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HomeMy WebLinkAbout0012 GENERAL PATTON DRIVE dot G�nrarac i�ATro.� b,e. / -- - J CAPE C®® TO' tE` ! INSULATION . 5 El N F9 FIBER GLASS SEAMLESS SPRAT FOAM SUSPENDED DATIS DUTTEE5 INSULATION CEILINGS 1-800-696-6611 D I V"Sl 0 Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 f Date: Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed& completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village I R&r%A NSA ZO W P6 k1k Geu eml PP-6i Zr. ba-y� CS t Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted I Ceilings ( ) ( )0 (3 T) Slopes ( ) ( ) ( ) ( ) ( ) Floors ( ) ( ) ( ) ( ) ( ) Walls ( ) ( Y-) 03 ) (�O Sincerely l He y E ssi Jr, resident Cape Co Ins ation, Inc. i f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma �4- Parcel I Application # 20.1 ( I ( 60 - p Health Division Date Issued �- l_ Conservation Division Application Fee Planning Dept.. Permit Fee Date Definitive Plan Approved by Planning Board P� Historic - OKH _Preservation/ Hyannis Project Street Address `a N er PjA Q ATTV N ZS T Village lam`) rJ N-A-S b CD Owner I�tXf► '(�1�-�`(� '�Orv - Address Telephone S0T- L 1 _ &9yr O U T Permit Request P-n 't►.3 CeA` j lziw 1 ti t4,' 1 c U_XAALP._S't- kp O 's fzAe qo-� 6 r— �A-_s '=� CA i N �v�4;cr�- �(��� LAB Y a— Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation OO O Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing ' -new Number of Bedrooms: existing _new _ Total Room Count (not including baths): existing new First Floor-Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other ' Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: L Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑existing ❑ new size _ Barn: ❑ existing 0 new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION _ -- __ (BUILDER OR HOMEOWNER) Name Cie C O& DJS� 4, _V l-� Telephone Number SfT -77-5'-121 L1 Address 4 SS �,J 84-n-v o,�- `(�� License # 100 r$-T- iAr»� VY\14. 0" a 1 Home Improvement Contractor# S 3 s 7 r Worker's Compensation # WCJ OOS 2,:S9 C) ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ' � FOR OFFICIAL USE ONLY T APPLICATION# DATE ISSUED ` MAP./PARCEL NO. ' l I s, ADDRESS _ VILLAGE OWNER DATEbF INSPECTION: FOUNDATION' FRAME , INSULATION.:= FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ' r � CAS. <, " ROUGH =:- FINAL I FJNAL BUILDING,, T .DATE CLOSED OUT ASSOCIATION PLAN NO. 1 The Commonwealth of Massachusetts �--\ Department of Industrial Acciden(s 1 Office of Investigations 600 Washington Street t Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electl-icians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): !' Ca 4 ) f Su Address: ✓� City/State/Zip: I Phone 7 I L Are you an employer?Check th appropriate box: Type of project(required): 1. I am a employer with Q_ 4• ❑ I am a general contractor and I 6 E]New construction employees'(full and/bfpatt-time).* have hired the sub-contractors.. . 2.❑ I ain 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 mein any capacity. employees and have workers' 9 Building addition No workers' comp. insurance comp. insurance-1 required.] 5. We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a bomeowner,doing all work officers have exercised their 11.❑ 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 employees. [No workers' 13.❑ Otherl.nOn44����Ath comp. insurance required.] *Any applicant that checks box 4) must also fill out the section below showing their workcrs''compensation policy information. I Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities havc 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: �4r1'r► ���/S__ // Policy#or Self-ins. Lic.#: -A O�rZs� ©� Expiration Date: 3O Job Site Address: ' ��PJ �� CilylState/Zip: s tate) o`Attach a copy of the workers' compensation policy declaration page(showing the policy nutn er and expiration . 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. Ldo hereby certify w e pa and penalties ofperjury that the information provided above is trice and correct. Signature: Date: Phone#: S O 7[Officialonly. Do not write in this area, to be completed by city or town officiaL n; Permit/License# Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector- S. Plumbing Inspector 6. Other Contact Person: Phone#: Rogers & Cray In: Pa�lu: 002 Client#: 4597 (� f� CERTIFICATE ,�/'y per ��d{ ry p�y�'y�.+ LIABILITY ( ��+.qy I®� yg ��/�rqp,yw'y,,,IpIC NgCtµrl�N,r"SUL Vi.� �®�� PI V0 L,YY"�C.fi�il� 1 INSURANCE�.Y Y„i'6YI, E (7A rE(1411WUU/1'YYYI THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFI__ FCATE IIOLD /271 NOISO 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 eha certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBRQGATION IS WAIVED,subject to ii)e teinls dlld er ill f S t'hl'policy, c0 ent(policies may require an endorsement.A statement on this certificate does not collier rights to the certificate holdar in lino of such endoisement(s). PRODUCER , Rogers 8 Gray Ins. -So. Dennis CONTACT N�mE;PHONE_ Margaret Yount' 434 Route 134 -1LaP 0.Box 1601 ADDRESS: • ._._..._....__. _............ South Dennis, MA 02660-1601 CUSTOMER IO S: Itv SlIHEO � �!--"�---""'-' — INSURER(S)AFFORDING COVEI'tAGE NAIC A CaPO Cod I(1SUlatiol-I Inc INSURERA:Peerless Insurance -- INS RERa:Ohio Casualty it Company - -- 5 Yarmouth Road Hyannis, MA 02601 INSURERC:Atlantic Charter Insurance -- INSURER D:Cornnlerce Insurance Company 34754 INSURER E COVERAGES WSURER F: CERTIFICATE NUMBER: TrIIS l5;�'(,l i;EFt I'IF`i THAT I'FIE POLICIES OF INtiURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED AB REVISOF(')R I NUMBER:L I'LICY PERIOD NDI(:Al'F'U N(1'tVI fHS I ANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT'WITFI RESPECT TO WI IICH 1'IgIS MAY HE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. MITEXCLUSION, AND CONDITIONS OF SUCI'i POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED By PAID CLAIMS, TR "fYPE Or INSURANCE NIIR VD POLICY NUINHL=R OLICY EFF POLICY EXP A GENERAL LIABILrry IWNlOD/YYYY IIMA;DO/YYYY LIMITS CBP8263063 0410112010 041Q112011 EACHOCcuRRENCF $1,000OOU " x i(;Nltvl!hi:iiU.GI NLRAL LIAB11-11Y DAMAGE �N'IED fir--�-- rRrkn,r-s Euor.,:una,,,:�, $1 00,000 Ct i\IMS IVV1Ur' L I(:)000R ----_----- MID FXP(Any one Va,son) $5,000 . PERSONAL&ADV INJURY $1,000,000 _.... ..__._..._........_.. GENERAL AGGRfGATE , 111 N1 A(;i ll<I 011t I MII I APPt.II $2 DDD000 .:i I'I R - •----L_00 _—._._.. _._.I I'O11t,Y I hn - PRODUCTS COMPIOPAGca $2,000,000 Ir LUC 7AU10NIU8ILELIA8ILII-Y 10MMBCKVMK 04101/2010 04/01/2011 COMBINE:DSINGLELIIvII'I' (Ea acdaDnl) $10000UUA(II()1; BODILY INJURY(Perrl)AiIIc1t5 UODILY)NJURY(Par acrwlanl) $ X Iiihlttl%UII+'I>; PROPERTY ONAAGL $ -- ,.x NUN1'ddlVl"U (ParacGnam)A11105 $ B U?IILJULLLA LIA13 �T[CIAHAI'K C)CGU MEYAPP397725 06117/2010 041Dl/2011 EACHOCCURRENCI, $1 UUO,UUO Excess LIA .. .... e S•Mr1DI: AGGREGATE: 1 U00 DUU X RF n r'aNnrlf, 10000 WORKCRS COMPENSA'riON $ - AND EMPLOYERS'LIAOILITY WCA00525901 6/3012010 06/3012011 X WL STAru- oTI-I. ANY I'f;i!I'H;C:IUna'i1R'I NI-WEAE(;UIIVEYIN <1-.�LILL ._.__4.H._...._..__.._... 01:PICr:h-P.1!M111.1t1 T)) I-i:{Ct.UCJ-6 nJ (Milnd'ul0,y In NE NIA E.L.EACH ACCIULN 1 $500,000 :;.du>ulbu omim F•L,DISEASE EA I_MPI.OYCI $SQQ,000 )C!W2'I it (;I-(PF hit I IQNS O01U W ----...........-_.—.-..._.__.._._._—.................. r-L.DI;;EASI2-POLICY uMrr $500,OD0 t')E$CRIPOUN OF OPERATIONS I LOCATIONS I VEHICLES(Allach ACORD 107,Atltlilim)al Ronrarks SoOadulu,u nwru spacu is ruquuud)Workers Cornp Information MW Included Officers or Proprietors (Sea Attached Descriptions) CERTIFICATE HOLDER CANCELLATION 10 Da Vs for Non-Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERCD IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE t. CORD 25(2009/09) 1 of 2 The ACQRD name and logo are registered marks of ACORDB 2009 ACORD CORPORATION.All rights reserved. 4S548141M53353 MEY Z jo 10 Park Plaza - Suite 5170 ' Boston, Massachusetts 02116 Home Improvement Contractor Registration ,:..�. _. Reqistration: 153567 Type: Private Corporation Expiration: 12/15/2012 Tr# 206433 CAPE COD INSULATION, INC HENRY CASSIDY 455 YARMOUTH RD. , .� ---- _—_.----------------------------_- HYANNIS, MA 02601 ". v ---- - ----- — ...._.. __.. . Update Address and return card.Mark reason for change. Address ❑ Renewal (_I Employment L=� Lost Card CA1 0 5010-04/04-G101216 Office o�``��''mer Affairs us ne R,,e,gu,lff lion License or registration valid for irdividu!use c.^.!y HOI before the expiration date. If-found return to: r Registration: 153567 Type: Office of Consumer Affairs and Business Regulation r w Expiration: 12/15/2012 Private Corporation 10 Park Plaza-Suite 5170 _- Boston,MA 02116 OD INSULATION, INC... 1ENRY CASSIDY' .`,,^r `,- 2. 155 YARMOUTH RD.; iYANNIS,MA 02601 x Undersecretary t slid ith t si lure -� M1lussachusctn - Dep:u-tntent ()l'Public Sit,t•th BOMA trt Buildimg, RC�guL•uion. .uul 1Cuular'ds Construction Supervisor License License: CS 100988 X Res r acted to: 00 ram ' N t HENRY. CASSIDY It{ ' 8..,SHED ROW �rKCy WEST YARMOUTH, MA 02673 f, —` Expiration: 11/11/2011 6 omiui..i,acr Tr#: 100988 All a,,.n 2 GO Q I- F -N J1 ASSISIL A '.1-Jt 77 � -,—Jui -W HOME OWNER WEATHERIZATION WORK PERMIT&FUEL RELEASE: PLEASE FILL OUT AND SIGN THIS FORM IF YOU ARE THE APPLICANT HOME OWNER. I ALP A hereby consent to and agree that weatherization work may be done by the Weatherization Program of Housing Assistance Corporation ( herein after referred as "Agency") on the property located at.. A z4*1 The weatherization work done will be based on programmatic priorities and availability of funding and it may include all or some of the following measures: Weather-stripping&caulking of windows and doors,insulation of attics, sidewalls 8r-basements, attic and other ventilation measures and possibly replacement of badly deteriorated windows.In consideration of the weatherization work to be done at my home I agree to the following: 1. 1 give permission to the "Agency" its agents and employees to travel onto or across said property with such equipment and materials as may be necessary to perform weatherization work on said property. 2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for the weatherized unit on an ongoing basis for no more than five (5)years after the weatherization work is completed. I have read the provisions of this ent as listed and freely give dMv consent. 2 Home Owner: (Signature) Date: Z<)11 Agent: (signature) Date: dt ................. HAC approved Weatherization Company: Caliber Building&Remodeling Cape Cod Insulation Cape Save Creswell Construction Frontier Energy Solutions Lohr& Sons Peter Smith Resolution Energy y Rock Solid Construction All Cape Insulation Town of Barnstable oF, Regulatory Services Thomas c mas F.Geller,Director i STAB Building Division MASS' $ Tom Perry,Building Commissioner s619. iO�Ep 1t p 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us ice: 508-862-4038 F 5 8-790-6230 Approved: Fee: d� Permit#: HOME OCCUPATION REGISTRATION ite:ne ire:_z4 Yam➢ d c�C Phone#: - 36a 0 idress �, b1P,6'CJh Village: an 1 ire of Business:QSU ,t O S�i n r, 1(/-o n PO r'n Me of Business: C )(20 ()i, Map/Lot: 6. FIZNT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation ithin single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the tivity$hall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual teration to the premises which would suggest anything other than a residential use;no increase in traffic above normal sidential volumes;and no increase in air or groundwater pollution. er registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the (lowing conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that,dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings, and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit Leundersima-ed,haveread and agree with the above restrictions for my home occupation I am registering. plicant. IL 4621Date: - neoc.doc Rev.5130103 TO ALL NEW BUSINESS OWNERS DATE: =0-5 Fill in please: OF APPLICANT'S YOUR NAME: �X r BUSINESS { q ` YOUR HOME ADDRE S: - G qn d(- TELEPHONE . : Teleplone Number Home NAME OF NEW BUSINESS I TYPE OF BUSINESS C IS THIS A HOME OCCUPATION? YES FN�O Have you been given approval from the bu' ing ? YE O q ADDRESS OF BUSINESS MAP/PARCEL NUMBER_ !� L When starting a new business there are several things you must do in or er to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, listed below,you may apply for a business certificate at the Town Clerk's Office (Ist floor-Town Hall). You MUST go to the following office to make sure you have all the required permits and licenses.. GO TO 200 Main St. - (cor r f Yarmouth Rd. & r t) nd you will find the following offices: 1. BUILDING C MIS IONE OFFI This individual h s be inform of any reme is that pertain to this type of business. t oriz Signat COMMENTS: Od 2. BOARD OF HE H This individual has b n infor d of he_ er e i ements that pertain to this type of business. dhorized Signat e* COMMENTS: 3. CONSUMER AF IR LICENSING A THORITY) This individual has i armed of t he li requirements st• g q that pertain to this e of business. P type uthorized Signature** COMMENTS: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. -it does not give you permission to operate-you must get that through completion of the processes from the various departments involved. **S/G/V/F/ESAPPROVAL FORA BUSIMESS G'ERT/F/CATEONL Y.