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0061 GOOSE POINT ROAD
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T L ,'t - ,'. ,r rr �;y_ Ili!!, t- E r. b ,k e C t .i. 1! ke t } 1 rd( 1 L F :tk::,e J , f >•...,r. e... .,.e v,tu s F ,'.. .�:" , L:' ,{ ,-1 ` , r, " r ,' ,. ;; , f E, fl'" r ..a.. ,fr .rd,a_.t+ _�-,�{,yp]e,f_.Y.Ju __dt.t,.rdt,„m!„...a, ,��=:aY. -�..x 5 ,, . . ,, r ,., t,,,a # 14.4,9t:._, s,,. ,, � r,d„[, r.___ } .,..-._. : . _,__ ,a. "r�,,as. Town of Barnstable z Building . ,, Post.ThisCartl So:That,�t,isaUisible Fromthe;Street ,,A,' roved Plans M st be Retained on.Job;.and fh�s CardMust.be Ke t■ABPi�'['A[tIJS, ��, �� 6 ` Posted Until Final l»spectlo»Has,Been Made F� a u '` • Whe re asCert�fieate of Occupancy is Requ�red;such,Bu�ldma hall Not be O.ccu �ed4un#il<a°Final Ins .econ fias.beenmade� Permit Permit No. B-18-1332 Applicant Name: INSULATE 2 SAVE, INC. Approvals Date Issued: 05/21/2018 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 11/21/2018 Foundation: Location: 61 GOOSE POINT ROAD,CENTERVILLE Map/Lot 252 041 Zoning District: RD-1 Sheathing: Owner on Record: ZENG, HONG t Contractor Name" INSULATE 2 SAVE, INC. Framing: 1 ' � <. Address: 61 GOOSE POINT ROAD ilk Contractor License 1�80747. 2 CENTERVILLE MA 02632 Est Protect Cost: $3,506.00 Chimney: P ; Description: Weatherization PermitFee: $85.00 Insulation: Project Review Req: F:ee Paid.-` $85.00 Date 5/21/2018 Final: Plumbing/Gas - 4 + ,7- < Rough Plumbing: I y t 3 <Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authori m zed bythis permit is commenced within six onths afterssuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. � Final Gas: All construction,alterations and changes of use of any building and st ru ures;shall be in compliance with the local zo`i, ' laws and codes. This permit shall be displayed in a location clearly visible from access street oir road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. ` Electrical The Certificate of Occupancy will not be issued until all applicable signatures by�ihe Building a d Fire Officals are provided on'thspermit. Service: Minimum of Five Call Inspections Required for All Construction Work: _, Rough: 1.Foundation or Footing 2.Sheathing Inspection Final 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: S.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. 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 Application Numb ...................... ********,By 00 Permit Fee......... ............................. Oder Fee . ....... BUILDING DEP TotalFee.Paid.............................................. ..... T� OY BA INSTAB � 01 201 Permit Approval by..... ...................:..On,.,5.L Ill ..... BURMING PERAMM OF BARNS 4 A3L API'UCATION Mv........................................> ,......................:...................... Section I -Owners Information and Proms I #ion.. PrQject.Addrws (p/ oo rel .�'c/. C�-�c p N�i�`l CP�1211� 6d�3a Village ±e (e Qwws Name %o g ii 2 c yt4 . Owners;Legal Address ( / Co ore City 2ezz e-v-v t f�Cf State. Zip 14 01 6 3 v� Owners-Cell# E-mail Section 2- tructural Seigle:/Two Family Dwelling ❑ Commercial Structure.over 3�,000 cubic het Commercial.Structure under 35,000 cubic feet Section 3—Type of.Pery it ❑ New Consh�caon ❑ Move/Relocate ❑ Access ftuctme: ❑ e of use Tema/(emire,stnicttu e) ❑ Finish Basement ❑ Pool ❑ Fire Rebuild ❑ Deck. ❑ Solar Q Spin Sim Addition ❑ Retaining wall nsula ion Renovation 1 Other SpeeifSr Section 4—Detail i Cost of Proposed Construction 1 3-0 6.10 Square Footage of Projec Age of Stnwture Dig Safe.Number #Of Bedroom Existing x�sting Total#Of-Bedrooms' Posed). 114 'H :Zone,Compliance Method .® MA.Chckiist❑ ; FCM C�eEst i settion 5 OW oil 0'0 "e d r off Section 6—Project Speccs Q Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing Gas ❑ Fire Suppression ❑. Heating System ❑ Masonry Chimney ❑Add/relocate.bedroom Water Supply ❑ Public ! ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic.District ❑ Hyannis Historic District ❑ Old Kings-Highway - Debris Disposal Facility-, e i?6 lie I;Im using a crane C Yes.,❑ No Section 7—Mood Zon Flood Zone Designation. Within or adjacent to a wetland,coastal bank? Yes:❑ No '❑ Section 8—Zoning Inforniation Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units(on.site) Setbacks Front Yard Required . Proposed Redr Yard Required Propo Side Yard Required Propo'ed Has tljs property had relief from the Zoning.Board in the past? Yes ❑ No Last updafti;1013.14g17 i Section 9-.Construction SujervUor Name am e .',-Z Telephone. Address (Tv o ve S� City L�iPl�iey' S ---Zip �« S License Number ,03 F / License Type y E won Date.. . contractors Email 'zI h R r o h 60�A rcc/Q r� a S Q U e. t�!'— e11 —6 d is 3a � a .. .. Lunderstand m for Licensed a S sor as acmdance w .7,8 y responsibilities under the rules and regions CMR the Massa&usetrs Smote Building Code.. I understand the con ocedi.vs;,specs c t b 780 CMR and the.Town of Barnstable.Attach a ° of yotu license: doa o�n mquked y Signature Date 113elL� . : Section 10=Home Improveme Cogtractor . . Name Telephone N r Jam'4 -S 6 —lo O lv Ads 'A//60 h o rre S'9 City ��l2t` �r S �4 Zip D a -7d o stration Number `mod'? 7 Expiration Date / ld I-t�d.my responsibilities under the rules and regulations for Home.:. nt Condors m accordaaee 0.a the MassachusetIs State Building Code. I understand the constru dw PM o � document i m required by 780 CMR and the Town of Barnstable.Attach,a cop of your H.M.. SDate �3 igaatui'e Section 11.—Home.Ors Home Owners Name: Ale n. �� Telephone Number 3 3 9 —vZ4 6 73 a d Cell or.Work N . I understand my responsibilities under the rules and regulations,for Licensed Supervisor w78I3 CMR the��assachusetts State Building Code. I understand the comstruction proved ues,speck aid doettmeutatian required by 780 CAR and the Town of Barnstable. Sigastute c P Q 9� � � � � Date APPL C ANT 5I R- S' tt�e Print :acne 0� A�Lam e-�r� Tel NtberQ � � 7 a Wit:t : ls�� Lit ifl/3lf�t}Ia Health Department ❑ Zoning Board(if required) Historic District ❑ Site Plan Review(if required) '❑ Fire Depm rent ❑ Conservation ❑ For.commercial work,please take yoi ir plans dire tojhio ybnent for wravaL Seed n 13-Owner's2� as O subject ro hereauthorize p ley by ��� to act on my behalf, in all matters relative to work autho • d bythis building p tton for: ►(Address of j Signature of Owner date Print N e LVdffie& 1 0/3 1120 1 7 RISE Engineering 5 DuPont Ave.,South Yarmouth,MA 02664. ENG(f Ei RING 508-568-1926 FAX 508-568-1933 CONTRACT Page 1 PROGRAM THIS CC NM r IS ENrERm tnro aeYweEN rase CLC-MES E"NEERI NG AND THE CU97'ONER FOR WORK AS DESCMED BELOW. CWTONERPHONE DATE CLIENT.# WORK ORDER . HONG ZENG (339)206-7300 04/13/2018 .250.519 . '311'1.02 STREET BUI C STREET . 61 Goose Point Road 61 Goose Point Road SERVICECITY,STATE,ZIP BILLING CITY,STA ,LP Centerville,.MA 02632 Centerville,.MA 02632 DESCRIPTION QTY COST''. INCENTIVE :. TOTAL ATTIC FLAT-6"OPEN R-22 CELLULOSE 704 $929.28 .$6".96 $232.32, ATTIC FLAT:Provide labor and materials to install a 6"layer of R-22 Class 1 Cellulose added to(704)square feet of open attic space. FINISHED CEILING ACCESS 1 $135:00 $10.1.25 $33 75 . . ATTIC ACCESS:Provide labor and materials to install(1) new, .finished plywood,with 2"rigid Thermax board,weatherstripped attic space access hatch. Prime coat and/or paint is not included. Homeowner has received a copy of the EPA's Renovate Right.Lead- Safe information guide explaining the potential risk of the lead hazard exposure from the weatherization work to be performed.Your signature is your acknowedgement of receipt and agreement to proceed. VENT FUTURE BATH FAN TO ROOF 1 $11835 $89 06 U%69 Provide labor and materials to instal an insulated exhaust hose with roof mounted flapper vent to exhaust future bathroom fan(s). VENTILATION CHUTES 68 $237.32 $177.99 VENTILATION:Provide labor and materials to install ventilation chutes in(68)rafter bays to maintain air flow. KNEEWALL SLOPE:2"RIGID BOARD 215 $927.75 :.$.620 81 ,i$206 94 KNEEWALL SLOPE:Provide labor and materials to install 2"rigid board With the required fire-rating to(215)square feet of kneewall rafter area. AIR SEALING 15 $:1;200.00 $1:200 00 $0 Oo 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. WEATHERSTRIP DOOR 1 $58 00 $58 00 $O:00 " AIR SEALING:Provide labor and materials to install Q-Ion weatherstripping to(1)door(s)to restrict air leakage. RISE Engineering 5 DuPont Ave.,South Yarmouth,MA 02664 ENGINEERING CONTRACT 508-568-1926 FAX 508-568-1933 Page 2 t • PROGRAM THIS CONTRACT IS ENTERED INTO BETWEEN RISE -CLCHES ENGINEERING AND THE CUSTOMER FOR WORK AS �r V �7 DESCRIBED BELOW. CUSTOMER PHONE DATE CLIENT 0 OR. HONG ZENG (339)206-7300 .04/13/2018 250519 31102 61 Goose Point Road 61 Goose Point Road SERVICE C1TYffM,ZIP BILLING CIM STATE,ZIP - Centerville,-MA 02632 Centerville, MA 02632 DESCRIPTION QTY COST INCENTIVE. TOTAL YOUR INCENTIVE EXPLAINED For eligible measures,the Cape Light Compact is offering an als) incentive.of 75%,with no limit,and an incentive of 100%for the Air es Sealing measures. a Total: S3;506.1.0. Program.Incentive $2 944,07 Customer.Total: $56203 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF 'Five Hundred Sixty-Two&03/100 Dollars $562:03 .UPON FINAL INSPECTION AND APPROVAL BY RISE ENGINEERING.CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL INTEREST OF 1%WILL BE CHARGED MONTHLY ON ANY UNPAID BALANCE AFTER 90 DAYS.SEE REVERSE FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND CONTRACTOR REGISTRATION. .. NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED NATHIN DATE OF ACCEPTANCE SRili ACCEPTANCE OF CONTRACT-THE ABOVE PRICES,SPECIFICATIONS AND.CONDITIONS ARE I 30 DAYS SATISFACTORY TO US AND ARE HEREBY ACCEPTED.-YOU ARE AUTHORIZED TO DO.THE WORK AS SPECIFIED,PAYMENTVALLLBE MADE AS OUTLINED ABOVE.. - . Town of Barnstable Regulatory Services Richard V. Scali,Director Building Division Paul Roma Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 5087790-6230 Property Owner Must Complete and Sign This Section . If Using A Builder . I, HONG ZENG , as Owner of the subject property hereb authorize Y to act on m behalf, y „ri..S l�z.� a �4- -� in all matters relative to work authorized by this building permit application for: 61 Goose Point Road Centerville, MA 02632 (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License,Exemption Form. C:\Users\decollik\AppData\Local\Microsoft\Windows\lNetCache\Content.Outlook\L7U69LF2\EXPRESS(2).d6c 1-1 01/25/17 The Commonwealth of 1Vaassarhusetts Department of Industrial AeciGdentS 1 Congress Street,Suite 100 Boston,MA 62114-2017 ¢ www.mass zov/dia Workers.'Compensation insurance Affidavit Builders/Contrpctors/ lectricians/.pf tubers. TO BE RLEU:WITH THE PERMITTING AUTHORITY. Applicant Information " Please Print.Ledibly Name Business/Organization/Individual): Insulate2Saye Inc. . Address:410 Grove Street City/State/Zip .:Fall River MA 02720 Phone 508-567-6706 Are You an employer?Check the appropriate box; Type of project(required): , i.rx lam a employer with. 20 employees(full and/or part ❑New COt3StlUCtiOTt 7.Q 1 am a sole proprietor or pattnership.and have no_employees working for main- $. ❑Remodeling any capacity.[No workers'comp:,insurance required,] 9. Demolition 3.�I:am:a homet?wnor doing,all work myseE£;[No xoitters'comp..insurance required.)t [] 4M1 am a homeowner and will be hiring contractors to conduct all work on my property. I,hill IQ Q Butiditig addition ensure that all contractors either have workers'compensation insurance or are sole i I.[]]Electrical repairs or additions prt:priet©n with no employees. 12.n:Plumbing,repairs or additions 50.1 am a general contractor and l have hired the sub contractors listed.on the attached sheet; 13.r_1 Roof repairs These sub-contractors haveemployees and have work.ei's'.comp,insurances 4.0 we area corporation and its officers have exercised their right of exemption per MGL c. 14,UOther Insulation 152,§1(4),and we have no employees.[No workers'comp;insurance required:) 'Any applicant that checks box#E must also fill out the section below?showing their workers'compensation policy infarmation, t Homeowners who submit this affidavit indicating they are.doing all work.ond then hire outside.contractors trust submit A new'affidavi€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'camp.-poticynumber. T am,an employer that is providing workers.'compensation hsuranre for my employees Belaw is the policy and job site inforMation. Insurance Company Name: LibertV Mutual Insurance Policy#or Self-ins.I:ic.#. XWS 56418741 Expiration,Date. 12/10/2018 3 City/State/Zip Job Site Address �� vGIP od� a Attach a copy of the workers'compensation policy declaration page(showing the:policy number and expiration date). Failure to secure coverage as required under MGL c. 1.52,§25A is a criminal violation punishable by a fine up to S1,500.00 and/or one-year imprisonment,:as well as civil penalties in the form of a STOP WORK ORDER,and a fine of up'to$250.00 a day against the violator,_A copy of this statement:may be forwarded to the Office of Investigations of the D1A for insurance coverage;verification I do hereby certify' under the s r4ne ties of perjury that the Information,provided above.is true and correct Signature: Date: Phone# 508-567-6706 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):. L ealth 2.Building Depattmetit 3.City/Town Clerit 4.Electrical,lnspertor. S.Plumbing Inspector on: Phone#: f l Office of Consumer Affairs and business Regulation 10 Park Plaza- Suite 5170 Boston, Ma` usetts 02116 Hume Improvem tractor Registration TyP: Corporation ' x Registration: 180747 INSULATE 2 SAVE , INC. � m w � Expiration' ` 12/28/2018 410 Grove St Faliriver, MA 02720 Update Address and return card. Mark.reason for change; zCA'1 0 2OM-06111 _.. ._w .......,_. ,------ d712. i�IC' TY/.fYlVilll£'QE/fLO f i`YL C?7.114F .d , Office ol,Consumer Affairs&business Reguin HOME IMPROVEMENT CONTRACTOR RegistratioitvAld for individual ie only. TYPE:Co► xatiari before the expiration date. !f found return to, Office of Consumer Affairs arw1usiness"Regulation• an EaRlretibn i{?Park Plaza-Suite 517t3 3.2(28/201 i3 . l Batton MA 021f6 INSULATE 2 Roland Lange 'fr 410 Grove St . Fallrier,MA 02:� y fi Undef retay Not haled without sigfiature Cotnt a 0,11 ref mass adwswls Board of Building!a ulations and Standards cons , CS-101 yes { 3e0lEt C so Him, RE FAt L MER_ ! Commissioner Y CER I SATE T FICATE OF LIABILITY INSUU. RANCE (M°°"' M O7f18 TIiIS CER1 fFlGATE tS;ISSUED;:AS*MATTER OF;INFORMATIO.N ONLYAI�ID CQNFEf2S RIGEiT3 7POri TFtE CERTIFICATEHOLDER THIS, CE"A, ,4ATE`DOES N)T AFFp2MATfVEL1f OR NEGATIVELY AMEND,EXTEND Ott ALTER THE COY RAISEAFFDRDED BY THE PDUCIEH BELOW THIS'CERTIFICATE O INSlIftIWCE;DOES NOT CONSTITUTE A CONTRACT BETWEEN THE I ;SUING iNS lRER(S7,:AUTII©R1Z�D REPRESENT41NE OR PROflDUCER,AND THE CERTIFICATE HOLDER. 1MPORT/tt�T lF the certilfpteholder•is an ADDI10NAL INSURED,the pofeey# ),must have ADDITIONAL MStRtEp tf SUBROGATION IS WANED;subiect to the.temis and conditions of tlIs pro�nsions or be;ertdorsed: IPYr.certaut pdicies may.require an endorsement,:A stateiilent;on this certlFcatie'_does;rtot confet:rights to the celtificate,holder inlieu of such ertdalsemeM(sl.' PRODUCER• . ,. . ..,.NAIVE.... Anthony F.Cordeiro insurance Arc N 508-677-0407 171 Pleasant.Street No 5�fi77.0409. Falt River,,MA 02721 ADDRES&:..:hsou rdeiroinsuranckcom OiStlRC-R(S)AFFORDg�,COV6tAGE NAIL IAISURERA: LI INSURED bertY Mutuat' INSURER B Insulate 2 Save,Inc. INsuris�c 410_Grow St FAA River,MA 02720 INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE'NUMBER: THIS IS':TO•CERTIFY THAT THE:POLICIES OFINSURAIVCE LISTED BELOW HAVE BEEN ISSUED 70:THE INSURED:NAINED`RE WON LUMBER. . INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHERI UME UVtTH RESPECT TO WHICH ThIOIS CERTIFICATE MAYSE-ISSUEDOR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DI CRIBED HEREIN IS SUB IECT TO ALC THE`T.F—' r EXCLUSION SAND CONDDITIONS OF SUCH POLICIES:LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR' TYPE OF INSURANCEPAWL POLICY NUMBER COMMERCIAL GENERAL LIABILITY UNITS EACH OCCURRENCE $ 1,00p;000' CLAIMS M1AADE:F OCCUR Es' ;ocaarence' $...: 300000..... ,,.... A MED.EXP( ane person) $ S,�p Y Y BKS SU18741 12110117 12/10f18 PERSONAL&ADVINJURY_ $ 1,00f10p0 GEN'LAGGREGATE LIMI'TAPPLIES PER X POLICY LOC GENERAL AGGREGATE $ 2,QQ(}aQ00 ..:OTHER: PROD UCTS=COt1�/O'AGG $ 2,Ot 00O' AUTOIVOBILE LIABILITY ANY AUTO Ea a6adent $ 1,006,000 OWNED SCHEDULED BODILY INJURY(Per personl: $' A AUTOS ONLY X AUTOS y y SAA 56418741 12N 0/17 1211 W18 BODILY INJURY HIRED`: X AUTOS ONLY X AUTOSONLY UMBRELLA UAB X OCCUR A EXCESS LU16 CLAIMS-MADE Y Y USO 56418741 EACH OCCURRENCE $ 2,08i1;000 12f10f17 1211 AGGREGATE : DED RETENTwr�$ $ . WIORICERSCOMPENSATION . $ AND EMPLOYERS UABIt tiY" YIN x SATUiE E ANY PROPRIETORJPARTNER/EXECU7IVE A OFFlCER/IuIEMBER EXCLUDED? ❑ NIA. XWS W18741 12/10N.7 12M M18 E.L.EACH'ACCIDENT $ SOO tIOC Mandatory at NHL. yyeess�describe under EL DISEASE EAEMPLOY $ StI80El0 DESCEnPTION.OF OPERATIONS below EL DISEASE-:POt ICY LINi7 .$. SB$060 DESCRIPTION OF OPERATIONS/LOCATION&.!VEHICLES.(ACORD 701,Addtional Remarks Sdusdule,may be af�ched E.more: �w`k regWredl,.:. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCIBED POLICIES BE;GANCEI r en BEFORE THE EXPHMON.DATE THEREOF NOTICE YIIItL BE DELRIEREp IN'" Proof of Insurance ACCORDANCE I KT THE.PQClCY PROVISIONS:: AUTHORIZED ACORD ZS:;2046/03 O:1,: Zd13`ACORD_:CaRPORATtON• A8 reserved. I The ACORD name and logo are registered mark&of ACORD Town of Barnstable *Permit# 0 Expires 6 months om issu e �7 Regulatory Services Fee * �ARTi ��.E'•� � . 4 ' � p Richard V.Scali,Director A ¢� rFo��JUL � Building Division 1 2015 , Tom Perry,CBO,Building Commissioner TOWN OF BA R N S TA B LE 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERM14 APPLICATION - RESIDENTIAL''ONLY Not Valid without Red X-Press Imprint Map/parcel Numberz - Property Address (g1 Q)Ose- /fit h 10 0e �e d-Vl 11e_ ,a�f f� ce6 5a Residential Value of Work$ ,4 k00- 0-0 Minimum fee of$35.00 for work under$6000.00{ Owner's Name&Address 1 014Q ZC44 6/ C4u,krzli Ile , X/) 632 Contractor's Name Cef( lehe-cle f/ Telephone Number Home Improvement Contractor License#(if applicable) ' 6 97V Email: G✓/ c/�'I Ali /�� �^/�®�.. Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance C k one: Ic am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Reqst(check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to %17ncCP ❑ e-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side 15 ❑ Replacement Wihdows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic;Conservation,etc. ***Note: Property Owne st sign Property Owner Letter of Permission. A copy oft h Ho a Improvement Contractors License&Construction Supervisors License is jrqguired. SIGNATURE: Q:\WPFILES\FORMS\buildin ermit forms\E RESS.doc Revised 040215 1' t . U0 `,Massachusetts-Department of Publ c&afety board of i3uild ng Regina#lawand`Star lords •Cfrnctrll(ftilal1�y11�'r�'15rYa' .• •�., �� . -- - License CS-1 08208 , ALEXEY LEBEDEV 60 FRANKLIN AVENUE Hyannis MA 02661 i.�.. .fl,6cr ri Expiration Corrimassioner 11/27/2018 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite.5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration -= Registration: 176777 Tvpe: LLC Expiration: 9/25/2015 Trlt 245160 DREAM HOME IMPROVEMENT LLC:' ALEXEY LEBEDEV r _ . 27 ANCHORAGE LN , WEST YARMOUTH, MA 02673 � � ---- Update Address and return card.Mark reason for change. _ M scA i 0 20M-05111 address Renewal R Employment Lost Card 4�.�/c'�iysizitt¢Izt[letrll�a�C�l2ri�lsrte•�t�.icl!' v . -.__....�.-. _.._...._._ ._......,... �._Office of Consumer affairs&Business Regulation License or registration valid for individul use only SOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: registration: +�7g777 Type: Office of Consumer Affairs and Business Regulation ' 10 Park Plaza-Suite 5170 .fxpiraUon " 9/25/2015" LLC Boston,MA 02116 DREAM HOME:IMPROVEMENT`LLC. ALEXEY LEBEDEV _ 27 ANCHORAGE LN a WEST YARMOUTH,MA•02673 Undersecretary Not valid without signature f— The Commonwealth of Massachusetts Department of Industrial Accidents d Office of Investigations I Congress Street, Suite 100 Boston,MA 02114-2017 wwx.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Alexey Lebedev Address:60 Franklin ave City/State/Zip: Hyannis, MA, 02601 Phone #:7742083589 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ 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' o workers comp. 9. ❑ Building addition � ' . insurance comp. insurance.: P required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions q ] 3.❑ 1 am a homeowner doing all work officers have exercised their I I.❑ Plumbing repairs or additions myself. o workers comp. right of exemption per MGL Y � ' P 12.❑ Roof repairs t c. 152, §1 4O and we have no, insurance required.] 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 this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic. #: Expiration Date: 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify t der t e ains andpenalties ofperjury that the information provided above is true and correct. 7/21/15 Sip-nature: Date: Phone#: 7742083589 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: r Dream Home Improvement LLC. 60 Franklin Ave, Hyannis, MA, 02601 Home q"*) Email: lohn.dreamhillc@maii.com DREAM508-332-8119 John Collinson Project Manager ,t reprove ent LLC. ' r 774-208-3589 Alexey lebedev Owner/Contractor j www.dreamhomeimprovement.com r t - - — — — - HIC#: 176777 CS#: CS-108208 Contract DATE: July, 20, 2015 PHONE NAME: Hong Zene EMAIL: 14aNG► 6�6'3 ��� • �o MAIL ADDRESS: 61 Goose Point Rd. Centerville,Ma. 02632 JOB ADDRESS: 61 Goose Point Rd. Centerville, Ma._02632 Dream Home Improvement hereby proposes to perform the following services in a neat, professional like manner in accordance with the manufacturer's specifications and local building code. Re-roof partial, re-sidewall partial. - Remove and haul away old roofing materials. - Re-nail roof sheathing as needed. - Remove and haul away old siding materials. All labor,materials,disposal-and permit fees are included in a price.All additional extra work will be charged 60$/h plus materials Supply and install —CERTAINTEED LANDMARK: On garage house. Life time warranty class A fire rated,Algae resistant, Heavy weight (240 lb per sq.), Self-sealing, Multi—layered,Architectural style, Fiberglass based asphalt shingle with New England's exclusive Copper/Ceramic stones with a full 10 year warranty against Algae containment. Price - $11,070 Initials: Supply and install - (8" Aluminum Drip Edge Supply and install —CertainTeed Winter Guard or Carlisle WIP: (Ice and Water Shield) (WIP — Water and Ice Protection). Waterproof Underlayment System 3ft. on eaves and valleys, 18"around chimney, and under step flashing and gable walls. Water and Ice Protection (WIP) is a self-adhering roofing underlayment used on critical roof areas such as eves,valleys, skylights and chimneys to protect roofing structures interior spaces from water penetration caused by wind-driven rain and ice dams. WIP may also be used as covering for the entire roof to prevent moisture or water entry. Supply and install —#15 Felt Paper Underlayment On entire roof. A Tar paper is made by impregnating paper or fiberglass mat with tar, it is water toughest opponent, creating a secondary water barrier that reduces the incidence of leaks caused by storm damage, wind-driven rain, ice dams and worn roofing materials. It is a waterproof material that will protect your home against moisture intrusion. Supply and install—CertainTeed Swift Start With self-adhering asphalt starter course on all eves and rake edges. CertainTeed requires this product for Integrity Roof Systems and upgraded wind warranties up to 130 mph. Supply and install—Aluminum and Neoprene Soil Pipe Flashing Supply and install — Pre-Cut CertainTeed Hip and Ridge Shingles. All labor,materials,disposal and permit fees are included in a price.All additional extra work will be charged 60$/h plus materials Shingle ridge meets the hip and ridge accessory requirements for the CertainTeed Integrity Roof System which is comprised of underlayment, shingles, accessory products and ventilation all working'together.The integrity Roof System is designed to provide optimum performance— no matter how bad the weather conditions are. Supply and install.—,White cedar shingles. On each side of doormers. Eastern White Cedar Shingles (EWCS) has a 50 year warranty against wood decay, 15 year warranty on two coats of solid stain and nothing can match the classic warmth and beauty of re-squared and re-butted EWCS. Price - $1,750 Initials: Supply and install.—Wood Trim boards and corner boards on Doormers. Two windows after installing vycor flashing around them, two corner Price - 400 Initials: Supply and install.—Aluminum Gutter. On rear section of the house with three downspouts On front of house and garage. Heavy duty, commercial grade 0.32"thick white aluminum seamless gutter with hidden hangers 16" on center with#10 screws. 2x3 inch aluminum square corrugated downpipe with 5" K style gutter systems, with hidden downspout hangers fastened by#10 screw. Price - $1,044 Initials: Other Possible Extra: Any rotted or otherwise deteriorated plywood sheathing, lead flashing, aluminum flashing on roof to wall sections or other carpentry needing replacement will be done with customer discussion and charged for as an extra at the rate of$60.00 per hour, plus materials, plywood -55$ per sheet. All labor,materials,disposal and permit fees are included in a price.All additional extra work will be charged 60$/h plus materials Initials: [ L Shingle Color: Dream Home Improvement LLC providing 10 year 130 mph wind-resistance installation warranty with six nails in common bond area on re-roofing project or one year warranty on going over. See actual manufactory warranty for specific details and limitations. htt s: www.certainteed.com resources Genera/As ho/tShin /esWarrant En lish. d Payments: Dream Home Improvement LLC accept three payments:first payment of 33% contract price has to be received due at contract signing as a deposit, second payment of 33% due on beginning of the project,third payment of remaining contract balance of 34%plus any possible extra has to be received or mailed within a week after project completion. Dream Home Improvement LLC will complete the project within 40 days after the contract is signed and received with a first payment. Initials: Compliance with Laws: Contractor agrees that it is properly licensed and insured under Massachusetts General Laws Chapter 142A and that it will perform the services contracted for herein in compliance with applicable building codes, laws, statutes and ordinances. Parties' Understanding of This Agreement: by signing this agreement,the undersigned Parties acknowledge they have had the opportunity to ask any questions concerning its terms; have read,understand and agree that its terms are fair and reasonable; and agree to be bound by the terms in their entirety. This agreement is effective as of the date it is executed by all the undersigned. All labor,materials,disposal and permit fees are included in a price.All additional extra work will be charged 60$/h plus materials a _ 1 Contractor Home Owner Date signed All labor,materials,disposal and permit fees are Included in a price.All additional extra work will be charged 60$/h plus materials A TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map -f � Parcel b f Application # Health'Division Date Issued Conservation Division Application Fee Planning Dept. _ Permit Fee, 6. 3 Date Definitive Plan Approved by Planning Board b f 2 Historic - OKH _ Preservation/ Hyannis Project Street Address w G-o ose Village Owner F ro, •�W n Address Telephone Permit Request R�� - II F berg au R - 19 ce1\%ko5e OV)a - 3D c6sk0 se 4-fl t a-K C . Sf,CQP�Se A-Wic +o CaA2 W'A Sp'�i�' CL re o� �S, l� - 11 ► harp -� Ise 1Zemon� 1�ox s;�l }�►;r seo�l ln� dQA};C, tano ot%a basCMPA► wi ex�an 1°9 on,w.. Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation t b Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 0 Two Family ❑ Multi-Family (# units) Age of Existing Structure 1 9 b 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 C7 R pqw_--I Number of Bedrooms: existing —new y Total Room Count (not including baths): existing new First Floory;Room Count Heat Type and Fuel: ❑ Gas >d Oil ❑ Electric ❑ Other Central Air: ❑Yes 4 No Fireplaces: Existing New Existing woo /coal stove: P.,,..-,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 Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes A No If yes, site plan review# Current Use Proposed Use ---- APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name W11111am L,006 CoLfteserve .1.r,c. Telephone Number 15 0 8 3 W 9 8 Address - 64� u 6t R`116 License # 56 W,'�-�, (W 0#A, o d 6 6 11 Home Improvement Contractor# Worker's Compensation # TUC 3 3 �BOo ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO�(O t aka SIGNATURE DATE _ 1 ' FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED ` MAP/PARCEL NO. ADDRESS VILLAGE ` OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION E - FIREPLACE ELECTRICAL: ROUGH FINAL y° } PLUMBING: ROUGH FINAL GAS!r• ROUGH r FINAL w ;tF,INAL BUILDING: s _ 4 DATE CLOSED OUT ASSOCIATION PLAN NO.-' ' � A C f The Cofntnonwealth of Massach usetts fpf Department of Industrial Accidents ' ,Office of Investigations 600 Washington Street ` Boston,MA 02111 Wmv mass.gov/dig Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A licant Information Please Print Legibly Name (Business/Organization/Individual): C o Address: '� ' fl �VMting�dll �veoul,� City/State/Zip:50tkt1+ t aclnouA MR Oab64 Phone#: 508- 3 4 $ - 0 3 9 8 Are you an employer?Check the appropriate box: I am a employer y with 4. ❑ I am a general contractor and I Type of project(required): 1.�] �� 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' [No workers'comp,insurance comp.insurance.+ 9. ❑ Building addition 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 11.El 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 ll -employees.[No workers' - 11 W Other t'n 'comp.insurance required.] *Any applicant that checks'box 41 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew 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. ifthe'sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my information. employees. Below is the policy and job site Insurance Company Name: 7e0�n o l 0 "1 S�A o an cG G 14 Policy#or Self-ins.Lic.#: T W C 3 31 g -4 Expiration Date: 4 / ! 13 � 1 Job Site Address: ` o oSC City/State/Zip: y 'e = Attach a copy of the workers'compe��Mdeclarationpa Qe sho ib (showing ng 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#: © 3 - 3 Official use only. Do not write in this area,to be completed by city or town offtciaL City or Town: Permit/License Tr 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#: Aco CERTIFICATE OF LIABILITY INSURANCE I °A,E`MMID°"Y,"' 5/10/2012 THIS; ERTIFICATE IS.ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERr�FICATE 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 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 NAME CT Risk Strategies Company. Risk Strategies Company PHONE (781)9B6-4400 FAX o ,(701)963-4420 15 Pacella Park Drive E-MAIL Suite 240 INSURE S AFFORDING COVERAGE NAIL# Randolph MA 02368 INSURERA:Selective Insurance INSURED INSURERB:Safety Insurance Company 3618 Cape Save, Inc INSURER C-Technology Insurance Company 7 D Huntington Ave INSURER D: INSURER E: South Yarmouth MA 02644 INSURERF:' COVERAGES . CERTIFICATE NUMBER;CL125948081 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 BR POLICY EFF POLICY FEXP LTR TYPE OF INSURANCE POLICY NUMBER MMIDD/YYYY1 (MMIDDIVYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISE Ea occurrence) $ 100,000 A CLAIMS-MADE ®OCCUR PPS1994480 0/16/2011 0/16/2012 MED EXP(Any oneperson) $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000 JECT XPOLICY PRO LOC s $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Eaaccident) 11000,000 ANY AUTO BODILY INJURY(Per person) $ B ALL OWNED SCHEDULED 6208200 1/6/2011 1/6/2012 BODILY INJURY(Peraxident) $ AUTOS AUTOS X E NON-OWNED PeOaE TY DAMAGE $ HIRED AUTOSAUTOS t X Underinsured motorist BI split $ 100,000 X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 2,000,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 2,000,000 DED I RETENTION$ PPS1994480 0/16/2011 0/16/2012 $ C WORKERS COMPENSATION x WC STATU- OTH-. AND EMPLOYERS'LIABILITYYLJMr ANY PROPRIETOR/PARTNERIEXECl1TIVE YIN N EL EACH ACCIDENT $ 500 000 OFFICERIMEMBER EXCLUDED? N N I A (Mandatory in NH) C3319007 /9/2012 /9/2013 E.L DISEASE-EA EMPLOYEf $ 500,000 If yes,descdbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMB $ 500 000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) Issued as evidence of insurance. Issued as evidence of insurance. Thielsch Engineering, Inc. is listed as additional insured as respects General Liability as required by written contract. CERTIFICATE HOLDER CANCELLATION msong@ CapelightcOmpaCt.Org SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Cape Light Compact ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Margaret Song AUTHORIZED REPRESENTATIVE . PO Box 427/SCH 3195 Main Street Barnstable, MA 02630 Michael Christian/BAM ACORD 25(2010/06) 01988-2010 ACORD CORPORATION. All rights reserved. 1MR025 rgnmrmi nt Tho Annion nomo onri Innn ammo vonictorod manta of ACARr1 3';:•1 Massachusetts- Department of Public Sat•etN 4BENIL Board of Building Re!aulations and Standards . Construction Supervisor Specialty License License: CS SL 102776 Restricted to: ICE ; WILLIAM MC CLUSKY 37 NAUSET ROAD WEST YARMOUTH, MA 02673 Expiration: 6/28/2013 Conunisxi„nri Tr#: •102776 Office of Consumer Affairs and usiness Regulation 10 Park Plaza- Suite 5170 ' Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 171380 s, -� Type: Corporation Expiration: 3/14/2014 Tr# 222184 CAPE SAVE INC. WILLIAM McCLUSKEY 7-D HUNTINGTON AVENUE SOUTH YARMOUTH, MA 02664 Update Address and return card.Mark reason for change. ~-- J Address ;� Renewal Employment �, Lost Card PS-CA1 is SOM-04/04G101216 �� VO'I?vI7tOOtl!/2Ct�lL O�✓�Gat16aC1tflQC�b �. �L, Office of Consumer Affairs&Business Regulation License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: - 6 Registration -171380 Type: office of Consumer Affairs and Business Regulation � -_ Expiration 3/14/2014 Corporation 10 Park Plaza-Suite 5170 y Boston,MA 02116 C''', SAVEINC t • WILLIAM McCLU8KEY 7-1)HUNTINGTON AVENUE SOUTH YARMOUTH,-MA. 02664' Undersecretary Not valid wtt o s►gna 460 West Main SI-reet H{...3U O [�v 74`JuiLn1 , iI G -3 f �. °ter'.G r+ !—s R -' rM C 'Rr iP. E OR P( PUAT I ON HOME OWNER WEATHERIZATION WORK PERMIT&FUEL RELEASE: PLEASE FILL OUT AND-SIGN THISFORM IFYOU ARE THE APPLICANT HOMEOWNER. I I�Y"o /3j?o-m,,4 ° hereby consent to and agree that weatherization work maybe ' done by the Weatherization Program of Housing Assistance Corporation ( herein after referred as "Agency') on the property located at: a 3 / l��s The weather!zation work donewill bebased on programmatic priorities and availability of fundingand it may includeall or some of thefollowing measures .. t Weather-stripping& caulking of windowsand doorsy insulation of attics, adewalls& basenentA attic and other ventilation measuresand possibly replacement of badly deteriorated windows. In consideration of theweetherization work to be done at my home agree to the following: 1. 1 give permission to the"Agency" its agents and employees to travel onto or across said property with such equipment and materials as may be neoessary to perform weatherization work on said property. 2. The Housing Assistance Corporation reservesthe right to inspect thefuel or utility bill for the weatherized unit on an ongoing basisfor no morethan five(5) years after theweatherization work is completed. b I have rend the provisions of thisagreement aslisted and freely givemy consent. Home Owner: (Sgnature) Date: Agent: (signature) San { ':�►ature) Data u - f - ,Z._ HAC approved Weatherization Company : Ch1 (?_Sr.--ye,1 Caliber Building&Remodeling Cape Cod Insulation 7Capave Creswell Construction, Frontier Energy Solutions Lohr&Sons Peter Smith Resolution Energy ' Rock Solid Construction Sprinkle Home Improvement : Engineering Dept. (3rd floor) Map Parcel Permit# House# / Date Issued 9 8 Board of Health(3rd floor)(8:15=9:30/1:00-4:36) y� Conservation Office(4th floor).(8:30-9:30/1:00-2:00) l Planning Dept:Pl t floor/School Admin. Bldg.) s SEPTIC SYS E T BE Definitive Plan Approve Board � Y 19 INSTALLED NCE YW t ' r p�yIRONME °' E AND TOWN OF'BARNSTABAL-TOWN REGUL TIONS Building Permit Application Project Street A ress Village_Owner Address,[�/�W� Address Telephone • Y Permit Request XAF 67,,VP L-r X ^First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ oZp�o — Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family p Two Family p Multi-Family(#units) Age of Existing Structure Historic House ❑Yes �No On Old King's Highway ❑Yes EI/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 No. of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air p Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: p Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization p Appeal# Recorded p Commercial p Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name O/Y' ",�/J/Z2� 40 Telephone Number Address /4(, W2s, tylt i9l� C r I-r' License# da'V 03 2— ig—y�� Home Improvement Contractor# /Oz5 7 /0 Worker's Compensation#ogWgeZ a2$26 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 SIGNATURE --- DATE BUILDING PERMIT DENIED FOR THE PPLLOWING REASON(S) o FOR OFFICIAL USE ONLY ` _ 'N - - )�' � PERMIT NO. _ - DATE ISSUED MAP/PARCEL NO. A ADDRESS VILLAGE `A OWNER r DATE OF INSPECTION: -70 FOUNDATION• L FRAME 16� INSULATION a FIREPLACE ELECTRICAL: ROUGH + FINAL ' i r — PLUMBING- -R®�1GH r FINAL _ GAS: C %V2 -I:: FINAL FINAL BUILDING , - - - r-• DATE CLOSED OUT W A i ASSOCIATION PLA'�i�0. r f . . MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit N ; MAScheck Software Version 2.0 ; ; Checked by/Date ; CITY: Hyannis , f STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE: 1 or 2 family, detached MATING SYSTEM TYPE: Electric Resistance DATE: 4-10-1998 DATE OF PLANS: TITLE: COMPLIANCE: PASSES Required UA = 28 Your Home = 28 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ----- - --------------------------------------—----------------------------- CEILINGS 91 30.0 0.0 3 WALLS: Wood Frame, 16' O.C. 216 13.0 3.0 15 GLAZING: Windows or Doors 8 0.510 4 DOORS 18 0.180 3 FLOORS: Over Uroonditioned Space 91 30.0 3 ------------------------------------------------------------------------------- COM'LIANCE 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 j in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in sections 789HR 1310 and 34.4. 8uilderNsigner [ate MAScheck INSPECTION CHECKLIST Massachusetts Energy Cade MAScheck Software Version 2.0 DATE: 6-10-1998 Bldg. Dept.! Use ; CEILINGS: [ ) 1. R-30 Comments/Location WALLS: ( ] ; 1. Wood Frame, ib' O.C., R-13 + R-3 Comments/Location WINDOWS AND GLASS DOORS: [ ) ; 1. U-value: 0.51 For windows without labeled U-values, describe features: A Panes_Frame Type Thermal Break? [ ] Yes [ ) No Comment;iLocation DOORS: [ ] ; 1. U-value: 0.18 Comments/Location FLOORS: [ l i 1. Over Unconditioned Space, R-30 Com men ts/Locat ion AIR LEAKAGE: ( ] 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: [ ) ; 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 marwals 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. .600 INSULATION: [ ) ; Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building mist be insulated to R-8.0. � DUCT CONSTRUCTION: [ ] i All ducts mast be sealed with mastic and fibrous backing tape. 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 EOUIPMENT SIZING: ( ) ; Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified 1 in sections 780CMR 1310 and 34.4. MISC REOUIREMENTS: [ ) ; 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)------------------------- The Commonwealth of Massach=ze Department of Industrial--accidents � � dfftct otlaYtstl���s a . 600 Washing on Street Boston, Mass 02111 Workers' Compensation Insurance Affidavit fi - nnr 1 an a hatncowzer per-omnina all work z}•Self. C •l am a Sale propriecar = have no one wartin in an% cagacxv I am an e ,zp(o�er pray idin� wore-s' car,,,ear?GR far Cite eTClayets v:or`king on tr.is jeo. rt ranv name ;tddr^ss: in ur^rtC- co --� �7 /r, � ✓cam Gciicv = 451:57.C��3 ? z'L—o •, -hOR;eG weer circle arr21 one '^ave hir_' llh0 nay= sole croarie:or. o?Re 3I CanCr3c:�r.G t�' the mkc%vi;,_ orke _ .e - rr ^Inv n-me: addr-�s: h rte 1- • oiicti• irt5urartcc co. 7n anv nzrne: 3ddr+te- invur3acr Co. _ csz n p asdlor Failure to secure czver:ge as rewired under Sc-.:aa:SA of HGL l52 ma lead to the tsssposstsoa of er:msasl slays of i fine a m SI entLa one vesr-s'iragrisoarseat as wen as cin'I pesslties in tte far=of a STOP WORK ORD ER ind a flue of SIQO-0a a dsT a;=Iasi 3� i saderstssd�t= COPY of this St2Cetae1t a23r be forwarded to the OtGr_of Iaresti;sticcs of the DU for carera;e vaiflestica. I do hrreoy cer:if erdrr tF ains and Fen ' a of Fer1:rr7 that thr utfarmesioR Frtrvidr�above is age ar:d cart r: Signature - l �� Print nave Photte# � r olricial use oniv do act w rite is this sre2 to be catapleted by city or town aMci2l City ar town- a!_ Permitii'icsase it rL ;Drd eat QSeiect3en'i Wee C1 check if inxsaediate respaase is required ClHaith Dgmrtmeai coetzct person: pttoaele; _ Other t,,,,.,.d;.oa Pro► .. - _ r = T C r�.e� —•�..�T�~ S t CG Z't - �� V t c CQ�.rG�L i TGt' t S 7- .. s:�� `e,`-• - - 67 . .• - _ DEPARi14EkT QF PUBIIC SAFETY ' CONS?P.UCiIOfi SL'PE=4?SuR IICEYSE Huc6er: Eipi�es: Birthdate: 3 CS IS76:2 19j26/1999! 19 f 2611963 -- _1 Restricted To: It THOAAS Z CAPIZZI JP. 286 PERCIVAL OR E 61 BARNSTM E, AA 1266fi ` . �.,.,,,,-- `.: ---- -• - ._. III 2X Z SALUS711A L I&C '• .• � �YxG Pr posr • 1 I . E4 ,,—�zxw � 2e a oreµ o ec- "ays r CF THE l . The Town of Barnstable EMMSTABM K 9� �1619�. 0�' Department of Health Safety and Environmental Services 10rFor " Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date `r—//—/r"9,6 AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work:-7,GP✓ep Z�er,—ICCS Est.Cost —"-2 ® Address of Work: Owner's Name /)/7 r Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date ,.,z ont cto Nam Registration No. ti OR Date Owner's Name r r Lf ° 16.71 �AL V", Jr A. EOY t. 1 a � S.ty- / ti ?qs >: _ ;x• d �� I'�'?rRYP•Kh �.a ' fr . y „ ZnT AP L--Z —14 46� - I. '� 7 � fm i > � �,<0 6 v �9 e r'� ...+�.. t x:;i. .�y� � �, 1 r•1 - i '.L i — _ '.•_ .... "oS:CN'•f..ma's._..V.. _ - ., n.. ,. /� •_ :x.d -�:. PLOT PLAN FOR LOT # " Indicate location of garage or accessory building Additions with dashed lines ------ Sewerage disposal (cesspool) well jg I I I (lot. . . . . . .�."�:�. .. . .ft. rear) I Abuttor s Name Abuttor . Lot # Name Lot # REAR YARD If this is a corner lot, .� (p If this write in name •• . .ft. corner of street. 1 1• write it . I name of 0 other ,b b street. SIDE YARD • HOUSE SIDE YARD — 0 FT SET BACK . . .ft.' ' • 19 (lot.; .. .. . . ..ft. frontage) (zocj f0 b(�S PCB I w i CZ G 2,(Au-r / (NAME OF STREET) Information Supplied by MARK NORTH POINT iv VVie -. s Assessor's office(1st Floor):. 'Assessor's map and lot number YTo`y w Board of Health(3rd floor): mk � - Sewage Permit number Z 11ABd9TsnLL .' Engineering Department(3rd floor): raea� House number °° t639 Definitive Plan Approved by Planning Board C106 19 APPLICATIONS PROCESSED 8:30-9:30 k:M rand 1:00=2:00 P.M.only TOWN { OF BAR.NSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT,TO, _ C0"Sites U„C-#T�-� I,) •G-A.rz DE K a 1-co t, E TYPE OF'CONSTRUCTION '0�� 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: �§ Q6 � Location ,.� 6~ifJ�4�`>~: di t1.�`3' ' 12�, . C,C'!V'�'rr�:.V!I,.E,.i� (l•—oT: i Proposed Use a�-it R11'>irnJ 'rG0c- SIJPPI.Y S,TO IZA 60 Zoning District Fire District_y ' C/0 Name of Owner T-rzEDP A lt.tasm-n-F f2OWAJ Address Cl (-;ara5C` Ifi 14i-r 1 D.r �En) rZV f Gf 6: a y Name of Builderw is T 1�:� is ne.va, .-_-_. Address j Name of Architect ► t /t Address '"� � /� r- •� Number of Rooms Foundation C E M E'"T S L-A / r Exterior �*�t?A+ #/Irdr'�f. G U Ek' 110 L�eW OOT) Roofing AS PNA LY' / F"I.&?I�;is%�kA$ SIR IA)7LCS t S f. Floors 0�!u 1 E-NT Interior,- LIAR F!nr f5 NC D - 2 X 4- aVA5 Heating - tJ1A Plumbing Fireplace et.f y A4 Approximate Cost o�, / Area FT Diagram of Lot and Building with Dimensions Fe)119, fj p-I.!i U-r AT TO C H r-D) C t(vU SG I OCCUPANCY PERMITS 41EQUIRED FOR NEW DWELLINGS �a T" t I eVt I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. . Name _� ' Construction Supervisor's License BROWN , FRED & MILDRED F. :A=252-041 No - 32 759 Permit For BUILD TOOL SHED J Accessory to Dwelling Location 61 Goose Point Rd.- Centerville Owner Fred & Mil•dred F. Brown Type of Construction Wood Frame Plot Lot Permit Granted April 3 19 89 Date of Inspection 19 Date Completed 19 SEMC SYSTEM Assessor's ce oor Assessor's malp anld I tl A.ED IN CO PLIIAa�unumber ,Y �a� -Q`�� �R�'t' �9 g -� OF f N E ro`♦ Board of Health(3rd floor): WITH'rITLC- 5 d Sewage Permit number 3 ENVIRONMENTAL -, f ,� A 33TADLL «¢x + Engineering Department(3rd floor): TOWN REGULA'�I� s °o r House number '��o L � b 9•�• Definitive Plan Approved by Planning Board Ards 19 orar APPLICATIONS PROCESSED 8:30-9:30 A.M.-and 1'00-2:00 P.M.only ' TOWN OF BARNSTABLE BUILDING INSPECTOR :s APPLICATION FOR PERMIT TO C0M5TR0CT )2 X 16 GA(Z1JEA9 TOOL EL.PQ, TYPE OF CONSTRUCTION —Frr<A m E' 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 6.1. C"oose RatAaT' IUD, CENIMVILLE 0aC2Z Proposed Use GA 2T>EN TOOL A 51U1*Pk y STO RA dir Zoning District Fire District Name of Owner -'RED?j HILDRFJ BROWA) Address C-L G005F ?01/4T 1 C 12VII-c- Name of Builder -Fru a ? 21mawl-] Address !0 Name of Architect I f �! Address Number of Rooms -1 Foundation CEMENT 5(wA,T; Exterior 0162 IQLYW-00b Roofing ASPH FIRIMALAS SdiIN67LES Floors L°K'm K-N I Interior LIN FI N dSKED — `1- X 4- S VD- Heating N�� Plumbing N/A Fireplace N 1A Approximate Cost Area 19 2 FT ' Diagram of Lot and Building with Dimensions Fej,,- C Ott l A 'r /4TT79 C R ED) 1 l� �' i• 77(,V� Cac.pG, 12--XIS,7f- 1 - 4 , - j/ -fO --7 Z� OCCUPANCY PERMITS KEQUIRED FOR NEW DWELLINGS (4,i L_I A;E-- I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction.. Name Construction Supervisor's License `,;BROWN, FRED & MILDRED F. I No 32759 Permit For BUILD TOOL SHED Accessory to Dwelling Location 61 Goose Point Rd. r Centerville Owner. Fred & Mildred F. 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