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Home My WebLink About1115 PITCHER'S WAY // `.. l�� .��C�� _. [ i _ , i C � � j -- - - ,� .. w O CNOW o Cif n . : m. n Ilk 1� kt, r 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 1115 Pitcher's Way (application#201401466) has been inspected by a certified Building Performance Institute(BPI) Inspector. Ail work performed meets or exceeds federal and State requirements. Sincerely, Conor McInerney -77 ConserVision Energy ~— cc (M NIJ 376 ROUTE 130,SUITE C SANDWICH,MA 02563 508-833-8384 WWW.CONSERVTODAY.COM r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION L40 j '`l � Map ?_,4 3 Parcel -z >% Wlication # 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 a . c.•Ei�.u, g Village .► �. s Owner % w;1 3!h Ea A L. Address \\\: Telephone t`OX- wL b0! Permit Request a- d �..� ` y aT a►�.�. Z. Z C`�.�.••� t.oS b r0 cO Square feet: 1 st floor: existing proposed 2nd floor: existing proposed _Tot9Fnew"`= 75. Zoning District Flood Plain Groundwater Overlay Project Valuation za0o,`° Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: .Single Family it Two Family ❑ Multi-Family (# units) Age of Existing Structure 00A y Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: mull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Vr Basement Unfinished Area (sq.ft) Number of Baths: Full: existing -L. 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: Lt!(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 Telephone Number b o'b Address '%N 6 License # o t' 'o►•.� ..� e..lr.. r--a. wwa ka 3 Home Improvement Contractor# \—+N -t.-S> Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE L r FOR OFFICIAL USE ONLY APPLICATION# C > ` DATE ISSUED y MAP/PARCEL NO. if ADDRESS VILLAGE ` OWNER DATE OF INSPECTION: r FOUNDATION FRAME • INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ` PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ' DATE CLOSED OUT 4 �^` ASSOCIATION PLAN NO. A R C-�/ce�omctrcottriinrt/��('il�rt,;nr�tv'e/1� ItA Office of Consumer Affairs&Business Regulation License or registration valid for individul use only. ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Istratlon: 171251 Type:. Office of Consumer Affairs and Business Regulation iratlon: 3/1/2016 Partnership 10 Park Plaza-Suite 5170 vp 0 Boston,MA 02116 CON-SERVE ENERGY CONOR MCINERNEY 376 ROUTE'130 SUITE"C 4 � y SANDWICH,MA 02563 Undersecretary Not valid without signature Massachusetts -Peparrrneilz of Puat,C Safety: Board of:Building Regulations and Standards License-CSSL 102778 CONOR D MCD14-RKEY , 39 SIASCONSET D1UVEr" SAGAMORE BEACH MA,,02562 e .ter. .. -. .. q €: itotl Crirura�ssanrer 08/19/2014 The Commonwealth of Massachusetts. 1. Print Form Department of Industrial Accidents' Offtee of Investigations I Congress Street,Suite 100 Boston MA 02114-2017 kz 1 V www.tnassgo.v/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Apulicant Information Please Print Legibly Name(Business<organizationftndividual):Con-Serve Energy,Inc dba ConserVision Energy Address:376 Route 130' City/State/Zip:Sandwich;Ma 02563. Phone-#: Are you an employer?Check the appropriate box: Type of project(required): 1.Q✓ 1 am a employer with 8 4..❑ I am a general contractor and 1 employees(full and/or part-time). have hired the sub-contractors 6. ElNew construction: 2.❑ I am a sole proprietor or partner- listed on the attached sheet.. 7. Q Remodeling These sub-contractors have ship and have no employees 8. Q Demolition working for me in any capacity:, employees and have workers' pomp.insurance.+ 9• ❑Building addition. [No workers'comp. insurance P required.] S., ❑ We are a corporation,and its I O.Q Electrical repairs or additions 3.Q 1 am a homeowner doing all work officers have exercised their 1 I.Q Plumbing repairs or additions myself.[No workers'comp.. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152,§1(4),and we have no employees.,[No workers' 132]Other Weatherization 2013 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 are doing all work and then hire outside contractors must submit a new affidavit indicating such. ox tConttactors that check this b 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,etnployees,thcy roust provide their weikers'chimp.policy number. 1 am an employer that is providing workers'compensation insurance for ny employees. Below is the policy and job site: information. Insurance Company Name:Selective Insurance Co.,of the SouthEast Policy#or Self-ins.Lic.#:WC7956539 Expiration Date-3/14/2014 Job Site Address: City/State/Zip:- Attach a copy of the workers'compensation;polley 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$250.00 a day against the.violator. Be advised that a copy of thisstatement may be forwarded to the Office of Investigations of the DIA for insurance`coverage verification: 1 do hereby cerd under the ins and enalties o er'u that the in ormatign provided above is true and correct . Si ` Date 3 2.1, 1 2013 Phone#:508-833-8384 Official use only. Do not write in this area,to be completed by city or town off ciaL City or Town: Permit/License ` Issuing A.uthority(circle one):_.. 1.Board of health 2.Building Department 3.City/Town Clerk.. 4.Electrical Inspector 5.Plumbing Inspector:. 6.Other Contact Persons Phone#: CONSENE-01 MVAUGHAN �cvRv� CERTIFICATE OF LIABILITY INSURANCE 3128,z`""o;" THIS CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS. CERTIFICATE DOER NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE:AFFORDED BY THE POLICIES` BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT.CONSTITUTE A CONTRACT BETWEEN.THE ISSUING iNSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. NPORTANT: If the certificato holder Is 8n ADDITIONAL INSURED,the poitey(les)must be endorsed. U SUBROGATION($WAIVED,subject to the forme and conditions of the polley.cortaln poeclse may'unluire an endorsoment.A statement on this certificate does not confer riEhte to the cortlReateholder HI lieu of such andomoment a. PRODUCER a �- Strata is Business Unit R�ro&Gray Ina.-Dennis Branch Px E ti08 398. 43(Rfo 134 7880 tlo; 877 81S•2168 South Donate,MA 02660 ooaE INSU AFFORGINO COVFRA.DE INSURERA:Selective ins.ca of.the Southeast INSURED - "iNStRIFRBr.. _.. Con-Serve Energy,Inc. iN SURER C::. dbe ConaerVislon Energy, 607 Male SL W SURERD: Hyannis,MA 02M INSUREAEr COVERAGES CERTIFICATE NUMBER 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., NOTVWrMANDING ANY REQUIREMENT,TERM OR CONDITION DF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TOWMICHTHIS CERTIFLCATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOW4 MAY HAVE WEN REDUCED13Y PAID CLAIMS. am Mw L MR MR rpeopI SUROACE PRLRY NUaeHi' LIMITS .. ;. .. . AE►EAAL u'Aeam - EACIIOCSAI✓mENCE A X CONMER LQEN1EMLtUl6anY 2011288 8tI4/�13 3H412014 MM 0MxwLCws 100, CL-M-t1ADE OCCu+ ► DExa ` 'ate S 10.00 PERSON&dAm INJURY , 3 GENER&AGOMMYE 11 3 000,00 oEifLAGCRBaATELWf':APPUESP6l• Prtowlcis-o0E1PlOPAt3�- 3 - 3,000,00. X wucY uocAUMQUILIELIABUTY SINGLE LIMIT _ 3. a - ANYAyrO-: -.BOOILYINJMUWP-*M ALLOV01E0- SCHEDULED. - AU W ALOOS - BOdLYUrJI/iT(P�rmdtleN) S HEiEDAMOS ��'D S -.. _. .: - 3 ,mwocuawe.- OODUR - - 'EACNOCCURROXE 3 - .. A6QtEOA1E- DED - WGRI®taDOYlENMTIDNnSj p.. . A �EMPLOMRs?tueam YIN C78tM838 3HIJ2073 '3/11I2014: t P O'CUJ ,. "VE® NIA EA_ s 600, �' _E.LpSE/SE;EAENPLOYE 3 600,00. n OFFOOPERATMbotor. ._ ELDSEASE-PDUCYUMti S 600.0 I fPTIDN GPaveGt101grwatTloMs1Y�AE8(�tlr:A ACGfn lo4 AdaWmuRen.w Sef,eallr.rmo,s tpm.a..Pr.d/.. --��. OFFICERS UNDER VWWRS COMPENSATION:CONOR a COURTNEY MCW ERNEY"NOTE THAT OLANKET:ADDiTIONAL INSURED COVERAGE APPLIES TO THE COMMERCIAL GENEPAL LIABILITY(IF A WRITTEN CONTRACT IS IN PLACE). CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE: THE EXPIRATION DATE THEREOF, NOTICE VVRL. BE DELIVERED IN:. Rise Engineering, ACCORDANCE VATKTHS POLICY PROYISWNS. 1341 Elmwood Ave:: - CrartsWn,R10410; . AUTHORIZED REPRESERTATNE. - D 1988-2010 ACORD CORPORATIO& AU rights eeserved.: ACORD 26(2010I00): The ACORD name and logo are reglatered marks of ACORD OWNER AUTHORIZATION FORM i� r(�- h (Owner's Name) owner of the property located at (Prop6ity Ad ress) (Property Address) hereby authorize t OC, Subcontractor an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a build g permit and to perform work.on my property. Y wner's Signature Date Assessor's map and lot number .......................................... ^ U f3 4 I v Sewage Permit number .....�17.......................................... = 7 5` — �'S . C/V 0 7 PyOfTHE'tp�y TOWN OF EARNST LE 7/% �z C SYSTEM MUST BE H �NAR39TABLE. i COMPLIANCE ARTICLE ` MAO& " ARTICLE11 STATE aYaMa BUILDING INSPECT ► ARY COD ANDT® 1REGULATIONS. APPLICATION FOR PERMIT TO .... . ...... . .... ............... ........ ... . ...... .... ........................ TYPE OF CONSTRUCTION . ............................................ ..... ..... .../s,2.....19 TO THE INSPECTOR OF BUILDINGS: ' The undersigned hereby applies for a permit according to the following information: Location ..... .r�.Gs...... ...............f.......�`. ........ ...:....T.. IT.! � ................................... Proposed Use .� � � ................ . ... '........................................................................r....................................... Zoning District 1R., Fire District ...... ...... ...............:...'......................................... // .. Name of Owner �� ..J '%tl ` Address ... ... ....... ........ ............................... .. ... ..... Name of Builder . .. � f�.... ddress ............................................................................. . r- Name of Architect ........ .... ....... �-P?/v '.....Address ...................................................................................... Number of Rooms ......... „�..................................................Foundation .....✓ Uo NC o. ....... ............ : ............... Exterior ....,&0. .1-�...... �,/,1/ �0,..1 Roofing .... S.,40.. ...�.............................................. Floors "' �..................................Interior ......: 2c�� .........� Rd2.(...t7./L!....... /. ....................... ..................................... Heating ........ 7� h .............................Plumbing ...........1....... .. i ......................................... Fireplace ...........................y..e ..........................................Approximate Cost ............,-,2. 11.................................. Definitive Plan Approved bl�ll!`y Planning Board ________________________________19--------. Area ....� .. ....CJ.. Diagram of Lot and Building with Dimensions Fees ® .............. SUBJECT TO APPROVAL OF BOARD OF HEALTH In IL 1 . 0� 05 I I hereby agree to conf orm rm to all the Rules and X Regulations of the Town of Barnstable regarding the above construction. ' amm� ,........... .... Cape Investment Trus �3 �03 16390 one story No ................. Permit f r ..............................•:..... " single f.c.. dwelling 1 P , t ers �Vay i Locaion ................................................................ p ......................Hyannis ......................................... Owner cape Investment Trust Type of Construction frame ................................................................................ , • Plot ............................ Lot ..............#.54.............. Permit Granted ..........4ulY...12................19 73 Date of Inspection ,��y/�� i Date Completed `�.................19 PERMIT REFUSED ................................................................ 19 ............................................................................... ............................................................................... f ................................................................................ L ............................................................................... !s Approved ............................................................................... r, ............................................................................... r .Z 70> Parcel 2 6%3 Permit#. H,536 Date Issue Fee o� 5 � Engineering Dept. (3rd floor) House# JJ/,j 191 BARNSrARLE. lei MASS. VY 19 039. TOWN OF BARNSTABLE Building Permit Application TProjectreetAddress . VillageA-r Owners' >' J _^ Address Telephone - — /� Permit Request } First Floor '° square feet Second Floor square feet , Estimated Project Cost $ 00 O. Q,11 v,/ r Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure c) Basement Type: Finished Historic House A10 Unfinished Old King's Highway /y U Number of Baths a No.of Bedrooms Total Room Count(not including baths) ' • First Floor' Heat Type and Fuel % — Central Air Fireplaces �. U v v Garage: Detached AV 0 Other Detached Structures: Pool Al G Attached Barn Al G None Sheds 2f' d Other A/ Builder Information Name =' ✓� ,.,. Telephone Number / `7— 2 f— Address _ �„ License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE, DATEX `7`/G i BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERM NO. DfTE SS D MAP AR EL NO. AADR SS w , VILLAGE OWN DATE F I PECTION: FOU ATION FRAME r INSULATION FIREPLACE ELECTRICAL: ROUGH FINALiN PLUMBING: ROUGH FINAL GAS: ROUGH FINAL �� FINAL BUILDING DATE CLOSED OUT ''_' ASSOCIATION PLAN NO. To Date Time WHIITE YOU RE OUT M of Phone Area Code Number Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT RETURNED YOURPASL Messag cell ICJ Operator �1 AMPAD 23-021-200 SETS JZ] EFFICIENCY® 23-421-400 SETS CARSONLESS The Conintonivealth of Afassachusetts •�i� _-=�:_r Depart»tettl of l»dustrial Accidents ., N Of eeoff lveslfgaUons .w ;. y 600 fi ashitrl ton Street - " .�.. Z. Boston.Mass. 02111 Workers' Compensation Insurance Afftdayit Apnlis��n ntormationi� Please PhIM17;e!vibl�� s f 5� W )t I am a homeowner performing all work myself. 12 1 am a sole proprietor and have no one working"in any capacity 1 am an employer providing workers' compensation for my employees working on this job. cnmp��•n•tme' address: may: phone#• insurance co. policy 0 1 am a sole proprietor,general contracto(, r homeowne (ct le one)and have hired the contractors listed below who have the following workers' compensation polic . company n•tme- •address• city phone#: insurance co olJ a# -- MM company name: address, city phone#• insurance co policy#' :AttarCh additlOnal sllcet if neteS3a :,s••.:r::.y :;<t:, to r�. r* 4_,s = r:rt� ��_:,_777— "".— `+--_.,_ __ ,L....T"'�^�'{'�}ww+.'•w��.�...::_ Failure to secure coverage as required under Section 25A of h1GL 152 can lead to the imposition of criminal penalties of fine up to S1.500.00 and/or one 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. 1 understand that a cope of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do erehr ceh7ifj-under the pains and penalties of pedwy that the information provided abov true and correct i=na X�' Date ` ri V�G �/h .g .� •7'Jzz;.. /Phone# nt name offacial use only do not write in this area to be completed by city or town official city or town: permit/license# riBuilding Department Licensing Board 13 check if immediate response is required �Seleetmen•s Office } �licalth Department s contact person: phone#;. nOther rr (mised IV PJA) The Town of Barnstable Department of Health Safety and Environmental Services BuiIding Division 367 Main street,Hyannis MA 02601 Office: 508 790-6n7 Ralph C.rossen F= 508:775-3344 Building Commtssiol For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,comreraion, 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 contactors,with certain moons, along with other requirements. Type of Work: .2 , a Est Cost c-9 y"7G, a 0 Address of Work: r `¢y A,"I ner.Name: Date of Permit Application: I herein certifv that: Registration is not required for the following reason(s): Work excluded by law _Job under S1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WrM t?NREGISikat= 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 hcrcby apply for a permit as the agent of the owner. Date Contractor name Registration No. ., _ Cf S rlarriG . . .., J ...t ... ... ...a .. . } . .. .._. ....i... ..-.r ....i ....if 1:.i.h-: ... ..1... .. ...... /i: i.... . .l i.. ... ...(:.. .. .. .i. ........ rtl l'1is..l:. .. ..4 . TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE • JOB LOCATION ` ,•v A/;Sim- •_ -Number Street addres Section of town F "HOMEOWNER" Naffie Home phone Work phone PRESENT MAILING ADDRESS % � ClItyl town State Zip code The current exemption for "homeowners" was extended to include owner-occupi dwellings of six units or less and to allow such homeowners to engage an it dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Person(sj who owns a parcel of land on which he/she resides or intends to r side, on which there is, or is intended to be, a one to six family dwellinc attached or detached structures accessory to such use and/or farm structure - A person who constructs more than one home in a two-year period shall not b considered a homeowner. Such "homeowner"• shall submit to the Building Offi on a form acpepiable to the Building Official, that he/she shall be respons for all such work performed under the building permit. (Section 109.1.1) The undersigned "homeowner" assumes .,responsibility for compliance with the Building Code -dad other applicable codes by- laws, rules and regulations. The undersigned "homeowner" _certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requiremen- and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATII APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be requirec to comply with State Building Code Section 127. 0, Construction Control. y HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for which,&- buiidi: permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that Home Owner. engages a person (s) for hire to do such work, that such Home , shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assumi: the responsibilities of a supervisor (see Appendix 0, Rules and Regulati( for . licensing Construction* Supervisors, Section 2.15) . This lack of awa: often results in serious problems, particularly when the Home Owner hire: unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Rome"Owner, i as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities; communities require, as part of the permit application, that the Home 'Owr certify that he/she understands the responsibilities of a supervisor. Or, last page of this issue is a form currently used by several towns. You a care to amend and adopt such a form/certification for use in your communi i