Loading...
HomeMy WebLinkAbout0438 CAP'N LIJAH'S ROAD 1 i r� a a / • .o ! a' SAS , as t000 (,f-&t.. PTlL. 1A► v.. " - t oav C-A.L.. '- Z -A PIT w t►t4 too �� to . �"�. � cEeT�F�Ex� p•La•r t�.a g e � o T /f - LoCATIO" G Y vE �.t-r'-" aAA itN=30VT A r=- GErtZT1�Y Tt-�AT THE �D�JT,.,)' (iTEAf•I SE.Io�v1J t�'�-A�.l R��ciZc�.1GE. Wr-Z =a►J CoNIPt_�!S W tTN Tt-1E S+D�_u►-�� L..,l.' -T j"7 Qua %TUC wc-Qu+2EAAF-WTS b;L, -r'NC- lowU of -a p S at. - r->L /era Plk. Z-77 PG. REGtS"t'�iZ�� 9-At•i� SV2u�.Yot�S T1;1l5 DiL.AN t5 LJOT BASew 06$ A.0 Q'STE2V1t_t,.6 v MASS. til.l�►TQt1�NE1J"i �tZV�`fi �' �iatr t��'�'5�cTS-��-lot�Jla- ��P�„t GA.�.1T' �_ 1 GAG. ��' f�+,.h+�+�..G) L tJoT Be USEo To De:TmeMtQE' LoT l_tNc=S Assessor's map and lot number .. ... ..`. .....4,! "TIC SYSTEM MUST BE z� g� -TPLLED IN COMPLIANCE r 1'1S' 1'; Tf I , ?TICLE 11, STATE .�<< Searage ,Permit number .....................`...... Q .............................. `'!"f7:1111TAiZY CODE AND TOWN. i F I LATI ONS. _ C1jTOWN . ®F BAR.NSTABLE F?ME a zAWW—, TLDLE, i ,'' ;q n" 'L' NA86 RUItL MA INSPECTOR. ar� vi al APPLICATION FOR PERMIT =TO 01.6..... ...... .. '.. f: .G L .. ! ............................. TYPE OF CONSTRUCTION ........ .- .. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following inf rmati n: ,fig ,Location ... 1 7 .../7.........�.... .................. ... .. .... .. .. .. ..� !�........ ...... ....."...............Proposed Use ........ .. . ... ......... ..... ... ................................................................... Zoning District ......�.:�..................... ........................Fire District .... ..... .. �.............. Name of Owner /. /� ..... .. /l't fr� �....Address .:. ..... d. .!'... . Name of Builder .. .. .. . ........ ... ..... ...... ................Address ........................ X-4/ .� ...... Nameof Architect ......................................... ..,.._..,.Address .................................................................................... Number of Rooms ... ...... .....................................................'.Foundation mac. Exterior .,�l../.... . . ..... ..e0e..Roofing .... ............... .... Floors ........... ........................................Interior .......................................................................:............ Heating .... ...... ... ..... ...................�......:.....Plumbin .......................................:................... Fireplace ............. ....... :..... ...............I.................................Approximate Cost .......... .. .. _ �. Definitive Plan Approved by Planning Board ________________________________19________. Area Q `P. ..... i................. . . ............ Diagram of Lot and Building with Dimensions Fee ..'.' .................... SUBJECT TO APPROVAL OF BOARD OF HEALTH � f �L U hereby agree to. conform to all the Rules and Regulations of the Town of Barnstable regardig the above construction. Name .. .................��...... ............................ Franco, Nicholas 19032 two sto Y, No .................. Permit for �........ ................. V single family dwelli g .............................................. ...... Capt. Lijah o d, ......................... .......... Locafio ............ Centerville ....................................... ................................. S f 4- Nicholas Franco Owner .................................................................. Type,.of'Construction .......frame...................... ................................................................................. Plot ............................. #17 ry Lot .......... March 22 Permit Granted ........... .... 19 77 Date of Inspection . .... .... .. ........19 . 57 . Date Completed ...... ........................ ...�1 PERMIT,REFUSED-5'. ................................................................ 19 ..................................................... t:................... . ...................................................... .................... . ............................................................................... ............................. ............................................. 9 Approved ................................................. 1 ................................................................................ . .......................................................................... Assessor's map and lot number ...-rl ... .".!. ........ ... Sewage Permit number t. Qyo�TNETo�♦ :� TOWN OF BARNSTABLE i L BA"STADLE, i o aYA? BUILDING INSPECTOR s APPLICATION FOR PERMIT TO 4 !!l,.. ... .............................. Y TYPEOF CONSTRUCTION .................:........:.......r.�................................................................................................ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information Location ..../... ......... ,G . ui.at. "` . -�.... !� / i'„• !r./... !!! ' Proposed Use ......... !.(.. .. ......, � ...�.......... a ....... ..... .............................................. ire District 0,.jA�!.Zoning District .... 4,L��� ....................................:................: Name of Owner P /�A � ' % /�: "^�'-,r`-,' ""....Address ... /. . ......�` 4's J'u- ....: G. . .� �yy�x� .................... ...... ......... Name of Builder f � -� �- ° .............Address 471�4 r /i ti'iA / / .,try Nameof Architect ..................................................................Address ............ ...................... ....... .. Number of Rooms ............,.....................................................Foundation .............,.....,......�.............:,................ Exterior f /! / sue ; ..,�n� ...............�-�'!...!.;. ...-....... ..Roofing Floors ...................................................Interior .................................................................................... ..................... Y/ Plumbing Heating t ,l,' ....... .................................... g .........................................................................:........ Fireplace ! '?✓"..... .......................Approximate Cost,................... .................:. ................ ............................ Definitive Plan Approved by Planning Board ---------------_---------------19--------. Area 1 7 ! `q..................................................... Diagram of Lot and Building with Dimensions Fee "" SUBJECT TO APPROVAL SOF BOARD OF HEALTH C� -r-1 . r I. I � 1 t I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ' 2111..Name ....................................... ............... .......... Franco, Nicholas A=194~33 19032 �*n o story No ................. Permit for ------------ . . single family dwelling ----------------------'---'' ' Capt. L11ab Road - Location ---------.-------' ---- � ^ . Centerville --------------------------. � . � . Nic}dao Franco ' Owner -----_________________ � frame Type of, Construction ........................................... � ^ ----.---------------------. ' W Plot ............................ Lot ................................ � ^ . ' March 22 77 � Permit Granted -------------]g . � Date of Inspection ---...--------lV ' Dote Completed ............... ......................lA , . ' PERMIT REFUSED � � . ' . � .----,_----~--.�------- lA ' . � ^ --�.��.�����.`��. . � )� v� ------'' ~ �--.—..—.,...----------..------.. ' � ---------------------.---.—.. � ----.---~..^--.-----.--.----... . � ` Approved ---------------.. lV � � , ` . ---------------..---------- . ----------------------.---.. � - . ' Town of Barnstable Building y' �4 i°?:..;, .a-a-«•.--°» yz""'9'� L '�r, � ,>.,, .��' �f3""'M',�,. : d �€. Post,T.his Card So That rt isUisible Fromthe Street Approved Rlans"Mustbe;Retained on lob"an'd..th�s Gard MustybeaKept, I, .- aAAlVtPE'ACtl.6,. ` + F • a Posted Until Final Inspection Has Been Made 3a � 'aRe wired such B'iaildmµ shall�Not be�Occu red until a'Finaldlns ection has�be n made a Permit Where a Certificate of Occupancy is q, Permit No. B-20-643 Applicant Name: HOME WORKS ENERGY INC. Approvals Date Issued: 03/02/2020 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 09/02/2020 Foundation: Location: 438CAP'N LIJAH'S ROAD,CENTERVILLE Map/Lot:-194y033 Zoning District: RC Sheathing: y tractor Name HOME WORKS ENERGY INC. Framing:Owner on Record: DALRYMPLE, RICHARD P&JENNIFER M �� Con z g: 1 Address: 438CAP'N LIJAH'S ROAD CoritractorLicense>` 181138 2 CENTERVILLE, MA 02632 n _ Est Project Cost: $3,113.00 Chimney: Description: insulation Permit.Fee: $85.00 Insulation. Project Review Req: Fee,Pald:< $85.00 Date 3/2/2020 Final: s im x r dE-y r any Plumbing/Gas Rough Plumbing: ;Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorize;d by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved applcationsand the approved construction documents forwhich this.permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall tie in compliance with the local zoning by4laws and.codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. A •-; Electrical The Certificate of Occupancy will not be issued until all applicable signures bythe Building and Fire Offie�als are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work ; Service: 1.Foundation or Footing y� 2.Sheathing Inspection . :; . ._...n .. Rough: 3.All Fireplaces must be inspected at the throat level before firestflue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection t 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT .....o..d..-.�`.. ..... Application number........ . '� �( 2$ 202� Fee ....................... .'....?.15..............:..................... FEB • BARMANA • vv1a �� ssr�e told..iAbLE MAM �Q Building Inspectors Initials.. ... .............................. A. ` Date Issued... /. .......................................... Q Map/Parcel.............. ....!. ......D3:"a�...................... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION AQANNrn PROPERTY INFORMATION MAR 0 2 MO Address of Project: 438 Cap'n Lijah's Road NUMBER STREET VILLAGE Owner's Name: Richard Dalrymple Phone Number -508-776-1161 Email Address: rdalrymple@riverviewschool.org CelI Phone Number Project cost$ 3113 Check one Residential yes Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize HomeWorks Energy to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK 0 Siding ED Windows (no header change) # Insulation/Weatherization 0 Doors (no header change)# Commercial Doors require an inspector's review Roof(not applying more than I layer of shingles) Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor's name Scott Veggeberg Nome Improvement Contractors Registration (if applicable)# 181138. (attach copy) Construction Supervisor's License # 103832 (attach copy) Email of Contractor Phone number ALL PROPERTIES THAT.HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY'IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER ....................:............................: *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides? Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location (s) of each tent .wW ,fi�o ff food is being served at your event please obtain a Health Department approval between the hours ' } of 8.00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model /I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICA T'S SIGNATURE Signature Date All permit applications are subject to a building official's approval prior to issuance. Insulation/Air Sealing Permit Authorization Specialist: Kevin Hourihan Company: HomeWorks Energy Email: Kevin.Hourihan@HomeworksEnergy.com Address: 101 Station Landing HomeWorks Cell: 5082735347 Medford,Ma 02155 Phone: 781-305-3319 Customer: Richard Dalrymple Address: 438 Capn Lijah Rd Email: 0 Centerville, MA Site ID: 275734 Phone: - 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: I Date: 11/5/2019 Richard Dalrymple � II PLAN VIEW Name: EI(,bM hAULY!4fLe- Site ID: 275734 Finished Sq. Ft:1 WOO Phone: SW-716 l l 61- Year of House: 1'172 Electric Acct#: 14524080059,T Address: 63� CA& LJ)A-I-jS �t.�#of Floors: Gas Acct#: " CE'rVTEevIL.te/k4 Unit#: # Occupants: Housing Type? cc/ -- DUCTWORK INSPECTION Ducts Insulated?❑ Duct Linear Ft. Duct Square Ft. -� - — -_ Duct Air Sealing Hours Duct Insulation Duct Insulation Removal ---- �•� ` f BASEMENT INSPECTION R j t1' Existing Spec'ing Ln/Sq.Ft. U Bsmt Wall AG _ Crawl Ceiling Crawl Rim Joist Bsmt RJ w/Sill ti Bsmt RJ NO Sill Vapor Barrierl sgft. Bsmt Door Y N Blower Door? WALLS&GARAGE Drill location? r Siding Ceil.Height Exi -ng Spec'ing S .Ft. Framing Exterior Wall 1 2 x x Balloon/ tform Exterior Wall 2 x x Balloon/Platform Overhang x x Garage Wall x x Balloon/Plat7orm Garage Ceiling x x SCANNED Al MAR 01102d Insulation Remo Sgft. Sweeps: WX Stripping: ; WORK SPEC'D BUT NOT CONTRACTED R D BLOCKS PRESENT?(MANDATORY) Attic Basement/Crawls ace I Other: K&T Y oisture YJMCornbustion Sft Y/ Kneewall Overhang/Garage Asbestos Y/ Mold>100 sq.ft Y/ CO Detector Missing.Y J Ductwork Exterior Walls Vermiculite- Y J Structl Concerns Y/• ther: Notes for Lead Vendor/Work Not Contracted: . , f ° _ ..,rrµ _ � � • .- ..,-a e. .. ,. +w- w.. .... _ . r s+',,aka.. q.. •^.:JM ..•.ub_.k AM -rw..r. ....._S KW WALL AND KW FLOOR Blind Spec? ❑ • OR KW SLOPE AND GABLE END Blind Spec? ❑ Why? _ Why?- V �. \FRAMING EXISTING SPEC'IN9j SQ,FT. FRAMING EXISTING SPEC'ING SQ.FT. WALL X SLOPE X X` FLOOR X\ X f GABLE X- X ACCESS x TRANS X - X TRANS x x ATTIC ATTIC SLOPE x x X X SLOPE 1EXISTING VENTING. EXISTING VENTING? EXISTING PIPES? Y IN KW Venting vent BF Br Hose I oanihung Sheathing Access Temp AcceSS1 KW Venting Vent BF Temp Access N m = 736 =Pb-5 ds c-- 3 20 t --------------- Pas T-00M -70 E �fio rz c-� z-VU" yl Ilia Insulated Wall X Y, Rec'd light.o Ins.hose BF `Vent t3F F8F­V1 Chim,CH Damming. 12"Reofv t 12RV) Air Handier Ali Temp Access M Pull Down DS Hatch ®-Wall Hatch 'V Door e/ 8"Roof Vent Rv - - - Vol: 'L a X .0058 xCs, 9(Lstal I x) x ATTIC I Blind spec? ❑ - x x ATTIC-2 Blind Spec? ❑ (rsi 'Exis ng S ecing Sq ft Existing Spec'ing Sq ft 3`60ste"))- Unfloored a ILF6- Unfloored Trusses Cross Batting Floored j ig' Floored Mixed Insulation 'Duct Work Cath Sloe Cath Sloe > o None Walls Walls , Access « Access Venting Propavents Vent BF BF Hose Damming enting Propaventsi Vent BF I BF Hose I Damming6 to m W H F Box . _ Tem Access, o She thing.Acc ss: R.L -veers: ' _ Sq.Ft/300= (Exist.WA•venting) (Needed Sq.Ft/300= (Exist.NFA Venting)_ (Needed AlFAVenting) .NFAvcndng)• Roof.Type: "` Existing Venting? (rf Existing Venting? Homeworks Energy �of 7 rr r 1 � 101 Station Landing,Medford,MA 02155 g CONTRACT - AUDIT HomeWorks 7813053319 Energy,Inc, Page 1 PROGRAM CLC-HPC CUSTOMER PHONE DATE CLIENT# WORK ORDER RICHARD DALRYMPLE (508)776-1161 11/05/2019 275734 00001 SERVICE STREET BILLING STREET 438 Capt Lijahs Road 438 Cap.n Lijahs Road SERVICE CITY,STATE,ZJP BILLING CITY,STATE,ZIP Centerville, MA 02632 Centerville, MA 02632 DESCRIPTION QTY COST INCENTIVE TOTAL ATTIC DAMMING-R-38 FIBERGLASS 70 $172.20 $129.15 $43.05 Provide labor and materials to install a 12"layer of R-38 unfaced fiberglass batts for damming purposes. ATTIC FLAT-8"OPEN R-30 CELLULOSE 320 $460.80 $345.60 $115.20 Provide labor and materials to install an 8"layer of R-30 Class Cellulose to open attic space. PULL DOWN STAIR:THERMADOME BUILT-UP 1 $237.65 $178.24 $59.41 Provide labor and materials to install an easily moved, insulating . cover for the attic access folding stair. A small flat surface of plywood will be created around the opening within the attic. This will allow the cover's integral weather-stripping to restrict air leakage. VENTILATION CHUTES 48 $167.52 $125.64 $41.88 Provide labor and materials to install ventilation chutes in the rafter bays to maintain air flow. INSULATED BATH EXHAUST HOSE 4.INCH 1 $60.00 $45.00 $15.00 Provide labor and materials to install an insulated exhaust hose to existing bathroom fan(s). HOME AIR SEALING 8 $640.00 $640.00 Provide labor and materials to seal areas of your home against wasteful,excess air leakage. Materials to be used to seal your home can include caulks,foams and other products Primary areas for sealing include air leakage to attics, basements,attached garages and other unheated areas(windows are not generally addressed.) A reduction in cubic feet per minute(cfm)of air infiltration will occur, but the actual number of cfm is not guaranteed. At the completion of the weatherization work, and at no additional cost to the homeowner,a final blower door and/or combustion safety analysis will be conducted by the sub-contractor. HOME AIR SEALING 8 $640.00 $640.00 Provide labor and materials to seal areas of your home against wasteful, excess air leakage. Materials to be used to seal your home can include caulks,foams and other products. Primary areas for sealing include air leakage to attics, basements, attached garages and other unheated areas(windows are not generally addressed.) A reduction in cubic feet per minute(cfm)of air infiltration will occur,but the actual number of cfm is not guaranteed. Homeworks Energy .10 rn 1 Station 1 01Statio Landing, 55 CONTRACT - AUDIT HomeWorks 7813053319 energy,Inc Page 2 PROGRAM CLC-HPC CUSTOMER - PHONE DATE CLIENT III WORK ORDER RICHARD DALRYMPLE (508)776-1161 11/05/2019 275734 00001 SERVICE STREET BILLING STREET - 438 Capt Lijahs Road 438 Cap n Lijahs Road SERVICE CITY,STATE,ZIP - BILLING CITY,STATE,ZIP Centerville, MA 02632 Centerville, MA 02632 DESCRIPTION CITY COST INCENTIVE TOTAL At the completion of the weatherization work, and at no additional cost to the homeowner,a final blower door and/or combustion safety analysis will be conducted by the sub-contractor. WEATHERSTRIP AND ADD DOOR SWEEP 3 $240.00 $240.00 Provide labor and materials to install Q-Ion weatherstripping and a doorsweep to door(s)to restrict air leakage. BASEMENT SILLS R19 FIBERGLASS BATT 110 $240.90 $180.68 $60.22 Provide labor and materials to install R-19 unfaced fiberglass insulation to the perimeter of the basement ceiling at the house sill. Total: $2,219.07 Program Incentive: $1,884.31 Customer Total: $334.76 - WE AGREE HEREBY TO FURNISH SERVICES•COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Three Hundred Thirty-Four&76/100 Dollars $334.76 �ru�n, IVnNv+M —eo�Iv�Pras>�Iu�Ana� 02/14/2020 NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE WUN VA It: DAYS. Project Summary Name: Richard Dalrymple HomeWorks Energy,Inc. Phone: - 101Station Landings Email: 0 Medford,Ma 02155 ,a�� Site ID: 275734 781-305-3319 HomeWorkS Energy,Inc MASS SAVE Cost Incentive Air Sealing $ 880.00 $ 880.00 Weatherization $ 1,339.07 $ 1,004.30 Duct Sealing $ - $ - Duct Insulation $ - $ Mass Save Rebates Cost Incentive Preweatherization Incentive $ 250.00 $ 250.00 t BEYOND MASS SAVE CITY Cost Storage Moving 2-way(minimum 50 sgft) 416 $ 436.80 Floor-Pull Up Flooring and Reinstall 416 $ 457.60 Total BMS Costs $ 894.40 tAdditional listed work may be a requirement of the insulation proposal.HomeWorks will only remove those line items if completed prior to install date.All work performed beyond Mass Save carries no incentive SUMMARY Cost Incentive Mass Save $ 2,219.07 + Beyond Mass Save $ 894.40 TOTAL PROJECT $ 3,113.47 ..$ 2,134.30 Total Copay $ 979.17 Customer Deposit Applied $ S0.00 FINAL COPAY (due on completion of work) $ 929.17 HomeWorks Energy,Inc.agrees to perform the above summarized work(Mass Save&Beyond Mass Save),furnishing the material and labor specified for the contract price(Total Project).All work is subject to change,and homeowner's approval is required for completion of any and all work. Preferred Day of Week for Insulation Install: Customer. Date: 11/5/2019 Richard Dalrymple np _ Specialist: dcYL Date: 11/5/2019 Kevin Hourihan Kevin.Hourihan@HomeworksEnergy.com 5082735347 v.13 f Office of Consumer Affairs and Businiess Regulation 1000 Washington Street-Suite 710 Boston;Massachusetts 02118 Porne Improvement Contractbr Registration Rggislrat€On• 12t9i58 HOME WORKS FNf RGV.10C. Exp tOtirtt IA3'iPrt2(f2� i o1 STATION LANDING S7E 1.40 MEDFORD.MA.02155 - - - Update Ad3ro:s and Row-Card, W.:ke of Cansunta affairs a Hubinaaa Regulaton. R iA'Alion vefid iarindlvidusl use aniy - H6lAE IDdl P+9.OUEtd ENT rA Nln RACTDrt benrre ifs&axpl•'tdian data,if found return to:, - 1Y;:l Como eL^n Raarstratton fc�.lretien tJfflca of consumer AMatrs and Buslnebb Regulation. tsti3u 03r02,'02r - t000'Nach6 o strati.Suite 7tio- _ titrtE'a;�:RRS1=.Net76Y.r,NC aocton,M. 02111 rdAXVECOEBERG � GI-'�•I`-'—_ - - - lei STATION LANDING STE 110 N Yalid without signatttttt P: aFORD_MA Cq756 r Carrmonweaitit et r Construction Sub+ -v)stsr Specialty t�lvi4tOt1 of Frhlessioital L.icensure S Board pt Building Rogulrttion!s;and StAndtllClas' Restricted to: 7.'• CSSL4C Insulation Coniractoc Gnl�s:r lciinr+. l.pt riA r'Specialty i f CSSLr-1p3632 .; I p€res: lclta���il�i SCOTT VEGGEBERG B COVINGrTON ST t39 BOSTON MA-02121 f z tl? Failure to possess a Cut Jition of the Massachusetts State Building Code is C or revocation of this.license. Cos tnessitrner �tri{�syr .1 For'informtsitMi atiautthislicense 4 Call(6i7)727.3200 or visit www.mass.gov/dpi • The Commonwealth of'Massachusetts Department of7ndustrial Aceidents Office of Investigations 600 Washington Street Boston, MA 02.111 www.mass.gov/ilia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le0b1y Name(Business/Organization/Individual): Hom@Works 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.CO I am a employer with 200 4. ❑ I am a general contractor and 1. employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ i am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition working for me in an capacity. employees and have workers' y p 9. ❑ Building addition [NTo workers' comp. insurance comp. insurance.? required.] 5. ❑ .❑We are a corporation and its 10 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their i LEJ Plumbing repairs or additions myself. [No workers'comp.. right of exemption per MGL j 2:❑Roof repairs insurance required.] ' c. 152, §1(4),and we have no Weatherization employees. [No workers' 13.❑f Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. r 1-icnneowners 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 most provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for nay employees. Below is the policy and job site information. insurance company Name: NH Employers Insurance Company _ Policy#or Self-ins.Lie.#:#4001017 Expiration Date: 1/1/2021 Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of investigations of the DiA for insurance coverage verification. I do hereby certify under the pains.and penalties of perjury that the information provided_ above is true and correct. Signature: Date: Phone#:781-205-4520 / wxpermitting@homeworksenergy.com 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#: HOMEENE-01 LLARIVIERE ACOR[�" CERTIFICATE OF LIABILITY INSURANCE DATE 12/19/2019Y) � 1 211 9/201 9 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION .ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER: IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Lisa Lariviere NAME: Foster Sullivan Insurance Group,LLC PHONE FAX 163 Main Street (A/C,No,Ext):(978)686-2266 301 1(A/C,No):(978)686-6410 North Andover,MA 01845 E-MAIL certificates@fostersullivangroup.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Homeland Insurance Company NY 34462 INSURED _ INSURER B:Safety Indemnity Insurance Company 33618 Homeworks Energy Inc. INSURERC:NH Employers Insurance Company 13083 Homeworks IIC LLC 101 Station Landing Suite 110 INSURERD: Medford,MA 02165 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR .POLICY NUMBER POLICY EFF POLICY EXP - LIMITS LTR IN SD WVD MM/DD/YYYY MMIDDIYYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE i OCCUR 7930060650002 4/1/2019 -4/1/2020 DAMAGE TO RENTED - SOO,000 PREMISES Ea occuRence $ MED EXP(Any oneperson) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $. 2,000,000 POLICY❑PEST LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: B AUTOMOBILE LIABILITY - - CMB EOa aca"EDISINGLE LIMIT - $ 1,000,000 ANY AUTO 6244378 4/1/2019 41112020 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY X AUTOS - BODILY INJURY Per accident $ X HIRED X NON-UTOOWNED - - - - PROPERTY DAMAGE AUTOS ONLY AS ONLY -Per accident $ $ A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 X EXCESS LIAB CLAIMS-MADE 7930060660002 - 4/1/2019 4/1/2020 AGGREGATE $ 2,000,000 DED X RETENTION$ 0 - $ C WORKERS COMPENSATION XIPERIOT - AND EMPLOYERS'LIABILITY - YIN N. STATUTE EERH ECC-600-4001017-2020A 1/1/2020 1/1/2021 1,000,000 OFFICER/MEMBER EXCLUDED?ECUTIVE N N 1 A E.L.EACH ACCIDENT $ (Mandatory in NH) - - E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ - DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if morespace is required) - Evidence Only CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Homeworks EnergyInc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ,101Station Landing Ste 110 Medford,MA 02155 AUTHORIZED REPRESENTATIVE. - - ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD to �.Q V 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:ECC-600-4001017-2020A All HomeWorks Energy permits are pulled under his CSL license. The insurance provider is AIM Mutual Insurance Company. If you have any questions or concerns please contact Director of Weatherization Adam David Glenn at 774-365-2446 or adam.glenn@homeworksenerw.com. Thank You, Adam David Glenn Director of Weatherization HomeWorks Energy. °FI KE r Town of Barnstable Regulatory Services >ARxsrnst.r. 'puss. Thomas F.Geller,Director �'ArE1659..t14, Building Division Ralph Crossen,Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 SHED REGISTRATION `f3�s Coerj L,`A4f,s cgs�W�A,kj - Location of shed(address) Village rn Property owner's name Telephone number 8 , X I �f03 Size of Shed Map/Parcel# � � lsral Signature Date Hyannis Main Street Waterfront Historic District? �d Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature required) 3 b PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN �V Q-fortis-shedreg a .yy1^,, c`r :a'e;y �5_ esinr -` ..` .k'e y" it' 1. k �d 'x'3:' ,5. Cc°^p ?n '"� t sl+u3 t, )_ F , ° �a^ '-- `d` p _�� ii1 rt� � s.�' -:..�.0 ten. #»w 5-?v �k' ru..,•,. rt $'�ian, +S . � ,, - gm s`�'nj c-rx •�-.L^ >k .�'s+"#,*.4'tn--Sd k R - S i s f � -u arr ri" \ "'� - ?x �' - �.t+,f .3P .. .� _ x K F-.t vx h t ( s'.. .,,, ; .s r t 4 G i' x r 4�',,Y, 1. Y - F Y r0 Y ti x _, ° .- ? 1 4 Y G% c ` fir,J / - - ,, . . ... . X x5 y.-'L \, ' - r 1 J t- f� .!� I If l f '\ -? n j �r C -` t , ;i^�, Fj \.T � r ...�-:..'..�.I".-,,,�,,,.::",1*.1,''�_,%.,1.:...-.�,,..q--..�.I_,,�.�t.,�..�,*7.,..1_".�'..,,',.w—�,.,-.�-,,�I'.1:"".�"'-.�,�*:��-.�,1-���.,,',-'��­...._I,_:,...�,1�.,�I 1.m-.;,�;;,'--�,��,��_,I,4'�.�-,I.,,...t ll.--;:,.�,,:,.��,.,--:,.�.,�"�,,::-.II'�.i-:.-,:�,��—1;�,e._7,�-,��I�f"...;`�­7.I y-..:��:,-:,,*"I,�.,::;.. r /.j '.L r31J r ". Ti -.•: `G �, it 1 -, Yw . . a., y s.:t--.. .e n .:5 'i' _-i .w t r - - .. { 1 -) y: A I" JC)HN its( .'o CtAHCt,._ _ .4 , e, 1DG23 i; C/STk ,, - -:., �s I / r t 4; '� f, t`t Scale .1 j5 a r�'t/ ,y G iA Gi4/ - A PROFESSIONRi lANO�I NIVEYQS' ;' j oo r+EAt=_nY CERTtF� crAT THE AMERICAN SU.RUYtNGyCtOMPANY - �Q4yE MIRr�T � tsP�aTla+v t26a hA*�n Street Y�altham MA 0215a(6t7)893 6477 h e. P{,ANz1G1AS RAEeARE4 FUA r , 11 t; wt M� L rH r. OPt(#E�YTIO iKtl H A NEW"DIR GAGE Y , : 'ANn is ,;__ ,_- -o o ORSREPR NtQr# � lnspectlon Plan $frGNf€1J�OBEA_ ::C OR PRO,w THE LOCATIQN OF THE OAIGINAI RECOfiDE_ T " COUNTY REGISTRY Of DEEDS L INS $UgV�Y tip COANER5 VYEA - SEt tT &f UBEp FtIA€ -_TUUMO"OMYN HEREON EITHER BOOK I P11 LC Cerl f `t 7ABLl IiFN `FCritCE 'HNOE •OA 1O"OQMPU - W+THTT1ElQG 1.111ANH9FPENCE•. �'::�� i BUIL[?MtG WNES'THE t.1 "6. St19YtFJ �PI3Ch&E 2oNIN0 BYuwS IN EF- �AAWN PER TOWN OF .= ASSESS I AS HEE�EON IS•$ASo ON Cutkf fUA fECT WHEN — ....t1CTE[j WITH RE ►dAP 1 PAflCEL i',.' gATEO NISHEp IHfORA1AT1ON ANO MAYBE SPECT.TOHQAIZpNTA10JA4ENSK?HAL'AODAES$t r- .6 L F22�KL� SUBJEGI TII,FURTHER;OUT SALBffi hEOUtREMENT$ONLY),OR 1$p(EMPT , ,s TAKINGS EASEMENTSANORIGHTSOE FROM VIOU1T1ON;ENFORCEMEN1 AC- BORROWER �Y YMI�E - > WAY.`)yQ RESPONSIBICirTY tS ElC- TION UNDER ,'.G L TILLE VII,CHAP: �oA, SEC 7 UNLESS OTHERwiSE.¢UBJECTOWEIL�iG:UES IN F1O0D'ZOHE-=--s. TEN DI HEREIN 70 THE LANOONrHEA -- ' .OR OGCUPAroT,1T IS'NO7.INfENDED NOTED OA$HOWN'HEREOIV.A CON;ASSt1O1NN ON NATIONAL fLO001NSURgNC PiIOGRAM i�pOp FIRMATORY INSTRUMENT:SURVEY,INSI aANCE RATE 11AP DATED �� H TO BEAECOROEO -� DATE �i_:e:U �1���.L`��___Y__ IS ADVISED WHEH STRJCTPACS ARE:1'Ore -yi TY PANEL t, Z 0 FROM TOWN OF BARNSTABLE 4 Ms. Mary Deady BUILDING DEPARTMENT 438 Captain Lijah's Road 367 MAM STREET. . HYANNIS,MA 02801 Centerville, MA 02632 Phone:775-1120 SUBFOLD JECT: Building, Permit #28177 DATE - .. November 14, 198 MESSAGE Please contact this office immediately re your unfenced swimming pool located at 438 Captain Lijah's Road, Centerville. SIGNE and R. Bearse, Asst. Bldg. Insp..- DATE .. REPLY a SIGNED N87-RMI RECIPIENT:RETAIN WHITE COPY.RETURN PINK COPY SENDER:SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. -Allatissor's map and lot number ........`..:. . L�..':.• ..: _74s THE �6 . SEPTIC ' PLO Sewage Permit number .............................. ....... $�f$TEIi� MU NSTALLED IN COMP `House number ..................................... ..�............................ a L WITH TITLE 5 ", 1639- ENVIRONMENTAL CODE Y T O W N :O F BARNS YAM MILATIONS BUILDING IIIPECTOR APPLICATION FOR PERMIT TO .......................................................... . . . .. .. TYPE OF CONSTRUCTION ..... ............................................................................. ............. p�..............19ff TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according t Vthh.eallowing information: Location �1 ............ ..... ............. ProposedUse ............................................................................................................................................................................. Zoning District ................... ..........................Fire District ....................................:......................................... Name of Owner . . . .......................Address .(�... ... . . .. .. . . . . .. .. Name of Builder ........................Address .... .. Nameof Architect .........................................................:........Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exlerior ....................................................................................Roofing .................................................................................... Floors ..............................................................Interior ............................................ ..:............................................................. Heating ..................................................................................Plumbing ................... ................0.......................................... Fireplace ..................................................................................Approximate. Cost . Dd�i�a. . ..d............... ................. Definitive Plan Approved by Planning Board -----------_------_-----------19________ . Area ? . O Diagram of Lot and Building with Dimensions Fee . SUBJECT TO11APPROVAL OF BOARD OF HEALTH �.�p I � w �90� I S I �yl 3g� J a6/ OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . . .... . y Construction Supervisor's License / DEADY, MARY A=194-33 I r�� o .... .. Permit for A �.Q§5QU...tA.......... ti •_'t dwelling..�SWrf�I1�. 1g..DQSJ�.?................. �= location ... ............ Centerville ; t r, Aea Owner .............._......:... .y.. shy................. Type of Construction ......frame......................... t ................................................................................. i r APlot .......... Lot ................................. . . r Permit Granted Jul yDate,of Inspection ................ ......19 { Date CompleteFcF ................. 7......19 0% 1 s i 10— yam• t • /�1 !` � � ,F c m 2 rn mol- �+ w.f'• .may Cr ra) V f+ E CO. l s j .Assessor's map and lot number ......./...a.L/........ .... f j6 OFTFIETO -'Sewage Permit number .............................:....... BA"ST LE. A House number .... ................:............. ............1` Opo�1639. `00 SLR } �.. 'EC MAY M. TOWN " OF " BUILDING IH PECTOR � �/� f APPLICATION FOR PERMIT TO .. ..,G.�'t�',� X41J TYPE OF CONSTRUCTION ... .............................................................. ...... PJ .. .19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according t the ollowing information: Location Y .. ProposedUse ............................................. .......................................................................................................... .... Zoning District ............................... . .......... ...........................Fire District`........................ .... ......... Name of Owner .. . ....... ... . .....................Address �f� .. 1. �'a* Name of Builder ................. ..Address .... Name of Architect ...................:..............................................Address Number of Rooms .Foundation ................................................................. .....:......................................................................... e Exterior ....................................................................................Roofing ...................................................... Floors ......................................................................................Interior .......................:............................................................ Heating .................................................. ........................:..Plumbing ..... ....... F. Fireplace ....Approximate. Cost . > dD .Q.l Definitive Plan Approved by Planning Board ______________ _____________ --------________ .- Area Sy1/. . .. .. ... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF' BOARD OF HEALTH oCd7`Pap /i ad . t OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. �. sName .. . . . .....��.. ......................... ...i > ` h.L` , .. T Construction Supervisor's license fi DEADY, MARY z.ng..pppA1=194-33 oNo ..M.7.7... Permit for ..Accea . Location ... ...Road............ .....Centel.Y.,J,J.e............................................ I'µ Owner ...../.......Many...Dead Type of Construction ............framee................... ................................................................................ Plot ............................ Lot ................................ Permit Granted .................Jly..9..........1985 l Date of Inspection ....................................19 Date Completed ......................................19 r COT.. /, 3 4 L _ _ s