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HomeMy WebLinkAbout0066 RIPPLE COVE ROAD � (� t4 � �P� E Covc- � u�+� � _ - - - � J TOWN OF BARNSTABLE R I S E Division of Thielsch Engineering,Inc. 7013 MAY �� AM t i: 19 1341 Elmwood Avenue ENGINEERING Cranston,Rhode Island02910 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.66 Ripple Cove Road has been inspected by a Building Performance Institute (BPI) certified Professional. All work performed meets or exceeds Federal and State requirement. i 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 I - RISE ENGINEERING Federal ID#06-04056 RI Contractor Registration No 8186 A division of Thielseh Engineering MA Contractor Registration No 120979 CT Contractor Registration No 620120 1341 Elmwood Avenue,Cranston,R102910. (401)784-3700 r FAX(401)784-37101 CONTRACT �j z Page R. 7 THIS CONTRACT IS ENTERED INTO BETWEEN RISE „ .. ENGINEERING AND THE CUSTOMER FOR WORK AS ENGINEERING DESCRIBED BELOW CUSTOMER PHONE DATE - Client#• Noel Bouvier (508)341-5225 05/10/2010 1 6 SERVICE STREET ,� -• BILLING STREET 66 Ripple-cove Road 66 Ripple-cove 4nnF. SERVICE CITY,STATE,ZIP _ BILLING CITY,STATE,ZIP - Hyannis,MA 02601 Hyannis,MA 026�h f , JOB DESCRIPTION RISE Engineering will provide labor and materials to seal areas of your home against wasteful,excess INM_akige. This,work will be G 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 pe hour,which includes materials and testing. 12 man hours.This measure is available for 100% rebate from the Cape Light Compact. �L $792.00 RISE Engineering will provide labor and materials to install a 8"layer of R-30 Class i Cellulose added to 704 square feet of open 2-story attic space. $774.40 RISE Engineering will provide labor and materials to install a l 1"layer of R-38 Class 1 Cellulose added to 204 square feet of open 1-story attic space. $244.80 RISE Engineering will provide labor and materials to install insulation and weatherstripping to I attic access hatch(es): $25.00 RISE Engineering will provide labor and materials to install 8/4" X 16"'rectangular aluminum soffit vents to increase ventilation in attic areas. $119.00 RISE Engineering will apply all applicable,eligible incentives to this contract. You will be billed only the Net amount. Currently,for eligible t, measures,the Cape Light Compact offers 75%incentive. ` $1,664.40 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ""`Two Hundred Ninety&80/100 Dollars $2 0.80 UPON FINAL INSPECTION AND R AL BY RISE ENGINEERING.CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL INTEREST OF 1%WILL BE CHARGED MONTHLY ON ANY UNPAID BALANCE AFT AYS.SEJ REVERSE FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND CONTRACTOR REGISTRATION. 'a - DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES AUTHORIZED SiGNA E-RISE ENGINEERING "+'• -- - `C TOMER ... - -NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE ------- —, ------ - ACCEPTANCE OF CONTRACT THE!B JL PRM S PECIFICAT IONS AND CON. TI0 ARE SATISFACT'ORYTO US AND ARE t+ERrNYnLrE'�ED Y^U ARF_AIATHORIZED.TOIDO THE WORK —L= DAYS.:. '. AS SPECIFIED.PAYMENT I4;L:.DE MF•L.A:�.t`.Jfi,tNFD AiTOVE 109926 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION �, Map Parcel Application #-7. 0 l 0 0 Health Division Date Issuedl l Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis .Project Street Address _ 66 Ripple Cove Rd Village Hyannis Owner_NoPI Bouvi Pr Address Telephone 508-341-5225 Permit Request air sealing insulate attic, install 8 soffit vents Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 1955 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# w Current Use Proposed Use µ 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 ` DATE Erik Nerstheimer for RISE FOR OFFICIAL USE ONLY APPLICATION# 5 DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME :4 INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL l j PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, Mass. 02111 www.rnass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organizationdndividual): 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. ❑ lam a general contractor and I 6. 0 New construction. employees(full and/or part time).* have hired the sub-contractors 2. 0 I am a sole proprietor or partner- listed on the attached sheet. 7. 0 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 t [No workers' comp.insurance comp. insurance. $ required] 5.0 We are a corporation and its 10. O Electrical repairs or additions 3. 0 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.,D•Roof repairs " employees. [no workers' 13. T& Other.Insulate comp.insurance required.] *Any applicant that checks box 41 must also fill out the section below showing tbeir workers'compensation policy information. [Homeowners who submit this affidavit indicating.they are doing all work and then hire outside contractors must submit a new affidavitindicating 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 thepolicy and job site information. Insurance Company Name: The Preston Agency Policy#or Self-ins.Lic.#: 3 730961-00 Expiration Date: 1/1/11 Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and`exp ration'(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. Si nature: r Date: Print Name: rErik Nerstheimer Phone#:(401)784-3700 'or l-800-�.22_5365 extl33 Official use only Do not write.in.this area to''be completed by city or town official - City or'Town: a;Permit/license#: r Issuing Authority(circle one): I.13gard of Iliatli% 2. Building.l)epartmennt 3.City/Town Clerk 4.'i tectrie'al 1xis¢pector, 5,PliLrilbhIg Inspector 6.Other - con-fact person: r AC®lq® CERTIFICATE OF LIABILITY INSURANCE O P 47 DATE(MMIDONYyy) 04/13/10 PRODUCER w THIS CERTIFICATE IS TheSSUED AS A MATTER OF INFORMATION Preston Agency, Inc.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, East Greenwich RI 02818-0810 Phone: 401-886-8000 Fax:401-8857-1700 INSURERS AFFORDING COVERAGE NAIC INSURED - _ INSURER a: Zurich—American^ Ins CO. Thielsch Engineering, Inc INSURER B: Aa.r.lcen cv--t.. a W.b11Yty Thielsch Group 6Alty Inc. INSURER North American Capacity Hi Tech Realty Inc, -- 195 Frances Avenue :iNSuseRo: Cranston RI 02910 Hartford Insurance Company Cranston . INSURER EI - .. .. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED rO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWI'IHSWIDING ANY RECUIREI�ENT,TERM 09 CONDITION OF ANY CONTRACT OR OTHER OOCUMEhTT WITH RESPECT TO WHICH'rHiS CERTIFICATE MAY BE ISSUED OR _ ,W1Y 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 8Y PAID CLAIMS. IFtSR'�iUDL . LTR INSR TYPE OF INSURANCE POLICY NUMBER TC7DATE(MMlDDlY1') DATE 7E p LIMITS TXGENERAL LIABILITYEACHOCCURRENCE T 1,GG GG0 COMMERCIAL GENERAL LIABILITY 3730962-00 04/01/10 01/O1/11 PREMISES(Ea occurencd). _ z 3_OO,0.00 _- CLAIMS MADE .a OCCUR. - MED EXP Gmy,one person) .11670067 PERSONAL 4 ADV INJURY Y 1,0 0 0,0 0 0 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,00 0,0 0 0 POLICY X .PJEa LOC Emp Ben. 1,000,000 AUTOMOBILE LIABILITY , - - X ANY AUTO COMBINED SINGLELIMIT . 0 04/01/10 01/01/1, (Ea acciden!) s 2-,000,000 ALL OWNED AUTOS '— BODILY INJURY S. _ SCHEDULED AUTOS - - (Per person) y. HIRED AUTO) - - — - BODILY INJURY' WGhbONTIEG AUTOS - - (Per eccrde.nl) .< I PROPERTY DAI�IA�GE. .— ?Per accioenl) GARAGE LIABILITY { - AUTO ONLY-EA i\C4IUE14T g ANY AUTO - _ z OTHER TK*4 .,+.EA ACC I . -.UTO.ONLY: AGG ;.. -- r EXCESS/UMBRELLA L IABILrrY - EACH OCCURRENCE . S 10,000 000 B X OCCUR r CLAIMS MADE U.MB' 9263637-00 04/01/10 01/01/11 AGGREGATE 510,000,000. 1 —0 RDEDUCTIBLE sr - X RETENTION $10,000, — --- WORKERS COMPENSATION AND "" TORYI_IMITS EIAPLOYERS'LIABILITY ER' , P. 3730961-00 04/01/10 01./O1/1.1. E.L.EA CHACCIDE14T $ 1,000,000 ;'ddl'PROPRIETORIPARTNERIEYECUTIVE OFFICEWMEMBER EXCLUDED? ` - E.L.DISEASE•EA EMPLOYEE 1,000,000 _ If yes,describe under .. SPECIAL PROVISIONS below - - F-L.DISEASE PdUC'Y CIhf1T i 1,0 0 0,0 0 0 OTHER C ! Professioaal Liab DVL000026800 04/01/10 04%01/11 Prof Liab 2,000,000 D Leased/Rented Eqp 02UUNTD5678 04/01/10 04/01/11 Equipment 100,000 DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES(EXCLUSIONS ADDED BY ENDORSEMENT?SPECIAL PROVISIONS _ CERTIFICATE HOLDER" CANCELLATION ^r' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION - DATE THEREOF.THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAPS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO 00.SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY HIND UPON'THE PiSURER;ITS AGENTS OR REPRESENTATIVES.. . . I T• REPRESS v� - — _ .AUTHORIZED ,V ACORD 25 2G01/O8�- - ( 2ACORD CORPORATION 1.980 tU � ---- __ - y "ic !{n`K t �.-1.. d IIS t a�rG 1ti. �4tt , r?✓a is i.(F�{t�n t'.+'fl i�t, �Sdi'ftf'1 + f 91tt !�i'� i ti - p�� ' !'P F ■"r; „�;f4Fa. }j.�,k'��'1 lja�j;,�r; h�: .����jjJ�j�ii ta�itu!'�` �S Fi�li ;Ltd "'d!� rljrtfi�l�t I � � t�i�it;xTHIEL 1 ', t,�r PAGE 2 �`�®������'}��1�"�IN�UREDfSrtIAME aTXdie`��ch�+�ri�iaee�,;[,nggah�n��,Ctlr,Ifi�xitl,'t,rt,�OPID r27�(j 1 rf DATE,04/1,2/10 '. Y S s.y ryI litHiPi` ! r- 1 ; - 1 5,! i ,...,�t.., P��Ilti. �,If.clltL c�1if, t 'dd'7..'•rI..�t5� ... �. ....�... -. .: .. Also for,.,_,.. RISE Engineering, a division of Thielsch Engineering, Inc. Gaskell Associates_; a division of Thielsch Engineering, Inc. BAL Laboratory; .a-division of Thielsch Eng-ineer. ng, 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. y _ x O ice o nsumer ai and usiness e u ation g x 1#0 Park Plaza- Suite 5170 ^ . Boston, ssachusetts 02116 'Home Improve �' ontractor Registration` Registration: 120979 Twe: Supplement Card < THIELSCH ENGINEERING . z J ` " Expiration: 3/25/2012 _ ERIK NERSTHEIMER T 1341 ELMWOOD AVE. =� CRANSTON, RI 02910 - Updat change. e Address and turn card.Mark reason c — Address Renewal Employment 0 Lost and DPS-CA1 0 50M-04/04-G101216 r •• .. ; ,per �lze T�anvnzo�ruvea�.�i �,/�aaaac�ucael�a 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: , r. j, 1, Office of Consumer Affairs and Business Regulation,+ Registration�a`p 79 Type 10 Park Plaza-Suite 5170 r Expira _( {112 ' Supplement Card Boston,MA 02116 THIELSCH ENGR[s —= 1 ERIK NERSTHE �� — j 7= 1.341 ELMWOOD CRANSTON; RI 029f9t:rti Undersecretary Not valid without signature 4 t:� rage i 0 z 1 The Official Website of the Executive Office of Public Safety and Security (EOPS) J Mass:Gov Home Public Safety I i Department of Public Safety licensee Complaints License Type Construction Supervisor License # 100459 Restriction Ws,IC y" s Name Erik Nerstheimer City, State, Zip North Scituate, Rl, 02857 Expiration Date 3/28/2012 Status Current No complaints found for this Licensee. Back To Search ✓�ie.�o�� �,./f/`a46az,�uc�eL7a -- _ I. - - . ... .. Board of Biiildin-Regulations Ind StaaidaiiE Li eose or registration vaf -for individol use dnl31 HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registr,`ai;,oi%__ 120979 Board of Building Regulations and Standards' Ex";irat•i:o.n. ::. I` One Ashburton Place Rrn']301' TYP'e`=Supplement Card T�'stt�ji hda. 0210$ ELSCH ENGINEEJING';-_; K NERSTHEIMER- 1 ELMWOOD - \NSTON, RI 02910 .;t -- --- Administi-.;uo l! Not valid without sign #ire -- - kn. z http://db.state.ma.u.s/dps/licdetalls.asp?t)�tScarcliLN=�;L1(1(14 59 r r"i�s-g`r:-a' tx ie r t...k Ni t a k rA� r `?' - NAT-24531�- 1 '� tl TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application#" 0��7�(� 3� I Health Division v Date Issued' 0� Conservation Division Application Fee C�• Tax Collector Permit Fee s Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 912 v e � Village {OO,e►roc 3 Owner &a t V c tv- Address 6� �� ro F, .e (a✓e Telephone v Permit Request r ym e �.� Square feet: 1 st floor:existing proposed 2nd floor:existing yO proposed Total new 7� Zoning District Flood Plain Groundwater Overlay Project Valuation q 06LJ Construction Type G/idd (DL)f Me_) Lot Size Grandfathered: ❑Yes ❑No, If yes, attach supporting documentation. Dwelling Type: Single Family V Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: 6full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new-0 Half:existing new Number of Bedrooms: existing new 0 _ Total Room Count(not including baths):existing _new First Floor Room Count Heat Type and Fuel: 0 Gas eOil ❑Electric ❑Other P Central Air: ❑Yes JAo Fireplaces: Existing New Existing wood/coal stove: '`O Yess"�_ ❑No Detached garage:❑existing ❑new size Pool:Ln(existing ❑new size Barn:0 existing 0-new size Attached garage:i9 existing ❑new size Shed:❑existing ❑new size Other: t y, Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ cc Commercial ❑Yes ❑No If yes,,site plan review#.- c, T711. Current Use Proposed Use BUILDER INFORMATION Name l`C �✓�S Telephone Number( ®� 7d D 6a Address PPrla TDcc c.P License# 416 I_' eyl 1 cu f ll e u-S S Home Improvement Contractor# /a d yk U Worker's Compensation#,2o ALL CONSTRUCTION DEBRIS RESULTING FROM TPROJECT.WILL BE TAKEN-TO<- J, 14,1)7 { SIGNATURE / r DATE //>-,,7 -- O 7 I i FOR OFFICIAL USE ONLY r. APPLICATION# , DATE ISSUED MAP PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME J INSULATION O CC- FIREPLACE ' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ' FINAL BUILDING DATE CLOSED OUT '` ASSOCIATION PLAN NO. t axe cc c h i ►.S�' o� x (0 �Q d//,�,tei �' 1.0 l., ado Pv��s,�� "off Ti }.j. • 4 Ccy� o e. cb - C P i7 � a J-A-L1__ ,�Fxs/ iff -,D � F i \J i i i-- 1 i t 1 ZZ �c of / I � I Ii C f F I r o • ' Y71e Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street - Boston,MA 02111' wrdw.mass.gov/dia ' Workers"Compensation Insurance Affidavit: Builders/Contractors/Eleetricians/Plumbers _Applicant Information / Please Print Legib Name(Business/Organization/lndividual): Address: e - � �/ / •a�- City/State/Zip: ( ��e"r/, Phone.#: � Are you an employer?Check the appropriate hog: :Type of project(required):,• 1,R I am a employer with 4. I am a general contractor and I * have hired the sub contractors 6. ❑New construction . employees(full and/or part-time)! deling ' a'sole io rietor or partner- listed on the attached sheet. 7• 2.❑ I am proprietor P , ship and have no employees These sub-contractors have g• (�Demolition employees and have workers' avorking for me in any capacity. 9. ❑Building addition comp.insurance$ [No workers comp.insurance 10.❑ lectr Eicalr airs or additions required.] 5. [] We are a corporation and its repairs '3.❑ I am a homeowner doing till-work . officers have exercised their -11.❑Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12,Q R.aof repairs insurance.required.]t c. 152, §1(4),and we have no ] employees:[No workers' 13.❑Other comp,insurance regiired.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Horneownem.who submit this affmdavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating'such. tContractors that check this box must attached an additional sheet showing the name of the Sub-contractors amid state whether ornot 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: O Y Hu 7-;ed -- Policy#or Self-ins.Lic.# C, t 00 Expiration Date: City/State/Zip. lob Site Address: (>'/[� f iiI dl �tlrsP t`a► � �G" 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 dvised that a copy of this statement maybe forwarded to the Office of Investigations of the WA for ins ce cov e v lion. I do hereby certify under the and al s o 'ury that the information provided above is true and correct. Si afore: Date Phone Offtcfal use only. Do not write to this area, to be completed by city or town off ciaL 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 Phone Contact Person: #: r °EVE r, Town of Barnstable Regulatory Services ' BaaNszasi.E ` Thomas F.Geller,Director Mass. �Q'pTEo;9.,a``� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires 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 units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. f y Type of Work: jA-e, ki ysC Estimated Cost � 0,4 d Address of Work: 6)dC i pp Owner's Name: Lt-e.I -1>cl ;�J�e. Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law._ ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY a I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name Q:fom,slomeaff day CERTIFICATE OF INSURANCE 4nPW Of womy PRODum a t000MuP arl T Ark c Ts COI m CAn LeonaW InmTe m Agency Ew MRS N"AWIND,PJfWW OR ALT=nM COVI;iti AGE AMMM BY THE A O Box ox 494 Oster 4 MA 02655 COMPANIES AFFORDING COVERAGE Mark Herbst COMPANY A A.I.M. Mutua!IQearasue Co 35 Peep Taal Road Centerville, MA 02632 COVBRAGM THLS cs TO CERTIPYTHAT THS FOLIM OP Ew9URANC6 f.l4TEb t;MI,W HAVB SM WUEDl*1 HB U4UNW N HD ABOva FOB TIIB P UCY P0UOD THDICATED.N0TWM13tANVW0ANV R IwP,'rM OR I t CDNOP ANY CONTAACrOR WHER DOCtB�EWr Wft'H RMP TT0 WIM-H THIS Ct'sRTti-1CATE MAY Orl IS.4UBD OR MAY BQI!TAJN.TW DWRA M APR WW BY TUB POLM328 DISICittBffi1 HUM 5 SUWBCT TO ALL THE TERMS. EXCLUSIONS AND CpffOYP M OF Stet POUCtBS- LWM SHOWN MAY MAVB BW ARIMC:ED BY PAW CLADtf9. 01 RIIEafAC uASTIdT4GINHILAL AGGRWATB f GIALW9ILITY C►B4O/MHOPA= f rAFMOML t ADV.WMY s OWNS& RwRoccLumics s I�tlf tswAaat way� f .t ®pamtl f urob m Ls L"alu" « s Lts f r*%um uwfr Oolm A" IM U9LY Im"If f tt®f Avmlcsomy gamy s Ab7W > &uAla Y ,,. GA8VA0� S LiARILRYVAM DOCUQi 9RM f PORM WA" f THM1 UM!lRfi1.LA FORM iN01R®t 7 A7 NIP!AND X 6MP1AYlayt9'LfAtlllM A Tm Hx-nn gem7W6RI30120fJ1 �uI0�D7 9lrtorm� s_ ? �vs s CWFUTWARE, mt IwYaaa ll�evaoA+Nal6frldfCA7MlBSlY66llCL�6PRCtAi.f1�Y CMTfFICA7'L"Of D&I CANCRIA ATION SHOULD ANY OP T11$ABOVE DESOUBED POLICI&S Be CANCELLED BEFORE THE SXPIRATWN DATE THEREOF, THB ISSUING COMPANY Wn,t, ENDEAVOR TO t wjL 10 DAYS WRrrrM 801 =70 TH8 CERTIFICATE HOIAER NAMED TO nM LOW.MR PAtLURE TO MAR.SUCH NOTICE SHALL IMPOSS NO O$LMATION OR LIARRXff OF ANY IUND UPON THE COMPANY. M AGENTS OR R$PRESENTATWES. AUTMWXD RVJSXRWrATIVF �Te 1°orivnwrecuea�i o��/�/L'aaaacLivaelCa Board of`Bmldmg Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration `�126480 Board of Building Regulations and Standards One Ashburton Place Rm•130.1 Ezpirafion 6/8/2008 Boston,Ala.02108 i' Type Individual MARK HERBST MARK HERBST 35 PEEP TOAD RD CENTE.RVILLE, MA 02632 Beputy Administrator Not valid with t nature '- -' BOARD OF 13WLDING'.REGULATION$ .. A, License: CONSTRUCTION SUPERVISOR t C x ys ry !:Number CS O48.546 F` Expires: 1/2V20�08, Tr.no:` 16606. �. ReA tsiiF ncted y. :N MARK D HERBST' x T 1�1 A c ".. ! 35;PEET CENTERVICLE;,MA `C.om mission er •" l /7 I 407 •� 176 42 Of Ex/STin�Fr A;a ,ORToAl= /O.82 ol rb n /✓oTE— EGE1/i9T/o n/S ,F3AS ED oN ELEV, _ /Z•6� i`> S.G� CERTIFIED PLOT PLAN ' LOCATION EDWARD E K�I,E EY r 20• .itiiAC2i�iL�, MASS. 02637 SCALE / . . . . . . . . . . . DATE , .?6 16?0 PLAN REFERENCE Ey f Z'tis.�i,l tp I CERTIFY THAT THE En/STn/e FOuIIJ Tq.N... St j SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REOUIREMgNTS OF THE TOWN OF t3A�Zn/STA . . . . . . . . WHEN CONSTRUCTED. fZoBElL7" >� �+9NNE TiN�-Z /'}uG.T DATE PETITIONER: Z4 /g�E'w/�E �2eaK P4RACw�►�/ G ,,,,, yltt,. G4r/ jL/D&E' /`SASS• aL38 REGISTERED LAND SURV OR As essor's map and lot number ............................ .............. THE V y rOf r�1� MUST CONNECT TO TOWN SEW Sewage Permit number ................................................... r7— • House number ...... .. 6BARNS39. \0�1�..��...: .... ............... �0 YPv a' TOWN OF , BARNSTABLE . BUILDING INSPECTOR � . t.��--...............................................• � APPLICATION FOR PERMIT TO ................ . ...:...........:.....:.... ' TYPE OF CONSTRUCTION ..........t ?.tip-............ ............................. ........... . ....2-. ............19.. . TO THE INSPECTOR OF BUILDINGS: i The undersigned hereby applies for as permit according to the following information: Location .....00..6.............'l� ! ►.r...... ......... A .:.......................................................... ProposedUse ......... .lA�L�............. ....................................................'.......................... Zoning District .................../..I.. ..........................................Fire District ........... . �-15�......................................... Name of Owner .el- .... +?.� ..1. 1.. ...Address ......... ........... .. G�:.... 414�....... ✓� Name of Builder ............. ...� ........�-�?.t.......Address .... " ... tt ��®.....GLJ........... Nameof Architect ...........................................:......................Address ........,........................................................................... Numberof Rooms ..................................................................Foundation ................................................................. Exterior ............Roofing ........................................................................ Floors ......................................................................................Interior ............................................................................... Heating .................................:.................................................Plumbing .................................................................................. Fireplace ............................................. .................................Approximate Cost ......... �4 cp5 p.................................Definitive Plan Approved by Planning Board ________________________________19________. Area .....................:.................... Diagram of Lot and Building with Dimensions Fee �J oo............ 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 regardin t e above. construction. Nam ,......... t' Construction Supervisors License ..�. '7 .... VHEPJALT ROBERT • 26832 a ................. Permit for ���.Pool ................ Accessqr.y to.. ..q�in ................... !j.......................... Location §§...��...........Cove...........Road........................Hvar=s Ow�2—e r ....Robert Therialt ............................................................... Ty of Construction .........FraTne...................... C> .......................................... M .............................. Plot..... Lot ................................ PeruGranted ......August 13, 84 Dat:i�:o .......................... 1 rrlf Inspection 19 Date Cornpleted .........w......19 4A'ssessor's map and lot number ............. .............................. y THE Fr ' SEPTICSYSTEM o 0 Sewage Permit number ..0.4..... ��. .......... ��� ���� ®� " STALLED IN COMPUANC •. , t Z EAE.HSTADLE, i House number. ......:..... 639- ..:....... ......................_.........::...... :" 'M7 9� MAB6 WITH TITLE 5 Y ENVIRONMENTAL WD7E AND o waY Toes► N E� TOWN 'OF BARNSTJ ` � DrS��d���� ae.E /ib3SNC3 31D3tl. �Ju J"; 40 IVAOL'ddV Ol 103rans BUILDING HSPECTOR I� , Z APPLICATION FOR PERMIT TO � L..l.. ........-.............................. .. ! ...W ..* ................ TYPE OF' CONSTRUCTION ..........:W.RP. ......k-. . `1: !!5=........................:................................................... TO THE INSPECTOR OF BUILDINGS: 1 The undersigned hereby applies for a permit,according to the following information: Location �P..(.. ......1�.l.P.D°!� cc)v E ....LO i4�....:................................................................................... ProposedUse .................P. .�.✓...n..1..= ....... ................ . ...................................... .......................... .......... ........... Zoning District .....................Fire District ....:.:.. .. Name of Owner ...L1.®D'7.L ..... ..Address .....�Q.�...�D.�'1��L... ............................................... Name of Builder" .......Address .......o. .�. ' .� 1/1M9, (O.-L i'3...... .,......... .............. .......... .... Name of Architect .Address z " ¢i 1............/1............. ..................... C, C 964W L d-JL 0 a Number of Rooms ..................................................................Foundation .............................................................................. Exterior .... . . ....� ..E .i......................................Roofing ....... n ? L��........................................................: Floors ............. .. �.. r....`�: o® .....................Interior J lt-z= ( �beYm ......................................................................... .Heating E=7.. S'T t ..... ...........'. ........ L.a.N ... ......... ......... ` ' ....... aCj 1n i Fireplace ..................r4Q!^-2-?.................................................Approximate Cost .......... ...................................... 7 pp 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 hereby agree to conform to all the Rules and Regulations.of the Town of Barnstable regarding the above construction. —.� Name ' ,� `!'HERIAULT, ROBERT L. 23879 N ADDITION o ................. Permit for .................................... Breezewa & Gar ...................................Y.....................?g.p................ t Location ... 6...R PPl•P...Q.Rve...Road.......... � -Hyannis . -, r ..................................................................... Owner Rob. ...ert L.......Theri. . ault. .............. ....... ....... .. .. ....... ....... .... 4 1 r� ' Frame ,i Type of Construction, _ z ......... ............. ..................... ....•............ Plot 3 � .................. ......... Lot ................................ � j- 4 P4arch 17 - 82 � Permit Granted .........................................19 Date of Inspection .. ..19 # —Date Completed ....J.................. 19 S y� 1 O�THE ro II nd lot number..' `�•••• `� �' �y Assessor's�(ap ..:� $EP�tC gYBTEM M �� m number .......... � .: .... IN EOM LE, i - co ✓C /�t?a WITH TITLE �, MMa Housemv. ...............................�.r . . ENVIRONMENTAL CO TOWN OF B A R N S T ATWE EGULATI N, Y � " BUILDING INSPECTOR t PPLICATION FOR PERMIT TO ..��. !.` .�.....p�.CS1..4? ? C: ..................................................................... i 7PE OF CONSTRUCTION '........................................................................................ . !- ...:...9.�).........19.... `�. - �"�►.�-`--U...r-- .-� "'e w� '._ s ��.�.�yf'prt+el•+s^•, ray r - ,r � S ECTOR O BUILDINGS: ` Th u dersigned' hereby applies for a permit according.,to the following information: Location .....e O f�?`t 2 O A B�9 c�u�; 9-t Ram D A r`I� �.1.�'.1?�-G.. o.V.E..K® D..."-..1.! IUI!!I$ w Proposed Use ................................................................................................... ZoningDistrict ........................................................................Fire District .............................................................................. n Q r3ER a I..!...t �.t f'F V cr7.......Address ..!`!l tqD 11=E..�-'12 o o lc..................... J�N(L < Name of Owner .. /..`......� /'}/� • CPsJr®�O ^/f'9G�"F� CLf�1 (2AMOREpezC, MRSS. 07,140 Name of Builder ...c.Address ...Mlff.W— .`d:•� -F.T...,..4R.44.f�.►�l,S..,�.J1111.1?.c�2.�"3 Name of Architect ��II.CJ��rYYt S Oe�Igyvl .s -a al Address-... n/,5.... 7.YeOZ6�3 ....... ,. Number of Rooms ........�,p.......................................................Foundation 9.�1►?L. ........ ...-�......�?�.A.!�?4...S W �T64 z I �v,ST C"oJEQ_. Exterior we-II_T .CG0Iq(L. f ,-j.k:!`4.r.1, �r�......Roofing ...���4=.. . 3't-�9�iNta,.��QHH r...r�!!).:IrLCS ...................... Floors .........0..d'X................................................................Interior ....... ............................................. 7 Heating ......... '1: ................. ......................... lumbing_ :. A.T..!�. ............... : .... ... ..... .. Fireplace .......... ......5.................................................................Approximate Cost ..........q..?-�QQC? ..... i Definitive Plan Approved by Planning Board ---------------______________19 . Area 7-3 � Diagram of Lot and Building with Dimensions Fee ..... ..... ..C4 ..........��. SUBJECT TO APPROVAL OF BOARD OF HEALTH tj 0 12 5 1b e I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. t Name ................................................�� �y .... ...... ....... ...... AT-J LT "awe 42 Permit for ...Single... ►, w .�s -}" r - �� ` 140 Jewelling............. ........... ........ . ....................Hyannis.................. r ..... . .... , �• Owner ..Robert L. Theriault Type of Construction Frame - I� f ...................................................................... f 'Plot ............................ Lot ................................ i ' March 12 Permit Granted l q . $ r ',',Date of Inspection .....................R/- Z .190 ' ' e,Date Completed ...?:n.L1 .......:19 - PERMIT REFUSED ............. ...... ..............................d::..... 19 .......................... ? ... 11 ............................................... �� t .........................................:.... t ..... •. .. ....................................................... ............................................... Apptdy,atl r:, a Y 19 r ....... ...M..... ................................... n S • • k Joe' NAME 2 DATE - v. EXTENDS r R U95E9 \ EY0t40 W Eo4 E 5LOCk J� e ENDGUT !� \• 'r�� � a 1 ti !m �- q�� to Ip �� > Z CP I Z WI I Yz Y.V CDX PLOOF r _ 5HEATH�CN W1C1._IPIS �EMoVE PLY.PAD S -� 15 FELTPAP6t� �y2 CA T.O.H. C I y 1 r 1F 2EQD SEHINGGOQ. BDS� r IXSGOe.Bo. \`��Z� . I TOPcmo, rtO-. \ METAL DZI P EAyS. p ON SHEATH [ " ' i - I --------- a �.SECU�ETO e- . - I I -------- — — BEVELtS F'ASCiI\� I BLOGY , ALUM.07- I - F2EIZEBD.ON ADD IX3FUP-V1V4C1 GUTT.F-1 O— I I SAMEPLAN� W� STQIP BEHIND IX - _ I I COR .SSD.TRIM COe-.$R ELYES - PLYSUg:EtK.- SldS ONLY eorT.cHoev JOB 15EVEL FASC:A:` ] TO ROOD SLOPE E I FeOM I xIO,U5E -` C�IZMER DOAQD TRIT.^�. - V o J�^FS 1(0 �?G. 1 r . ♦ E•X C ES S F'O o _1-a 2xa1ZXloBgX sILL +5•$ 1=PLY A \ � eEVEAL T21 tvl= STRIPS Ix(o PLANCIE>` . .2xCo 51LL Ill y LI Y 1 DENTII.L MLDCq FS'ONTONLY� ~ SEALEIL �'111 \ ,I ' C � �1 x� 3 NAI LEA UN DES= TYP. -4 CONAND.WIt�I.OriL Ouse Ix+. PINE. FILLEI�OVE-SL WIN. TR I M. . s SECTION THeU WAIL EAVES TP—IM DETA1l.:•_ - . SGAL>: % '�I�O= _, �2��'�rL3;',� ""n.••�C� SGALE 1�Z°+� I�O" i ir;:, i. rc vJ. .?E4' �s D l 1 7. 73 J C.�.` 61 ....('=`e'\�^e s { �'. +S'm f^Or + ' i� �ml 6� ►:.. a ` a ..- ' �• SODAPPL-tb.D .105 APPL1i±D -TOP PLAT 56 TOP PLATE O-f.*OL�PAT TOP' O-3t0LAP,AT TOP C;LP. 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"SLAceS i—�OC.�Fti 01 1P! 1�� ig''n.' � I [ -�-• JI �,C'1 Q ' Q N l.� •".� ' 'IY 01 � I I ' RELOGATE;� I RELOCATE WINDOW QI I RELOCATED DIH S FROM Door *- 70 GmACiLEE1.D OF FROKMPF SXISTING SLUG H EKtSTIWG HOUSE I 1 1 C)LT ST L-- -- ~J ?`-©, 0.".DOOR I g'-O")(l-''0.H.DOOR I = i I ►- - - - �- XI,STI NG 1 Q, ARME S FoRCW I 0 1 GLASS IN 3RD ROW � I uLASS IS4 5RD ROW I I N�' ! �tl 18—p x4 —rO" 11 �WE.L.L I � 4X 4 PO H POSTE, 1 1 Z/ZX8 PIC IRC H U NTEl- C O NC. APRON 1 EX I TI NG / i I F I R EI PLAC E I -7-0" T' iZ=0" '1=0" S-0 G ,0' D1 t~ W 1 NUNS Tim r t ' - I I W ALL Or- FAM I Lti( - I I AtiD REFLACE UN ITS;int4T,F+ , I I A PR4848 3o" WES-PiNE 1 BAY BN` UNIT W� A5PHASI~T Rc FLOOR F LLIsN NOTE . GARA4P- FOUND. %e-0 WINO FOUND. I Room SIZES SHOWI�I AIRE. .3 54 ' ate y4'•' a'; �. s,�sf1:—,r r�v• 0- 14 JOB lN5TAL%- ( ai FOUND CONNE-7 a^ TO l:x1STING CONC. `+WALi. fir.. ( i FOc�IIt�+`a CONT I TYP1GAl. - - —— { w l V E►jT i I y d R Aw GARAGE t SPa =t` I C r 30 'MI IN CLEAR. I ` "THK CONC St-AbQ - CNP Q I .0 _ TIE Ll - MILLWORK Mlyd3- liLE ` t N E _QUA. M{u9ANF t3F�GI<iIMON fiK SCHE I x ,� i Ci 3 WI YVP Z-1 x 4 STD GL 'Z/I DIH G LL�'S C.[JF+tC ^ _�a , , t �--- -. -� NOT C ' [3aY I31 N S' L L /�,N C N�iK 3O LTA un-O"0. _ _ !v 1: ..�. K_ LI.ES CO►.sC. APtpN , I _ l A 1 S', R F K = v'{Gfii FOR kCo F�A' 511,t- WITH &EALEF. h . fKFIRSON HOMES � ��k .....- . i i X 2X851L� Ir.I a R,a ,,._. I DooR WLdR 2-8x� 8 9LT ST.._�`Eu �3 �2 7"M. �'=5" �/= Mf:J.-� �Z W M 2 f3i "IRE RFa"iEL"u ru-c�q ems: I Nit _ _ _ FtJUNDATION i � � aii kFEx x7'o O. I�R 44 Job , s 2 � ` - l Ft � �, •r - ;-�. ,n�'`},,..:- , ! UDR PLAN r , :_ '.; ',•. ;' _.._ _ GLA5 1N 3RD Row aI�,RAGE -_ o _ _.4 _ D S R ,�. T-� -� __�_ E4- BERT TKEFiAUI.T 'F0�--�W��T i OP`1 t` LA�1 ------I i_ -� �_ MR MRS, RO „` W . x �._ �x a r F r t a 1 r xv J. � _ a _ _.- .. m . . _ ,. 3n, .,. _ .a. xva: ,. w ae•+-. 9.- ._. :-- --..'✓ -.. 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