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HomeMy WebLinkAbout0098 CAP'N LIJAH'S ROAD C&fn � t►. Q G .:_ r . eN y . T Vr ' 1 K ... .' a .. .. _. � .. .. .. t _ r r r .. w- • , r .0 ` a r f , A u r - , 4r 0 � f � : a , s- G G - '.. p . '. � _, "�� ... :ram•n.rs- , ,, ,. -.�. ,; ., .- � e _ .. .. _ -:. y - ��' -� � �. �. _., _ �. -�. .. p :' '� - - .. _ .. ... .. _ , , �, � ., .. _ ... .. - ... �. ,. � _ �. ,. - �� �. y.. .:� ti .. _ .-. .� �� . .. ,� '` .. :: .. � 9:' .: .. .1 ._ � � _ .. i i ,. n �'. .�. '� .. P ' .. 1 r .t .. .. u � .. ,.. _ ..:� .. i �, - c � .. '.�.. is i. '�: �• .. .. C .. - � ... ..�. �. -'� ., r .. ,. q � � .. � .. - ,.. 'i' � � e _ Town of Barnstable BIldIl g �. a From n raxzvs�rnece Post This Card So That it is Visibl the Street-.Approved,Pla- Must be Retained on Job and this Card Must be Kept M" $ Posted Until Final Inspection Has BeenMad e Permit 059 �e Wherea Certificate of Occupancy»is Required;°such3'Building shall Not'be Occupied funtil a Final Inspection has been made _.. Permit No.-. B-20-1285 Applicant Name: John Kennefick Approvals Date Issued: 06/08/2020 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 12/08/2020 Foundation: Location: 98 CAP'N LIJAH'S ROAD,CENTERVILLE Map/Lot: 192-178 Zoning District: RC Sheathing: x Owner on Record: KENNEFICK,SEAN M Contra ctor'Name: Framing: 1 Address: 98 Cap'n Lijah's Rd Contractor License ._, 2 Centerville, MA 02632 " Est. Project Cost: $90,000.00 l i Chimney: Description: Construct kitchen addition and porch. Remodel'2 bathrooms. -Permit Fee: $509.00 i Fee Paid:' $509.00 Insulation: Project Review Req: I w Date 6/8/2020 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 a`nd theeapproved 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. l ---- " 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 ' 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 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). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT w � Final: �o IT HOMewok . nC Energy, Inc Insulation Affidavit JP P�NC,00, nn HomeWorks Energy has installed insulation at the following address that meets o0ceeds Massachusetts building code and IIC requirements. Project Address: Permit Number: B-19-4169 Sean_Kennefick 9$ Cap'n LYijah's-Road.. Barnstable Massachusetts 02632 - Location - Material Addt'I Thickness Final Assembly R-value Attic Floor Green Fiber Cellulose 9" 49 Sincerely, Scott Veggeberg HomeWorks Energy Inc. CSL#103832 HERS Certification#3081658 HomeWorks Energy 101 Station Landing,Suite 110 Medford,MA 02155 wxpermitting@homeworksenergy.com .... . ...• . •• .... ....• Application number ..• Fee .. ....��� ............................. ................ ..... . U ..a................ Building inspectors initials....... Date Issued:..... ..11�.�.(�........... 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TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOwS/DOORS/TENTS PROPERTY INFORMATION 1,J �/ C4 QOQcI Address of Project: �q VILLAGE NUMBER STREET Owner's Name: �� �'l �Q'✓l�) Phone Number��-�`5�f ^ 4�9 O Email Address: fit) i n q ,1 �. c�t1n Cell Phone Number r� Check one Residential Commercial Project cost$ OWNER'S AUTHORIZATION As owner of the above property I hereby authorize (�7 E IL AC Mt�T to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK ❑ Siding ElWindows(no header change)# 1 Insulation/Weatherization ❑ Doors(no header change)# Commercial Doors require an inspector's review ❑ Roof(not applying more than 1 layer of shingles) Construction Debris will be going to i o CYCAn h t wQ WG TQ� fn CONTRACTOR'S INFORMATION i Contractor's name Home Improvement Contractors Registration(if applicable)# 18 f 3 (attach copy) Construction Supervisor's License# I U 3�3 Z• (attach copy) t � Phone number.��}G Email of Contractor _ ___ i ten -Ye VCA vc ni n r)a IF THE SUBJECT PROPERTY IS IN i APPLICATION NUMBER..................... r *For Tents Only* .. Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes �- Dimensions of each Tent _ N (If Yes please attach floor plan with exits marked ) Additional tent dimensions can be attached on a separate piece of Purpose of Event P paper. Check one: this event is a:!forprofit Check one: Food served Yes No nOn"Profit event Flame Spread Sheet of each tent must be attached. Provide ovi Fuel source being used LP tank 20 lbs. or> yes de a site plan with the location(s)of each tent Natural Gas Yes__No - No— .if yes, a gas permit is required. if yes, a gas permit is required. If food is being served at.your event please obtain a Health De artmen of 8:00am-9:30 am or 3.30 pm-4.30pm, Commercial events may require Fireal between the hours 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 ICANT'S SIGNATURE Signature Date All permit applications are s b' t to a building official's approval prior to issuance. Town of Barnstable wrv9 - Building Post This Card So That�t�s;Vis�ble:From the`.St et Approved.Plans Must be.Retamed onrJob and th�'s Card Must:be Kept r BARNStAMIA MASS. $ Posted Until'Final Inspection Has Been Made ` sPermit 639. °�� Where a Certificate of Occu anc %s Re uired,such Buildm shall Not be Occu ied unt I afinal Ins ection' as been made Permit No. B-19-4169 Applicant Name: HOME WORKS ENERGY INC. Approvals Date issued: 12/18/2019 Current Use: Structure Permit Type: Building-insulation-Residential Expiration Date: -,- 06/18/2020 Foundation: Location: 98 CAP'N LIJAH'S ROAD,CENTERVILLE Map/Lot: 192-178 Zoning District: RC Sheathing: Owner on Record: KENNEFICK,SEAN M Contract or Name: HOME WORKS ENERGY INC. Framing: 1 Address: 189 BISHOPS TERRACE Cohtractor'License:-181138 2 HYANNIS, MA 02601 Est Project Cost: $ 2,674.00 Chimney: Description: WEATHERIZATION Permit Fe`e: $85.00 Insulation: Project Review Req: _ Fee Paidg' S.85.00 g Date 12/18/ Final: l R Z� �crn 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 sii months after issuance. All work authorized by this permit shall conform to the approved application and theapproved construction documentsfor wh ch,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 lavirsand 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 signa the Bu ding a d ire Officials are',p vided on th s permit. tures b Minimum of Five Call Inspections Required for All Construction Work: . _ Service: , 1.Foundation or Footing a+, Rough: 2.Sheathing Inspection ,, „ 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 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 a All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: {j The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street tid Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): l"omeWOrl(S 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.❑■ I am a employer with 200 4. ❑ I am a general contractor and I 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 g, ❑ Demolition workingfor me in an capacity. employees and have workers' y p �'• 9. ❑ Building addition [No workers' comp.insurance comp.insurance.1 required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their I I.[] Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no Weatherization employees. [No workers' 13.❑■ Other comp.insurance required.] *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: A.I.M Mutual Insurance Policy#or Self-ins. Lic.#:#2000552 Expiration Date: 111/2020 Job Site Address: () Ca LN L 1.,Ctk's RC9Q J City/State/Zip: 80ftISM&I IMA ®2 622 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce 'y and th and penalties of perjury that the information provided above is true and correct. Si ature: UJI Date: Phone#:781-205-4520 / wxpermitting@homeworksenergy.com Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: I /.�;slitC%/i`�o!•sr.-1�i- Office of Consumer Affairs and BdSir ess RegU13tion 1000 Washington Street-Suite 710 Boston,Massachusetts 02118 Porne Improvement Contractor Registration Type Ccrptvailan Registrat-on: 'IR128 HONE WORKS ENERGY,INC_ 43 0212021 i01 STATION LANDING STE u!0 - - - - - 0.11EDFORD.IAA 021 C$ Update Address and R94urh Card. air—atCsawmea:Atfcirs&9o5in9Fs7tepu15�Jen R. atralien valid tcrindividupl us?mdy TYYPE:PE:Coron'acn - NbMEirAP dENTCONTRACT4R bn feaie azpirotisi+dlrrtu,tf.o�indrei.urnto: - - - - - ReaistratPpn r Lion office vrConeumer Affairs and 8oslneap Rpgulttfion 1E1 streci-'Suits T10 _ :1OME WORKS EN[fi&ING' Boston,M 0291 MAX VE50EBERG 1✓•-C���="---' � - 101 STATION LAf401NG STE 110 '-a o valid without signature t1LDVOR0.Wi Qnf6 Under sexxelary - r Cornnionwealth uI M lSGaChuseliS 7 Construction supervisor Specialty Division of Frofessidnat Licen.�ure Hoard Of Building Regulations and Standards Restricted to: !i t CSSL-IC-Insulation Contractor Caristrucll�Irr�i�per+i�.a;Spcoi+te*� �1 C13SL-103832 4'r � r �xp res,.10113f2021 SCOTT VEGGEBERG - 8 COVINGTON ST#1 BOSTON MA 02127 r t tC1 Failure to possess a cul dition of the Massachusetts State Building Code is c, or revocation of this license. Commissioner for infonna%rir shout this license !f U Cali(617)7273200 or visit www:mass.govldpl i .t Page 1 c t nomeWorks mass sage Energy, Inc PARTNER U" 101 Station LandingSte 110,A4edrord,MA.02155 (781)305-3319 ext.120 Customer Name:Sean Kennefick Email:Not provided Phone:978-551-4790 Premise Address:98 Cap'n Lijah's Rd,Barnstable,MA 02632 Mailing Address:98 Cap'n Lijah's Rd,Barnstable,MA 02632 Project ID:3934006 Date:Nov. 15,2019 Job Description Measure Description Location Quantity Unit Total Cost Customer Cost AIR SEALING Other 6 hr $480.00 $0.00 WEATHERSTRIP DOOR & ADD SWEEP Other 3 each $240.00 $0.00 ATTIC FLAT-9"OPEN R-33 CELLULOSE Other 650 SF $975.00 $243.76 PULL-DOWN STAIR:THERMADOME, BUILT-UP Other 1 each $237.65 $59.41 INSULATED BATH EXHAUST HOSE Other 1 each $60.00 $15.00 VENTILATION CHUTES Other 42 each $146.58 $36.64 ATTIC DAMMING- R-38 FIBERGLASS Other 70 SF $172.20 $43.05 12" MUSHROOM ROOF VENT Other 3 each $362.25 $90.56 Project Total $2,673.68 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; Date: Customer Phone: Specialist Signatures _ _Date: LIMITED TIME OFFER: The prices and incentives in,this contract are subject to change it accordance with the sponsoring utility MassSave Home Services ProgramYoffers.: Proposals can be sent to:inbox,�@HomeWorksEnergy.com s Page 2 c 0, o rks mass save HomeW Energy, Inc PARTNER 101 Station tonding Ste110,Medford,MA 02155 (781)305-3319 ext.120 Customer Name:Sean Kennefick Email:Not provided Phone:978-551-4790 Premise Address:98 Cap'n Lijah's Rd,Barnstable,MA 02632 Mailing Address:98 Cap'n Lijah's Rd,Barnstable,MA 02632 Project ID:3934006 Date:Nov. 15,2019 Weatherization incentive ($1,,465.26) Pre-Weatherization barrier incentive ($85.80) Air sealing incentive ($720.00) Total Program Incentive $2,271.06 Customer Total $402.62 Total Contractor Price and Payment*Schedulp 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: ' Date: ` l Customer Phone: Specialist Signature: Date`. LIMITED TIME OFFER: The prices and incentives in this contract are subject to change in accordance with the sponsoring utility MassSave Home services Program offers.. Proposals con be sent to:1nbo.4 HometVorks£nergy.com r Insulation/Air Sealing Permit Authorization Specialist: Ben Wollman Company: HomeWorks Energy ` Email: benjamin.wollman@homeworksenergy.com Address: 101 Station landing Hol112WOtiCS -Cell: (508)292-2630 Medford,Ma 021SS o_rcw.M _ Phone: 781-305-3319 . Customer: Sean Kennefick Address: 98 Cap'n Lijah's Rd Email: bruins70@gmail.com Centerville,MA,02632 Site ID: 3917584 Phone: 978-551-4790 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 � �/ Signature: Date: 11/15/2019 Sean Kennefick 1 omeW,� i r,k,s il [Irr-rr Energy, Inc To whom it may concern, Scott Veggeberg is a current employee of Homeworks Energy Inc. and operates under our insurance 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: MCC-200-2000552-2019A 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. r HOMEW-1 ��� • DATE(MMIDDIYW'N -- CERTIFICATE OF LIABILITY-INSURANCE 03f29/2(' r 19 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 AI 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'provisione or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain,policles may require an endorsement. A,statement on i this certificate does not confer rights to the certificate holder in lieu of.sueh endorsements. - - PRODUCER 978.686.2266 c PcT L1sa Larivlere Foster Sullivan Insurance PHONE 163 Main St. ac No E,el'978.686.2266 1 u No;978-686-6410 North Andover,MA 01845 OR,,,cert ea es ostersu IVatlgroup coma: Foster Sullivan Insurance LLC ------ _ INSURER(St AFFORDING COVERAGE NAIC'0 INSURER A:SAFETY'INDEMNITY INS:CO" _.. 39454 INSURED Homeworks Energy Inc. 'INSURERB:AIM MUTUAL'INS CO 101 Station Landing Suite 110 INSURER C'___._Homeland Insurance Co of NY 34452 _ . Medford,MA 02155 --" 1 INSURE ' I (.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 POtCY PERIOD. ; INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY.CONTRACT.OR.OTHER DOCUMENT WITH RESPECT TO WHICHTHIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE:POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE'TER MS, EXCLUSIONS A_NC CONDITIONS OF SUCH POLICIES.LIMITS.SHOWN MAY HAVE-BEEN REDUCED BY PAID.CLAIMS: INSR T— ADDL UBR POLICY EFF POLICY EXP I LTR. _ TYPE OF INSURANCE _�IIINSD_,YJV�J -_POLICY NUMBER I / : LIMITS:_ _ C X COMMERCIAL GENERAL LIABILITY I - 1i000,006 EACH OCCURRENCE CLAIMS MADE X IOCCUR 7930060650002 04/0112019 04101I2O20;DAMAGETORENTEO S 500,000 _— PREMISES(Ea omm encel -- -. -- i MED P An v one.,Person) Lg. 10,000 " __ _ PERSONALSADV INJURY ".S 1'000'OOO - GEN'L AGGREGATE UMIT APPLIES PER! ' - PGENERAL AGGREGATE 'y 2,000,000 j POLICY —�jF�T _P LOC - ! I ;_PRODUCTS•COMP/0P AGG 2i000,000 OTHER A AUTOMOBILE LIABILITY' I COMBINED SINGLE 1IM1T $ 1;000 000 . L',!AHIY AUTO 6 24378 . /202i_�f etP o. OWNED AUTOS USUL�AUlO50NLv TO BOq-"a ODDr aI4PLcEYYcR idINJURY y:-(Per pa ecc idenIt) X AMAGE nAOTOOSWNeAUpOCS ONLY S :. —__... ....-....... __.. __�.._ _.— 2,000 000 C UMBRELLA LIAR X OCCUR I EACH CCURRENCE rS X EXCESS LIAR ;CLAIMS-MAUE� 179300606600112 .OM01/2019 i 04/01/2020 gGGREOATE.... § 2 000,000 _DED X RETENTIONS OI ` B .WORKERS COMPENSATION - X rSIATSLTE :;AND EMPLOYERS'LIASILITY "- r/N MCG200.2000,552-2019A 101/01/2019 01/01l2020 I 1;,000,000 ANY PROPRIEBER EXCLUDED? E.L:EACH ACCIDENT �.S_ (Mandatory ItN REXCLUDED? I'NIA: 1,000,OOO (Mantletary In NH) - `� i E:L'.DISEASE•E_A EMPLOYE I:li If yyar.,d rcr be antler 1,000,000 q�CSCRIPT10NOFOPERA*;DNS below 'I ! .!' .. (E.L DISEASE-.POLICYIIMIT"S _ EvE IP710N F PORATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks more Schedule,may be attached if apace is requlmd) lc��nce(�nPy CERTIFICATE HOLDER CANCELLATION 'SHOULDANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE:THEREOF, :NOTICE WILL.BE 'DELIVERED IN ACCORDANCE'WITH THE:POLICY"PROVISIONS: Homeworks Energy 101Station Landing Ste 110 Medford,MA 02155 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©tg8&2015 ACORD CORPORATION."All rights reserved The ACORD name and logo are'registered:marks ofACORID TO ALL NEW BUSINESS OWNERS DATE: `- Fill in please: t:APPLICANT'S I p . . YOUR NAME: A'LO)11 � _ BUSINESS YOUR HOME ADDRESS: 4 ( -Tfi A AV 0 low TELEPHONE Telephone Number Home NAME OF NEW BUSINESS . '1— (-t TYPE OF BUSINESS t-. � f n IS THIS A HOME OCCUPATION? YES NO Have you been given approval from the builging 'vision? Y S NO r ADDRESS OF BUSINESS `� Iti C�v MAP/PARCEL NUMBER / (� When starting a new business there are several things you must do in order to be incompliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, listed below, you may apply for a business certificate at the Town Clerk's Office (Ist floor-Town Hall) or if you get the business certificate first you MUST go to the following office to make sure you have all the required permits and licenses.. GO TO 200 Main St. — (corner of Yarmouth Rd. & Main Street) and you will find the following offices: 1. BUILDING COMMISSIONER'S F F I C E n i This individual has e formed fahy permit requirements that pertain to this type of business. uthonzed S' ature** COMMENTS: 2. BOA 3 OF HEALTH This individual has been informed of the permit requirements that pertain to this tj pe of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: Business certificates (cost $30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. -it does not give you permission to operate -you must get that through completion of the processes from the various departments involved. "SIGNIFIES APPROVAL FOR A BUSINESS CERTIFICATE ONLY. Town of Barnstable ,THE Aor.� Regulatory Services Thomas F.Geiler,Director Building Division - - sAxl�tssrAsi.E. Tom Perry,Building Commissioner rfp Mp'l p,� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: HOME OCCUPATION REGISTRATION Date: Name: �2A Phone#: SO S -7 r^5 O 0 Address: s CJ \ IQ � 0&\1'D � Village: 0-9—O��0 Q, Name of Business: Type of Business: (�1 ��SC p 1 `n Map/Lot: ll� Sk— IN'rENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home . Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pickup truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. ' ApplicaY6Date• g © � Homeoc.doc Rev.5130103 1 O q Assessor's map- and lot number ...��. r- '.q. .......L ..I� SE pTIC/r, �G `- < ��`✓',- 76 SYSTEM �:' - • *�. INSTALLED MUST BE 4" �' :• �� WITH AR =N CQMPLIANCE AIRY C Sewage Permit number .......................... S9QNI T Ct_E 11 STATE t�• `ginEGU 1 ODE AND' ABLr TOWN ' OF BART • i BARiST/1DLE; • t7 ` `'� BUILDING - INSPECTOR 0; O� i639. , y : ry _ APPLICATION.FOR PERMIT TO �.o ' '�.`'.C.. ............. .. :�/r�:fYGYl� _ C . '- _TYPE OF CONSTRUCTION ..�-� .r�. � .... ........................ >' G t + * l f4- .............. �. ..............19.?� 7, TO THE INSPECTOR OF BUILDINGS: The undersigned hereby Capplies for a permit according to the following information: Location. ............ ea ....�J ................ .'6? :.... .. ,i.;..4 ............................:.. . ... ........................................... ' Proposed Use ..........`2,. �1" Zoning District ..Fire District "" .............. .... `. �.-s'.�.......... ..... .. .. .... ... . Nameof Owner ........ ........Address .................................................................................... Name of Builder ......... ..�G. <''r��l J................................Address ................. 7/ .... .. ......:................................. Nameof Architect ......... ..i�ll.� . .............................Address .................................................................................... Number of Rooms ................ ................................................Foundation ....`�. ..��......>. Exie for .......� ��'s / ..Roofing .......�: ,�.. ...... `�f�.. i7` ..... Floors `..��.. ...tn!c .. � �......... '%/72.... ..%�............. ........... Interior ........ ..... 2d Heating �G� / •�...`�.................Plumbing ...................................................A/C....................... .......... .................. . ......... Fireplace ............... �......... ..... .:�.v �,(�...Approximate Cost .............. ..................... Definitive Plan Approved by Planning Board _______________________________19-------- Area .............:. ...a. ........5.. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . '.1. ,.s ..(apt....... ll!r,.... n...... .. ^ � Tmll arronm Assoc . � 0 Q8686 12 story, ^ mq ' Permit for ` l�--'—''� —^--'-------- � af,Wlm,family dwelling � ...................... � Road - Loc000n ...... —.�.--_..�_................................ ' J Centerville ^ --------.-----------------.. . Owner ____7mll .Amamciatao° Inc. . Tvp�ofGm�rm��zn �rm�a � .. , -------------- . ............ —^-------~-------...----. \~_ Plot� - . / cx —.�-------.. Lot .......�3�______ Septemberw /-1�5� 7~6 Permit Granted ---- ----lg '-Date of Inspection l —.--'lA -~Dote [o — ---!lgp ' ~' , ' ' ' ^. PERMIT REFUSED . ' . ,. -----_-----..------.r—. lV ^/---------------------''r--`—' ' ^~ ' ' . -----^---------------------. 7 . / . . / . .:..-----------.....~--.—..—...—�.. ' � . /' � ...............................................................�� --_ � - . . /\pproved ,'—_------._----- lV . . . ------------------,------- . . . . . -----------.--------------- ' . � �� Assessor's ', and lot number t f E- � �! Sewage`Permit number ............................................,.............. �F711Et� TOWN OF BAR.NSTABLE i^ env o ry J n Z BJBBSTADLE, i ° 01M BUILDING INSPECTOR APPLICATION TO TO ............` :.....!N.?;... .... ........................ ...'.! 4:z.......................... rTYPE OF CONSTRUCTION .. �..................... ................................................. : ....................................................... •H ................... 1 ................19.....} . ... ... l TO THE INSPECTOR OF BUILDINGS: <3, The undersigned hereby "applies for a permit according to the following information: ` er ?` J ,�,'7 Location ..................._..................`.................�................. ...0 J...:..,..;........................................................................ . . .............. /Proposed Use ......... /r... r ................... .:...:......................................................................................................................................... r Zoning District .......................................Fire District r'�" �' ............j ............................. .......: .......:....................... Name of Owner �•.%'//�. ...... �!'''?'' ........Address .............................................................................:...... ..............:...../...,........,............ //,T �6,_ ................................Address r Nameof Builder .......... r.........................J. ...............:.........................::......................................... Name of Architect ,i ** f. ,:�.............................Address .................................................................................... ........... .............. Number of Rooms ..............Foundation ..... ........................... Exterior ..... .. '. t�:..... ^"`• %� .!.! '.....Roofing .......�:�.. ' .. �..C.r .......�..... 1........................... Floors .................................... ....!............................................Interior `................ �'T-�' s'c� c .......... ...... ............ -Heating ..........................Plumbing ................!......!.................... c> .� r'- t .. ...................�.............../................. ........... /.Fireplace ............... ................:7...r..r............./z%.0..%...n f"fr ...Approximate Cost ..............Z-' . Definitive Plan Approved by Planning Board ________________________________19________. Area ...............�.....� .... :. .. Diagram of Lot and" Building with Dimensions Fee pp ....cam:.................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name � .... ................................. ............ ' Tellegen-Ferrone Associates, Inc. ~ \ 18666 1 1/2 story, Location . . . . � . � � . . - V.. ' Ce.4terville � Associates, 'Ioc, � ',p~ of C= s""` � ............................. � P| � ' - Permit, " Granted . Date of Inspection .Date . - ' � PERMIT � � � REFUSED I ........................................--------. lA . ' ---..`�.���^�"— .�----.--.. ' —.-.--.—....----��'.--------.--. ----.------.—.------------., ` '—^--^-----^-----^^^---'^---^—' � Approved .. 19 � ^ ..................................... -------'2 ---. � ' ., —~-------...—,... � ' . nTOWN OF BAR�NnSTABLE LOCATION cx'n �1 "n-) YU SE-Vft$E#��SP VILLAGE ASSESSOR'S MAP&PARCEL &3? 'S NAME&PHONE NO. <IL t C��1 Ke t I L 117 5 SEPTIC TANK CAPACITY 10,06 � LEACHING FACILITY:(type) (size) NO.OF BEDROOMS OWNER PERMIT DATE: G9I���iEE DATE: _1-17 CO 1 ! 0q Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching f ^ Feet FURNISHED BY a % • I / r / / ! I / / I J ! J / f / / 33 :C 40 2$ i "ap'n Lijah's Road 0 A �.'` � Azcf _ .� /1--, , is - �►vATE�2 \� /� r ': (.d`,'r fr _/F / /i V /P V- ' LINE t ' ��, ,� JeESElZvE li O r- 1�;'CODC't-ifa, + Trp„v �' - IG 145 t 20 �€� ��r 70+ 60 7 7 EST '� 1+6 `1 �.��sT,a�t�o �2". 1�� G��.� L:EL - I FOtJN[ f [] !2 DI I ST. l `J �� /4%�?,�/(J•.i✓/ �::;;r�tl dam' 36�f LOT 30 �3 U/L D//vG S ETL3AC� eEf�Ui,��ME.t/TS k 20' F20NT JCS � 5i DE /v' T2F�l7Z '•.�".� P2o,a0 SED � BE_Dl20oMS SEPT/C 5V57-EM EONST2UCT/ON SHA GONF02M TO MASS . Oe-5/G/V FLOW 3 0 t-) GAL Z)A Y E N iX/2 o/vMG-N T�L CODE, Ti TL e- ]Z L E A G,�/ 2.4 TE �/ <:- �::: M/A/, /�/G/-/ P/Z0Po5E1� A"D Tow.0 0,F / /ki S•7A 43LE A,/EALT'fl TZ�6,L11-4 7/ONS p' TOP OF Fo UN1�AT/ON I"I A/V f-J OLE t Co✓E.2 TO EX TE n!D 7-0 //"/)0E.2 V/OUS CO VE e kV1 7A-//A/ P OF F/N/S/1 ED GlzA DE TO p2E VEA/T 1--/AXES FYZO^4 /A/F/L T2,4 7 AIC-, IO /S GO✓c/z5 /�.� STONE D/ST. BOXI Z/"WIDE 4Q CASr 3"nM/,v NJ/A//MU"i _6 n� w� J, 3"�s.,v 4„ D/A Ta z 4` D/ �� /O L L-q G.�,/ A —g —-�-r-- T/GI✓T PI/7c FLGw i.vE M/ Q �- ,V p/TCs/ Y4"/FOOT /O"M/N /4" �4��F.DOT A 2� M/n/ /�/rcf/ aaQ P/T �j�f"_��/ D/A. _Y_ MIN ` WASNEO /n/rrE,,z r S rO n/E i GAL-L0&/ /NV6eT `' 6 ' p� <lLL /NVf�T CA P4C/ TY ARO.UA/O SE pT/G TA A/K I/V VEer ELEV. (WA TGIzT/GNT) /NVE2T 43CV,7 PFlC}T,� �1 ,fliT / / J.N V E zT NO GAe5A6E G,2JAJDE,P-• c� 20' M/A/i,v/UM C� ✓ LOCA7-/p/�/ C�'���TEJ��,/e�._�.� /t,�.�:s =� .u, U � /:� ' � �?�'/,.� P, / %�L.,�? / / �a00. SEPT/G TANK D/STD/BUT/ON BOX �5 OuTLETS� AA/D LE,4Cf,//n/O p/T' TO BE OF QE/�/F02CEI7 COAIGQET� A CONG'2ETE S7,2EAJOrX/ 5000 Z>,5/ M/A/ S TEEL 1 20000 • H-/O LOADING • E3Y C. ,r2. S�✓O•Z?T //VC. E�`19OF& /4 TOA:-'y LANE *p2/VEWA%1 A/OT TO BE LOC�iTED DE./llN/S MLl SS, j AY p� ) 0VE,O SYSTEM UNLESS H- 20 f O stib?r DES/GA/ L OA EVA-10 /S USED. f,4 7 �. zrau 7-/- 1 0,A.1 L>, -r.'o/i J L.t:l A'7/ ,�f /`.'. 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