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0043 FERNBROOK LANE
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'M.. tA. „a ,. nail', 4u tl' ,,... r ," � r ;`a a s�'.:i�f y . ji,:;4 n a'rdr a ¢n $: r 7sa g p :r ,i§ ills: ran r,: ,o .,, r, Ir kiln r` �; �1 Cp €� .y It .� :� .., ,,. . ,I .ill - ,:'e A a , ,: ' a €' ..rill j/,. ar i'0 :a'•'-':; ,!$'!�.a iY `6 .'r- �� f"', '4`fla.�ll�� �r�v 4 •; r�k'I �,ft' I � �t L�.,..y `�,f}Att, ,Y""�,f`tii 1— ^ a�1 J' '.r ,,p.::,,-r r',. ,•_' . ,.,. ..-^, ,.A :p, -,lrr .. ,iy_, f. r: p € �j •y,+�'.r 6, � rr 1' r/� f y :�rF 7Trj fti " . Y' n " Ta ° •y'a !�. ; , nrif' ,�," 'F 1 n �,•.ed ! pr, '• v`' 't't 14,�,. , 4r tt.:: .,?''JS' ',/ ® Xh y:��, J!y . " �n a ""od t r';u,., .1„ry,:-y .n .Y*;. r.�,. �r n' �.-)�si• _�y !r. ,;�o :T45� d. F!,,, M r,{. p. Y. 'h' +:.•a.. .4• yJY - F"r,. y. y, n„ �T e, 46 M.f . ;,* r' airy{•;e , . r ��!y ' , ' , , . �, i g��y S'...r �. ,:' '° "0! _ :re, v.., . ._ , �... , u:: - r r s" .€f."' rv.aww( r rr . AN _'� 'as. X' 9r¢.. •1,1r h ,isr.,;.�,. ,t'r' Qy,.`"""' fjXt ! / „ Nk - .4N. q .,fV+t ,.`+ ,�,b. ,yWRy :r�'4r' (; .r.l'" "�€ka d• .,.;n �t r:4s•n lily," kis •;,vrarF'..rAf u . { rr -� HOMeWOrkSBUILDING(T ( DEPT. l Energy, I n c FEB 0 6 2020 TOWN OF BARNSTABLE Insulation Affidavit HomeWorks Energy has installed insulation at the following address that meets or exceeds Massachusetts building code and IIC requirements. Project Address: Permit Number: B-20-304 Rebekka & Kirk Curly 43 Fernbrook Lane R;arnsteNe Massachusetts 02632 Location Material Addt'I Thickness Final Assembly R-value Overhang Green Fiber Cellulose 8" 28 Attic Floor Green Fiber Cellulose 4" 49 Basement Rim Joist 6"Owens Corning Fiberglass Battini 6" 19 i Sincerely, - Scott Veggeberg HomeWorks Energy Inc. CSL#103832 HERS Certification#3081658 HomeWorks Energy 101 Station Landing,Suite 110 Medford,MA 02155 wxpermitting@homeworksenergy.com I, Town of Barnstable Build 9 3 Rost This Card So That it is Visible From the Street-Approved'Rlans Must be°''Retained on Job and this Card Must be Kept` rnnNernec e . * Posted Until Final Inspection`Has Been Made 6 � Where a Certificateof Occus an`c 'is Re aired,such Building shall Not'be Occupied until a Final Inspection has Been made. Permit P Y q .. ..ai.-Fl a„ - , Permit No. B-20-304 Applicant Name: HOME WORKS ENERGY INC. Approvals Date Issued: 01/30/2020 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 07/30/2020 Foundation: Location: 43 FERNBROOK LANE,CENTERVILLE Map/Lot. 208-085-021 Zoning District: RC-2 Sheathing: TT , . Owner on Record: CURLEY, KIRKLAND JAY& REBEKKA A Contractor Name :. HOME WORKS ENERGY INC. Framing: 1 Address: PO BOX 353 zContractor License: 181138 2 HYANNIS PORT, MA 02647-0353 _..._... Est. Project Cost: $3,796.00 Chimney: Description: Weatherization Permit Fee: $85.00 Insulation: Project Review Req: Fee Paid;.„ $85.00 Date: / 1/30/2020 Final: 2,to Plumbing/Gas Rough Plumbing: <• Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced withi''six months after°tissuance. All work authorized by this permit shall conform to the approved application and the approved construction document sfor which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in with the local zoning bydaws'and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for.public inspection for the entire duration of the Final Gas: work until the completion of the same. L- Electrical The Certificate of Occupancy will not be issued until all applicable signatures by'the Building and�'F1 a bffic41slare,provided on this=permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing 2.Sheathing Inspection _ Rough: , a 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final' 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site Fire Department. All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: o , i - . ........... pp A lication numbe ....... .......�.1. ..,...... . Fee . ............................... ............................. Building Inspectors Initials... DateIssued:.....I..� ..................................I...... Map/Parcel....... e 0, O� . TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: SCANNED ROOF/SIDINGAV INDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION JAN 3 0 2020 Address of Project: �2/►'lh fOO �a�P C-E11,-E V_r `.-'Lr NUMBER STREET VILLAGE Owner's Name: e,hp Akx� +k,rkjcm C CU r I�4 Phone Number S Off-7 q 0-/3 Y 1 Email Address: Ce- r kkck r.0 r 2�We,I CO y�'1 Cell Phone Number 4- 1 0 Project cost$ 3 a as, c,�Ca Check one Residential ommeri n. OWNER'S AUTHORIZATION _ o. n As owner of the above property I hereby authorize E- �1 ca o rn to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK ❑ Siding ❑ Windows (no header change)# 0 Insulation/Weatherization ❑ Doors(no header change)# Commercial Doors require can inspector's review ❑ Roof(not applying more than 1 layer of shingles) I I, I_ Construction Debris will be going to 2-51 D C f a n ID'N(� �`i q k a� W G IO-k a,,"A CONTRACTOR'S INFORMATION Contractor's name G ccffi e6 z. Home Improvement Contractors Registration(if applicable)# (attach copy) Construction Supervisor's License# /0333 ,� t ( copy) attach co Email of Contractor ne.,k.lao-! �c 0hoft 061 tC Cwa1.nor,,. Phone number APPLICATION.NUMBER *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides? Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event U 1 Check one: this event is a: for profit non-profit event (Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent Fuel source being used LP tank 20 lbs. or>Yes No ,if yes, a gas permit is required. Natural Gas Yes No ,if yes, a gas permit is required. If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval, *WOOD/COAL/PEILLET STOVES Manufacturer# Model/I.D. Fuel Type - : Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures, specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Sign atme G%'' Date 1 r 2�— 2 G 26 All permit applications are subject to a building official's approval prior to issuance. SCANNED JAN 3 0 2020 PLAN VIEW Name:_ Site ID: `fig3:2Lj 61 Finished Sq. Ft -- Phone: .503 )ro 1*1 cl. Year of House: Electric Acct#: Address: #of Floors: ..Gas Acct#: Mc.C,_S rn,rk. unit#: #Occupants: Housing Type? i='c DUCTWORK INSPECTION oucts Insulated , 1 -5 Duct linear Ft. ' Duct Square Ft. _ j /r " Duct Air Sealing Hours mC,$ _ f Duct Insulation n= � t� Duct Insulation Removal BASEMENT INSPECTION Existing Spec'ing Ln/Sq.Ft. 10 Y Bsmt Wall AG Crawl Ceiling Crawl Rim Joist Bsmt RJ w/Sill /�► �V Bsmt RJ NO Sill Vapor Barrierl sqft.1 Bsmt Door Y N Blower Door? WALLS&GARAGE Drill Location? Siding Ceil.Height Existing Spec'ing S .Ft. Framing Exterior Wall 1 x x Balloon/Platform Exterior Wall 2 x x Balloon/Platform Overhang 0 x x Garage Wall I I I x x Balloon/Platform Garage Ceiling f�x� x p 10 7 JQ1 �% d I � 'Insulation"Removal r .Sqft. Sweeps: WX Stripping: ti WORK SPEC'D BUT NOT CONTRACTED RQAD BLOCKS PRESENT?...(MANDATORY) Attic Basement Crawls ace I 10ther: K&T Y LN 11moisture Y ombustion Sft Y/ Kneewall Overhang/Garage Asbestos Y/ old>100 sq.ft Y/N 0 Detector Missing Y N Ductwork Exterior Walls Vermiculite Y/ Structl Concerns Y/ then. Notes for Lead Vendor/Work Not Contracted: 2 1 C� C KW WALL AND KW FLOOR Blind Spec? L-fOW KW SLOPE AN ALE END Blind Spec? ' Why? Why? FRAMING EXISTING SPEC'ING SO,FT; FRAMING 'EXISTING SPEC'ING SQ.FT _ WAL X x - SLOPE x x FLOO x i X GABLE X x a ACCES )G TRANS x X J TRANS X X ATTIC ATTIC SLOPE X- X SLOPE x EXISTING VENTING. o EXISTING VEN I ,? EXISTING PIPES? Y/ KW Venting Vent BF B ose Dammin ess Sheathing Access Temp Acc - n[inq ent OF Temp Access LZ TV 0 ' IG4 0-14 :A- all Re,'d Light o l Insulated whns Hose l B 3;Vent 8F f6FV' Chim.r�Damm.rip 12"Root tf:y:12RV - Air Handler AH ,Temp Access T Pufi Dmvn hDS Hatch IH i SVaIt Hach''/ Door," 8"Root Vrn VOI: X .0058 19(I'S'l ) X X ATTIC 1 Blind Spec? L> X x' ATTIC 2 Blind Spec? C x�15A(2[0111.111)� Existing Spec'ing Sgft Existing Spec'ing: Sgft 136(3stoy) lJnfloored r o - - Trusses Cra Battin Floored -` .__ Floored xed inst latl ne bath Sloe .- ~-,�s Gath Slope. _�,.-. ,=,_.� >6"Loose Walls _ Walls Access. - I Access Venting Propavents Ven F BF Hose Dammin ennng pa nts Vent BF BP Hose I Damming WHF Box Temp Acce a n Slieathin ess: !n r-ors. - _ � . .--. ...4«.._--•-- tC A:. ..--....�...«d..o..+...�..-Re a . `-sq..Ft/300=_ (Exist..NFA Ventng)= (Needed So 4 in _(Fxist.*A Venting)=_(Needed NFa ven(tng) NFA Vepting) Roof Type. j Existing Venting? ExistingVentin @nrmnl�( . rr - HomeNbrks 41, Frr (� Energy Inc To whom it may concern, Scott Veggeberg is a current employee of Homeworks Energy Inc.and operates under our insurance policy. Policy numbers that Scott is covered by are as follows: Commercial General Liability:793006065002 Automobile Liability:6244378 Umbrella Liability: 7930060660002 Workers Compensation and Employers' Liability:ECC-600-4001017-2020A All HomeWorks Energy permits are pulled under his CSL license. The insurance provider is AIM Mutual Insurance Company. If you have any questions or concerns please contact Director of Weatherization Adam David Glenn at 774-365-2446 or adam.elennC@homeworksenerw.com. Thank You, Adam David Glenn - Director of Weatherization HomeWorks Energy. � i The Commonwealth of Massachusetts - __ _ Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): HomeWorkS Energy Address: 101 Station Landing Ste 110 City/State/Zip: Medford MA 02155 Phone#: (781)305-3319 x5007 Are you an employer?Check the appropriate box: Type of project(required): 1.❑■ I am a employer with 200 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ 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 workingfor me in an capacity. employees and have workers' y p �'• 9. ❑ Building addition [No workers' comp.insurance comp.insurance.: 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 I I.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no Weatherization 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: NH Employers Insurance Company Policy#or Self-ins. Lic.#:4001017 Expiration Date:1/1/2021 Job Site Address: 43 f,4,Y\bICook Q.A-g.. City/State/Zip: l b UPIA (VA3Z 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 under71hepa' penal ' s of perjury that the information provided above is true and correct. Si ature: i Date: g 2 Phone#:(781)305-3319 x5007 / wxpermitting@homeworksenergy.com Official use only. Do not write in this area,to be completed by city or town official. . City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: Construction Supervisor Re:Address / r'ed n 6f o o k (or)application# Name Scott Veggeberg Telephone Number 508-273-7593 Address 101 Station Landing City Medford State MA Zip 02155 License Number 103832 License Type.-1 Expiration Date 10/13/19 Contractors Email NSA Cell# 508-273-7593 I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures, specific inspections and documentation required by 780 CMR and the Town of Barnstable,Attach a copy of your license. Signature Date 1^2��20Zo i ./�/' t(i/'t,`f/l!/''/�.�.�'�!"r/!+✓�/`''j,,r�1'�i+°/�i-it/r%'rdAt!">/�/r Office of Consumer Affairs and Business Regulation 1000 Washingturi Street-Suite 710 Boston,Massachusetts 02118 Prime Improvement Contractor Registration Type CrrpotDiloir,. - - - Re�lstr�6ar�: 1+3u98 tiONE'vL'ORKS ENERGY,INC- Egimtliin 03?0212025 101 STATION LANDING STE?<0 - MEDFORD.NIA 02155 ,. ] 4` Update.AddrCss and Pvt.-Card.._ air-.1 C..-..AB-in a 8usin—Re@ul5don R stratign,mtid ter individual uea dldy HOME IIAPROIJF149NT CntJrRACTDR �g -TYPE:CwDa,tktn b-0—it'd expiration unto.If¢avnd rci—to: RsaistratfoLs lEgAinriun ✓Mica of ConSUMCr AMa?rs and Bot hear.Rogutotion 1?;t t38 03�t1:+20?+ 1D9D'Nacfitr 4 Strw-'sull@710 :TOME'J•'URKS Eh¢t7GY.I:VG. 3actaA,iA 0211 . tiPX'd2r.+UEEERG �,i.-, r..�•-� - �`--r 101 ST?nOk'l.Ar•.INC'Slc 110 p valid-Without signature ?.IL'UfURD:rA,1 =t55 •Uii�ersr:<eia�y'. C0mrn0nwe3llt1 01 Construction Supervisor Specially *� Division of lyroles Sidnal i_ICeslqure _ - - ` Board of Building Regulations and Standards Restricted to: Canstructiorr`Sldl +;Visor SpeCtatf�t CSSL-ic-Insulation Contractor CSSL-103832 Ir Expires: 10113120.21 SCOTT VEGGEBERG 8 COVINGTON STtti BOSTON MA 02127 -� sty p Failure to possess a cu; lition oT the Massachusetts ` State Building Code is C .tar revocation of this license. G 1 t alnrvBissiorter /L�'+���1*-"` "�`�--"-�-- Far irttor n.1 roar about this license 1 J Call(617)727.3200 or visit www.rnass.gov/dpl f HOMEENE-01 LLARIVIERE .acoRo- CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) `.--� 12/19/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Lisa Lariviere NAME: Foster Sullivan Insurance Group,LLC PHONE FAX 163 Main Street (A/C,No,Ext):(978)686-2266 301 (A/C,No):(978)686-6410 North Andover,MA 01845 E-MA'L ,certificates@fostersullivangroup.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Homeland Insurance Company NY 34452 INSURED INSURER B:SafetyIndemnity Insurance Company 33618 Homeworks Energy Inc. INSURER C:NH Em to ers Insurance Company 13083 Homeworks IIC LLC 101 Station Landing Suite 110 INSURER D: Medford,MA 02155 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR 7930060650002 4/1/2019 4/1/2020 DAMAGE TO RENTED 500�000 PREMISES Ea occurrence $ MED EXP An one person) $ 10,000 PERSONAL&ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY jEeT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY Ea MEN accide0 SINGLE LIMIT $ 1,000,000 ANY AUTO 6244378 4/1/2019 4/1/2020 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTEO�S ONLY X AUTOS SSW BODILY INJURY Per accident $ X AUTOS ONLY X A&TOS ONEDY PerOacEcid ?AMAGE $ $ A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 X EXCESS LIAB CLAIMS-MADE 7930060660002 4/1/2019 4/1/2020 AGGREGATE $ 2,000,000 DED I X IRETENTION$ 0 $ Ci WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY YIN ECC-600-4001017-2020A 1/112020 1/1/2021 1,000,000 ANY OFFICERO/MEMBER EXCLUDED ECUTIVE N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If as,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Evidence Only CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Homeworks Energy Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 9Y ACCORDANCE WITH THE POLICY PROVISIONS. 101 Station Landing Ste 110 Medford,MA 02155 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Insulation/Air Sealing Permit Authorization Specialist: Adam Hoyng Company: HomeWorks Energy Email: Adam.Hoyng@homeworksenergy.com Address: 101 Station Landing Cell: 5088139054 Medford,Ma 02155 HomeWorks Phone: 781-305-3319 Customer: Rebekka Curly Address: 43 Fernbrook Ln Email: 0 Barnstable,MA 02632 Site ID: 3837349 Phone: 508-790-1881 I,the owner of the property identified above hereby authorize HomeWorks Energy Inc.,or their Partner to act on my behalf in obtaining any building permit that maybe required to perform insulation and/or Weatherization work on my property and all matters related to the work authorized by said permit if one is obtained. Any related permit application cost will come at no additional charge provided that the agreed Weatherization work is completed. Customer 4j . Signature: Date: 6/20/2019 Reb kka Curly V+ O mass save` � � Ens,gy� Inc , PARTNER 101 Station tandirgSte 110,Medford,MA 02155 (791)305-3319:,m-120 Customer Name:Rebekka Curly Email:Not provided Phone:508-790-1881 Premise Address:43 Fernbrook Ln,Barnstable.MA 02632 Mailing Address:43 Fernbrook Ln,Barnstable,MA 02632 Project ID:3841469 Date:June 20,2019 Job Description - Measure Description Location Quantity Unit Total Cost Customer Cost ATTIC FLAT-8"OPEN R-30 CELLULOSE 1040 SF $1,497.60 $374.40 AIR SEALING 10 hr $800.00 $0.00 ATTIC DAMMING- R-38 FIBERGLASS 20 ,SF_ �$49.220 $1.2.30 VENTILATION CHUTES_ 60 _ each $209.40 $52.35 ATTIC HATCH: SEAL& INSULATE T 1 each $60.00 $1500� INSULATED BATH EXHAUST HOSEy� _ 2 each $120.00 $30.00 OVERHANG 8"DENSE R-28 CELLULOSE 260 SF $514.80 $128.70 BASEMENT SILLS: R19 FG BATT 66 SF $144.54 $36.13 WEATHERSTRIP DOOR & ADD SWEEP M 5 _ each $400.00 y $0.00— Project Total $3,795.54 Weatherization incentive ($1,946.66) Air sealing incentive ($1,200.00) Total Program Incentive -$3,146.66 Customer Total $648.88 Total Contractor Price and Payment Schedule HomeWorks Energy, Inc.agrees to perform the above described work,furnishing the material and labor specified for the listed total price. Payment of the balance of the customer contribution is expected upon completion of the work. Customer Signature: _ Date: (D�� Customer Phone: — f t Specialist Signature: Date: UlArTED 71ME OFFER: The prices acid Incentives in This contract are subiect to change in accordance_with the sponsoring utHlty MassSave Home Services Program offers. Proposals can be sent to:Inbox0a HometVorksEnergy.com �1 i�1?1 1, Town of Barnstable *Permit# Expires 6 mont rom Jssue yT Regulatory Services Fee BAMSTABLE, MASS' Richard V.Scali,Director 16;¢ Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 j Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY C n Not Valid without Red X-Press Imprint Map/parcel Numb�� 6J -- t Property Address9 3 P,+' t^ v 24 esidential Valf Work$ J � Minimum fee of$35.00 for work under$6000.00 Fe oj Owner's Name&Xddress� _�ti' Contractor's Name elephone Number 70 �' � ( 0 ' l Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance , ' JjUIPOLMS pa . 41' w,�jj' - Check one: !1 ❑_I.am a sole proprietor Nov. 13 Z�fS CM-Nn the Homeowner ®tA,� oC i1 ❑ I/�I have Worker's Compensation Insurance f B/gRNSTp eCC Insurance Company Name C Workman's Comp. Policy# ' Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to Re-roof(hurricane nailed)(not stripping. Going ov�err existing layers of roof) ❑ Re-side ❑ Replacement Windows/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 Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is re uired. SIGNATURE: I r'j�, ¢ C. Q:\WPFILES\FORMS\building permit forms RESS.doc Revised 040215 ne Comatxorrivealth of-Massachusetts D,ep-irtinent ofrkdzrstrialAcciderrts 1 ffl--ce o,f investigations 600 Washington Street Boston,MA 02111 wrvtomass gosldia 'Workers' Compensation Insurance Affidavit; Builder-s/Gnntracturs/Electricians/Plumbers Applicant Infarmatian Please Print I.ggibly � u�SS1�DTg3DI2a�rmlLny �a9 :- �I 1 G� ` J✓( �`�f �f J I�tt citylsta&zl P:: C �,t fv i (t M AY az'Phone i > (�� Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer mith 4 I am a general contractor and I tS. New construction employees(full attdlor part-time.* have hired the sub-contractors2.❑ I am a sole proprietor or partner- listed on the attached sheet. '£. ❑Remodeling ship and have no employees These sob-contractors have g_ ❑Demolition woding, . for me in any capacity employees and have workers' o Workers,camp_insurance comp-menranmi 9: �Building addition required_] 5_ ❑ 'aWe.are a corporation and its 1�'-❑�ect�icai repairs or additions officers have exercised their "3. f am a hamsou�uer doing all vrorlE 11_Q Plnmbingregairs ar additions myself [No workers'cxF- right.of exemption per MGL c.152 § (4h 1?.❑Roafrepairs insurance required-]6 , 1 and we have no employees-[No woz�s' 13.❑Other camp_insurance required_] `A=spplicant.ear checks box R must also fill cutthe sectionbelow shay lag their wozkeTe compeasationpolky iaformatean_. I,.H,omeoa ms who submit this affidatrt indicating&ey are mg all we*sad then lie outside contractors mast submit anew aff da ati vit indicng sacb- 'l fAnt CWr5 tbat ehsa this boar mast attached as addiii mat street shoamg the mane of the sub-contractors and state whe&er or notth_ose ea¢itiesDive employees.Ifthesub-contra=eshwe employees,they nnrstpmr-idetheir workewcomp.policgnumber. I ant an employer that is prnddiV workers'congwisafuaxn hmirance,for my enrpLayees Be£ow is thepaUcy and job site inforaraiion. _ Insurance Company Name: r. Policy#or pelf-i>ls.Lic_# Expiratros Date:-- Job Site Address: City/State/41 Attach a copy of the:~corkers'compensationpolicy.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 anWor one-year imprisonments as well as civil pe+nalties.in the form of a STOP WORK ORDER and a lime of up to$250-DU a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Imfrestigations of the DIA for insurance coverage i-erifrcation. I do hereby cet fy ander the pe&is a7tdpertabyes get;wy that the irtfonnada7t pnat=i&d abmw is fare and correct; Silaatnre: Phone#: S _10 1 C 1 Official use only. Do not ivrite in th&area,to be competed by city ortanra afficiat City or To-nu: Permitff icense# Issuing Authority(drde one): 1.Board of$cartel 2.Building Department.3. /rown,Clerk d.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#- Information and Instructions h assarhusets GaheaalLaws chapter 152 requires all employers to providewariceas'compensation for their employees. pMMIZ3tto this statrsfe,an.ezzplayee is defined as.--.every person in the service of another under any contract ofhire, Y express or implied,oral or written_" An empk,er is &{med as"an individoal,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterpase,and including the legal represmtefives of a deceased employer,or the receiver or trustee of an mdividnal,partummbip,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the - dwelling house of another who employs persons to do mahtenance,construction or repair work on such dwelling house or on the grounds or building appuittnantifiamto shaIl not becanse of salt employment be deemed to be an employer." MGL chapter 152, §25C(6)also siaios that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the has ran ce.coverage required-" Additionally,MaL chapter 152, §25C(7)states"Neither the coznm mwea1fh nor wary of its political subdivisions shall enter into any contract for the pmafinl:Lance ofpublic work until,acceptable evidence of compliance with the in s rran ce.. r ents of this chapter have been presented to the contacting authority." �m , Applicants Please fill out the workers'compensation affidavit completely,by checkiag the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s), address(es)and phone number(s)along with their certfficate(s) of in cT=ce. Lir i l Liability Companies(LLC)or Limited Liability-Part amships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit maybe submitted to the Depa-itmmt of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date-he affidavit. The affidavit should be retrmmed to the city or town that the application for the permit or license is being requested,not the Department of hj&-zttriaj Accidents. Should you have any questions regarding the law or if you are required to obtain.a workers' compensation policy,please call the Department at the number listed below. �eIf-insured companies should enter them self-i„sm-. ce license number on the appropriate line. City or Town Officials . t Please be sure;that the affidavit is complete and primed legibly. The Deparment has provided a space at the,bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the peumiUlicense mrnber which will be used as a reference number. In addition,an applicant that must submit multiple perraWlicense applications in any given year,need only submit one affidavit indicating current p olicy i if6=atiou(if necessary)and under"Job Sit-Ad&ess"the applicant should write"all locations in ( 'or town)_"A copy of the-affidavit that has been officially stamped or marked by the city or town maybe provided to the applicant as proof that a valid affidavit is on file for fume permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial ventue (i-e-. a dog license or permit to bum leavers etc.)said person is NOT required to complete this affidavit The Office of Investigations wound like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Department's address,telephone and fax number: -The C-a=joUWujtjj of Massaoltmf--tts Deparb:aent c&7aclrEstrial Aoc�idenyL% C01ce of f ntvestintio= 1500-V7ashiVG1, B.ostou2 MA GI I I I ` (,-L 4 617 727-4900 Qxt 4-06 or I-,a MAS A.FF Fax 4 617-727 7749 Revised¢24-07 - W mas-5-gavidia Town of Barnstable Regulatory Services °Utz rq Richard V. Scali,Director Building Division * snxxsrnB , ` Tom Perry,Building Commissioner v� 1 39. ,0� 200 Main Street, Hyannis,MA 02601 �EvrA www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION DATE: IN 6 V y l ) O Please Print 1 � t a� � � JOB LOCATION: 1 3 �'� kl:ri numberlI streJet"O ��( � — 0(! village 5-1( i— q "HOMEOWNER": 1< lI It/ name (� home phone# work phone# CURRENT MAILING ADDRESS: 0 3 �_3 city/(Own state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature ofHom own Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. - HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\2PIOI DHR\EXPRESS.doc Revised 040215 f t. DATE: 11/19/2015 To: Building File FROM: RA RE: Gas Shut Off at Meter LOCUS: 43 Fernbrook Lane, Centerville Owner CURLEY, KIRKLAND JAY& REBEKKA A MONAHAN 11/17/15 National Grid was contacted by home owner due to natural gas odors. Apparently,National Grid tagged the furnace after they determined there was an unacceptable level of CO found. Their technician identified the issue as a Condition B hazard. They directed the home owner to have a licensed plumber repair or replace unit and terminated the gas service at the meter. Kevin Saunders of Seaside Gas determined the furnace needed to be replaced. 11/18/15—Subsequent to the Saunder's assessment, the owner contacted Robert Flynn Lic# 31216 for a second.opinion. He initiated a repair that did not require a permit. (Cut, capped, replaced a section of the 2"vent pipe,*and tested same). He identified that the condensate trap was clogged thereby impeding the venting process. This allowed the CO to build inside. He also noted that he changed all CO detectors and declared the problem to be solved. (see his email to Larry dated 11/19/2015). Kevin Saunders called Building staff on the afternoon of 11/18/15. Brenda answered and KS said he needed to talk to Steve (Gas Inspector) that"...it's very important". Kevin immediately hung up on Brenda when she said both inspectors were out of the office. He did not call back. 11/19/2015 Property owners came in with 2 young children still in their pjs before 9 AM Kirk Curly stated that they are frustrated and want the gas turned back on because it's cold. Larry and Steve discussed the safety matters with Mr& Mrs Curly.' They were advised about the safety concerns. They were also told that no one from this office contacted the Gas Co to terminate or interrupt the service. 9:47 AM Larry spoke to Don Murray of National Grid. (508-509-0281). National Grid will not restore the gas service unless and until an inspection occurs and a municipal inspector approves the unit for use. In order to secure an inspection, a permit must be pulled by a licensed plumber. Larry will advise the parties to obtain the services of licensed professional. In the meantime, I called FPO Martin McNeely, COMM FD to ask if he thought he should report to site. He declined as the problem has at least been temporarily resolved and there is currently no malfunction. The malfunction occurs over a period of time.. 11:05 AM Home owner's wife called. Wanted to talk to Larry—unhappy that Larry was not available. He was in the field doing inspections. I spoke to Larry via cell while homeowner called and was speaking to Sally. (I directed Sally to tell the homeowner to have the licensed professional call us). Larry is requiring a permit to repair or install used equipment. Installation of used equipment will also require a written assessment(by an expert/mechanical engineer) concerning the safe and satisfactory condition of the unit. (Later, permit#85274 was identified as a new furnace installation in 2005. Permit secured by Carl Reidell. Larry stated that National Grid just called him to check on shut-off status. He was informed that someone called National Grid and identified himself as an inspector then advised that it was ok to turn the gas back on. Larry said that National Grid will not turn on the gas unless they speak to Larry and only after an official inspection resulting from a permitted repair or replacement. This situation is too dangerous to accept a verbal approval from any party. Evidence is necessary to demonstrate that the problem,has been successfully prevented from reoccurring. 2:20 PM Steve (Gas) spoke to Murray (Nat Grid) a couple of times by phone today as well to Robert Flynn—also at least twice. As reported by Murray to Steve: Flynn's portable CO meter is not as accurate as the units used by the gas company. The readings from the gas co meter was dangerously high inside and outside of the house. Plan Options: • Require repair permit. • Although unusual it's not unlawful Given the dire circumstances and the fact that a repair permit is not expressly prohibited, a permit would trigger an official inspection. (Staff has not seen the subject unit.) • Require manufacturer's specs and trouble shooting guide.(Not found on site as required by state code). • Require a copy of the service contract to clean the trap annually • Require in writing a statement from Bryant declaring the unit to be functioning as intended: • Require in writing that fail safe provisions-for the Bryant unit on site. • Require third party assessment from Reidell (orginal installer). • Require Bryant to certify unit is functioning propertly. 3:25 PM\ Kirk Curly (781-548-9199) called to speak to Larry. Larry had not returned yey. 11/20/2015 Steve advised that the Gas. Co. turned the gas back on last night. It was reported that the CO reading inside was acceptable but after a half hour the reading by the outside vent had built up to a high level suggesting that there is still an unresolved problem. o � . FOR` DATE Y TIME M . A J rcl 3 -ern" p OF • ❑FAX RETURNEfI PHONE ❑Moel� O� SOS - Q �C}U€ CRLL ,y A C D UMBER EXTE SION MESSAGE N� 0 (,tJ)�I /IlB PLEASE CULL t / USilLL�ALi» 4.9 I SEE YQk O Gl i GJe- (/e d 5fi�lt SIGNED Qps_ FORM 4003 � > . . . . ! . . : � \ � � . � . ��\\ . � � � � :� �5 . �/� . � 4 \ � \ �\ \ - z '� � ��\ �/- � \ 3 �- � , ��\ ^�2 : ' ~ - / : . �\/ \ 2 , { , � \ � §��\ }\ \ � . x L - � � . `� r � \� �\ � ./, `� � � : � \ { �a� \ `\' � _ \; . +. } \ \ . � � , \ . � � � \ /�� \ z \ , \�® /\. � � , � . : .y � \ ƒ / ` � ƒy . . }. : � . \: \ �� � » \\ - . � � . . � / �� \�� . �\ \ �� � . . � � � � • � � -�--— � � _ . � Lemieux, Laurent From: Robert Flynn [Flynnrj1@comcast.net] Sent: Thursday, November 19, 2015 8:27 AM To: Lemieux, Laurent Cc: Rob; Rebekka Monahan-Curley Subject: event at 43 fernbrook In. centerville, ma Mr. Lemieux This is the synopsis of the events that occurred on 9/18/15 Received call from Kirk Curly on 9/17/15' stating that hot air furnace was shut off .by National Grid due to carbon monoxide leaking into the house. Gas meter was not locked out. National Grid tag stated is was a category B shutdown. Responded at 8:00 am on Wednesday 9/18/2015 and proceeded to troubleshoot unit to find cause of CO spillage. Had to cut 2" exhaust pipe going to the outside of house. to see if their was any blockage in exhaust due to the fact that when unit was running their was very little exhaust coming out of 311pipe located in the back of the house. Upon further investigation and troubleshooting it was discovered that the condensate trap inside the unit was clogged causing the exhaust fan to fill up with water and unable to vent exhaust to the outside of the housed Removed condensate trap from unit and unclogged and vaccuumed out excess water in unit. Replaced all Carbon Monoxide detectors in house. Repaired 2" exhaust pipe and turned on,unit and everything tested out perfectly. Unit was now safe to heat house. Turned on unit and tested for CO. ' Everything checked; out OK. Robert Flynn-license #31216 781-718-6818 t 1 f i IfA- P t nationalgrid ' YS Condition9 Type A_B C_ (See the back of card for more information.) Customer r` ► L' Q Address �t - p° L,.. �r0a'�9 ✓ Apt. Borough/Town- C� Zip—Phone—Unit— Rate Classification Residential Commercial Industrial Report of hazardous condition(s)found: ( _Gas Leak _Defective Control I —house piping —pilot safety switch appliance connection _low water cut-off appliance _spill switch* _header piping _relief valve y _gas valye passing gas `Miscellaneous i _holes in vent,flue pipe,or collector* carbon build-up* vent not installed or sized properly* spillage at diverter* _cracked/corroded heat exchanger* water leak at appliance *Thus condition is presently or has the potential of causing carbon monoxide emissions. Additional Comments i` V/'t a-0 6 ti g,�: e`i�-I f. 6;' ! t..'� l r!./\ ��!i l '3�4_t� o: t QCn 1 L �isf T'� tdl i. .....� ��, s' ! -���--`• r Appliance T i ype Make/Model# r' ;. Meter Location? In_ Out Meter Locked? Ye No� Off at"I"'Handle Valve? Yes'�No_ Isolated? Yes= No_ t I House heating turned off? Yes!?\f No_ Temporary Repair Yes_ No 'tea IS': '.•_•_ - • ` F r _ . ttF Please contact a plumbing,heating or other qualified contractor to repair the condition(s)noted above.To have service restored or to request a re-inspection please call National Grid. Rhode Island 1-(800)-870-1664 Massachusetts I New Hampshire 1-(800)-233-5325 Gas service may be restored by a a qualified professional,if the customer's meter has NOT been locked. ! } 'Customer's Signature:i Date: - �. Fmp.# -'1 .:fr Supv.Z f✓rrti( Date ��- 7 NE NG0402 (08.12) Ti.r•;`.r� ��+i-`�`w'��^T}� ��?��T'riod.. {Vy'�, T'�� 3!'rti�".. �'�+'r�.•Y'`t'JrvfL^i+,�'�t^,ta' •+=t�`c.,,�,y,;,r ♦ ••t .-y�YiaxW"p-.� TOWN W BARNSTABLE permit No ? ?$2Ql_ { I Bu Ddwg:Ins ector cast, 1]►�ltt w t 1 M•- a f OCCU E PANCY ;PRMIT'. Bond Issuea,to Raymond,A.. racca - - ,Aaarecs� a ,, t. lot 4�2'S : ,i "O �Fernbrook' Lane,, .'Centerville �Viri Inspector �' '/ %d�' i. Inspection date ng 'Plu'bang.Inspector Inspection date'' s . Gas In �� :1': " wµ.(/ i , \, a" Inspection date ` s.:n /'1 �I� l ! -7,0' ll „n:fi'.'fr. VEngineering Department" % Inspection date Board of'Ilealth ��, "t'' Inspeotlon date •/ /� 7S^ r THIS.PERMIT.WILL -NOT'BE x1 ALID,-AND THE BUILDING SHALL. NOT'BE OCCUPIED;. UNTIL', SIGNED- BY THE BUILDING INSPECTOR UPON ,SATISFACTORY -COMPLIANCE WITH ,TOWN REQUIREMENTWAND•IN -ACCORDANCE:WITH,SECTION 119.0 OF THE'MASSACHUSETTS_STATE BUILDING CODE b ...... __ - .• Building 'Inspector 1' f �'�Py�` '°•.ew TOWN OF BARNSTABLE _ BUILDING DEPARTMENT r h' 2 ssaasr : TOWN OFFICE BUILDING 9►,.�o6sY��� HYANNIS, MASS:02601 IU MEMO TO: Town Clerk FROM Building Department DATE: ,l,`/,0.tj Ae s An, Occupancy Permit has been issued-for the-building authorized by Building Permit #. . � '_ ._ .................................................._....... issued to /....61/ /a`�-°._.. !y/..�'�.� Please release the performance bond. � a 1 3, ' O / / C 1 `CAI j Fo R r L O c�iT/O.V: FEZ.►--�c�-��+C �.a.�� c�..+•r�.v��.c.� 2 BV/LD/4/a- SNON/.�l OA/ TN/S PL.O*Al /S L.00ATEa OA/ T.UE yBOc%t/a AS SNOWit/ NE,BEO.c./. �ZN 0�A� ARP! -\ i i #2 9 9 GA�/a SC/tV6YOB3 - ` EOUTE 6A^•-Y�eMOUTf-I, MASS. �a�SfT�-� .e�G. A. sueVCYOe 6& �4>z_ j :. - p 0 �:�... .!. � SEPT1C SYSTEM' MUST BE "Assessors ma and lot number ..................... .. Sewage—Permit number' ......... � WITH TITLE 5 I } ~ ENVIRONMENTALN EST�� E oMAS8T a&BLE, ...... .....................House numbe . .. ...... TOWN REGU Tp j%S i �C,�1639-- •- O�IPY TO N OF 'BARNSTABLE BUILDING i' INSPECTOR APPLICATION FOR PERMIT TO ..:.`............:.'.:. :. .....1..' .........._...q-- �J ...... ....... ........................................ TYPE OF- CONSTRUCTION ................................. t..:..� ��YY!C_... ......................................................... * ..................... �. .....19rJT TO THE INSPECTOR OF BUILDINGS: _. The undersigned hereby applies for a permit according to the following information: Location .........../... ....... ....... ProposedUse ........... t U. .!.:e-�. .. . ........... ........................................... ........................................................... Zoning District ........................ f ..(A ..................................Fire District Name of Owner .......Address .... Nameof Builder ...........:........................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ................�........ .. ....... ....................Foundation . ..... . ..... .. .............................................:......... �� .... � ...., s g ...... ..��..Exierior .......... . ............ ........................Roofin ......... Floors ..................... .... . ...................................................Interior ........................ ..................................................... Heating . ....! �.......................................Plumbing ..... .... ..... ......................................................... ... ............ ...... Fireplace ...........Approximate Cost .. ......1 a................................. ... Definitive Plan Approved by Planning Board __________19_O Area ...�(A. /...—� .... .. .... ......... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH " 1 � �o 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 Y..... . .. '•: 1... ............ Construction Supervisor's License .................. --R, ICC,4, RAYMOND A. 2' Two Story No ..... ... Permit for .................................... fi Single Family Dwelling ..............................I................................................ Lot 25, 43 Fernbrook Lane Location ... ............................................................ Centerville ............................................................................... Owner .. Raymond A. Tricca . .................................................I............ Frame Type of Construction .......................................... . ..............................: ................................................ Plot Lot' - **............. . .....I......................... July 12, 85 Permit Granted ........................................19 Date of Inspectio 7!:IP........ 147.19 Date ,Comp eted .... ..........I e 5- Assessor's offioe (1st floor): s� Assessor's map and lot number .... g v...``.....®�. TNe ....... Hof Board of Health (3rd floor): Sewage Permit number ........: = BAUSTABLL • Engineering Department (3rd floor): MA°' House number �o t63q APPLICATIONS PROCESSED 8:30 9:30 A.M. and 1:00-2:00. P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR ,dCLose d=c /,-- �S v tP o APPLICATION FOR PERMIT TO ... ;}t.... .............. ...../9...... ......................................................................... TYPE OF CONSTRUCTION ............t-Ke.0.11(�`...................................................................................................... ............................. ................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: / Location .......):D.T...... ......!L-?r.....��.... �c!�N....�!�.��J�Z......... .................G`aNJI.V�.I/�..1/C' Proposed Use !�E�� L Zoning District ......... ...........................Fire District -.....Z................... ...-.L1..-. .................................. Name of Owner kfl- ......:Vie.�.C. .. Address .... ...frc /„ Gl6 Z��Z ��n.�L`'11c�,-A Name of Builder ... .V .L. .......G40. :;......................Address ....�: '� �c�Th `7�- -/� .... V ?. .... ,0. :.........................�t......��... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms .......(..........................................................Foundation .............................................................................. Exterior ......Si?..)..r//.. �L...................................................Roofing ....... ../ .!g':....................................................... Floors ��. ....t.. ......................................................Interior ............ ...........................Plumbin ........ 'Heating g ................................ Fireplace ............ ...................................................................... Cost .......�.. ..4. ..N©............ ........a' Definitive Plan Approved by Planning Board ------------------------_-------19________ . Area ±�'? " �. ............. ................ 00 Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 2 3 4 t �6 f 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 .... C-..��, .v4..... rl�'!�!2f�iT.:................... Construction Supervisor's License( �`7... .�....... TRICCA, RAY A=208-085—Ci21 r No ...31.586.. permit for „Enclos.e ................. Sun Deck ' .......................................................................... Location ,Lot #25, 43 Fernbrook Lane ............................................ Centerville ............................................................................... Owner Ray Tricca .................................................................. Type of Construction Frame .......................................... ............................................................................... Plot ............................ Lot ................................ Permit Granted February 4, 19 88 Date of Inspection ............I.......................19 I` Date Completed ......................................19 1 Assessor's map and lot number 7?0� .....5' ~ ! a. TN E Tp�♦ Sewage Permit number ..................... .�....... .. Z BARNSTABLE. S Housed number ............. .........f� ..d/ ........................................... 90o U.N.i639 F TO N OF BAR. NSTABIE a BUILDING INSPECTOR APPLICATION FOR PERMIT TO ................................... ..� ?.:..,! . .......................................................:.. TYPE OF CONSTRUCTION .................................... �y ''}'3't .... .................................... ................. ... .....19 � U TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the � following information: Location ......... .......t ..... �f .......!.. Proposed Use .................. ..t ":c !l►-f?X X Y Ai ....................................... ...............................I......................... J� ZoningDistrict .................... � - `..................................Fire District ............ ................................................................ f� 9 / ! Name of Owner ............ .l� ....................�..�C._.:C.::�e..,........Address .................................................................................... y.. Nameof Builder .............................:..:....................................Address .................................................................................... f Name of Architect 1 ...............;......................................:............Address .................................................................................... ,Number of Rooms ................ .....:..._...................................Foundation ......... C/i Exterior ......cul.e........... I.C4.�./A!/ ��.........................Roofing ................ ................Interior ................. Floors .............................. �........ Heating .......... cam' c.i"�, ..............Plumbing .....��1 S .................................................................... Fireplace .......................Approximate. Cost....................../.....(one �.................. /.. ........................................... Definitive Plan Approved by Planning Board __r_ _-----------19- -. Area .......................................... 'Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH l r 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. �J '.Name t ! .' ! .�. ........... Z. Construction Supervisor's License (. �� i?1Pi ............... TRICCA, RAYMOND A. A=208-85-21 No ...28204 Permit for . Two Story Single Family Dwelling ............................................................................... Location ..Lot 25, 43...Fernbrook. . . . . ..Lane ......... . . ...... . . .... ......... Centerville ........................................................ Owner Raymo. ... ... nd A. Tricca. . ................................... .... ... .. . ........ Type of Construction Frame ............................................................................... Plot ............................ Lot ................................ Permit Granted July 12, 19 85 Date of Inspection ....................................19 Date Completed ......................................19 � �d �SEPTICf SYMj MUST BCE Assessor's offioe (1st floor): ee�� h+ t 144= IN COMPLIANCE �* o� Assessor's map and lot .number ...o.S.�g....©...�....®�f ITH T THE T ` n't.E 5 Q Board of Health (3rd floor): � ENVi.RONMEi11TAR, CODE AND Sewage Permit number ......... .?..-.3.90......................... TOWN REGULATIONS Z BAB3STABLE, : Engineering Department (3rd floor): moo re 9• i� Housenumber .................................................:........................ c gar APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only, TOWN OF BARNSTABLE BUILDING INSPECT R b,/cLe,se dcc A-- w .Sv .v &50,%t APPLICATION FOR PERMIT TO ... ....... ............... i9...................................................................................... TYPE OF CONSTRUCTION ..........fi ?!.i?'1.F................. ................................................19......-- TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......r!�D .....aZ. ........,............}. ................/✓....�3.........1L....................4.................... .......? Proposed Use ...s ..... . .... ..... . Zoning District ........ Fire District ............... ........Q...................................................... Name of Owner ............/a c( le 1 C . ......................Address .... Name of Builder ...t .....................Address ...I.....'.�.�.......?. ...... Nameof Architect ...................................................................Address .................................................................................... Numberof Rooms ......I...........................................................Foundation ....... ................................................................... Exterior ...... ...................................................Roofing ....... /t / . ............................................................... Floors �- .... .. `.......................................................Interior .................................................................................... .........................................................Plumbin , Heating :..... g ..................................................................... Fireplace ...........- .........................................................Approximate Cost .......�. ..�.. ....... ............Cl�/f�� �J© �rGp- Definitive Plan Approved by Planning Board ________________________________19________ . Area � ........... �.�....... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH r �2 lf6 r 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 ....� ?/lt....... Z. . �.................... Construction Supervisor's License . TRICCA, RAY No Permit for ................ .....................Sun...Deck................................ Location- .. Lot #25, 43 Fernbrook Lane .............................................................. Centerville . ............................................................................... Owner .............Ray..................r c i T c a................................... Type of,Construction ....................Frame......... ............ ............................................................................... Plot ......I...... ............... Lot ................................ February 4, 88 Permit Granted ............I...........................19 Date of Inspection ..................................I....19 n D A-Completed ...................... go-d ate ...... I 64 0 n