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HomeMy WebLinkAbout0064 WATERS EDGE NO, 152 113 BLU MADE !U.SA ESSELTE o ® o 0 f TOWN OF BARNSTABLE R I S E Division of Thielsch Engineering,Inc. 2013 MAY 10 AM 11' 19 1341 Elmwood Avenue ENGINEERING Cranston,Rhode Island02910 DIVISION May 1, 2013 Thomas Perry, CBO Town of Barnstable Building Division 200 Main Street Hyannis, MA 02601 Re: Insulation permits Dear Mr. Perry, This affidavit is to certify that all insulation work completed for 64 Waters Edge has been inspected by a Building Performance Institute (BPI) certified Professional. All work performed meets or exceeds Federal and State requirement. Sincerely, Erik Nerstheimer Supervisor of Installations, BPI certified Building Analyst Professional and Envelope Professional, RISE Engineering, a division of Thielsch Engineering, Inc. 1341 Elmwood Avenue Cranston, RI 02910 401-784-3700 •800-422-5365 •Fax 401-784-3710 ���� ` , r I �� V.V ��J- �. 1 � I/1-1 /l`/\` � l �/ _ � . . _ --_.- J iF Py pr7 e- z5 c _ ►\j 7� C� CtA J _� �- � ��� T o ��� i 5 �� � � ���7�D 3 z$ i I �Town of Barnstable ' Pen it#� Expires 6 months from lssae date Regulatory Services Fee 'C s HABN6PASLE, + . MAE& Thomas F. Geiler,Director i �A 1639. 1b 0 MAC M Building Division Tom Perry, CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint a bpi clap/parcel Number (0 1 'roperty Address ential Value of Work Minimum fee of$35.00 for work under$6000.00 )wner's Name&Address i 7 to ILA io4 t. I .I ;ontractor's Name Telephone Number i come Improvement Contractor License#(if applicable) y I :onstruction Supervisor's License#(if applicable) orkman's Compensation Insurance Check one: l •g ZQjg ❑ I am a sole proprietor I am the Homeowner , eve Worker's Compensation Insurance '�`) 4J + +� .1 isurarice Company Name (19 1 /orkman's Comp. Policy 'opy of Insurance Compliance Certificate must accompany each permit ermit Request(check box) ,,:�:b -roof(stripping old shingles) All construction debris will be taken to �Cud U/t A r► t � ❑ 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 ermit does not exempt compliance with other town department regulations,i.e.Historic,Conservation.etc. ***Note: Prope/ Owner m sign Property Owner Letter of Permission. A eo of the Ho a Improvement Contractors License & Construction Supervisors License is r t, red. GNATURE: WPF1LESIFORMSIbuildin ermit formslE RESS.d c The Commonwealth of Massachusetts Department oflndustrial Accidents Office of Investigations 600 Washington Street Boston, MA 02III www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A licant Information Please Print & 'bI Name (Business/Organization/Individual): CI Address: �ckv,:� City/State/Zip: ��� J u Are you an employer? Check the appropriate box: Phone #: 1.❑.I am a employer with 4. I am a general contractor and IF, F7 of project(required): employees(full and/or part-time).* have hired the sub-contractors New construction 2. am a sole proprietor or partner- listed on the attached sheet. Remodeling ship and have no employees These sub-contractors have working for me in any capacity, employees and have workers' Demolition [No workers' comp.insurance comp.insurance.# Building addition 3.❑ required.] 5. [] We are a corporation and its . Electrical repairs or additions I am a homeowner doing all work officers have exercised their myself. comp, gh 11•❑ umbing repairs or additions y [No workers' co ri t of exemption per MGL insurance required.]t c. 152, §1(4), and we have no 12Woof repairs employees. [No workers' 13. er comp.insurance required j *Any applicant that checks box#1 must also fill out the section below showing their workers' t Homeowners who submit this affidavit indi compensation policy information cating 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 is providing workers'compensation insur information. ance for my employees. Below is the policy and job site —� Insurance Company Name: Policy#or Self-ins,.Lic.#: -� /,J Expiration Date: 5 V Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy claration'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$ ,0,00 .00 and/or one-year ' as well as civil penalties in the form of a STOP WORK ORDER and a fine n es to$io o a y against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of e DIA for' e coverage verification. Ton eby ce under the p ns andpenalties of perjury that the information provided above is true and correct ' : Date: / 7r . only. Do not write in this area,to be completed by city or town officiaL n: PermitlL,icense# hority(circle one): Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector .son: Phone#: Atj4 David Sawyer Construction 318 Meiggs Backus Rd Sandwich, MA 02563 508.539.1992 Proposal Submitted To Work Address Paul Binzink"s �; ,� 3 i���k�uS k" 64 Waters Edge Drive 508420-375Z Marstons Mills,MA 02648 Work to be Performed: *Strip roof shingles and replace with 30 year"AR"Architect CertainTeed Shingles Color-customer to choose *Nail Plywood as needed r *Clean Gutters as needed .1�-_..�G 2 � �� -e * Install Vented Drip Edge as needded Ice& Water Barrier on all edges of roof,cheeks,valleys,veluxs Underlayment Paper System Pipe Flange Ridge Vent Hurricane nail roof *Clean &Remove all debris from work place after job and take to landfill. Please note when installing ridge vent sawdust may fall into the attic Total Investment& Labor: $ 11,000 eleven thousand dollars Payment due in full at time of job completion. All materials guaranteed to be as specific,and work to be performed as stated above. Work to be completed in a workmanlike manner. Any alteration or deviation from the work specifications involving extra costs will be executed only upon written order,and will become an extra charge over and above the estimate. All agreements contingent upon strikes,accidents or delays beyond our control. Please remove and or secure any fragile household items. Not responsible for broken or damage to household items, 5 Year Labor Warranty/Plus Manufactures Shingle Warranty. We may withdraw this proposalfif not;7cted wit"30 days. , Additional terms on back Respectfully Submitted L'L-U�A Accep nce 7 roposal The above prices,specie ations and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. P ent is due in full at job completion. D Date Signatu Page 1 . T' C' y-C. C�1� e or ° ��•� G l=I Office of Consumer Affairs and Business Regulation V 10 Park Plaza - Suite 5170 `' == Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 134313 Type: DBA Expiration: 10/24/2013 Tr# 216645 DAVID SAWYER CONSTRUCTION DAVID SAWYER 318 MEIGGS BACKUS RD. SANDWICH, MA 02563 - -- Update Address and return card.Mark reason for change. (] Address (-1 Renewal j 1 Employment Lost Card IS-CAI Cp 50M-04/04-G101216 �/e Li oo�vrxa�tcaeal� o�'✓C�a�aac�uaella Office of Consumer Affairs&Business Regulation License or registration valid for individul use only a-sy ` Sri HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation t `= ; Registration: 134313 Type: g 10 Park Plaza-Suite 5170 Expiration: 10/24/2013 DBA Boston,M 02116 DAVi-D SAWYER CONSTRUCTION C DAVID SAWYER 318 MEIGGS BACKUS RD. SANDWICH,MA 02563 Undersecretary Not vali&4ithout s- nature L Massachusetts --Dep:trinlent 11t• Puhlic �afet, Board of Building Reusulations :uul 54it"dard Construction Super-disor Spec;-AV Licernse License: CS SL 98859 Restricted to: RF,WS DAVID SAWYERI`` 318 MEIGGS BACKUS ROAD , SANDWICH, MA 02563 Expiration: 1/27/2013 l •um�i,•i.m r Tr=: 9053 WORKERS ®SHIP IIISf,El�f"� ? a4_N �RAP?..OYERm i.jA9FL ITY fNSUF$AN`'Iu POi.?G`:° PACE 1 , AGENT NO 3020 OFFICE NO 3020 MARK W SYLVIA 771 MAIN ST OSTERVILLE MA 026E-5-1 G03 C FARM FAMILY CASUALTY INSURANCE COMPANY 508-428-0440 NCCI COMPANY NO. 16721 POLICY NO 2001 W6406 ............:..:::..:.:::.................:......... INSURED AID,MAILING ADDRESS: RENEWAL OF NO. 2001W6406 EFFECTIVE 3/05/11 DAVID SAWYER DBA SAWYER CONSTRUCTION 313 MEIGGS BACKUS RD SANDWICH, MA 02563-3131 THE INSURED IS INDIVIDUAL Workplaces covered:by this policy: ST WP No. ADDRESS OF WORICPLACE RTG.BUR NO. INTRASTATE NO. 1UTA 09 318 MEiGGS BACKUS RD 210677 SANDWICF MA ti::is: &:i3fi5&iS�:!titi <> < £�� <« ><?:z%E `a > ` > >z><>;' ?Es `s <> Sr `> <>� z>'' < _ < ? <? E :E :zz'<:::..... >. The policy period is from 3/05/11 to 3/05/12 12:01 A.M. Standard Time at the insured's mailing addre A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law the state listed here: MA E. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3.. The limits of our liability under fart Two are: Bodily Injury BV Accident Bodily Injury BV Disease Bodily Injury By Disease 100,000 each accident $ 508,000 policy limit $ 100,000 each employee C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: All states except the states designated in item 3.A. of the information page and ID, OH, WA, and WY D. This policy includes these endorsements and schedules: WC 00 00 ODA WC 00 00 01 WC 00 03 15 WC 00 04 14 WC 00 04 22A WC 20 03 0" WC 20 03 02A WC 20 03 03ED WC ?0 94 05 WC 20 06 01A Cnnvrivht 1997 Nntinnnl C'nunril INSURED COPY `p OR TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map © �. Parcel Application # z0 L O 01J(O Health Division Date Issued t Conservation Division Application Fee Planning Dept: Permit Fee Date Definitive Plan Approved by Planning Board Il/ Historic - OKH Preservation/Hyannis I' Project Street Address Village 'MarshYlls, ,/� Owner CAI Sh nf, � I�>I ?�l�l �G US LG S Address CIJI'Y1 QJ Telephone c5DK 4 M — 5 a- Permit Request i-1Y S Cl,�Irl'1 fig I nS 1 a 1 Q.f. ���-�ll�� l Cl FC-, unY a(p�), Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new U Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other PCentral 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 ��S G' Telephone Number 4n i` -1 W^ y�co Address License# I Do4,�)q Home Improvement Contractor# �c1 { Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE vet l� FOR OFFICIAL USE ONLY APPLICATION# DATEPASSUED MAP/PARCEL NO. ADDRESS VILLAGE ` OWNER DATE OF INSPECTION: - FOUNDATION FRAME INSULATION FIREPLACE s ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL y FINAL BUILDING f DATE CLOSED OUT ' ASSOCIATION PLAN NO.. r Jr 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: Build ers/Contractors/Blectricians/Pluinbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): RISE Engineering a division of Thielsch 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. N 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 7• ❑Remodeling 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition (No workers'comp.insurance comp. insurance.$ 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 11. ❑Plumbing repairs or additions myself [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. tContactors 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 isproviding workers'compensation insurance for my employees.Below is thepolicy 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: City/State/Zip: M(Jh�S'h �5 M I 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. 1.do herby certi and the bins enalties of perjury that the information provided above is true and.correct. 3i nuture: f _ _ I, _ Date: �` �_��V — _ -- Print Name: Erik Nerstheimer Phone#:(401) 784-3700 or 1-300-422-,56_��) 3 Official use only Do not write in this area to be completed by city or town official — Cityor Town: --•----- - - .-_1?Qrmi_t/ltrense#:-----• — ---- ` Issuing-Authority(circle one): I I.Board of Heatb 2. Building Department 3. City/Town.Clerk 4.Electrical Inspei;tor 5.Plumbing:lissperton' 6.Other i Contact person:------_--- I'i� _ie#: l rj ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID 47 DATE(MMIDOrTYM OU THIEL-1 04/13/10 P Pao 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:401-88571700 INSURERS AFFORDING COVERAGE NAIC INSURED INSURER.A Zurich-American IRS CO. Thielsch Engineering,. Inc INSURER B: A-1c.e c�srsnt.• s W.b111ty Thielsch Group Inc.Hi Tech Realty Inc. INSURER'C: North American Capacity 195 Frances Avenue INSURERD: Hartford Insurance Company'Cranston RI. 02910 INSURER E' " COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NA' gED A80VE FOR THE POLICY PERIOD INDICATED.NOTwiTHsTNIDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I PLLIlve LTTR NSR =LIABILRY POLICY NUMBER OATS(Mwoom) DATE(�) LIMITS GENEACH OCCURRENCE 1 1,000,000 A X IABILITY 3730962-00 04/O1/10 01/O1/11 PREMISES(Eaoccurence) T300,000 OCCUR MEO EXP(Any.ono person) S 10,0 0 0 PERSONAL&ADV IN.:URY S 1,000,000. • GENERAL AGGREGATE a 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000 ,0 0 O POLICY X -jECTRD­ LOC Emp B'en. 1,000,000 AUTOMOBILE LIABILITY ' A X ANYAUiO 37309'63-00 04/01/10 01/01/11 c(Ea accids accidD'sINGLELIMIT ent) s2,000,000 ALL OWNED AUTOS BODILY INJURY S. SCHEDULED AUTOS I Per person) HIRED AUTOS BODILY INJURY . N0N•OYmIE6 AUTOS (Per awde.M) PROPERTY DAMAGE S ?Per occibent) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHERTHAN EA.ACC 3 .AUTO.ONLY: AGG $ ' EXCESSIUMBRELLALIABILITY EACH OCCURRENCE S 10,000,000 B X GccuR CLAIMS MADE UMB 9 2 6 3 6 3 7-0 0 0 4/01/10 0 T/O 1/11 AGGREGATE s 10,0 0 0,0 0 0 UDEDUCTIBLE S X RETENTION $10,0 0 0 g WORKERS COMPENSATION AND EP. EIAPLDYERS'LIABILITY X TORY 1-IIAITS A ANY PROPRIETORlPARiNEP.YDIECUTIVE 3'730961-00 04/01/10 O1,/01/11. -E.L.EACHACCIDE14 $ 1,000,000 OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 1,000,000 Ityes.describe Under SPECIAL PROVISIONS boloN E.L.DISEASE PCa.IC'Y LlrwflT $ 1,000,000 OTHER C " Professional Liab DVL000026.800 04/01/,10 04/01/11 Prof Liab 2,000,000 DILeased/Rented Eqp 02UUNTD5678 I 04/'01/10 1 04/01/11 Equipment 100,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION - - SHOULD ANY OF THE ABOvE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION • - - DATE THEREOF,THE ISSUING INSURER'NlLL ENDEAVOR TO MAIL 10 O:.YS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILr Y.OF ANY KIND UPON THE INSURER.ITS AGENTS OR •- REPRESENTATIVES. - AUTHORIZEDREPRESE V ACORD 25(2001/08) — --------L�ACORD CORPORATION 1988 F f _ 1: ',i sa;..u,...^.t..:':,;w, F.,1• I' r,+_:y- ,7:;}:i ::Iriib{.:.a^;,.•qz:�>ri�r;'�!;.,,t{Y 1. r F.J�,�' ,� 7+�.,. f• r,ii't'ar .:+.. .�F�d.`'sr ( :.r`. i.: . _ ,Fnr�: ._,;..r T ®1 •'vI4? �'..iF`'�"n,°` �. It1��:;���.�:�7::+'i•: ;a:�,i,� *y,•a :� �y��i h��ag"`1111,+1J'll�:ilffttir�+'.�'i'l�sav �:6,'..i i>I?N'::�r_ s ':tlr,+l;�,l ,�'.. .gin •` y, s:, ytl,1 .rtarx�P��l:�cd:i,`irri"�H.;�.� :! �,'�.� � t Tl�,<�tC, �$ j .'.1+' P r� .4i i t� - i'' 4' �'Zt �Or " N OT�E,�1_���7itr�r.,�'���j'+y pED S'1N'AME��y,,a1TH"ite"� c�yt'`•L �jileSf��r�}�7{`g°. �/�y�}�7`pr. :f��1� y i tOF`�ID��.2�7�1� i 14iaf I f��t+, DATE;�O;,/� / y. J F S:vi �ri HIlsFhl itz,a�.lf'lSV�.l51�'�xr::r—Jh IC'� rl`S I(��t11:...:rfr7-:�+�7}tY:c<��!�Ntilll lti:Sa,' ��•_iJ'S�ifh4���L�,y'y::17P�{�i4='nlF�i}���:it?::J'2..�... ....... ..�....�„U,,f.e�.E1.9:..,. .. .. a..�_ s_-(f...:.�..,.t.��:,-ilr.lrt].,.,.,;t.ol.•rr.,.......r_�..:J.� Also for RISE Engineering, a division -of Thielech Engineering,. Inc. Gaskell Associates.; a division of Thieledh Engineering, Inc. BAL Laboratory; .a division of Thielech Engineering, Inc. ESS Laboratory, a division of Thielech Engineering, Ind. ALCO Engineering, a division of Thielech Engineering; Inc. Water Management Services, a division of Thielech Engineering, Inc. .h 91te ice o nsumer an an usin.ess e u ation O o g 10 Park Plaza- Suite 5170 Boston, ssachusetts 02116 Home Improve " ontractor Registration _ — Registration: 120979 Type: Supplement Card z w Expiration: 3/25/2012, THIELSCH ENGINEERING ERIK NERSTHEIMER > 1341 ELMWOOD AVE. CRANSTON, RI 02910 A 7¢ 0 �c�4�•♦f S`'t Update Address and return card.Mark reason for change. Address ❑ Renewal Employment ❑ Lost Card PPS-CAI Co 50M-04/04-G101216 ✓/ze "foanirno�uueal� ��� "Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registrati6n 979 . Type: 10 Park Plaza-Suite 5170 Expira — 12 Supplement Card Boston,MA 02116 THIELSCH ENGQ W 'ER IK NERSTH 1341 ELMWOOD CRANSTON;RI 029 •- Undersecretary Not valid without signature � r-age i OI 1 ' The Official Website of the Executive Office of Public Safety and Security (EOPS) Mass.Gov Horne - 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 ✓fie.-Po7nmovu�all/ .. -.., _- .,, �./��aaaa�c✓uuetld °I I:,.'r:=•::...;.:>-::.-...._.._..;.._- . .. Board of Miildino Regulations and Standaril5 i License or registration var d'for individid use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration,:: 120979 Board of Building Regulations and Standards at`ro:n:__3 25/2010 I" One Ashburton Place Rm 1301 - IT Type= uppiemeril Card Ala. 021.08 I ELSCH K NERSTHEliWk'=--=`°�� 1 I' ems;=.= ELMWOOD. NYE..`-�— it :•.�., NNSTON, RI 02910 -- Admm.isti icor Movlidwihout signitz1re ' � v f k>ttp://db.state.ma.us/dps/licdetaiIs.asp?txtSearchJ N=CSL100459 h VAftolEPA } NAT-24531 - 1 k RISE ENGINEERING Federal ID#06-MS629 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 Page 1 R I S E THIS CONTRACT IS ENTERED INTO BETWEEN RUSE ENGINEERING AND THE CUSTOMER FOR WORK AS ENGINEERING DESCRIBED BELOW CUSTOMER - PHONE DATE CheM B Christine B Bi2ankauskas (508)320-3752 03/03/2010 108627 SERVICE STREET BILLING STREET 64 Waters-edge 64 Waters-edge. SERVICE CITY,STATE,LP BILLING CITY,STATE,LP Marston Mills,MA 02648 Marston 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 au exchange and indoor air quality.Materials to be used to seal your home can include caulks,foams,weatherstripping and other products. Primary arras 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. 10 man hours. $660.00 RISE Engineering will provide labor and materials to install a 6"layer of R-19 unfaced fiberglass batts to 760 square feet of attic space. $950.00 RISE Engineering will provide labor and materials to install an easily moved,insulating cover for the attic access folding stair. The cover has integral weatherstripp ing to restrict air leakage. $160.00 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. $1,492.50 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF "*"Two Hundred Seventy-Seven&50/100 Dollars $277.50 UPON FINAL INSPECTION AND APPROVAL BY RISE ENGINEERING.CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL INTEREST OF 1%WILL BE C QED MONTHLY ON UNPAID BALANCE AFTER 30 DAYS:SEE REVERSE FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND C CTOR REOUSTRATION. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPAC S RRED TURE-RISE ENGINEERING OMER ACCEPTANCE ZZ :�N NO •THIS CONTRACT MAYBE WRHDRAWN 8Y US ff NOT EXECUTED WITHIN DAIS OF ACCEPTANCE ACCEPTANCE OF CONTRACT-THE ABOVE PRICES,SPECIFICATIONS AND CONDITIONS ARE 7-7, SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORED TO DO THE WORK GAYS. AS SPECIFIED.PAYMENT WILL BE MADE AS OUTLINED ABOVE ` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map- Parcel Ll Application# 0?00 769e'3124 Health Division al V� Conservation Division Permit# Tax Collector Date Issued /�o?o�/0 7 Treasurer Application Fee C) r- Planning Dept. Permit Fee /off Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village A14R 5--rM17 5 IXYL, +� Owner_ % 2 Z/"n k4 0 Address Telephone C "Q ) 1-1.2 0 '7 6 Permit Request 4�&Sa 4jg (54-J?2f: & Z1,01, Square feet: 1 st floor:existing proposed 2nd floor:existing proposed d =Total new Zoning District Flood Plain Groundwater Overlay i Project Valuation Construction Type <; , m Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting�documentation.` e / w Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) rn Age of Existing Structure Historic House: ❑Yes k No On Old King's Hi hway: ❑Yes �lo Basement Type: ❑Full ❑Crawl alkout ❑Other Basement Finished Area(sq.ft.) J01 Basement Unfinished Area(sq.ft) / 5 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: Cl Gas ®'Oil ❑Electric ❑Other Central Air: Of 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:8/existing ❑new size Z- Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use ''"` - ---__ __ Proposed Use BUILDER INFORMATION 1 Name rld.>/l�e�s �p„Ae- Telephone Number -7 -7 Address � �Zcy,��a- License# C_6:12752 rci i i.i-1� Home Improvement Contractor#If Worker's Compensation# Avc- I Z P 5 5�� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE l - / L - 0 FOR OFFICIAL USE ONLY a a Ar - PERM I'P NO. DATE ISSUED A MAP/PARCEL NO. i r r ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION I FRAME INSULATION ' `� a , FIREPLACE a ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. . The Commonwealth ofMassachusetts . Department oflndustrla . ZACcidents Office oflnvestigations 600 Washington Street . Boston,MA 02ZI1' vlr w.mass.gov/dia ' Workers-,Compensation Insurance Affiddvit: Builders/Contractors/Eledtricians/Plumbers' A licant Info-, ation Please Print Le ' .1 ' Name(Business/Orgauization/Individual):_ _ � �:�-�.�, t Cn L 1D'm z" Address: cal City/State/Zip: Phone.#: 509 jjr?) Are you an employer?-Cheek the appropriate box: 1;[VI am a employer with Z-- 4. ❑ I am a general contractor end T Type of project(required); employees(full and/or part time),*, have hued the stab-contractors ti, New onstruction . 2.❑ I am a''sole.proprietor or partner= listed on the.attached sheet 7. emodeling ship.and have no employees These sub-contractors have g ❑Demolition. working for me in any capacity. employee. and have workers' (No workers' comp,insinrahce comp, insurance$' 9, []Building addition . required.) S: ❑ We are a corporation and its 10Z]tlectrical repairs or additions - '3.E]I am a homeowner-doing-all-.work — officers-have exercised their 11:❑Plumbing repairs or additions myself,[No workers'comb, right 8f exemption per MGL insurance.required.]t c. 152, §1(4),and we have no'. 12.❑Roofrepairs . employees, [No workers' 13.11.tither comp,insurance regt=ed.] *Any applicant that checks box#1 must also fill out tine section below showing their workers'compensation policy infom-atioo. t Homeowners,who submit this affidavit indicating they are doing all woik and then hire outside contractors must submit a new affidavit indicating such, lContraptors that check this box must attached as additional Sheet showing the name,of the pub-contractors and state whether Or not those entities have employees, If the sub-contractors Kaye employees,they must provid8 their workers'comp,policy number. Tam an employer,that is providing workers'compensation insurance for my employees. Below is the policy and job site, information. Insurance Company Name: LC Policy#or Self-ins.Lic, Expiration Date: Job Site Address: 42!!! /11,j ��y City/State/Zip.: Attach a copy of the workers' a mpensation policy declaration page'(showing the policy number and expiration date), l� I Failure,to secure coverage as required tinder Section 25A•of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip 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 tip to$250.00 a day against the violator. Be advised that a-copy of this statement maybe forwarded to the-Office of'' Investigations of the bIA for in=aAge coverage verification, ' I do hereby certify under the pan nd penalties of perjury that the information.prgvided above is true and correct; Si tore: _Q Date: Phone#: Off clal use only. Da not write in this area,tb be completed by,city ar town off�ctaL City or Ttiwn: ' Permit/License# . Issuing Authority(circle one):' 1.Board of Health 2,Building Department 3., City/Town Clerk 4,Electrical Inspector 5,Plumbing Inspector b. Other Contact Person: Phone#• ..JJa10FMU1,1U11 U11U•11M111k.UU113 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 hiie, 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 employe=, 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 tereto shall not because of such employment be-dee=d to be an employer." 1 GL 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 is the commonwealth for any applicant who has not produced•accdptable evidence of compliance with the insurance coverage required." . AdditionaIly,MGL ohapter.152,§25C(7)states"Neither tfie commonwealth nor any of its political subdivisions shall enter into any contract for,the performance of public•.work until acmptab}e evidense-of•compl&rsce Wztktlie insurance' requirements of this chapter have been presented•to the contracting authority,." Applicants Please fill out the workers'compensation affidavit completely,by checldng the boxes that apply to your sitaation and,it necessary,supply sub-contiactor(s)name(s),address(es)and phone number(s)along with their certificates) 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 workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. 1.p 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 requirecl 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 onthe 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 roust submit multiple permit/licensa applications in any given year,need only submit one affidavit mdicating current policy information(if necessary)and under"Job Site Address"the applicant should write"allocations in__(city'or town)."A copy of the affidavit that.has been officially stamped or marked by the city or town maybe 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 fo 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 youhave.any questions, please do not hesitate to give us a call The Department's address,telephone•andfax number:. lle Commopwt*.1&of massaduWds Dtrpartmtrnt of ladustdal Accidents O "of fU-Vest 1P'U4W ' • ' �424��shi��osi St�e>t, . B64tw4 MA 02111 TO. 617-727 40.0=t 406 Qr 1-877-MASSAFB Revised 11-22-06. FWE#617-727-774� www.I22c'tmg6v1dia i /TME � ' '1V T11i Vi i+waiav�.wr✓�v Regulatory Services sAuvsr Thomas F,Geiler,Director 019- �.•� Building Division QED N� • Tom.Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 ww w.town.b arnstable.ma.us face: 508-8624038 Fax 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW -SUPPLEMENT TO PERMIT APPLICATION MGL c..142Arequires that the"reconstruction,alterations,renovation,repair,modernization, Conversion, 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 imits.or to structures which•are adjacent to \ such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: )(5_j/214 ��E�f/2�� Estimated Cost Address of Work;— Zq Owner's Name: L,414 L 4 l A,/k.A 11 ��3 ' Date of App lication: l cl r 0 I hereby certify that: Registratign is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 [3Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OyMRS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FARBITTRATIONPROGRAM OR GUARANTY FUND UNDER MGABLE HOME IMTROVEMENT WORK DO NOT L c 142A. ACCESS SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the 6wner: Ze Date Contrac " gnature Registration No. OR Date Owner's Signature , Q;wpfiles.fom�s:homeaffidav Rev: 060606 RESIDENTIAL BUILDING PERNHT FEES APPLICATION_FEE New Buildings $100.00 Residential Addition $50.00 ' Alterations/Renovations $50.00 Building Permit Amendment $ 25.00 FEE VALUE WORKSHEET NEW LIVING SPACE �� swat-�c��, � ��T���- �'� �-a c� -•, . plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq,foot= SI �� x.0041= oq � / plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0041= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open torch x S30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00=' (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving S 150.00 (plus above if applicable) Projcost Permit Fee �0 m Rev;063004 ' Table JIM(continued) Prescriptive Packages for One and Two-Family Residentlal Bulldings'Neated wit6 Foam Fue11 MAX- NUM MINIMUM Glazing Glaring Ceiling Wall Floor Basement : Slab Heating/Cooling Array C/o) U-value= R-value] R-value! R-veluc' wall Perimeter Equipment EfEciencyl Package I R-value° R-valucr 5701 to 6500 Heating Degree Dayw' Q 12% 1 0.40 38 13 1 19. 1 10 6 Normal R 12% 0.52 30 19 1 19 10 6 j Normal S 12% 1 0.50 38 13 19. 10 6 ISI&M T 15% .0.36 38 13 25 N/A N/A Normal U 15% 0.46 39 19 19 10 6 Normal V 15% 0.44 38 13 25 1 N/A N/A 15 AFUE 0.52 30 19 19 1 10 6 .93 AFUE x 19% 032 .38 13 25 N/A N/A Normal Y 18% 0.42 38 19 25 N/A N/A Normal Z 18•/. 0.42 38 13 19 10 6 90 AFUE AA 18% 0.50 30 19 19 10 6 90 AFUE L ADDRESS OF PROPERTY. 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: I 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): d o 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-}980303 a 780 CMR Appendix J Footnotes to Fable A2.1b: a Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage. Up to 1%.of the total glazing area may be excluded from the U-value requirement. For example,3 ftz of decorative glass may be excluded from a building design with 300 fl of glazing area. 'After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. The ceiling,R-values do not assume a raised or oversized truss construction: If the insulation-achieves.�he full insulation.thickness over the exterior walls without compression, R-30 insulation may be substituted. for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity . insulation plus insulating sheathing(if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. Wall R-values represent the sum.of the wall cavity.insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing,and interior drywall.For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. The floor requirements apply to floors over unconditioned spaces (such as unconditioned cmw4aces,basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R value requirement as above-grade walls. Windows and sliding. glass doors of conditioned basements must be included with-the other glazing. Basement doors.must meet the door U-value requirement d--scribed in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. If the building utilizes elebtric resistance heating use compliance approach 3;4, or 5. If you plan to install mote than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. For Heating Degree Day requirements of the closest city or town see-Table J5.2.la NOTES: a) Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not,include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35'Door U-values must be tested and documented by the manufacturer in accordance with the NFRC•test procedure or taken from the door•U-value. in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include-the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components.comply if the area-weighted average U- value of all windows or doors is less than or equal to.the U-value requirement(0.35 for doors). 43 :.. ofIHE r� Town'of Barnstable Regulatory Services . . tANisresLe, Thomas F. Geller,Director . 9� %619-MAS& ��� Building Division Tom?erry, Building Commissioner 200 Main Street, Hyannis,MA 02601 office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and'Sign This Section If.U sing ABuilder ,as Owner of the subject property ' /LG to act on my behalf, hereby au&orize �� in all t agexs relative to work authorized by this building permit application for: ges X�p (Address of job) S. tore o Date Print Name Q:FORMS:OWNERFERMISSION IDEC-28-2006 10:42 LAWRENCE CARLIN INS 508540eQ F?.0.4:>�1. ,:.:. ...., , AGUR G hf< 1 WILA t t UP LIAMLI � itvSUMamk.G iv2a/zocb E�I—r ao-MV m IS '4 9426 YRTIM�i t i='�I�SU AS MATTEKOFIN I Lawrence•Car',t n ;nsursnce Agency Inc. ONLY AND CONFERS NO RIGHTS.UPON THE CERTIFICATE 230 Jones Road HOLDER.THIS CERTIFICATE DOES NOT AMEND,1:XTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Falmouth, MA'02540 Toni Davies INSURERS AFFORDING COVERAGE I NAiC 0 diulz�—Fu—TdT g on ny, UT—'— WiURERA: rcnite St fie—Ynsurance— Co 1 PO BOX 288 INSURLR0: j Centerville. NIA 02632 NI;IJRERC: �— � INSURER o _..._ INI;URER t COVERAGES _ YHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISS .D .0 THE INSURED NAMFD ABOVE FOR T14E POLICY PERIOD INDICATED.NOTvATHST.ANDiNG ANY REOULR0AENT,TERM OR COND!TION OF ANY CONI•RACT OR OTHER OOCUMENT WITH RESPECT TO YMICH THIS C£RTINCATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN I$SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH PUUCIF.S.AGGREGAl F.LIMITS SHOWN MAY HAVE BEEN 4EDUCED BY PAID CLAIMS. ip N5R TYPE OF INSVRANCE — POLICY NVMewt OpT�y..4 Tummr M!OO/YYI oArkY Y R�C1Y ULtIl6 GENERAL UARILI rY I EACH OCCURRENCE f II MER"' GENEwt LIA131:'TVI M SrzCO1M PREMI ES f u r ! -- I I :—J CLAWS MADE LJ OCCUR MED EXP w1v crw ptrw) i I I r—' I PW411ONAL a ADV INJURY f ' I i� GENERAL AGGRECiATY s 1 I LOEN'L A"REGATIC"WIT AYPLIfS PER: i PRODUCTS•CONVJO— P AGO 6 7. VOUCY r7PRJ LW I AUTOMOYiLV.I WOUTY COIA6INC0 SINGLE LIMIT S Itee oziCvd)I ANY AUTO —_ ALL OWNED AW'08 SOOIIY INJURY i I :'vHEUVLED AM.1To8 (Per Fsrbw) I I{ NIREOh:J70$ OOOILYUUL'RY I I I NON-OWWV A'JTOS fpv,mowt F' f PROPERTY DAMAGE S I ,IPu�oorJml; OAWE LiAWLITY ----- — —_ AUTO ONLY-EA AGCIAI°NT t — ANY AUTO OTHER THAN EA ACC i f AUTO ONLY'. AGO:!S LXLkSiHUM6AELLA LIASIUYY —r —� EACH OCCURRENCE f OCCUR C i L'ILAIMShAAGE I AWREGATE 14 Ii A pZUUC,IIeL.ehTENTION _WORYE���RS CCOMPENianON AND WC72385 3 J c Y1ER 6 / / TINY iR —DER LMh0a'LL"Li Ty -- — EA.E.ACHACCIOENT f— SOJ,000 A 1 1,1M PRo,'RIE'OR/PAIeTNPRECECLTIVE -- OrfK,EIVfAEMPERCXC:UD':.Ui ilDISrASE•EA EMPLOY" 1 500,000 M net,09.=ka w1dw ur-!CIAIIROYWIONSoub+ E.L013f e-POLICY;,II.In- 1 500.000 OC-S1 _ _ CRII'T1ON OF OPEKA1.117h9�U^.AY11�Irfi�!VY JCL CJi I JSWN6 AOOQ�9Y NFNT/Si ECUII PR(1Vl£NONB CErM ICA.TE HOLDER _ C_ANCELLATION $W.WL.D ANY OF.WE Asovi DESCRIBED POUC:PY RE CANCELLCO DEFORF THE ' EXNRATTON OATS THEREOF,TMY ISSLJNG INSURER M11l.1 CNOeAVOR 70 MAIN Ji) mys wmnN Nome TU Tus CER11TICATT NOLOER kAKED TO THE IIVY. BLi T FAILURa TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLN:ATION OR L"IU!Y Tow(, Of Barnstable OF ANY KIND V" H IN9U ITS AGENTS OR REPRLSENTAITVpi. Building Depart - --- Ai e o a�Ex FYI E ACGRD 76(2001106) ---- � P,fACORD CORPORATION iSU TF)7; .- P.0: _ 64-(oa �ao ns and ,'....- rd oS Buildingisoc L.Icense .Boa ction sup 1 Consu Cg 56340 Lic.�a's ... '-• 1200a W II-Up t A L SC Commissioner PO BOX CENlERVILLE,MP --- - -- y.. 07l.,� Board of Buil'di�g Re -tllatio B and S(apdat s� HOME IIII� \\OVEMENT CONTRACTOR Registrar,\ 12049 Cr,Qi�� 2007 r SCHULZE.BUIL W'ILLIAM SCHU PO BOX 288/65 C CENTERVILLE,MA 02632 ``' 'i F�rrse/ 4 x: _ pistratdr 'do- I M O EXTEND PLATE OVER FULL COLUMN WIDTH /2\ I3/4`x �i/2 ' I �I� b L" N � ( l l 1C� + + + + + ztml + + + Ttn INTERIOR W ltl 1A• • LALLY CA to I I COLUMN(S) T❑ BE (� REMOVED; S TO WALL b 717 FD❑TING c) Z OR G INTERIOR FOOTING + CLEAR (TYP.) ELEVATION co � ^ 0- N '-'EXISTING � 2xla GIRT SCALE: 1/2' N \/ W W " O �EXISTI IRT AND STEEL?�TE = f x \2 ROWS 1/2' 0 DIA. BOLTS @ m _ 24' O.C. NOTE v � o STAGGERED �� _ 1. STRUCTURAL STEEL, ASTM A36) SHOP PAINT WITH RUST 70' o fD n ( SCALE: 1' _. I`0' INHIBITED PAINTI COLOR BY OWNER. Z o D 'I ci 2. THRU-BOLTS ASTM A307 1/2' DIAMETER. z 3. PUNCHED HOLES IN PLATE 9/16' DIAMETER. o N = + C pPTIONAL=COUNTERSINK BOLT HOLES-PER OWNER. �yzr+OFr iF Mso, Q O 1 — 1 �O`'� MICHELE 6 - CUDILO � ;y 1 v FLITCH(2)l/�'x(li 1.9E o NO.34774 1� H � b vi •-MICRO=LAM L.V.L., FULL STRUCTURAL. 0. LENGTH r,9E rn � '-'2 ROWS 1/2' DIA. + r"'��NAt N A Li BOLTS @ 24' O.C. T I STAGGERED LOL S&F-ewS F-A ,S1 DE (4-7-DTAL) 1 2 �7 Z. to c s . J01L . A bU �cr�=ws �A . S f o�. �i ,4 Asses AI Assessor's Office(1st floor) Map Coo' Parcel O / (/ Permit# Conservation Office(4th floor)(8:30-,9:30/1:00- 2:00) Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) � Fee �fO f.0$ Engineering Dept. (3rd floor) House# It Planning Dept. 1st floor/School Admin. Bldg.) i�` �` `'`'` _.• {�,Ii 6 Defini *anoved by Planning Board % ` -19 / 1�n'' "" MY �a�. �,.d. �� ''Eg�a '�� .lie ^! ^9D �rr DMP TOWN OF BARN TWLE ,�. Building Permit Application Prol tss LjJ�� ���Q�r,� - j4- �O Village Owner_LYJ/�f� /Cu / Address g' a Telephone Permit Request A> lam 4 O/!/ L, ,=u --9!�We 4 First Floor 13 9�4 square feet Second Floor q 74 square feet Estimated Project Cost $ iD 130. V Zoning District Flood Plain Water Protection Lot Size /.O/ a c4A, Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial Residential X Dwelling Type: Single Family X Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished X Old King's Highway Number of Baths � No. of Bedrooms 3 Total Room Count(not including baths) 7—P First Floor Heat Type and Fuel Central Air ,{/O Fireplaces / Garage: Detached Other Detached Structures: Pool Attached rah/ Barn None Sheds Other Builder Information Name ,,, � �;,�,� Telephone Number �O V— h/af-—DOS Address 1fDS D/d .� .P.ari,��, .Q.Q� License# AQ�J/�3�� A,A OZL, OdG 9/P 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 / DATE 23 ttIL , BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) r" FOR OFFICIAL USE ONLY PERMIT NO. 1 io DATE ISSUED ,MAP/PARCEL NO. r ' ADDRESS VILLAGE - OWNER DATE OF INSPECTION: FOUNDATION ��"�/Q Y FRAME INSULATION C Phpl FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING'. ROUGH FINAL i GAS: ROUGH FINAL , FINAL BUILDING ' ' . ` '` r ' • - DATE CLOSED OUT ASSOCIATION PLAN NO. i - IW,y IS Je0 1 Oa iawl .!'`\ ' I Imo' `. I i• --- -_- - 1 r—_ ---t •t� 1 I i I I I I •i I i 4 Oj1•-- _ - � _ I U.iK-X..t+�Wlto tulLL.- G1.�4 Ff OVA E11�/ 1pN sesx ssces cot.la- a -- i 508.428.6191 I j levl i n 3ustom A)rtiu'Y:�GtlS - •\ tM�L(1—� I ..mot•,(rS 1l1 Py If .Jv.,Cvtilq 1 fi' I Ell � Qr 2(.t4.t ILCl DJ[i) I I \VUt}(-C.LDAR tAAN.LLS l • nl f RK uT [lfV/\T�ow • Pr rt•m•n♦ry pl+ns +na I+Yoon by DCO+rr lo• tnr r,of t—" —1.- n only .,ny'olnn oie �t'—It,, p•o--I s t a ' � I i 11 i i 4.I4 ra101 .. 9 A L^&Cali TM 1 I. .r iriaa.cszuccs !' ! I t. I 508.428•6191 LM EM evl in DD a M N-A 14;t..L?LC� Y�T (Dustom aSKVOV"!(p-LD put I 2EnR Eltirn�ICN ,ri nrr T� Pr<I.mrnrrY plrnf •n0 r♦ turf p♦ r a •r r r _ Y ..:0• :or rnr � r of r. � ..aromrn Dory ♦nt �:nrr �r ra ur.,u. a n.o•u c'-c 5!D!S cP.cWr�D. 0 f i O. y7� i i C a i Ell 1 I I levi in 1 I 1 m N V 1 PJ q I 4 i T� ��'=• '- I , ustom T1�.� r c• •a._�c.r tc _esigns ri.-m Cacrvuin uuv ca j ` O i • ' O 1 H� � c7 - . ' --_ '- -- -- ----' a 16'0' -I - IC�'_.�. f ._._. IOC' •IL' T.=• r0 I 11.' 10' 3'ti Tb J Ol7 1••:' '�I 'FOUNI�hTION P�nN ( —� I / I ..... onlr A., o ���/// P.,,—n.rry plan, ♦n0 layor,l, by 0C 0•.r lo, rnr vat or rn<•! c..>lomr., lnrl ,.,r.,.1...1., Y..-r.•n Ir t.O !F � •a � ' cfiLp ! I P O xI•iLri I j m f LL orm CL„9 lJa:.K I i eo�.wc.ecw vua I SG&•428.5191 m 5,_d•. I I - (Dustom C%R&L Ey ISesigns O� n,,%51Eq SUITE i q I t c aL•no'�•:.nn c°Ly..gm E'.1994 n 1D n 11 1 -- I I I rn�ut,4 i QI C^^.CA. 0' —_ ! O ZI ,w �.o. ? �.u" _ c.� ",.a. _1_ i o _ �.�. >x- c.o i pro A I k v•rt.�,.�..r w•n. .ne teroun o� Ell, nr lo-Ine -11 01 tnc•. c��tomrn o��� nnr olnr. v,c „,�.•.n� p•o�,opt i.-+ss✓occ..xmiu.::.l•:.,a�rM�.P-...__.L�-�....�._ �- ._._ _ _ .._ _.� a i ! I - f > i f 19l I Illev .o ao- custom z• cl I r designs Oi�5 All cynt, r i i SKS�Ni7 E��A PL/�!J 7 � 4� Pr fl•min.ry .PIInf And AyO�tf Oy DC D•r rOr I.. vf<OI llrr�r I I.l:Omfrf Onrt /1n+ Olnrr �> �,�.�,�11� Pt nn.D•+f: ' y_10anrnc3 -4L•RY\vmf) •1 c•3 5-::F=��ti �H'OIY,Vl1 o m a fir xa.•r r c R.•n••cr.. p.io YYSTL. • /' R.n 4`SGi1. --Rio u t;c: _. 508.428.4-191 vc.--r �vti = ..�evl i n �Q--— --- Igustom ! ?resigns cony 1ii • 7rtir�.e., i tY�nn ,R.�rssw ,D Z - -U-FT- LLL-\1^-7 OT-4 • �c c P�rbm�na�y p�an� an0 I,y Oui� Dy oc o arr log [nr � r O� �nr�� c�.�emrn oni� 1ny OtnN uir n ii�.<i1y P�On.p•Ir ' a l7 Z'Zlx gY`vp�l]__ lann-Tv,3�v c o� � 1 f — rv�T si1.:c.s j -`2'R1LC t.60C•✓nJ a<.C--km tarmnarevtt '- oc Cmi,Ca-na..,l 'tuTuzl.Esi�s.:.. V - SaL�,..•�r c..ent cr..;-rte �� - ❑tin f'JS1il.Y,Gya,rmn) ; = 1•8'ASCJ., ,r t�a .w v o�, leC S — t.ctas• al.. I ;.a ti•, Ala I/ ALL SCAL[R. WFrrT t}"TAIl L1L•i ��nT elnal �tTnTL �— i_ W ur)CTY. 1.Ti tLc"-_-- --2.4 x-It —z�n weffe5. I —_-.—�:1 SC.cote: ( _ -•'E t / P�oTsa.;iiy'pc_uR •s_ 508.428.6191 2-TO JOlS15 •:•�=°T�s ,Levi i n 1 1.7 "'1.7t�lPA � es igns O r; .n.6+�[1a.YS •Ja'TIG Pt',,V JT) 7nZicTV,'Y�r:- aTo�ouu t1..ec�� 11 __ _ -1 11 If 9. 1 11 1 11 _ 1 p.1G INSLI. en•naul. rucpevnvc � 1't 1\iLL.CD Wc,SV.D aZ iW:Cp,JL SLCA 7 SECTION n•n Cam, o) .=Ow EB Pr ll•ri��rJ1y �IJn) JnC 1 :Jul1 Oy DC 0 J1l !- 1hl v. f O! 1 .1hr1 v ,11. Town of Barnstable pF1HE�P� o Regulatory Services Thomas F.Geiler,Director • BARNSTABIX • MASS, Building Division rEo n+A't° Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 // V3)k�` PERMIT# 3 FEE: G� SHED REGISTRATION 120 square feet or less R C-- Location of shed(address) Village ��� �. ►�,, 1��skis soB 420 -' -J-sz Property owner's name Telephone number 1 ,� g1Z (06,9— 0 / 41: Size of Shed Map/Parcel# �131 Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? ? Conservation Commission(signature required) �� J 05 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:121901 LOT 39 , 103 S20.0 LOT 40 AREA=44,015S.F = \ - `�sj BENCWARK. I -Ho1lr C.B. /DISK=102.20 �� , S.B. Ln cv APf go- I ` � 99 GRAPHIC SCALE 30 15 30 60 120 °° ( IN FEET ) REV. oMANIIOLE 1 inch. = 30 ft. DOB f LOT 39 275 96' "w s2o'o6 36 LOT 40 AREA=44,015S.Ff 44, m D 0 0 2a'0 r p A � A c0 0 A � \ 2.0 FoUNDA�IoN 18 3 A_ �12"HOLLY i S.B. 2 p' �ID"HOLLY O N O O 6"HOLLY 0'p 2 W ' 0 28.0 m NO S.B. FLOOD ZONE "c"_ FO UNDA TION CE'RTIFICA TION RES ZONE. "RF" TO AN.MARSTONS MILLS SCALE.-1"=40' PL.REF.-349 59. ELEV N/A I CERTIFY THAT THE ABOVE YANKEE SURVEY CONSULTANTS FOUTHEN�RD GROUND ATION IS LOCATED AS SHOWN, ON ,�� OF args�9c P. 0. BOX 265 o PAUL ti� UNIT 5, 40B INDUSTRY ROAD ITS POSITION now_____ A fi. CONFORM TO THE ZONING LAW 3 HERoTHEW �. MARSTONS MILLS, MASS. 02648 SETBACK REQUIREMENTS OF No. 3M _ TEL: 428—0055 AE6ISTERl FAX 420-5553 BARNSTABLE____ �,�,o��i Lp�oso� 90-11- ��_____ JOB PA UL A. MERITHEW DATE. 4116196 NUMBER_5__0721FND �o � CJQ,�..e�f pie )2� •� Y TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 06 041 GEOBASE ID ' 3521 ADDRESS 6WATERS EDGE PHONE MiirBtons Mills ZIP 02646- I LOT 4+ BLOCK LOT SIZE DBA. _ { DEVELOPMENT DISTRICT CO PERMIT 21367 DESCRIPTION SINGLE FAMILY DWELLING PMT.#13607) PERMIT TYPE BC0O TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services i IBONDL FEES: $.00 �� CONSTRUCTION COSTS $.00 i 756 CERTIFICATE OF OCCUPANCY * BARNSPABLE, • I MASS. OWNER MFCB REALTY TRUST, M1� ADDRESS 5 MECHANICS COURT I BUILD BOSTON, MA ING IVISYO BY � � Y DATE ISSUED 02/27/1997 EXPIRATION DATE :.�Js,1;•� r� ..I s.1. ..a.... .. � t r i nr .. � � .y .�. .R ....,,, ...^'• _-..... ..-a+:.r++�.as+.+ ' f TOWN OF BARNSTABLB r BUILDING PERMIT ' '• PARCEL ID 062 .041 GEOBASE ID 3521 ADDRESS 64 WATERS EDGEPHONE Marstoxis Mills ZIP 02648- ' LOT '40 BLOCK LOT SIZE Ii'I' ?DISTRICT CO DBA DEVELOPME k�11• PERMIT :3ri0'7 DESCRIPTION SINGLE FAMILY �DWELLING` �SEW.PMT.#96-62) PERMIT TYPE BUILD - TITLE NEW RESIDENTIAL BLDG,PMT . F CONTRACTORS: Depart_m ent of Health, Safet, OCHILTECTS: and nvironmental Services :TAL FEES; $404.09 .)ND - $_00 )INSTRUCTION COSTS $1310,350.00 101 SINGLE FAM HOME DUTACHED 1 PRIVATE, P 339. :JLJER . MFCB REALTY TRUST, D A )DRESS 5 MECHANICS COURT BUILD G DI IS j BOSTON, MA , B / ~ PATE ISSUED 03/04/1.996 • •EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- ;ROACHMENTS 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 I, HERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. ` MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED IN JOB AND WHERE APPLICABLE, SEPARATE THIS CARD KEPT POSTED UNTIL FINAL INSPECTION • , •• 1.FOUNDATIONS OR FOOTINGS PERMITS ARE,,REQUIRED FOR HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- j 2. PRIOR TO COVERING STRUCTURAL MEMBERS ELECTRICAL,PLUMBING AND MECH- !. (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 1.• .� w- F; 4.FINAL INSPECTION BEFORE OCCUPANCY. ° _-'� �•- • 6 BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS f3 Qc �f101,z �s/09/ e, -.1 Pep�� 3 ` 1 HEATINGIINSPEdTION APPROVALS t1•' ENGINEERING D PARTMENT BOARD;OW FL 4 , O ER: �^ SITE PLAN REVIEW APPROVAL .t ;r t 4e i_k f✓` tj.; t � t WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVEDTHE STRUCTION WORK IS.-NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. `OptNE Tp,_ The Town of Barnstable BA A.gR I.E. MASS p• Department of Health Safety and Environmental Services 0 16119.� Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508 790 6230 in Commissioner I/ g � V (Inspection Correction Notice `� Type of Inspection 'J l �LA Location �l�S Permit Number Owner W' C -9 Builder r t One notice to remain on jobsite, one notice on file in Building Department. CDThe fo f llowing items need correcting: ��- �` _ I f- ` Z ' 9( t sy� �Zume_ 40 k 36 Please call: 508-790-6227 for re-inspection. � � �'c r-Y tj G VZ Inspected by � �C1Y�' C� 112bu1�(� GL Date �� �btSiS OYt- STA-TRU STEEL DOORS rrAMco TEEL STA-TRU SPECIFICATIONS, F R BENEFITS -24 gauge hot dipped, galvanized skins on both -Thicker gauge resists denting, won't warp,crack sides. or peel. Primed for easy finishing. -Full thermal break, all egdes are 1-3/4"thick toxic -Keeps cold from transferring from outer to inner treated softwood. skin,far superior to doors with steel edges. -Lock block is 12" of solid wood located 9"above -Provides added security and allows almost any and 3"below the standard face bore. type of lock to be installed including mortise. -Full through mortise hinge. -Prevents door from sagging unlike surface mounted hinge. •Polyurethane foam core, gives Stanley up to -7 times more efficient than a wood door. 15.00 "R"value-the highest in the industry. Provides up to 50% more insulation value,over bead board core doors. -Magnetic weatherstripping on lock and head jamb, -Provides a refrigerator type seal. compression on hinge jamb. -Patented Lock and hinge comer seals. -Makes it one of the tightest doors on the.market, no water leakage at 35 mph wind and rain test. -Pre-hanging clips,to be removed after -Ensures proper and ease of installation, installation. eliminates call backs. -Ten year limited warranty. -Backed by Stanley,the name known and trusted for quality. PERFORMANCE AND ACCEPTANCE DATA Air Infiltration- ASTM E 331 Water Infiltration- ASTM E 283 ANSI/ISDSI - 101 ANSI/ISDSI - 104 _ Specification: 0.,004 cfm/ft. Specification: Zero penetration Tested to: 0.004 cfnVft. 15 mph 'r~ with 1.57 psf @ 5.00 gph/ft2. Tested to: 0.005 cfm/ft. @ 25 mph Tested to: Zero penetration Acoustical Performance: ASTM E413-70TSTC 28 Energy Saving Index- (I.S.D.S.I.) - D.I.S.I. 1.5 20 minute fire door smoke -draft door 1/3 HR UBC 43-2. 1/2" Latch Bolt Throw Warnock Hersey Compliance Report#10101 Test data available upon request. FINISHING All Stanley doors are shipped with a high quality finish which requires no special preparation before finishing. Sta-Tru doors must be painted with latex paint. All door surfaces, including decorative trim, window trim and jamb must be finished. Failure to finish all door surfaces within 45 days of installation or use of dark colored paint and/or a storm door with an entry door that has plastic decorative or window trim will void warranty. See finishing instructions for full details. 1/97 ' PLEASE CALL FOR SPECIAL ITEMS OR SIZES. STA-TRU 1 `oFtNe r The Town of Barnstable 0 BARNSTABLE. MASS. Department of Health Safety and Environmental Services 9 t63q. �0 F039, Building Division 367 Main Street, Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection\ Location (n \k/ Permit Number l d - Owner Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: `YL `4 III, Please call: 508-790-6227 for reeinspectiori. Inspected b P Y Date (� ' w The Commonwealth of Massachusetts Department of Industrial Accidents 011/ceo/lovestlyalloos .� ''i': -'r•;�t 600 !<i'asliinrtun Street ., ': Boston.Mass. 0 111 Workers' Compensation Insurance AlMdayit Aj�nli5 tnormatione Please PRiPVT le��j "'-`'"� name' locit one CiIN, hone# OaG h 1 am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity _...,ytwa...,;,... ..y,C-,�.^;�'7- .:;7SQl.�!'flYaoe -— - - ---- - ►'-..� r— ...e�,n..,.�{fe-•.vt•�...an.n.,�r .d�c... - L... •. -.....J.. _� .ui--"'-'._!Caw.+fLiJ.w__�.��v•A..__ __� .. _-i_' ___- - - _ .e4. A it _ I am an employer providing workers' compensation for my employees working on this job. A nm •tn}•name• ' address: City: phone#• insunince co- 110licy# 1 am a sole proprietor, g neral contractor,or omeowner(circle one)and have hired the contractors listed below who have the following workers' coMpensation es: companp name: address: %S — insurnnce co policy# - -�- r., - `✓ "r" 'ar"v°� :'T"t Hf !;F'""�, _ nca ?o� sc ..s.ra s +ii?�-tea*++- c 7. companv name: address: city: phone#• insurnn_ce co. policy# :Attach addi_honafshc reet Failu to secure coverage as required under Section 25A of PIGL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 and/ur One years,imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a cop} of this statement ma}•be forwarded to the Once of Investigations of the DIA for coverage verification. I do herehr certij hunter the pains and penalties of perjuty that the information provided above is true and correct. Signature Date 3/" Print name_� J—t r Phone# A - \ official use oniv do not write in this area to be completed by city or town oMcial city or tq%tn: permit/license# nBuilding Department C3Licensing Board Q check if immediate response is required C3Sclectmen's Office [311calth Department s contact person: phone#; nOther +r_ (revised 3;95 PJA) . J information and Instructions �. Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees:" As quoted from the "law", an enrpl(tvee is defined as every person in the :',ervice of another under any contract of:hire, express or implied, oral or written. An e►nplover is defined as an individual, partnership, association. corporation or other ;cgal entity, or any two or more of the fore=oink;engaged in a joint enterprise, and including the legal representatives of a deceased emplover, or tite 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 1'52 section 25 also states that every state or local licensing agency shall withhold the issuance or rene-tval of a license or permit to operate a business or to construct buildings in the commoinvealth for any applicant -*%•Iio has not produced acceptable evidence of compliance with the insurance coverage required. Additionally. neither the commonwealth nor an), 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 leave been presented to the contracting authority. .r:,• .+,fit : +{:. �.. ��b' sX,.. ,..�_ .:.A► '.!.•�._ 77 7 - Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers as all affidavits 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. I +.,-..'tR`M,w.'Jq•.S`f.sf�:.,Q.^R- .•.......<+.'^e�,•,�v.-!°v�•STSw1'!1T'^+.w-q!!!i���Ar••nT. .:`1...,!eGY' - y.k i'Rx•my . ._. .... . 77 7 • .;,-: .:...... .Y•' ... :<:...,+-`...::ter Cite or Towns 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. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have an}, questions, piease do not hesitate to give us a call. r,a..;;..��.».....,..• .--ro�.n•rcey...,..-,...�-,......nrm�...:.v..-;s:•ar-w.. .:f` ,.y:u•: ..�s�'+..+ws.f�'r 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 fax#: (617) 727-7749 _ phone #: (617) 7274900 ext. 406, 409 or 375 i Y r 1 1 ..,..N u>unu a....+�r......+ea��on.w•..,. --.-s,aos.�i..a.r�'asn...�. /a/ re orrvrrorrrtaru�/� n/,.���t7arte�uon./,/0 DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Nuaber: Expires: Restricted To: 00 MARGARET M FITZGIBBON �. 1105 OLD FALMOUTH RO MARSTONS HILLS, HA 02648 y t � i Restricted To: 00 00 - None lA - Masonry only 1G - 1 B 1 Faeily Mooes Fallura to no :sr.s a rurront ?.fa�SBC.11ast.r. �,og�,��•,.��j 1� \ PLAN REF• 349159 LOT 39 RES. ZONE. "RF" j ASSESSORS MAP 62, LOT 41. 275 96 i TOWN WATER A VA ILA BLE 103 S2 0°0636 LOT 40 ti �_ AREA=44,015S.F d\I 24_ OF JOHN yG g i �o� A1AUL ti� o LANDERS CAULEY o OTA. CIVIL y \ `' \ 1► ��� � /' MI �BE�1! y No.35101 BENCH�tiIARK / , �/ ,�, / g6 M®. �2oge �,e '9 9 Ile o \ \\� C.B. DI.SiC=102.20 A i �� ,2' a 1 "HOLLY/ / ��9FCfST��SJQ I? `\ i �/ RIVEw -x,..d" � � 16 i / 5 ' i S.B. °�'�t tAwo A �%HOLL/ g I - ®AREA {�;'/ sp tf LL}' PROJECT L OCA TION: \ �� �ZS /N 0' . LOT 40, WATERS EDGE r0- HOLD _ �' i �' / �' 15 BARNSTABLE MA APPLICAN T FEINEERG FA MIL Y TRUST `\ \ $• _ 1 0 �02 YANKEE SURVEY CONSUL TANTS 10 / P. O. BOX 265 \\\ g ' UNIT 5, 40B INDUSTRY ROAD lo, MARSTONS MILLS, MA. 02648 GRAPHIC SCALE 120 PH.(508)428-0055 - FAX(508)420-5553 15 30 30 60 / LITILITIE9"' , ; FsCALE: 1"=30' FDA TE.• 514195 � 5�•� ( INh FREV.FEET ) oMANHOz,E 1 inc = 30 f t. s E. JOB NO. 50721 1 SHEET 1 OF 2. _102_5_PROPOSED TOP OF FOUNDATION 20' MIN. 10' min CONCRETE COVERS 4" SCH 40 PVC PIPE MIN. PITCH 1/8" PER FOOT varies with location a 101.5 101.5E z" LAYER OF -7-7-7 / / / ) / / CONCRETE COVERS 1' min. varies 99-103. 0E WASHED STONE 4" CAST IRON / / / OR SCHEDULE 40 / P. V.C. PIPE 4" SCHEDULE 40 P. V.C. S=0.05, D=8.6' DIST :Y7 BOX CLEAN SAND S=0.02, D=25' FLOW LINE INVERT 1 10" S=0. 05, D=9.9 MIN. 19" EL.=99. �_ INVERT 2' o 0 0 0 0 0 0 0 ° ° LEVEL ° INVERT EL.=98.25 0 0 0 0 0 =98 50 INVERT ° 4' '" EL.-_- 0 CO 98.2 INVERT °40 0 1500 GALLON INVER _ 97 65 SEPTIC TANK EL.=_97.82 EL.-_____ 12 x32' 314"'-1 112 � F WASHED STONE THREE FLOW DIFFUSERS 5. 7' 4' STONE ON ALL SIDES PROFILE OF SEWAGE DISPOSAL SYSTEM - - - - - - - - - - - - - - NOT TO SCALE BOTTOM OF TEST HOLE OR USES PROBABLE WATER TABLE EL= 90.5 ALL ELEVATIONS ARE ASSIGNED SOIL LOG l�`A" OF J. LANDERS-CA ULEY, PE - � WITNESSED 'BY: go JOHN ED WARD BARRY o LANDERS-CAULEY HEAL TH OFFICER No.IL CIO ` GENERAL NOTES PERCOLATION RATE 2_ MIN./ INCH A���FS%ST[ P# 8494 /OVAL E 1. THIS PLAN IS FOR CONSTRUCTION OF A NEW SEWERAGE DISPOSAL SYSTEM. DA TE �20195 DA TE 4,,�04,195 2. THIS PLAN IS FOR INSTALLATION/ REPAIR OF SEPTIC SYSTEM TEST HOLE 1 TEST HOLE I AND NOT TO BE USED FOR SURVEYING OR ZONING PURPOSES. DESIGN DA TA: . i 3. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. EL. = 101.5 EL = 102. 0 TITLE 5 AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. TOP & SUB TOP & SUB NUMBER OF BEDROOMS 3 4. ALL COVER TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN 12" OF FINISHED GRADE. SOIL SOIL 98.5 3. 5, GARBAGE DISPOSAL NO 5. EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY THE 98. 0 3.5 SAME, UNLESS NOTED BY FINAL CONTOURS. TOTAL ESTIMATED FLOW 330 GPD ; 6. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE PERC. COARSE and COARSE and 110 3 OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER AT 6'. MEDIUM SAND MEDIUM SAND ( -----GAL/BR./DAY x BR.) OR WITHIN 10' OF'DRIVES OR PARKING AREAS. H-20 LOADING WITH GNA VEL WITH GRA VEL SEPTIC TANK CAPACITY 1500 SHALL BE USED UNDER OR WITHIN 10' OF DRIVES OR PARKING. _ ------ UNLESS NOTED. LEACHING AREA REQUIREMENTS 7. ANY MASONRY UNITS USED TO BRING COVERS TO 'GRADE SHALL BE MORTARED IN PLACE. 89.5 - . 12' 90. 0 12' SIDEWALL AREA 8B _ GAL/SF t 8. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH BOTTOM AREA 384 GAL.ISIF f DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO LEACHING CAPACITY (BOTTOM & SIDEWALL) 349 GAL 4 OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. NO WA TER 0. 74*4 72sf=349 gpd 9. THE EXCA VA TOR�CONTRACTOR SHALL VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES PRIOR TO ANY EXCAVATION. RESERVE LEACHING CAPACITY 349 - GAL. JOB NO.: 50721 SHEET 2 OF 2. � •Sc et vim. -UP- R (I': / Recessed Lights \ _ Balustrade Rail 5 step:+ \ t /I LAUNDR Pergo Select or Equal Flooring T-8"x 11'-5' throughout the Family room, Closets and Laundry T !�l \"Wn f / Recessed Lights I Box Post Box Post \ 4 wooden Adjustable Shelves I — FAMILY Rbom Recessed Lights \ / CLOSET \ / I I \ 71-8.1 x 7,8„ I r II • 4 wooden Adjustable Shelves i I 1 i Recessed Lights �1 � I CLOSET i I I j 7,_8..x�,_8„ i t , o I LIVING{AREA UTILITY L' 1436 sq ft ROOM UNFINISHED j 15'-5"x 14'-0" I '