HomeMy WebLinkAbout0280 LINCOLN ROAD o?? o (-2�0Cac/) f,oRt>
ti
C06V66' ' 3s r rt
11/14/14
Thomas Perry, CBO
Town of Barnstable
Building Division
200 Main St
Hyannis, MA 02601
RE: Insulation Permits
Dear Mr. Perry,
This affidavit is to certify that all work completed for insulation work at 280 Lincoln Rd
(application#201309354) has been inspected by a certified Building Performance Institute(BPI)
Inspector.
All work performed meets or exceeds Federal and State requirements.
Sincerely,
Conor McInerney n`
ConserVision Energy --
C15
376 ROUTE 130,SUITE C
SANDWICH,MA 02563
508-833-8384 W W W.CONSERVTODAY.COM
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
TOVIN OF .€IN. {A fir
Map 7--Ay Parcel ol Application #
Health Division j Date Issued/z- P
Conservation Division Application Fee f
Planning Dept. D a ��� Permit Fee
_ f - b
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/Hyannis
Project Street Address Z,%d .►.� e.c��,�� Z a Al
Village % s
Owner Address
Telephone s o 'z c3
Permit Request E_Q'ak &> . Z AZ.os— ' ►�S:a`. \3 !C-��i �� NEE �.�o►��
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation -,00c> Construction Type awg=*
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 'ncluding 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
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name c%2- Telephone Number
Address ",-:k(, \7%o License
Home Improvement Contractor#
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE coinT DATE 1 L�i Z ��j
FOR OFFICIAL USE ONLY
)kPPLICATION#
DATE ISSUED
MAP/PARCEL NO.
_ I
ADDRESS VILLAGE
OWNER f
r DATE OF INSPECTION:
FOUNDATION
:r
FRAME
INSULATION
i FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
•T
k
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
The Commonwealth of Massachusetts
Department of Industrial Accidents
4 Office of Investigations:
I Congress Street,Suite 100
Boston,MA 02114-2017
www massgov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Organization/individual): Con-Serve Energy,-Inc .dba Conservision Energy
Address:376 Route 130
City/State/Zip:Sanclyvich, Ma 02563 Phone#:
Are::you an employer?Check the appropriate box: Type of project(required):
1.❑✓ 1 am a,employer with 8 4. 1 am a general contractor and 1
employees(full and/or.part-time).
have hired the sub-contractors 6. ;New construction
.2. I.am a sole proprietor or partner- These sub-contractors have listed on the attached sheets '7. 0 Remodeling
ship and have no employees, 8. Demolition ,
working for me in any capacity. employees and have workers tluildingaddition
[No workers'comp.insurance comp.insurance.*
required. S. � We area corporation and its 10.0 Electrical repairs or additions
g officers,have exercised their
3,:� I am a homeowner loin all work l LEI Plumbing repairs or,additions
myself.,[No workers'comp: right of exemption per MGL 12.E]Roof repairs:
insurance require.]t c. 152,§1(4),and We have no
employees.[No workers' 1 H Other Weatherization;2013
comp.insurance required.]
*Any applicant that checks box#1:must also fill out the section below show ing'the ir wakers'compensation policy information.
t Homeowners-who submit this affidavit indicating they are doing;all work and then hire outside contractors must submits new affidavit indicating such.
tContractors that check:this box must attached an additional sheet showing the name of the sub-contractors add.staw-Whether on not those entities have
employees. if the.sub-contractor;have employees,they must provide their,Workers'comp.policy numbm
I am an employer tha;is providing workers'compensation insurance for my employees. Below is the,policy and job site
;information.
Insurance Company Name:Selective Insurance Co.ofihe SouthEast
WC7956539
Policy#or Self-ins.tic.#: Expiration Date.3%1412014
Job Site,Addess: 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 imposition of criminalpenalt►es 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 ofthis statement may be.forwarded to the Office'of
Investigations of the DIA.for insurance.coverage verification.
I do hereby rerti .under the ains.•and: enaldes ofperjsiry that.the information provided above-is true and rorrecL
Signature �' _ Date 3 2' 2013
Phone#:508-833-8384
Official use only: Do not write in this area,to be completed by city or town Official
City or Town: Permt/License#
Issuing Authority.(circle one
I.Board of Health 2.Building Department 3.City/Town Clerk 4..Electrical,Inspector 5.Plumbing Inspector,
6.Other
Contact Person: Phone#:
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CONOR D kr»#RNE :
39 mASCOxsE #tvE
«AMo E MA 0»62
491204
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£ wo E MPRo E T CON 2oR
« Registration:,
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m o 02 * m#pm
$mRvE£A ¥
r R me RNA
s o rE ao&uT� b&!SANDWICH,MA#Rae ,
License or-r kA.` .fIndividul use only,
tifo«#e A«gA6 -found return to:
Office aCn mr ff r4#Amm Regulation.
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!%19§wnk Aignature
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CONSENE-01 MVAUGHAN
.4CORJtT
CERTIFICATE OF LIABILITY INSURANCE DA, hN'°°"YY"1
3L26120t3
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE GOES 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: 8 the celHficete holder Is an ADDITIONAL INSURED,the policy(lee)moat be endorsed: N SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement A statement on this eertlfla ate"does not confer rights to the
cerdgcate holder In geu olsuch endomement s
PRODUCER, "rciAME: 'SUate ie,Business Unit" -
RRopmp¢rs&dray Ins.-Dennis Branch PNONE 608 39 87T 816.2156 434Rte 134 8-7980
South Dennis,MA"02660 AWMI s
INSUREWAFFORDING COVERAGE _. Midi:
iNsuRGRAaSelective ins.co:of.the Southeast
INSURED
-:... - ...._ -:... _..
;INSURERB`
Con-Serve Energy,Inc., INSURER C::.
dba CorAoWlsion Energy
507 Main SL wsuriER°:
Hyannis,FAA 42601. INSURER@:
.. ..:INSURER F
COVERAGES CERTIFICATE NUMBER REVISION NUMBER:
THIS IS TO CERTIFY THAT-THE POLR:IES OF INSURANCE LISTED BELOW HAVE-SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING.ANY REQUIREMENT, TERM OR CONDITION OF ANY COATRACT OR OTHER DOCUMENT WITHAESPECT 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 COi+DmONs_OF SUCH POLICIES,LIMITS SHOWN MAY 14AVE BEEN REDUCED BY PAID CLAIMS.
AUM
7YP£OF Uf&1RANCE - _. -.. .-... _.... ...
-. POLICY NUMBER-. _.. :EFF. :LINna
.GENSRALLMBOJIY . : :.._..
�EACHOCCURRENCE. E t,000,O.
A X 820112S9 3H4I2013 3/14/2014`UPWGIETORENTEPREMISES tEa ocarD $ 100,000.
CLAIMS-MADE XD OCCUR trED EXP aw aa,) ; 10,00
._ _..-... PERSONALaPDVINJURY S - -_- 1,000,000 "
.. GENERALAGOREGATE. $ _... 3,006,00,
GEN'LA913REG1TELMIr,APPUESPOt PRODUCTS.-•CbMP%OPAGG.. S. 31000,00
x POGCY LOC; $
AUTOMCMEUOARM .:' _._._. aaoINED LIMR S- 1
ANYAUFO- .BODILYINJURY _
ALL=eo HSCHEMUD _
AUTOS ADIOS'-.._ - BODILYINJUICY(P—Clielu) S
HYtEDAUYOS P RAtx S
_.IE
:`._..
S
mm "LUm OCCUR
EACH OCCURRENCE 5
EXCESSLMe CLA9,1 - -. _. . . .
- :AGGREGATE ... S
DIED
RETENTION S
YY Comp'll QATieN _._..._... _.._. ....__ .... ATU- i OTH• -
�D ENEi ECUTIV YtN C7966639 3114=15 I
i
A ANr 3/14/2014 'eLFACIIacCwEnIT s 600,0�E)OpLUOEpr ... .- INIA ,
~NN) 9.LCISEA.SE-EAEIILCSYE .S 600,00
II NEEEIReuNar.. = -. . --
OF.CAERADONSbdW:.. E.LDISEASE-POLICYtimrr 11 500,00.
DESCRIP7folYOP{7PENATNnIBYLOGTION§/VBYCLFS fAtlatcb - `_-:AODRe/MAddilmN Rana,ta 9gRG„I�,a men ap�ef bifaidwdr ;.
CLUDED OFFICERS UNDER WORKERS COMPENSATION:-CONOR&COURTNEY MCINERNEY"NOTE THAT BLANKET ADDITIONAL INSWREI)
OVERAGE APPLIES TO THE COMMERCIAL GENERAL LIABILITY(IF A:WRITTEN:CONTRACT IS IN PLACE);,
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
RIBA En01n6sring THE EXPIRATION DATE THEREOF, NOTICE WILL BE'DELIVERED UI
1344 Elmwood,AVe. ACCORDANCE WITH THE POLICY PROVISIONS.
Cranston.'Rl 62010
AUTRORMEO REPRESENTATIVE
DUI
0 i9SS-2010 ACORD CORPORATION:AN right*reserved:,
ACORD 25(20'10105) The,ACORD name and logo are registered marks of ACORD-
Federal lb#05.0405629
RISE ENGINEERING RI Contractor.Registration No 8186
A division of Thielsch'Engineering MA Contractor Registration No 120979`
CT Contractor,Registration No 620120
' 1341 Elmwood Avenue,Cranston,RI 02910
(401)784-3700 „ FAX.(_4UL.18-4.710_ _ CONTRACT
z Page 1
.__ I t
C TN PROGRAM
R �. V L � 1�� _ �. { s THIS CONTRACT IS ENTERED INTO BETWEEN RISE
ENCINEERIN6 tit CLC-RCS
'.ENGINEERING'AND THE CUSTOMER FOR WORK AS
... .DESCRIBED BE40W - - .. ...
t NOV _ 247
CUSTOMER ,r+9NONE DATE CfleM
Christine L Arthur (_08)776-8528 10/29/2013' 150616i.1
is
SERVICE STREET - - - .:.BILLING STREET- -
280 Lincoln Road 280 Lincoln Road
SERVICE CITY,STATE,ZIP BILUNG CITY,STATE..ZIP -
Hyannis,MA 02601 Hyannis,MA 02601
JOB DESCRIPTION
Provide labor and materials to seal areas ofyour home against wasteful;excess air leakage. This work will be performed.in concert
with the use of special tools and diagnostic tests to assure that;your home will be.left with a healthful level of air:ekehange and
indoor air quality.Materials to be used toseal your home can include caulks,foams,weatherstripping and other products..Primary
areas for sealing include air leakage to attics,basements,attached garages and other unheated areas(windows are hot generally'
addressed.)-(10)working hours:
At the completion of the weatherization work,and at:no Additional.cost to the homeowner,a final blower door and/or combustion
safety analysis will be conducted by the sub-contractor to,ensure the safety of the.indoor air.quality.
$770,00'
Provide labor and'materials to seal heating and/or cooling ducts within'designated"unheated areas. This work:will be performed at the "-
rate of$75 per man per hour,which includes materials. (4)working hours.
$300 00,
Provide labor and materials-to in"stall.3.5. R-13 faced fiberglass bait insulation to(272)square feet of kneewall area.
$364:.48'
Provide labor and materials to install 21'.F,SK faced semi-rigid'fiberglass`board insulation to(272).square feet of kneewall:.are.a. .
$900'32
Provide laborand materials to install a 12"`layer of R42 Class I Cellulose added to(N4)square feet of open atfic.space:
$29184
Provide laborand materials to install a 15.layer of R-52 Class I Cellulose added to(272)square feet of open attic space.. -
$432.
Provide labor and materials to insulate(2)';back of the kneewall hatch with 2"rigid Therinax board,and seal the,edge ufthe hatch
with weatherstripping.
$85.00
Linear opening will be extended'in the roof to access an area to be insulated. Roofing will-be reinstalled when work is complete..
Cost is for(29)lineal feet of opening beyond the first S feet;
$390.34
A linear opening willbe Makin the roofto access an area to be insulated. Rooting will be reinstalled when work is complete..Cost.
is for the first-5 lineal feet of opening.
$189.97
Provide labor and materials to"install ventilation chutes in(154)rafter bays to maintain air-no
$537.46
Provide labor and materials t0 instill(:0)4"X 16"rectangular aluminum soffit vents to:increase,ventilation iwAttic areas.Specify' - -
661or White.'or Gmy.
1173.46:
Provide labor'and materials to install R-8 faced fiberglass insulation tolhe exposed heating and/or cooling ducts in certain non-
conditioned`ATeas..Total to be installed it(20)square feet.
$65[20
V rob\
5'
OWNER AUTHORIZATION FORM
On
(Owner's Name)
owner of the property located at
(Property Address)
G •,��) I iqj�- U 'vI
(Property Address)
hereby authorize Sl
(Subconactor)
an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building
permit and to perform work on my property.
Owner's Signatu
Date