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Home My WebLink About0110 GOFF TERRACE /�� . _ r .. .: _ __ d � � d o �. �lll3/lS CAPE COD TOWN OF BARNSTABLE INSULATIONilly `''! I , "1 92 7 MUGU$$ s[A&LM s/MTfOAM susrlNP( um ourrecs INfuu"ow =uN s g.y y 1-800-696-6611 `'MIsi Town of&ot-s7� Regulatory Services Building Division Address - Address 2 - Date: Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Villa e � C Insulation Installed: Fiberglass Cellulose R-Value .Restricted Unrestricted Ceilings Slopes ( ) ( ) ( ) ( ) ( ) Floors ( ) ( ) ( ) ( ) ( ) Walls Sincerely He Cassi Jr, President Cape Cod Insulation, Inc. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 1-70 Parcel 633 Application # 02 d JS O b 1 Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street �A�ddr N�Vjesss,� Village i� y,Ni'l Owner Address Telephone 60 �5 Permit �- I VL �� qQ �w mi� JdUN( L Vim, 0(f u(( 0 �a a, Lr.. Square feet: 1 st floor: existing proposed 2nd floor: existing proposed T 11 new q Zoning District Flood Plain Groundwater Overlay ff ty, r-n Project Valuation ' � Construction Type 1 Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family t� Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new sTotal Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Au horization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑Tlc If �es site plan review# Y Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) d Name Telephone Number Address V License# Home Improvement Contractor# J_�`O b Email Worker's Compensation # �tpod l5z r ^Q ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJE T WICK TAKEN TO ,,,� _-Y zof (111VA [�W SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED i MAP/PARCEL NO. i . ADDRESS VILLAGE OWNER " DATE OF INSPECTION: it J ',f FOUNDATION r, vC ; 7 FRAME 7 INSULATION ' FIREPLACE it .k ELECTRICAL: ROUGH FINAL i" • ;? PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT '4 A$AOCIATION PLAN NO. I G�: Ir r tt Massachusetts - Department-of Public Safety :.Bo,ard of Building Regulations and Standards Construction Super)iscir License: CS-10Q988., J. i HENRY E CASSEI3V 8 SMD ROW WEST YARMOUTH !3 ° 0 \� I � Expiration Commissioner 11/11/2015 s Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement C& tractor Registration Registration: 153567 Type: Private Corporation Expiration: 12/15/2016 Tr# 259188 CAPE COD INSULATION, INC HENRY CASSIDY - 18 REARDON CIRCLE --- — -- SO, YARMOUTH, MA 02664 I.=` Update Address and return card. Mark reason for change, CA1 •:i 20M•05n1 Address Renewal Employment Lost Card ...... _ _............. de Lwionantuect&✓n�C%�/l/rwJ�tc�eteetGi .C—\ Office of Consumer Affairs& Business Regulation License or registration valid for individul use only VOME IMPROVEMENT CONTRACTOR before the expiration date, If found return to: egistratlon: 1.53567 Type: Office of Consumer Affairs and Business Regulation xplration;:;.;.1.2115G20.1,6 Private Corporation 10 Park Plaza-Suite 5170 ,.. Bos'ton,MA 02116 3APE COD 1ENRY CASSIDY 18 REARDON 30.YARMOUTH, MA 02664 Undersecretary N valid wi ut sign e is 5 -+ The Commonwealth of Massachusetts Department of IndustrialAccidents W Office of Investigations J a d 1 Congress Street, Suite 100 Boston, MA 02114-2017 www,mass,gov/dla Workers' Compensation Insurance Affidavit: Builders/Contractors/Electriciaris/Plumbers Applicant Information ` Please Print Le ibl Name (Business/Or ' n/Indivdual); `Z 0 Address; 10 !zi 4ovt V �I City/State/Zip; �m n Phone #; Are you an employer? Check he appropriate box; Type of project (required): 1.5 'I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7, ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity, employees and have workers 9, uildin B addition [No workers' comp, insurance comp, insurance,t � g required.] 5, ❑ We are a corporation and its 10,0 Electrical repairs or additions 3,❑ I am a homeowner doing all work officers have exercised their 11.7 plumbing repairs or additions myself, [No workers' comp, right of exemption per MGL insurance required,] t c. 152, §1(4), and we have no 12.❑ Roof repairs employees, [No workers' 13, Other 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 thisUff davit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such, tContractors that check this box must at ached an additional sheet showing the name of the subcontractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide(heir workers'comp,policy number. I am an employer that Is providing workers' compensation Insurance for my employees, Below Is the policy and job site —Information, (�, Insurance Company Name; �'1 t Ci '��t.Vl6 Policy# or Self ins, Lic, #: �d 0 Expiration Date; l C� 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 tnsurance�'coverage. verification, I do hereby cert�*, n r pains and penaltles of perjury that the Info rmatlon provided« ove Is true and correct, Si nature; Date, 1 V lon Phone 9: 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#: r ` I CAPECOD•27 KLIGETT �..� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDYYYY) 3/2014 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(les)must 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(- . PRODUCER CONTACT Rogers&Gray Insurance Agency,Inc. jPHONE ME: Barbara DeLawrence -- 434 Rte 134 _ E FAX 877) 816-2156-- south Dennis,MA 02660 MAIL A/C No DREss: bdelawrence rogersgray,c0m INSURERS AFFORDING COVERAGE _ NAICd INSURED INSURER A:Peerless Insurance Company INSURERB:COMMERCE INSURANCE COMPANY Cape Cod Insulation Inc INSURER C:Evanston Insurance Company 18 Reardon Circle N ISURER D:ATLANTIC CHARTER INSURANCE GROUP South Yarmouth, MA 02664 ----- INSURER E: ------------ :.0 ERAGES CERTIFICATE NUMBER: BER- T IS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NIAMOED ABOVE FOR THE POLICY PERIOD IN ICATED. 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. �SR TR TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY EXP k X COMMERCIAL GENERAL LIABILITY MM/D02Y MM/DD/YYYY LIMITS i CLAIMS-MADE OCCUR CBP8263063 EACH OCCURRENCE $ 1,000,000 04/01/2014 04I01/2015 PREMISES Ea occurrence $ 0 MED EXP(Any one person) _ $ 5,000 GEN'LAGGREGATE LIMIT APPLIES PER: PERSONAL&ADV INJURY $ ' 11000,000 X POLICY❑PRO- OTHER: AGGREGATE2,000,000 JECT ❑ LOC GENERA $ OTHER: PRODUCTS-COMP/OP AGG $ 2,000,000 AUTOMOBILE LIABILITY $ -- I COMBINED SINGLE LIMIT ANY AUTO 14MMSCKVMK Ea accident $ _ 11000,000 ALL OWNED X SCHEDULED 04I0112014 04/01/2015 BODILY INJURY(Per person) $ AUTOS AUTOS X X NON-OWNED BODILY INJURY(Per accident) $HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ X UMBRELLA LIAB X OCCUR $ EXCESS LIAB 1 1 EACH OCCURRENCE $ 1_000,000 CLAIMS-MADE XONJ463514 04/01/2014 04/01/2015 -- -- - DEO X RETENTION 10,000 AGGREGATE $ �ORKERS COMPENSATION Aggregate $ 1,000,000 ND EMPLOYERS'LIABILITY PER 07H NY PROPRIETOR/PARTNER/EXECUTIVE YIN WCA00525904 STATUTE ER FFICER/MEMBER EXCLUDED? NIA 06/30/2014 06/30/2015 E.L,EACH ACCIDENT MandateyIt' H) $ 1,000,000 f yes,describe under E.L.DISEASE•EA EMPLOYEE $ 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1 $ 11000,000 SCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached II more space Is required) trkers Compensation Includes Officers or Proprietors. dltional Insured status is provided under the General Liability and Auto Liability when required by written contract or agreement with the Certificate;Molder. :R IFICATE HOLDER CANCFI I nTlnti HOME OWNER WEATHERIZATION WORK PERMIT: PLEASE COMPLETE AND SIGN THIS FORM AS THE APPLICANT HOMEOWNER. f w I . 1, hereby consent to and agree that weatherization work- may be done by the Weatherization Program of Housing Assistance Corporation on the property located at: The weatherization work done will be based on programmatic priorities and availability of funding and it may include ail or some of the following measures: Weather stripping; air sealing; attic & basement insulation; exterior wall insulation; ventilation measures In consideration of the weatherization work to be done at my home I agree to the following:' 1. I give permission to Housing Assistance Corporation the property with such equipment and materials as may be necessary to perform 6eatherization. 2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for the weatherized unit on an ongoing basis for no more than five (5) years after the weatherization work is completed. I have read the provisions of this agreement and give my consent. Home Owner(signature) /r 2�37a, t d '. Home Owner email:C_ l�IGJ ` e`J7 a Date: )( nature Agent:(signature) Date: g Weatherization Contractors: Adam T Inc Cape Save All Cape Energy Frontier Energy Solutions Alternative Weatherization Lohr Home Improvement BU'ildf a Construction Resolution Energy Cape Cod Insu a i Tupper Construction Assessor's map and lot number .......................................... e PM SYSTEM MUS 13I: 7 "PM COMPLIANCE Sewage Permit number .......................................................... V� IN COMP NCE WITH TITLE 5 Py�FTHEroe♦ TOWN OF BAR M�'1 AL of Ad' D d� ONS apYae� BUILDING INSPECTOR APPLICATION FOR PERMIT TO .. U.N. .T. S.J..........�0/.!�!........1 ...(1.�..5l..Lr...................................... TYPE OF CONSTRUCTION ....... ..Q.CljQ..... ...1G< Q.1 .4t.f. ......................................................................... ...............1.l./.... .................19.6. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit ac.c..o..r.d.ing to the following information: Location .. . .0...he..... ......... () J .............../9.(( .............. ... ProposedUse ...42.. .................................................................................................................... ZoningDistrict ........................................................................Fire District .................... .............. ........................................... Name of Owner7&.�,.k r......1-kims..........................Address ..Zk...T-11Q.ky..�.Tww..... A...�� Nameof Builder .......... .........................................................Address .................................................................................... c � ,.1 Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ...6...........................................................Foundation .. .Q.Fuse C......... ....s ........ t. .............. Exterior ....................................................................................Roofing ...'.1 ./ .n. .. /..................................................... Floors .... .............................................................Interior ........... .... .......................................................... HeatingC ( 14...A w al ? ........................Plumbing .../........................................................................... Fireplace j.............................................................................Approximate Cost .......��, OC14j ........ .. ........................................... Definitive Plan Approved by Planning Board -------------------_-----------19 Area ! Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH Ii t I hereby agree to conform to all the Rules and Regulations of 7of Barn arding the above construction. Nae `7/. ... .... .. .. �............. ......... BURKE HOMES No -2.,2. U-6.... Permit for ....Qae...Stary......... .........5.ing -0 Le...Fam il. ...Dwe.11-i ng........... 7 Lot 12of f Terrace ...... .........Centerville ............... ............................................................... Owner ....Burke ................................. .. .. .. Type of Construction ....F.ra.m...e.......................... .... .. ................................................................................ Plot ............................ Lot ................................ Permit Granted ....... September 18 80 .... ....... ... T9 Date of Inspection .... AA..............19 Date Completed ......................................19 0 jo PERMIT REFUSED ......................................... 19 ..... t................................................... Q zl�� ......................... . ...................... `. .. ...... ....................... ................................................ Approved .................................................. 19 ............. ................................................................. ............................................................................... f� Assessor's map and lot number 2w - 9`/5`- ......... ti ' r Sewage Permit number 'a `.....7 FTHET��yw TOWN OF BARNSTABLE BARNSTABLE, 1639. �•� BUILDING INSPECTOR - -- - ___ am APPLICATION FOR PERMIT TO ... .... ............../...../!.cJ,............................................... TYPE OF CONSTRUCTION .....} r rl 11 ... .77..J' ..O_AT! . ............................... ... ................................ ..................... .5..................I9!.:,�/ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for as permit according to the following information: � /f Location ....�r, T......1 .-. . .........1 4,C) / .....F Tj-,,--Lj)-4 .. .............`.. :d.�..t�!1 U ( l .! C�-................. ProposedUse ...t .�..!1, / FA A M ! (,I ...........................................................................� .................. ZoningDistrict ...j.�...................................................................Fire District .............................................................................. Name of Owner ?..,,1 �1';.... .......!... . ..........................Address 40.b .) L.Al! Nameof Builder ....................................................................Address .................................................................................... f 'f Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ..6...........................................................Foundation L4-7,,„7t.�(,...............! (r,+ 40V /....... /Exterior ....................................................................................Roofing ... .!J /1 .......................................................................... Floors `. fJ'? D' 1� Interior .....'�... ......F<:. ..................................................................................... .......................................................... Heating :-!......'............ ..........................................................r ! AT,-, Plumbing ... ............................................................................ FireplaceJ.............................................................................Approximate Cost ....... t�OC?.......................................... Definitive Plan Approved by Planning Board ----------------_----__- y�"T 9 -- Area ,.......................................... Diagram of Lot and Building with Dimensions 0 Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town. of Barnstable regarding the above construction. - Name ................................................... ................................ BURKE HOMES A=170-83 No 225.Q&.... Permit for One StorX . ......... ingle Family Dwelling LocationLot 13A Goff Terrace ......... ......... .................. ............... enter. . ville..... .. ............ ......................................... Owner Burke Homes.................................... Type of Construction FW D.e............................ ................................................................................ Plot ............................ Lot .... ....................... i, e teill r 18 80 Permit Granted ...S...p ....................19 t f Date of Inspection ....................................19 d Date Completed ...... .............19 i PERMIT REFUSED .........................................../J ................ 19 ....................... .................;... ...... ........................................ 4 ............................................................................... t Approved ................................................ 19 ............................................................................... ' ............................................................................... a, - TOWN OF BARNSTABLE Permit No. ------------------- { VAUSTA . ; Building Inspector X". Cash ----------------- ---t- OCCUPANCY PERMIT Bond ________ f01/� "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. .....................................................1 19...... _ .............................,......................................................................._.... Building Inspector ra Z -We - N I 02-1�3, p/a V. 40�INio� � ®wares cam \ p �44.3 0 N n � Aj D,TLoT to' �oT�i3A /8 qc, sue, �j-\ 0 0 eou B� a �'� , � till i /VOTE- G-Z4vsrr'o.vZ 81 f56 04�1 - .4sS'v�s�D D•�y CERTIFIED PLOT PLAN EDWAPD E. KELLEY LOCATION r 011'^, MASS. 02637 SCALE . !. .. . . . . . . . . DATE PLAN REFERENCE .8E7ivG Lo.To o� are EDWARD 25109 I CERTIFY THAT THE ING .. ...� vu rL Tc y0 SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE . ter,-'•. l' SETBACK REQUIREMENTS OF THE TOWN OF . . . . . . . . . WHEN CONSTRUCTED. DATE . PETITIONER: f/y.9-&/A//s AM SS, REGISTERED LAND SURVEYQ