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HomeMy WebLinkAbout0044 KELLEY ROAD f�� �fE�iEy � - - - - -- ,� YOU WISH TO OPEN A BUSINESS? .For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does-not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 15t FI., 367 Main St., Hyannis, MA 02601. (Town Hall) and get the Business Certificate that is required by law. DATE: Fill in please: APPLICANT'S YOUR NAME/.S: YOUR HOME ADD ESS: .✓i{;..J�•.'i sir •�'.f #: — NAME OF CORPORATION: .NAME OF-NEW BUSINESS TYPE OF BUSINESS IS THIS•A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS- MAP/PARCEL NUMBER �S (Assessing) When starting a new business there are several things you must do in order 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. You MUST GO TO 200 Main St. (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses.required to legally operate your business in this town. MUST COMPLY.WITH HOME OCCUPATION 1. BUILDING CDM 10 R'S OFFICE RULES AND REGULATIONS. FAILURE TO This individual has n i fete y er t requiremerts hat pertain to this type of busiOaOh. Y MAY RESULT IN FINES. AA rkiLe.-I Auth zed Signatur %OMMENT C ' 2. BOARD OF ALTH \ This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** MUST"COMPLY WITH.ALi COMMENTS: HAZARDOUS MATERIALS REGULkT Q S 3. CONSUMER AFFAIRS LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: . Town of Barnstable THE Regulatory Services F Tp� c Richard V. Scali,Director saFwsrns�, Building Division v M'M• $ Paul Roma,Building Commissioner 1639. iOrEo Mnv A 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: P8-790-623 Approved: ! �� Fee: Permit#: HOME OCCUPATION REGISTRATION Dater 7— Name: Phone Phone#: Address: '0'Yn Village: Name of Business: �j�/�/ j9�A 69A L � elzkclMap/Lot: Type of Business: � INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following 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 are 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. I,the undersi ed,have read and agree with the above restrictions for my home occupation I am registering. Applicant: Date: C)7 — Homeoc.doc Rev.06/20/16 Efficient Buildings, LLC October 31, 2011 Town of Barnstable Attn: Thomas Perry, CBO 200 Main Street Hyannis, MA 02601 re: 44 Kelley Road, Hyannis, MA 02601 Dear Mr. Perry: This affidavit is to certify that all work completed at 44 Kelley Road, Hyannis, MA 02601, has been inspected by a certified Building Performance Institute (BPI) inspector. Work included air sealing, weatherstripping, insulation of attic hatch, 896 sq. ft. of R-19 cellulose in attic, 448 sq. ft. of R-10/R-12 cellulose in attic slopes, and 1,230 sq. ft. of dense pack in exterior walls. All work performed meets or exceeds Federal and State requirements. Sincerely, Steve C. White Owner/Managing Member Efficient Buildings, LLC " 2 o { F 5 I ] 8 Jan Sebastian Drive, Unit 10, Sandwich, MA 02563 Tel: 508-888-1110 Fax: 508-888-1109 � . TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION fI • Map / Parcel. CJ� Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. n FAI Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis n P � ! I,, Project Street Address Village Y ___-. .__..�u.... Owner �� oA—,o < - ddress �"''� Telephone 5_0'3- ^l -? S - C.-7 7 Permit Request ry n= V a `� C Sc�ytS .� L1S OE Ao_os\ S CE Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �� 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: ❑Yes ❑ No Detached garage: ❑ existing U 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 ❑ No If yes,_site plan.review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) eo- i C , Name Ca-z\,041 jcc�k Telephone Number �$J 2 4,c--s Z499 Address License # IS 6 T- C2(ac Home Improvement Contractor# C ? 5-9 Worker's Compensation # L � � ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO c SIGNATUR DATE ?/I/ l y I s .' FOR OFFICIAL USE ONLY -APPLICATION# DATE ISSUED .� l <<l MAP/PARCEL NO. _ r i J ' it ADDRESS VILLAGE OWNER DATE OF INSPECTION: s FOUNDATIOM ? FRAME ` t S INSULATIONS.:: FIREPLACE ELECTRICAL: ROUGH FINAL F PLUMBING: ROUGH FINAL r ' GAS: _' ROUGH FINAL If.-FINAL BUILDING=11'. ri7S't4.. WM-4 DATE CLOSED-OUT . ASSOCIATION PLAN NO. l i f The Cotninonwealth of Massachusetts Y Department oflndustrialAcciden(s Office of Investigations 600 Washington Street Boston, MA 02111 y www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information please Print Lefibly Name (Business/Organizationllndividual): Cox Ct.6Q—v— VC-4j"�Rk-SNq+ Address: IKU 9 City/Sta e/Zip: e1 sn rS bOL1d Phone #: S7ba-a.` Are y an employer? Ch ck the appropriate box: Type of project(required): 1. 4. I am a general contractor and I I am a employer with�7 6. ❑New construction employees-(frill and/or part-time).* have hired the sub-contractors., 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g, Demolition working for me in any capa�ity. employees and have workers' 9 Building addition [No workers' comp. insurance comp.insurance.$ required.] 5. F � 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 12 of repairs rr insurance required.] t c. 152, §f(4), and we have no 13. Other t employees. [No workers' comp. insurance required.] *,kny applicant that checks box 41 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, tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those cnti ties 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 jab site informatiots Insurance Company Name: 0. h Policy# or Self-ins. Lic.#: 0'� / S Expiration Date: �' 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 MGL c. 152 can lead to the lties imposition of criminal pena 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 favinsurancc coverage verification. I do hereby certify a r !e pains and penalties of perjury that the information provided ab/ove is true and correct. Date: �zl Si riature: p� Phone#: rFoffficial use only. Do nol write in this area, to be completed by cityor town official r Town: 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#: ACORD,, CERTIFICATE OF LIABILITY INSURANCE DA TE(MM/DD/YYYY) 03/30/2010 PRODUCER 508.945.0393 FAX 508.945.4048 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Eldredge & Lumpkin Ins. Agency ONLY AND CONFERS NO RIGHTS.UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 697 Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Chatham, NtA 02633 INSURERS AFFORDING COVERAGE NAIC# INSURED Caliber Building and Remodeling LLC INSURER A: National Grange Mutual Ins Co 4788 INSURER B: Commerce Group CIG001 147 Ridgewood Ave INSURERC: Granite State Ins. CO.-ARWC 3102 Hyannis, MA 02601 INSURERD: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITH ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER-DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUE MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONf POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR NSR DATE MM/DDIYYYY DATE MMIDD/YYYY LIMITS GENERAL LIABILITY - MP027360 09/15/2009 09/15/2010 EACH OCCURRENCE $ 500 ,0091 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 500 00 CLAIMS MADE OCCUR MED EXP(Any one person) $ 10,00 A PERSONAL&ADV INJURY $ SOO O .GENERAL AGGREGATE $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,00 POLICY PRO- JECT LOC 1-1 AUTOMOBILE LIABILITY BBNVCS 02/16/2010 02/16/2011 COMBINED SINGLE LIMIT ANY AUTO - (Ea accident) $ ALL OWNED AUTOS BODILY INJURY $ B X SCHEDULEOAUTOS (Per person) 250,000 HIREDAUTOS - BODILY INJURY $ NON-OWNED AUTOS _ (Per accident) 500 O 00 PROPERTY DAMAGE $ - (Per accident) 100,000 GARAGE UA131UTY - - - - - AUTO ONLY-EA ACCIDENT $ ANY AUTO - OTHER THAN EA ACC $ AUTOONLY: AGG $ EXCESS/UMBRELLA LIABILITY _ EACH OCCURRENCE $ OCCUR ❑CLAIMS MADE - AGGREGATE $ DEDUCTIBLE - - - $ RETENTION $ A— , WORKERS COMPENSATION WC7425405 03/02✓2010 _03/O2/2011 we STATU- oTH- AND EMPLOYERS'LIABILITY YIN TORY LIMITS ER ANY C OFFICERIMEMBERIEXCUDED?ECUTIVE - E.L.EACH ACCIDENT(Mandatory in NH) If yes,describe under E.L.DISEASE EA EMPLOYEE SPECIAL PROVISIONS below - - E.L.DISEASE-POLICY LIMIT OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES f EXCLUSIONS,ADDED BY ENDORSEMENT SPECIAL PROVISIONS Carpentry CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Town of Barnstab 1 e IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENT'S OR Att: Bldg Dept, REPRESENTATIVES. 200 Main Street AUTHORIZED REPRESENTATIVE Hyannis, MA 02601 Alan R. Long, President ACORD 25(2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Massachusetts - Department of Public 5afetN I Board of Buildin,-, Re,-mlations and Standards Construction Supervisor License License: CS 95038 Restricted to: 00 STEVEN WHITE 147 RIDGEWOOD AVENUE HYANNIS, MA 02601 Expiration: 22&X12 (l.mmi. i.ncr Tr`: 19311 r ../�ie Lro���G[/t o�� �GdRCltude� Board of Building Regulation§and Standards HOME IMPROVEMENT CONTRACTOR Reglstr! ,154359 ' -2=, /2011 Tr# 280764 Y Lid liability.Corporation CALIBER BUILDfI� DELING,LLC. STEVEN WHITE 147 RIDGEWOOD A HYANNIS,MA 02601 Administrator ---------- License orregish-m- hon valid for individul use only before the expiration date. If found return to: Board of Baildift-Regulations and Standards One Ashburton°pbee Rm 1301 Boston,Ma.02108 Not valid without signature r Town of Barnstable Regulatory Services BAR� MASS.'STABM �„` Thomas F.Geiler,Director �iOTfD MA'I p�0 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, otN V--� rltiu n C-r ►wh ,as Owner of the subject property hereby authorize (!pj ZVje,r �Jq �� to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) Signature of Owner Date Barnstable Housing Authority T'+ I'N%j^C-'^-e-r k c,Yl 146 South Street Print Name ��t� Hyannis, MA 02601 If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:O WNERPERMIS S ION Town of Barnstable do Regulatory Services BARNSPABM ; Thomas F.Geller,Director 16A3899.. ,�� Building Division rED MA'I� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state I zip code-- �.;.�,•.�. a i ,/' .F � .1.•�S..'r,..R:.,e'e s i�,-0.:-e t:w.ti 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. r -'•-"'-'`DEFINITION"OF HOMEOWNER Person(s)who owns a parcel of land on which he/she er sides 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 109.1i1) 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. ...S - - i Signature of Homeowner Y 'Yv Approval of Building Official A 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 SuperVisois);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. Q:\WPFILES\FORMS\homeexempt.DOC HOUSING ASSISTANCE CORPORATION WEATHERIZATION WORKSHEET Clientt4ame/Address _. .-.__.. Contractor: — Kellie Dos Santos 44 KeWy Rd Date: •JIM Hyan ris Phone: 775-6747 Installed Prograrrk Weatherizatbn JOB # Units Description Price D G/N C DOE GAS/NSTAR CLC QC4 DOORS ea. 43.00 ea. Automatic Sweep ea. 22.00 IR-5 Ductwrap or R-max on door ea. $ 44.00 Lockset Schlage or equal ea. $ '70.00 RepairlRefit Daor ea. $ 50.00 32-36" Steel pre-hung replacement door w/lite ea. $ 610.00 32-36"Wood pre-hung replacement door w/lite ea._ 580,00 28-32" interior solid core door ea. $ 300.00 Basement/outside door - door only ea. $ 350.00 Basement/outside door - w/iambs ea. $ 415.00 1 415.00 - - WINDOWS Weatherstrip mow, c ega or equivalent ea. side 5.00 _ _ _ op.Sash Lock ea. 9,25 Side Press ock ea. 9.25 Glass F'eplacement to 64 ui _ ea. $ 42.00 Glass 5-eplacement per ui over 64 ui. $ 1.40 Replacement grids (per window) ea. $ 40.00 Energy* Rol prime wia.repLment w low-e to 73 ui ea. $ 390.00 Energy* R l prime win, rept.ment witow-e to 74-83 ui ea. $ 400.00 Energy* R4 prime win. repl.ment wllow-e to low 84-93 u ea. $ 410.00 Energy 8 R4 prime win. repl.ment wilow-e to low 94-101 ui ea. $ 425.00 Basement window replacement (awning/hopper) ea. $ 325.00 Basement window replacement with frame ea, $ 350.00 wzPList Page 1 of 4 Q411212010 HOUSING ASSISTANCE CORPORATION Contractor: 0 Client: Kellie Dos Santos BILLING SHMT-(Cof f.) Date: JIM Installed Program: Weatherization Units Description Price D I G/N C DOE GAS/N3TAR CLC QC'1 MISC. MEASURES w/s (Q-Ion or equal) attic hat2h ea, $ 30.00 1 $ 30.00 $ - - �s -Ion_nr_Qq�!a - atlls lnit�h _ z.91 - - Blower door set-up with pre 9L post tests ea, 45.00 1 45.00 - - Attic sealing with two-part foam rr_an/hr. $ 75.00 10 750.00 - - Basement air sealing with two part foam rran/hr. $ 75.00 - - Seal ducts with mastic or butyl backed tape hr, S 62.00 - - - Cut-finish attic - kneewall access ea. 100.00 - -Cut/close attic- kneewall access ea. S 75.00 - - Vent kit/bath fan $ 85.00 1 85.00 Clothes dryer vent incluidag Exhaust Duct 85.00 1. 85.00 - - Replace Clothes Dryer Transition Duct Only(H&S) $ 38.00 - - - Bath fan-Panas. bVhisp. w e.istng pwr & timer (H&S) $ 350.00 2 700.00 - - Bath fan-Panas. hasp. w/o exstng r-wr timer H 450.00 - - - abor only charge Man/hr. 60.00 - - - ATTIC 1NSULAMN R-49 unrestricted - settled cellulose sq. ft. 1.53 - 3 - unrestricted - settled cellulose sq. ft. 1.40 - - - R-30 unrestricted - settled cellulose sq. ft. 1.30 - - - R-18-ZD unreAr!cte - settled cellulose sq. ft. 1.23 896 1,1 2.88 - - unrestricted- settled ce ulose sq. ft. 1.15 - - - R-30 restr!cte -slopes floored fill w1cellulose sq. ft. 1.41 - - - R- - restricte -scopes gored Ell w cellulose sq. ft, 1.35 - - - R- -12 restricted-s:opes bored Ell w ellulose sq. ft. 1.24 448 555.52 - - Attic stairs & common wall - fill w cello ose stairwell 130.00 - - R-I I VGB in open ra :ers wall eewalls sq, ft. 1,25 - - - R-19 FGB in o)en rafters/wall neewalls sq. it. 1.40 - - - Kneew;lls R-12 Cellulose behind permeable membrane sq. ft. $ 1.65 - - - Reinforced poly/R-20 cellulose open rafters sq. ft. $ 1.75 - - - Reinforced polzIR-30 cellulose open rafters sq. ft. - ite Built puffbwn stair irisu oanbox Thermodome ea. 175.00 - - - ittic Kaeewall Floor Transition Dense Pack w cellulose 1n. ft. 2.40 - - - wzPList Page 2 of 4 0411212010 HOUSING ASSISTANCE CORPORATION Contra-tor: 0 cilent`Illie`E�orSa�iCEs-- BILLhNG S1-EET(Cont.) Date: JIM Installed Program: Weatherization Units Description Price D I G/Nt I C DOE I GAS/NSTAR CLC I�QCV WALL INSULATION eod-slapl oa s �4es hiii�le�o iirsycL dens�pac sq_ L26 - Single nailed asbestos/asphalt dense pack) sq. t• 2.10 Double nailed as est aluminum (dense pack sq. ft. _ 2.20 -Brick/Stucco dense pack sq. t. 2.75 - - - Dritl ro-igh plaster patch or finish wood plug dense pack) sq. ft. - Dril finish patch plaster dense pack sq. ft. 1.81 - - Vinyl over asbestos (dense pack) sq. ft. 2.20 - - Test drill 4 sides flat rate 60.00 1 60.00. - - Interior wall low Sq. t. 1.40 - - sq. BASEMENT INSULATION Garage ceiling cavity filled with lown cell dose sq. ft. 2.00 - - Sill twc-part foam w/liberglass batt sq. ft, $ 2,00 - - Sill insulation faced R-19 In. it. 9 1.50 - - - Basement overhead insulatio-k R19 Fiberglass sq. ft. $ 1.50 - Basement overhead insulation R30 Fiberglass sq. ft. $ 1.73 - - - CrawlsDace overhd. insul, 4' high or less R-19 sq. ft. $ 1.78 - - - CrawlsDace overhd. insul. 4' high or less R-30 sq. ft. $ f,87 - - - Perimeter wrap R-5 rcinforcad foil or vinyl faced ductwrap sq. ft. $ 1.82 - - erimeter 2" foam board sq, ft. 2.17 - - - 6 ml pc•ly on ground j sq. ft.1 $ 0.75 - - MISC.INSULATION Duct insulatior R-5 sq. ft. 2.95 - - - omes.ic water pipe wrap n. ft. 2. 0 - - ydrome pipe insulation to 1 copper,pipe - n. ft. S 3.25 - - y ronic pipe ins ation 1. ,' - 1.5 copper pipe -5 1a. ft. 3.50 - - teampipe insulation -o 1.25 iron pige -5 ln. ft. 5.25 - - Steampipe insulation .o 1.5-2" iron pipe R-5 In. ft.1 6.05 - - - teampipe insulatton 3 iron pipe R-5 in. it. $ 7.25 - - wzPList Page 3 of 4 04/12/2010 HOUSING ASSISTANCE CORPORATION Contractor: 0 , . Client: Kellie Dos Santos -- BILLII G-—SHF r- Cb—nf — Date: JIM Installed Program: Weetherization Units Description Price D GIN LC DOE GAS/NSTAR CLC QC� ATTIC VENTILATION Rectangular gable vent ea. E8.00 - s - - _ an itch vent ea X9.00 Roof vent 5 sq. ft. NM large ea. 55.00 - - - Roof vent 86b A sq. ft. F )small ea, $ ?6.00 - -Turbine Vent ea. $ 160.00 - - - Stack Vent ea. $ 145.00 - - Proper Vent ea. $ 3.75 24 90.00 - - Rectangular soffit pert ea. 26.00 - - Ridge vent In. ft. IT 2-2.00 - - - DEADLIGHTS& OTHER Deadlights ea. $ 100.00 $ - $ - $ Rigid fcam Board price (charge under VS cr labor only) SQ. ft. $ 1.75 - - - Window quilt ea. - - Sliding glass door ea. $ 1,290.00 - - - idg, permit baseline price (input unit accordingly) ea. 00.00 49r 200.00 - - Notes: BLOWER DOOR RESULTS CFM @ 50 PASC. Batten off Slopes and Blow Cavity. PRE--! 4232 12 Proper vents each side (up slopes) before fill. POST) -TOTAL DOE $ 6,291.60 LEVERAGED FUNDS $ - TOTAL JOB COST $ 6,291.60 Photos and attic inspection form are required at time Invoice Is submitted. wzPUst Page 4 of 4 04/12/2010 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION map Parcel or/ Permit# 50 341 Health Division Date Issued _ Conservation Division - , Fee Tax Collector ' Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address � r? �uei9� Village 1—(A A in Owner , 4A )S ovS I Address ��C'o �56�>fln 51� tl yA�uv�S Nlr� OdGa/ Telephone ,, n Permit Request y`GQI�1'id yA/9 V'?-Q,D�Ac e,n v�.'� a� (J��,a ate;e 7, 3�s PIrm e _t Ze -�c��'o+(�rl/t7-- 3dIi2x �t�� - sR//.2 X 4 9 /1 - 30VZ< 37 /1-271/2X 3 Square feet- 1 st floor: existing proposed 2nd floor: existing proposed Total new Valuation 00 Zoning District Flood Plain Groundwater Overlay 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 Zo On Old King's Highway: ❑Yes ❑No Basement Type: ZFull ❑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: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number Address Df(imao S'C Q& fq to aa77 License# dDo�_ 1068 �fAM&V� 2 10 ERAa two Home Improvement Contractor# Worker's Compensation# 6;,7R/oG[3-5YS'k �7`✓-�-oo ALL CONSTRUCTION DEB S RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATUR DATE /d- Y-o v FOR OFFICIAL USE ONLY PERMIT NO. - • " DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER *_ " + t r°• t DATE OF INSPECTION: t FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL " 4. PLUMBING: ROUGH FINAL } GAS: ROUGH FINAL ` a FINAL BUILDING, a DATE CLOSED OUT ' ASSOCIATION PLAN NO. "' ' -- The Commonwealth of Massachusetts Department of Industrial Accidents Office 011BY8508tioos 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance davit name: location: phone ii ❑ I am a homeowner performing all work myself. ❑ I am a sol70 e etor and have no one workin in anv capacity ME I am an em loyer providing workers' compensation for my employees working on this job. . .................... . P. . :.. ........... t ..: COn1Qa Y i� ?i'a: `` :s i�a ..::.::::::.:::. .. .::..::;;': . ..::.. .. hone#• >. ff ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the followingworkers'.compensation polices:.... ..............:.............:::.:::.:,:::::::c:::::...:::::::.:.:..:::::.::::::.::.:::.:.;;;;:.:_:.>:;.;:;.;:;;;.>;.;:.;ism. . . ..........::..... 'address .. .:. ELM: .. .... ................:......... ....................................................... ...... ................n..................:•.&vw:::::w:::::.v..............v................................. . ::'`on b h ..................................................................................................................... Y. ..n ............. ...............<.. .. ................................... ...n {.i..:..... 4............................. ............... v::•::::::::.::�:::.{::;;•:,ry::v:{yis'i:�i:;;Li):!F?aA`..r�,vr..::..N::•:�::: .... ........ ............... ::..:.:�.:.:...................:.....vw.v.......vv...-- ....... ..:.::......... ........:•:.�::•.................:.:::::::::•::::::::•:•:::::•:::::::.::::•:.......:::.::::•.v:.:v:.v.......:::::::{.ii:H::i•ii:;;:•:rJi+::: � #.;:::.::.i::.iiiii:i:viiii:.::::::.:..:: :.:::.�:::.::.�::?iii::.•.:......::.:.::,.:::.::•:::::::::::.. tf>Sarancecoz::<.;;::::;::,:.;;:;•;:�;:.:;;.:;::,::..::.,:::::::::::.::::::.:::::::::: ..,. .... ........,...:.:.... oGtq //. addresr� ' ::.:: a o1i auraace Failure to secure coverage as required under section 25A of MGL 152 can lead to the imposition of criminal penalties of a Ste up to S1,imoo or me years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may b forwarded to the Office of Investigations of the DU for coverage verification I do hereby c he penalties of perjury that the information provided above is trru mud eorred Signature Date /� I t O Print name /" ry w Phone oindal use only do not write in this area to be completed by city or town official city or town• peredtflicense# ❑Building Department ❑Licensing Board ❑checkdimmediate response is required ❑Sdectmen's Office ❑Health Department contact person: phone#; "� ❑Other_�� 0evaed 9/95 PIA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, 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 maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states 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 insurance coverage required. Additionally,neither the commonwealth nor any of its political,subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. �A ii is `; PP Please fill in the workers compensation affidavit completely,by checking the box that applies to your situation and ;?supplying company names,address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and ';date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is "y being requested,not the Department of Industrial Accidents. Should you have any questions regarding the`.`law"or if you K are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns ' Please be sure that the affidavit is complete and printed legibly. The Department 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 permrt/license number which will be used as a reference number. The affidavits may be retuned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Departments address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Imiesugatlons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 eat. 406, 409 or 375 F THE The Town of Barnstable 9�A p`�g Regulatory Services 059. TE Thomas F. Geiler,Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. ,�i Type of Work: W 1�d6W I +� Estimated Cost 166 Address of Work: Owner'sName:SAuJS4o1e Date of Application: _p 6 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law []Job Under$1,000 ❑Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: 6b N Date Contractor N e Registration No. OR Date Owner's Name q:forms:Affidav One Ashburton Place - Room 1301 • Boston, Massachusetts 02108 > Registration No. t' Application for Registration'as a Home Improvement Contractor or Subcontractor Effective Date MGL Chapter 142A, CMR 780-6 Expiration Date FOR OFFICE USE ONLY 1 Date 1. Name —�s o ni-i H NAm(-AOVN1 rl Print the name of the individual or business applying for the registration(not both) 2 Mailing Address 6(`�N tA21 s'T Camdi ' 7 Area Code&Telephone Number 3. City 1A `T State Yt _tip 7 4. Street Address(if different) Print street and NE�IDBA (P.O.Boot not acceptable) City State tip 5. Applicant type ❑ Individual ❑ Partnership ❑Trust ❑ Private Corporation ❑ Public Corporation (See instructions on back regarding enclosing ta'city or town registration under the DBA or•"fictitious name"law-MGL c 110,ss 5&6) 6. (see instructions) 1 7. Number of Employees 8. Individual responsible for Home Improvement Contracts �/y J `�-1 6lW A/ 9. Title of individual responsible for Home Improvement Contracts Q"YA 10. Does the applicant or responsible individual hold any other construction related state,city,town licenses or registrations? En' ❑ If ym complete the table below. Use additional paper if necessary. Yes No Type license or registration Issued By License or Expiration Name of License Holder registration number Date IAI 10M116Wd l 1. List all partners, trustees,officers,directors and major owners(10%or greater of ownership)of an applicant partnership or corporation below. Use additional paper if necessary.(See instructions on back) Check here if you wish to receive an application for additional ID cards for key persons.❑ Last First, Middle initial Title in Applicant Business. %Owner Address ccv f BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR : Number: CS . 073952 :. piress.,06/2812002 Tr.no: 73952 ;h .,Restricted To: 00 JOHN H HAMMOND' � 19 ORCHARD STREET BERKLEY, MA 02779 Administrator i _ ---- - -- __--�• •>•••- .�•ucR,�un td.IDr111YB LIV�I Y'iiUC 171 0 R61 t1 WORKERS COMPENSATION ~. AND EMPLOYERS LIABILITY POLICY 1 TYPE AR INFORMATION PAQiE WC 00 00 01 A) 1 POLICVNUM®ER: (GRtOUB-672XG98-3-00) REWWAL OF (US-35SX774-3-99) INSURER: RELIANCE INSURANCE COMPANY NOCI CO CODE: 80039 1. INSURED: PRODUCER: MAMMON®. JOHN H UR AIVDER50N-Ct1SHIt INS acC DBA HAINMONA DELEAOING 148 WEST GROVE STREET 19 ORCHARD STREET MIDOLFBORO MA 02346 BERKLEY MA 02779 Insured Is AN INDIVIDUAL i Other work places and Identification numbers are Shown in the schedules)attached. i 2. The oloy period is from 09-21-00 to 09-t 8-01 12:01 A.M. at the Insured's maliing address, 3• A. WORKERS COMPENSATION INSURANCE: Pert One of the p9lcy applies t0 the Worker® Compen- satin Law of the state a Bated here. MA •I� E. EMPLOYERS LIABILITY INSURANCE: Part Two Of the p0116y appikw to work In each state listed In Item 1A. The limits of Our Ilablity under Part Two are: Bodily Injury by Accident; $ 100000 Each Accident Bodily Injury by Disease: s 500e00 pailcy Limit Bodily Injury by Disease: s 100000 Each Employee i C. OTHER STATES INSURANCE: Part Thrace of the pe110y applies to the skates, If any,listed here. SEE ENDORSEMENT WC 20 03 06 D. Thle policy includes these endorsernenis and schedules: im SEE LISTING OF ENDORSEMENTS - EXTENSION OF INFO PAGE OCT 4 ,: ...,. A a. The premium for this policy will be determined by our Manuals of Rules,Cdasslficaticns, Dates and RgMng Plans. All required Information is subject to v®rlflcstion and change by audit to be read®ANNUALLY DATE OF ISSUE: 09-27-00 DS ST ASSIGN: MA OFFICE: ORLANDO-RELIANCE 825 PRODUCER: ANDERSON-CUSHING INS AGC 26T3F Dosses