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HomeMy WebLinkAbout0051 LINDA LANE 51 LINDA LANE 'THE r Application number.�..�,, a - 1 e sASNsrAs � n � � Date Issued...............5/ ................ ........................ r.E MASS. 16 9. � JUN 27 2019 Building Inspectors Initials.......- Map/Parcel...... `� 'Z Z 3 TOWN 0)bAI�NSTAB E .............................`. .. TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: _ 71 � ;,,,�% �,� �c/yl ell?/-S NUMBER STREET VILLAGE Owner's Name: 41 !/�����.,� s;/V/.q Phone Number_ �� _ 2q ►- o&7 J Email Address: �e;u s E' �,o Ana �- Co Cell Phone Number Project cost$ �(o, S�' — Check one ResidentialV1 Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: _ S,e A-f,Z C4-,,a C�s.�{c -�- Date: TYPE OF WOE Siding U Windows (no header change)#a S ED Insulation/Weatherization Doors (no header change)# Commercial Doors require an inspector's review J Roof(not applying more than 1 layer of shingles) / Construction Debris will be going to 41 a s4e-/''?Gila J L,!J&/I:Z F— CONTRACTOR'S INFORMATION Contractor's name i;c an `7R1m,sor% - S„- -ecn We.,i Fri lav,a,7 �-f,'n Jows Home Improvement Contractors Registration(if applicable)# 17 3 Z-L{.� (attach copy) Construction Supervisor's License# 09 S 7 07 (attach copy) Email of Contractor Q$L,Jee� ' • C M Phone number 1101 Z 2 g -I goo ALL PROPERTIES THAT HAVE STRUCTURES VER 75 YEARS OLD OR IF TIME SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. so. APPLICATION NUMBER............................................................ *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X I X Additional tent dimensions can be attached on a separate piece of paper. Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached.Provide a site plan with the location(s) of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date PLICANT'S SIGNATURE Signature Date ( All permit applications are subject to a building official's approval prior to issuance. Renewal Agreement Document and Payment Terms Andersen. dba:Renewal By Andersen of Southern New England Wellington Dasilva Legal Name:Southern New England Windows,LLC 51 Linda Lane . RI#36079,MA#173245,CT#06M55,Lead Firm#1237 Hyannis,MA 02601 w��oow NE c�cEMEnr 10 Reservoir Rd I Smithfield,.Rl 02917 H:(508)241-0676 Phone:'866-563-2235 1 Fax:401-633-6602 1 sales®renewalsne.com Buyer(s) Name: Wellington Dasilva Contract Date: 06/12/19 Buyer(s)Street Address: 51 Linda Lane,Hyannis, MA.02601 Primary Telephone Number: (508)241-0670 Secondary Telephone Number. Primary Email: 1 Secondary Email: 'ackeiusafhotmail.com Buyer(s)hereby.jointly:and.severally agrees to purchase the`products and/or services of Southern New England Windows,LLC d/b/a Renewal By Andersen of Southern New England("Contractor'),in accordance with the terms and conditions.described in this Agreement Document and Payment Terms,any documents listed in the Table of Contents,and any other document attached to this Agreement Document,the terms of which are all agreed to b the parties and incor orated herein b reference(collectively this"Agreement").y pp y Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under.this Agreement. Total Job Amount: $46,658 By signing this Agreement;you acknowledge that:the Balance Due;and:the Amount Financed must be.made by personal check bank check,credit card,or cash Deposit Received: $23,329 Balance Due. $23,329 Estimated Start. Estimated Completion: Amount Financed: 6-9:weeks 6-9 weeks $46,658 Method of Payment Financing We schedule installations based on the date:of the signed contract and secondarily on the date in which we complete the technical:measurements:The installation date that we are providing at this time is only an estimate.We will communicate an official date and time at a later date. Rain and extreme weather are the most common causes for delay - Notes: 50%DEP 50% ON COMP TXS PD HYANNIS MA Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between the.parties and that there are no verbal understandings changing or modifying any of the terms of this Agreement.No alterations to or deviations from this Agreement will be valid without.the signed,:written conseni of both the Buyer(s);and Contractor.Buyers)hereby acknowledges chat Buyer(s)'t)has read this Agreement, understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the:two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel,this Agreement: NOTICE TO BUYER: Do.not sign this contract if blank..You are.entitled to a copy of the contract at the time you sign.: YOU,THE BUYER,.MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 06/15/2019 OR THE THIRD BUSINESS,DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Legal Name:Southern New England Windows,LLC dbai Renewal Andersen of Southern � lan Newln8d Buyer(s) Signature of Sales Person: Signature Signature Eric Woods Wellington Dasilva Print Name of Sales Person Print Name. Print Name UPDATED: 06/12/19 Page 2 / 17 Office of Consumer Affairs and Business Regulation " 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement"-Contractor Registration Type: Supplement Card Registration: 173245 SOUTHERN NEW ENGLAND WINDOWS LLG 10 RESERVOIR ROAD Expiration: 09/18/2020 - SMITHFIELD, RI 02917 =- scA 1 20M-05/17 Update Address and Return Card. �. �iv��inr�"cc•eo,�ls�c�1�2�-��cc%r.�1cCGi Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only, TYPE:Suoolement Card before the expiration date. If found return to: Reaistation. Expiration Office of Consumer Affairs and Business Regulation 09/18/2020 1000 Washington Street-Suite 710 SOUTHERN NEW ENGLANQ WINDOWS,LLC Boston,MA 0211 BRIAN DENNISON t� 10 RESERVOIR ROAD u " SMITHFIELD,RI 02917 Undersecretary �v out signature Commonwealth of Massachusetts y' Division of Professional Licensure Board of Building Regulations and Standards �.Onstrq 66n`Sdpervisor CS-095707 p r z Ea�p i res: 09/08/2020 _ J t BRIAN D DENNISOIV 8 BLACKWELL'DRIVE CHARLTON MA!-01507 Commissioner CIL TheComtnonweall'k oftlassachusetts Department of IndustriaLAccidenxr 1 Congress Street,Suite 100 Boston,M4 02114-3017 www mass goy1&a R orkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERDU TLYG AUTHORITY. Applicant Information I ' L Please Print Legibly Name(Business/Organization/individual):--- U(�'t+(�`e Ne f 11. 1�l} �i �l.0 n Address: 1 U tS r not r IZ City/State&ip:S m t-fA d d R! O Zg /7 Phone#: Are you an employer'Check the appropriate box: �n Type of project(required): 1 am a employer with f'iJ�employees(full and/or part-time).* 7. ❑New construction 29 am a sole proprietor or partnership and have no employees working for me in 8: Remodeling any capacity.[No workers'comp.iasutattee required] ❑ 3. 1 am a homeowner do' all work m It 9. ❑Demolition doing yse [No workers'comp.iacurance required.]t 4.❑1 am a homeowner and will be hiring contractors to conduct all work on my PropertY- twill 10 D Building addition ensure that all contractors either have workers'compensation insurance or are sole 1 l.[]Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 5.01 am a general contractor and t have hired the sub-contractors listed on the attached sheet These sub-contractors have employees and have workers'comp.insurance.t 13.❑Roof repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. l4.t6ther t, 152,¢1(4).and we have no employees.[No workers'comp.insurance required.] �PPI�tom,• �„ Any applicant that checks box#t must also fill out the section below showing their workers'compensation policy information t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. sContractors the check this box must attached as additional sheet stowing the name of the slob-contractors and state whether or not those entities have employees. If the sorb-contractors have employees,they must provide their workers'carp.policy number. I am an employer that is proWding workers'cunVensadon insurance for my enWloyees. Below is the policy and job site information. Insurance Company Name: 1(P,IlI nrS l,C(('Q nw— (.p . pi= W h (�. a . Policy#or Self-ins.Lic.#:�Cjq�l, Ap?7 Expiration Date: La ZO Job Site Address: SDI ��a Lair e� City/Stateaip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to MOM a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verifuartion. I do hereby ce . under the p ' penalties of pedW7 that the information provided above is true and correct i to _ Date: —L — Phone#: Offileial use only: Do not write in this are%to be completed by city or town offlc L 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#- AC6& CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 12128/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT CoBiz Insurance, Inc.-CO NAME' 1401 Lawrence St., Ste. 1200 PHONE t. 303-988-0446 A No):303-988-0804 IL Denver CO 80202 ADDRESS: COMaiii2cabizinsurance.com INSURE S AFFORDING COVERAGE NAIC# INSURER A:Acadia Insurance Company 31325 INSURED ESLERCO-01 INSURERS:Firemens Insurance Company of WA,D.C. 21784 Southern New England Windows, LLC,dba Renewal by Andersen of Southern New England INsuRERc:Homeland Insurance Company of New York 34452 10 Reservior Rd INSURER 0: Smithfield RI 02917 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER:787175890 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SU R . POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DD/YYYY MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CPA3158728 1/112019 1/1/2020 EACH OCCURRENCE $1,000,000 CLAIMS-MADE a OCCUR PREMISES occurrence $300,000 MED EXP(Any one person) $10'Wo PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,OW,000 X POLICY❑JEC LOC PRODUCTS-COMP/OP AGG $2,0D0,000 OTHER: $ A AUTOMOBILE LIABILITY CPA3158728 1I1I2019 1/1/2020 COMBINED SINGLE LIMIT a accident $1 000 0 0 X ANY AUTO BODILY INJURY(Per person) $ AA OWNED AUUT�HEDULED BODILY INJURY(Per accident) $ X X NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accidem $ $ A X UMBRELLA LIAB X OCCUR CPA3158728 1/1/2019 1/1/2020 1 EACH OCCURRENCE $15,D00,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $15,OM,000 DED I X I RETENTION$ $ B WORKERS COMPENSATION WCA315872924 1/1/2019 1/1/2020 X S ATUTE ER AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICERIMEMBER EXCLUDED? ❑N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $1,DO0,000 H yes describe OF O E.L.DISEASE-POLICY LIMIT $1 000.000 DESCRIPTION OF OPERATIONS below C Pollution Liability 7930073340WO 1/112019 1/1/2020 Each Occurrence $2,000,000 Claims-Made Policy Aggregate $2,000,000 Retroactive Data oCd20/2013 Deductible $25,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. FOR INFORMATIONAL PURPOSES ONLY AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD TOWN OF BARNSTAgLE R I S E Division of Thielsch Engineering,Inc. 17013 PAY 10 AM It: 1 8 / 1341 Elmwood Avenue ENGINEERING Cranston,Rhode Island 02910 DIVIslor 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 51 Linda 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 104642 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ? �� Parcel A Z�3 Application # 0 t 0 v,;�q Health Division Date Issued !C7 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board V I v Historic - OKH _ Preservation/Hyannis Project Street Address 51 Linda Lane Village Hyannis Owner Henri xa- Address Pn Box 154 ShrewshurW,M A 01545 Telephone 508-776-5031 Permit Request air sealing, insulate attic area Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 1625 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 ❑ CD Commercial ❑Yes ❑ No If ,es site Ian review# Y p c { Current Use Proposed Use APPLICANT INFORMATION W (BUILDER OR HOMEOWNER) r� Name RISE Engineering Telephone Number 401-784-3700 Address 1341 Elmwood Ave Cranston RI License # 100459 Home Improvement Contractor# 120979 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE lL/ I. I 0 Erik Nerstheimer for RISE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION f k FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ; E a The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations U. 600 Washington Street Boston,Mass. 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): RISE Engineering a division of 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. ❑ 1 am a homeowner doing all work officers have exercised their myself [No workers' comp. right of exemption perm MGL 11. ❑Plumbing repairs or additions. insurance required]t c. 152, § 1(4),and we have no 12. ❑Roof repairs employees. [no workers' 13. Xl 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 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: rD �� _� � � 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 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 enalties ofperjury that the information provided above is true and.correct. Signature: �f(� Date: .f Print Name: Erik Nerstlieimer Phone 4:(401)784-3700 or 1-800-422-5365 ext113 Official use only Do not write in this area to be completed by city or town official City or Town: Permit/license#: Issuing Autbority(circle one): 1.Board of Heath 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact person: Phone#: L AC®RD GERTIFLC,41'E ®F LIA�ILI�V INSURANCE OF ID OAIT:(MMIDOrYYfY) THIEL-1 09/13/10 PRooucEl? THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATI Preston to 0 The Agency, InC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE N 1350 Division Rd Suite 303 HOLDER".THIS CERTIFICATE DOES NOT AMEND,EXTEND OR PO Box 81*0 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW East Greenwich RI 02.818-0816 Phone: 401-886-8000 Fax:401-885-1700 INSURERS AFFORDING COVERAGE NAIC4 INSURED INSURERA: Zurich—American Ins CO. ' Thielsch Engineering, Inc NSURER B:. nner sr .ic<n twsnt— 6 LLblllty Hi Tech Realt Thielsch 6ajou AJtP y Inc.Inc. NSURERC: North American Capacity 195 Franc4s Avenue INSURER 0: Hartford Insurance Company Cranston RI 02910 INSURER E' COVERAGES 1HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED To THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWI'IHS'17AIDING ANY RECUIREI,11ENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR w1Y PERTAIN,THE INSURANCE AFFORDED SY THE POLICIES DESCRIBED HEREIN IS SUBJECT TOALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. II`TSR7iD'Ol " LTR INSR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DOM') DATE( M')� LIMITS GENERAL LIABILITY EACH OCCURRENCE 1 1,000 000 A I X COMMERCIAL GENERAL LIABILITY 3730962-00 O4/O1/10 01/01/11 PREbIISESIEa�oc urenca) T 300,000 CLAIMS MADE OCCUR MED EXP(Any"one person) S 10,0 0 0 - PERSONAL&ADV INJURY S 1,0 0 0,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s 2,0 0 0,0 0 0 POLICY X .JEa LOC Emp Ben. 1,000,000 - AUTOMOBILELIABILITY , A X ANY AUTO 37309 (Ea accid"63-00 04/O1/10 O1/O1/11 Ca a ccident)D'SINGLELIMIT s2,000,000 ALL OWNED AUTOS BODILY IPJJURY S. SCHCOULED AUTOS (Per person) HIRED AUTOS BODILY INJURY WGN•OVMED AUTOS (Peracuda.Nl PROPERTY DAMAGE — (Per accident) GARAGE L.IABIU7Y AUTO ONLY-EA ACCIDENT s ANY AUTO - OTHERTHAfI EA ACC S A.UTO.ONLY: AGG 5 `— EXCESS(UMBRELLAL.IABILFrY EACH OCCURRENCE S 1670C)0,000 B X OCCUR CLAIMS U1�ID 9263637-00 04/01/10 0.1'/O1/11 AGGREGATE a 10 000,000 DEDUCTIBLE ---- - 3 X RETENTION $10,000 y WORKERS COMPENSATION AND - X TORY LIMITSFPEMPLOYERS'"LIABILITY A :Wl'PROPRIETOR/PARTNER/EXECUTIVE 3730961-00 04/01/10 01./01/11. E.L.EACH ACC DENT s 1,000,000 OFFICER/MEMBER EXCLUDED? E.L.DISEASE•EA EMPLOYEE S 1,000,000 It yes,descfibe under - SPECIAL PROVISIONS boicw E.L.DISEASE-P6LIC'Y LIMIT :F 1 000,000 OTHER C � ProfessiorYal Liab 1)VL000026800 04/01/10 64/01/11 Prof Liab 2,000,000 D � Leased/Rented Eqp 02UUNTD5678 04/01/10 04/01/11 Equipment 100,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROMS"IONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER`HILL ENDEAVOR TO MAIL 10 D:zYS WRITTEN _ NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESE V - ACORD 25(2001/08) V @ACOR.D CORPORATION 1982 g FIS Yl! 2 for Engineering, a division of Thielsch Engineering, Inc. ell Associates., a division of Thielsch Engineering, Inc. BAL Laboratoryi a division of Thielsch Engineering, Inc. ESS Laboratory, a division of Thielsch Engineering, Ind. ALCO Engineering, a division of Thielsch Engineering, Inc. Water Management Services, a division of Thielsch Engineering, Inc. F b 9te u O ice o nsumer fan usmess e u anon Q g 10 Park Plaza - Suite 5170 Boston, *ssachusetts 02116 Home Improveontractor Registration Registration: 1209791 Type: Supplement Card Expiration,: 3/25/2012 THIELSCH ENGINEERING ERIK NERSTHEIMER 1341 ELMWOOD AVE. A CRANSTON, RI 02910 � 4 Update Address and return card.Mark reason for change. Address Renewal Employment ❑ Lost Card DPS-CA1 0 50M-04/04-G101216 ,per �1e �o7n�no�zcaealt/z a�./�aeaaclucaet�a �\ Offce of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: a Office of Consumer Affairs and Business Regulation Registrations tig79 Type: 10 Park Plaza-Suite 5170 Expira =-q12 Supplement Card Boston,MA 02116 THIELSCH ENGLN ERIK NERSTH Y . _ c 1341 ELMWOOD g CRANSTON; RI 0 41- Undersecretary Not valid without signature w _ 1 r ' ragei0I1 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 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 ��ie.Zno�nanc��;uea`� a�✓�aeacze✓zciceLta. \ Board of]3irildino Regulations and Standari'l I;..;•; -` License or registration val d',for individol use only ! HOME IMPROVEMENT CONTRACTOR, i. before the expiration date, if found return to: RegistraYi,on,_ 120979 I` Board of Building Regulations and Standards _P 0 3�25/201 1 One Ashburton Place Rm]301 tiTYRe=_SUPPlemerii Card Tit?str�n lea. 037.0$ IELSCH ENGINEE:RI:NG== IK NERSTHEIM-ER===` '-= 0 ELMWOOD ANSTON, RI Admm.isti:ottor ---- j Not valid without sign-I,,,re ht-tp://de.state-rna.us/dps/licdetalls.asp?tXtScaIchT,N=CqT inn,iso M � xr 3r b� me F c � NAT-24531 - 1 i RISE ENGINEERING Federal ID#05-0405629 RI Contractor Registration No 8186 A division of Thielsch Engineering MA Contractor Registration No 120979 ,- CT Contractor Registration No 620120 1341 Elmwood Avenue,Cranston,RI 02910 ��aa 1� (4.01)784-3700 FAX(401)784-3710 ii O N T !�e.► B�p Page 1 i S E THIS CONTRACT IS ENTERED INTO BETWEEN RISE ENGINEERING AND THE CUSTOMER FOR WORK AS ENGINEERING DESCRIBED BELOW CUSTOMER - PHONE DATE Client Henry J Hayes (508)776-5031 02/08/2010 104642 SERVICE STREET - - BILLING STREET 51 Linda Lane Po Box 154 SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Hyannis,MA 02601 Shrewsbury,MA 01545 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 1 exchange and indoor air quality.Materials to be used to seal your home can include caulks;foams,weatherstripping and other products. Primary areas for sealing include air leakage to attics,basements and other unheated areas(windows are not generally addressed.) This work will be performed at the rate of$66 per man per hour,which includes materials and testing. 12 man hours. $792.00 RISE Engineering will provide labor and materials to install a—7"layer of R-23 Class 1 Cellulose added to 192 square feet of floored attic space. $211.20 RISE Engineering will provide labor and materials to install a—8.5"layer of R-30 Class 1 Cellulose added to 230 square feet of floored attic space. $276.00 RISE Engineering will provide labor and materials to install 3.5"R-13 faced fiberglass batt insulation to 160 square feet of kneewall area. $176.00 RISE Engineering will provide labor and materials to insulate the back of 2 existing kneewall access hatch(es)with 1"rigid foam board insulation,and seal the edge of the hatch with weatherstripping. $170.00 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.Includes air sealing cost also. $1,416.90 v 4'1% 2010 Lf I.i: WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH SUM O r ***Two Hundred Eight&30/100 $208.30 UPON FINAL INSPECTION AND APPROVAL BY RISEf ENGINEERING.CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL.INTEREST OF I%WILL BE CHARGED MONTHLY ON ANY UNPAID BALANCE AFTER 30 DAYS.SEE REVERSE FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION;SCHEDULING,AND CONTRACTOR REGISTRATION. - . .... DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES H VED SI U - E E GINEERING USTOMER ACCEPTANCE ) 7 NOTE:THIS TRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE ACCEPTANCE OF CONTRACT-THE ABOVE PRICES,SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY TO 0 ANd'ARE Ht'W V ACCEPTED.YOU ARE AUTHORIZED TO DO THE WORK DAYS. AS SPECIFIED.PAYMENT 1?fILL BE MADE AS OUTLINED ABOVE Town of Barnstable *Permit# Fxpires 6 months front issue date ER Regulatory Services Fee ��. �2-, ® r�� Thomas F.Geiler,Director OCT Building Division 2 7 20 og Tom Perry,CBO, Building Commissioner r" TOWN OF 200 Main Street,Hyannis,MA 02601 B���S�� www.iown.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address ` dA,", a O DSidential Value of Work / , ��O Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name tC/� 6t� t.. c j-� p but- Telephone Number 5o `l Rk-�2�2 9 0� Home Improvement Contractor License#(if applicable) 3 Construction Supervisor's License#(if applicable) C to O Oworkman's Compensation Insurance Ched one: ❑ I am a sole proprietor ❑ I am the Homeowner 0,I have Worker's Compensation Insurance Insurance Company Name T ))�:L l� Workman's Comp.Policy# _ 1.L f Q 3 q I r1'1 5S b _d Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) 3-Re-roof(stripping old shingles) All construction debris will be taken to Z � ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission, { A copy of the Home Improvement Contractors License is required. J SIGNATURE: Q:Fomis:expmtrg Revise061306 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 Please Print Legibly Name (Business/Organization/Individual): FA L LC_ Address: 0 go-X, 1 City/State/Zip: C!jb-La MA- OX 3_� Phone#: �j 6 9—Y O-9 Are you an employer?Check the appropriate box: Type of project(required): 1;,?�_I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling 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 10.0 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.❑ Roof repairs insurance required.] f 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 information. f Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. xContractors 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 insurance for my employees Below is the policy and job site information. Insurance Company Name: -t—)U ( th Policy#or Self ins. Lic. #:U 13 -a 3 -1 l , I �,Exptiatsion Date:- t�a C1. Job Site Address: ���p City/State/Zip: �+ Attach a copy of the workers' compensation policy declaration page(showing the policy num er and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi the nd pe [ties of perjury that the information provided above is true and correct. Si Date: Q CC ate: Phone#: UQ�' Yoe Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: II� OLzovtaaea a�.� Cud¢e�a�meG ; C ; 9 o Ba➢dg: MIMand StaadUds pp �Opp k---ftped 6ertse 9 �u NEW .x J a.. '• ©11• Teak 9•F6.88 OEM ,FRyrS. EAST FA-L MDUTH,-MA=3B Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR License or registration valid for individul use only before the expiration date. If found return to: Reglst�!at�O ?i 112536 Board of Building Regulations and Standards r, Rpir'OtiTn'-1/23/2011 Tr# 281021 One Ashburton Place Rm 1301 Type: Do'-6, Boston,Ma.02108 ERASER CONSTRUCTION CO. ,; + DEAN FRASER ? 104 TWINN VIEW[SANE :}l E FALMOUTH,MA 02536 Administrator Not re B oar o u 1 m ' e g egula ons an an ar s One Ashburton Place - Room 1301 Bosto& Massachusetts 02108 Horne Impr®vement Contractor Registration Registration: 112536 Type: DBA FRASER CONSTRUCTION CO. Expiration: 3/23/2011 Tr# 281021 DEAN FRASER P.O. BOX 1845 COTUIT, MA 02635 Update Address and return card.Marls reason for change. i 0 40M-08/08-DBSUFORMCA108212008 ❑ Address ❑ Renewal FIE'MPIOYMent ❑ Lost Card E RightFax C2-2 9/29/2009 5 : 35: 22 AM PAGE 2/002 Fax Server ACORD. CERTIFICATE OF INSURANCE DATE(MM\DD\YY) 09-29-09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE WISE&QUINN INS AGCY IN HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 449 PLEASANT ST ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE BROCKTON,MA 02301 COMPANY 24WCB A EYARTFORD GROUP INSURED COMPANY B FRASER CONSTRUCTION LLC COMPANY P.O.BOY 1845 C COTUIT,MA 02635 COMPANY D COVERAGE THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING 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 THETERM%EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER DATE(MMXDMYY) DATE LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL PRODUCTS-COMP/OP AGO. $ CLAIMS MADE OCCUR. PERSONAL&&ADV.INJURY $ OWNER'S&&CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ MED.EXPENSE(Any one person) $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS BODILY INJURY(Per Person) $ SCHEDULE AUTOS BODILY INJURY(Per Accident) $ HIRED AUTOS PROPERTY DAMAGE $ NON-OWNED AUTOS GARAGE LIABILITY ANY AUTOS AUTO ONLY-EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGREGATE $ EXCESS LIABILITY UMBRELLA FORM EACH OCCURRENCE $ OTHER THAN UMBRELLA FORM AGGREGATE $ WORKER'S COMPENSATION AND A EMPOLVER'S LIABILITY UB-0341M556-09 09-26-09 09-26-10 STATUTORY LIMITS X THE PROPRIETOR/ EACH ACCIDENT $ 500,000 PARTNERSIEXECUTIVE INCL DISEASE-POLICY LIMIT $ 500,000 OFFICERS ARE: X EXCL DISEASE-EACH EMPLOYEE $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS THUS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTWO WORKERS COMP COVERAGE, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE FRASER CONSTRUCTION LLC EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT PO BOX 1845 FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. COTUIT,MA 02635 AUTHORIZED REPRESENTATIVE ACORD 25-5(3I93) Ramani Ayer f 1 j.i`'• —tee F ' CONSTRUCTION racer ConstructionBox ' LC 1845, Cotuit Email: faser constructionMA 02635 508-428-2292 �w.fraserroofin c verizo om FAX 1-508-428_0123 HICL#112536 CS#97668 RE_ ® ®PING PROPOSAL DATE: July 27 f MAME: Hea , 2009 MAIL ADDRESS: PHONE: 508-776-50 J08 ADDRESS: 51 Linda Lag Shrewsbury, MA O15 e Hyannis, NIA 0260145 FRASER CONSTRUCTION and professional like hereby proposes to specifications and local manner and in accordance erform the followin -Remove building code. the maollo urer ices in a neat i and Haul away-Re-nail all plywood sheathinall of the old rooflng mat 'j g as needed. erial Su y and Iastali _ CERT yPars"dritY, 5 AINTEED LAND Year Sure Start protection MAC /WOODSCAPE Extra Heavy Weight, Self Se , CLASS A -FIRE AR 30: 30 - Based Asphalt Shingle with New 1lti-Layered, ArchitecturEaD1' ALGAE Resistant Year a Full W 'ant3'against ALGAE;England's Exclusive COppE Style, Fiberglass resistance warranty with six nails in co Containment. 5 Year �MIC Stones with includes six nails in mmon bond mPh wind- for specific details COmmon bond area at area, Fraser construction P and limitations. NO additional cost. See actual warranty Color: D � 00 Price includes re PRICE- $9'860 replacement of rotted rake tails Initial With primed pine SuP_PlX-� Ig�� - CertainTeed Waterproof winter- Guard: nderla (ice & water shield) valleys, 18" Yment System (aft. on eves and on rakes, walls, and skylights SupplyAInstall nderl- Roofer's Select U ) ayment paper (as recommended by CertainTeed) Su pig�In$t� Hick's Ventilated Drip Edge or.' Aluminum Drip Edge Su ly 8s Install -Aluminum & Neoprene Soil Pipe Flashing . SuUlly&Install - Shingle Vent II (as recomrnende - - Clean 1eRemove - Debris fro d by CertainTeed) m work area daily. *4 Star Warranty Upgrade will be applied if proposal is signed and returned within 10 days. (see enclosed brochure) 2% Discount if paid by check immediately upon completion NO MONEY DOWN - NO Payment at the start or part way thru Payments accepted are: CASH - CHECK- MASTERCARD -VISA-AMERICAN EXPRESS *Any payments not made within 30 days of completion will be charged 1.5%for every 30 days the payment is late. Possible Extra -After the shingles are removed from the roof, we will lift one sheet of plywood to make sure that the insulation is not up against the plywood sheathing preventing ventilation from the eaves to the ridge. If it is, ventilation panels will be installed by; removing the plywood sheathing, installing the panels, turning the plywood over and then re-installing the plywood. If needed, this would be charged for as an extra at the rate of$6.00 per panel including Materials 8v Labor. There are 6 Panels per sheet of plywood. Possible Extra-Any rotted or otherwise deteriorated trim boards, plywood sheathing, lead flashing, or other carpentry needing replacement will be done and charged for as an extra at the rate of$60.00 per hour, plus 15% mark-up materials FRASER CONSTRUCTION Warranties the labor for 12 years FRASER CONSTRUCTION Warranties the shingles against Blow-Offs for 10 years. CERTAINTEED Warranties the shingles and labor 100% through the Sure Start Warranty duration. CERTAINTEED Warranties the shingles to be ALGAE resistant for the duration of the Sure Start Warranty depending on the shingle that was purchased. Any deviation or alteration from above specification will be executed upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our control. Owner should carry fire, tornado and other necessary insurance upon the above work. We, if not accepted within thirty days may withdraw this proposal. FRASER CONSTRUCTION, LLC: Carries Workman's Compensation and Public Liability Insurance on the above work, certificate available upon request. DATE OF ACCEPTANCE: S H eowne Fraser Construction, LLC ti �� ��1s�_ P71'7 /_ Z7n