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Home My WebLink About0288 LINCOLN ROAD y f r I I f f i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map / Parcel D73 - Application 604D 6;4 1Zr_C7_ 7 Health Division Date Issued —�� Pp— Conservation Division Application Fee ^ Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Ad ress �� c�G /(� -x Village Owner ✓C �dress Telephoned ✓ �J Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain f Groundwater Overlay Project Valuations 2yy, 011 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.ftl 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:LU Yeses 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 AppealZo orization ❑ Appeal # Recorded ❑ Commercial ❑Yes If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name /�/� �'� /�ffv�� Telephone Number �52 Address � N �i/� License #//2/9 aL'0 Home Improvement Contractor Worker's Compensation lz��a��> ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 4/ c � l� SIGNATURE DATE ho FOR OFFICIAL USE ONLY i APPLICATION# DATE ISSUED MAP PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: r, FOUNDATION } FRAME INSULATION .r FIREPLACE i ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT r ASSOCIATION PLAN NO. r `'. 460 West Main Street HousingHyannis, MA 02601-3698 Tel: (508)771-5400 Fax(508)775-7434) Assistance TTY on all lines Corporation Care Cod �Free"'*w then ate n ! Your tenant has requested and is eligible for weatherization of your rental home through government funding. This will be provided at no cost to you. . Program regulations permit us to spend around $2,500- $7,500 in materials and labor per dwelling unit. Program regulations require Les to weather--.trip and rag slk doors end windows;.insula, te attics, sidewalls and .floors. All work is professionally done by established private contractors. We will conduct a final inspection to make sure that all work is completed to specifications. If you request, you will be informed of the estimated measures before they are done and, provided with a list of the actual measures and costs following the completion of the work. We also-need proof that you own the property. A copy of a CURRENT TAX BILL OR DEED listing you as the owner will satisfy this requirement. Please fill in all blank areas of the enclosed agreement and return with the proof of ownership as soon as possible. If we do not receive the enclosed form within two weeks, we will do a basic energy audit of the home, but no weatherization work can be recommended or done. If you have any questions please call Ruth Bechtold at 508-771-5400, ext. 102. LANDLORD: �� °cE R. Sadder l! TENANT: % u'L 4 email: jo,w y Ccctwn' email: PHONE: (home)��'®� 15S`�' ��9� PHONE: (home)(cell) 5�`>3` r®(3 {cell} `'�-. TENANT/PROPERTY OWNER/AGENCY WEATHERIZATION AGREEMENT 1. The Parties to this Agreement are the following: (hereafter known as Tenant), (print your tenant's name) P%,uid '�. S%DDALL (hereafter known as Property Owner) (print your name) and Housing Assistance Corporation (hereafter known as Agency). In consideration of the mutual promises hereafter stated,the Parties agree as follows: 2. The date of Agency's signature will be the effective date of this Agreement. 3. Property Owner and Tenant consent and agree that the Agency may do the following with respect to the property located at (street,town) unit# , and currently leased or rented to the 9 , - Tenant: c-,Z a) Enter the premises for the purpose of performing a Weatherization inspection. b) Enter the premises to perform Weatherization work which the Agency determines in its discretion is necessary and appropriate as a result of the Agency's inspection of the property and in accordance with the appropriate priority list for the type of dwelling. The Agency and the Agency's contractors may also enter the appropriate common areas of the building for the purpose of accomplishing the Weatherization work. The Agency and representatives of the Commonwealth of Massachusetts,Department of Housing & Community Development (DHCD) may further enter the property to inspect any and all work hereunder. The Agency will provide reasonable notice of the timing of the Weatherization work and inspections. The Weatherization work will be performed in accordance with the Property Owners consent as further specified below: *** INITIAL ONLY ONE OF THE FOLLOWING*** I consent to performance by the Agency and its contractors of any'Weatherization work determined necessary and appropriate by the Agency as a result of its inspection of the property. I understand that the Agency will provide a detailed statement of the actual work performed and the associated value at the completion of work. I will provide a separate consent to performance by the Agency and its contractors of Weatherization work following my receipt of the Agency's inspection report and a statement of the estimated work and associated value. This additional consent will be sent under separate cover as Attachment A. I understand that the Agency will provide a detailed statement of the actual work performed and the associated value at the completion of the work. 4. The Property; Owner urderstands and agrees that any.:and all .work, incluoding related repairs for -which the Property may also be eligible, will be performed at the Agency's discretion. The Agency estimated completion of the Weatherization work by the end of 2013. 5. If the Property Owner is required to make repairs to the property prior to the commencement of Weatherization work by the Agency,the Property Owner will be notified by the Agency and will be required to make the repairs as soon as possible. Except where the Property Owner receives a written extension from the Agency, time is of the essence in the performance of repairs by the Property Owner. 6. The Property Owner and Tenant authorize the Agency to receive a statement from the fuel supplier/utility supplier as to the quantity of fuel/utilities used at the above address in each of the past three years and the future three years. The information is to be used only to determine the cost effectiveness of the Weatherization improvements. 7. The Property Owner agrees that the rent for the dwelling unit will not be raised because of any increase in the value thereof due solely to the Weatherization work performed. 8. In consideration of the Weatherization work hereunder, the Property Owner further agrees that upon the effective date of this Agreement and during a period extending through 201312014, approximately one year from the time the work is completed, a) The present rent $ per month will not be raised for any reason. (The rent amount must be filled in). Heat included in rent?Yes_ Now However,this Paragraph (8a)will be waived by the Agency in writing if, and only if,the premises are leased under a state or federal rent subsidy program, in which case the actual rent charged by the Owner shall conform to the standards of the rent subsidy program. Please state which Housing Subsidy program your tenant is on and through which Agency: b) The Property Owner will not institute any summary process action for possession except in the case of non-payment of rent or other good cause related to the Tenant(or any successor Tenant). c) In the event the Property Owner decides to sell the premises, Property Owner: Shall comply with one of the two requirements below: --The Property Owner shall not sell the premises unless the buyer agrees (with a copy forwarded to the Agency) in writing prior to sale to assume all obligations of the Property Owner set out in this Agreement; or --The Property Owner shall pay the Agency an amount equal to the cost, as certified by the Agency, of the Weatherization materials installed and labor performed in the premises as of the date of sale. Said amount shall be paid to the Agency immediately upon sale. 9. (Applicable only if Tenant's heat is included in rental payment and blanks are filled in) At the end of the period set forth in Paragraph 8 above, the rent shall not be raised more than % per for an additional period of one year, and the provisions of 8b and 8c above shall continue in effect for such period. However, the rent provisions of this Paragraph 9 may be waived by the Agency in writing if, and only if, the premises are leased under a state or federal rent subsidy program, in which case the actual rent charged by the Owner shall conform to the standards of the,rent subsidy program. 10. The Parties agree that the terms of this Agreement are incorporated into any other lease or agreement between the Property Owner and the Tenant, and between the Property Owner and any successor Tenant, and if there is any conflict between the provisions of this Agreement and the provisions of such other lease or agreement, the provisions of this Agreement shall govern. However, if such other lease or agreement, including without limitation a lease or agreement under state or federal rent subsidy program, contains stronger protections for the Tenant, such stronger protections shall apply. 11. For breach of this Agreement by the Property Owner; the Property Owner shall reimburse the Agency in an amount equal to the cost, as. certified by the Agency, of the Weatherization materials installed and labor performed on the premises, as well as attorney's fee and court costs. The Property Owner may also be liable for damages to the Tenant in accordance with applicable law; in such instance, the Property Owner shall reimburse the Tenant for attorney's fees and court costs. Without limiting the foregoing, the Agency may at its option terminate this Agreement;by providing written notice to the Property Owner and Tenant, in the event of breach by the Property Owner or Tenant. 12. Performance'of the Weatherization work hereunder by the Agency is contingent upon the availability of funds to the Agency from the commonwealth of Massachusetts and the federal government, as well as the eligibility of the Tenant under WAP program requirements. The Agency may terminate this Agreement, by providing written notice to the Property Owner and Tenant, if the Agency determines that the unavailability of funds or ineligibility of the Tenant warrants termination., 13. The Parties acknowledge that this Agreement is under seal. It is intended by the Parties that the Tenant or any successor Tenant is the intended beneficiary of the Agreement and shall have a right of enforcement. OKProperty Owner's Signature: Date S • Phone: ? Address: oo-G- f631 Tenant Signature C""Ck VA X2, Date '�-4 J-j k'�, Agency Approved Weatherization Company Co c.y ,S141- ,o,1 _ All Cape Energy / Adam T. Incorporate / Cape Cod Insulation. / ape Save / Frontier Energy Solutions / Lohr& Sons Inc. / Resolution Energy Agency Signature Date t .................__._._... .. ...- Housing App#, ' Include the locations of; Heaters,A/C Units, Water Heaters, Attic Hatches, and Vents Cli Shielded-closely surrounded by other buildings Normal-surrounded by trees/other bldgs Xposed M,.._<. _•".,�w:,�...� „� .,•.>*,� .•� �...r~� n..,�.,�,,., „�,:.-.�wY,>.. >n.>.,>::�.-..�.M�,:r��..:.�:,a�.:,•:,1<.,,,>�-.:. �. �.�,..... �,«�m. ,.�. .�w.:�. ,. ri.Y,:,,..,.., r,:,,� : a,- ...,�,nrr..•,.•�: .,..Y�r _.._.... _... -........._... ---- _ . .._... ...- - _......-._.__.3.--- ..... _..... a- Y... - �•ave r�x 'udxa �m.sxx�s� h x::� -near-..mu -Im�nAh:�- '�zasMt Ir -rvl n �rarnr!; a r�x�.r. - . wnrn. , cfx: .xsL'mnvrmae;x�uYp 5enx�.rnrn. ,� per. .. _-aaL 1 ..nun. mwioMmr-yn. r••r ..rnar�:(.=,.:..vM�l,.v,�..,.�-. _ __._ � _. s.•�nn,.. x.wwa, �rtu.ar 1rvewf�aYxnx� tY� � rt � hT e v r..w F--uyc'.�f _ r.:.l- -L'4Yer4r4:K• _. .r.' 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M9' IR1RL._ Fw pi`,r � _. �Yuw,r:�...w„amxdww.r.�r,�-.rw...+u��•.nx.._,..._....r .. _...,..« ............. ...... ...... _ ....._.. _. a.ea..Yx: rYxY uMrow urrnrer wna_ws_. x saw>. :vnre.�:suuvx:rmx':w+ � t � .,,a>.Bryn. ew�n Mwn — vua:,emwrr�i,eu.�•� � ff _; a.unrrael�+nenna�•._.._•.,« t r —.-- �: y - Massachusetts -Department of Public Safety ` Board of Building Regulations and Standards Construction Supervisor License: CS-100988 HENRY E CASSDO ' 8 SHED ROW s WEST YARMOIPTH k�' @ 92,., tJ--t5for. „ "'' Expiration Commissioner 11111/2015 VO M Mc11t•�< r ic�c U'f[icy. o l:"Consumer Affairs and BUSlness regulation. 10 Park Plaza - Suite S 170 130StO11, MaSSaC}u.ISeM 02116 .H.011112 lniprovement Contractor"1Zegistratiorl Registration 'I 53b6/ •• ype: Private Gor[joiatiwi Expiration: 12/15/ZL)14 ilia 23,1031 i;OD INSULATION, INC 1'1!-_NRY CASSIDY Id' 1-\'EA13DON CIRCL..F YARMOUTH, MA 02664 Update Address anti reckiru card. Marls reasuil fill ehange. Address L I Rencwul �..._I 1?nttlloymcul I I Lust t:ard ., ;! " li'i•;rr Nr,nli r'l-r:r!((•fG t��C::!["[ C.1Jrf t'�!(/.liai�J ,nisuulcr Affairs Business ►tegulatiult License or registratiun vafitl for individul use olily I�ir• it'lUMt.IMPKUVEN1FN'l'CQN("RAC'l'0R liefule the c.epiratiun date. 1f Ibulul return to: 4`r ��ntraUun: 15a51i% TYPe: OfliceutConsumerAltallsan(l Liusiuess Regid tiun ct''a� : fU Park Plaza-Suits 5170 �v f.pirauun: I</I:ti/_U14 Private liustun,MA 02116 Ici i( ;tI",'11 IN t;itil.Lt Lllidcrsecrcla''y 0t v;l It,1010 t ual i'e The Commonwealth of Massachuseats Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Carxiipensution Insurance Affidavit: BuyiidersIContractors/F-Yectricians/I''lumbers Appuca"t Information Please Print Legibly Muni: (liusinessiorganization/Ludividual): Ciry/State/Zi c z Phone 2- 4/- :U*c you bin employ r? Check the appropriate box: Type afprajec>t (required): 1. 1 aril a employer Wi0h.� 1 4. ❑ I am a general contractor and I Ctnployces (full an449e part-time).* ac e).* have hired the sub-contrtors 6 ❑ New construction 1 am a sole proprietor or artner- 2. P P p listed on the attached sheet. 7. .❑ Remodeling❑ ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp, insurance.; 9• ❑ Building addition required:] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions .❑ 1 atn a homeowner doing all work officers have exercised their -1 1.❑ Plumbing repairs or additions myself. (No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] ? c. 152, §1(4),and we have no 3aE 1 am it homeowner acting as a employees. [No workers' 13.MOther f_Z��.� ��2,01 general contractor(refer to #4) comp,insurance required.] 'A-UY applicant that checks box#1 must also fill out the section below showing theirworkers'eompensatioripolicy information. t Humcowncm who submit this affidavit indicating they are doing ail work and then hire outside contractor must submit a new affidavit indicating such. 'Coutrocton that check this box must attached an additional sheet showing the name of the sub-cootnicton and state whether or not those cnutics have culploycca" If the Sub--cony-moon have emplOY-3, they must provide their workem'comp,policy number. . l am an employer that is providing workers'compensation insurance for my employees. $elow is the policy and job site informvYYun. � � lasurancc Company Name: Policy#or Self-ins. Lic. #: Expiration Date: Job Site Address: City/State/Zip: 6 V 4rUN' .attach A copy of the workers' compensation policy declaration page(showing the policy uunx er and expiration date). Failure to 3ecurc,coVCrage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a tine 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 tine of up to S250.00 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 insurdce coverage verification. I do hereby certify/ nder the nd enalties o e u that the information P fp rl ry provided above is true and correct. Date,; ,D� `a.(.iai use only. Do not write in this area, to be completed by city or town ofcial City or Torwu: Perrnit/License# Issuinz Authority(circle one): L BoArd of Health 2, Building Department 3. City/Towa Clerk 4.Electrical Inspector 5. Plumbing Inspector L-6.0ther ct Peraou- Phoae#; f I CAPECOD-27 MYOUNG '��..�....-- �� CERT'IFICAT'E OF LIABILITY INSURANCE DATE,MMIDDIYYYY) 718/2013 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 be endorsed. If SUBROGATION IS WAIVED,sub eectto the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to tho cortiPicato holder in lieu of such endorsement(s). p-RUnucER License#PC-514062 CONTACT_ Margaret Young Rogers X Gray Insurance Agency,Inc. NAME: Mar a FAX- PHONE - -- 434 Rte 134 South Dennis,MA 02660 A DRIESS:mYOUn @rogersgray.corn INSU113 R AFFORDING COVERAGE NAICIt —.-.----------.---....__.-- --_---___-.-- INSURERA:PEERLESS INSURANCE COMPANY _ It.auRu' INSURER B:COMMERCE INSURANCE COMPANY —_ — Cape Cod Insulation,Inc. INSURER C:Evanston Insurance Company — 18 Reardon Circle INSURER D:ATLANTIC CHARTER INSURANCE GROUP _— --------- ...- - .-.. South Yarmouth,MA 02664 ----- INSURERE: r. IN SURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: j -IHI5 IS_TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD '.INDICATED. NOTV41THSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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, 1 EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I �INSR L(g "IYPE OF INSURANCE AtiDL UBR' POLIC EFF POLICY EXP LIMITS j — POLICY NUMBER MMIDDIYYYY MM1gDIYYYY --- GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 ` A X COMMERCIAL GENERAL LIABILITY CBP8263063 4/1/2013 411/2014 DAMAGE-r0 RENTED—PREMISES(Eaocnurence) $ 100,000 CLAIMS-MADE I-XI OCCUR MED EXP(Any one person) _ $ —^— 5,000 PERSONAL&ADV INJURY $ 1,000,000 1 I _ GENERAL AGGREGATE $ 2,000,000 GEN't.AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000 � _ --.—_ POLICY qq - AUTOMOBILE LIABILITY _ - B taBiNqSINGLE LIMIT l - - $ —. 1.-,00-0—,0 00 ANYAUIO 13MMBCKVMK 411/2013 4/1/2014 BODILYINJURY(Per person) $ ALL OWNED X SCHEDULED -- -- — .. AUTOS AUTOS BODILY INJURY(Per accident) $ -- NON-OWNED PR�PERTYGAMAiE j X YiIREDAUTOS X AUTOS ? PER ACCIDENT) I . . ._..._._.... — $ X UMBRELLA LIAB —"TX]-OCCUR EACH OCCURRENCE $ 1,000.000 • I EXCESS LIAB C CLAIMS-MADE XONJ453512 4/1/2013 4/1/2014 T ', _. ... AGGREGATE $ — 1,000,000 __ _ DED LX�_RETENTION$ 10,000 $ - WORKERS COMPENSATION .� V4C STATU- OTH- AND EMPLOYERS'LIABILITY - L D ANY PROPRIETOR/PARINER/EXECUTIVE YIN WCA00525904 6130/2013 6/30/2014 E.L.EACH ACCIDENT $ -- 1,000,00U OFFICERIMEMBER EXCLUDED? u NIA ---- —•-- I (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 It vas,describe under —1 OOO,OOU DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ i I I , ULSCRIP PION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Workers Compensation includes Officers or Proprietors. Adational Insured status is provided under the General Liability when required by written contract or agreement with the Certificate Holder. }} l I CERTIFICATE HOLDER. CANCELLATION { SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cape Cod Insulation,Inc THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. I AUTHORIZED REPRESENTATIVE @ 1988-2010 ACORD CORPORATION. All rights.reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD t