The URL can be used to link to this page

Home My WebLink About0065 PITCHER'S WAY (c�5�,-1-�h� 1,�7c� --- a,'f !' { CAPEO SAVE Weatherization 508-398-0398 December 14,2011 w Town of Barnstable Thomas Perry CBO Building Commissioner 200 Main St. Hyannis, MA 02601 / RE: Building Permits Dear Mr. Perry, This affidavit is to certify that all work completed for permit application #201101728, Status A, Parcel 289001 at 65 Pitcher's Way,Hyannis, Permit type: RADD, and issued on 4/04/2011 has been inspected by a certified Building Performance Institute (BPI) Inspector. R-38 and R-18 Cellulose insulation was added to the attic. R-18 cellulose was added to the slopes and floor. R-11 and R-19 fiberglass batts were added to the open rafters,walls and kneewalls.Walls were dense packed with R-13 cellulose insulation. Basement sill was insulated with R-19 fiberglass batts. Basement perimeter was wrapped with R-5 reinforced foil and vinyl faced ductwrap.All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey . TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map a 2 9 Parcel 00 1 Application # d 1 Health Division Date Issued Conservation Division Application Fee Planning.Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 65 `+ �ects 4L Village ► T q o(i A I S Owner S+e- P h en 0 f-+k Address s rA e Telephone ? d :7::-7 5 - 3 b ll d Permit Request A ;q 19ee)LoL&se - -n Cep l4"Vlan DaGe arc►`w,��i-�r=J�� '-►�o&_<ca� :Ss " b I 1 -r� Z era Fla. .5 1!2 'Ile Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatior/, D �t a Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family iS 1 Two Family ❑ Multi-Family (# units) Age of Existing Structure � 9 �t ` Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: N 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 Snew First Floor Room Count Heat Type and Fuel: ❑ Gas �a Oil ❑ Electric ❑ Other Gentral Air: ❑Yes W(No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 0 No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new si�z�'e'_ 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 ' I 1"a Proposed Use �� S 4/0-e cal Gad APPLICANT INFORMATION (BUILDER OR HOMEOWNER) g Name �I�Am 1� C �, �(7 e JC�� Telephone Number 508 ` )9 ? " 03 1Q 6 p Address �-c N RAI� f, �Ve License # Home Improvement Contractor# Worker's Compensation # l 930 95 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO rr�oU-I'h SIGNATURE DATE ` 4 F ' FOR OFFICIAL USE ONLY APPLICATION# y C DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER i a DATE OF INSPECTION: ; FOUNDATION i FRAME INSULATION FIREPLACE t ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL i GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ' F y i, a The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia NVorkers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Annlicant Information Please Print LegibIy Name(Business/Organimion/Individual): M(C 14 � i s K 81- CME S�AQ Address: 1,-C_ 14uortN bi Avx- City/State/Zip: )(AAI�t�C�VLTC,� ('[.Y 6LURone#: Ak 3 g Are you an employer?Check the appropriate box: Type of project(required): I.M I am a employer with 4• ❑ I am a general contractor and I employees(full and/or part-time).` have hired the sub-contractors 6. New construction 2.❑ 1 am a sole proprietor or partner- listed on die attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have S. ❑Demolition working for me in any capacity.acitY• employees and have workers' 9. ❑ Building addition [No workers' coMp. insurance comp.insurance.* required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 L❑ 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 q ] employees. [No workers' 13.M Wicr---A510 t c4i on comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they axe 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 have employees. if the sub-contractors have employees,they must provide their workers'comp.policy number. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: ( �6 1 Job Site Address: 0 +Ch ('S City/State/Zip: a(1 t 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 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. I do hereby certify under the pains nd nalties a erjury that the information provided above is true and correct. Si ature: Date: Phone#: S' Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: *� CERTIFICATE OF LIABILITY INSURANCE DA'�1��`DD'"YM 11/1I2o10 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,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 %E CT .. Shannon Sperrazza Risk Strategies Company !PHONE . (781)986-a400 :Fax - -- (781)963-4420 15 Pacella Park Drive ADO ;esperrazz&@risk-strategies.com Suite 240 1 PROpucER D0018476 — Ttandolph MA 02368 _ INSURER(S)AFFORDING COVERAGE "- ---- NAICINSU RED INSURER A:Seneca Specialty Insurance Cc I INSURERS:Keating Group Ins Services Michael McCluskey, DHA: Cape Save .INSURER cChartia Insurance 7 C Huntington Ave INSURER o: _ _ -- INSURER E: South Yarmouth MA 02644 INsuRERF: - — COVERAGES CERTIFICATE NUMBER:CL1011132675 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. NOTMTHSTANDING 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, I EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. BISR' TYPE Of INSURANCE POLICY EFF I POLICY p L7R; POLICY NUMBER MMl D MMIDDIYYYY LIMITS GENERAL LIABILITY �--- j EACH OCCURRENCE $ 11000,000 X COMMERCIAL GENERAL LIABILITY PREMISES(Ee occurrence) $ 50,000 A CLAIMS-MADE $ OCCUR bAG1002606 IO/16/2010'IOf16/2011i MEO EXP(Any TS 10,000 one person) r PERSONAL 6 ADV INJURY - $ 1,000,000 --- !GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: I -` PRO- €_PROrJUCTS-COMP;0P AGG ;$ 1,000,000 X 'POLICY' LOC --- AUTOMOBILE UAMLITY I COMBINED SINGLE LIMIT 6208200 '11/6/2010 ?11/6/2011 I(tee ) ;$ 1,000,000 ANY AUTO I ALL OMIED AUTOS BODILY INJURY(Per person) !$ T X. {BODILY INJURY(Per soadern)`S SCHEDULED AUTOS `__ PROPERTY DAMAGE $ X HIRED AUTOS I i(Per accident) X.`NON-OWNED AUTOS $ i X UMBRELLA UAS i $ OCCUR 1 EACH OCCURRENCE !$ 1,000,000 EXCESS LIAR �+CLAIMSAAAOEf f y AGGREGATE -- $ 11000,000 DEDUCTIBLE H `^RETENTION $ i 023578601 ;10/16/201010/16/2011; $ C i VVORKERBCOMPENSAIM i *chael McCluskey VJCSTATU iOTH-I AND EIAPLOYERS'L{ABIUTY YIN, X'TORY LIMITS' R ANY PROPRIETORIPARTNERIEXECUTIVE ! is excluded from coverage: OFFICER€CAfMBER EXCLUDED? Y ;NIA I ' E.L.EACH ACCIDENT $ 500 Q00 (Menditq in NH) $930951 10/21/2010.10/21/2011' ffyy�egs desabeurder i E.l.DISEASE-EAEMPLOYEd$ 500L00$ DESCR i IPTION Of OPERATIONS below - E.L.DISEASE-POLICY LIMIT $ 5$0 000 i DESCRIPTION OF OPERATIONS€LOCATIONS€VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) issued as evidence of insurance. Contractors-Executive Supervisors or Executive Superintendents. CERTIFICATE HOLDER CANCELLATION (508)790-2425 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Housing Assistance Corp ACCORDANCE W1TH THE POLICY PROVISIONS, Attn: Ruth 460 West Main Street AUTHORIZED REPRESENTATIVE Hyannis, Mh 02601-3698 ?Iichael Christian/MS ACORD 26(2009/09) 01988.2009 ACORD CORPORATION. All rights reserved. INS026(Zr ) The ACORD name and logo are registered marks of ACORD r - Office of Consumer Affails and. Business Regulation 10 Park Plaza- Suite 5170 ...... Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 164432 Type: Supplement Card CAPE SAVE Expiration: 1 0/6120 1 1 WILLIAM MUCCLUSLEY -----......_.._.._..---_... .. ... .. 8201 S. HOURD CT ___.._..... CHAPEL HILL, NC 27516 Update Address and return card.M.1 ark reason for change. Address ' Renewal - Employment : Lost Card .ilv' 2i`G•)tt;?q�%?vrt,%.a-,jr.. L�cL>x:!ft;l.;4+.Z.'• Office of Consumer Affairs&Business Regulation License or registration valid for individui use only ` -.iz_=HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to-.Office of Consumer Affairs and Business Regulation j. R istmtion: 2 .T g 10 Park Plaza 5170 Expiration: t0/8/2G11 Supplement Card Boston,MA 02116 CAPE SAVE WILLIAM MUCCLUSLEY X HUNTING AVE.S.YARMOUTH,MA 02664 Undersecretary IVot va�wlsignature '11X4'%JC fill 1{'f+, - 1?t'It it'i11)ertt f�I l�lll)lii �.titl� €4ffard sit, 11itilrtilit, RVIVrlatiffrt+ .turf �t.Frrcl:rrri� Cs sL 102776 Restnc:ed lo; IC W11L-IAM MC CLUSKY 37 NAUSET ROAD ` WEST YARMOUTH, MA 02673 - 6/2&M13 t .1!!f,,.•.f:,F!, 102776 08f25;20'10 09:23 9193212935 PAGE 01/01 CAPE* ,-SAVE Weatherization 508-3 8-0398 August 22, 2010 To Whom It May Concern: William J. McCluskey is an employee of Cape Save. He is authorized to negotiate contracts and building permits for our.company. Michael IMcCluskey Cape Save—Owner 919-593-5939 cell X Huntington Avenui�,South Yarmouth,MA 036" / 1 Sheet 460 West A'iaii� HOUSING ryannis, I�4A 02601-3698 ASSISTANCE E14ERGY & HOME REPAIR T (508) 771-5400 F (508) 790- ORPORATT_O��J 2 - HOME OWNER WEATHERIZATION WORK PERMIT& FUEL RELEASE: PLEASE FILL OUT AND SIGN THISFORM IF YOU ARE THEAPPLICANT HOMEOWNER. hereby consent to and agreethat weatherization work may be done by the Weatherization Program of H ousing Assistance Corporation ( herein after referred as "Agency")pn the property located at: s T t +QLt4e_S C-L)li Theweatherization work donewill bebased on programmatic prioritiesand availability of funding and it may include all or some of thefollowing measures: Weather-stripping & caulking of windows and doors, insulation of attics, sidervalls& basements, attic and other ventilation measures and possibly replacement of badly deteriorated windows. In consideration of theweatherization work to be done at my home I agreeto thefollowing: 1. I 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 H ousing 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 agrepment as listed and freely give my consent. Home Z447- OwnerSi: ( gnature) Date: �l ; Agent: (signature) Date HAC approved Weatherization Company : a Caliber Building &Remodeling Cape Cod Insulation Cape Save, Creswell Construction Frontier Energy Solutions Lohr& Sons Peter Smith Resolution Energy Rock Solid Construction Sprinkle Home Improvement ;,.a�-I�'�;;-='is{i::rG''.t,;:!-:ua_::Il`,�QRi4.;`•s�}rk .ertilrei.u�r�u..ii�: