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HomeMy WebLinkAbout4073 MAIN STREET ,.,. ,.....�._..� i �., ,�. �. i ,, _ :, �, _ ._ o fl .. 11 Town of Barnstable Building " WPohset rT M" ib, Posteed hwais CCearrtd�f-iScoa tTeh.:oa#taOte iesu-:U ias�nbcl e•:iFsr oRme tuhre Sd trseuect..BAu iromv e�ds tPalansoY,M�uest bcecuRpeitea�nuend'�o,na Joinba annd.;tpheics;Card Must be"Kept , Permit Permit No. B-18-2168 Applicant Name: HENRY E CASSIDY Approvals Date Issued: 07/30/2018 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 01/30/2019 Foundation: Location: 4073 MAIN STJRTE 6A(BARN.), BARNSTABLE Map/Lot 335 027 ✓„ Zoning District: RF-2 Sheathing: Owner on Record: BURKE, HELEN Contractor Name' CAPE COD INSULATION, INC Framing: 1 '' Co�ntractor.iLicense 153567 Address: 4073 MAIN ST./RTE 6A � 2 BARNSTABLE, MA 02630 Est Project Cost: $4,800.00 Chimney: Description: BASEMENT PERIMETER R-MAX FOAM BOARD Permit Fee: $85.00 -J� ` Insulation: m a E' Project Review Req: installers certificate required to close Fee Paid $85.00 7/30/2 018 Final: 5�� Plumbing/Gas Rough Plumbing: Building Official k Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorizediby this permit is commenced within onths after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documentsfor which this permit has been granted. 4 � : All construction,alterations and changes of use of any building and str"ucturesshallbe in compliance with the local zoning by laws acid codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for;public n spection for the entire duration of the work until the completion of the same. Electrical 01 The Certificate of Occupancy will not be issued until all applicable signatures by th�eBuildmg and Fire®fficials are provided onthspermit• Service: Minimum of Five Call Inspections Required for All Construction Work 1.Foundation or Footing �t ° Rough: z.-.. 2.Sheathing Inspection 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). Fire Department Building plans are to be available on site - Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel U Application I Health Division Date Issued 3,01 Q Conservation Division Application Fee )9"0 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address 4o7 3 �/d� Village e_, 1IO l244/ Ueal Owner �r/�,t�¢��2 K r Address Telephone ,fO �?k 2 -4- 5— Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay. Project Valuation a Construction TypeZI�//��a.� Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes �EMo On Old King's Highway: ❑Yes allo Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing� new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: z e.._ W o rC— Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ > Commercial ❑Yes ❑ No If yes, site plan review# CD -7 00 M Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name C'/�/`�� �,� 4/ s12 L ,z�4z4 Telephone Number Address ,Zof Z2!*- 4yN g, C-,,' License# /_ �a !2 V X Home Improvement Contractor# z&—?,j"'G Email e Agf Worker's Compensation # 46-J -3 f ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE c [a FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED i e .� MAP/ PARCEL NO. ADDRESS VILLAGE OWNER r - DATE OF INSPECTION: ti FOUNDATION x FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 1 , � The Comrrso�wealdh ofMassaohusetts ' beAartmeni of zndustt'lalAooldeltts � 1 Congress S'tret~t, Suite 100 130ston, MA 02114.2017 www,mass�gov/�la `Yorkers, Compensatlon Insurance AftldavltlrtBullderslCon�ractors/�lectrlclans/Pl.umbers, TO BE FILED WITH THE?hMI'I!TIK0 AtITHoRITy, Name (gullHass/OrganlzeHom/1n81vldual)l Ca e Cod Insulation , Address, 18 Reardon Circle Clty/State/Zlpt South Yarmouth,MA 02664 Phone #; .508.77.5-1214 Arr you an smploysr?Cbtek the appropriate boat l,m I tm t employor with 4r„8 ornployees(full and/or pert,tIMs),► TYPO of Project (required); Z,❑I em a loll proprietor or partnership and hay,no employees working for me In 7, ❑ New eonstruodon any oepeoity,(No workus'oomp, Imurmot roquired,) 8, ❑ Remodeting J,❑I am a homeowner doing ell work myself,,(No workers'oomp,insursnoe rogvlrad,)t 9, ❑ Demolition CC 1 tm a homeowner and will be hiring oontraolom to oonduot all work on my property, i will 10 ❑ Building addition 'Houle thet UI oohtr$atorl either hove workers'oompensatlon inournnoe or ere Dole propHolor$With no employees, 11 Bto*loal repairs or addltio; S,❑I erne general ovntreotor and I have hired the sub-oontreotors Ilsted on the attaohed shoot, 12,❑plumbing ropairs or additlo Thee sub�aonbeocots hove employees and hove workers'oomp,insuranoe,t 13,[]Roof repairs 6,❑we Ile a oorporadon end its of'tloen have exerolead their right of txornOon per MOG o, 14,�Other Weatherization 13Z,11(4);end we hove no employees, (No worken'oomp, Insurenoe reaulnd,)!Am ----r---- T Ho eppl Dent lhet oheeks box I must tJsv III out the seotlon below showing their workers'oompensaUon polloy Information, t Homeownen who eubmf!`th jMdx muwj evil Indlaating they era doing all work and then hire outside oontraotors must submit a new affidavit tndlosttng suoh, tContreotors Chet oheok tJtJs box mwI attaohed ere eddNonei shalt showing Ole name bf the sub.00ntraators and state who or not those endues have employees, If the sub�oontreotort kuve em to tos they must provide their workers'Dom , llo number, • . , tam an employer Infer WflO& t�tat is providing workers'oamp¢nsatlan insurance far pry entpleyees, Blow is the policy and/ob site Insuranoe Company Name; Atlantic Charter polloy M or Self Iris, Yale, I WCE004 31902 " Expiration Date 06/30/2014 Job Site Addresst :L 2Y'd, ,QjAy *,_ C, `��� ~— _'--�---- ` �'4L�' City/State/Zi Attaoh a copy of the Iworlrersr oorapensatlo>a policy declaration page(sbow!n the Policy G Failure to seoure ooverage as required under M(jL o, Y r and explration date Md/or.ope,.year Imprisonment, as well as olvll ponaltWOM les In the form of a STOP criminal Ylolatlon punishable by a f$ne up to 51,500,04 day agalnsl the violator, A Dopy of this stat.emgnt may be forwarded to the Pf1 e o f I y0s��la an o of O of to S2$0100 ooverege yorl>�oatlon, or Insurance 1 do herebyLOct J der it p ns and penMa111es ofper�ury that the lrf'or771provided above Is true and correct He d ' Fu Y�1 �kw MhJ�yww.wYu 508• 7 5.121 OfJlclal use only, Do not write In flits urea, to 6e completed by city or(own 07vlaZ, City or Towne permlt/Llcense# Issuing Authority (circle one)I 1, Board of Yealth 2, Building Department 3, Clty/Tbwn 6,Other Clerk4, pleotrlcal Inspector'-Si plumbirig I nspector Contact personl Phone #1 I f 'd CAPECOD-27 AMAHLER '4`oRoQ CERTIFICATE OF LIABILITY INSURANCE DATE / 06/0605/2018Y) 018 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(les)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 endorsements . PRODUCER C ACT 434 Rte 13 ray Insurance Agency,Inc: (A/C,N Ext): ac,Ne:(877)816-2156 South Dennis,MA 02660 Ji%Aglkss,mall@rogersgray.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:West American Insurance Company 44393 INSURED INSURER B:SafGly Indemni Insurance Company 33618 Cape Cod Insulation,Inc. INSURER C:Endurance American Specialty Insurance Company 41718 18 Reardon Circle INSURER D:Atlantic Charter Insurance Company 44326 South Yarmouth,MA 02664 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 LTR POLICY NUMBER8ryyyjmmipp LIMITS POLICY EFF POLICY EXP A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE [X]OCCUR BKW(19)53328281 04101I2018 04/01/2019 DAMAGE TO RENTED_occurrence) $ 100,000 MED EXP(Any one arson 51000 PERSONAL B ADV INJURY 1 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 X POLICY❑jeT L00 PRODUCTS-COMP/OP AGG 2,000,000 X OTHER:see holder descrip of operations B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 ANY AUTO 6232707 04/0112018 04101/2019 BODILY INJURY Per arson OWNED SCHEDULED AUT�O�S ONLY X AUTOS W� D BODILY INJURY Per accident) X AUTOS ONLY X AUTOS ONLY P.�accRdent AMAGE C UMBRELLA LIAB X OCCUR EACH OCCURRENCE 2,000,000 X EXCESS LIAB CLAIMS-MADE EXCl0006635003 04/01/2018 04/01/2019 AGGREGATE 2,000,000 DED I RETENTION$ D WORKERS COMPENSATION I STERTUTE OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN WCE00431903 0613012018 06/30/2019 1,000,000 �FFICER/MEMgV EXCLUDED? N/A E.L.EACH ACCIDENT ulandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DES RIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Workers Compensation includes Officers or Proprietors. Additional Insured status is provided under the General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder. Excess Liability is follow form. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORDACORD 26(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. Commonwealth of Massachusetts Division of Professlon'al Licensure :Board of Building Regulations and Standards Cons�r�CtJtii�t�GpIrvisor CS-100988 �f Tres; 11/11/2019 HENRY nt"S4(f fr �: E CAS5IDY, 8 SHED ROW WEST YARMOGTI 0 �F MA. O 67a ?+ ' �t���1•SS:t_I C11�J it Commissioner. Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Mag 60 USetts 02116 Home Improveme;':'::C.o.Itractor Registration - !,•�„ �'s ` .:;w`:.: J) Type` Corporation Cape Cod Insulation, Inc Registration; 1535e7 Expiration:18 ReardonpCircie s:• C l: ;:'" u p lion: 1211412018 So, Yarmouth, MA 02664 141 c; 20M.06i11 . - 1+ Update Addross and return card. Mark reason for change, -- -- -_....._..._._.... __ccrry�• ¢� �-- -----......_.........0..Astr,;;as:�-•�'.-!1•«nr,.+t:.,;_n vno +panrmarnccuerr•��o�C�/�r�aauc%rrdetld 'rr•..�m3rt_Cl-,l.c�,4t.^.�trc±.. Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only — I) Type: Corporation before the expiration date. If foun urn to: , � "•`••?"" 9t6tLeIL4D ); gyp Office of Consumer AHelrs and al ss Regutatlon; ::•F;rf{ 3.667 12/14/2018 10 Park Plaza• e 8170 i i"` " Boston,MA. 11 Cape Cod Insulati"r1J p;'` "' Henry Cassidy > 18 Reardon Ciro So,Yarmouth, Undersecretary t al hout sJ atu I • I HOME OWNER WEATHERIZATION_WORK PERMIT:. PLEASE COMPLETE AND SIGN THIS FORM AS THE APPLICANT HOMEOWNER. MtkI hereby consent to and agree that weatherization work may be done by the Weatherization Program of Housing Assistance Corporation on the property located at: S� C Mg w'c The weatherization work done will be based on programmatic priorities and availability of funding and it may include all or some of the following measures: Weather stripping; air sealing; attic& basement insulation; exterior wall insulation; ventilation measures In consideration of the weatherization work to be done at my home I agree to the following: 1. I give permission to Housing Assistance Corporation to access the property with such equipment and materials as may be necessary to perform weatherization. 2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for the weatherized unit on an ongoing basis for no more than five (5)years after the weatherization work is completed. I have read the provisions of this agreement and give my consent. Home Owner(signature) C;,4(, Home Owner email: Date: Agent:(signature) Date: Agency Approved Weatherization Company All Cape Energy Alternative Weatherization Cape Cod Insulation Cape Save Cazeauft Frontier Energy Solutions Lohr Home Improvement Agency Signature:. Date: For-Natural Gas Customers: I have received the National Grid Discount Rate Application form from my auditor. Customer Initials I '