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0170 TIMBER LANE
a 0 iJ r dy P ° Town of BarnstableDE *Permits 1 J �� !' y ReggWatOry Services Fee ro ft !',e�' g 20116 Richard V.Sca1i,Director ``, 4*RNSTAKE Building Division TOWN Tom Perry,CIRO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www-tovaLbamstable.ma_us Office: 508-862-403 8 Pax:508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY nt valid wm*our Redx-Pressvnpnw Map/parcel Number Property Address I ( � 7 r �DdIS" /, / 'Uv Residential Value of Work S_qk 7 Nxmimum fee of Sa5.00 for work under$6000.00 Owner's Name&Addresses, ;� ` /(O Bd� !�✓� > Contractor's Name r1A5� Telephone Number �j - - :> — '�:y Z— Home Improvement Contractor License I(if applicable) 2_ G' gam: r[I Construction Supervisor's License#(if applicable) q 7 CC On I �,,�/ ' O'Workman',Compensation Insurance Check one. ❑ I am a sole proprietor ❑ I an the Homeowner [ I have Worker's Compensation Insurance Insuaance Company Name - Woriman's Comp.Policy it r)'e Q -K�cll<o d Copy of Insurance Compliance CertifiicAe must accompany each permit. Permit Request(check box) [` Re-roof(hurricane nailed)(stripping old shingles) All constuclion debris will be taken to�_ en` �„� ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U Value (maximum 32) of windows T of doors: ❑ Smoke/Carbon Monoxide.detectors 4 floor plans marled with red S and inspections required. Separate Electrical&Fire permits required. *Where r0Virea hmmce of this petmil does aot exempt complianco with other tows depav meat regulations,i.e.Historic,Consavaton,en:. t**Note Property Owner must sip Property Owner Letter ofPermission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required- SIGNATURE: QAW? PS\FORMS\buUdiag 2 . e Revised M215 * Please note that roof prices reflect removal of(1) layer of existing roof unless otherwise indicated in contract. If additional layer or layers are removed additional charges will be assessed. Possible Extra -After the shingles are removed from the roof, we will lift one sheet of plywood to make sure that the insulation is not up against the plywood sheathing preventing ventilation from the eaves to the ridge. If it is, ventilation panels will be installed by; removing the plywood sheathing, installing the panels, turning the plywood over and then re-installing the plywood.. If needed, this would be charged for as an extra at the rate of$6.00 per panel including Materials & Labor. There are 6 Panels per sheet of plywood. Possible Extra -Any rotted'or otherwise deteriorated trim boards, plywood sheathing, lead flashing, or other carpentry needing replacement will be done and charged for as an extra at the rate of$75.00 per hour, plus 20% mark-up materials. FRASER CONSTRUCTION guarantees the labor for LIFETIME of roof. FRASER'CONSTRUCTION guarantees the shingles against Blow-Offs for 15 years. f Please note that all pricing is contingent upon current market pricing. If contract is not accepted within thirty days of date of proposal, change in price may occur due to deviation in material price. Any deviation or alteration from above specification will be executed upon written orders and will.become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our control. Owner should carry necessary insurance upon the above work. We, if not accepted within thirty days may withdraw,this proposal. Work Permit- I �k.— V3,-�n \OS`-- (Sign Name) give Fraser Construction the permission to pull a permit for the work being done at f q3 1 ) 0-1\1 s (Address) FRASER CONSTRUCTION, LLC: Carries Workman's Compensation and Public Liability Insurance on the above work, certificate available upon request. DATE OF ACCEPTANCE: " Homeowner Fraser Construction, LLC - Office oL CO e'A-Ta,,-is azclB-asmess Ragm oaa I4-Park aia✓a.-Slahe 5170 Doston M?-sm has Its 02116 Home Impzor7eneit-Cbn#radar egis �ZcrA TYPe DSA 7c-,err SI,-.aoi ar T a- FRP,S R C ONS t RUCT[ON Co. DE,''.Nt =� RA8=-R P_0. BOX 1845 CO T U-7,NIA C26635 I Ltd—Assdrea=ac'zemzrsa. lcx cnYcr r�=e OiFuea�Cc _ asdb�r �L15oa :a'sae=^�SSoar�iaYorismoiaa?¢searl? &OF. M--Rovsmm Com—,2ACTO4 bLfnxileezajr�iya�3i�r�u re�:ia 1a �oic 1?2030' Tyoa- oP r. �ssn7Bs.�ea_Tie acFoa fl� F.rpua�s-$f2.32�3'[7 934 181�21'I.b.32.'•>-S'aat5l�6 �?S�2 C0�35iRi7C'�ON CO_ �smurD2A03.1:cG. 5C4 AMIN%IMWLANZ 2=futd0(T7-rL MA Q-26S Vs� . : t ME GRANITE STATE INSURANCE COMPANY 13102 0103090-00 WC 009-93-0601 013-82-0915-50 PENN YLVAN P ASER CON8ggT5UCT I ON, LLC Al X 14 COTUIT, MA 02635-2443 An AIG company EXECUTIVE OFFICES: SEE EXTENSION OF IT&) 1. OF THE INFORMATION PAGE - WC990610 175 Water Street I.D#i 0001 0646 MALII#: New York, NY 10038 na MAM WORKERS COMPENSATION AND EMPLOYERS 144 I NG GROUP INCTHE LIABILITY POLICY INFORMATION PAGE SUITE TURNPIKE ROAADD O SOUTHBOROUGH MA 01 2-0000 LIMITED SL I AB I L I TY COMPANY PREVIOUS POLICY NUMBER RENEWAL 009930601 OTHER WORKPLACES NOT SHOWN ABOVE SEE EXTENSION OF ITEM 1. OF THE INFORMATION PAGE- WC990610 ITEM 2 POLICY PERIOD12A1 A.M.standard time at the insured's mailing address FROM 09126/15 TO 09/26116 ITEM 3 A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers Liability Insurance: Part Two of the policy applies to the work in each state listed in item 3A. The limits of our liability under Part Two are: Bodily Injury by Accident S 500,000 each accident Bodily Injury by Disease S 500,000 policy limit Bodily Injury by Disease S_ Soo,000 each employee C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MD ME MI MN MO MS MT NC NE NH NJ NM NV NY OK OR PA RI SC SD TN TX UT VA VT WI WV D. This policy includes these endorsements and schedules: SEE EXTENSION OF ITEM 3.D. OF THE INFORMATION PAGE- WC990612 ITEM The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Premium Basis Rate Per Estimated Classifications Code Number Total Remuneration 5100 OF Re. Premium QAnnual❑3 Year muvc ration ❑X Annual 3 Year SEE EXTENSION OF ITEM 4. OF THE INFORMATION PAGE- WC7754 TAXES/ASSESSMENTS/SURCHARGES EXPENSE CONSTANT(EXCEPT WHERE APPLICABLE BY STATE) MINIMUM PREMIUM $500 MA TOTAL ESTIMATED ANNUAL PREMIUM If indicated below interim adjustments of premium shall be made. Semi-Annually Citarterly Monthly DEPOSIT PREMIUM 08/25/15 PARSIPPANY 82 Issue Date Issuing Office Authorimd Re Presentative ��(ReV d�� WC 00 00 Of A i The Coianro7nv,=*h of-vass¢clrnsetts „ 02 DVarfirrent ofr"irdrrstriaiAcciderrts Office af1rz WMizgatianr. 600 Wasburgtozc, 'f—,et Easton,41A 02111 s•v€ munasygovfdiia Workers' Con pensaffaa%nsm-ance Af fidavit B.mtde��C,�QnfractorsJEfectriciansTh=bers p icam#Infarrm,atim Rease F'riut Le--UY .Name 1� a313ffi�i�t/Gnr7m r7r..i j/r,:< 60O).S7 Address Si Lf PLaae: s repaQ as ernpla;ser?Checktheappropriateba= I.["I ara a employes Aitb /Q_ 4 ❑I am a geue`al c ffmctor and I Type of project(regnixed)= employees(ft,11 amdfcm part-fimej_* havehired•the suTi-=.tractors 6- ❑NewconsEmcioz` 2.❑ I cm a sale proprietor orpartner- �d on.the aft ache d sheet 7_ ❑Remodeligg ship and have no emplayees Thesesub-canfractors have g- ❑Demolifioa 'WnA� for ae III any capaCtty employees andhave rroricers' INO lL olkem,comp-hL%M=e come_ayarano-l 9- ❑BUJI&qg addition required-] 5- ❑ we area a coiporatim and its 10-ED Electrical repairs 3-❑ Iam.anomyounerdaiss?allwork o$ceshaveemrcisedthem 1LI]Piumbing repairs ora,ddid ms s yes [No Worters'camp- Tr#t of MmpEon per MGL is=-ace required-1 i c.152,§In and We have no, L.El Bo of r epa�m employees.[No markers' 13-0 Other co=P-in xanm required.] •dap sap&ate fa:ccoe �Sna:l mast also fiila,rthe sectio¢beIowS�uniag ESesnmskes'�mp��aSaapoticgimmnz ��mevar�zsbo sabmct rIris s�dactiL;r,.zx�;,,.g 8v_y axe•dci�aIE�ss�then hoe auCsde r....e,e-r,,,c TGaamtm6 mst rR Y th€s bOCc cast z[�c&sd sII 9ddiG�11 sheet SIloA7a� ��safim5ra neW a$dsz:[[iadiczn Bach- ®S03T .Ifthesu!-c=maarshaaveera tt,enameofues¢b-crnrtsctars isaiewhethamraattbaseeezieesbac� Plates,sfteyaatrtpmt.�deths zrerbes'rasp.por,cF nt�beL I atu mz erlip�er fieafispra�.za'rtr��carkexs=cantperrsrdian z�asrcrcace,�ar�}emplay� 3eIory is tTterpahcy and,fola S7�R in�ormaiion Insumare,CompanyName: �try4 r�� Job ddres � /wi,i— CbylS4teJ s ��S AEtac7�a2 copy of the Workers`compensatioupolicp decbration Page•(shming the pore y z;umher and.expiragon 3ade}. Failsue to secare coverage as requiredunder Sectf,=25A of MGL c,I5-7 can lead to the imposition of czimimai pen-AIEC of a fiu'up ko SF,�4!}��andlar one- earirttpcisormzeut;as Welt as cit<t1 p in ihe foau of a STOP WORK ORDERand a$ne of D'to$250-Da a dap against the violator_ Be adt}ised that a copy of this st dement=ay.be fx-,warded to the Office of lmvcsEgat ons ofthe DI_-k€orinsucance•coverage verifcation_ I rfa FrQreiiy csr�fy urrds ' s antF,psriaJi�ies pfF�;rn,#Fiat tlts itafanrru#r�rnprae-id¢d abates iR tore and cmFzct $i�atnr 'Date_ r the , Phone;k 5 G y- i-r ?r-2- Z Z O !rid nw aril,. Da mat arritg in&&area;1�7 be cmunFete,d by city grtrnvn a�[ciaF City or Town; Perrm T-,kewe: Tee, Avlboritg(cirdevnee): LBoard.e#$•ealtli 2.Buff'agDepatm—t 3.btyfro—desk 4-Elechicalh=P=1or S.Pb=bingg Imspector 6.Other Comtact Person• p%*ne 9- 6 7�s i assachusarts-3saa-c-anz oz.=..ciicSa'_y Con\rracTion S¢pen•ieur - _icensz:CS-097668 DEAN C FRASER= 1041Wli`V VMW LANE:: " _ EAST FALMOUM-MA.:07 i5 JAG s.fJitF- _ . ;ss;c 06/0712047 �� FF RI S E ►?,t,.,r•„ul'I I,, ,..I,I.,,„n4'r•Ilnu. TOWN OF BARNSTAB E I.i•I I I;Imw'n�:,.�A.•�;npr -GNGINF:ENINC f..r::o•.nm.R,Sr'a;Sciandii"(ile� 1014 'A Pp '3 I M 11• 3 G DIVI 3 51 4 1 April 1. 2014 Thornas Perry_ (J10 Awn uF lame abic. 13uilclin� l�ivi�ic�t? 0.0 Wn Street MA 02001 111SU1'•J601) pc!rn?its Deer Mr" Pcrr\; Ibis al•lidavit iS tci ceQV that <tll %vork completed for insulation work ni 170 timber Lurie has, hecli inspected by a c emiFied 110ding 1400mance Inminac FUN) Inspector. All work. pc fonlied Iricas M' CXCUds Federal Stwe regUiremcrtt. Sincerely Frik Norstheirncr Supervisor of Insiall itie:)n.. BIN ccrtilled Buildin:.�. Analy.�j Profcs ional and Envelope ProIcssi()n;it. RISE I-gWeering, it division 01"l'hiclsch 1. ngineering. Inc, 134 I Elmwood ;\venkic raIIsIon. R,1 021)1 ? � 101 -c., :;�;n ;Ildt..�;,•:'?n'' r,.�ul.'!LI.�-1i: 11122'0 TOWN OF BARNSTABLE)BUILDING PERMIT APPLICATION Map y l Parcel:' ��12 Application # �0 05(00 Health Division Date Issued L Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis -- U1 Project Street Address n 1 _ ( I Village Marstons MillsJ11 Owner Sue Rosa Address sameQy Telephone 508-420--1632 Permit Request air sealing, insulate kneewalls, attic space-, install 2 kneewall space access hatches, insulate the perimeter of the basement ceiling_ I Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 2536 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 0 No Basement Type: ❑ Full ❑ Crawl ❑Walkout 0 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 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 0 No Detached garage: 0 existing 0 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 RISE Engineering Telephone Number 401-784-3700 Address 1341 Elmwood AVe, Cranston, RI 02910 License# 100459 Home Improvement Contractor# 120979 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR DATE l 110 Erik Nerstheimer for RISE s ` FOR OFFICIAL USE ONLY 5� APPLICATION# DATE.ISSUED. MAR PARCEL N0._ ADDRESS VILLAGE OWNER a ' DATE OF INSPECTION: t -'FOUNDATION :. FRAME `INSULATIONJ! FIREPLACE ?� ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r wGAS ROUGH FINAL ;fFINAL BUIEDING c4 :. .DATE CLOSED.OUT } ASSOCIATION PLAN NO S . 3 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, Mass. 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual):_RISE Engineering a division of Thiel ch Engineering Address: 1341 Elmwood Avenue City/State/Zip: Cranston, RI 02910 Phone#: (401)784-3700 or 1-800-422-5365 Are you an employer? Check the appropriate box: Type of project(required): 1. 0 I am an employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part time).* have hired the sub-contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' [No workers'comp.insurance comp.insurance. $ 9. ❑Building addition required] 5.0 We are a corporation and its 10. ❑Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their myself 11. ❑Plumbing repairs or additions y [No workers' comp. right of exemption perm MGL insurance required] t c. 152, § 1(4),and we have no 12. ❑Roof repairs employees. [no workers' 13. N Other Insulate comp.insurance required.] *Any applicant that checks box#1 must,also fill out the section below showing their workers'compensation policy information. tHomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contactors that check this box must attach 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 am an employer that is providing workers'compensation insurance for my employees.Below is the policy and job site information. Insurance Company Name: The Preston Agency Policy#or Self-ins.Lic.#: 3730961-00 Expiration Date: 1/1/11 Job Site Address: I�f r City/State/Zip: 62 A262�_ 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 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 $250.00 a_day against violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certi and the dzi'1ns enalties ofperjury that the information provided above is true and.correct. Si nature: n/ Date: Print Name: Erik Nerstheimer Phone#:(401)784-3700 or 1 800 422 5365 Pxtl3� 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): 1.13oard of Heath 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact person: Phone#: f MOD, CERTIFICATE OF LIABILITY- INSURANCE OP 10 47 DATE(MMIDOrYY(Y) PRODUCER THIEL-1 04/13/10 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Preston Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1350 Division Rd- Suite 303 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR PO Box 8'10 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, East Greenwich RI 02818-0810 Phone: 401-886-8000 Fax:401-885-1700 INSURERS AFFORDING COVERAGE NAIC� INSURED INSURERA: Zurich-American Ins Co. Thielsch Engineering, Inc INSURER 8: A.,z•lc•n Gu•rzntoa c Ll•bl.11ty Thielsch Group Inc.Hi Tech Realty Inc, m INSURER North Aerican Capacity 195 Prances Avenue Craranston RI02910 INSURER0 Hartford Insurance Company [INSURER ' COVERAGES 7HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NA' MEDA80VE FOR THE POLICY PERIOD INDICATED.NOTVVI-IHSTANDING ANY REOUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCUMENrT WITH.RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR t+IAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TOALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IF7SR"}CDD _ LTR INSR TINE OF INSURANCE POLICY NUMBER DATE(MM/OO/YY) DATE( [� LIMITS _ GENERAL LIABILITY EACH OCCURRENCE 1 11000,000 A X COMMERCU+L GENERAL LIA81LITY 3730962-00 04/01/10 01/01/11 MIS PREES(Eaoccurence) s 300,000 CLAIMS MgOE ED OCCUR MEO EX>(Any.one person) A 10,0 0 0 PERSONAL 3AOV INJURY $1,000,000 GENERAL AGGREGATE s 2,0 0 0,0 0 0 GENL AGGREGATE LIMIT APPLIES?ER: PRODUCTS-COMP/OP AGG S 2,0 0 0,0 0 0 POLICY XJECT LOC . AUTOMOBILELIABILIT Emp Ben. 1,000,000 I' COMBINED'SINGLELIMIT S 2,000,000 A X ANY AUTO 37309'63-00 04/01/10 01/01/11 Ea accident) ALL OWNED AUTOS BODILY INJURl' t. SCHC-OULEO AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per acadurd) PROPERTY DAMAGE $ ?Per acciaenl) GARAGE LIABILITY AUTO ONLY-EA ACCIDE14T S ANY AUTO OTFIERTHArI EA.ACC $ AUTO.ONLY: AGG $ EXCESSIUMBRELLALIABILfTY EACH OCCURRENCE S 10,000,000 B X occuR CLAIMS MADE [1MB 9 2 6 3 6 3 7-0 0 0 4/01/10 O T/O 1/11 AGGREGATE S 10,0 0 0,0 0 0 3 DEDUCTIBLE i X RETENTION $10,0 0 0 WORKERS COMPENSATION AND X TWC LIMITS EREIAPLOYERS'LIABILITY A ANY PROPRIETOR/PARTNWEXECUTIVE 3'730961-00 04/01/10 01./01/11. E.L.EACHACCIDE14T $ 1,000,000 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE 1 1,000,000 If yes,describe under SPECIAL PROVISIONS below E.L.OISFItSE-PC�LIC'Y LltrtlT S 1,00 0,0 0 0 OTHER C Professional Liab DVL000026800 04/01/'10 '04/01/11 Prof Liab 2,000,000 D , Leased/Rented Eqp 02UUNTD5678 04/01/10 04/01/11 Equipment 100,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT[SPECIAL PROVSIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION . DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.BUT F.a0LURE TO 00 5o SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER.ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESE V ACORD 25(2001108) IrDACORD CORPORATION 1988 .. -. .:.._ ..--... .. .a,,�.:....__. :.>.,••a".,,.".... .�.:..as....r,:'`!A � u,�• -.e�:-.a...__ �C�}�.�9rC.:;crr � ;_rx:�,. •,px ;,.• L•.s y.e, ..!� .lN: ;U¢t,�•r�;.0 .:.� 1t.�. .{(Fl{ -..^N'7sP:,�t`i 1Ft�. if!. u'=,;+x?�Fiii:c+a. r':,ri;.�� :i: .UriF2',.�i'``?fN.�J(f(`i`rja�:•�;<r'z��:arY._S ys F:h G-.4; '{J;�r1>rj�'oc?',..,1 n P�z ..y,�S'�s 'Yyf1; 'Y_?{lr�l,Iply'�!+?I�,.,e.,1 �o:".fr'y o?TAIE��.�. , �!"! +t. �x�;l AGE 2.. .Y '��� �i.1i�K,. ��s �l;;ti;^)frs;.?�,.j��F.i"? lii z:,y���,e�l1y..e ,k' .P..; t.. s'�' �{xL'tN.. .,,t:_•":?.::��'�:Fw..,3 >�' . p Ln� �I�ISU�.rsi �.. •-"JS`z(" 1 �FP 918t�`c l+tglrlf:'yF�u.Uin�� �t .mvat:f?,tP�.y:•tL:F'%i>54-Y•r�;r.^:, ..... .,.._'........ �;r l .._. �t�k•, �lr� a�'a ...'.� _ _..,sm'1�4.- ..� �....�,,:. A � ,<.,Fi�.�� �N� rt ,r;�u.. ..:. . ,. Also for " RISE Engineering, a divis-ion of Th"ielsch Engineering," Inc. Gaskell Associates.; a division of Thielsch Engineering, Inc. BAL Laboratory; .a division of Thielsch Engineering, Inc. ESS Laboratory, a division of Thiel"sch Engineering, Inc. ALCO Engineering, a divieidn of Thielech Engineering, Inc. Water Management Services, a division of Thielech Engineering, Inc. I i I ' l 91telce o nsumerKi(a4nuWsinaes+sejg1a*t1on O o 10 Park Plaza- Suite 5170 Boston, ssachusetts 02116 Home Improve ontractor Registration _ Registration: 120979 M Type: Supplement Card z W Expiration.: 3/25/2012 THIELSCH ENGINEERING M ERIK NERSTHEIMER 1341 ELMWOOD AVE. � w CRANSTON, RI 02910 �w "lei Update 1y"�¢ Update Address and return card.Mark reason for change. Address Renewal ❑ Employment Lost Card DPS-CAI 0 50M-04/04-G101216 per ✓/z , e 1°iamirrrov>euea(�i a��ac�u�aelta Office of Consumer Affairs&Business Regulation License or registration valid for individuI use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration $79 Type: 10 Park Plaza-Suite 5170 Expira 12 Supplement Card Boston,MA 02116 THIELSCH EN 1,000, ERIK NERSTH 1341 ELMWOOD � — — CRANSTON;RI 029� _'% Undersecretary Not valid without signature r dee 1 OI 1 The Official Vdebsite of the Executive Office of Public Safety and Security (EOPS) Mass.Gov Home Public Safety Department of Public Safety Licensee Complaints License Type Construction Supervisor License 100459 Restriction WS,IC Name Erik Nerstheimer City, State, Zip North Scituate, RI, 02857 Expiration Date 3/28/2012 Status Current No complaints found for this Licensee. Back To Search ✓�ze.i�ammzc�r:ce ✓�GadaczcnuGel�a „ --;•;: �`::.:::��- �-.._._..�..:..__ .. Board of Building Regulatio s and Sta-ndah HOME IMPROVEMENT CO RACTOR I LiCense or reEistration vaFid'for individ1i] use only { before the expiration date. If found return to: r Registrat-iPR;, 120979 Board of Building Regulations and Standards Ezaitati:o:nN3%25/2010 m i. One Ashburton Place R ]3p1 TYP?` �PPiemen and _ >'^t's`t@1i,l4-a 02108 E L S C H ENGINEER.Iu . K NERSTHEIlv1 1 ELMWOOD.AVE aN TON, I Admin.isti:;tcor Not valid without signi,t�;re .�' :.. hitp.-Hdb.state.rna-us/dps/lir,details.asp?tXtSearchLN=C:ST.]nna.,�4 �n 5: ®1✓ ��-` r � V`r NAT-24531 - 1 RISE ENGMERING Federal ID#05-0405629 RI Contractor Registration No 8186 A division of Thielseh Engineering MA Contractor Registration No 120979 CT Contractor Registration No 620120 1341 Elmwood Avenue,Cranston,R102910 /+ (401)784-3700 FAX(401)784-3710 CONTRACT R � � � Page 1 THIS CONTRACT IS ENTERED INTO BETWEEN RISE ENGINEERING AND THE CUSTOMER FOR WORK AS ENGINEERING DESCRIBED BELOW CUSTOMER If( N 0107 PHONE DATE Client Y Sue A Rosa ` G 6 Z UP (508)420-1632 07/21/2010 111220 SERVICE STREET BILLING 9TREET 170 Timber Lane Q 170 Timber Ln SERVICE CRT,STATE,LP BILLING CITY,STATE,LP Marstons Mills,MA 02648 Marstons Mills,MA 02648 JOB DESCRIPTION RISE Engineering will provide labor and materials to seal areas of your 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 exchange and indoor air quality.Materials to be used to seal your home can include caulks,foams,weatherstripping and other products. Primary areas for sealing include air leakage to attics,basements and other unheated areas(windows are not generally addressed.) This work will be performed at the rate of$66 per man per hour,which includes materials and testing. 12 man hours.This measure is available for 100% rebate from the Cape Light Compact. $792.00 RISE Engineering will provide labor and materials to install 2.25"R-10 semi-rigid fiberglass board insulation to 192 square feet of kneewall area. $518.40 RISE Engineering will provide labor and materials to install a I V layer of R-38 Class 1 Cellulose added to 568 square feet of open attic space to the kneewall floors and 1-story attic. $681.60 RISE Engineering will provide labor and materials to insulate the back of the basement door with 2"rigid fiberglass board and seal the door edge with weatherstripping to restrict air leakage. $100.00 RISE Engineering will provide labor and materials to insulate the back of 1 existing kneewall access hatch(es)with 2.5"rigid fiberglass board insulation,and seal the edge of the hatch with weatherstripping. $85.00 RISE Engineering will provide labor and materials to install 2 new,finished plywood,kneewall space access hatches for the front and rear. . Each hatch will be insulated,weatherstripped and held closed by eye hooks. (Wood surfaces will be unfinished. Prime coat and/or paint is not included.) $200.00 RISE Engineering will provide labor and materials to install 8 square feet of missing R-19 faced fiberglass insulation to the perimeter of the basement ceiling at the house sill. $8.80 RISE Engineering will provide labor and materials to frame-in the 2 kneewall access openings so that they will accept new access panels. F RISE ENGINEERING Federal ID#05-W6629 RI Contractor Registration No 8186 A division of Thielsch Engineering MA Contractor Registration No 120979 CT Contractor Registration No 620120 1341 Elmwood Avenue,Cranston,R102910 ._{ (401)784-3700 FAX(401)784-3710 CONTRACT RC Page 2 I V E THIS CONTRACT IS ENTERED INTO BETWEEN RISE ENGINEERING AND THE CUSTOMER FOR WORK AS ENGINEERING DESCRIBED BELOW CUSTOMER PHONE DATE Client# Sue A Rosa (508)420-1632 07/21/2010 111220 SERVICE STREET BILLING STREET 170 Timber Lane 170 Timber Ln SERVICE CITY,STATE,LP BILLING CITY,STATE,LP Marston Mills,MA 02648 Marstons Mills,MA 02W JOB DESCRIPTION $150.00 RISE Engineering will apply all applicable,eligible incentives to this contract. You will be billed only the Net amount. Currently,for eligible measures,the Cape Light Compact offers 75%incentive,not to exceed$2,000 per calander year. -$2,099.85 I I I WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Four Hundred Thirty-Five&951100 Dollars C$43�.�9 UPON FINAL INSPECTION AND APPROVAL BY RISE ENGINEERING.CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL.INTEREST OF i%WILL BE CHARGED MONTHLY ON ANY UNPAID BALANCE AFTER 30 DAYS.SEE REVERSE FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND CONTRACTOR REGISTRATION, DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES• . AUTHORIZED SI TURE-RISE ENGINEERINGI I CUSTOMER ACCEPTANCE I ' NOTE:THIS CONTRACT MAY BE WITHDRAWN BY Us IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE ., \ 3 t'f ACCEPTANCE OF CONTRACT-THE ABOVE PRICES,SPECIFICATIONS AND CONDITIONS ARE V SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO DO THE WORK DAYS. AS SPECIFIED.PAYMENT WILL BE MADE AS OUTLINED ABOVE fJ cc 13 5-3 P�pFIHETOwti Town of Barnstable Permit# Expires 6 rnonths fro site date ♦ r Regulatory Services Fee BARNSrABLE, i 9� b S. `0$ Thomas F. Geiler,Director AlE p�y a Building Division , Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstab le.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY p /1 Not Valid without Red X-Press Imprint Map/parcel Number r 1 © LOT �� 1 �\ Property Address 1 '7 L -J �O i ,M��i�7 TA Residential Value of Work y ©—�p47J Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address A�J'ty f2.SA �U t� (36 2 L—A-�G Contractor's Name ��1ay�G- �T Z C,J=—rt'k-S Telephone Number Home Improvement Contractor License#(if applicable) H (.3 Construction Supervisor's License#(if applicable) 1 8 U ❑Workman's Compensation Insurance Check one: MAR 3 o 2010 I am a sole proprietor I am the Homeowner TOWN OF BARNSTABLE ❑ I have Worker's Compensation Insurance Insurance Company Name /f� /4xr io Workman's Comp.Policy# 450 l CC # Q,S "72 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum .44)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. 'Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Impr vement Contractors License & Construction Supervisors License is re fired. ;7 SIGNATURE: Q:\WPFILES\FORMS\bpildin permit forms\EX RESS.doc Revised 090809 The Commonwealth of Massachusetts Department of Industrial Accidents 51)* Office of Investigations 600 Washington Street r Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: ]Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lep_ibly Name (Business/Organization/Individual): L U ��'� ��S j -�G."T r Address: `7 City/State/Zip: Phone #: g� Z U S 1 - Are you an employer? Check the appropriate box: Type of project(required): 1.❑ 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 2.0 I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition workingfor me in an capacity. employees and have workers' Y9. ❑ Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions _ exemption.__._T.myself,-[No workers.'_com ;_...,__�,,,_.,., rig p right of tion p er MGL p .._.. .... T___.__ _ .,...12.D.Roof..repairs ._---- ... . insurance required.] t c. 152, §1(4), and we have n_o employees. [No workers' 13.❑ Other 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. $Contractors 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 am an employer that isproviding workers'compensation insurance for any employees. Below is thepolicy andjob site information. Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: 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 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 cer fy under t ains and a 'es of perjury that the information provided above is tr a and correct. Si nahtr Date: Z 7 �� Phone# 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workeis compensation insurance:If an LLC or I I P'does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need'only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may'be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 4-24-07 www.mass.gov/dia OFIKE rof, Town of Barnstable Regulatory Services v BARNSTABLE ` Thomas F. Geiler,Director 039.iA Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize .I/ C-g Vi C- Lo '� s - to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If PropeM Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. QTORMS:OWNERPERM ISSION Town of Barnstable o� Regulatory Services " Thomas F. Geiler,Director t3wttrtsTasLe, Mass. i639• ��� ]Building Division rfD MA't A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 ------------------ HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor.,On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORM S\homeexempt.DOC j Massachusetts- Department of Public Safeth Board of Building Regu lations and Stand;u d5 Construction Supervisor License License: cs 77800 Restricted.to: 00 WAYNE T LOFTUS 78 ARROWHEAD DR HYANNIS, MA 02601 ' St Expiration: 6/27/2010 ('ummi�siuncr Tr#: 25208 Booara rBui mg egulatiofiS aq tan HOME IMPROVEMENT CONTRACTOR '. Registrar n: 132463 l _ E.xpiraati n=-2/8/2011 Tr# 279429 JypeOB y LOFTUS CONSTRUCTION WAYNE LOFTUS i 78 Arrow Head Dn'Se Q.a...� �4 ..'Hyannis, MA 02601 '`'`tl Administritor 1 . for individut use License or registration validt f found retur7ards before the expiration da Board of Building Regulations and Stand One Ashburton Place Rm 1301 Boston,Ma.02108 t valid W� out signature i Town of Barnstable *Permit# 9/250 Expires 6 months from issue date Regulatory Services Fee Thomas F.Geiler,Director Building Division PS$ PERM Tom Perry,CBO, Building Commissioner �T 200 Main Street,Hyannis,MA 02601 APR 0 4 2006 www.town.bamstable.ma.us Office: 508-862-4038. TOWIvW#A N 2ALE EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 3 Property Address ) _ VVl 1�2e t/ Y1 1 1 ( t 1 t I L 0-Kesidential Value of Work .13, 0 U b Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address S(2 e 4 4 SCc o im &r L a ,e. Contractor's Name 46+ 1914- H'nta C�e.jlj)j&I —Telephone Number —6 7 �Z- Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) Workman's Compensation Insurance Check one: ❑ I am a sole proprietor _ ❑ I am the Homeowner E —Ifiiave Worker's Compensation Insurance �J Insurance Company Name X p(I). jf&dg,� i ��(re Workman's Comp.Policy# /_ 6 / 13 �. Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side Replacement Windows. U-Value (maximum.44) A o s-{-V�-LYC �. CukaAziej *Where required: Issuance of this permit does not exentpt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement-Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise071405 Town of Barnstable Regulatory Services • r BARNSTAB a MASS. Thomas F.Geiler,Director ArEDrA�O�' Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, S l3 In 1/'\ ,L ,as Owner of the subject property hereby authorize �CR��l t e. � 1 ,�jr , to act on my behalf, in all matters relative to work authorized by this building permit application for: (Addreis o-f Job) -3 -3y—Z) Signature of ner Date I Print ame Q:FORM&O WNERPERMISSION f Mar 1G OG 08: 43p Dantla Mahota 7743230034 p. 5 HOME IMPROVEMENT CONTRACT Sold,Furnished and Installed by: ' Branch Name: Woo Date: THD At-Home Services,Inc. d/b/a The Home Depot At-Home Services � 345A-Greenwood Street,Worcester,MA 01607 Branch Number: 1 Job#: Toll Free(800)657-5182; Fax:508-756-2859 2 2 -3 Federal ID#75-2698460 ME Lic#C 02439 RI Cont.Lic#16427 CT Lic#565522; MA Home Improvement Contractor Reg.N126893 Installation Address: n 71c.r ! �► S fog City State Zip Purchase s: Last 4 Digits of Driver's Lic.#&Ex Mo/Yr: Work Phone: Home Phone: Home Address: tJ l R (If different from Installation Address) City State Zip E-mail Address(to receive updates and promotions from The Home Depot): �PC Pro iect Information: I/We/You("Purchaser"),the owners of the property located at the above installation address,offer to contract with Home Depot U.S.A.,Inc.("Home D pot")to furnish,deliver and arrange for the installation of all materials as described on the attached Spec Sheet ar; ,incorporated herein by reference and made a part hereof. Home Depot resen•es the right to cancel this contract if,upon re-inspection of the job, Home Depot determines that it cannot per'forin its obligations due to a structural problem with the home, pricing errors or because work required to complete the job was not included in the Spec Sheet or Contract. DEPOSIT PAYMENT OPTIONS (Subjecl to lund:verification aud;or credit appruval.) I. Check,Cashiers Chock or US postal Serviec Money Order CONTRACT AMOUNT $��.6h (Made payable to The Ilome Depot). "LESS DEPOSIT S 'If 2. Credit Card°andior other payment options-Circle One Below Visa MasterCard Discover American Fxpres, BALANCE DUE 'I'lie Ilome Impmvement Loan the[[emu Depot Crrdil Cani. j ON COMPLETION $ S ' ❑ New Account ) :xisNng Account (HIL&HUCC ONLY) "Minimum 25%or Contract Amount due upon execution Available Credit:$�5 (IIIL&HDCC ONLY) f this contract. )) �,( �y� �v, Acct#:U G!J� "'�_�c!� j—Exp.D;ac: Indicate Payment Method For lame as it appears on card: 4e A, 126n BALANCE DUE ON COMPLETION: 113y my/our signature below,Uwe agree to allow Home Dcpot to charge the above referenced cralil card for the deposit indicated. C holder's Signature Date Q� HIL or HDCC Authorization Codes Deposit Final Pavment Purchaser agrees that, immediately upon satisfactory completion of the work, Purchaser will execute a Completion Certificate and pay any balance due. Purchaser also agrees to be jointly and severally obligated and liable hereunder. Entire Agreement: This agreement and its attachments, including any financing agreement, contain the complete agreement between the parties and can nod be amended or modified unless in writing in a separate agreement signed by both parties. _ - NOTICE TO PURCHASER Do not sign this contract before you reud it. You are entitled to a completely filled-in copy of the contract at the time you sign. Keep it to protect your rights. Do not sign a Completion Certificate before this project is complete. Law prohibits home repair contractors from requesting or accepting a Completion Certificate signed by the owner prior to the actual completion of the work to be performed under the contract. You may cancel this transaction at any time prior to midnight of the third business day after the date of this contract. See Notice of Cancellation for an explanation of this right. There will be a service charge equal to 25% of the contract amount it the job is cancelled by Purchaser AFTER the third business day. BY MY/OUR SIGNATURE BELOW,I/WE AGREE TO BE BOUND BY THE TERMS OF THIS CONTRACT. IAWE ACKNOWLEDGE RECEIPT OF A COPY OF THIS CONTRACT AND TWO COMPLETED COPIES OF THE NOTICE OF CANCELLATION. BY MY/OUR SIGNATURE BELOW, I/WE UNDERSTAND THAT THE AGREEMENT IS SUBJECT TO REVIEW OF MWOUR CREDIT HISTORY ARID VWE 4UVIORIZE IIOME DEPOT TO VL'RIFY AND REVIEW MY/OUR CREDIT RECORD WITH AN INDEPENDENT CREDIT qRE -7 .AGENCY AND RELEASE THEM FROM ALL LIABILITY INCURRED FROM r, .. .. ..... ..... ....,...........,...., ......�... ..� .. �..... I a License or registration valid for individul use only ✓ �O"'""°�"`eC�Cf06 ' Board of Building i ations tandards before the expiration date. If found.etdrn foc '' g Board of Building Regulations and Standards HOME IMP EMENT CONTRAC R One Ashburton Place Rm 1301 gs Boston,Ma.02108 Expiration: .8/3/2006 ;Type: Supplement Car THE Home Depot `} •. ����i�.�wL(.��. • JRMES MARTINI �_ '•:"' . 320 Not valid without signature j 0 COBB GALLERIA PKWY'#20 � atIANTA,GA 30339 Administrator ,�''"`'• TOWN OF BARNSTABLE 19895 1/13/78 Permit No. _ --- Building Inspector »n.0 cash __ --- � rua OCCUPANCY PERMIT Bond ___N/A No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to R. Arthur Williams Address Marstons Mills lot #40 170 Timber Lane, Marstons Mills p Wiring Inspector / �- Inspection date Plumbing inspector (-rJ7�� Inspection date as Inspector Cl _ Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. 11 17—A » ..... .. ............ ........ .... �� `Building in L t TOWN OF BARNSTABLE �j �.•`°.�y,�e Permit No. ---------------------- { VAUf7xAU Building Inspector a"*. Cash —__^--- ,°70• �0KIN OCCUPANCY PERMIT Bond No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to 13. i rtllur 1.13.11ima Address %aratono 1! llo . lot 040 170 Timbcr Lang, Yaratonu 11,U11s .4 _ Wiring Inspector ` Inspection date r Plumbing Inspector r \ �� Inspection date Gas Inspector � Inspection date Engineering Department Inspection date THIS PERIVIIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. 1..`..!'�'.ff........... is it, .f�. . ...........Building...Inspector ...... . _....._.. r � �o G,arrrsart� csr�l��� . r.�d l►..�( 1~l.�o�,c/ z l 1 b +� 3 • 33 0 G•P•U. � �� C r�tC TAr.ttC = 33p� Ir7C %. �S 6•PD. �� �L� t c>oc� say:. -7,3� 1 .,�wALI- AMEA. = tst> F. 1 ISo svr •c -,Z.s C�o sue. Tc ,a L ESiGtJ z Q?_5 G p� Fin. T Torn t_ mat�.�f Fl1�w = 33p 6.>?I�• Q � � f �' � � 4bo� GEfLG�i-r,'T-IOtJ C2QTE CIU Iml Q* o2 LEYs. ICOO - TA / �, Gam ex .• t w r �, ��}4+,f^f.,!i'►t^t � L•' C .�; Fi1�Ai� `T7` /�S /4 A. ill. PG n � / `60 , " it /"1 • kp Silty`' Pwt)o IL Ioo.o " b •'Gjae= / .Tu4�1�' 4 t_ Z r�Pl9 Z�ly-r. IW. GA . "Box qbS sepnc AAtP-P twv. I T-AhIK GtJa� GAL. vkN 0 WAS&1EiD STO�.I� d CEQTt�tEL7 pLbT PL./sl�l LOCATIo" STGuS M ILL 5 ' _/4' ►�o Sca.�.�- cAI_ S 00T60 bn.TC ( ct 18 No WA 7M Gt; I cuiz-rti=� -N-tAr TI-AG ►.,�b.P��J 5uo\.v►.y .�� R�r--�.�zE vjlr1 A TWA �jI D� t_I►-tom �,,�-?T- . 4 ,51,At� '�E'T-L>AG1� �'C-(ac�ir~ir� uTS O}= -r►�C „A-tiJ �CX,IC 24"? PacE Prs�rc iuc. QC;T U1..i OS'TEL'�/lL_l.Is o tiC�LS i• �'t-�15 t7t_At-I t E'�ASC-C? r 4J ` � l,(4-;( -JAA =�Ji 'ic)�_\ t! 1i '�IdGt:1lT� A}7{'✓1_tC_A.! JT_ e . WILLIAH-5 �t:•c' I�;t: u• c;, rc, ur-_rtr`t�Ml•"�c= �_U-r' t_II.�,�•� __---. _ ---•---. f Full .Cape with ell 1. i t +.-_"" ' _ '" �•*' I ' rrT+^4 Q P J - ,` Standard Features • 2 Bedrooms - 1 Bath •-tfinished upper level. [ Q•a(�..� I • G.E.Dishwasher,Range,and Hood �coi2mn with Fan - all with G.E. Factory . Service. • Custom pine kitchen cabinets with BUILDER choice of color and hardware. i� gr R.ARTHUR WILLIAMS, INC. • Breakfast bar. P.O. Box 55 • Stainless steel sink with spray. Morstons Mills,Mass. 02648 • Forced warm-air heat. t�y e:/ SECOND FLOOR PLAN Telephone 428-5717 • Wall to wall carpeting - choice of l colors. �- • Deck. • Landscaping. • Storm windows and screens. U • ! ooee q. 1 - _ �`T`��M �1N1"�� • Shutters - choice of color. wa I • s. F,r 'eo--)4T•Pr 1eev Full basement with bulkhead. • Washer and dryer connections. • One piece fiberglass tub-shower combination. • One piece sink with vanity. FIRST FLOOR PLAN Options 32' x 24' Cape w/12' ell SepRte0-} L--ic, R�ti • Co le upper _with.two -' n'•m _14°�u�_ _ _ --- - — bedroo d� full bath. • Fir ce. �'.'.: .:� • arage. Ae� Ail J !or", dam•, J /o NNE (�(//.NG✓m d.L� s. �e rcw� i Assessee's map and •lot number .../.. g."-.��..Z............... SEPTIC SYSTEM MUST BE .1 0� g fti l z INSTALLED IN COMPLIANCE a _ Sewage •Permit number ......... ......... WITH ARTICLE II STATE SANITARY CODE AND TOWN TOWN OF 'BARN ' `J ' ' E C�tME TO�_ cy (O�Qb w a Y t BARi!TADLE�•i :� 9 "b q y Y BUILDING INSPECTOR APPLICATION V-FOR FERMI TYPE OF CONSTRUCTION TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......�..............��....`. .�F...........1././L.. .......................... ..k ......7lf;�Xi."....../..1,pN..�.,....................... ProposedUse ...............f.!v .... ,r� �/..1`..................................................................................................................... Zoning District ....... .. .................:..........................Fire District ..Co..e7rP)X1,/.e.... .s.f..G�'.wi�4.!��..... Name of Owner ....,�.. /.7f..:/.fa..Crzn...k/..�Xt---,;��.c 5.....Address .......... ............................... Name of Builder .� i►cri'.1//✓.��1�+.rs� ....Aze-,...Address ...........,L.-,.EN..<. 't"t..!'ll ..................................... Nameof Architect ..............,�.1<0. ..^..............................Address .................................................................................... Number of Rooms .......... ..........................................Foundation ......1P...... ...c. r 1r7 ............. Exierior 3.!'.�c .... 1,/Lill? 1�7....J.,/Cll.s��........Roofing ........cr�. . ...�. . ..��?./6���,� ........................... % �'..t..t..�!?�.!T.Interior .........�/--........ '�Y Floors �i.�/-Qc? ......T...tiilAf— .. . /cs.aa.//................................... Heating .... /.. ......''-:...&.)11 .... .. .i 4 t..........................Plumbin g ........ow.e...... A ..Fireplace ......... .u.,t1.G.........................................................Approximate. Cost ......... ...cb................................... Definitive Plan Approved by Planning Board ------------__-__------------19_______. Area ...c�f.° Q.. Diagram of Lot and Building with Dimensions Fee -�+ /...... ........ ............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH i I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ' JT. Name .eyr:... . .F:.�. .. f.............. Williams, R. Arthur a 19895 1 1/2 story f • - - No ................. Permit"for .................................... _ single'-family 'dwelling 1 ............................................... .......... f - Location 170NZimber Lane y t' Harstons Hills Owner R.... hur Williams... -_ .......... A l Type rame ' Pe of Construction ...........f.................�............. ......................... ............................. ................. ,.! �; �' e 't Plot ............................. Lot .....................4.. ............ _ Permit Granted........Januarl► 13 /19 78 a ti Tr - ; Date of Inspection ...................................:19 Date Completed .......... l! ..19 c PERMIT;REFUSED � .....�.�....... . ..,. ............................:� Vry+� � � t , .... -�.... ,. ...... .............. .ry. i F •..... •........• ......j..S..F>.'...... ............. ............ ` . 4� Y .� 1 ?A p .... ......... r ,r, F :...... ........................0................... .............r , ............................... ........................................`..°. ; Assesso"r's map'and lot number >P .. ..l.? ................ Sewage Permit ,number. ......................J z.......,....................... °f`"ET°� TOWN OF' BARNSTABLE Z ARISTADLE, i °moo aY��e`� BUILDING INSPECTOR u FOR PERMIT TO / ............................................................... ........................ APPLICATION . .. .TYPE OF CONSTRUCTION /�J �,� ...f. .......19.7 TO THE INSPECTOR OF BUILDINGS: The -undersigned hereby applies for �a., permit according to the following information:. Location Location ' ��._. '��Fs� /� !/ Y'� +n � r�......�../z�i/r n�'",, �!. -....................... ................. ...... ..:...................`.........l.�.........f, ......... Proposed Use ��i���;�� Jtr,�/A./.................. .............e....�................ / ..........:............................................................,......................... Zoning District �/° P� �............................................Fire District ...........................:. R° / J< !rr ui l t Name of Owner ...., '•,/ -i , .....Address ........../1&.-. Name of Builder J`?'C./. :..•,r...��+ / ,.�s.... ��!.��.......Address e.! vw ..................................... . Nameof Architect ............... ..........................,Address ................................................................ Number of Rooms ............ .........................................Foundation ....../d e � r/... +gi p Exterior .... �Ja/G! .�r!?t'7 .:..?.��+i! s?C�.......Roofing ..:......��� ��Sr � �. .Fd•�• ........:................ ......... r.. ° nn /' Floors 1... '? �,w.�....... &fs /�.p!*iT7.Interior �J/� !!p ia• ................................... Heating. .........................Plumbing iV 0.................................................. Fireplace ..................Approximat'e Cost Definitive Plan Approved by Planning Board -----------_______-----_------19_______. Area .................... r Diagram of Lot and Building with Dimensions Fee ......2 1,74.. .......................:..... SUBJECT TO APPROVAL OF BOARD OF HEALTH r I hereby agree to conform to all the Rules and Regulations of the Town_ of Barnstable regarding the above construction. Name .A%4.... / r ,A �/� �� �.e�l.............. Williams, B. Arthur A=149-63 I' 19895 1 1/2 story s' • No ................. Permit .................................... single family dwelling ................................................................. .......... Location 170 Timber Lane .......... .�J. Marstons Mills Owner .......R.....Arthur. . ..Williams... . .... . ...... ......... . Type of Construction frame ................................................................................ #40 Plot ..........................:. Lot ................................ Permit Granted ,........Jantay..13 ...........19 78 Date of Inspection ....................................19 Date Completed ......................................19 S PERMIT REFUSED ........ ....................... ............... 19 .� ..... 41)1 ......................... ....................`..... ... ...... . .. ...... Approved ................................................ 19 ............. ........................................................ RENEY BROTHERS, INC. THIS IS A TAPE SURVEY, NOT AN INSTRUMENT SURVEY. DO NOT USE THIS PLOT PLAN TO ERECT =NGINEERS $ SURV4YORS FENCES, SHRUBBERY OR ANCILLARY STRUCTURES. FOR BANK MORTGAGE PURPOSES ONLY .g I' C.. BOX 434 WORCESTER, MASS. 01613 NAME - �- � - ---�" - "� --�'�,{Q'- •• • LOCATION ..---•��O_ '/_�7J :G�-- - ��- ------ 1-617-857-5203 ---. /_lam... ------- SCALE -- .------- DATE ' � r: , .•l:•�„ of :'� .'f"rn (:�x:;...irl•.:i1 • •�l; WE, HL:.L.3'/ CtNlli"r' T il'A7 Pi;u�et,rr IS 140T I:I 'i iC rLUOD HA::Al":.> AI? A A3 SHG:7t1 (j I�ii. i�IJ.� FLClEl?AL L:.: i w ,.. ... ,. .. :r ,.;. . ;•:C:,34t t: lint: ip f.;:;I..i. L. o r � �40 %oz�� 1 I 3 80 04 I � T'1 17-7 v,cam--�d�z r Al P y cl -.1-- 3 7 W, I q DI 1p.. - 1 1 --... l- • --1-- - . 1 ►. . - i CY. , i. 71 !9`9 Al Assessor's offioe,(1st floor): ' SEPTIC SYSTEM Mi UST O THE To` Assessor's map and lot number .... .. .T.. ` Board of Health '(3rd floor): — �, - INSTALLED IN COMPLI Sewage Permit number .....1................ ................ .: WITH TITLE 5 L BA 39TSBLE, Q Engineering Department (3rd floor): _ ENVIRONMENTAL COD rib L House number .......................................... ............. . j7 G .5:............ TOWN REGULATION 3 �e - D Yp`f y. APPLICATIONS PROCESSED- 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN -OF fB'ARNSTABLE BUILDING.- - INSPECTOR APPLICATIONFOR PERMIT TO ............................................................................................................................. TYPE OF CONSTRUCTION ........ ........ � ��.Q................................................................... .o.4.....19." TO THE INSPECTOR OF BUILDINGS: ' The undersigned hereby applies for a permit according to the following information: Location ......1.../2.0....... 'C✓.Pam' .e--ee 1..e:. ���� 5' ............. u�.........Ld�.... Q .............. , ProposedUse .......... ............ ........................................................................................................ Zoning District ................... ....................................................Fire District .....L_ e4-.k<a(ll1....-.. 1.41v. �A Name of Owner ........... ,&U.e,`,.3A_ ddress ,,....s..��.�'I.�. . . . ......................................................... K l'r Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address ..................................................................................... Numberof Rooms ....................../.......................................Foundation ............ ..::...................................... Exterior ......... �laf.............................................Roofing .......... .5 ��/.�� Floors .................( -.GL .........................................Interior ............42'K ...!'v,�l / (/ ............. Heating ............... J../......................................................Plumbing /t) Fireplace ..............V---.J.........................................................Approximate Cost .....�Seo O .................................. Definitive Plan Approved by Planning Board _______________________________19________ . Area .... .. .... ................. Diagrcim of Lot and Building with Dimensions �� Fee ............................................. 1 SUBJECT TO APPROVAL OF BOARD.OF HEALTH ' I . F s I i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. l / Name .T. !P..:. ................... Construction Supervisor's License .....Qu!�✓ �,,. [1. a BRU LLE, HAROLD S. � t No :.2.9812... Permit for ...B... LD ADDITION Single Family Dwelling ........................................ Location .. 170 Timber Lane . ....................................... Marstons Mills ............................................................................... Owner ....,Harold S. Brunelle ............................................... Type of Construction Frame ....................................`........................................... Plot °�. #40 ........ Lot ................................ Permit Granted .....August 212 86 ..................................19 Date of Inspection — �r..............19 Date Completed ........t�?7................19 Assessor's offioe (1st floor): pp Assessor's map'and lot number ....�.. 3......... Q�oFTNETo`♦ a Board of Health (3rd floor): v Sewage Permit number ...... ....I.'..... Z 9AUST&BLE, �.� �..................... Engineering Department (3rd floor): r-� S moo MAA ♦� Housenumber ........................................................................ Dmix APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only i s TOWN -OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....... �...................................................................................................... TYPE OF, CONSTRUCTION .........�1f/ ,Q..�!. ...................................................................... pp++ ...... v��. sd ..19.a.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .....1.../.0..... .;.;; .. Cl. ....... .i ............ ��// ......... .........U 11 Proposed Use .......... ... f. %?71../........../� ............................................................................................................. ` Zoning District ............................................Fire District ..... _ Name of Owner ! /. Gl/�0/ Jl.'�l�ddress �c Nameof Builder •....................................................................Address ............................::.......................................:.............. Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ......................./.......................................Foundation ............� � .. .. ...... ../.............................................. Exterior /��' g /%.5 ���"f�,/.� Floors ................. f�.. e.%f11�fC.........................................Interior �..w� / Heating /./ Plumbin /�'� / .....\............................................... g .........../.!.. ? r................................................. Fireplace ............... ..5.........................................................Approximate Cost .. jSd O U .......................................... Definitive Plan Approved by Planning Board ________________________________19_____--- . Area .�� .. .............. Diagram of Lot and Building with Dimensions Fee ..`......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH ' 2Z F OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. l Name .T.. '1..:.......................... ..................... D.Gvw Construction Supervisor's License.....................U,. ........ BRUNELLE, HAROLD S. A=149-63 No ..-.2.9812. . . .... Permit for .....BUILD. . ...ADDITION. . a. . . .. . . .... . .... ... ...... . .... SinglSingle Family Dwelling e........................................................ Location .....170.......Timber...Lane....................... . . .. ..... .... . ...... Marstons Mills .................................................................. Owner .....Harold S. Brunelle ............................................................. Frame Type of Construction .......................................... ............................................................................... Plot ............................ Lot ......�/.4.0.................... Permit Granted ....August...2 1 ........19 86 Date of Inspection ....................... 9 Date Completed ......................................19