The URL can be used to link to this page

Home My WebLink About0114 CHILDS STREET .:, .:. r� .:; n ,. . �. ,., ., � ,. ., k � !. v� �. -.,. .. a ,.... .. ., .. u w �w - ,, r F ,• ^t �. ,y :.. ,j p yr n � ti r� Y ,�� ..�4�� ^x � err ��,�s � c Y i .� ,� i a +� ;.R h� it�v� a° �.,� ,.(,'Y' �+�a`�� u � .. - ti 7,� r ra.�' a z a ,� 2 F• "✓" st H �� ' �' "'�pax "�'"3',_. �, bar'" y �x:y ,., .. , _ - :: � �-- -. ., i . .. e.,. .;: ,. �i,. } A .. .. .� � i 4 „.�.,, . ,: F ,: �i. � V � ` 1£ CI.� if � � •., ._ M � - ti - Y ,�,t-. .. ... u , �. � � ': , L o � �$. �' '� 7. �G 5.4 t S ' i �/� f. �f x: 1 4 � �. i _P, / { f p. t i �. ' t..��, � Y �'? .. ? �.- �, � .. -, -.. ryt 1 t 4 t C! .. .��. :. :. . �.' i - 7 i t 1, i, k i _ � U Q iw �,I ;. ,. n.� .. . , � , . . :- o ,. .. � .. ,, �. ,.- „� ,- � � .? `,_ -,. ,= - � .:Q 4.. _ .. � ,, �, .•. ,.' - - _ , . � ,. :. ., .. . .ra _,,.i u, - - � .. .. ;. � e, r Cape Save Inc. TOM 01: NSTP,'1 r 7-D Huntington Avenue South Yarmouth, MA OA4 A 72 b Tel: 508-398-0398 Fax: 508-398-0399 Fn p , 1-28-12 Town of Barnstable Thomas Perry CBO Building Commissioner ` 200 Main St. Hyannis,MA 02601 RE: Building Permits , Dear Mr.Perry, This affidavit is to certify that all work completed for 114 Childs Street,Centerville has been inspected by a certified Building Performance Institute(BPI)Inspector. Walls: R-13 Cellulose dense pack Foundation Perimeter: R-5 fiberglass Box Sill: R-19 fiberglass All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION - Map Parcel Application # -, Health Division Date Issued,r% l Conservation Division Application Fe Planning Dept. `; Permit Fee _Date Definitive Plan Approved by Planning Board ok' Historic - OKH _ Preservation/Hyannis f Project Street Address Village CeA+ V%Me' Owner ZY,0 M0 A Address, same Telephone 508 " Permit Request -.9i0 1`aStm1,:5 1-Q 4SS �,n bAk �� ..�� R�� r�b�r� ��SS l2� Tov n a 4-1- .n . )CA T_- JPCLd r as��Lssc. to - ; A ex4-_ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ne0 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: gGas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes XNo 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 XNo If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) A Name , U1S -P� Sd,vy Telephone Number 50 g 03 �S Address �+c 1 n (� C� _. License # L 1 0 0% b cSnlA:i-1, t p,0n0u, 1 ► 1 Home Improvement Contractor# 64 q 3 Worker's Compensation# TW 3W 47 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE r y FOR OFFICIAL USE ONLY APPLICATION# s DATEISSUED : . MAP/PARCEL NO. j' 1 • ADDRESS VILLAGE OWNER * v ' 2 • DATE OF INSPECTION: v FOUNDATION! o- FRAME INSULATION': T } FIREPLACE t� ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL F ROUGH L FINAL -FINAL_BUILDING r;. p _ * -DATE DATE CLOSED OUT. ASSOCIATION PLAN NO. ;.t The Commonwealth of Massachusetts . .f Department of Industrial Accidents .4 Office of Investigations , 600 Washington Street Boston,MA 02111 www.massgov/dia ' orkers' Compensation'Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legft Name(Business/Organizatioa4ndividual): M1 C 14 A�c 0 tA-S V D(13T1* cffic SSA Address: I -C- ' (A u r.9 iri(cabt3 _ . City/State/Zip: YA1Q Moy3U 1-4i Q LUHone#: 3 &- Are you an employer?Check the appropriate box: Type of project(required): I-(K I am a employer with t 4. 1 am a general contractor and 1 have lured the sub-contractors 6- ❑New construction employees(full and/or part-time).,$ . 2.❑ 1 ant 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 the in any capacity. employees and have workers' 9 Building addition [No workers'cotiip. insurance comp.insurance.'* required.] 5. 0 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-[] Plumbing repairs or additions myself.[No workers' comp. right of exemption per MGM. 12.0 Roof repairs insurance required:]` c.-152, §I(4),and we have no �•, employees.[No workers' 13.®OtherTl1W x4m comp. insurance required.] *may applicant that checks box ill must also fill out the section below showing their workers'compensation policy Information, *Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. - tGontractors that check this box roust atusched 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. [an an employer that is providing workers'comPeasatiorr huarance for mry employees. Betow is the policy and job site infortn"On. Insurance Company Name:. I eckri b log Y.. 'j-Ln r0,A C onrl (Y Policy#or Self-ins.Lic.# —rW C 3 3, r' 4- Expiration Date:_ _i 0 l a,I a 0(o�, Job Site Address: I I H ��t' �S . 5� - city/StateiZip•Cts A SEC'V i I�e 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the a Office of Investigations of the DIA for insurance coverage verification. I do hereby cerdfy under the pasntod2enakies erjury that the information provided above is true an�d�correct~ Sienature: Date: Phone#: - 19$ Official use only. Do not n1rire 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#• . 1* o CERTIFICATE OF LIABILITY INSURANCE DATE 0/20 /201 1D �--=� l0/20/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES. BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE_ A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER., IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must 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). PRoouceR CONTACT Shannon Sperrazza Risk Strategies Company PHONE (781)986-4400 FAX A/C N .(7B7)963-4620 15 Pacella Park Drive E-MAIL sa errazza@risk-strat AD Es : P egies.com .Suite 240 INSURERS AFFORDING COVERAGE NAIC# Randolph MA 02368 INSURERA:SeleCtiVe Insurance INSURED INSURERB:Safety Insurance Company 3618 Michael McCluskey, DBA: Cape Save INSURER C.Technology Insurance Company 7 C Huntington Ave INSURER D INSURER E: South Yarmouth MA 02644 INSURERF: COVERAGES CERTIFICATE NUMBER-CLI1102041451 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. ILTR TYPE OF INSURANCE SR L POLICY NUMBER SUBR MM/DDY r( MM/DD1YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTE—D PREMISES Ea occurrence) $ 100,000 A CLAIMS-MADE ❑X OCCUR CPPS1994480 10/16/2011 0/16/2012 MED EXP(Any oneperson) $ , 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ X POLICY PRO_CT LOC $ AUTOMOBILE LIABILITY Ea COMBINED LIMIT $ 1,000,000 B ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED 6208200 AUTOS AUTOS 1/6/2011 .1/6/2012 BODILY INJURY(Per accident $ � )' - X HIRED AUTOS X AUTOS NON-OWNED PROPERTY DAMAGE AUTOS Per accident - $ X Underinsured motorist BI split $100000 300000 x UMBRELLA LIAB 3L OCCUR PPS1994480 0/16/2011 0/16/2012 EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED RETENTION$ $ C WORKERS COMPENSATION Executive excluded WC STATU- OTH- AND EMPLOYERS'LIABILITY Y'/N I ER X ANY PROPRIETOR/PARTNER/EXECUTIVE from coverage DED?OFFICERIMEMBER EXCLU FI-1 N/A E.L.EACH ACCIDENT $ 500,000 (Mandatory In NH) TWC3297972. 0/21/2011 0/21/2012 E.L.DISEASE-EA EMPLOYE $ . 500,000 tf yyes,describe under DESCRIPTION OF OPERATIONS below - E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required Issued as evidence of insurance. National. Grid Corporate Services LLC d�b/a National Grid, d/b/a Boston Gas Company, d/b/a Essex Gas Company, Action Inc., and Housing Assistance Corporation are listed as additional insureds as respects General Liability as required by written contract. CERTIFICATE HOLDER CANCELLATION (508).790-2425 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ` THE EXPIRATION DATE THEREOF, NOTICE WILL BE.: DELIVERED IN Housing Assistance Corp ACCORDANCE WITH THE POLICY PROVISIONS, 484. Main Street - - Hyannis, MA 02601-3698 AUTHORIZED REPRESENTATIVE Michael Christian/SM3 "� `-�` .=<t• ._c;_ ACORD 25(2010/05) C 1988-2010 ACORD CORPORATION. All rights reserved. INSA25 oninmi n+ The APrtion name and Innn oro ronicforort marka of Ar nan b. 4 _ = Office of Consumer Affairs and eusness Regulation - 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: .164432 a Type: DBA Expiration:. 10/6/2013 Tr#•217656 r CAPE SAVE . . MICHAEL McCLUSKEY k:- 7C HUNTING AVE. S. YARMOUTH, MA 02664 R Update Address and return card.Mark reason for change. ' Address ! Renewal. [ � Employment Lost Card r DPS-CA1 c"p SOM-04/04(i101216 t_� , • i/�' �2� �O�yL99LOOtlIX3CLLGfL ,a,�,� r '- ... t • _ 1 - y r` ti Office of Consumer Affairs&Business Regulation License or registration valid for individul use only t HOME IMPROVEMENT CONTRACTOR' before the expiration date.-If found.return to: ` Registration: 164432 Type: Office of Consumer Affairs and Business Regulation _ tc Expiration: 10/6/2013 DBA 10 Park Plaza-Suite 5170 Boston,MA 02116 CAS SAVE MICHAEL McCLUSKEY,� 8201 S.HOURD CT CHAPEL HILL, NC 27516 ' / _ / _ Undersecretary —_ _.. of valid without signature llussachusetts- Department of Public Safety Board of Building Re;uiations and Standards Construction Supervisor Specialty License License: CS SL 102776 Restricted to: IC• k WILLIAM MC CLUSKY a' 37 NAUSET ROAD � WEST YARMOUTH, MA 02673 Expiration: 612&2013 (iinani.�iiincr Tr#: 102776 9 r; CAPE SAVE i Weatherization , 508-398-0398 -F � 4 August 22, 2010 To Whom It May Concern: William J. McCiuskey is an employee of Cape Save. He is authorized to negotiate ,contracts and building permits for our company. Michael McCiuskey Cape Save-owner 919-593-5939 cell X Huntington Avenup, South Yarmouth,MA 02664 HOU"SIT T ^S ASSISTANCE g T iS( 7 71-_,"-13t.:F (508)790-1-425 CC TON HOME OWNER WEATHERiZATION WORK PERMIT&FUEL RELEASE: PLEASE FELL OUT..AND SIGN THIS-FORM IF YOU ARE THE APPLICANT HOME OWNER. I Lxz)A-i ri c,- hereby consent to and agree that weatherization work may be done by the Weatherization Program of Housing Assistance Corporation ( herein after referred as "Agency") on the property located at: The weatherization work done will be based on programmatic priorities and availability of funding and it may include all or some of the following measures: Weather-stripping&caulking of windows and doors,insulation of attics,sidewalls &basements, attic and other ventilation measures and possibly replacement of badly deteriorated windows.In consideration of the weatherization work to be done at my home I 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 necessary to perform weatherization work on said property. 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 as listed and freely give my consent. Home Owner: (Signature)— i' Date: Agent: (signature) Date: HAC approved Weatherization Company:' o\., q, Caliber Building&Remodeling ape Cod Insulation ape Save .. Creswell Construction Frontier Energy Solutions Lohr& Sons Peter Smith Resolution Energy Rock Solid Construction All Cape Insulation