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HomeMy WebLinkAbout0044 CRESTVIEW CIRCLE 01, 'A"', 4 I C%,� .41 �,s 41" NP� ttltyilA Waf,"NtrX, oil, gn-WIMU.%;,- ) 1 4 mg HEW- SRI Q 'P. 4,�Z'y nti;A m ij �W, &Ifk�MKIbv Wx -Rki 'Mlm sw M of 12 T IT NAMOR 9jussf U fp,,�R R ROM Wr oil) 'n 9 � ; 4K q'M ENV Pm- no MR4,�'u il, IeN ilX, P— MT� -1=4 f IF,TILL V,.�g 1v 1PO Ri ZT, A 1.11 �w 1:1y u,a tW , I ni "N"N I" �111F,11-11 10.,-,Aaitt-1411�.,'0 Z1. I a INS ),Vlb Al.� ;Pn,M'i.fAva- a CZ �RIR M ial, um �A;r I&A 1�ffA SPUR MOM ownw-0, -mwvm n YV-� "; "XIiA'i in.3.7, "I"PR"i "" v- M A opal j ltl`i� iv;I t�g.,�,� , - , - X -14 m P Ns Q—W-Ax i All �I�, MM AT, W.Ay Avy M- "ji, ul - -- n g;g A 1111;t1li z!41411 XG, ARM OR lot," 11AIT Now! 1. 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Z' 0, ivy I It" �11?1�011,11,1;41V�i "In P a-vtttp�vin,. qm, it m', A ck $�15 Mi a 0 In I W RRO Y "M 'R A I ",T5 ply -f-, am MAN PI k -61 .0 ,, , nif ,1Z IV 'gig!4, "M AlA Apllllli� An- "I fl f�l,.,J","�o TI. ig Alji a W,v -La" h r �31 MI memo%mom 311!P";,-�,4.4��"!� �,`IIK Iff-, 0'f!�J. yv w, SRI I'M mt ilv- all WIN 11101 wom smsugm, ran, 'i tu�,( go A "'A. `7, IAN 34a) J, A 54� i Nil vio,0. now ,j-r A Town of Barnstable Building .,,. Post ThU I...d So Th ` ' reet A roved Plans:Must�b�e Retained�on Job and=this Card Must be Ke t, ,.. at it is Visible From the St pp y p Posted Until Final Inspection HaBeen Made j m SG39 s :s ;'.. �.:r F W' ... p r M R eaNird° Where a Cetificate:o#O,ccupanry is,Required,suchBuildrng shall Not be Occupieduntil a Finallnspection has been made i Permit NO. B-20-436 Applicant Name: HOME WORKS ENERGY INC. Approvals Date Issued: 02/14/2020 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 08/14/2020 Foundation: Location: 44 CRESTVIEW CIRCLE,CENTERVILLE Map/Lot 252 051 021 Zoning District: RD-1 Sheathing: Owner on Record: BARRY,G CURTIS&PAUCINE TTRS Coritractor` ,ame` HOME WORKS ENERGY INC. Framing: 1 Address: 44-CRESTVIEW CIRCLE ContractoLicense 181138 2 CENTERVILLE,MA 02632 Est Project cost: $6,500.00 Chimney: Description. Weatherization Permit Fe`e: $,85:00 Insulation: Fee Paid $85.00 Project Review Req: Date ' 2/14/2020 Final: ;•f � '� Plumbing/Gas s n Rough Plumbing: 4 Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work author ed by this permit is commenced within six months after'issuance. All work authorized by this permit shall conform to the approved application and the�approved construction documentsicr which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shallibe in 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: Vi Ap Electrical The Certificate of Occupancy will not be issued until all applicable signaturesaby the Buildmg and Fire Officials are provided on this:permit. Service: Minimum of Five Call Inspections Required for All Construction Works , ;� s F L Foundation or Footing �k iPi g Rough: I Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation, 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the inspector has.approved the various stages of construction. Final: "P ins acting 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: �i All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Application number.. :'J: �. UILDING DEPT. Fee . 13 ,3, ............................................................................. AASM S& FEB 13 2020 Building Inspectors Initials......../ ��—..... IABLE -- � t/ ? Date Issued...................................../ ..... .. .............. Map/Pa rcel.....20........ ...]. ...d ........ TOWN OF BA STABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDO W S/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: 44 Crestview Circle,&Wzsta� NUMBER STREET VILLAGE SCANNED Name: Pauline Barry Phone Number 5087751283 Email Address: paulinebarry44(a)_comcast.net Cell Phone Number FEB 14 2020 Project cost$ 6500 Check one Reside�itial yes Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize 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 ED Doors (no header change)# Commercial Doors require an inspector's review M Roof(not applying more than l layer of shingles) \ Construction Debris will be going to 2510 B Cranberry Highway Wareham- CONTRACTOR'S INFORMATION Contractor's name HomeWorks Energy k t l' Home Improvement Contractors Registration (if applicable)# 181138 (attach copy) '� r Construction Supervisor's License# 103832 (attach copy) Email of Contractor neil.donaghy _homeworksenergy.com Phone number 781-305-3319 ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY/S 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 Iffood is being served atyour 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 Barnsta e. Signature Date 2— 2126 APPLICANT'S SIGNATURE Signature Date 43 All permit applications are subject to a building official's approval prior to issuance. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/OrganizationAndividual): HOrneworks 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): 1.9 1 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.❑ 1 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 any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp. insurance.+ required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.0 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 employees. [No workers' 13.❑■ Other Weatherization comp. insurance required.] *Any applicant that checks box#1 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. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: NH Employers Insurance Company Policy#or Self-ins.Lic.#:#4001017 Expiration Date: 1/1/2021 Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby 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#: HOMEW-1 OP :ILL ACORi7" DATE(MWDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 03/29/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 978-686.22664EACT Lisa Lariviere Foster Sullivan Insurance 'PHONE 978-686-2266 FAX 978-686-6410 163 Main St. ,A/C,No,Eat: North Andover,MA 01845 eo I c6rtificates@To-stersuilivangroup.com Foster Sullivan Insurance LLC I INSURER I AFFORDING COVERAGE NAIC N INSURE FAS ETY INDEMNITY INS CO 139454 INSURED Homeworks Energy Inc. INSURERB:A.I.M MUTUAL INS CO 33758 101 Station Landing Suite 110 Medford,MA 02155 I INSURER C:Homeland Insurance Co of NY 134452 INSURER D: INSURER E: INSURER F: i 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 E BEEN REDUCED BY PAID_ _CLAIMS. INSR� ODL�R I POOCY EFF I POLICY EXP LTRTYPE OF INSURANCE IN D IWVD POLICY NUMBER III POLICYEy11�(M DPfYL•J LIMITS C X COMMERCIALGENERALIJABILRY EACH OCCURRENCE $ 1,000,000 )CLAIMS- MADE OCCUR I 7930060650002 10410112019 04I0112020 DR�AEM SEs�aErxaEO n 500'000 MED EXP fAry one person_�$_-__---__-__- 10,000 LI PERSONALBAOV INJURY 1'000'000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 4000,000 !_J JECT ❑ i 2,000,000 POLICY LOC i 1 PRODUCTS-COMPlOP AGG OTHER: $ i COMBINED SINGLE LIMIT 1,000,0wo A AUTOMOBILE LIABILITY i I ANY AUTO ( 6244378 04101/2019 04101/2020 BODILY INJURY Per Person) OWNED I SGHEDVLED AUTOS ONLY I X AUTOS BODILY INJURY(Per accident)i$ X HIRED ,XX NON-OWNED PROPERTY ppAMAGE AUTOS ONLY I AUTOS ONLY ..(_er ecuaent2 I S '$ - — C UMBRELLA LIAB X OCCUR 1 EACH OCCURRENCE 2,000,000 X EXCESSLIAB CLAIMS-MADE 17930060660002 04/01/2019 04/01/2020 000,000,2 i AGGREGATE $ . DIED X.RETENTIONS 0 1 S • B WORKERS COMPENSATION 1 X g7RT E OERH._ AND EMPLOYERS'LIABILfrY YIN MCC-200-2000552.2019A 01/01/2019 01/01/2020 1,000,000 ANY PROPRIETORIPARTNERJEXECUTIVE ELfACH ACCIDENT $__.___-__._ OFFICERJMEMBER EXCLUDED? NIA( --- @tandatory in NH) E.L.DISEASE-EA EMPLOYES 1,000,000 If yes,describe under !E.L.DISEASE-POLICY LIMIT $ 1,000,000 ow DESCRIPTION OF OPERATIONS bel _ I I � I i .DySGRI^Ir,5F?YERATIONS 1 LOCATIONS/VEHICLES(ACORD 101.Additional Remarks Schedule,maybe attached if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY 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,(201e103) ©1998.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marksof ACORD 1 Office of Consumer Affairs and Business Regulation 1000 Washington Street-Suite 710 Boston,Massachusetts 02118 Home improvement Contractor Registration i Type: corpcmtlon Registration: 1811 U HOME WORKS ENERGY.INC. e. ExPfaUon: nOV2021. 101 STATION LANDING STE 110 MEDFORD,MA 02155 t r ' '-p Update Addro:.and Return Card. Wce at Consumer AHain 8 b.sin".Reaulsuon HWAE IMPROVEMENT CONTRACTOR Registration valid for individual vsa only TYPE:Corwaten before W axpirt ion data..If found return W F 3tretlan on Office of Ccmwrnor Affairs and Bualnoss Rogt Won 181138 03r02/202t I*w wash a street-Suite 710 HOME WGRKSENERGY,INC. 9gctoA,M 021t MAX VEGGEBERG 101 STATIOIJ LmOING 57E 110 LL valid without.signatur® MCOFORD,W,02155 tlndersea'E1ary COmmOnwealth of Massachusetts r Construction Suptrvisor Specialty Division of Professional Licensure board of Building Regulations and Standards Restricted to: Canstructi,00�S16p'e'AAspr Specialty CSSL-IC-Insulation Contractor i rl: CSSL-103832 � �c�pir es: 1 0/1 3120 21 SCOTT VEGCpEBE.RG 8 COVINGTOf+1 ST#1 , BOSTON MA"92127 Failure to possess a cur dition of the Massachusetts State Building Code is c, or revocation of this license. Commissioner -� - For informaUw,about this license �� Call(617)7273200 or visit www.rnass.govtdpl Construction Supervisor Re:Address y Gt sf 0c w e j'a4e (or)application# Name Scott Veggeberg Telephone Number 508-273-7593 Address 101 Station Landing City Medford State MA Zip 02155 License Number 103832 License Type Expiration Date 10/13/19 Contractors Email N/A Cell# 508-273-7593 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,Attach a copy of your license. Signature Date _/,1; Office of Consumer Affair and Business Regulation 1000 Washington treet- Suite 710 Boston, Massa, usetts 02118 Home Improvement:C ntractor.Registration' t Types Corporation { Registr on: 1811.36 "- HOME WORKS ENERGY,INC. 4 - Ex 'ation: 03102/2021 101 STATION LANDING:STE 110 '- MEDFORD,MA 02155 _d. Update Address and Return Card. 3CA 5 GR' 2QM:05'17, .rf, �`s.irrrrri�v/fY..=:�.%ti�i-�•��.;s✓� Office of Consumer Affairs&ausiness Regulation HOME IMPROVEMENT CONTRACTOR eg•R 1st ati valid for individual use only TYPE:Corporation befor th expiration date. If found retu►n.to: Reeistration Expiration- ffice Consumer Affairs and Business Regulation 181138___03102/2021 1 0 shi o Street-Suite 710 HOME WORKS —t3os 11 w r MAX VEGGEBERG 101 STATION LANDING-STE 11`0 O vali without signature MEDFORD,MA.02155 Undersecretary r -Shi nwea3th of Ma sacFlas�f"s rs}l9111 1tif prc�Fess�o t 1.tc risure BoArcd"Of' UiId nig Jit tilieffi)ili and!stihd 'ds, p Gd truc It �ptxcla"If, ara`f[� ,>Jik.,t«t, +r1, �.. tj� �y+ CSS .n��r2� �" *• Y 'fir a q t � �c 1 Home Woxks 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 714-365-2446 or adam.elenn@homeworksenergy.com. Thank You, Adam David Glenn. Director of Weatherization HomeWorks Energy.. Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement 0Ntractor Registration - Type: Supplement Card Registration: 181138 HOME WORKS ENERGY,INC. i w Expiration: 03/02/2021 101 STATION LANDING STE 110 `� MEDFORD,MA 02155i Jae Update Address and Return Card. SCA 1 P 20M-05/17 Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. If found return to: Registrations°� Expiration Office of Consumer Affairs and Business Regulation 1817`3$-= 03/02/2021 1000 Washington Street -Suite 710 HOME WORKS ENERGY 6_I Boston,MA 02118 ELVIS VERDEZOTO � -' 101 STATION LANDING;STEsi,1'0 � MEDFORD,MA 02155� ''' Undersecretary of val without signature i Insulation/Air Sealing Permit Authorization -� . F sr� 4 Specialist: Adam Hoyng Company: HomeWorks Energy i Email: Adam.Hoyng@homeWorksenergy.com Address: 101 Station Landing HomeWorks Cell: 5088139054 Medford,Ma 02155 Phone: 781-305-3319 Customer: Pauline Barry Address: 44 Crestview Cir Email: 0 Barnstable,MA 02632 Site ID: 3856998 Phone: 508-775-1283 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 w that the agreed Weatherization work is completed. Customer Date: 7/23/2019 Signature: Pauline Barry Proposal Terms ri .. Customer: Pauline Barry Specialist: Adam Hoyng I ri{jt Site ID: 3856998 Date: 7/23/2019 Horn)korks • NOTICE CONCERNING SPONSORSHIP:Customer understands and acknowledges that HomeWorks Energy is not an agent,vendor or sub-vendor of the sponsoring Utility with respect to the installation of any energy efficiency measures.In the event of the failure of any energy conservation device to perform as expected,Customer agrees that Customer's sole recourse is to Contractor and not to Clear Result or to the Utility.The Utility and its operating companies shall not maintain,remove or perform any work whatsoever on the energy conservation measures installed.Customer understands and acknowledges that its participation in the MassSave Home Energy Services Program is voluntary and that it has consented for Contractor to install the propose energy conservation measures.Customer agrees that it shall not hold Clear Result,the Utility,their affiliates or operating companies liable for Contractor's failure to perform its obligations under this agreement,for failure of the energy conservation measures to function,for any damage to Customer's Premises caused by Contractor or for any and all damages to property or injury to persons caused by the energy conservation measures • ENERGY BENEFITS:The sponsoring Utility is entitled to 100%of the energy benefits associated with all Energy Conservation Measures,excluding the value of energy cost savings by the customer,but including all rights to all associated ISO-NE Energy,Capacity and Reserves Products.HomeWorks Energy agrees to provide the Utility with such further documentation as the Utility may request to confirm the Utility's ownership of such benefits and products. • CLEANUP OF THE WORK AREA:Weatherization projects can generate dust,some of which may contain traces of lead.The contractor agrees to follow Lead-Safe Guidelines and to make reasonable efforts to control dust and other mess through the draping of cabinets and furniture with plastic, hanging plastic sheet walls,and cleaning floors of dust and any paint spatter. However,the contractor will not leave the interior white glove clean. Outside work area will be left broom clean and all debris and trash removed.However,the homeowner should be aware that minor amounts of cellulose and wood chips--which are harmless and biodegradable—may be left on the ground. The contractor agrees to be conscientious about picking up nails and other fasteners,but homeowner should also be prepared for the occasional fastener that escapes contractor's notice. o CUSTOMER INFORMATION - ➢Storage Removal: ❑Perimeter of the Basement a Attic ❑Knee Wall ❑Crawl Space. ❑ Interior Walls Notes: If the storage is not removed,HomeWorks Energy will charge$0.53/square foot of storage to move it. ➢Wall Insulation:There is a chance your walls may crack due to the pressure that is required to achieve a dense pack.If your walls crack,we will hire a plasterer to plaster over the cracked area.You will be responsible for repainting. Please review and sign the wall form. ➢Insulation Removal:Insulation must be removed from the following locations: *If it is not done,HomeWorks will charge$1.19/square foot for the removal. ➢Parking Permits:If the energy specialist or operations manager determines that a parking permit is required for installation and if you do not have a pre-existing solution we will procure one and add the cost to your invoice. ➢Bath Fan Venting:Installing a hose and flapper to an existing bath fan may increase noise levels due to proper venting procedures. ➢Exposed Pipes:If the energy specialist finds pipes that maybe exposed to cold weather,leaving pipes outside the thermal envelope may cause them to freeze. The auditor will recommend a solution to the best of their ability,however,HomeWorks Energy will not be held responsible for any damage caused due to frozen pipes. • DEPOSIT: A$50.00 deposit may be required when signing this document.It is completely refundable.until.the weatherization work is scheduled. The remaining customer copay it is due in its entirety upon completion of the weatherization work. • DISPUTE.RESOLUTION:The contractor and the homeowner hereby agree in advance that in the event the contractor has a dispute concerning this contract,The contractor may submit the dispute to.a private arbitration firm which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulation and the consumer shall be required to submit to such arbitration as provided In Massachusetts General Laws, chapter 142A.The signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by the contractor.The homeowner may initiate alternative dispute resolution even where this section is not separately signed by the parties. Customer r_ Signature: Y i. A Date: 7/23/2019 Pauline Barry Auditor t - Signature:--A Date: 7/23/2019 Adam Hoyng - 4 d 3 t �a 1110M eWorks mass save E 1er—Y, Inc PARTNER 101 Station Landing Ste 11Q Medford,A,1A 0215.5 (781)305-3319 ext.120 Customer Name:Pauline Barry Email:Not provided Phone:508-775-1283 Premise Address:44 Crestview Cir,Barnstable,MA 02632 Mailing Address:44 Crestview Cir,Barnstable,MA 02632 Project ID:3859292 Date:July 22.2019 Job Description -Measure Descr�pt�on ,��� � � �T f AIR SEALING � � ��� ""��'"�``� -°�-�Locaflo�n�4 �Quantifiy �� Una rnY�`k�Tota(Cost �` �wCustomer Cosh , ATTIC FLAT-7"OPEN R-26 CELLULOSE — ..._._.. .... SLOPE- FIBERGLASS R19 �- - _ - - ---.- 297.44 $74.36 KNEEWALL:2" RIGID BOARD 310 S F _...__.._..._ . $1,193 50 $298.37 VENTILATION CHUTES _..._...-_-...__... ..._......._._ .._ 87 each $303 63 $75.91 INSULATED BATH EXHAUST HOSE M �­—..._...-` 3 each .. $180.00 $45.00 COMMON WALL 2 RIGID BOARD 40 SF - $154 00 ATTIC DAMMING R 38 FIBERGLASS -__... $38 50 _ _.. _._ 30 SF _...__. . _ _.__:r _...__._ 73.80 ._._ ._._ $18.45 Project Total $5,190.69 i Weatherization incentive ($2,753.02) Air sealing incentive ($1,520.00) Total Program Incentive -$4,273.02 Customer Total $917.67 Total Contractor Price and Payment Schedule HomeWorks Energy, Inc.agrees to perform the above described work,furnishing the materiaa.and labor specified for the listed total price. Payment of the balanceof the customer contribution is expected upon completion of the work. Customer Signature: c Date: 01/15/2020 Customer Phone: 7 • Z--��agel�f 1 Specialist Signature: — 0 1/15/2020 1' LIMITED TIME OFFER: The prices and incentives in this contract are subject to change in accordance with the sponsoring utility Mass5ave Home Services Program of`ers. Proposals can be sent to:inbox@HomeWorksEnergy.com Project Summary Name: Pauline Barry HomeWorks Energy,Inc. Phone: 508-775-1283 101 Station Landing Email: 0 Medford,Ma 02155 '�.• ,„ Site ID: 3856998 781-305-3319 Ho Meftr S MASS SAVE Cost Incentive Air Sealing $ 1,520.00 $ 1,520.00 Weatherization $ 3,670.69 $ 2,753.02 Duct Sealing $ $ Duct Insulation $ _ $ Mass Save Rebates cost Incentive Preweatherization Incentive $ _ $ tAdditional listed work maybe a requirement of the insulation proposal.Home Works 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 $ 5,190.69 + . Beyond Mass Save $ _ TOTAL PROJECT $ 5,190.69 $ 4,273.02 Total Copay $ 917.67 Customer Deposit Applied $ 50.00 FINAL COPAY (due on completion of work) $ 867.67 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: i Customer: Al— , Date: 7/23/2019 Pauline Barry _ Specialist: X'l Date: 7/23/2019 Adam Hoyng Adam.Hoyng@homeWorksenergy.com 5089139054 v.13 PLAN VIEW nn Narne:_L (ihC C �4 Site ID: 3 :�_� Finished Sq. Ft: jqC Phone: U Year of House: j Electric Acct Address: Cj lj #of Floors: Gas Acct#: 5111,7,a ( &r n'Us�411� 'unit#: #Occupants '� Housing Type? ,e DUCTWORK INSPECTION Ducts Insufated r Duct Linear Ft. Duct Square Ft. _. Duct Air Sealing Hours Duct Insulation Duct Insulation Removal BASEMENT INSPECTION Existing Spec'ing Ln/Sq.Ft. Bsmt Wall AG Crawl Ceiling Crawl Rim Joist Bsmt RJ w Sill Bsmt RJ NO Sill Vapor Barrier _ sgft.` Bsmt Door N Blower Door? WALLS&GARAGE Drill Location? 10SC Siding Cell.Hei ht Existing Spec'ing S .Ft. Framing Exterior Wall 1 x x Balloon/Platform Exterior Wall 2 x x Balloon/Platform Overhang _ x x Garage Wall x x Ba oon P a orm Garage Ceiling x x Insulation Removal Sgft. Sweeps: WX Stripping: WORK SPEC'D BUT NOT CONTRACTED ROAD BLOCKS PRESENT?(MANDATORY) Attic Basement Crawls ace I I Other: K&T Y Moisture Y Combustion Sft Y Kneewall Overhang/Garage Asbestos Y N Mold>100 sq.It Y/ CO Detector Missing—+d Ductwork Exterior Walls Vermiculite Y Structl Concerns Y/N Other. Notes for Lead Vendor/Work Not Contracted: 1 t C C (1 rp 12(t F ' { KW WALL AND KW FLOOR Blind Spec? ❑ - OR KW SLOPE AND GABLE END Blind Spec? ❑ Why? - Why? qqFRAMING EXISTING SPEC'ING FT. FRAMING EXISTING SPEC'ING SQ.FT. WALL X tLtiZ tcU SLOPE x x FLOOR 9LX8 XIb 0 30 _ GABLE X X ACCESS x �PJ F { TRANS X X TRANS g X U ATTIC ATTIC SLOPE X X _. . X X f SLOPE _ _ EXISTING VENTING? EXISTING VENTING? EXISTING PIPES? Y/N KW Venting Vent BF 8F Hose Damming Sheathing Access Temp Access KW Venting vent BF Temp Access a �qs- _ a E a , iuw FP JL Insulated Wall is a Reed Ught o Ins.Hose BF vent 8F� chim.L�Damming 12"Roo`.Vert i12RV 'c t t ry('���.� Air Handier AH Temp Access PuB Down p05 Hatch�t Wall Hatch�t Doarnj 8"Roof Vent RV��.-^ I L39 1j LYw1'iI Vol: X .0058 19 sty) •X X ATTIC 1 Blind Spec? El x. x ATTIC 2 Blind Spec? ❑ . x�ts.4(2 story)1 Existing Spec'ing Sq ft Existing Spec'ing Sq ft 13.6(3 story) UnflOOred j L "L _ I fl russes Ross Floored Floored Mixed Insulation Duct Work Cath Sloe i.,•.,.., w- Cath Slope >6'Loose o Walls ,., t r a; , -- - Li 00d Walls ' Access Access Venting Propavents Vent BF BF Hose Damming enting pro vents Went BF I BF Hose I Damming WHF Box: , , .F Temp Access: - a a Sheathing c R.L.Covers;. _Sg.Ft(30o=__(Es',t.NFA Venting)_�INeeded v sq.Ft/Soo= (Exist.NFA Vcndng)__{Needed --------------- Existing Venting? - - •NFA Venting)— Existing Venti NFA Venting) Roof Type: �` _' q TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 252 051 021 GEOBASE ID 43456 ( ADDRESS 44 CRESTVIEW CIRCLE PHONE (508)7FI-1040 C" " ZIP I LOT 45 BLOCK LOT SIDE VD ELC?PNTENT . -DISTRICT- GO�_ -- ------ PERMIT 33993 DESCRIPTION SINGLE FAMILY DWELLING (PMT.#306% 'PERMIT TYPE- BCOO TITLE CERTIFICATE OF OCCUPANCY f, i CONTRACTORS: Department of Health Safety ARCHITECTS: '_ P Y and Environmental;Services TOTAL FEES: j THE h�. CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY * 1ARNS'I'ABL4 ; \ MASS. 1 16 BUILD - & DIV DATE ISSUED 10/13/1998 EXPIRATION DATE T}ARCEL fl) 25.2 053 021. Cs QB SE ID 43456 A'DDa 187 S 44 CRr S`ITV T V'W O t t. 104C► DBA X1 -RN IT PERMIT 30655 D sSOR1,P'r--., `t��.,1' 1YWtL' r NG . . TOWN aF:' RR y PERMIT TYPE i3C1IT:D TI.`. U ;h~vTIAL 8LDG PH'1` COAITRA.{;TOR(.3 : AYS'TT)E KITU.11 MG. 114C . Department of Health, Safety ` I ''{ ' and Environmental Services TOTAL , BOND $.o �tNE CON STPi.:,I.:;`I 14DIIN . COSTS $133:21.0-.00 iJ L LV�.Y�i.tl::, `-3 -.S'1L+:�`P. .€II,�T L.,�i l " f 1. �i.:€ �L�4:l.iF I.1 1639. BUILDII�TG�I) V00ISION�' By DATE I SSURD �5/01/1.ga8 EXP1T4r1 01-4 DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.:EN= CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE;MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS:', MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD,KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU (READY TO LATH). PANCY IS REQUIREQ,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUIL ING ROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1r�41_ 1' 1 r •FS'� +9 2 2 f �. 1 2 gy 3 I 1/EATING INSPECTION ApPAOVALS ENGINEERING DEPART,,�AENT C� �+` ra 13�/ p BOARD OF HEALTH aa_ I ITE PL REVIEW APPROVAL O S OTHER: , WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOU STAGES_ OF CONSTRUC MONTHS OF DATE THE PERMIT IS ISSUED AS, TELEPHONE OR WRITTEN NOTIFICA- TION, 9 3 NOTED ABOVE. TION., ._r i I BUIL, DING PERMIT t 57 V ! L—=: .µsr' - �".,�^+��.+v� ,,.:.,-.--......--+.-..--..-.. s-"' ....f•--�• r..r._-..�.-�-y.1---• ,....: -�-..-. ,..�.,..�..�'rpc�_ '-. �f"..- ..i�• .. OPCAJ q /lot 25t Exr'ST,tj(s _ N F bATia w Let. — 22'" r° 44 fACe 13t 4 s�f All F�T� 9s• �N .0 CERTIFIED CLOTPLAN LOCATION C�►sZt7w�c, �HYaNurS I CERTIFY THAT T14E FOUNDATION. SHOWN HEREON COMPLYS WITH SCALE ' ScAC+E t"=V D AT E s/Z z/9 g THE SIDELINE AND 'SETBACK PLAN REFERENCE REQUIREMENTS OF ,THE TOWN OF BARNSTABLE AND IS NCIT PL.BK SoS PEro ` 49 LOCATED IN THE F INSTRUMENT SURVEY AND THE IN. DATE : 5 LOORPLA THIS PLAN Is NOT BASED ON AN e A x TER � M r E, Ilia REGISTERED LAND SURVEYORS OFFSETS SHOWN SHOULD NOT BE OS T E R V I U LE MASS. USED TO DETERMINE LaT LINES. APPLICANT Sagsloc Tic . Engineering Dept. (3rd floor) Map S Parcel S/ l, , Permit# House# `� PJS, Date Issued Board of Health 3rd floor 8:15 -9:30/1:00-4:30 � ,� 1� � Fee ' Conservation Office(4th floor)(8:30-9:30/1:00-2:00) lV1 A t '� ��y,�t111��010�{1 o�YOA TOM Planning Dept. (1st floor/School Admin.Bldg.) PO Definitive Plan Approved by Planning Board 19 d 02601 TOWN OF BARNSTAL h -6265 Building PP Permit Application Project Street A ress 'I _IZe5%V1 FU) LlQLL r D �— 1 Village V/l.•C, Owner 134 Y5 i yj!F $LD 6 /1vC Address C F A/T69 VI LLB •Telephone 7.7t 111 qQ 'Permit Request -.'�l� C0,11,57-RUCT /t 511/6L,, /=�7!"IL Y p��7�0 449. l t -First Floor /`7 Gij square feet Second Floor ' square feet Construction Type _A m r- � Estimated Project Cost $ /,3 3, u7/0 Zoning District AID ` / Flood Plain Water Protection UI P Lot Size 3, W7 Grandfathered ❑Yes LkNo Dwelling Type: Single Family Uk-' Two Family ❑ Multi-Family(#units) Age of Existing Structure it//tt/ Historic House ❑Yes UkKo On Old King's Highway ❑Yes awo Basement Type: ❑~'Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Dumber of Baths: Full: Existing New_� Half: Existing New I�o. of Bedrooms: Existing New c 3 Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: p"Gas ❑Oil ❑Electric ❑Other Central Air @"Yes ' ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes Q�o Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) a C 0 PC Y xAY ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes & o If yes, site plan review# Current Use V,4CANT LOT-T- Proposed Use kr-5 /3eIJCe Builder Information Name /3A Y51/) 6;L Telephone Number `7 7f`10 YQ Address 8 0 X Q License# QO 56 S C'£/(,/TF54 V lLL.E A:631- Home Improvement Contractor# Worker's Compensation# l G 9 06 A / le y/ NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO'36021-1, 4*,1bFi&- SIGNATURE DATE '/I,� 7/ �J BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) f ` .r FOR OFFICIAL USE ONLY _ PERMIT NO. DATE ISSUED _ MAP/PARCEL NO. ADDRESS VILLAGE - -"° OWNER DATE OF INSPECTION:, FOUNDATION ,. f FRAME t INSULATION y FIREPLACE R t ` ELECTRICAL: ROUGH FINAL i PLUMBING:' ROUGH FINAL GAS: ' ROUGH FINAL cr FINAL BUIL,_ - DATE CLOSIM ASSOCIATIO PLAN y ta co t i- t• ; bES•il�-t. DATA '5t144LE FAM1LI( F3®RGZ.'vK E PL.A1.1 ON BAeX- 46=WF qp GA¢13A`G VML-y FLDw = 3 x Ito = 3�GPp �T �l Crz�sl Ui Giro SW-nG TANS • �3ox?oo _�!� 6Pi� U 1 r7oo' GAL. 4 PvC Piprw- L r. GIvw CuL_�r6G z 's3ocsl eees q s � -- - - --- - - " N Apra r.AT1oN Ap6A PW'D. �x 33o C.M s v-)4- '5F:44&SF 7-5AppUeAj ii4 A¢ ��'S161J � PLAN LF-AC41W--, C AM8Ee5 51tr--WALL At-A= 37 xS x2=i4d sF J$oTTOM AO" = 113> a = Soo� ' 4-4-b$F y. 0lL FINIS�1 �iRAaG P�GoLJ�TIOIJ �'T� L`� /111Cl.l 2° 3%titgx „ ZoIL C 1 r4� I p 5TawEr C.ULTee Ott{of BTEPHCN. �1iC1+. ALLYW � �- �t CAL �Q 0A1- BAXTER WILD �Z '4024048 No.�a01If) �IZax-SE--e--n014 of CE4AMv>fS � �•�1•�g - i�=G9 Tf;•11 I*�d!•e- Flo=�� � 'r Pv� LOAM40 .4 tN►l=lc� S�g501� ef- Ar ow EMI 1,46 c- 3 Lsdat cHAµBC-V5 IW 64. 64 z bolt 406.. 0..=6,57— L s u WSs sa►� .- la - - . I2A46 ZF _ - Si a �9 s'rvN W5a✓ 9 'PVF-LCPLD WOFItC 6'14V eL- CEL 1 lR�—=L RDT FLAIA � w �- CeMT6v1L-L& 4YAN�i5 P rpm a'21,u I Ge=r-Y TSAT THE �w '� StloyvN PLAN.! - 1•} N Camel P-y5 W 1Tu T*=- SI t)Eu Wa AWv Ft -�z 555 'TBAGIL oWvIrrmsaT DF: T11r. V YJM OF �-�• i�LA n1 3!cam(� -3W�J "A P-M 15, t�r 1-4-ATED VJ I T'41 N A MAP 2 72 PAEOSL 5( �2j -?se-JAL MCOP HAZAZZ> ZONE. BAXCTW— 1* HYM IMC o5'I�rzvlu.� - MASS. or--FSer5 mom w ILDi Wo5 4oco p wo r' BFz APPLj4AWT: u 1� SCa yb TA'busy PRops=" L►06f. �aysr� �Vir�►1J�, SWAT 2 p� � Co OPEN 5 P6 G� / °tom IpAGE Sus 30 M AP PGL i _ i N 7o- �\ 4s / b yy, 10 5o�stic o \ W I ' ffYp Alg5 f v o .w. 4DwRn STEFN 4 � ` _ ALLYN � �i WfL-tt t�l SSA MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2 . 0 Checked by/Date CITY: Hyannis STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE: 1 or 2 family, , detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 4-27-1998 DATE OF PLANS: 4/22/98 TITLE: LOT 45 CRESTVIEW CIRCLE, CENTERVILLE PROJECT INFORMATION: LAKE ISLE WOODS COMPANY INFORMATION: BAYSIDE BUILDING INC. COMPLIANCE: PASSES Required UA = 522 Your Home = 426 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 1766 38 . 0 0 . 0 53 WALLS: Wood Frame, 24" O.C. 2617 21. 8 3 . 0 128 GLAZING: Windows or Doors 318 0 . 350 ill DOORS 144 0 .350 50 FLOORS: Over Unconditioned Space 1766 19 . 0 84 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 1250 of the design load as specified in sections 780CMR 1310 and J4 .4 . Builder/Designer Date •J MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2 . 0 LOT 45 CRESTVIEW CIRCLE, CENTERVILLE DATE: 4-27-1998 Bldg. Dept . Use CEILINGS: [ ] 1. R-38 Comments/Location WALLS: [ ] 1. Wood Frame, 24" O.C. , R-21 + R-3 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1. U-value: 0 . 35 For windows without labeled U-values, describe features : # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location DOORS: [ ] 1. U-value: 0 . 35 Comments/Location FLOORS: [ ] 1. Over Unconditioned Space, R-19 Comments/Location AIR LEAKAGE: [ l Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air-tight assembly with a 0 . 5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ l Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications. DUCT INSULATION: { ] Ducts in unconditioned spaces must be insulated to R-5 . Ducts outside the building must be insulated to R-8 . 0 . DUCT CONSTRUCTION: [ ] All ducts must be sealed with mastic and fibrous backing tape. I Pressure-sensitive tape may be used for fibrous ducts. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in sections 780CMR 1310 and J4 .4 . MISC REQUIREMENTS: [ ] Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems. ----NOTES TO FIELD (Building Department Use Only) ------------------------- I , ✓fie lno.010)ttneaNt ol'A(aijadwidli DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Number: Expires: Restricted To: 11 BRIAN T OACEY 62 FERNBROOK LN CENTERVILLE, MA 12632 a r 171050 Restricted To: 11 BB - 35,181 of enclosed space (M6L C.112 S.61L) . 1A - Masonry only 16 - 1 6 2 Family Homes Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. I �\ The Commonwealth of Massachusetts Department of Industrial Accidents OJIIce ofInesdpsdess 600 Washington Street ' Boston, Mass. 02111 " Workers' Compensation Insurance Affidavit Applicant inforination• Pleast;PRINTIesitidt/ namr: t C��2� �1 LAC �L C IteA location: Z(J city Y4 P010tJNAPO e t' Rhone a 3 d- /7 S/ am a homeowner performing all work myself. am a sole proprietor anal ha%e no one workinc in any capacit} (p/I am an employer pro%iding workers' compensation for my employees working on this job. company name' UR /fIN 7. PACE' Y 13A- /5Ay5 /bj� LV/t+.-_1)/A)C jA/C address: 'Rd)( q S^ city: C�rN71VP V IU- phone 0• 771—IOYU insurance co. 1 //F— MORYLAA41 Cymx • -Ti-1r9. 6& policy o / c- 7 o e e I T/ I d elf 1 am a sole proprietor. eneral contractor r homeowner(circle one) and have hired the contractors listed below %%ho have the follo%cin� «orker' Qom a ton polices: 7- company name: 5 d� 19/%�C6Fj6 address: city: phone H: insurance co. Policy company name: address: city: phone No insurance co. policy It ' a Failure to secure coverage ss required under Section 25A of MGL 152 can lead to the imposition of criminal penaides of it flue up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER sod a One of 5100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the Office of Investigstions of the DIA for coverage veri0eadolL I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct (, Signature /iyl[,Ctrs Date _3 r 31— Print name I A l • Phone Il 7 7 1— 1a YU :contact y do not w rile in this area to be completed by city or town official YARMOiITf _ permitAicense q riBuilding Department Cl Licensing Board mediate response is required 261 Oselectmen's Office . Health Department : phoneH;_ (508) 398-2231 ext. rtOther SUBCONTRACTOR'S INSURANCE ENGINEEER: BAXTER & NYE ENG: (L) FIREMENS FUND - S30MXX80564866 (W) LIBERTY MUTUAL - WC1312595563023 WELLER & ASSOC: (L) NAT'L GRANGE MUT.- MSP45246 EXCAVATION & SEPTIC: ROBERT J. OUR (L) U S F & G 1MP30109550901 (W) U S F & G - 771521695 DECO CONSTRUCTION (L) TRAVELERS - 660364K8342 (W) LIBERTY MUTUAL - 312446298044 FOUNDATION: BAYSIDE FOUNDATIONS: (L) COMMERCIAL UNION- ABR406267 (W) LIBERTY MUTUAL - WC1312201785044 WELLS: DENNIS SCANNELL (L) TRAVELERS - 660873E5627COF92 (W) WAUSAU - 151300062926 CELLAR/GARAGE FLOORS: MICHAEL BROWN: (L) AETNA - MP0023672849 FRAMERS: ROBERT DORRER: (L) TRAVELERS - W680526K991TIA9 (W) AETNA - 006CO023972416C MICHAEL DUFFLEY: (L) 'COMMERCIAL UNION - NBF821356 (W) LIBERTY MUTUAL WC1312492127024 MASON: SHERMAN, WAYNE: (L) COMMERCE INS CO - N60689 (W) WAUSAU INS - TO BE ASSIGNED ELECTRICIAN: CHAVES ELECTRIC: (L) HANOVER INS. - LHN2964649. (W) MISCELLANEOUS INS CO. - 0708878 91 l PLUMB & HEAT: WHITELY PLUMBING: (L) TRAVELERS - 660365K1782COF9 (W) EASTERN CASUALTY - POLICY IN MAIL ALARM SYSTEM: BALTIC SECURITY: (L) FIRST FINANCIAL FF0131 G400831 (W) COMMERCIAL UNION - CB0743379 CENTRAL VAC: .VACUUM HOUSE: MERRIMACK MUTUAL - SBP1608045 4 A I ,r INSULATION: MAP INSULATION: (L) AMERICAN STATES - 02CC326435-3 (W) U S F & G - 7711099932 SHEETROCK: MEL REED: (L) WORCESTER INS - CB817530 (W) COMMERCIAL UNION - CBH557387 INTERIOR TRIM: DAVID'S REMODELING: (L) COMMERCIAL UNION - NB F821442 M & R CARPENTRY (L) MARYLAND INS. GRP- SCP30235965 (W) CIGNA PROP & CAS.- C80049997 OAK INSTALLER: ROBERT BUDDEN: (L) NORTHERN ASSUR. - NBF528652 PAINTING: CAMPBELL PAINTING: (L) TRAVELERS - 1680251K4083COF (W) AMERICAN POLICY - WCC 186604 GARAGE DOORS: ALL CAPE GARAGE DOOR: (L) U S F & G BSC14667590301 (W) COMMERCIAL UNION - CBH573757 STORMS & GUTTERS: ALUMINUM PRODUCTS: (L) AETNA = MP0021014146 (W) AETNA - JC89258880 OAK FINISHER: AMERICAN FLOORS: (L) TRAVELERS - 680 342W754-0 CARPET, VINYL & TILE: CARPET BARN: (L)' VERMONT MUTUAL - SBP6507393 (W) PHOENIX INS. - 6NUB476J652794 TILE INSTALLER: TONY AVERINOS : (L) ASSURRANCE CO. CFP26528977 (W) HARTFORD FIRE - 77WZCY2409 WIRE SHELVING: CAPE COD CLOSETS: (L) U S F & G - BSC146983441 APPLIANCES: KITCHEN APPL MART: (L) FIREMENS FUND - AZC80453098 (W) HARTFORD INS CO - 77WZNB.1603 MIRRORS & SHOWER DOORS: L & M GLASS : (L) COMMERCIAL UNION - CBR409003 (W) U S F & G - 0071439933 LANDSCAPE & SPRINKLER.: COY'S BROOK: (L) COMMERCIAL UNION - ABR345850 (W) CIGNA COMPANIES - C41138178 DRIVEWAYS NORTHERN SEALCOAT: (L) ' MARYLAND CASUALTY- EPA18716945 (W) THE PHOENIX - UB387K530 A �.-..-'�'tik...,.kw+...i'f•r:'?7rrN�;�!'a-�^;s�„s.Cg•i;,;,'��•.rrre%s'1.!sww,,.-.iL.i4"„r.�'�'�.,'`-6�A�i,.r^�°m'�i1aP.9�+urr'" `�.f.i::�%rirf` fi�rfE`&�.5-:r.tt'.f-'+�,!'�"'-,ems 114E The Town of Barnstable '• SAE.MASS. De artment of Health Safety and Environmental Services �. P Y 1639• �0 9. Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner µInspectio%Correchgn Notice Type of Inspection ,ti Location C 2 P STU IP c..J Permit Number Owner Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: n 4�A—Q-RAJ 4 49 (2 Ajj-r-O 4-Vt (AA NAk D -- t r, Wo&Zeo(( -PSI®1:✓q"r3 _d C r !o � � v Please call: 508-790-6227 r^r -inspection. Inspected by� Date i p v r .� Y -ypny.JmelT. 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( I f. gI � r ' ra-efn•11 .. � r '6=" � :4o Ar.itil a..s r -, � I PI ae I� j � I� I . � I �r4Pr� 14•vc...< —e".a�r po•.<2 anav.:.. . - � IALL. I .. l B".o uu'oNut oauu�,i ii OvrP PuccF gcbU A COO n TV R e.• ok. r "'�rT`'t""`"r1'n =7iwix=�d , - - : : y - ... I I _ Tld — - ze-ems_ tll ✓'�� ^{I'� E n`5�a ��av�nss j �''° I _-— �--- I I � j ~ zea-+nf+•row 'I � ✓ I z I i's� � 1 us u'r � � � � - __ -__—. __ _._. L ZiI I I l �I ,s i I of I I c ra--r, — : � 0 , :. I W. wl •E eC��a J.11 L � --' _L _�JI �a s -� `�1' ✓tea � �� ' ` ' ---'- . I uj I �+ ro:b ILL. aG 'l - �_�.__+ - CI ,o i I Y= s I � N\ J D _ E o I b gg I� o.� a 141r._ SIC ''-s�4artaft'-aa,acn -�r t 4AL_f i� • � � � �I -/ "1�'ll \b�\-1,1 � 1l ASPNP�i'2ouF 9u.r.i4t8 SJ' ' Ll i i. rr JUTE] L LU l I �].CJ l o M�7o C7 El Q!❑ L7 LJ.C7 January 29 , 1997 Ralph Crossen Building Commissioner - Town of Barnstable Town Hall 367 Main St. Hyannis, Ma. 02601 Dear Ralph: I am writing to ask for a release of permit monies for three properties that we permitted and then never exercised the permits. The properties are: #122 Amelia Way in Marstons Mills, #60 Holder Lane, , Marstons Mills and Crestview Circle in Centerville. I have enclosed copies of both sides of each cancelled check. I appreciate your anticipated cooperation in this matter. Sincere , Brian T. Dacey Bayside Building rZ ENE The Town of Barnstable • Baxrrsrnst.E. - 9� '0 9. � Department of Health Safety and Environmental Services 10rFn 't" Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-90-6230 Building Commissioner DATE: January 29, 1997 TO: Mary Blake,Assistant Accountant FROM: Kathy Maloney,Office Assistant RE: Refund of permit fees Attached is paperwork requesting a refund of permit fees charged for 3 building permits that were never exercised-and have now been voided. Copies of the canceled checks and voided permits are attached. Please let me know if you need any additional information. cc: Brian T. Dacey / TOWN hOF BARNSTABLE, MASSACHUSETTS,. BUILDING "RPE R MII AF174.0011014 / May _ y 15 GATE t9 95 °y- No 3 7 7 5 2 r..- ; PERMIT NO. APPLICANT Brian T. Dacey ADDRESS 62 Fernbrook Lane, Centerville 005645 (NO.) (STREET) (CONTR'S LICENSE) PERMIT TO Build dwelling 1 Single famil residence NUMBER OF (_) STORY 1 (TYPE OF IMPROVEMENT) N0. (PROPOSE SE) DWELLING UNITS AT (LOCATION) 60 Holder Lane, Marstons Mills (Lot 111) ZONING RC (NO.) (STREET) DISTRICT BETWEEN IND- (CROSS STREET) (CROSS STREET) LOT SUBDIVISION OT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT LO G BY --FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTIO TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: Sewage 9 -341 AREA OR VOLUME 1,595 _v_ ESTIMATED COST $ 140,000 PERMITFEE $ 143.75 (CUBIC/SQUARE FEET) OWNER Bayside Building Inc ADDRESS Centerville. MA BUILC T BY r .... _... _ _ 5154 BAYSI R BUILDING, INC. P. O. BOX 95 + CENTERVILLE, MA 02632 53-574/113 PAY �_. — —� -- 19 _ TOTHE � �� � �� � 5 0RDEROF�", — �W.I,L;_t 'r{ /111�-o .,IEIlI w .. 1•i,J.E,�' .dl.W .,oI� .. •'.�l.t'.'..4.I1 .• ��� I „ DOLLARS [EPo &U CAPE COD BANK ANo TRUST COMPANY MASSACHUSETTS -03 FORS ✓ 7 7 i 110005 L5411' J:0 L L3057491: 60 L 46 6 0 Lila 11100000 L43 ? s". - .�,- ._.",�� ,R� ''-mrn'�•�n.^��'L'z`•am,mmtmn�P� Rl4S�G70� —�S'-9...—� _ * m m O m 0 0 m DU c CD -0m m-_ Vr Z = n ' O ,.::, Z p o m m M N m O � D �. i a Crj 77 < (4 FOy Ip1 :40, (?gyp rn Z m m F ct » ;>. !n u.1 2 m *c^ � r n S: _ m � 7q i 5v� /t.5,ue�pt i 1 l� t •. -iE PENTAMATION------------------------------------------------------------01/29/97 PERMIT NO 14700 PARCEL ID 000 000 051 44 CRESTVIEW CIRCLE PERMIT TYPE BUILD DESCRIPTION FEE CODE FLAT/BASE FEE TOTAL UNIT COST AMOUNT PAID RES FLAT 465 . 00 0 . 00 --- TOTAL CHARGES FOR PERMIT 465 . 00- CTRL-O UNITS CHARGED/ CTRL-W PAYMENTS/ CTRL-V VALUATION/OTHER UNITS/ ESC EXIT e l)� PENTAMATION----------------------------------------------------------- 01/29/97 PERMIT NUMBER 14700 PARCEL ID 000 000 051 44 CRESTVIEW CIRCLE PERMIT TYPE BUILD NEW RESIDENTIAL BLDG PMT DESCRIPTION SINGLE FAMILY DWELLING (SEW. PMT.##95-616) CONTRACTOR PERMIT FEE 465 . 00 VARIANCE STATUS A ACTIVE CONSTRUCTION TYPE 101 GROUP TYPE 1 APPLICATION 04/24/1996 EXPIRATION VALUATION 150000 . 00 DATE ISSUED 04/24/1996 COMPLETED DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE---- (N) EXT/ (P) REVIOUS/ (C) ONTRACTORS/ PR(0) PERTY/ (I) NSPECTIONS/ (H) ISTORY/ (F) EES/ (A) RCHITECTS/ (V) IOLATION/ (E) XIT S I TOWN OF B1IRNSTABLE BUILDING PF MIT PARCEL AID 000 000 051. GEOBASE ID ADDRESS 44 C"RESTVIEW CIRCLE PHONE 8)771-1040 CENTERVIL'L'E, MA ZIP t)2632-- LOT 45 BLOCK LOT SI DBA DEVELOPMENT ISTRICT PERMIT 14700 DESCRIPTION SINGLE FAMILY DWEL' "G (SEW.PM`T'.#95-61G) PERMIT TYPE BUILD TITLE NEW RESIDENTIAL PMT CONTRACTORS: �AYSI.DR BUILDING,- INC Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: ; 465.00INE BOND $.00 CONSTRUCTION COSTS $150,000.00 101 SINGLE FAM HOME DETAC . .D 1 PRIMATE P: 4i,1'HARNsi'ABI.E, _MASS.039. : OWNER BAYSIDE BUILDING, ADDRESS P~O.BOX 95 BUIL,DDI IG-21DIVIS�ION CENTFRV T LLE a DATE ISSUED ' 04/24,/1996 EXPIRATION DATE THIS PERMIT CONVEYS NO RIG TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC P PERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS PTH AND LOCATION OF PUBLIC SEWERS MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELE E THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR LL INSPECTIONS REQUIRED FOR ALL CONST CTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIO OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO OVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSU ON. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL 1 SPECTION BEFORE OCCUPANCY. POST THIS 1 SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 P ` 2 2 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL I I WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION.. BUILDING PERMIT , Assessor's Office(1st floor) Map Lot � l d � fl Permit# 6�0 Conservatiou Office 4th floor ��` �� ��� Date Issued Board of Health Ord floor I TIC SY ST Engineering Dept. Ord floor) House# q 4� jCE Planning Dept. (1st floor/School Admin.Bldg.): �IR®N AND Definitive Plan Approved by Planning Board J.fO 19 57z/ TCVWMN 4: A lications. ocessed 8:30-9:30 a.m.& 1:00-2:00 .m. + (.� �l '^' Sic c � ✓,�� / TOWN OF BARNSTABLE / Building Permit Application; J DF_V � Pro'ect ress `I l 4(,o r 1. Village Fire District ��o .. M (hvner GQ 44-C— Address Telephone. -2Z( -- I U Permit Reauest� Q A� It/n.du& �i, (�� 07Y TA-:V-- Zoning District J` Flood Plain c_ Water Protection Lot Size 1!3 1 L/0-7 Grandfathered • Zoning Board of ApMls Authorization Recorded 2 Current Use �P'�" Pro sed Use ' Construction Type y u 14,/`M�2_ Existing Information Dwelling T e: Sin le Family V Two family Multi-family Age of structure /" � Basement type Yok4ud Historic House Finished Old Kings Highway Unfinished Number of Baths a �� No of Bedrooms - Total Room Count not including baths S First Floor `/ Heat Type and FuelU&MT - P,n Central Air -24 Fireplaces Garage: Detached Other Detached Structures: Pool Attached Ca4 Barn �--, None Sheds i Other Builder Information Name Telephone number ?_7 1 Address cl S License# oo 56 llS Home Improvement Contractor# Worker's Compensation # Wr_ ZU 17 F d 13 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO AtkWV'ee(4c4 Pro'ect Cost Fee 310 SIGNATURE DATE BUILDING PERMIT DENIED OR THE FOLLOWING REASON(S) BPERM T FOR OFFICE USE ONLY ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING: DATE CL6 F t ASSOC v . � ��e c�unro�uuealf� c��/j��zuac�uselta �. } DEPARTMENT OF PUBLIC SAFETY F CORSTRUCTIOR SUPERVISOR LICENSE Ruiber: Expires: Restricted To: 00 BRIAR T DACEY 62 FERRBROOK LR CENTERVILLE KA 02632 i COMMONWEALTH OF MASSACHUSETTS P DEFAJMvi 7 OF LNDUSTRIAL ACCIDE'vI S 600 WASHINGTON STREET . BOSTON, MASSACHUSEITS 02111 James : GamDoei. :;ormrssrone' WORKERS' COMPENSATION INSURANCE AFFIDAVIT IAvu,-w7 (licensee/permiaee) with a principal place of business/residence (Csry/StatelZip) do hereby certify, under the pains and penalties of perjury,that: [] 1 am an employer providing the following workers'compensation coverage for my employees working on this job. Insurance Company Policy Number [ j 1 am a sole proprietor and have no one working for me ( J 1 am a sole proprietor, sacral eontraaor r homeowner (circle one)and have hired the eontraaors Iisted below who have the following wor ea compensation insuring polieier. "' Name of Contractor Insurance Company/Poiiry Number Name of Contractor Insurance Company/Policy Number Dame of Conrnaor Insurance Company/Policy Number 0 1 am a homeowner performing all the work myself. NOTE .Please 6c aware tsar wbilc bomeownen who emoiov persons to do ma.inteaamcr. construction or repair..oric on a aWriiinc of not more than three units in which the homeowner also resides or on the Fmuaris appurtenant thereto arc trot reaerail% considered to be er_viovers unt rr the Woriten' Comflensauoa Act (GL C. 152.sera• 1(5)), applintioo by a homeowner for a license Or txrmit nnav evtc ncc tit[ ico sutus of am empiover under the Worken' Compensation Act 1 understand -hit : copy of trus star -cm will be forwarded to cite Dcozrrnent of Industrial Accidents' Ofnee o{ltuursn¢for eovr—Fe vcniiit:.aton ant ;ha; :aiiurc to secure m�rirc as rceuirec under Sccuon 25A of V1Gi 15: can Ieac to the imposition of C::=inai Dcr-alues Mnstsone of: line of uc to S1500.00 and/or impiasorx-tnt or up to one v=and c,•u penames in the form of a Stop Wort Qrde- and a fine of S100.N a day a€a:ns: me. SHEETROCK: MEL REED: (L) WORCESTER INS - CB817530 (W) COMMERCIAL UNION - CBH557387 INTERIOR TRIM: DAVID'S REMODELING: (L) COMMERCIAL UNION - NB F821442 DAVID BIK: (L) MERCHANTS INS GRP- BCM0278579150 (W) TRAVELERS - 1.76K337-8-94 OAK INSTALLER: ROBERT BUDDEN: (L) NORTHERN ASSUR. - NBF528652 PAINTING: CAMPBELL PAINTING: (L) TRAVELERS - 1680251K4083COF (W) AMERICAN POLICY - WCC 186604 ROUSSEAU, AL (L) MERCHANTS MUTUAL - 8CM0278570179 (W) EASTERN CASUALTY - ??? GARAGE DOORS: ALL CAPE GARAGE DOOR: (L) U S F & G - BSC14667590301 (W) COMMERCIAL UNION - CBH573757 STORMS & GUTTERS: ALUMINUM PRODUCTS: (L) AETNA MPOO21014146 (W) AETNA - JC89258880 OAK FINISHER: AMERICAN FLOORS: (L) TRAVELERS - 680 342W754-0 CARPET, VINYL & TILE: CARPET BARN: (L) VERMONT MUTUAL - SBP6507393 (W) PHOENIX INS. - 6NUB476J652794 WIRE SHELVING: CAPE COD CLOSETS: (L) U S F & G - BSC146983441 APPLIANCES: KITCHEN APPL MART: (L) FIREMENS FUND - AZC80453098 (W) HARTFORD INS CO - 77WZNB1603 MIRRORS & SHOWER DOORS: L & M GLASS: (L) COMMERCIAL UNION - CBR409003 (W) U S F & G - 0071439933 LANDSCAPE & SPRINKLER: COY'S BROOK: (L) COMMERCIAL UNION - ABR345850 (W) CIGNA COMPANIES - C41138178 DRIVEWAYS: NORTHERN SEALCOAT: (L) MARYLAND CASUALTY- EPA18716945 (W) THE PHOENIX - UB387K530 .:A SUBCONTRACTOR'S INSURANCE ENGINEEER: BAXTER & NYE ENG: (L) FIREMENS FUND - S30MXX80564866 (W) LIBERTY MUTUAL - WC1312595563023 EXCAVATION & SEPTIC: DRISCOLL, JJ: (L) U S F & G - HGL 110093 (W) U S F & G - 7708711936 FOUNDATION: BAYSIDE FOUNDATIONS: (L) COMMERCIAL UNION - ABR406267 (W) LIBERTY MUTUAL - WC1312201785044 WELLS: DENNIS SCANNELL (L) TRAVELERS - 660873E5627COF92 (W) WAUSAU - 151300062926 CELLAR/GARAGE FLOORS: MICHAEL BROWN: (L) AETNA - MP0023672849 FRAMERS: ROBERT DORRER: (L) TRAVELERS - W680526K991TIA9 (W) AETNA - 006C0023972416C MICHAEL DUFFLEY: (L) COMMERCIAL UNION - NBF821356 (W) LIBERTY MUTUAL - WC1312492127024 ROOFER & SIDEWALL: JOHN MEE: (L) AMERICAN STATES - 01CD1486783 (W) TRAVELERS - 6NUB44BK275894 MASON: SHERMAN, WAYNE: (L) COMMERCE INS CO - N60689 (W) WAUSAU INS - TO BE ASSIGNED ELECTRICIAN: CHAVES ELECTRIC: (L) HANOVER INS. - LHN2964649 (W) MISCELLANEOUS INS CO. - 0708878 91 1 PLUMB & HEAT: WHITELY PLUMBING: (L) TRAVELERS - 660365K1782COF9 (W) EASTERN CASUALTY - POLICY IN MAIL ALARM SYSTEM: BALTIC SECURITY: (L) FIRST FINANCIAL - FF0131 G400831 (W) COMMERCIAL UNION - CB0743379 CENTRAL VAC: VACUUM HOUSE: MERRIMACK MUTUAL - SBP1608045 INSULATION: MAP INSULATION: (L) AMERICAN STATES - 02CC326435-3 (W) U S F & G - 7711099932 2:,.1 ESI��J yATA �I�IGC-I- 'FQMIw; .3 i..$;EL'v0bm� T?AI L` ( FLoW 3 x l its a' 1 oP�J s�A SEPfIc ; TQNk. 33v xlSo�.•445 i lX I o00 6, c:: (a6,•00 • l- (DOO, GAL 51DF-W4U- APB: = 165.51zz ► 13,4a`7 \\�p BoTTom N7 _ s sF d 77 g TOTAL.-p151614 TCtAL vA1LY .�•ori/ = 330 6� 1, ar., Co �0 _, ��� � . � TR2,/,a4.A-MoN RATE • z 1'IIIJ 'L,�IIt!ILE55 • (o�'� � ��h m � Wig'' RICH � P A ETER B A. 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