HomeMy WebLinkAbout0679 POPONESSETT ROAD �79 1'�76*6r„ 6-ss9777 Ae--o4,- IMMMM
-
ALTERNATIVE
WEATHERIZATION
Date
-�
Town of Barnstable
o
200 Main St.
Hyannis, MA 02601 U`'
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r� va
Re! Permit#U 4 9
CO rn
The insulation work at
has been completed in,accordance itht78;0:CMA.- .
Agency work performed for Timothy Cabral
President
CSL-105454
58 DICKINSON STREET ) FALL RIVER,MA 02721 (508) $67-4240 ALTERNATIVEWEATHERIZATION®GMAIL.COM .
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel (� oJ Application # J s
Health Division, Date Issued
Conservation Division Application Fee �d
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH� _ Preservation / Hyannis
Project Street Address 62, 0-AD/1,P 5 �� CAZ-14—
Village
Owner �,0-4�S Address (_a7qA6 n L&�A e&4,
Telephone
Permit Request rL '(►ti ads 410 't
5,
(rP�slirl ose '�G-►- a
.C'e.`/ cru�er- ��rrrr ems -
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay .
Project Valuation at Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ 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
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑Gas ❑ Oil ❑ Electric 0 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 Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION
' D (BUILDER OR HOMEOWNER)
Name J �'► �-�.e Telephone Number hyl"(1-67 yd ye)
Address �< , f—�C( ��/� License #
m A D a']o'? I Home Improvement Contractor#
Email ,1MrnA.;,fiW cJ0-e-4-A-e—riZr, Ok-Q Worker's Compensation # i}?95'67S_7 4�
Ate.
ALL CONSTRUCTION DEBRIS RESUAING FROUTHIS PROJECT WILL BE TAKEN TO
c
S
SIGNATU E DATE
FOR OFFICIAL USE ONLY
APPLICATION #
DATE ISSUED
MAP/ PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
t INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
ssessor's map and lot number ...(P. ........a,................
SEPTIC SYSTEM MUST BE �oFTNeTo�
Sewage Permit number ...dz ... ......................
INSTALLED IN COM PLIANC.
WITH TITLE 5 >; BA"STABLE,
House numberk...lP..7.. ...�J'! ........................ ENVIRONMENTAL C®®F Q►i`i ; 'oo YAe9.
,6
TOW,211 REGULAT10,1A!a orara`
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ... '.-S. '�.`�....sl.!1�G`4fL...rA M A)'�? .......... .... .....................................
TYPE OF CONSTRUCTION �(/o h-2A ILI ....................................................................................
......................... `..........191L
�. TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for
//JJa permit according to the following information:
Location ................................... .r. S.r-..l............... .. .............. ...........................
ProposedUse ............ r.............................................................................................................................
w
r�
ZoningDistrict ..r........................................Fire District ........ I.................... ................................................
j1" s E P 4 /�_ J-� P ........................... yh�LM
Name of Owner ................................................�L 4 ................Address ..:.... . .,.............. ................................
Name of Builder' ..............Address !S!f E!FFi-!„ ' ....2 .,..� 0�. &✓ �...........
Nameof Architect ........................ .......................................Address ....................................................................................
Number of Rooms .. .....6..............................................Foundation .. .Q..! C.. .........................................
,N
Exterior �9F-G c f -A-/Z Roofing .. Sf�IL. r S/4 2►X6—I z
........................................7..... ......................................................................
P'Tc .Interior '�/'E66E 'es4rk
Floors -' .. .!4.R... ......................................... .. ...................................................................
Heating .../ ....�4- c'r� t C
.. Plumbing .......3.....! . ......... ...............................................
.................................................
Fireplacepp..................................................................................A roximate. Cost ..... .........................................
Definitive Plan Approved by Planning Board ---------------____-----------19________. Area ....../.�,r ....................
Diagram of Lot and Building with Dimensions Fee ......-�G....... ...............................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
l
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. n
Name .. % ..`C.... ...............................................
n
Houle Joseph R.
A
23663 two story
................. Permit for ....................................
single family dwelling
...............................................................................
....6.7.92o.pone.s.s.ett
Location ...... ....Road..........
.. . .. .... ........ . . ...... .......
cotuit
...............................................................................
Joseph R. Houle
Owner ..................................................................
ame-
Type,of Construction fr
. ...........................................
............. ...................................................................
Plot ... Lot ................................
Permit Granted ........NQ.V.(Mb.e:r..3Q.........19 81
Date of A pVtKn .............:......A9
Date Completed ...................... 9
Assessor's map and lot number ...1............ ...................
.... ypF TN E T�
Sewage Permit number ... f,
House number rMAGM
p 1639.
TOWN OF BARNSTABLE
r 4
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ..... .`.L....5. : C i.... .! L.I...'. J.: L.`..:..v:. :......
TYPEOF CONSTRUCTION .......................:.............................................................................................................
.........................�.� . ...........19. �.
TO THE INSPECTOR OF BUILDINGS: i
The undersigned hereby applies for a permit according to the following information:
t ��• to K' � : ?a << TLocation ........................................................................... ................................:........... ...u....T'.... T...i...`...SS.:......................
ProposedUse ............ .. .._r.....,;.,,.....................................................................................................................................
ZoningDistrict ................... . Y.........................................Fire District ..........:-r .. :................................................
��as � �l� / � vctfv � � � . � x e147, �r, `/�FRMrclT�
Nameof Owner .......................................:..............-............Address ....................................................................................
Name of Builder. 600 .. S � r`..,rh h s..............Address srf �A �r� •2 I�� C6 ��,�,F ✓.�.�..-`...........
..............:............................
Nameof Architect ..................................................................Address ....................................................................................
.t' .............................................Foundation C �:. �-•%' r r^
Number of Rooms .....:...............
Exterior Tµ C c r= ill Roofing Sf�ct}�L S514 )v h-2
.............................................................................. .........................................................
Floors �' t ...�F= T.. ............................Interior .......Sft FF'.�
.................................................-...... ........................................................................
,F
Heating c, g . . T"f(2 . .. rf ..
.................................................................................Plumbin ..................................................................................
A) 0 J �. �
Fireplace ..................................................................................Approximate Cost ............:............:..........................................
Definitive Plan Approved by Planning Board ________________________________19________. Area '......:......-
.............................
Diagram of Lot and Building with Dimensions Fee .............................................�
SUBJECT TO APPROVAL OF BOARD OF HEALTH
l U ,
t
W
v
t
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. _
Name . �....{`... ...........................
V y.
The Commonwealth of Massachusetts
Department of Industrial Accidents
I Congress Street,Suite 100
Boston,MA 02114-2017
N www mass.gov/dia
Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY,
Apulicant Information Please Print Legibly
Name(Business/Organization/Individual):ALTERNATIVE WEATHERIZATION, INC.
Address:2 LARK STREET
City/State/Zip:FALL RIVER, MA 02721 Phone#:508-567-4240
Are you an employer?Check the appropriate box: Type of project(required):
1.[D I am a employer with 16 employees(full and/or part-time).* 7. New construction
2.M I am a sole proprietor or partnership and have no employees working for in.in 8. Remodeling
any capacity.[No workers'comp.insurance required.]
3.a I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. El Demolition
4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Q Building addition
ensure that all contractors either have workers'compensation insurance or are sole 1 l.E]Electrical repairs or additions
proprietors with no employees.
12.[]Plumbing repairs or additions
5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs
These sub-contractors have employees and have workers'comp.insurance.*-
14.❑✓ Other INSULATION
6.❑We are a corporation and its officers have exercised their right of exemption per MGL c.
152,§1(4),and we have no employees.[No workers'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:STAR INSURANCE COMPANY
Policy#or Self-ins.Lice.#:0849257 00 _Expiration Date:4/4/18
Job Site Address: ` City/State/Zip:
Attach a copy of the workers'com ensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,50.0.00
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 DIA for insurance
coverage verification.
I do hereby certify un31hins an es p rjury that the information provided above is trite,and correct
Si ature: Date: ✓
Phone 9:508-567-42
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#:
ALTEWEA-01 SNERONHA
ACt ►12L3►" CERTIFICATE OF LIABILITY INSURANCE DATE 06126120/YY)
0512512017
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
I BELOW. THIS CERTIFICATE OF INSURANCE DUES NOT CONSTITUTE ACONTRACT 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 cart cate holder in lieu of such endomemen s.
CT Christine Costa
PRODUCER
Mason&Mason Insurance Agency,Inc, j.( �,Fx*(781)b23-M7
458 SonathlAv 02382 E ccosta@masoninsure.com
INSURE S AFFORDING COVERAGE NAIL#
INSURER A:Evanston Insurance Co. 136378
INSURED INSURER a:Safe Insurance Cont � n I39454
Alternative Weatherization,Inc.
INSURER Insurance Corn an 18023
2 Lark Street INSURER D: _
Fall River,AMA 02721 _INSURER E
i INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
i THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
s INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT NTH 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 SEEN REDUCED BY PAID CLAIMS.
'NSR i ADOL SUBRj POLICY EFF I POLICY EXP j LIMITS
TYPE OF INSURANCE 1 POLICY NUMBER
A X COMMERCIAL GENERAL 11A81 I7Y EACH OCCURRENCE S' 1,0OO,UflI3
}
I I---- DAMAGE TO TO RENTED 100,000
1 CLAIMS-MADE X;OCCUR i 3 3C42fl$$ j fl61fl712017 fl61fl713fl18 I MI (Ea•ccurr'%i;�e 5 flfl0
MED EXP An one oersen i S
11000,000
llj j I I{ PERSONAL 8 ADV INJURY 3 t __
!s
GEN'L AGGREGATE L3MI':APPLIES PER: ` 1 GENERAL AGGREGATE 2,000,000
j PRk- �LOC ? PRODUCTS COMPiOP AGv S
2,000,000
POLICY ]JET i
OTHER'
COMBINED SINGLE LIMIT - ?. 1,000,0{fl0
B i AUTOMOBILE LIABILITY I iEe —— •-- S
ANY AUTO j j 237702 U0812017 W0812018 y BODILY INJURY(Per m) I s
OWNED j SCHEDJ LED � I ': BODILY INJURY Per auit4ari I S
I AUTOS ONLY t AUTOS
I OPERTY AMAGE
X HIR=D NON- hNE� I i
N
_ AUTOS ONLY ALITOS ONL I 7 ; er
A ' UMBRELLA UAB X OCCUR I I { EACH OCCURRENCE I$ 1,000,000
1
X EXCESS LIAs CLAIMS-MADE OBW6619616 1 0610712017 06107/2018 AGGREGATE s 1,000,000
rJ' ED I i RETENTIONS ' 1 S
C ,WORKERS COMPENSATION � 07RH j I
AND EMPLOYERS'LIABILITY YIN WC 0849257 00 104104120171 0410412018 600,000
ANY PROPRIETORiPAR7NERlEXECUTIVE ��?i N 1 A I j I E.L.EACH ACCIDENT 3
I rFicERAAEMB££REXCLUDED? N E.L-DISEASE-EA EMPLOYE s 501};ODO
Mandatory la NN) r
' H Yes,tlesaibe urttler I ; I 500,000
DtSCRtPTtON OP OPERATIONS belo I I E.L_DISEASE-POLICY LIMIT 3
I I i I I i 1
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,AddtWnal Remarks Schedule,may be attached If more space I$requiredl
.Action Inc.and National Grid USA,its direct and indirect parents,subsidiaries and affiliates shall be named as addrtlonal insureds on Commercial General
Liability policy per terms and conditions of forms CG2010 and CO2037 and Commercial Auto Liability policy per terms and conditions.of form SCA 005(02
16):Forms Available Upon Request.
CERTIFICATE HOLDER CANCELLATION
I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
3 i THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN i
National Grid ACCORDANCE WITH THE POLICY PROVISIONS. �
40 Sylvan Road I
Waltham,AMA 02451
AUTHORIZED REPRESENTATIVE
ACORD 25(2016103) O 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
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2 LARK ST
FALL RIVER,MA 02721
aril re card:`dark reason far Vie,
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Undeiry.
d' T011 Town of Barnstable
qq
Regulatory Services
BARNSTABLE, + Richard V. Scali,Director
MASS. m .
°a 1639'. ��' Building Division
Paul Roma
Building Commissioner .
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
7
Property Owner Must
Complete and Sign This Section
I, DENNIS R HOULE , as Owner�of the subject property
hereby authorize M�fl x)e to act on my behalf,
in all matters relative to work authorized by this building permit application for:
679 Poponessett Road Barnstable, MA 02635
(Address of Job)
it -�Lhq
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\INetCache\Content.Outlook\L7U69LF2\EXPRESS(2).doc
01/25/17
,IKE Town of Barnstable . *Permit# SS554't
F-Vi es 6 months from Issue date
> ASM Regulatory Services Fee
Thomas F.Geileri Director
m
Building Division
' Tom Perry, Building Commissioner v.i�®�
200 Main Street,.Hyannis,MA 02601 IT
Office: 508-8624038
Fax, 508-790-6230 JUL 1 8 2005
V` EXPRESS PERMIT APPLICATION - RESIDE lfTb�
Not Valid without Red X Press Imprint BARNSTABLE
vlapfparcel Number 3
?rop Address � e/ J—
Residential Value of Work XV OgVey Minimuni fee of•$25.00 for work under$6000.00
owner's Name&Address bell ® 4X/i
Contractor_s_Naule . i�'.(q!_c_I� o���,[.e.��'� Telephone Numbe _w __?
Home Improvement Contractor License#(if applicable) f a —
Construction Supervisor's License#(if applicable) s ® �
❑Workman's Compensation Insurance
Check one.
❑ I a sole Proprietor
am the Homeowner
I have Worker's COM13ensation.Insurance
L-
Insurance Company Name
Workman's Comp.Policy# a
Copy of Insurance Compliance Certificate must be on file.
Permit Request eck box) '
Re-roof(stripping old shingles) All construction debris will be taken to 0V 51 f
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows. U Value (maximum.44)-
tWhere required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
Hope Improvemen ctors License is required.
Signature .
Q:Forms:expmtrg
Revisc063004 _
• fie�ommzan�ueall�i �. a.� T .
Board of Building Regulations and Standards = License or registration valid for individul use only—
HOME IMPfZOVEMENT CONTRACTOR before the expiration date. If found return to:
Registrlt4 126252 Board of Building Regulations and Standards
ra ion One Ashburton Place Rm 1301
Boston,Ma.02108
M.A.SLIWA HO0tlMRP(I, EE T
MICHAEL SLLIW Fi' = `
1.
94 REDBROOK
MASHPEE,MA 02649` L- Administrator Not valid wit out signature
Town of Barnstable
°* Regulatory Services
• snaxsresL% Thomas F.Geiler,Director
v NAM $
Building Division
Tom Perry, Building Commissioner
200 Main Street, I3yam3is,MA 02601
www.town.barnstablepa.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
_If Using;ABuilder
)4o L g ,as Owner of the subject property
t P to act on my behalf)hereby authorize
in all matters relative to work authorized bythis building permit application for;
�110: ssen�TaOoA Co Lv r r
ddressoo )
Signature of Owner Date
�h
Print Name
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«� •`"`'04 TOWY OF BA1tNSTABLE Permit_,No.
t ++lh�GGdA Building Inspector
1' nurrraar �; Cash - ---=
''+nearP OCCUPANCY PERMIT. Bond . $.
` "No,building nor ,structure -shall be erected, and no land, building or structure shall be
us 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 Joseph R.' ' Houle Address ;
'679 Popgxies�iett Road,• cotui
t*
Inspection date
Wiring Inspector rf .� i -
Al
Plumbing.]hspeo�tor Inspection date.
T Gas Inspector ' Inspection date `
Engineering Department 1 Inspection date
THIS 'PERMIT WILL ykOT'BE VALID, AND,.THE BUILDING.-SHALL,NOT BE .OCCUPIED UNTIL
SIGNED. BY THE BUILDING INSPECTOR• UPON. SATISFACTORY COMPLIANCE WITH TOWN
'REQUIREMENTS. .
19.• Building;Inspector _..
t