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HomeMy WebLinkAbout0165 BRAGGS LANE _ o , r 3 cl� a a. Slit a .� fi'rr ✓I 'v r a t Y SAW W ZOO 9 1 Ai � i'1 4 y . v: 71 Ann ITS t.'. i. •k T i N k t t �i Q F r 4 £. Y t. 11 Shook ... gin...; d ... : ,.,.,. .. -'e:. .._.. now x IN INV AM- M-SAMOVASK10 Mob Tom .,:... ,.... .. .......n.L i. .. 1 ," a ie ,( ¢ WAR 102 salvo minus No V miss v TOM FILM Of A own,A saga Py"jyj .... ....i:.� ,.',� .. loom ,..,:r,. ,., Olt ,t, »t r ti. 0 t t� 1 t�� non was XMIX"a OTT its A Oki AM M 401 MAT ETCv,.. . f,.. ..,.� - z .rt�s T t, t � ,i- 'd r ayr .fr•r h. Apo t1. !INV "JAM NAM Knew Von 1"M its P.. 1.. - .<... - ,... •. r. ,• z fi V 104"On an,p IF. ys a"y loaf a v t a. �t -� IWO pyi: ri a P z. i, i �r f T oboist ov . ,." t- 4 i 4 y 3 Y �t t t a '�._ .� ti4 ,F• _ �, µ F a ... '„ . Town of Barnstable Building 1Post This Card So That it is Visible From the Street-Approved Plans Must be Retained.on Job and this Card Must be Kept ' ` Posfed Until Final'Inspection Has Been Made., Permit iWhere a Certificate of Occupancy"is,Required such Building shall'Not be Occupied until,a Final1rispection has been made .- Permit No. B-20-698 Applicant Name: HOME WORKS ENERGY INC. Approvals Date Issued: 03/05/2020 Current Use- Structure Permit Type: Building-Insulation-Residential Expiration Date: 09/05/2020 Foundation: Location: 165 BRAGG'S LANE,BARNSTABLE Map/Lot. 298-058 Zoning District: RF-2 Sheathing: Owner on Record: TODD ROBERTA Contractor Nam' •.,HOME WORKS ENERGY INC. Framing: 1 jx Address: 165 BRAGG'S LANE M1'Contractor License: 181138 2 BARNSTABLE,MA 02630 Est.,Project Cost: $3,765.00 Chimney: Description: insulation/weatherization Permit Fee: $85.00 Insulation: Project Review Req: fee Paid:' $85.00 ( P11 Date, 3/5/2020 Final: Plumbing/Gas 4 Rough Plumbing: .\Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months;after`'issuance. All work authorized by this permit shall conform to the approved application and theEspproved construction documents for.which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access A.Ireetor road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. . Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work '" Service::"' 1.Foundation or Footing ,t a 2.Sheathing Inspection tY �� �: �� � � ,�� _� �" Roug h: 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: "Pers nsco cti�ng with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: �c BUILDING DEPT. AFAR 0 4 2020 application number.. ... ... ................................. CA TOWN OF BARNSTABL Fee ...................�...................................................... E � 1�R NAM wBi.l� Building Inspectors Initials....................................... s6)9. ' o Date Issued............... Map/Parcel..... .. ......' TOWN OF BARNSTABEE SCANNED EXPEDITED PERMIT APPLICATION: MAR O 6 YOYO ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: 165 Braggs Lane NUMBER STREET VILLAGE Owner's Name: Roberta Todd Phone Number 508-740-3231 Email Address: Cell Phone Number Project cost $ 3765 Check one Residential ✓ Commercial OWNER'S AUTHORIZATION As owner of the above property i hereby authorize HomeWorks Energy to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK ED Siding ED Windows (no header change) # W Insulation/Weatherization Doors (no header change)# Commercial Doors require an inspector's review 0 Roof(not applying more than I layer of shingles) Construction Debris will be going to CONTRACTOR'S INFORMATION 4.. Contractor's name Scott Ve eber ; g9 9 Home Improvement Contractors Registration (if applicable) # 181138 (attach copy) Construction Supervisor's License # 103832 (attach copy) Email of Contractor Phone number ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. 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 X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event 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 I .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-4:30pnL Commercial events may require Fire Department approval. *WOOD/COAL/PELLET 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 APP N CA T S SIGNATURE Signature Date All permit applications are subject to a building official's approval prior to issuance. PLAN VIEW Name: c �l -Site ID: 7 3�� Finished Sq. Ft: Phone: 5-d 17 71- i(= Year of House: 7 Electric Acct#: Address: cl #of Floors: f Gas Acct#: r Y - 't#= #Occupants: Housing Type? DUCTWORK INSPECTION Ducts Insulated?❑ ' Duct Linear Ft. Duct Square Ft. Duct Air Sealing Hours ' Duct Insulation # lµ Duct Insulation Removal BASEMENT INSPECTION Existing Spec'ing Ln/Sq.Ft. Bsmt Wall AG µ° 'Crawl Ceiling Crawl Rim Joist �= Bsmt RJ w Sill �Bsmt RJ NO Sill Vapor Barrier 'sgft. Bsmt Door Nn Y N Blower Door? WALLS&GARAGE Drill Location? Siding Ceil.Hei ht Existing Speeing S .Ft. Framing Exterior Wall 1 L&g -IV p 4� x x Balloon/Platform Exterior Wall 2 x x Balloon/Platform Overhang x x Garage Wall x x Balloon/Platform Garage Ceiling x x . V " f l J I (( Insulation Removal Sqft, Sweeps,' I Wxstripping: WORK SPEC'D BUT NOT-CONTRACTED AD BLOCKS PRESENT? MANDATORY) _ kKneAttic Baseme Crawls Other: K&T Y Moisture Y Combustion S Y ewall Overhan Ga a ]----- Asbestos Y/M Mold>100 sq.ft Y jWC0 Detector Missing.IY/(X Ductwork ior,W51 Is - Vermiculite Y Structl Concerns Y Other:- �--- Notes for Lead Vendor/Work Not Contracted: MAN UT-707F- I , KW WALL AND KW FLOOR Blind Spec? ❑ ,OR ► KW SLOPE AND GABLE END Blind Spec? ❑ Why? - Why? FRAMING EXISTING SPECING so.FT FRAMING EXISTING C'ING SQ.Fr. WALL X X `- SLOPE x X• — A FLOOR X X _ GABLE X X ACCESS X TRANS. X x BANS X x . . t ATTIC ATTIC > _ 1 SLOPE X: SLOPE X x EXISTING VEN NG? EXISTING VENTING? 141STING P ES?_Y/N ' t KW Venting VI-a 811 Damming Sheathing Access a Access jK:WVenting Vent8F- Temp Access. O 4 `r 1 D j rc =� 7 I IPA cb C �4.,. 70 N 2-1 Insulated Wall X X Reed Ught o Ins.Hose BF Vent 8F BFV ehim.0 Damming 12".Roof V t 12RV ., ` Vol e.-• + X .0058 Air Handler AH Temp Access TO Pull Down Eg Hatch©-Wall Hatch"/.Door o/ •8".Roof Vent. RV - 19(1 story) x X ATTIC 1 Blind Spec? ❑ x -x ATTIC 2 Blind Spec? ❑. X rasa(z smry)� Existing Spec'ing Sq ft Existing Spec'ingr -'Sq ft 13.e(3story) Unfloored ��2 �! /G Trusses Cross Batting • Floored D,U. � Floored _' Mined Insulation Duct Work Cath Sloe Cath 5l0 a >6"Loose None Walls Walls Access Access s Venting Propavents Vent BF BF Hose Damming_ Venting P avents Vent BF BF H Dammin CIS WHF Box:-I c /U�It/`� o Temp Access —_ _ ` ((( af h5ng Access._ RiL.Covers: Sq.Ft/300= - (Exist.NFA Venting)_ (Needed Sq.FtJ 300= - (Exist.NFA Venting)_ '(Needed NFA Venting) _ NFAVenting),,, Roof Type _ Existing Venting? �,: (, Existing Venting? 1 > .%� t j r3 �c°r,�;r:.•�ir;rr�r-rr%�' r�: .,��rr:�sirr;� r�r;'/,� Office of Consumer Affairs and Business Regulation 1000 Washington Street-Suite 710 Boston,Massachusetts 02118 Dome Improvement Contractor Registration Type Cr,•rt wwan Regis!rption' 181138 HOME WORKS ENERGY,INC. ExRiratirn iO3 07 8t721 !p l STATION LAND!N y S i E i'W FAEDFORD•NIA 02155 - update Add,*=nod Rvt.m Cam• OL1ic0 of C-.n nFr Aff�hs a 9Y6111-F8 Pn0016tbn �. {r-ala0n vEjiQ i0 SOT tfidIVIQU81 Vfra on1p TYPE Cwo ra3nn HWAE j;ApR0VFmFMT COWMACTOR. befitsaii expird tluta.If:Duns return ro: Rcaintr r ga ntlon Office.1 Gonsumar AWaiis and eus6cess RcyukNian �181138 b3tfJ^s;:tpY 1p0e WFFhh' o $tra¢i-SuHo 710 trOUE"WORKSFNF.RGY.NYC l3octnn,fA p219 mAX VEGdEBERu 1p1 STATION 11A01MG STE 110 N valid without signatUfs MV_LYrQRu.4A1 v:3l35 lindeigv Fic�Tq Commonwealti) 0 Massachusetts l' Construction SuptiwsorSpecialty it 04ulsjols otProlessuioAf Licensum t3o3 rrt of Building Regulations At1d Stantla ds Restricted to: anairxat:ttiUrt• i i4ty1FCJ3r Specialty CSSL iC-Insufalicl,Contractor 7 C'SSL-103832 ; E icpiras: 10113/2021 SCOTT VEGGEBERG i 8 COVINGTON ST#1 = e BOSTON MA 0,2127 atn Failure to possess a cut lition of the.Massachusetts State Building Code is e- or revocation of this license. Commissioner , wt� ''.�x�.+ � � For intormailun obout this license J Call(617)727-3200 or visit www.mass.govidpi Y A Y a., 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.glenn@homeworksenergy.com. Thank You, Adam David Glenn Director of Weatherization HomeWorks Energy. �•� HOMEENE-01 LLARIVIERE ACORO" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) `.'/ 1 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 163 Main Street (A//CC,"No,EXt):(978)686-2266 301 (AAiC,No):(978)686-6410 North Andover,MA 01845 aoDARESS:certificates@fostersullivangroup.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Homeland Insurance Company NY 34452 INSURED INSURER B:SafetyIndemnity Insurance Company 33618 Homeworks Energy Inc. INSURERC:NH Employers 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MM/DD/YYYY MM/DD A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE �X OCCUR 7930060650002 4/1/2019 4/1/2020 DAMAGE TO RENTED 500,000 PREMISES Ea occurcence $ MED EXP(Any oneperson) $ 10,000 PERSONAL&ADV INJURY $ 1,000,UUU GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY1-1 PRa LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ COMBINED SINGLE LIMIT 1,000,000 B AUTOMOBILE LIABILITY Ea accdent $ ANY AUTO 6244378 4/1/2019 4/1/2020 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY X AUTOS BODILY INJURY Per accident $ X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ $ A UMBRELLA LIAB M OCCUR EACH OCCURRENCE $ 2,000,000 X EXCESS LIAB CLAIMS-MADE 7930060660002 4/1/2019 4/1/2020 AGGREGATE $ 2,000,600 DED I X I RETENTION$ 0 $ C WORKERS COMPENSATION X AND EMPLOYERS'LIABILITY STATUTE EORH YIN ECC-600-4001017-2020A 1/1/2020 1/1/2021 1,000,000 ANY OFFICER/MEMBER EXCLUDED?ECUTIVE ® N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe 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 The Commonwealth of'Massachusetts Department of'Industrial Accidents Office of'Investigations 600 Washington Street Boston, MA 02.111 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 #:781-205-4520 Are you an employer?Check the appropriate box: Type of project(required): 1.0 1 am a employer with 200 4. ❑ 1 am a general contractor and 1 employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These.sub-contractors have g. ❑ Demolition working for me in an),capacity. employees and have workers' 9. ❑Building addition [No workers' comp. insurance comp. msurance.l required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their I LE] Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL I? ❑ Roof repairs insurance required.] ` c. 152, S1(4),and we have no Weatherization employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#1 must also till out the section below shoe ring their workers'compensation policy information. 7 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. lithe sub-contractors have employees;they mutt provide their workers'comp.Polk}'number. I am an employer that is providing workers'compensation insurance for nw empht.,ees. Below is the policy and job site information. Insurance Company Name: NH Employers Insurance Company _ Policy#or Self-ins.Lie.#:#4001017 Expiration Date: 1/1/2021 Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of NIGL 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 certif�under the pains and penalties of perjury that the information provided above is true and correct. S i vnatu re: Date: Phone#:781-205-4520 / wxpermitting@homeworksenergy.com Of 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#: Insulation/Air Sealing Permit Authorization �a Specialist: Benjamin McNary Company: HomeWorks Energy L Email: benjamin.mcnary@homeworkser Address: 101 Station Landing HomeWorks Cell: 5082874116 Medford,Ma 02155 Phone: 781-305-3319 Customer: Roberta Todd Address: 165 Braggs Ln Email: blackdog60maggie@yahoo.com Barnstable MA 02630 Site ID: 3967395 Phone: (508)776-3565 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. In the event that a permit is pulled on your home for insulation and/or weatheriaation work,you may be required to have a final inspection scheduled and performed on the work by the building inspector in your town. If this case relates to your job,you will be notified by HomeWorks Energy that an inspection is necessary and you will be given the proper steps on how to complete this process to close out your permit. Email G�L �GG l/ ,/✓1 - ,4c y Customer _ Signature: J /D Date: 2/6/2020 Roberta Todd III Proposal Terms Customer: Roberta Todd Specialist: Benjamin McNary nn? Site ID: 3967395 Date: 2/6/2020 HomeWorks Er„nry.�r� • NOTICE CONCERNING SPONSORSHIP:Customer understands and acknowledges that HomeWorks Energy is not an agent,vendor or sub-vendor of the sponsoring Utility with respect to the installation of any energy efficiency measures. In the event of the failure of any energy conservation device to perform as expected,Customer agrees that Customer's sole recourse is to Contractor and not to Clear Result or to the Utility.The Utility and its operating companies shall not maintain, remove or perform any work whatsoever on the energy conservation measures installed. Customer understands and acknowledges that its participation in the MassSave Home Energy Services Program is voluntary and that It has consented for Contractor to install the propose energy conservation measures.Customer agrees that it shall not hold Clear Result,the Utility,their affiliates or operating companies liable for Contractor's failure to perform its obligations under this agreement,for failure of the energy conservation measures to function,for any damage to Customer's Premises caused by Contractor or for any and all damages to property or injury to persons caused by the energy conservation measures • ENERGY BENEFITS:The sponsoring Utility is entitled to 100%of the energy benefits associated with all Energy Conservation Measures,excluding the value of energy cost savings by the customer,but including all rights to all associated 150-NE Energy,Capacity and Reserves Products.HomeWorks Energy agrees to provide the Utility with such further.documentation as the Utility may request to confirm the Utility's ownership of such benefits and products. • CLEAN UP OF THE WORK AREA:Weatherization projects can generate dust,some of which may contain traces of lead.The Contractor agrees to follow Lead-Safe Guidelines and to make reasonable efforts to control dust and other mess through the draping of cabinets and furniture with plastic, hanging plastic sheet walls,and cleaning floors of dust and any paint spatter. However, the Contractor will not leave the interior white glove clean. Outside work areas will be left broom clean and all debris and trash removed.The Homeowner should be aware however that minor amounts of cellulose and wood chips—which are harmless and biodegradable—may be left on the ground. The Contractor agrees to be conscientious about picking up nails and other fasteners,but Homeowner should also be prepared for the occasional fastener that escapes contractor's notice. • CUSTOMER INFORMATION ➢Storage Removal: o Perimeter of the Basement o Attic ❑Knee Wall ❑Crawl Space o Interior Walls Notes: "If the storage is not removed,HomeWorks Energy will charge$0.53/square foot of storage to move it. ➢Wall Insulation:There is a chance your walls may crack due to the pressure that is required to achieve a dense pack.If your walls crack,we will hire a plasterer to plaster over the cracked area.You will be responsible for repainting. Please review and sign the wall disclosure form. ➢Insulation Removal:Insulation must be removed from the following locations: •If it is not done,HomeWorks will charge$1.26/square foot for the removal. ➢Parking Permits:If the energy specialist or operations manager determines that a parking permit is required for installation and if you do not have a pre-existing solution,we will procure one and add the cost to your invoice. i Bath Fan Venting:Installing a hose and flapper to an existing bath fan may increase noise levels due to proper venting procedures. ➢Exposed Pipes:If the energy specialist finds pipes that may be exposed to cold weather,leaving pipes outside the thermal envelope may cause them to freeze. The auditor will recommend a solution to the best of their ability,however,HomeWorks Energy will not be held responsible for any damage caused due to frozen pipes. • DEPOSIT: A$50.00 deposit may be required when signing this document.It is completely refundable until the weatherization work is scheduled. The remaining customer copay it is due in its entirety upon completion of the weatherization work. • DISPUTE RESOLUTION:The Contractor and the Homeowner hereby agree in advance that in the event the Contractor has a dispute concerning this contract,the Contractor may submit the dispute to a private arbitration firm which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulation and the Consumer shall be required to submit to such arbitration as provided in Massachusetts General Laws, Chapter 142A.The signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by the Contractor. The Homeowner may initiate alternative dispute resolution even where this section is not separately signed by the parties. Customer Signature: Q z'-�' Date: 2/6/2020 Roberta To d Auditor f " Signature: Date: 2/6/2020 Benja cNary Page 1 c Vn�- ulomeorks mass save Energy, Inc PARTNER 101 Station Landing Ste 110,Medford,MA 02155 (781)305-3319 ex[.120 Customer Name:Roberta Todd Email:blackdog60maggie@yahoo.com Phone:508-776-3565 Premise Address: 165 Braggs Ln,Barnstable,MA 02630 Mailing Address:165 Braggs Ln,Barnstable,MA 02630 Project ID:3980521 Date:Feb.6,2020 Job Description Measure Description 'Location Quantity Unit, Total'°Cost Customer Cost AIR SEALING 9 hr $720.00 $0.00 ATTIC FLAT- 11"OPEN R-40 CELLULOSE 1104 SF $1,788.48 $447.12 VENT BATH FAN THRU ROOF 1 each $118.75 $29.69 ATTIC DAMMING- R-38 FIBERGLASS 60 SF $147.60 $36.90 VENTILATION CHUTES 70 each $244.30 $61.07 WEATHERSTRIP DOOR &ADD SWEEP 2 each $160.00 $0.00 PULL DOWN STAIR:THERMADOME 1 each $230.19 $57.55 Project Total $3,409.32 Weatherization incentive ($1,896.99) 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 tota price. Payment of the balance of the customer contribution is expected upon completion of the work. Customer Signature: Date: Customer Phone: Specialist Signature: Date: uMnTED TIME OFFER: The prices and incentives in this contract are subject to change in accordance with the sponsoring utility MassSave Home Services Program offers. Proposals can be sent to:inbox@HomeWorksfnergy.com Page 2 c Virrrrn63 amass save Energy, Inc PARTNER 101 Station landing Ste 110,Medford,MA 02155 (781)305-3319 ext.120 Customer Name:Roberta Todd Email:blackdog60maggie@yahoo.com Phone:508-776-3565 Premise Address:165 Braggs Ln,Barnstable,MA 02630 Mailing Address:165 Braggs Ln,Barnstable,MA 02630 Project ID:3980521 Date:Feb.6,2020 Air sealing incentive 880.00 Total Program Incentive -$2,776.99 Customer Total $632.33 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 tota price. Payment of the balance of the customer contribution is expected upon completion of the work. Customer Signature � Date: Customer Phone: Specialist Signature- Date: UMMM 71W OFFER: The prices and incentives in this contra are subject to change In accordance with the sponsoring utility MmSave Home Services Program offers. Proposals can be sent to:inbox@HomeWorksEnergy.com it Project Summary Name: Roberta Todd HomeWorks Energy,Inc. �fl Phone: (508)776-3565 101 Station Landing '" Email: blackdog60maggie@yahoo.com Medford,Ma 02155 HOITzeftft Site ID: 3967395 781-305-3319 b„ea14,;m MASS SAVE Cost Incentive Air Sealing $880.00 $880.00 Weatherization $2,529.32 $1,896.99 Duct Sealing $0.00 $0.00 Duct Insulation $0.00 $0.00 MASS SAVE REBATES Incentive Preweatherization Barrier $0.00 IC Rated Lights $0.00 tDryer Vent $0.00 tAttic Floor Removal $250.00 *Rebates may only be applied as reimbursement of your cost to the Contractor for services rendered. f'BEYOND MASS SAVE QTY Cost Floor-Relocate Flooring In Attic[Create a Flooring stack in attic] 375 $315.00 Lights-Recessed Box w/Mass Save Damming 2 $41.20 Total BMS Costs $356.20 "Additional listed work may be a requirement of the insulation proposal. HomeWorks will only remove those line items if completed prior to install date.All work performed beyond Mass Save carries no incentive.Attic Floor Removal rebates may only be applied if HomeWorks Energy completes the flooring removal. SUMMARY Cost Incentive Mass Save $3,409.32 + Beyond Mass Save $356.20 TOTAL PROJECT $3,765.52 $3,026.99 Total Copay $738.53 Customer Deposit Applied $50.00 FINAL COPAY (due on completion of work) $688.53 HomeWorks Energy, Inc. agrees to perform the above summarized work (Mass Save & Beyond Mass Save), furnishing the material and labor specified for the contract price(Total Project).All work is subject to change,and homeowner's approval is required for completion of any and all work. Preferred Day of Week for Insulation Install: _ �� ��U I f - —�• Customer: ' }�o h...@.A,, ; 7tz' Date: 2/6/2020 Roberta Todd Specialist: Date: 2/6/2020 r- Benjan' ary benja min.mcnary@homeworksen .com 5082874116 V.is t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION �8 L of s- Map Parcelr 7 Permit# .S � Health Division ���`"�i�j Date Issued Z 1_000 Conservation Division Fee 2_� ,Cho I Tax Collector �t�o_,Au :2, ��- SEPTIC SYSTEM MUST BE 3o/-QTreasurer INSTALLED IN COMPLIANC Planning Dept. � WITH TITLE 5 ENVIRONMENTAL CODE AP Date Definitiveplan Approved by Pl M TOWN Rt GULATIONS Historic-OKH e ��. — Pre yannis s-►-, Project Street Address le S IL 14 Village Owner �n rg_o C S % l �� Address S' Telephone -C20 3 1 Permit Request ^ /t-t.° r Uei' _ 6 5;:E�one Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Estimated Project Cost -q60 Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 8'"' Two Family ❑ Multi-Family(#units) Age of Existing Structure ry,&S Historic House: ❑Yes ❑No On Old King's Highway: �s ❑No Basement Type: mull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 44 new Half:existing new /Number of Bedrooms: existing new Total Room Count(not including baths)- existing new First Floor Room Count [o Heat Type and Fuel: QG ss ❑Oil ❑Electric ❑Other Central Air: 0-Yes B N-b Fireplaces: Existing New Existing wood/coal stove: ❑Yes 9MU— 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 ErlVo If yes,site plan review# Current Use S t / ten��� Proposed Use BUILDER INFORMATION / Name- � � Telephone Number V/11�5 Address License# IT 74 3u Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ;RLA_07_f SIGNATURE DATE FOR OFFICIAL USE ONLY PERMIT NO. - DATE ISSUED i MAP/PARCEL NO. r ~ O y �; ADDRESS ` p - VILLAGE OWNER DATE OF INSPECTI9;. ' FOUNDATION FRAME - INSULATION F FIREPLACE r ELECTRICAL: ROUGH-0 FINAL i PLUMBING: ROUGH! FINAL GAS: ROU_GH", 7 - - FINAL FINAL BUILDING DATE CLOSED OUT I ASSOCIATION PLAN NO. LU FTHE Tpy_o Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 HAM i659. ArfO MA'1 A Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner H01iEOWNER LICENSE EXEMPTION Please Print DATE: �a�U 0 JOB LOCATION: 's~ �2 '7l�S V7 ���� S number street f c village "HOMEOWNER": �'I name home phone# work phone# CURRENT MAILING ADDRESS: `S city/town 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 Persons 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 Qerformed 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 of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be rt:quired 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 to amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMFM Q� ,*THEro�♦ TOWN OF BARNSTABLE EARISTADL8, i p pYpre� BUILDING INSPECTOR APPLICATION FOR PERMIT TO �r'� ...�. ....... ................... . . ... .: TYPEOF CONSTRUCTION ........ ......... .................................................................................... .....—8........197.-Z. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......0.714.?5 ................. .0 ............ v.14 ........". `.................................. .......................................... ProposedUse ........ ....... Aq/444,-I.�.9....................................................I......................... Zoning District .......RP-3.................................................Fire District �&A� $Z- Name of Owner .?'h...�7C......�...........�......T4eOST..Address .............l(........... .....:.�41.:...(m.ea ....��� Name of Builder . 4WO.-Address 1��...SrE.7XA Name of Architect ... . ..................... ......................................Address �r, a ...............................:....../............................................. Number of Rooms .h. ..., ..!�'T.H ......................Foundation ... � QE7 T C' .... ... c............... Exierior Wle... ..e"4?V.A0!9r2 .......Roofiing ...... j............................................. Floors ..................................................Interior ...... . .. E .. ........................ Heating a. . ...4.,W-,0.......Arov . .!e......................Plumbing ....�, '00'0 .......Pv/. d�r............... Fireplace .... 45�;...................................................................Approximate Cost .........!%O®l�...................................... Definitive Plan Approved by Planning Board _-----------19 7Z'- Diagram of Lot and Building with Dimensions / SUBJECT TO APPROVAL OF BOARD OF HEALTH C 89 � - f ®P -'y/ � . c� I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. P Name .......... .. . . . . . ... ... ... .... ............... R� Royal Acres Realty Trust 15444 one story No ................. Permit for .................................... single family dwelling .............................................................................. r� Braggs Lane Location ................................................................ Barnstable ............................................................................... $ Royal Acres Realty 'gust f Owner .................................................................. III Type of Construction frame ................................................................ ............. Plot ............................ Lot ................................ 7 Permit Granted ........Au.ust 28............19 2 Date of Inspection ..........19 Date Completed ... .. .. ........19 PERMIT REFUSED Ih ................................................................ 19 ............................................................................... C7 ................................................... ........................ ............................................................................... ................................................................. . Approved ................................................ 19 ' R