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HomeMy WebLinkAbout0064 VANDERMINT LANE Town of Barnstable • � �.�.. , � Building i Post This Card"So"That rt is`Visible"fr'om the Street Ap"proved Plans Must.be;Retaiped on Job and'this Card Must,be-Kept M HARNSrABIA Posted Until-Final Inspection Has'Been Made p�Y�YY17� s639 1 i Jl mi axt�' Where a Certificate of Occupa„ncy.is_Required;such Building shall Not be Occupied-u til a Final Inspectwn.has been made Permit No. B-20-715 Applicant Name: William McCluskey Approvals Date Issued: 03/05/2020 Current Use: Structure Permit Type: Building-Insulation Residential Expiration Date: 09/05/2020 Foundation: Location: 64 VANDERMINT LANE, HYANNIS Map/Lot: 2500-057 ". Zoning District: RC-1 Sheathing: Owner on Record: MONAGHAN,JAMES M&AIDA Contractor Name: William J McCluskley Framing: 1 Address: 64 VANDERMINT LN ' Contractor License: 102776 2 HYANNIS, MA 02601 ``` .Est: Project Cost: $ 100.00 Chimney: Description: Dense pack the walls with R-13 cellulose. , -Permit Fee: $85.00 Insulation: Fee Paid $85.00 Project Review Req: 3 5 2020 Final: Date / / Plumbing/Gas Rough Plumbing: 3" _ 4 ,Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within'sixmonths after' ssuance.. All work authorized by this permit shall conform to the approved application and theapproved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. 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 the Final Gas work until the completion of the same. '" Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on"this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing ' Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed " .Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund (as set forth in MGL c.142A). Fire Department Building plans are to be available on site � All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ,Q P� Final: 1�'>1�� ll cc (( . .. .Application number.. ."�..1. ..�l. °erg Fee .................................................... ....................... ` ass.s ` 0r ®� Building Inspectors Initials. � ........ . ... .................. Date Issued............... ........4�. 2 . ............. �1 L� Map/Parcel.....2 . ...... �..... .../....................... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPS TY INFORMATION Address of Project: 6�e Aq.0d"TE /,iVL NUMBS STREET VILLAGE Owner's Name:c� <� J"1,C-),o Phone Number Email Address: [Cell Phone Number Project cost$ ISC6 Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize JCL LC,`'( (flia to make application for a buil ' pe ' in accordance with 780 CMR Owner Signature: ,Date: �� �' 1,9 Ar TYPE OF WORK Q Siding 0 Windows(no header change)# 0 Insulation/Weatherization 0 Doors (no header change)# Commercial Doors require an inspector's review Roof(not applying more than 1 layer Pf shingles) Construction Debris will be going to LA-Q-r'lW lL�c�9� L CONTRACTOR'S INFORMATION Contractor's name Home Improvement Contractors Registration(if applicable)# �2�� (attach copy) Construction Supervisor's License# 16 (attach copy) Email of Contractor �..' I C,L� • Phone number ALL PROPERTIES THAT HA LSTRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTYJS IN A HISTORIC DISTRICT. YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. i 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 X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event 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 Fuel source being used LP tank 20 lbs. or>Yes No ,if yes, a gas permit is required. Natural Gas Yes No ,if yes, a gas permit is required.. If food is being served at your event please obtain a Health Deparhnent approval between the hours of 8:00am-9:30 am or 3:30 pm-d:30pm. Commercial events may require Fire Department approval F- *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 APPLICANT'S I Signa Date All permit applications are subject to a building official' approval prior to issuance. & {/���,1yf •nyng gyp//./�pa•�/J/,�q �/ 4 . - -_ - Office of Consumer Affairs and Business Regulation 10 Park,Plaza- Suite 5170 Boston, Massachusetts 02116 ,r Home Improveme6f Contractor Registration s, Type: Individual OLNER KELLY Registration: 128957 8 RHINE RD Expiration: 06/13/2019 YARMOUTHPORT,MA 02675 µt Update Address and return card. Mark reason for oh; sCA 1 is 2OM-05/11 V ✓/� ��' _ __ 17 A@rlrnse n oe�e�u�l n Fm!ale�tnoM p L .—• '/ltC. �(G%7[91tG Jlll'CC[l��O��/��CGi:SCGCIt t[JCLt '�..N._�-`V-.`�...•—..._�__.�.�._ � �.._ -_�..J.�..�._.._. ' Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Individual before the expiration data. If found return to: - s� Registration Expiration Office of Consumer Affairs and Business Regulation y 128957 06/13/2019 10 Park Plaza-Suite 5170 O IVER KELLY Bostd—n M 02116 jr OLIVER M.KELLY �,�c C�Q,� � �• � ._.�� S ; �_ — 8 RHINE RD. YARMOUTHPORT,"A'6 675 Undersecretary*.,. Not valid without signature �. A. ' r ! . ^' (;tiltusetts � q i_Licensure Board of ns and Standards Cons tructiO,D ,sprSpecialty CSSL-099167 E-xplres: 09/28/2019 OLIVER M KELLY 8 RHINE ROAD,- YARMOUTH PORT MA 02B75 Commissioner z The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 � www.mass govhUa «orkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERWITI\G AUTHORITY. Avolicaat Information Please Print L&g1bly Name(Busine 0 dividual)' Address: City/state/Zip: 0_1��� Phone#: scq 1`16 go , Are you an employer?Check the appropriate boz: Type of project(required): l.Q I am a employer with __( employees(full and/or part time).* 7. ❑New construction In I am a sole proprietor or partnership and have no employees working for me in $, Remodeling any any.[No workers'comp.insurance required,] 3. I am a bomeowner doin all work � 9. D Demolition ❑ g myset£[No workers'comp.insurance uQed. t 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10❑Building addition ensure that all contractors either have workers'compensation insurance or are sole I L D Electrical repairs or additions proprietors with no employees. 12.D Plumbing repairs or additions 5:❑I am a goal contractor and I have hired the sub-contactors listed on the attached sheet These sub-contractors have`employees and have workers'comp.insurance t ME116f repairs 6.Q We are a corporation and its officers have exercised their ri of 14.Q Other ght exemption per MGZ c. 152,§1(4),and we have no employees.[No workers'comp.insurance requited.] 'Arty applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information t Homeowners who submit this affidavit indicating they are doing all work and then hue outside contractors must submit a new affidavit indicating such ' =Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contrausors have employees,they must provide their worlcers'comp.polity number R I am an employer that is providing workers'compensat ton insurance for my employees. Below is the policy and job site 3 information. Insurance Company Name: —Ac"A.L eAN) o V> Policy orel # Self-ins.Lic.#: 2v � iration Dade, n 't. Job Site Address: � ;l�M, C' /Stt�teai • —city/ P- 1 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 :f. and/or one-year imprisomnem,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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do her c Lthepialdins�zndpenjfdes�fperpry that the information provided above. we and correct Si afore: Date: C� TZL_ Phone#: Offccial 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#: s 1 7 ®'� DATE(MM/DDIYYYY) ACORO CERTIFICATE OF LIABILITY INSURANCE 05/18/2018 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). CT PRODUCER C E: NAMME:TA Joanna Bednark. - DOWLING&O'NEIL INSURANCE AGENCY PHONE �, (508)775 1620 A C No): aotil�ss: -bednark doins.com 973IYANN000H RD INSURER(S)AFFORDING COVERAGE NAIL# HYANNIS MA 02601 INSURERA: ACE AMERICAN INSURANCE CO 22667 INSURED _ - INSURER B: KELLY ROOFING INC INSURERC: INSURER D: 8 RHINE RD INSURERE: YARMOUTHPORT MA 02675 INSURER F COVERAGES CERTIFICATE NUMBER: 270693 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 UBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MIDDIYYYY M/DDIYYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED— CLAIMS-MADE 1-1 OCCUR PREMISES a occurrence $ MED EXP Any one person $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑JPERCT LOC PRODUCTS-COMP/OPAGG $ OTHER: $ AUTOMOBILE LIABILITYCOMBINED SINGLE LIMIT $ Ea accldenf ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTO S AUTOS N/A BODILY INJURY(Per accident) $ NON-OWNED PROPERTYDAMAGE $ HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAS 1 CLAIMS-MADE N/A AGGREGATE $ DIED RETENTION$ $ WORKERS COMPENSATION X STATUTE ER AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EJ�CUiIVE Y/N E.L.EACH ACCIDENT $ '600,000 wAA A 6S62UB8H08580918 05/10/2018 0A OFFICER/MEMBEREXCLUDE /2019 (Mandatory in NH) E.C.DISEASE-EA EMPLOYEEI$ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached If more space Is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 0306 B,no authorization is given to pay claims for benefits to employees.in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. Thiscertificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/Iwd/workers-compensabonfinvestgafions/: CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED.POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE-WILL BE DELIVERED IN Town Of IVIeShPee ACCORDANCE WITH THE POLICY PROVISIONS. 16 Great Neck Road North AUTHORIZED REPRESENTATIVE , Mashpee MA 02649 Daniel M.Cro+wy,CPCU,Vice President-Residual Market=WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home ImprovementContractor Registration -- 1 Type: Individual Registration: 128957 OLIVER KELLY J.';' . 8 RHINE RD Expiration: 06/13/2019 YARMOUTHPORT,MA 02675 Update Address and return card. Mark reason for change. SCA 1 0 20M-05/11 AcfdrPso n oa.t 'Fm- lokim+nt f7 Lpst Card t Office of Consumer Affairs&Business Regulation h � HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only - - TYPE:Individual before the expiration date. If found return to: Rer Istratlon Ex iration Office of Consumer Affairs and Business Regulation 8957 06/13/2019 10 Park Plaza-Suite 5170 O IVER KELLY=! ! , ; stdn,MA 02116 f w ,. = i; OLIVER M. ELL 8 RHINE RD. Y _y`= _.f YARMOUTHPORT,MA`02675 Undersecretary Not valid without signature Loa)— Commonwealth of Massachusetts Division of Professional Licensure Board-of Building Regulations and Standards Constructiao S�6'ig i sir Specialty tT. CSSL-099167 EApires 09/28l2019 OLIVER M KELLY 8 RHINE ROAD; YARMOUTH PORT MA 02675 • # Commissioner 109997 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 6bMap 0` Parcel Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address 64.Vandermint Village Hyannis Owner James Monagham Address Telephone 508-685-2273 Permit Request air sealing, insulate kneewall (R-10) , insulate attic (R-49/R-38) install 3 roof vents and 7 soffit vents, insulate basement ceiling at the house sill Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 3042 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 Court —+ '' Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other G , Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stoves❑Y4s ❑ No W Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing IJ new size_ --o z Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: 3 N N P, Zoning Board of Appeals Authorization ❑ .Appeal # Recorded ❑ rn 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 DATE �—Lo - t lC) Erik Nerstheimer for RISE FOR OFFICIAL USE ONLY ''APPLICATION# DATE ISSUED MAP L PARCEL NO. ADDRESS VILLAGE OWNER I � DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL u GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED.OUT ASSOCIATION PLAN NO. I I 5 " "" I ID#0"406629 RISE ENGWEERMG 'I Dr' V r.. tractor Registration No 8186 A division of Thielsch Engineering Dritractor Registration No 120979T )ntractor Registration No 620120 * 1341 Elmwood Avenue,Cranston,RI 029, F MAY 19 2%jIIL NTCT a (401)784-3700 FAX(401)784- 0 Pag Iyryg61 1 - S �E � THIS C DNTRACT IS ENTERED INTO BETWEEN RISE ERING AND THE CUSTOMER FOR WORK AS ENGINEERING DESCRIBED BELOW CUSTOMER �. PHONE DATE Clierd# James M Monaghan (508)685-2273 05/13/2010 109997 SERVICE STREET ---- --_ ---_-----_BILLING STREET - -- --_-- _--- 64 Vandermint Lane r 64 Vandermint Ln SERVICE CITY,STATE,LP - BILLING CITY,STATE,LP Hyannis,MA 02601 Hyannis,MA 02601 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. 14'man hours.This measure is available for 100% rebate from the Cape Light Compact.Client to remove attic flooring. $924.00 RISE Engineering will provide labor and materials to install 2.25"R-10 semi-rigid fiberglass board insulation to 39 square feet of kneewall area. , $105.30 . RISE Engineering will provide labor and materials to install a 14"layer of R49 Class I Cellulose added to 1095 square feet of open attic space. $1,533.00 RISE Engineering will provide labor and materials to install,a 12"layer of R-38 unfaced fiberglass batts to 39.square feet of attic space. $79.95 RISE Engineering will provide labor and tUterials to install(3)8"diameter roof vent(s)to increase ventilation in attic areas. The vent can be supplied in(circle color)black,brown grey. $210.00 RISE Engineering will provide labor and materials to install 7/4" X 16"rectangular aluminum soffit vents to increase ventilation in attic areas. $119.00 RISE Engineering will provide labor and materials to install 64 square feet of R-10 faced fiberglass insulation to the perimeter of the basement ceiling at the house sill. $70.40 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.). S 1` ' Federal ID#05-0405629 RI Contractor Registration No 8186 A division of'rhielsch Engineering- MA Contractor Registration No 120979 CT Contractor Registration No 620120 1341 Elmwood Avenue,Cranston,Q2➢02910 �s ��,,ee /A� (401)784-3700_ FAX(401)784-3710 V®1����1CT IRA Page 2 M 8 S 8}! - THIS CONTRACT IS ENTERED INTO BETWEEN RISE ENGINEERING AND THE CUSTOMER FOR WORK AS ENNUI EERING _ _ } _ DESCRIBED,BELOW CUSTOMER -- -- _, --- PHONE.. - DATE --- Client 0 James M Monaghan (508)685-2273 05/13/2010 109997, SERVICE STREET - ,BILLING STREET 64 Vandermint Lane 64 Vandermint Ln SERVICE CITY,STATE,ZIP - BILLING CITY,STATE,ZIP Hyannis,MA 02601 Hyannis,MA 02601 JOB DESCRIPTION -$2,924.00 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE 1MTH ABOVE SPECIFICATIONS.FOR THE SUM OF ***One.Hundred Seventeen&661100 Dollars $117.65 t • UPON FINAL INSPECTION AND APPROVAL BY RISE ENGINEERING.CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL.INTEREST OF 1%WILL BE CHARGED MONTHLY ON ANY r UNPAID BALANCE AFTER EO EE REVERSE FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND CONTRACTOR REGISTRATION. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES AUTHORIZE :S TU -RISE E INEERING �. _ CU TO R ACCEPTANCE _ NOTE:THIS CONTRACT AY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE " 20`c "ACCEPTANCE OF CONTRACT-THE ABOVE PRICES,SPECIFICATIONS AND CONDITIONS ARE tl SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED.TO DO THE WORK .,DAYS. - - AS SPECIFIED.PAYMENT WILL BE MADE AS OUTLINED ABOVE - ,.t r, W The Commonwealth of Massachusetts , Department of Industrial Accidents Office of Investigations 600 Washington .street Boston,Mass. 02111 � www.mass.gov/dia Workers' Compensation Insurance affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): RISE Engineering a division of Thielsch Engineering_ Address: 1341 Elmwood Avenue City/State/Zip: Cranston, RI 02910 Phone#: (,401)784-3700 or� 1-800-422-5365 Are you an employer? Check the appropriate box: Type of project(required): 1. N I am an employer with 4. ❑ 1 am a general contractor and I 6. ❑New construction employees(full and/or part time).* have hired the sub-contractors ❑Remodeling 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ship and have no employees These sub-contractors have 8: ❑Demolition working for me in any capacity. employees and have workers' 9..❑Building addition [No workers'comp.insurance comp. insurance.$ 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 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:.� Other Insulate — comp.insurance required.] - -. —� *Any applicant that checks box#1 must also till out the section below showing their workers'compensatiou 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-Ontractors 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 i:ns.Lic.#: 13730961-00 j Expiration Date: 1/1 Job Site Address:- V C( _�� _ City/State/Zip:. Attach a copy of the workers' compensation policy declaration page(showing the pplicy 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 maylbe forwarded to the Office of Investigations of the DIA for coverage verification. _ I do herby certiand '`the ins eizalties of perjury that the information provided above is true and correct. ntur : Sign, e �...���„ __ _•"� . Date: Print Name: Erik Nerstheimer Phone 9:(4010784--3700 or 1-800- 24 2-53h5 Px 1 33 Official use only Do not write,in this area to be completed by city.or town official City or Town: _M17V Permit/license#.: Issuing Authority(circle one): 1.Board of Heath. 2. Building Department 3.iCity/Town Clerk 4.,Electrical Inspector 5 Plumbing Inspector . 6.Other �r _ Contact person: _ phone.#: M1 V AC®RD CERTIFICATE OF LIA61LITY INSURANCE OPID 47 DATE(MM/DDrrY/Y) THIEL-1 09/13/10 PRoou 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 7HE COVERAGE AFFORDED BY THE POLICIES BELOW, East Greenwich RI 02818-0810 Phone: 401-886-8000 Fax:401-885-1700 INSURERS AFFORDING COVERAGE NAIC4 INSURED INSURERA: Zurich-American Ins Co. , Thielsch "Eng g,ineerin Inc INSURERS:. n-4—n C.4r ntee a W.bili.ty Thielsch GLOUp Inc. INSURER North American Capacity Hi Tech Realty Inc. -- - 195 Frances Avenue Cranston RI: 02910 INSURERD: Hartford Insurance Company Cranston " INSURER E' ' COVERAGES 14E POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWII'HSFANDING, - ANY RECUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCWENT`NITH.RESPECTTG 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IF15R-T'.IIDL - _ - LTR INSR TYPE OF INSURANCE POLICY NUMBER - DATE(MMIDOr Y) DATE( M) LIMITS GENERAL LIABILITY EACH OCCURRENCE ill,000,000 A X COMMERCIAL GENERALLIA81LITY 3730962-00 - 04/01/10 01/01/13, PRELILSEs(Eaoccwenca) s300,000 CLAIMS MADE` OCCUR MED EXP(Any.ona person) g 10,000 PERSONAL&ADV INJURY g 1;0 0 0,0 0 0 - - GENERAL AGGREGATE 5 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,606,000 POLICY X .JEa LOC - -- — - Emp Ben: 1,000,000 - AUTOMOBILE LIABILITY A ( X ANY AUTO - 3730963-00 04 (Ea ccid-/01/10 01/01/11 Ca accid eni)DSIMGLELIMIT g2,000,000 ALL OWNED AUTOS - _---'— BODILY IPI,IURY g. SCHEDULED AUTOS BODILY person) - HIRED AUTOS- — ` BODILY INJURY NON-OWNED AUTOS (Per acc�ddril) IPROPERT4 DAMAGE �---- — I f Per acciueni) GARAGE LIABIC" _ - AUTO ONLY-EA ACCIDENT g ANY AUTO - . OTHER THAN EA ACC $ . ... Avro.ONLY: AGG S _ EXCESSIUMBRELLALIABIInY .. EACH OCCURRENCE $ 10,000,000 F3 X OCCUR �CLAIM 3MADE UhID 9263637-00 04/01/10 OT/O1/11, 'AGGREGA;rE g10,000,000 _ s R_ DEDUCTIBLE - - --- — - g X RETENTION,.. 'S 10.;0 0 0. 4 — WORRERS COMPENSATION AND X TORYI_IMITS _ ER EMPLOYERS'PRO IETORILIABILITY -.E.L.EACH ACCIDEW 1 1,000,000 p' :vdl'PROPRIETGRlPARTNEP/EXECUT!VE '�7309.61-00 .. 04/01/10 01./01/11. OFFICER/MEMBEREXCLUDED1 E.L..DISEASE-EA EMPLOYEE :�1,000,,000 - it yes,describe Under - - -- .SPECiAI PROVISIONS Dolow - - F_,L.OI SEASE POLICY LIMIT :r 1,000,000 OTHER _ - C + Professional Li'ab_ DVL000026800 04/01/10 04/01/11 Prof Liab' 2,000,000 D , Leased/Rented Eq� 02UUNTDS67$ 04/01/10 04/01/11 7..qu.ipment 100,000 DESCRIPTION OF.OPERATIONS/LOCATIONS 1 VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVIu""IONS CERTIFICATE HOLDER CANCELLATION -- - SHOULD ANY OF TH£ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER'MLL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CER nFIGATE.HOLDER NAMED TO THE LEFT.BUT FAILURE TO 00 SO SHALL -I 'IMPOSE NO OBLIGATION OR.LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR .. -. REPRESENTATIVES. ---- .AUT��'HORIZED RaPRE31VE - .,-- ACORD 25(2001/08) c�ACORD CORPORATION 1988 J' rTS orngineering, a division .of Thielsch Engineering,_ Inc. Gasel Associates.; a division of Thielsch Engineering, Inc. BAL Laboratory, a division of Thielsch Engineering, Inc. ` ESS Laboratory, a division of Thielsch Engineering, Inc. ALCO Engineering, a division of Thieloch Engineering, Inc. Water Management Services, a division of Thielsch Engineering, Inc. t Y • V/ -- ® ice o �onurner L and usiness e ion. ., r - 10 Park.Plaza - Suite 5170 ,M Boston, llssachusets 02116 t Hone Improve ' ',i�ontractor Registration - Registration: 120979 M r Type: Supplement Cara "-- — F -- — Expiration: 3/25/2012 r . THIELSCH ENGINEERING 1 ERIK NERSTHEIMER 1341 ELMWOOD AVE. a CRANSTON, RI 02910a , y T. Svc Update Address and return card.Mark reason for change., Address Renewal Employment F-� host Card. DPS-CA1 0 50M-04/04-G101216 -7!e �omaaoouirealt/ o�. iraaac�ucGel7G _� - 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: y Office of Consumer Affairs and Business Regulation Registrationz q 79 T e: . � � yp 10 Park Plaza-Suite 5170 Expira 12 Supplement Card Boston,MA 02116 THIELSCH ENG'f�t — ' ERIK NERSTHE a ~y 1341 ELMWOOD� CRANSTON, RI 02919"tt Undersecretary Not valid without signature r age 1 0I 1 1 ' The Official Website of the Executive Office of Public Safety and:Security (FOPS) Mass.Gov Home Public Safety Department of Public Safety Licensee Complaints License Type Construction Supervisor License# 100459 Restriction WS,IC Name Enk Nerstheimer City, State, Zip North Scituate, RI, 02857 Expiration Date 3/28/2012 Status Current No complaints found for this Licensee. Back To Search ✓�ze.U�o7n�nc�z;uea/� o��i�.�czfckz:du�celte. _ _ .. ..''I:..::-',. :..'_... . ._ .. . .. Board of Bitildino Regulations and StandaiiN " l.kense or reEistration Val d-for individul use only 1 HOME IMPROVEMENT CONTRACTOR is before the expiration date. If found return to: Registration.. 120979 Board of wilding Regulations and Standards EApiration._:3%25/2010Fv, ­- ' One Ashburton Place Rm 1301 --Type e_=Suppiemeni Card T^q'stc 3i laSa. 021-08 ELSCH ENGINEE_.AIlN1;'' Ile K NERSTHEIMER_'' ',;�_-= 1 ELMWOOD.AUE _ 1 aNSTON, RI 029104 �=- Not valid Admm,sti.:uor without sign2-Ure J - 4- G. h.ttp:!/db.state.ma.us/dps/licdetails-asp?tXtJea!0lri -. t �`r .. �54 r� � � , � .;a..r♦ .r�b,Y, ,�.^�a� �t i� 3F �` T� qVV x, .s 9 VIM, EPA. A Y x a`..,3 t 3 t.t w4 `�+ •..v I/ :11, h p'x Imo• NAT-24531 - 1 1 �� � ''"��F tN dh•• �' y"f�•a+..+,ysru..4•',. n'1..r a oFTM� The Town of. Barnstable ent of Health Safety tY and Environmental Services t�u3rsruBr.� : Building Division 1"9. ,0�' 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph ACrossen Fax: 508-790-6230 Building Commissioner ' Home Occupation Registration ,gin z � g_ 3,9 Date:7 /�� "/ �� Name: !'l�t, Phone !1: z g Andress: r r Type of Business: 1^1</ Map/Lot: INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor,no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which arc uuot customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residetwal volumes. • The use does not involve the production of oiTcnsiyc noise,vibration,smoke,dust or other particular der,odors,electrical disturbance,heat.¢arc,humidity or other objectionable effects. • 'There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • . There is no exterior storage or display of matcrials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • U the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. 1.the undersigned,have read and a with the above restrictions for my home occupation I am registering: Date: Applicant: Assessor's rna and lot number .2�r� .....7.... .« 9 OX•��/Z /a-�l'�- - ��s�r��......Tv... ^ v ��/FaORfs Qy�F THE tp�I Sewage Permit number ........................................................ Z. o13ARNSTADLE, House number ............... 8IL i ' c. 11PY k. TOWN , OF BARNSTABLE BUILDING .r INSPECTOR . . APPLICATION FOR PERMIT TO ...�4r.. 1i1f...... TYPEOF CONSTRUCTION ...........:.....�f�.« .-....................................................................................................... ........ c .....W 2..........19.%11 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Y /�.Location ... ...... �i.bi'1�' -V :t. .....: 1:......•. ht•' .3.... .:......h ...#9...................................... Proposed Use i 1 "An .......... ....................................................... ........................ .......................................................... Zoning District ......Fire District .......... ...... .` Name of Owner 9!C44AV-P... .'...........Address &.4-.\1-b-..,• .. �r°P �2.1h3 ... Name of Builder ...•..Addres's ....t-.- 1'lI 1Adt4A, 5........ Nameof Architect .........................................Address .......................................:....:..................................: Number of Rooms ..............0.......................................... ........Foundation ... Exterior ............. d k.+, > ....✓.Y`'.'.t. .��.!!.....Roofing ...... :7:::.. C!�.�`�f(.A.1 .... r ......... Floors "'r� (.•;� 1.a?.1 ......... �,-A. ............Interior ......, . 1- ................................. Heating ........ .-...................................::..Plumbing ...... '.'.. 5.! .. T'........................................ Fireplace ..................�Y4?ji:. ................................................Approximate Cost .......... :........................................ . Definitive Plan Approved by Planning Board ________________________________19________, Area � -....,. . ...................... Diagram of Lot and Building with Dimensions Fee 16 SUBJECT TO APPROVAL OF BOARD OF HEALTH lZoi� Q �i U pT N ' - \I n� ♦ Gre. V e - a 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 .. .. ......... s 4 . VECCHIONE, RICHARD 2i440 CONVER GARAGE No,',F­­......... Permit for .................................... Single Family Dwelling ................................:............................................ 64 Vandermint Lane Location ................................................................ Hyannis ............................................................ ' Vecchione Owner .....R....ichard.............. cchione........................................• . Type of Construction ...Frame........ ................ • ................................................................................... Plot ............................ Lot ................................ PeIrmit Granted ...9t9.t.....7.............. 7�1*9 82 Date of Ins 4-io-&n�..... ..............19 Date Completed ........... ....19 r i .. Assessor's map and lot number .............`�p. .,... ' /7�' f•;'ly., .1.t ��L..-. .. f(r=S�ti�l�� ' TuP��(r7HEt��1, 'Sewage Permit number ........................................................ -* C� I I BAUSTAMLE, i y House number .... ...tO............................................................. V, Mb 9 0 3 `00 TOWN OF BARNS TABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .X .A 05� z�'t•'AV—A.� -!���� -" - - ...:.. ..... ........... ...... .;. ...............................:.......... TYPE OF CONSTRUCTION ................. .. ......................................................................................................... ................�..................i7..........1917,� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ... k! .f �T? T?„U►�?.t�? .....L .. - s�!?. # rl►.a7.. . ....... f...... ..................................... �. ... . Proposed Use .......L:ti.�...� � ' Zoning District ............................................................Fire District ............. ...... ............................... Name of Owner �b A�7:A... C' .,1�.�,. ��,!-'...........Address ...l Fta. . ;k ,a •��` 1 ��1 141�tj Name of Buil der's ? .'��•f,-ram ,!!�%v�ar. "' FL�: Address `�� lAr��Art-1 Tz+'� l- tn1�5......... .4. t r. .. Nameof Architect. .........r-,c .4 ;-..........................................Address .................................................................................... Number of Rooms .............. ..................................................Foundation .... a.:a- Exterior ............ ....Roofng .................................... Floors .....� (•�- -5 a ,/� --� � ? .Interior *.. "J .................................. tr.. Heating .............r `Tl�'tC_ Plumbing ......�`? ' ` . . .. ..... .....:........................................ Fireplace ................fit, k lt"................................, . .......................................................... .................A roximate Cost Definitive Plan Approved by Planning Board ________________________________19________, Area .............�'�...................... Diagram of Lot and Building with Dimensions Fee r ? � r r•�, ........... ............................. 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. J_...f{_/� Jul /i....J.. Name :... c"�/ -367� VECCHIONE, RICHARD A=250-57 24440 Convert Garage; No ?.............. Permit for .................................... v .............. 64 Vandermint Lane Location ................................................................ Hyannis ............................................................................... Richard Vecchione Owner .............................I................................... Frame Type of Construction .......................................... ................................................................................ Plot ............................ Lot ................................ Oct. 7, 82 = Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ......................................19 / 0-0 C'ar"o/ 1