-*-*-------------19--------- c�?35(o Diagram of Lot and Building With Dimensions )V 1NS�ABLE S���S n. ")the I hereby agree to conform to all the Rules and Regulations cg tbb%wip Q1D B stable regardipg above construction. Name ........................... J3. �V�v /Small Alan tory single family dmelling Path�ocon ---. .-----------. � Centerville --------'''--' ---'-----~----- | � � aII � Owner . 2�m--------------. / � Typo of Constnuctioh ---.�����------.. � } \ | i . ' ` --- of Inspection— ---' 1 ' ' Date Completed �� � J ) / PERMIT REFUSED \ ] ! _-----------.—._-------.. lA \ / | --------'`^—'--'---'—'—^—'-----'' � | ` ._~----~--.~—..-----.-----.--- � � --.~.—.---.—~.—..--...—...—...~—.—.. �. '---'--'---'—^--^^----'—~^---~^' \ � , 'r �A ', ~`~~ ,—.-------------' ----------------.----~—.--- ----^---~--^--^-----'^^'—^^^^^^' ( ' � | � ^ '