The URL can be used to link to this page

Home My WebLink AboutBLD-19-001717 eta 9/w4 o YqR TOWN OF YARMOUTH Building Department BUILDING ?� t0 (508) 398-2231 ext1261 011-.7. y PERMIT NO :BLD-19-001717 PERMIT vs "'•"" • ISSUE DATE :0912112018 JOB WEATHER CARD APPLICANT ;WILLIAM CALLAHAN PERMIT TO : New IAT(LOCATION) [19 WALTHAM CIR,WEST YARMOUTH,MA 02673 I ZONING DISTRICT IR-40 I Bldg.Type: [Residential SUBDIVISION MAP BLOCK LOT 076.150 BUILDING IS TO BE: CONST TYPE V B USE GROUP R-3 REMARKS Repairs-install insulation in existing house(508-279-1110) CONTRACTOR LICENSE CS-095581 Construction Supervisor WILLIAM CALLAHAN • WILLIAM CALLAHAN AREA(SQ FT) 664,115,760. EST COST($) 2100.00 PERMIT FEE($) 35.00 175 Qunicy Shore Drive B81 Quincy, MA 02169 OWNER HUNT TERENCE P BUILDING DEP ADDRESS , 19 WALTHAM CIR a WEST YARMOUTH MA 02673 G PHONE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE APPROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM MINIMUM INSPECTIONS REQUIRED FOR ALL APPROVED PLANS MUST BE RETAINED ON WHERE APPLICABLE SEPARATE CONSTRUCTION WORK 1)FOUNDATIONS OR JOB AND THIS CARD KEPT POSTED UNTIL PERMITS ARE REQUIRED FOR FOOTINGS.2)PRIOR TO COVERING STRUCTURAL FINAL INSPECTION HAS BEEN MADE.WHERE ELECTRICAL PLUMBING/GAS MEMBERS(READY FOR LATH OR FINISH COVERING) A CERTIFICATE OF OCCUPANCY IS AND MECHANICAL 3)FINAL INSPECTION BEFORE OCCUPANCY 4) REQUIRED,SUCH BUILDING SHALL NOT BE INSTALLATIONS. REFER TO DETAILED INSPECTION SCHEDULE OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTIONS APPROVALS OTHER: WORK SHALL NOT PROCEED PERMIT WILL BECOME NULL AND VOID IF INPSECTIONS INDICATED ON THIS CARD UNTIL THE INSPECTOR HAS CONSTRUCTION WORK IS NOT STARTED WITHIN SIX CAN BE ARRANGED FOR BY TELEPHONE APPROVED THE VARIOUS MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED OR WRITTEN NOTIFICATION. STAGES OF CONSTRUCTION AROVF Stephanie Holmgren Office: 508.279.1082 Fax: 508.484.1 c° m EfficientBuildings@9 v� EfficientBuildings.� P.O.Box 246,Bridgewater,MA p232 0007, eb Eff•r Buildir! re rnsulatticient edits Weatherization•Ener9Y A c�� cli 4-Efficient Buil) : `t —.—�,"g' w -a- Outstanding people, Mate i is & R 5%) is • a' ceUse Only 3 of•Y''R o{At.Foy ,a.4Q-f9�/7i1r N 1 $ ,Amount cPermit expires 180 days from 5 I.issue date 3 EXPRESS BUILDING PERMIT APPLIC • TOWN OF YARMOUTH R E E I V E D Yarmouth Building Department 1146 Route 28 CFP 212018 South Yarmouth,MA 02664 io I^1�f�, 4) (508)3 2231 Ext. 1261 auILbpM l S ENTMENT CONSTRUCTION ADDRESS: V W .I . \ to ASSESSOR'S INFORMATION: ap 9,6 Parcel: /Sb -7 / OWNERTe(en( Q Tk M161 (�JaH \ ,l(-� (t / 3&c- 6331 C CTOR. t CtV 1� ,VU.1'V\ PRESENT�,�EAD�� TEL. NAME �\`^'l ,'MAILAIG \ •7 C� ? t{7 TEL.## La2ential 0 Commercial'M\ i Est.Cost of Construction$ HCQ i(7 O'' me Improvement Contractor Lic.# V..J— . Construction Supervisor Lie.# I C 16 q 9 y y Workman's Compensation Insurance: (check one) 0 I am the homeowner 0 I am the sole proprietor ❑ : o Worker's Compensation Insurance '1 O 1�� ,�Q Insurance Company Name: V ' .C I N5 tLtC t)11� -1 4yorker's Comp.Policy#N q �" � -1 1 I WORK TO BE PERFORMED Tent Duration (Fire Retardant Certificate attached?) Wood Stove Siding: #of Squares Replacement windows:# Replacement doors: # Roofing: #of Squares ( )Remove existing*(max.2 layers) Insulation Old Kings Highway/Historic Dist. ( )Replacing like for like Pool �feenci�ng ,( 'The debris will be disposed of at: 173 - O C` ttt�..t_ U C 7V y/ 1 "Qt. )Jcr Location of Facility ' I I declare under penalties 'ury that the statements herein con ' are true and correct to the best of my knowledge and belief I understand that any false answer(s) will be just cause fo emal oron of my license and f rose do Ch.268,Section 1. Applicant's Signature: itSli/ Date: OA.' I Owren Signature(or attachment) Date: / Approved By: Date: Building Official(or designee EMAIL ADDRESS: Zoning District: Historical District: 0 Yes ❑ No Flood Plain Zone: ❑ Yes ❑ No Water Resource Protection District: Within 100 ft,of Wetlands: 0 Yes 0 No 0 Yes 0 No lCommonwealth of Massachusetts ; Construction Supervisor Unre3tricted-Buildings of any use group which contain i -®� Division of Professional Licensure , less than 36,000 cubic feet(991 cubic Board of Building Regulations and Standards meters)of enclosed Construction supervisor I • space. CS-095581 Expires:05/12/2020 : WILLIAM CALLAHAN.%"l>Y l *_-:., . 176 QUINCY SHORE DR"t:. . r-J,�ti' i . 681 y +.� fi H4 OUINCY MA 0217.1- c..71/4Y-1:1:‘"l� Failure to possess a current edition of the Massachusetts :+ : State Building code Is cause for revocation of this license. /� 4.-..-- � For Information about this license Commissioner v""' /� _,__ _ _ Ca8(61T)72T.32g0orvisitwww.massgov/dpt • • Q940 Wpairmnrnt eta 1Pitaildtzckiaela Office of Consumer Affairs and Business Regulation • One Ashburton Place- Suite 1301 • - - _ - Boston, Massachusetts 02108 • Home Improvement Contractor Registration _ Type: Supplement Card Registration: 169944 - EFFICIENT BUILDINGS LLC.. Expiration: 08/18/2019 P.O.BOX 246 • BRIDGEWATER,MA 02324 • • • Update Address and Return Card. SCAT 0 2&1/-0tIT 'Vibe four,wnnnma/4 rib ffewarkesel6 Office of Consumer ea Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYPE:Supplement Card before the expiration date. if found return to: Registration Expiration Office of Consumer Affairs and Business Regulation 169944 08/18/2019 One Ashburton Place-Suite 1391 • EFFICIENT BUILDINGS LW Boston,MA 02108 ELM ,l 0ELM CALLAHAN - `-'�� yp4 . WILLIAM ST ater: BRIDGEWATER,MA 02324 Undersecretary Not valid without signature .4�Q�Ls'�" I ; EFFIBUI-01 OQDS �.-� ERTIFICATE OF LIABILITY INUSURANCE °A'�ma/Darren 03/02/2018 • THIS CERTIFICATE IS ISSUED AS IIA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS; 1 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(5),AUTHORIZED• I REPRESENTATIVE OR PRODUCER, /AND THE CERTIFICATE HOLDER 1 I ' IMPORTANT: If the certificate holder is an ADDIITONAL INSURED,the pollcy(ies)must have ADDITIONAL INSURED provisions or be endorsed.' If fS cBROG,aAe does noON IS tV WAIVED, nED, subject to the terms and con•itions of the policy,certain policies may require an endorsement A statement on' htslto the certificate holder i lieu of such endorsement(s).F ! (PRODUCER /CONTACT AX jRo ers&Gray lnsuranceA aA�f'- g Agency,Inc.Ina IQ34 Rte 136 '' N NN 1_ i..�._.__.._____._-• T ....- .__ South Dennis,MA 02660 (Ng,N --- - . -. ------ ___.(44,,N9/11M)816-2156 I ,,Eiri Bs:mailareae rray,Com- __-, - i INSURER(S)AFFORDING COVERAGE ,i .__ _ .._-_ - .1 NAICS •_ - - - — L .... . _..... . -_ _._.._.- '.-.---- (tisuBERA:Employers Mutual Casual Coma I - INSURFJI _._ _ ' P_nY_ _;41415 _INSURER_B e:National Liability 8 Fire Insurance Compan�i y 122- 005 Efficient Buildings LLC wsungrtc: _ -•"' BPridgewater,x -_..__ ....�____.- MA 02324 LJRER o:_._ _ __ Box Q6 T • u I nsunsR F: COVERAGES CERTIFICATE NUMBER: I ' I REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTEN BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD'; f INDICATED. NOTWITHSTANDING ANY -EQUIREMENT, TERM OR ONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO Vv1ICH THIS! CERTIFICATE MAY BE ISSUED OR MA PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUC POLICIES-UNITS SHOWN/ Y HAVE BEEN REDUCED BY PAID CLAIMS. I Tr: R I TYPE OFINSURANCE --- :A00-SUER, POLICY UMBER ' i POLICYEFP j POLIEY. a I AIX_ i cool4EROIAL GENERAL u4si yv --. •tn,.uw ,.b a IJh$i5 -71 CLAIMS-MADE I,I CCCUR I I I . ; EAOH occueaFIICE _'s 1,000,000 �.-� L.--, 501503118 /09!01/7017 09!01/2018 PAALIAGE TO REITED __ - - I i E:ms§6L'Lgq,-g.•�•SPL.-[$_..._. 600,000 - .. �LJFD FxPy�yuu_. 'L Vis_._.__ 10.090 I ! PERSONAL a gDVINJUtr •s 1,000,000 i GE�JL AGGR-GATE MIT A?eut:p PER I ; y I I � .__ _ ..._ POLICY X 1 qp r I GEN-'.RALAGGRseATE_ I S 2,000,000 ......awl.EOT i X T tot I i I COLiPICPAGG $ 2, ` Ii i Qrr.ER. { j Pgnp;rTS- 000,000 A I_Aumsoau-EwTsltm ---+ I lf- 7 ; ( I 1t./Eaveto R'.91ft $16JGLEt1I9T- • 1,000,0.00 � OAI WNED SCHEDULED I 521833118 ' (0910112017/09/61/2018 encarvtnneY Pyr-e:,ur s__ OVItIE ONLY I X 1 AUTOS �n1�p 1 L r._ '.- I I, I t,PSmy •XLI eN0 oast? , - I I PROPERTY lW L•1AG YY'eh•1 $._ `- L A I X I UIJBRELLA UAS :X 1I ea= ci ' S �_-. E:CESS OAS I �1 .-. I I ' LION(X:(A.RP.EN„OE S-___ 2,000,000 _ _-,_-r cLAuas;;.AOE 5J1803N8 09/01/2017 09/01/2018 r ` CED ,"-X I RETENTION s 70,000 AGGREGATE ($_ .2.000,000 B !WORKERS COMPENSATION ' 1 '— : I -- _. ..... -- 8 ;AND ELIPLOYERS LmINUrt; . I X,PER , IOTH:_ ((M;'YPROPRIETORIP:.RTNER.EXECJTIVE YIN VSWC958971 03102/2018:03!0112019 •_ L;a?- .t,_ _ IQ1ane`aro,ASnNHj EXCLUDED? 1 NIA i EL Bari ACCO:Efr _ $ 600,000 lyes,atony U,uncle: I 1 I I F L CI$e:SE-EA EIJPLOVEF S__ .------- 500,000 'DESCRIPTION QF OPERATIONS!:era ' 1 ' i l •SES •P^,,.JCY LUST 1 s ._ - 500,000 I I II 1 I• DESCRIPTION OF OPERATIONS(LOCATIONS I VEHIC (ACORO tot,Additional R- Sthedu Y ma be tteehed if man space Is required) • I • F('C—ER-T-I_FICATE HOLDER CANCELLATION I I I I I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEISED BEFORE ( RISE Engineering ;THE EXPIRATION DATE THEREOF, NOTICE WILL SE DELIVERED IN 6 Dupont Ave 'ACCORDANCE WITH THE POLICY PRPWIO SNS. I South Yarmouth,MA 02664 AUTHORIZED REPRESENTATIVE --4111 • ACORO 26(2016!03) 7/ __ 1988-2015 ACORD CORPORATION. All rights reserve The ACORD name and Io o are reserved:marks bisACORD . , . The Commonwealth of Massachusetts i =r—=r_.- t _,c, =V Department of Industrial Accidents Congress Suite �. 1= I`c 3 Boston, MA 0210 14-2017 r.*,—,,-.4.- www mass gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMUTING AUTHORITY. Applicant InformationLL1� Please Print Legibly t Name(Business/Organization/Individual): �ia- 1 ,l llI0 Address: — 73 ut , a(Dck City/State/Zip:I ver\IN .. ./ChY)011-,/Phone#: ' t77 -( 11 0 Are yo employer?Cbee(C\th appropriate box: Type of project(required): I. am a employer with I employees(full and/or pan-time).• 7. 0 New construction 2.0 I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 3.0 l am a homeowner doing all work mysel£[No workers'comp.insurance required]t 9. ❑Demolition 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 0 Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 50 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Ro. repairs 'Ruse sub-contractors have employees and have workers'comp.insurance.t Mg ��y71� fi. We are n corporation and its of6ws have exercised their right 14.I. ., ' 14""I' ❑ ghtofexemptionperMGLc. 152,11(4),and we have no employees.[No workers'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 indiraring such, tContracmrs 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. I ant an employer that isproviiding workers'compensation insurance for my employees. Below is the policy and job site information.sancCMA a JN S ( Q 10^-e----- . Insurance Company Name: (,/ !' "` Ct� � Policy#or Self-ins.Lie.#: V9 Ls( pt' �(, 97 I Expiration Date: � /BB) 'X7.1 /�� Job Site Address:/t �) /AA") 1 t( (�C City/State/Zip: C/L --/�7 '� Attach a copy ofthe workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby iterti under tr a pains • • .enables of perjury that the information provided above Ls true and correct Signatur ' / - Date: CO LI /fr ea Phone#: Cie' 2);'—q -11/J 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#: Page 1 of 1 R I S Et CONTRACTOR WORK ORDER ENGINEERING Mass Save®Home Energy Services 5 Dupont Avenue South Yarmouth,MA 02664 Customer Name:Terence Hunt Efficient Buildings LW Email:st..atrick78@hotmail.com 973 Reed Road, Phone:617-365-0331 North Dartmouth,MA,02747 Premise Address:19 Waltham Circle,West Yarmouth,MA 02673 508-279.1110 Project ID:3548305 Applicable Customer Required Actions: Notes: • CO Detector Need to install CO detectors in home Location Measure Description Quantity Unit " Unit Cost Total Cost ATTIC DAMMING-R-38 FIBERGLASS 12 SF $2.46 $29.52 VENTILATION CHUTES 42 each $3.49 $146.58 AIR SEALING 7 hr $80.00 $560.00 WEATHERSTRIP DOOR&ADD SWEEP 1 each $80.00 $80.00 WEATHERSTRIP DOOR 1 each $58.00 $58.00 18"X 24"WOOD GABLE VENT 1 each $123.50 $123.50 VENT FUTURE BATH FAN TO ROOF 1 each $118.75 $118.75 ATTIC FLAT-6"OPEN R-22 CELLULOSE 784 SF $1.32 $1,034.88 Installed Measures Total $2,151.23 WorkOrder Notes Utility Incentive and Customer Share Information Utility Incentive Weatherization incentive $1,089.92 Pre-Weatherization barrier incentive $0.01 Air sealing incentive $698.00 Total Utility Incentive $1,787.93 Customer Share Total Customer Share $363.30 Less Deposit Of $0.00 Customer Share Balance $363.30