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Home My WebLink About0029 WAYSIDE LANE �' �� / �9 � �� r a D f F 1 �� .. YY�^�'wf`. r ..:� "' . . r � n .-. _ a wl�. e'ti�. .��,.A�!�''�'� �;'^'l T�.+—��,. i i a 3 1 I i W icq r �$F 2 �Wy I U t { 3 • 1 I i i� l i3 .a L' , ^ . Town of Barnstable Building 4 annxsretus t Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept M"E Po m sted Until Final Inspection Has Been Made. Permit 03a Mxe'' Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-19-975 Applicant Name: Lloyd R Smith Vivint Solar LLC Approvals Date Issued: 05/13/2019 Current Use: Structure Permit Type: Building-Solar Panel-Residential Expiration Date: 11/13/2019 Foundation: Location: 29 WAYSIDE LANE,WEST BARNSTABLE Map/Lot: 110-017� Zoning District: RF Sheathing: Owner on Record: PRINCI,PATRICK M TTContractor Name:' BRIEN LANGILL Framing: 1 Address: 29 WAYSIDE LN Contractor License: CS406675 2 WEST BARNSTABLE, MA 02668 Est. Project Cost: $ 13,640.00 Chimney: Description: Installation of roof mounted photovoltaic solar systems 6.2Kw 20i Permit Fee: $ 119.56 Panels j Insulation: i Fee Paid: $119.56 Project Review Req: Date-/ 5/13/2019 Final: Plumbing/Gas Rough Plumbing: •t ffIcIal This permit shall be deemed abandoned and invalid unless the work authorized by this permit-is comrnenced within six months after issuan Final Plumbing: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. ; Final Gas: i The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Service: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is_installe_d _ �_•. . Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection T Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: TOWN OF BARNSTABLE°` Permit No. -------------,1------------- Building Inspector I UUMU { , Cash ---------- ------- s :eta OCCUPANCY PERMIT Bond __--_--_- � � a i, Issued to if R W J Construction A Address ' Lot 94, 29 Wayside L'ano, W y$t Barnstable Wiring Inspector /.' - Inspection date Plumbing Inspector 1 , �1 '1 Inspection date Gas Inspector Inspection date yEngineering Department . ' Inspection date:,4j Board of Health" / 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 AND IN ACCORDANCE WITH SECTION 119A OF THE MASSACHUSETTS STATE BUILDING CODE. //ter y _ � ' � _ �W , Building- Inspector - FROM . TOWN OF BARNSTABLE . ` Mr. Francis Lahteine " �.""'"", . BUILDING DEPARTMENT Town Clerk "" " ""a" '367 MAIN STREET HYANNIS, MA 026M • Phone: 775-1120 . . SUBJECT: FOLD HERE - DATE - - April 30, 1984 "� M E S S A G E A�L'p s•s it♦,f r w•,••R ade•• , ate. Work has been« feted under;Permit,#24921,jR W Please release Bond. ' . .TN,Y^7.`fa!lrl plat}i1�'-a A♦ 1 A. SIGNE DATE REPLY ! • N87-RMf , RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY - -• . - ., PRINTED IN U.S.A. ., SENDER: SNAP OUT YELLOW COPY ONLY.SEND=WHITE AND PINK COPIES WITH CARBON INTACT. Assess is map and lot number ! ...................... .... . r-3--/ 8 -. o/� -0'•/" � - 3 - /Z/- 7 _ of roe �+. �s�q �r `�9i ems+ THE �7Ke:"m IC S T S 1 ERR 1�'1UST Sewage Permit number .Z..:................................. INSTALLED IN COMPLIA ................................. 911/1't'�1 'TITLE 5 sTwLE, House number ..................................... ro rasa � o/!B ENVIRONMENTAL CODE DYPYa�9 TOWN OF BARNSTTHrr" ' S BUILDING I.HSPECTOR APPLICATION FOR PERMIT TO ............................. .......... ... ..................................... TYPE OF CONSTRUCTION ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for �,a� permit according to the following information: iin-ff orrmation: ��,�/1� Location .........�!1.< ..�. 7.............`:'1!..... �....►:`�?^�.............lA/!.�Y......�...�).�!`(!`'L,.............................. ProposedUse .................... . 1✓ ...........�V . ........................................................................,......................... Zoning District ..................2. t............................................Fire District ....U1/.e 1........ �tL '� Nameof Owner 14.1V..:1.......dl,.IZMVIXT ............Address .................................................................................... Nameof Builder ..... 5 .............Address .................................................................................... Nameof Architect .....................�. :...........Address .................................................................................... l , Number of Rooms .....................!Y........................................Foundation ..,-.-�.(J( ............................:.......................... Exterior ' qd,..,n......... dW......................Roofing ............. 5 ..t.44 !D... ...................................... Floors .............................................Interior .............. ................. Heating ....... ..........................Plumbing .................. .. .4...................................................... Fireplace l...................................................................Approximate Cost ........... D . .. Definitive Plan Approved by Planning Board -----------__-____-----------19---_---. Area .` 6... .................. Diagram of Lot and Building,. with Dimensions Fee `. ..............° �• ........................................ SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 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. , f -, Name . A-�.�,............ 57-. fir .,.......... Construction Supervisor's License ...Q. `r./. ........ rfff''W J CONSTRUCTION i2 4 9 2 1 One Story .,.No .............. Permit for .................................... Single Family Dwelling ............................................................................... Location Lot 94, 29 Wayside Lane ................................................................ 'West Barnstable ............................................................................... Owner ..R W J Construction ................................................................ Type of Construction .....F.....ra.me........................ .. ..... ......................... ....................................................... Plot ............................. Lot ....... ..................... April 7, 83 Permit Granted ........................................19 Date of Inspection ....................................19 Date Com�ple e ..../19 01�1 1 00 � r C5 O�.d> f�L ice/ CERTIFIED PLOT PLAN F-0 R LOT : A TOWN O : BARNS TA,BL �' SCALE DATE CERTIFY THAT WHAT IS SHOWN ON THIS ' PLAN. tiG, V i IS AS IT EXISTS ON THE GROUND AND CONFORMS ' C4 TO . THE TOWN REGULATIONS lr u l DOYLE ASSOCIATES FAIMOUT 9 TOWN OF�AR�STA6LE R I S E Division ofThielsch Engineering,Inc. 10�3 MAY 10 AN 11: 1341 Elmwood Avenue ENGINEERING Cranston,Rhode Island 02910 DIVISI01K � 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 29 Wayside.Lane 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 109347 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map I ` V: Parcel Oi Application Health Division Date Issued 01 6 Conservation Division Application Fee Planning Dept. : Permit Fee Date Definitive Plan.Approved by Planning Board (S/ Historic - OKH Preservation / Hyannis Project Street Address 29 Wayside Lane Village West Barnstable Owner Patrick Princi Address 29 Wayside Lane. W. Barnstable. MA Telephone 508-737-9995 Permit Request air sea-ling, insulate attic area, install 12 soffit vents Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 3332 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 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 ❑ 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 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 SIGNATURE 77 DATE �� / / O Erik Nerstheimer for RISE Eng. 4 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER t DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL = FINAL BUILDING t DATE CLOSED OUT f ASSOCIATION PLAN NO.- ' ' r _ 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/Electricians/Pluinbers 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 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.❑ 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. TS 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 Aeency Policy#or Self-ins.Lic.#: 3730961-00 Expiration Date: 1/1/11 Job Site Address: C?9 W�t.0,<SI'd i'1,Q City/State/Zip: 1/V. 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 ins t enalties ofperjury that the information provided above is true and.correct. -Signature: f ��_- Date: O Print Name Erik Nerstheimer Phone#•(401)784-3700 or 1-800-422 5365 P_xt133 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 Heath 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact person: Phone#: ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID 47 DATE(MM/DD/YYYY) THIEL-1 04/13/10 Pr{ooucER 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 810 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fast- Greenwich RI 02818-0810 Phone: 401-886-8000 Fax:401-88571700 INSURERS AFFORDING COVERAGE NAIC-# INSURED INSURERA: Zurich—American Ins Co. -- T•hielsch Engineering, Inc INSURER B:. A..r.lc.n wtxonL.. c Ll.bl l'i.ty Hi Tech i3roup Inc. INSURER' North American Capacity Hi Tech Realty Inc. 19S Frances .Avenue INSURERD: Hartford Insurance Company -Cranston RI 02910 INSURER E' COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED ro THE INSURED NAr'ED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWTTHSTAnIDING ANY REOUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCUMErrT WITH.RESPECT TO WHICH CERTIFICATE MAY BE(SSUED-OR WNY 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. FOL LTR INSR TYPE OF INSURANCE POLICY NUMBER DATE(MWDOM') DATE IIM /YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE 1 1,000,000 TX COMMERCIAL GENERAL LIABILITY 3730962-00 04/O1/'10 O1/O1/11 pPAMUlzSIEaoccwencaJ T300,000 CLAIMS MADE �OCCUR' MED EXP(Any.ono person) 5.10 1000 PERSONAL$ADV IN.:URY Y 1,000,000 GENERAL AGGREGATE s 2,000,000 CENY AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,0 0 0 POLICY X JEGT LOC Em,p Ben. 1,000,000 AUTOMOBILE LIABILITY , COMBINED'SINGLE LIMIT s2,000,000 A X ANY AUTO 37309*63-00 04/01/10 O1/Ol/11 (Ea accident) ALL OWNED AUTOS SCHEOULED AUTOS BODILY I•IJ S. (Per person)) HIRED TWOS BODILY INJURY NON-OWNED AUTOS (Per accidan) - PROPERTY DAI.,IAGE ; 1Per acciaenl) GARAGE UABILTiY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN EAACC $ A.UTO.ONLY: AGG S EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE S 10,000,000 8 X OCCUR F�CLAIMS MADE LIMB 9263637-00 04/01/10 O1:/01/11 AGGREGATE f10,000,000 t FDEDUCTIBLE 5 X RETENTION $10,0 0 0 5 WORKERS COMPENSATION AND X TORY LIMITS EP. EMPLOYERS'L ABILITY A MYPROPRIETOR/PARTNER.YEXECLITIVE 3*730961-00 04/01/10 O1./01-/11 -E.L.EACH ACCIDENT $ 1,000,000 OFFICERYMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 1,000,000 it yes,aescribe under SPECIAL PROVISIONS boles+ E.L.DISEASE-P&ICY LIMIT 5 1,000,000 OTHER C Professional Liab DVL000026.800 04/01/'10 04/01/11 Prof Liab 2,000,000 D I Leased/Rented Eqp 02LUNTD5678 04 '"410 04,01/11 Equipment 100,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROMS"IONS 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 FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY RIND UPON THE NSURER.ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESE V ACORD 25(2001/08) @ACORD CORPORATION 1988 '4 - v.,i :r: v '?tut 1�f 1 S'�';.9' -"i?`::?;v ,.:r.�. r)S'�i•''e.•,t� �<. 'if �t.. ?a;•.jrx,i- .x ':.;',i>'-�.-. >a <> sj. e:F „�,•" c. h..6: P ..0�..x... •,�}!,• •'i' C;��"tt^�, ,.e��1 r _ ,, .•. ;2..✓,'. '1.ly a,� ,s, •r, `v. ..;fir..-s.,riF�'i T {':J.:A{.tl.,fir_ i,s. ;.�,. .,,7��•r"�Ar; �. 9,1. ,�,1+��: ��:, :�;,�THIEI.i:1 .;.s;-;:" �;1 A�iE t ��pp }'�f .::Ixkv x.,,ap,r.�A°:•_I<�:, .,�ji!:: :Itti,a;Fk. :t�ijlbt =ii.�`P,�,rt�� :;lit, �,�y�.lx :tIF� :t �; s .xF;6h.�''..;. 1'w �E 1��:. a �'ay,r�?r- ■':� �I�S.0 EDS�rtJAME,��TIi'ie1�e��t`•Lh§;inee��txng+ �t ;n ;tF'.rs.Pl+;r� ��;�OP'ID�2711�' F ,�■r , DATE,'z04 12t 0 • � .,,... � :• f=,.n:�,��,�,:tiy::�a.>::.:;:.,,n.�.6i.:s,7- iF�x-It•ui+"� 91;dlnrr=:6:<�:fl!iiVil'.'Y G��;� �'��yl:r:�f7NFl.i!c• 'i•^;:',;:,............. .. „f.d•:3+t1,:%s.�:,:. , ::.,.,.�<s•:.-6,.r tL..,,..:kFrf„Y._..:.r. i.�. •:s s;o-..t.� �ti':. 'zr r_, . . Also for RISE Engineering, a division -of Thielsch Engineering,. Inc. Gaskell Associates; a division of Thielsch Engineering, Inc. A , BL Laboratory .a division of Thielsch Engineering, Inc. ESS Laboratory, a division of Thielsch Engineering, Inc. ALCO Engineering, a division of Thielsch Engineering; Inc. Water Management Services, a division of Thielsch Engineering, Inc. g/te Off cM Mns!=mer�ia�i (a4nus ne e u anon 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. a CRANSTON, RI 02910 h A !tea f � 0 Update Address and return card.Mark reason for change. Ej Address 0 Renewal Employment Lost Card DPS-CAI Co 5OM-04/04-GIO1216 ✓!ze 'tDanrarw�ruuea.�� • Office of Consumer Affairs&Bu iness 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 Ulu Registration Q79 . Type: 10 Park Plaza-Suite 5170 Expira �12 Supplement Card Boston,MA 02116 THIELSCH EN �- ERIK NERSTHE - - J 1341 ELMWOOO o _ I/ � ��— - CRANSTON; RI 0 Undersecretary Not valid without signature rage 1 OI 1 The Official Website 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 Restrictibn 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 � ✓1LC. tJOci72��Z��Y;C({p� °�,j�(�2��Ck2(;VLCLGpG(� s - -�I.:.:i'.<...'..a�.:'. . -' . ..- . Board of l3uildino Regulations and StaOdnTli� HOME IMP License or reEistration vari`d'for individ>il use only ROVEMENTCONTRACTOR i i• before the expiration date. If found return to: Regis-j-1 no-. 12097E Board of Building Regulations and Standards zpaT_atn:=325/2010 �. One Ashburton Place Rm 1301 ?; 2 L ypie= up`piemerii Card Jaffa. 021 08 IELSCH ENGINvEiE_{�I.N IK NERSTHEINI�R �� — " I' 11 ELMWOOD.AVE4 ANSTON, RI 02910 •- � Admkn.isti-.;i: Not valid without sign'tt re ".; ht'tp.-Hdb.state.ma.us/dps/liodetalls-asp?txtScarchr,N=r.c�r 1nn/i,�0 x n T� 3 l �t: NAT-24531 - 1 s RISE ENGINEERING Federal ID#0540405629 RI Contractor Registration No 8186 A division of Thielsch Engineering MA Contractor Registration No 120979 f'r CT Contractor Registration No 620120 1341 Elmwood Avenue,Cranston,RI 02910 1 (401)784-3700 FAX(401)784-3710 CONTRACT R I S E Page 1 THIS CONTRACT IS ENTERED INTO BETWEEN RISE ENGINEERING AND THE CUSTOMER FOR WORK AS ENGINEERING DESCRIBED BELOW CUSTOMER PHONE DATE CSM# Patrick M Princi (508)737-9995 04/08/2010 109347 SERVICE STREET BILLING STREET 29 Wayside Lane 29 Wayside Ln SERVICE CITY,STATE,ZAP BILLING CITY,STATE,ZIP West Barnstable,MA 02668 W Barnstable,MA 02668 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. 18 man hours. $1,188.00 RISE Engineering wi4rovide labor and materials to install a 11"layer of R-38 Class I Cellulose added to 1400 square feet of open attic space. $1,680.00 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 provide labor and materials to install linsulated exhaust hose w\roof mounted flapper vent to exhaust existing bathroom fan(s). $100.00 RISE Engineering will provide labor and materials to install(12 4" X 16"rectangular aluminum soffit vents to increase ventilation in attic areas. $204.00 RISE Engineering will apply all applicable,eligible incentives to this contract. You will be billed only the Net amount. Currently,for households where total income is less than or equal to 80%of median income, the Cape Light Compact offers 100%incentive toward eligible measures(not to exceed$2,000 total incentive.).plus all of the air sealing -$3,188.00 E U K n , }}_ 2 1n(� WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WIT SPECIFl`CATIO4LR T�t'SUM ***One Hundred Forty-Four 8100/100 1 $1".00 UPON FINAL INSPECTION AND OVAL BY R13E ENGINEERING.CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL INTEREST OF 1%WILL BE CHARGED MONTHLY ON ANY UNPAID BALANCE AFTER SOD .SEER ERSE FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND CONTRACTOR REG TRATION. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK P ES AI 0061SIG16 RISE ENGINEERING USTOMER A EPT CE Y BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE 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 GAYS. AS SPECIFIED.PAYMENT WILL BE MADE AS OUTLINED ABOVE Town of Barnstable *Permit Expires 6 man1hs fr m issue date Regulatory Services Fees 6 — • BMW fABM WAQQ 16yg Thomas F.Geiler,Director s63q �� RESS PERMIT Building Division Tom Perry,CBO, Building Commissioner APR 13 2009 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us ' Office: 5oj S 4bfiF BARNSTAK Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Prope Address V V V Ve 1 k&4 y k,•Wjc AkA esidential Value of Work 4) Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) A Construction Supervisor's License#(if applicable) V A ❑Workman's Compensation Insurance Check one: LIJ 13Pftsole proprietor V,Karn the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) I 1 �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/doors/sliders.U-Value (maximum A4) *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 y of a Hom vement Contractors License is required. SIGNATURE: C:\Users\decollik\AppData\LocalkMicrosoft\Windows\Temporary Internet Files\Content.0utlook\MY7NB4IL\EXPRESS.doe Revised 100608 5 Town of Barnstable Regulatory Services aAmgr' L ; Thomas F.Geller,Director 1' 9. Building Division 'FD6IIYI�Ar�� 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 I� �� Please Print DATE: //__ A l �/� 'n - L,�p �/� JOB LOCATION: v1 si, �/v "V �Y��1-y✓L / V VA numbe street - village � ..HOMEOWNER": PG1A—r1 r('"f'.4 AA. �r_\,I(A SC7� - W 37V I/J name home phone k work phone# CURRENT MAILING ADDRESS: Z 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. DEFINrrION 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 pennit. (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 undersi ed"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum' s i ro and requirements and that he/she will comply with said procedures and requi Srignatffe of Homeowner I 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:forms:homeexempt The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston, MA 02111 �• www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information L Please Print Le 'bl Name(Business/Organization/Individual): �l Y�C4 r11'1 Lt Address: G y `(/� Lin J City/State/Zip: - &011C71'L,6(e, Phone.#: 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 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. T. ❑Remodeling ship and have no employees These sub-contractors have g.'❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'-comp.-insurance comp. insurance.t - q��] 5. ❑ 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 per MGL 12.[Voof repairs insurance required.] t c. 152, §1(4),and we have no 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 infomntion. 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 subcontractors and state whether or not those entities have employees. If the subcontractors 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: Policy#or Self-ins.Lic.M 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 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 up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the'Office of Investitrations of the DIA for insurance coverage verification. I do hereby certify er he ains d penalties of erjury that the information provided above is true and correct. Signafore: ` Date: V Phone#: Cl —3 j�✓�J �� — Official use.only. Do not write in this area,Ib 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-conkactor(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 workers'compensation insurance. If an LLC or LLP 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 completeand 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 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 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 11-22-06 www.mass.gov/dia Assessor's map and lot number A�.Q ...... �. ... Q f Sewage Permit number ........................................................ Z BARNSTABLE, i House number .......................... 2:. .:................................ °oo m 3 m �0 G MP-4 a' TOWN OF BARNSTABLE . BUILDING INSPECTOR APPLICATION FOR PERMIT TO .....................................0. . 4 ........................................................... • TYPEOF CONSTRUCTION ..........................................................Y.. ....................................................... ................................................19.... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......... tJ�!......1.. ............`'�!........ ....k�1 k..............art✓.p...J ...`.........»,s,1„G..LC................................ Proposed Use .................. . V...............tAl.d) ),�j.................................................................................................. Zoning District .................. ..k- ........................................Fire District ....uj,.5T...........:. .hn ti l?. .............. .. ...... ................... Nameof Owner 1`.. .. ....... ..'. lrl.0 ............Address .................................................................................... Name of Builder .....��(L1!�5�? «Yl.............Address ...................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ..................... ........................................Foundation ........ 1,. /. e.......................................:........... Exterior1 .......... �.o aa S....................Roofing ............. ... ...................................... 1 Floors ..............................................Interior ..............�... ........... .... .. ..................................... Heating (o" ... ... ..........................Plumbing ..................(.....?....................................................... .�/ nl Fireplace .............. 1.................................................................Approximate Cost ........ .�!. r.f !.C./.................. I � Definitive Plan Approved by Planning Board -----------_----___-----------19_______. Area / '............................ . ... Diagram of Lot and Building with Dimensions Fee �( SUBJECT TO APPROVAL OF BOARD OF HEALTH 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. Name . L1,e,;> •..c:. .c# Ca ::........... U Construction Supervisor's license ... fir.... �........ R W J CONSTRUCTION/A=110-17 No .2.4.9.2.1.... Permit for ....On.e...S.t.or.y......... .... .. .. .. .... .. Single Family Dwelling .............................................................................. side -lane Location ...Tq9t...9.4a.........�.2...!�i�!Y................... West Barnstable Owner ...Construction ........................................... Type of Construction ........................... ................................................................................ Plot ............................. Lot ............... Permit Granted ....April 7. ...........19 83 ................... Date of Inspection ....................................19 Date Completed ......................................19 7,